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| PM News | |
The Voice of Podiatrists
Serving Over 17,335 Subscribers Daily
May 24, 2016 #5,670  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Have you contacted your senators about the Department of Veterans Affairs Provider Equity Act? |
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| INTERNATIONAL PODIATRISTS AND DIABETES | |
Awareness Reduces Diabetic Leg Amputations: Aussie Podiatrist
Better access to health services and more awareness of diabetes are being hailed for a 70 per cent decrease in the risk of type 2 diabetics requiring a leg amputation. The finding comes against a backdrop of rising diabetes rates worldwide, study author and podiatric medicine researcher Dr. Mendel Baba says. "Although the burden of diabetes is increasing… there have been some changes in the way we care for diabetic foot disease or management strategies that have been successful," she says.
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Dr. Mendel Baba |
The research compared people who took part in the Fremantle Diabetes Study from 1993 to 1996 (Phase I) with those who participated from 2008 to 2011 (Phase II). Dr Baba says greater awareness of diabetes and diabetic complications, and GPs checking for complications have also likely contributed to the drop in amputations. Dr. Baba, who conducted the research at Fremantle Hospital, says amputation is only a last resort for diabetics. "Someone with diabetes who's diagnosed today won't necessarily have an amputation tomorrow," she says.
Source: Daily Sun [5/22/16]
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| PODIATRIC SUPERGROUP NEWS | |
NJ Podiatrist Joins Leadership Team Of NJPPSG Super Group
Hal Ornstein DPM, Chairman and CEO of NJPPSG, LLC. has announced that Stuart Jacob, DPM of Mt. Laurel, New Jersey has joined the leadership team of the organization. “Jacob, a seasoned practitioner offers much wisdom and a wealth of clinical experience. His insight and understanding will help to advance much in the way of guidance and direction for our group,” states Ornstein.
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Dr. Stuart Jacob |
Dr. Jacob is Board certified by both the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. Additionally, his interest in limb preservation involves close to twenty years on the medical staff at The Wound Healing Center at Lourdes Medical Center of Burlington County.
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| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist Joins Rochester Foot Care
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Dr. Vincent Vess |
Dr. Vincent Vess recently joined Rochester Foot Care as an associate in podiatric medicine and surgery. Vess graduated from the Ohio College of Podiatric Medicine with his doctorate in podiatric medicine in 2012. He completed a three-year residency in adult and pediatric foot and ankle surgery at Christiana Care Health System in Wilmington, Delaware, as chief resident.
Source: Irondequoit Post [5/18/16]
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| QUERIES (CLINICAL) | |
Query: Odd Reaction to Sclerosing Therapy
The other day, I gave a patient an injection for a Morton's neuroma using the dehydrated alcohol solution that I have had much success with for the past 15+ years. The patient called my office one hour later informing me that her entire leg from the knee down was numb! This eventually wore off, but left her with some knee pain which also eventually subsided. Has anyone ever had this happen to a patient?
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| CODINGLINE CORNER | |
Query: Accessory Navicular ICD-10 Code
I cannot find a code close enough to the accessory navicular or the os tibiale externum. Can someone make some suggestions? The closest I can find is M21.0 (valgus deformity not elsewhere classfied) or Q66.6 (other congenital valgus deformity of the foot).
Wendy Siegel, DPM, Smithtown, NY
Response: If you look up "accessory navicular" in the ICD-10 Tabular Index, you won't specifically find it, but you will find Accessory bone NEC Q79.8, Accessory tarsal bones Q74.2. When you check the Tabular List, you will find that Q79.8 is described as "other congenital malformations of musculoskeletal system." 74.2 is described as "other congenital malformations of lower limb(s), including pelvic girdle."
Both present as congenital malformations. Of the two, obviously, Q74.2 is more specific. However, if you go to the CMS site and look at the 2016 GEMs (General Equivalent Mappings) crosswalks from ICD-9 to ICD-10, ICD-9 755.67 (accessory bone foot) crosswalks to ICD-10 Q66.89 - other specified deformities of foot. If you go to the APMA Coding Resource Center ICD-10 Quick Index, the AAPC crosswalk site, ICD10Data.com, etc., all point you to Q66.89, which is my recommendation.
Harry Goldsmith, DPM, Cerritos, CA
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Myron Bergman, DPM
I was at a lecture years ago by Gary Gibbons, MD of New England Deaconess/Harvard who said "eschar-goes". Having also listened to a PhD nurse giving a lecture at an APWCA meeting on leaving stable eschar, I asked about the difference between what we docs are taught and what the nurses are taught.
The docs and the nurses are trained differently in how to treat stable eschar. The nurses are taught to leave it alone. We are taught to remove it. The fact is that you don't know what's going on underneath. You need to use your clinical judgment. If you think it's infected underneath or that this necrotic tissue is interfering with healing, remove the eschar. Dead tissue doesn't get better.
Myron Bergman, DPM, Bridgewater, NJ
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| RESPONSES/COMMENTS (PHARMACEUTICAL NEWS) | |
I understand the information on ORAL ketoconazole and I am interested to know how that translates to the topical form. Is there any concern at all regarding topical application? Is the absorption topically rather insignificant compared to oral consumption?
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
RE: AAOS and the Department of Veterans Affairs Provider Equity Act
From: James J DiResta, DPM, MPH
I believe the APMA letter from Dan Davis in response to the AAOS letter was well written and honest and a fair representation as to who we are and why we should be on par with MD, DO and DDS/DMD in the VA. Although the AAOS letter did impart some statements of truth, it also included inaccuracies. It was framed in such a manner as to be disrespectful to us as a profession, and as a whole is dishonest. The orthopedic community should be outraged by their society's initiative to hurt us in such a manner. In spite of this threat from AAOS, it amuses me that they are so paranoid of us as to behave this way.
James J DiResta, DPM, MPH, Newburyport, MA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
RE: AAOS and the Department of Veterans Affairs Provider Equity Act
From: Bret Ribotsky, DPM
I think the real issue is that AAOS is getting involved in a problem that they cannot solve. There are no full-time orthopedic foot and ankle surgeons at the VA vs ~ 400 full-time DPMs. There are 16 part-time foot and ankle orthopedic surgeons versus over 1,000 part-time DPMs in the VA system. Since the VA (in reality) pays much less than private practice, adjusting DPM salaries has nothing to do with preventing foot and ankle orthopedic surgeons from doing cases. I’m almost tempted to say, let the AAOS fill all the 400 DPM positions with foot and ankle orthopedists so there will be a lot of great jobs available for DPMs in ortho groups.
Bret Ribotsky, DPM, Boca Raton, FL
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Andrew Levy, DPM
Congratulations and a well deserved Mazel Tov to Dr. Meyers. Ever since I have known him from from school, he has always been a leading contributor and an honor to our profession. I'm glad to see him receive a well-deserved award.
Andrew Levy, DPM Jupiter, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Talented Feet
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Talented feet |
Click here to view video
Source: Flixxy.com via YouTube via Britain's Got Talent
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Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - REGO PARK, QUEENS, NY
A well-established fast pace podiatry practice seeking a highly motivated professional with excellent bed side manners to work PT. The candidate should be well verse in all aspects of podiatry, excellent clinical skills and charting. Send CV to Advancedwalk3@aol.com
ASSOCIATE POSITION - SOUTHERN NEW JERSEY
PT or FT. PMSR/36. Energetic, Intelligent, motivated Podiatrist. Great opportunities. EHR/digital x-ray/ DME Board qualified/certified. Email resume: njfootdr722@gmail.com
ASSOCIATE POSITION – INDIANAPOLIS, IN
Our busy 2-physician podiatry practice is seeking a highly motivated associate to join our team. The ideal candidate is familiar with all aspects of podiatry care with limited palliative practice. Candidate must be board-qualified in both forefoot & rearfoot surgery. Includes malpractice ins, competitive salary, vacation, and CME time off. Includes opportunity for advancement to partnership level, with investment in local surgery centers. Send resume and salary requirements to admin@southsidefootclinic.com
ASSOCIATE POSITION - SUBURBAN PHILADELPHIA
A well-established, podiatry practice located in suburban Philadelphia, is seeking a BE/BC podiatrist to join our team. The ideal candidate is a highly skilled, personable, and hardworking physician with an interest in partnership. Please forward cover letter and a current CV via email to podiatrymgmt@gmail.com.
ASSOCIATE POSITION - SOUTHEAST VIRGINIA
Group practice seeking personable well trained podiatrist. ABFAS Qualified/Certified. Newly trained or established practitioners welcome. Must be motivated with excellent clinical, charting and surgical skills – comfortable with all aspects of podiatry. Practice currently serves three locations, all with modern conveniences and experienced support staff. Competitive compensation package. Send email of intent (subject: New Associate) with CV to: 1footassociate@gmail.com
ASSOCIATE POSITIONS- HOME FOOT CARE, INC
We are looking for podiatrists to visit home patients in these areas: Los Angeles, CA, Ventura County, CA, Santa Barbara, CA, Lancaster/Palmdale, CA, San Bernardino/Riverside, CA, Palm Springs/Palm Desert, CA, Las Vegas, NV, Honolulu, HI. Full/part time, independence, excellent compensation, dedicated support staff, electronic billing/medical records. email CV to: homefootcare@hotmail.com
ASSOCIATE POSITION AVAILABLE - SOUTHWESTERN CONNECTICUT
High volume podiatry practice Limb Preservation, Clinical Research, elective, non-elective surgery, sports medicine and general practice. Three hospital medical staff privileges available, ER call available. Practice seeks energetic, empathetic practitioner, PSR-36 a plus. Competitive salary, benefits. Partnership opportunity. Send resume, cover letter to: Researchlpc552@gmail.com
ASSOCIATE POSITION - NORTH CAROLINA - GREENSBORO/TRIAD AREA
Busy, state-of-the-art group practice seeking full time associate for summer 2017. PSR 36+ training preferred. Excellent opportunity for a highly motivated and ethical applicant. Competitive income and benefit package. Hospital privileges available. Must be board qualified/certified and have an active North Carolina license or plan on taking the exam in December 2016. Qualified applicants can send their CV and letter of interest to triad.podiatrist@gmail.com.
ASSOCIATE POSITIONS – WI, MO, KS, and LA
Preferred Podiatry Group, P.C., a national leader in long-term care podiatry for over forty years, is looking to add additional providers in several areas. We have immediate availability for providers in Wisconsin and Missouri and will be hiring for Kansas and Louisiana in the next few weeks. We offer a competitive salary and other benefits for the right candidates. For additional information please contact Dr. Chris Kestner at ckestner@preferredpodiatry.com
ASSOCIATE POSITION - SUBURBAN PHILADELPHIA
Looking for either a PART-TIME (leading to full time) OR a FULL TIME position and have a PMSR/36 with RRA Training, then send your cover letter and CV to medstaff1977@gmail.com Must include a contact phone number.
PART-TIME POSITION IN CHICAGO TO DO HOUSECALLS
20-25 hours /week, flexible schedule, logistics provided, great for new and established podiatrists to earn up to $100-120K. Contact chipod12@yahoo.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to:bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICES WANTED TO BUY - NEW JERSEY
Seeking a practice to buy or buy into in New Jersey. Prefer buying a practice but will consider partnership or independent contractorship. Well trained in conservative care, wound care, DME and orthotics, sports medicine, forefoot surgery etc. Please email gardenstatefootdoc@gmail.com
PRACTICE FOR SALE – OTTAWA CANADA
Are you tired of the third-party, regulatory and payer system in the U.S? Are you looking for a change to make your life easier? If you would like to practice, focusing on patients only –not on paperwork, this is a unique opportunity for a U.S. podiatrist to purchase a successful world-class practice. Life is simple, cash-based payments, no receivables, and wonderful (world-class city and recreation). Contact sissilutten@yahoo.ca to learn more.
PRACTICE FOR SALE – FAIRFIELD COUNTY CONNECTICUT
31 year old Fairfield County practice with long-standing repeat/referral base and excellent community/medical site ratings for sale. Practice encompasses all aspects of podiatric care. Office well-equipped and located in modern medical building with transferrable lease. DPM on staff at major local hospital with affiliated surgical center. Interested parties contact CTPodiatrist1985@gmail.com.
PRACTICE FOR SALE – SOUTH FLORIDA
Priced to sell. Well-established, turn-key podiatry practice in Delray Beach, Florida. EHR compliant and includes all equipment. All office-based revenue with huge upside. Low overhead, No HMO's. For more information please contact me via email at: delraybeachpodiatryforsale@yahoo.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details,click here or write to:bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management Magazine and Podiatry Management Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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