May 25, 2006 #2589 Editor-Barry Block, DPM, JD

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Protection & Prevention Keys to Summer Foot Health: FL DPM

There are specific summer foot hazards, says Dr. Espeleta Marius, a Cape Coral podiatrist.

More foot injuries happen during the summer because people are more lax, go barefoot and don't wear the proper shoes, he says. "People take their feet for granted and don't know it's hurting until something goes wrong," Marius says. "It's one of the most take-it-
for-granted body parts."

Marius tells his patients to wear shoes at the beach. "People go barefoot, and that's actually dangerous," he says. "There are sharp shells, broken glass and foreign objects on the ground." He'd like to see people forgo flimsy flip-flops in favor of wearing sturdy brands such as Birkenstocks or Tevas, which offer more support. Marius reminds them to put sunscreen on their feet. Skin cancer can develop on the top of the foot as well. "The goal should
be protection and prevention," he said.

Source: Francesca Donlan, The News Press (FL) [5/23/06]

DPM’s on Forbes Best Paying Jobs List

Why do financially pushy parents want their children to marry doctors? Because, as Willie Sutton said of banks, that is where the money is.

The medical profession dominates the top end of our list of the 25 best and worst paying jobs in America. Surgeons are No. 1, with the next seven spots taken by various sorts of specialist practitioners. These numbers are drawn from the government's National, State and Metropolitan Area Occupational Employment and Wage Estimates. They, in turn, are based on a national survey of employers (the latest available one is from 2004) of every size and in all industry sectors. They cover 800 occupations

Here’s how podiatrists fared.

Mean Annual Salary: $111,130
Top Paying Industry: Offices of other health practitioners ($116,820)
Top Paying State: Kentucky ($170,740)
Top Paying Metro: Birmingham, AL ($185,230)

Podiatrists earned a bit more than the $110,590 mean income of lawyers.

Source: Paul Maidment, Forbes.com [5/23/06]

Query: EMR

I’d like to hear the definitive word on the future office requirements for podiatry with respect to EMR by 2010. What systems are podiatrists buying now? How much are you spending? Have you been happy or unhappy with the purchase?

Bruce Krell, DPM Chandler, AZ, footdoc352@cox.net

RE: 3" Heels Create 7X More Stress Than 2" Heels: MO DPM
From: J. David Skliar, DPM

Dr. Holly Korges’ quote has greatly exaggerated the influence of 3” elevation over a 2” elevation. With no heel elevation the stress applied to the forefoot is 25% of the weight applied to the limb. As the heel is elevated to 2” there is a reversal of the forefoot to rear foot weight distribution, causing the stress to the forefoot to increase 3x (from 25% to 75%).

The increase at 3” is barely greater than anything over the 2” level. Even if the heel was totally off the ground, the forefoot would support 4x as much as at 0” elevation. Moreover, If the heel
elevation is greater than 3” the center of gravity would have to be displaced towards the heel (to prevent falling forward), thus decreasing the stress to the forefoot.

J. David Skliar, DPM, Spring Hill, FL, dskliar305@bellsouth.net

RE: Diabetic Golf Shoes (Dwayne Jacobus, DPM)
From: Robert M. Gaynor, DPM

New Balance carries a golf shoe that comes in three widths and has a removable insert to accommodate the diabetic insert. This shoe does not have a SADMERC letter attached to it so I would be careful billing for it. Dunham makes steel toe shoes and boots that have removable inserts and come in 3 widths as well. None of these shoes/boots have SADMERC letters attached to them. Medicare does not require at this time a SADMERC letter for Diabetic shoes but they must meet certain requirements. They must at least come in three widths and be able to accommodate a diabetic Insert to name a few.

Robert M. Gaynor, DPM, Lake Worth, FL, nailcutter@aol.com

RE: Periodic Medical Exams of Diabetics By Podiatric Physicians (Kenneth Malkin, DPM)
From: Michael M. Rosenblatt, DPM

Dr. Malkin said: "I am staking my professional reputation that diabetics are entitled to medical exams of the feet which have nothing to do with at-risk foot care." Kudos of praise to Dr. Malkin for standing up to insurers and government for diabetic care.

It is well known in the medical community that ophthalmologic exams are necessary for diabetics about twice/year. These examinations are not connected to the presence of symptoms.

It is time to stand up for diabetic patients and give them what they absolutely need. Some diabetic patients must be seen even more often than once yearly, as we know. This includes pressure testing and the latest modalities podiatry has available to treat this very difficult disease...and includes getting paid for these examinations.

Michael M. Rosenblatt, DPM, San Jose, CA, ROSEY1@prodigy.net

ASSOCIATE WANTED - NORTH CAROLINA

Growing practice in beautiful western North Carolina seeking qualified DPM. Great mix of office and surgery center care. Must have NC license and ABPS qualified/certified. Send cover letter and CV to dpmcareer@aol.com

POSITON AVAILABLE - WASHINGTON, DC

The George Washington University Medical Faculty Associates, a large multi-specialty practice affiliated with a teaching hospital, is seeking a full-time podiatrist. The practice has a diverse population encompassing inpatient and outpatient surgery, as well as a thriving outpatient clinical practice. Must be board certified/board eligible and have experience in diabetic limb salvage. Send CV to cdugan@mfa.gwu.edu or fax to (202) 741-2241.

ESWT MACHINE FOR SALE

I have a DolorClast shockwave machine for sale 60% of cost, call 416-545-1166 or dracula65@hotmail.com Thank you

PRACTICE FOR SALE - NEW YORK

FOR SALE - Rockland County. Well established, high-volume practice, general and surgical. Gross $500K, hospital privileges; excellent lease. All interested parties reply to: metroNYCpodiatry@aim.com

SURGICAL INSTRUMENTS FOR SALE

Complete Surgical Instruments, Hundreds; Stryker Power Set Electric motor; Reciprocating & Oscillating saw, Roto-osteotomes, also two major bone sets including DePuy osteotomes, several soft tissue sets, etc. Office instruments also. Call for exact items.
Art Korbel DPM, (MD) 954 753 7621

ASSOCIATE WANTED - NEW YORK

Associate Wanted - Rockland County, Rockland County. Associate with minimum 5 years experience, high volume established general practice. Reply with CV to nypodiatry111@aim.com

BOOKS FOR SALE

22 books-Sold as Set- $ 500.00 Examples are; Foot Disorders – Giannestras, Surgery Foot & Ankle – Johnson, Foot & Ankle Trauma - Scurran Podiatric Office Management & Procedures - Kane, Schlefman & Vickers, Minimum Incisional Surgery – Hymes, Foot Surgery - McGlamry, Textbook of Bunion Surgery - Gerbert & Sokoloff Disorders
of the Foot – Jahss. Call Art Korbel DPM, MD (954) 753 3146

ASSOCIATE POSITION RICHMOND, VIRGINIA AREA

Partnership possible after two years. Two office practice. Palliation; biomechanics/orthotics; woundcare; office/hospital surgery. Must have Virginia license. Associate will do most of the
practice’s surgery. PSR24/36/Board qualified/certified in surgery preferred. Available SAP. Send CV to: Dr. Marc Jay Pinsky; 9550 Midlothian Turnpike; Suite 104; Richmond, VA 23235;
mjpinsky@juno.com ; FAX: 804-320-6627.

ASSOCIATE POSITON – TAMPA BAY, FL AREA

Two associate positions presently open with a large podiatry group in the Tampa Bay area. Salary and benefits are commensurate with applicant’s qualifications. This is an excellent opportunity for a new practitioner to join a strong, existing group with extensive
hospital affiliations and referral patterns. Two-year residency and Fl license preferred. zachander@aol.com Fax 813-286-0200 Ph 813-334-2077

ASSOCIATE POSITION – TEXAS

Mature 3 DPM general podiatry and surgery practice in the Rio Grande Valley of Texas is seeking a DPM to fill an Associate position, partnership will be considered after a period of 2-3 years. Applicants should have at least 2 years of residency training and enjoy diabetic foot and wound care. Diverse patient populations. (VA, Community Health Clinics, Hospitals and 3 offices) Good practice environment in hospitals and community. Salary, bonus and benefit package offered. Interested DPMs should send a letter of intent along with a current C.V. to Complete Family Foot Care, 812 Lindberg Ave. McAllen, TX 78501. Fax 956 971-9109

ASSOCIATE POSITION- NEW ENGLAND

Terrific Opportunity Now Available in growing New England practice. Well established and respected practice with new, large office space, latest technology, very helpful staff, loyal patients and solid referral base. Close proximity to hospitals with modern surgical suites. Opportunity for shared ownership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and particulars to NEAFC3@aol.com

EQUIPMENT FOR SALE - ESWT

If you are using or thinking of using ESWT, I have a new machine that has only been used twice. There is no Orbasone in the country priced like this one. Will provide training and installation. Take a look at http://www.orbasone.com Call 1-856-229-2939.

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