May 26, 2006 #2,590 Editor-Barry Block, DPM, JD

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When Should Running Shoes Be Replaced? DPM's Comment

Your kicks will cushion for only about 200 miles, says Lance D. Barry, D.P.M., a Georgia podiatrist who has completed 21 marathons. "After 200 miles, the midsole has lost enough impact cushioning to make you more prone to heel pain and carpal tunnel-like symptoms."

Don' t track miles? Pinch the sole with your thumb on the outside and fingers inside, says Richard Braver, D.P.M., a science advisor to Runner's World. If your fingers can't compress the sole, it's time for a new pair.

Source: Matt Bean, Men's Health Magazine (NAT) [5/24/06]

Armstrong Delivers Grand Rounds Simultaneously in Canadian Hospitals

It is becoming common for podiatrists to deliver medicine grand rounds at academic medical centers around the world. Doing so at three major university medical centers simultaneously, however, is indeed rather unusual. On Tuesday David G. Armstrong, DPM, PhD, Professor of Surgery at Scholl’s Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University of Medicine and Science delivered a lecture at Toronto’s Women’s College Hospital. With the assistance of telemedicine, his presentation was broadcast to lecture theatres at Toronto’s St. Michaels Medical Center, Women’s College Hospital, and Sunnybrook Medical Center.

The subject matter was infectious diseases and the discussion was lively. Armstrong concluded: “The fact that internal medicine, surgery and other general medical disciplines are focusing on what was once an orphan specialty speaks volumes to the solid work that is being done in this area. I believe that podiatry is really making a difference both in patient care and in meaningful academics and scholarship. We are beginning to look outward instead of inward, and that is hugely healthy for the future of foot care.”

Query: MBT Footwear

Does anyone have any experiences with patients using Masai Barefoot Technology (MBT) footwear for neuroma.

Steven Fessel, DPM, Nanuet, NY, drregel@optonline.net

RE: EMR (Bruce Krell, DPM)
From: William Blake, DPM

We have recently converted our 2 offices to an EMR system. We researched options for nearly 9 months and chose eClinicalWorks. It is a completely integrated system that includes practice management, EMR, and billing. We have been running on it for about 4 months now and are very pleased with its usability and its potential.

We use it on a completely wireless system with tablets in the office for staff. Using the ASP model (running it over the Internet) kept the cost of the software down (about $400 a month per doctor) and lets me access the information from any computer. Our biggest expenses were hardware and labor to have an IT specialist get us up and going. We did underestimate the hardware and IT set-up costs.

My recommendation is to choose an integrated system and talk to other podiatrists who use the system you are looking at. You also must have someone in the office who understands enough about computers, networks and software who can bridge your office needs with your hardware, IT, and software needs. Looking back, I would make the same choice, we are very happy with the end product.

William Blake, DPM, Santa Fe, NM, drwblake@msn.com

RE: Periodic Medical Exams of Diabetics By Podiatric Physicians (Ken Malkin, DPM)
From: Richard Woo, DPM

I complete agree with Dr. Malkin. Diabetics ARE entitled to medical exams of the feet which have nothing to do with at-risk foot care. In fact, as one of several podiatrist within our local county hospital system, I am seeing an increasing number of diabetic referrals from the primary care clinics. Many are seen with pre-ulcerative lesions and undocumented peripheral neuropathy. These MDs know what we do and expect an appropriate podiatric evaluation and assessment.

Richard Woo, DPM, San Mateo, CA, richard@zqmax.com

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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