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The Voice of Podiatrists
Serving Over 15,813 Podiatrists Daily
May 31, 2014 #5,073  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
LAST DAY TO VOTE
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| PODIATRISTS AND SPORTS MEDICINE | |
Reasoning Behind Vibram Shoes is Faulty: PA Podiatrist
The idea behind FiveFingers was that they'd allow for a natural barefoot running style, with a rubber sole for a bit of protection against sticks, stones, and the like. But a 2012 lawsuit filed by a Florida woman claimed Vibram promised health benefits without scientific proof, including that the shoe would improve posture, strength, and balance. Now, Vibram has agreed to settle the class-action lawsuit for $3.75 million, but doesn't admit wrongdoing. It's still selling the shoes.
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Dr. Maria Kasper |
Dr. Maria Kasper, a podiatrist at Martin Foot and Ankle, said she has seen patients with overuse issues from FiveFingers, mainly things like metatarsal stress fractures and tendonitis. The reasoning behind the Vibrams — running "naturally," the way nature intended, instead of shoe-bound — is not unreasonable, she said. "The problem is, that reasoning falls in line with a Kenyan running," instead of someone who has been in shoes his or her whole life, she said.
Source: Dan Nephin, Lancaster Online [5/27/14]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Use of Anti-Perspirant Can Prevent Blisters: UK Podiatrist
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Emma Supple |
How it works: "Blisters love a moist environment," says podiatrist Emma Supple. "So summer heat, sweaty feet, and tight shoes can easily equal a painful outbreak. Deodorant doesn't just stop sweating under your arms. Spray it on your feet, and blisters will be less likely to form there, too," says Supple.
Source: Alice Smellie, Daily Mail [5/28/14]
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| E- HEALTH NEWS | |
Over Half of Prescriptions Go Online for First Time in 2013
For the first time, the majority of U.S. prescriptions — not including those for controlled substances — were routed electronically to pharmacies through Surescripts in 2013, according to the company's National Progress Report on health information technology (IT). That's more than one billion prescriptions, or 58% of all non-controlled substance, eligible prescriptions written last year.
The total volume of prescriptions routed online increased 32% to 1.04 billion in 2013 from 788 million in 2012, according to Surescripts. By comparison, the growth rate in the number of e-prescribers was much lower. Seventy-three percent of office-based physicians prescribed electronically last year versus 69% in 2012. In previous years, adoption increased much more rapidly.
Source: Ken Terry, Medscape News [5/23/14]
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| MEDICAL PRODUCTS AND TECHNOLOGY | |
Integrated Cuff Testing and Alarms Make Tourniquets Safer
You'll find these features in some of today's most modern tourniquet systems. It lets you test cuffs, tubing, and connectors for potentially hazardous leakage. By pressing a single button in the system, the cuff will inflate by itself and perform a test to see if there is a leak. The system will find even a pinhole leak that's not easy for the naked eye to detect. This technology can be used during surgery, as well as before and after procedures to let you know whether the cuff is working or will work properly. While a slow leak itself isn't likely to harm patients, it can indicate a more serious potential failure of the cuff, which would cause blood to suddenly enter the surgical field and create challenges for the operative team.
It's also extremely important for a cuff to depressurize entirely when deflation is intended. But this doesn't always happen. To ensure cuff depressurization, some tourniquet instruments now include an alarm that sounds when the technology detects failure, informing staff of the need to investigate and remove the cuff.
Source: Jeswin Jeyasurya, Outpatient Surgery
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| QUERIES (DME) | |
Query: Diabetic Shoe Coverage
I just finished speaking with BCBS, Anthem Federal Employee program. I was calling on behalf of my patient. He called his insurance company today to find out about coverage for his shoes. After he pays his deductible, he is covered for A5512, the diabetic liners, but not for the shoes, A5500. So, I called myself and got the same answer. When I asked the person I was speaking to, what he was supposed to put the liners in, she laughed. Has anyone else heard of such madness?
Joan E. Schiller, DPM, Euclid, OH
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| CODINGLINE CORNER | |
Query: Coding for Ankle Joint Arthroplasty
How do I code the procedures all done on the left foot/ankle?:
- Excision of an exostosis located across the dorsal aspect of the talar neck;
- Removal of ossicle, anterior aspect of the ankle; and
- Excision of exostosis, anterior distal fibula
Robert Steinberg, DPM , Schaumburg, IL
Response: These procedures that were performed are all related to peri-articular structures of the ankle joint. I recommend one code, CPT 27700, arthroplasty, ankle joint as the best coding that would be inclusive of all three procedures that were done. I don't think it would be reasonable to unbundle these into three separate codes for each anatomical location.
Howard Zlotoff, DPM, Camp Hill, PA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: David Secord, DPM
I had a very similar case to this, involving a Down patient. The only difference was that his IM was almost 45° with a short metatarsal, and made anything but custom shoes impossible and still a trip hazard. I corrected this to an 8º IM with a normal parabola via a Fowler procedure with an Akin. He was compliant enough to heal everything and have the other side done some months later. As he was told by several other people in town that "nothing could be done," the mother was very happy. The patient had a naturally sunny disposition and I'm not sure of his satisfaction level. Being able to wear OTC shoes didn't hurt either.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Tip Sullivan, DPM
Procedural choice should consider post-op ability to comply. As far as what surgery to do—you must identify the etiology. Was this congenital or acquired? If acquired—why? What is the biomechanical reason? Then address the biomechanical/structural abnormality with a surgical solution. This young man needs a procedural choice which will give him long-term stability.
Regarding post-op management: Having had similar cases in the past, my advice would be to have a heart-to-heart with the parents and impress upon them the need to comply. Include that as an extra risk in the consent; the goal being to protect the patient from himself. Use locking plates and screws. Put him in an ABOVE KNEE cast and have the patient use a wheelchair. DO NOT USE CRUTCHES, if you can avoid it.
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Peter Sheehan, MD
From: Adam Landsman, DPM, PhD
Peter Sheehan, MD was a cherished colleague and friend. His work related to diabetes as it pertains to the causes and treatments of foot ulcers was critical, and cited by me on a regular basis. Dr. Sheehan’s wit and wisdom will be greatly missed.
Adam Landsman, DPM, PhD, Cambridge, MA
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MEETING NOTICES - PART 2
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Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
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| CLASSIFIED ADS |
EQUIPMENT FOR SALE - CUTTING EDGE MIX5 LASER
Reason: Retiring from practice July 31, 2014 Laser has been lightly used. It is in excellent working order. Current market value $13,000. Data and pictures regarding laser can be found at www.celases.com . Other equipment and fixtures also available. Reply to kwentp@m-p-c.necoxmail.com or 860-324-8658 EST
PRACTICE FOR SALE - SOUTHWEST FL
Multilocation multidoctor practice in beautiful Southwest Florida. Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to:practiceforsaleswfla@gmail.com
PRACTICE FOR SALE – CENTRAL NEW JERSEY
Perfect opportunity to purchase a practice in an ideal location. Office is located in a busy town center shopping and dining complex. Modern and fully equipped office in a building with other medical professionals. Easily accessible to major roadways and highways with visible signage at busy intersection. Excellent potential for increased revenue in a great town to own a practice. Owner financing may be available to qualified buyer. Serious inquiries only to healthnet708@gmail.com.
PART-TIME PRACTICE FOR SALE - GLENDALE CALIFORNIA
Rid yourself of totally relying on insurance payments for your services by using fluid Silicone implants. Great financial potential for an informed Podiatrist willing to promote this knowledge. Part-time practice also includes Medicare and cash pay patient base. Great location with low over head. 818-241-4781
ASSOCIATE POSITION - PT/FT ORANGE COUNTY, NY
Great opportunity for a doctor that wants an easy commute from Westchester, Rockland, Bergen, Lower Connecticut, or even the Bronx. We can tailor the schedule to fit yours or you can even live in our area. Be a part of one of the largest podiatry practices in lower New York and enjoy a hassle-free atmosphere where you don't have exorbitant home & tax costs, and get to enjoy what you make. Please e-mail resume to mhudes@footcaregroup.com
ASSOCIATE POSITION - HOUSTON
Established "modern" practice looking for BC/BE podiatrist to take advantage of a unique opportunity. Located in a highly desirable area with good surgical volume, access to DME, lasers and expanding referral base with full time marketer. Not currently doing hospital work, minimal rearfoot surgery, no nursing homes or routine care. Prefer at least 2 years experience although qualified recent grads welcome. Salary plus bonus available, partnership after 1 year if criteria met. Send resume/CV to faajobs@gmail.com.
ASSOCIATE POSITION - CHICAGO/CENTRAL ILLINOIS
Full & Part-time IMMEDIATE opportunity to provide care to residents in long-term care throughout Illinois. FT position includes health, disability, 401, auto/travel expenses. Full-time candidate must be willing to travel specified times during the month, or be located in central or downstate IL. Part-time opportunity offers very flexible scheduling. We have a 30 year history of providing exceptional care with appropriate reimbursement. Join our great team. Email queries/resumes to gh@podiatryplus.net
ASSOCIATE POSITION- INDIANA FISHERS/ANDERSON
If you’re talented, affable, dependable, and you always hustle, we’ve got full-time and part-time positions available. Like being a podiatrist, but tired of the administrative hassle? Join a resource rich practice with all the tools you’ll need to practice full-scale podiatry in a multi-office practice affiliated with a hospital residency program. Enrich yourself in a dynamic growing part of Indiana. Join the new revolution in podiatry…be a stakeholder in your destiny, not a casualty of the past. Send cover letter with C.V. and references to: larrydpm@aol.com
ASSOCIATE POSITION -LOUISVILLE, KENTUCKY
Immediate position leading to practice sale or imminent partnership/ownership. Single location multi-physician group. Senior doctor has run the practice 32 years. Large balanced patient base and diabetic population - diabetic shoe store. Office has great location, Traknet EMR, digital x-ray, PADnet. Hospital privileges with 2 local residencies. samuel10530@yahoo.com
ASSOCIATE POSITION - PHILADELPHIA
Great full time opportunity for a surgically trained podiatrist in a 2-office full spectrum practice. Located in the suburbs of Philadelphia. You are highly motivated, board qualified and have great communication skills. Opportunity for a buy in / partnership in 2 years. Send cover letter and CV to info@qualityfootcare.com
ASSOCIATE POSITION – SAN FRANCISCO, CA
Immediate associate position available. Applicant should be personal, self-motivated and independent. Will provide diabetic treatments, biomechanical exams, minor office procedures, major surgical corrections, in-home care. Great surgical growth potential. Competitive compensation package. Send letter of intent and CV to admin@blaskodpm.com
ASSOCIATE WANTED - SW FLORIDA
R U a superstar for immediate start. Southwest FL group looking or BC or BQ podiatric physician for dynamic and growing practice. Great starting salary, benefits and surgery volume. FL license a must. Send CV and why you are a superstar. mny1029@gmail.com
MEDICAL OFFICE FOR SALE - NY
Free standing Hyperbaric Center with Ancillary services (Podiatry, Massage, Acupuncture, Lymphedema). Located in the highest income area in Nassau County with large referral base and network. Located near major hospitals and rehabilitation centers. Great relationships with many local institutions, physician and organizations. Listed Price: $599,000. Contact Scott 516-487-1902
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. for details, click here or write to: bblock@podiatrym.com 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.
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ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
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