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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,187 Subscribers Daily
May 31, 2022 #7,217  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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How do you most commonly treat acute gout?
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| PODIATRISTS AND SPORTS MEDICINE | |
Wear Patterns Can Predict Potential for Injury: NY Podiatrist
“Wear patterns alert us to certain patterns of gait and tell us what position certain joints are in when you are coming into contact with the ground, as well as when you are pushing off,” explains Jacqueline Prevete, DPM, a board-certified surgical podiatrist and runner herself (with an impressive marathon personal record of 2:58). As you walk or run, the friction and pressure between the sole of the shoe and the ground compresses and wears away some of the outsole material, shaving it down.
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Dr. Jacqueline Prevete |
So the wear pattern basically tells you what areas of your shoes are sustaining the most ground reaction forces when your foot comes into contact with the ground, whether you’re running, walking, or hiking. In other words, they are almost like windows into how balanced your gait is, and can be helpful for identifying potential issues within your stride. “[You] can see whether there is any asymmetry by comparing one side to the other,” says Dr. Prevete. This could alert you to certain patterns that could eventually lead to injury.
Source: Amber Sayer, Well + Good [5/28/22]
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| PODIATRISTS AND FOOTWEAR | |
NY Podiatrist Discusses How to Choose Shoes if You Have Heel Spurs
Heel spurs are a common foot ailment. "The cause is chronic and repetitive micro-tearing of the plantar fascia or Achilles tendon," says Nelya Lobkova, DPM, podiatrist and owner of Step Up Footcare in New York City. "Over time, the body deposits calcium where the tearing occurs as a reaction to the tearing."
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Dr. Nelya Lobkova |
When looking for a shoe for heel spurs, Dr. Lobkova recommends a rigid sole, as that dictates the stability of the shoe. "Someone with heel spurs needs extra rigidity in the sole and cushioning in the midfoot to prevent impact on the heel," she explains. To see whether your sole is rigid enough, Dr. Lobkova recommends a test: "Hold the front of the shoe with one hand and the back of the shoe with another hand. Try to twist the shoe side to side. There should be minimal to no twisting motion possible."
Source: Kayla Hui, Newsbreak [5/28/22]
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's featured article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
How to Boost Your Practice’s Online Reputation
Reputation management is a crucial component for independent practices to thrive. An effective reputation management strategy will drive new patient acquisition and patient retention and strengthen patient-doctor relationships. It should be no surprise to learn that healthcare practices already using technology to engage with current and prospective patients are well-positioned to build connections and provide better care.
1. Claim and optimize your practice and business profiles across the web - Make it easy for patients to find you via search engines by claiming all available business profiles. For example, “foot surgeon” is better than a podiatrist, and “eye doctor” is better than an ophthalmologist. To boost your visibility and bring your practice to life, add photos that spotlight your practice and the patient experience you provide. The more pictures you upload, the more opportunity you have to give prospective patients a peek into your office. To differentiate yourself from competitors, use your profile to share why patients choose your practice.
Source: Travis Schneider, Physicians Practice [5/20/22]
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1A | |
From: Elliot Udell, DPM
This conversation on the prescribing of urate-lowering medications is not a new one, with many saying yea and others saying nay. The crux of the controversy is whether treating hyperuricemia is addressing a systemic condition or a local manifestation of gout. Those who argue that it’s systemic are quick to equate it with the management of diabetes. There are distinct differences between the two ailments. For example, if a patient presents with acute gout affecting an elbow or has hyperuricemia with no clinical manifestations, treating it or even telling a patient not to have it treated would be out of scope for us.
On the other hand, if a patient has pedal manifestations of gout and there is a direct link between the symptoms and hyperuricemia, then it...
Editor's note: Dr. Udell's extended-length letter can be read here.
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1B | |
From: Joe Agostinelli, DPM
I think that we all should be able to diagnose and treat a foot/ankle suspected or known acute gout attack to a joint. For example, aspiration of the great toe joint, synovial fluid crystal analysis to establish actual gout is a common occurrence in clinical practice. As we well know, the fluid aspirated is very often actually seen as gout with tophi. Then, injection of local anesthesia/steroid injection into the joint is appropriate. Rx for indocin, 5 day course, or Medrol dose pack, if recurrent attack, is also appropriate and in the realm of our practice, as short-term acute management.
Laboratory orders for uric acid blood level and referral to PCM is also a prudent plan after your initial gout attack diagnosis and in-office treatment. I agree with Dr. Jacobs and those who do not recommend continued medical management of "hyperuricemia". In my clinical experiences in a multi-disciplinary hospital-based, clinical USAF practice, and then in an orthopedic surgery group practice. This approach has been accepted well by PCMs, rheumatologists, nephrologists, internal medicine docs to whom the patient is referred. I can assure you that those specialists are very happy to have a joint aspirate confirming gout rather than just elevated uric acid levels. We all are aware of patients who say, "I have gout," but there is never a definitive joint aspirate confirming that diagnosis!
Joe Agostinelli, DPM (Retired), Niceville, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Dieter Fellner, DPM
I recently had cause to delve into and discuss the topic of practice evaluation. A business broker, with decades of experience, shared with me his opinion of practice valuation: "they are junk, I stopped doing them years ago, waste of paper and money." Adding that most buyers need to apply for finances, it is the underwriter who will determine if the banks' criteria can be met.
He opined also that many deals fail when a seller has unrealistic financial expectations or is too emotionally invested. Discussed further, the underwriter explains, "there are a lot of moving parts when considering a loan application." The practice valuation is not one of those parts.
In the final analysis, a good deal is one that both parties are satisfied with. And the bank agrees to make a loan based on their own business analysis. A seller may want to showboat their most profitable year of the business. Some sellers seem to have developed 'COVID denial' and do not consider the impact this has had on business, in the last two years, often preferring to quote 'pre-covid profits'. He adds that most deals can find a solution when the business is realistically priced. How much is a business worth? 30%-50% of the gross annual income will be typical in many successful negotiations.
Dieter Fellner, DPM, NY, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Jack Ressler, DPM
I would be very interested to find out how much it costs for a valuation of your practice/charts. When I decided to sell my practice in 2015, I contacted a person to give me a valuation of my practice. His services involved my sending my financials and physical make-up of my office. All of this is done via the Internet. They do not come out to your office unless you want to pay extra for that. The valuator's fee was almost $5,000.
My advice would be to do as much research as possible and come up with a price. Let the response you get dictate how accurate your pricing is. Paying someone to give you a valuation of your practice is throwing away money unless the fee is under $1,000.
Jack Ressler, DPM, Delray Beach, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: Additional Member Benefits Might Increase Membership
From: Daniel Chaskin, DPM
If NYSPMA and other state societies want to increase membership, why not keep the educational conference online, instead of removing it June 2022? This extended online posting would not have anything to do with granting CME credits. It would provide additional learning opportunities to review educational material. Furthermore, previous years' lectures should be posted (as long as they are still relevant). Other state societies should do the same.
Access to previous conference lectures without CME credits may provide incentive to join. Better yet, why not give on-demand access with CME credits for three years for all members?
Daniel Chaskin, DPM, Flushing, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
Few forms of sadistic torture in this world are more excruciatingly painful than having to walk across a field of LEGOs left on the ground by a careless child. Fortunately, there is now a way to protect yourself from these domestic minefields: LEGO, working together with French advertising agency Brand Station, has invented anti-LEGO slippers! It only took them 66 years, too!
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The official way to prevent Lego pain |
The slippers, which feature tons of padding, will be produced in a limited run of 1,500 and will be distributed randomly to people who fill out Christmas wish-lists on LEGO’s French website.
Source: Dovas, boredpands.com via Dr. Wenjay Sung
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $279 (less than $19 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-7/1/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT/SUPPLIES FOR SALE
Retiring soon. Priced to go fast: Surgical/chairside instruments, ultrasonic instrument cleaner, M9 autoclave, whirlpool with autofill, therapeutic ultrasound, exam chairs and lights. Much more. Call/text 610-297-0196 for list and photos.
EQUIPMENT OR SUPPLIES FOR SALE
Retiring doctor selling it all. All equipment for sale. Podiatry exam chairs, side chairs, reception room chairs, coffee table, All chairside instruments, surgery instruments, medicine & sundry bottles, exam lights, whirpools, cast cutter, sani grinder, exam lights, ultrasound machine, etc. Will send pictures etc. Call 918-691-3303. Everything is priced to sell.
PRACTICE FOR SALE – MICHIGAN
39 year old part time practice in Imlay City, Michigan. Strong potential for growth. Fully equipped and an excellent affordable opportunity for a second office or for someone starting off. Great location in a shopping plaza with affordable rent and price of sale. Call or text 248 245 3392.
PRACTICE FOR SALE - LAKE TAHOE, CALIFORNIA
Practice in Paradise! Fully equipped, successful practice of 45 + years. Includes digital x-ray, ultrasound, PadNet, Shockwave, EMR. Diverse practice currently strong on orthotics, diabetic care, general podiatry and some surgery. Rent or buy free standing building near hospital. Professional appraisal available. Contact patwooft@hotmail.com
PRACTICE FOR SALE - BREEZY POINT, NYC
Retiring! Established (31 years) turn-key office in Medical Center with other medical professionals offering great referrals. Consistent patient base with excellent room for growth. Perfect for experienced or new practitioner full-time practice or satellite office. Very low overhead, ample parking. elizsmurphy@aol.com
LAST OFFER IN CONNECTICUT
PRACTICE FOR SALE - TARZANA CALIFORNIA
Across from hospital. Ground floor. Free parking. I have been here since 1983. Time to retire. Serious inquiries only. Text 818 451-8441.
PRACTICE FOR SALE – BOONE, NORTH CAROLINA
29-year-old practice in beautiful Western North Carolina. Ideal for recent resident looking to start career, as well as established practitioner looking to downsize. 1/4 mile from hospital with privileges available. Turn-key 3,000 square foot office with EHR, DR x-ray, robotic lasers, DX ultrasound, and shockwave. Six exam rooms and 1,000 square feet available to upfit. Includes satellite clinic in nearby regional hospital. Annual gross revenues of $650,000. Boone is home to Appalachian State University, ski mountains, hiking trails, and parks. Only full-time podiatry practice in the high-country region. Owner willing to stay for transition period. Contact: pzimmerman4692@charter.net
AMAZING PRACTICE FOR SALE- PHILADELPHIA, PA
Turn-key upscale boutique 85-year-old podiatry practice. Great location by Rittenhouse Square in Philadelphia, PA. Non-surgical grosses $350,000/ four days weekly. Majority of practice is fee for service in low overhead beautiful office setting. Seller will stay on for transition. Serious inquiries only. This is a rarely available cream puff practice / Call (215) 715-1570.
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – CALIFORNIA
Established 30 year-old two-office practice has an opening for a full-time associate to partnership career. Must be compassionate, friendly, and a team player. Must be open-minded and willing to learn all aspects of podiatry practice management. BQ or BC. Competitive salary, bonus structure, benefits. Send letter of intent, salary requirements, and availability to NBFA@myachingfeet.com
ASSOCIATE POSITION – TEXAS
Join our Team! Excellent opportunity to join an established, fast-growing group practice just south of Dallas. Modern offices with high surgical numbers. Competitive 6 figure salary + bonus and full benefits. Please email resume to Podiatrysbest@gmail.com
ASSOCIATE POSITION – OKLAHOMA
Non-Surgical Part Time/Full Time position Mobile Podiatry. Assisted Living Facilities and nursing home patients. Well established practice. No Call, no nights, no weekends. Earn over 100K working only 2-3 days a week. Must be team player, hardworking, and pleasant with excellent bedside manner. Contact 405-370-3457 - Nplants2008@gmail.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, well-established, group practice is seeking to add a full time associate. Candidate must be very hard working and ethical with good surgical training and having completed a minimum of 24 month residency. Applicant must be at least board qualified. Competitive salary and benefits. E-mail CV to llfootankle@gmail.com
PODIATRY ASSOCIATE POSITION – SOUTH EAST PA
Available for busy 2-office practice in S.E. PA. All facets of podiatric medicine and surgery with excellent earning potential. Great area to live and work. Current associate leaving due to family emergency, so must fill position ASAP. Must be ABFAS Cert/Qual. podmedsurg@gmail.com.
ASSOCIATE POSITION – TAMPA, FL
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Tampa, Florida. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to floridapodiatryfootcare@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION - PHOENIX, AZ
Growing Multi-office private practice located in suburbs of Phoenix. Full time associate position leading to partnership. ABFAS eligible or certification required. Practice encompasses all phases of podiatric medicine and surgery. Send your CV to aceoprice@yahoo.com.
ASSOCIATE POSITION– NASHVILLE, TN
Rapidly growing multi-location practice looking for 2-3 new associates near Nashville, TN. Looking for partnership-minded individuals to start between August 2022-2023. Competent in hospital care, full-scope podiatric surgery, and business-minded. Looking for hard-working team players. Multiple office-based revenue streams available. Aggressive pay structure with intensive practice management. Relocation stipend, health insurance, and 401k available once vetted. Encourage recent and senior residents to apply. sodom@gfacenter.com
ASSOCIATE POSITION – WASHINGTON
Northwest Foot and Ankle Center, PS has an immediate opening for a well-trained, driven, self-motivated BC/BQ Podiatric associate to run our Silverdale location. New and seasoned DPM welcome. Top tier base and generous bonus structure with unlimited income potential. Full benefits health and malpractice insurance, 401k, CME. Hospital and surgery center privileges available. Excellent mix of clinic and all aspects of surgery. High orthotic volume. Please email cover letter, CV to mark@teamlewis.net.
ASSOCIATE POSITIONS – VA, MD, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA, CT, and MD)
ASSOCIATE POSITION - FARMINGTON, NM
Established multispecialty practice with honest foundation in need of a podiatrist with strong surgical skills. Multiple locations in the beautiful four-corners area with endless outdoor activities. Immediate referral source from internal primary care. Starting salary based on experience + bonus structure. $20K signing bonus. Please send CV to nick@innovationmedgroup.com
ASSOCIATE POSITION – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. Research opportunities are available. Applicant should be ethical, personable, hardworking, and committed to quality patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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