The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

June 01, 2012 #4,477 Publisher-Barry Block, DPM, JD

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GA Podiatrist Uses Stem Cells to Save Foot With Necrotizing Fasciitis

Bobby Rice says it all started when he cut his foot after stepping on a piece of glass last summer. Not thinking anything of it, he Superglued the cut and went on. A few weeks later, it was badly infected and his doctor diagnosed him with necrotizing faciitis, which is also known as a flesh eating bacteria. When his doctor first removed the flesh-eating bacteria from his foot and up his leg, there wasn't much left but bone, and amputation was likely. Then his podiatrist, Dr. Spencer Misner, thought of an experiment using stem cells from placenta from umbilical cords. "Why not? I have nothing to lose and everything to gain," Rice said. 

Dr. Misner contacted a facility in California. They told him stem cells had never been used to re-grow a foot, but donated the tissue so he could try. "Kind of flying by my boot straps. I just was kind of guessing along the way," Dr. Spencer Misner said. "Once I started seeing healing of the tendons take place, I started getting a little goosebumpy," Dr. Misner said. After a few more treatments, Dr. Misner says Bobby will be as healed as possible and will eventually be able to lose the walker.

Source: Kimberly Barbour, WRCB-TV [5/29/12]

Flop-Flops are Aptly Named: Canadian Podiatrist

Are we such slaves to fashion that we opt for sparkly flip-flops and six-inch wedges over ultra-comfortable sports sandals? Sorry, ladies, but when it comes to footwear, beauty shouldn’t have to mean pain. As the weather gets warmer, toes are coming out of hibernation. David Greenberg, a doctor of podiatric medicine, says he doesn’t recommend specific brands because everybody’s feet are different. He says you’re better to experiment and try on lots of different shoes.

Dr. David Greenberg

As a rule, though, flip-flops should be avoided if you’re doing a lot of walking, he says. “They’re called flip-flops for a reason. People flip and flop,” he says.

Source: Marie-Danielle Smith, Vancouver Sun [5/28/12]

MI Podiatrist Loses on Cell Phones, But Wins on Conflicts

Farmington School Board members during their Tuesday meeting at North Farmington High School approved a Code of Ethics for the board, but the vote was not unanimous. Dr. Murray Kahn, who is new to the board this year, said he voted against the 16-point policy because of a new section regarding use of cell phones. He initially brought up concerns about the proposed policy during a May 8 study session.

Dr. Murray Kahn (Photo: Joni Hubred-Golden)

At that time, Kahn explained that he occasionally needs to access his cell phone during meetings because of his position as division head of podiatry with Henry Ford Health System. He explained that his phone has a security code that requires him to type in numbers in order to access his messages. A section of the code that did change deals with conflicts of interest, board member Frank Reid said Tuesday. Kahn suggested the change, which requires board members to disclose any "actual or potential" conflicts of interest and to refrain from voting on issues in order to "avoid even the appearance of impropriety."

Source: Joni Hubred-Golden, Farmington Patch [5/29/12]

Podiatrists Among the Lowest in Divorce

Looking for a happy-ever-after partner, one who is willing to put in the hard yards for the long haul? Forget searching in bars or online; you should head to your local dentist, podiatrist, or optometrist instead.

According to research that correlated occupations with divorce and separation rates published in the Journal of Police and Criminal Psychology, optometrists were found to be among the most loyal of spouses with just four percent separating or divorcing, which is only a little less than the marital breakdown rate for podiatrists (6.8 percent) and dentists (7.75 percent).

Source: Andrea Black, Stock & Land [5/30/12]

Challenges to Peer Review Confidentiality Rising

Physicians historically have enjoyed state protections when discussing a colleague’s behavior or analyzing an adverse event in peer review committees. At least 45 states prevent disclosure of what is said during such meetings to facilitate open communication and foster better healthcare. But a recent rise in legal challenges against peer review protections is putting doctors’ confidentiality — and the process itself — at risk, legal experts and physicians say.

Courts that have allowed peer review files to be discoverable seem to follow one of two lines of reasoning. In some rulings, judges have cited the disclosure as appropriate because of conflicting state laws or overriding federal regulations. In other decisions, courts have said the documents are not privileged because of how or why they were created.

Source: Alicia Gallegos, AM News [5/28/12]

Query: Tuberous Sclerosis

A dermatologist referred a 25 y/o patient with tuberous sclerosis (TS) (mild genetic expression) and associated periungual fibromas (Koenen’s tumors). The periungual lesions have been trouble for him with regard to bleeding, and his nails have some secondary deformity as well as onychomycosis. A decision was made to surgically remove the lesions which will include involved matrix tissue, and treat the fungal infection topically (due to potential drug/drug interaction).

The literature includes several techniques of tumor removal: sharp dissection of the entire tumor with borders, curette and phenol, application of silver nitrate, cryosurgery, and CO2 laser ablation. I am inclined more toward surgical excision or CO2 laser. I am open to any ideas from those with more experience in treating this condition.
 
Tip Sullivan, DPM, Jackson, MS

Query: Tablet PC Recommendations
 
I would like some recommendations for a Tablet PC that I can use in conjunction with an EMR. Any advice would be appreciated.
 
Lori Weisenfeld, DPM, NY, NY

RE: Unethical Behavior By Foot Solutions (Cam White)
From: Dennis Shavelson, DPM

Fellow DPMs Beware: As a biomechanics watchdog for our profession, I must warn you about the recent lauding of Foot Solutions by Cam White, CPed that avoids documenting a major conflict of interest as he is the national sales manager for The Novascarpa Group that has a partnership agreement with, you guessed it, Foot Solutions.
 
There is also a YouTube video that Mr. White taped at a Foot Solutions store promoting his Chung Shi Shoes, the ones mentioned in the less than professional ad posted yesterday on this site distributed by, you guessed it, NovaScarpa.
 
Cam’s posting, without any disclaimer of his economic ties with Foot Solutions should be counted as further evidence of unethical behavior that is rooted at Foot Solutions and its partners.
 
Dennis Shavelson, DPM, NY, NY, drsha@lifestylepodiatry.com

RE: Success Tips From the Masters (Ron Soave, DPM)
From: Bryan C. Markinson, DPM

My dear friend Dr. Soave accuses me of an injustice regarding Vision 2015 by my stating that the profession has chosen to imitate orthopedic foot and ankle surgeons. Unfortunately, he interpreted and restated my remark as "imitating foot and ankle surgeons."

This, of course, is NOT what I meant at all. I am well aware that podiatric surgeons are indeed prominent in the art of foot and ankle surgery. I applaud and encourage all who so desire to become the best foot and ankle surgeons they can become. But my original comments were based on the indisputable fact that our schools lure in students by telling them that...

Editor's note: Dr. Markinson's extended-length letter can be read here.

RE: OH Podiatrist Discusses Heel Fissures
From: Bryan C. Markinson, DPM

The Podiatrists in the News section on 5-29-12 highlighted Dr. Gregory Blasko's explanation of the serious complication of fissured and xerotic heels, especially in populations such as diabetics, patients with PVD and neuropathy, etc.

CMS, in its questionable wisdom, stopped paying for topical urea products through the Medicare Part D drug program, and many commercial drug plans have followed suit. There is now a 42% urea product - Kera 42, available from CTS (Clinical Therapeutic Solutions). This is a new supplier of in-office podiatrist-dispensed only products. In the case of Kera -42, you can make available to your patients a great product at a very affordable price.

Disclosure: I am a consultant for CTS.

Bryan C. Markinson, DPM, NY, NY, Bryan.Markinson@mountsinai.org

RE: PA Podiatrist Discusses Home Treatment for Bromhidrosis (Fay Sharit, DPM)
From: Jeffrey Kass, DPM

I would like to thank Dr. Sharit for her diligent Internet research. The aluminum-Alzheimers theory was indeed a popular theory at one time, and was based on scientific research. This research has been subsequently "explained" as a theory and not an actual cause and effect relationship. My Alzheimer's disease info was apparently not updated.

Interestingly, the following quote can be found on the Mayo Clinic website: "Aluminum-containing antacids should not be used by elderly persons with bone problems or with Alzheimer's disease. The aluminum may cause their condition to get worse." If indeed the theory was completely debunked, why make such a statement?

Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com

RE: A Podiatric Whodunit

"My Feet Are Killing Me" murder mystery dinner buffet and show will take place at Artists Colony Inn, 105 S. Van Buren St., at 6 p.m. on the following Saturdays - June 30 and July 21. Join characters Delta Birkenstock and her personal trainer Mickey Spike Nike, podiatrist Doc Marten, Doc's eccentric aunt Twyla Sandal, and disgruntled customer Suzy Stiletto. You'll be the detective as you try to solve the murder.

Source: Brown County Democrat [5/29/12]

Codingline & PM News In conjunction with AAPPM Present
The Greenbrier Coding & Practice Management Workshop - August 20-22

(Following the 2012 APMA Annual Scientific Meeting in Washington, DC)

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Coming to Washington D.C. for the National? Don't miss out on being treated like a President and First Family. Enjoy world class amenities including golf, tennis, spa, casino and children's programs.

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Click Here for information or to Register

  ASSOCIATE POSITIONS – NEW YORK CITY

Looking for someone with some working experience in a podiatric office. Two sessions (1/2 day) a week for July and August for Upper West Side of Manhattan. References a must. One 8 AM to 12, one 12 to 5 PM. Reply to fabienne.rottenberg@gmail.com

ASSOCIATE POSITION AVAILABLE - NORTH CAROLINA

New associate position available that may lead to partnership. We are a very busy practice providing care in both office and hospital settings. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard working, and committed to quality in patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com

ASSOCIATE POSITION - WORCESTER MASSACHUSETTS

Podiatry practice in Worcester Massachusetts is looking for an associate podiatrist. Busy 2-person practice. High surgical numbers. No nursing homes. Call to hear free recorded message for more information. Call 641.715.3800 Access Code 32299 and message 4 to learn about the practice. Visit our website www.centralmasspodiatry.com

ASSOCIATE POSITION - BEAUTIFUL LONG ISLAND

Business-oriented, mature Board eligible/certified podiatrist who is not just looking for a job, but a secure future. Buy-out of practice will be available. Practice does in excess of $500K. 2 hospitals available. No nursing homes, no Medicaid. Competitive package. Please fax CV to 631-581-0857

ASSOCIATE POSITION - YORK, PA

Three-office practice with hospital, surgical center & nursing home privileges. EMR since 2000. Digital x-ray, ultrasound, progressive practice. Competitive salary and benefits offered. Practice offers good mix of surgery, wound care, and general podiatry. Open to associate with potential future buy-in. Please forward your information and CV to footdocpa@aol.com

ASSOCIATE POSITION - FLORIDA

Looking to hire an associate who is caring, friendly, and holds a patient in the highest regard. I am a single practitioner with a large podiatry practice in Tampa, FL. Will provide an outstanding salary with additional incentives, excellent healthcare benefits, retirement and cell phone. Please email resume to:Heliodiety@aol.com or fax to 813-854-6105.

ASSOCIATE POSITION - NEW YORK

WORK SMARTER NOT HARDER. Join a modern, well-established 42-year-old podiatric medical/surgical practice within a multi-specialty office. Located just 20 minutes from NYC. Must be responsible, compassionate, driven, and self-starter. Enjoy cross-referrals from other specialists and support of medical assistants, office managers, and medical billers with over 50 years combined experience. Utilize modern technology: state-of-the-art diagnostic ultrasonography, fluoroscopy, ESWT (machine is owned by practice), physical therapy, x-ray, circulation testing, NCV, and in-office operatory suite. Very strong and effective advertising/marketing program. No nursing homes, No HMOs, No Medicaid, No Medicare. Must be licensed for podiatry in New York. Send cover letter/CV to: linchpindpm@yahoo.com

ASSOCIATE POSITIONS – MARYLAND

Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Our group, Podiatry Management Services, provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.netor fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

ASSOCIATE POSITION - CENTRAL FLORIDA

Busy, two office group practice seeking a full-time, self motivated and hard working podiatry associate. Good mixture of general podiatry and surgery. Applicant should be PMS 36/Board Qualified/Certified. Competitive salary and benefits are offered. Please email CV to: toesrus7@yahoo.com

ASSOCIATE POSITION - NYC

Full and part-time opportunity available in 40 year old practice in downtown Brooklyn. State-of-the-art office with EMR and digital x-rays. Must be experienced, highly motivated with good clinical skills. Competitive salary. Possible buy-in opportunity available. please email resume to dpm10019@yahoo.com

ASSOCIATE POSITION - MANHATTAN

Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com

ASSOCIATE POSITIONS - MULTIPLE STATES

Podiatrist Needed in Arkansas, Kansas, Missouri, Nebraska, Iowa, Minnesota, North Dakota, South Dakota, Texas, Colorado, Wisconsin, and Oklahoma. Expanding multi-state medical practice seeking podiatrists to service long-term care community residing in nursing homes and assisted living facilities. We offer an established patient base, scheduling, equipment allowance and cover travel expenses. Provide generous compensation, bonus opportunities, disability, health insurance benefits, malpractice coverage and flexible scheduling. Looking for a podiatrist with excellent skills, able to provide expert and compassionate care to patients. Email CV to: careers@aggeus.org or call 773-770-0140 x300/x305.www.aggeus.org

ASSOCIATE POSITION - OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION – ANCHORAGE, ALASKA

Associate wanted for hospital-based podiatry group practice. Full scope of practice. Surgical residency 24month+. Outstanding opportunity, work environment, and recreational pursuits. Fax CV to 907-562-5195, please call 907-562-4958, e-mail us at contactus@alaskapodiatry.com

ASSOCIATE POSITION - NEW JERSEY

Immediate opening for a full-time podiatrist in a rapidly expanding multi-office practice in central New Jersey. Well established referral base with full admitting hospital privileges. Availability to become part owner of a multi-room, multi-specialty ASC. Excellent opportunity for the right doctor with potential to achieve $200K in the first year. Wonderful working conditions. Applicant must have at least PSR-24 surgical training. Valid NJ license and Medicare number is required. Applicant should also be familiar and competent in biomechanics, trauma, ESWT, PRP, wound care, and ultrasound diagnostics. Participating insurance #'s a plus. Please fax resume to: (609) 259-6637.

ASSOCIATE POSITION - ILLINOIS

Full and Part-time opportunity to provide conservative, ethical podiatric care to residents in long-term care throughout Illinois . Full time position includes health, disability, 401, auto/travel expenses. Ideal Full-time candidate would be willing to travel 2-3 days per month, or be located in central or downstate IL. We have a 30 year history of providing exceptional care and service, with appropriate reimbursement. Please email queries or resumes to: gh@podiatryplus.net

LOCUM TENENS - TEXAS STATEWIDE

It is that time of year, and you want to go on vacation, but can't or won't leave your practice, I can help. Please contact me at: netexasl@gmail.com I will forward a CV.

GREAT OFFICE STAFF FOR HIRE - SOUTH JERSEY

Very experienced office staff needs jobs. Office is closing and they are experienced people to hire in South Jersey. E-mail for CV and or what you are looking for They know podiatry and are both certified podiatric medical assistants. They do billing, scheduling, chairside, and much more Footcare@comcast.net

EQUIPMENT FOR SALE: EPAT

(Extracorporeal Pulse Activation Treatment) for sale. D-Actor 200. This machine is still new. Purchased in late 2011.( new machines>30K). It is the conservative alternative to surgery. Treats Plantar Fasciitis, Heel spurs, Achilles Tendonitis, Joint pain. Great Buy. $19,995 or best offer. Please call 713-541-3199 for more information. or email contactus@houstonfootankle.comEQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

OFFICE SPACE AVAILABLE - NYC

This is a great opportunity to expand or establish a new practice. Fully furnished, large modern Podiatric office in an upscale doorman building on the east side. Fully equipped and Wi-Fi ready. (Rent includes electricity and supplies). Available immediately for full or part time occupancy. Save up to $100,000 in initial costs and avoid any start-up mistakes. Email podofficenyc@gmail.com for further information. Price is considerably below market value. Confidentiality will be strictly upheld.

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM

IMMEDIATE PARTNERSHIP OPPORTUNITY - LONG ISLAND, NY

Established well-rounded practice looking to turn part-time practice into full-time. Located in sports complex with physical therapy and sports club. Graduating residents and experienced podiatrists may apply. Please email queries to podiatrypartnership@gmail.com

PRACTICE FOR SALE - HOUSTON, TEXAS

30 year old busy, progressive practice for sale with an excellent reputation and well established, diverse referral base. Well trained, dedicated, supportive staff. Excellent cash flow ($400K net income after overhead). EMR, digital x-ray, diagnostic ultrasound. Free standing building also available with large outdoor sign. Owner retiring and willing to stay part time during transition. Contact:mcrosby@picagroup.com or call (888) 776 2430.

PRACTICE FOR SALE - BROOKLYN, NY

A large, busy practice is for sale in Brooklyn, NY. This practice has been in the same location for over 50 years. Average 150 pts/week, average gross 730K, most surgery is referred out. Financing available. Call 800-983-4194, or email: contactus@podiatrypracticeconsultants.com

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact:podiatrypracticesale@gmail.com

PM News Classified Ads Reach over 13,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 13,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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