|
|
|
|
.gif)
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 14,000 Podiatrists Daily
June 03, 2013 #4,786  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block
|
| PM NEWS QUICK POLL |
Quick Poll
|
|
Should podiatric assistants be allowed to perform routine foot care (as defined by Medicare)? |
 |
|
Click HERE for Results |
 |
|
Results of Last Week's Poll |
|
|
| PODIATRISTS ON THE INTERNATIONAL LECTURE CIRCUIT | |
AZ Podiatrist Keynotes Inaugural Aussie Diabetic Foot Symposium
Sydney's Liverpool Hospital, celebrating its bicentennial year, was the center for a standing-room only symposium featuring several of the world's top clinician-researchers in the fields of diabetes, infectious diseases, foot surgery, and amputation prevention. Matthew Malone, Chief of Liverpool Hospital's High-Risk Foot Clinic, served as symposium Chair along with co-Director Jess White.
 |
|
Matthew Malone and Dr. David Armstrong |
Dr. David G. Armstrong keynoted the symposium with lectures outlining his team's work over two decades in wound healing, reconstruction, and amputation prevention. He joined Manchester's Professor Andrew JM Boulton and Oxford's Benjamin Lipsky who provided keynotes as well during the plenary portion of the meeting. The first-of-its-kind symposium in Sydney is planned to return in two years' time as a recurring event.
|
|
| OUTSIDE INTERESTS | |
OR Podiatrist is Rock Climber and Restaurant Owner
The knowledge that one has solid footing, or at least a firm toehold, is important to any new venture. When Kristin and Ian Yurdin first laid their eyes on the old Terrebonne railroad station in the early years of the 21st century, they saw it as more than a vacant building in need of repair. Kristin was trained as a podiatrist — a foot doctor. As a climber, she knew how important healthy feet are to any athlete. She also understood the importance of nutrition.
 |
|
Dr. Kristin Yurdin |
“There was really not a place to eat in Terrebonne when we would spend weekends there," she said, “a place where people could go after climbing, sit down and have a beer. “We had fallen in love with the building. We convinced the owner to let us buy it. We restored it and put in a restaurant to serve Terrebonne, Smith Rock, and the whole area."
Source: John Gottberg Anderson, Bend Bulletin [5/31/13]
|
|
| QUERIES (MEDICAL-LEGAL) | |
RE: Testing Employees for Drug Use
I have an employee whom I suspect is a fan of narcotic pain prescriptions. This appears to be disrupting some of her accuracy with her job. What options do I have to test for narcotic use? Is an in-office urine test of an employee legal?
Name Withheld (KY)
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
RE: Diabetic with Hemorrhagic Keratosis
From: Roody Samimi, DPM, Neil Levin, DPM
Consider ankle equinus before going about destabilizing the hallux.
Roodabeh Samimi, DPM, Whitehall, PA, roody.samimi@gmail.com
Regardless of 1st MPJ range of motion, a Keller bunionectomy is indicated to create a more apropulsive gait. This will eliminate the callus and risk of ulceration in the future. You owe this to your diabetic patient, especially in light of his previous ulcer-healing history.
Neil Levin, DPM, Sycamore, IL, DRFEET1@aol.com
|
|
| RESPONSES / COMMENTS (MEDICAL LEGAL) | |
From: Bill Deutsch, DPM, Sal J. Galluzzo, DPM
Like a jealous lover, third-party is calling your patient to whisper sour grapes in their ear. My advice would be to make patients aware that they may from time to time be contacted by third party payers. It shouldn't be a surprise or a shock, and that nothing untoward may be surmised if this should happen. Inform your patients that like any service company, third party payers may call to ensure they're satisfied with your service, and it's standard quality control measures. A sign or handout should suffice.
Hey wise up doctor. If you're doing the right thing and billing for what you really do and document, WHAT are you worried about? Your patients "have your back" if it comes down to it. Medicare will do whatever they can/have to do to SAVE and CUT reimbursements. Let's face it - It's going to get tougher as Medicare gets tighter. Put on your rain gear - we're gonna have a BIG STORM!
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
RE: Diabetic with Hemorrhagic Keratosis
From: Estelle Albright, DPM
Think biomechanics. Look at the callus patterns under the great toes; callus also under 2nd and 3rd met heads. What sports does he play? Does he have proper shoes for that sport and proper fitting orthotics for that activity? Check the shoe wear pattern and make him custom orthotics that off-load the great toes. If you don't think of the underlying biomechanical etiology, the surgery you are considering may cause calluses elsewhere, or the toes may become floppy or arthritic post-op,
Estelle Albright, DPM, Indianapolis, IN, estellealbright@hotmail.com
I have dealt with these types of lesions many times. You will find that the patient, with the midtarsal joint loaded, has a hallux limitus deformity, which in a diabetic patient is now turning hemorrhagic due to undue pressure. The easiest way to get rid of this quickly is to perform a Keller bunionectomy and if there is no real bunion, remove the base of the phalanx of the hallux. Also check to see if there is a contributing equinus and perform an EGR at the same sitting if necessary. The callus will resolve within 2-3 weeks.
Gary Docks, DPM, Chardon, OH, gwdocks@aol.com
|
|
| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Podiatric Residency Crisis - Where Are We?
From: Bret Ribotsky, DPM
On April 23, APMA’s executive director and three deans from our podiatric schools appeared on a special Meet the Masters show. These brave doctors stood strong to many questions regarding this crisis that affects over 90 lives and possibly the future of our profession. Drs. Gastwirth, Jensen, Mattiacci, and Harkless were open and very concerned with what occurred and optimistic about a solution. It was mentioned that the Council of Podiatric Medical Education (CPME) was meeting and it was Dr. Gastwirth’s hope that many obstacles to fixing this crisis would be worked out within a week or two after the CPME meeting. So far, nothing was changed, the problem remains.
I have offered CPME multiple opportunities to appear on Meet the Masters to explain WHY changes have not occurred; these requests have been declined. It’s June and these students have graduated, but the problem remains. WHAT IS BEING DONE? Have these graduated students been forgotten already? How many are still without programs?
Bret Ribotsky, DPM, Boca Raton, FL, ribotsky@gmail.com
|
|
| RESPONSES / COMMENTS (CODINGLINE CORNER) | |
From: Robert Spalding, DPM
Obviously, there is a great deal of controversy about assistants helping doctors with routine foot care. For those podiatrists who choose not to use an assistant to perform routine foot care, then don’t use one. However, 50% of DPMs do use one, and a recent online survey found that 60% of DPMs believe this is appropriate. That is not going to change.
There should be universal training for this service. Our colleagues in dentistry have learned to use assistants effectively and safely for cleaning and other routine oral care without...
Editor's note: Dr. Spalding's extended-length letter can be read here.
|
|
| RESPONSES / COMMENTS (NEWS STORIES) | |
RE: IL Podiatrist Makes His Own Orthotics
From: Robert D. Phillips, DPM
I was both happy and sad to see that Dr. Frank Bongiovanni makes his own orthotics for his patients. I was happy because I know that his patients are receiving the personal care that I would want to receive from my own podiatrist. I was sad because this is now a news item.
I was fortunate that when I was in podiatry school, students had to do rotations where they had to make the orthotics for the patients and then dispense the devices and follow the patients. I think that most of my classmates learned enough that they could fabricate basic orthotics for their patients. At that time,...
Editor's note: Dr. Phillips' extended-length letter can be read here.
|
|
|
| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
 |
|
Yes, That's a Beer Cap Opener in the Sole |
Submitted by Dr. John Brummer
|
MEETING NOTICES - PART 1
|
|
|
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $169
(Less than $12 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, GA, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, FL, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC
Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
|
|
| CLASSIFIED ADS | |
PODIATRIST FOR NURSING HOME CARE - MASSACHUSETTS
Excellent Opportunity. Seeking independent physician for growing nursing home podiatry care Work independently, make your own hours. Must do own billing. YOU KEEP 100% OF PROFITS. Must be personable and have good patient skills. Acquisition fee based
position. Please e-mail CV and short bio to: americanmobile@verizon.net
ASSOCIATE POSITION - PENNSYLVANIA
Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to 123bunion@gmail.com.
ASSOCIATE POSITION - BAKERSFIELD, CA
Office and hospital-based podiatry group seeking a highly trained surgical associate to compliment our 3-doctor group. Minimum PSR-36 trained with rear-foot reconstructive experience required. Must have CA license and x-ray and fluoroscopy license. Previous practice experience is preferred. Competitive salary and benefits package. Please forward cover letter and CV to modpm@aol.com.
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future, this position will provide for the possibility of partnership in the future. To apply please go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS
Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV toponyrunner66@gmail.com
ASSOCIATE POSITION - NASHVILLE TENNESSEE
Want to live and practice in the "It City" Nashville, TN? ISO well-trained (PSR-36) individual. Located in suburb of Nashville. Hospital and Surgery Center privileges. Rearfoot and Ankle allowed. Base pay, bonus incentives, and benefits. Send resume to Mendozadpm@comcast.net. $1,000 finder's fee paid to referring individual with hiring.
ASSOCIATE WANTED - CENTRAL/SHORE AREA - TOMS RIVER, NJ
FT/PT Looking for a HIGHLY motivated, organized, ethical associate. EMR/digital 20/20 x-ray/NCV/vascular testing all on premises. Trauma, DM, wound care & large routine & children mix. Must have NJ license. Should be Board Qualified/Certified Potential for future BUY-IN Send CV to toesec@aol.com
ASSOCIATE POSITION – VIRGINIA
Established private practice, foot and ankle reconstruction and trauma management, strong referral base, ED trauma call. Hospital and surgery center privileges. Two locations with modern offices. ABPS qualified or certified. Competitive compensation package. Potential for position to lead to partnership. To apply, please email a letter of intent and CV to: vaposition@yahoo.com
ASSOCIATE POSITION- DAYTON, OHIO
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR; diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to Ohiomedical@aol.com
ASSOCIATE POSITION - MASSACHUSSETS
Located near Boston. Busy multi-office podiatry practice looking to expand. Need extremely energetic dedicated individual. Must be PSR 12-24 trained, EMR, laser, vascular testing the works. Must have sense of humor. MA License, NH License A+! Surgery, sports medicine, pediatrics, shoe store. Please send resumes to resumesent11@comcast.net.
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 PODO2345@AOL.COM 516-476-1815.
PRACTICE FOR SALE - CALIFORNIA
Unique opportunity to purchase a very busy 50 year old practice in Coronado Ca. Large and stable patient and referral base with consistent new patient growth. Low overhead. Priced to sell. Great staff. Hospital privileges available. Willing to stay on for transition. Inquiries please email foothold@msn.com
IMMEDIATE OPENING OR PURCHASE IN DALLAS TX
Turnkey in Dallas’ beautiful and prestigious Uptown neighborhood: modern, fully furnished office in 24/7 security high rise and large patient base. There is tremendous growth potential in this affluent and diverse area. Perfect for new practitioner, to share, or second office. afc1dfw@gmail.com
PRACTICE FOR SALE IN CENTRAL FLORIDA
33 year old practice grossing $550k seeing an average of 40 patients per day. Possible owner financing for both practice and large office building. Five year average profit margin of 35%. New Listing. For more information call Chas Smith at 863-688-1725 or email Chas@cpalliance.com
PRACTICE FOR SALE - WEST PALM BEACH FLORIDA
Well established successful West Palm Beach practice grossing $475K with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E- mail wpbfootdrs@gmail.com
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
PM News Classified Ads Reach over 14,000 DPMs 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 14,000 DPMs. 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.
|
| 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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
