The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily

June 08, 2010 #3,878 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2010- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

IL Podiatrist Discusses Plantar Warts

Podiatrist Leonard Kuzmicki of Spring Valley Foot Clinic emphasizes that plantar warts are no different from any other warts except in location. Because they are on the bottom of the foot, these warts grow inward instead of protruding from the skin. The virus gets in through some opening in the skin and begins growing. “Once they enter the skin, they set up these little cauliflower-like growths,” Kuzmicki said, “and all they do is they live in the outer layer — the epidermal layer — of the skin.”

Dr. Leonard Kuzmicki

Contrary to popular belief, Kuzmicki said, plantar warts do not put down roots. The black “pepper spots” often mistaken for roots are actually tiny scabs from capillaries that have broken inside the wart. That’s right — the growth has its own blood supply, courtesy of the patient.

Source: Amy Holverson, News-Tribune [6/3/10}

Waxman Receives NYSPMA Lifetime Achievement Award

Dr. Bruce Waxman with wife Rhoda

One the highlights of the 114th Annual New York State Podiatric Medical Association House of Delegates was the awarding of the Lifetime Achievement Award to Dr. Bruce E. Waxman, past president of NYSPMA.  Waxman has been a relentless champion in raising money for the NYSPMA PAC. 

Other honors bestowed were:

Dr. David Kreiser

Excellence in Action - Howard Baskin, DPM
Special Achievement - Albert  Musella, DPM
Excellence in Service - David Kreiser, DPM
Pioneer in Podiatry - Vincent Pacella, DPM
Podiatric Assistant of the Year - Karen Olszowy (office of Roy DeFrancis, DPM)

CA Podiatrist Readies USA for 2010 FIFA World Cup South Africa

Dr. Howard Liebeskind, team podiatrist to the US World Cup and National Teams, recently completed final podiatric preparations for the team's departure and participation in the 2010 FIFA World Cup South Africa  during the " 2010 Send off Series" held in East Hartford, CT and Philadelphia.

(L-R) Clint Dempsey, USA (midfielder/forward) and Dr. Howard Liebeskind

Dr. Liebeskind has been team podiatrist to the U.S. Men’s and Women’s National soccer teams for the past 18 years, serving the United States Soccer Federation through a combined eight FIFA World Cups. He currently sits on the Medical Advisory Board of the US Soccer Federation and is a member of the American Academy of Podiatric Sports Medicine.

PA Podiatrist Lectures at Diabetic Symposium in Trinidad & Tobago

Dr. Lee J. Sanders joined a distinguished faculty at the First Diabetes Symposium sponsored by the Trinidad and Tobago Medical Association and Johns Hopkins International, on May 16th in Port of Spain, Trinidad.  His lecture was entitled Diabetic Foot Disease and Foot Care in the Rural Setting. The program was part of the Trinidad and Tobago Health Sciences Initiative (TTHSI); a collaboration between the Ministry of Health, the Ministry of Science, Technology and Education, the University of Trinidad and Tobago (UTT), and Johns Hopkins Medicine International (JHMI). 

Dr. Lee J. Sanders in Trinidad & Tobago

Dr. Sanders expressed his concern for the burden of diabetes and diabetic foot disease in the Caribbean black population. In Trinidad and Tobago, foot problems account for approximately 14% of hospital admissions and 29% of bed occupancy by people with diabetes. The habit of going barefoot is common. There is a very high rate of diabetes-related lower extremity amputations. Mortality rates after lower extremity amputations in Barbados are among the highest in the world. Sepsis and cardiac disease are the most common causes of death. Prevention strategies are urgently needed!

Editor's Note: PM News is proud to present excerpts from Meet the Masters.

Bret Ribotsky: What do you recommend to people who have a dream of starting a new business? 

Dr. Alan Sherman

Alan Sherman: First of all, we now have at our fingertips the most  educational medium that ever existed, the Internet. In a few hours, you can find resources to teach you just about anything. I recommend that people start a new business on a small scale, without leaving their previous business. You're best off if you have a source of income outside the business because there is a learning curve. There is a certain amount of time before you break even in a new business. Before you sort of jump off the diving board, you want to make sure that there is water there to catch you.

Dr. Donald Green

Meet the Masters is broadcast each Tuesday Night at 9 PM (EST). This week's show features famed podiatric surgeon Dr. Donald Green. You can register for this event by clicking here

Query: Kaposi’s Sarcoma

I have a typical Kaposi's sarcoma patient: male, Italian, middle-aged. He has no history of AIDS, but has diet-controlled DM. He has multiple Kaposi nodules on his feet and toes. They are asymptomatic. How significant is the malignancy and what is his prognosis? What is the appropriate course of treatment for this patient?

John Moglia, DPM, Berkeley Hts, NJ

Query: Wrist Glucose Monitor

I have had several patients ask me about this newer type of glucose monitor, GlucoWatch® Monitor. Does anyone have patients using these, and are the readings reliable, and are they easy to use? 
 
Kathy Riffe, DPM, Trenton, TN

RE: Painful Dermatitis in 17-Year Old (Jared Clifford, DPM)
From: Multiple Respondents

It worries me when Dr. Clifford says he is going "to try a course of topical steroids."  Is it not incumbent for a podiatrist who doesn't really know what the diagnosis is to save the patient the time, money, and delay by sending him to a real specialist in skin diseases, i.e., a board certified dermatologist who has years and years and years of training and only treats skin diseases, not just part time like we do? In addition, twice in the report, viral etiologies were mentioned. Isn't it contraindicated to give steroids in a viral disease as it may further suppress the immune response and cause continuation or exacerbation? If you're going to insist on "trying" yourself, perhaps an anti-viral like "Amantadine" or "Zovirax" may be helpful. If antibiotics and antifungal failed, it would make sense, because a virus wouldn't respond to those treatments.

Robert Bijak, DPM, Clarence Center, NY, rbijak@aol.com

If your patient has been using the Neosporin for any length of time, have him just stop using it and watch for any changes in the skin. I have seen some major dermatitis reactions from Neosporin. The Neosporin is most likely not the cause, but I would still remove it from his current therapy. The problem, as I am sure you already know, with the steroid approach is you are treating the problem without focusing on the cause. Dr. Howard Lewis was my attending when I was a resident. He would make me buy him lunch if I did that during residency.

Wm. Barry Turner, BSN, DPM, Royston, GA, claret32853@gmail.com

I see conditions that look like this often in my practice. My 16 y/o son also had it. I believe it to be a severe tinea infection with reactive/allergic skin changes. I have the patient soak in warm water with a high epsom salt concentration. Have the patient apply betamethasone diproprionate cream, along with an anti-fungal cream. Sometimes we have the patient add Neosporin cream.
 
This is done 3x per day, and the patient is seen back in one week. Usually, it is about 80% better, and if so, I have the patient continue for another week. I actually have never seen it fail.
 
Jeff Conforti, DPM, Ridgewood, NJ, jconfortiusa@yahoo.com

RE: Standard of Care for Post-op Cast (Charles Lombardi, DPM)
From: Robert M Cropper, DPM, Stanley Kalish, DPM

Many PM News readers have performed tendon surgeries and applied casts in the OR or PACU. I would venture to estimate the number of procedures in this country to exceed 500,000 each year. Few, if any, injuries result. It seems repulsive to think that a member of this profession would allege a violation of the standard of care and present such weak arguments to support his case. Bravo, PM News for publishing the transcript and allowing us to see, in black and white, the utter lack of integrity and honesty Dr. Stabile exhibits for a paltry few thousand dollars; a sum he could perhaps earn practicing medicine honestly and responsibly. And bravo again, for exposing this trash to the greater podiatric community. Dr. Stabile deserves our collective scorn.
 
Robert M Cropper, DPM, Sarasota, FL, Ftdrbob@aol.com

I suggest you all join Medical Justice an organization which I've been affiliated with for several years. It will provide you with additional clout against lawyers and expert witnesses who can be  sued for false testimony. These folks send a strong message which can be sent to lawyers when a request for record is forwarded to you.  They lecture and have a booth at Superbones each year. Contact jsegal@medicaljustice.com

Stanley Kalish, DPM,  Jonesboro, GA, srkalish@bellsouth.net

ASSOCIATE POSITION – NEW YORK

Great Opportunity - NY podiatric practice – multiple locations –seeks well trained, ethical DPM Per Diem and full-time positions available. Competitive salary. Send resume and CV to: info@advancedfootcare.org

PART-TIME POSITION - NEW JERSEY

Available for a Board certified/qualified podiatrist. Located in Toms River and Manchester. We have a high-volume practice that treats routine care, trauma, sports-related injuries, hospital consults, and ER Consults. Possibly leading to full-time position for the right person. Please fax CV to (732) 349-0228 or email CV to njfeet@aol.com

ASSOCIATE POSITION- MONROE, MICHIGAN

Excellent opportunity to join a modern, growing 3 doctor/2 office practice located in SE Michigan between Detroit and Toledo. Responsibilities will include a mix of surgery, office, hospital and nursing home/housecalls. Salary, bonus and benefits. Learn more about us at monpod.com. If you are a personable, reliable team player with solid skills and a patient first attitude please contact dr.hughes@comcast.net for more information.

ASSOCIATE POSITION – TEXAS

Dynamic, growing practice in Dallas/Fort Worth area, seeking PSR 36 surgically trained, and/or Board Certified/Board Qualified Podiatrist. Excellent salary and benefits compensation package, for the right candidate, with partnership/buyout opportunity. Must have Texas license. Contact/Send resume to: jmh6122@yahoo.com

TN PRACTICE FOR SALE (SOUTH OF NASHVILLE)

Active, established practice with new equipment (digital x-ray, ultrasound, computer network, etc.). Great referral network with an excellent scope of practice. Turn-key operation with seamless transition. Grossed over $350K last year. Call 931-446-5724 or email mchad500@gmail.com for more information.

EQUIPMENT FOR SALE – CHAIRS, ETC.

Doctor retiring, office equipment for sale, including patient’s treatment chairs, one chair is one of the first podiatry chairs made ,can be used as a display in waiting room or use in treatment room, all in excellent condition, photos on request. E-mail Robin superrang@bellsouth.net

ASSOCIATE POSITION NORTH CAROLINA - ASHEVILLE/MOUNTAINS

Well established, multi-doctor, multi-office diverse practice has immediate need for associate doctor leading to partnership. Associate doctor will be very busy from day one. Attractive compensation and benefits. Buy-in potential after one year. Contact at smfc2@charterinternet.com or 828-734-1535

ASSOCIATE POSITIONS – MULTIPLE LOCATIONS

Looking for podiatrists to join group to work in nursing facilities in: Texas (Ft. Worth, Dallas, Houston) Washington, DC, Philadelphia, Northwest Pennsylvania, Delaware, Upstate New York, Massachusetts (Brockton). Please respond to: doconcall02@aol.com

ASSOCIATE POSITION – QUEENS & NYC

Part-time podiatrist needed for multi-office practice in Queens and NYC. PSR- 24+ a must. Experience preferred. Willing to train the right new graduate. Must be punctual, very personable, ambitious, and ethical. Job will involve usual podiatric medicine and surgery. Will also include significant networking and marketing to help build the practice. You must be well-trained and have people skills for this position. Possible full-time position leading to partnership for the right person. Please e-mail cover letter and resume to hansfeet@aol.com

PODIATRIC ASSOCIATE POSITION - CHICAGO, IL

Excellent Associate Opportunity for full or part-time position. Group practice with diversified mixture - Surgery Qualifications: 3 years Trained Resident Salary: Commensurate with training, benefits included Fax CV/Resume to 773-374-5860 J.B. Jenkins & Associates transcribe1706@aol.com

LOCUM TENENS WANTED - MANHATTAN

Due To Family Emergency looking for locum tenens for the month of July and August 1-2 days per week. Office located in Manhattan Upper West Side Fax CV to 212 362-9896. For more information you can call 212 724-4457. frottenberg@juno.com

ASSOCIATE POSITION – VICTORIA, BRITISH COLUMBIA

Beautiful Victoria, British Columbia, on the ocean, fast growing area. Associate for multi-office, full-scope practice. Reply to dr.cole@shaw.ca or phone 250-516-7440

LIMB PRESERVATION RESEARCH AND SURGICAL FELLOWSHIP

Boston University Medical Center offers a unique fellowship position
Be part of this unique opportunity at a major internationally-known teaching medical center. During this time, he/she will become a knowledge expert who will contribute significantly to research, surgical procedures, teaching, and innovations in limb preservation and tissue repair. Requirements: Completion of a two or three year surgical residency; Annual Salary: Year 1 $61,000, Year 2 $66,000 plus excellent benefits. Submit a CV and letter of interest to: Erin Springhetti @ erin.springhetti@bmc.org and Dr Vickie Driver @ vickie.driver@bmc.org

CANADIAN PODIATRISTS COME BACK HOME!

An Edmonton, Alberta group of DPM’s requires an additional Podiatrist. Interest in biomechanics essential. Given Canadian visa restrictions, this position is open only to Canadian Citizens or permanent residents. Very attractive compensation package. Fax C.V. or letter of interest to: (780) 483-5796.

PODIATRISTS WANTED BALTIMORE/CHICAGO/NORTHWEST INDIANA

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation, including malpractice. Contact Jake Shimansky, Director of Physician Recruitment. Phone 773-342-5221 FAX 773-486-3548 E-Mail jshimansky@homephysicians.com www.homephysicians.com

ASSOCIATE WANTED DELRAY BEACH FLORIDA

Rapidly growing well established practice seeking part-time leading to full-time. PSR 12-36. Great opportunity for highly motivated, personable individual. Please reply by emailing a CV to nursebsf@aol or fax (561)498-9068.

PRACTICE FOR SALE - MINNESOTA

Practice Grossing over $500K yearly. Good mix of surgery, orthotics, DME, diabetic care, general podiatry. Commute < 5 miles to work. Friendly Midwest lakes area with arts, good schools, affordable living, restaurants, shopping. Option to purchase building. Will consider associate to buy-in/ buy-out. Midwestpractice@gmail.com

PM News Classified Ads Reach over 12,000 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 12,000 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

• 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.