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| PM News | |
The Voice of Podiatrists
Serving Over 22,174 Subscribers Daily
June 10, 2022 #7,225  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 | |
Last Chance to Vote
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Do you own a gun?
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| PODIATRISTS AND THE CORONAVIRUS PANDEMIC | |
Hyperbaric Chamber Hood Saves NY Podiatrist's Life During Pandemic
During the first wave of the pandemic in 2020, Warren Altwerger, DPM fell ill with COVID-19. He struggled with severe symptoms, his breathing became difficult, and he ended up at Phelps Hospital emergency room. Knowing the mortality risks of being ventilated, he opted for a hyperbaric chamber oxygen hood like the one routinely used at the Department of Undersea & Hyperbaric Medicine at Phelps Hospital Northwell Health.
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Dr. Warren Altwerger |
Working with the Feinstein Institutes for Medical Research, his physician, Owen J. O’Neill MD, MPH, medical director, Division of Undersea and Hyperbaric Medicine at Phelps Hospital, recommended that Dr. Altwerger take part in his team's clinical trial, which he believed would help patients whose oxygen levels had dropped too low and would require mechanical ventilation. It worked. After spending 13 days in the hospital, with four of those days spent in the oxygen hood – without the use of a ventilator, Dr. Altwerger went home where his oxygen levels gradually improved. One year later, he has made a full recovery and is back to seeing patients and practicing podiatry.
Source: River Journal [6/8/22]
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| PODIATRISTS IN THE NEWS | |
OH Podiatrist Uses Fish Graft to Save Patient's Foot
Jeff File was suffering from a non-healing wound that was infected and while staring down amputation, he met James LaPolla, DPM, who offered a relatively new procedure. It uses fish skin to initiate tissue regeneration, and a Vienna Township man says it saved his foot from being amputated.
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Dr. James LaPolla, Jr. |
"It's good for all types of wound care," Dr. Lapolla said. "The benefit of micro-3s [is that] it basically mimics the human skin if you take a slice of it in terms of the multiple layers of the fish skin and layers of human skin. It allows for revascularzation much easier than some other types of grafts, other than their own human grafts obviously, that would be the best. It also keeps a bacterial-free, infection-free wound bed that then allows the recipient, the patient's natural skin, to incorporate over that wound so you don't get a lot of scar tissue."
Source: Derek Steyer, WFMJ [6/8/22]
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| PODIATRISTS AND REALITY TV | |
My Feet are Killing Me Kicks Off 4th Season
The new season of TLC’s hit show, My Feet are Killing Me, recently premiered. Season four of “My Feet Are Killing Me” will have present severe medical issues. Drs. Brad Schaeffer, Ebonie Vincent, and Sarah Haller are met with the most challenging cases, such as a foot that “looks like a big volcano, bubbling over about ready to erupt.”
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(L-R) Drs. Sarah Haller, Brad Schaeffer, and Ebonie Vincent |
The pilot episode introduced cases such as a woman walking on a broken tibia for 10 years, bunions that prevent another woman from running again, and a man who experienced severe foot problems after having his big toe transplanted to his hand. Other unexpected issues will arise throughout the series – the doctors face a woman whose feet grew horns, sisters that suffer from different foot fungi, and a man whose foot is shaped like a hobbit’s foot.
Source: Betti Halsell, LA Sentinel [6/9/22]
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| RELEVANT RESEARCH | |
Patient Perception of the Diagnosis and Its Impact on Patients With Melanoma or BCC
A questionnaire survey was administered to 355 patients with melanoma and 320 patients with basal cell carcinoma (BCC). At the time of diagnosis, 66.8% of patients with melanoma and 36.1% of patients with BCC reported that they were "shocked." Almost half of the patients with BCC were fearful of metastatic progression or the risk of dying because of the word "cancer." Patients with melanoma isolated themselves, felt discouraged, tired, tense, depressed, and alone, and they had difficulties falling asleep more often than patients with BCC.
Dermatologists should be mindful of the psychological impact of a diagnosis of melanoma or BCC when delivering the diagnosis and offer empathy and reassurance.
Source: Katherine M. Stiff, MD, Practice Update [6/8/22] via Dr. Allen Jacobs
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Addressing Physician Burnout
Here are some actions for practices to curb physician and medical staff burnout.
2. Show employees how much they are valued.
Practices can also provide opportunities for recruiting and training health workers from the communities they serve; promote continuing education and professional development; and expand opportunities for career advancement, leadership, mentoring, and coaching at every level.
Source: Richard Payerchin, Logan Lutton, Medical Economics [5/24/22]
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| QUERIES (NON-CLINICAL) | |
Query: Source for Dehydrated Alcohol for Injection
Is anyone still able to obtain dehydrated alcohol for alcohol injections? BPI has Ablysinol available which is the only FDA-approved dehydrated alcohol product available but is marketed for symptomatic hypertrophic obstructive cardiomyopathy and is prohibitively expensive. Is another similar product available anywhere that can be used for alcohol injections?
Dino Kyramarios, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (PM EDITORIALS) - PART 1A | |
From: Lawrence Kassan, DPM
Unfortunately, without an organized response to the insurance companies, they will continue to push the limits of our tolerance. Years ago, Carnegie Steel was one of the biggest companies in the world and it made Andrew Carnegie the wealthiest man in the world. His workers, however, were forced to work 12 hour shifts 7 days a week. He told them that if other local employers lowered their work days and hours [and Carnegie didn't], then eventually Carnegie Steel and its employees would be put out of business.
The money is there, the need for doctors is there; unfortunately, the organized response is not. The insurance companies, hospitals, drug companies, and medical product companies all rely on doctors to stay in business. I have been charging $250 to cash patients for a P&A since 1991. Currently, one of the larger private insurance companies in Philadelphia reimburses less than $120. Patients are willing to pay for our services... pain is a very strong motivator. I realize that going on strike is considered unethical but unless something is done, nothing will change, and the best and brightest will certainly not be considering podiatry as a career.
Lawrence Kassan, DPM, Philadelphia, PA
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| RESPONSES/COMMENTS (PM EDITORIALS) - PART 1B | |
From: Tilden H. Sokoloff, MD, DPM
Dr. Block asks, “Who wants to be a podiatrist?” Dr. Fellner discusses how non-professionals appear to charge more for routine foot care than podiatrists. Dr. Davis shows how logic plays into this ongoing scenario for DPMs, if we just take action toward parity at all levels including plenary licensure. Past APMA President Jeff DeSantis, DPM, communicated well the need to have our profession at the level of core competencies that could entitle equivalent licensure opportunities to entering classes to podiatric medical schools.
The osteopathic profession can’t open schools fast enough with entering classes of around 150 students in each. There are currently 38 accredited colleges of osteopathic medicine in the United States. These colleges are accredited to deliver instruction at 60...
Editor's note: Dr. Sokoloff's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Richard Rettig, DPM, Christin Nagle, CPC
Kim Clayton asked about using 64455 RT and 64455LT, and was given two solutions. Neither of the solutions is recommended. The physician should bill a corrected claim and put both codes on one line, using the 50 bilateral modifier, 64455 - 50 , and double the price., It will get paid.
Richard Rettig, DPM, Philadelphia, PA
Medicare MUE limits 64455 to 1 unit per DOS, however allows this service to be submitted with modifier 50 with 1 unit. A recommendation to correct the claim from 64455-LT x1 & 64455-RT x1 to 64455-50 x 1 unit and bilateral diagnosis may be the easiest option. Appealing the claim is an option as well, but we all know how long that can take. If the opportunity to correct a claim exists, that above option is recommended before appealing.
Christin Nagle, CPC, Lehigh Acres, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Seeing eye shoes? |
Source: Submitted by Dr. David Alper
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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
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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.
FREE PART TIME PRACTICE – CONNECTICUT
Perfect CT Shoreline satellite location. SIMPLY looking for qualified DPM to take over reasonable monthly rent. VERY BUSY 30 year old fully equipped, digital x-rays, 3 Midmark chairs, orthotic lab. Call Dr. G at 203-243-2545.
PRACTICE FOR SALE - PACIFIC NORTHWEST
When I was a student, a mentor once told me, "You can make a living anywhere, live where you want to live". Take 4 minutes that may change your life. https://Vimeo.com/715640001
PRACTICE FOR SALE – SOUTHERN CALIFORNIA
19-year-old non-surgical practice for sale. $1,000,000 gross, based on 2.5 days / week. 60% cash clients. Great growth opportunity. Turnkey proposition. Owner will help with transition. Barry Smith, Lloyds Capital, Inc. (213) 379-2397 Barry@lloydscapital.org
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 - 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
PRACTICE FOR SALE - MANHATTAN EAST SIDE
Part-time practice opportunity on Manhattan's upper east side. Hospital and public transportation one block away. Ground floor. Fully furnished. Expansion of hours possible. Contact 917-841-6805.
PRACTICE FOR SALE - OGDEN, UTAH
Immediate opportunity to purchase an established office practice in Ogden, Utah. Your own private practice with no quotas or corporate oversight. Add surgery and DME for additional revenue. Contact djrinutah@yahoo.com for details.
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 - OGDEN, UTAH
Immediate opportunity to purchase an established office practice in Ogden, Utah. Your own private practice with no quotas or corporate oversight. Add surgery and DME for additional revenue. Contact djrinutah@yahoo.com for details.
PRACTICE FOR SALE - EASTERN MAIN LINE SUBURBS OF SOUTHEASTERN PENNSYLVANIA
Well established private and multiple nursing- home affiliated non-surgical practice started in 1955. Opportunity exists for the sale of practice, or sale of practice and office building with a second- floor apartment. Perfect for a highly motivated podiatrist who values owning their own practice or wants to expand their patient volume in a very desirable location near multiple hospitals.Please send serious inquiries to: douglasdpm694@comcast.net
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 |
PODIATRIST - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
The Department of Orthopaedic Surgery at University of California, San Francisco, is recruiting a full-time podiatrist. The incumbent will be expected to collaborate in clinical and/or basic research as well as publish subsequent results in peer reviewed journals. Clinical responsibilities will emphasize the area of the foot, including limb salvage, wound care, and reconstructive surgery. The selected individual will also be responsible for and provide an integral role to teach clinically relevant topics for residents as well as medical students and fellows. To view the full job description and to apply, please visit https://apptrkr.com/3116026
ASSOCIATE POSITION - BEVERLY HILLS, CA
We are looking for a podiatrist that provides service to our in-office patients, skilled nursing home patients, wound care patients and hospitals in our Beverly Hills, CA location. Required: Completion of a 3-year residency program (NO Resident applications) • Current holder of a state podiatry license • Board certification is highly preferred • High levels of empathy, analytical problem-solving skills, attention to detail, and strong written and verbal communication skills are required for this role • Excellent knowledge of therapeutic and surgical treatments for the lower extremities. Emails for the applicants can it be sent directly to victorian@footnankledoc.com
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)
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Stat position for busy, modern practice. ABFAS BC/BQ, EMR, Digital x-rays, U.S., DME, Base salary + bonus, PTO, 401K, fees, health ins. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – ATLANTA, GA
Multi-location podiatry group seeking Board Qualified/Certified podiatric surgeon for a location just south of Atlanta, GA. This is an outstanding opportunity with an onsite surgery center. We offer an excellent compensation and benefit package. Please send inquiries with photo and CV to 1sourcemm@gmail.com.
ASSOCIATE POSITION – NEW JERSEY
Seeking Spanish speaking, highly surgical trained associate to join a fast-growing multi locations, North Jersey podiatry group practice. Motivated, entrepreneurial, individual who desires to join a private independent practice. Partnership opportunity, with full practice medical management services in house. Send your CV kmercado@footandankleps.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
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
ASSOCIATE OPPORTUNITY - CHICAGO
Multi location group seeking Board Eligible/Qualified podiatrist. All locations are fully equipped. EPATs, Ultrasounds, Lasers, Padnet, in-house physical therapy, DME, ortho supplies & equipment, surgery center, digital x-rays, Athena EMR. Competitive incentive based salary with fast growth for motivated doctor. Health insurance & 401K Email resume to chicagopodpractice@gmail.com
ASSOCIATE POSITION - ST. GEORGE, UT
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: St. George, Utah. 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 st.georgefootcare@gmail.com
IMMEDIATE OPENING - FLORIDA MIDWEST COASTAL
1-FT or 2-PT needed for great 2 office/ALF care practice. New graduates are welcome. Will help train in EMR, billing/coding, and how to practice. BQ/BC preferred. Paid CME, vacation, mileage, cell phone, and competitive salary. Please send CV inquires to footandanklemc@gmail.com
PODIATRIST - CHICAGO
Busy, multi-physician podiatry practice in Chicago looking to hire podiatrist for office base and housecalls. Earnings $350K and up, flexible hours, full or part time, fixed hours, full logistics and scheduling provided, bonus and partnership track, malpractice and health insurance. Peers physicians references provided. Please email Kinga.efac@gmail.com or call 312-375-6430.
ASSOCIATE POSITION - EASTERN SHORE of MARYLAND
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our existing physicians. We are an expanding practice with focus on all aspects of Podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite Ambulatory Surgery Center and many other state of the art amenities. Excellent salary and benefits package. DPMemploy@gmail.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 - VERNAL, UT
I mmediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Vernal, Utah. 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 vernalfootcare@gmail.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
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 - UPSTATE SOUTH CAROLINA
Four physician practice seeks PSR-36 trained DPM, well versed in rearfoot and ankle surgery and diabetic limb salvage with inpatient care. Competitive salary and benefits with bonus structure. Early partnership opportunity. Near mountains and lakes. Enjoy small city lifestyle. Please send resume with cover letter to schudson87@gmail.com
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 – 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
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.
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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