The Voice of Podiatrists

Serving Over 9,500 Podiatrists Daily

June 12, 2007 #2,959 Editor-Barry Block, DPM, JD

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TX Podiatrists Troubled By Public’s Confusion About Specialty

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Notwithstanding a daunting caseload of nearly 7,000 patients, Dr. Anna E. Sanchez and her husband, Dr. Michael E. Roth, are troubled by public confusion about their medical specialty: Podiatry. It’s not a crisis of identity, but rather a hurdle of understanding.

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Dr. Anna E. Sanchez and her husband, Dr. Michael E. Roth

CA Podiatrist Recommends Best Sandal Features

Sexy summer sandals that aren't murder on your tootsies are gaining a toehold in the fashion world. "Footwear has come a long way in the last 10 years," says Rich Johnson, owner of Foot Solutions in Riverside. He notes the proliferation of brands, mostly European, that offer flexibility and support for arches and long bones of the forefoot.

Dr. Jan Tepper

Otherwise, cautions Dr. Jan Tepper, a podiatrist in Upland and a board member of the California Podiatric Medical Association, you'll be prone to injuries and pain that can kick up in the feet, ankles, lower back, hips and knees. The best sandals, he says, should have straps across the top of the foot behind the toes, in front of the ankle and behind the heel. "The bottom of the sole should be as close to a tennis shoe as possible, not a smooth surface like a flip-flop."

Source: Laurie Lucas, The Press-Enterprise [6/11/07]

Podiatrists Listed in Top 25 Paying Professions

Forbes Magazine has ranked podiatrist number 15 on the list of the highest paying professions, outpacing both lawyers and dentists.

Mean Annual Wage: $118,500
One-Year Change: 6.5%
Top-Paying Industry: Outpatient Care Centers ($129,310*)
Top-Paying State: Oregon ($176,740*)
Top-Paying Metro: Orlando-Kissimmee, FL ($184,780*)

Diagnose and treat diseases and deformities of the human foot.

*Remember, these are mean salaries and that they give no indication of how distant the outliers at either end of the salary scale for any occupation might be. There are plenty of lawyers that earn a lot more than the average $113,660, and surely there are dishwashers who earn a lot less than $16,190.

Source: Paul Maidment, Forbes [6/4/07]

Query: Treatment for Intra-epidermal Pustular Dermatitis

I recently received a biopsy report on a patient who had been exhibiting a recurrent, itchy, pustular rash on both feet in a typical moccasin distribution. She had been treated by other providers many times in the past with various forms of topical antifungals and corticosteriods with no success.

Intra-epidermal Pustular Dermatitis

The biopsy report diagnosis was intraepidermal pustular dermatitis. A comment was added that the histological pattern seen was consistent with palmoplantar pustulosis, which is considered by some authorities as a variant of psoriasis. PAS stain was negative for fungal organisms. I would appreciate some advice on a treatment regimen for this patient.

John Chisholm, DPM, Chula Vista, CA

RE: Champion High Jumper Credits CA Podiatrist For Her Return to Competition
From: Amol Saxena, DPM

I am honored to be acknowledged by both Sharon Day and PM News. It should be pointed out that some of the story was not entirely accurate (such as saying she could get back in 6 weeks) and the reality is that if she didn't have such a competent, caring and conscientious DPM who referred her, I may not have had the opportunity to help in her successful return, (she took 4th in the NCAA finals jumping 6 ft). She had a difficult fracture, the type that I have also seen, which sometimes results in non-union, despite good fixation and post-operative care. Sometimes it is better to be lucky than good.

Amol Saxena, DPM, Palo Alto, CA, Heysax@aol.com

RE: Scope of Practice Question (John Renard, DPM)
From: Multiple Respondents

I congratulate Dr. Renard on the respect you have garnished from the vascular community and your local hospital to expand your privileges compared to what most other podiatrists in your area may not be performing.

In order to protect yourself from legal issues in performing a procedure you are not sure you are licensed to perform, I would suggest asking your state board of podiatry for a declaratory statement. It probably would work best for you to obtain the proper training, both in an academic setting and with your local vascular surgeon first, and then go to the state board and ask for the declaratory statement, or special privileges for this procedure.

Robert A. Iannacone, DPM, Port St. Lucie, FL, recsculler@aol.com

It would be entirely up to your state laws. Here in Florida we are able to treat soft tissue problems of the entire lower leg, only bone issues distal to the tibial tubercle.

My partner and myself have been harvesting thigh grafts for the purpose of coverage of lower leg wounds for many years. We too were trained by a surgeon outside of podiatric education. This is an easy procedure to perform and has a shallow learning curve. Any surgeon capable of doing foot and ankle surgery who is properly trained
could master this technique.

I would simply check your state law and if allowable, encourage you to get the training.

John S. Levin, DPM, Lake Worth, FL, john.levin@ocpbc.com

When I first came to this city to interview for positions, I was taken into the O.R. by a local podiatrist to observe a case. I assumed at the time that I had permission, but in retrospect, that may be up for debate. He was placing a skin graft on the ankle of a person with a Brown Recluse spider bite who had been in-house for a while for the condition. I was astonished that he took the graft from the thigh with the dermatome, with no general, vascular or plastic surgeon in sight. He obviously knew how to operate the dermatome and the placement of the graft was without incident, but it left me curious how he got privileges for something that is clearly out of our scope of practice here in Texas. I also know how to use a dermatome but would never consider taking the graft without help as it could cost you your license and would be indefensible in the courtroom.

David Secord, DPM, Corpus Christi, TX, David5603@POL.net

RE: Unexpected Malignancy (Doug Mason, DPM)
From: Bryan C. Markinson, DPM

Editor's note: This letter appears at: http://www.podiatrym.com/letters2.cfm?id=14414&start=1

ASSOCIATE POSITION SANTA FE, NEW MEXICO

We are looking for a highly trained, personable, ethical, and caring podiatrist, to work in a two doctor, three office practice, of thirty years. Send CV to sfpodiatry@ aol.com.

PRACTICE FOR SALE: SAN DIEGO, CA (LAJOLLA) PRICE REDUCED!

Gross $289K in '06. Asking $120K. Possible finance. 5 y/o practice, affluent community with excellent schools. Selling due to age and health. Wish to consummate sale by summer's end. www.SDFootDoctor.com DrRDWorley@yahoo.com for stats and other info.

PRACTICE FOR SALE - NORTHERN CALIFORNIA

This podiatric practice is located near downtown Berkeley. The practice has been established in Berkeley for 15 years and focuses mainly on biomechanics and conservative care, but would do well with a practitioner who wants to expand the surgical component. The terms of the transition are negotiable. Serious offers only inquiry at : foot4sale@sbcglobal.net

ASSOCIATE WANTED – NYC

Associate wanted for established growing practice with offices in Queens and Manhattan. Applicant should be 2-3 year trained, ABPS certified/ qualified. All aspects of podiatry from necessary routine care to reconstructive rearfoot surgery. Unique opportunity to work with a 40+ physician primary care practice affiliated w/ NYU. Growth/ partnership potential, benefits. Please send CV to METROFOOTAPPS@aol.com

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PGY-2 POSITION AVAILABLE - ILLINOIS

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PGY-2 position available in a large PM&S-36 for an applicant who has successfully completed: -PGY-1 type program including all the basic core rotations RPR/ PPMR/ PSR-12/ PSR-24 -Passed the national Boards 1-2-3 -Must be hard working and personable -Must attain Illinois license. Please contact drzappa@zappafootclinic.com phone 312-243-3769.

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ASSOCIATE WANTED – NEW YORK IMMEDIATE OPENING

Busy multi-dimensional practice; 70 miles north of New York City. Currently five (5)-doctor practice. looking to expand – all phases of podiatric medicine. contact: (845) 454-8308 EXT: 106

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POSITION AVAILABLE - SOUTHEAST TENNESSEE/ NORTH GEORGIA

Immediate position available or will wait for the right individual. Unique practice opportunity in growing multi-physician/multi-office practice. Well established/cutting edge within the medical community. Close proximity to hospitals as well as opportunity to become involved with a free standing podiatric surgical center. Must be BQ/BC. Minimum PSR/24. Competitive salary, bonus structure and benefits. E-mail CV to afcjen@hotmail.com

PRACTICE FOR SALE----NEW YORK, ORANGE COUNTY

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Busy part-time practice for sale. Easily expandable to full time. Contact carol924@aol.com

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OFFICE TO SHARE AND RENT PLAINVIEW LONG ISLAND (SOUTH OYSTER BAY RD.)

3 treatment rooms, JACHO certified operating room, MRI extremity unit and x ray equipment on premises, turn-key operation -no investment- call 516- 4761815 or email podo2345@aol.com

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ASSOCIATE PODIATRIC SURGEON – TEXAS

We are looking for an exceptionally trained podiatric surgeon to work in the Houston, Texas area. Candidates seeking this opportunity need to be dynamic, people friendly, and have current licensure in Texas . Future licensure in Arizona will be required. Exceptional opportunity, with attractive benefits, and excellent starting salary. The successful candidate will find a rare opportunity to integrate into a specialized lower extremity practice with emphasis on peripheral nerve surgery, endoscopic and arthroscopic surgery, and other special surgery of the foot and ankle. Please submit a cover letter with current curriculum vitae via email to: Slb99@pdq.net Stephen L. Barrett, D.P.M., MBA

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PODIATRIST NEEDED--FLORIDA/TAMPA BAY AREA

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Immediate position available. Excellent opportunity in a successful group practice. Please send a letter of interest to: tarsusdpm@yahoo.com

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ASSOCIATE POSITION NEW YORK CITY

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Excellent opportunity for foot/ankle surgeon, Manhattan and Brooklyn Associate position leading to possible partnership. Requirements: Two years enrollment in a surgical residency program Qualities of self-motivation and impeccable skills in forefoot and rear-foot surgery. Package Includes: Malpractice insurance, Health Insurance plus salary, Incentives. Terms negotiable Email CV to Manfootcare@aol.com 212-349-7676

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