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| PM News | |
The Voice of Podiatrists
Serving Over 16,976 Subscribers Daily
June 12, 2015 #5,391  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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| PODIATRISTS IN THE NEWS | |
MI Podiatrist Uses HBOT to Heal Decade-Old DFU
For 13 years, Kevin Campbell suffered with a wound that would not heal. Three years ago, he sought help from Dr. Heidi E. Monaghan of Midland Podiatry Associates. “I was to the point of having it amputated, but Dr. Monaghan said she wouldn’t give up on me,” Campbell said. The wound, though originally caused by the trauma of an accident, was diagnosed as a diabetic ulcer. While treatment did reduce the size of the wound by half, it did not totally heal.
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Dr. Heidi Monaghan |
Campbell’s treatments included debridement, which involves removing damaged or infected tissue. He also had specialty dressings applied, including biological skin substitutes that work like skin grafts. From Campbell’s point of view, the most unusual treatment was hyperbaric oxygen therapy. Campbell had a total of 40 treatments in the hyperbaric oxygen chamber. While his wound is classified as healed, Campbell knows he will have to closely manage his health for the rest of his life.
Source: Midland Daily News [6/10/15]
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| FROM PM's CURRENT ISSUE | |
Twice a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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| Today's Featured Article |
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| PODIATRISTS AND FOOTWEAR | |
Keep Flip-Flops Dry: MA Podiatrist
Just because they’re fun to wear, doesn’t necessarily mean flip-flops are functional. Most of them lack the right support to stabilize your foot; this will cause pain if you’re walking a lot. Plastic flip-flops are more likely to cause blisters which can get infected. Also, try to keep them dry after you swim. “Some people even wear them in the water. Then they wear them all day and don’t dry them out. Mold starts growing and your foot is susceptible to fungus and mold,” said Dr. Benjamin Dickert, a Springfield podiatrist .
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Dr. Benjamin Dickert |
Believe it or not, the Consumer Product Safety Commission reported there were more than 25,000 emergency room visits in 2014 because of flip-flops! Dr. Dickert said there are a few brands of flip-flops he’d recommend though, including Spenco, Vionic, and FitFlop.
Source: Juli McDonald, WWLP [6/9/15]
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| HEALTHCARE LEGISLATION | |
House Bill Seeks ICD-10 Grace Period
With the October 1 ICD-10 deadline rapidly approaching, another member of Congress has introduced legislation that would establish a “grace period” following the compliance date during which providers could not be denied Medicare/Medicaid payments because of coding errors.
Rep. Gary Palmer (R-AL) has sponsored the “Protecting Patients and Physicians Against Coding Act” (H.R. 2652) which calls for a two-year grace period so that providers can “focus on patient care instead of coding and receiving compensation for their care while ICD-10 is being fully implemented.” With ICD-10’s five-fold increase in codes compared to ICD-9, Palmer warned that the code switchover creates significant administrative challenges for rural and small town providers in particular, who lack the resources to fully prepare for the ICD-10 implementation.
Source: Greg Slabodkin, Health Data Management [6/10/15]
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| MEDICAL EDUCATION | |
AMA Supports EHR Training for Medical Students
At its annual meeting on Monday, the American Medical Association adopted a new policy to provide medical students with “hands-on” experience with electronic health records to improve patient care and increase the accuracy of clinical communications. Specifically, AMA’s policy recommends that medical students—with appropriate supervision—learn as part of their education, how to document patient encounters and enter clinical orders into patients' EHRs.
Towards that end, AMA has committed to working with medical school accreditation bodies to support U.S. medical schools, as well as residency and fellowship training programs, in teaching students how to use electronic devices in the examination room and at the hospital bedside. The new policy calls for “determining the characteristics of an ideal software system” for teaching EHRs to students that could be used at medical schools and teaching hospitals.
Source: Greg Slabodkin, Health Data Management [6/9/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
Scheduling Techniques to Improve Patient Work Flow - Part 6
6. Delegate tasks that do not require the doctor's expertise by training staff to assume more responsibilities.
Source: Judy Capko, Physicians Practice [5/27/15]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Estelle Albright, DPM, Burton Katzen, DPM
Choose the simplest, most straightforward surgery that will do the job. Consider met head plantar planing, simple osteotomy, or other straightforward small procedures. The goal is prevention and improvement, not perfection. Using biomechanics to assess how to alleviate pressure is key. Take care to not cause transfer lesions. Also, consider delling-out of the orthotic under the lesion, and fill with Poron; then use a 1/16th inch Spenco/soft topcover.
Estelle Albright, DPM, Indianapolis,IN
This is a perfect case to apply the Leventen formula while performing the distal osteotomies using minimally invasive surgical techniques. As far as the forefoot is concerned, without seeing the patient, I would consider a 2nd and 3rd MIS distal osteotomy of the right foot and a 2nd, 3rd, and 4th MIS osteotomy of the left foot. Also, evaluate to see if a gastroc recession is needed which may preclude the osteotomies. Performed with minimally invasive techniques, there is minimal healing time and disturbance of circulation, and the results in healing sub-met ulcers and especially preventing reoccurrence are almost miraculous.
Burton Katzen, DPM, Temple Hills, MD
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Stanton C. Southward, DPM, Ed Cohen, DPM
First, exhaust all conservative measures; then consider a unilateral percutaneous metatarsal osteotomy. A pan-met resection is foolhardy!
Stanton C. Southward, DPM, Colorado Springs, CO
It would be helpful to have pictures of the feet and measurements of at least the dorsiflexion of the foot. Dr. Monroe Laborde does a lot of gastroc recessions and other soft tissue procedures for these high-risk diabetic patients. The gastroc recession has proven to be an extremely valuable procedure for taking weight off the ball of the foot.
MIS metatarsal osteotomies and MIS toe straightening surgeries are excellent for correcting and preventing metatarsal head ulcerations. The treatment of toe ulcers, crooked toes, and metatarsal balancing with or without dislocated MPJs is a topic that...
Editor's note: Dr. Cohen's extended-length letter can be read here.
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| RESPONSES/COMMENTS (RESEARCH ARTICLES) | |
From: Elliot Udell, DPM
Kudos to Dr. Jacobs for citing this paper. This reminds me of what one of my professors taught us at the New York College of Podiatric Medicine, over 30 years ago. He said "don't be lulled into making snap diagnoses."
All too often, when a patient presents with symptoms of peripheral neuropathy and a history of diabetes, we are all too quick to put down in the chart, "diabetic neuropathy." A significant number of patients with diabetes present with symptoms associated with peripheral neuropathy. As the article Dr. Jacobs recommended points out, in some cases the cause might be a vitamin B12 deficiency. As Dr. Richard Mann has often shown, the symptoms can also be caused by a vitamin B1 (thiamine) deficiency. Hence, it is prudent before initiating a plan of treatment for these patients, to order vitamin B12 and plasma thiamine levels.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (MEDICAL/LEGAL) | |
From: Richard A. Stanley, DPM
I sympathize with Dr. Benjamin’s plight. These policies are pervasive in the EMR industry. I purchased an EMR program 6 years ago, for a rather large sum, which was located on MY server and the data backed up on MY external drive. Unfortunately, that firm filed for bankruptcy and was acquired by a new entity. Due to the reasons mentioned by Dr. Benjamin, I switched vendors as well. I have now been locked out of MY software still located on MY server unless I pay an outrageous sum. I am not sure what I paid for if I cannot access the software or my data. There are three years of medical records present in that software that were entered prior to their acquisition. I do not take being held hostage kindly. It is time for legislation and/or EMR licensing rules that require a read-only file be provided at no additional cost in the event of a termination.
Richard A. Stanley, DPM, Indianapolis, IN
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
I'm currently vacationing in Berlin, Germany and have made my rounds through the various shopping malls. I had no choice but to snap a photo of this "outrageous shoe."
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Yes, this shoe was actually for sale! |
I tried it on just to experience the ridiculousness of it all. My foot had absolutely no platform to rest on. I have no clue why or how this came to be, but nevertheless, it stands as the most "outrageous shoe" I've seen, probably in my entire life.
Source: Bukky Oseni-Olalemi, DPM, San Francisco, CA
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – EL PASO, TX
Busy practice seeking a full-time, self-motivated and hard-working podiatry associate to help with second office. Competitive salary offered. Please email CV to: buffdlr1@gmail.com
IMMEDIATE AVAILABILITY - ROCHESTER CLINIC (MN)
Rochester Clinic, a multispecialty practice, is seeking a BC/BE podiatric physician. The physician will provide all aspects of podiatric practice, including sports medicine, wound care, primary care, and surgery. Potential partnership. Please send resume or inquiry to Careers@RochesterClinic.com
ASSOCIATE POSITION - CHICAGO
Busy, growing, multiple location practice in Chicago and suburbs seeking associate. Full-time or part-time available. Call 773-239-0702.
ASSOCIATE POSITION - LOS ANGELES
Full time position in private practice, located in Los Angeles area. All aspects of Podiatry, including surgery, orthopedics, diabetic foot care and general foot care. Looking for eventual practice buy in/partnership. Competitive Salary and benefits. Email cover letter and CV to dpmclinic@yahoo.com
ASSOCIATE POSITION – NORTHEAST OHIO
Expanding group practice seeking full-time and part-time podiatric physicians with Ohio license. Duties include wound care, house calls, and nursing home coverage. Competitive salary and benefits. Email cover letter and CV to mike@ankleandfootcare.com .
ASSOCIATE POSITION - MARYLAND
Business minded, motivated individual wanted for position leading to partner/buyout. Beautiful Western Maryland; less than 45 mins. from Baltimore and DC. As well as minutes from hiking, fishing, skiing, kayaking. Competitive salary/benefits. Don't miss this opportunity to become a top earner in our field. Send CV: drhenrock@yahoo.com
PARTNERSHIP/ASSOCIATESHIP – CONNECTICUT
Well rounded practice in lower Fairfield County Connecticut available for partnership or associateship. ER call, surgery, pediatrics, diabetic foot care, wound management, in patient care. Flexible terms. Ideal for finishing resident. Call 203-554-2565 or email AMNANAI@OPTONLINE.NET
ASSOCIATE POSITION - CALIFORNIA (REDDING)
Busy, well established podiatry practice seeking a fulltime, California licensed Podiatrist. Must have good patient skills, motivated and hardworking. All phases of podiatry, hospital and surgery center. Email letter of interest to tjsong01@hotmail.com
ASSOCIATE POSITION - NORTHERN DELAWARE
Progressive nine doctor group looking for associate. Multiple state of the art offices and hospital options. There is a current PM&S 36 program in one facility. All types of podiatric care available; office based, wound care and surgery. Send CV to Savage6026@comcast.net www.brandywinepodiatry.com
ASSOCIATE POSITION – CALIFORNIA
The Foot Doctors of Santa Cruz County is a multi-office podiatric group looking for a self-motivated, committed podiatrist with a CA license. Offices are up-to-date with EMR and digital x-ray. Duties include all aspects of podiatry including wound care, surgical cases and nursing homes. There is great surgical growth potential. Must intend to reside locally. Send CV to: srfctysc@gmail.com
FULL-TIME ASSOCIATE POSITION – FLORIDA PANHANDLE
Immediate position available for hard-working, motivated individual in a well-established practice. Equal mix of primary care and surgery. Excellent opportunity to get on all insurance panels. Board qualified/Certified with ABPS preferred. Competitive salary and benefit package. Please email CV and letter of interest to kmoore@feetareneat.com.
ASSOCIATE POSITION - SOUTHEAST FL
Growing practice in Southeast Florida needs a strong provider to assist in keeping up with demand. A wide array of services are provided including in office procedures and hospital based surgery. Office hours include evening and Saturdays. Opportunity for partnership after 2 years. Contact: MCrosby518@gmail.com
ASSOCIATE POSITION – NEW YORK CITY
Very busy practice seeking a full-time or part-time, self-motivated and hard-working podiatry associate. Locations in NYC. Please email your C.V. to podiatry053@gmail.com
ASSOCIATE POSITION – NORTH JERSEY
Successful Practice in North Jersey with 2 locations is seeking a full-time associate with Partnership in one year. Must be surgically trained. Six figures starting salary with benefits and bonus. Send resume to njfootandankle@hotmail.com
ASSOCIATE POSITION - DOTHAN OR BIRMINGHAM, ALABAMA AREA
Personable, hard-working energetic podiatrist needed for practice in Dothan or Birmingham, Alabama. Must be surgically trained. Experience preferred. Please respond by June 15th, 2015 send email to Cahabapodiatry1@gmail.com
PART-TIME ASSOCIATE WANTED - WHITE PLAINS/YONKERS, NY
Busy White Plains/Yonkers practice seeks part time podiatry associate for 3-4 days per week. Salary negotiable. Surgical training a plus but not a necessity. Spanish speaking a big plus but not a necessity. Will get associate surgery center and/or hospital privileges. Please call 914-325-9198.
ASSOCIATE POSITION AVAILABLE- NORTH GEORGIA/CHATTANOOGA AREA
Busy group practice located in Chattanooga/North Georgia area seeking a growth-oriented individual with a strong work ethic to join our expanding 5 physician TEAM. Must have PMS 36. Can be out or residency or just looking for a change in practice environment. Established patient base with tremendous growth opportunity. Associate with partnership potential. Chattanooga offers a strong music and arts culture, unrivaled outdoor amenities, and a government/populace committed to sustainable development. Competitive Salary and benefits. Bilingual (Spanish) an asset. Email cover letter and CV to hr@advfootcare.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| CLASSIFIED ADS PART 1 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - NANAIMO, VANCOUVER ISLAND
Includes medical building 3,000sq foot building 7,000sq foot lot, 2 apartments plus 1 retail space Owner financing available Reply to dr.cole@shaw.ca
PRACTICE FOR SALE - STAMFORD, CT
30-year old Fairfield County podiatric practice for sale. At present, practice is grossing $370k on a part-time basis with historical annual gross of $450k and a consistent, long-standing referral base. Additionally, office is equipped with modern technology and furniture while maintaining low overhead. DPM is on staff at a major local hospital and affiliated surgical center as well as a major New York City hospital – all producing an excellent reputation in the community and top ratings on Health Grades, Google, etc. All interested parties please contact DPM at CTPodiatrist1985@gmail.com.
PRACTICE FOR SALE - SOUTHWEST FL
Multilocation (will separate) 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. 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
EQUIPMENT FOR SALE- PINPOINTE FOOT LASER
NuvoLase FDA approved laser for the treatment of onychomycosis. The laser is in excellent condition with a pulse count of Q8. Price includes the laser, new fiber optic cable, 2 laser goggles, power testing equipment, manual and shipping to your location. $11,000 mogey1@sbcglobal.net
PRACTICES WANTED – TEXAS
Expanding current practice and looking to buy podiatry practices within 1 hour driving radius of Houston. Prefer selling physician to stay with practice for at least 12 months but more is better. If interested please email faajobs@gmail.com.
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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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