The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

June 14, 2013 #4,796 Publisher-Barry Block, DPM, JD

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Stilettos Can Lead to Foot Surgery: NY Podiatrist

How many women put on high stiletto heels even though they know they’re going to hurt? Turns out, a lot. But stuffing our feet into a pair of stilettos can do permanent damage. One podiatrist says 40 percent of her patients have pain caused by high heels.

Dr. Hillary Brenner

“It can lead to surgery, severe pain, and you might not even be able to go and run,” Manhattan podiatrist Dr. Hillary Brenner said. In an online survey, nearly half of women admitted to repeatedly wearing uncomfortable shoes even when their feet hurt, and nearly 40 percent admitted to walking home barefoot after a night out because they just couldn’t take the pain anymore.

Source: Jennie Olson, KSTP (ABC News) [6/12/13]

NH Podiatrist Completes APMA Public Health Fellowship

Dr. Tower and her mentor Dr. James J DiResta

Dyane Tower, DPM, MS received her MPH degree this weekend from the Geisel School of Medicine at Dartmouth. The completion of the APMA Podiatric Public Health Fellowship at The Dartmouth Institute of Dartmouth Medical School culminates in the receiving of the MPH degree.

FL Podiatrist Speaks at ACSM Meeting 

Dr. Matthew Werd

Dr. Matt Werd, Lakeland podiatrist, was an invited guest speaker at the recent American College of Sports Medicine Annual Meeting and fourth World Conference on Exercise in Medicine. It was held in Indianapolis. Werd presented on sports medicine and at a workshop on "Examination of the Lower Extremity" in athletes.

Source: Robin Williams Adams, The Ledger.com [6/10/13]

Scholl Professor Sues Associate Dean for Defamation

Severko Hrywnak, DPM, an assistant professor and Chair of the Academic Assembly at the Dr. William M. Scholl College of Podiatric Medicine has filed suit against Daniel Bareither, PhD, alleging defamation. Dr. Bareither is a professor of Basic Medical Sciences and Senior Associate Dean of Educational Affairs. A copy of the complaint appears here. 

Reached for comment, Dr. K. Michael Welch, president and CEO of Rosalind Franklin University of Medicine and Science said, "We just received this. While the university is not named as a defendant, our attorneys are investigating the allegations and, based on our current knowledge, we do not believe that these claims have any merit whatsoever."

Physicians' Medicare Claims Data Could be Made Public After Court Ruling

Doctors who fear big government intrusion into the practice of medicine may have just gotten something else to worry about. A federal judge made a decision last week that could result in individual doctors' Medicare claims data being made public.

U.S. District Judge Marcia Morales Howard on Friday lifted a 1979 injunction that had barred public access to a confidential database of Medicare claims data. The American Medical Association (AMA), which opposes lifting the ban on the grounds of physician privacy, may appeal the ruling.

Source: Brandon Glenn, Medical Economics [6/4/13] via Dr. Bret Ribotsky

Query: Fissuring Under 4th and 5th Digits

This 19-year-old female does not want surgery to desyndactylize this congenital anomaly. Her main complaint is two or three times a year (especially after swimming) the skin will crack underneath the fourth and fifth digit. I recommended various moisturizing creams for her.

Query: Fissuring Under 4th and 5th Digits

Do any of my colleagues have any other ideas that would stop this skin from cracking - whether it be a shoe appliance like a crest pad or something else?

RE: Recurrent Ganglion Cysts
From: Eric Edelman, DPM

I have a technique I've used maybe a half dozen times for larger ganglion cysts over a midfoot or hindfoot joint, or recurrent ganglions. Once I find the hole where the joint fluid is leaking from, I use a small Mersilene patch which I cut to fit the area, and sew over the fascia or joint capsule using non-absorbable suture. Mersilene is commonly used as a hernia repair patch. It's thin, cuts easily, and is perforated so it's easy to stitch down (It is also inexpensive.) Mersilene is popular in hernia repair because you get a thick, dense scar tissue - sounds perfect for sealing up a recurring ganglion, right?

Eric Edelman, DPM, Syracuse, NY, ericedelman@gmail.com

RE: Recurrent Ganglion Cysts
From: Steven J. Kaniadakis, DPM

Typically, I inject Depomedrol just proximal to the post-surgical wound. According to O.A. Mercado's videos, and other various reference textbooks, a "few drops of Decadron" intra-operatively is another technique. The post related to using "non-absorbable suture and to heavily cauterize it." I suspect that this might be causing further perpetuating aggravating factors such as the irritation of the surrounding structures, and causing the cycle to repeat from repetitive irritation of remnant sutures, perhaps overzealous necrotic cauterized tissue.

I would have selected an absorbable type suture to help nature maintain a smooth natural gliding action. If it's emerging from a (synovial) joint, then there may be iatragenic causes that are inducing tendon sheath ganglionic cyst(s). Finally, a firm compression post-op dressing helps with a mixture of long and short-acting corticosteroids.

Steven J. Kaniadakis, DPM, St. Petersburg, FL, stevenkdpm@yahoo.com

RE: A Message to the Lost 92
From: Name Withheld

I walk among you every day and I feel what you feel. I am no longer young, but a middle-aged man who graduated podiatry school 10 years ago, harvesting only an RPR year from a 3-year PSR-12 program at NYCPM back in 2004.

Back then, DPM graduates found themselves fighting over a limited number of surgical slots, with the rest (majority) of us settling for...

Editor's note: This extended-length letter can be read here.

RE: Educational Commission of Foreign Medical Graduates (ECFMG)
From: Robert Bijak, DPM

I recently read in the ECFMG Reporter about the development of GEMx (global education in medicine exchange). ECFMG is the authority for recognizing medical training as equivalent enough to take medical licensing exams. Successfully meeting the requirements allows you to qualify for residencies and take the exams to be licensed to practice medicine in the U.S.
 
I suggest that our APMA and/or CPME liaison with the ECFMG to see if a "third pathway" can be developed for U.S. DPMs to be considered at least as equivalent as foreign medical students.  Podiatry needs to think about merging with medicine instead of running a parallel, but substandard course. It's time to drop the blind loyalty to podiatry as an independent field. As chiropodists, we were unique and could be independent, but to evolve, the lines of the two professions must intersect. We should try every path to make this happen. The APMA needs to change its focus and get serious.

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

RE: Pronation from Flip-Flops Can Damage Feet: MI Podiatrist
From: Dennis Shavelson, DPM

It’s time to once and for all “bust the myth” that all pedal and postural mechanical problems result from primary pronation on the frontal plane of the rearfoot. In fact, although there are those who suffer from this malady, far more feet suffer from primary forefoot supination. Forefoot pronation is a viable treatment for most feet biomechanically. Dr. Bremer, stating that “Pronation is a condition that can lead to foot arch collapse, premature arthritis, bunions, and heel spurs" says so from a position that Dr. Dananberg, myself, and others have dispelled for decades, and is more and more accepted by the international biomechanics community.

I am tired of hearing from DPMs that biomechanics is too hard to understand, that it is pseudoscience, and that when a weight-bearing foot is “flat”, without examination or measurement, the culprit is pronation. Spreading this kind of false information on websites, in the media, and on the Internet without modern biomechanical knowledge and skill stands in the way of those of us who wish to practice podiatric biomechanics backed with science, skill, and the existing EBM.

We should be selling 1st ray cutouts, not RF varus posts, and we should be blowing away the wanna-be “pronator” biomechanists from our podiums, schools, residencies, and the social media. Every tri-plane joint pronates to good and bad ends. To hear my profession continue to try to convince the foot and postural suffering public that “pronation is bad” is a myth that needs busting.

Dennis Shavelson, DPM, NY, NY. drsha@foothelpers.com

RE: CA Podiatrist Uses Minimal Incision with Fixation for Bunion Repair (Tip Sullivan, DPM)
From: Larry Kobak, DPM, JD, Don Peacock, DPM

In fact, Dr. Miltchin does teach his techniques along with other podiatrists at LSU Medical School. The AAFAS will be sponsoring its annual cadaver course in conjunction with this fine institution, next week. We cordially invite Dr. Sullivan to participate. It is important that, as a profession, we share our knowledge and experience with each other. I commend both Drs. Miltchin and Dr. Sullivan for their willingness to share over the years. They are both a credit to our profession.
 
Larry Kobak, DPM, JD, Manhasset, NY, lfkobak@gmail.com

Like Dr. Miltchin, I've had very few complications utilizing minimally invasive surgery for bunions. I have not had a non-union or hallux varus from a bunion deformity that I corrected utilizing minimally invasive surgery. I have been using MIS techniques for bunions for 7 years. It is theoretically possible that he has never had a complication from bunion repair utilizing minimally invasive surgery.

I personally believe that complications do not discriminate on incision size. I have had my share of complications with minimally invasive surgery, including non-union. MIS is just a technique. It's not the only way, and it is not free from complications.

Don Peacock, DPM, Whiteville, NC, peacockdpm@gmail.com

PODIATRIST SEEKING EMPLOYMENT- PORTLAND, OR AREA

Motivated, highly surgical trained podiatrist seeking employment opportunity in the Portland, OR or Vancouver, WA area. Both hospital and office based training.  Please email inquiries to poddoc3890@gmail.com.

ASSOCIATE POSITION – NORTHERN CALIFORNIA

Busy, established practice in Redding California seeking surgically trained podiatrist for associate position leading into a partnership. All phases of podiatry, PSR-36 preferred. Two office locations, hospital and surgical center privileges. Please forward cover letter and CV to tjsong01@hotmail.com.

ASSOCIATE POSITION - TEXAS

Dynamic, busy practice in Dallas/Fort Worth area, seeking surgically trained, Board Certified/Board Qualified Podiatrist, PSR-36 preferred. Excellent salary and benefits compensation package, for the right candidate, who is motivated to work hard. Contact/Send resume to: jmh6122@yahoo.com

ASSOCIATE POSITION - YORK, PA

Busy multi office practice looking for highly motivated PSR 24/36 podiatrist. This well established 39 yo 2- physician practice has excellent rapport with physician community. Intent is an associate leading to partnership after the first year. Competitive salary &benefits. Email CV to Footdocpa@aol.com

ASSOCIATE POSITION WITH OWNERSHIP OPPORTUNITY- WISCONSIN

Immediate need for talented surgeon with professional, caring and compassionate bedside manner to effectively treat, manage, and expand a booming patient population in multi-location practice with self sustained surgery center (with opportunity for investment and ownership). Practice located within driving distance to Chicago. Please send CV and letter giving insight into your personal treatment style including immediate and future goals to: associatematch@yahoo.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

PODIATRIST NEEDED: NYC/QUEENS IMMEDIATE OPENING!

P/T Leading to full-time and partnership. PSR-36+ Min. Three office locations; NYC, ASTORIA & SUNNYSIDE QUEENS. All phases of podiatry; including Med., Forefoot, Rearfoot & Ankle SURGERY. Modern offices with all the Hi-Tech. equipment available. Candidate MUST have the skills & knowledge expected, ambitious, hard-working, ethical, detail-oriented and organized. A vibrant patient and staff-friendly personality a MUST! Good base salary, malpractice and % bonus incentive. You should easily surpass your bonus %. Reply with cover letter and C.V. to hansfeet@aol.com.

WANTED: ASSOCIATE PODIATRIST  - ILLINOIS

4 Days per Week Chicago Practice - will perform all phases of podiatric medicine Accredited JCAHO Surgical Suite. Benefits will cover Malpractice and Health Insurance. Six Figure Base Salary. Inquiries Contact:  Dr. J. B. Jenkins - 773-374-5300

ASSOCIATE WANTED - MANHATTAN AND NORTHERN NJ

For group practice. Excellent opportunity to be the first podiatrist to join our team! PT/full-time negotiable. Convenient on-site surgical center. Current licensure in NJ and/or NY required. Call Gina 212-223-0716 or email CV to gina@premiersurgicalpavilion.com

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 - SOUTHERN NEW JERSEY

Excellent opportunity for a full time podiatrist to join busy group practice! Surgery, wound care, sports medicine. Affiliated with residency program. Personable and great communication skills a must! Competitive salary, bonus, benefits package. Send CV to footdoc22@gmail.com

ASSOCIATE/PARTNERSHIP  MIAMI/KENDALL FLORIDA

Podiatrist with interest in foot and ankle surgery and comprehensive foot and ankle care. Pathway to partnership/ownership available. Send CV and information: ibaumdpm@bellsouth.net

ASSOCIATE POSITION - KENTUCKY

Immediate opening in beautiful Southern Kentucky with 8-provider group with excellent reputation, full-time physical therapy, MRI, CPED/CO on staff along with a full schedule awaiting.  Wonderful place to raise a family, excellent schools and phenomenal quality and cost of living. Excellent compensation package, full benefits, and buy-in opportunity after 2 years. Email a letter of interest and CV: jonkim12000@yahoo.com

ASSOCIATE POSITION - PORTLAND, ME

Portland Foot and Ankle is seeking a highly motivated, ethical and well-trained podiatrist/foot and ankle surgeon. Highly respected and well-established practice with a progressive high class office; complete with EMR and digital x-ray. Phenomenal location with high quality of life and easy access to outdoors (ocean/mountains). Competitive salary with incentives and full benefits, commensurate with experience and training. Partnership is anticipated. Email letter and CV to info@portlandfootandankle.com

ASSOCIATE POSITION - SOUTH CAROLINA

South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@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 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 IN CHICAGO

Full- or part-time to do house calls; make your own schedule; logistical support provided. Contact dpms2@hotmail.com

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 - ARIZONA

TERRIFIC Opportunity in Southern Arizona!! Profitable podiatry practice with outstanding growth potential. Located within a medical/professional office complex. New EMR system with 3 computer stations. Meaningful use met thru Stage II. Very reasonably priced. Will remain through transition period. Contact 520-304-2443 in evenings (PST) for serious buyers only reflisa@centurylink.net

PRACTICE FOR SALE - CHICAGO

Three-office practice; newly furnished; all offices are within 20-30 min of driving; great for one Dr. coverage; well-rounded surgical/diabetic/sport medicine practice; grossing up to $500K/year; can be purchased with real estate or separately. only serious inquiry to dpms2@hotmail.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

EQUIPMENT FOR SALE - OPAL-RAD DIGITAL X-RAY UNIT

20/20 Opal-Rad digital X-ray unit 3 years old.  X-rays obtained by X-ray company showed that the unit is performing optimally when dismantled for storage and shipping.  $18,000 OBO. DrRhodes2@aol.com

EQUIPMENT FOR SALE: COOLTOUCH  VARIA YAG LASER

  ID# 1461 Mfg: CoolTouch Model: Varia Breeze Nd:YAG (1064nm) Mfg. Date: 2011 Includes: CoolBreeze variable spot handpiece 2-10mm, cryogen canisters, footpedal, 4pr. Eyewear and manual. Nail fungus-Fast Procedure Times and Efficacious results - Unique CoolBreeze Handpiece Offers: Patient Comfort & Satisfaction THERMALFEEDBACK and cryogen cooling an EXCLUSIVE CoolTouch feature which monitors & adjusts the laser's operation to achieve a temperature pre-set by the physician. Buyer pays shipping. $39500 Contact: eliot@drsherr.com (239) 216-1295.

PM News Classified Ads Reach over 14,000 DPMs and Students

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