June 16, 2006 #2,607 Editor-Barry Block, DPM, JD

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You should be receiving the June issue of Podiatry Manangement soon. This special 244-page wound care issue is filled with interesting, informative, and useful articles supplied by memebers of the American Professional Wound Care Association. You'll also find our usual assortment of features, including our columns and a CPME-approved CME.

Foot Problems Cause Embarrassment to Some: WI DPM

Check out any area swimming hole on a warm summer day, and you’re bound to see buckets of barefoot beachgoers or sandal-wearing sunbathers. But not everyone is quite so enthusiastic about the prospect of baring all below the ankle. For people with common foot concerns, such as fungal nails, bunions or warts, showing off what’s normally covered by shoes is no picnic.

“The worse the deformity, the more embarrassed they are about people seeing them,” said Dr. Robert Hume, a podiatrist “Some people are embarrassed about me seeing them.” Hume offered a sunnier side to the predicament. While people’s self-conscious feelings are natural, the general public likely won’t be studying their feet. “I don’t think the world is as conscious of what your feet look like as you are,” he said. “You step out of an elevator barefoot, probably people aren’t going to notice your feet much.”

Additionally, treatments are available in most cases. With nail fungus infections, for example — a common cause of embarrassment for people — antifungal treatments like Lamisil can be effective, he said. Hume recommends using an antifungal powder such as Tinactin to prevent problems. “Just get in the habit of dusting between your toes when you put your shoes on in the morning. Some people are just prone to developing that, and they usually are the people that perspire a lot,” he said.

Source: Jennifer Schmidt, Leader-Telegram, [6/14/06]

MT DPM Faces Five Plus Years For Child Porn/ Enticement

A Missoula podiatrist arrested in Billings when he showed up for a rendezvous with a federal agent posing as a young girl, has pleaded guilty to coercion and enticement and possession of child pornography.

Forty-six-year-old Bart Holt also agreed to forfeit two computers, a Web camera, a cell phone and a 1992 Lincoln used in committing the crimes. Assistant U-S Attorney Marcia Hurd said Holt used an Internet chat room to carry on a conversation with an F-B-I agent posing as a girl under the age of 16. The two had conversations over several months.

In July 2005, Holt made arrangements to travel to Billings to have sex with the "girl." When Holt arrived at the meeting site on August first, he was arrested. Holt faces a mandatory minimum of five years in prison when he is sentenced on September 21st. U-S District Judge Richard Cebull ordered Holt into custody.

Source: KPAX-TV CBS 8 (MT) [6/14/06]

RE: Charitable Trust for Retirement Income
From: Name Withheld

As a note to podiatrists with real estate, stocks, or other assets who need regular guaranteed retirement income for the rest of their life and their spouse, I recommend you consider a charitable remainder trust. Even with lowered capital gains taxes, taxes can take a horrendous bite out of your transaction. In my case, it would be at least 22% of the sale price!

Using this vehicle, I have just made a very substantial donation to the APMA Educational Foundation after selling a piece of property. The result is I'm not paying very expensive capital gains taxes, the alternative minimum tax, and various state taxes. It works a little like this:

1. Instead of the money going to me at closing, it went into the charitable trust. This transaction effectively takes it out of my hands, IRS and the state tax collector.

2. I will get an 6% year return on my gross "donation" usually paid as monthly income. It is higher if you are older. This lasts the rest of yours and your spouses' life.

3. The tax breaks continue for roughly 5-6 years, depending on your individual tax situation.

4. A life insurance policy can be purchased by the trust and pays the value of the donation to your heirs at the death of both you and your spouse.

My donation to APMA is valued at a little over $100,000 dollars. I am writing this letter not to bring attention to myself, but rather to suggest that there are excellent options for future regular income from your investments, very good tax breaks, taking care of your heirs, and leaving money to charity.

Everyone's situation is different. You need to speak with a certified financial adviser and an attorney who has experience in setting these up. They must be done properly. The only people "left out of the cold" on this are the tax collectors. My own accountant, who suggested this possibility said that: "Government is not particularly happy about losing these revenues, but still allows it because not many "normal" people use it." I can understand their concern. Neither you nor the charity, nor the trust pays taxes on the proceeds directly.

I am delighted to see the APMA Educational Foundation get to use this money. Personally, APMA has been very helpful to me during some very difficult times in my practice career.

Name Withheld

RESIDENCY POSITION – VIRGINIA

One Year Foot and Ankle/Rearfoot Surgical Fellowship with excellent salary/benefits available July 1, 2006. If you are finishing a PSR-24 and don't have a job yet, this is an excellent way to learn additional surgical and business skills. Please fax resume to 703-
491-9994.

ASSOCIATE POSITION - PITTSBURGH, PA AREA

Excellent opportunity for a hard working, surgically trained podiatrist to join a well-established, high volume, multi/location practice in the suburbs of Pittsburgh. Must be willing to perform all aspects of podiatry. Incentive-based salary, compensation package, with potential for partnership. Must presently have Pennsylvania license. Would like to fill position asap. Fax resume to 412-831-2115.

ASSOCIATE POSITION - MINNESOTA – MINNEAPOLIS SUBURB

Busy, well-established, full-scope podiatry practice, seeking highly motivated podiatrist for a full-time position with buy-in opportunity. Looking for PSR 24/36 trained individual, to help increase surgical volume. Excellent opportunity for long-term growth with unlimited income potential. E-mail CV to employment@associatedpodiatrists.com or fax to (612) 866-5875 Attn. Jennifer.

RESIDENCY POSITION - HOUSTON, TX

RPR, PSR-24, Houston Podiatric Foundation, Starting ASAP. Must have successfully completed PARTS 1 & 2 of National Boards. Contact: Dr. Randal M. Lepow, Director (281-348-3338) (713-725-8988)

PRACTICE FOR SALE - COLUMBUS, OHIO AREA

Fully furnished practice, open ONLY 14 hours a week with an average yearly gross of 235K. 75% primary care, 20% surgical, 5% Nails. Plenty of opportunity for growth and surgery. Changing locations. Financials available upon request. Kyle_DPM@Yahoo.com

ASSOCIATE POSITION- NEW ENGLAND

Terrific Opportunity Now Available in growing New England practice. Well established and respected practice with new, large office space, latest technology, very helpful staff, loyal patients and solid referral base. Close proximity to hospitals with modern surgical suites. Opportunity for shared ownership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and particulars to NEAFC3@aol.com

EQUIPMENT FOR SALE - ESWT

If you are using or thinking of using ESWT, I have a new machine that has only been used twice. There is no Orbasone in the country priced like this one. Will provide training and installation. Take a look at http://www.orbasone.com Call 1-856-229-2939.

PM&S-36 POSITION – SAN ANTONIO, TEXAS

The University of Texas Health Science Center at San Antonio. Contact Program Director, Javier La Fontaine, DPM at (210) 567-5174 or e-mail casteele@uthscsa.edu

ASSOCIATE POSITION - PHILADELPHIA, PA

Full time associate to join large 6-doctor group. PSR-24 trained with excellent people skills. Competitive salary/benefits package. Fax CV and introduction (215) 742-3902.

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