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| PM News | |
The Voice of Podiatrists
Serving Over 18,435 Subscribers Daily
June 16, 2020 #6,702  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Do you grind mycotic or dystrophic toenails?
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| PODIATRISTS IN THE NEWS | |
NE Podiatrist Discusses Ankle Sprains
According to Adam Bingham, DPM, "A misstep on the stairs or stepping off the curb can easily cause damage to ankle bone and ligaments. Sprains occur when the foot or ankle is twisted past its normal range of motion, injuring the supportive ligaments around the ankle bones. You may also have a fracture, when the bone breaks instead of, or in addition to, the sprain.
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Dr. Adam Bingham |
What to do: "Immediately following a sprain, you should rest, ice, wrap it lightly with an ace bandage, and elevate the area. Make an appointment with a podiatrist to check for fractures. In some cases, surgery is necessary to repair damage to ligaments or bones," says Dr. Bingham. Prevention: "Ankle injuries can happen to anyone, but you can reduce your risk by wearing well-fitting shoes, maintaining a healthy weight, and exercising daily."
Source: The Astorian [6/12/20]
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| PODIATRISTS AND SPORTS MEDICINE | |
Golfers Beware of Ingrown Toenails: CT Podiatrist
According to Robert Weiss, DPM, "In the game of golf there are less overuse injuries, but believe it or not, one of the most common is an ingrown painful toenail. Players, and people in general, often turn their feet (pronate or rolls in) and the nails get injured. They are coming into the office with an ingrown toenail and all the accompanying problems."
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Dr. Robert Weiss |
"There are several causes of an ingrown toenail. Among them are foot deformities, trauma, and bunions which can cause the big toe to rotate on its side. The rotation pushes the toe tissue up around the nail, forcing the nail edge into the flesh. After a few weeks or months, when the injury is forgotten, an ingrown nail might develop. As continuous pressure of the soft tissue progresses, there is a decrease in blood supply to the area under the nail border and that creates tissue breakdown, leading to bacteria growth and a severe infection. Treatment is directed to removing the ingrown part of the nail. This is the only way to cure the infection," says Dr. Weiss.
Source: The Darien Times [6/5/20]
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| PODIATRISTS IN THE MEDIA | |
Plantar Fasciitis Common After Return to Activity After Layoff: GA Podiatrist
"Plantar fasciitis is a classical overuse injury. It's basically stress on the plantar fascia where it attaches to the heel bone. It's very similar to tendonitis or tennis elbow," says Aaron Solomon, DPM. "We see it a lot in weekend warriors and people who resume activities when they have been sedendary for a long time."
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Dr. Aaron Solomon |
"The big take-home treatment we give patients is a regimen of stretching exercises."
Source: Julie Edwards, 3 Plus You, WRCBtv
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| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist is Guest Speaker at HS Commencement
For the first time in school history, Clarion-Limestone conducted commencement exercises under the stars. The guest speaker was Andrew Puckett, DPM, a 1990 graduate of Clarion-Limestone. Dr. Puckett is a lieutenant colonel in the U.S. Air Force.
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Dr. Andrew Puckett |
Puckett graduated from the Kent State University College of Podiatric Medicine. He is chief of podiatry and an ankle and foot surgeon with VA Western New York Healthcare in Buffalo.
Source: Randy Bartley, The Clarion News [6/4/20]
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| RELEVANT RESEARCH | |
Despite Patient Interest, Few Doctors Recommend Marijuana for Musculoskeletal Pain
Despite high patient satisfaction reports and increased interest, 26% of cannabis users with chronic musculoskeletal pain were recommended by a physician to use cannabis for pain management, according to published results. The study, performed by researchers from the department of surgery at the University of Toronto, included 629 patients who reported chronic musculoskeletal (MSK) pain, according to the study abstract. Cannabis-using patients were evaluated for rate and pattern of cannabis use, as well as self-reported efficacy, while non-users were questioned on interest and barriers to use.
Twenty-six percent of cannabis users were recommended use by a physician, with most patients receiving their recommendation from friends or family, according to the abstract. “The majority of cannabis users (90%) did report that cannabis was effective in managing their chronic MSK pain, 57% reported it to be more effective than other pain medications at managing their chronic MSK pain, and 40% reported that using cannabis resulted in a decrease in the use of other pain medications,” the researchers wrote.
Source: Max R. Wursta, Orthopedics Today [6/9/20]
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| FROM PM's CURRENT ISSUE | |
Several times 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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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Five Things COVID is Teaching Us About The Patient Experience - Part 5
In the school of hard knocks, the coronavirus is the new headmaster. COVID-19 administered a nearly impossible financial test to physician practices, forcing them to quickly rethink the way they deliver care. With the arduous adjustments behind us, we can begin to make sense of its lessons. Here are five things COVID-19 is teaching us about the patient experience that will extend long past this pandemic:
5. Put patients first. Digital tools such as telehealth, digital check-in, text messaging, wearables, and online scheduling help keep patients engaged and connected by bringing together services in a way that’s seamless, fast, convenient, and accessible. Patients who are more informed about and involved with their care experience better outcomes. Patients have had a taste of healthcare on their terms and aren’t going back. Physicians who focus on the patient experience with digital tools that make care more convenient will not only weather the storm but gain a competitive advantage in the future.
Source: Scott Freedman, Physicians Practice [6/3/20]
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| CODINGLINE CORNER |
Query: Morton Toe Correction
I have a patient with a painfully long second toe. This digit is not contracted. She would like the toe shortened to relieve her pain and to better match the rest of her toes. Would I simply use the hammertoe correction code (CPT 28285) or is there a more appropriate code to use?
David Williams, DPM, El Paso, TX
Response: 1) a toe deformity that is not a hammertoe that developed over time is properly coded for ICD-10-CM as:
a) M20.5X1 Other deformities of toe(s) (acquired), right foot
b) M20.5X2 Other deformities of toe(s) (acquired), left foot
2) When you remove a phalanx of bone this is not a hammertoe correction. Instead, it is anatomically specific depending on what you are removing. These are your 5 options:
a) CPT 28124 Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe
b) CPT 28126 Resection, partial or complete, phalangeal base, each toe
c) CPT 28150 Phalangectomy, toe, each toe
d) CPT 28153 Resection, condyle(s), distal end of phalanx, each toe
e) CPT 28160 Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each
David J. Freedman, DPM, CPC, Silver Spring, MD
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1A | |
The podiatric profession has lost a true legend, innovator, and one of the most caring individuals that I have ever met. "BIG STAN" was a one of my best friends and one of my true mentors for almost 40 years. He was one of the early founders of the Academy of Ambulatory Foot Surgery and helped to develop the most successful LSU New Orleans Cadaver Seminars, among others, throughout the United States and world starting in the early 1980s. Stan was always looking out for every podiatrist no matter what their background was.
Stan always had a smile on his face and would not hesitate to help anyone who asked. He was truly a most "Gentle Giant". My sincere condolences to his wife Joanie and the entire Rosen family. He will be sorely missed by all.
Lawrence Kales, DPM, Hudson, FL
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1B | |
RE: The Passing of Stanford Rosen, DPM
Dr. Stan Rosen was not just an early icon of minimal incision foot surgery, he was a true friend for 45 years. He could never do enough for you. Stan was a mensch. He will be missed.
Larry Kobak, DPM, JD
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| RESPONSES/COMMENTS (PM QUICK POLLS) | |
From: Dennis Shavelson, DPM
The complications that the COVID-19 virus creates when added to Dr. Markinson’s persistent warnings against my decades old choice to accept the dangers of grinding thick, ugly, dystrophic, and problematic toenails in practice has me raising the white flag and looking for a work-around solution.
Over the past two plus months, as my building in NYC was closed to traffic, I have acculturated to dispensing proper instruments to well selected patients (new income stream) along with mandating telepodiatry visits teaching them or an essential support person on how to perform maintenance of their toenails and calluses at home (new income stream).
I advise my colleagues to consider that adaptation in their practices as an alternative to other valid suggestions that have been made.
Dennis Shavelson, DPM, NY, NY
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: David S Wolf, DPM
The Vascular Institute’s gain is HCA Houston West’s loss. Sam Mendicino has inspired and trained hundreds of podiatric residents over the past 30 years (a true unselfish labor of love), and those residents have trained the next generation of future podiatric surgeons. He is an example of a real mensch.
David S Wolf, DPM, Houston, TX
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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A Meshy Shoe? |
Source: Anne Vaandrager via Virtual Shoe Museum
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MEETING NOTICES
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Choose any or ALL from 25+ CECH Category-1 articles posted
*NY Licensees whose registrations are from 3/20-9/1/20 can take unlimited online credits
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - KNOXVILLE, TENNESSEE AREA
Very busy and growing practice with multiple locations and doctors in booming Knoxville, Tennessee area seeks high energy and personable physician. Modern, office-based practice with readily available privileges at all local hospitals and surgery centers. Immediate volume to fill your schedule with a variety of patients ranging from complex surgical cases to routine foot care. Extremely competitive salary plus very generous bonus structure and benefits. Please send cover letter and CV to ddavidphawk@yahoo.com.
FULL TIME PODIATRIST- NORTHERN NEW JERSEY
We are a fast-growing podiatry practice in North 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 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
HOME FOOT CARE, INC.- MOBILE PODIATRISTS - GREATER LOS ANGELES AREA
PRACTICE AFFECTED BY COVID-19? Need extra income? Mobile podiatrists needed immediately! Full or part time available to see homebound patients in the following areas: San Bernardino/Riverside, Lancaster/Palmdale, Ventura/Oxnard, Los Angeles/San Fernando Valley. Choose your own days/hours, excellent monthly compensation, cloud based EHR, dedicated support staff. (we do not service nursing homes, or large assisted living facilities) . If interested, email CV to: homefootcare@hotmail.com Check us out @ www.footdocs2u.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
ASSOCIATE POSITION – CLEVELAND SW SUBURBS
Excellent opportunity to join a 30 year old well-established busy two office location practice seeking a PSR-36 Board Qualified/Certified with ABPS. All phases of podiatry from surgery to wound care. Staff privileges at 3 local hospitals. Modern offices recently remodeled and equipped with certified EMR, digital x-rays and all aspects of DME. Significant opportunity for growth and development. Please forward CV to medical123@aol.com
ASSOCIATION POSITION IMMEDIATELY - CENTRAL PA
Looking for a location that provides a turn-key busy schedule from Day 1. Immediate opening in Central PA a multi-physician, multi-location practice wants you to focus on quality patient care. Equipment and supplies are provided. Revenue sharing compensation model. Positive attitude and compassion for all. Send your cv to jgutshall@pafootcare.com
ASSOCIATE POSITION - COUNCIL BLUFFS, IA
Immediate availability. Looking for ABFAS board certified or qualified podiatrist to join established, well-rounded practice. The ideal person should enjoy all aspects of practice including routine care, general podiatry, wound care and surgery. Salary, bonus and benefits. Send CV to drbarnes@cbfootcare.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – REDDING, CA
33 year-old practice in Redding, CA. Beautiful area, mild winters. Snow ski and water ski in the same day. Smaller town feel than large urban area. Has a unique charm. If you love the outdoors, this is a great place to be. Thorough valuation report available. Price $176,000 just.bob@hotmail.com.
PRACTICE FOR SALE - NORTHERN MISSOURI
24 year old, reputable, profitable podiatric practice for sale. Great school and family oriented community. Only podiatry practice in a large area. County seat with modern hospital. Turn-key and a bargain guaranteed. Must sell and move out-of-state to aid aging parents. Serious inquiries only please. 660-651-0264 keithb@cvalley.net
PRACTICE FOR SALE – NASSAU COUNTY NY
Well established part time 16 year old solo practice located in a great suburban neighborhood 1 mile from Mt Sinai South Nassau Hospital. Low overhead non-surgical turn-key practice with potential for expansion. Email: mfrisciadpm@aol.com
PRACTICE FOR SALE - SANTA BARBARA, CA
Well known 50 year old general, orthopedic and limited surgical podiatric practice. Revenues would increase with surgical expansion. Most desirable for one interested in the quality of life offered in Santa Barbara. $149,000. Contact santabarbarafootclinic@yahoo.com or call (805) 689-2084
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net 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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