The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

June 17, 2013 #4,798 Publisher-Barry Block, DPM, JD

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Diabetes an Issue for American Indian Population: MT Podiatrist

Diabetes, in particular type 2 diabetes, can be a stealthy and aggressive grim reaper of American Indians. In an attempt to keep on top of a folks with type 2 diabetes, the Tribal Health and Human Services Department’s Diabetes Prevention program contracted the services of G. Gregg Neibauer, DPM in 2009. The Missoula-based podiatrist sees patients twice a month.

Dr. G. Gregg Neibauer

“What I am here for is to treat patients with diabetes that have problems with their feet,” Dr. Neibauer said, adding that diabetes can negatively affect nerves causing decreased blood flow, especially to the areas far from the heart like feet and lower legs. “Sores in the lower extremities don’t heal well because of decreased blood flow. That can eventually lead to amputations."

Source: B.L. Azure,  Char-Koosta News [6/13/13]

NYCPM and TUSPM Hold Joint Webinar

NYCPM and TUSPM on Friday, May 31,  held another in a series of webinars where their respective faculties, residents, and students come together electronically to present and discuss a series of interesting and difficult cases from each institution’s clinics. Endeavors such as these represent wonderful collaboration, and opportunities for all to share their thoughts and experiences.

(L-R) Drs. Johanna Godoy and Gabriella Mendez

These webinars are made possible through the efforts and hard work of classmates and colleagues, Dr. Johanna Godoy from NYCPM and Dr. Gabriella Mendez from TUSPM, along with the administrative support of Dr. Kieran Mahan from Temple and Dr. Michael Trepal from NYCPM.

CA Podiatrist Chosen as Resident of the Year

Chief podiatric resident, Visoth Chan, DPM was chosen as "Resident of the Year" at White Memorial Medical Center, Los Angeles, California. This GME award is given to only one graduating resident from the hospital's residency training programs (internal medicine, pediatrics, OB/GYN, family medicine, or podiatric medicine and surgery) who receives the most votes from all the teaching faculty at the Loma Linda University affiliate hospital.

(L-R) Drs. Visoth Chan and Stan Mathis

Her residency director, Stan Mathis, DPM, said, "I am very pleased that our chief resident was honored. Dr. Chan was singled out from over 20 other graduating residents from 5 different specialties. It was gratifying to watch her excel as she trained side-by-side with her fellow allopathic and osteopathic residents."

NY Podiatrist Receives Lawrence Ferrara Children’s Advocate Award

The Knights of York are devoted to supporting organizations that provide special programs and services to improve the quality of life for children in need. Pursuing the motto, “Every Knight for Their Tomorrow”, the Knights hosted their 9th Annual Black Tie Gala and Auction, “A Knight at The Plaza”, on Friday evening, June 7, 2013 at The Plaza in NYC.

(L- R) Dinner Chairman, Declan Connelly, Dr. Kathy Reilly Fallon, and Thomas J. Petersen, President of the Knights of York

Recipients of this year’s Lawrence Ferrara Children’s Advocate Award are two compassionate and caring people who have dedicated their lives to advocating for children in need, Dr. Kathy Reilly Fallon, Founder and Chairwoman, Heavenly Productions Foundation, and Mr. Bentley Meeker. Dr. Fallon exemplifies the finest qualities in kindness and generosity of the Knight’s honor. She is a Board Certified Foot & Ankle Surgeon and Wound Care Specialist in NYC, Chairwoman of Heavenly Productions. Foundation.

CT Podiatrist Facing Years In Prison For Fraud

Brookfield podiatrist Dr. Samir Zaky was found guilty Friday on 14 counts of healthcare fraud and 14 counts of making false statements relating to healthcare matters for illegally submitting Medicare claims for procedures he did not perform. According to the evidence presented at trial, from August 2010 to July 2011, Zaky submitted numerous Medicare claims for nail avulsions — the surgical removal of the border of the toenail, a procedure that requires injectable anesthetic. Zaky faces a maximum of 10 years in prison on each count of fraud and five years on each count of making false statements

Source: Aaron Boyd, Brookfield Patch [6/14/13]

AAPPM Holds Inaugural West Coast Workshop

The American Academy of Podiatric Practice Management (AAPPM) made its inaugural visit to the West Coast Last weekend. Podiatrists and staff from Alaska to Arizona and from throughout the northwest flocked to Seattle for the first AAPPM workshop of its kind on the West Coast. In all, over 50 podiatric physicians and staff attended the event to learn more about practice management general principles, billing and coding concepts, and marketing plans for practices.

Attendees at AAPPM Inaugural West Coast Workshop

Hal Ornstein, DPM, AAPPM Chairman, stated, “This was a resounding success.  I heard so many positive comments and so many attendees were grateful that AAPPM would come across the country to provide instruction.”  Ornstein also noted that the AAPPM speakers enjoyed the new locale and new faces as well. AAPPM President Jeffrey Frederick, DPM added, “the AAAPM looks forward to its next West Coast adventure.  The AAPPM will host its California Dreaming Workshop this December in Santa Monica, California.”

RE: Considerations of Re-using a Bone Screw (Joshua Kaye, DPM)
From: Don R Blum, DPM, JD

The manufacturer's specifications are for one-time use. There are companies that will recertify hardware, like getting a used program car, and certify that it meets the specifications as well as repackage the hardware, sterile if required. This is why once a screw is put in and then one decides a different size is necessary, there is a charge for the extra hardware.

What is not seen are microscopic changes occur to the screw. The threads could be damaged "slightly (minimally)", perhaps not observable to me, but...

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

RE: Fissuring Under 4th and 5th Digits
From: Barry Mullen, DPM

From the brief history given, the congenital issue is likely a coincidence for my initial thought is infectious etiology, not mechanical/strutural. Dermatophytes and Candida are notorious for causing interdigital fissuring, especially between 4th toe webs, toe creases, especially in moist environments, i.e. the patient's swimming history. Included in your patient's history is a 2-3 time/year recurrence, likely representing next generation spore germination and re-start of the infectious process. If it were a mechanical etiology, it would likely be constant all year round.

Consider empirically starting your patient on OTC bid topical fungicides, then switching to a broad spectrum Rx if no response in 3 weeks. Ensure that Rx covers Candida. If still no response, take a shave biopsy and submit for analysis as erythrasma and white psoriasis can also present this way. Pending biopsy result, if infectious, yet unresponsive to appropriate topical agents, you may also need to consider an oral agent, particularly for recurrent/resistant cases. If you want to initially avoid the minor surgery, a Wood's light may shed light on the etiology (no pun intended). Once infectious etiology is ruled in, then also follow through with patient education on the benefit of consistent shoe sanitizing, as well as the various hygiene adjustments your patient can undertake that protects toe creases from additional exposure.

Barry Mullen, DPM, Hackettstown, NJ, yazy630@aol.com

RE: Fissuring Under 4th and 5th Digits
From: James S. Scales, DPM, Lloyd Nesbitt, DPM

A similar thing used to happen to my daughter after swimming in concrete swimming pools. The base of her toes would crack open and peel. We finally figured out that it was the concrete causing abrasions in this area of the foot from pushing off the cement floors of the pools.

James S. Scales, DPM, Arvada CO, jdscales@comcast.net

RE: Fissuring Under 4th and 5th Digits
From: Lloyd Nesbitt, DPM

I’d say that this is tinea pedis that should clear up in a few days with the use of Loprox b.i.d. (I find it to be more effective than Lamisil cream). Fissuring under the base of the 5th toe is common. It sometimes can occur after wearing shoes with no socks after one day.

I can’t say that I blame the 19  year old girl for not wanting surgical treatment of her syndactylized toes. A lot of women have this and aren’t concerned. For example, my wife and 26 year old daughter both have partial syndactylism of two of their toes and have never been the least bit bothered by it.

Lloyd Nesbitt, DPM, Toronto, Ont, Canada, lloydn@rogers.com

RE: Time for EBM Study on Custom Orthotics
From: Carl Solomon, DPM
         
I appreciate the ongoing discourse about biomechanics theory and who’s right/who’s wrong. But I’m still waiting to see ANY decent controlled study in our literature.
 
When will one of our “experts” please take a couple hundred patients, and divide them into two groups? Have one group use “custom” orthotics and the other use OTC inserts for some condition (heel pain, metatarsalgia, whatever). After some period of time, maybe a year, look back and see whether there’s a statistical difference in outcomes. How about the same study (but longer than a year) with custom orthotics vs. no orthotics on patients with early hallux valgus to see if there's REALLY any effect upon progression of the deformity.
 
Until that’s done, we are at the mercy of insurance companies who (rightfully) say our “custom” orthotics are unsubstantiated. Worse yet, we are denied the ability to refute the ads that are now popping up for commercial orthotic stores who claim that theirs are “300% better” than podiatrists’ custom orthotics! 
 
Carl Solomon, DPM, Dallas, TX, cdsol@swbell.net

RE: Educational Commission of Foreign Medical Graduates (ECFMG) (Steven J. Kaniadakis, DPM)
From: Robert Scott Steinberg, DPM

For far too long, the U.S. has allowed in far too many FMGs. Where do you think they are coming from? From countries that are having their brightest doctors, engineers, programmers, etc., "stolen". Is it  any wonder so many countries cannot improve the conditions in their countries?

Robert Scott Steinberg, DPM, Schaumburg, IL, doc@footsportsdoc.com

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

Some clarification is needed. Does Dr. Kaniadakis think I'm encouraging more foreign graduates? I'm not saying that at all. I was suggesting a possible alternative pathway FOR PODIATRISTS to be allowed to take the exams that foreign-trained applicants to the U.S. are allowed to take. I had hoped this might demonstrate educational equivalency and thus the right to a general licensure pathway.

It is obvious to me that continued bribery of politicians to increase scope is not the appropriate way to gain recognition. Tested and proved educational equivalence is. At present, there is NO mechanism available in any venue. Podiatry is sure considered FOREIGN in some viewpoints (tongue in cheek!) 

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

RE: Scholl Professor Sues Associate Dean for Defamation
From: Judd Davis, DPM
 
I too am saddened to see this kind of activity occurring at Scholl.  Both Dr. Bareither and Dr. Hrywnak were excellent professors when I was there.  The students need more professors like them, not less.  Hopefully, they will realize the futility of legal matters for something like this. It's time to put egos and hurt feelings aside, apologize to one another and move on.  The only thing that can arise out of this is further animosity and fattening the attorney's pockets. I hope the school will realize the value that the part-time professors bring, by exposing the students to some real world podiatry and business experience, and consider keeping on Dr. Hrywnak and others. They provide a great service.
 
Judd Davis, DPM, Colorado Springs, CO, jtdavisco@yahoo.com

MEDICAL EQUIPMENT/OFFICE FURNISHINGS FOR SALE - ILLINOIS

Liquidating two large podiatry offices.  Medical and surgical equipment available including Stryker electric power set, X-Cel X-ray units, X-ray developers, OEC 6600 mini C-arm, A-O and endoscopic sets, autoclaves, physical therapy units, surgical instruments and lights, office equipment and furnishings, and medical supplies.  Priced for quick sale. Waukegan, Illinois, and Kenosha, Wisconsin.  Call Jack @ (847) 337-0166. Delivery available. caraddict59@att.net

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

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 IN CHICAGO

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

POSITION AVAILABLE - CENTRAL FLORIDA

Two doctor practice looking for an associate to take retiring doctor's position with partnership opportunity for the right person. Competitive salary, health insurance and incentives. Two offices serving a diverse number of routine, surgical and wound care patients. Two years surgical residency training and FL license required. If interested in this great opportunity please e-mail CV, surgical log and references to toesrus7@yahoo.com.

POSITION AVAILABLE– CHICAGO

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago-metropolitan area and suburbs and is recruiting qualified podiatric surgeons. A three-year residency is required and a podiatric fellowship is preferable. Current practicing podiatric practitioners in Chicago and surrounding area are also welcome to join our rapidly expanding practice that numbers 16 DPMs, a neurologist surgeon, and a primary care sports medicine physician. For more information contact info@weilfeet.com or call Stephanie Spiegel, COO, at (847)390-7666.

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

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 - 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 - 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 - 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

PRACTICE AVAILABLE FOR QUICK AND IMMEDIATE SALE - ILLINOIS

40 year-old podiatry practice, owner retiring. Currently working part-time. 2012 gross income $265,000. Formerly one million dollar practice revenue. Can be purchased for price of equipment, furnishings, and supplies plus. Owner will assist in transfer. The right individual can re-establish former practice while maintaining established current income and patient flow.  Contact Jack at (847) 337-0166 for information and viewing. (Waukegan, Illinois) caraddict59@att.net

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

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

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