The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

June 19, 2012 #4,492 Publisher-Barry Block, DPM, JD

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Knock-Off Crocs are an Improvement for Inmates: VA Podiatrist

The Virginia Beach Correctional Center, in November 2010, started selling a knock-off version of Crocs - in neon orange to match inmates' jumpsuits - and they've become one of the most popular items purchased through the jail's canteen, officials said. In the last year, inmates bought 215 pairs at $15.99 apiece, said Capt. Rocky Holcomb, commanding officer of corrections. 

Dr. Arnold Beresh

Dr. Arnold Beresh, a Hampton podiatrist who has treated local inmates, said the clogs appear to be an improvement over the other footwear available in jails, though the knockoffs don't always provide enough heel and ankle support and tend to be warm, which can cause athlete's foot.

Source: Kathy Adams, Virginia Pilot [6/17/12]

Three-Quarters of Hispanic Podiatric Patients Have Diabetes: CA Podiatrist 

When Randy Munoz began working with the Latino Diabetes Assn., it was an idea on paper. The plan was to go into some of the county's poorest communities and provide free classes in Spanish on yoga, healthy cooking, preventing diabetes and how to live with it.

Dr. Michael Marcus

"This is one of the seeds you need. You need a lot of seeds to make it better. But you've got to start with something," said Dr. Michael Marcus, a podiatrist who estimates that three-quarters of his patients are diabetics who have foot problems caused by nerve damage or poor blood flow.

Source: John Hoeffel, Los Angeles Times [6/18/12]

KFx Medical Gets FDA 510 Clearance for Smaller AppianFX Tissue Fixation Anchor

KFx Medical Corp. announced it has received 510K clearance from the Food and Drug Administration (FDA) for its 5mm AppianFx Tissue Fixation Anchor. KFx said that the AppianFx line of implants re-attach tissue to bone in shoulder, knee, foot and ankle procedures, which combined, exceed well over one million annual surgical procedures. Product offerings include those that directly place and secure tissue into bone, both with and without the use of sutures.

Dr. David Abdoo

David Abdoo, DPM offered his thoughts, "This anchor is easy to use, less steps and time required for insertion, great pull out strength, and easy ability to adjust tension - Great device."

Source: Individual.com [6/18/12]

Hospital-Owned Practices to Receive Lower Medicare Rates Under New Rule

Physicians and practice managers are not ready to comply with a July 1 deadline for a new Medicare billing policy that would pay lower rates for certain office visits and other services in facility-owned physician practices, associations representing doctors and administrators have told government officials.
 
Physician offices wholly owned or operated by hospitals will be required starting on that date to change their coding practices under a regulation from the Centers for Medicare & Medicaid Services. The policy requires a hospital and its entities providing outpatient services to coordinate billing efforts when patients are admitted to the hospital or soon afterward.

Source: Charles Feigel, AMNews [6/18/12]

Query: Non-Surgical Approach to Plantar Fibromas

I have a patient interested in a non-surgical approach to plantar fibromas. I have heard about a compounded topical cream. Does anyone have any experience with this or other non-surgical intervention? 

Chuck Ross, DPM, Pittsfield, MA

Query: Disentangling from Athena EMR

If you have had Athena EMR and discontinued your arrangement with them, I could surely use some tips on disentangling from them.

Jay C. Goldstein DPM, Portland, OR

RE: Is This MTPJ Salvageable? (Alan Berman, DPM)
From: Martin M Pressman, DPM

This is an interesting dilemma we all face from time to time. While I can not see the base on the film and I can not know the condition of the cartilage, nor can I appreciate the quality/quantity of the ROM, I am none-the-less predisposed to offer an opinion.
1. If the cartilage is poor, just do the MJP arthrodesis ... The IMA will reduce enough. (Dayton, et al. JFAS 2002 September-October; 41(5):316-9.
2. If the cartilage is intact, then one could do an Austin with fibular sesamoidectomy (Gerbert, et al. JFAS Vol 36 issue 5 September 1997, Ravenell, et al. JFAS 2011 May-June ;50(3):287-92).
3. The dislocated 2nd MPJ is also an issue.
4. In any event ... MPJ fusion with closing base wedge is not a great idea!

Martin M Pressman, DPM, New Haven CT, mpress4@optonline.net

RE: Chronic Calcaneal Apophysitis (Jeffrey Kass, DPM)
From: Stephen Musser, DPM, Ed Wiebe, DPM

You don't want to 'out-smart yourself', but if you think it's a true case of Sever's disease, start aggressive PT, NSAIDs, orthotics for any biomechanical pathology. Looking at the lateral radiograph of the left heel, the growth plate actually has more sclerosis than the right. Secondly, re-examine your other x-ray views (AP, obliques). There is something that looks pathologic around the talus and STJ.

Stephen Musser, DPM, Cleveland, OH, ly2drmusser@gmail.com

X-rays show more closure of the epipheseal plate, right side, and a hint of decreased bone density. RSD is possible - Pain ALL the time, way out of proportion to injury. Linear scleraderm deep scarring, fibrosis, lots of pain. Both of these have essentially a clinical diagnosis. Scleraderma may have tissue pathology in the skin if a scar forms. I hope it's just re-injury apophysitis!

Ed Wiebe, DPM, Flagstaff, AZ, elw520@hotmail.com

RE: Restrictive Covenant (Name Withheld)
From: Ron Raducanu, DPM

This makes me so sad to hear. I wish that you had had a better experience. I can tell you that you are not alone, BUT there are good people out there who will look out for you. After a couple of false starts myself, I am thrilled to say I am in a wonderful situation, practice wise, where everyone looks out for everyone else, the egos are put aside for the betterment of the patient and the practice. It's a wonderful breath of fresh air for me and a situation I feel lucky to have landed myself in after almost 10 years of struggle.

Please find a place for yourself that you will be happy in. Life is too short to be miserable. You're right. You've worked too hard to be treated that way. If you need any guidance or just someone to talk to, please feel free to e-mail me anytime.

Ron Raducanu, DPM, Philadelphia, PA, kidsfeet@gmail.com

RE: Snap Fixation Pins (Mark H. Sugar, DPM)
From: Ed Davis, DPM

Dr. Sugar requested a substitute for the snap fixation pins.  I like the Tornier Nexfix Compression Pins: (tornier-us.com/upper/hand/hantra001/index.php). This product has been marketed to hand surgeons, but is ideal for all small bone work. This pin has a variable pitch thread with better compression than standard threaded K-wires. They need to be cut off at the bone surface with a pin cutter.  The pin cutter supplied by the maufacturer of the product allows one to cut the pins almost flush with the surface.

Disclosure: I have no financial relationship with Tornier.

Ed Davis, DPM, San Antonio, TX, ed@sanantoniodoc.net

RE: Unified Post-Graduate Training
From: Jack A. Reingold, DPM

I have read all of the recent threads concerning our post-graduate training. It really is not that complicated. No one can have too much training. Just because your residency ends, it does not mean that your training ends. In fact, it is really only starting. As the expertise of our profession grows, it is hard to acquire all the knowledge needed to be the best foot and ankle doc in just 3 years. There are fellowships, workshops, lectures, and more for all of us, at all levels of our careers. Also, not everyone has to have the same skills set. One just needs to be the best in the area one wishes to function in, be it trauma reconstruction, wound care, or biomechanics. Knowledge is power.

Jack A. Reingold, DPM, Solana Beach, CAfootdoc@san.rr.com

RE: Barefoot Running More Efficient (Kevin Kirby, DPM, Robert Steinberg, DPM)
From: Howard E. Friedman, DPM

Drs. Kirby and Dr. Steinberg come to the defense of traditional structured running shoes as if I am condemning them. I am not addressing standard running footwear, nor am I addressing the effects of orthotics. Rather, I am citing literature, as well as pointing out a growing trend that supports that minimalist shoes can be safely worn for running for many people. Indeed, as I have posted, some literature supports the benefits of wearing minimalist shoes, both in terms of decreased total oxygen consumed during running and an increase in the cross-sectional area of the intrinsic foot muscles after running in minimalist shoes for a period to time.

I understand Dr. Steinberg's concern that he sees runners who develop musculoskeletal issues after running in minimalist shoes, but some runners also develop issues running in structured shoes. And podiatry patients are pre-selected for biomechanical issues, which is why they present to the office so they may not be an accurate cohort from which to draw global conclusions.

Many runners (not all) can acclimate themselves to minimalist shoes and we should 1) not rule out this type of footwear and 2) understand that minimalist footwear for running is likely here to stay.

Howard E. Friedman, DPM, Suffern, NY, hefriedman@earthlink.net

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com

ASSOCIATE POSITION – WILMINGTON, DELAWARE

Seeking full time associate, PSR 24/36 Board Qualified/Certified that is personable, highly motivated, ethical and hard working. Established 25 years old, well rounded, and busy practice. In large primary care based medical building with lab, X-ray, CT, ASC and medical aid unit. Multilingual is beneficial. Offering competitive salary with bonus opportunities and wide range of benefits. Partnership potential. Cover letter / CV to Del.DPM@gmail.com

ASSOCIATE POSITION - ST. LOUIS 

Multi-location group practice seeks motivated DPM with initiative and leadership skills to contribute to our growing group practice. Foot Healers Podiatry Group enjoys a strong reputation within St. Louis and looking for the right individual to complement our team. Must have the confidence to lead you own clinic and the willingness to draw on the expertise that exists within our group. Base salary starts at $100k, with incentives to grow income to $200k+, malpractice coverage, health insurance, 401k, group bonus/profit sharing. Please send CV to jmurray@foothealers.com and visit our website www.foothealers.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Podiatrist licensed in FL to work in practice in central Florida with buy-in option. Practice in building built for podiatry. Excellent opportunity for new or experienced podiatrist to work, purchase practice,  lease, or purchase building in great area to live and grow. CV to footsailor@earthlink.net
 
ASSOCIATE POSITION – MANHATTAN
 
Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com
 
ASSOCIATE WANTED - BRONX, NY
 
Part time Position Available Bronx New York for busy, growing office.  All aspects of podiatric medicine and surgery. Excellent salary with incentives. E-mail CV and letter of intent to Dr. Barry Finkelstein atbf1818@aol.com.

ASSOCIATE POSITION - SAN JUAN, PUERTO RICO

Well-established practice seeking associate with opportunity for buy-in. Must have a minimum of 2 years surgical residency, or have 10 years practice experience with rear foot surgical skills. Great opportunity for growth with in-house surgical center, 2 hospitals within walking distance & more. Puerto Rican License required. Send CV/Resume to admin1@podiatrycenterpr.com

ASSOCIATE POSITION - NEW JERSEY

Busy, two office practice with a good mix of patients is seeking a very personable, highly motivated full-time associate with good clinical/surgical skills to fill an immediate position. Competitive salary with early partnership opportunity for the right individual. Please email CV to afsdocs@gmail.com.

ASSOCIATE POSITION - TEXAS

Podiatrist needed to join our fast growing practice both in house calls and office. An enterprising individual with good clinical and surgical skills. Texas license required, salary and benefit very attractive. Email your CV to divinefootcarecenter@yahoo.com or contact Joe at 972 790 2800.

ASSOCIATE POSITION - CENTRAL NEW JERSEY

Podiatry office in Central NJ- Looking for a three year surgically trained associate who has entrepreneurial spirit for a very busy office. You will see new patients and have the potential to become board certified in two years. Partnership guaranteed within three years for the right person. Must be very outgoing and personable. Great opportunity for a person who is confident and a go getter." Please fax your CV to: 732-968-8821.

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Full-time/Part-time, motivated, outgoing associate wanted for immediate job opening. Multi-office, multi-doctor practice based in Orange County, is looking for hard-working individual to treat wide range of patients. PSR 24 training a must and Spanish speaking a definite advantage. Email your CV to: ocpodiatryoffice@gmail.com

ASSOCIATE POSITION – PHOENIX, WEST VALLEY SUBURBS
 
A well-established, solo-physician practice seeking a Full Time Associate Podiatrist. Applicant should be well trained physician with sound surgical skills and applicant must have completed a 24-36 month residency, & be board eligible/certified. Practice offers a state of the art practice setting, with a good general mix of all aspects of podiatric medicine and surgery. Competitive salary and benefits. Partnership opportunities available. Fax resume: 623-935-5783 or email to: AzPodiatrist@gmail.com
 
ASSOCIATE POSITION - NYC BORO

Podiatrist needed for NYC practice. Must be on Health First, Health Plus, GHI, Affinity, or, most of these plans. All phases of podiatry. Excellent opportunity. E-mail resume to include current employment.rrranch7@yahoo.com
PRACTICE FOR SALE- LONG ISLAND part-time. Inquiries rranch7@yahoo.com

ASSOCIATE POSITION - MASSACHUSSETTS

Looking for an extremely hard working podiatry associate for part-time work, opportunity for full time. Busy and expanding podiatry practice in the Merrimack Valley. Will work in both office and nursing home setting. In office, we have laser technology, electronic medical records, diagnostic ultrasound, x-rays, etc. Please email us at resumesent11@comcast.net if you have interest in this position. If we find the right person, this opportunity could lead to partnership. Looking forward to hearing from you.

ASSOCIATE POSITION - ST AUGUSTINE, FL

A well-established, solo-physician in St Augustine, FL; is seeking a full-time associate. Applicant should be well-trained with sound surgical skills, applicant must be board eligible/certified. Practice offers a state-of-the-art practice setting, with a good general mix of all aspects of podiatric medicine and surgery. Competitive salary. E-mail resume to drfootwound@gmail.com

ASSOCIATE POSITION - SOUTHEASTERN MICHIGAN

Immediate opening for a full time/part-time PSR 24/36 podiatrist in a 30 year old, well established practice with an excellent reputation and referral base. State-of-the-art office with EMR, digital x-ray, diagnostic ultrasound and beautiful office. Generous base salary, malpractice insurance, health insurance, benefits and bonus structure. A well rounded and energetic podiatric surgeon needed for this group of 4 board certified podiatric physicians and surgeons. Please send CV to: michiganfootandankle@gmail.com

ASSOCIATE POSITION - GEORGIA 

Podiatrist needed in the State of Georgia to start ASAP. At least one year post residency experience preferred. Contact Dr. Azuka Nwaedozie at (404) 908 9042 or email me at anwaedozie@aol.com.

ASSOCIATE POSITION- WASHINGTON

A well-established practice with 4 locations in and around Seattle is seeking a full time/part-time associate podiatrist. Position involves clinical, nursing homes, laser therapy. Applicant should be well trained physician and a motivated, energetic self-starter, completed minimum a 24-month residency. Please send inquiries to isbinc2006@gmail.com

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to Ohiopodiatrist@aol.com

ASSOCIATE POSITION - WORCESTER MASSACHUSETTS

Podiatry practice in Worcester Massachusetts is looking for an associate podiatrist. Busy 2-person practice. High surgical numbers. No nursing homes. Call to hear free recorded message for more information. Call 641.715.3800 Access Code 32299 and message 4 to learn about the practice. Visit our website www.centralmasspodiatry.com

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITIONS – NEW YORK CITY

Looking for someone with some working experience in a podiatric office. Two sessions (1/2 day) a week for July and August for Upper West Side of Manhattan. References a must. One 8 AM to 12, one 12 to 5 PM. Reply to fabienne.rottenberg@gmail.com

ASSOCIATE POSITION AVAILABLE - NORTH CAROLINA

New associate position available that may lead to partnership. We are a very busy practice providing care in both office and hospital settings. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard working, and committed to quality in patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com

EQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

EQUIPMENT FOR SALE: EPAT

(Extracorporeal Pulse Activation Treatment) for sale. D-Actor 200. This machine is still new. Purchased in late 2011.( new machines>30K). It is the conservative alternative to surgery. Treats Plantar Fasciitis, Heel spurs, Achilles Tendonitis, Joint pain. Great Buy. $17,995 or best offer. Please call 713-541-3199 for more information. or email contactus@houstonfootankle.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 516 476-1815 PODO2345@AOL.COM

PM News Classified Ads Reach over 13,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 13,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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