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| PM News | |
The Voice of Podiatrists
Serving Over 18,615 Subscribers Daily
June 20, 2018 #6,213  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- 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 prescribe uric acid lowering drug for the management of acute or chronic gout?
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| PODIATRISTS AND DIABETES | |
FL Podiatrist Evidence-Based Treatments of DFUs in Veterans
Some of the risks of diabetic foot ulcers (DFUs) are well-known, including infection and, in the most severe cases, amputation. VA researchers now have identified additional risks—primarily falls—heightening the urgency to implement new tools to manage and treat DFUs. Yet, that has always not been easy. “The treatment of diabetic foot ulcers is complex, and the literature indicates a wide variety of evidence-based methods to improve wound healing and prevent adverse events,” explained Latricia Allen, DPM, MPH of the James A. Haley VAMC in Tampa.
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Dr. Latricia Allen |
The issue is how best to treat veterans’ diabetic foot ulcers to avoid unfavorable outcomes. Dr. Allen noted options might include holistic management of the patient, including blood glucose control, improved nutrition, or management of co-morbidities. Other options could be evidence-based wound management, off-loading, or prophylactic foot surgery, adding that advanced wound care technologies (e.g., negative wound pressure therapy, growth factors, acellular tissue matrices, bio-engineered allogenic cellular therapies, hyperbaric oxygen therapies) would be appropriate for some patients.
Source: Brenda Mooney, U.S. Medicine [6/19/18]
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| PODIATRISTS AND FOOTWEAR | |
Wearing Shoes Can Prevent You From Strengthening Your Body; NY Podiatrist
Walking barefoot might be something you only do at home. But, for many, walking and exercising barefoot is a practice they do daily. Advocates of barefoot walking and exercising are pushing back on wearing shoes all day long and encouraging all of us to let our feet be free.
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Dr. Bruce Pinker |
If you go to any running or walking store and look at several different pairs of shoes, you’ll see that many of them have excessive cushioning and support. While this pillow-type padding can feel pretty amazing when you walk in these types of shoes, board-certified podiatrist and foot surgeon Dr. Bruce Pinker says they can prevent you from using certain muscle groups that can actually strengthen your body.
Source: Healthline
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| PODIATRISTS IN THE COMMUNITY | |
Many People Unaware that Foot Pain is Not Normal: NJ Podiatrist
"A majority of people assume that foot pain is not that serious and can be ignored," says Peter Wishnie, DPM. "There are other people who have no idea that there exists preventative as well as curative care for the feet. The sad thing about it is that poorly managed foot pain could lead to surgery. However, this doesn't have to be the case because proper foot care can eliminate the need for surgery."
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Dr. Peter Wishnie |
"There are many ways that injuries in the feet and ankles present themselves, and they come about due to different reasons. Engaging in sports is one of the main reasons. Another origin of foot problems is diabetes. Whatever injury a person has should be handled with care to prevent it from becoming worse," says Dr. Wishie.
Source: Digital Journal [6/15/18]
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| INTERNATIONAL PODIATRY IN THE NEWS | |
UK Podiatrist Discusses PTTD
"One of the most common causes of adult-acquired flat feet is posterior tibial tendon dysfunction (PTTD)," explains Rebecca Gomez, a podiatrist and clinical podiatry lead at the Royal Marsden Hospital in London. "This is where one of the ligaments on the inside of the ankle that helps support the arch loses function." This can lead to instability, deformity of the foot, and degenerative changes in the surrounding joints in the form of osteoarthritis.
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Rebecca Gomez |
PTTD can be the result of overuse, or a sprained ankle which didn’t heal properly, but risk factors also include diabetes (as high blood sugar levels can damage tendons), hypertension (which reduces blood flow to the ligaments that keep the arch in place), and obesity (as the load the feet are supporting is increased).
Source: Claire Coleman, The Daily Mail [6/18/18]
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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 | |
Three Keys to Efficiently Collect from Patients - Part 2
2. Make it easy - “Anything that makes it simple and easy to pay, it a great investment,” says Laurie Morgan, a San Francisco-based senior consultant and partner with medical consulting firm Capko & Morgan. “For example, using tablets [computers] at check-in can show patients what they currently owe and give them an easy way to sign up for a payment arrangement if they need to.” Not only does this make it more likely that you’ll get paid, it shows respect for your patients in that it offers a private and less embarrassing way for them to make payment arrangements.
Some practices have had good luck keeping a credit card on file for patients. You can arrange to have a set amount charged to the card each month, especially for expensive procedures. “Patients don’t want to end up owing $2,000 at the end. This way you can charge a portion each month and offer a relatively painless way for patients to pay.”
Source: Avery Hurt, Physicians Practice [6/7/18]
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| QUERIES (CLINICAL) | |
Query: Posterior Calcaneal Spur
I have a healthy, active 73 year old female patient with chronic Achilles pain due to posterior spurring as seen on the x-ray below. All conservative care has been exhausted with the exception of custom orthotics; shoe changes with accommodation, cortisone, needling, soft tissue laser, and PT have been somewhat helpful, but the posterior spur remains the most symptomatic.
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Posterior Calcaneal Spur |
I really don’t think the orthotic will be the difference maker at this point. Before she was referred to me for soft tissue laser, her previous DPM recommended surgical removal of the spur, but required removal of the Achilles to resect it. My question is: are there any new approaches or procedures that do not require TAL resection and the associated lengthy recovery?
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Patrick J. Nunan, DPM, Richard A. Simmons, DPM
While I commend the new innovation of bunion surgery, I would like to know the source of the comment that traditional bunion surgery fails 70%! Having been in practice for 33 years, I have yet to see that many bunion procedures fail at that rate. If bunion surgery had that high of a failure rate, very few, if any, would be performed. Malpractice would be outrageous and hospitals, insurance plans, etc. would not allow the procedure to be performed.
Patrick J. Nunan, DPM, Savannah, GA
I hope this article about this one-year-old, “game-changing” lapiplastly, 100% bunion correction procedure was more “tongue-in-cheek” rather than something that is supposed to be factual and peer reviewed.
Richard A. Simmons, DPM, Rockledge, FL
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1B | |
From: Stephen Kominsky, DPM
I read and have been reading PM News since its inception. Many times over the years, I have disagreed with comments and assertions made by our colleagues either through an interview for a media outlet, or straight up for this platform. I generally hold my tongue and don’t comment, but this time I have to.
In the piece regarding the lapiplasty procedure, Dr. McAleer asserts that “traditional bunion surgery has a 70% recurrence rate.” I find that comment to be a lot of things including egregious, damaging, and laughable, but mostly, just wrong. Yes, of course there is an inherent recurrence rate with bunion surgery, but with today’s level of training and education, and the skill of the today’s podiatrist, the rate is more like 10%.
The lapiplasty is a good tool (that IS what it is, an expensive piece of equipment used to accomplish the Lapidus procedure), but it is NOT responsible for the reduction of recurrence; make no mistake about that. A Lapidus procedure would accomplish the same thing. But that is not the point. To simply disseminate a false piece of information is misleading and smacks of trying to increase sales of the equipment for the company that manufactures it.
Stephen Kominsky, DPM, Washington, DC
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 2 | |
From: Brian W. Fullem, DPM
In reading Dr. Zuckerman's comment on Shockwave Therapy, I disagree with his statement: "Comparing high-energy FDA-approved ESWT with the EPAT is false and misleading. They are entirely different modalities with different uses and outcomes."
EPAT produces a sound wave; it is commonly known as Radial Extracorporeal Shockwave Therapy. The old terminology would be low energy, whereas the machine is similar to the Dornier EPOS. The new terminology is Radial ESWT and Focused ESWT. They both produce sound waves. There is also no difference in the literature as to which technology works best, both produce similar results which are in general better than any other technology for soft tissue injuries.
I highly recommend that people read this medical article. The article is a...
Editor's note: Dr. Fullem's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Boots of the Day
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Open and shut (Photo: Ivan Scheers) |
These boots are inspired by the world map (meridians and parallels), symbolized by lines.
Source: Amalia Arutyunyan via Virtual Shoe Museum
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MEETING NOTICES
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PM PODIATRY HALL OF FAME CEREMONY & RECEPTION
July 12, 2018 – Gaylord National Resort - Washington, DC
Honoring Brad Wenstrup, DPM and Dan Vickers
Sponsored by Bako Diagnostics (Bronze), PICA (Bronze), and Sammy Systems (Bronze)
PM News subscribers are invited to see Dr. Wenstrup and Mr. Vickers inducted in the PM Podiatry Hall of Fame, including roasts by special guests.
All ticket proceeds go to the APMA Educational Foundation Student Endowment Fund. Reserve your tickets now by sending $75 per ticket to: APMA Educational Foundation Student Scholarship Fund, 9312 Old Georgetown Road, Bethesda, MD 20814 or via the APMA Meeting registration form.
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $219 (less than $15 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MD, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - CENTRAL KENTUCKY
This town is home to outstanding college, an hour away from metropolitan market and has a friendly provider environment. Opportunity to build on strong patient base with surgery and in-office dispensing. Competitive salary and benefit package. Contact: MCrosby518@gmail.com
MULTI-LOCATION GROUP - CHICAGO/NEAR WEST SUBURBS
Seeking ABFAS Board Certified/Eligible associate. MINIMUM 2 year private practice experience required. Surgical/ortho patient load. Great staff. DME, Rx, Minimal Incision Sx, EMR, digital x-ray, laser, ultrasound, PRP, shockwave & MRI. PT to FT available- Top pay, associateship & practice equity available for experienced candidates. Send CV info@anklenfoot.com
ASSOCIATE POSTION - CENTRAL NJ
Associate needed for 30+ year busy private practices in Central NJ. Applicant should be personal, independent and motivated. Practice entails all aspects of podiatry. Surgery, orthopedics, wound care, primary care and sports medicine. Competitive compensation package. To apply please email letter of intent and CV to facenters1@gmail.com.
ASSOCIATE POSITION - UPSTATE NY
Rapidly growing practice seeks associate to join and become partner. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Partnership starts beginning year 3 based on per-established criteria. Contact: docryanlee@gmail.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
ASSOCIATE POSITION - LONG ISLAND/QUEENS
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture. Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Visit www.LIFootCare.com and email eavieiradpm@gmail.com for more info.
ASSOCIATE POSITION - GREATER LOS ANGELES AREA
Join the fastest growing mobile podiatry group in California! Full time/part time, you pick your days, you pick your hours, cloud-based EHR, in house billing, dedicated support staff, excellent monthly compensation. email CV to: homefootcare@hotmail.com
ASSOCIATE POSITION - FLORIDA
KG Health Partners, the largest podiatric practice in Florida, is revolutionizing the continuum of care for seniors living in more than 200 long-term facilities in Central Florida. We currently have full-time and part-time openings in the state of Florida. If you are committed to helping seniors live healthy lives, this mobile-based position could be your perfect fit. Our physicians work Monday thru Friday and must maintain active Medicare and Florida licenses. We cover malpractice insurance, medical supplies, travel allowance, etc. Exceptional benefits include paid holidays, health insurance, and 401K retirement plan. Competitive Salary. Email CV kgadmin@kghealthpartners.com
ASSOCIATE POSITION – RENTON-KIRKLAND-EVERETT, WASHINGTON
This is an immediate opening for associate position. He/she must be highly motivated, hard-working podiatrist who is proficient in forefoot and rearfoot surgery. We have 3 office locations and multiple nursing home facilities. Prefer someone personable and a team player. Please email CV to seattlefootdoctor@yahoo.com
ASSOCIATE POSITION - MULTI-LOCATION GROUP - CHICAGO/NEAR WEST SUBURBS
Seeking ABFAS Board Certified/Eligible associate. MINIMUM 2 year private practice experience required. Surgical/ortho patient load. Great staff. DME, Rx, Minimal Incision Sx, EMR, digital x-ray, laser, ultrasound, PRP, shockwave & MRI. PT to FT available- Top pay, associateship & practice equity available for experienced candidates. Send CV info@anklenfoot.com
ASSOCIATE POSITION - HOBOKEN, NJ
ASSOCIATE POSITION WANTED - HUDSON VALLEY, NY
Full time associate position immediately availablein a busy office. Broad responsibilities including wound care, trauma call, hospital rounding, etc. Surgical based practice with privileges to local hospital and surgical center. Comparable pay. Position available Sept. 2018, will wait for right graduate. Office is located in the beautiful Hudson Valley. Close proximity to NYC as well as a multitude of outdoor activities. Please send CV in an email to hudsonvalleypodiatrist@gmail.com
ASSOCIATE NEEDED - WARREN/YOUNGSTOWN, OHIO
Ankle & Foot Care Centers operates 20 locations in Northeast Ohio. We are looking to add a full-time podiatric physician to help cover expanding office hours. Tremendous growth opportunity for a hardworking individual with an interest in reconstructive surgery and wound care. To learn more about us, visit our website at www.ankleandfootcare.com Please email your letter of interest and CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.com.
ASSOCIATE POSITION – MIAMI, FL
We are a growing practice in Miami, FL with three podiatrists working in 1 office and on staff at 3 hospitals, seeking PSR-36 board certified/qualified foot and ankle surgeon. Practice is equipped with certified EMR, digital x-ray, and laser. Send CV to tvaldizan@birdroadpodiatry.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME-APPROVED 12 month fellowship beginning July 1st, 2018. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as plastic, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE ( equal opportunity employer)
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - WESTCHESTER COUNTY, NY
Are you looking to expand & add another location? This is the perfect opportunity to purchase a modern, fully equipped office with the latest technology. Favorable long lease in a medical building with on-site parking. Healthy new patient volume and hospital privileges easily attained. Willing to stay to provide a smooth transition if necessary. Let’s talk. Send letter of interest to DPM626@yahoo.com
PRACTICE FOR SALE – CENTRAL CALIFORNIA
Extremely successful, well-established solo practice (9 years old) grossing $900K for the past six years. After serving the community for 11 years, this turn-key practice is available for purchase. Doctor is relocating and ready to leave everything in place, including the fully functioning staff. Accepts all major insurances, Hospital and Surgical Center privileges, services 1 nursing home as well as volunteer work. Only serious inquiries and interested Doctors may contact toptenpodiatrist@gmail.com
PRACTICE FOR SALE - NEW YORK (BROOME COUNTY, NEAR BINGHAMTON)
RARE PRACTICE OPPORTUNITY: Well established, 38 year old practice. Patient pays for their services. I practice, “Fee-For-Service”/No Insurance. My average work week is 2.5 days. Last 3 years (2015-2017) average gross=$625K and average net=$250K. Practice emphasis is biomechanics, using Video (Dartfish) & F-Scan In-Shoe Pressure Mapping Analysis, as well as PinPointe™ Foot Laser for onychomycosis. Surgical pathology available. Quality and modern 2500 square foot office and equipment. I am ready to retire and have future plans in place and am willing to sell for less than market value. Make an offer! Reply to: uniquepractice@gmail.com
PRACTICE FOR SALE - LOS ANGELES
Practice has been around for 20 years. Robust payer mix including many IPAs and HMO plans. Has 3 exam rooms, and reasonable rent. Landlord willing to sign long-term lease. Doctor is relocating. Buyer must be able to provide proof financial ability to purchase. Please email for further info beorzeh@aol.com
PODIATRY PRACTICE & CO-OP FOR SALE - SHEEPSHEAD BAY/BRIGHTON BEACH--BKLYN, NY
Luxury Co-op building with 24 hr. doorman. Four (4) treatment rooms; Consultation room; Large secretarial work area. Digital x-ray; EHR (Sammy) with networked computers (#5). All phases of podiatry--46 years in practice. Newly renovated. Russian speaking preferable. Contact: irat24@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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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| 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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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