The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

June 21, 2012 #4,494 Publisher-Barry Block, DPM, JD

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Marathon Preparation Requires Two Years: IL Podiatrist

The weather is warm and the race is on to get in shape for one of the many charity runs or marathons in your area. But if you haven't been training on a regular basis, you've got to walk before you can run, experts say. "The attrition rate is fantastic because people go out too fast and get injured. Once people get injured, they drop out," says Stephen Weinberg, doctor of podiatric medicine at Weil Foot and Ankle Institute, Chicago. 

Dr. Stephen Weinberg

In fact, you should be running regularly for at least two years before you tackle a marathon (26.2 miles), says Dr. Weinberg, who is a marathon runner and has served as medical director for the Chicago Marathon for 21 years.

Source: Bev Bennett, Quad Cities Online [6/18/12]

MA Podiatrist in Top Quarter of Finishers at Boston Marathon

Dr. Robert Martin, a Manteno-based podiatrist, could almost host a small marathon with all of the patients from the area that he has served since joining Prairie Rock Foot & Ankle Clinic. He knows how important healthy feet are to a runner, not to mention their value for everyday pedestrians. But, Martin also knows how important good foot health is to a runner because he’s a runner himself. In fact, last month, he ran in the Boston Marathon.

Dr. Robert Martin

Dr. Martin finished in the top 25 percent of runners in the race with a time of 3:41:24. He had hoped to do a little better, but was still quite thrilled and honored to have made the run at all. “It was a difficult day because it was so hot,” he said. “I was shooting for 30 minutes faster.” All the same, Dr. Martin’s time was still worth kicking up his heels over. The Boston Marathon was only his third marathon. Not only that, in the two years since he started running again, he lost 80 pounds in the process.

Source: Trib-local Homer Glen [6/19/12]

NY Podiatrist Finds Contentment in Rural Setting

Dr. Monty Peerhbai was working for a company out of Chicago and took care of patients in northern Indiana. He was looking for a place to open his business, and some patients suggested Monticello, NY. “I wanted to see some smaller towns,” the foot doctor explained. He took one look at Monticello and decided it was where he wanted his podiatry office. “I liked the lakes, and I liked the people,” Peerhbai said. 

Dr. Monty Peerhbai

The 48-year-old doctor has not always been a podiatrist. About 10 years ago, he was a college professor. He chose podiatry because of his affliction ­— he once had polio. “That would be a good fit,” he explained. Peerhbai is originally from Pakistan. At age 1, he contracted polio, a disease still prevalent in that country today. The disease affected his right leg, and that’s why he now walks with a noticeable limp.

Source: W.C. Madden, Herald Journal [6/28/12]

GA Podiatrists Volunteer at Special Olympics

Special Olympics Georgia has designated Fit Feet for preventative foot care. This enables participants to compete in the best condition possible. The Atlanta foot doctors of Ankle and Foot Centers, Ketan Patel, Joseph D. Giovinco, and Kevin Pearson, volunteered their services to participants and coaches.

Dr. Joseph Giovinco tends to athlete at Special Olympics

The physicians and their team of staff members, who also volunteered, conducted full evaluations and consultations. Dr. Ketan Patel has been volunteering annually at the Special Olympics Summer Games for the past several years.

NH Podiatrist Lectures in Spain

On June 15 and 16, Howard Dananberg, DPM lectured at the 10th Anniversary Biomechanics Seminar from the Podiatry College at the University of Barcelona in Spain.

(L-R) Prof. Baldiri Prats, Dr. Howard Dananberg, and Prof. Carles Verges

Podiatrists from Spain, Italy, Portagul, and Majorica attended. Dananberg's lectures were on "Sagittal Plane Biomechanics", "Gait-Related Lower Back Pain", and "Manipulations of the Lower Extremity."

Query: Skimboarder's Toe

A 38 year old female came to see me 12/2011. Three months prior, she had hurt her foot while playing volleyball. She described a hyperextension of the 1st MPJ. There was soreness both plantar and dorsal, with palpable tenderness primarily at the dorsolateral aspect of the 1st MPJ, with no tenderness upon ROM of the joint. X-rays were negative for osseous pathology. Mild overlying edema was present. Anti-inflammatory measures (oral medication, heat, local steroid injection) were administered. The patient did not return for appointed follow-up, but was seen again recently.

The same symptoms and signs remained present, with no improvement reported from the previous measures. An MRI  was ordered, and the conclusion was: "Sprain accompanied by probable tear to the lateral aspect of extensor expansion and lateral collateral ligamentous complex." The findings are compatible with so-called "skimboarder's" toe. I have searched the literature, and although the injury is adequately described, there seems to be no standard treatment. Have others had experience with this condition?

Peter M Mason, DPM, Largo, FL

Query: E-Prescribing

I am just getting started with e-prescribing and wanted to know a few details. 1) If you prescribe a medication over the phone to a Medicare patient and document it in a patient's chart, would that qualify for one of the ten Rxs needed to avoid the Medicare 1.5% penalty? 2) Could you submit that type of encounter on a Medicare form to get credit for the ten scripts needed? 3) Would you still get credit towards your ten needed prescriptions if you e-prescribe a medication to a patient and they don't pick it up at the pharmacy?

Jack Ressler, DPM, Lauderhill, FL

RE: Non-Surgical Approach to Plantar Fibromas (Chuck Ross, DPM)
From: David T. Taylor, DPM, Mark Hinkes, DPM

I inject the fibomas directly with straight (no added local) Kenalog-40 with a 20 gauge needle. I've cut down on excisional surgery by 90%. Do a proximal field block prior to injecting the steroid. I use about 0.25-0.5 cc for each mass. They typically shrink over the course of 4 weeks. They can come back, but it usually takes 3-4 years.
 
David T. Taylor, DPM, Flint MI, dttaylor_19@yahoo.com

I have had good success fabricating biomechanical orthotics with an accommodation to off-load the site of the fibroma. In many of my patients, the lesion has all but disappeared with this therapy.

Mark Hinkes, DPM, Murfreesboro TN, drhinkes@gmail.com

RE: Chronic Calcaneal Apophysitis (Jeffrey Kass, DPM)
From: Gino Scartozzi, DPM
 
The immediate concern is that there is a consolidation of the calcaneal apophysis in a 12 year old male when such a process is expected in a male at 15-17 years of age. Such a process may indicate an occult Salter Harris Fracture (Type V) or an infection, as eliciting factors that created such a premature closure of the growth plate. I am concerned by the pain elicited out of proportion with any attempt at weight-bearing and regional osteopenia as compared to the contra-lateral view in the rearfoot region.
 
My recommendation is that a neurology consult be obtained to determine underlying complex regional pain syndrome. Pain management, along with aggressive treatment of CRS/causalgia, is imperative so that the condition does not become chronically disabling.
 
Gino Scartozzi, DPM, New Hyde Park, NY, Gsdpm@aol.com

RE: Bilateral Pain Submetatarsal 2 Metatarsal (Susan Bartos)
From: Gino Scartozzi, DPM

I was pleasantly surprised by the contribution of Ms. Bartos to the case in question from a "non-podiatrist." It was well-written, concise, and overall offered many treatment options regarding the condition. I would not be particularly concerned what any MD or DO would think of her post as a point of contribution. In my opinion, the failure to hear or be receptive of ideas/inputs from all fields of health professionals indicates a "closed mindedness" that would concern me. The only apology, which I would offer, is that for a colleague in question who apparently does not exhibit, in my opinion, an inter-disciplinary respect for others.
 
Gino Scartozzi, DPM, New Hyde Park, NY, Gsdpm@aol.com

RE: Disentangling from Athena EMR (Jay C. Goldstein, DPM)
From:  Michael L. Brody, DPM

Under the HIPAA regulations, you should have a valid Business Associate Agreement with Athena.

Once you have severed relations with Athena, and have received all the information, and can confirm that it is in usable format, you are required to request that they delete all e-PHI (electronic protected health information) that they possess that belongs to your practice. They are required to delete this information or send you a detailed response explaining why they are unable to delete this information.

If they are unable to delete the information, they are required to treat the information with the same care and security as you in order to protect patient privacy under the HIPAA regulations. Keep a copy of all correspondence with Athena on file as part of your HIPAA Security Manual.

Under the HIPAA Security Rule, you are required to...

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

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

The point that Dr. Steinberg initially made was, "When practiced judiciously, minimalist shoewear can help strengthen foot muscles." Just to make the point clear, only one unpublished study presented in 2005 at the ISB Congress, which was financially supported by Nike and studied a Nike shoe, showed an increase in muscle strength after wearing these shoes. Other than this one study on a relatively thick soft-soled running shoe, and financially supported by the same company that makes the shoe being studied, there is absolutely no evidence that "minimalist shoes" increase muscle strength.

Many barefoot/minimalist shoe advocates are now saying that wearing traditional running shoes "weaken feet," even though there are no studies showing this to be true. In fact, at the American College of Sports Medicine Annual Meeting a few weeks ago in San Francisco, I debated one of the nation's leading barefoot running researchers on "Barefoot vs Shod Running." One of the slides shown by this authority on barefoot running showed a patient in a neck brace with the comment being made that traditional running shoes and orthotics weaken feet just like a neck brace weakens the neck. Even though there is no research evidence to support these claims, they are often being repeated as fact by the minimalist shoe advocates, who do not seem to be hindered in making unsupported health claims about the wonderful health benefits of their favorite shoes on a regular basis. Sad, but true.

Kevin A. Kirby, DPM, Sacramento, CA, kevinakirby@comcast.net

 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

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

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 -  DAYTON, OHIO

Seeking motivated PSR 24/36 trained Podiatrist for busy established practice;  EMR established; Good surgical opportunity; Competitive salary and benefits. Send CV to: podreply@gmail.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 - BOSTON/CAPE AREA

Boston/Cape Area Practice looking for physician experienced in surgical and medical care in office, clinical, and nursing home settings. Practice will provide opportunity to utilize training immediately. Both surgical and non-surgical applicants. Email CV to: drjaa@verizon.net

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 - 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 - BRONX, NY

Full-time highly motivated, ethical, hard-working associate wanted for multiple office locations commencing 8/2012. All phases of podiatric medicine (Surgery, Biomechanics, DME, Palliative Care). Competitive base salary, malpractice insurance, bonus structure. Please email resumes to bronxpodiatrist1@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 - 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 – 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  at:   bf1818@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 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

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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