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PM News

The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

June 25, 2012 #4,497 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2012- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

PODIATRISTS IN THE NEWS

FL Podiatrist Saves Limbs of Patient with Necrotizing Fasciitis

Chester Cocozza has a compromised immune system from heart, vascular and circulatory diseases, which is likely a factor to explain why he developed necrotizing fasciitis, a flesh-eating infection; but he is on the mend after aggressive treatment, said Dr. Philip Organ, director of the Wound Care Center at Physicians Regional Medical Center at Collier Boulevard. "He is probably two or three or four months away from completely healing," Organ said. "He no longer has an infection. His wound is shrinking in size."

Dr. Philip Organ

What really helped Cocozza turn the corner was getting on pain management therapy and getting his other medical issues under control, Organ said. That enabled Organ to take Cocozza to the operating room to remove dead and infected tissue. The surgery was on Christmas Day. "By the time I got him to the operating room, (the infection) was up the side of his calf," Organ said. Besides having the patient undergo daily hyperbaric oxygen therapy, Organ has used negative pressure wound therapy to help drain the wound and frequent debridements, or cleaning, the wound around the edges.

Source: Liz Freeman, Naples News [6/19/12]

INTERNATIONAL PODIATRISTS IN THE NEWS

Broken Bones Unlikely to Predict Weather: Canadian Podiatrist

Is there any truth to the belief that bones that have been broken can help you predict the weather? "Back in podiatric medical school in San Francisco," says Dr. Lloyd Nesbitt of Toronto, "a local rheumatologist taught us that grandmothers would often be able to tell that it was going to rain as their bunions (enlarged big-toe joints) would be sore." This is because, during the fall in atmospheric pressure that indicates impending rain, the joints can expand.

Dr. Lloyd Nesbitt

However, he doubts that bones that have been broken would react in a similar fashion. "In fact, often when a foot bone has healed from a break ... it heals in a thickened or stronger state than it was originally. Unless the fracture involved an adjacent joint, then a broken bone would be unlikely to enable you to predict the weather."

Source: Philip Jackson, The Globe and Mail [6/23/12]

PODIATRISTS AND SPORTS MEDICINE

No Research for Improved Performance or Less Injuries From Minimalist Shoes: MN Podiatrist

“There is no research to show that you are less likely to get injured or that your performance will improve (from wearing minimalist shoes),” said Dr. Paul Langer, a podiatrist at Twin Cities Orthopedics and an avid runner. “But when you run barefoot, or in minimalist shoes, you do change your movement pattern. For some people that can be beneficial.” For example, the knee might not work as hard, but the feet and ankles work harder. Langer has seen stress fractures in the feet or Achilles’ tendon injuries.

Dr. Paul Langer

Langer, who uses minimalist shoes to augment his own training, advises people to transition into the style slowly. “I look at it as a training tool,” he said. “Some people can incorporate it into their training and it can rejuvenate their running.”

Source: Kent Youngblood, (Minneapolis) Star Tribune [6/20/12]

STATE PODIATRY NEWS

NY Assembly Passes Expansion of Scope of Practice Law

After a long and concerted effort, the New York State Podiatric Medical Association achieved a political victory when the New York State Assembly approved Bill A3475 expanding the scope of practice to the ankle for podiatrists who have completed a CPME-approved residency or are board certified by ABPS or other certifying organization approved by the Education Commissioner.

In previous years, this Bill has been passed by the NY State Senate, only to fail passage in the Assembly. The bill now needs to be signed by the governor to become enacted.

QUERIES - NON CLINICAL

Query: Neutralizing Powder for Cidex

Does anyone know the name of the powder that neutralizes Cidex? Where is it sold? How much does it cost? We were told that after neutralizing the Cidex, it can be poured down the drain.

Joseph Borden, DPM, Reseda, CA

RESPONSES / COMMENTS (CLINICAL) - PART 1

RE: Implant Exchange (Alan Spector, DPM)

From: Vincent Gramuglia, DPM, Michael Corcoran, DPM

I have had success in this situation by leaving the arthrosurface metatarsal cap in and performing a Keller procedure.

Vincent Gramuglia, DPM, Bronx, NY, a2onpar3@optonline.net

I've seen several cases of Arthrosurface removal. Of course, arthrodesis is probably the best option with the most predictable results. However, as your patient does not want arthrodesis, an alternative is to remove the implant and perform a Keller with folded GraftJacket interposition. A double-stemmed implant would be a challenge because of the way the first metatarsal head was reamed for the Arthrosurface.

Michael Corcoran, DPM, Belvidere, IL, corcoranm@gmail.com

RESPONSES / COMMENTS (CLINICAL) - PART 2

RE: Non-Surgical Approach to Plantar Fibromas (Chuck Ross, DPM)

From: John J. Hickey, DPM

I've had luck using transdermal Verapamil 15% gel from PDLabs- it's a non-invasive treatment also used for Peyronie's disease, but I'm not treating that with a ten-foot pole.

John J. Hickey, DPM, Levittown, NY, jhickeydpm@earthlink.net

RESPONSES / COMMENTS (MEDICAL/LEGAL)

RE: Restrictive Covenant (Jeff Mennuti, DPM)

From: Ron Raducanu, DPM

I'm afraid you haven't done your homework. The well prepared resident will have started all of this about one full year before graduation: getting on insurances, finding a location, approaching banks for a loan...etc. If you are taking out a loan, you should consider that you won't get any money from any insurance carriers for about a full year, and should factor that into your loan amount.

There is money out there, but you have to be ready. You can't just walk into a bank and ask for it. The lending brokers are looking for a prepared lendee. This includes population density studies, demographic information, professional density studies...etc. It is possible to...

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

RESPONSES / COMMENTS (OBITUARIES)

RE: The Passing of Fred Pearl, DPM

I am sorry to report that Fred Pearl, DPM passed away last Saturday, June 16, 2012. He had been suffering from cancer, but died peacefully at home surrounded by family. The funeral and burial was Tuesday, June 19. Dr. Pearl was a past-president of the Florida Podiatric Medical Association. He practiced in Central Florida for more than 40 years. Dr. Pearl was also a reserve Seminole County Deputy for more than 12 years, and he served as a Longwood City Commissioner. He was active in the Rotary Club. He is survived by his wife, five daughters, 3 step-children and 12 grandchildren.

Mark Davids, DPM, DeLand, FL

RESPONSES / COMMENTS (NON- CLINICAL)

RE: Donating an X-Ray Machine (David Alper, DPM)

From: Bob Hatcher, DPM

Crosslink International (crosslinkinternational.net/) often can find locations for medical equipment such as x-ray units, stretchers, etc. They will provide a receipt of donation promptly, and the item(s) will usually be on the way to the field within a day or two.

Bob Hatcher, DPM, Raleigh NC, boboffice@nc.rr.com

RESPONSES / COMMENTS (EMR)

RE: E-prescribing (Correction)

From: Dusky Farmer, DPM

I have been informed that the e-Rx code does not have to be reported with an office visit. It can be reported with any billable code.

Dusky Farmer, DPM, Evansville, IN, farmerdusky@gmail.com

MEETING NOTICES - PART 1

RESPONSES / COMMENTS (NEWS STORIES)

RE: NY Assembly Passes Expansion of Scope of Practice Law

From: Jeffrey Kass, DPM

A New York "modified" Podiatry Scope Bill was passed by both the NYS Assembly and Senate yesterday. Is this good news or bad news? This is for the readership to decide. I encourage everyone to read it. Personally, this was a huge disappointment to me. It does absolutely nothing for 95% (the overwhelming majority) of the current practicing podiatrists in the state of New York. It will serve to help the 15-20 rearfoot board-certified ABPS podiatrists who are currently in New York. It will also potentially help those graduating from programs in the future. I find it tragic that the bill does not support the overwhelming majority of the podiatric physicians. Once again, we chose podiatric surgery over podiatric medicine. Once again, we divide ourselves. What did we just accomplish? Was the majority of the profession served?

Jeffrey Kass, DPM, Forest Hills NY, jeffckass@aol.com

MEETING NOTICES - PART 2

Codingline & PM News In conjunction with AAPPM Present
The Greenbrier Coding & Practice Management Workshop - August 20-22

(Following the 2012 APMA Annual Scientific Meeting in Washington, DC)

The Infinity Pool at the Greenbrier

Coming to Washington D.C. for the National? Don't miss out on being treated like a President and First Family. Enjoy world class amenities including golf, tennis, spa, casino and children's programs.

Speakers: Harry Goldsmith, John Guiliana, Barry Block, Michael Brody, Paul Kesselman, Jonathan Moore, Rem Jackson, Chad Schwarz, and other nationally-known authorities in morning-only presentations.

RESERVE YOUR UPGRADED ROOM BY JUNE 3Oth

Click Here for information or to Register

CLASSIFIED ADS

WANTED TO PURCHASE- PINPOINTE LASER

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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

ASSOCIATE POSITIONS – MARYLAND

Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Our group, Podiatry Management Services, provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

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 – 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 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 - 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 TUCSON - SOUTHERN ARIZONA
Accepting applications for an associate position. Applicant must have completed surgical residency and be Board Qualified/Certified. Our practice involves multiple office locations and looking to expand. We offer all aspects of foot and ankle medical and surgical care. Hospital and Surgery Centers privileges. Competitive salary and benefits. Partnership opportunities available. email resume to: drdafac@gmail.com

ASSOCIATE POSITION – VIRGINIA

Two office practice, hospital and surgery center privileges, trauma call, modern offices, EHR, digital x-rays. Excellent compensation package. Position may lead to partnership. Candidate needs to be experienced in foot and ankle reconstruction and trauma. Email letter of interest and CV to Dr. Joe Disabato at jdisabato@vfasa.com

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 - 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 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

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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