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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 18,601 Subscribers Daily
June 25, 2018 #6,216  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 RESULTS |
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Results of last week's poll |
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| PM NEWS QUICK POLL |
Quick Poll
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Do you give tetanus shots?
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| PODIATRISTS AND FOOT AND ANKLE SURGERY | |
Ankle Surgery by IA Podiatrist Returns Runner to the Road
More than a decade ago, Renee Kruse, of Dakota Dunes, was doing a speed workout on the track when she heard a popping sound and felt pain in her left foot. Kruse continued to run in the days, weeks, months, and even years following the injury, which was misdiagnosed. She experienced persistent soreness and struggled to walk at times.
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Dr. Valerie Tallerico |
Ultimately, Kruse decided in November 2014 to undergo an operation to "fuse" two hindfoot joints in her hometown of Sioux City. The procedure was performed by Dr. Valerie Tallerico, a podiatrist at UnityPoint Clinic Podiatry. "From her past injury, they might have missed a possible stress fracture of her navicular, or that pop that she felt had actually led to deformity of that bone and that joint there," Tallerico explained. For full story, click here.
Source: Dolly A. Butz, Sioux City Journal [6/22/18]
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| PODIATRISTS AND SPORTS MEDICINE | |
NJ Podiatrist Discusses Blisters
Even if you've never worn pointe shoes, you know how terrible a blister can be. No matter how small or seemingly insignificant a blister looks, it seems like when you get one, you can't walk, work out, or deal at all. You're not dramatic, because blisters can hurt big time, according to Alan Bass, DPM, a podiatrist and spokesperson for the American Podiatric Medical Association in New Jersey. But knowing how they happen in the first place can help you treat them the right way, ease the pain, and more importantly, prevent them in the future.
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Dr. Alan Bass |
Blisters are caused by friction between a bony prominence on your foot and your shoe, Dr. Bass says. "Through this friction, the outermost layer of skin starts to give way and bubble up," he says. Then, fluid fills between the separated skin, which causes the classic blister bubble. The reason why it hurts so much is because the fluid itself is under pressure," he says.
Source: Cory Stieg, Refinery 29 [6/21/18]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Guaranteed Ways to Get Sued - Part 2
2. Bad documentation habits -Diane C. Fernald, RN, JD, vice president of education and consulting services at Med-IQ, headquartered in Baltimore, says that what she calls “transactional or process errors” lead to more malpractice cases than medical errors. Documentation is one area of focus in many lawsuits and poor or insufficient documentation practices can put physicians on risky legal footing.
Even giving a patient accurate information but not writing it down might lead to trouble years later. The passage of time dims the physician’s recollection, and the busy nature of the practice environment only compounds the problem. “You’ve seen hundreds of patients since then and there’s no way to remember with any clarity what you said or did,” Fernald says. With little defense at hand, a claim might not be far behind.
Source: Julie Knudson, Physicians Practice [6/20/18]
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Gerald T. Kuwada, DPM
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Dr. Gerald Kuwada |
We are very sad to report the passing of Gerald T. Kuwada, DPM. Dr. Kuwada co-founder of the NW Podiatric Foundation (now known as the International Foot & Ankle Foundation-IFAF), along with Dr. Dockery in 1979. He served on the IFAF Board of Directors from 1979-2015, when he retired from private practice and became a Professor Emeritus of this organization. Dr. Kuwada was an educator, residency director, surgeon, author, poet, and good friend. Our condolences to his family. He will be sorely missed.
Gary Dockery, DPM
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Steven J. Kaniadakis, DPM
On this weight-bearing lateral view, there appears to be the very subtle anterior break in the Cyma line, because the sinus tarsi is essentially obliterated, and there is a decreased calaneal inclination angle. These findings give rise to a decreased metatarsal declination angle, perhaps the etiology of the clinical presentation of a tyloma. Is it bilateral, because she may be compensating from one foot/ankle and a contralateral condition? Does she have flexible pes cavus foot or feet?
Try conservative measures, including carefully aligning and placing a "dancer's" pad or metatarsal pad in the shoe, placed slightly proximal to the metatarsal heads. Better yet, have any padding built into the forefoot extension of an orthotic. Make the extensions and padding bilateral. There appears to be an incidental finding of an accumulation of fat rather than a "bursa sac". I noticed what appears to be some early stages of anterior spurring in the talar beak or some variation of the typical beak. She may need a peg in the sinus tarsi.
Steven J. Kaniadakis, DPM, St. Petersburg, FL
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Bryan C. Markinson, DPM
In the case presented on dermal sarcoma, it would have been better to first do a biopsy on a portion of the lesion. As presented, primary excision before knowing the biology of the lesion is not optimal. Histologic findings not only identify that the neoplasm is malignant, but a biopsy can give important information as to the aggressiveness of the tumor. As such, it is better left in the patient until that info is known. When excised primarily, only to find out it was malignant afterwards, this presents problems for wide excision planning. What may have been a conservative but complete excision now has to be expanded to a much wider surgical field as the tumor margins are now not reliably identifiable. On feet, this may create the need for an otherwise unnecessary amputation or need for free flap.
Additionally, patients need to be staged before complete excision. Definitive local surgery planning will often change if the patient has been found to have metastases. Lastly, some tumors require local radiation and/or chemo before definitive surgery is performed. The best way to go in a case like this is an initial biopsy. If benign, planning for excision is easy and straightforward. If malignant, referral to a university/hospital-based sarcoma treatment team with tumor intact is optimal.
Bryan C. Markinson, DPM, NY, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
From: Brian Kiel, DPM, Dave Williams, DPM
I have had good results using Topaz on the Achilles as well as plantar fascia. Over a period of time, I have devised a technique that works well.
Brian Kiel, DPM, Memphis, TN
Surgery may still be an option, and you do not have to transect the Achilles tendon for good results. O.A. Mercado, DPM made a series of surgical instructional DVDs entitled, “The Art of Surgery.” He has 2 specific DVDs dedicated to Haglund’s deformity and calcified tendo-Achilles. I recommend the series. He is a wonderful teacher.
Dave Williams, DPM, El Paso, TX
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Extra Depth Steel-Toed Shoes (Charles Halverson, DPM)
From: Donald Blum, DPM, JD, Kevin Pearson, DPM
Dr. Comfort carries a boot that is toe protected. Go to their website. I am sure other diabetic insole and therapeutic shoe distributors carry this type of product as well. Dr. Comfort advertises "Protector - Finally a Steel-Toe boot that blends art and technology. Durable leather, a NEW tough high abrasion, oil-resistant outsole and rugged good looks."
Donald Blum, DPM, JD, Dallas, TX
I have had success with Dr. Comfort's Protector boots for some deformities. However, a significantly contracted hallux may not be able to be accommodated in a steel toe shoe and may require an IPJ fusion.
Kevin Pearson, DPM, Stockbridge, GA
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Allen Jacobs, DPM
Mark Twain is credited as saying, "There are 3 types of lies; lies, damn lies, and statistics."
Dr. Paul Dayton has devoted considerable time and effort to examining the current state of bunion deformity and correction. His work is worthy of consideration. It appears to me that those positing opinions in PM News on this subject may not be particularly familiar with his work regarding the need for stability and triplane 1st ray correction.
One question which needs to be addressed is whether or not...
Editor's note: Dr. Jacobs' extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Celebrity Shoes of the Day
Here's the the newest addition to the world's largest celebrity shoe collection. Ringo Starr's well-worn Beatle boots from the North American tour in 1964.
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Ringo Starr's Boots |
These will join the John Lennon boots from the same era.
Source: The collection of Dr. Hartley Miltchen
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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
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 – 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 - ST. LOUIS AREA
Full time associate position immediately available in busy office. Multiple offices/locations. PSR-36 or 24 board qualified/certified foot and ankle surgeon. Competitive benefit package. Send CV to smadpm@charter.net.
ASSOCIATE POSITION - NASSAU COUNTY, NY
Exciting opportunity! Busy Nassau County, NY office seeks full time podiatrist. State-of-the-art facility. Complete EMR, digital radiograph and diagnostic ultrasound. Excellent salary and benefits. Must be board qualified. Please e-mail resume to: Medicalofficeinquiry@gmail.com, or call: 516-902-1073
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 - HOBOKEN, NJ
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 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
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 - 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 IN SURROUNDING DENVER, COLORADO
Well rounded practice including general podiatry, outside wound care revenue and surgery. Existing doc will stay on for up to 1 year for transition period. Please email sqdpm@afaclinic.com for further details. Visit website: www.afaclinic.com.
OFFICE FOR SALE - NORTHERN, NJ
30 years. Modern Office. Large, off street, parking lot. Northern NJ, Passaic County. All commercial insurance . Fully equipped, 3 treatment rooms, digital x-ray. Priced To Sell. Email to Cj9996@gmail.com Please include cell phone number.
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
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
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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