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| PM News | |
The Voice of Podiatrists
Serving Over 18,597 Subscribers Daily
June 26, 2018 #6,217  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 give tetanus shots?
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| PODIATRISTS IN THYE NEWS | |
NY Podiatrist Describes How Walking Barefoot Alters Your Biomechanics
"Walking barefoot on hard surfaces allows our foot to collapse, which can lead to a tremendous amount of stress not only to the foot, but to the rest of the body," explains Miguel Cunha, DPM, a leading podiatrist in Manhattan and founder of Gotham Footcare. This can affect your gait (your stride when you walk or run). Dr. Cunha explains that we naturally pronate (move our feet inward to absorb shock and distribute weight) during the gait cycle.
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Dr. Miguel Cunha |
But, "when we walk barefoot, we pronate for a longer period of time, which then alters the biomechanics and distribution of pressure and weight across the foot," Dr. Cunha says. "This imbalance may increase the progression of underlying foot deformities such as bunions and hammertoes and lead to painful conditions associated with excessive pronation such as arch and heel pain, shin splints, posterior tibial tendonitis, and Achilles tendonitis." In extreme cases, this can "translate upward, affecting other parts of the body such as our knees and back."
Sam Brodsky, Metro [6/22/18]
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
LA Podiatrist Named Healthcare Hero
Maria Saucier, DPM of Central Louisiana Foot & Ankle Specialists has been named "Best Podiatrist" by Town Talk Magazine. Dr. Saucier attended medical school at the Scholl College of Podiatric Medicine at Rosalind Franklin University in North Chicago, IL, where she received her Doctor of Podiatric Medicine. After graduating, she completed her residency with the Central Alabama Veterans Healthcare System.
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Dr. Maria Saucier |
Dr. Saucier is board certified in Foot Surgery by the American Board of Foot and Ankle Surgery. She has hospital affiliations with Christus St. Frances Cabrini Hospital in Alexandria, LA .
Source: Jim Smilie, Town Talk [6/24/18]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
GRMC Hires NJ Podiatrist
Guam Regional Medical City (GRMC) has hired Phillip Tutnauer, DPM, an in-house podiatrist. Dr. Tutnauer practiced in New Jersey for over 25 years and will be part of GRMC’s growing specialty clinics.
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Dr. Phillip Tutnauer |
“Tutnauer’s services literally gives us boots on the ground in achieving our mission to treat our patients from head to toe, said Dr. Felix T. Cabrera, GRMC chief medical officer. “In addition to his expertise in complex cases, preventative care will be his focus.”
Source: Pacific Daily News [6/20/18]
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| PODIATRISTS AND FOOTWEAR | |
Wear Patterns on Shoes are Indicator of Foot Health: NC Podiatrist
If you suffer from sore calves, or unexplained pain in your feet, knees, or lower back, go grab a pair of your older shoes and flip them over. “Looking at the patient is definitive, but you can make a thumbnail sketch by looking at that,” said Richard Lind, DPM, a board-certified podiatric surgeon with Carmel Foot Specialists in Charlotte. Dr. Lind said when it comes to feet, everybody has a type. Looking at your shoe, if the outside edge is worn, you likely have a high arch and put all of the pressure on the outside of your foot.
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Dr. Richard Lind |
“That high-arch foot is a much more rigid foot so they are a very hard heel striker and forefoot planter, so they’re going to be almost bowlegged, and they’re going to have some lateral knee strain,” Dr. Lind said. If your shoe is worn down on the inside edge, doctors say that’s because your arch collapses during walking, forcing your ankle to roll inwards.
Source: Ashley Daley, WCNC [6/20/18]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Guaranteed Ways to Get Sued - Part 3
3. Lackluster patient communication - Patients want to know what’s going on with their health, but physicians make communication mistakes that muddy the waters. Rather than being clear and consistent, doctors tend to use medical jargon or offer confusing descriptions of health conditions and the planned treatment strategies. “Many patients, particularly those with less education or lower economic classes, are too embarrassed to ask what the doctor means or what they’re talking about,” says Samuel N. Klewans, JD, a partner at Grad, Logan and Klewans, a law firm in Falls Church, Va. He has experienced this lack of translation himself. “It has happened to me with doctors, and I said, ‘Tell me in English, something I understand.’” If a physician seems to be speaking a different language, patients may not even know what questions to ask.
Patients who feel their provider has been thorough, that everything was explained to them along the way, are less likely to pursue a claim if there’s an unexpected or unwanted outcome. “But if the physician is not communicative, he’s going to get sued,” Klewans says. “As a caregiver, it’s the doctor’s job to help patients feel comfortable.” Patients’ families are also a frequent part of the equation, something physicians don’t always consider. When patients and their loved ones don’t have a good understanding of the care and planned procedures, a lawsuit could be on the horizon.
Source: Julie Knudson, Physicians Practice [6/20/18]
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| QUERIES (NON-CLINICAL) | |
Query: Digital X-Ray Systems
We are currently deciding between Televere (Tigerview) and 20/20 digital x-ray systems for the office. Wondering if anyone has any comment or experience with either system regarding usability and customer support.
Leonard Kuzmicki, DPM, Spring Valley, IL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Ayne Furman,DPM
I understand that the query was asking for surgical advice, but I would like to offer a few conservative care treatment suggestions that I used successfully in my practice that may not have been tried for symptomatic posterior insertional retro-calcaneal exostosis:
1. D/C all Achilles tendon stretching or any exercise that heel drops below the level of the forefoot during the symptomatic stage. It has been my experience that PTs often will give patients aggressive stretching programs for almost any type of foot pathology.
2. Start on modified Alfredson exercises. Do not allow the heel drop below the level of the forefoot.
3. Make sure the posterior heel is off-loaded when the patient is watching TV or reading. Alert the patient not to rest the posterior heel on a coffee table or foot stool.
4. Modify a night time splitting so the heel is off-loaded in bed. Most of my patients noticed significant improvement in their heel pain doing the above (sometimes with the help of a NSAID) within 3-4 weeks.
Ayne Furman, DPM (retired), Alexandria, VA
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: David Zuckerman, DPM
I am surprised that ESWT hasn’t been mentioned as a treatment for Achilles tendinosis with or without posterior calcification. Typically, the pain is caused by degenerative fibers of the insertional Achilles tendon. John Furia, MD published a peer-reviewed article in the American Journal of Sports Medicine titled, "High-Energy Shock Therapy as a Treatment For Insertional Achilles Tendonpathy." ESWT is non-invasive, office-based, with none of the disability and complications typically known with surgical approaches to this difficult clinical problem.
David Zuckerman, DPM, Cherry Hill, NJ
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1 | |
It is with great shock and sadness that I read of Gerald Kuwada, DPM's passing. I had known him for many years as being one of the most "multi-dimensional" people I have ever had the privilege to meet. He had an enormous range of interests and skills, many FAR beyond his profession.
It was always a joy to speak with him because you never really knew what HE knew until you had a chance to delve into his depth. When speaking with him, I found it far better to simply not speak and to listen instead. He had a "centered" outlook and view of life, with a calm voice that was always able to put even the most negative facts into a "wider perspective". We are all poorer for his passing. I express my profound condolences to his family.
Michael M. Rosenblatt, DPM, Henderson, NV
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| RESPONSES/COMMENTS (OBITUARIES) - PART 2 | |
RE: The Passing of Gerald Kuwada, DPM
It has been nothing less than a fortunate honor to have known Gerry as my resident in the mid-70s, and as a colleague and friend serving on various committees. Gerry was a warm, energetic, intelligent, competent person who possessed true loving kindness to everyone. I was very lucky to have him as a close friend, sharing podiatric issues as well as social and many enjoyable comical moments. I missed him by not seeing him often for the past few years, Gerry was a true unsung hero as a podiatrist and human being. My sympathy to his family and may G-D protect and bless his soul. As painful as it is to know he is gone, I am able to smile knowing the fun and laughter that he and our close knit friends shared.
Robert B. Weber, DPM, JD, MBA
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: Elliot Udell, DPM
The initial results of the survey being conducted on PM News indicate that the majority of podiatrists are not giving tetanus injections. The questions that should be asked is "why not?"
Let me preface this by saying that in our practice, we used to give tetanus vaccinations to patients presenting with puncture wounds along with a history of not having had one in ten years. We stopped doing this when the cost of storing the vaccine, which has a short shelf life, became overwhelming. That being said, I often wonder if we are professionally obligated to bite the stiff economic bullet and make this available for patients with puncture wounds. The window of opportunity for vaccinating a patient who sustains an infected puncture wound and contracting tetanus is very short, and if we miss that opportunity and the patient does indeed develop the disease, are we liable?
What we do now in our practice is that we send the patients to an internist or to urgent care for the shot, but what if those sources are not available on the day the patient presents with the puncture wound? Could I be held responsible for not giving the injection?
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Colorful Converse Canvas for a Cause |
Source: Sole Collector
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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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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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 - 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
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 – 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 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
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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