The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

June 27, 2012 #4,499 Publisher-Barry Block, DPM, JD

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Podiatry Management Introduces New Facebook Page & Contest

Podiatry Management is proud to announce the launching of its new Facebook page www.facebook.com/PodiatryManagement We encourage you to visit it. 

As an incentive, we are holding a contest. Simply like us and be eligible to win a free registration for the Greenbrier Coding and Practice Management Workshop(Value $395). Enter now. The contest ends June 28, 2012. No purchase necessary.

High Heels Create Potential Health Issues for Young Girls: CA Podiatrist

What do little girls need? To be taller. How do we make that happen? Put them in high heels. Michael Kors now makes 3-inch heels for little girls and has tons of mommy bloggers up in arms about it. Apparently, we can blame Suri Cruise for the trend. She was spotted wearing gold sandals with heels several years ago and don't all little girls want to look like Suri? 

Dr. Joshua Kaye

Dr. Joshua Kaye, Podiatrist, says this new trend is a really bad idea. “When it comes to young girls wearing heels -- they have not yet reached skeletal stability at the age of six and if they chose to wear heels, they increase their risk of fractures and ankles sprains, which in turn could lead to other potential health issues,” says Kaye.

Source: Madison Vanderberg, Hollywood Scoop [6/23/12]

Barefoot and Minimalist Shoe Runners Need to Start Slowly: UT Podiatrist

Barefoot running is, for many, not technically done without shoes. Rather, runners slip on shoes that look like gloves for feet, with little tubed slots for each toe. A 2010 Harvard Study and the book Born to Run both claimed that barefoot, or minimalist, running decreases pounding on the body and can help runners increase the length of their runs. Dr. Brandt Gibson, a podiatrist and runner in American Fork, however, is cautioning people to take it slowly.

Dr. Brandt Gibson

"It can take up to six months to a year to run fully in those shoes," Gibson said. "You are increasing your chances of injury if you are wearing a barefoot running shoe and you don't work into it." He says to first try the shoes for five minutes during a typical run, a couple of runs a week, and then increase the time 10 percent at a time, eventually working up to the full length of the run. Gibson says that the caution is, in part, because many runners will end up completely changing the way they run, essentially retraining. If a runner is a natural heel-strike runner, the method will switch the runner to a mid-foot or fore-foot strike.

Source: Mary Richards, SSL Radio [6/23/12]

CA Podiatrist's Company Signs Distribution Agreement for Sanitizing Products

Dr. Kenneth Gerenraich

Rehabmart.com, an online e-commerce company that sells rehabilitation and medical supplies, has joined into a distribution agreement with Woodward Laboratories to offer their patented Handclens hand sanitizing and cleansing products to a wider consumer market. Founded in 1992 by Kenneth Gerenraich, DPM, with his original formulation to treat toe and fingernail fungus, and soon joined by Dr. Daniel Chodosh, a scientist and pioneer in transdermal delivery systems, the company gained immediate success and professional endorsement with its initial product, Myocide NS.

Source: digitaljournal.com [6/25/12]

Fake San Jose Podiatrist Convicted of 19 Felonies

A San Jose man who owned a chain of laser treatment centers for toenail fungus turned out to be footloose about actually being a doctor and was convicted Friday of 19 felony counts of practicing medicine without a license. Cary Silberman, 53, ran spas in San Jose, San Francisco, San Ramon, Beverly Hills, and Manhattan called Shiny Toes, an operation that was tarnished last year when Silberman was arrested after an investigation by the Medical Board of California.

Lisa Schon, Santa Clara County prosecutor, said he was fraudulently presenting himself as a licensed doctor, diagnosing patients with toenail fungus, and treating the condition with lasers. Silberman faces up to 15 years in prison at his sentencing next month.

Source: Eric Kurhi, San Gabriel Valley Tribune [6/23/12]

Most Medicare Docs Used EHR in 2011

A majority of physicians participating in Medicare used an electronic health-record system last year, according to a recent government survey. HHS' Office of the Inspector General randomly sampled 2,000 of Medicare's physicians in 2011 and found that 57% of them were using an EHR at their primary practice location.

The figure mirrors that from a 2011 annual report by the Centers for Disease Control and Prevention, which found that 57% of all office-based physicians were using an EHR system at their primary practice location. In contrast, the Medicare Payment Advisory Commission reported in April that only 25% of independent physicians had registered with the federal EHR incentive program, and 6% had qualified for payments.

Source: Rich Daly, Modern Healthcare.com [6/24/12]

Query: Fosamax and Neuropathy?

My patient complains of increased neuropathy symptoms since being placed on Fosamax. Is anyone aware of a relationship between Fosamax and increased neuropathy symptoms?

Norm Wortzman, DPM, Boston, MA

Query: Another Set of Foot Orthotics

We have a patient who was last seen 2 years ago, and got custom foot orthotics that are working out quite well for him. He just realized that his policy will renew on July 1st and wants to get new orthotics before then. Does he have to come in for evaluation before getting new ones?

The patient does not want to come in for an appointment prior to getting his new ones. He just wants them reordered, and then he will come in for dispensing. He has BlueCross BlueShield of Maryland. Please advise.

Name Withheld by Moderator

Response: Two years is a long time. No self-respecting optometrist would dispense a new pair of glasses without first examining the patient.
While the patient may believe he's functioning well, what happens if you have a new device fabricated from the old digital image, his foot has changed, and the patient sustains an injury from the new device?

Whether you choose to charge the patient for that visit is one issue. I would never dispense a new device to anyone I have not seen in two years without first doing an examination.

Paul Kesselman, DPM, Woodside, NY

Editor's note: Dr. Kesselman is a featured speaker (and available for your questions) at the Codingline-PM News Coding & Practice Management Workshop, August 20-22 (following the APMA Annual Meeting) at the Greenbrier -www.podiatrym.com/greenbrier.cfm

Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

RE: Implant Exchange (Alan Spector, DPM)
From: Charles Moreli, DPM
 
Having dealt with a similar problem, before you decompress the joint any further, look at the sesamoids and make sure that you have enough "room" for further decompression. You don't want to place the distal aspect of the sesamoids within the joint space. Also, consider replacing the implant with a smaller size. The one that you inserted initially may have been too big.
 
Charles Morelli, DPM, Mamaroneck, NY, podiodoc@gmail.com

RE: NY Assembly Passes Expansion of Scope of Practice Law
From: Bryan C. Markinson, DPM

New York has a new scope of practice bill. The leadership has stated in an e-mail to the members that they were offered a bill by the Assembly leader with advisement to accept it now and have it pass now. The NYSPMA leadership then went on and explained that they were assured by the bill's sponsors that it could eventually be "tweaked" pending discussions with stakeholders.

The good news is that some level of DPM training and certification will be allowed to take advantage of the new scope, which for the most part will include the coveted osseous ankle. Those meeting the requirements for osseous ankle surgery will also be the ONLY ones who can biopsy a skin lesion or scrape a wart off the distal leg. It is this insanity that leads members to...

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

RE: NY Assembly Passes Expansion of Scope of Practice Law (Jeffrey Kass, DPM)
From: Dale Feinberg, DPM

I remember the 1982 emergency meeting like it was yesterday. I was a young non-residency trained podiatrist in Santa Monica, CA who had just bought an old C&C practice that was heavily tilted to Medicaid. There was a Southern California meeting and a Northern California meeting for all 2,500 California DPMs. The gist was that our future was in balance and, if each podiatrist did not immediately contribute $1000 to the PAC, Medicaid in California would go down the drain.

As it turned out, only the recent graduates and the old timers heeded the call to action with their checkbooks, and the PAC used the funds to pass legislation that only impacted 20 podiatrists in the state. I came out on the short end of the stick. Some things never change with the passage of time. Some people call that politics.

Dale Feinberg, DPM, CPed, Yuma, AZ, hd5bl@aol.com

RE: Source for Local Anesthetics (Peter Smith, DPM)
From: Jason Cohen, DPM

I received lidocaine today from Moore Medical. They are 20ml bottles, not the usual 50ml I order, but they have it. Perhaps Dr. Smith should call his Moore rep back.

Jason Cohen, DPM, Bronx, NY, phootdr@optonline.net

RE: The Passing of Richard Bogdan (Richard Stess, DPM)
From: Steven King, DPM

Biomechanics is alive because of the life of Dick Bogdan. Dr. Richard Bogdan had a deep love for the study and understanding of the mechanics of gait. His acumen in this field was so broad that he would often make our heads spin in three different planes of motion.
 
He was an early pioneer in the field of simple machine mechanics by being the only podiatrist to write a biomechanical review for the spring orthotic device currently being developed for the U.S. Department of Defense and Army's Medical Research and Materials Command.
 
He will be missed by his former students, residents, and freinds of whom I am blessed to be one of each. "A Hui Hou" Richard.

Steven King, DPM, Maui, HI

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 – 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 - 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 - 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 - 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 POSITIONS– MARYLAND

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

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.ne

tWANTED TO PURCHASE- PINPOINTE LASER

Seeking to purchase Pinpointe used laser. Willing to pay top dollar. Please contact us at:sbalandrano@zapnails.com or (1) 713-541-3764.  Product Information: Product: PinPointe (Patholase) Company: Cynosure / PinPointe Type: Nd:YAG Options: Podiatry/Toenail

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 516 476-1815PODO2345@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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