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The Voice of Podiatrists
Serving Over 15,756 Podiatrists Daily
June 27, 2014 #5,096  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
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| AT THE COLLEGES | |
NYCPM Instructor Publishes Article About Gait Analysis in Forensic Magazine
Bryan B. Kagan, DPM, Adjunct Instructor in the Department of Community Medicine at the New York College of Podiatric Medicine (NYCPM), has co-authored an article “Considerations of Gait at Crime Scenes” that has been published in the current (June/July) issue of Forensic Magazine, and also appears on the magazine’s website.
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Dr. Bryan Kagan (far right) with NYCPM forensic medicine class |
Forensic gait analysis is the identification of gait features and patterns of subjects seen on closed circuit television (CCTV) and from footprints forming a gait pattern left at the scene of a crime. Dr. Kagan teaches forensic podiatry at NYCPM, which is the first school in the nation to offer an introductory course in the new discipline of forensic podiatry.
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| PODIATRISTS AND SPORTS MEDICINE | |
Calluses Can Alter a Runner's Gait and Lead to Injury: IL Podiatrist
Think of those tough spots as badges of honor! "Callus formation is a natural response to friction and pressure," says podiatrist Dr. Megan Leahy of the Illinois Bone and Joint Institute. "Because runners obviously take more steps than non-runners, calluses may occur more readily."
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Dr. Megan Leahy |
Calluses can be harmless, and a thin layer can even offer some protection against blisters, the elements, and typical wear and tear, says Leahy—but if they become too thick or develop a deeper core (known as nucleation), they can become quite bothersome. "If the calluses are painful, this may alter your mechanics and lead to injury."
Source: Outside Magazine [6/25/14]
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| PODIATRISTS AND HUMANITARIAN EFFORTS | |
PODOA Back From Second Mission from Africa
Podiatry Overseas Association’s (PODOA) second mission trip to Togo, Africa was another resounding success. PODOA continued their partnership with K’palime Hospital. In addition to donating medical supplies to the community hospital, PODOA’s mission team performed a variety of surgical procedures over a 7-day span with Dr. Ayouba, the Chief of Surgery in K’palime, Togo.
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Dr. Mario Cala educates Togolese physicians on the concepts and theories of external fixation. |
Podiatry Overseas also held a 2-day lecture and workshop on external fixation for doctors from the University Hospital of Lomé. The lecture & workshop were both led by the Chief Medical Officer of Podiatry Overseas, Mario Cala, DPM. PODOA is in the early stages of planning their return to Togo for the next medical mission trip in December 2014.
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| QUERIES (CLINICAL) | |
Query: Removal of Excessively Large Accessory Navicular
A 13 year old female presented with a chief complaint of a painful, protruding accessory navicular on the right foot. It became painful after a minor sprain. Conservative treatment using a CAM walker boot for 4 months has reduced pain from a 10 to an annoying 3. However, any long-term pressure from shoes causes pain. The MRI indicates that virtually all of the posterior tibial tendon is connected to the accessory bone. The patient and parents want the protrusion and/or the accessory itself removed.
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Excessively Large Accessory Navicular |
Due to the size of the accessory, and the MRI report, my fear is that if I completely remove the accessory bone, the entire tendon will be detached, and she is going to have a 1 cm gap between the navicular base and tendon. I am considering just shaving off the part that is visibly protruding from the medial side of the foot rather than removing the entire body. Any suggestions for tendon re-attachment devices for this situation or other experiences would be appreciated.
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| QUERIES (EMR) | |
Query: Returning Eligible Professionals (EPs) to the EHR Incentive Program
"If you successfully met Meaningful Use in 2013, you will be exempt from the payment adjustment and do not need to submit a Hardship Exception Application for Payment Year 2015."
The above statement is copied and pasted from the CMS website. Does this mean if we don't meet Meaningful Use Stage 2 for 2014, then we will not be penalized, even without a Hardship Exemption? And would I assume there is no incentive money? And will we still be expected to meet Stage 2 requirements for the whole year in 2015?
John Fricker, DPM, Frankfort, KY
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| RESPONSES/COMMENTS (MEDICAL LEGAL) - PART 1A | |
From: Brian Kiel, DPM
In regard to the surveys and being paid for them being a scam, it appears that there is another potential "scam" out there. I was approached to participate in a clinical study for a pain cream. I initially agreed, but when I got the paperwork, I found that the patients were given a $50 "gift card" for participating, but their insurance would be filed for the medication. It also said that they would not have to pay more than $25 out-of-pocket. So each time a prescription was filled, the "investigating" company would be paid $1,000 or more and the Dr. $100. Great way to make a living. I think this proposition was sent all over the country, so beware.
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| RESPONSES/COMMENTS (MEDICAL/LEGAL) - PART 1B | |
From: Alec Hochstein, DPM
Anti-kickback laws at both the federal and state level make it illegal for a prescriber to benefit financially from referring a patient to a specific pharmacy or other medical service. The federal laws and many states include specific provisions to create a “Safe Harbor” exemption to the anti-kickback laws. Physician Specialty Compounding, LLC (PSC) has worked with a number of law firms to document the steps for creating the “Safe Harbor” required for a prescriber-owned pharmacy. After the signing of a mutual Non-Disclosure Agreement, PSC is happy to share our lawyers’ legal analysis. PSC strongly recommends that you consult with your attorney to protect your interests and to verify full compliance with all federal and state laws.
Disclosure: I am a medical consultant for Physicians Specialty Compounding, LLC.
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| RESPONSES/COMMENTS (MEDICAL/LEGAL) - PART 1C | |
From: Richard Rettig, DPM
The legalities concerning compounding pharmacies and the ways for them to "distribute" money to the prescribing physician are multiple and have been discussed here before. In my opinion, gray area or not, they do not pass the "stink test." Dr. Kass summed it up by saying the "incentive dollars (in any form) are nothing more than a kickback/scam." If that isn't clear enough, and you want to proceed, first read about today's indictment in L.A.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1 | |
From: Stanton C. Southward, DPM, MD
In my experienced opinion, spanning 45 years of podiatric surgical practice, including multiple board certifications, there is no question that cosmetic foot surgery is well within the international standards of surgical care!
I'm appalled that my colleagues will even debate the efficacy of plastic and reconstructive foot surgery when thousands of surgeons worldwide perform these procedures routinely to help their patients.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 2 | |
From: Andrew Levy, DPM
It seems to me that a podiatrist would want to keep the credibility of statements attributed to him as accurate as possible as we all try to strive for maintaining our hard-earned equality and professional position. His quote may have been taken out of context, “In the past, we’ve had to use surgery to release the tendon in the toe and sometimes actually remove pieces of bone. The Toegrip® implant is a much more conservative way to relieve the pain, which also means a faster recovery."
From the company's surgical technique instructions: "The proximal and middle phalanx articular surfaces are resected."
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| CLASSIFIED ADS |
NURSING HOME OPPORTUNITY – STATEN ISLAND, NY
Nursing Home patient care opportunity. Staten Island , 1 morning (9-12) per week. Must have NY license, med mal insurance. Available August 1. You must be ethical. Quality care expected. call 212 794 0089
PART-TIME POSITION - CENTRAL NEW JERSEY
Looking for a motivated, caring, ethical associate. Approximately 10 hrs/week. (Tuesday AM - Thursday PM) Room for expansion in this well-diversified practice. Salary + commission based. Send CV to:NJPodiatry1@gmail.com
ASSOCIATE POSITION – CONNECTICUT
Immediate position for full time ethical and motivated surgeon for a busy single location practice. Competitive compensation available leading to buy in. Board certification a plus but must have excellent forefoot and rearfoot experience. Just miles from a residency training program with hospital privileges available. bfsoffice@4udr.com
ASSOCIATE POSITION- HUDSON VALLEY REGION, NY
Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visitwww.hvfa.com and forward cover letter with CV to info@hvfa.com
WELL ESTABLISHED AND EXTREMELY BUSY PRACTICE - SOUTHERN CALIFORNIA
Seeking surgically trained, Board Certified/Board Eligible podiatrist immediately. Competitive salary and benefits compensation offered for all aspects of care including surgery, office hours, nursing home and managed care. Spanish speaking is a definite plus. We have EMR and digital x-ray. Please email your CV and coverletter to ocpodiatryoffice@gmail.com
ASSOCIATE POSITION – NYC
Busy surgical podiatry group looking for a part time associate to start immediately. This position can lead to full time work within 6 months. Must be willing to rotate through offices in Brooklyn, Queens, and Manhattan. Great opportunity for personal and professional Please contactdrlevy@starrettpodiatry.com.
ASSOCIATE POSITION – BROOKLYN, NY
Excellent opportunity for a motivated, ethical, and enthusiastic associate to join a successful, well established hospital affiliated practice. Must be residency trained PSR 24/36. Board eligible/certified by ABPS preferred. Must be component in forefoot and rear foot surgery. Competitive salary with incentives commensurate with performance. Email CV to manfootcare@aol.com or fax to: 718-875-3171
ASSOCIATE POSITION - CENTRAL NEW JERSEY
Immediate FT opportunity for an associate position leading to buy-in/partnership. Self motivated, hardworking individual surgically trained to join 30 plus year very well established practice with high patient volume. Competitive salary and benefit package. Send CV to jerseypod@gmail.com
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area. Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE - BOSTON, NORTH SHORE
Established practice with strong patient flow and key managed care contracts for sale. Strategic location in prime community. Owner desires to retire and transition. Surgical privileges at local hospital and surgery center. Member of hospital PHO and IPA. Physician referrals and patient referrals. Medicare 26% balance commercial. Contact: Mike Crosby at MCrosby518@gmail.com
PRACTICE FOR SALE – DELRAY BEACH, FL
Rare opportunity for turn-key practice in Delray Beach, Florida. EMR compliant. All office-based revenue. Full time busy practice. Owner willing to assist with transition as long as needed. Priced to sell. Serious inquires only please. Email for more information: podpractice55@gmail.com
OFFICE FOR SALE - S.E. FLORIDA
20 year old office, South Palm Beach County. Owners looking to semi-retire. Location in very busy section of Delray - Boynton. Serious inquiries only. Asking $175,000. Email reply - Bafamt@aol.com
MEDICAL OFFICE AVAILABLE - STATEN ISLAND
medical center with great parking in modern well kept multi office building. Concord, S.I., near bus, taxi, and highway. 1000 square feet (approximate), air conditioned, water available all treatment rooms, cabinets in place for purchase from previous Podiatrist. long lease available. Call 212 794 0089
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE- DAYTONA BEACH, FL
Established practice in beautiful Daytona Beach Florida for sale. Doctor retiring after 40 years in this location. Practice has included all routine podiatric care, minor surgeries, wound care providing diabetic footwear. Currently a part-time practice, but definitely has full-time potential. Email inquiries to: feetinflorida@yahoo.com
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451
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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.
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ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
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If the reader of this message is not the intended recipient or an
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