The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

July 01, 2013 #4,810 Publisher-Barry Block, DPM, JD

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Podiatrist Meets with Florida Surgeon General

Dr. Chet Evans, chair of the Governor's Diabetes Advisory Council, met with Florida Surgeon General Dr. John Armstrong to discuss issues involving Florida citizens that have, or are affected by, diabetes. Evans said, " Diabetes is the 6th leading cause of death in Florida, costs the state in excess of 10 billion healthcare dollars annually, and one out of ten of Florida's citizens have received that diagnosis by their doctor. Another one in ten have pre-diabetes or are undiagnosed diabetics."

(L-R) Drs. Chet Evans and John Armstrong

The chair of the Diabetes Advisory Council meets yearly with the Surgeon General to propose recommendations that can benefit those who suffer from the burden of diabetes. Dr. Evans commented, "The Surgeon General's Healthy Weight Initiatives will help to significantly address the scourge of diabetes in Florida, because we know that obesity is the predominant risk factor leading to this disease. The Council looks forward to working with him in that regard."

PA Podiatrist Provides Nail Preservation Tips for Runners

One of the side-effects of running is the bruising, loss, or thickening of toenails. It isn't pretty. "It comes from repetitive trauma of the nail against the shoe," said Nick Taweel, doctor of podiatric medicine at the Rothman Institute at Jefferson. But it doesn't have to be this way for everyone, Taweel said. "I guess in a way it's part of the sport, but it certainly can be prevented," he said.

Dr. Nick Taweel

First, he said, make sure your shoes fit properly "so there's no pressure on the ends of your toes." Then tie your laces so that they're snug but not super-tight. "If the laces are loose or not tied properly, the foot can slide forward," he said.

Source: Jen A Miller, Philadelphia Inquirer [6/30/13]

Malta Podiatrist Provides Summer Nail Care Tips

Our feet will take most of the heat this summer as we trade shoes for sandals or even go barefoot. Podiatrist Yvonne Grattan explains that aside from making our toes look good, foot care is beneficial to our health. Let us start with the nails. "It may seem like cutting our nails is straightforward, but unfortunately, it is not. Incorrect cutting can cause serious problems. It is important to follow the natural line of growth (where the pink becomes white) and leave a millimeter or two of free white edge. Cutting the nails to the skin is never a good idea," says Grattan.

Podiatrist Yvonne Grattan

Nail plates should be a healthy pink and fairly smooth, even their texture. If not, get them checked by a podiatrist. "Changes can be due to various disorders and health issues, and foot ailments can be a sign of more serious medical problems," says Grattan.

Source: Times of Malta [6/28/13]

WI Podiatrist Joins St. Croix Orthopaedics

Podiatric surgeon Benjamin L. Clair, DPM, has joined St. Croix Orthopaedics, seeing patients at its Minnesota clinics in Wyoming, Woodbury, and Osceola, WI.

Dr. Benjamin Clair

Dr. Clair received his medical degree from Rosalind Franklin University of Medicine and Science, Chicago, IL. He completed an internship at Hennepin County Medical Center, Minneapolis, MN, and completed a Foot & Ankle Surgical Residency at Hennepin County Medical Center/United Hospital/Park Nicollet Minneapolis in St. Paul, MN.

Source: Pioneer Press [6/30/13]

Query: Locum Tenens After Death of Practitioner

How long can a clinic legally operate after the solo practitioner passed away? Can it be longer than the 2-month locum tenens?

Name Withheld

Editor's comment: PM News does not provide legal advice. The maximum time period after the death or disability of a practitioner is 60 days (Source: Medicare A/B Reference Manual, Chapter 12.4).

Query: HSA and Laser
 
Is the use of laser treatment for fungus nails a payable expense under a patient's HSA? I have seen several different opinions about whether or not this is considered a cosmetic procedure and thus, according to the IRS, a non-deducible medical expense and therefore a non-covered item.

Ted Cohen, DPM, Las Vegas, NV

Query: Effect of DME Competitive Bidding on Podiatrists

I would like to know how competitive bidding for DME products in large cities like Miami has affected podiatrists dispensing diabetic shoes, braces, wound products, etc.?

Olga Luepschens, DPM, Sebring, FL

RE: Tibial Torsion and Femoral Anteversion
From: Joel Lang, DPM

After many years of treating children for rotational deformities and reading on the subject, I found my "truth" in my own observations. Have you noticed that it is very rare to find a 'neurologically intact' adult with significant rotational deformities of the lower limbs. Watch people walk down the street. How many rotational deformities do you see. Virtually none!

So, must we conclude that all the rotational deformities of childhood for these people have been treated effectively, or is something else at play? Most neurologically intact children will "unwind" at age 6 and, if not, will probably have to wait until age 12.

If the rotation is not functionally problematical, I suggest you leave it alone or treat with minimal inconvenience and expense. You can then take credit for that which would have self-corrected anyway. Remember, children fall down mainly because they are still learning to mobilize and sometimes, as I have told parents, "The child's mind writes checks that the body can't cash." Be patient, supportive, and watch the magic of maturation.

Joel Lang, DPM (retired), Cheverly, MD, langfinancial@verizon.net

RE: Unmatched Residency Placements Currently Stand at 92 (Stuart J Wertheimer, DPM)
From: Paul Kruper, DPM

Dr. Wertheimer has a misguided viewpoint of responsibility. Whoever makes the decision is responsible for the outcome of the same decision. He blames the profession for not correcting the damage caused by CPME. That is like Dr. Wertheimer using an experimental instrument to perform surgery on a patient, then when the surgery goes bad, blaming the podiatry profession for not doing enough research on the instrument he chose to use.

The CPME chose the three-year residency instrument, and it was up to them to ensure that instrument would cause no harm. They failed and now students are being harmed. CPME, not the profession, is now  responsible for correcting the harm caused by their choices. The lesson for CPME is to do the homework and research to evaluate the consequences before making a decision. Now fix it.
 
Paul Kruper, DPM, Kingsburg, CA, prkruper@yahoo.com

RE: Unmatched Residency Placements Currently Stand at 92 (Stuart J Wertheimer, DPM)
From: Name Withheld

My experience with the CPME and residency expansion under the direction of Dr. Wertheimer is much different than what I just read. I was a student rotating at an incredibly busy and prestigious residency program. The program was applying for additional residency positions. It was time for the site visit when two individuals representing the CPME showed up. They sat at the table in the conference room and called for the director.

The director came in and they didn’t so much as stand up to greet him. He offered them a tour of the facility. To his shock, they said...

Editor's note: Name Withheld's extended-length letter can be read here. 

RE: How to Perform a Base Wedge

Would you call this this is "podiatree"?

Source: Submitted by Dr. Scott M. Schonfeld

ASSOCIATE POSITION - CALIFORNIA

Associate wanted for multi-office, multi-doctor practice. Full Time, Self-motivated, highly skilled team player with surgical, wound care and palliative skills. Offices in Northern California Coast, CA License necessary, salary negotiable with possibility of partnership in future. Send CV and letter to: srfctysc@gmail.com

ASSOCIATE POSITIONS - NY
 
Generate Income in NY. Licensed NY podiatrists sought for a unique podiatric project in all geographic areas of New York. Medicare license required. You literally keep all visit charges generated or a pre-determined hourly salary, depending on the patient setting. If you are seeking an additional 4 or more hours per week of work, with no limit, contact us at: ediamond7@comcast.net
 

ASSOCIATE WANTED - WESTERN NEW YORK
 
Wanted well trained podiatrist for IMMEDIATE position. Busy high volume surgical practice with multiple locations, EMR, Digital X-Rays, hospital and surgical center privileges. Good base salary with incentive, and benefits including health insurance. EXCELLENT OPPORTUNITY to grow. Send resume to: WNYDPM@gmail.com

ASSOCIATE POSITION - OHIO

Podiatrists, are you entrepreneurial, compassionate, self-starter, with excellent communication skills? Do you enjoy dealing with the elderly? We are not looking for just any podiatrist; we are looking for the right Podiatrist. Are you driven, disciplined and have a burning desire to serve? If so, call us. We are SeniorCare, Inc. We are expanding to Ohio and looking for the right Doctor. Base salary + bonuses. Call today if this describes you. Call Becky at 314-821-2600.

ASSOCIATE POSITION - TAMPA BAY

Live, play and practice in the Tampa Bay area. Associate leading to partnership in a well-established, expanding group practice. Excellent salary and benefits in this dynamic medical/surgical practice. Come join our caring, compassionate, motivated staff. Position open immediately but we will also consider 2014 residency graduates. PSR-36 or PSR-24 with rearfoot/ankle training required. E-mail cover letter, CV, surgical log and references to rvalins18@aol.com

ASSOCIATE POSITION - CONNECTICUT
 
Looking for an associate with 3-year residency training for a practice in Connecticut. Interested in all aspects of podiatry including  foot/ankle surgery and wound care. Hospital located close by with appointment to staff readily available. Will lead to partnership Please send CV to: dsharnoff@hotmail.com

ASSOCIATE POSITION - SOUTHERN NEW JERSEY

Excellent opportunity for a full time podiatrist to join busy group practice! Surgery, wound care, sports medicine. Affiliated with residency program. Personable and great communication skills a must! Competitive salary, bonus, benefits package. Send CV to footdoc22@gmail.com

ASSOCIATE POSITION - KENTUCKY

Immediate opening in beautiful Southern Kentucky with 8-provider group with excellent reputation, full-time physical therapy, MRI, CPED/CO on staff along with a full schedule awaiting.  Wonderful place to raise a family, excellent schools and phenomenal quality and cost of living. Excellent compensation package, full benefits, and buy-in opportunity after 2 years. Email a letter of interest and CV: jonkim12000@yahoo.com

ASSOCIATE POSITION - CHICAGO

Associate Needed to do housecalls; part - or full-time ; make you own schedule ; logistical support provided; will net at least $1,000/week working approx. 15 hrs, Contact dpms2@hotmail.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.com

ASSOCIATE POSITION - PENNSYLVANIA

Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to: 123bunion@gmail.com

ASSOCIATE POSITION IN SOUTHERN CALIFORNIA

Full-time, motivated, outgoing associate wanted for immediate job opening. We are a multi-office, multi-doctor practice based in Orange County and we’re looking for a 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 - BAKERSFIELD, CA
 
Office and hospital-based podiatry group seeking a highly trained surgical associate to complement our 3-doctor group. Minimum PSR-36 trained with rear-foot reconstructive experience required. Must have CA license and x-ray and fluoroscopy license. Previous practice experience is preferred. Competitive salary and benefits package. Please forward cover letter and CV to modpm@aol.com

ASSOCIATE POSITION - TEXAS

Dynamic, busy practice in Dallas/Fort Worth area, seeking surgically trained, Board Certified/Board Qualified Podiatrist, PSR-36 preferred. Excellent salary and benefits compensation package, for the right candidate, who is motivated to work hard. Contact/Send resume to: jmh6122@yahoo.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future, this position will provide for the possibility of partnership in the future. To apply please go to www.yourcareerinpodiatry.com

ASSOCIATE POSITIONS – MARYLAND (FULL-TIME/PART-TIME)

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 410-486-2049 or call Dr. Herbert Rosen 410-580-0255.

ASSOCIATE WANTED - MANHATTAN AND NORTHERN NJ

For group practice. Excellent opportunity to be the first podiatrist to join our team! PT/full-time negotiable. Convenient on-site surgical center. Current licensure in NJ and/or NY required. Call Gina 212-223-0716 or email CV to gina@premiersurgicalpavilion.com

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 PODO2345@AOL.COM 516-476-1815.

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $548,000. Approximately 1300 sq ft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

PRACTICE FOR SALE – VIRGINIA

Well-established practice in North Arlington (Clarendon) being sold at" below market" price in exchange for prompt closing in the next 45 days. Fabulous neighborhood. 3 well equipped rooms- Midmark model# 417 ADA compliant treatment chairs w matching doctors stools, brand new X-cel x-ray machine ADA compliant w orthoposer 3 inches above ground & hand grips. m-11 autoclave. priced below market in exchange for closing in 45 days. Retiring doctor will assist in introducing you to PCPs & specialists for 3 to 6 months. Virginia license and one year approved residency required. Contact by e-mail @ drmichaelfine@aol.com,  (c) 703-582-5999, (h) 703-237-0841

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com

EQUIPMENT FOR SALE - Q-CLEAR NDYAG Q-SWITCHED LASER

Brand new Q-Clear NdYAG Q-switched laser, direct from factory, never used with full warranty. Complete system with training provided by James Holfinger, DPM, principal investigator for 2011 FDA study gaining clearance for onychomycosis. Call Dr. Holfinger at (216) 390-9757.

EQUIPMENT FOR SALE - DIOWAVE 15 WATT, PORTABLE 980 LASER
 
This is a used multiple function laser, plantar fasciitis, Achilles tendonitis, joint pain. nerve pain, post surgical, warts, toenail  problems, two-year plus warranty, MSRP: $25,000. E mail Dr. Zuckerman at footcare@comcast.net. for questions and pricing.

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