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| PM News | |
The Voice of Podiatrists
Serving Over 16,991 Subscribers Daily
July 01, 2015 #5,407  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- 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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How do you think the Affordable Care Act (Obamacare) has affected your practice? |
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| PODIATRISTS IN THE NEWS | |
Ankle Replacement by WI Podiatrist Gives Patient "His Life Back"
After more than 30 years with the Michels Corporation, Ron Sabel looked forward to enjoying his retirement, but a troublesome ankle threw a wrench into those plans. Five years ago, Michael DeGere, DPM, performed reconstructive surgery on Sabel's ankle with the understanding that it would only be a temporary fix. When the arthritis and pain in his ankle continued, DeGere recommended a total ankle joint replacement. Since that visit, DeGere assumed a new role at Agnesian HealthCare as vice president of Population Health Management, and so he referred Sabel to his partner, Alyssa Stephenson, DPM.
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Dr. Alyssa Stephenson |
"My life changed the day I met Dr. Stephenson," Sable said. Stephenson said, "Mr. Sabel is a very active gentleman who loves to work outside and spend time with his grandkids. Due to his activity level, I felt a total ankle replacement with an implant was the best option." After the surgery was complete, being the do-it-yourselfer he is, Sabel did his rehabilitation exercises at home. "Dr. Stephenson gave me my life back," he said.
Source: Fond du Lac Reporter [6/29/15]
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| PODIATRISTS AND THE INTERNET | |
NV Podiatrist Helps Aussie Patient Through Facebook
Peter Bregman, DPM, a podiatrist specializing in peripheral nerve surgery of the lower leg, recently helped a patient in Australia without even being there! Dr. Bregman was asked by one of his patients to join a CECS chronic compartment syndrome group on Facebook, so he obliged and joined. Little did he know that he would learn a lot from these patients, and that he would help some of them as well.
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Dr. Peter Bregman |
Bregman posted a comment on the Facebook page that indicated that a patient who was having surgery was to make sure that the common fibular nerve was to be decompressed in addition to just doing a fasciotomy. Recently, he received an unexpected thank you. The patient who had the surgery in Australia thanked Dr. Bregman for making that suggestion because the patient is now pain-free after the surgery and attributed this to Bregman’s help.
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NY Podiatrist Offers Some Home Remedies for Common Foot Problems
If you can't afford to visit a professional, Dr. Suzanne Levine, a NYC podiatrist, shared a few home remedies for common foot problems. For minor calluses, Dr. Levine suggests to try adding gel orthopedic inserts to your shoes to reduce friction. You can also soak your feet in warm water with Epsom salt for 20 minutes. "Use a pumice stone to work over any thick areas of skin and finish with a moisturizer," Dr. Levine said. If your callus becomes painful and inflamed, you'll need a doctor. But whatever you do, don't try your luck at a nail salon.
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Dr. Suzanne Levine |
Blisters are similarly a result of bio-mechanics, like poor-fitting shoes. "Blisters represent your body's attempt to protect a sensitive area of the foot," Dr. Levine explained. "Your best bet for minor blisters is to leave them alone. Cover the offended area with antibiotic cream and a Band-Aid. Do not pierce your own blisters," Levine warned. "In many cases this could lead to infection, inflammation, and pain. If that happens, it's time to see a doctor," she continued."
Source: Kim West, Fashion Times [6/29/15]
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| MEETING NEWS | |
AAFAS Holds 40th Anniversary Scientific Meeting at LSU
The Academy of Ambulatory Foot and Ankle Surgery hosted its 40th anniversary international seminar on minimally invasive foot surgery at LSU Medical School June 11-13. 64 podiatrists and orthopedists attended from North America, Latin America, and Europe. Lectures were given by renowned international speakers, including Al Brown, DPM, one of the founders of the AAFAS. The course consisted of a cadaver lab and intensive didactic instruction on minimally invasive forefoot, rearfoot, and ankle surgery.
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Attendees at 40th Annual AAFAS Scientific Meeting |
Procedures included treatment of bone spurs, hammertoes, metatarsals, bunions, tendons, as well as the use of the HyProCure. Biomechanical considerations were also discussed. A special emphasis was placed on the avoidance and treatment of complications. The next meetings will be at TUSPM, Argentina, and LSU.
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| ACA UPDATE | |
Legal Challenges Remain for Health Law
The Affordable Care Act survived another major test at the Supreme Court this week, all but assuring its place in the social safety net, but the legal challenges to the law are far from over. One of the more significant tests is a lawsuit filed by Speaker John A. Boehner and other House Republicans who contend that the Obama administration is spending billions of dollars without the necessary appropriations from Congress. The government is also trying to fend off dozens of lawsuits challenging rules that require health plans to offer women coverage for contraceptives without co-payments or deductibles.
The suit filed by Mr. Boehner, in the name of the House of Representatives, is not just a bookkeeping dispute. It involves fundamental questions of executive power and Congress’s power of the purse. At issue is a provision of the healthcare law that requires insurance companies to reduce co-payments, deductibles, and other out-of-pocket costs for certain low-income people. The federal government reimburses insurers for the “cost-sharing reductions.” In their lawsuit, House Republicans say the Obama administration needed, but never received, an appropriation to make these payments to insurance companies. As a result, they contend, the spending violates the Constitution, which says, “No money shall be drawn from the Treasury, but in consequence of appropriations made by law.”
Source: Robert Pear, The New York Times [6/26/15]
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| QUERIES (CLINICAL) | |
Query: PCR Assay for Fungi
Has the new PCR (polymerase chain reaction) assay made a difference in the way any of us are approaching the treatment of onychomycosis?
Elliot Udell, DPM, Hicksville, NY
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| CODINGLINE CORNER | |
Query: Destruction of Verrucae Via Silver Nitrate
I have a colleague whose standard of practice in destruction of symptomatic verrucae is to use topical applications of silver nitrate. Can such applications reasonably be considered "destructive"?
Codingline Archived Question
Response: I opine that silver nitrate is not a "destructive" procedure, but rather a chemocautery of the lesion after debridement. Here is a publication from the NIH on the matter in question:
Joseph Borreggine, DPM, Charleston, IL
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Ron Werter. DPM, Kenneth T. Goldstein, DPM
The New York State Nurses Association gives an online course for $25, which I have used twice in the past. Just Google "NYSNA infection control."
Ron Werter. DPM, NY, NY
Go into the NYS Nurses Association website, and you can register and take the course on-line.
Kenneth T. Goldstein, DPM, Williamsville, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2A | |
From: Todd Rotwein, DPM
Our profession is graced by the presence of a member who combines the moral fortitude necessary to defend a heritage of people owing people with the insight needed to compare that with the general state of medicine. Thank you, Doctor Dale Feinberg.
Todd Rotwein, DPM, Hempstead, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2B | |
From: Alan Sherman, DPM
Dale Feinberg, DPM wrote a nostalgic message entitled “Gone With the Wind” about the demise of podiatry as we knew it, and compared the demise with the recent criticism of the confederate flag that we’ve all seen in the news. His thesis is that there was something virtuous in each institution and we are “letting” them wither away. Dr. Feinberg and I were roommates freshman year at CCPM in 1978, and shared a few important life experiences together. I think his feelings are sentimental and yes, I can be sentimental at times as well. But fundamentally, I have believed for 20 years that the private practice fee for service model that we all enjoyed during these years was doomed to be replaced by a system with much different payment dynamics.
Frankly, I hated billing insurance companies for services. I never felt empowered in that situation, and always felt like I was going to Dad for money, only to have him judge whether my “claim” was worthy to be paid. I felt I had done the correct service for the patient, but that’s not what got me paid. Submitting...
Editor's note: Dr. Sherman's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Just in time for summer! |
Source: Kobi Levy via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – EL PASO, TX
Busy practice seeking a full-time, self-motivated and hard-working podiatry associate to help with second office. Competitive salary offered. Please email CV to: buffdlr1@gmail.com
ASSOCIATE POSITION – NORTHEAST OHIO
Expanding group practice seeking full-time and part-time podiatric physicians with Ohio license. Duties include wound care, house calls, and nursing home coverage. Competitive salary and benefits. Email cover letter and CV to mike@ankleandfootcare.com .
ASSOCIATE POSITION – PHOENIX
Well-established Phoenix metropolitan area multi-office, multi-physician practice looking for aggressive, ethical, personable, well-trained associate, leading to partnership/buyout. High-tech environment utilizing EMR, digital x-rays, etc. Must have current Arizona license or in process; References a must. Reply to: AZfootdocsearch@gmail.com.
ASSOCIATE POSITION - MARYLAND
Business minded, motivated individual wanted for position leading to partner/buyout. Beautiful Western Maryland; less than 45 mins. from Baltimore and DC. As well as minutes from hiking, fishing, skiing, kayaking. Competitive salary/benefits. Don't miss this opportunity to become a top earner in our field. Send CV: drhenrock@yahoo.com
ASSOCIATE PART TIME POSITION - PHOENIX ARIZONA
Seeking part time associate in group practice. Board Qualified/Certified. Motivated, ethical, hard working. Established 30 + year old practice with diverse patient demographics. Large referral Base. Letter/CV to: phxbaba@gmail.com
IMMEDIATE PART-TIME PODIATRY POSITION - CHICAGO
Associateship with available full time & partnership. Multi-location group - Chicago & Suburbs seeking ABFAS Board Qualified/Certified Associate. Minimum two year’s practice experience required. Ortho and surgery, minimal routine care. Latest equipment. Surgery center and amazing support staff. Excellent income potential with a growing group. Salary/ bonuses commensurate with experience. Three-Four days a week to start -No nursing homes. Send CV to: chicagopodwork@gmail.com
ASSOCIATE POSITION - CONNECTICUT
High volume practice seeking a hard-working, motivated, Connecticut Licensed Podiatrist. Duties to include diabetic foot care, wound care, and minor office procedures, nursing homes and house calls. Please submit CV to: podiatrypeople@gmail.com
FULL-TIME ASSOCIATE POSITION – FLORIDA PANHANDLE
Immediate position available for hard-working, motivated individual in a well-established practice. Equal mix of primary care and surgery. Excellent opportunity to get on all insurance panels. Board qualified/Certified with ABPS preferred. Competitive salary and benefit package. Please email CV and letter of interest to kmoore@feetareneat.com.
POSITION AVAILABLE - FULL-TIME NEW JERSEY
Do you have 8 arms and 12 legs, Can you handle a challenge? Must be surgically trained but conservatively minded. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, New Jersey. Please email CV to: njfootankle@yahoo.com
ASSOCIATE POSITION – KENTUCKY
Immediate opening for well-trained motivated DPM in beautiful Danville, Kentucky. Established Office in new building in great location. Danville is one of the fastest growing communities in KY. Hospital privileges and wide range of services offered. College town, 35 miles outside of Lexington. Excellent comp with incredible bonus opportunity/full benefits. Partnership opportunity 2 years with Kentucky’s largest most respected group. Email CV and letter of interest : jonkim12000@yahoo.com
ASSOCIATE POSITION – NEW YORK CITY
Very busy practice seeking a full-time or part-time, self-motivated and hard-working podiatry associate. Locations in NYC. Please email your C.V. to podiatry053@gmail.com
ASSOCIATE POSITIONS – IRVING, TEXAS
Full-time positions in a private practice for podiatrists available, clinic located in Irving TX area. High demands for house calls for diabetic and general foot care. See between 10-15 patients a day. Open Monday through Friday. Can go for either percentages or straight pay. divinefootcarecenter@yahoo.com
PODIATRISTS NEEDED TO SUPPORT LOCAL LIONS CLUBS DIABETES FOOT SCREENING PROGRAM
What to do when you retire from practice, but not from podiatry? The Lower Extremity Amputation Prevention (LEAP) Alliance connects retired and practicing podiatrists with their local affiliate of Lions Clubs International to provide the, "Lions Hunt for Diabetic Peripheral Neuropathy Free Foot Screening Program." Under a podiatrist-member's direction, Lions are trained to perform the Semmes-Weinstein Monofilament foot screening test on their families, friends, and at area health fairs and wellness events. Check out the LEAP Alliance website: www.leapalliance.org and email me at lrubin@leapalliance.org for more information. The LEAP Alliance is a 501(c)3 non-profit organization.
RESIDENCY POSITION – HOUSTON, TX
West Houston Medical Center PMSR/RRA has a potential PGY-1 residency position open. This potential position has a start date of August 1, 2015. Please submit the following material/requirements to Tiffany at: t.yates@txfai.com. The deadline for submission of documents is June 30, 2015. Required minimum 3.0 GPA, CASPR Application (copy) or similar documents, Current CV.
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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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| CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - SOUTHERN CALIFORNIA (SAN GABRIEL VALLEY)
34 year old practice for sale, open 2 -2 1/2 days per week, general podiatry practice with biomechanics and office and hospital surgery, Microaire power equipment, EMR, x-rays physical therapy, vascular evaluation, 1 block from hospital and surgical center. Selling due to health issues. Contact drhec@aol.com
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
EQUIPMENT FOR SALE- PINPOINTE FOOT LASER
NuvoLase FDA approved laser for the treatment of onychomycosis. The laser is in excellent condition with a pulse count of Q8. Price includes the laser, new fiber optic cable, 2 laser goggles, power testing equipment, manual and shipping to your location. $10,000 mogey1@sbcglobal.net
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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.
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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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