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| PM News | |
The Voice of Podiatrists
Serving Over 18,432 Subscribers Daily
July 03, 2019 #6,453  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- 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 has practice burnout affected you?
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| APMA STATE COMPONENT NEWS | |
CPMA Installs 2019-2020 Leadership Team
On June 19th, during its annual House of Delegates, the California Podiatric Medical Association (CPMA) installed its newly elected 2019-2020 Board of Directors.
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(L-R) Drs. Phong Le, John Abordo, Holly Spohn-Gross, Diane Branks, Jon Hultman, Adam Howard, John Chisholm, Diane Koshimune, Nicholas Todd, Parminder Jagur, Ronald Jensen, and Arman Kirakosian |
President: Adam S. Howard, DPM
President-Elect: Diane D. Branks, DPM
Vice President: Holly Spohn-Gross, DPM
Secretary/Treasurer: Diane M. Koshimune, DPM
Immediate Past President: John A. Chisholm, DPM
Directors-at-Large: Phong H. Le, DPM, John E. Abordo, DPM, Nicholas W. Todd, DPM, Parminder P. Jagur, DPM, and Arman A. Kirakosian, DPM
Executive Director: Jon A. Hultman, DPM, MBA, CVA
Parliamentarian: Ronald D. Jensen, DPM
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| YOUNG PRACTITIONERS IN THE NEWS | |
MI Podiatrist Appointed as Liaison to APMA BOT
A local podiatrist will be representing young physicians throughout the country as a liaison to a national board. Rebecca Sundling, DPM, a podiatrist at Northwood Foot and Ankle, has been appointed as the Young Physician Liaison to the American Podiatric Medical Association (APMA) Board of Trustees (BOT).
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Dr. Rebecca Sundling |
As the Young Physician Liaison, Sundling will participate in APMA board meetings. She’ll gain voting privileges after a year and head the Young Physician’s Leadership Panel. Her role will be to represent to the board the feelings of young doctors. One of Sundling’s main goals is to provide better education to young doctors about why joining the APMA is important.
Source: Mitchell Boatman, Holland Sentinel [6/30/19]
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| RELEVANT RESEARCH | |
DFU Outcomes Improve with Comprehensive Podiatric Care: Study
Fewer first-time diabetic foot ulcers were reported from 2013 to 2017 compared with 2003 to 2007 in a high-risk population that had access to more comprehensive podiatry care services, according to findings published in Diabetic Medicine. Paisey and colleagues identified the number of diabetic foot ulcers, both newly present and recurrent, as well as ulcer healing rate in South Devon, U.K., between 2003 and 2017 using a community database.
There was an increase in the number of podiatry-focused healthcare professionals in this community, the researchers wrote, and a multidisciplinary foot team began practicing in the area in 2009. Previous work indicated that there were fewer major amputations in this region from 2005 to 2017. “For success, there must be readiness of all healthcare professionals to offer education when the person is receptive, systematic and enthusiastic care in general practice, and fully staffed community podiatry services.”
Source: Phil Neuffer, Healio [6/26/19]
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| RESPONSES/COMMENTS (CLINICAL) | |
From: David Weiss, DPM
I have seen many patients exhibit RLS while in the OR - under MAC sedation or LMA anesthesia. It can be quite perplexing to the anesthesiologist to control during a procedure, and obviously troublesome for the surgeon to operate on a “moving target.”
RLS is a CNS disorder that is due to a problem with dopamine regulation, as well as iron anemias. Whenever I have a patient who has RLS during a procedure, and it is undiagnosed, I mention it to their partner and there is typically a response like “Yes! he/she kicks me at night during sleep!” I like to refer these patients to a neurologist, as the usual medication is Requip (ropinirole). Secondary RLS (caused by anemias or side-effects of meds) is treated by addressing the causative factor. Antihistamines are a common cause of RLS.
I asked a chief of anesthesia at our hospital about what they can administer during a surgery for RLS and the MD did not know of anything, short of paralyzation. I’d be curious as to what my colleagues have used as an adjunct to the sedation for RLS.
David Weiss, DPM, Richmond, VA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Call for National Debate on CPME 220 and 230 on a Single Board Certification within Podiatry
From: Jeffrey M. Robbins, DPM
It has become clear to me after a rather long crisis conversation with the Office of General Council and a Congressional office earlier this year, that we do ourselves no favors by continuing to claim that podiatric medicine and surgery are two distinct practice types. By our own definitions, they are not (see CPME 220 Definitions of Specialization and Certification.)
Podiatry is a procedure based profession, and regardless of how sophisticated the procedures are, they are all considered surgical codes by the standard in the industry, Current Procedure Terminology (CPT).
What I am suggesting is a board certification process that uses...
Editor's note: Dr. Robbins' extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2A | |
From: Patrick DeHeer, DPM
Yesterday, as I stood in the hallway at a memorial service for a respected Indiana podiatric physician, Dr. Belleza's response to my post on PM News came to mind as I watched my colleague's wife cry throughout his memorial service and his son sing beautiful hymns. My colleague called me looking for help two days before he chose to take his own life. Our conversation ended on a positive note as I offered some ideas and suggestions to assist him in his time of need. We were not best friends, but we were professional colleagues for more than 25 years. This explains him reaching out to me.
The Tuesday, after I learned of the incident, I emailed about 30 leaders within the podiatric profession to assist getting our survey out to podiatric residencies so we can, in fact, examine if suicidal ideation in podiatry is similar to that of our allopathic and osteopathic colleagues. Shortly after my initial email, I was informed of four other DPMs committing suicide (one third-year student, one resident, one attending at a residency program, and...
Editor's note: Dr. DeHeer's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2B | |
From: Larissa Paulovich, DPM
Dr. Bellezza’s lamentable letter implies that the stressors of our training programs are the only reason why a resident would commit suicide, and ignores that 1 in 12 Americans suffer from depression and 18% from anxiety.
So your opinion is that a resident “suck it up” and ignore their depression because they want to appear “tough” or don’t want to be stigmatized since it’s “just podiatry”. But I’d like you to combine that feeling with the following scenario: A “lowly DPM resident” is overworked because their senior residents “already took all that call as first years” so they’re now on call for 38 days straight; they’re also feeling pressure from their spouse for not being around; in the back of their mind they’ve had to put off the $200,000 student loan bill at 6.8% interest yearly because...
Editor's note: Dr. Paulovich's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2C | |
From: Samuel S. Mendicino, DPM
I find it sad that in discussing the suicide issue, people are arguing that our residents do not suffer the same stress as other residents and therefore this is not a concern. Does it matter? One is too many! Having someone say that a resident “should be happy” because they are doing what they “signed on for” demonstrates a common theme in our country: mental health and illness is not understood or for most even a concern.
I have had family members and friends who have attempted and committed suicides. Even in the absence of a suicide, depression and other forms of mental illness affect many Americans. It can be the cause of many of our nation’s problems. Crime, drug addiction, alcoholism, gun violence, homelessness, ruined lives, and yes suicide can often be traced back to mental health issues. Having dealt with the mental health system, I can assure you that it has severe flaws.
Residents have more stress than just residency. They have the same stresses of student loans, family, career, and yes some have a genetic predisposition to mental health issues as MD or DO residents do. Remember, mental illness is a disease that is often chronic and no different than diabetes or hypertension. It often requires lifetime treatment and can have a devastating effect on the patient and their families.
Samuel S. Mendicino, DPM, Houston, TX
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
From: Ira Baum, DPM
I respect Dr. Swedlow's call to maintain podiatric medicine as the primary service provided and surgery as a subspecialty. He cites a time in which the care of the foot and ankle was of no interest to a significant number of orthopedic and general surgeons, and podiatric primary care was not piecemealed into other subspecialties in medicine. The profession has evolved from those years of palliative care when podiatrists couldn't perform surgery or write Rxs. Today, all podiatrists seeking specialty residency training are afforded the opportunity and most states require it. His argument that podiatrists still provide unique services is like saying all orthopedists only do surgery. They don't. Some inject and Rx for plantar fasciitis.
General surgeons and dermatologists provide wound care. Dermatologists provide treatment for onychomycosis and other skin disorders of the feet, orthotists/retail stores provide orthotics and footgear and yes, pedicurists participate in what we consider palliative care. Insurance companies know this and that's reflected by our low reimbursement levels. Following Dr. Swedlow's argument to its logical conclusion seems to me to be the absorption of podiatry into allopathic/osteopathic medicine. The movement to absorb podiatry into those disciplines has been around for many years, only to be met with strong resistance. So where does that leave "podiatric medicine"? From my perspective, it doesn't seem to be headed in the right direction.
Ira Baum, DPM, Naples, FL
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Tim Shea, DPM
It was wonderful to see my old classmate (CCPM class of 1973) Dr. Jim Flynn featured again in the Oklahoma press. In school, Jim was not only well respected as a student, but a really nice guy. For those who may not remember, Dr. Flynn was also noted for his contributions to the Oklahoma City Bombing first responders many years ago. In all instances, he has been a caring doctor with a great sense of charity and humor. Our profession is lucky to have a member like Jim Flynn, DPM.
Tim Shea, DPM, Concord, CA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Inspired by an x-ray of an elephant leg! (Photo Nati Azenkot) |
Source: Virtual Shoe Museum
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MEETING NOTICES
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PM PODIATRY HALL OF FAME LUNCHEON
July 13, 2018 – Salt Palace Convention Center - Salt Lake City, UT
Honoring Samuel Mendicino, DPM and Rembrandt Jackson
Sponsored by ABFAS (Gold), Bako Diagnostics (Silver), PICA (Bronze), and Sammy Systems (Bronze)
PM News subscribers are invited to see Dr. Mendicino and Mr. Jackson inducted into 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 emailing Sandra Arez sfarez@apma.org or calling her at (800) ASK-APMA.
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All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE
PDM chair (excellent condition), Diagnostic ultrasound FALCO 100 Pie Medical with printer and stand, wound mapping and all other functions. Instratek Edintrack systems for endoscopic decompression and endoscopic plantar fasciectomy. Gold instruments complete set, hardly used. Surgical instruments and osteotomes. Ergo power drill for osteotripsy. drjsfox@gmail.com
PRACTICES WANTED TO BUY - SOUTHERN CALIFORNIA
Building out a network of podiatry practices throughout southern California. We are looking to buy podiatry practices large, small, rural or urban. Podiatrists who are looking to retire soon or in the near future, or wanting to join a larger group to handle business operations can contact us at podiatrymanagementinc@gmail.com. Competitive compensation and benefits package for those who would like to sell and work within the larger company.
PRACTICE FOR SALE- PUERTO RICO
Large practice with licensed ambulatory foot surgical center in Puerto Rico. Ideal for a Boricua who wants to repatriate and continue to practice. Well established, great location between 2 hospitals, with all modalities available to ensure great patient outcomes. Great tax advantages in PR Contact: montanile@podiatrycenterpr.com
PRACTICE FOR SALE - SUFFOLK COUNTY
Fully equipped beautiful full time practice in thriving L.I. community available. Ideal addition to a multi-doctor practice or for experienced associate(s) who want to own. Poised for growth. Turn-key operation. Please forward inquiries to OWHHPodiatry@gmail.com.
PRACTICE FOR SALE - CORPUS CHRISTI, TX
Well established, same location over 28 years on Gulf Coast of Texas. Very busy practice with low overhead located not far from largest medical complex in city. Best buy at $135K immediate sale available. Gross $450K+ for 4 day work week with excellent room for groth. maggieg219@yahoo.com
PRACTICE FOR SALE - WASHINGTON STATE
Well established 28 yr old solo practice. Doctor interested in retiring. Accepts all major insurance. Hospital privileges. Supplies, furniture, x-ray included. Excellent income. Great opportunity to live on the spectacular Olympic Peninsula. Office building also available for sale. Willing to stay on for transition. For serious inquiries pfna@olypen.com 360-301-1585
PRACTICE FOR SALE - BOCA RATON, FL
35 year general podiatric practice with emphasis on sports medicine & orthotics. Great location. Excellent growth potential. Certified EHR. Digital X-ray, Pinpointe Laser. All private insurances accepted. Will stay to transition. 561-247-1144. E-mail - victor195754@yahoo.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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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