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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 22,137 Subscribers Daily
July 14, 2022 #7,299  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- No part of PM News can be reproduced without the
written permission of Barry Block
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| EDITOR'S NOTE | |
PM News Advance Notice
PM News will not be publishing the week of August 1st, 2022. We will resume publishing on August 8th, 2022.
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| PM NEWS QUICK POLL |
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How did your first half year's income compare to last year's first half income?
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| AT THE COLLEGES | |
NY Podiatrist Establishes BUSPM Award in Honor of Dr. Andrew Boulton
Scott Kantro, DPM, CEO of Arche Healthcare has pledged $25,000 to Barry University’s School of Podiatric Medicine (BUSPM) to honor the innovative contributions that Dr. Andrew Boulton continues to provide in the field of podiatric medicine. Dr. Boulton has published over 550 peer-reviewed papers and was the first awardee of the International Award in Diabetic Foot Research (1995).
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Dr. Andrew Boulton |
He is currently the President of the International Diabetes Federation and Professor of Medicine (Diabetes) at the University of Manchester and consultant physician at the Manchester Royal Infirmary. The funds will be awarded to extraordinary students who show excellence in matters relating to the diabetic foot.
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
PA Podiatrist Joins Pioneer Foot Care
Elizabeth Burns, DPM recently joined Pioneer Foot Care PC in Wexford, PA. Dr. Burnes earned her podiatric medical degree from the Des Moines Universiry College of Podiatric Medicine.
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Dr. Elizabeth Burns |
Dr. Burns completed her podiatric residency at Geisinger in Scranton, PA.
Source: Linkedin
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
PA Podiatrist Joins Newtown Foot & Ankle Specialists
Jaclyn Reed, DPM recently started a new position at Newtown Foot & Ankle Specialists in Newton, Pennsylvania. Dr. Reed earned her podiatric medical degree at the Temple University School of Podiatric Medicine.
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Dr. Jaclyn Reed |
Dr. Reed completed her podiatric residency at Penn Medicine, University of Pennsylvania Health System in Philadelphia, PA. She is an associate member of the American College of Foot and Ankle Surgeons.
Source: Linkedin
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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| Today's featured article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Value-Based Care Strategies for Leveraging Patient Data
Health plans and providers remain invested in using data to achieve improved care coordination while lowering costs, tenets of value-based care (VBC). As stakeholders team up to garner deeper, more holistic views of each patient to provide optimal treatment, here are five adoption habits that will guide the essential transition to VBC.
3. Integrate data for execution
Identifying appropriate data sources and partnerships is critical to VBC success, but it requires the ability to analyze and apply the data for informed decision-making. Inability to exchange data among many healthcare data silos creates numerous challenges and inefficiencies in this regard. Various solutions seek to ensure data flows smoothly between systems for integration, but execution is key.
Source: Andy Kumar, Medical Economics [7/6/22]
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| CODINGLINE CORNER |
Query: Dystrophic and Non-dystrophic
I frequently have patients that present with diabetes and request routine foot care. How do you code the situation where the patient meets the criteria for routine foot care and has 5 non-painful, dystrophic toenails but the remaining nails are normal in appearance?
I have billed CPT 11720 and CPT 11719 but was only paid $10 for the CPT 11719.
Codingline Member
Response: Billing for nail care continues to be a very tricky endeavor as there are many moving parts. To begin with, being diabetic alone is not a criterion for coverage. There has to be vascular and/or neurologic loss.
You billed it correctly except that when billing this combination of codes, you must append the -59 modifier to the CPT 11720 code. Lastly, you did not include in your post the ICD-10 codes that you billed. This will obviously impact the billing and eventual claims processing. This could also explain why only one of two codes was paid.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (MEDICARE/MEDICAID NEWS) - PART 1A | |
From: Andrew Levy, DPM, Eddie Davis, DPM
Kudos to Dr. Morgan for his astute comments. I too am retired from clinical practice and agree that a single medical community voice to adjust fees to a cost of living basis is possibly the best way to protect the income earning capacity of current and future practitioners.
Andrew Levy, DPM (Retired), Jupiter, FL
The featured article of the day is entitled, “Increasing Your Patient Revenue Pay” and discusses increasing use of cash-based treatment options. Considering a double digit inflation rate which means higher office rents, higher staff salaries and supply costs while third-party reimbursements are in decline, it is not hard to see the day that insurance-based practice will not be feasible. The addition of cash services is something we have done. Additionally, we are considering the feasibility of an all cash-based practice. There are a number of family physicians in our area who have converted to “concierge” practices charging a monthly fee to patients.
I do not see specialists following that model, but looking back at the history of podiatry practice (yeah, I am now an old timer), office-based services have been our mainstay. Offering office-based services including procedures and some surgery, depending on how our offices are equipped, provides cost-effective services to patients. Augmentation of biomechanics-based services, ESWT, laser treatments, and the like enhances our offerings. The overhead added to our practices by our third-party reimbursement system is considerable. The system appears biased toward invasive procedures and the hospital industry. It would be great to hear from colleagues who have cash-based practices.
Eddie Davis, DPM, San Antonio, TX
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| RESPONSES/COMMENTS (MEDICARE/MEDICAID NEWS) - PART 1B | |
FROM: Jon Purdy, DPM
Paul Kesselman stated in regard to Medicare cuts, and I’m paraphrasing, “to save costs which benefits the taxpayer.” Medicare is a monster that was created by the government to once again confiscate income and obtain control over the populous. Medicare is funded by withholdings paid into the system by individuals and employers throughout their working lives, not through taxation. As the government typically does, they consider it their money, and in this case, pit patients against doctors by calling it “physician spending.”
The sad truth is the government always mismanages the monies they take. There was a study done (I believe I remember the facts correctly) in Galveston, Texas in 1971, where 1,000 citizens were allowed to keep the withholdings and invest them over their working lives. They all realized a 300% gain in invested funds over that of the government. This allowed them to completely fund their medical expenses and use any monies left after death to pass on to family. In case you didn’t know, any funds not “used” at your death, the government keeps.
Medicare in the hands of the government was always doomed to fail and they knew that. So here we are with decreased reimbursements, discontinued services, increasing deductibles, and monies taken from other sources such as social security. And there are those still advocating for a single-payer system.
Jon Purdy, DPM, New Iberia, LA
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| RESPONSES/COMMENTS (PODIATRY MANAGEMENT ARTICLES) | |
From: Elliot Udell, DPM
Dr. Jacobs is touching on a gray area when he asks, "Why do dermatologists or podiatric physicians as a profession not employ laser therapy for onychomycosis?" The gray area applies to many products that are not officially endorsed by our profession but the endorsement may be implied. If a young podiatrist or podiatric medical student attends one of our conventions sponsored by our national organization or regional societies and sees booths manned by suave salespeople and even colleagues, what is he or she to think about whether our profession endorses that product or not?
The sponsors of our conferences even encourage people to visit the booth areas and even have sponsored speakers tout a product from the podium in the lecture hall. Perhaps a solution would be to have signs all over the exhibitors' halls stating that the sponsors of the convention do not endorse any of the products and that buyers should use them at their own risk.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Devin Poonai, DPM
I too initially received a letter from Cigna stating they will be auditing all claims with modifier -25. However, yesterday, I received another letter from Cigna stating, “We are currently reevaluating this reimbursement policy change, which will delay implementation.” “… policy update will not go into effect on August 13, 2022, as originally scheduled” “we will communicate a new implementation date and details after out internal evaluation is complete.” The letter does end with “thank you for the care you provide to our customers.” Yeah, after a slap to the face last month.
I guess enough doctors complained, including me. I guess this small victory, albeit possibly temporary, is a reminder that sometimes, very rarely, providers can beat back the insurance companies. Luckily, Cigna is not a huge payer for me so when I told them I will terminate my contract or start to bring my patients in the next day/week to specifically avoid using a -25 modifier, I wasn’t afraid of the fallout.
Devin Poonai, DPM, North Brunswick, NJ
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Worn by knit wits? |
Source: Marcelo Teixeira via Virtual Shoe Museum
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MEETINGS AND WEBINARS
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PM PODIATRY HALL OF FAME LUNCHEON
July 30, 2022 – Marriott World Resort- Orlando, FL
Honoring Lawrence DiDomenico, Stephanie Wu, Cindy Pezza
Sponsored by Bako Diagnostics, 20/20 Imaging, and PRESENT Podiatry
PM News subscribers are invited to see Dr. DiDomenico, Dr. Stephanie Wu, and Ms. Pezza 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 by writing to Kenna Barrett.
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $279 (less than $19 per CECH)
podiatrym.com/cme.cfm
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
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-8/31/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – SAN DIEGO
19-year-old non-surgical practice for sale. $1,000,000 gross, based on 2.5 days / week. 60% cash clients. Great growth opportunity. Turnkey proposition. Owner will help with transition. Barry Smith, Lloyds Capital, Inc. (213) 379-2397 Barry@lloydscapital.org
PRACTICE FOR SALE - BREEZY POINT, NYC
Retiring! Established (31years) turn-key office in Medical Center with other medical professionals offering great referrals. Consistent patient base with excellent room for growth. Perfect for experienced or new practitioner, full-time practice or part-time satellite office. Low overhead. Price negotiable. elizsmurphy@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - CHARLESTON, WV
U.S. Foot and Ankle Specialists is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in Charleston, WV - part of the fast-growing metropolitan area of Charleston. We are a growing group of 153 providers and 98 locations. If personable, motivated, and well-trained, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed in WV to be considered for this position.
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based lower extremity care to residents living in long-term facilities throughout the states of Florida, South Carolina, and Georgia. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and State licenses. Email CV to kgadmin@kghealthpartners.com
ASSOCIATE POSITION – TAMPA, FLORIDA
IMMEDIATE!! Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Tampa, Florida. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to floridapodiatryfootcare@gmail.com
ASSOCIATE POSITIONS – FLORIDA
Well-established practice seeks reliable PT/FT Mobile Podiatry team players for home visits, ALF/ILF, RN Homes throughout Florida. Tampa to Naples; Orlando/Ocala; South Florida. Flexible. No call. Weekends optional. Competitive commission plus mileage. Earn 100K+ part time. contact@PodiatristAtHome.com
ASSOCIATE POSITION - NORTHERN NJ
Looking for Associate for a busy Northern NJ Podiatry Practice. Flexible hours, with total hospital admissions and surgical opportunities from the practice. (Atlantic Health Care-Chilton Hospital) Please contact: Dr. Bart Cohen Pompton Lakes, NJ
C: (201) 281-3036
PODIATRIST WANTED IN NEW JERSEY
Immediate opening for a podiatrist in New Jersey to service nursing homes and assisted living facilities. Full-time and part-time positions available. Days/Hours flexible. Excellent compensation. Excellent staff is always available to help make you successful and your job easier! E-mail CV to ghcp@globalhealthcarepartner.com
ASSOCIATE POSITION – NEW YORK CITY/BROOKLYN
Great opportunity for a new associate to join a rapidly growing team. Will have hospital privileges at a prestigious, world renowned institution in NYC. Looking for a self-motivated, positive individual willing to work hard.
ASSOCIATE POSITION - FOOTHILLS OF NC
Seeking PSR-36 trained DPM for associate position with busy practice in foothills of NC. Should be well trained in forefoot rearfoot, and wound care. Competitive salary, benefits and bonuses. Buy-in available. Three-doctor practice with one retiring. Located near major metropolitan city, Send resume to jmauney@foothillspodiatry.com
ASSOCIATE FT/PT - RHINEBECK, NY
Associate wanted for established 2-practitioner, well rounded practice. Plenty of surgery available. All phases of podiatry - surgery, orthotics, routine care, and wound care. Affiliation with wound care centers possible. Digital x-ray and new modern ultrasound. Please email with contact info - PodassociateNY@gmail.com
IMMEDIATE ASSOCIATE POSITION – LOS ANGELES, CA
Part-time/full-time podiatrist wanted. No surgical experience needed. Great opportunity for residents or recent grads. Located in Los Angeles County. Competitive pay and flexible scheduling. Option of working in office or nursing home. Send CV and cover letter to Dr.A@awesomefeet.com
ASSOCIATE POSITION – WESTERN WASHINGTON
Looking for a great opportunity in the beautiful Pacific Northwest? Position with future partnership/ownership possible for motivated DPM. Must be Board eligible or certified. Western Washington north of Seattle growing community, full surgical opportunities at local hospitals. dogsarebarking@hotmail.com
PODIATRIST - CHICAGO
Busy, multi-physician podiatry practice in Chicago looking to hire podiatrist for office base and housecalls. Earnings $350K and up, flexible hours, full or part time, fixed hours, full logistics and scheduling provided, bonus and partnership track, malpractice and health insurance. Peers physicians references provided. Please email Kinga.efac@gmail.com or call 312-375-6430.
ASSOCIATE PODIATRIST - ST. GEORGE, UT
Associate podiatrist needed in our St. George Utah clinic. Will absorb around 230 patients per month with lots of room to grow. Partnership can be earned. Learn more about us at afacutah.com. We are excited to have you join our team! Send CV and cover letter to tyson@afacutah.com
ASSOCIATE POSITION - OCEAN, NEW JERSEY
Seeking associate to join my Monmouth County New Jersey practice. Established 30 year practice looking for someone to help expand and transition into retirement. Full partnership and purchase of practice will be possible. Please send CV to larrymenditto@yahoo.com
ASSOCIATE POSITION - LONG BEACH, CA
Busy practice seeking a holistically-minded podiatrist. Will train how to implement holistic treatment modalities to improve the outcome of every pathology we see as a podiatrist. Please send a cover letter and CV to sdonkim@gmail.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Seeking associate to join our busy, well-established (20+ years), top-rated Southern California practice. Position offers excellent salary with all paid benefits/incentives. New grads welcome. Close to hospitals and surgery center. Low cost of living in Southern California. No weekends, no nights. Please e-mail CV and cover letter to Dr.peterawad@gmail.com.
ASSOCIATE POSITION- FT/PT GULF COAST AND HILL COUNTRY, TX
Constantly growing practice looking for associates to provide care to residents of Nursing Homes and ALF's in the greater Houston, Austin and San Antonio areas. Excellent compensation and extremely flexible schedule. For info email: t.fisher@thebestfootforward.com
ASSOCIATE POSITION - EASTERN SHORE of MARYLAND
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our existing physicians. We are an expanding practice with focus on all aspects of Podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite Ambulatory Surgery Center and many other state of the art amenities. Excellent salary and benefits package. DPMemploy@gmail.com
ASSOCIATE POSITION - ASHEVILLE, NC
U.S. Foot and Ankle Specialists is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in Asheville, NC- part of the fast-growing metropolitan area of Asheville. We are a growing group of 153 providers and 98 locations. If personable, motivated, and well-trained, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed in NC to be considered for this position.
ASSOCIATE PODIATRIST - NORTHERN VIRGINIA (MT. VERNON) /SUBURB WASHINGTON DC
Large fast growing full scope practice, across the street from hospital. 30-year established busy private practice, looking for potential partnership. Base salary $135K, plus incentive pay, malpractice, PTO, paid CME, and retirement. Send cover letter (“Why I am your next superstar”) and CV to hottoe@capitalfeet.com
ASSOCIATE POSITION – CALIFORNIA
Largest group in the central valley is seeking associate. Must be highly motivated with good patient skills and personality. Must be board qualified or certified salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing, and will help with student loan repayment. Compassionate and well-trained for immediate position. Office based, Surgery Center and hospital-based with no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position in a multi-million dollar hi-tech practice. Please e-mail CV and short bio to tflores@wetreatyourfeet.com
ASSOCIATE POSITIONS – VA, MD, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA)
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Stat position busy, modern practice. ABFAS BC/BQ, EMR, Dig x-rays, U.S., CT, DME, Base salary + bonus, PTO, 401K, free health ins. DrLam@NaplesPodiatrist.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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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- 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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