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| PM News | |
The Voice of Podiatrists
Serving Over 17,003 Subscribers Daily
July 16, 2015 #5,420  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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| PODIATRISTS IN THE NEWS | |
WA Podiatrist Receives Sole Supports Scholarship
Kristin Brown, DPM was recently presented with the Sole Supports Scholarship Award. Dr. Brown graduated from the 3-year Swedish Foot & Ankle Surgery and Medicine with Reconstructive Rearfoot/Ankle Surgery Residency Program, Seattle, WA on June 27, 2015.
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Dr. Kristin Brown |
This award is for outstanding educational achievements during medical and surgical training, and was presented by Edward Glaser, DPM, President, Sole Supports, Inc., Lyles, TN. Dr. Brown will be relocating to the Academy of Podiatry in Pittsburgh, PA.
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
NV Podiatrists Help Prevent Amputations in Diabetics
An alliance of medical professionals is trying to create a new program to ensure that people have foot exams to head off treatable problems that can lead to severe infections, amputations, and amputation-related deaths. Doctors with Lower Extremity Amputation Prevention, or LEAP, met Monday with Nevada Lions Club members, medical executives, and healthcare professionals to launch the Comprehensive Foot Examination Assistant Program. The goal of the program is to provide primary care doctors with qualified assistants to provide diabetic and other at-risk patients with comprehensive foot examinations, said Dr. Larry Rubin, a retired podiatrist and founder of LEAP.
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Dr. Kenneth Fatkin examines patient (photo: Ronda Churchill) |
Dr. Kenneth Fatkin of Henderson, vice president of the Nevada Podiatric Medical Association, has said minor foot problems can become exacerbated over time, and preventing more intensive treatment procedures could result in significant savings in healthcare spending. LEAP members say their program would reduce the personal and economic burdens of diabetic lower extremity amputations through a collaboration of primary care physicians and trained foot exam assistants.
Source: Steven Moore, Las Vegas Review-Journal [7/13/15]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
NJ Podiatrist to Speak About Preventing Running Injuries
The most common running injuries are due to overuse, over-training, improper training shoes, or a flaw in running form. The important thing is that most running injuries can be prevented. John Connors, DPM will conduct a lecture about the most common running injuries. He will provide tips and techniques to avoid injury while running, and answer questions from the audience.
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Dr. John Connors |
Connors is a renowned sports podiatrist who has been practicing for 21 years and is the medical provider to many elite athletes, including both professional and Olympic runners. Connors has lectured nationally and internationally on various sports medicine topics. In addition, he is a competitive triathlete and marathon runner who has completed more than 15 marathons.
Source: Rob Cavanaugh, Asbury Park Press [7/14/15]
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| MEDICARE NEWS | |
CMS Cutting-edge Technology Identifies & Prevents Improper Medicare Payments
After three years of operations, the Centers for Medicare & Medicaid Services (CMS) reported that the agency’s advanced analytics system, called the Fraud Prevention System, identified or prevented $820 million in inappropriate payments in the program’s first three years. The Fraud Prevention System uses predictive analytics to identify troublesome billing patterns and outlier claims for action, similar to systems used by credit card companies. The Fraud Prevention System identified or prevented $454 million in Calendar Year 2014 alone, a 10 to 1 return on investment.
The Fraud Prevention System helps to identify questionable billing patterns in real time and can review past patterns that may indicate fraud. In one case, one of the system’s predictive models identified a questionable billing pattern at a provider for podiatry services that resulted in Medicare revoking the provider’s payments and referring the findings to law enforcement.
Source: CMS [7/14/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
10 Apps Physicians Should be Using Now - Part 3
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UpToDate |
3. UpToDate
Hundreds of thousands of physicians have installed this app, and for good reason. It is chock full of medical knowledge that allows healthcare prectitioners to answer clinical questions at the point of need.
However, it's also not cheap. While downloading the app is free, in order to actually access the wealth of information contained within it, physicians and/or their organizations need to have a subscription to the UpToDate database, which starts at $499 per year per person. - Tom Giannulli
Source: JoAnna Haugen, Physicians Practice [7/9/15]
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| QUERIES (CLINICAL) | |
Query: Medications to Consider for Neuropathy
I would appreciate some ideas on what type of medications would be advisable for the following patient. He has alcoholic neuropathy and neuropathy from several instances of frostbite. He reports swelling in his feet which aggravates the problem, however no edema was noted on examination. Pulses were 3/4 for the DP and PT bilaterally. Light touch and vibration sense were diminished. Blood work was negative for diabetes, thyroid disease, or Vit B 12 deficiency. He is a smoker who will most likely never quit. He is taking gabapentin 600 mg tid and is also on trazadone, sertraline, oxcarbazepine. Any suggestions?
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Jeanine Jones Moss, DPM
There is a topical solution that can be purchased online called Mavala Stop. It's very effective for nail biting and thumb sucking. I used it on my daughter and I'm 100% satisfied.
Jeanine Jones Moss, DPM, Mcdonough, GA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Fungal Cultures
From: Tip Sullivan, DPM
In the past, I have always sent cultures in for plating by the microbiology department when considering placing patients on oral antifungals with potential side-effects. PAS stains (as well as the GMS stain) are histological techniques which are more specific when used to identify fungal infections. It has been published in the Journal of the American Academy of Dermatology: “PAS is the most sensitive method for the diagnosis of onychomycosis. It is also superior to the other methods in its negative predictive value. PAS is potentially the single method of choice for the evaluation of onychomycosis.”
So what I have been doing lately is sending two cultures: one to microbiology for culture, and the other to histology for staining (with the instruction that the micro department should not plate the specimen if the PAS stain is positive, but only if PAS is negative). This has caused a ton of administrative chaos. I was wondering how others are handling this situation.
Another question that I have is regarding the appropriate lab testing to follow the extended dosing of Lamasil. I have been dosing Lamasil in certain cases at 250mg/day x7 days, skip 3 months, and repeat for 1 year. The question is: Are baseline LFTs and CBCs required for this dosing regimen and should you take patients off statins for the single week that they are taking Lamasil?
Tip Sullivan, DPM, Jackson, MS
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Brian Kiel, DPM
I have great respect for Hal Ornstein, but the recent post about systemic candida infections being diagnosed by a naturopath makes no sense. Nothing in any medical literature hints that sugar in any form causes or affects systemic candida. The only place you will find this is in non-medical postings by pseudo-medical groups.
Secondly, systemic candidal infections are serious, life-threatening conditions which require potent antifungals, not sugar reduction (please see the article from the CDC). I am sure Hal felt better after removing sugar from his diet, and we should all do that, but to propagate the notion that a naturopath has the answer to a serious condition could lead to dire consequences.
Brian Kiel, DPM, Memphis, TN
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Celebrity Shoes of the Day
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John Lennon's boots |
IMAGINE A pair of John Lennon's personally worn boots. These were acquired from Dick Clark's American Bandstand collection.
Source: Hartley Miltchin, Toronto, Canada
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MEETING NOTICES
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – BATAVIA, NY (IN WESTERN NY, BETWEEN BUFFALO & ROCHESTER)
Thirty year established, busy practice, seeking a Full Time Associate to join expanding Podiatry Practice. Hospital privileges with newly built, state-of-the-art outpatient surgery center. Please call (585) 344-1677 or e-mail CV with cover letter to drdryden@yahoo.com
ASSOCIATE POSITION – NASSAU COUNTY, NY
Immediate full-time podiatry position available in private practice. Must be knowledgably in all aspects of podiatry, surgically trained, geriatrics, trauma, orthopedics, and diabetic foot care and general foot care. Active privilege in hospital and surgery center. Highly motivated and personable individual to work with patients of diverse culture. Competitive salary and benefits discuss during interviews. Please e-mail cover letter and resume to luresamc10@yahoo.com
ASSOCIATE POSITION – CHICAGO
Full-time position in Chicago; start date - end of July. Office and housecalls ; salary base and incentive for office work plus 50% of collection for housecalls . $140-150K net; mileage allowance and malpractice are paid; additional benefits can be considered. Partnership track is available . If interested, contact: chipod12@yahoo.com
ASSOCIATE POSITION- LOS ANGELES
Full time position in private practice, located in Los Angeles area. All aspects of podiatry, including surgery, orthopedics, diabetic foot care and general foot care. Looking for eventual practice buy in/partnership. Competitive Salary and benefits. Email cover letter and CV to dpmclinic@yahoo.com
ASSOCIATE POSITION - LONG ISLAND, NY
Well-established practice (+30 years) on the South Shore. EMR, digital x-ray, flouroscopy, diagnostic ultrasound, Doppler, 4 computerized treatment rooms. Treating all aspects of podiatry: Surgical and non-surgical, adults, children, geriatrics, trauma, routine, and diabetics. Active at hospital and surgery center. Long established excellent rapport with local specialists Seeking a 3 year PMSR/RRA trained, personable, ethical, high motivated individual who is willing to go above and beyond for their patient and the practice. PT/FT position for the right individual. Salary with productivity-based bonuses, with the intentionof taking over the practice in a few years. Please send CV to Soledr@aol.com
ASSOCIATE POSITION - DOTHAN ALABAMA AREA
Personable, hard-working energetic podiatrist needed for practice in Dothan or Birmingham, Alabama. Must be surgically trained. Experience preferred. Send email to Cahabapodiatry1@gmail.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 AVAILABLE - BRONX, NY
NYNJ Foot and Ankle Associates Is now hiring a part-time DPM. Please fax CV and cover letter to (718) 547 – 9232 Or email: nynjfootandankle@aol.com
ASSOCIATE POSITION – ORANGE COUNTY NY
Looking for highly motivated surgical trained podiatrist in Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Care Center, and takes ER calls. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. This position is a part-time position that will cover the office only. It may lead to a full-time position. The practice is an 1 hour car ride from NYC and is close to hiking, fishing, skiing and state parks. Please email CV and contact info to clsp4@yahoo.com
ASSOCIATE POSITION - PHOENIX ARIZONA
Seeking an 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
ASSOCIATE POSITION - NORTHERN VIRGINIA
This unique practice offers a great opportunity for an individual to service 75 senior and special needs facilities. Compensation is productivity-based for an ethical, personable, self-motivated individual with good people skills and a commitment to quality care. Position leading to partnership for the right individual. Send CV to: DrBob272@aol.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.
ASSOCIATE POSITION - MARYLAND
Progressive practice in MD, suburban DC in need of surgically trained associate preferably with practice experience. State-of-the-art practice includes EMR, laser, ER privileges, ASC, etc. Excellent salary/benefit package with opportunity for partnership. Email cover letter and CV to mdpodiatry@comcast.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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| CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
TURN-KEY OFFICE OPPORTUNITY - SOUTHERN CALIFORNIA
I have practiced in this Southern California Beach Community for 29 years. I have 3 treatment rooms with a two-person staff in a 36-physician medical condo building. I provide general podiatry services. The practice is about 40% Medicare with a mix of private and cash patients and no HMO affiliations. Includes new Midmark chairs, Zimmer Micro100 surgical set, and an excellent upbeat staff. I have averaged over 400k gross for the last 5 years working 4 eight-hour days weekly. $160k outright with 5-10 year lease agreement. Contact agsamuels@yahoo.com
PRACTICE FOR SALE - KANSAS CITY METRO CITY- KANSAS
Patients will be waiting when you assume this established, successful, Kansas practice in a Kansas City Metro area city that offers the perfect blend for a great quality of life and rewarding career. The practice provides a full array of adult and pediatric services. RFC less than 10 percent. Revised scope of practice offers additional levels of surgical care opportunities for qualified physician. High level of patient and physician referrals. Strong commercial insurance mix. Traknet EHR. Well-trained office staff. Equipment purchased- no leasing. Owner would assist buyer in practice transition. Contact Mike Crosby at MCrosby518@gmail.com.
PRACTICE FOR SALE - NEW YORK, MANHATTAN
Established Fifth Avenue practice and professional space for sale. Greenwich Village "white glove building". Office has been at this location for over 35 years. Practice encompasses surgery to C&C. Hospital and surgery center privileges available. EHR. Contact: luckyfeet@aol.com
PRACTICE FOR SALE – TAMPA, FL
Well established busy South Tampa practice for sale. Strong referral base and excellent reputation in Tampa's prime location. Outstanding web presence. Excellent cash generating practice. Modern and up-to-date. EMR. Lasers. digital xray. ultrasound. EPAT. C-Arm. Equipped for in-office procedures. Next door to HCA hospital. Email Joe@advancedpodiatrytampa.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 - PADNET MACHINE
Purchased in 2011 and in like new condition as it was hardly used. Great price! Please email APDPMS@aol.com
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.
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