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| PM News | |
The Voice of Podiatrists
Serving Over 17,001 Subscribers Daily
July 17, 2015 #5,421  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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| EDITOR'S NOTE | |
Have you reserved your Podiatry Hall of Fame Luncheon tickets yet?
The PM Podiatry Hall of Fame Luncheon will be held next Friday July 24th at the Marriott World Hotel in Orlando, FL as part of the APMA Annual Scientific Meeting (The National). All net proceeds from this event go directly to the APMA Education Fund. This year's honorees are podiatrists Justin Wernick, DPM and Joshua Gerbert, DPM, along with non-podiatrists Richard Bloch and Rita Yates. Since there will be very limited availabilty of seats at the meeting, we encourage you to reserve your seats now by calling Sandra Arez at (800) ASK-APMA.
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist Applauds Putting Feet First Campaign
Podiatrist Peter Allton, author of the book Undefeeted by Diabetes, is delighted that Diabetes UK has today launched a campaign called ‘Putting Feet First’ which aims to bring an end to preventable amputations caused by diabetes.
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Peter Allton |
Undefeeted focuses on helping people with diabetes live in what Peter calls the ‘diabetic sweet spot’ – the safest possible position for them. The ‘sweet spot’ refers to a combination of knowledge of what can go wrong, awareness of their personal risk, and taking appropriate and timely action that helps them to live full and healthy lives.
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| PODIATRIC PRODUCTS IN THE NEWS | |
Viamet to Present at APMA Annual Scientific Meeting
Viamet Pharmaceuticals, Inc. today announced that data from a Phase 2a study of VT-1161, the Company's lead novel, oral antifungal compound, will be presented at the American Podiatric Medical Association 2015 Annual Scientific Meeting, to be held from July 23-26, 2015, in Orlando, FL. In addition, the company will also provide an update on the ongoing RENOVATE (Restoring Nail; an Oral VT-1161 Tablet Evaluation) study, a Phase 2b clinical trial of VT-1161 for the oral treatment of toenail fungal infection, also known as onychomycosis.
Thorsten Degenhardt, PhD., Viamet's Vice President of Project Management, will present, "Efficacy and Safety of Oral VT-1161, a Novel and Selective Inhibitor of Fungal CYP51, in a Randomized, Double-Blind, Placebo-Controlled Phase 2 Study (NCT01891305) in Patients with Moderate-to-Severe Interdigital Tinea Pedis." This study demonstrated the potent antifungal activity and robust safety profile of oral VT-1161 in the treatment of tinea pedis, or athlete's foot, a very common skin condition and a clinical model for fungal nail infection.
Source: Businesswire [7/15/15]
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| HEALTHCARE NEWS | |
NY Law is Model For Helping Consumers Avoid Surprise Out-Of-Network Charges
If an out-of-network doctor or other provider doesn’t have a contract with a health plan that determines how much they get paid for services, they may bill the patient for any charges not covered by insurance. In those instances, the consumer could be on the hook for the rest of the bill, a practice known as “balance billing.” Although there’s no federal protection, about a quarter of states have laws on the books against balance billing by out-of-network hospitals, doctors, or other providers in at least certain circumstances, such as emergency care.
Among the most recent states to take action is New York, which has a new statute that is cited by consumer advocates as a model. That law, which became effective April 1, significantly expands existing consumer protections and may be the most comprehensive law of its type, says Jack Hoadley, a research professor at Georgetown University’s Health Policy Institute, who recently co-authored a study that examined balance billing protections in seven states. Under the New York law, patients are generally protected from owing more than their in-network copayment, co-insurance, or deductible on bills they receive for out-of-network emergency services or on surprise bills.
Source: Michelle Anfrew, Kaiser Health News [7/14/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
10 Apps Physicians Should be Using Now - Part 4
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Paper by Fifty Three |
4. Paper by Fifty Three
Sometimes, the most basic apps are the best. Notepad apps are available on almost every mobile device and allow busy physicians and office staff to scribble thoughts, even when a paper and pen aren't nearby.
Paper by Fifty Three is an app that has no lines, and with a stylus, allows users to take notes, make figures, and process visuals. it works in the cloud and is easily retrievable on a desktop computer to print, e-mail, or text the information so the content doesn't need to be re-created. - Drew Stevens
Source: JoAnna Haugen, Physicians Practice [7/9/15]
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| QUERIES (EQUIPMENT) | |
Query: Digital X-Ray Recommendations
I am looking to upgrade to digital x-ray (DR) by retro-fitting my 2-year old X-Cel unit. Trusting the experience of my colleagues more than a flashy brochure or website, I want to know if anyone else has gone this route and what vendor did you use? Were you happy with the outcome? Would you do anything differently if you had to do it again?
Mark S. Davids, DPM, DeLand, FL
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| QUERIES (NON-CLINICAL) | |
Query: Opencare.com
Is anyone familiar with Opencare.com? Who are they and what are the experiences with them? They have been leaving messages several times per week at my office.
Norm Wortzman, DPM, Boston, MA
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Robert S. Steinberg, DPM, Elliot Udell, DPM
If you cannot convince your patient the only chance he has is to quit smoking, then why run up an expensive Rx bill?
Robert S. Steinberg, DPM, Schaumburg, IL
It would be wise to carefully monitor this patient's liver enzymes and even palpate to make sure there is no enlargement of the liver. This is important when treating a patient with alcoholic neuropathy who is also taking drugs which also are metabolized in the liver.
One case in our practice, which stands out vividly in my mind, was an alcoholic who presented with severe neuropathic pain. I ordered a serum vitamin B12 test and it came back borderline normal. I gave him a couple of vitamin B12 injections, and with two shots, his symptoms totally abated. My blood lab has subsequently added an addendum on its reports warning physicians that even low normal levels of vitamin B12 can account for some symptoms.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Michael Rosenblatt, DPM
I have some concerns about a DPM (or for that matter any physician) who wants to add medications to an unrepentant smoker with serious, disabling neuropathy. One of the medications he takes is Trazadone, a serotonin modulator that has suicidal and violent ideation as just some of its side-effects. Although this is more common in younger patients, we already know the patient is depressed. But there are more:
Sertraline (Zoloft) also has similar side-effects and concerns. Oxcarbazepine is usually used to treat seizure disorders, but also includes bipolar disorders. Gabapentin is also used to treat mood disorders. By any metric you choose, this patient is...
Editor's note: Dr. Rosenblatt's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Healthcare Insanity
From: Jeffrey Kass, DPM
An environment is being created where it is becoming increasingly difficult to practice. Pre-authorizations are at an all-time high, audits are at an all-time high, ridiculous sets of rules are being given, i.e, "Did your patient have six months of conservative care for that painful hammertoe that your patient can no longer put her foot into a shoe?" At what point, if any, is enough enough?
ICD-10 appears to be a complete farce, nothing more than an attempt for RAC auditors to make more money off of our hard work. I was informed last week that an HMO I contract with is now contracting out certain codes with a subcontractor. Of course, they won't supply a list of codes that goes to either. So, while my patient got her hammertoe procedure approved (after she yelled at the nurse reviewer for giving me a hard time), we are still waiting to find out from the other company if the met osteotomy is allowed. You just can't make these things up.
Insanity has been defined as the continuation of repeated behavior expecting different outcomes...or is that stupidity? Since, I must be insane, does anyone know if I can collect partial disability for that? Or am I just stupid and out of luck? I'm guessing the latter.
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Elliot Udell, DPM
Dr. Sullivan asks whether a person should be taken off statin drugs, which are metabolized in the liver, when placing a person on a pulse dosage of oral Lamisil which can also raise liver enzymes. The same question could be asked about other drugs. Should a podiatrist take a patient off of anticoagulants, even oral aspirin, when he or she is preparing to do a foot procedure?
As a rule of thumb, it is probably unwise to take a patient off of another doctor's ordered medications without communicating with that doctor first. Many years ago, one of my patients suffered a CVA because another surgeon took him off of his daily aspirin in order to safely perform an elective (non-podiatric) procedure. Unfortunately, things "fell through the cracks" and no one ever told the patient to go back on his aspirin regimen. The rest is history.
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Makes for easy tracing of your steps! |
Source: Slywia Gowin, Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $195
(Only $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - OHIO
Are you a “Buckeye” at heart & want to practice in a small town in the fastest growing county in Ohio? Are you an achiever who knows how to work hard for your goals? Do you want; to work with 3 podiatrists who deliver quality care with compassion and continually strive to improve, to be in a practice that is experiencing increased revenues of 66% in the past 5 years; to have patients that know their doctors personally and call them by first name? Send your CV to footandanklewellnesscenter@gmail.com 3rd year residents welcome to apply.
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
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.
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 |
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
PRACTICE FOR SALE - BEAUTIFUL NAPLES, FLORIDA
On busy Route 41 (Tamiami Trl N.) Small part-time practice (approx 20hrs /week), In place for 15 years, 1200 sq ft leased space. 2 treatment rooms. Non-surgical, approximately 60% Medicare, 40% biomechanics, orthotics, diabetics Please email mecibula@aol.com or call 239-595-3151 for more details.
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
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
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.
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
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
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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.
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either timely or free of viruses.
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