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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,314 Subscribers Daily
July 18, 2016 #5,710  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL RESULTS |
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Results of last week's poll |
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| PM NEWS QUICK POLL |
Quick Poll
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What overall grade would you give to the Affordable Care Act? |
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| PM HALL OF FAME | |
Two Legends Inducted into the PM Podiatry Hall of Fame
The PM Podiatry Hall of Fame Luncheon is one of the signature events of the APMA Annual Scientific Meeting. This year's sold-old event honored Meet the Masters host Dr. Bret Ribotsky and former ABPS (now ABFAS) Executive Director James Lamb with Lifetime Achievement Awards and induction into the PM Podiatry Hall of Fame. Ribotsky was "roasted" by ABPM Executive Director Dr. Marc Benard. A video of the hilarious presentation will be posted on several podiatric websites in the near future.
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(L-R) Dr. Barry Block, James Lamb, PM Publisher Scott Borowsky, and Bret Ribotsky (Photo: Steve Ladner Photography) |
The ceremony, emceed by PM's editor, Barry Block, DPM, JD raised over $10,000 for the APMA Educational Fund's Student Scholarships. Bako Integrated Physician Services, PICA, and Sammy Systems were event sponsors. Voting for the 2017 inductees will begin in August as part of PM's Annual Practice Management Survey.
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| APMA COMPONENT NEWS | |
PA Podiatrist Appointed ACFAP Vice President at APMA National
During the APMA National in Philadelphia, the American College of Foot & Ankle Pediatrics (ACFAP) appointed Dr. Nicholas Pagano as their new Vice President. Dr. Pagano is owner of Barking Dogs Foot & Ankle Care in Plymouth Meeting, PA. He is course director and adjunct professor of pediatric foot and ankle orthopedics and surgery at Temple University School of Podiatric Medicine.
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(L-R) Drs. Louis DeCaro and Nicholas Pagano |
Pagano is board certified by ABFAS and is a Fellow of ACFAP, AAPPM, and ACFAS. ACFAP President Dr. Louis J. DeCaro stated, “Dr. Pagano is not only well accomplished in the practice and education of pediatric foot and ankle care, but he also possesses a unique inspirational quality permeating to both students and peers.
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| IFAF NEWS | |
IL Podiatrist Receives Dr. G. Dock Dockery Special Achievement Award
The Board of Directors of the International Foot & Ankle Foundation for Education and Research (IFAF) selected Sean Grambart, DPM, FACFAS, President of the American College of Foot and Ankle Surgeons, to receive the Annual "Dr. G. Dock Dockery Special Achievement Award" for 2016.
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Dr. Sigvard T. Hansen, Jr., (2015 Dockery Award winner) presents to award to Dr. Sean Grambart |
The award says: "For a foot and ankle physician and surgeon who exemplifies Dr. Dockery’s life passion and commitment to professional activities and endeavors, such as educational events, lecturing, publication of surgical books or articles, foot and ankle residency or fellowship training within the medical profession." The award was presented at the Forty-Sixth Graduation of the NW Podiatric Surgical Residency Consortium, in Seattle, WA.
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Stubborn Verruca? Fry it With Microwaves: UK Podiatrist
British scientists have hailed a new method of getting rid of stubborn verrucas – by zapping them with microwaves. They say the technique is far more effective than traditional methods, such as burning them with acid and freezing them with liquid nitrogen, and have achieved a success rate of more than 75 per cent. It involves blasting the troublesome area with a beam of microwave energy for five seconds at a time.
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Dr Ivan Bristow |
Three treatments, spaced out over monthly intervals, are usually enough to see them disappear, said Dr. Ivan Bristow, a podiatrist who has helped pioneer the technique. He explained how the narrow beams of microwave energy heated the verruca up to 70C, "creating cell damage which brings about inflammation in the tissue. We believe that makes the body’s immune system spring into life, so it recognizes that it has to fight an infection," he said.
Source: Stephen Adamas, Daily Mail [7/16/16]
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| MACRA UPDATE | |
CMS Chief Tells Senate Panel MACRA Delay Possible
Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt told the Senate Finance Committee Wednesday the agency would consider delaying the implementation of MACRA, the industry-overhauling bi-partisan legislation set to go into effect January 1 of next year. In his testimony before the Committee, Slavitt conceded that small, rural and independent practices will struggle with the new rules, and a central theme emerging from the public comment period was the need to design a program with special consideration for these groups. "They do not have the resources of larger groups and each new administrative requirement takes time away from patient care," Slavitt said.
He said another central theme from comments made asked that CMS look for flexibility to allow physicians and other clinicians and their communities time to learn about and prepare for the sweeping changes. "We understand new rules require adjustment and preparation," Slavitt said. As such, Slavitt said CMS is "open to multiple approaches", including alternative start dates, shorter reporting periods, and other ways for physicians and clinicians to get experience with the program before "the impact really hits them."
Source: Beth Jones Sanborn, Healthcare IT News [7/13/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
MACRA, MIPS, and APMs — Are You Ready? - Part 4
2. The Advancing Care Information (ACI) component will change several things about Meaningful Use measures:
• The performance score consists of additional points awarded for certain objectives (maximum of 50 points). CMS focuses the performance score on the Stage 3 Patient Electronic Access, Coordination of Care through Patient Engagement, and Health Information Exchange objectives. Here providers can report on the measures in which they perform best.
• MACRA removes the "Clinical Decision Support" and the "Computerized Provider Order" measures since these are consistently above 90 percent and therefore considered widely adopted. It also reduces the number of measures to an all-time low of 11 measures, down from 18 measures, and no longer requires reporting on the "Entry" measure.
Source: Susanne Madden, Physicians Practice [7/6/16]
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| CLINICAL PHOTO OF THE DAY | |
RE: Malignant Melanoma
I wanted to share this with PM News readers. A patient came in last week with a seemingly unsuspicious blood blister at the distal aspect of the left hallux upon debridement.
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Malignant Melanoma |
I noticed it was not healing as it typically should do. I decided to biopsy it and sure enough, it was a malignant melanoma.
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| QUERIES (CLINICAL) - PART 1A | |
From: Sam Bell, Simon Young, DPM
I have found that toes that look like that always have responded to Diflucan.
Sam Bell, DPM, Schenectady, NY
Block the toe, remove the fibular 1/3 of the nail, excise the granuloma, and apply AgNO3. If need be, send the nail, matrix, and pyogenic tissue to a path lab. Long-term antibiotics don't work. Get rid of the mechanical cause.
Simon Young, DPM, NY, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Bill Greco, DPM, Kent Biehler, DPM
Avulsion will effectively drain and remove the foreign body (nail). If you have a healthy patient with no contraindications to local anesthesia, removal of the offending nail will often be curative. An onychia present since March or before, unresponsive to antibiosis, requires proper surgical drainage. The chronic onychia is capable of damaging the matrix as well as increasing the risk of acute osteomyelitis.
Bill Greco, DPM, New Rochelle, NY
I would like to see the toe x-rays. From the photo, it looks like the patient might have a dorsal exostosis on the distal phalange of the big toe, causing the problem.
Kent Biehler, DPM, Orange Park, FL
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Neil H Hecht, DPM
Dr. Richard Cowin is quoted as saying, “Air and water are very good for healing.” This is contrary to current and established standards of wound care and the science behind it. The “air” delivered to the wound is oxygen from the vascular supply. Wounds left open to ambient “air” have been shown to dry out and retard epithelial migration, thereby slowing wound-healing and closure. I am not sure why “water” is “very good” for healing, although saline solutions are typically used for cleansing and hypertonic solutions are bacteriocidal - that’s why many of us use Epsom salt soaks for open wounds. Maceration of open wounds is to be avoided.
Perhaps Dr. Cowin was misquoted by Prevention Magazine, but I don’t agree with the stated advice to “Remove the dressing at bedtime to let the blister air.” Wounds heal best in a clean and moist environment. The moisture is often provided by various antibiotic topical agents or hydrogels, among others. And, by the way, “wet to dry” dressings have been changed to “wet to moist.”
Neil H Hecht, DPM, Tarzana, CA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Foot of the Foot
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Philly's sweet welcome to the APMA |
Seen at the Redding Market (near the APMA National)
Source: Dr. Bret Ribotsky
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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 $210
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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 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
PODIATRIST WANTED IN NEW JERSEY
Immediate opening for a podiatrist in New Jersey. Full-time and part-time positions are available. Hours are flexible. Excellent compensation. Please e-mail CV to nk210@aol.com.
ASSOCIATE POSITION - NORTH EAST TEXAS
Immediate opportunity for a podiatrist with at least 3 years of training to join our practice. We are looking for someone who is motivated, ethical, and personable. We currently have 3 offices, and are offering competitive salary plus benefits with the potential for partnership. Must be BC or BQ by ABFAS. Current TX/AR podiatry license preferred, but not required. Candidates should email their CV and letter of interest to: advancedfootandanklecare@yahoo.com
PART-TIME PODIATRIST POSITION – CHICAGO, IL
Immediate part-time position available (2-3 days a week). Excellent opportunity to join a busy practice with an in-office Ambulatory Surgical Suite in Chicago, IL. Hospital privileges available at 2 local hospitals with resident coverage. The associate role would involve a wide range of patients including: forefoot, rearfoot, diabetic wound care, sports and work-related injuries. Excellent opportunity for a driven personable person. Please e-mail Cover letter and CV to: wkcastle@gmail.com
ASSOCIATE POSITIONS- HOME FOOT CARE, INC
We are looking for podiatrists to visit home patients in these areas: Los Angeles, Ventura County, Santa Barbara, Lancaster/Palmdale, San Bernardino/Riverside, and Palm Springs/Palm Desert, CA, Las Vegas, NV, Honolulu, HI. Full/part time, independence, excellent compensation, dedicated support staff, EMR. email CV to: homefootcare@hotmail.com. check us out @ www.footdocs2u.com
ASSOCIATE POSITION – NEW YORK CITY
Highly ethical and motivated practitioner sought. Experienced, assertive, podiatric surgeon wanted. All aspects of forefoot, rearfoot, and ankle surgery. Board qualified or certified. Please send C.V. to bunioncenter135@yahoo.com or call 917 284 5096
ASSOCIATE WANTED IMMEDIATELY - NAPLES FLORIDA
Doctor retiring. Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Florida has a great scope of practice law and we rotate for ER call at all 4 hospitals. Candidate needs to be ethical and motivated. Established practitioner or new practitioner Email CV to Drgordon@gulfcoastfootcare.com.
ASSOCIATE FULL TIME POSITION – PHILADELPHIA AND PHILADELPHIA SUBURBS
Large Multi-specialty practice looking for motivated full time non-surgical podiatrist. 40/hr/week. Office-based practice with multiple locations treating musculoskeletal / sports medicine patients. No palliative care. Must have Pennsylvania license or have passed PM-Lexis. Board certification or eligibility required. Excellent Salary with Full Benefits (Health, 401K, CME allowance) Partnership Opportunity. Please forward a cover letter, CV and availability to Podiatrist@job4u.com
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail the following: Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
ASSOCIATE POSITION- LONG ISLAND, NY
Multi-office podiatry practice in Central/Eastern Suffolk County seeks full/part time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net.
FULL-TIME/PART-TIME PODIATRIST POSITION – ANNAPOLIS, MD
Immediate position available for full-time or part-time. GREAT opportunity to join a thriving practice with an in-office Ambulatory Surgical Center in beautiful Annapolis, Maryland. The associate role is for an independent thinker who is board qualified or certified ABFAS. Prefer licensed in Maryland but will consider licensing the right candidate. The capital city of Annapolis is located on the Chesapeake Bay and offers easy access to both Baltimore and D.C. Staff privileges available at the growing Anne Arundel Medical Center. If you are ready to hit the ground running, email cover letter and resume tomokane@podiatrygroup.us.
ASSOCIATE POSITION – NEW YORK CITY
Highly ethical and motivated practitioner sought. Experienced, assertive, podiatric surgeon wanted. All aspects of forefoot, rearfoot, and ankle surgery. Board qualified or certified. Please send C.V. to bunioncenter135@yahoo.com or call 917 284 5096
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@prodigy.net 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 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE - MULTI RADIANCE MEDICAL LASER
MR4 LaserStim with 25,000 mW of power. Purchased in 2015 for $12,000, excellent condition. Rolling cart included. Asking $6,000. Please email stcpod@att.net.
EQUIPMENT FOR SALE
3 Midmark 417 Podiatry Chairs $3,500 each, 2 4 drawer and 1 stationary Midmark treatment cabinets $900 each, Autoclaves 1 Pelton Crane $1,200, 1 Midmark M9 $1,700, PAD Net Vascular testing device $8,000, New Med 7000 i Vascular Analyzer $1,000, Birtcher Hyfercator $500, 2 Burdick Ultrasound units $600 each Call (239) 566-8800 or email Drgordon@gulfcoastfootcare.com.
PRACTICE FOR SALE – CHICAGO, IL
Busy practice for sale. A huge potential for growth, both home visits and office patients. Turn-key condition, equipment available for sale, and if needed the lease can be extended at the same location. Currently caring for approximately 1200 patients. Would prefer to sell by October 2016. Willing to introduce to business connections. If interested please email podiatry_123@yahoo.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@prodigy.net 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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