The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

July 23, 2012 #4,521 Publisher-Barry Block, DPM, JD

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Restrict Flip-Flop Wear for the Beach: FL Podiatrist

The American College of Foot and Ankle Surgeons estimates that about 15 percent of all adult foot injuries involve plantar fasciitis, that awful pain that comes from the tissue stretching from your heel, through the arch to the toes. Dr. Marc Katz says it's impossible to ban flip-flops, especially in Tampa's tropical environment, so he offers a compromise: "I say if you're going to the beach, wear your flip-flops.

Dr. Marc Katz

If you want to run over to Publix and you're wearing flip-flops, fine," he says. "But don't take your four-mile morning walk in flip-flops. Don't walk around Disney in flip-flops. Don't go to New York and walk around all day in flip-flops, because you're just looking for trouble."

Source: Mary Shedden, The Tampa Tribune [7/21/12]

Half of UK Women Willing to Suffer From Wearing Highest Heels in Europe

British women have tottered their way to the top by wearing the highest heels in Europe, with the average heel height at 3.3 inches. Some take it to even greater heights, with a quarter of British women surveyed (25%) wearing heels 4-6 inches high, and a skyscraping 3% braving heels that are more than 6 inches. In comparison, Spanish women wear an average 3.2 inch heel, Denmark 3 inches, Germany 2.7 inches and France 2.4 inches. 1 in 2 women (50%) are prepared to endure a level of pain they ranked as comparable with tooth ache and ear ache.

Lorraine Jones

Lorraine Jones, member of the Society of Chiropodists and Podiatrists says "As a podiatrist, I recognize that with fashion as it is, wearing foot-friendly shoes is not always easy. However, wearing fashionable shoes occasionally is fine, and there are plenty of easy foot care treatments available at the local pharmacy that can help treat feet at home and avoid a trip to the podiatrist's clinic. The bonus is that with healthy feet, a woman can stand as tall as she wants in the highest of heels."

Source: Easier [7/20/12]

Unknown Roadways Present Risks for Barefoot Runners: IL Podiatrist

Dr. Beth Jarrett, podiatrist and professor at Rosalind Franklin University of Medicine and Science, says that unknown roadways for barefoot runners present the real risk. “Probably the bigger issue in terms of injuries with barefoot running is the fact that you’re barefoot, and more likely to step on stones or glass,” she said.

Dr. Beth Jarrett

Dr. Jarrett says she would not generally recommend barefoot running, unless someone had access to a safe running environment to minimize the risks of injuries from unknown surfaces. Dr. Jarrett says, if people are not already runners, they shouldn’t try barefoot running out of the blue. “It’s important to remember that just as not everyone is meant to be a runner, not everyone is meant to be a barefoot runner,” she said.

Source: Yasmin Rammohan, WTTW

VA Podiatrist Retires After 31 Years

Throughout July’s final weeks, Dr. Rodney Kander, 59, and Iris Kander, 56, will bid farewell to their 31-year-old business, Podiatric Care of Northern Virginia, before he retires Aug. 1. With his retirement, the Kanders will also leave behind his patients, who obviously care for the couple.

Dr. & Mrs. Rodney Kander

“People are so friendly, so nice,” Rodney Kander said. “It is so heartbreaking to say goodbye. But I’m not saying goodbye to anyone staying in the area—I will see them in civilian clothing, and they won’t have to take their shoes and socks off. They will just say hi.” Slipping into Rodney Kander’s shoes will be Dr. William Knudson, who will take over the practice. He has been working at Podiatric Care of Northern Virginia for the past eight months to make the transition smoother. “It has worked out really, really well,” Rodney Kander said of the switch over. “He is going to do very well. The patients have adapted to him.”

Source: Lindsey Brookbank, Leesburg Today [7/21/12]

MO Podiatrist Indicted for Medicare Fraud

A local podiatrist, Dr. John M. Dailey, has been indicted for falsely billing Medicare and using a false Social Security Number on credit card applications, federal prosecutors said Friday. Dailey, 54, who had an office in Washington, MO billed for services that he claimed that he provided when he was actually outside the state, including on vacations to Las Vegas and Hawaii, prosecutors claim. He was indicted last week on three felony counts of making false statement to Medicare and two felony counts of using a false social security number.

Source: St. Louis Post-Dispatch [7/20/12]

Query: Non-Compliant Patient With Diabetic Ulcer

I have a  48 year old Type 2 uncontrolled IDDM male who came in to the wound care center with a large ulcer, 3 x 5 cm on the lateral plantar foot. He is bipolar and totally non-compliant. He has been walking on the foot for six month in a regular shoe and applying dry dressings. The ulcer is clean and has no active cellulitis. He did have a previous partial fourth and fifth ray resection so the ulcer is under the remaining stumps of the metatarsal heads. MRI reveals osteomyelitls of the end of the fourth metatarsal stump and osteomyelitis of the whole remaining fifth metatarsal.  

Diabetic Ulcer in Non-Compliant Patient

Options are several: 1. refer patient out because of total non-compliance, 2. refer to vascular for BK amputation 3. surgically debride the osteomyelitis and VAC, etc. with either second procedure of peroneus brevis transfer now, or a staged transfer down the road if the ulcer heals. Any suggestions appreciated. 

Brent Rubin, DPM, Bradenton, FL

Query: Protocol for Employee Cut by Used Blade

What protocol do you use for an employee who nicks her/himself with a used blade? Is the protocol different for a patient? I could see how it could be because only sterile blades are used on patients, and if an assistant nicks herself with a used blade, a different situation exists.

Michael Forman, DPM, Cleveland, OH

Query: Laser for Patient With Pacemaker

If you are using laser treatment for fungal nails, I would appreciate your advice on the following patient: An 82 year old white female whose only appreciable medical history is that she had a pacemaker in 2000. Her neurovascular status is WNL. The remainder of past medical history is unremarkable. She is not taking any meds. Is this patient a candidate for laser treatment for fungal nails?
 
Kel Sherkin, DPM, Toronto, Ontario

RE: Artificial Toenail Innovation/Successes (Eric Hart, DPM)
From: Janet McCormick, MS

Artificial toenails have been being applied for 30 years, actually. However, they were a hard acrylic, not a gel product, so the nail had to be very short to prevent damage if the client stubbed her toe or such. Gels flex, so are safer on a nail that is compromised.

Your patients will love them! Many of them would love to wear some sandals, but they will not due to embarrassment about the appearance of their toenails. Get them to where they can wear sandals instead of tennis shoes at the beach, and you will be their savior!

This service has a lengthy learning curve, but anyone can learn to...

Editor's note: Ms. McCormick's extended-length letter can be read here.

RE: Best Laser for Onychomycosis (Greg Teles, DPM)
From: Jodi Schoenhaus, DPM

The research and development for the use of lasers has made significant strides in the past few years. Mechanism of action, treatment guidelines, and outcomes are being tested and determined. I agree that laser treatment for onychomycosis may be limiting in various cases and does not offer a permanent solution. It is our responsibility to patients to inform them of this prior to treatment. In severe cases, I tell patients that they will have an improvement in the appearance of the nail, but the nail will not look perfect, and most patients will require a maintenance program. When choosing a laser, do your homework. Not all lasers are created equal. Choose a reliable company.

Jodi Schoenhaus, DPM, Boca Raton, FL, jschoenhaus@hotmail.com

EQUIPMENT FOR SALE - USED PODIATRIC LASERS

Great price, great outcome. Stop wasting money on expense lasers. Personally owned and used few hours in my office,. 10 and 30 watts lasers. Two handpieces in one. First one for plantar fasciitis, Achilles tendonitis, arthritis, pain, inflammation. 2nd handpiece for surgical ablation and fungus toenail conditions. Portable fast and very cost-effective.footcare@comcast.net

EQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

EQUIPMENT WANTED - WHIRLPOOLS, CHAIRS

Whitehall Whirlpool Either model P-10S or P-15S. These are the stationary, not portable models. Must be in very good condition. Also, looking for a Midmark 417 or MTI 527 Podiatry chairs. Please contact me at redwingcrzy@aol.com or call 954 650-8637

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM

PRACTICE FOR SALE - SOUTHWEST FL

multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to practiceforsaleswfla@gmail.com.

ASSOCIATE POSITION - BIRMINGHAM, ALABAMA

Immediate opening. Strong established group practice. 30-40 office patients per day to start. Surgery available, but not required. Base salary, production bonus, benefit package, relocation assistance. Aggressive work ethic a must. Email resume and cover letter to: dwh101@bellsouth.com

HOUSE CALL PODIATRIST NEEDED - BRONX, NY

Immediate opportunity for a hardworking and motivated podiatrist to make house calls in the Bronx, part-time. Perfect opportunity for young practitioner just starting out, or experienced podiatrist looking to downsize from private practice. Make your own hours and schedule patients at your convenience. Excellent compensation. We will provide for you all that is required including instruments (if needed), and supplies, EMR charting, billing, and scheduling. 914.584.1434 Email information to:  Podiodoc@gmail.com

ASSOCIATE POSITION - YONKERS, NEW YORK

Immediate part time associate position now available. Appx: 3 1/2 days per week with room to grow. Practice is a good balance of all aspects of podiatric foot care, including surgery. Perfect opportunity for new graduate, or experienced podiatrist. Looking for the right person to transition into vacancy that will be left by current associate leaving the area and you will have an immediate, full schedule of patients. Over 25 year well-established practice with large referral base, and both hospital and surgery center privileges available. Interested persons please forward CV and brief summary of surgical log to:  Podiodoc@gmail.com914.584.1434ASSOCIATE POSITION - BAKERSFIELD, CA

IMMEDIATE OPENING: Office and hospital-based podiatry group in Bakersfield, CA seeks highly trained surgical associate to join us. Prefer surgeon with trauma and Charcot reconstructive experience. Staff privileges with 5 local hospitals. Offering health insurance, CME allowance and competitive salary. Must be PSR 24/36 trained, ethical and thoughtful when treating patients. Please forward CV and letter of intent to modpm@aol.com.

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITION - NJ

Immediate opening for full-time or 2 part-time DPMs for diversified practice that features most all phases of podiatric medicine and surgery. Full-time candidate must be ABPS Board Certified in Foot Surgery or PSR 24/36 Bd Qualified in RRF. Competitive salary and bonus. Great working conditions and area. Realistic Partnership opportunity. Send resume to: MonmouthDPM@aol.com

ASSOCIATE POSITION - MANHATTAN

Well-established successful Park Avenue podiatry practice is recruiting skilled and well trained DPM with a minimum of 3 years of experience. Must be experienced in rear and forefoot reconstruction. Must be self- motivated, and great with patients. State-of-the-art practice facilities and technologies which include: in-office physical therapy, digital x-ray, diagnostic ultrasound, and electronic medical records. MRI, and private operating room. All interested candidate email CV to elautin@gmail.com

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977

ASSOCIATE POSITION - NEW YORK CITY & QUEENS

High Income Potential. One of the fastest growing podiatry practices in New York City and Queens seeks a hard-working podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Contact me at: Podocare@aol.com

ASSOCIATE POSITION - NASSAU COUNTY, NEW YORK

Exciting Opportunity! Associate position. Must be Board Qualified. Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to:Podiatryoffice@doctor.com

ASSOCIATE POSITION - LOUISVILLE, KY

Immediate position for established practice in excellent location with option to buy. All phases of podiatry with good mix of patients. Two local residency programs with foot and ankle and trauma privileges. Office has EMR qualifying for meaningful use in the first year. PADnet vascular testing. Send resume to: samuel10530@yahoo.com.

ASSOCIATE POSITION - SEATTLE, WA AREA

Established podiatric clinic looking for an associate to join our team, 5 offices located around the greater Seattle, WA area. Great base salary, benefits and friendly work environment. Please send resume to: seattlefootdoctor@yahoo.com

ASSOCIATE POSITION - WEST COAST, FLORIDA

Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in rearfoot and ankle reconstructive cases but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com

PM News Classified Ads Reach over 13,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 13,500 DPM's. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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