The Voice of Podiatrists

Serving Over 9,500 Podiatrists Daily

July 30, 2007 #3,001 Editor-Barry Block, DPM, JD

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Fungus Infections Are Most Common Disease From Nail Salons: NC Podiatrist

Consumers who think getting manicures and pedicures is luxurious may want to think again. The price for that luxury can land consumers in the doctor's office. WCNC'S Consumer Connection went undercover along with health inspectors to uncover what happens at local nail salons.

Dr. Richard Miller

Podiatrist Doctor Richard Miller says, "You're there to have nice nails, not to acquire an infection." The infections are often gruesome, in some cases causing permanent disfigurement.

"Probably the most common thing that we see is a fungus infection from pedicures, but you can also get bacterial infections," said Miller.

Source: Anna Crowley / WCNC [7/26/07]

Aussie Podiatrist to Compete In Irish International Pagent

Ruth McKeown is getting ready to kick up her heels in Ireland. The 23-year-old podiatrist was crowned winner of the SA Rose of Tralee Quest, a search for a young female ambassador with Irish heritage - and will head to Ireland on August 10 to compete against 31 international winners. "I'm going over with all my family because my mum and dad were born there," Ruth says of her trip.

Ruth McKeown

"I will have to be in parades, balls, have interviews - it will be very hectic but it's something I've always wanted to do." While Ruth says she won't be skolling Baileys and Guinness if she wins, she will be in for a year of travelling and celebrity status, thanks to the competition, which is second only to the Eurovision Song Contest in popularity on that side of the world.

A South Australian has never won the quest but Ruth is hoping the luck of the Irish will change this year.

Source: Lucy Hood, The Advertiser/Sunday Mail (Australia) [7/24/07]

DPM Completes 12-Month Orthopaedic Foot and Ankle Fellowship

Dekarlos M. Dial, DPM, a 2003 graduate of the Ohio College of Podiatric Medicine completed a 3-year surgical podiatric foot and ankle surgical residency at the University of Pittsburgh Medical Center 2003-6. He is now completing a 12-month foot and ankle fellowship training program at the University of Pittsburgh Department of Orthopaedic Surgery.

Dr. DeKarlos Dial

During his 12-month orthopaedic foot and ankle fellowship, he received extensive training in foot and ankle trauma, diabetic limb salvage, external circular ring fixation, sports medicine-related injuries, and advanced arthroscopic surgery. Dr. Dial will join Family Foot and Ankle Specialists (High Point, North Carolina) in August 1, 2007 after completion of his fellowship.

CT Podiatrist To Attempt First American Triple Crossing of English Channel

Marcy MacDonald, a 43-year-old podiatrist from Andover, is attempting to become the first American, and only the fourth person in history, to complete a triple crossing of the English Channel, nearly a 70-mile round trip swim, but a rainy weather pattern stuck over England has her crew grounded in Dover.

Dr. Marcy MacDonald

MacDonald first swam the Channel in 1994 and has since made eight crossings, including two double crossings. Her first attempt at a triple crossing was in 2004, but a shoulder injury forced her out of the water after she completed two crossings.

Source: Hartford Courant [7/26/07]

Query: Non-Displaced Cuboid Fracture

I recently ordered a CT for a cuboid fracture. The x-ray report read, "Summary: Nondisplaced small fracture of the distal cuboid along the plantar surface with no significant bony displacement." The patient is having some discomfort. I am not certain of the best way to treat this problem. A review of the literature was inconclusive. Any information would be appreciated.

Edmond F. Mertzenich, DPM, Rockford, IL

RE: Circulator Boot (Elliot Udell, DPM)
From: Ian S. Goldbaum, DPM, Earl R. Horowitz, DPM

I have been using the Circulator Boot in my practice for years. It is an excellent modality for helping to increase blood flow down to the distal digits. It must be used in conjunction with careful debridement and other wound care products and modalities. The Circulator Boot has a heart monitor, which is timed in unison to compress in the exact milli-second as the cardiac contracture pushing the blood through the arterial and venous systems. I've saved over 35 limbs from being amputated in cases where patients on their way to the OR found out about my practice and decided to give this a try, usually as a last ditch effort.

I'm not a representative or get paid by the Circulator Boot company, but I can tell you as a podiatric physician and surgeon who does a lot of wound care, that when hyperbaric fails due to lack of oxygen and blood flow getting to the ulcerated area, this therapy is golden. There is nothing better than saving a patient’s extremity when all other physicians i.e., vascular , internist and infectious disease, to name a few, have told the family or patient to amputate. In my area, some of the physicians now know I have a CB and send me the patients. In Florida this is not a covered modality, so I charge per visit.

The Circulator Boot company has a website www.circulatorboot.com which is extremely helpful. Dr. Dillion, the inventor of the modality, has handled literally thousands of cases . Due to circumstances, this modality does not work every time. But it is another bullet in the gun to help our patients heal and have a better quality of life.

Ian S. Goldbaum, DPM, Delray Beach, FL, podfather5@aol.com

I have been using the Circulator Boot System in my office for the last 8-10 years. We have six Circulator Boots running continuously all day five days per week. We have been treating diabetic ulcers, arterial and venous ulcers, osteomyelitis, gangrene, peripheral vascular disease both arterial and venous, and symptoms of neuropathy with very successful results. We analyze our results clinically and with the use of various test. Our results in controlling lower extremity amputations has been extremely successful.

Your specific question in relation to collateral circulation is noted, we evaluate blood flow to the skin and small vessels using Laser Doppler and reactive hyperemia test. Results usually show a significant increase in circulation in the collaterals even when the larger vessels are stenosed. The main contraindication for the use of this modality is Acute DVT. I highly recommend this underused modality for the treatment of multiple conditions mentioned previously.

Earl R. Horowitz, DPM, Jacksonville, FL, DocERH@aol.

RE: PM News To Mark Issue #3,000
From: Multiple respondents

It’s hard to believe that you have surpassed the 3,000th issue of PM News. You have done yourself and the profession very well. The service you provide for the profession is invaluable. May you continue for three times what you have already done.

H. F. “Bunny” Brown, III, DPM

You know I am never one for “short and sweet,” but simply and sincerely said….You are truly an inspiration to our profession...and to me, personally. Thank you for keeping us informed and connected, and especially for giving each of us a voice through your reliable and highly successful development of PM News. Congratulations to you and your team!

Lynn Homisak

I just want to add my congratulations and good wishes on your 3,000th issue. I am in awe of your ability to publish a new issue every day, no matter what else happens, for over 13 years!

Thank you for your publications, which add so much to the podiatric community; for your excellent example; and for your friendship.

Gayle S. Johnson, PMA

Editor’s note: We would like to thank all those who took the time to write congratulatory letters. Because of the large number of notes received, we’ve printed a few which are representative.

RE: Removing Monsel's Solution Stains (Arden Smith, DPM)
From: Leonard A. Levy, DPM, MPH

Monsel’s solution (consisting of ferric subsulfate.) was shown as early as 1936 to cause a permanent pigmented stain on skin, sometimes referred to as tattooing. As we all know, it has excellent styptic qualities. When it accidentally gets on our clothes or white coats it causes a stain almost impossible to remove. Using hydrogen peroxide or bleach will only cause the stain to smear. However, quite effective is the use of a dilute hydrochloric acid (muriatic acid) solution which is typically the active ingredient in toilet bowl cleaner, (available for only a few dollars) as has been reported in the journal Dermatological Surgery (26 : 507;2000) by Raymond T. Kuwahara, MD and Rex A. Ammonette, MD.

Read the ingredients so that you do not use household cleaners that use bleach (sodium hypochlorite), since this will not remove the stain. Be sure not to wash the stain in hot water or dry it in the dryer since the heat sets the stain and makes it difficult to remove. This treatment can be done even on colored garments so long as they are color-fast. The HCL reacts with the ferric subsulfate to make a water soluble compound that allows the stain to be removed. Stains on skin should not be treated using this method since the HCL, even in dilute form, can be damaging to the skin. As the skin normally desquamates, the stain hopefully should eventually disappear.

Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL, levyleon@nova.edu

RE: 2 Vs. 3 Year Residency (Richard Gosnay, DPM)
From: Howard Lazar, DPM, JD

Editor’s note: This letter can be read at:
http://www.podiatrym.com/letters2.cfm?id=15014&start=1

ASSOCIATE POSITION - NORTHWEST PENNSYLVANIA

Multi-specialty group is looking to add another Podiatric Surgeon or General Podiatrist to our well-established group. Office locations in northwestern Pennsylvania. Unlimited opportunities exist for the right Associate, wound care experience is a plus. Please forward your CV to adminsec@ips-mso.com

ASSOCIATE POSITION – PART TIME - BRONX, NY

Part time associate position available in the Bronx, NY. Two days a week. 30K/yr + incentives. Full-time position may be available shortly. Must be ethical, hardworking, and Spanish speaking a plus. Please email resumes to Scottdeis@aol.com

ASSOCIATE- SOUTH JERSEY

PT/FT wanted for progressive (EMR, Digital x-ray, Diag U/S ), ethical, full scope group practice. A motivated team player with very good surgical and routine skills. ABPS cert and 24/36 PSR preferred but will take experience into consideration. Located between Phila. and the shore. A very fair benefits /compensation package. CV and references Toetrukr@aol.com

ASSOCIATE POSITION SANTA FE, NEW MEXICO

Immediate opening for PSR 24/36 individual in three office practice. We are looking for an ethical, hard working, well trained Podiatrist. Partnership available. Please Fax CV to sfpodiatry@aol.com

ASSOCIATE POSITION - CONNECTICUT- HARTFORD

Connecticut Surgical Group, one of the largest multi-specialty surgical group practices in New England, is seeking a Board-Certified Podiatrist to add to our three-physician Podiatry division. This Podiatrist will provide all aspects of Podiatric care. We will consider candidates with 2- or 3-year training and who are ABPS-Certified/eligible. CSG is a highly-regarded practice in the Hartford Hospital medical community with an exceptional support structure and a strong referral base. We offer competitive salary and bonus, partnership opportunities, excellent benefits, and reasonable overhead. To apply, visit https://home.eease.com/recruit/?id=21426 or fax a CV to 860-524-2653. No phone calls. EOE

ASSOCIATE POSITION – MISSOURI

One of our long term associates needs to relocate due to family reasons. Step into full schedule. Five locations in growing population area without HMO's. Partnership available. Missouridpm@yahoo.com

PRACTICE FOR SALE OR LEASE- CENTRAL FLORIDA

Practice all phases. Wound care, hyperbaric privleges nearby. Excellent building, location, and exposure on busy highway. Outstanding place to live and work; low penetration by managed care. Ample parking and accessibility with 2,000 sq. ft building designed and equipped for podiatry (lease or buy) 7 minutes from hospital. Great price, terms and opportunity to grow. 352-357-7499 - windnwave@earthlink.net

ASSOCIATE POSITION -CONNECTICUT-NORTH HAVEN

Seeking a part-time associate for a busy, well-established, respected, growing practice. Desiring an ethical, motivated, personable, well-trained PSR12/24/ or 36 podiatrist. Our practice is well-rounded and diverse with a good mix of sports medicine, diabetic care, surgery, podopediatrics, and general podiatry. Email information and CV to Pedy7@aol.com with subject heading “Podiatry Associate.”

POSITION AVAILABLE - SOUTHEAST TENNESSEE/ NORTH GEORGIA

Immediate position available or will wait for the right individual. Unique practice opportunity in growing multi-physician/multi-office practice. Well established/cutting edge within the medical community. Close proximity to hospitals as well as opportunity to become involved with a free standing podiatric surgical center. Must be BQ/BC. Minimum PSR/24. Competitive salary, bonus structure and benefits. E-mail CV to afcjen@hotmail.com

ASSOCIATE/OWNERSHIP GROUP PRACTICE- IMMEDIATELY - PHOENIX

Requires Arizona License NOW. Full scope of podiatry requiring usual skills in surgery and medicine. Once-in-a-lifetime financial opportunity for the right person. Practice has been established in the same location for over 25 years. SurgiCenter on premises and ownership included. Email CV and letter of intent to: PPRAC@cox.net

PODIATRISTS NEEDED - CHICAGO --NORTHWEST INDIANA

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists. We are located in Chicago and Northwest Indiana. Full and part time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-292-4800. Fax 773-486-3548 ---------------------E-Mail sschneider@homephysicians.com -- www.homephysicians.com

ASSOCIATE POSITION-SOUTHERN CALIFORNIA

Full scope of podiatry. Requires usual skills in surgery, medicine and biomechanics. Must be self-starter and highly motivated. Two full days per week. May soon increase to three days per week. All billing and administrative aspects handled by staff. Can practice autonomously. footguy1@pacbell.net

ASSOCIATE WANTED - IMMEDIATE OPENING- NEW YORK

Associate Position with immediate opening in the Hudson Valley (NY) for multi-office well rounded podiatric practice including general podiatry, high volume orthotics, and reconstructive surgery. Looking for well trained (PSR- 24/36. Outstanding opportunity to work into partnership. Competitive starting salary, bonus incentives, benefits, and pension. PER DIEM also available for immediate placement. Please submit: CV, letter of intent and references to: footassociate@yahoo.com

ASSOCIATE POSITION – BOSTON, MA

20 year old, well established, modern practice with 2 locations just out of Boston, looking for associate, P/T or F/T, motivated 24/36 trained or ABPS-Certified or eligible to start immediately. Strong surgically-based practice. Looking for motivated individual, able to practice all facets of podiatry practiced. Electronic scanning for orthotics and voice activated EMR already in office. Fax CV to (617) 567-0822

ASSOCIATE WANTED – NEW YORK IMMEDIATE OPENING

Busy multi-dimensional practice; 70 miles north of New York City. Currently five (5)-doctor practice. looking to expand – all phases of podiatric medicine. contact: (845) 454-8308 EXT: 106

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