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PM News |
The Voice of Podiatrists
Serving Over 11,000 Podiatrists Daily
July 31, 2009 #3,610 Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2009- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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Aetrex Launches Sandalista Program
Allow your patients to experience a revolution in sandal design with the new Aetrex Sandalistas series.Created by renowned footwear designer Susan Ryder this collection features classic double buckle, thong, step in and dual strap patterns in rich seasonal colors in whole and half sizes 5-11.
“ These new sandals from Aetrex have been very well received by our patients. They look great and the foot bed is incredibly comfortable.” Dr. Marybeth Crane, DPM, Grapevine, Texas
A functional custom orthotic for any sandal can also be ordered via a program with Rocky Mountain Orthotic Labs.
The sandals can be viewed at www.aetrex.com/pm-sandalistas or call Aetrex at 800-526-2739 for a catalog or to schedule a presentation with your Aetrex representative.
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PODIATRISTS AND DERMATOLOGY |
Patients Need to Inspect Feet for Early Signs of Melanoma: MA Podiatrist
While all types of skin cancer, including squamous cell and basal cell carcinoma, can be found on the foot, the most common is the most serious form, melanoma. Symptoms can be as subtle as an abnormal-looking mole or freckle found anywhere on the foot, and often go unnoticed without routine foot exams.
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Dr. Thanh Dinh |
According to foot and ankle surgeon Thanh Dinh, DPM, FACFAS, early diagnosis is key to effective treatment for the condition. But because people aren’t looking for the early warning signs or taking the same precautions they do for other areas of the body, often times skin cancer in this region is not diagnosed until later stages.
“I advise my patients to regularly inspect their feet, including the soles, in between their toes and even under their toenails, for any changing moles or spots and to have any suspicious areas promptly examined by a foot and ankle specialist,” Dr. Dinh explains.
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PODIATRISTS AND SPORTS MEDICINE |
Barefoot Not For Everybody: PA & DC Podiatrists
Podiatrist Howard Palamarchuk, director of sports medicine at Temple University's Gait Study Center, said he believes that running shoes might not always be beneficial. "We encase our feet in a box, and those muscles never develop," Palamarchuk said. But he added: "As a medical practitioner who specializes in the foot, I'd say there are some people who should not even attempt to run barefoot."
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Dr. Howard Palamarchuk |
These include diabetics and others who do not have full feeling in their feet (peripheral neuropathy), as well as people with certain conditions — including club foot, very high arches, or legs that differ in length — that prevent their feet from absorbing shock well.
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Dr. Stephen Pribut |
Stephen Pribut, the former president of the American Association of Podiatric Sports Medicine, concurred. "Too much structure (in running shoes), for many people, is not a good thing," he said. "But I don't think everyone is made to run barefoot." Pribut believes that humans evolved not just to walk, but to run.
Source: Karen Knee, The Wichita Eagle [7/28/09]
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The Only Prefab Diabetic Orthotic That Makes Sense…
Thermofit® is a unique multi-layer, prefab Orthotic that is constructed with a rearfoot support under the 3/16” base layer. Like no other prefab diabetic insert, the rearfoot support layer reinforces the arch area, and does not allow the orthotic to collapse when the foot over-pronates.
Additional unique features include:
- Advanced thermoplastic materials that offer superb cushioning, low shear forces and excellent durability.
- Beveled edges along the entire rearfoot, which are finely ground to insure a perfect fit inside the shoe, and eliminate thick edges after the orthotic is being heated.
For more information click www.orthofeet.com/Thermofit.htm
Advance to Orthofeet and SAVE:
Prefab Diabetic Orthotics - $8.95 a pair; Custom Diabetic Orthotics - $23.00 a pair.
Shoes - $42 - $52 a pair; Toe-Filler - $75;
www.orthofeet.com 800-524-2845
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HEALTHCARE LEGISLATION |
Negotiators Reach Agreement on House Healthcare Bill
Negotiators on the House healthcare reform bill have reached an agreement that seeks to shave $100 billion from the cost of the bill and delays a vote in the full House until September. The agreement, reached by the White House, House Speaker Nancy Pelosi (D-CA) and members of the House Energy and Commerce Committee, paved the way for Rep. Henry Waxman's (D-CA) panel to resume its negotiations on the bill. At least four of the seven fiscally conservative Blue Dog Democrats on the panel have signed on to the agreement, said Rep. Mike Ross (D-AR), chairman of the Blue Dog Health Care Task Force.
Public plans under this agreement will be authorized to negotiate rates with providers instead of establishing Medicare rates, to create a more level playing field between public and private options in the bill. Ross also clarified that the public option would remain an option, and “not be mandated on anyone.” State-based “co-ops” will also be offered as a coverage option, he said.
Savings will be achieved through various measures, such as increasing the premium cap from 11% to 12% of income, and establishing a hospital value-based purchasing system, Ross said.
Source: Jennifer Lubell, Modern Healthcare [7/29/09]
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Electrotherapy Applications for Acute Post-Operative Pain Relief and Chronic Diabetic Neuropathy
Every day, you cope with patients experiencing foot and leg pain as result of surgery or disease. SureFit is pleased present Lewis Freed, D.P.M, speaking on his clinical use of the Micro-Z™ Mini and Intelligent Textiles® in the post-surgical treatment of chronic pain, tissue recovery and edema reduction. Dr. Freed, will also discuss benefits of electronic stimulation as a safe, clinically proven, non-pharmaceutical alternative to effecting pain relief from Neuropathy and Idiopathic Pain.
Where: 2009 APMA Annual Scientific Meeting
SureFit Booth #340 – Q&A sessions
When: Fri, July 31st - Noon – 1:30 PM
Sat, Aug 1st - Noon – 1:00 PM
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PRACTICE MANAGEMENT TIP OF THE DAY |
Should You Pass Off This Task?
“I can do it faster myself” may be the No. 1 excuse leaders use for not delegating. Of course you can do it faster—you have both experience and expertise. However, if you choose the right candidate for the job, that person quickly will gain speed and competence. To determine if delegation is the right choice, answer these questions:
- How much time is available to complete the job? If the job is a rush, do it yourself this time but start planning now to hand it off next time. Tip: Let the person observe you, ask questions and discuss results.
- Could you find time to redo the job if the person does not perform it properly? Build time for review and rework into your delegation schedule.
- What consequences will you face if the job is not completed on time? Work with the employee until the person gains expertise so that you gain confidence in his or her ability to perform the task.
Source: Adapted from “Successful Delegation: Using the Power of Other People’s Help" via Communication Briefings
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For those practitioners who put their patient’s needs above all other considerations; Langer Biomechanics invites you to experience custom-made AFO’s; done right!
There is no substitute for experience and Langer Biomechanics has been designing and fabricating Custom Ankle Foot Orthotics for 27 Years. From neuromuscularly impaired children, to world class athletes, to grandmothers and grandfathers everywhere, Langer has been providing clinicians with a wide range of efficacious therapeutic modalities; made right. Fully custom made braces that are matched to aesthetically pleasing and appropriate footwear is the perfect formula for successful outcomes. While there are many newcomers to this field, none possess the knowledge and experience embodied in the Langer Biomechanics brand. When it comes to treating your most biomechanically challenging patients, you need your AFO’s done right!
So, if you want the best for your patient’s, you need to prescribe and dispense AFO’s from the most experienced lab; Langer Biomechanics. Call 800-645-5520 ext 144 for more information.
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QUERIES (NON-CLINICAL) |
Query: New or Used Autoclaves
I am in the market for an autoclave. My 35-40 year old Ritter finally costs too much to repair. Can anyone suggest a brand or model that has performed well, with little maintenance? I do not require a lot of bells and whistles.
Laura R Lefkowitz, DPM, Beverly Hills, CA
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RESPONSES / COMMENTS (CLINICAL) |
RE: Swimmer with Cramps in Arches (Alan Mauser, DPM)
From: Ira Meyers, DPM
One other thing to consider would be chronic exertional compartment syndrome. I have had a few tri-athletes with resting pressures above 50mmHg. Although it’s not very feasible to swim with the catheter in the posterior compartment, a resting level may be useful.
Ira Meyers, DPM, Huntingdon Valley, PA, idmrun@aol.com
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MEETING NOTICES
Barry University 2009 Fall Mini Seminar Series
September 10th – Wound Care Seminar 3 CMEs
October 8th – Sports Medicine 3 CMEs
October 24th – Florida Required License Renewal Course 5 CMEs
November 12th – Tropical Medicine 3 CMEs
December 10th – Radiology 3 CMEs
Register online at: www.barry.edu/podiatry/cme
For further information please contact:
Urmala Roopnarinesingh at 305-899-3255 or uroopnarinesingh@mail.barry.edu
Solange Brinson at 305-899-3266 or sbrinson@mail.barry.edu
Visit the website at www.barry.edu/podiatry/cme
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 1 |
RE: Online Scheduling for Multiple Offices (Mark Wolpa, DPM)
From: Steven N. Solomon, DPM,JD
Something that I am hearing about more in New York is the website ZocDoc.com, which has been in the media. It allows patients to search for a doctor that accepts their insurance and to then book an appointment online. I have met a number of people over the past six months who have told me that they used the site to find a doctor for a same day or next day appointment.
If there is something like this where you practice, you may want to give it a try. I do not know the details of joining or managing your schedule, but I would think that you would be able to access and control your appointments.
Disclosure: I have no financial interest in the company.
Steven N. Solomon, DPM,JD, New York, NY, LegalFoot@yahoo.com
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A Call for Your Support!
NWPF Yucatán Pediatric Seminar, NOVEMBER 18-21, 2009
NORTHWEST PODIATRIC FOUNDATION FOR EDUCATION & RESEARCH
The NWPF is hosting a special fundraising seminar for the Barry University's Yucatán Crippled Children’s Project. This 12 year old humanitarian program aids the needy Yucatán children. Location: Hyatt Regency, Mérida, Yucatán
Meetings: November 19-21; Thursday 8 Am-6 PM; Friday & Saturday 8 AM-3:30 PM
20 educational hours on pediatric lower extremities.
Tuition Fees: $480 Before 10/27/09 and $530 After 10/26/09
A Special Group Tour to the Ancient Mayan City of Chichén-Itzá will be held Wednesday November 18th! Speakers: Drs. Brad Bakotic, Harry Burke, Mary Crawford, G. Dock Dockery, Richard Goad, Byron Hutchinson, Keith Kashuk, Stephen Mariash, Aldolfo Rocha, Arturo Rios, Charles Southerland and others.
Register online here or e-mail podfound@aol.com (866) 286-6973
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 2 |
RE: Dragon Naturally Problem (Bruce Krell, DPM)
From: Denis Russell, DPM
This is a perfect question for KnowBrainer (knowbrainer.com), the de facto expert on DNS. These are extremely knowledgeable people who deal with problems such as this on a daily basis. The forum is very educational and may provide answers to your problems.
Denis Russell, DPM, Fountain Valley, CA, rdenisr@sbcglobal.net
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o Autograft from Bunion Repair
o E/M Coding with a Surgical Code
o Lesser Met Resection with Implant
o Medicare Denial of Nail Debridement
o Proper Code for a Subtalar Arthroereisis
Codingline subscription information can be found here
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 3 |
RE: Vision 2009
From: Elliot Udell, DPM
We, as podiatrists, cannot bemoan the fact that " some/many in the general medical community still belittle our training...disregarding the true breadth of our schooling ...and complexity of our post-graduate training."
As my mentor, Dr. Lawrence Harkless has always said, "This is a wonderful opportunity!" It's a chance for us to educate other medical specialists about who podiatrists are and what we can do. You can't blame others if they are ignorant about our profession. It's our responsibility to educate them.
Kathy Satterfield, DPM, San Antonio, TX, vksatterfielddpm@aol.com
I invite those in the non-podiatric medical community who think that there are significant deficiencies in our knowledge of medicine as it relates to the practice of our profession, to take a peek at the academic discussions and high level debates right here on PM News.
To get to the core, however, of what Dr. Finkelstein may be alluding to, let’s ask ourselves this: When the image of a doctor comes up in our minds, is it always the image of an internist? In order to be a good podiatrist, ear nose and throat specialist, psychiatrist, dermatologist, ophthalmologist, etc., one need not be a 'guru" in all facets of internal medicine. Surgical specialists rarely can be. At the mandatory orthopedic/podiatry meetings at our hospital, there are discussions of interesting cases. In some of the discussions, the chairman of the department will often say, "send this patient to a medical doctor", meaning one of the internists.
What this MD/orthopedist means is that although he is an excellent orthopedic surgeon and keeps abreast of the orthopedic literature, he recognizes that no one in the room is up on every nuance in internal medicine, and it is best for the patient that an internist be consulted. This does not mean that he is any less of a doctor. To the contrary, he is being a better physician. We podiatrists need to think this way, and not feel that there is something lacking in us if we don't have the same knowledge of every facet of internal medicine as we would expect our personal primary care physicians to have.
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 30 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours for only $139(Less than $14 per credit)
http://www.podiatrym.com/cme.cfm
Choose any or ALL (30 CME Contact Hours) from the 20 CME articles posted
You Can Now Take Tests and Print Your CME Certificates Online
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CLASSIFIED ADS |
LOCUM TENENS – TEXAS
Looking for locum tenens to work about 3 weeks for me while I am out for an operation. Need Texas license and obviously need malpractice. Tentative dates are: Last week in August 09 - first two weeks of September. Need to be able to see variety of post-op patients, and otherwise, general podiatric practice and common office procedure (nail, etc.) skills. Salary/terms negotiable. If interested, please call, 409-466-7401 and mention this ad.
ASSOCIATE POSITION - FLORIDA
Busy practice in East Central Florida in search of full-time podiatrist to perform routine foot care in office and nursing home. Competitive salary and full benefits available. Reply to jrdpm@bellsouth.net
PRACTICE OPPORTUNITY - CINCINNATI, OH
Well-established practice located in medical/professional building minutes from hospital. Many referrals, three satellite clinics and two assisted living facilities to keep you busy. Associate leaving due to family emergency-need to either find an associate or sell ASAP. Contact bjadpm@hotmail.com for more details.
NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS
Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website
ASSOCIATE POSITION – ILLINOIS
Quality Podiatry Group provides quality services to residents at long term care facilities. We are currently offering full-time or part-time positions for motivated ethical podiatrists. Immediate openings available. If interested, fax curriculum vitae to 312 225-9366 or e-mail feetwork@aol.com
ASSOCIATE POSITION – PACIFIC NORTHWEST
Russian-speaking podiatrist needed. Looking for well-rounded, recently out of residency, podiatrist. Would you like to raise your family in our beautiful Pacific Northwest? We are well-established and fast growing multi-office practice with all aspects of podiatry. Attractive compensation, malpractice and medical insurance provided. Contact Dr. Ilona Barlam at 206-661-9644.
ASSOCIATE POSITION - WASHINGTON — WEST PUGET SOUND
Well-established, two-doctor practice in all phases of treatment looking to replace associate who is leaving the area. Looking for energetic, affable, surgically-trained DPM to take over associate position leading to partnership. Satellite office and adjacent multi-disciplinary ASC available for use and possible partnership. Silverdale rated 92nd in best 100 locations in Money/CNN 2009 poll. See link . Contact and résumé at pwa@kitsappodiatry.com
PRACTICE FOR SALE - ALABAMA, GULF COAST
Established 26 year old practice. Owner desires to sell and relocate. Operated 25 hours per week. Mixture of surgery and general podiatry. MD referrals. Surgery center and hospitals in close proximity. Highly profitable. Priced to sell. Will lease office to buyer. Call Mike Crosby at 888-776-2430 or email mcrosby@providerresources.com
ASSOCIATE POSITION - BOSTON, MA
Associate wanted, Full-time or part-time, for busy long time, well established, and well-rounded practice. Good mix of general podiatry and surgery. Office will generate approximately 100+ surgical cases per year. Must have surgical background, ABPS Qualified minimum needed to obtain hospital privileges. Associate position is open for partnership or purchase. Contact robert.nunberg@comcast.net
PRACTICE FOR SALE – WESTCHESTER COUNTY, NY
Established 30+ year old practice. Well respected podiatrist in beautiful Westchester County Owner ill and needs a quick sale. Mixture of surgery and general podiatry. Hospitals in close proximity. Will lease office to buyer. Call Mali McGrinder at 914-434-1663.
ASSOCIATE POSITION - CHICAGO AREA
Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com
ASSOCIATE POSITIONS - CALIFORNIA
Podiatrist needed for busy North Hollywood office. Part-time Monday-Friday 8am-2:30pm. No weekends and no call. Pay negotiable. New podiatrists are encouraged to apply. Please email resume and salary request to Coasttocoastpodiatry@yahoo.com
PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH
Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.
PM News Classified Ads Reach over 11,500 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 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451 Ext 110
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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.
| Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
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RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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