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| PM News | |
The Voice of Podiatrists
Serving Over 22,402 Subscribers Daily
July 27, 2021 #7,002  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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Do you deny in-office visits to unvaccinated and unmasked adult patients?
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| PODIATRISTS IN THE NEWS | |
NY Podiatrist Discusses the Benefits of Compression Socks
"The major benefits of wearing compression socks is reduction of swelling to the lower legs," explains podiatrist Jackie Sutera, DPM. This helps with leg fatigue and pain, and can aid in preventing leg wounds in people who have medical issues like diabetes or poor circulation. "It happens by encouraging the blood to circulate back up to the heart and not to 'pool' in legs and feet," Dr. Sutera explains. And if you invest in some of the best compression socks, they will certainly be useful while exercising, during recovery, and just for day-to-day life.
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Dr. Jacqueline Sutera |
The people who can reap the most perks from compression socks are those who spend a lot of time on their feet, pregnant people, and people with superficial varicose veins, says Dr. Sutera, adding that both adults and children can benefit during physical activity. That said, if you have arterial circulation problems (arteries bringing oxygenated blood from heart and lungs to the body), thin and brittle skin, or wounds, compression should be avoided. Dr. Sutera recommends consulting a medical professional prior to starting any treatment protocols. "If you have very swollen legs, poor circulation, diabetes, severe varicose veins, etc., see your doctor for guidance and possibly a prescription version of compression stockings," she says.
Source: Allie Flinn, Well + Good [7/24/21]
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| FELLOWSHIP NEWS | |
NY Podiatrist Begins Wound Care Fellowship
Nosheen Khan, DPM recently started a wound Care fellowship at Saint Johns Episcopal Hospital in Far Rockaway, NY. Dr. Khan earned her podiatric medical degree from the New York College of Podiatric Medicine.
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Dr. Nosheen Khan |
Dr. Khan completed her podiatric residency at Saint Johns Episcopal Hospital in Far Rockaway, NY.
Source: Linkedin
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| PODIATRISTS IN THE COMMUNITY | |
MA Podiatrist Spearheads Shoe Drive for Underprivileged in Mumbai
Women Who Win, a Massachusetts-based women empowerment media platform, recently launched “The Shoe Project” charity program, which aims to provide footwear and health education to underserved global communities. It also donated over 700 pairs of shoes to underprivileged communities in Mumbai. Deepa Jhaveri, DPM, co-founder of Women Who Win and a podiatrist, said that India has a slum population of over 80 million people, and slum residents have to walk miles every day to find back-breaking and grueling labor.
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Dr. Deepa Jhaveri |
“They often work without proper (or any) footwear. Additionally, there is a significant population of women in slums and villages who live and work barefoot,” Dr. Jhaveri said in a statement. “This inspired the team to provide good quality, podiatrist – approved, and weather appropriate shoes to these communities because proper footwear is essential in preventing foot disease, infections, and amputations, and to keep safe while working.”
Source: India New England News [7/21/21]
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| RELEVANT RESEARCH | |
Impact of Repeated Remote Ischemic Conditioning on DFUs
Previous small-scale research has indicated that repeated remote ischemic conditioning (rRIC) is a novel modality that delivers significantly higher diabetic foot ulcer (DFU) healing rates. This proof-of-concept study was performed to expand the research on the utility of rRIC as an adjunctive treatment in the healing of chronic DFUs. Forty subjects (41 wounds) received rRIC treatment three times weekly in addition to standard of care for 12 weeks. Subjects that did not heal in this time frame but had a significant reduction in wound size were eligible to continue for an 8-week extension period. By the end of the extension period, 31 of the 41 DFU wounds (75.6%) in this study were determined to be healed.
This compares favorably to the 25–30% standard of care average healing rate. For additional comparison, another group of patients receiving standard of care alone, by the same investigator, was selected and matched by wound size at baseline and wound location. For this matching cohort, after 20 weeks of treatment, only 15 of the 41 DFU comparison wounds (36.6%) were determined to be healed, in line with other standard of care results. In the rRIC treatment group, the 10 wounds that did not heal, experienced an average reduction in wound area of 54.3%. The results of this proof-of-concept study reinforce earlier evidence that the addition of rRIC to local wound care significantly improves the healing of chronic DFUs.
Source: Wound Repair and Regeneration [7/8/21] via Dr. Allen Jacobs
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
10 Customer Service Habits for Your Medical Practice
Your patients should feel they are taken care of, they have the ability and the willingness to sing your praises, refer patients, pay what they owe you, and help make sure their insurance company pays you. Here are ten healthy customer service habits for your clinic:
9). Be a little obsessed with your patients.
• Would you have a clinic without them? You should know who your patients are, why they come and see you, and be obsessive about making sure they receive the best experience and follow-up possible.
• Have your front-office staff make an effort to remember names of your frequent patients; that goes a long way in making a patient feel welcome.
Source: Adapted from Audrey Mclaughlin, RN, Logan Lutton, Physicians Practice [7/6/21]
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| CODINGLINE CORNER |
Query: Diagnosis Codes and Laboratory Coverage
For an incision and drainage of abscessed toe, I use codes (L02.611/L02.612) and write in the source on Quest’s lab form. I also add cellulitis, if present. Quest now keeps asking for an additional diagnosis or the patient may be responsible for Quest laboratory’s full charges.
What ICD-10 codes are my colleagues using in this circumstance? They want more! I have a new similar issue with ordering hepatic function prior to or during treatment with oral Lamisil. I had been using B35.1 onychomycosis and/or B35.3 tinea pedis for a long time without any problem. But now Quest wants an additional diagnosis. Is there an ICD-10 for liver screening that may help with coverage before and during treatment? If this keeps occurring, I’ll just refer the patient back to their primary for testing.
PM News Subscriber
Response: Rather than referring the patient to the primary care physician and burden them to act simply as a lab (which I can assure you they will not appreciate), why not pay a visit to one of your referral sources and speak with their lab manager? Your other option is to call Quest and ask to speak with your client services representative. I have done this as well, not only for my practice, but for when my own MD/DO office was stumped. They should have a list of all the lab CPT cross-referenced with all the potential ICD-10 they require for reimbursement. Believe me, they absolutely know what ICD-10 cross with the CPT, they just can’t bill those ICD-10s without them coming from you. Once you are provided with a comprehensive list, you should be able to resolve this issue.
Paul Kesselman, DPM, Woodside, NY
For information on Codingline subscriptions, click here
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| QUERIES (CLINICAL) | |
Query: Painful “Bone Islands” in the Os Calcis
This patient is a 79 year old well-controlled type II diabetic, fully ambulatory until “a few months ago” when the right heel became “unbearably painful” to bear weight upon. The exam revealed pain about the infra- and retro-calcaneal exostoses. X-rays reveal a plethora of apparent bone islands in the posterior body of the os calcis.
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(L-R) Lateral ; MO; posterior to anterior with an azimuthal angle of 45 degrees. |
Immobilization has been unsuccessful at reducing pain at weight-bearing. I would like some advice on how to proceed in the management of this patient. There are apparent “bone islands” in the posterior calcaneus. I wonder if we are seeing something more than bone islands: metastases, artifacts of the exostoses, etc.
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| QUERIES (NON-CLINICAL) | |
Query: LET Topical Gel
I am curious to know if any of the PM News readership is using LET Topical Gel? The formula is: Lidocaine HCl 4% / epinephrine HCl 0.05% / Tetracaine HCl 0.5%. It is relatively expensive at $10/syringe with a 10 syringe minimum order and it must be refrigerated.
Pete Harvey, DPM, Wichita Falls, TX
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1A | |
From: Robert S Steinberg, DPM
Dr. Smith failed to fact check, which is reckless when it comes to COVID-19. From the CDC: Anaphylaxis after COVID-19 vaccination is rare and has occurred in approximately 2 to 5 people per million vaccinated in the United States.
Thrombosis with thrombocytopenia syndrome (TTS) after Johnson & Johnson’s Janssen (J&J/Janssen) COVID-19 vaccination is rare. As of July 19, 2021, more than 13 million doses of the J&J/Janssen COVID-19 Vaccine have been given in the United States. CDC and FDA identified 39 confirmed reports of people who got...
Editor's note: Dr. Steinberg's extended-length letter can be read here.
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| RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1B | |
From: Mark Spier, DPM
The real data from the CDC is: As of 6:30 PM CT on July 21, 2021, the CDC's website stated through July 19, 2021, Vaccine Adverse Event Reporting System (VAERS) had received 6,207 reports of death (0.0018%) among people who received a COVID-19 vaccine. Since more than 338 million doses of COVID-19 vaccines were administered in the USA, this data reflects a vaccination-death ratio of 0.0018%.The CDC’s website says, ‘Reports of adverse events to the (VAERS) following vaccination, including deaths, do not necessarily mean that a vaccine caused a health problem.
This is because the U.S. FDA requires healthcare providers to report any death after a COVID-19 vaccination to VAERS, even if it’s unclear whether the vaccine was the cause. Furthermore, a review of available clinical information, including death certificates, autopsy, and medical records, has not established a causal link to COVID-19 vaccines, says the CDC.
Mark Spier, DPM, Reisterstown, MD
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| RESPONSES/COMMENTS (OBITUARIES) | |
It was both sad and nostalgic to read of the passing of Thomas Abraham, DPM from pancreatic CA. He was an integral part of my residency training in Flint, Michigan in the mid-1980s. He also had the unenviable task of being the President of the Michigan Podiatric Medical Association during their lawsuit against Blue Cross and Blue Shield and the auto industry.
He ran a busy practice, provided great leadership during his presidency, and was a great teacher and surgeon. My condolences to his loved ones.
Gary Unsdorfer, DPM, Medina, OH
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| PM NEWS IN THE NEWS | |
From:Robert Chelin, DPM, Arthur E. Helfand, DPM
Barry, congratulations from Canada to both you personally and to PM News for reaching the 7,000th publication. Through PM News, I have benefited from the many discussions, debates, and information that I have attained through your publication keeping me abreast of the current trends, procedures, and information from around the podiatry world. Best of luck and I look forward to many more future milestones.
Robert Chelin, DPM, Past President - Canadian Podiatric Medical Association and FIP-IFP
Congratulations on PM News keeping all of us informed. The part of a lyric from New York, New York that speaks to “I’m spreading the news” is what Dr. Block has done for many decades. It tells us that we are alive and moving on.
Barry is a credit to our profession. I can only hope that someday he will be awarded a Distinguished Service Citation by APMA. It is long overdue. I can only hope that those reading this note will join those of who have nominated him with a groundswell of seconding letters.
Arthur E. Helfand, DPM, Past President, APMA
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Prothetic Hallux of the Day
Almost two decades ago, archeologists working in a burial chamber in the Sheikh ´Abd el-Qurna necropolis west of Luxor, Egypt, found something unexpected: An exquisitely crafted prosthetic big toe fitted to the remains of a woman believed to be the daughter of a high status ancient Egyptian priest.
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| 3,000-Year-Old Wooden Toe Prosthetic |
The toe, known as the Cairo Toe or the Greville Chester Great Toe is roughly 3,000 years old, and is likely the earliest practical prosthesis ever discovered. Now, a detailed study of the digit has unlocked new secrets about the Cairo Toe.
Source: Maged Saad, Facebook via Dr. Keith Gurnick
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MEETING NOTICES AND WEBINARS
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PM PODIATRY HALL OF FAME LUNCHEON
July 31, 2021 – Gaylord Rockies Convention Center- Denver, CA
Honoring Bryan Markinson and Jason Kraus
Sponsored by Bako Diagnostics, 20/20 Imaging, PRESENT Podiatry, and Talar Medical
PM News subscribers are invited to see Drs. Markinson and Mr. Kraus inducted into the PM Podiatry Hall of Fame, including roasts by special guests.
All ticket proceeds go to the APMA Educational Foundation Student Endowment Fund. Reserve your tickets by writing to Kenna Barrett.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – SOUTH JERSEY
How would you like to join our busy, fast paced, growing practice in South Jersey? We are looking for a highly motivated, quick learner who is eager to build a successful patient base. Our group of podiatrists work as a team, and we are looking to add to that team. We offer competitive pay with an incentive-based bonus structure, licensure, malpractice, CME, DEA. If you are interested in joining our team, e-mail us at njfootdoctor@hotmail.com
ASSOCIATE POSITION - NORTH CAROLINA
Seeking full-time associate. Both strong clinical and surgical skills required. Training with diabetes and limb salvage a plus. Hospital and surgical center privileges. Compensation with base and bonus structure. Benefits: insurance, paid vacation/holidays, paid CME, malpractice. Send CV to RussAllen25@gmail.com
ASSOCIATE POSITION – CENTRAL EAST COAST FLORIDA
Walk into a busy schedule day one in this modern, full scope practice. Must be personable, motivated, and ABPM or ABFAS BQ/BC. Private practice experience preferred. Competitive salary/benefits with clear path to partnership. Excellent area to live and raise a family. Start late 2021. Send CV to podiatrymanda@gmail.com
ASSOCIATE POSITION - MIDWEST UNITED STATES
ONCE IN A LIFETIME OPPORTUNITY to join a thriving practice with instant patient volume. Total encompassing practice with advanced Derm / limb salvage / sports med / pediatrics / several types of lasers. Need a competent DPM with surgical skills and office/clinical patient management skills. Early board certification with the ability to outpace your peers economically. Buy-in anticipated after initial contract. Starting six-figure salary with generous bonuses. No nursing homes. PAID-MED-MAL / Vacation / Hospital dues / medical organizational dues/health ins/disability ins/phone & car allowances/401k accessible/5K signing bonus. DPMPROFESSIONAL2021@GMAIL.COM
ASSOCIATE POSITION - WARREN COUNTY, NJ
Looking to add to our team. Busy practice located in Warren Cty NJ. Practice performs all aspects of general podiatry, surgery, diabetic footcare and orthotics. Hospital privileges available. Good personality a must! Send resume to Shannon@footcare.com or fax to 908-852-1076.
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 foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com
ASSOCIATE POSITIONS – CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Work available in CT, DE, PA, OH, MO, NJ, NY, TN, FL . Resume to sara@sightrite.com (sign-on bonus for CT, DE and PA for immediate start)
ASSOCIATE POSITION – LEXINGTON, KENTUCKY
Modern, upscale, all-female group practice seeking energetic, team-oriented and caring FT Associate to join our busy practice. No travel, nursing homes, minimal wound care, or Medicaid. Only ~15% Medicare. Compensation benefits: Salary of $125,000 + generous bonus structure, health insurance, 401K, all professional fees covered (including malpractice), time off for paid CME, scrubs/shoes annually, etc. Looking for a highly motivated and ethical individual with excellent clinical and surgical skills (residency must be 3-year surgical with plans on sitting for the FF & RF boards. Please see our website: www.lexpodiatry.com and email drfreels@lexpodiatry.com your cover letter and CV. Start date is 7/15/22.
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION- EASTERN PA
Busy podiatry practice in eastern PA. Competitive salary and benefits. Needs to be strong with patient care and hospital work. Good personality a must. Please send resume to premierfootpa@outlook.com or fax resume to (610) 670-5246.
ASSOCIATE POSITION - WYOMISSING, PA
Seeking a board qualified/certified podiatric physician /surgeon for an associate position available at a growing office in New Castle/Hermitage areas of Western Pennsylvania- approximately one hour from Cleveland, OH and Pittsburgh, PA. Position would include wound center, inpatient consults, forefoot/rearfoot surgery, and clinic. Competitive salary with benefits available. Please contact WesternPApod@gmail.com
ASSOCIATE POSITION - LONG ISLAND
Immediate F/T position with busy Nassau County private practice. Compensation includes competitive salary, bonus, health, dental, vision, malpractice, NYSPMA dues, PTO and paid holidays. Seeking amicable, team oriented board certified/qualified candidate with charisma. Great work environment. Please submit your CV to snsfpodiatry@gmail.com.
ASSOCIATE POSITION - HARRISBURG, PA
Multi-office practice with an immediate opening for a surgical board qualified/certified DPM. FT position covering all aspects of podiatry. We are associated with outpatient surgical centers, hospitals, wound care centers and a local residency program. Salary with production based bonus and benefits package included. Please send CV to tbeidemandpm@keystonefootdoc.com.
PART TIME ASSOCIATE - OYSTER BAY, NEW YORK
Part time associate needed, Oyster Bay, New York. Potential to purchase practice. contact: bombbustr7@aol.com.
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy, up to date practice in Sunny, Southwest, FL. ABFAS BC/BQ. EMR, dig x-rays, US, DME. Base salary + bonus, PTO, 401K, fees, health ins. DrLam@NaplesPodiatrist.com
MOBILE PODIATRIST NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time OR Part time podiatrists to do home visits in Central NJ. Full Time Position: $100,000 Base Pay Plus BONUS, Paid Gas, Malpractice Ins., Health Ins, Car allowance, Administrative/EMR support. Email resume - Lana.Raginsky@homefootcareservices.com
PODIATRIST WANTED - MA / NH NORTH SHORE AREA
Seeking a personable podiatrist for an associate position leading to eventual partnership. PT or FT -- Flexible Schedule. Friendly Environment. New Grads Welcome. Excellent Pay. Please email CV to 6westmill@gmail.com
PODIATRIST POSITION – ORLANDO/DAYTONA FLORIDA TERRITORY
Sign On Bonus Available! Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based foot, ankle, and lower leg care to residents living in long-term facilities in the Orlando/Daytona Florida territory. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and Florida licenses. Email CV to kgadmin@kghealthpartners.com
ASSOCIATE POSITION – NEW YORK
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical-based podiatry group. Surgeons with a two or three-year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV to podiatrynewyork@gmail.com
FULL-TIME or PART-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 Cover letter, CV, short introduction video Email: cnunez1940@gmail.com
FULL-TIME OR PART-TIME POSITION – NEW MILFORD, CONNECTICUT
Immediate position for established one person office BQ/BC. All aspects of podiatry. Base salary + bonus, PTO, 401K, profit sharing, med mal, health ins, paid CME, vacation. Hospital privileges. Part of a 3-office practice. No weekend office, no nursing homes. jtread6692@aol.com
ASSOCIATE POSITION - NYC
Busy multi-doctor podiatry practice with 5 locations across 3 boroughs looking for a ready to work, surgically trained associate to join our team. Candidates should be personable, driven and hard working. All phases of podiatry including forefoot and rearfoot surgery. Generous salary, malpractice, 401k, and scrubs included. Send resume to contactus@starrettpodiatry.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 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 davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - OLD CITY PHILADELPHIA
40 year established unique high volume non-surgical practice specializing in general, rehabilitation/sports medicine, pain management. Only 1% nail care. Excellent insurances with high gross/net. Large patient following with physician referral base with opportunity to expand. EHR, digital X-ray, diagnostic ultrasound. Will stay during transition and teach new skills and assist with your branding. Excellent practice location with local transportation and street parking. Diverse patient population treated. ediamond7@comcast.net
PRACTICE FOR SALE - CONNECTICUT SHORELINE
Beautiful shoreline community, 30 year plus practice still growing, High referrals, Hospitals available Many practice updates. EMR, digital X-ray US. Willing to transition. Great opportunity. email LMH8@aol.com
PRACTICE FOR SALE – NEW JERSEY
15 min. from Philly; 38 y/o practice; all phases of podiatry office and hosp. surgery EMR, digital x-ray, great staff. Grosses 300 K in 2 1/2 days can easily expand to full time. Optional building purchase. Retiring but will stay as long as needed for transition. contact Jay195322@gmail.com
PRACTICE FOR SALE - CENTER CITY PHILADELPHIA
Upscale Rittenhouse Square Podiatry Practice. Practice is approximately 85 years in existence. Non-surgical 4 days a week grossing over $300K. Beautiful office setting with three (3) treatment rooms. Mostly fee for service. May consider a buy-in partner or outright sale and doctor can stay for transition. Serious inquiries only. A cream puff practice such as this is a rare find. Please contact at (215) 715-1570 or wallstreetdr@hotmail.com.
EQUIPMENT FOR SALE - VARIOUS PODIATRY MEDICAL
MyLabTouch Esoate Ultrasound Machine including vascular modalities • Whitehall Whirlpool Bath P10S • X-Cel X-ray Model P700 including FUJI Digital FCR Prima with image plates • PDM Podiatry exam room chairs • New DME boots various sizes from XS-XL Please email: Ffootdoc@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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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- Notes should be original and may not be submitted to
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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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