The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 03, 2012 #4,531 Publisher-Barry Block, DPM, JD

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FL Podiatrist Discusses Flip-Flops

Some call it flip-flop weather everyday in this island chain, but as summer heats up, nearly everyone can be seen wearing the open-toed sandal. With this, podiatrists say they expect many more visitors in their offices. A Tavernier podiatrist is advising her patients this summer to stay away from $2 flip-flops at drug and grocery stores. According to Dr. Brigette Smith, this footwear lacks stability and leads to ankle and foot problems. But many people in the Keys wear them too often, and convincing her patients to change can be a task.

Dr. Brigette Smith

"About 50 percent of people I can convince that the flip-flop is the problem," she said. Smith said the other half complain about the warm climate and refuse to give up flip-flops cold turkey. Smith said the patients who take her advice are usually motivated by their pain and are willing to try anything. But once the pain goes away, she said some of her patients fall off the wagon by reverting back to unhealthy habits. And although overweight people may be more prone to having foot problems, Smith said anyone can be susceptible.

Source: Jodh Gore, Florida Keys News [7/25/12]

KSUCPM Ribbon Tying Ceremony to Be Held August 8th

Kent State University will host a symbolic ribbon-tying event on Wednesday, Aug. 8 to celebrate the establishment of the new Kent State University College of Podiatric Medicine, formerly known as the Ohio College of Podiatric Medicine.

Kent State University College of Podiatric Medicine

Faculty, staff, students, alumni, and friends of the university and the new college, as well as local officials and media representatives, are invited to attend the event, which will take place at the campus of the Kent State College of Podiatric Medicine. As opposed to a ribbon-cutting ceremony, the event is a ribbon tying, signifying the two institutions – Kent State and the Ohio College of Podiatric Medicine – coming together to become the Kent State University College of Podiatric Medicine.

Podiatrists Provide Full Spectrum of Care for Diabetes: Canadian DPM

"People with diabetes are individuals who share a common disease with wide-ranging effects," noted Dr. Timothy Kalla, an operative podiatrist in Vancouver, B.C. who specializes in preventing, diagnosing, and treating diabetes-related foot problems, one of the leading causes of hospitalization for people with diabetes. "Some people with diabetes are at a very high risk for foot complications where others are not."

Dr. Timothy Kalla

As a result, foot care needs to be tapered to the individual, based on his or her risk status and presentation. Foot care may range from regular preventative foot care visits to emergency operations. "Diabetes management necessitates a team approach, and podiatrists in Canada have the training and the ability to provide the full spectrum of foot care for people with diabetes."

Source: Individual.com [7/31/12]

NY Podiatrist Discusses Barefoot Running

Barefoot running is in vogue, but podiatrists caution that you have to watch your step. "You can't be a heel striker. You need to load up on the midfoot when you're a barefoot runner. You have to take a shorter stride," says Manhattan podiatrist Dr. Paul Greenberg.

Dr. Paul Greenberg

There are still obvious dangers to watch for. "They're coming in with a stress fracture, plantar fasciitis, or Achilles tendonitis. We'll explain that it's probably due to the barefoot running, but you can't prove it," says Greenberg.

Source: CBS-TV [7/9/12]

RE: Delayed Union, Post-Bunionectomy (MI)
From: West's Jury Verdicts - Michigan Reports

Facts: Alice Collins said she presented to defendant podiatrists' employees at Michigan Foot and Ankle on May 2, 2006, regarding pain in her toes. She reportedly was diagnosed with hallux abductovalgus, tendoAchilles enthesiopathy, and contracted digits, and was provided Xylocaine and Decadron injections and physical therapy.

Collins said she returned to the clinic in June 2006 because of persistent pain, and Defendant 1 recommended surgery. Defendant 2 reportedly performed the surgery July 6, 2006, which included a bunionectomy, internal screw fixation, and a tenotomy. Collins allegedly received follow-up care at the clinic from podiatrist 3, but continued to experience pain.

Collins said she was diagnosed with delayed union of...

Editor's note: The complete Jury Verdict Reporter appears here.

Result: The jury found in favor of the plaintiff May 3, 2010, and awarded her $27,000 in past economic damages, $25,000 in past non-economic damages, and $63,000 in future non-economic damages.

Plaintiff's Experts: Mark Lombardo, DPM, Ocoee, FL ; David T. Touchton, DPM, Port Huron, MI.
Defendant's Expert: Lawrence M. Fallat, DPM, Taylor, MI.
Unspecified Experts: Richard Rubin, DPM, Monticello, NY; Guy Pupp, DPM, Dearborn, MI; John Evans, DPM, Allen Park, MI.

MO Supreme Court Overturns Malpractice Caps

Overturning decades of prior legal rulings, the Missouri Supreme Court ruled this week that the state Legislature's $350,000 cap on non-economic medical malpractice damages is an illegal violation of residents' constitutional right to a trial by jury.

A divided court on Tuesday overturned the court's own 20-year-old decision to uphold caps on non-economic damages, ruling that "while this court always is hesitant to overturn precedent, it nonetheless has followed its obligation to do so where necessary to protect the constitutional rights of Missouri's citizens." writing for the majority on Tuesday, Chief Justice Richard Teitelman said Adams was wrong and overruled it, citing similar court decisions to overturn legislative malpractice damage caps in states such as Washington (1989), Oregon (1999), Alabama (1991) and Florida (1987).

Source: Joe Carlson, Modern Physician [8/1/12]

RE: Chronic Diabetic Ulcer (Kel Sherkin, DPM)
From: Robert Phillips, DPM

From the picture, it looks like the patient has a hyperextension deformity of the IPJ. Also, it looks like the hallux is much longer than the 2nd toe. What is the ROM of the 1st MPJ? I’m not sure that your orthotic Rx gives me an accurate picture of the ROM and alignment factors. Does the FFVg-5 deg in the orthotic mean that the patient has a forefoot valgus? Any possibility of a forefoot valgus with a metatarsus primus elevatus? Is the length of the hallux due to an excessively long first metatarsal, or due to a long phalanx?

I’m not sure what a rigid polypro device does for a 255 lb. man. What thickness are you using? Is it milled or is it thermoformed? What is the length of the device from...

Editor's note: Dr. Phillips' extended-length letter can be read here.

RE: Affordable Care Act (Obamacare) Perk (Jon Purdy, DPM)
From: Jason Kraus

Dr. Purdy hit the nail on the head in identifying why there is such a deep ideological divide in our country today. Dr. Purdy's hope that he still lived in a world that was founded in 1776 and his narrow view of capitalism, juxtaposed with those who believe that we don't really live in that world any longer, and that unbridled capitalism cannot solve all of today's very real challenges, has created an ever-widening abyss.

While I think most Americans still place their faith in the foundational pillars established by our founding fathers, many have come to realize that the unimaginable changes that have taken place in the past 230 years require us to reflect on the needs of our modern world and adapt in ways that preserve our democracy and advance society. Those who insist on harkening back to the days of yore will always be at odds with those who believe that our nation is best served by constantly evolving in a changing world in a manner that preserves our core beliefs as a nation.
 
Jason Kraus, Deer Park, NY, jason.kraus@langerbiomechanics.com

RE: Affordable Care Act (Obamacare) Perk (Jon Purdy, DPM)
From: Bryan C. Markinson, DPM

Dr. Lang clearly supports the notion of universal coverage (so do I) and clearly supports it to be run by the government. My personal preference is cradle to grave Medicare for everyone, financed by premiums through payroll deduction. This way, younger people who will use it less can finance the costs of the traditional Medicare we have now for the elderly and disabled. However, I would also like to see an "in" or "out" option for both doctor and patient.

Dr. Lang is also well versed in the provisions of the ACA. However, in present form, the ACA is dependent on the "exchange" to provide healthcare insurance to those now forced to purchase it. I find it incredulous to believe that 10 to 30 million people (no one knows how many for sure) are going to find the exchange premiums affordable, especially when they are used to having it painlessly withdrawn from their paychecks. Employers also have incentives to NOT provide coverage under ACA.

I foresee a groundswell of people, maybe millions, who will find themselves protected by ACA provisions, but unable to afford to participate. I am not talking about poor people here; I am talking about working middle class whose employers will take advantage of paying a fine rather than providing coverage.

Bryan C. Markinson, DPM, NY, NY, Bryan.Markinson@mountsinai.org

RE: CA Podiatrist Says Team Approach Saves Limbs and Lives (Lee Rogers, DPM)
From: Allen Jacobs, DPM

No one suggested that multidisciplinary teams do not help reduce amputations. Dr. Rogers' suggestion that I did is beyond insulting. Dr. Rogers was asked to justify his suggestion in the interview that the sedentary lifestyle AS A RESULT of amputations was a cause of 68% mortality over 5 years. He did not do so.

Dr. Rogers was asked to support his suggestion of 68% mortality over 5 years post-amputation. He mixes studies which include those amputations resulting from PAD, presumably knowing that such patients also suffer from concurrent coronary, cerebral, and renal vascular disease.

Finally, it appears that Dr. Rogers has fallen back into the "I was misquoted, the statements were taken out of context" world of accountability, or lack thereof, of what we say. If Dr. Rogers wishes to take "credit" for interviews suggesting that he is saving ulcer patients at a 90% plus rate from amputation, he must also take credit for the "facts" which he offers to an interviewer.

Allen Jacobs, DPM, St. Louis, MO, allenthepod@sbcglobal.net

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

PRACTICE FOR SALE – KANSAS SOUTHWEST

For sale multi-location practice in beautiful Southwest Kansas. Practice has 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Recently added new office space with digital x-ray. Only surgical podiatrist in 2 of 3 locations. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice, a great location and opportunity for the right doctor. mcrosby@picagroup.com

PRACTICE FOR SALE - NEW ROCHELLE, NY

Flexible terms. Stable location, medical co-op, 24 year practice with a stable established patient base. Great opportunity for a self motivated podiatrist wanting immediate income and future stability. Call 551-574-0776 for details.

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com

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

WANTED LOCUM TENENS - CAPE COD, MASSACHUSETTS

Busy general group practice in beautiful Brewster Massachusetts in need of help. We are one practitioner down due to medical leave during our busy season. Stay one month or three offering housing and top salary.  Possibility to lead to full time Associate/Partnership. Please email your interest to:  ltboudreau@gmail.com

ASSOCIATE POSITION - WASHINGTON, DC

Prominent two office (3 practitioner) podiatric medical group seeking well rounded, personable individual with good medical and surgical skills. Must be 24/36 month trained, board qualified or certified foot and ankle surgeon. Salary with benefits package. Serious inquiries to ponyrunner66@gmail.com

ASSOCIATE POSITION - MANHATTAN

Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com

ASSOCIATE POSITION – NORTHERN CALIFORNIA/BAY AREA
 
We’re looking for someone entrepreneurial who can help grow our practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. Send your CV and cover letter to cvpodiatrist@gmail.com

ASSOCIATE POSITION - YONKERS, NY

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.com 914.584.1434

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 - 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  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 POSITION – BROOKLYN, NY

Full-time position available with excellent salary in a state-of-art-office. Please email your resume to:  irenefootcare@gmail.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

A well-established, solo-physician practice seeking a Full-Time Associate Podiatrist. Applicant should be: well trained physician,  personable and motivated individual with sound surgical skills.  Applicant must have completed a 24-36 month residency. Practice offers a state-of-the-art practice setting, with a good general mix of all aspects of podiatric medicine and surgery. Competitive salary and benefits. Partnership opportunities available. E-mail your letter of interest with resume  to:  seattlefootdoctor@yahoo.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:   institutebeaute885@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

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 - 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 - 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 POSITIONS – MARYLAND

Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Our group, Podiatry Management Services, provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

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

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