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PM News |
The Voice of Podiatrists
Serving Over 11,000 Podiatrists Daily
August 05, 2009 #3,614 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 Adds Style to Ambulator’s
Aetrex is proud to introduce the newest styles of Ambulator Biomechanical footwear for both men and women. Ambulators provide extraordinary cushioning and support and are now offered in fashion forward designs.
The new women’s styles include clogs, Mary Janes, lace ups and Velcro closures. The new men’s styles include stitched and moc toe oxfords, a boat shoe, and plain toes in lace up, single and double strap closures and a slip on.
All Ambulator shoes have ½ inch removable depth, rocker soles and soft leather linings and are available in medium, wide and extra wide widths.
These shoes can be viewed here or call Aetrex at 800 526 2739 for a catalog or to schedule a presentation with you Aetrex representative.
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NEW CME POSTED AT WWW.PODIATRYM.COM |
We’ve just posted the August 2009 CME titled:
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By Robert G. Smith DPM, MSc, RPh |
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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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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PODIATRISTS IN THE NEWS |
Orthotic Device Can Often Help Prevent Bunions: MI Podiatrist
High heels and pointed-toe shoes create a number of foot conditions in women that aren’t as common in men, because of the difference in footwear.
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Dr. James Hirt |
Bunions are an excellent example of a condition that affects more women than men, “five to one,” according to Dr. James Hirt of Fenton Foot Care. He estimates that about 10 percent of his patients suffer from bunions.
“Preventative care is the most important aspect of successful bunion treatment,” said Dr. Hirt. “Catch the problem early, wear proper shoes and, if necessary, get into a good orthotic device that redistributes one’s weight on the foot.”
Source: Sally Rummel, Tri-County Times, [8/3/09]
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AT THE COLLEGES |
BUSPM to Celebrate 25th Anniversary
Barry University’s School of Podiatric Medicine will celebrate its 25th anniversary in 2010 and, to celebrate, will host a casual and fun “Barefoot Ball” Jan. 10, 2010. The Florida-themed gala will take place at the Caribe Royal Resort in Orlando, FL during the Florida Podiatric Medical Association’s (FPMA) annual Science and Management Symposium.
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Barry University School of Podiatric Medicine |
Funds raised from the anniversary celebration will benefit the Dr. Marvin and Ruth Steinberg Memorial Scholarship at Barry University. The scholarship supports podiatric medical students with the cost of their education. "There will be a lot of surprises in store for our alumni,” said Dr. John Nelson, interim dean for the School of Podiatric Medicine.
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Dr. John Nelson |
The School of Podiatric Medicine has made notable progress since its modest beginning in 1985; there were 18 students in the first class, no clinics, and only one hospital affiliation. Today, the school has nearly 200 podiatric medical students with over 250 hospital based clerkships. The school boasts a 36-month podiatric medical and surgical residency training program and more than 1,100 graduates.
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The SOS Podiatric Staff Training Workshop Tour
It is coming down the track, bound for a city near YOU!!
*Boston, MA – August 14, 2009 * Bellevue, WA – August 28, 2009 * Charlotte, NC – Sept. 18, 2009 * Pittsburgh, PA – October 2, 2009 * NY/NJ Metro area – October 23, 2009 * Dallas, TX – November 13, 2009 * Los Angeles, CA – December 4, 2009
LET THE SOS EXPRESS TRAIN TAKE YOU TO THE LIGHT AT THE END OF THE TUNNEL…DON’T GET LEFT BEHIND. Meet your Conductor, Lynn Homisak, PRT “ALL ABOARD!” Doctors, Receptionists, Clinical Staff, Managers welcome
Click HERE for more information…including Dates, Locations, Ticket Prices, Agenda, Topics SEATS ARE LIMITED…REGISTER NOW!
SOS Healthcare Management Solutions, LLC – 1-866-832-6767 – www.soshms.com
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PRACTICE MANAGEMENT TIPS FROM AAPPM |
Go Ahead And Print Extras; Thermal Paper Is Cheap
Always hit the print button twice with any diagnostic ultrasound images you capture. Give a copy to the patient to show around their office or to put on the refrigerator door at home. You will get the positive attention of your patient’s family, friends, and co-workers.
Make sure your practice name is in the "facility" space and always notate the view (cross section or longitudinal) and diagnosis with measurements, where applicable.
In addition, you can send a copy to the patient's PCP with your ultrasound report and/or office notes. The PCP will realize your practice is on the diagnostic cutting edge and I promise they will be impressed.
Source: D. Charles Greiner, DPM, Vice-President, AAPPM. For information about the American Academy of Podiatric Practice Management, visit www.aappm.org
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FREE SAMPLE--Powerstep Protech CustomPost Customizable Orthotic*
Powerstep ProTech CustomPost is the newest idea in prefabricated orthotics and the most innovative product Powerstep has ever introduced. Medical professionals have responded to this new concept with an unprecedented number of requests for a free sample. Many have already successfully incorporated it into their practice.
ProTech CustomPost’s unique snap-on heel options allow medical professionals to truly customize a prefabricated orthotic to meet patient needs. A professional can select from neutral, two degree and four degree heel posts, and combine it with CustomPost’s firmer shell and extra heel cushioning to help relieve heel and arch pain as well as knee and lower back pain. ProTech CustomPost is being sold only to members of the medical profession.
*This offer is for medical professionals only. Call us today for your free sample at 888-237-3668 Stable Step, Inc. www.powersteps.com
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FOOTWEAR EDUCATION NEWS |
Dr. Comfort Launches Certified Fitter Education Program
“This new course is going to be a great educational opportunity for any podiatrist, podiatry assistant, or staff,” said Rick Kanter, Dr. Comfort’s President and Founder. “We have a good instructor and are excited to give podiatrists and their staffs the chance to brush up on fitting skills and teach staff proper techniques. Our goal here is to give as many people as possible the opportunity to further their education and learn about diabetic footwear, so we’re going to be offering the course all around the country for a reasonable price. We’re hoping for great attendance in the coming months.”
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Rick Kanter |
Five courses have already been scheduled, and Dr. Comfort plans to add many more in the Fall. August 23 in Atlanta, GA, August 24 in Nashville, TN, August 25 in Memphis, TN, Sept. 14-15 in Mequon, WI, Oct. 8 in Orlando, FL
The course will be taught by Brian Lane, C.Ped., Dr. Comfort’s Director of Education. Lane joined Dr. Comfort in February 2009 after serving as the Director of Pedorthics for a large podiatry practice in Atlanta. Brian also has years of experience as a public school teacher and is a veteran of the National Guard.
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CODINGLINE CORNER |
Query: Primary Vs. Secondary Repair of Tendons
Would someone explain the difference in primary and secondary tendon repair as it pertains to coding (for example, a peroneal tendon repair that is not an acute injury)?
Jon Strickler, DPM, Cleveland, TN
Response: This matter was discussed on Codingline in 2006, and published in the December 2006 issue of CodinglinePRINT. At that time, the concensus of the experts was that:
PRIMARY Repair: Any repair of an acute injury completed within 24 hours of the injury;
DELAYED PRIMARY Repair: A repair performed later than 24 hours after, but less than 2 weeks after the acute injury;
SECONDARY Repair: Any repair performed greater than 2 weeks subsequent to the injury.
Rick Horsman, DPM, Olympia, WA
Codingline subscription information can be found at:
http://www.codingline.com/subscribe.htm
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SafeStep Is Exclusive Podiatric Distributor of the Arizona AFO
$50 OFF Your First Order
SafeStep features free electronic billing to Medicare and other insurance carriers as well as customized Medicare compliance documentation.
Call or e-mail for order forms and free mailing labels.
www.safestep.net 866.712.STEP info@safestep.net
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RESPONSES / COMMENTS (CLINICAL) - PART 1 |
Phenol During Pregnancy or Nursing (David Wolf, DPM)
From: Stanton C. Southward, DPM, Dra. Marta Losa Iglesias, PhD
I advise deferring elective procedures involving anesthetics and chemicals until after delivery and after the infant is weaned. I know of no literature on this subject, but I believe common sense should prevail.
Stanton C. Southward, DPM, Colorado Springs, CO, sbsouthie@comcast.net
For further information about this topic see:Losa Iglesias ME, Veiga de Cabo J, Tejedor Traspaderne J, Aguilar Franco J, Bernaola Alonso M, Becerro de Bengoa Vallejo R.Safety of phenol vapor inhalation during performance of chemical matrixectomy to treat ingrown toenails. Dermatol Surg. 2008 Nov;34(11):1515-9.
Conclusion: The performance of chemical matrixectomies is safe for healthcare personnel when they are exposed to the vapor of phenol solutions of up to 95% concentration for up to 21 minutes. The degree of safety would be greater with lower phenol concentrations and shorter exposure times.
Dra. Marta Losa Iglesias, PhD (Spain) marta_losa_iglesias@hotmail.com
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RESPONSES / COMMENTS (CLINICAL) - PART 2 |
RE: Coumadin Therapy and Foot & Ankle Surgery (Michael M. Rosenblatt, DPM)
From: Multiple Respondents
My condolences to Michael Rosenblatt, DPM on the loss of his friend. I agree with his concern over stopping anticoagulation therapy. I work in a vascular department where the majority of our patients are on Coumadin.
Irrespective of the scope of surgery to be performed, or the scope of our podiatric license, it is common courtesy to contact the physician who placed the patient on any systemic medication. This is particularly true for medications such as Coumadin, hypertensive medications, cholesterol-reducing medications, etc. Patients often don’t know the reason why they are on many of these and often only offer a very generic rationale (e.g., cardiac condition, previous leg blood clots, etc.).
My standard of practice is to contact the specialist who initiated the treatment and discuss the case with him/her. In the case of Coumadin, that medical specialist is more than just responsible for anti-coagulating the patient, but for managing the patient’s systemic condition which warrants anti-coagulation. This is a common practice of dentistry and orthopedics to name only a few. Podiatrists should be proud of their specialty and eagerly refer and defer to those specialists who manage these conditions every day.
Podiatrists (as all other specialists) have a difficult enough time keeping up with our own specialty. One should be expected to defer to other specialists to provide the care they do every day. It should not matter whether one is planning to perform an ankle fusion, placing the patient in cast for fractures, or performing minor nail surgery. One should be deferring to the PCP, cardiologist, etc. and allow them to plan the discontinuation, initiation and/or resumption of Coumadin for our mutual patients.
Paul Kesselman, DPM, Woodside, NY, pkesselman@pol.net
At our hospital, if a surgery is planned, typically the patient is switched from Coumadin to heparin. The foot surgery is done when the INR hits around 1.7-1.9. We will "hold the heparin on call to the OR." For an emergent surgery, Vitamin K or FFP may sometimes be needed. Heparin is resumed immediately after the surgery. Coumadin is resumed and monitored to therapeutic levels prior to discharge. This is actually more complex than I am stating as other medical factors come into play, so we do involve the entire medical team to discuss the health of the patient, goals of the surgeries, medical treatments, etc.
In the clinical setting, I routinely check the INR. I will do the surgery if the INR is still therapeutic, but closer to 2. I am also much more careful about debriding ulcers when my INR is 3 or greater. This has paid off as I discovered a patient whose wife was accidentally poisoning him with a stronger dose of Coumadin from a old bottle. His INR was 10.
Diane Branks, DPM, Baldwin Park, CA, barrydiane@hotmail.com
Editor’s note: An extended-length note by Dr. Mullen appears at:
http://www.podiatrym.com/letters2.cfm?id=27891&start=1
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RESPONSES / COMMENTS (NON-CLINICAL) |
RE: 2009 APMA Scientific Meeting
From: Robert Chelin, DPM
First of all, I would personally like to thank the APMA for the wonderful Achievement Award that I was presented. I have attended the Annual Scientific meeting for the last 10 years and this ranks up there with Philadelphia and Boston, which were the biggest meetings ever. From the opening address by Mike Huckabee to the closing evening celebration, it all ran smoothly with no glitches. The scientific program was top notch and even the weather participated. Events like this do not just happen. It takes the hard work of many individuals who must work together like a fine tuned engine. The APMA Annual Meeting Committee and APMA staff did such a wonderful job in making this event a success. It is these behind the scenes individuals who deserve a lot of credit. We must all thank you
On behalf of my Canadian colleagues, I would like to thank the APMA for taking this bold move in coming to Canada. Your Canadian brothers and sisters on the north side of the border are the largest contingency of DPM's in the world who do not reside on American soil and most are APMA members. We have all graduated from your schools and most of us continue to support your alumni. Podiatry in North America is the gold standard and we are all very fortunate. Together, we can make a difference to raise the bar of podiatry, globally
Robert Chelin, DPM, President, International Federation of Podiatrists (FIP), ft-biz@rogers.com
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MEETING NOTICES
First Annual TUSPM Alumni Association Foot and Ankle Seminar
October 3-4, 2009
8AM-5PM
Being held at TUSPM-8th & Race Streets - Philadelphia, PA 19107
Allen Jacobs, DPM, David Novicki, DPM, Justin Fleming, DPM, and More
16 CME Credits
Information available from Dr. Possanza at alumni.seminar@temple.edu
Hotel Accommodations - Hampton Inn- 1301 Race Street-Philadelphia, PA
Net proceeds benefit the TUSPM Alumni Association’s Endowed Scholarship Fund.
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RESPONSES / COMMENTS (NEWS STORIES) |
RE: American People Don’t Want Rationed Healthcare: DE Podiatrist
From: David Mullens, DPM, JD
Why would anyone think for-profit insurance companies don’t “ration” health care? Put the name of your favorite for-profit insurance company into the Google search bar and add the word “lawsuit” after the name of the company. Now hit the ‘search’ command and scroll through the (literally) hundreds of thousands of hits describing the disgusting, rationing-for-profit conduct of that company. To make sure you understand how industry-wide this behavior is, put the names of the other large insurance companies – one at a time – into the Google search bar and repeat the same search. Every one of the for-profit companies has been sued over and over again for fraudulent denial of benefits (rationing) motivated by insurance company (corporate) profits.
Do you really want your health care coverage rationed by for-profit corporations who have mile-long rap sheets with prior convictions for fraudulent denial of benefits?
David Mullens, DPM, JD, Palo Alto, CA, dmullens@mullenslawoffice.com
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5th Annual OCPM Residency Fair
Attention Residency Directors: “Our Students Are Waiting to Meet You!”
Friday, September 18, 2009 9:00am - 3:00pm Ohio College of Podiatric Medicine, 6000 Rockside Woods Blvd., Independence, OH 44131, www.ocpm.edu
On behalf of the entire OCPM student body, the Office of Graduate Placement & Clerkships extends this invitation for your attendance at the 5th Annual OCPM Residency Fair. We certainly hope that we will have the privilege to host you as you take this opportunity to meet our students and market your residency program.
If you plan to attend, please respond no later than Friday, August 7, 2009. RSVP to: Jennifer N. Kenney, Coordinator, Office of Graduate Placement and Clerkships, 216.707.8068, jkenney@ocpm.edu
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CLASSIFIED ADS |
ASSOCIATE POSITION - NEW JERSEY
Established successful practice in Central New Jersey seeking PT/FT Associate. PSR 24/36. Please forward CV to rpg145@gmail.com or fax 908 753-0100.
ASSOCIATE POSITION - ILLINOIS
Excellent opportunity for qualified candidates in Northern Illinois/Western suburbs of Chicago. Growing two office practice searching for an associate to grow into a partnership. Full-time position, PM&S-36 board certified or qualified physician in forefoot and rear foot surgery. Multiple hospital and surgery center affiliations. e-mail DrTina@DrTinaOnline.com
ASSOCIATE POSITION – CHICAGO
South Side Chicago practice seeks podiatrist. Practice focuses on general podiatry, surgery, biomechanics, and diabetic foot care. Candidate should be surgically trained, certified/ working toward certification by ABPS. Surgery in office and hospital with residents. Base salary w/bonus incentives, paid malpractice insurance, benefits. Contact. ChicagoDoctor2009@yahoo..com or 773-632-7042
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. Call 206-661-9644.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Excellent Opportunity, Full-Time or Part-Time, in busy and expanding podiatry practice. Offices located in Los Angeles and San Bernardino Counties. Fantastic Compensation. No Nursing Homes! Looking for at least one DPM now and one in July 2010. Spanish is helpful. Please send an e-mail to scpods@yahoo.com
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
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
FOR SALE: MICROVASC UNIT
Excellent Condition, Never Used, New 14K, BEST OFFER. All-Pro 2010 X-Ray processor, used, great condition, Includes cassettes BEST OFFER
NYCPodiatry@gmail.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.
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
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.
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
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.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- 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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