The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily

August 05, 2010 #3,923 Publisher-Barry Block, DPM, JD

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High Heels Can Lead to Pinched Nerves and Inflammation: Toronto Podiatrist

"In high heels of 3 or 4 inches, the big toes get pushed towards the second toes which creates an increased angulation at the big toe joint, and this can lead to bunions," according to Toronto podiatrist Lloyd Nesbitt, DPM.

Dr. Lloyd Nesbitt

"Pressure from high heels can lead to common problems such as pinched nerves and inflammation in the metatarsals at the ball of the foot," Nesbitt said.
 
Source: Global TV News

FL Podiatist Receives Certificate of Recognition Award from FBPM

Dr. Joseph Sindone was part of a medical mission team to Haiti after the earthquake. The Florida Board of Podiatric Medicine has recognized his selfless efforts in taking care of adults and children in Haiti.  Beth Pearce, DPM, Chair of the Florida Board of Podiatric Medicine recently presented this prestigious award to Dr. Sindone at a ceremony in Tampa, Florida.

(L-R) Drs. Beth Pearce and Joseph Sindone

Dr. Sindone is Assistant Professor, Orthopaedic Surgery and Rehabilitation, University of Florida College of Medicine, Shands Jacksonville. He is Board Certified by the American Board of Podiatric Surgery, and is Board Certified by the American Board of Podiatric Orthopedics and Primary Podiatric Medicine. Sindone is a Past President of the Florida Podiatric Medical Association, and is the Past Chair of the Florida Board of Podiatric Medicine.

NY Podiatrist to Be Lead Investigator in ActiPatch^tm Clinical Trial

A 6-week pilot study evaluating ActiPatch^tm as an effective adjunct treatment for the healing of recalcitrant wounds yielded positive results. By week 3, 50% percent of the subjects experienced complete recovery, and by week 6, subjects experienced an average of 93% reduction in ulcer size.

Dr. Elliot Udell

Elliot Udell, DPM will be the Primary Investigator for this large-scale clinical trial. Dr. Udell is the president of the American Society of Podiatric Medicine and is a board member of the American Society of Podiatric Dermatology. Dr. Udell is board certified in both Podiatric Primary Care and Pain Management.

Source: Marketwire.com

FL Podiatrist Cycles to Raise Funds for ADA

Podiatrist Dr. Gregory Stirneman traveled over 100 miles by bicycle near the end of July, all in a single day. He said he rode for the American Diabetes Association in an effort to raise funds at the Tour De Cure in Fort Worth. “I rode 102 miles and raised $1,825 for the American Diabetes Association,” Stirneman said. “All the money goes to the ADA for research.”

Dr. Gregory Stirneman

An avid cyclist who enjoys the healthy thrill associated with the ride, Stirneman said he learned of the race and received donations and sponsorship from local doctors and other citizens.

Source: Nathan Straus, Jacksonville Daily Progress [8/3/10]

Reform Law Includes Large New Fraud Enforcement Powers

Some of the least publicized but perhaps most far-reaching provisions of the new health reform law relate to fraud-and-abuse enforcement. The law grants the federal government dramatic new powers — many of them not clearly defined or in partial conflict with other statutes — to pursue both providers and health plans.

For example, one provision in the law states that Medicare and Medicaid payments may be suspended “pending an investigation of a credible allegation of fraud against the provider of services or supplier” unless the HHS secretary determines there is a good reason not to suspend the payments. The statute directs the HHS secretary to consult with the department’s Office of Inspector General to determine if there is such a credible allegation of fraud, but there is no definition of “credible allegation” in the law, notes Carrie Valiant, a partner in EpsteinBeckerGreen.  .

Source: James Gutman, AIS's Health Reform Week, [8/3/10]

Cure Procrastination

Many hard-core procrastinators recognize that they have a problem; they just are not willing or able to force themselves to do the things that need doing. Find the resolve you need by making two lists.

First, list the workplace tasks that you enjoy doing and usually make time for every day, even when they are not important or urgent. In large bold letters, label the list “Do not do these.”

Next, identify important tasks that you often delay doing. Those may include such things as projects that you dread, housekeeping tasks you don’t complete, or patients you avoid contacting. Label that list “Do these.”

Hang the lists side by side in plain sight, as visual reminders of what you should be doing.

Source: Communication Briefings

Query: Nail Surgery for Chemo Patient?

My patient is a 45 y.o. female who is currently undergoing chemotherapy for liver CA. I have treated her for an onychia which was easily managed via excision of a portion of the offending nail. She has indicated a desire for a "permanent" solution. I would like the thoughts of my esteemed colleagues regarding if and when this could be done. My sense is that this is NOT a necessary procedure as the nail can most likely be managed via regular podiatric care (her insurance will not pay for "routine care").
 
Chuck Ross, DPM, Pittsfield, MA

Query: Amazing Charts EMR

I would appreciate any feedback from those colleagues who have used "Amazing Charts" as their medical software. 

Michael Lawrence, DPM, Chattanooga, TN

RE: Multiple Verrucae
From: Brent Rubin, DPM

For many years, I have used candida injections for verrucae. Candida is a yeast derivative that is injected subdermally into several of the verrucae monthly until resolution. The dosage is .3 cc candida mixed with .3 cc Xylocaine. Basically, you create a wheal under several verrucae and follow up in four weeks, if not resolving. Candida can usually be purchased through the hospital pharmacies.   

Brent Rubin, DPM, Bradenton, FL, brentlrubin@hotmail.com

RE: IPA vs. Supergroup
From: DocJDL@aol.com

Most doctors have been involved with various types of IPAs and understand the concept. “Groups” tend to have more integration yielding the opportunity to garner more savings and improvements.  Through “grouping”, our members hope to achieve improved profits through management efficiencies, standardization, leveraging advanced technology, improving purchasing costs, sharing common expenses, leveraging ancillaries, and utilizing our EMR data to prove to payors that we have improved patient outcomes and superior utilization. Size without the evidence of quality isn’t expected to cut it in the future. In the case of the Dallas “supergroup”, Podiatric Medical Partners of Texas (PMPT), we spent three years reviewing various types of merger models settling with a structure that met our vision, goals and objectives. 

To optimize the value of the group, we wanted to standardize and integrate as many functions and items as possible, within certain parameters, prior to go-live. We have standardized and streamlined the majority of our operational functions to maximize economies and efficiencies. In some cases, practices were able to eliminate or reduce administrative staff by outsourcing these functions to our MSO, which “went live” March 29 of this year, just five months after signing an MSO service agreement with IPS. It took a lot of courage for our members to take this step. We anticipate membership to grow significantly in the coming months.

Every group will look a little different due to the members' philosophies and geographic region. Hopefully, we will see more of our colleagues nationally grouping together to solve future challenges. I am more than happy to share my experiences with anyone interested in taking this exciting journey.

Jay D. Lifshen, DPM, President, Podiatric Medical Partners of Texas, PA
Dallas, TX, DocJDL@aol.com

 IMMEDIATELY AVAILABLE- ASSOCIATE POSITION -CT (FAIRFIELD AND NORTH HAVEN) 
 
Great opportunity. Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices. Electronic medical records, digital x-ray, diagnostic ultrasound, Padnet vascular studies, nerve conduction studies, pinpoint and CO2 lasers, electrical stimulation and ultrasound therapies. Seeking a well-trained, personable, and highly motivated individual. Please send resume and current photo to dr.kassaris@yahoo.com

PODIATRY EQUIPMENT FOR SALE 

Several items taken from working office. Whitehall whirlpool in great condition $750, Podo-spray Sa5 nail grinder $500, Quick seal autoclave bag sealer $70, Dermo-jet/Mada-jet skin anesthesia injector $200, Allpro 2010 Film Processor in great condition $2000, 12 x-ray film cassettes (several different brands) $20 each, X-ray orthoposer $100, x-ray lead body (2)shield $30, 4 Wolf x-ray view boxes $75 each, Star x-ray duplicator $200, star safe light x-ray spotlight $50, several lead shield x-ray covers $25. Actual shipping will be charged or pick in mid-Michigan available, email for more details and pictures. fentonfootcarefd@gmail.com

ASSOCIATE POSITION – KENTUCKY 
 
Very well established podiatry practice in Louisville, KY seeks a motivated, ethical practitioner trained in all phases of podiatry including routine care, surgery and wound care to join 2 other podiatrists. By joining our practice you will receive a competitive salary with a bonus structure and benefits. Our practice is equipped with DME, PadNet, Gait Scanner and on site retail store. There is a huge potential to grow your practice with our ideally located facility that has strong affiliation with leading area hospitals as well as 2 local residency programs. For immediate consideration, please forward CV to Samuel10530@yahoo.com

ASSOCIATE POSITION – LONG ISLAND, NY

Associate full-time. Well-established, busy, well-rounded podiatry practice looking for a motivated podiatrist. Suffolk Co. LI NY. Board eligible, Board certified PSR-24/36 trained. Fax resume to 631-581-0857.

PRACTICE & STATE LICENSED ASC FOR SALE (MARYLAND, DC SUBURB)

38 yr old general podiatry practice grossing over $550K. Fully equipped with digital x-ray, diagnostic ultrasound, 2 orthotic scanners, computer network and well-equipped surgical suite. Retiring owner will stay on as needed. Email - dpmpracticeforsale@yahoo.com

PODIATRY ON CALL - MIAMI-DADE & BROWARD COUNTIES, FLORIDA

Call us for vacations, "unexpected emergencies" and playing hooky. Part-time or Per Diem Basis! Extensive surgical and non-surgical training with Dr. Stanley R. Kalish in Atlanta, Georgia. On call everyday to meet your office needs! Contact: podiatryoncall@gmail.com or 305-342-9797.

PART-TIME/FULL-TIME POSITION – MASSACHUSETTS

Looking for extremely energetic physician for nursing home and assisted living facility. Very generous compensation package. Great opportunity for extra cash. Future potential for part-time work in our practice and/or in house call practice as well. Please call immediately (978) 794-8406 and ask for Blanca for an interview.

ASSOCIATE POSITION - SOUTHEAST GEORGIA

Beautiful weather year round & near the Coast. Opportunity for Early Buy-in. Seeking associate or new residency graduate to join practice. Must be PSR-24/36 trained. Multiple locations. Full range of services with new facilities. E-mail cover letter & CV to melissafoot@pol.net

TN PRACTICE FOR SALE (LAWRENCE COUNTY)

Active, established practice includes office building and property ( appraised at 110k) with all equipment and shelf stock included. Great referral network with an excellent scope of practice. Patients on schedule 1 day/ week grossed over 250k last year. 125k OBO Call 931-446-5724 or email mchad500@gmail.com for more information.

ASSOCIATE POSITION - BROOKLYN, NY

Full or part-time position available for a busy well-established podiatry practice in Brooklyn with possible buy in opportunity.  Modern  office with a networked EMR, diagnostic ultrasound, digital x- ray, orthotic scanner, in office surgical suite, and with a great  support staff. Must be Experienced, highly motivated with good clinical skills. Must be participant with Medicare, Advantage Medicare plans (managed Medicare), and managed Medicaid plans in Kings County. please email resume to tkd@gishpuppy.com

ASSOCIATE POSITION - FREDERICK, MARYLAND

Fredericks premier group practice is located only 45 minutes from both DC and Baltimore. Immediate opening for a minimum PSR 36 Podiatrist for full time position. We have it all: EMR, digital x-ray, ultrasound, ASC, etc. Excellent salary with bonus structure and benefits. Please email resume to docsbnb@aol.com

POSITION AVAILABLE - SOUTHERN CALIFORNIA

Very well established, multiple location group practice has immediate opening for associate doctor. Attractive compensation and benefit package offered. E-mail resume to mrsmcmackin@aol.com

PRACTICE FOR SALE - DALLAS, TX

Prestigious North Dallas location; 24 year old practice; excellent mix of hospital surgery, office surgery, orthotics, general podiatry, web site, electronic claim submission. Retiring owner will stay for transition. Owner financing available. dallasfootdr@yahoo.com

ASSOCIATE POSITION - SW FLORIDA

Golf, Boating and Beaches - Great opportunity to join a well established Podiatry Practice. Excellent mix office/surgery, motivated experienced staff. Seeking full time Associate PSR 12-36. Excellent salary & benefits, early buy-in for the right hard-working, personable candidate. Email resume to capecoralpodiatry@live.com or fax to 239-573-9201

ASSOCIATE POSITION - NEW JERSEY - JERSEY SHORE REGION

Part-time associate wanted. Looking for a motivated and ethical practitioner. Competitive salary with incentives. Tuesday AM - Thursday PM - 2 Saturdays/month. Please respond to: NJSHOREFOOTDOC@aol.com

ASSOCIATE POSITION - SUBURBAN PHILADELPHIA AREA

Full-time associate with opportunity for partnership with group practice. Candidate must be trained in all phases of podiatry including wound care, surgery, and routine podiatric care. Candidate must have a positive and energetic attitude with a desire to grow in our practice. If interested please email your CV to BergD@readinghospital.org

PRACTICE AVAILABLE - WESTERN WASHINGTON

General Podiatry practice in Port Townsend, WA. Nice community, 25+ year old practice, busy 3 days a week with growth potential. Owner leaving area, needs someone to take over the practice, lease and equipment. Contact Jessica at ptpod@yahoo.com or 925-519-0624.

FULL-TIME ASSOCIATE NEEDED FREDERICK/HAGERSTOWN, MARYLAND

Reconstructive Foot & Ankle Institute, LLC needs full-time DPM at least PMS 36 to join premier group in Frederick/Hagerstown, MD. ASC, EMR, DR-digital radiography and ultrasound, Vascular/nerve testing, DME, retail store, strong hospital affiliations, salary, bonus and benefits. Respond to drmichaels@rfainstitute.com

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