The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 07, 2012 #4,533 Publisher-Barry Block, DPM, JD

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Recent Advances in Orthotic Therapy

This week's prize is a copy of Recent Advances in Orthotic Therapy by Dr. Paul Scherer (Value - $129.95)..

This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.

Tweaking Your Footwear Can Prevent Many Foot Problems: NY Podiatrist

Your feet are two tough tootsies. They spend their days shoved into stilettos, pounding pavements, and supporting your weight while you bounce around on the treadmill or take a Zumba class. It's no wonder that one out of six people in this country complain of foot problems.

Dr. Hillary Brenner

"If you just tweak your footwear and give your feet some TLC, you should be able to stave off most problems," says Hillary Brenner, DPM, a New York City podiatrist and spokeswoman for the American Podiatric Medical Association.

Source: Hallie Levine Sklar, Fox News [8/5/12]

Canadian Podiatrist Discusses Athlete's Foot

This foot rash is the most common fungal skin infection. It's caused by a fungus that grows on or in the top layer of skin. Fungi grow best in warm wet places, such as the area between the toes. Athlete's foot spreads easily, and you can get it by touching the toes or feet of a person who has it. "People most often get it by walking barefoot on contaminated surfaces near swimming pools, on pool decks, or in locker or shower rooms," says Dr. Joseph Stern, a Vancouver-based podiatrist and the president of the Canadian Podiatric Medical Association. The fungi then grow in your shoes, especially if they're so tight that air can't circulate around your feet.

Dr. Joseph Stern

Treatment includes over-the-counter topical anti-fungal medication or a prescription from your doctor. The skin should clear up in two to six weeks. "To prevent getting Athlete's foot, wear something on your feet to and from the swimming pool," says Stern. It also helps to wash your feet with soap and water daily, dry them carefully (especially between the toes) and wear moisture-wicking socks in running shoes.

Source: Jane Doucet, Homemakers.com [8/3/12]

Malta Podiatrist Awarded Ph.D in Clinical Biomechanics

Podiatrist Alfred Gatt was recently awarded a Ph.D in Clinical Biomechanics from Staffordshire University, UK. His doctoral research, under the supervision of Prof. Nachiappan Chockalingam, was entitled ‘Biomechanical assessment of passive ankle joint complex dorsiflexion’.

Dr. Alfred Gatt

Dr. Gatt has published articles in various international peer-reviewed journals, including the Journal of the American Podiatric Medical Association, The Foot, and Prosthetics and Orthotics International. A former head of the Podiatry Department at the Department of Health, he now lectures at the University’s Faculty of Health Sciences. He is a founding member of the Diabetes Foot Research Group, which was set up to research diabetic foot disease in Malta.

Source: Times of Malta [8/5/12]

CA Podiatrist Holds 14th Annual Shoe Drive

Long Beach podiatrist Dr. S. Don Kim is taking steps to help the less fortunate. Kim Foot & Ankle Centers, Inc. is hosting its 14th annual Biggest Shoe Drive in Southern California — collections are being accepted now through Aug. 8. 

Dr. S. Don Kim

Kim, 49, who said he first realized there was a need for shoes while doing free podiatry work in impoverished areas of Mexico, has collected more than 100,000 shoes in the past 14 years. The new and gently used shoes — for men and women of all ages — are given to local charities as well as organizations in Mexico (shoes also were sent to Japan after the tsunami last year).

Source: Ashleigh Ruhl, Long Beach Grunion Gazette [8/4/12]

Retired NJ Podiatrist is World-Class Photographer

In the 1970s, when Dr. Jonathan Singer was working as a podiatric surgeon in Arizona, he traveled to Yosemite National Park, where he met the photographer Ansel Adams at his gallery there. “I was inspired by his passion,” he said in a telephone interview recalling their meeting. “Looking into his eyes, it was an energy force. I always aspired to that.”

Dr. Jonathan Singer (Photo: Angel Franco)

Now retired from podiatry, Dr. Singer, 64, began pursuing photography in earnest about 10 years ago. His photographs of rare flowers and plants are being shown in “Botanica Magnifica: Photographs by Jonathan Singer,” an exhibition running through Aug. 26 at the New Jersey State Museum in Trenton.

Source: Tammy LaGorce, New York Times [8/3/12]

Query: Pruritic Lesions, Arm and Legs

My patient is an 84 year old, caucasian female with unilateral pruritic lesions left leg, which have been worsening for six months. The lesion is negative for fungal elements: KOH and two week culture. No Auspitz sign is elicited. Culture of some of the scale reveals 1+ Staph epidermidis.

Pruritic Lesions

There are similar lesions on the contralateral (right) arm. If anyone has seen this or knows what it is, I would appreciate your opinion. Most lesions are on the left leg, but there are lesions about the ankle cutis as well.

Jim Fisher, DPM, Crescent City, CA

Query: Sending Data for CMS Incentive

Last year, we switched from Medinotes to Lytec (McKessen). Problems arose when we tried to turn in our 3 months of records. While we are told that all our information is there, Dabb, the company handling our account is unable to get the information out of the computer to send it to CMS. They say it just happens to be a "glitch" in our software and we must start all over again. Our problem is that one of the docs who has been with us for almost 2 years is leaving. It doesn't seem fair to lose the incentive for him if he leaves. Is there an alternative way to turn in information, such as printing the charts and info and sending that to CMS instead of electronic sending? 

F. Don Chantiles, DPM,  York, PA

Query: CME Courses In Hygiene and Sterility

Since I am now required by my Board of Registration to attend 30 hours of CME on "hygiene and sterility" because I did not sterilize my Dremel bit between patients (I do now), I am requesting your suggestions as to where such CME units can be found. The board is also requiring me to submit a list of proposed courses so that they may approve of the topics. I am having great difficulty finding courses that meet such limited criteria. Any suggestions would be appreciated.
 
Jeff Kittay, DPM, Boston, MA

RE: Classification of Diabetes
From: Neil A Burrell, DPM

I realize this might seem petty, but as the foot experts and as the foot experts in diabetes, many podiatrists have trouble with the classification of diabetes. I read many times on PM News podiatrists who misuse classification of Type 1 and Type 2. The old terms were juvenile diabetes and adult diabetes. These were changed to IDDM, insulin dependent diabetes mellitus and NIIDM, non-insulin dependent diabetes mellitus.

This was confusing as well, so the terms were changed to Type 1 and Type 2. You do not change types once diagnosed. Think of the old types as well as the word "dependent". Type 1 are dependent on insulin. Without insulin, they would die. Type 2 may take insulin, but this does not make them a Type 1 just because they take insulin. They are NOT dependent on insulin to live. They use insulin to help control their diabetes.

Remember that 90 % of those with diabetes have Type 2 and 10% have Type 1. Type 1 is mostly diagnosed in children (average age 9-12), while Type 2 is normally found in adults who are overweight. Type 1 is a quick onset while Type 2 is a gradual onset. If we are going to be the experts in the diabetic foot, let's use acceptable terms like our fellow healthcare workers.  I do see a lot of misuse by MDs as well.
 
Neil A Burrell, DPM, Beaumont, TX, nburrell@gt.rr.com

RE: Source for Looking up Deceased Patients? (J. Ressler, DPM)
From:  Richard A. Simmons, DPM
 
The query was how to find out if a patient is deceased without using the IVR. Personally, for the expense, time, hassle and other aggravations, I would simply mail the announcement to the information that my office has on file. That said, the most current free site is the Death Master File edition of November 30, 2011. This site can be found at ssdmf.info/.  Paid sites include ancestry.com, genealogy.com, etc. 

One can also use the paid site CheckMedicare.com (the parent company is strongly supportive of podiatry) that provides information directly from CMS. From this site, you also get the current address of your patient, plus the patient’s zipcode+4. The CheckMedicare.com site can be copy/pasted into other computer programs (e.g., Microsoft Word). My office prints the CheckMedicare.com into a readable pdf file for future easy access. I am not aware of any site that provides this information for free anymore, so the November 30, 2011 is the most current free information. Though tedious and not always accurate, you can perform a search using the terms: obituary death “patient name” which will give you paid obituary information. The advantage of CheckMedicare.com is that the site is HIPAA compliant.

Richard A. Simmons, DPM  Rockledge, FL  RASDPM32955@gmail.com

RE:  UK Podiatrist Discusses Treatment of Neuromas (Peter Bregman, DPM)
From: Vito J. Rizzo, DPM

I am in full agreement with Dr. Bregman. Interspace nerve conditions are, in my experience, almost exclusively entrapment disorders. As such, I have been performing decompression procedures for the past 20 years with very good results. Neuroma (as defined as a tumor of the nerve) is extremely rare. What we see in “clinical neuromas” is an inflammatory, not a neoplastic process.

For the most part, I have been using the IsoGard system of decompression. I do this in my office using local anesthesia. I have not removed an interspace “neuroma” in years. The Association of Extremity Nerve Specialists is an excellent source of information and training to learn these advanced nerve techniques.

Vito J. Rizzo, DPM, Bayshore, NY, vjrizzo@optonline.net

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

PRACTICE FOR SALE - SOUTHWEST FL

multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com.

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.

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

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

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 – 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.

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 - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977

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 - NORTHERN VIRGINIA

Small, high-volume, non-surgical conservative care practice in Northern Virginia looking for hard-working, caring full-time podiatrist. Must enjoy, respect benefits of palliative care, diabetic foot care, foot biomechanics. Experience good. Great attitude better. Must be team player, practical, flexible problem-solver. Looking for someone committed to grow practice. Not looking for equity partner now, but if you prove yourself with great performance and attitude, a partner would be welcome. Send resume and CV to karenafp@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 – BROOKLYN, NY

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

 EQUIPMENT FOR SALE - PADNET

Rarely used- excellent condition. Padnet for sale. Asking $10,000. Contact us at 516-220-8258.

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

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

PM News Classified Ads Reach over 13,500 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 13,500 DPM's. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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