The Voice of Podiatrists

Serving Over 14,601 Podiatrists Daily

August 09, 2013 #4,844 Publisher-Barry Block, DPM, JD

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MN Podiatrist Elected President of AAPSM

Paul R. Langer, DPM, a sports medicine podiatrist from Minneapolis, MN, was elected President of the American Academy of Podiatric Sports Medicine at their Annual Meeting held in Las Vegas, NV. Dr. Langer received his Doctor of Podiatric Medicine Degree from the Des Moines University in Des Moines, Iowa. In addition to being a Fellow and President of the AAPSM, Dr. Langer serves on the Clinical Advisory Board for the American Running Association and is Clinical Director for Special Olympics Fit Feet in Minnesota. He is also Board Certified with the American Board of Podiatric Orthopaedics and Primary Podiatric Medicine.     

Newly elected members of the AAPSM Executive Board (L-R) Drs. Paul Langer, Dave Jenkins; Executive Director Rita Yates; Drs. Brian Fullem, Dianne Mitchell, Jamie Yakel, and Rob Conenello

Elected along with Dr. Langer were: President-Elect- David Jenkins, DPM, Glendale, AZ; Vice President- Dianne Mitchell, DPM, Sacramento, CA; Secretary/Treasurer- Brian Fullem, DPM, Tampa, FL. Robert Conenello, DPM from Orangeburg, NY and James Yakel, DPM from Boulder, CO serve as Past Presidents. Rita J. Yates, of Ocala, FL, serves as AAPSM's Executive Director.

OR Podiatrist Joins Surgical Specialty Clinic

Podiatrist R. Tyson Scott, DPM, has joined the West Valley Surgical Specialty Clinic. Dr. Scott will provide procedures and surgeries for feet, ankle, bunions, and plantar fasciitis at nearby West Valley Hospital’s state-of-the-art surgery suites. "We are pleased with the caliber of expertise provided at the West Valley Surgical Specialty Clinic,” said Robert Brannigan, chief administrative officer of West Valley Hospital.

Dr. R. Tyson Scott

Dr. Scott speaks fluent Spanish. His extensive training in orthopedic and podiatric surgery includes specializing in trauma, ankle and calcaneal fractures, ankle arthroscopy, chronic ankle pain and forefoot surgery, including bunions and flat foot repair.

Source: Sheridan Sun [7/31/13]

AZ Podiatrists Edit New Diagnostic Ultrasound Text

Diagnostic Ultrasound of the Foot and Ankle is a valuable resource that examines the proper ultrasound technique when imaging the lower extremity. Editors Dr. John Tassone Jr. and Dr. Stephen L. Barrett, along with a group of ultrasound specialists, delve beyond identifying pathology and provide readers with an analysis correlating how the information gained from a lower extremity ultrasound can be used in surgical planning.

Diagnostic Ultrasound of the Foot and Ankle

Additional images provided by world-class sonographer Brian Kincaid supply further clarification and illustration of ultrasound imaging.

Performance Health Announces Merger with Cramer Products, Inc.

Performance Health, manufacturer and marketer of Thera-Band®, Biofreeze®, Perform®, and Hygenic® branded products, announced a merger with Cramer Products, Inc. today. Cramer Products portfolio includes all branded products from Cramer®, Active Ankle®, Stromgren®, and Cosom®, and is widely viewed as the best and longest-established company supporting the athletic training (AT), sports medicine (SM), and team markets. Cramer Products also reaches into retail, primarily through chain sporting goods stores, as well as into certain international markets.

Query: Staged Procedures for Digital Deformities

This is a 59 year old male who presented to my office about 2 years ago complaining of a painful foot deformity. He suffered a CVA years ago and wears an AFO, but complains of pain predominantly in the digits. He has pre-ulcerative hematomas and lesions in two of the interspaces. He wishes to have the foot corrected. Initially, he will be sent for an arteriogram with runoff to ascertain vascular status coupled with a Doppler evaluation. Assuming he is a candidate, my plan is to stage the procedures to protect vascularity and minimize potential compromise.

Weight-bearing X-Ray

Initially, I plan hammertoe fusions 2-4, most likely using a fusion device such as the Metasurg Digifuse. Next would be decompression osteotomies 2-3-4 on the metatarsals, and finally the fusion of the first MTP with appropriate shortening to maintain the parabola. Obviously, a Hoffman-Clayton type procedure was considered, but I would still stage that as well for safety. Suggestions?

Query: Vasculara
 
Does anyone have experience using the drug Vasculara in the treatment of venous insufficiency or in the healing of venous stasis ulcers?
 
John Scholl, DPM, Lady Lake, FL

RE: Hill Podiatry Chairs (Marc Katz, DPM)
From: Richard Rettig, DPM

I have had a Hill chair for about 20 years. It is a very basic chair at a reasonable price. I had my concerns originally about some ergonomic minor issues (switch placements and footrest length) that were changed by the company for my chair at my request, and I felt they should have  adopted these changes for all their chairs, and stated it publicly in the past.

Recently a +500lb patient (above the chair-rated capacity) damaged the frame of my chair which,  in turn, ruined a motor, too. This was well beyond any warrantee. The company picked up my chair (I am within 50 miles of their plant) and fixed it in-house and returned it, re-welding the frame and replacing the motor. They refused payment for this. I need to now publicly commend them for their service.

Richard Rettig, DPM, Philadelphia, PA, rettigdpm@gmail.com

RE: Diagnostic Ultrasound (Michael Forman, DPM)
From: Ivar E. Roth DPM, MPH
 
Generally speaking, getting a 90% success rate with an injection, as Dr. Forman writes, would be considered excellent, however to ultrasound everyone and bill for it under these circumstances is an example of overuse. If you feel that you need to get 100% accuracy with every injection and use ultrasound, why make 90% of your patients (and thus the insurance companies) pay for unnecessary services?

If you feel you need to use an ultrasound to give an injection, do so but do not charge the patient or the insurance company, or bill for those where it actually helped, i.e., the 10%. In summary, if you choose to give a shot and need assistance, that is your choice in providing better care, not a requirement, and so ultrasound should be included in the shot charge. As podiatrists, we cannot think, "Oh, I saved the insurance company $2,000 for an MRI" to justify using ultrasound on every patient who requires an injection."
 
Ivar E. Roth DPM, MPH, Newport Beach, CA, ifabs@earthlink.net

RE: Security Risk Analysis Cost (Mark Aldrich, DPM)
From: Pamela Blustein

In order to comply with Core Measure 15 of Meaningful Use – Security Risk Analysis- there are several steps that need to be taken. The Department of Health and Human Services in its Guide to Privacy and Security of Health Information -The Office of the National
Coordinator of Health Information Technology (page 9), delineates these 5 steps:

Reviewing existing security of PHI, Identifying threats and vulnerabilities, Assessing Risks for likelihood of impact, Mitigating security risks, and...

Editor's note: Ms. Blustein's extended-length letter can be read here.

RE: Treating Homeless Patients (Elliot Udell, DPM)
From: Daniel Chaskin, DPM

Why not have homeless patients sign a statement that you are giving them treatment for free, and in return, they must promise not to sue for any substandard care or substandard record-keeping? I understand that courts, in general, do not allow patients to waive their right to sue, but if a monetary consideration is given for this, such as free care, then this agreement can be shown to a jury.

The bottom line is if the judge even tells the jury to disregard such a contract, the contract is still in the subconscious minds of the jurors. Perhaps most jurors will see a podiatrist who made such a contract to treat for free as a caring person and tend not to grant a large settlement, even if found negligent.

Daniel Chaskin, DPM, Ridgewood, NY, <podiatrist12@gmail.com

RE: AAPPM Presents Practice Management Seminar for Third-Year Students
From: Tip Sullivan, DPM

I was very happy to see the post regarding the attendance of 3rd year students at practice management seminars. Most of them (except the ones sacrificed to the residency crisis) will have FOUR MORE YEARS before they can put the things they heard into practice. I don’t ever remember experiencing a practice management seminar when I was a student, resident, or fellow. With all the negative comments regarding the residency crisis and the plight of the student, at least this is one thing we are doing positively!
 
Tip Sullivan, DPM, Jackson, MS, tsdefeet@msfootcenter.net

PRACTICE FOR SALE - NORTH CAROLINA

Rapidly growing start up practice in rapidly growing college town in Eastern North Carolina. Excellent teaching hospital nearby with privileges available. Must sell due to health reasons. Serious inquires only. Reply to drcivatte@gmail.com

PRACTICE FOR SALE - MAINE

30 year, full service practice in Bangor, Maine. Cooperative and appreciative patients. A wonderful community to practice in and recreate during your free time. Owner is semi-retired, now ready to fully retire but will stay for transition. mainefootdoc@yahoo.com.

PRACTICE FOR SALE - HUNTINGTON PARK, CA

46 years same location. Unsurpassed visibility on corner of major intersection. 3 fully equipped treatment rooms. Perfect opportunity to build a strong practice. Must retire due to age. Selling price $30,000 firm. (323) 588-1179 MTWF. evaonofre@hotmail.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 - STAMFORD, CONENCTICUT

Well rounded general and surgical podiatry practice in beautiful Stamford, CT. 35 years. Walk to the hospital and OR. $350k gross / 4 days per week. May lease present office space. Super office manager. Practice offered @ $100k. jefre1@msn.com

ASSOCIATE TEXAS- NORTH DALLAS AREA
 
Great opportunity for the right individual. Seeking well trained (PSR 24+), ethical, hard working, motivated individual. Full scope of podiatry including office, hospital and surgery center work.  Partnership opportunity available for the right individual. Well rounded practice with competitive salary/benefits package. Seeking an individual with superior surgical and personal skills to join our two location, two doctor practice. Please send letter of intent and CV to DPMopening@gmail.com

ASSOCIATE POSITION - CONNECTICUT

Looking for an associate with 3-year residency training for a practice in Connecticut. Interested in all aspects of podiatry including  foot/ankle surgery and wound care. Hospital located close by with appointment to staff readily available. Will lead to partnership Please send CV to:dsharnoff@hotmail.com

ASSOCIATE POSITION - BRITISH COLUMBIA, CANADA

Beautiful Victoria, British Columbia, Canada on the Ocean, fast growing area, Associate for Multi-office full scope practice Reply to dr.cole@shaw.ca

ASSOCIATE POSITION – VIRGINIA

Immediate opening, full or part-time position. Established private practice, strong referral base. Hospital and surgery center privileges. Two locations with modern offices. ABPS qualified or certified. Competitive compensation package. To apply, please email a letter of intent and CV to Practice Administrator at: vaposition@yahoo.com

ASSOCIATE POSITION - CALIFORNIA

Associate wanted for multi-office, multi-doctor practice. Full Time, Self-motivated, highly skilled team player with surgical, wound care and palliative skills. Offices in Northern California Coast, CA License necessary, salary negotiable with possibility of partnership in future. Send CV and letter to: srfctysc@gmail.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION - FLORIDA

Associate wanted for an established 25 year old practice. PSR24 or 36 would be preferred. Excellent opportunity. Please send CV or letter to bafamt@aol.com

ASSOCIATE POSITION - CENTRAL PA

Looking for an associate with 3-year surgical residency. The physician will provide all aspects of podiatric practice, including sports medicine, wound care, and foot and ankle surgery. Competitive compensation package. Partnership opportunity for right person. To apply, please email, letter of intent and CV to stringernyc@hotmail.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.com

ASSOCIATE POSITION - SOUTHEAST MICHIGAN

Seeking a quality-oriented, patient-focused PSR trained associate for a fast paced, established group practice in Southeast Michigan. This is a secure, long-term position. Emphasis on diabetic foot and wound care.  Our outstanding staff allows you to concentrate on optimal patient care without the responsibilities of practice management. Partnership possibility for the right individual. If you are highly motivated, ethical and have good communication and clinical skill, please forward you C.V. to:cfsdr@yahoo.com

ASSOCIATE POSITION – PENNSYLVANIA

Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to: 123bunion@gmail.com

POSITION AVAILABLE - MASSACHUSETTS

Boston Medical Center. Full-time career opportunity: surgery, diabetic foot care, wound care, general podiatry, resident training & research. Split position: (90%) on-site BMC and (10%) off-site health center clinics Boston University School of Medicine Academic appointment. Requirements: Completion of 24-36 month surgical residency. Please forward CV and letter of interest to: Erin.walker@bmc.org

ASSOCIATE POSITION - HUDSON VALLEY NY

Part time position in busy practice leading to f/t. Looking for well trained minimum PSR-12 with great technique and people skills for part time leading to f/t position in fast growing practice. Competitive salary with huge growth potential. Send cover letter, CV and work experience to:PodassociateNY@gmail.com

ASSOCIATE POSITION - DAYTON, OHIO

Join an established group practice in Dayton, Ohio excellent reputation, large referral base.  Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to Ohiomedical@aol.com

OFFICE AVAILABLE - TACOMA, WA>

Podiatry clinic available for podiatrist one or two days a week. Current doctor does no bone surgery. Perfect for someone wishing to supplement a current office or a new practitioner looking to get his foot in the door in the Puget Sound area. Email CV and cover letter to 4MYFEET@sbcglobal.net.

NEW PRECEPTORSHIP POSITION NOW OPEN

Philadelphia based multi-doctor practice offering preceptorship. Unique practice blending ‘traditional’ podiatric services with acupuncture, sports medicine and podiatric pain management. Individual must be motivated, personable and have strong computer skills. Please respond by email with resume and  CASPR application. Selection process will be completed quickly, so please respond timely if you are interested. ediamond7@comcast.net

EQUIPMENT FOR SALE - NEXUS LASER

Nexus 10W laser for sale, 1 year old still under warranty with option to extend. Portable with battery, excellent condition. Has soft tissue ablation head and bio-stimulation head. Built-in protocols. Best offer e-mail tmacklin.podiatrygroupofga@live.com.

EQUIPMENT FOR SALE - DIOWAVE 15 WATT, PORTABLE 980 LASER

This is a used multiple function laser, plantar fasciitis, Achilles tendonitis, joint pain. nerve pain, post surgical, warts, toenail  problems, two-year plus warranty, MSRP: $25,000. E mail Dr. Zuckerman at: footcare@comcast.net for questions and pricing.

PM News Classified Ads Reach over 14,500 DPMs and Students

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