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The Voice of Podiatrists
Serving Over 9,500 Podiatrists Daily
August 10, 2007 #3.010 Editor-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2007- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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25th ANNUAL PM PRACTICE MANAGEMENT SURVEY NOW ONLINE |
We encourage you to particpate in this important survey at www.podiatrym.com/survey Completing this anonymous survey provides us with valuable data, which we will publish in the February 2008 issue of PM. It also makes you eligible for valuable prizes, including a one-week Windjammer Caribbean cruise (value $2,000). Enter by sending Question #45 to bblock@podiatrym.com along with your name and address.
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Aetrex Introduces New iStep Podiatry Kiosk
Aetrex is proud to introduce the iStep Evolution-Rx, the most advanced digital footcare kiosk ever developed for podiatric practices. This patented technology is designed to facilitate and enhance your footwear and orthotic services and features products from many world renowned companies. Designed in conjunction with The Walking Company and leading podiatrists, iStep Evolution-Rx will help you provide a higher level of patient care, generate substantial additional revenue, increase office efficiency and modernize your practice.
To learn more click here http://www.aetrex.com/rx
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PODIATRISTS IN THE NEWS |
Summer Presents Extra Risks to Diabetic Feet: NJ Podiatrist
People with diabetes must be especially careful to avoid cuts, blisters, and bruises on their feet during the summer, cautioned Marshall Feldman, DPM, a podiatrist.
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Dr. Marshall Feldman |
“During the summer months, people are more likely to walk barefoot or wear sandals, increasing their risk of cuts and sores,” said Dr. Feldman. “For someone with diabetes, this can be very dangerous.”
Cuts, sores, and blisters take longer to heal when someone has diabetes, according to Feldman, a podiatrist at the Wound Care Center® at Robert Wood Johnson University Hospital at Rahway, which recently celebrated its first anniversary. “A person with diabetic neuropathy may not feel a cut, blister, or sore, which may lead to more complications,” he added. Diabetic neuropathy is a condition when patients cannot feel the pain of a blister or sore. Neuropathy increases with age, duration of diabetes and with increases in hyperglycemia.
Source: Devine Media (NJ) [8/8/07]
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APMA Special – Podiatry Ultrasound Imaging System for $7990
Saturday, August 18 at Booth #619 only. Bring this ad for a free gift.
System includes cart, custom carrying case, 3-year warranty, free loaner, training workshops, report templates, and more. If you are not going to the APMA, please express mail a signed copy of this ad, write “order system”, your business card and $300 deposit to Atlantic Medical LLC, 7360 Guilford Dr, STE 204, Frederick MD 21703. Orders post marked after August 18 will NOT get this price.
Atlantic Medical LLC is committed to serve podiatrists with the best ultrasound imaging equipment, training and support. Call 888-383-8858. Bring this ad for a free gift and Enter for an iPod! www.atlanticmedicalLLC.com. (apma1)
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AT THE COLLEGES |
New Appointments For Drs. Iorio and DeLauro at NYCPM
The New York College of Podiatric Medicine (NYCPM) has announced that, effective September 1, 2007, Anthony R. Iorio, DPM, MPH, currently Chair of the Department of Medical Sciences, will become Assistant Dean for Continuing Medical Education. He will also continue his teaching and clinical responsibilities, and assist with clinical research trials. Also on September 1, Thomas M. DeLauro, DPM, currently Professor of Primary Podiatric Medical Sciences and Surgical Sciences, will become Chair of the Department of Medical Sciences.
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Dr. Anthony R. Iorio |
Dr. Iorio is a 1981 graduate of NYCPM. He is a Diplomate of both the American Board of Podiatric Surgery and the American Board of Podiatric Orthopedics and Primary Podiatric Medicine, as well as a Fellow of both the American College of Foot and Ankle Surgeons and the American College of Foot and Ankle Orthopedics and Medicine. He is certified in laser surgery, as well as in arthroscopic surgery for the foot and leg.
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Dr. Thomas M. DeLauro |
Dr. DeLauro is a 1976 graduate of NYCPM. He has been an NYCPM faculty member since 1978, earning the rank of full professor in the Division of Surgical Sciences and in the Division of Medical Sciences, and has also served NYCPM as Academic Dean. Dr. DeLauro is a Diplomate of both the American Board of Podiatric Surgery and the American Board of Podiatric Orthopedics, and a Fellow of several podiatric subspecialty organizations. He has served the profession as editor-in-chief of the Journal of the American Podiatric Medical Association and as a member of the examination committee for the American Board of Podiatric Surgery.
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BENEFIT FROM THE EXPERIENCE AND KNOWLEDGE OF AMERICAN HEALTHCARE BILLING SERVICES, LLC (AHCBS)
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PODIATRISTS AND THE LAW |
IL Hospital Found Negligent for Credentialing Non-ABPS Podiatrist
The Illinois Appellate Court affirmed a negligent credentialing verdict made against Silver Cross hospital. The case is the first reported in Illinois dealing with a hospital's liability for negligently credentialing a physician, podiatrist, or other healthcare provider.
During the malpractice case, evidence was presented to the jury that Silver Cross Hospital granted hospital privileges to Dr. Paul Kirchner in 1992 contrary to the hospital’s own by-laws. The hospital’s by-laws required that all podiatrists seeking surgical privileges at the hospital have completed either a 12-month podiatric surgical residency program, or be board-certified by the American Board of Podiatric Surgery.
Dr. Kirchner met neither of these requirements in 1992, when he initially began performing procedures at Silver Cross Hospital. Kirchner re-applied several times for continuation of his surgical privileges at Silver Cross Hospital, and each time the hospital’s Board of Trustees granted the privileges in violation of its own rules and by-laws.
Source: Rita Schwab, msspnexus [8/7/07]
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APMA SCIENTIFIC MEETING EVENTS
***NYCPM Alumni Reception *** NYCPM Alumni Reception
The New York College of Podiatric Medicine And The Alumni Association Invite All NYCPM Alumni Who Will Be Attending The 2007 APMA Annual Scientific Meeting In Philadelphia
To a Reception on Friday, August 17th From 6 PM to 7:30 PM At the Downtown Marriott, Salon B
We Look Forward To Seeing You There!
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QUERIES |
Query: Test to Confirm That Osteo Has Resolved
I have a non-diabetic patient with ostomyelitis (diagnosed by plain films ) of the distal phalanx, 3rd toe resulting from a long standing infected ulcer left untreated by the patient.The soft tissue infection has resolved. He has been on antibiotics for about six weeks. The patient is resistant to amputation of the distal phalanx. Would MRI or another modality determine if the osteo has resolved?
Edward Orman, DPM, Perry Hall, MD
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APMA SCIENTIFIC MEETING EVENTS
So what’s new in your life? We want to know and so do your classmates……
Save the evening of Thursday, August 16 for the Alumni Association of Temple University School of Podiatric Medicine in Philadelphia. Renew friendships and reconnect with classmates at the All-Classes Reunion Reception.
For more information contact tuspm.alumni@temple.edu or call 215-625-5248
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RESPONSES / COMMENTS |
RE: Plantar Fascial Pain (Steven Block, DPM) From: Marc Katz, DPM
I agree with many of those posting that the medial calcaneal nerve is a possible problem. In a pronation injury this nerve is often injured. In addition, I have found that following endoscopic and open procedures the medial calcaneal nerve is often cut or injured and a branch of the sural may also be injured from the lateral scope.
As far as diagnosis, I see no reason to do any fancy testing unless simple methods fail. The easiest diagnosis method is dropping a cc of lidocaine at the medial and lateral calcaneal branches. If that relieves the pain then your diagnosis is solid.
I would also not recommend excision of the nerve, alcohol sclerosing or release prior to trying cryosurgery. I treat many patients that have had these procedures with resultant stump neuroma formation or long healing periods. In addition, the release can cause further edema and trauma in an already painful condition.
When considering cryosurgery, palpation of the tender area may be a good indicator of the pathologic nerve location. However, based on Dellon's finding there are many variations of the medial calcaneal nerve and I have found that cryosurgery in these situations will have a higher success rate using a neurostimulator.
This has been a good thread that will hopefully start docs thinking about the uncommon diagnosis. Also, cryosurgery is an excellent treatment in cases like this if it is indicated after exam.
Marc Katz, DPM, Tampa, FL, dr_mkatz@yahoo.com
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DIABETIC FOOT CARE: CONCEPTS & CONTROVERSIES
Cleveland Clinic Live CME, October 5-6, 2007 Fort Lauderdale, Florida www.clevelandclinicmeded.com/DIABETIC07 Activity Key Points: - Diabetic Foot Ulcer Management - Diagnosis and treatment of Charcot Foot - Solutions for therapeutic footwear and orthoses - Surgery in the diabetic lower extremity - Total Contact Cast Hands-On Workshop
EXPLORE FURTHER - www.clevelandclinicmeded.com/DIABETIC07
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CLASSIFIED ADS |
ASSOCIATE POSITION -CONNECTICUT-NORTH HAVEN
Seeking a part-time associate for a busy, well-established, respected, growing practice. Desiring an ethical, motivated, personable, well-trained PSR12/24/ or 36 podiatrist. Our practice is well-rounded and diverse with a good mix of sports medicine, diabetic care, surgery, podopediatrics, and general podiatry. Email information and CV to Pedy7@aol.com with subject heading “Podiatry Associate.”
ASSOCIATE POSITION SANTA FE, NEW MEXICO
Immediate opening for PSR 24/36 individual in three office practice. We are looking for an ethical, hard working, well trained Podiatrist. Partnership available. Please Fax CV to sfpodiatry@aol.com
PODIATRIC FELLOWSHIP POSITION AVAILABLE – CALIFORNIA
This one year fellowship will emphasize reconstructive foot/ankle surgery and research. Located in beautiful Sonoma Valley California. Must have a current California license and have completed a PSR-24,PM&S 24,or PM&S 36 residency program. Please send all letters of interest and a recent CV to Thomas Chang, DPM, Director, at podiatricri@yahoo.com or call (949) 412-8445.
PODIATRISTS NEEDED - CHICAGO --NORTHWEST INDIANA
Home Physicians, a medical group specializing in house calls is looking to hire podiatrists. We are located in Chicago and Northwest Indiana. Full and part time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-292-4800. Fax 773-342-4201 -E-Mail sschneider@homephysicians.com -- www.homephysicians.com
ASSOCIATE POSITION – GREATER BOSTON AREA
Full-time comprehensive practice with hospital teaching affiliation west of the greater Boston area looking for motivated, ethical, surgically trained podiatrist. Competitive salary and benefits. Call 508-872-9288
ASSOCIATE POSITION - SOUTHERN NEW JERSEY
Busy multi-dimensional practice. 20 minutes from Philadelphia. Board qualified/certified ABPS. Ethical, motivated, personable. Starting 65K plus health, malpractice, CME, bonus incentive. E-mail resume TotalFootCare@aol.com
ASSOCIATE WANTED - PHOENIX, AZ AREA
A well established, ethical solo podiatry practice wishes to expand its current surgical services in the near future by hiring a full-time associate with PSR 24-36 training which includes very strong surgical rear-foot and ankle reconstruction, diabetic limb salvage and ER trauma. Successful association may lead to partnership. ABPS Board qualified/certification is required. Applicants must be personable and caring to patients. Practice in an office base within a new state-of-the-art orthopedic surgical hospital environment and plenty of future expansion capabilities for a bright, eager, reliable associate. Email complete CV with current references & photo to footdoc352@cox.net
PRACTICE FOR SALE OR SHARING- CENTRAL FLORIDA
Practice all phases. Wound care, hyperbaric privileges nearby. Excellent building, location, and exposure on busy highway. Outstanding place to live and work; low penetration by managed care. Ample parking and accessibility with 2,000 sq. ft building designed and equipped for podiatry (lease or buy) 7 minutes from hospital. Great price, terms and opportunity to grow. 352-357-7499 - windnwave@earthlink.net
ASSOCIATE POSITION- MEMPHIS, TENNESSEE
A.S.A.P.! Excellent opportunity for well-trained, highly motivated PSR 24/36 or experienced practitioner leading to partnership in one year and complete buy out in five years. Generous salary/benefits first year. Large well rounded practice, heavy in forefoot and rearfoot surgery. Send C.V. - FAX (901) 396-5335 or Email drjoelcook@comcast.net
ASSOCIATE POSITION – MISSOURI
One of our long-term associates needs to relocate due to family reasons. Step into full schedule. Five locations in growing population area without HMO's. Partnership available. Missouridpm@yahoo.com
ASSOCIATE POSITION - NORTHWEST PENNSYLVANIA
Multi-specialty group is looking to add another Podiatric Surgeon or General Podiatrist to our well-established group. Office locations in northwestern Pennsylvania. Unlimited opportunities exist for the right Associate, wound care experience is a plus. Please forward your CV to adminsec@ips-mso.com
ASSOCIATE WANTED – NEW YORK IMMEDIATE OPENING
Busy multi-dimensional practice; 70 miles north of New York City. Currently five (5)-doctor practice. looking to expand – all phases of podiatric medicine. contact: (845) 454-8308 EXT: 106
WEEKLY SPECIAL - One week of ads (5x) for only $85
PM Classified Ads Reach over 9,500 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 9,000 DPM's. Write 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 dekagan@aol.com
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o Assistant Surgeon Med Necessity o In-Office ASC Using Office X-Ray Equipment o Managed Care Medicare o Coding Cryosurgery for Neuroma Treatment o UV Therapy
Codingline subscription information can be found at http://www.codingline.com/subscribe.htm
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME 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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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.
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