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PM News |
The Voice of Podiatrists
Serving Over 11,000 Podiatrists Daily
August 13, 2009 #3,621 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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Educate your patients about all your services! With The CaerVision Podiatry Network. You perform surgeries and treat many conditions … but few patients know. Why not tell them while they wait? For only 30 cent/hour ($50/month)*, you can educate your patients on all the services you offer … AND get referrals. Grow your business with the most cost effective practice building tool – The CaerVision Podiatry Network. info@caervision.net or call us at 888-841-2237. Online: www.caervision.com *Internet and equipment required. (Mention Code #PMN0730)
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PODIATRISTS IN THE NEWS |
MN Podiatrist Discusses MIST Therapy for Diabetic Wounds
A significant challenge with non-healing wounds is that they often have deep wound beds where bacteria colonize and produce flourishing infections, says Dr. Steven Kavros, a respected podiatric surgeon and researcher at the famed Mayo Clinic in Rochester, Minnesota. The bacteria develop into a biofilm, which he describes as looking like a cookie. In fact, the bacteria create a sugar-laden form over the wound that obstructs the application of antibiotics and treatment.
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Dr. Steven Kavros |
MIST Therapy, which was approved by the FDA in October 2004, was developed by a Minnesota company named Celleration. Treatments are done 5 centimeters from the wound. Typically, wounds are treated three times a week, and each treatment is about four minutes long.
In one study done by Dr. Kavros and his co-investigators, size-of-wound reduction in patients using the system was achieved 72 percent of the time, versus a 46 percent reduction in the patients using normal wound therapy. Total wound closure for patients using the system was 70 percent, compared to 21 percent for the patients receiving normal care.
Source: Dennis McGrath, Diabetes Health [8/10/09]
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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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AT THE COLLEGES |
26 Spanish Podologists Hone Their Skills in NYCPM’s Bako Anatomy Lab
The New York College of Podiatric Medicine (NYCPM) recently hosted twenty-six podologists from Spain in cooperation with the Universidad Complutense de Madrid, providing them the opportunity to attend two challenging week-long courses on anatomical dissection and surgical skills taught in the College’s new Bako Anatomy Lab.
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Louis L. Levine (R), and Dr. Michael J. Trepal present a certificate to Professor Ricardo Becerro de Bengoa Vallejo, DPM, PhD (L) |
Michael J. Trepal, DPM, Vice President for Academic Affairs and Dean at NYCPM, directs this semi-annual program of visiting students from Spain, now in its eighteenth year, on behalf of the College. Professors Ricardo Becerro de Bengoa Vallejo, DPM, PhD., a graduate of NYCPM, and Marta Losa Iglesias, RN, PhD., work closely with Dr. Trepal to direct the program. Both of these course directors accompanied the students on their visit. The work with the Spanish students involved lower extremity cadaver dissection, as well as videotaped demonstrations.
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Dr. Comfort
Having a high quality, streamlined and profitable diabetic footwear program in your practice is a critical service for your patients and an important source of revenue for you.
Why choose Dr. Comfort?
1. Highest Quality Products in the Industry
2. Dr. Comfort’s Streamlined Approach to providing footwear
3. The Inherent Value and Profitability of Dr. Comfort
Call 800-556-5572 or email Dr. Comfort now to experience exceptional quality and profitability with ease.
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PODIATRIC TRAGEDIES |
Retired MI Podiatrist Feared Murdered
A popular podiatrist dies under suspicious circumstances, and police believe he may have been murdered. The family tells a sad story of his final moments. Dr. Gary Ceresnie was 54 years old and a recently retired podiatrist who had practiced in Brighton. Illness forced Dr. Ceresnie to retire late last year. He died Sunday night.
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Dr. Gary Ceresnie |
He was on Michigan Avenue west of downtown Detroit when he approached a business owner. Ceresnie had experienced some kind of trauma and was bleeding.
Detroit homicide detectives are trying to piece together the case, and forensic test results are pending. Police are unsure why Dr. Ceresnie was in the area and they haven't ruled out the possibility that he might have been brought there.
Source: Bill Gallagher, Fox 2 News [8/11/09]
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About ACOR® Orthopaedic, Inc.
As a new advertiser in Podiatry Management we wanted to
introduce our company. Established in 1972, Acor is a family-owned,
Cleveland, Ohio based company. We are
dedicated to the development and manufacturing of state
of the art footwear “For Every Walk of Life™”.
Our biomedically-designed line of footwear products is comprised of sized and
custom footwear, pre-made and custom foot orthotics, and materials.
Our mission is to provide:
1) Aesthetic function and comfort for the end user
2) Service and value to you, our customer.
As an introductory offer to podiatrists, mention this ad and receive
10% off of your orders in the month of August.
www.acor.com cs@acor.com 800-237-2267
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PRACTICE MANAGEMENT TIP OF THE DAY |
Carry Conversational Load With Ease
How good are you at casual conversation? The following tactics will show you how to master the art:
• Don’t tell all that you know. Tell it all and you risk tiring your listeners. If they are interested, they will ask you for more details.
• Spice it up. Use body language to gain and hold listeners’ interest.
• Keep an even keel. Don’t raise your voice to gain attention. Many listeners will unconsciously move away.
• Seek feedback. Ask a close friend if your voice seems shrill, harsh, too soft or too loud. Awareness of those vocal faults lets you correct them.
• Skip the slang. Listeners may not understand or appreciate slang and clichés.Worse, using them conveys the impression that your vocabulary is limited.
Source: Adapted from “Handling Communication Problems,”W.H.Weiss via Communication Breifings
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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 SOLD OUT * 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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QUERIES (CLINICAL) |
Query: Tarsal Tunnel Syndrome?
My patient is a 42 year old female with pain on the medial proximal aspect of the foot. There is a positive Tinel’s sign over the tarsal tunnel. MRI, x-rays, ultrasonograms are either equivocal or negative. Three injections have reduced the symptoms for only a few days when the discomfort comes back. I tried to inject the sinus tarsi, but this had no effect. Orthotics have reduced the pain such that the patient can go about her business most, but not all, the day in pain but comfortable enough to carry on. This patient is ready to be off of her feet by the end of the day. There is no pain when non-weight-bearing. I have been reluctant to do EMG due to the above negative symptoms and because the real “clue” to the diagnosis—I believe—lies in the fact that a positive heel with her orthotics has helped (though not cured) the problem. Is it tarsal tunnel syndrome or have I missed the boat?
Jim Fisher, DPM, Eureka, CA
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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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QUERIES - (NON-CLINICAL) |
Query: Care Credit
Does anyone have experiences they would like to share utilizing Care Credit (GE Money Bank) as a payment service in private practice?
Bruce Pinker, DPM, Pomona, NY
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New! ALL-IN-ONE TOOLKIT FOR HIPAA, HITECH, RED FLAG RULE
2009 HIPAA HITECH security breach enforcement begins in September 2009. Breaches of 500 records mandate PUBLIC DISPLAY of your name in major media and on the/ HHS website.Penalties for willful neglect of HIPAA/HITECH regulations are now mandatory, from $10,000 to $50,000. Criminal prosecution is now part of the law. So are mandatory audits.
We have decided to expand our Toolkit to comply to HIPAA / HITECH and Red Flag Rule requirements in one bundled package, to provide safe, all-in-one, turn-key compliance for all of the new regulations.
Staff can implement in hours • Complete Documentation for Regulatory Audits • Includes policies for Safe Harbor from public reporting in a breach • FREE updates for 3 years
Buy it now at: www.PhysicianRedFlagRule.com Only $137
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RESPONSES / COMMENTS (CLINICAL) - PART 1 |
RE: Surgical Options for Hallux IPJ Pain (Richard Frost, DPM)
From: Jeffrey Kass, DPM
My vote is for the hallux IP Fusion. As you state in your posting, the pain is medial and not lateral (even though the fracture fragment is lateral). You have the hallux interphalangeus and you have the hammered hallux, both of which will be fixed with a fusion. If you take out the fracture fragment, you might still be left with pain, as the pain is medial and not lateral. You are also still left with the hallux interphalangeus and hammer toe deformities.
Incidentally, I would try infiltrating the region with steroid prior to the surgery to see if any pain is eliminated. This obviously will not correct the interphlangeus or the hammer toe, and not allow your fracture fragment to heal.
Jeffrey Kass, DPM, Forest Hills, NY, Jeffckass@aol.com
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$44,000 Economic Stimulus Article at: doxemr.wordpress.com
CALL 1-877-270-3518 OR EMAIL INFO@DOXEMR.COM
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RESPONSES / COMMENTS (CLINICAL) - PART 2 |
RE: Tingling and Burning of Toes Under Bedcovers (Bob Hatcher, DPM)
From: Dan Waldman, DPM
Perhaps change her bed sheets and/or get a new mattress. Does it happen in other beds (hotels, etc.)?
Dan Waldman, DPM, Asheville, NC, DPMcareer@aol.com
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MEETING NOTICES
WHERE PODIATRISTS ENJOY WORLD-CLASS EDUCATION AND FIRST-CLASS TREATMENT
GEORGETOWN UNIVERSITY HOSPITAL
2009 DIABETIC LIMB SALVAGE CONFERENCE
JW Marriott Pennsylvania Avenue, Washington, DC
24-26 September 2009
• Register online now at DLSConference.com and save
• Join 1,400+ colleagues • 60+ faculty • 75+ exhibitors
• Expanded live cases from Georgetown ORs • Earn 28 CMEs
Co-Chairmen: • John S. Steinberg, DPM • Christopher E. Attinger, MD
• Richard F. Neville, MD
337-235-6606 • 337-235-7300 (fax)
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 1 |
RE: Delighting Patients (Bob Levoy)
From: Jim Steinberg, DPM, Jeffrey Kass, DPM
When I first started in practice in the mid 70`s, I had a receptionist who had an outstanding personality. She would greet everyone as they entered my reception room with a big "GOOD MORNING (or afternoon) with a big genuine smile on her face. I know what you are going to say, don`t say good morning to patients as you might get an answer back such as "what`s good about it?" But, it did work and I stuck with it, not interfering with how she initially greeted patients.
Jim Steinberg, DPM, Tampa, FL, footmedicine@yahoo.com
Call patients on their birthday to wish them a happy birthday. Elderly patients are often forgotten, and this makes them feel great.
Jeffrey Kass, DPM, Forest Hills, NY, jeffckass@aol.com
Editor’s note: Bob Levoy will award a copy of his recent book, "222 Secrets of Hiring, Managing and Retaining Great Employees in Healthcare Practices" (Value = $59.95) to the PM News subscriber with the best response to "How do you delight patients?"
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 2 |
RE: Meet the Masters is a Success
From: Ira M. Baum, DPM
Last night’s teleconference with Dr. Barry Block was very enjoyable and informative. I think one of the most interesting features of Dr. Ribotsky’s concept is who is listening, and who participates. Even though there is a featured speaker, to have other experts such as Dr. Morgan and Dr. Guiliana participate in a round table discussion was more than I expected.
After the fact, I listened to Dr. Weil’s teleconference, but I hope he and other featured guests will continue to participate in the programs, as will other experts in our field, whether known or unknown. I look forward to future conferences.
Ira M. Baum, DPM, Miami, FL ibaum@bellsouth.net
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o ICD-10-CM & ICD-10-PCS
o E/M Coding with a Surgical Code
o Lesser Met Resection with Implant
o Autograft from Bunion Repair
o Proper Code for a Subtalar Arthroereisis
Codingline subscription information can be found here
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RESPONSES / COMMENTS (CLINICAL) - PART 3 |
RE: Yellow Pages Parity (Frank DiPalma, DPM)
From: Pete Harvey, DPM
In Texas, it has been my experience that the continual problem with Yellow Pages discriminating against podiatrists is an AT&T issue. All other Yellow Pages have no problem listing Podiatrist, D.P.M. in the Physician and Surgeon section of the Pages. The listing used to be after the Plumbing section. The problem was solved for a few years and then AT&T reversed its decision, and podiatry listings now are placed after the MD listing when it should be alphabetical as DPM, DO, MD, etc.
The correct listing is not a problem for other directories in the state such as Great Western. I suspect this is true all over the country. I have been told for years that orthopedists have kept a position on the Board of Directors of AT&T. It seems that this might be a good issue for APMA to tackle as a cause célèbre.
Pete Harvey, DPM, Wichita Falls, TX, pmh@wffeet.com
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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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CLASSIFIED ADS |
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 - FREDERICK, MD
Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.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 - 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
PRACTICE FOR SALE-VIRGINIA (SOUTHEAST)
Very busy office near Williamsburg. Currently, a satellite office 2 days a week. Great opportunity to make office full-time. Grosses approx. 130,000/year. The office has everything needed to start practicing. All included. Must sell. If interested, e-mail totalfootcareva@hotmail.com
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
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
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 - MARYLAND
Harford County, Bel Air, est. 1991, seeking PSR24/36, strong ethics, friendly demeanor. Associate or partnership opportunity for the right applicant. We provide onsite ambulatory surgical center, patient base, strong referral resources, billing, scheduling, and many technologies. Visit our website. e-mail your CV to drhoward@hlsfootcare.com.
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
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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