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PM News

The Voice of Podiatrists

Serving Over 17,017 Subscribers Daily


August 13, 2015 #5,444 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block

Bianco


ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Dr. Estelle Albrightwinner of last week's prize, a $100 Macys gift card. We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in the March 2016 issue of Podiatry ManagementIt also makes you eligible to win thousands of dollars of valuable prizes. Enter by completing this confidential survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win.
 
SteriShoe+
 
 
This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.

luzo


CENTRAL


AT THE COLLEGES
WesternU Students at White Coat Ceremony Told "You Chose the Right Profession"
 
Arnold Tabuenca, MD, FACS, Medical Director, Riverside County Regional Medical Center Chair of Surgery & Associate Program Director, University of California, Riverside, gave the keynote address at the College of Podiatric Medicine (CPM) white coat ceremony. He told CPM students that the next two years will be the toughest. There will be long nights of studying where your brain seems ready to explode, but be assured that you made the right choice, he said. The obesity epidemic that affects our society has really increased the number of diabetic patients. Last year, there were an estimated 25,000 patients just in the Inland Empire with foot ulcers, he said.
 
Dr. Arnold Tabuenca delivers keynote address
 
“Podiatrists have been leaders in the implementation of most successful limb salvage programs,” Tabuenca said. “Have you thought that you would ever be saving lives? No, podiatrists don’t save lives, they only save feet. Wrong assumption. “Between 13 and 40 percent of diabetic patients with an amputation will die within one year of the amputation,” he said. “So by you working with a patient to avoid an amputation, educating them, helping them change their lifestyle, you will literally be saving lives. Exciting, isn’t it? You have chosen the right profession.”

DrCreju


PODIATRISTS AND HUMANITARIAN CAUSES
 TPMF Treats 450 patients at 2015 Mission
 
The Texas Podiatric Medical Foundation (TPMF) annual medical mission to San Miguel, Mexico was held July 31- August 5. The mission sponsored 7 residents to travel with 22 other volunteer doctors and nurses this year. The experience is a terrific lesson in giving back in less fortunate areas. Under Mission Foundation President Dr. Don Falknor's  leadership, the TPMF treated 450 patients in clinic, performed 28 surgeries, and gave 80 pairs of shoes to orphanages. Other senior attendings included: Drs. Javier LaFontaine, Tim Abigail, Steve Brancheau, Huntsville residency director, Mike Wynn, James Kutchback, Chris Browning, Mike Locklear, Karry Ann Shebetka, Stan Churchwell, and Tea Nguyen.
 
(L-R) Texas Residents sponsored for the 2015 mission: Back Row: Drs. Andrew Bernhard, Doug Bluth, Matt Ramirez, Britton Plemmons, Front row: Brandon Lampe, Landon Cameron, and Jeremy Walters.
 
The residents commented, "This was a terrific experience to learn from attendings and see pathology we do not normally see." The TPMF partners with the local government, a San Miguel cardiologist - Dr. Carlos Maxwell, and the Hospital General. This year, Wright, Stryker, Dr. Kirk Koepsel, Thom Beers (Discovery Channel), Formula 3, Dr. Comfort, and BAKO also provided generous mission donations of equipment, lodging, and funding. 

jublia


PODIATRISTS AND SPORTS MEDICINE
NY Podiatrist Discusses Benefits of Working Out Barefoot 
 
Q: Can you share a few benefits to working out barefoot? When and where is the best time to kick off your sneakers?
Dr. Emily Splichal
 
Dr. Emily Splichal: Barefoot is great because it stimulates all the nerves on the bottom of the foot - nerves which are important for maintaining balance, activating the core, and absorbing impact forces. In shoes, all of these nerves are blocked which can lead to a higher injury risk. 
The best surface on which to train barefoot is a flat, hard, stable surface such as a dance studio and gym studio floor. Outside is great, but more natural surfaces are best. Avoid training barefoot on yoga mats or concrete.
 
Source: Mobile Examiner [8/11/15]

apex4


PODIATRISTS IN THE COMMUNITY
NY Podiatrist's Sponsored Lacrosse Team to Participate in Mineola Street Fair
 
The Mineola Street Fair is fast approaching with Mineola Chamber of Commerce reps in planning mode, outlining the event’s new footprint: Jericho Turnpike. 
 
Dr. Steven Brook
 
Dr. Steve Brooks, a Mineola podiatrist and sponsor for the Long Island Lizards lacrosse team, will bring star players from the squad, along with a lacrosse game that features a net and speed gun that will track how fast fair attendees can throw a ball.
 
Source: Rich Forestano, Mineola American [8/11/15] 

phenol


RECENTLY PUBLISHED ARTICLES
Ankle Injury: Simple Rule Reduces X-ray Use, Costs in Kids
 
It's a win-win: applying the Low Risk Ankle Rule to children who present to the emergency department (ED) with an ankle injury reduces unnecessary x-ray exposure and lowers the cost of care for both patients and providers.
 
The Low Risk Ankle Rule is as follows: "If a child presents with tenderness and swelling isolated to the distal fibula or adjacent lateral ligaments distal to the tibial anterior joint line (low-risk examination), then a radiograph may not be necessary for the detection of a clinically important ankle injury. Low risk ankle injuries that may not be detected if no radiography is obtained because of application of this rule include the following: non-displaced Salter-Harris I and II, buckle fractures of the distal fibula, and avulsion fractures of the distal fibula/lateral talus."
 
Source: Neil Osterwell citing Annals of Emergency Medicine [7/31/15] via Dr. Paul Kesselman

drjill


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Problem with Insurance Companies Telling Patients They Have Coverage and Paying us Way Below Cost
From: Elliot Udell, DPM
 
We need coaching on how to handle an insurance problem. The major carrier in our area will tell the patients that they are completely covered 100% for custom orthotics so long as we give them the correct diagnosis. Yesterday, we received a check for "full coverage." The check was for 51 dollars. It did not come near the lab fees.
 
What we have been doing is sending most of our patients to Hanger for orthotics. Hanger will not take fifty dollars, so the patient pays out-of-pocket to them. If the patient opts to pay us out-of-pocket, invariably they will appeal to the insurance company and we will get an angry call demanding that we reimburse the patient. Any advice on how others have handled this would be greatly appreciated. My custom orthotic business which used to be a mainstay in my practice is now down to near zero. 
 
Elliot Udell, DPM, Hicksville, NY

NWPL1


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
RE: Supergroups and/or Niche Practices
From: Lawrence Rubin, DPM
 
What I have to say is just my opinion, but it reflects more that 50 years of past and present involvement in podiatric academics, clinical practice, Medicare and insurance company consulting, and podiatry-related for profit and nonprofit business entities. One of those entities was a foot care IPA with over 125 members that provided the public and payers with a menu of network-wide, "niche" podiatry services not available elsewhere in the area. 
 
In looking forward to surviving and even thriving in the future, some recent PM News posts tout the value of practicing as a member of a...
 
Editor's note: Dr. Rubin's extended-length letter can be read here.

DPM-Preferred


RESPONSES/COMMENTS (NON-CLINICAL) - PART 3
RE: Going Out-of-Network (Jeffrey Kass, DPM)
From: Elliot Udell, DPM
 
Thank you, Dr. Kass for underscoring the risks involved with going out-of-network. For some of us, converting to an all cash/no insurance practice may be the path to riches with no worries. For most others, it is a road to bankruptcy. To give up participation agreements with all carriers, one must be certain that his or her services cannot be matched by participating colleagues, and the services you are providing are such that people will be willing to dig into their pockets rather than walk down the road to another doctor.
 
A friend called me to complain that he went for three dental procedures and paid 2K out-of-pocket. My response to him was that I had similar experiences, and unless he would be willing to go to a dental school-based clinic and be treated by students, he will forever be forced to pay out-of-pocket for dental work because dentists, by and large, do not accept insurance, and those plans that do exist have very low annual caps for what they will cover. The only way podiatrists or other medical healthcare providers could get away with non-participation in all insurance plans is if every doctor were to opt out all at once. The likelihood of that ever happening is zero.
 
Elliot Udell, DPM, Hicksville, NY

MBB


RESPONSES/COMMENTS (NEWS STORIES)
From: Jason Kraus
 
The original post regarding podiatric and pedorthic collaboration seems to have spun off its tracks. Dr. McGuire made the point that CPeds and DPMs can work together for the mutual benefit of patients and practitioners. At OHI, we see that happening every day in the hundreds of podiatric practices who utilize our Central Casting pedorthic service program. In this model, highly experienced pedorthists are available to podiatric practices on an on-demand basis, either as an "extra set of hands" or to add to the skill-set of the practice. The CPeds work at the direction of the DPM. Positive impact to these hundreds of practices has been considerable. 
 
These forward-thinking podiatrists understand the value proposition represented by CPed ‘physician extenders’ and they consistently...
 
Editor's note: Jason Kraus' extended-length letter can be read here

Blaine15


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Would you say this heel is "question" able?

Source: Barbara Zucchi via Virtual Shoe Museum

MEETING NOTICES

SBW

AAPPM


AAPSM


APMA


CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - KANSAS CITY 
 
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. If you are an entrepreneurial-minded doctor who wants to grow and eventually own part of an already successful practice, go to: www.YourFutureInPodiatry.com for full details.
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA  
 
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
 
ASSOCIATE POSITION – CHICAGO 
 
Chicago. Office and housecalls; projected income $140-180K. Base salary and bonus structure are flexible. Malpractice and mileage allowance are paid. Partnership track is available . Contact chipod12@yahoo.com
 
ASSOCIATE POSITION - CENTRAL FLORIDA 
 
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future.  To apply please go to www.yourcareerinpodiatry.com
 
ASSOCIATE POSITION – EL PASO, TEXAS
 
Busy practice seeking a full-time, self-motivated and hard-working podiatry associate to help with second office. Competitive salary offered. Please email CV to: buffdlr1@gmail.com
 
ASSOCIATE POSITION - EAST TENNESSEE
 
31 year old practice with 4 offices in greater Knoxville area seeking ethical, personable, hard working, team player. $160,000 base salary plus bonus incentives and benefits. post-residency experience a plus. Please email letter of interest and CV to ddavidphawk@yahoo.com
 
ASSOCIATE POSITION - ST. LOUIS 
 
Group practice seeking motivated DPM. Only 25% Medicare (no Medicaid) so excellent compensation resulting from substantive workload with good surgical balance. No travel and includes malpractice coverage, health insurance, 401k, and all professional fees. Please send CV to: stlouispodiatrists@gmail.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 DPMs AND STUDENTS
 
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451 FREE.
CLASSIFIED ADS PART 2 PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE  - NEWTOWN, CT – PRICED TO SELL
 
Thriving turn-key, sole practitioner podiatry practice operating within a multi-specialty medical environment, including internal medicine, and located in northern Fairfield County.  Looking for a timely turnaround with room to negotiate. Practice currently grossing 290K on a three day a week schedule, with very little overhead, and increased patient base from several assisted living on-site visits. All surgery and DME is currently referred out. Very attractive and unique opportunity. Inquiries contact bbrick2@yahoo.com
 
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA 
 
15 year old well established satellite podiatry practice for sale immediately.  Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center. Email bonitaspringspodiatry4sale@gmail.com
 
PRACTICE FOR SALE – CENTRAL FLORIDA 
 
Practice available in a small town in Central Florida. Podiatrist retiring. Was full 4 day practice but now 2 days due to illness. Easily expanded. Same location over 30 years.  Surgical and hospital privileges available but not required.  Assume overhead and rent. Send inquiries  to DDave9388@aol.com
 
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
 
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 DPMs AND STUDENTS
 
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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
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Barry H. Block, DPM, JD
 
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