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PMNews
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PM News |
The Voice of Podiatrists
Serving Over 11,000 Podiatrists Daily
August 15, 2009 #3,623 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 |
FL Podiatrist Receives Fulbright Specialists Award
Leonard A. Levy, DPM, MPH, Associate Dean for Education, Planning and Research, Professor of Family Medicine/Professor of Public Health at Nova Southeastern University College of Osteopathic Medicine (NSU_COM) has been selected for a Fulbright Specialists project in the Slovak Republic at the Comenius University Bratislava Medical School for the month of October according to the United States Department of State and the J. William Fulbright Foreign Scholarship Board. He is the first podiatric physician to receive this award.
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Dr. Leonard A. Levy |
Dr. Levy will participate in developing collaborative relationships with the medical school in Bratislava and the medical, public health and biomedical informatics programs at NSU-COM. He will also provide instruction in all-hazards preparedness as well as in the broad field of medical education as well as podiatric medicine.
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PODIATRISTS IN THE COMMUNITY |
Retired NV Podiatrist Concerned About Obama Healthcare Plan
The debate over healthcare is far from over across the country, but a new report shows health insurance premiums for families in Nevada are rising three times as fast as earnings. Local residents spoke out at a free health fair at the M Resort. The people inside were focused on prevention of serious illnesses, but it was the debate about President Barack Obama's healthcare plan that took center stage. No one that Eyewitness News talked to supported it.
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Dr. Lawrence Rubin |
"I am not a youngster, as you can see. Like many other senior citizens, I am concerned that our needs, which are greater health-wise than most, are going to be evaluated with less importance than the needs of a younger person," said retired podiatrist Dr. Lawrence Rubin.
Dr. Rubin retired from podiatry some time ago. Now he volunteers for a non-profit called LEAP. The group promotes foot check-ups to prevent serious complications in diabetics. He, along with dozens of other health professionals, screened anyone who wanted a check-up for free at the M Resort.
Source: Eyewitness News (CBS-TV) [8/13/09]
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QUERIES (CLINICAL) |
Query: Dermatitis Post-Acupuncture
I have a 52 yo male patient who decided to go to an acupuncturist for diagnosed plantar fasciitis. He has received two treatments in which the needle was set in the mid-arch of his plantar foot.
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Post-Acupuncture Dermatitis |
He developed this skin condition and has tried lotions without success. He has no history of erythema or infection, just increased hypertrophic skin, non-painful on palpation for a 4-week duration. Any thoughts?
J. Michael Bluhm, DPM, San Antonio, TX
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QUERIES - (NON-CLINICAL) |
Query: Waiting Room Solutions EMR Software?
I have just been detailed by an Internet-based EMR/practice management company called Waiting Room Solutions. This is a CCHIT-certified outfit. It is primarily MD-based at present, but podiatry could easily be adjusted to orthopedic templates. Does anybody have any experience with this company? What other companies can you recommend?
Wes Daniel, DPM, Gainesville, GA
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FREE SAMPLE--Powerstep Protech CustomPost Customizable Orthotic*
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ProTech CustomPost’s unique snap-on heel options allow medical professionals to truly customize a prefabricated orthotic to meet patient needs. A professional can select from neutral, two degree and four degree heel posts, and combine it with CustomPost’s firmer shell and extra heel cushioning to help relieve heel and arch pain as well as knee and lower back pain. ProTech CustomPost is being sold only to members of the medical profession.
*This offer is for medical professionals only. Call us today for your free sample at 888-237-3668 Stable Step, Inc. www.powersteps.com
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CODINGLINE CORNER |
Query: Coding Bone Cyst & Fracture Treatment
Today, I excised a bone cyst from a left fifth metatarsal that had resulted in a pathologic fracture of the metatarsal at that site. The repair included windowing of the bone cortex, curettage of the material, and packing with a synthetic bone grafting material. The window was replaced, the fractured portion stabilized (without internal fixation). Soft tissue was closed over the area followed by skin closure.
I believe that the coding options include open repair of a metatarsal fracture (CPT 28485) and/or curettage of a bone cyst (CPT 28107-59). Are these codes correct? How does the procedure coding affect the global post-operative period?
Howard J. Bonenberger, DPM, Nashua, NH
Response: It's my opinion that the correct coding for this procedure would be using the CPT 28104 (excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus).
The fracture was not reduced, fixated, or grafted. Therefore, the bone cyst repair was the procedure actually performed. I would feel differently if there was additional work done that was unique to the fracture.
Howard Zlotoff, DPM, Camp Hill, PA
Codingline subscription information can be found at:
http://www.codingline.com/subscribe.htm
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SureFit™ - 15% discount on Darco® Body Armor Night Splint
Sleep better knowing your patients will sleep better in the NEW BODY ARMOR NIGHT SPLINT from Darco. Continuing our partnership with Darco, SureFit is offering its customers a 15% discount on this amazing new product through September 30, 2009. That’s right – Only $30.78 during this special limited time offer.
........• Toe Strap dorsiflexes 1st MPJ to provide specific sustained stretch of Plantar Fascia & sustained low load stretch of flexor and Achilles tendons
........• Loading the Windlass mechanism brings foot/ankle to near 90º eliminating the “lever effect” and reducing pressur on apex of ankle
........• Universal Sizing reduces inventory space requirements and cost
Call SureFit Customer Service today at 800.298.6050 to place an order.
Call SureFit™, A Hanger Orthopedic Group Company
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RESPONSES / COMMENTS (CLINICAL) - PART 1 |
RE: Bleomycin Protocol (John M. Scholl, DPM)
From: Ira Meyers, DPM
For Bleomycin, the usual dosage is 1 unit per 1 squared cm. I usually block the area first with lidocaine usually with epi. The injection of Bleomycin should be given almost parallel to the lesion (it's not a quick injection). It's not uncommon for there to be some discomfort a few days later as the lesion necroses. I've had pretty good results for recalcitrant verruca.
Ira Meyers, DPM, Huntingdon Valley, PA, idmrun@aol.com
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RESPONSES / COMMENTS (CLINICAL) - PART 2 |
RE: Tarsal Tunnel Syndrome? (Tip Sullivan, DPM)
From: Howard J. Bonenberger, DPM
I agree with Dr. Sullivan that the diagnosis of TTS is largely a clinical one. One "functional" test I have heard of but have no personal experience with is application of a tourniquet (BP cuff) over the calf with inflation above diastolic but below systolic pressure. Have the patient walk for a few minutes in the office. This promotes engorgement of the veins in the tarsal tunnel and may reproduce the symptoms.
As for surgical decompression, be very certain to release all of the branches including Baxter's nerve. I have seen many patients who present for care after failed TTS surgery performed elsewhere (often by an orthopod), and the incision is about 3 cm in length and never goes near any of the terminal branches (Probably the worst I saw was a lady with a painful incisional scar that ran up and over her medial malleolus at a 45 degree angle never going anywhere near the tarsal tunnel). If you are not experienced or comfortable performing this surgery ask an experienced colleague to assist, or be the primary surgeon as you assist.
Perhaps a reader can comment on the BP cuff test and their experience with this.
Howard J. Bonenberger, DPM, Nashua, NH, howardbon@aol.com
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First Annual TUSPM Alumni Association Foot and Ankle Seminar
October 3-4, 2009
8AM-5PM
Being held at TUSPM-8th & Race Streets - Philadelphia, PA 19107
Allen Jacobs, DPM, David Novicki, DPM, Justin Fleming, DPM, and More
16 CME Credits
Information available from Dr. Possanza at alumniseminar@temple.edu
Hotel Accommodations - Hampton Inn- 1301 Race Street-Philadelphia, PA
Net proceeds benefit the TUSPM Alumni Association’s Endowed Scholarship Fund.
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RESPONSES / COMMENTS (NON-CLINICAL) |
RE: Referral Fees Under Stark Law (Name Withheld)
From: Vince Marino, DPM
I still to this day find it truly amazing that Stark Laws prevent referral fees to be paid to physicians, yet attorneys are routinely paid upwards of 30% of any settlement they receive to the referring attorney. For instance, a worker’s compensation attorney might refer a client to a personal injury attorney or to a medical malpractice attorney for further action. If that other attorney collects any monetary rewards for damages or for any other issue, they are “obligated” to pay the worker’s compensation attorney who referred the client 30% of the money he collects as his fees. This is common practice in California. Of course, the legislators who wrote the law are ATTORNEYS! When is the medical profession going to stand up and speak out about this “one-way street”?
Vince Marino, DPM, San Francisco, CA, drmarino@marinofootandankle.com
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CLICK HERE FOR FULL BROCHURE
July 18-25, 2010
AAPPM & PM News Present
Practice Management 7-Day Cruise to Alaska
(Following the 2010 APMA Annual Meeting in Seattle)
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Princess Cruise to Alaska |
Register at www.podiatrym.com/alaska
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RESPONSES / COMMENTS (NEWS STORIES) |
RE: Obama's Amputation Remarks
From: Multiple Respondents
I am gratified that the problem of foot amputations in DM is being discussed and take no umbrage at all.
Dwight L. Bates, DPM, Dallas, TX, dlbates04@yahoo.com
From a podiatrist’s perspective, I think it is pretty clear that Obama has put his foot into his mouth one time too often. He seems to have a propensity of not thinking through his callous comments.
Ivar E. Roth DPM,MPH, Newport Beach, CA, ifabs@earthlink.net
So far, I have had three phone calls from friends who want to be adopted. Why? Because according to Obama, I make $30,000.00 to 50,000.00 an amputation. What are our patients going to think? I love his comments as well about the family doctor helping the patient control their diabetes. What does he think we've been doing for the past umpteenth years? My wife is a diabetes educator and she is still fuming. It's a shame he didn't say anything about the patient who misses appointments on a regular basis, never goes to the doctor until they are deathly sick, eats junk all the time, or my favorite, the patient who continues to smoke after being told by all his doctors that he must stop. I encourage you to read the bill and get the facts.
Neil A Burrell, DPM, Beaumont, TX, nburrell@gt.rr.com
Editor's Note: We have received a large number of responses on this topic. We have published these additional responses in the order they were received. at: http://www.podiatrym.com/letters2.cfm?id=28129&start=1
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Choose any or ALL (30 CME Contact Hours) from the 20 CME articles posted
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CLASSIFIED ADS |
ASSOCIATE POSITION – SOUTH CENTRAL FLORIDA
Multiple offices, in Jupiter, Ft Pierce. Looking for associate who is surgically trained PSR24, willing to travel between offices. Competitive Salary base plus percentage. Position available immediately. Send CV and questions to alfootdoctor@yahoo.com
ASSOCIATE POSITION - MARYLAND
Full time, hard-working, happy and personable Foot Surgeon needed for busy and growing practice in Frederick and Hagerstown Maryland. PM&S-36 or more required. We have a well-rounded, high tech practice with all types of pathology encountered in our two offices and in two local hospitals as well as our on-site accredited and certified ASC. Very competitive compensation. Please send your CV to drmichaels@rfainstitute.com
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 (MONTGOMERY COUNTY)
Multi-office, well-established practice with surgical centers, digital x-rays, in-office vascular testing, ultrasound, EMR with voice recognition charting, and many other perks looking for personable, well-trained, motivated individual. Patient base available for immediate in-office productivity. If you are new or ready to change locations, contact us ASAP to discuss opportunities. Send resume and cover letter to mddpmassociate@comcast.net
WANTED: PRACTICE TO PURCHASE IN BERGEN COUNTY NJ
DPM interested in purchasing a practice in NNJ. If you are considering selling/retiring/slowing down etc let's talk and come to a mutually beneficial arrangement. Open to all situations/options. Contact: AdvancedFtCare@aol.com for quick deal.
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
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
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.
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.
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
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
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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