The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 16, 2012 #4,541 Publisher-Barry Block, DPM, JD

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Congratulations to: Dr. William Axton of Ludlow, MA, winner of Textbook of Bunion Surgery (4th Edition) edited by Dr. Joshua Gerbert ($179.95). We encourage you to participate in this important survey at  www.podiatrym.com/survey Completing this confidential survey provides us with valuable data, which we will publish in the February 2013 issue of Podiatry Management. It also makes you eligible to win thousands of dollars of valuable prizes.

This week's prize is a copy of A Podiatric Practitioner's Biomechanic and Surgical Guide by Thomas E. Sgarlato, DPM (Value $120).

This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.

NJ Podiatrist Uses Bio-Engineered Skin Graft to Heal Wound

“A year ago, I cut my leg bumping into some furniture after I tripped,” says Mr. Walter Sugalski. “The scratch became infected and grew to the size of a quarter in three months." Sugalski was initially given antibiotics and compression socks to encourage healing, but was then referred to Marshall Feldman, DPM, Chair of the Department of Podiatric Medicine and Surgery, President of the New Jersey Podiatric Medical Society, and a wound care specialist at the Wound Care Center® at Robert Wood Johnson University Hospital Rahway.

Dr. Marshall Feldman

"After examining Mr. Sugalski, I found he had inadequate vein function, which led to the infection,” says Dr. Feldman. “His wound had been causing him a great deal of pain because it was exposing nerve endings to the open air. After performing wound debridement [removal of unhealthy tissue], we found the tissue underneath would provide an appropriate base for a bio-engineered skin graft.”

Source: The Rose [Fall 2012]

Barry Professor Co-Authors Article in The Lancet

Dr. Robert Synder, professor and director of Clinical Research for the Paul & Margaret Brand Research Center in Barry’s School of Podiatric Medicine, has co-authored an article detailing the results of a [mid-stage] phase 2b trial for a unique cell-based therapy in venous leg ulcers. The article and findings were recently published in the prestigious medical journal, The Lancet.

Dr. Robert Snyder

The study evaluated HP802-247, an investigational allogeneic living cell bioformulation containing keratinocytes and fibroblasts currently being developed by Healthpoint Biotherapeutics for the treatment of venous leg ulcers. The trial results showed that approximately 70 percent of subjects in the active treatment group receiving the optimal observed dose of HP802-247 achieved complete wound closure at 12 weeks compared with 46 percent in the vehicle control group.

UK Podiatrist Part of Olympic Heptathlon Gold Medalist's Team

The lone figure of Jessica Ennis stood on the track at the Olympic Stadium last week as the world’s adulation rang in her ears. Beyond the 80,000 people cheering themselves hoarse in the stadium were the massed ranks of Team Jennis: the coaches, physiotherapists, physiologists, nutritionists, podiatrists, and biomechanists who together built the greatest female athletic body Britain has ever seen.

Karen Duff

Ennis’s physiotherapist, Alison Rose, taught her to walk again following the three fractures in her right foot which forced her to miss the Beijing Olympics in 2008. A podiatrist, Karen Duff, is called in from time to time to specifically examine her feet. Duff graduated as a podiatrist in 1990, and since 1991 has been working specifically with national and international level athletes at sports injury clinics.
 
Source: Sue Mott, Daily Mail [8/13/12]

FL Podiatrist Admits Hiding Patient Files, Obstructing Investigation

A Delray Beach podiatrist pleaded guilty on Monday in federal court in West Palm Beach to a charge of obstructing a criminal investigation of a healthcare offense. Kenneth D. Poss, 62, admitted that after receiving a subpoena for records as part of a healthcare fraud investigation of his Foot & Ankle Health Center in late July 2010, he told an office manager to remove relevant records concerning patients' comments and complaints that should have been turned over to the FBI and the federal grand jury.

Source: Paula McMahon, Sun Sentinel [8/13/12]

U.S. Surgeon General To Address APMA’s 100th Anniversary Meeting

Is there anyone better to help celebrate a medical association’s 100th anniversary than America’s Doctor herself? On Thursday, August 16, United States Surgeon General Regina M. Benjamin, MD, MBA, will help kick off APMA’s 2012 Annual Scientific Meeting in exciting fashion as APMA's guest of honor.

Dr. Regina Benjamin

“APMA is incredibly honored to have the opportunity to have Dr. Benjamin share her perspective on America’s healthcare with our podiatrists and guests. She is our country’s top public health official," said Joseph M. Caporusso, DPM, APMA president.

Ryan: SGR Formula is 'Ridiculous', What's Ahead Could be Worse

Wisconsin Rep. Paul Ryan's selection as the Republican vice presidential nominee has again put Medicare reform in the national spotlight. Ryan has predicted that Congress would approve another temporary postponement of a physician Medicare payment cut in January of around 30% under the sustainable growth-rate formula used to calculate reimbursement.

"I think the SGR is ridiculous and should have been replaced long ago," Ryan said, adding that he hopes to replace the SGR next year with a formula that furnishes doctors with something predictable and accountable so that "we don't have this can-kicking exercise every six months." While the SGR has not worked, Ryan said something worse lurks ahead. “I always say to the doctors, 'If you don't like the SGR, just wait until you see what the IPAB has in store,'” Ryan said.

Source: Andis Robeznieks, Modern Healthcare [8/14/12]

Query: Chronic Charot Foot

I have a patient with Charcot feet who has had a chronic ulcer under the cuboid area plantarly for a couple of years. I have tried most wound care treatment modalities, including off-loading, total contact cast, Dermagraft, Apligraft, bi-lobed rotational flaps, many wound care dressings, wound VAC, and the list goes on. I am considering simply taking the cuboid out of an already collapsed foot, and performing a gastoc/TAL 

Chronic Charcot Foot

The patients don't want reconstructions. Does anyone have any experience with simply removing the cuboid to allow the ulcer to heal? In the x-ray, the screws, etc. were put there previously by another surgeon before the Charcot happened. The round metal washer is the lesion marker showing where the ulcer is. Any thoughts would be appreciated.

Stephen S Pirotta, DPM, Betonville, AR

Query: Source for Hospital Podiatry Forms

Can anybody suggest a source for podiatry forms such as H&P, pre-op orders, recovery room orders, and post-op orders. I am planning on making these as easy to use as possible using the check the box method.

Tip Sullivan, DPM, Jackson, MS

RE: Verruca Treatment in an Immunocompromised Patient
From: Jim Ricketti, DPM

For a compromized patient with verrucae, try debridement of the lesion to pinpoint bleeding and then apply Monocyte EZ Swabs (Pedinol)l and then keep it dry for 24 hours. Then at home, have the patient apply 17% Sal acid to the wart daily for 2 weeks. Repeat the procedure every 2 weeks until the lesion disappears.

Disclaimer:  I invented the Monocyte Swabs, and I am on the clinical advisory committee for Pedinol Pharm.
 
Jim Ricketti, DPM, Hamilton Sq, NJ, drj4foot2012@aol.com

RE: Verruca Treatment in an Immunocompromised Patient (Charles Morelli, DPM)
From: Elliot Udell, DPM
 
Dr. Morelli advises that patients should be told that the verruca present, if left untreated for many years, may undergo cancerous changes. Is there literature to support the fact that the kind of verrucae that we treat, if left untreated, will become malignant?
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

RE: Practice Broker (Name Withheld)
From: J Langford, DPM

If you are insured by PICA, I believe you can call them, and they can help with the appraisal of your practice.

J Langford, DPM, Memphis, TN, jlangforddpm@bellsouth.net

RE: APMA 5K Run/Walk
From: Shawna Shapero

Show your support for the APMA Educational Foundation Student Scholarship Fund. Click here to see the APMA 5K Run/Walk video. A new category has been added: Sleeper! Yes, you can donate as a Sleeper!

Shawna Shapero, Bako Pathology Services

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 - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815   PODO2345@AOL.COM

ASSOCIATE POSITION – NEW YORK

Great opportunity to share “state-of-the-art” offices and equipment in mid-town Manhattan and White Plains with Board Certified podiatrist. Out-of-network or participating providers welcome. Please call 212-704-4310 for additional information and fax your CV to 212-704-4311.

ASSOCIATE POSITION - LOUISVILLE, KY

Immediate position for established practice in excellent location with option to buy. All phases of podiatry with good mix of patients. Two local residency programs with foot and ankle and trauma privileges. Office has EMR qualifying for meaningful use in the first year. PADnet vascular testing. Send resume to: samuel10530@yahoo.com.

ASSOCIATE POSITION - NORTHERN, NJ

Part-time or-full time. This position can and will lead to purchase of practice if so desired. Well-equipped modern office. Digital x-ray, ultrasound, etc. Individual must be well-trained and be ABPS Qualified/Certified. Must be competent in general foot care and be able to do routine foot surgery without help. Call: 201-986-1900.

ASSOCIATE POSITION - WASHINGTON, DC

Prominent two office (3 practitioner) podiatric medical group seeking well rounded, personable individual with good medical and surgical skills. Must be 24/36 month trained, board qualified or certified foot and ankle surgeon. Salary with benefits package. Serious inquiries to ponyrunner66@gmail.com

ASSOCIATE POSITION - NASSAU COUNTY, NEW YORK

Exciting Opportunity! Associate position. Must be Board Qualified. Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to:Podiatryoffice@doctor.com

ASSOCIATE POSITION - MANHATTAN

Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com

ASSOCIATE POSITION - YONKERS, NY

Immediate part-time associate position now available. Appx: 3 1/2 days per week with room to grow. Practice is a good balance of all aspects of podiatric foot care, including surgery. Perfect opportunity for new graduate, or experienced podiatrist. Looking for the right person to transition into vacancy that will be left by current associate leaving the area and you will have an immediate, full schedule of patients. Over 25 year well-established practice with large referral base, and both hospital and surgery center privileges available. Interested persons please forward CV and brief summary of surgical log to:  Podiodoc@gmail.com  914.584.1434

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITION – NORTHERN CALIFORNIA/BAY AREA

We’re looking for someone entrepreneurial who can help grow our practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. Send your CV and cover letter to cvpodiatrist@gmail.com

ASSOCIATE POSITION - NEW YORK CITY & QUEENS

High Income Potential. One of the fastest growing podiatry practices in New York City and Queens seeks a hard-working podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Contact me at: podocare123@gmail.com

ASSOCIATE POSITION - WEST COAST FLORIDA

Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com

ASSOCIATE POSITION - SEATTLE, WA AREA

A well-established, solo-physician practice seeking a Full-Time Associate Podiatrist. Applicant should be: well trained physician, personable and motivated individual with sound surgical skills. Applicant must have completed a 24-36 month residency. Practice offers a state-of-the-art practice setting, with a good general mix of all aspects of podiatric medicine and surgery. Competitive salary and benefits. Partnership opportunities available. E-mail your letter of interest with resume to: seattlefootdoctor@yahoo.com

EQUIPMENT WANTED - DIGITAL X-RAY MACHINE

We are looking to buy a used digital x-ray machine- Please contact meatHowardBeachPod@aol.com or call (646) 401-3563 Preferred Unit: Fujifilm, FCR XL-2 Lite w/Genesis Viewing Software for 2 licenses.

EQUIPMENT WANTED - MUSCULAR SKELETAL ULTRASOUND MACHINE

We are looking to buy a used muscular skeletal ultrasound machine. Please contact me at:  rmattsson@flfootandankle.com or call (863) 299-4551 ext 170.

EQUIPMENT FOR SALE - PINPOINTE LASER

PinPointe Laser for sale. All accessories included. In service since 2008. Service policy in place, fully transferable. $35,000. tatarb@verizon.net.

EQUIPMENT FOR SALE - USED PODIATRIC LASERS

Great price, great outcome. Stop wasting money on expense lasers. Personally owned and used few hours in my office,. 10 and 30 watts lasers. Two handpieces in one. First one for plantar fasciitis, Achilles tendonitis, arthritis, pain, inflammation. 2nd handpiece for surgical ablation and fungus toenail conditions. Portable fast and very cost-effective:  footcare@comcast.net

EQUIPMENT FOR SALE - PADNET

Rarely used - excellent condition. Padnet for sale. Asking $10,000. Contact us at 516-220-8258.

EQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

PM News Classified Ads Reach over 13,500 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 13,500 DPM's. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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