The Voice of Podiatrists

Serving Over 9,500 Podiatrists Daily

August 17, 2007 #3,016 Editor-Barry Block, DPM, JD

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Starting Thursday, PM News and Podiatry Management will be Philadelphia for the APMA Scientific Meeting. We encourage all attendees to drop by our booth to say hello or to chat. We're always open to new ideas and new authors.

Interest in the PM News/Codingline Hawaii Workshop on The Big Island (July 29-31) - following the 2008 APMA Scientific Meetiing) is growing fast. If you're interested in being on the pre-registration list, just let us know, and we'll add you, or write to bblock@podiatrym.com

MA Podiatrist Sees a High Percentage of Warts at Summer’s End

Chelmsford, MA podiatrist Victor Quijano sees a rash of summertime foot problems -- from warts to athlete's foot and foreign bodies embedded in tender foot flesh -- the result of going barefoot, some of which ultimately require medical intervention. "We see a high propensity for warts toward the end of summer," said Quijano. "The virus is all over the place -- pools are a big culprit, as are big water parks that draw a lot of people."

Dr. Victor Quijano

Size matters, too. Shoes that are too tight may cause contractions of the toe and even ingrown toenails that may need to be surgically removed. Footwear that's too big, alternately, forces the foot to slide around, causing risk of hammertoes and blisters. And because many kids have limited exposure to pain, and often don't complain, it's up to parents to keep an eye cast to the ground.

"Your child's foot can grow at a considerable rate," Quijano said, "and as they start to don their sportswear, their dress shoes, be mindful of their activity level. If there's a decline in activity, that's something that needs to be addressed, something that could be coming from the shoe and abnormal foot function."

Source: Christine Phelan, The Sun, Lowell, MA, [8/13/07]

Untreated Flat Feet Can Result in Later Disability: Temple Podiatrist

One in five kids have flat feet, which can lead to serious ailments but are much easier to correct in childhood than later. Foot arches develop by age 10 for most kids. But some are born without cooperative bone and ligament structures, others suffer foot injuries, and excessive weight helps keep the arches flat for an increasing proportion. Doctors should check for flat feet at a before-school physical, recommended Temple University podiatrist Kieran T. Mahan.

Dr. Kieran T. Mahan

Otherwise, he said fallen arches can cause foot and ankle pain, night cramps, pain when walking or lower back and knee pain. The pain can lead to inactivity and weight gain, which would exacerbate flat feet.

Most children's flat feet can be corrected with orthotics — shoe inserts designed to support the arch, relieve pain and correct abnormal walking patterns that can lead later in life to lower-back or knee damage. But uncorrected flat feet, said Mahan, can progressively worsen into adulthood "and can create a disability."

Source: Kevin Lamb, Dayton Daily News [8/15/07]

Study Finds Lower-Limb Injuries Plague U.S. Soldiers in Iraq

A study released in conjunction with the American Podiatric Medical Association's (APMA) 95th Annual Meeting in Philadelphia reveals nearly 68 percent of all U.S. soldiers wounded in the Iraq and Afghanistan conflicts are a result of extremity injuries and nearly 22 percent of those injuries involve the foot and/or ankle. To meet the war's demands of lower-limb injuries, podiatric physicians are on the surgical front lines for the first time ever. No longer relegated to non-critical cases, podiatric physicians have seen their role expanded to match their medical and surgical training.

Army Lt. Col. Michael Neary, a podiatric physician and surgeon stationed at Landstuhl Regional Medical Center (LRMC) in Germany, conducted the study reviewing 42 months of retrospective records of U.S. troops admitted to the podiatric service unit at LRMC. After assessing more than 350 patient records from March 2003 to September 2006, Neary concluded that podiatric physicians were critical to the overall LRMC medical mission. LRMC is the only U.S. military medical facility outside the United States to treat severely injured American soldiers fighting in Iraq and Afghanistan.

"The study's findings confirm the fundamental role that podiatric physicians are playing in the ongoing conflicts," said Neary, originally from Willow Grove, Pennsylvania. "This study was a way to validate podiatrists' role in the war and educate civilians and the U.S. Army about the extent of injuries the podiatric staff is seeing and treating."

Source: Yahoo News [8/15/07]

Query: Replacement Drug for Mintezol

I recently saw a patient whom I suspect of having cutaneous larva migrans. I wrote for Mintezol, which used to be the drug of choice, only to learn it has been taken off the market. Does anyone know what drug has replaced it for suspected helmitic infections?

Barry Mullen, DPM, Hackettstown, NJ

RE: Cosmetic Solution For Hyperpigmentation (Howard J. Bonenberger, DPM)
From: Mathew M. John, DPM, Jacqueline Sutera, DPM

I have prescribed hydroquinone 4% cream for many of my patients who have hyperpigmentation problems. It is available in a gel and some versions have a sunscreen as well. It typically takes at least three months of use to see a fading of the hyperpigmentation.

Mathew M. John, DPM, Marietta, GA, rajan1999@hotmail.com

There are a lot of products out there to cover up blemishes but for large darker pigmented lesions you need a heavy-duty product. A really good one for body blemishes is by a company called Dermablend. It can be found in larger department store makeup counters, online, and in some beauty supply stores. This will be perfect for your patient because it's waterproof.

Jacqueline Sutera, DPM, New York, NY, jackiesutera@hotmail.com

CRYOPROBE SALE: PRICE REDUCTION!

A cryoprobe system (less than one year old and rarely used) from CryoTech is available for only $11,000. This lists for $14,900.00 new. The CryoPac system comes complete with two fully sterilizable Probes. This system has been used less than 15 times and can be used to treat plantar fascitis, neuromas, and other foot pathology. Please email serious inquires to: drsammendicino@gtef.org

IN-NETWORK POSITION – MIDTOWN NEW YORK CITY

Seeking In-network podiatric physician for midtown locations, to provide: Routine Foot Care Therapeutic Treatment , Minor & Surgical Procedures. Please do not reply if not an in-network doctor. Please submit resume to gelus07@yahoo.com

ASSOCIATE POSITION - VIRGINIA

Immediate full time associate position available. Unlimited income potential. Busy, diverse, 40+yr Hampton Roads practice. Must be compassionate; energetic; and motivated; PSR24/36. Looking for long-term arrangement. Please send letter and CV to fixafoot@cox.net or fax to 757-397-5889; www.podiatryltd.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

PRACTICE FOR SALE- SUFFOLK COUNTY, NEW YORK

Selling fully equipped practice with excellent patient database in Huntington, Long Island. All phases of podiatry. Great opportunity for growth. Will stay for transition period. 516-729-4298- drsherm4@aol.com

PER DIEM/ASSOCIATE WANTED - IMMEDIATE OPENING- NY

Associate Position with immediate opening in the Hudson Valley (NY) for multi-office well-rounded podiatric practice including general podiatry, high volume orthotics, and reconstructive surgery. Looking for well trained (PSR- 24/36. Outstanding opportunity to work into partnership. Competitive starting salary, bonus incentives, benefits, and pension. PER DIEM also available for immediate placement. Please submit: CV, letter of intent and references to: footassociate@yahoo.com

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

PRACTICE FOR SALE - NORTHERN NJ

Doctor retiring and staff willing to stay. Great location with drive by traffic and foot traffic. Doctor willing to stay for smooth transition. Hospital access and on major insurance plans. Call 614-264-3798

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 - 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

Staff Privileges at Certified Surgical Facility Available- NY & LI

Certified operating rooms which qualify under the new NY Patient Protection Law (which will require accreditation for in-office procedures) are available in Manhattan East 60th Street and Plainview, Long Island. Staff privileges still available. Call 516 433-4447 for information or e-mail podo2345@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

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