The Voice of Podiatrists

Serving Over 12,500 Podiatrists Daily

August 19, 2011 #4,237 Publisher-Barry Block, DPM, JD

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IL Podiatrist Provides Back-to-School Shoe-Buying Advice

Dr. Kimberly Eickmeier, a podiatrist at Christie Clinic, says shoes that don’t fit and support properly can aggravate your child’s feet and lead to a host of problems: heel pain that might make PE and sports too painful, ingrown toenails and shin splints. She and fellow podiatrists advise the following as you do your back-to-school shoe-shopping: Look for shoes with stiff heels, toe flexibility (meaning the shoes bend with your child’s toes) with a rigid middle.

Dr. Kimberly Eickmeier

Podiatrists further advise no hand-me-downs when it comes to shoes. Not only can you spread foot fungus from one child to the next that way, Eickmeier says, you can actually pass along foot problems from one child to the next. For example, a flatfoot deformity of the first child means that child will wear down the shoe unevenly, so the next child won’t have the correct support and can wind up with arch pain or tendonitis, she said.

Source: Deb Pressey, The News-Gazette [8/16/11]

Canadian Students Complete Four-Month Clinical Rotation at NYCPM

Eight Canadian podiatric medical students from the Université du Québec à Trois-Rivières (UQTR) recently completed a four-month clinical rotation at NYCPM’s clinical affiliate, Foot Center of New York, and at its affiliated hospitals. 

(Rear Row) Canadian podiatric medical students.(Front row, L-R): Robert A. Eckles, DPM, Dean of Clinical Education & Graduate Medical Education; Louis L. Levine, President & CEO of NYCPM; Michael J. Trepal, DPM, VP for Academic Affairs & Dean; and Laurence J. Lowy, Dean for Student Services.

The clinical rotation, which has proven to be mutually beneficial to both institutions, is part of UQTR’s program in podiatric medicine, which was founded in late 2003 through the efforts of an NYCPM graduate, Dr. François Allart, in cooperation with the faculty and administration at NYCPM. The UQTR program is the first DPM program in Canada, as well as the first French-speaking DPM program in the world.

NJ Podiatrist Blames Verizon Strike For Lack Of Business

Fran Cohen says her husband, Dr. Marc Cohen, has seen his podiatry practice in Marlboro, New Jersey grind to a halt since Monday, when callers received a message that their phone lines had been disconnected. Cohen says the problem began when they had scheduled work to be done, but received a message from Verizon that it could not be completed due to the work stoppage. 

Dr. Marc Cohen

“We see about 75 patients a day on a Monday and we have an extremely busy phone because he’s a diabetic wound care specialist and podiatric surgeon,” Cohen told WCBS 880 reporter Monica Miller. “We take appointments on an emergency basis every day, and we’re missing out on all of that.”

Source: Monica Miller, WCBS [8/16/11]

Doc-Office PPI Rises 0.3% in July

Preliminary physician office wholesale prices climbed 0.3% in July after holding steady the month before. In July 2010, the physician office Producer Price Index(PPI)  increased 0.2%. For the 12-month period ended last month, wholesale physician office prices increased 1.3%. The figure is also preliminary. A year ago, the index showed a 2.5% rise in physician office wholesale prices.
   
Melanie Evans, Modern Healthcare [8/17/11]

Query: Epidermolysis Bullosa

Does anybody have experience treating epidermolysis bullosa in children, regarding good socks, shoes, and orthotics that may help reduce the incidence of blistering?

Epidermolysis Bullosa

This patient is almost three years old. 

Dean Clement, DPM, Chandler, AZ

Query: Wages for an Associate 

What is the prevailing thought on wages for a podiatrist hired into a practice? Should wages be based on a percentage of that generated by said podiatrist or should there be an hourly rate?

Duane Dumm, DPM, Ebensburg, PA

RE: Plavix and NSAIDs (Brent Rubin, DPM)
From: Simon Young, DPM

Can you afford a lawsuit?

Simon Young, DPM, NY,NY, simonyoung@juno.com

RE: ESWT & NSAIDs (Paul Busman, DPM)
From: David Zuckerman, DPM

I believe the reason that there is a stoppage of NSAIDs for ESWL is for bleeding fears. ESWT is used for neo-vascularzation and not for the crushing or destruction of kidney stones.

I believe we should try to follow the wound healing phases, especially the inflammation phases of wound healing which can range up to 21 days. Typically it is 14 days. There are always going to be exceptions to this rule. I still will use NSAIDs if I feel it's in the best interest of the patient.  

David Zuckerman, DPM, Cherry Hill, NJ, drzuckerman@clearlybeautifulnails.com

RE: Digital X-Ray Company That Supports Podiatry (Cosimo Riccardi, DPM)
From: Kenneth Meisler, DPM

X-rays, whether digital or conventional, are one of the most important parts of a podiatry practice. Purchasing from a company that supports podiatry is a very good idea, however, do not sacrifice quality of image in order to do that. You need the best possible image that your practice can afford.

20/20 Imaging fits both criteria. Their digital x-ray systems are excellent and, in my opinion, produce the type of image quality you need to practice podiatry today. In the past 10 years, since they introduced the first digital system dedicated to podiatry, they have been exhibitors and/or sponsors while attending APMA, ACFAS, NYSPMA, Midwest, Western, FPMA, and AAPPM meetings. They re-invest in the future of imaging in podiatry by offering their fourth generation of digital solutions. Their systems are installed at many of the podiatry colleges, providing students with cutting edge technology.

Disclosure: I am a digital Imaging consultant for 20/20 Imaging

Kenneth Meisler, DPM, NY, NY, kenmeisler@aol.com

RE: Doughnut Tourniquet (Scott Shields, DPM)
From: Charles Morelli DPM

In lieu of a high tech, over-priced "doughnut tourniquet", may I suggest that you consider a simple latex finger cot. Simply tear the tip off and roll it on the toe. You can buy them in large quantity, and a box of 1,500 will cost you no more that $20.00. No, they are not sterile but, for me, that has never been an issue. After I apply the tourniquet, it is then that I will clean and prep the toe for a nail procedure. If the hemostasis is not sufficient, then simply grab it with a curved stat and make it a bit tighter. Just don't forget to remove it after the procedure.
 
Charles Morelli, DPM, Mamaroneck, NY, podiodoc@gmail.com

RE: Legality of Maximalist Running Shoes (Robert Bijak, DPM)
From: Steven King, DPM

Podiatrists and pedorthists are called upon to develop technologies that reduce the incidence of injuries while improving athletic results.Our profession should take a closer look at Rule 143 of the U.S. Association of Track and Field. According to the  USATF 2011 rules: "NOTE: Orthotic inserts required for medical purposes are exempt from this rule."

Steven King, DPM, CPed, Maui, HI, kingetics@gmail.com

PRACTICE FOR SALE - BOSTON AREA

8 miles north of Boston with sublease available in a modern medical building. Presently working 3 days/week, grossing $300,00 annually with easy potential for full-time. All office and podiatric equipment, instruments, digital x ray, furniture, etc. are included. Turn-key operation. Please e mail  footdoc71@aol.com or call 781 279-2332.
 
ASSOCIATE NEEDED -  SO. CAL 

Position open for podiatry associate in Southern California. Applicant must be highly motivated and available for long term employment. This practice is extremely busy and requires a hard work ethic and desire to practice in a group practice environment. Excellent salary and benefit package offered. Please e-mail resume to footcare4all@aol.com

ASSOCIATE POSITION - CENTRAL FLORIDA
 
Busy surgical practice is looking for an experienced surgically trained podiatrist to join 3 others. Must be highly motivated and a team player. Excellent salary/bonuses with huge professional potential for the right person. Experience preferred. Beautiful Central Florida. E-mail CV topodiatryresume@gmail.com

ASSOCIATE POSITION – ANNAPOLIS, MARYLAND

Incredible opportunity for the right person to integrate long-term into a well established practice. Must be personable, highly motivated and bright individual with outstanding surgical and non-surgical ability. Excellent salary and benefits. Email CV and salary requirements to Marylandfootcare@live.com.

ASSOCIATE POSITION - CHICAGOLAND AREA, IL

Well-established podiatric practice in Elgin, IL seeking full-time associate with future partnership opportunity. Practice is state-of-the-art, medical and surgical, has established patient base with room for growth. Email resume to Kenneth Jacoby, DPM atkenjacoby18@gmail.com

ASSOCIATE POSITION - HUDSON VALLEY REGION, NY

Unique opportunity for the right person! We are a high-volume, diversified, multi-office practice utilizing state-of-the-art modalities. Ample growth opportunities for a personable and highly-motivated DPM. Please forward CV to: healthyfeet4ever@yahoo.com
 
ASSOCIATE POSITION -CENTRAL VALLEY/SOUTHERN CA

Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to: Tonya@wetreatyourfeet.com

Established podiatric clinic looking for an associate to join our team, 4 offices located around the greater Seattle, WA area. Great base salary, benefits and friendly work environment. Please send resume toseattlefootdoctor@yahoo.com

ASSOCIATE POSITION - NORTHWEST FLORIDA BEACHES

Excellent opportunity for an energetic, compassionate, hardworking individual with superior surgical and medical proficiency. Recent graduate or experienced practitioner. Excellent salary, benefits and partner-buy in offered, full admit privileges and surgical scope. Fax CV to Ecpodiatry@aol.com 
 

SPACE AVAILABLE- NYC & LI

SUB LEASING TIME on MRI (NYC)

.31 tesla extremity MRI in state-of-the-art midtown Manhattan office location. Lease time on magnet in compliance with the Stark laws. This magnet is the only one that will be accepted by Medicare and all other insurance as of 2012. Why not bill out for your own MRI's???  Email today dri@myfcny.com.

EQUIPMENT FOR SALE - CLASS FOUR LASER

I have a class four pain laser for sale. Used for plantar fasciitis, Achilles tendonitis, neuroma, arthritic conditions and even fungus toe nails This laser is portable, re-chargable and can be move from room to room or office to office. This isn't the cold laser that you see. It is a 10 watt laser. We have used this laser on NFL sports players. For those that understand a good laser. E-mail David Zuckerman, DPM for Details and pricing. footcare@comcast.net

EQUIPMENT FOR SALE – PRE-OWNED DIGITAL X-RAY SYSTEMS

Currently in use Reina-20/20 Extreme CR scanner (OEM iCRco) systems for sale. System includes CR scanner, 4 cassettes/imaging plates, and image acquisition software. Perfect for the low-medium volume practice or satellite office. E-mail Melanie Murdock for details and pricing. melanie.murdock@2020imaging.net

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