The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 20, 2012 #4,544 Publisher-Barry Block, DPM, JD

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Abandon Heel Strike: OH Podiatrist

Abandon the heel strike, says Dr. Nick Campitelli, foot and ankle surgeon, and a Vibram FiveFingers fan. The recreational runner transitioned from traditional cushy runners to minimalist Vibram footwear after chronic Achilles tendon pain chased him for eight years.

Dr. Nick Campitelli

Campitelli, an Ohio podiatrist at drnickcampi.com, is a big believer in natural running as it reduces pain and injury. “Running with a heel strike produces far more force to our joints of our lower extremity than running barefoot or with minimalist shoes.”

Source: Joanne Richard, Winnepeg Sun [8/18/12]

ACFAP Appoints VP, Receives $5,000 Grant from Tetra Corporation

Saturday's pediatric track at the 2012 APMA national meeting featured two very special events for the American College of Foot and Ankle Pediatrics (ACFAP). First, ACFAP appointed Louis J. DeCaro, DPM of West Hatfield, MA Vice President.

(L-R) Drs. Patrick DeHeer, Louis J. DeCaro, Mr. George Cioe, CEO, Tetra Corp., Drs. Richard Jay, Ron Raducanu, President, ACFAP, and Ed Harris.

Additionally, George Cioe, President/CEO for the Tetra Corporation (Formula 3/Fungifoam) presented a $5,000 unrestricted educational grant to the College. 

NC Podiatrist Joins Wound Care Center

Dr. Patrick Ricotta, a podiatrist, has joined Southeastern Wound Healing Center as a panel physician. He will periodically treat patients at the center, which specializes in the treatment of chronic wounds and non-responsive conditions and offers hospital-based outpatient wound care and hyperbaric oxygen therapy.

Dr. Patrick Ricotta

Ricotta earned his doctorate degree from Ohio College of Podiatric Medicine in Cleveland and completed residency training in foot and ankle surgery at the Podiatry Hospital of Pittsburgh in 1996.

Source: Lumberton Robesonian [8/19/12]

TX Podiatrist Holds Shoes for Orphan Souls Drive

Dr. David Andreone is working to collect at least 120 pairs of shoes at his Tyler office for Shoes for Orphan Souls through early September. Shoes for Orphan Souls offers hands-on opportunities to individuals, groups, and organizations wanting to transform lives. Since 1999, more than 2.3 million pairs of new shoes and socks have been distributed to children in 74 countries.

Dr. David Andreone

Andreone had his first shoe drive several years ago when he was practicing in Plano and Frisco. Since moving to Tyler, he wanted to continue helping those in need and figured that since he is a podiatrist, shoes just made sense, he said.

Source: Tyler Morning Telegraph [8/19/12]

CT Podiatrist Opens Spa

The opportunity to become the best you can possibly be is offered by Dr. Joan Tekula and Michelle Morgan, owners of Revèe spa, which opened in May on Bullet Hill Road in Southbury. The spa offers three different non-invasive, non-medical cosmetic procedures. One that Dr. Tekula specializes in is called the TC3000 Vein Erase, which uses a device that thermo coagulates the small veins in the skin. It is only for spider veins in the face and legs. She also does Lipo-Light, which is spot fat reduction.

(L-R) Michelle Morgan, Jennifer Tyrrell, and Dr. Joan Tekula.

Dr. Tekula has been practicing medicine for 24 years and, as a podiatrist, she worked with the geriatric population. “Even though I was trained to give drugs and perform surgeries, my heart, my philosophy was just to be as conservative as possible and to exhaust all those other means before moving on to things with greater consequences,” said Dr. Tekula, who added that this was right up her alley in terms of helping people.

Source: Daniela Forte, Litchfield County Times, [8/18/12]

2012 Centennial APMA Scientific Meeting One of the Best Ever

Amid the background of our nation's capital, over 1,400 podiatrists and 280 exhibitors enjoyed a well-organized and designed meeting. APMA Annual Meeting Chair Frank Spinosa, DPM and APMA Director of Scientific Affairs James Christina, DPM, along with APMA's hard-working staff again put together a varied program which offered lectures, breakfast and lunch symposia, and hands-on workshops to cover the gamut of clinically relevant topics.

Dr. Bryan Markinson Lectures at Breakfast Symposium

Next year's Annual Meeting, celebrating APMA's Centennial will be held July 21-24, 2013 at the Venetian/The Palazzo and Congress Center in Las Vegas.

Query: Microphone for Dragon Med 11

What is the preferred microphone for Dragon Med 11? Would you recommend the headset, or is the power mic II worth the additional $300?

David Kahan, DPM, Sacramento, CA

RE: Chronic Charot Foot (Stephen S Pirotta, DPM)
From: Tip Sullivan, DPM

I have a very simple approach to Charcot neuroarthropathy, assuming that this is in a quiescent phase and not infected. I look at them as STABLE or UNSTABLE. The stable Charcot foot is fairly easily accommodated, even if it is significantly deformed. The unstable Charcot foot is the really tough one. The surgical goal that one should keep in mind is changing an unstable to a stable foot and avoiding the obvious sequelae. If reconstructive surgery is not a reasonable option (risks >>benefit), then ablative surgery is certainly reasonable.

I do not think that removal of the entire cuboid would be necessary. In fact, it might add to the instability and those associated problems. I would simply aggressively remove the prominent bone—and then remove a little more—making sure that the peroneus longus was either grafted to the brevis or re-attached to the lateral foot. A TAL is a MUST DO. Forget the gastroc on this one. I would also bet that this patient is obese and would make sure I talked with the “team” member that could make sure that this patient was metabolically maxed out. Using a wheelchair post-op is not a bad idea.

Tip Sullivan, DPM, Jackson, MS, tsdefeet@MSfootcenter.net

RE: Malpractice Options (Name Withheld, TN)
From: Philip J Obiedzinski, DPM, Michael J. Schneider, DPM

I recommend Cindy Del Priore in NJ at her insurance agency of the same name about Medical Protective.

Philip J Obiedzinski, DPM, Rutherford, NJ, Pjo1829@gmail.com 

I have used ACE American Insurance Company since 1990. Their rates are very competitive. The contact is General Southwest Agency (480) 990-1900.

Michael J. Schneider, DPM, Denver, CO, podiatristoncall@gmail.com

RE: Scope of Practice  (Theresa Hughes, DPM)
From: Edmond F. Mertzenich, DPM, MBA

I am not an attorney; however, I do work at a large multispecialty clinic. I do not see any problem with mentioning that there is a problem with a patient’s BMI. In fact, it needs to be brought up. I think discussing that weight can affect the feet is well within our scope of practice. Since you work in a multispecialty clinic, it should be “easy” for you to refer a patient to another provider, dietician, or other nutritional specialist for proper counseling and management.  Discussing specific diets and weight loss programs in a professional setting would, in my humble opinion, be beyond the scope of our practice at this time in Illinois. If I’m wrong, I will be happy to be enlightened.

Edmond F. Mertzenich, DPM, MBA, Rockford, IL, doctoreddpm@frontier.com

RE: Scope of Practice (Theresa Hughes, DPM)
From: Robert Creighton, DPM

Dr. Theresa Hughes’ recent inquiry about the legality of podiatrists providing counseling to a patient with an elevated BMI was timely. A just released report from the U.S. Federal Inter-agency Forum on Aging-Related Statistics found that obesity is becoming increasingly prevalent among the elderly. The report states that in 2009-2010, 38 percent of people age 65 and older were obese, whereas only 22 percent were obese between 1988 and 1994. Among those age 65-74, the 2009-2010 data showed that 44 percent were obese, as were 29 percent of those age 75 and older.

Dr. Hughes’ question implicitly asks whether we should provide some form of BMI counseling. The APMA has addressed the subject of childhood obesity. Does anyone know if the APMA has formally spoken to adult obesity? The podiatric profession has more of a public health role to play in America’s obesity epidemic than advising as to which is the best walking shoe.

Robert Creighton, DPM, St. Petersburg, FL, rcreightonjr@hotmail.com

RE: The Challenging Patient
From: Robert Kornfeld, DPM

As a contemplative man, and a reflective podiatrist, I always like to ask the question, "WHY?" Why are we being presented with patients who we call "The Challenging Patient."
 
Here's my take. Our focus, as a profession values, trains and offers residencies in surgery and perhaps looks at "The Surgical Residency" as more favorable than another type. The jury is still out on that. But, nevertheless, when our focus is on "surgical expertise", we may be creating a VOID in understanding the "mechanisms" of a disease pathology -- necessary and...
 
Editor's note: Dr.  Kornfeld's extended-length letter can be read here.

PRACTICE FOR SALE - NEW ROCHELLE, NY

Flexible terms. Stable location, medical co-op, 24 year practice with a stable established patient base. Great opportunity for a self motivated podiatrist wanting immediate income and future stability. Call 551-574-0776 for details.

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.

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 - 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 - 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 – SUFFOLK COUNTY, LI

Well-rounded podiatry practice. A business-oriented, mature board eligible/certified podiatrist who is not just looking for a job, but a secure future. Equity position possible. 2 hospitals available. No nursing homes. Competitive package. Please send CV to 631-581-0857.

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977

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

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

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

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