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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,050 Subscribers Daily
August 26, 2015 #5,455  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block
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| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES |
Congratulations to both Drs. Margaret Portela of Union City, NJ and James Diresta of Newburyport, MA, winners of last week's prizes, ShoeZap Ultra Violet Shoe Sanitizers (Retail $125). We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in the March 2016 issue of Podiatry Management. It also makes you eligible to win thousands of dollars of valuable prizes. Enter by completing this confidential survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win.
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ICDTenHelp.com |
This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.
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| AT THE COLLEGES | |
IL Podiatrist Receives Scholl Alumnus of the Year Award
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Dr. Laura Pickard |
Laura J. Pickard, DPM has been named Alumnus of the Year by the Scholl College of Podiatric Medicine. Dr. Pickard is a 1990 graduate of the Dr. William Scholl College of Podiatric Medicine. She completed her podiatric residency program at Cook County Hospital in Chicago, IL. She is Past President of the Illinois Podiatric Medical Association and currently serves on the Board of Trustees of the American Podiatric Medicial Association.
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| PODIATRISTS IN THE NEWS | |
IN Podiatrists Describes Difference Between Tendonitis and Tendinosis
Q: What is the difference between tendonitis and tendinosis, and what causes it? Answer: (by Dr. Mark Jones, a podiatrist with the Methodist Physician Group who has offices in Highland and Merrillville): "A tendon is a flexible band of tissue that connects muscle to the bones in your joints. Tendonitis is inflammation of the tendon, while tendinosis is the thickening of the tendon or small tears in the tendon. If it doesn’t heal properly, it becomes thick and irregular and runs the risk of rupturing.
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Dr. Mark Jones |
"It can be caused by a variety of factors, including running or other sports, climbing stairs, or walking. It can occur through repetitive movements including typing, gripping a tool, or even cleaning," says Jones.
Source: Carrie Rodovich, NWI Times [8/21/15]
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| RESIDENCY NEWS | |
IFAF Welcomes 3 New Residents to The Swedish Medical Center Residency Program
The Board of Directors of the International Foot & Ankle Foundation (IFAF) recently welcomed three new 2015 residents to the Swedish Podiatric Surgical Residency 3-year podiatric residency program (PM&S-36) at Swedish Medical Center, Seattle, Washington. This year, there are two new first-year residents: Midori "Mimi" Higashi, DPM, from Western University of Health Sciences, College of Podiatric Medicine, and Michael Gerrity, DPM, from Temple University School of Podiatric Medicine.
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(L-R) Drs. Michael Gerrity, Midori "Mimi" Higashi, and Peter Bellezza |
They join a new second-year resident: Peter Bellezza, DPM, a graduate of Wm M Scholl College of Podiatric Medicine, who completed the first-year residency at Carilion Clinic, Carilion Roanoke Memorial Hospital, Virginia.
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
10 Strategies for Protecting Patient Data - Part 9
9. Look for “Non-Standard” Systems as Potential PHI Data Stores
In particular, voicemail systems, customer service call recording systems, and closed-circuit television systems could all potentially be storing PHI, but may not be as carefully safeguarded as traditional IT systems such as EHRs and patient billing systems.
Source: Adapted from Health Data Management
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| CODINGLINE CORNER | |
Query: Post-Operative Non-Compliance Issues
My patient was non-compliant post-operatively and experienced a lot of pain related to edema and tight dressings. She presented to the emergency department instead of calling me, got the usual work-up for deep vein thrombosis, etc. The ED physician placed her on 23 hour observation, and then called me to see her. I saw her in her room in the observation area, explained (for the umpteenth time) to the patient and her daughter about the need for elevation and very limited walking post-operatively. Is there a CPT code/modifier that we can use with the edema or pain diagnosis so that we can be reimbursed for the hour I spent dealing with this situation? The patient has Medicare.
PM News Subscriber
Response: The only available modifier for an E/M service (which is what you performed in the observation area) is the "-24" modifier which is for an E/M service that is performed during a post-op global which is for a reason unrelated to the procedure for which the patient is in the global.
Your documentation would have to support that the E/M was unrelated to the surgery, and it doesn’t sound like that was the case here.
Jeffrey Lehrman, DPM, Springfield, PA
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Bryan C. Markinson, DPM
The poster does not say if the lesion is on the foot or leg. The lesion is referred to as a “nodule”, but no clinical exam findings are stated. The lesion may be nodular, but it doesn’t look like it. The fact that it exists in more than one location is a factor, but on sun-damaged skin, this could be a carcinoma. The dark area in the center is difficult to diagnose from a photo if (the) pigment or eschar (is) due to dry seroma/blood/crust. All signs point to doing a biopsy.
Bryan C. Markinson, DPM, NY, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
RE: Sclerosing Alcohol Injections
From: Peter J. Bregman, DPM
I wanted to share this article from Foot and Ankle International for all of you still using low % ethanol injections for treatment of Morton’s neuroma in hopes that you will consider some other treatment or at least just try Marcaine alone. The authors of this study found no difference at all when injecting rat nerves with plain Marcaine or with 4% ethanol solution. Patients do not like having a series of these injections.
This is clear evidence that using anything lower than 30% solution is essentially doing the same as injecting plain Marcaine, but can be more uncomfortable for the patient. If anything, add a little Decadron. I would like to hear from those of you who use this treatment on a regular basis who can refute clear evidence-based medicine.
Peter J. Bregman, DPM, Las Vegas, NV
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Doug Richie, DPM
Dr. Udell appropriately applauds the recently published study published by Wrobel, et al., supported by a grant from the APMA. However, the "positive difference" which Dr. Udell cites which were provided by custom foot orthoses, compared to pre-fabricated and sham orthoses, must be put into proper context. When examining the results of this study:
There was no significant benefit of any type of orthosis, including sham devices over traditional stretching and icing in terms of reducing morning pain. The custom and pre-fabricated orthoses did reduce evening pain compared to the sham device, but there was no superiority of custom devices. There was no benefit of custom or pre-fab foot orthoses compared to sham devices in terms of overall foot function. The custom foot orthoses did produce a significant improvement in spontaneous physical activity, duration of standing, and duration of walking compared to the other devices.
The message here is: If improving activity is your primary goal when treating plantar heel pain, then custom devices appear to be superior to pre-fab based upon this study. If relief of pain is your primary treatment goal, custom devices continue to show no advantage over pre-fab devices.
Doug Richie, DPM, Seal Beach, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Elliot Udell, DPM
What you are noticing may not be endemic to your own practice. I went for my annual physical last week and mine was the only car in the parking lot, which seemed very unusual for this busy practice. In the same week, I went to my allergist and he was willing to see me, which is unusual since PAs and nurse practitioners run most of that practice.
Part of this may be due to hot summer weather. People are lethargic or may be on vacation. The other part may be insurance-related due to very high co-payments and annual deductibles, and people are just not interested in going to doctors unless they have an emergency. I hope it's the former and not the latter reason .
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE Outrageous Shoe of the Day
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| How does this shoe measure up? |
Source: Barbra Music via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSISTANT PROFESSOR OF PODIATRIC MEDICINE, SURGERY & BIOMECHANICS
Western University of Health Sciences College of Podiatric Medicine is seeking podiatrists interested in the education and training of future doctors of podiatric medicine. Applicants must be at least board-qualified in either ABPM or ABFAS with preference for dual board certification. For further details, please see https://jobs.westernu.edu/. Academic rank will be commensurate with scholarly and clinical credentials. To be considered, please send letter of intent, curriculum vitae, 3 references, and salary expectation to https://jobs.westernu.edu/. Western University of Health Sciences is an Equal Opportunity Employer. The University embraces diversity and is committed to attracting qualified candidates from historically underrepresented groups.
1 YEAR FELLOWSHIP IN RRA SURGERY
Get additional experience in arthroscopy, fusions, trauma and complex hindfoot/ankle deformity corrections. Must be BQ by ABFAS in foot & RRA or on track to be. CV, DPM school transcripts, director LOR, LOI. ALSO AVAIL Associate pos, now or Aug '16: must be RRA BC or BQ, ability to work indep on complex cases. Long hours, hospital rounds, ER calls, office calls. great work ethic needed. Superstars only. LOI, LOR from director, CV Naples, FL klamdpm@hotmail.com
ASSOCIATE POSITIONS - WISCONSIN/TEXAS/OKLAHOMA
Podiatrists needed to join the nation’s largest growing, most technologically advanced and expertly managed nursing home medical and podiatry practice. We ensure your success by providing an established patient base, scheduling and billing assistance, medical assistant, allowances for equipment, coverage of travel expenses, and the newest tablet-technology EMR system to dramatically reduce your workload so you can spend more time providing quality care to patients. We offer generous benefits and flexible scheduling: base salary available, bonus opportunities, malpractice coverage, matching 401(k), health insurance benefits. Part-time positions available. Send CV tocareers@aggeus.org. Call 866-216-5518, ext. 305. www.aggeus.org. Confidentiality assured
ASSOCIATE POSITION - KANSAS CITY
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. Go to: www.YourFutureInPodiatry.com for full details
ASSOCIATE POSITION – WALDORF, MARYLAND
Well established practice with multiple offices located just south of Washington D.C. Practice amenities include EHR, digital x-ray, state-of-the-art surgical suite, shoe stores, PADnet, and large support staff. Recently renovated hospital minutes away. This is an extremely busy practice with high patient, new patient, and surgical volume with both forefoot and rearfoot surgery. We enjoy a large referral base due to our own practice marketer. We are looking for a highly motivated, personable individual. Must be well trained in a PMSR-36/RRA forefoot and rearfoot surgery. Competitive base salary with bonus structure.Send CV to: feet_r_neat@aol.com
ASSOCIATE POSITION – WESTERN NORTH CAROLINA
Join a well-established, busy and growing podiatric practice. We are fully integrated with the medical community in a large tertiary teaching hospital. Research opportunities are available. Applicant should be ethical, personable, hardworking, and committed to quality patient care. We are offering a competitive salary with bonus opportunities and a wide range of benefits. Associate position can lead to partnership. All interested candidates should send a resume to JCMOOREDPM@aol.com
ASSOCIATE POSITION – CENTRAL ILLINOIS
Are you unhappy in your current associate position? Are you a third year resident looking at Ads thinking - they all look the same? Are you looking for an opportunity where you can help grow a practice and are you an energetic TEAM player looking to work with all-stars? Then WE have the position for you! Fast paced practice in Central Illinois is searching for a ROCK star to join our growing team. Please visit www.HeartlandFootAndAnkle.com (look under employment opportunities) for details regarding this unique opportunity! We can’t wait to meet you!
ASSOCIATE POSITIONS – MARYLAND, WASHINGTON D.C., DELAWARE, WEST VIRGINIA
A growing practice is seeking a motivated podiatrist to treat patients in Nursing Facilities in Maryland, Washington D.C., Delaware, and West Virginia. Excellent opportunity for an energetic, ethical, and personable individual. Please send your CV and Cover Letter to tajdpm@verizon.net.
ASSOCIATE POSITION – NEW JERSEY
We are looking for a part or full-time Associate with a passion for learning, growing, and treating patients from start to finish. The ideal candidate should have both surgical and non-surgical experience, be willing to work hard, and always put patients first. Benefits include a full compensation package with salary, insurance, a private office, and more. If you start every day with a passion to help others and a positive attitude, this job’s for you! To find out more information email Dr. Amannda Richline at dramanndaglynn@gmail.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
ASSOCIATE POSITION – EL PASO, TEXAS
Busy practice seeking a full-time, self-motivated and hard-working podiatry associate to help with second office. Competitive salary offered. Please email CV to: buffdlr1@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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| CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA
15 year old well established satellite podiatry practice for sale immediately. Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center.Email bonitaspringspodiatry4sale@gmail.com
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
PM NEWS CLASSIFIED ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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.
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- 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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