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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 15,920 Podiatrists Daily
August 28, 2014 #5,149  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- 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 Dr. Howard Roesen of Newport News, VA, winner of a one night stay in deluxe accommodations at the Quincy Hotel in Washington, DC, including a welcome cocktail and continental breakfast. 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 2015 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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7" Andoid tablet |
This week's prize is a dual-core 7" Android tablet.
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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| INTERNATIONAL PODIATRISTS IN THE NEWS - PART 1 | |
Bahamas Podiatrist Discusses Children's Feet
According to podiatrist Dr. Monique Mitchell, "Nearly all children appear to have flat feet when they first start walking. This is partly due to posture and is associated with fatty deposits in the foot. When babies walk, they have to balance a relatively large head and torso, so they walk with the knees bent, legs wide apart, and the feet turned outwards."
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Dr. Monique Mitchell |
"Many of the problems found in children's feet are associated with growth, overuse, weight gain, and postural changes. Genetics also play a crucial role in the development of your child's feet. It is estimated that 10 to 20 percent of children have flat feet. Most children grow out of in-toeing, out-toeing, and toe-walking by 24 months of age," says Mitchell.
Source: Nassau Guardian [8/26/14]
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| PODIATRISTS IN THE COMMUNITY | |
ID Podiatrist Wins "Best Orthopedic Surgeon" Award
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Dr. Randal Wraalstad |
Numerous St. Luke’s Clinics were honored in this year’s Times-News Reader’s Choice Awards! This annual special section showcases the ‘best of the best’ services and retail establishments in the Magic Valley, voted by Times-News readers. The Best Orthopedic Surgeon: Gold Award went to Dr. Randal Wraalstad, a podiatrist at St. Luke’s Clinic Orthopedic and Podiatry.
Source: Twin Falls, ID Times-News [6/30/14]
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| ON THE LECTURE CIRCUIT | |
Three Podiatrists Present at IAI Conference
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(L-R) Drs. David Agoada, John DiMaggio, and Bryan Kagan |
Forensic podiatry took the podium for several presentations at the 99th Educational Conference of the International Association for Identification in Minneapolis August 10-15, 2014. At the IAI conference, members of the American Society of Forensic Podiatry (ASFP) gave sessions to educate attendees about forensic podiatry and how it can assist in a criminal investigation. The ASFP, established in 2003, promotes a research-based podiatric approach in forensic cases and also promotes forensic educational opportunities.
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| PODIATRIC PRODUCTS IN THE NEWS | |
Dia-Foot Acquires DavMar Comfort Shoes
Dia-Foot has announced the acquisition of DavMar Comfort Shoes. Dia-Foot, a Florida based company also specializes in shoes for diabetics. The transition took effect on August 28th. Dia-Foot’s President and CEO, Robert M. Gaynor, DPM, C.Ped, is a podiatrist who is participating in the crusade against the damage that diabetes can cause. By making available specially manufactured shoes and inserts, he is hoping to reduce the number of severe complications caused by the disease. Since forming Dia-Foot 10 years ago, the privately-held company now has over 25 employees.
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Dr. Robert Gaynor |
This blending of DavMar and Dia-Foot will provide more comprehensive attention to the fast-growing population of diabetics. As in the past, the company will continue to provide footwear to podiatrists, orthotists, prosthetists, pedorthists, and pharmacies that are treating those who have special needs.
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| E-HEALTH NEWS | |
CA Medical Board to Post Doctor Discipline Online Indefinitely
Gov. Jerry Brown has signed legislation that requires the Medical Board of California to post public information on serious disciplinary action against doctors online indefinitely. Assembly Bill 1886 by Democratic Assemblywoman Susan Talamantes Eggman from Stockton keeps information posted that’s currently taken down after 10 years. The information includes revocation, suspension, probation or surrender of a license, or equivalent action by the state medical board or a board in another state.
AB 1886 was sponsored by the board, which suggested last year that the 10-year limit be removed to make physician records more transparent. Since the website states it posts all publicly available information on a physician or surgeon’s license, there was concern that consumers would be misled into believing — incorrectly — that some doctors had no record of discipline.
Source: Kathy Robertsonm, Sacramento Business Journal [8/26/14]
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| IN THE COURTS | |
Center for Medicare Advocacy Sues to Fix Broken Medicare Appeals System
The Center for Medicare Advocacy filed a nationwide class action lawsuit in United States District Court in Connecticut today (Lessler, et al. v. Burwell, 3:14-CV-1230, D. Conn.). The five named plaintiffs from Connecticut, New York, and Ohio have all waited longer than the statutory 90-day limit for a decision on their Medicare appeals. The current average wait time is over five times the congressionally mandated time limit.
The Medicare Act requires Administrative Law Judges (ALJs) to issue decisions within 90 days after a request for a hearing. Yet, as of July 2014, the current wait time for a decision averaged 489 days. Due to an unjust and time-consuming Medicare appeals process that essentially “rubber stamps” denials at the first two levels of appeal, the ALJ hearing is the third level of appeal, and represents the first chance for a meaningful review of a beneficiary’s appeal – which can include the chance to provide oral and witness testimony.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Stanton C. Southward, DPM, Elliot Udell, DPM
Start stat vinegar H20 soaks B.I.D. and 2% aqueous gentian violet with some paper tissue inter-digitally. You and your patient will be amazed how fast this condition clears up.
In addition to the oral antibiotics, which were a match for the microorganisms you isolated and cultured, you might wish to have the patient apply topical povidine iodine solution daily to all interspaces. In addition to this, have the patient apply sterile gauze to each toe interspace to prevent friction and to absorb any fluids.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: David Gelbmann, DPM, Thomas Graziano, DPM, MD
This looks like a classic case of severe bacterial intertrigo. Treatment is predicated upon drying of the maceration with Epsom foot soaks. Soaking in tepid water mixed with antibacterial soap and then drying thoroughly is another alternative. Wearing better ventilated or open footgear as well as regular dusting with medicated talcum powders would help prevent recurrence. Nonetheless, the patient should apply a topical antibiotic daily; perhaps generics would be cheaper given his insurance issues, however, I recommend mupirocin ointment due to the presence of Pseudomonas. Have the patient alternate this with topical gentian violet, again to help dry out the area.
Keep in mind that If the patient has even mild PAD, oral antibiotics may not be reaching this area of the foot in great enough concentration to rid him of the infection. Meanwhile, you may want to keep a close eye on his bilateral Achilles tendons if you plan on prolonged Cipro therapy, especially if he is one of those 40 year old weekend warriors.
My advice is to get an infectious disease consultation ASAP. You've tried conservative measures. You haven't given any medical history on the patient (e.g. diabetic? immunocompromised?), but he needs intravenous therapy.
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Post Graduate Fellowships
University of Texas Health Science Center San Antonio
Reconstructive Foot and Ankle Surgery - This fellowship is a one-year experience during which the Fellow will develop a rational approach to revisional and reconstructive foot and ankle surgery. The Fellow will function as an Instructor / Clinical and participate in the teaching of Podiatric medical students and residents, and have ample opportunity to be involved in clinical and basic research projects. The fellowship will provide the Podiatric Surgeon, further expertise in Charcot reconstruction, trauma and deformity correction.
Duration: 1 year (7/1/15 – 6/30/16) Application Deadline: 12/01/2014 Interviews: TBD Stipend: $44,100/Year. Requirements: Completion of 3-year residency; a commitment to a part-time/full-time academic career in Podiatric Medicine and Surgery. Texas License eligible & ABPS Board Qualification eligible in Foot and Reconstructive Rearfoot/Ankle Surgery (Test dates & Application Deadlines TBA).
Submit a CV and letter of interest to: Thomas Zgonis, DPM, FACFAS, Associate Professor, Fellowship Director, University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive (MSC 7776) San Antonio, Texas 78229-3900 Email: Zgonis@uthscsa.edu Phone: (210) 567-5174 Fax: (210)567-4891.
All faculty appointments are designated as security sensitive positions.
The University of Texas Health Science Center at San Antonio is an Equal Employment Opportunity /Affirmative Action Employer including protected veterans and persons with disabilities.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: The Value of a "C" Arm (Tip Sullivan, DPM)
From: Kathleen Neuhoff, DPM
I agree with the comments about the C-arm. I purchased a flouroscan when I opened my practice in 1994 (used) and am still using the same unit today! I use it about three times per week for surgeries, joint injections, closed manipulations of fractures and subluxated cuboids, etc. It is one of the best purchases I have made!
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (MEDICAL/LEGAL) | |
From: Allen Jacobs, DPM
In-office compounding has been around a long time. There is nothing wrong with compounding selected pharmaceutical ingredients in your office for patient treatment. The issue your question raises is not about Stark Law. It should be about medical liability, kick-back laws, ethics, and not jeopardizing your in-network medical status with payers.
1. Liability is a major issue. When a pharmacist dispenses a drug to a patient, they hold 100% of all patient liability for safety around allergies, drug to drug interactions, contraindications and...
Editor's note: Dr. Jacobs' extended-length letter can be read here
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
ASSOCIATE POSITION – GEORGIA
Practice serving beautiful, historic, Savannah, Georgia and the Low Country seeking a second, full or part-time Board-eligible/Certified podiatrist. practice has solid patient and physician referral base. Surgery, general podiatry, wound care and specializing in diabetic foot care. Service area nursing homes. Superior Medical Assistants, Scribe, scheduling, administrative support and EMR technology. Income guarantee the first two years with bonus potential. Offer generous benefit package, including moving allowance. Great opportunity for highly motivated and ethical professional, with excellent patient skills. Bilingual ability a plus. Send CV and location to U.W. Plummer at drjadandy@yahoo.com. For additional information contact Mrs. Plummer at 912-927-8011.
ASSOCIATE POSITION - PART-TIME - NJ
Can you handle a challenge? Associate wanted for amazingly busy practice. Must be enthusiastic, outgoing, surgically trained but conservatively minded. The sky’s the limit. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, NJ. For further information, email to njfootankle@yahoo.com or fax to 201-261-0058.
ASSOCIATE POSITION - SOUTHERN MICHIGAN
Associate wanted to join a 4 physician/4 facility organization. Must be residency trained and have great work ethic. You will be assisted by a well-trained staff and have comfort knowing there will be Board Certified Surgeons who have your back. Salary plus incentive. Reply to: paulapmac@me.com
FULL-TIME PODIATRIST WANTED – TEXAS
PSR 24-36 trained multi-dimensional, multi-office group treating a wide range of patients including: forefoot, rearfoot, diabetic wound care, sports medicine and work related injuries. Dallas/Fort Worth Area. Modern offices and equipment. Great opportunity for driven personable individual. Please e-mail: Cover letter, CV, Letters of reference to: cnunez1940@gmail.com
ASSOCIATE POSITION – NEW JERSEY
Well established practice in Atlantic County looking for a part-time associate. Modern facility with EMR and digital x-ray. Located in a coastal community with a supportive and professional staff. No weekends! Email CV to ShoreDPM@Gmail.com.
ASSOCIATE WANTED - SO CAL COAST
Excellent opportunity for the right doctor. Looking for a young, hard-working, full- time doctor who wants to learn how to run a practice from top to bottom. Need an out-going, very personable doctor to shadow me and practice similarly, someone who would want to take over the practice in the near future. asbf@pacbell.net
ASSOCIATE POSITION - REDDING, CALIFORNIA
Looking for motivated podiatrist licensed in California for a part- time position with possibility of full-time. Please send CV to tjsong01@hotmail.com.
ASSOCIATE POSITION - WESTERN VIRGINIA
Private Orthopaedic Group Practice in seeking rear foot surgically trained podiatrist. Surgical suite on-site; surgical and wound care privileges at 1 hospital. BC or BE required. Base salary + bonus + benefits. Will acquire established practice from podiatrist who is relocating. Email Lindsay McHone, Practice Administrator at lindsayathoc@ntelos.net.
ASSOCIATE POSITION - KANSAS CITY
Kansas City may be the perfect move for you and your family. We are looking for an entrepreneurial-minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with doctors who are as committed to your success as we are to our own. Go to:www.YourFutureInPodiatry.com for full details.
LOTS OF OPPORTUNITIES - SOUTHEAST GEORGIA STATESBORO
Willing to live in Rural area in a College town. Beautiful weather year round. Seeking experienced, min of 5 years, Family-oriented podiatrist. If you have a great attitude and you are looking to build a long-term relationship with the practice , Don't miss out on this one. Must be PSR-24 trained. Full range of services including Surgical Suite/ Ambulatory Sx Center in the practice. E-mail cover letter & CV to melissafoot@atlanticfeet.com
ASSOCIATE POSITION - CENTRAL FLORIDA
We are looking for a hardworking entrepreneur-minded podiatrist to fill a position. This practice is a Non-surgical clinic based practice. Competitive salary with full benefits available. Respond with CV to e-mail: Podiatryflorida@gmail.com
ASSOCIATE POSITION - EAST TENNESSEE
30 year old practice with 5 offices in greater Knoxville area seeking ethical, personable, hardworking, team player. $160,000 base salary with bonus incentives and benefits. Post-residency experience a plus. Please send resume to ddavidphawk@yahoo.com
ASSOCIATE POSITION - HUDSON VALLEY REGION, NY
Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visit www.hvfa.com and forward cover letter with CV to info@hvfa.com.
ASSOCIATE WANTED- NY CITY AREA
For nursing home patient care, one morning/ week, 9-12. Immediate opening for NY State licensed podiatrist. Please send C.V. to pgreenberg@msn.com
ASSOCIATE POSITION – PENNSYLVANIA
Great low stress, full time opportunity for a surgically trained podiatrist in a 2-office full spectrum practice. Located in the suburbs of Philadelphia. You are highly motivated, board qualified and have great communication skills. Opportunity for a buy-in/partnership in 2 years. Send cover letter and CV toinfo@qualityfootcare.com
POSITIONS AVAILABLE- FULL TIME/ PART TIME SOUTHERN IL AND EASTERN MO
opportunities to serve residents of long-term care facilities in southern Illinois and eastern Missouri. High earning potential with competitive benefits as part of a 40 year old company for the right candidates. Contact ckestner@preferredpodiatry.com for additional information.
ASSOCIATE POSITION – WASHINGTON STATE
Well established, multi office busy practice looking for ethical, motivated podiatrist to work in our offices and see residents in assisted living facilities in greater Seattle area. Russian or Spanish speaking preferred but not required. No weekends. Please send C.V. with salary and benefit expectations omega571@comcast.net
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
Fair Lawn ASC (ambulatory surgical center) is accepting applications for staff privileges. NJ license needed. Patient transportation available in the tri state area. Equity buy-in available. Call 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE - SOUTHERN ARIZONA
Owner desires to sell and transition from practice. Practice open full-time, recently implemented EHR and attested for MU Stage 1. Approximately one mile from newly constructed hospital. Opportunity to grow surgical volume and patient base. Priced to sell. Contact: Mike Crosby at MCrosby518@gmail.com.
OFFICE FOR SALE - DELRAY BEACH, FLORIDA
20 year old practice in a very high traffic area. Serious inquiries only. Email bafamt@aol.com
PRACTICE FOR SALE - FAIRFIELD COUNTY, CT
60 miles to Manhattan, 15 miles to Westchester county.Busy solo practice, grossing 250k on 2.5 days a week. Extremely low overhead. Beautiful office building with EMR. Practice shares space and staff with 6 MDs. Amazing referral base and growth potential. All surgery is currently referred out. Serious inquiries only contact: Samalsal@yahoo.com
PRACTICE FOR SALE – AUSTIN TX
Motivated seller. Podiatry practice for sale in a prestigious, highly trafficked area in Austin TX. Very busy, extremely well established multiple podiatry office, consistently seeing up to 80 patients daily and performing over 300 surgeries a year. 8 fully equipped treatment rooms, MLS laser and toenail lasers, digital x-rays, etc. Extremely lucrative practice with strong growth potential. Price reduced to sell quickly. Some financing possible. Serious inquiries only to Jeff Rabkin @ 512-293-7559 or jefreetx@hotmail.com
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815 PODO2345@AOL.COM
PM News Classified Ads Reach over 15,500 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 15,500 DPMs. 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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