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| PM News | |
The Voice of Podiatrists
Serving Over 17,047 Subscribers Daily
August 28, 2015 #5,457  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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| ON THE INTERNATIONAL LECTURE CIRCUIT | |
CA Podiatrist Lectures on Diabetes in Nigeria
Experts have described diabetic foot as the second leading cause of diabetes-related deaths in Nigeria; saying it accounts for about 24 per cent of all diabetes mortality. Speaking at the second Lagos Podiatry Workshop recently, Medical Director of Rainbow Specialist Hospital and Coordinator, Podiatry Initiative Nigeria, Dr. Afoke Isiavwe, lamented that the situation was worsened by the fact that the nation’s medical schools had no structured curriculum for podiatry, contributing to the low awareness about foot care among diabetics.
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Dr. James Kinchsular |
American podiatrist and facilitator, Dr. James Kinchsular, delivered a lecture on the basic problems that could lead to foot disease. They include toe nail problems and deformities and how to take care of them to prevent infections that could lead to amputation. He said the emphasis on diabetes was because the disease is becoming an epidemic globally and that many people are losing their feet due to preventable diabetic foot problems.
Source: Solaade Ayo-Aderle, Punch [8/26/15]
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
4 Myths about Using Electronic Funds Transfer in Healthcare - Part 1
Some providers may believe myths about electronic funds transfer and the erroneous information could prevent them from using EFT. Priscilla Holland, senior director of healthcare payments at NACHA, which governs the Automated Clearing House Network, dispels the myths.
Confusion Reigns
While it has been in effect since January 2014, the Healthcare EFT Standard via ACH is still a source of confusion for many medical providers. The standard allows providers to request that claims payments be made using electronic fund transfers instead of paper checks—that is, electronically transferred from the insurer to the provider’s bank account via ACH; in that way, it’s similar to direct deposit. By law, health plans are required to comply with these payment requests.
Source: Health Data Management
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| QUERIES (CLINICAL) | |
Query: Ehlers-Danlos Syndrome
I have an 8 year old male patient who has been diagnosed with Ehlers-Danlos syndrome. Prior to his initial visit, he had been treated with a somewhat cumbersome lace-up ankle support, as he is active athletically. I have not yet seen the device, but his parents indicate that he does not wish to utilize it due to discomfort issues. I initiated OTC orthotic use until such time as I can re-assess him for custom orthoses.
My question to my colleagues is: Is there a more comfortable ankle support that might be utilized, as there is significant ligamentous laxity? Are there any recommendations for orthoses type: i.e., UCBL vs. a sports orthosis with a deep heel cup and/or any other modifications. He relates he has pain in the arch (excessive pronation during gait at heel contact through propulsion) and lower leg and ankle.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Brian Kiel, DPM, Jeffrey Kass, DPM
I would do nothing for these toes. They are asymptomatic without significant deformity. I have seen this frequently over the years, mostly in African-American women. If you do surgery, your patient will probably never be happy as you will trade the lesion for a scar which is visibly no different and this is a scenario for disaster.
Brian Kiel, DPM, Memphis, TN
The discolored problem is not uncommon at all. The reason for them is the hammertoes are causing frictional rubbing against the toes. ("Knuckle pad syndrome"). Once the hammertoes are repaired by procedure of your choice (arthroplasty or arthrodesis), the lesions will not re-appear. I advise ellipsing out the lesions. My personal preference for correction of hammertoe deformities is arthrodesis, but either will likely suffice. If there is no bone to rub, the disorder should not return.
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 2A | |
From: Paul A. Galluzzo, DPM
I agree with Dr. Dockery and would like to thank him for his expertise on this subject. I have been using 4% alcohol injections for over 14 years and wish I would have started sooner. I mostly use them for neuromas and Baxter's nerve entrapment. I believe this treatment should be offered as another form of conservative treatment as most patients prefer to avoid surgery. I have heard patients tell me that they have gone to other podiatrists and were told that it doesn't work or that the podiatrist didn't believe in the treatment. I'm not sure how you can believe in something you don't utilize!
We are doing a disservice to our patients by not offering all forms of conservative treatments. I don't need studies to tell me this procedure works when I can see the results and I get referrals. If you don't use this treatment for whatever reason, send your patient to someone who does. I'd be more than happy to treat your patients. In the worst case scenario, it may not work (unlikely as it has an 80+ % success rate), and then surgery may be indicated.
Paul A. Galluzzo, DPM, Rockford, IL
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| RESPONSES/COMMENTS (CLINICAL) - PART 2B | |
From: Brian Kiel, DPM, Vince Marino, DPM
I have been perfoming these injections for years and would never give them up.. My success rate is at least comparable to surgical excision with fewer and less complicated complications. I have used the solution for other neuritic conditions such as painful keloids, nerve entrapments and injuries with a good success rate. Sure it's anecdotal, but it's not a placebo.
Brian Kiel, DPM, Memphis, TN
I agree whole-heartedly with Dr. Dockery’s observations about the article presented. I continue to use injections of 4% alcohol for nerve sclerosing purposes and NEVER have found my patients to have relief after a single injection. I have found that usually it takes three injection treatments for patients to begin to see any significant results. I also use the solution mixed with anesthetic with epinephrine to allow the solution to “sit” for a longer period of time around the nerve. I think the article as presented is not relevant to the clinical settings in which we utilize this modality. Therefore, its results cannot be relevant.
Vince Marino, DPM, San Francisco, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3A | |
From: Paul Kesselman, DPM
I read the paper referenced by my two esteemed colleagues as well as their comments. This is in fact an excellent start for evidence-based medicine (EBM) papers which podiatry desperately needs. When my colleagues meet with insurance executives, the paucity of these types of papers are often the most obvious hurdles we have to overcome to convince medical directors that orthotics are worth paying for (or continue to pay for) .
Say what we want how custom foot orthotics save money by avoiding costly surgery and post-operative complications; they want to see peer review studies proving...
Editor's note: Dr. Kessleman's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 3B | |
From: Robert D. Phillips, DPM
I note the never-ending debate on the value of pre-fabricated orthotics vs. custom-made orthotics, with everyone holding dear to their position by citing their favorite research article. This is indeed a most superficial debate and shows failure of those who engage in it to dig down into basic biomechanics and basic mechanical science. If anyone who really studies these basic sciences uses a term such as “moment of inertia” or “stress-strain curve”, or even “direction cosines”, we find a vast majority of clinicians who shut the mental blinders, believing that they don’t need to understand math or physics – after all they are “real surgeons.”
While I could make a whole lecture on the subject of why pre-fab orthotics work or don’t work, I would like to make just a few points in this correspondence. ...
Editor's note: Dr. Phillips' extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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How to recycle a Slinky? |
Source: Neta Soreq via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $195
(Only $13 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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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 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 – 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 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
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 |
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
PRACTICE FOR SALE - HOLLYWOOD, FLORIDA
Prominent 25 yr. hospital-based practice for sale. Extremely busy, contracted with most health plans. Mix of surgical and nonsurgical patients. Well diversified, includes staffing contracts with 12 outside multispecialty centers. Next to hospital, affiliated with 3-year surgical residency program. Only podiatry group in building. For more information email mattm@thompsonhall.com
PRACTICE FOR SALE – CENTRAL FLORIDA
Practice available in a small town in Central Florida. Podiatrist retiring. Was full 4 day practice but now 2 days due to illness. Easily expanded. Same location over 30 years. Surgical and hospital privileges available but not required. Assume overhead and rent. Send inquiries to DDave9388@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
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