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PM News

The Voice of Podiatrists

Serving Over 17,487 Subscribers Daily


September 05, 2016 #5,745 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block

anodyne

Happy Labor Day

fabi95a


Gordon5 Labs


ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Dr. Jim Shipley of Mt. Airy, NC winner of last week's prize, a Macy's gift card (Value $100). 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 2017 issue of Podiatry ManagementIt 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.
This week's prize
    
This week's prize is Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners. To begin survey, click here.
 
This is also your opportunity to vote for the next DPM and non-DPM inductees into the PM Podiatry Hall of Fame.

DrRem37


PODIATRISTS IN THE COMMUNITY - PART 1
KS Podiatrist to be Inducted into HS Hall of Fame
 
Dr. Kirsten Paulsrud, podiatrist, is being inducted into the inaugural class of Oelwein High School’s Academic Hall of Fame. Paulsrud met the criteria of having graduated more than 10 years ago, having been successful in her chosen career field as well as successful academically and contributing to her community in a positive way.
 
Dr. Kirsten Paulsrud
 
Paulsrud graduated from the Des Moines University College of Podiatric Medicine and Surgery, Des Moines, Iowa and completed her residency at  SSM-DePaul Health Center, Bridgeton, MO.
 
Source: Tina Carpenter, The Hutchinson News [9/3/16]  

Blaine95A


PODIATRISTS IN THE COMMUNITY - PART 2
CO Podiatrist Joins Eagle-Summit Foot & Ankle
 
(L-R) Drs. Andrew Bernhard and Brian Maurer
 
Eagle-Summit Foot & Ankle and Dr. Brian Maurer have announced that Andrew Bernhard, DPM has joined the practice. Dr. Bernhard graduated from the Kent State University College of Podiatric Medicine and recently  was chief podiatric resident at Kingwood Medical Center in Houston, TX. His podiatric interests include trauma, reconstructive surgery, and sports medicine, along with providing day-to-day podiatric care.   

drjill


PODIATRISTS AND THE LAW - PART 1
PA Podiatrist Pleads Guilty to Illegally Prescribing Pain Meds
 
A Mercer County podiatrist targeted by federal agents for illegally prescribing narcotics for no medical reason, has admitted his guilt in front of federal judges. Dr. Anthony Rossi, 66, a retired podiatrist in Hermitage, today waived indictment by grand jury and pleaded to distributing the pain medication Tramadol and to ripping off Medicaid with false bills for injections that he never administered.
 
Source: Torsten Ove, Pittsburgh Post-Gazette [9/1/16]

clearanail95


PODIATRISTS AND THE LAW - PART 2
FL Podiatrist Charged in Money Laundering Scheme
 
A  massive $175 million fraud involving specialty prescription creams used to treat pain and other ailments was headquartered in South Florida, according to criminal charges filed Thursday by federal prosecutors. The suspects include about a dozen residents of Palm Beach and Broward counties, as well as at least three doctors, including Dr. Peter Williams, 56, a podiatrist from New Port Richey and other medical workers from around the U.S.
 
Source: Paula McMahon, Sun Sentinel [9/1/16]
AMERXL5

RELEVANT RESEARCH
Similar Risk for Injury Found with Traditional vs Minimalist Running Shoes
 
Compared with soldiers in the U.S. Army who wore stability, cushioning, or motional-control shoes, soldiers who wore minimalist running shoes were younger and had higher physical performance scores. However, investigators found no significant differences between the groups regarding risk for injury after controlling for other variables.
 
Researchers evaluated 1,332 male soldiers in the U.S. Army brigade. Investigators collected data on participants’ personal characteristics and collected their Army Physical Fitness Test scores.  No difference was seen between soldiers who wore MRS and those who wore stability, cushioning, or motion-control shoes with regard to injury risk after investigators controlled for other factors.
 
Source: Grier T, et al. Am J Sports Med. 2016 via  Monica Jaramillo, Healio [8/30/16]

sigma


PRACTICE MANAGEMENT TIP OF THE DAY
Five Ways to Decrease Patient Wait Times - Part 4
 
Practices should consider the following five tips to help improve patient wait times by operating more efficiently and increasing physician capacity:
 
4. Work ahead
 
Complete the benefits-eligibility verification process and any authorizations before each appointment. The goal is for patients to arrive at the practice, check in, and quickly confirm their insurance information. Long lines at the front desk greatly annoy patients, especially if they also waited months for the appointment.
 
Cutting down on "overbookings" also has a positive effect on the front office. These same-day slots should be reserved for emergency cases. Otherwise, staff must hurriedly verify eligibility for these new patients, instead of serving the patients already in the practice.
 
Source: Johanna Epstein, Physicians Practice [8/28/16]
earthwalk

QUERIES (CLINICAL)
Query: Unrelenting Metatarsalgia
 
I have been treating a 59 y/o female for severe metatarsalgia for several months. She has had extensive care by a multitude of doctors including neuroma excision (by several methods), neurology and pain clinic consults including a failed attempt with a spinal cord stimulator. After I performed a skin biopsy for an epidermal nerve fiber density analysis, the patient returned stating she had pain relief for several days. She now returns for injections of Marcaine/lidocaine one cc, 10 cm proximal to the lateral malleolus in a subcutaneous wheal. This gives her about 5 days of pain relief. She is thrilled to have even a brief reprieve from her pain, but I cannot explain to her why this is working. Any thoughts or similar experiences?

Michigan95


QUERIES (NON-CLINICAL)
Query: Collection Protocol for Orthotics
 
Our office is seeing more denials for custom orthotics (L3000), even after our office had verified their coverage over the phone. Our office has a financial policy that patients read and sign stating it is the patient's responsibility if insurance companies do not reimburse for charges, but the actual collections of these charges from the patient may be a challenge. I’m curious as to whether my colleagues have effective collections methods for these circumstances (e.g. partial initial deposit, full payment initially with reimbursement to patients after insurance payment).
 
Charles Baik, DPM, Tustin, CA

padnet


RESPONSES/COMMENTS (NEWS STORIES) - PART 1
From: Anoosh Moadab, DPM
 
I would like to thank PM News for including this relevant research synopsis. Whether it is good timing or bad timing for me, I don't know. On a Saturday two weeks ago, my father fell off a ladder, as it slipped out from under him while reaching up into the attic. He landed on his left heel, hit his back and his head on the tile floor. He was taken to the hospital and diagnosed with a  comminuted intra-articular calcaneal fracture, the kind of fracture we have all seen many times.
 
His podiatrist, whom I respect greatly, recommended conservative treatment. My father came home with a cast. He was doing well, and only a week after the injury, his swelling had gone down and his cast had become loose. Then on Saturday, 2 weeks after his injury, I received a call from my mother that my father was disoriented and dizzy. I was over in 5 minutes. He was sitting up and talking to me. He said that his head was spinning. He leaned back and turned pale. He had no pulse and was not breathing. I started CPR, my mother called 911, paramedics and the fire department came right away. Everyone had done their best. 
 
At age 74, a healthy relatively active man with no heart problems, my father had passed away unexpectedly. I miss my father greatly. Cause of death: bilateral pulmonary embolism from a DVT. I encourage all our colleagues to pay attention to this study. At one week post-injury, 12% had a distal DVT and this was higher in older patients. With this new information, maybe we should screen for DVT one week post major foot and ankle injuries, especially in older patients? 
 
Anoosh Moadab, DPM, Fresno, CA 

neurogen718


RESPONSES/COMMENTS (NEWS STORIES) - PART 2
RE: Five Ways to Decrease Patient Wait Times
From: Joel Lang, DPM
 
One of the more obvious ways to prevent wait times is to “start on time”. I have seen so many doctors who start their schedule late, which puts them behind for the entire day. If your first patient is scheduled at 9 AM, then be sure you are ready to treat that patient at 9 AM. Simple!
 
Joel Lang, DPM (retired), Cheverly, MD

PICA Group


RESPONSES/COMMENTS (NEWS STORIES) - PART 3
From: Dennis Shavelson, DPM
 
The currently acceptable term “overpronation” isn’t well defined or understood. It does not accurately represent the biomechanics of primary pedal closed chain postural problems for most patients. I agree with Kevin’s suggestion that “lower arch height” is better terminology than overpronation, I think we can explain foot function to all using a 3 dimensional structure like the vault of the foot of Kapandji rather than the use of a 2 dimensional image of an arch structure especially when there are three arches in the 3-D foot. Expanded technology, graphics and videos, 3-D cat scans, 3-D graphic analysis, and 3-D scanning and printing are making the arch concept of the foot rudimentary.
 
The vault of the foot
 
It is a disservice to use pronation (an inward rolling of the foot), pronated, overpronation, or being a pronator to any group, especially the lay public, misleading them to assume that pronation is bad. Instead, the term undervaulted relates to a problem foot in the same way that a lower arch relates to an observation that something bad is happening to a foot. An undervaulted foot needs to be raised as part of care. Every day, I say to patients who were told they pronated that when it comes to the rearfoot part of the vault of the foot, they cannot “overpronate".
 
Dennis Shavelson, DPM, NY, NY

onlinepod822


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

What happens when you put your mouth in your foot?

Source: Fantich & Young via Virtual Shoe Museum

MEETING NOTICES

resed815

podinst


podplus


schuster


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CLASSIFIED ADS - PART 2 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - CT (NORTH HAVEN AND FAIRFIELD) 
 
Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
 
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA 
 
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries.  Modern offices and equipment. A great opportunity for driven personable individual.  Please e-mail  Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
 
ASSOCIATE POSITION – SAN FRANCISCO, CA 
 
Ready for a change? We have an immediate, full-time opening in our fast-paced, technologically driven, Sports Medicine Practice. If you’re looking for a collaborative team environment, free of politics, with an emphasis on work-life balance then we want to hear from you. Partnership track considered. No travel. No wound care. No Medicare. Candidate must have strong biomechanical and surgical background. Generous salary and benefits. Applications accepted online at www.fdfac.com/z/about-careers.html.
 
ASSOCIATE POSITION - BRITISH COLUMBIA, CANADA
 
Experience associate for multi office practice  Located in beautiful Victoria, British Columbia, Canada  If interested and debt free, NO Obama Care here. Reply to Dr.cole@shaw.ca
 
ASSOCIATE POSITION – NORTH CAROLINA  
 
New associate position available that can lead to partnership. We are a very busy practice providing care in both office and hospital settings. EHR, arterial vascular testing, and ESWT in the office. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of Western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard-working, and committed to quality and patient care. We are offering a competitive compensation package and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com
 
2017 GRADUATE ASSOCIATE POSITION - LONG ISLAND
 
Expanding Long Island based, well rounded group practice seeks 2017 third and fourth year graduating residents or fellows to join our state-of-the-art practices. Our practices are affiliated with multiple hospital systems, surgical and wound care centers and a residency program. Requirements: Caring, ethical, board qualified/certified candidates with surgical training and leadership qualities who are willing to live/relocate to the Long Island, NY metro area. Email CV to: Drbrook@countryfootcare.com
 
ASSOCIATE POSITION – NEW YORK
 
Seeking motivated PMS-36 trained podiatric surgeon for full-time associateship in group with offices in Manhattan, Queens, LI, and and the Bronx.  Offering competitive salary with room for growth. Surgical-based practice - special emphasis on trauma, reconstruction, rearfoot and ankle surgery.  Please email resume to: nypodrecruit@gmail.com 
 
ASSOCIATE POSITION - NEW JERSEY 
 
Doctor needed in south Jersey for expanding practice. Multidisciplinary setting. Six figures. No weekends. Must be both conservative and surgically capable. ABFAS certified/qualified. jennberlin1@gmail.com
 
POSITIONS AVAILABLE- FULL TIME/ PART TIME IN MISSOURI, COLORADO, AND OKLAHOMA 
 
Opportunities are available to serve residents of long-term care facilities in Missouri, Colorado, and Oklahoma. High earning potential with superior benefits with Preferred Podiatry Group, P.C. for the right candidates. Contact ckestner@ppgpc.com for additional information.
 
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@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
WANTED – TUTOR FOR APMLE/NBPME PODIATRY BOARDS PART 1, 2 & 3
 
Seeking a podiatry student or resident who has past tutoring experience for all 3 parts of the APMLE/NBPME podiatry boards. Tutor wanted ASAP to help prepare me for APMLE part 1 (OCT 5, 2017). Location is not an issue as you can tutor via Skype. Osteobones101@gmail.com.
 
PODIATRY EQUIPMENT FOR SALE 
 
2-Midmark 647 Powder podiatry chair $4,250, 2-PDM chair $1000, 5-Midmark 417 $3000, 1-ultrasound $6000, 1-Mini C-arm $15,000, 2-X-cell x-ray $4000 OBO, 1-All Pro imaging scanner, 4- Exam room cabinets, 1-Ritter M9 Ultra autoclave $2500, 1-Sani Grinder $400, 4-Portable office desks, 8-Waiting room chairs, 1-Waiting room table, 5-Patient room chairs, 5-Ritter chairs, 1-Centrafuse Life Line Medical Life Spin 6T, 1-Sonoace Pico ultrasound with Sony printer (1yr old) $13,000 OBO. Contact docbernz@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@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.

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.
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