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PM News

The Voice of Podiatrists

Serving Over 18,529 Subscribers Daily


September 06, 2019 #6,500 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- 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 Alison Garten, DPM of Charlotte, NC, winner of last week's prize a $100 Macys Gift Card. 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 February 2020 issue of Podiatry ManagementIt also makes you eligible to win thousands of dollars worth 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.
 
La Crosse WiFi Projection Alarm Clock
 
This week's prize is a La Crosse WiFi Projection Alarm Clock. 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.
richieoct118

NEW CME ARTICLE POSTED ON OUR WEBSITE
September 2019 CME

You can earn up to 50 Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $229 (less than $16 per CECH)
 
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PODIATRISTS IN THE NEWS
Walking Speed - A Marker of Health - TX Podiatrist
 
Vital signs are medical observations that serve as basic indicators of health. There are four well known vital signs that are routinely checked: body temperature, pulse or heart rate, respiratory or breathing rate, and blood pressure. Pain is often considered a fifth vital sign. San Antonio podiatrist, Ed Davis, DPM, advises patients to consider walking speed an important marker of health that some term the “sixth vital sign.” Walking speed reflects a number of health issues from joint condition, balance issues, cardiovascular issues not to mention cognitive function. Reduced walking speed is a good predictor of future falls, hospitalization, and functional decline associated with aging.
 
Dr. Ed Davis
 
Dr. Davis states that if walking speed is an indicator of future health, then the act of maintaining a good walking program that includes walking at a brisk pace may be one of the best things one can do for health maintenance. Assessment of foot function and alignment by a podiatrist trained in biomechanics can keep people walking in comfort and prevent future problems.
 
Source: reportedtimes.com [9/4/19]
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PODIATRISTS IN THE COMMUNITY
WA Podiatrist Joins Cascade Medical
 
Cascade Medical has expanded its team with a mobile podiatrist, Kevin Morris, DPM from Foot and Ankle Clinic of Wenatchee. Dr. Morris, the nomad-esque practitioner, travels to rural areas like Chelan and Quincy to provide foot and ankle services, but soon will be stationed every other week at Cascade Medical’s Family Practice Clinic.
 
Dr. Kevin Morris
 
Dr. Morris graduated from the California College of Podiatric Medicine in San Francisco. He is Board Certified by the American Board of Foot and Ankle Surgery and is past president of the Washington State Podiatric Medical Association.
 
Source: Kalie Drago, KPQ Newsradio 560 [9/3/19]
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PODIATRIC PRODUCTS AND SERVICES IN THE NEWS
MedShape Announces Commercial Launch of DynaNail Mini™ for Subtalar Fusion
 
MedShape, Inc., an industry leader in orthopedic devices using advanced functional materials, has announced the launch of the DynaNail Mini™ Fusion System. Featuring MedShape's patented super-elastic nickel titanium (NiTiNOL) technology, the DynaNail Mini is the first orthopaedic device designed specifically for subtalar fusion that offers maintained active compression post-surgery to promote healing and joint stability.
 
Dr. Naohiro Shibuya
 
Naohiro Shibuya, DPM (Texas A&M College of Medicine) was an early adopter of the new technology and shared similar sentiments: "There is finally an option to achieve dynamic compression in the foot other than staples. The DynaNail Mini nail allows long-term stability of the arthrodesis site without losing compression after bone resorption."  
 
Source: Cision [9/3/19]

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PRACTICE MANAGEMENT TIP OF THE DAY
Improve Your Patient Communications - Part 2
 
Here are some strategies to help you re-focus and enhance your patient interactions:
 
2. Be present - In our hectic environment, we are very task-oriented. We walk around with our to-do lists flooding our brains. It’s no wonder that patients sometimes perceive us as talking at them instead of with them. When we practice being present, we encourage our patients to really engage with us in that moment. Consequently, the overall quality of the interaction is better, and we often hear things in a different way than when we are multitasking.
 
To practice being present, take a deep breath, quiet your racing mind and bring your attention to the moment. Turn your body so you are fully facing the patient, open your palms and lean forward, smile, and maintain eye contact. Make the human being in front of you the only priority in that moment. Do not think about what you are going to do the rest of the day.
 
Source: Rohit Uppal, Physicians Practice [8/29/19]
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RESPONSES/COMMENTS (NEWS STORIES)
From: Don Peacock DPM, MS
 
Dr. Jacobs, we do have peer reviewed literature to support the effectiveness of MIS HAV correction. Recently, a level 2 prospective comparative study was published titled "Hallux Valgus Correction Comparing Percutaneous Chevron Akin (PECA) and Open Scarf/Akin Osteotomies" (Lee, et al.  2017. Foot and Ankle International). Basically, the study showed lower VAS scores in the early post-op period for the MIS group. However, after 6 weeks, the VAS scores were identical. All other measures such as AOFAS HMI, IM angle, HV angle, etc. were statistically insignificant at mid-term results. 
 
Deep infection was not seen in either group. Basically, a well performed MIS HAV procedure is just as good as a well performed open correction from a comparative statistical point. Advantages of MIS HAV are less scarring with shorter operative times. The overall results for MIS vs. traditional are identical in midterm results in the literature so far. 
 
A quick Google search will yield three level 2 MIS HAV reports and four or more level 3. The research has been published and will continue to unfold. I was board certified in open foot surgery before I ever did a MIS foot surgery. My experience has been satisfactory with most MIS procedures. There are some I have abandoned, just like there are some open procedures I have abandoned. Knowing both open and percutaneous techniques and performing them well is the most ideal armamentarium to possess.
 
Don Peacock DPM, MS, Whiteville, NC
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RESPONSES/COMMENTS (PM ARTICLES)
From: Allen Jacobs, DPM
 
A few thoughts on the article by Dr. Johnson on venous ulceration:
 
1. A considerable number of presumably “venous ulcerations" are in fact arterial-venous ulcers. The recognition of unrecognized arterial disease may explain some venous ulcers recalcitrant to seemingly appropriate care. Additionally, the co-existence of arterial disease may predispose the patient to ischemic injury from compression therapies typically utilized for the management of venous insufficiency related ulceration.
 
2. Additionally, venous ulceration may be associated with malignancy, most commonly SCC, and conversely, cutaneous malignancy may present with features typical of venous ulceration. Recalcitrance to care for a maximum of 12 weeks, excessive granulation tissue, atypical presentation or location, or rolled borders should concern the clinician and biopsy considered. There is no data to suggest that biopsy impairs venous ulceration healing.
 
3. Proximal obstruction, or venous flow impairment, such as May-Thurber syndrome, is indeed a consideration in all patients. Those who undertake to treat venous ulceration are obligated to perform a complete history and examination relevant to venous, lymphatic, and arterial disease.
 
4. Remember, simply removing a wound care product from its packaging following a "debridement" does not a wound care specialist make.
 
Allen Jacobs, DPM, St. Louis, MO
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YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Novel way to carry extra cash?

Source: Jeff Shen, Virtual Shoe Museum

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MEETING NOTICES

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CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - LOS ANGELES/ INLAND EMPIRE 
 
Looking for energetic, compassionate and ethical foot and ankle (FT/PT) physician to provide care to patients around the Southern California area.  Physician must have his/her own transportation and willing to travel to our 2 offices and additional locations. Socalpodiatrypc@gmail.com
 
ASSOCIATE POSITION – CLINTON, MARYLAND 
 
Established practice looking for a full-time podiatrist for our Clinton, MD location. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol-based office. Great location near Washington D.C. and Virginia!  Please send C/V to marylandpodiatry@gmail.com  
 
ASSOCIATE POSITION – TAMPA 
 
Great opportunity in South Tampa for sports medicine, reconstruction. One office, busy clinic, seeing all ages, athletes, and an affluent community. Orthotics, shockwave, stem cell, PRP, minimal RFC and wound care, outpatient surgery. Opportunity in wound centers if interested. Bq/bc surgical podiatrist. Email resume and case logs to drbootztampa@gmail.com
 
ASSOCIATE POSITION – ALABAMA 
 
Love the beach? Busy, established practice located in a coastal community is looking for a full-time or part-time podiatrist!  ABFAS board qualification or certification is required.  Must be motivated, hardworking, positive, and dedicated to growing the practice and individual career and reputation.  Must have great people skills, caring bedside manner, and positive demeanor.  Must work well with staff and local medical community.  Competitive pay and partnership track available.  Send CV and contact information to: manager@southbaldwinpodiatry.com
 
ASSOCIATE POSITION - AUGUSTA, GA
 
Established group practice seeking PSR 36, Associate lead to Partnership/Ownership. Includes EMR, PADNet, DME, Hospital privileges. All phases of podiatry with wide open opportunities in rearfoot and ankle. Senior doctor retiring at end of year with full patient load to work into. Reply: kkronowski1@comcast.net
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Multi-specialty wound care and reconstructive surgery group hiring podiatrists to our growing family. Our practice treats wounds within inpatient and outpatient settings. Opportunity for general podiatry cases in brand new surgery center. Benefits include health insurance, 401k plan, and paid vacation time. $140k salary plus bonus . E-mail woundcaredocs@gmail.com with CV
 
ASSOCIATE POSITION - S. E. PENNSYLVANIA
 
Seeking full time associate for growing, multifaceted practice in SE Pennsylvania.  Must be ABPS Qualified/Certified, motivated, personable, compassionate and dedicated. Competitive salary + bonus.  Forward CVs to podmedsurg@gmail.com.
 
ASSOCIATE POSITION - SOUTHWEST FL 
 
Immediate Position. Associate for busy practice. ABFAS or ABPM BC or BQ. Great interpersonal skills and willingness to work as a team a must.   EMR, dig x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. DrLam@NaplesPodiatrist.com
 
ASSOCIATE POSITION – DAYTON, OHIO 
 
Established practice seeks full-time ABFAS or ABPM cert or qual. Podiatrist for our growing practice. Ideal candidate possesses strong clinical and surgical skills. Must be willing to merge into an already established protocol-based office. State-of-the-art facilities and equipment. Hospital privileges, No nursing homes, base $120,000 and generous bonuses. Benefits include medical insurance, disability insurance, paid vacation and holidays, paid CME and malpractice. Please send C/V to DPMOhio@gmail.com
 
ASSOCIATE/WORK TO OWN POSITION - NEW JERSEY
 
Doctor needed for busy growing practice in south Jersey. Multiple locations with interdisciplinary work. Facets include private practice, government contracts, DME, and both surgical and conservative care. ABPS qualification or certification necessary. Competitive package starting at $125k and a great opportunity to join a growing successful team. Partnership/ownership available.  Must have or obtain an active NJ license.  Please send cv to hhfootdoc@gmail.com
 
ASSOCIATE POSITION - NORTH CAROLINA 
 
Established group practice seeking full time associate. Both strong clinical and surgical skills required. Training with diabetes and limb salvage a plus.  Hospital and surgicenter privileges. No nursing homes!  Compensation with base and bonus structure.  Benefits include medical insurance, paid vacation and holidays, paid CME, malpractice.  Deadline for North Carolina license application is September 9th.  please send cv to ncfootandankledoc@gmail.com
 
POSITION AVAILABLE - ST. LOUIS, MISSOURI
 
Busy private practice seeking full time associate who is personable, ethical, team oriented and motivated. ABFAS Qualified/Certified in rearfoot and ankle surgery.  Please send CV and cover letter to: paifootandankle@gmail.com
 
MOBILE PODIATRIST NEEDED - SOUTH NEW JERSEY  
 
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time /Part time podiatrist  to do home visits to home-bound patients in  Southern NJ (Ocean and Monmouth County).  Full-time position salary 100K plus bonuses.  Email resumeLana.Raginsky@homefootcareservices.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - MARYLAND
 
Established 22+ year. Grossing over 450K 3 days a week all palliative. Digital x-rays, diagnostic ultrasound, EMR. Turn-key set up, ideal for a new practitioner, can easily increase revenue with surgery and wound care. Priced for immediate sale, owner is retiring and will help with transition. Send inquiries to beachhouse179@gmail.com
 
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS (JUST SOUTH OF CHAMPAIGN) 
 
Highly motivated to sell practice. Great demand for a residency trained podiatrist to take over busy practice located in Charleston/Mattoon. Buy on contract for $2,000 a month with an upfront deposit and secure mortgage on building after 24 mos. Purchase practice for $130K includes building all equipment, computers, EHR, billing software and receivables. Staff will stay. Revenues are $350K gross/yr. Established in 1992. Contact 217-549-1887 or drjoe@myfeethurt.net
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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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Barry H. Block, DPM, JD
 
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