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The Voice of Podiatrists
September 08, 2006 #2,684 Editor-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2006- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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EDITOR'S NOTE |
We’ve just posted the September CME titled “Evaluation and Management of Leg-length Discrepancy" by Mark Caselli, DPM.
You can Earn 15 CPME-Approved CME credits Online for only $129 http://www.podiatrym.com/cme.cfm Choose any or all of over 20 CME articles posted You Can Now Take Tests and Print Your CME Certificates Online
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New Custom Diabetic Inserts For Only $22 A Pair
Orthofeet is glad to announce its new custom diabetic inserts, which received SADMARC Code verification A5513. These custom inserts are fabricated by the most advanced computerized system, with arch filler and forefoot accommodations, for superior support and protection.
- Now you can offer your patients state of the art prefab and custom inserts along with the best fitting diabetic shoes, and save: Stretchable Shoes - $42.00 a pair; Leather Shoes - $48.00 to $52.00 a pair; Prefab Inserts - $8.95 a pair; Custom Inserts - $22.00 a pair;
100% Medicare Compliant http://www.orthofeet.com/ ----------------- 800-524-2845
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PROFESSIONAL MISCONDUCT |
OH Podiatrist Charged With Practicng "Medicine and Surgery" During Fellowship
The Ohio Medical Board is leveling serious charges against three Central Ohio doctors.Two are accused of not meeting minimal care standards. Another is accused of practicing outside the bounds of what he can legally do. Doctors Brian Griffin, Kyle Hoogendoorn and William Leak have a common bond.
Grove City podiatrist Kyle Hoogendoorn is accused of practicing "medicine or surgery without a certificate." The state says his practice is limited to foot ailments. But the Medical Board citation charges Dr. Hoogendoorn administered injections related to other areas of the body besides those that control the foot. Further, it claims Hoogendoorn "prescribed" "medications" for 10 patients -- for "non-podiatric conditions."
Dr. Hoogendoorn's attorney shared certificates with 10TV, saying of the doctor: "He was in a fellowship... able to practice beyond the scope of a podiatrist... From Dr. Hoogendoorn's standpoint, he did everything above board."
Doctors Griffin and Leak, who are pain management physicians, were also said to have been involved in that fellowship. The Ohio Medical Board thinks they "aided and abetted Dr. Hoogendoorn in the unlawful practice of medicine and surgery."
Source: Eve Mueller, WBNS-10 TV (Ohio)
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FREE YOUR SOLE
NALFON(tm) 200 (fenoprofen calcium 200mg capsules). Pedinol Pharmacal Inc. introduces Nalfon(tm) 200: * Rapid pain relief * Non-selective NSAID with over 25 years of clinical experience in the U.S. * Possesses both analgesic and anti-inflammatory properties * Generally well tolerated * Rx only Nalfon(tm) 200 is available in 200mg capsules. For full prescribing information on Nalfon(tm) 200 go to http://www.nalfon200.comNalfon(tm) 200. Foot pain doesn't wait. Why should relief?
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APMA COMPONENT NEWS |
APMWA Announces 21st Annual Student Writing Competition
The American Podiatric Medical Writers Association has announced its 21st Annual Student Writing Competition.
1. All papers MUST be non-technical in nature. Appropriate subjects include ethics, practice management, or any topic that would be suitable for a lay publication. 2. There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact. 3. First prize will be five hundred dollars ($500) and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded. 4. This competition is open to ANY enrolled podiatric student. 5. To enter, paper must be received by 4/1/07 via e-mail at bblock@prodigy.net 6. Entries become the property of APMWA, which may arrange publication of the entry.
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PM SURVEY WEEKLY CONTEST
Congratulations to Chuck Langman, DPM, of King of Prussia, PA winner of last week’s survey contest, who will receive PictZar Software (Value $795.00). Pictzar is easy to use, state-of-the-art software that is being utilized by wound care specialists nationally to accurately measure wounds on digital photographs and monitor progress. PictZar provides ideal documentation for Medicare and insurance reimbursement. Visit www.PictZar.com for further information.
This week’s prize is a Silver Subscription to Codingline.com (Value $89) Codingline Silver is a listserv forum that allows, via email or through the Codingline site, registrants to participate in discussions on specific topics related to foot & ankle coding, reimbursement and practice management issues. Subscribers can submit questions they wish others to discuss, or offer comments to questions posed by others. Discussion participants may include Codingline Silver, Gold, and/or expert panelists. www.codingline.com
To enter, simply complete our practice survey at www.podiatrym.com and send your name, address, and question #45 from the survey to bblock@podiatrym.com. All entries are eligible for our grand prize of a one-week Windjammer Caribbean Cruise. Don’t forget to vote for next year’s inductee into the PM Podiatry Hall of Fame. This year, we’ve opened a new category for non-podiatrists.
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PHARMACEUTICAL NEWS |
DEA to Allow Three-Month Prescriptions of Certain Painkillers
The Drug Enforcement Administration on Wednesday released a proposal that would explicitly permit physicians to prescribe 90-day supplies of painkillers that are Schedule II controlled substances, the AP/Detroit Free Press reports. Current law does not state whether doctors are allowed to issue prescriptions for more than a one-month supply of the drugs, but physicians "have complained that strict regulation" from DEA has "forced them to limit prescriptions to a 30-day supply and leave patients untreated."
DEA on Wednesday proposed a formal rule that would allow doctors to write multiple prescriptions of morphine-based painkillers in a single office visit. Doctors would be allowed to write three 30-day prescriptions at a time to be filled in each month (Kaufman, Washington Post, 9/7).
Source: American Healthline [9/7/06]
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MEETINGS / COURSES
SAVE THE DATE!! 19th Edition Foot and Ankle Institute Seminar and Third Annual TUSPM Alumni Reunion
September 15 - 17, 2006 The Clarion Hotel and Convention Center Cherry Hill, New Jersey
A great opportunity for all doctors to satisfy their CME requirements! For updates, send your e-mail address to: andreaha@temple.edu or watch your mailbox!
Seminar Information: Angel Haldeman, (215) 625-5361 Reunion Information: Sarah Lyons, (215) 625-5248
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For a list of all meetings go to: www.podiatrym.com/meetings.pdf
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QUERIES |
Query: Recurring Blisters Sub Met Heads
I have a 26 yo female patient with primary complaint of severe, recurring blisters sub met heads and toes. She has tried "2nd skin liquid", numerous orthotics, various top covers, different athletic shoes, wearing different combinations of socks, etc, all without relief. Also has some intermittent arch pain, leg, and knee pain. Her pain level does not change with use of any of the orthotics. Physically, she is moderately obese, moderate genu valgum, extremely flexible rearfoot and forefoot, with significant equinus, and numerous calluses and blisters sub met heads and toes bilaterally.
While standing, she has a mild rearfoot valgus, with a grossly hypermobile subtalar/midtarsal joint bilaterally. I believe the rearfoot instability causes more rearfoot valgus during gait, which is exacerbated by the equinus. She has all precursors of posterior tibial dysfunction with the equinus appearing to be the primary etiology of the blisters. My only suggestion now is a subtalar arthroreisis to reduce the excessive valgus motion and gastroc recession. I have reservations about performing surgery on someone when all clinical pictures and x-rays don't capture the deformity as it occurs during gait. Any thoughts are welcome.
Steven Block, DPM, Owensboro, KY, sblock@excite.com
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE: -
o ABN Unlisted Procedure, & Patient Billing o Heel X-Rays - CPT 73650 o New CMS 1500 Form o CMS Head Resigns o Skin Substitute Coding -
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RESPONSES / COMMENTS |
RE: Best Mixture For Spider Veins? (Barry Kaye, DPM) From: Thomas A. Graziano, DPM
You might want to try polidocanol. It’s used commonly and cited often in the literature for use in sclerotherapy. I've used it for years without a problem. Sotradecol is too caustic for superficial spider veins and I wouldn't recommend it. Be careful if you are using it. Infiltration can cause ulceration and dark pigmentation skin changes. It’s ironic that Sotradecol is the only FDA-approved substance.The other solution I use routinely is Sclerodex (a pre-mixed combo of sugar and saline). It, like polidocanol, is safe and commercially available. Thomas A. Graziano, DPM, Clifton, NJ, TGrazi6236@aol.com
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CLASSIFED ADS |
PRACTICE FOR SALE – SOUTHERN INDIANA
Established, respected solo podiatry practice immediately available in scenic southern Indiana. Fully equipped attractive building conveniently located on an active corner with great staff, loyal patients and excellent referral base. Includes relationships with local assisted living and nursing homes. Practice and building available for $200,000. Serious inquiries preferred e-mail to: dhall@cmbuck.com
PRACTICE FOR SALE - BERKELEY CALIFORNIA
Well-established office in professional medical building; Biomechanics, Geriatrics and General Podiatry; Excellent growth potential for surgery; Payor base MC, PPO, and self-pay (NO HMOs); Reliable referrals from local physicians; Electronic billing in-house; Transition terms negotiable. Send letter of intent to: foot4sale@sbcglobal.net
ASSOCIATE POSITION - AUSTIN TX MOBILE PRACTICE
Full or part-time; Texas license. Fine working conditions with excellent support staff and pay. Mobile podiatry clinic and House calls. http://www.footmobile.com Fax CV 210.495.6484
ASSOCIATE POSITON - SOUTHEAST TENNESSEE/ NORTH GEORGIA
Immediate position available or will wait for the right individual. Unique practice opportunity in growing multi-physician/multi-office practice. Well established/cutting edge within the medical community. Close proximity to hospitals as well as opportunity to become involved with a free standing podiatric surgical center. Must be BQ/BC. Minimum PSR/24. Competitive salary, bonus structure and benefits. E-mail CV to afcjen@hotmail.com
ASSOCIATE POSITION – NEW ENGLAND
Opportunity in growing New England practice. Well established and respected practice with large office and surgicenter, latest technology, great staff, loyal patients and solid referral base. Close proximity to hospitals, full scope practice. Opportunity for partnership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and contact info to: footdoc@usa.net
DOCTOR’S OFFICE LARGE ROOM FOR RENT NY (FLATIRON) $2000
Medical office space available to share in a great building in the Flatiron District of NYC. Amenities include: 24-hour doorman and elevator access. Room is large, recently renovated, has a sink with working plumbing, central air (CAC), and audio with volume control. Space is also available at the reception bay. Rent- $2000/month if full-time; less if part-time. All utilities except phone included. Dr. Christopher Anselmi 212-475-8104 anselmic@hss.edu
HOUSE CALL PRACTICE FOR SALE – SOUTHERN CALIFORNIA
House Call practice for sale which includes approx. 400 patients and continued referrals. Perfect for solo practitioner. Extremely easy and profitable practice to run. Yearly gross of over $200K. Current DPM is retiring. Financials will also be provided. Please contact ccipinc@ccipinc.net
ASSOCIATE WANTED – SOUTH FLORIDA
Miami-Dade and SW Ft. Lauderdale, well established surgical practice needs part-time podiatrists to assist in surgical cases and patient volume. Email response to podfootdocs@aol.com
PRACTICE FOR SALE – SOUTH FLORIDA
Miami-Dade and SW Ft. Lauderdale, well established surgical practice for sale. This one has everything. Surgery, Orthopedics, Pediatrics, Trauma, ER, General Podiatry. Participates in all local and national managed care plans. $850,000 but will discount depending on amount up front. Mature, serious inquires with business experience preferred. Email response to podfootdocs@aol.com
ASSOCIATE POSITION - NEW ENGLAND
Terrific Opportunity Now Available in growing New England practice. Well established and respected practice with new, large office space, latest technology, very helpful staff, loyal patients and solid referral base. Close proximity to hospitals with modern surgical suites. Opportunity for shared ownership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and particulars to NEAFC3@aol.com
HOUSE CALL PRACTICE OPPORTUNITY- CHICAGO / NORTHWEST INDIANA
Chicago-Home Physicians specializes in house calls to the elderly homebound. Full and part-time positions available in Chicago/Northwest IN. Competitive Compensation, including malpractice. Contact Scott Schneider. Phone-773-292-4800. Fax-773-486-3548. E-mail sschneider@homephysicians.com www.homephysicians.com
WEEKLY SPECIAL - One week of ads (6x) for only $75
PM Classified Ads Reach over 8,500 DPM's and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most- effective way of reaching over 8,000 DPM's. Write bblock@podiatrym.com for details. Note: For commercial or display ads contact David Kagan at (800) 284-5451 dekagan@aol.com
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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.
| Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- 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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