|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 15,917 Podiatrists Daily
September 08, 2014 #5,158  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
|
|
| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES | |
LAST CHANCE TO ENTER
Congratulations to Dr. Jennifer D'Amico of San Diego, CA, winner of a dual-core 7" Android tablet. 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.
 |
|
This week's mystery prize |
This week's prize is a mystery prize valued at over $100.
This is also your last opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.
|
|
|
| INTERNATIONAL PODIATRISTS IN THE COMMUNITY | |
UK Podiatrist Completes 144,339 Charity Climb
One mountain is not enough for Simonstone podiatrist Adrian Clark to climb. He has tackled 214 in just 39 days! Intrepid Adrian has walked The Wainwrights which are the 214 hills and mountains described in Alfred Wainwright’s famous guide to the Lakeland fells. The 48-year-old covered 430 mountain miles and climbed 144,339 feet. He started the challenge in August last year and finished it at the beginning of June, devoting time off from work to complete it.
 |
|
Adrian Clark looks delighted after reaching the base of Great Gable |
And Adrian even continued the life- saving tradition of the charity he was raising money for, the RNLI, when he rescued a French tourist who was lost. Along with completing the challenge, Adrian raised the grand total of £1,600 for the Moelfre RNLI station in Anglesey.
Source: Hannah Ramsden, Burnley Express [9/6/14]
|
|
|
| ON THE INTERNATIONAL LECTURE CIRCUIT | |
AZ Podiatrist Delivers Plenary at SingHealth Congress
Dr. David G. Armstrong, Professor of Surgery and Director of the Southern Arizona Limb Salvage Alliance (SALSA) at the University of Arizona, became the first podiatric surgeon to be featured in the renowned SingHealth-Duke-National University of Singapore Medical Congress held this week in Singapore.
 |
|
Profs Haywood Smith (Duke), David G. Armstrong (University of Arizona), Brian Smith (Duke), Elizabeth Armstrong (Harvard-Macy Institute) were this year's featured international speakers at the SingHealth Congress. |
With more than 2500 delegates from across Asia, Europe, and the Americas, Armstrong delivered four lectures and workshops ranging from reconstructive surgical techniques in diabetic extremities to the merger of consumer electronics with medical devices.
|
|
| IN THE COURTS | |
Ex OH Podiatrist Wins 2 Lawsuits, Faces Many More
A former Hilliard podiatrist has won two jury verdicts against medical-malpractice claims in the past six weeks, but he still faces more than two dozen lawsuits in Franklin County Common Pleas Court. Leonard Janis, 67, voluntarily surrendered his medical license in February 2013 “in lieu of further investigation of a possible violation” of Ohio laws regarding minimum standards of care, according to State Medical Board records. So many malpractice lawsuits have been filed against Janis that nearly all of them — 22 of 25 active cases — were consolidated in October with Judge Charles A. Schneider.
The most recent case to reach a courtroom was a wrongful-death lawsuit involving a 39-year-old Muskingum County man who was found unresponsive in his room at Grant Medical Center on July 16, 2009, nearly eight hours after Janis operated on him to repair a ruptured Achilles tendon. After a nearly three-week trial in the courtroom of Judge Michael J. Holbrook, the jury returned a verdict on Thursday in favor of Janis, two nurses, and OhioHealth, the hospital’s owner, ruling that they were not liable for the death.
Ssource: John Futty, The Columbus Dispatch [9/6/14]
|
|
| QUERIES (CLINICAL) | |
Query: Dystrophic Incurvated Nail
A healthy 48 year old female presented who has suffered a progressive nail dystrophy with increasing arc of the radius of the nail. There is no associated pain. This is a cosmetic issue. She has been treated with various anti-fungal treatments without success or change in the nail architecture. Her goal is to have a flatter, more "normal" looking nail. The radiographs show no dorsal exostosis on the distal phalanx.
 |
|
Dystrophic incurvated nail |
The concern is that partial permanent matrixectomies will decrease the nail width, but will not change the radius of the nail and will weaken the overall attachment. Any thoughts or recommendations would be appreciated.
|
|
| QUERIES (NON-CLINICAL) | |
RE: Practice Valuation and Retention of Staff
I am planning on selling my practice in the next several months and would like some opinions and advice on determining the valuation. My practice is mostly general podiatry with only minor surgery. It is around 85% Medicare with the balance being self-pay. Our office is completely built out and modernized. Also, any thoughts about the retention of my staff?
Name Withheld
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Cosimo Ricciardi, DPM, David S. Wander, DPM
Fluff out the 4x4, discontinue the Kerlix and the Coban. The Kerlix will not give at all to swelling. I will specifically never use this in diabetic/partially sensate patients. Switch to Kling and either x-band (mesh-like outter dressing commonly seen in burn care) or honeycomb Ace wraps. I made this change about 5 years ago and hardly ever have this complaint.
Every doctor has his/her preference for post-op dressings, and you simply need to use what works for you. There certainly is nothing unusual about your choice of dressings and the solution may be very basic and simple. You may simply be wrapping the initial dressing too tight, or more likely are wrapping the Coban too tightly. We have all had patients with complaints of pain which were immediately relieved upon dressing removal. I've found that simply rolling the Coban on the post-op dressing with minimal compression greatly eliminates post-op discomfort. I now actually dictate, or have the resident dictate that the Coban was applied with minimal compression. Of course, there are many other possible causes of your patient's post-op discomfort, but you may be pleasantly surprised if you simply wrap the Coban a little more "gently." I've found that it's often the simple changes that result in significant benefits.
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: David S. Wander, DPM, Paul Busman DPM,RN
Coban is your culprit. It does expand with extremity swelling increasing the pain unnecessarily. It also creates heat. We switched to Mediwrap years ago. Problem solved. Try both on your finger. You won't believe the difference. Coflex is another product of value. But in my opinion, Mediwrap is the best.
Assuming you've been doing surgery for some time, your statement that in the past few months your patients have had dressing-related pain, the obvious question is, did you change your dressing materials in those past few months? Your dressing is pretty typical. Is that last compression layer simply too tight? When do they have the pain? Immediately post-op for the first couple of days, or sometime afterwards? Do they experience this pain for all procedures, or just certain ones?
If the pain is just in those first few days, make sure the patient understands the importance of ice and elevation. I used to tell my patients, and still believe it, that these two simple elements are as valuable, if not more so, than the meds. If you can control the inflammation, half the battle is won.
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Steven J. Kaniadakis, DPM
Dr. Stempler's response was brilliant. I recall a past post saying that standard radiographs were essentially unremarkable with reference to distal osseous findings. There are so many things which I would also consider, such as a distal phalangeal cartilage exostosis, which of course is not so obvious on x-ray. I would consider this like a "ski jump deformity", so I would examine the proximal aspects, which might be causing additional pressure, and thus reactive new cartilage, and osteo-cartilaginous and bone formations. Just a small slope at the distal-most aspect would increase my index of suspicion of a cartilage growth and the distal point of erythema as, perhaps, reactive to inflammation and irritation underlying this questionable problem.
|
|
| RESPONSES/COMMENTS (OBITUARIES) | |
From: Aaron Solomon, DPM
I am saddened to hear of the passing of my classmate, colleague and friend Dr. Maureen Halpin. Maureen and I were residents at neighboring hospitals in Norristown, PA. We were pretty much co-residents as we attended many of the same meetings and our attending physicians were on staff at both hospitals. We used to hang out when time allowed. It was always fun sharing our experiences from residency, or to just hang out with a friend and forget the craziness of residency for a little while. I have hit 40 and have lost a dear friend from college and now a dear friend from podiatry school. She was far too young and far too good a person. Miss you Maureen.
Aaron Solomon, DPM, Chattanooga, TN
|
MEETING NOTICES - PART 1
|
|
|
| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
 |
|
For the woman who likes to be put on a pedestal? |
Source: fringefashion.com
|
MEETING NOTICES - PART 2
|
|
|
| CLASSIFIED ADS |
FOOT & ANKLE FELLOWSHIP - ATLANTA, GEORGIA
Dr. Craig A Camasta/Extremity Healthcare, Inc. Accepting applications for 2015/16 academic year Fellowship in Pediatric and Adult Reconstructive Foot/Ankle Surgery. Senior residents should submit requests for application to dfell@vpcenters.com. Application deadline December 1, 2014. Fellowship accreditation applied for. This is an intense surgical experience from a regional referral base of complex foot/ankle/leg patients with a reconstructive emphasis. Research requirements to publish in peer-reviewed journals. Additional information available upon request.
FELLOWSHIP POSITION - NAPLES, FL
Reconstructive Ankle /Rearfoot, Ex Fix, arthroscopy fellowship. Must have 3 years residency + Board Qualified RRA by ABPS. 1 year spot. FL license. LOI and LOR from director required. $50,000 stipend. Start 1/2015 or 8/2015. mny1029@gmail.com
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
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 – AUSTIN TX
Immediate opening for a full time associate to start within the next month to join a successful, established, dynamic medical/surgical practice in Austin, TX. Must have a current TX license and TX Medicare number. Preference with experience and board qualified or certified, hard-working and ethical. Competitive salary with full benefits. Please be professional with serious/qualified inquires only. Please email to Drumpire@gmail.comwith resume and CV and phone number and/or leave message at 512-293-7559
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 - TAMPA BAY
Well established, multi-doctor practice in the Tampa Bay area. Preference to PSR 24+/Florida license. High-tech, EMR, digital x-rays, sports medicine, surgery. No NH/HMOs. Excellent hospital privileges available. Choose an area of practice concentration that you are passionate about and enjoy a lifestyle second to none. CV to floridapodiatrist@tampabay.rr.com
IMMEDIATE POSITIONS AVAILABLE - BUFFALO
Looking for podiatrists to see residents in nursing homes in and around Buffalo. Great opportunity for full-time or part-time income. Positions available immediately! Email inquiries to phasetwopodiatry@gmail.com
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
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 - 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
OFFICE FOR SALE - DELRAY BEACH, FLORIDA
20 year old practice in a very high traffic area. Serious inquiries only. Email bafamt@aol.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
|
| 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.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
