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| PM News | |
The Voice of Podiatrists
Serving Over 15,919 Podiatrists Daily
September 09, 2014 #5,159  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
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| IN YOUR MAILBOX SOON | |
The September 2014 issue of Podiatry Management has just been mailed. This special orthotics and biomechanics issue includes an entire section of articles on the latest technologies and treatments. Read our cover story, "Surviving and Thriving with the Affordable Care Act", as well as an assortment of features, including our informative columns.
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September 2014 Podiatry Management |
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| 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.
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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.
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| HOSPITAL PODIATRISTS IN THE NEWS | |
TriHealth Welcomes OH Podiatrist
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Dr. Gary Glynn |
TriHealth has announced that Gary Glynn, DPM will be seeing patients at Group Health – Mason and West Chester. In private practice since 1993, his practice focus includes heel pain, bunions, hammertoe, arthritis, bone spurs, painful corns, calluses, and toenails. Dr. Glynn received his Podiatric Medical Doctorate from the Ohio College of Podiatric Medicine in Cleveland, OH. He completed a podiatric surgery residency at Jewish Hospital. Dr. Glynn is board certified in Podiatric Surgery.
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| ON THE INTERNATIONAL LECTURE CIRCUIT | |
PA Podiatrist Presents at European Orthopedic Conference
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Dr. Jarrett D. Cain |
Recently, Dr. Jarrett D. Cain, Assistant Professor Department of Orthopaedics, Penn State Hershey Medical Center, Penn State College of Medicine spoke at the 15th Annual European Federation of National Associations of Orthopedics and Traumatology/British Orthopaedic Association Congress in London on diabetic bone healing in the foot and ankle. His topic was "The analysis of osteoblasts cells in the diabetic foot."
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| PODIATRIC PRODUCTS IN THE NEWS - PART 1 | |
CA Podiatrist Designs Fashion Line of Shoes
Los Gatos foot surgeon Dr. Joan Oloff is bringing comfort to high heel-wearing women. She has designed a high-end shoe line that bears her name and includes 4-inch stilettos, as well as lower heels, wedges, and even flats. "My designs are for women who want pretty shoes that are comfortable," Oloff said. The key to comfort, she added, lies in the design of her shoes' form. "Basically, each shoe company designs their own form," Oloff said. "I've changed the shape of mine by dropping the heel down 3 millimeters. That shifts the weight off the bottom of your foot."
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Dr. Joan Oloff (photo: George Sakkestad) |
Oloff's forms also contain a hidden "canal" that allows the foot to sink into a soft material. "A shock absorbent material lines the entire insole," she said. Oloff has a Dallas-based sales rep and hopes to bring her footwear to Los Gatos soon. In the meantime, the nearest place to buy her shoes is the Bellagio in Las Vegas. Prices range from $300 to $500. "These shoes are quite expensive to make," Oloff said. "They are all handmade in Italy, using the finest leathers. My insoles cost five times the cost of the typical insole. As I tell people, an orthotic with all the components of my insoles would cost $500 or more, without the shoe.
Source: Judy Peterson, San Jose Mercury News [8/27/14]
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| PODIATRIC PRODUCTS IN THE NEWS - PART 2 | |
Cynosure Acquires Ellman Int'l Assets in $13.2M Deal
Cynosure has acquired the assets of Ellman International, Inc. for approximately $13.2 million in cash. In addition, Cynosure assumed certain contractual and current liabilities associated with normal working capital. Based in Hicksville, NY, Ellman develops, manufactures, and markets advanced radiofrequency (RF) technology for precision surgical and aesthetic procedures and offers a line of aesthetic lasers.
Ellman's product line encompasses multiple RF generators and single-use electrodes for aesthetic and multi-specialty surgical indications such as facial plastic and general surgery, gynecology, ear, nose and throat procedures, ophthalmology, oral and maxillofacial surgery, podiatry, and proctology. Ellman's proprietary high frequency, low-temperature RF technology is optimized for achieving surgical precision and controlled hemostasis.
Source: Streetinsider.com [9/8/14]
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| PRACTICE MANAGEMENT NEWS | |
What are the Benefits of a Super Group?
The benefits are many. Practices are able to retain their autonomy while achieving efficiencies of scale that help to decrease costs. For example, several of our clients' medical malpractice insurance rates went down because there are more physicians to dilute risk, employee payroll costs and healthcare benefits become cheaper, and practices are able to secure better prices from suppliers.
Insurance companies are also looking at new models for doing business. Many would prefer to work with clinically integrated groups, where all of the members are on the same EHR platform and adhering to the same set of standards than they would doing business with IPAs that may not be able to steer their membership toward producing higher-quality outcomes.
Source: Susanne Madden, Physicians Practice [9/3/14]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Andrew Levy, DPM
I would definitely call the shape of the distal phalanx a distal subungual exostosis. Combined with the incurvated nail and distal soft tissue prominence, I suspect that the osseous prominence is a major portion of the problem. Use a curette under the nail to press on the prominence to check for pain. If it is there, a surgical option to resect the distal portion of the bone with a distal approach and very delicate dissection under the distal nail bed may help.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Barry Mullen, DPM
I respectfully disagree with the no dorsal spur comment. There clearly IS a dorsal upturning of the distal aspect of the distal phalanx likely causing the dystrophic pincer toenail appearance. I qualify my ensuing "treatment" paragraph by reiterating a classic quote from my 3rd year of podiatry school..."if it ain't broke, don't fix it," because you can't take something that isn't painful and make it feel any better!" (Dr. Emanuel Sugarman- NYCPM 1978) - words I have lived by and which have withstood the test of time.
That said....In theory, subungual exostectomy provides the vehicle for toenail flattening. From experience, this doesn't always happen, particularly if the dystrophy has been present for a lengthy time period. Oftentimes, the nail matrix's ability to generate normal nail tissue is permanently compromised. Your patient's expectations for eventual normal nail growth will likely not be met. Keep this in mind when making the medical decision whether to attempt to repair this toenail or not. After exostectomy, exhibit patience observing the new nail growth. It is likely that bilateral border partial matricectomy will also be required. That combination creates the best chance for the most normal toenail appearance possible, but again, exercise significant caution when trying to meet an unrealistic cosmetic expectation, ESPECIALLY when asymptomatic.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Jeff Kittay, DPM
I'm sure that some of my colleagues will find my suggestion too radical, but since this is a 65 y/o patient who, by definition from her systemic disease, is not extremely active, why not consider 1-5 metatarsal head resections? There will be no need to hope that the retrograde forces will be reduced and no bone on bone healing required. Since PIPJ arthroplasties are already in the mix, removing the metatarsal heads with retrograde K-wire fixation virtually guarantees elimination of all her plantar lesions. She could conceivably use a short leg AirCast boot until the K-wires are removed.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Dennis Shavelson, DPM
There are two codes for injecting sclerosing alcohol perineurally as treatment for neuromata. CPT 64455 is used when the concentration of alcohol is less than 30%, and CPT 64632 is used when the concentration of alcohol is greater than 30%. Steinberg’s/Dockery’s “mild sclerosing solution” is used multiple times and uses reverse angiogenesis for lesions such as neuromata, soft corns, etc. This is coded CPT 64455.
When dealing with intractable, end-stage neurogenic pain and the need for neurolysis, chemical ablation, or permanent destruction of a nerve in lieu of a neurectomy in cases of nerve injury or chronic pain syndromes, toxic levels of alcohol or phenol are injected and properly coded as CPT 64632. In general, no more than one or two treatments are necessary, and this is rarely needed when treating neuromata. The use of CPT 64632 as a code for a 0-29% alcohol injection or when discussing anything but ablation or denervation with patients deserves investigation as insurance fraud.
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MEETING NOTICES - PART 2
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Perfect for Minnesota Vikings' Cheerleaders? |
Source: sexyqueen.com
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MEETING NOTICES - PART 3
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| CLASSIFIED ADS |
PRACTICE FOR SALE - BROOKLYN / QUEENS, NY
30 year old general podiatric practices in Brooklyn and Queens with good mix of biomechanics, RFC,, sports medicine, surgery and DME. Both locations are in multi-cultural upper middle/working class neighborhoods with good mix of payers and self-pay. Fully computerized using ICS (SAMMY). Primary care and specialty physicians at both locations are constant source of referral of new patients, including student athletes from NYC public schools. Owner semi-retiring to pursue other interests. Willing to stay on during transition. Serious inquires only: brooklynpodiatrist@hotmail.com
PRACTICE FOR SALE - FAIRFIELD COUNTY, CT
60 miles to Manhattan, 15 miles to Westchester county. Busy solo practice, grossing 280k on 2.5 days a week. Extremely low overhead. Beautiful office building with EMR. Practice shares space and staff with 6 MDs. Amazing referral base and growth potential. All surgery is currently referred out. Serious inquiries only contact: Samalsal@yahoo.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
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
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
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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.
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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.
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