The Voice of Podiatrists

Serving Over 14,601 Podiatrists Daily

September 12, 2013 #4,867 Publisher-Barry Block, DPM, JD

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Spots on Nails Need to be Monitored: CA Podiatrist

“The number one reason I get calls is because (a patient’s toe) hurts,” said John-Paul Guillot, a doctor of podiatric medicine at Toe-Tal Family Footcare in Carlsbad. “When someone’s foot’s in pain, their quality of life is affected. So they’ll come in. But if you see something, and you’re not sure; see a podiatrist. Sooner is always better than later.”

Dr. John-Paul Guillot

Also, if you happen to see a spot on your nail, pay attention to if it moves along as your nail grows. “The typical nail growth cycle is about nine to 10 weeks,” Guillot said. “If there’s a spot on the nail and it hasn’t moved during that time that means it’s underneath the nail.”

Source: San Diego Union-Tribune [9/10/13]

Medical Intuitive is Useful Adjunct: IL Podiatrist

The implications of Medical Intuitive are far reaching in medical science. However, Alan Tenczar, DPM, at Talcott Foot & Ankle Specialists, PC, is one doctor who thought he would give it a try. Dr. Tenczar says that he has learned that some of what he was taught in medical school and training programs is based on dogma, belief rather than research. "Also, there are several areas in allopathic medical training that are lacking, and one major area is nutrition. 

Dr. Alan Tenczar

My curiosity took me on the path of learning more about nutrition for the treatment of diabetic neuropathy and peripheral vascular disease," Dr. Tenczar told Ivanhoe. "John Kortum's tools are another useful adjunct for me. Another major reason for learning his techniques are that if I can learn them, and apply them then my practice is better.  If they don't work, then what is lost but my time? I can say that my practice has improved," Dr. Tenczar said.

Source: NewsChannel5.com via Ivanhoe [9/10/13]

MD Podiatrist Heading for Medical Mission In Haiti

Baltimore-county based foot and ankle surgeon and aesthetic podiatry specialist, Dr. Kelly Geoghan  is taking her expertise and knowledge on the road. She is packing for Port au Prince, Haiti, to volunteer in a medical clinic as part of a mission trip. Dr. Geoghan, board certified by the American Board of Podiatric Surgery, has been practicing for 15 years. She is participating in a Fishers of Men Ministries mission trip with her church, Trinity Assembly of God in Lutherville.

Dr. Kelly Geoghan

She will be traveling from October 12 – 19, 2013, to treat survivors of Haiti’s 2010 earthquake. The country has no medical insurance and hospitals turn the sick away unless they have the cash to pay for treatment. “I have been searching for volunteer opportunities to take my medical knowledge out of the office and operating room and apply it to those in need,” says Geoghan. “The church reached out to me and I decided there is no better way to use my talents in the global community.”

CT Podiatrist Receives 3 Year Sentence and $134K Restitution

A Brookfield podiatrist has been sentenced to more than three years in prison for defrauding Medicare. The U.S. Attorney's office says 38-year-old Samir Zaky was sentenced to three years and five months Tuesday in Hartford and ordered to pay $134,000 in restitution. A jury in June found him guilty of 14 counts of healthcare fraud and 14 counts of making false statements relating to healthcare matters.

Prosecutors say Zaky submitted numerous claims to the Medicare program stating that he had performed nail avulsions, a surgical procedure that requires use of an injectable anesthetic and removes the entire border of a patient's toenail. Authorities say Zaky had only clipped or trimmed the patient's toenails.

Source: Republican-American [9/10/13]

RE: Recurring Lesions
From: Richard A. Simmons, DPM, Andrew Levy, DPM

Ask the pathologist to re-evaluate the slides and send them out for another opinion as a primary recommendation. 

Andrew Levy, DPM, Jupiter, FL, rcpilot48@gmail.com
 
The concern is recurring hyperkeratotic lesions. The pathology report on biopsy stated: “Clavi x2.” I recommend another biopsy (2-3 mm punch) and send the specimens to a dermatopathologist for a more comprehensive report. My office utilizes the services of Bako Pathology.

Disclosure: I have no financial interest or relationship to Bako Pathology.

Richard A. Simmons, DPM, Rockledge, FL  RASDPM32955@gmail.com

RE: Recurring Lesions
From: Dan Klein, DPM, Jeffrey Kass, DPM

These keratotic lesions look like foreign body reaction to warts. The skin appears to be moist and there appears to be a small raised lesion proximal to the main lesion on the left foot. A biopsy may prove the culprit. I have seen similar lesions. Shaving the callus may disclose deeper mosaic lesions.

Dan Klein, DPM, Fort Smith, AR, toefixer@aol.com

I find the objective findings to be a bit puzzling. If intrinsic muscle i.e., the FDB, plantarflexed the head of the proximal phalanx, the distal portion of the toe would either be through the ground or dorsally subluxed. In the picture shown, the toe looks like an average hammertoe, other than the lesion. There does not appear to be any dorsal dislocation of the distal end of the toe. How exactly could the head of the proximal phalanx be plantarflexed otherwise? In traditional hammertoes, the head of the proximal phalanx are dorsiflexed.

Jeffrey Kass, DPM, Forest Hills, NY jeffckass@aol.com

RE: Effective Treatment for Hyperhidrosis (Billie  A. Bondar, DPM)
From: Elliot Udell, DPM, Don R Blum, DPM

Blaine laboratories has a product called Revitaderm Sweat Stop Foot Soak Tablets. We have dispensed them in our office and have had very promising results. 

Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

After you have exhausted topical OTC products, find a physician who will do or does Botox injections to the feet, or radio frequency ablation to the sympathetic ganglion. I have had patients previously who have had the Botox therapy. The Botox injections will have to be repeated 6 or so months later. For RFA, I have only read about.
 
Don R Blum, DPM, Dallas, TX, donrblum@sbcglobal.net

RE: Gangrene S/P Cast Complication (Nanme Withheld)
From: Paul Kesselman

It sounds like you have done all you could. Referring this patient to a vascular surgeon at the outset was absolutely the correct (and possibly the only thing) you could do. Unfortunately, this patient will have to live with this situation for his entire lifetime. Nature undoubtedly will take its course. I have no doubt.

So will the legal system. While you are to be admired for taking on this case, Beware! Any sharp attorney handling this case, will no doubt look to spread the wealth, naming as many parties as possible to include in any legal case.

Paul Kesselman, DPM, Woodside, NY,  drkesselmandpm1@hotmail.com

RE: Turn Down Employee or Patient Solicitations
From: Jon Purdy, DPM
 
I find it is much simpler to institute a “policy” in the office that states we do not offer nor accept solicitations from our patients or each other. This keeps it very simple and protects us all from feeling obligated to stock up on cookies and candy bars. Stating, “All of our children are doing that as well, and it’s for a great cause. That is why we have an office policy to keep our charitable events outside of the office.”
 
Jon Purdy, DPM, New Iberia, LA, Podiatrist@mindspring.com

RE: Fasciotomy Using the Topaz Technique
From: Ira Weiner, DPM

I was a consultant for Arthrocare for many years and helped to develop the TOPAZ technique. One of the things I was always asked during lectures was about coding. I think it boils down to how the procedure was performed. Did you use the percutaneous method or the endoscopic method? If you used the endoscopic method, I advocated a "scoring" or partial transection of the medial band by turning off the timer. The newer Quantum generator does not have that ability and therefore requires a bit more effort to accomplish this, yet still possible. I would use CPT 29893 if you used the endoscopic technique. IF you did it via percutaneous method, I would agree with the previous poster.

Ira Weiner, DPM, Las Vegas, NV, vegasfootdoc2005@yahoo.com

RE: Remembering 9/11
From: Bruce G Blank, DPM

Thank you for continuing the tradition of re-publishing your editor's note of 9-12-01 in PM News. It was a day which touched all of us & one we will never and should never forget.

I remember one of the fire fighters from my elementary school days in Staten Island. I'm sure that there had to be others I knew when growing up or relatives of people I knew. However, all Americans were effected, whether they had a personal connection or not. I think this was an event which should continue to pull us all together as the attack on Pearl Harbor brought the Greatest Generation together.

Bruce G Blank, DPM, Martins Ferry, OH, bruceblankdpm@gmail.com

RE: Remembering 9/11
From: Michael Lawrence, DPM

Once again, the 9/11 PM News contains a pointed reminder of the evil lurking in our world that so horribly expressed itself that fateful day. The words of the editor, as he attempted to process the events as was witnessed in real-time, are prolific and remain a reminder of the horrors of that day. They need never be forgotten, both for the human losses and some of our very innocence, as well as that the same evil continues to exist in our world today.

But as bad as those events surely were, in the same edition a wonderful story of good a loving concern for others, appears as well. The success of the Musella Foundation, begun by our colleague Al Musella, hitting ONE MILLION DOLLARS, given to help others, is staggering in a wonderful, heart-warming way. This is a true example of good which, thank God, also continues to exist today. And it is in every one of us, giving the opportunity to make real, positive differences. Thanks, Dr. Musella, for being such a wonderful example and an inspiration.    

Michael Lawrence, DPM, Chattanooga, TN, ftdoc@joimail.com

RE: NY Podiatrist Roughed Up by Former Boyfriend (Jennifer Barlow, DPM)
From: Robert Scott Steinberg, DPM,

Prior to reading about Dr. Splichal in PM News, I had not heard of her. It's too bad she had trouble with her boyfriend. I hope they put him in jail. With that said, I believe you are missing something important. Dr. Splichal, has marketed herself, using the term, "Dr. Legs" along with other PR promotions. As far as the media seems to be concerned, "Dr. Legs" has diminished her professional persona in favor of more glam. It might not be fair how the media is treating her, if you only think of her as a DPM. She obviously thinks of herself as for more then just a DPM! She put herself out there for all to notice, and they did.

Robert Scott Steinberg, DPM, Schaumburg, IL, doc@footsportsdoc.com

RE: NY Podiatrist Roughed Up by Former Boyfriend
From:  Jennifer Barlow, DPM

In response to Drs. Gordon and Sullivan's comments: I appreciate where you are coming from. However in this case, I don't believe the article reports any regrettable behavior on Dr. Splichal's part. I don't believe pictures had anything to do with what happened. I have to respectfully disagree with the "you are asking for publicity because of these pictures" rationale. 

I believe PM News is a valuable resource.  I learned of Dr. Splichal's work through PM News, as well as found my current job, and for these things, among others, I am greatly appreciative. I believe in freedom of the press. I just think that good judgment dictates that something of such a personal nature be kept private, unless permission is given. In my opinion, no pictures justified the publication of this information.

Jennifer Barlow, DPM, Berkeley, CA, jenbarlow36@yahoo.com

EQUIPMENT FOR SALE – USED PINPOINTE LASER

Used Pinpointe Laser for Sale! $19,500 Firm. Please call 202-255-6236 or email: cosmedresources@verizon.net

EQUIPMENT FOR SALE - DIOWAVE 15 WATT, PORTABLE 980 LASER

This is a used multiple function laser, plantar fasciitis, Achilles tendonitis, joint pain. nerve pain, post surgical, warts, toenail  problems, two-year plus warranty, MSRP: $25,000. E mail Dr. Zuckerman at: footcare@comcast.net for questions and pricing.

ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN)

 Join one of the largest podiatric groups in Connecticut. 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

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION - MARYLAND/SUBURBAN DC

Busy 3 doctor practice seeking highly motivated, hard working associate. PSR 24/36 trained with opportunity for partnership.  Hospital privileges, ER call, in office ASC, etc. Will consider residents completing their program to begin work July 1, 2014 or sooner. E-mail CV to: mlmltm@aol.com

ASSOCIATE POSITION – SOUTHWEST, FL

R U a SuperStar? PM&S36 or PSR24. Comfort W Recon surgery. Hardworking w/o Ego. Excellent salary, benefits, chance at partnership. ABPS BC/BQ required RRA. Send CV, recommendations, and why you are a superstar. email: mny1029@gmail.com

ASSOCIATE POSITION - LONG BEACH, CA

Immediate opening available for a DPM with 2 or 3 year residency . Prefer some work experience, but with the right qualifications and can-do attitude, will consider newly out of residency. Full-time needed, must be willing to work hard and provide excellent care. We have a very fast paced, busy practice and lots of great patients. Please send your resume/c.v. and a brief note citing what you are looking for in your career to: Mil2RN@gmail.com.

ASSOCIATE POSITION - ARIZONA

Immediate opening for a full time podiatrist in a rapidly expanding multi-office practice in the suburbs of Phoenix, Arizona. Compensation is performance based with patients scheduled from day 1 but must be entrepreneurial and an ambitious individual who can provide excellent care and expand already existing patient base. Should be familiar and competent in podiatric surgery, biomechanics, trauma, PRP, wound care, and ultrasound diagnostics. Send CV to:  ArizonaFootAnkle@gmail.com

ASSOCIATE POSITION - PENNSYLVANIA

Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to: 123bunion@gmail.com

ASSOCIATE POSITION - NYC METRO AREA

Must participate with HealthFirst, Affinity, Fidelis health plans (2 of 3 OK). Preferably on staff at Bronx or Manhattan hospitals or surgicenters. Excellent opportunity for quick partnership. email CV to: rrranch7@yahoo.com

ASSOCIATE POSITIONS - CHICAGO

Chicago practice has 2 part-time house calls positions available. You'll make at least $3,000 per months working your own hours. Full logistical support provided. Great moonlighting  opportunity for 2nd and 3rd year residents -IL license required; we'll provide malpractice insurance . Contact: dpms2@hotmail.com

ASSOCIATE POSITIONS - LOS ANGELES, CALIFORNIA

Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences and  group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area. Part/Full time, flexible hours, independence, great compensation! Please email resume to: homefootcare@hotmail.com

ASSOCIATE POSITION - PLAINFIELD, IL

Associate wanted for established practice in the suburbs of Chicago, self motivated and patient oriented a must. We will provide you with a state of the art facility, experienced support staff, $100,000+ salary, 401K with match, bonus and flexible hours. Please forward cover letter and CV to: chrisbaileydpm@sbcglobal.net or fax 815-230-4925.

PODIATRIST WANTED - SOUTHERN CALIFORNIA

Podiatrist for practice in long-term care facilities. Facilities include Skilled Nursing, Assisted Living and Board and Care homes.  Professionally managed. Email interest and CV to: ZbubblesZ@aol.com

ASSOCIATE POSITION AVAILABLE - MANHATTAN

Excellent opportunity to join a Midtown Park Ave practice. Surgery only. You need to do forefoot surgery well. Must be ABPS board qualified or certified. CV to mailto: nealblitz@yahoo.com

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, Midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

PODIATRIST WANTED - MN

We are seeking highly motivated, experienced and enthusiastic associate’s to join our successful, well-established practice, we currently have 6 locations and plans to add more, throughout Minnesota. The practice incorporates surgery, wound care, sports medicine and general podiatry. This opportunity offers an excellent salary, bonus and % commission with benefits, also an opportunity to become an associate down the road. PPMR/PSR required. Email CV to: kpepple@midwestpodiatrycenters.com

ASSOCIATE POSITION - FLORIDA

Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Florida has a great scope of practice law and we rotate for ER call at all 4 hospitals. Candidate needs to be ethical and motivated. Established practitioner or new practitioner OK. Base salary, percentage, benefits including 401K. Fax CV to (239)566-8778 or Email CV to:  Drgordon@gulfcoastfootcare.com.

PRACTICE FOR SALE - MIAMI, FL

Established Medicare base, no HMO's with tremendous room for growth. 30 year practice, current doctor relocating. Office renovated and fully equipped with digital x-ray. Ready for new practitioner or group to take over. Perfect satellite, 2nd office or great for new grad looking to start out. dpmoffice10@gmail.com

PRACTICE FOR SALE - CONNECTICUT

Well-established, 35-year-old reputable practice/condo with approx 2,500 Square ft. Grossing approximately $450,000. Outside Hartford area. All phases of podiatry. Contact:  drsch52@hotmail.com

PM News Classified Ads Reach over 14,500 DPMs 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 14,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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