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The Voice of Podiatrists
Serving Over 15,990 Podiatrists Daily
September 12, 2014 #5,162  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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| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES | |
LAST WEEK 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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| PODIATRISTS IN THE NEWS | |
TX Podiatrist Discusses Orthotics and Shoes
Longview podiatrist Dr. Selwyn Willis says that orthotics serve two purposes, “to place the foot in a more pain-free position and to help with shock absorption.” Willis casts his patients for orthotics and evaluates them walking before prescribing a custom orthotic. While orthotics can help, Willis cautioned they are not a cure-all. “I’ve talked to people who say it helps with the pain and an equal number who say it doesn’t,” Willis said.
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Dr. Selwyn Willis |
Willis also said when trying on shoes, buyers should look to see how well the shoe is made.“Take the shoe off and twist it around,” Willis said. “If you have a hard time twisting it, that’s a good shoe. This prevents pronation.” Pronation is where the foot rolls inward while walking or running, which can lead to injury. “The stiffer the shoe, the greater the control,” Willis said.
Source: Bridget Ortigo, News-Journal [9/11/14]
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| ON THE INTERNATIONAL: LECTURE CIRCUIT | |
Texas Podiatrist Participates in the Int'l Working Group on the Diabetic Foot
Lawrence Lavery DPM, MPH, Professor and Director of Research in the Department of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas was a participant in the Infectious Diseases Writing Group to update guidelines as part of the International Working Group on the Diabetic Foot (IWGDF).
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(L-R Drs. Larry Lavery Benjamin Lipsky, Javier Aragon-Sanchez,Suzanne Van Asten, Vilma Urbancic-Rovan, John Embil, Eric Senneville, Matthew Diggle, Shigeo Kono, and Edgar Peters. |
The IWGDF met in Amsterdam to revise practice recommendations and to update a systematic review that focused on the treatment of diabetic foot soft tissue and bone infections.
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| PODIATRISTS AND THE LAW | |
NH Medical Board Suspends Podiatrist's License
A New Hampshire medical board has suspended the license of a Pembroke podiatrist who has offices in Concord and Peterborough. Attorney General Joseph Foster said Thursday that Dr. Edward Newcott's license was suspended immediately due to concerns over his infection control practices. A New Hampshire medical board has suspended the license of a Pembroke podiatrist who has offices in Concord and Peterborough. Attorney General Joseph Foster said Thursday that Dr. Edward Newcott's license was suspended immediately due to concerns over his infection control practices.
Source: Associated Press [9/11/14]
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Barry Block, DPM, JD
There is no simple formula for valuating a practice. A practice broker is best equipped to value a practice. One starts with the net income as a base. Factors that add to the value include: type of practice (surgical vs. non-surgical), types and percentages of insurance of the patient base, the depreciated value of the equipment and furnishings, the length of the remaining lease, and whether the staff can be retained, etc. Staff retention adds value to the practice since they represent the stability of the practice and help retain patients during the transition period.
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Charles Morelli DPM
For post-operative pain, I have been following this protocol for many years now and have had good success as a vast majority of my patients have minimal pain after surgery. Two days prior to the surgery, I have the patient take Mobic and Tylenol. They do the same the day before and the morning of the procedure(s). Make sure not to apply a tight bandage and usually bi-valve your cast. Rx: narcotic of your choice and daily Mobic (or Cox-2 of your choice) for 7-10 days afterwards. Tell patients that they can loosen the outer bandage if they have pain if they perceive the bandage as being too tight. Have patients flex the ankle and knee during the day to help prevent clot formation. Also, have them ice the ankle. This seems to work quite well.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1 | |
From: Gerald Mauriello Jr., DPM
Why do we need to show this terrible picture? We all know how the destruction looked that horrifying day. Why not show something uplifting? Inspirational? Something that shows the strength and resolve of Americans in the face of that evil?
Editor's note: Point well taken. We will supply a more inspirational and uplifting image next year. We are, however, concerned that many young people today and in the future will forget the magnitude of the events that occurred that day.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Kevin A. Kirby, DPM
Even though the scientific literature indicates that hallux abducto valgus deformity is largely an inherited disorder, still, from a biomechanical standpoint, wearing shoes that do not properly fit the foot certainly has a very strong likelihood of causing an acceleration of hallux abducto valgus deformity in some individuals.
It is well known that the application of external forces to a body part, over time, may produce a change in structure of that body part. Specifically, ancient techniques such as Chinese foot binding produced quite remarkable changes in foot structure over time. In today's world, the treatment success seen with the Ponseti method of clubfoot manipulation and casting relies also on the concept of application of external forces on a body part, over time, to produce structural changes within that body part.
Any foot that has abnormal magnitudes of external force applied to it, can over time experience structural changes due to these chronic abnormal externally applied forces. In the case of individuals who habitually wear shoes that cause an abnormal external force which tends to rotate the hallux toward the second digit (e.g. pointy-toed dress shoes which are too small for the feet), these abnormal rotational forces acting across the vertical axis of the first metatarsophalangeal joint can, over time, cause permanent deformity in susceptible individuals. The etiology of hallux abducto valgus, like most pedal pathologies, is multi-factorial. As a podiatrist, I would be very careful in stating otherwise unless there is sufficient evidence to refute this concept.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1B | |
From: Dennis Shavelson, DPM
With reference to Dr Kiel’s post, bunions are rare in unshod populations but do exist, and they do develop more frequently in patients with a family history of bunions. There is both an inherited nature and shoe factor in their development in civilized societies.
According to Wolff’s and Davis’ laws of biological systems, once we lessen the forces of gravity by posing the foot more critically vaulted, and then activate and train inhibited muscles, the forces that cause a bunion would potentially reverse/halt, and/or we can reduce or prevent bunions from developing in the first place.
Biomedical engineering can (and does) work in both directions when it comes to surgery mainly in early and immature bunions with few adjacent negative factors.
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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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Are "killer heels" considered lethal weapons? |
Source: Christian Louboutin's "Printz." Jay Zukerkorn/ Courtesy of Christian Louboutin
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MEETING NOTICES - PART 3
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| CLASSIFIED ADS |
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 - WASHINGTON DC
Busy practice seeking full time/part-time associate. All facets of podiatry including office, ER, hospital surgery, and nursing homes. Partnership available for the right individual. We are in three offices in the DC area. We treat you right. Applicants should be PSR-24/36. Competitive salary. You will be seeing 20 patients a day from the start. Come grow with us. Send CV and references to DCMDfootdoc@aol.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION – DANBURY, CT
Full or part-time associate needed for immediate opening. We are looking for podiatrist for 3 office practice. Salary, bonus, benefits. Send C.V to jtread6692@aol.com or call 860-919-3398.
IMMEDIATE POSITIONS AVAILABLE - BUFFALO and UPSTATE NEW YORK
Looking for podiatrists to see residents in nursing homes in and around Buffalo and Upstate New York. Great opportunity for full-time or part-time income. Positions available immediately! Email inquiries tophasetwopodiatry@gmail.com
ASSOCIATE POSITION - BANGOR, MAINE
Seeking personable, well rounded individual to join our well established, modern three doctor practice performing all aspects of foot and ankle care. Digital x-ray, EHR, DME, etc. Competitive salary with bonus structure and benefits. Early partnership opportunity for the right person. Send letter of interest and CV to:Mainoffice@acadiafootandankle.com
ASSOCIATE POSITION - MASSACHUSETTS
Boston Medical Center. Full-Time Career Opportunity; Boston University School of Medicine Academic Appointment for Clinical/Teaching/Research. 3 year Residency Graduate – passed all boards; General Surgery Department. High volume Diabetes/Wounds/Limb Salvage; One day/week in City Health Center; participate in Residency Training; join in Research effort. Diversity encouraged. Please forward CV toJill.Dolan@bmc.org
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
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
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
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.
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.
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