The Voice of Podiatrists

Serving Over 14,601 Podiatrists Daily

September 13, 2013 #4,868 Publisher-Barry Block, DPM, JD

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CA Podiatrist Discusses Nail Health

“Toenail health is important because nail thickness can cause pressure in the shoes, which can hurt,” said Henry Shin, a doctor of podiatric medicine in National City. “If you leave the nail too long, there is a chance for the nail to get into the corners of the skin and cause ingrown toenails.” Discoloration is a surefire sign of an infection. If your nail is black or blue, it could be a sign of bleeding underneath, according to Shin.

Dr. Henry Shin

There are ways to care for unhealthy nails outside a podiatrist’s office. Shin offered a few tips with things that can be found around the house or with a quick trip to the local drugstore. “I tell patients to get an old toothbrush and use a topical antifungal cream and scrub the nail plate down to get medicine all over the area,” Shin said, advising not to mix it up with your regular toothbrush. “Other home remedies are to use a bowl full of warm to hot water with a few capfuls of vinegar and soak the toes for five minutes.”

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

OH Podiatrist Appointed to State Medical Board

Bruce R. Saferin, DPM has been appointed to the Ohio State Medical Board, effective 9/10/13 by Ohio Governor, John Kasich. His term will run through December 27, 2017.

Dr. Bruce Saferin

Saferin is past President of the Ohio Podiatric Medical Association, he is a past board of trustee member for the American Podiatric Medical Association.

Source: OH Governor's Office [9/10/13] via Davida Griffin

NYSPMA Cautions Consumer to Be Aware of Healthcare Insurance Changes

Dr. Robert Russo

The New York State Podiatric Medical Association (NYSPMA) is urging all consumers to examine their coverage and their choices carefully. "Patients who are being treated by a podiatrist for diabetic ulcers, arthritis, plantar fasciitis and many other conditions should pay particular attention. Those who have switched coverage to lower costs are often surprised to learn their podiatric office visits are not covered under their new plan," said Dr. Robert Russo, President of the New York State Podiatric Medical Association. "This can be a cause of great stress," he added.

Palm Beach County Conference Tallies Largest Number of Attendees Yet

The 8th annual "Toes in the Sand" conference was held August 23-25 at the Eau Palm Beach Resort and Spa (formerly the Ritz-Carlton Palm Beach) in Manalapan, Florida. Over 150 podiatric physicians from around the state participated in lectures and family activities, making this the eighth consecutive year the attendance record was broken.

Attendees at Toes in the Sand Meeting

The conference, sponsored in part by the Palm Beach County Podiatric Medical Association and Barry University, gave attendees the opportunity  to earn 10 CME credits and enjoy the end of summer at the beautiful, 5-star, oceanfront resort. Nationally known lecturers including Bradley Bakotic, DPM, DO, Stephen Barrett, DPM, and David Davidson, DPM were among many providing insight to those in attendance.

Deadline for Updating HIPAA Privacy Notice Is September 23

Medical practices that have not added new patient rights to their privacy notices, as required by the federal government, have until September 23 to become law-abiding. These new rules became effective as of March 25, 2013, but an extension was provided requiring compliance by the September 23 date.

Instead of rewriting their current NPPs, practices can download an updated and customizable NPP from the websites of state and national medical societies.

Source: Robert Lowes, Medscape Family Medicine

Recover From a Bad Joke

If you tell a joke that totally bombs and no one laughs, recover with a little self-deprecating humor. Say: “Wow, it takes a very special person to do what I just did.”

Souce: Adapted from “Secrets of Effective Office Humor,” Sue Shellenbarger, The Wall Street Journal via Communication Briefings [September 2013]

Query: RF Ablation for Heel Pain

I have written previously about a patient with severe pain S/P a plantar fasciotomy. A local nerve block confirms the nerve origin of his pain. We are considering radio frequency ablation. Have any of my colleagues used this treatment for local nerve origin heel pain, and if so, how successful was it?

Mark Aldrich, DPM, Antigo, WI

RE: Recurring Lesions
From: Ed Cohen, DPM

I have seen about 10 of these lesions in the last 35 years. They are usually on the second toe and many times bilateral. I have had great success doing an MIS partial plantar proximal phalangeal head resections, and occasionally an MIS proximal phalangeal head resection. As far as I know, everyone of these surgeries has been successful in getting rid of these lesions.

Ed Cohen, DPM, Gulfport, MS, ECohen1344@aol.com

RE: Recurring Lesions
From: Elliot Udell, DPM
 
What is disconcerting about this case history is that it appears that after futile attempts at debridement of the lesions, deep skin followed by tendon and osseous surgical procedures were chosen. Why wasn't a biomechanical exam performed along with an attempt at the judicious use of orthotics? The lesions are symmetrical and on weight-bearing surfaces and if abnormal biomechanics turns out to the culprit, short of amputation, no surgery will alleviate this patient's problems.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

RE:  Effective Treatment for Hyperhidrosis (Billie  A. Bondar, DPM)
From: Michael Forman, DPM

Bromhidrosis is caused by bacteria forming on the skin of the foot.  One of the protocols we have worked out for our office is as follows.
 
1. Soak both feet in a 50/50 solution of rubbing alcohol and water for ten minutes twice a day. 
 
2. Purchase Certain Dri pads (or like product) and apply to feet every morning.
 
3. Follow the Certain Dri with a spray deodorant.
 
4. Apply an absorbent powder to feet and shoes. We recommend Zeasorb-AF powder.

Michael Forman, DPM, Cleveland, OH, im4man@aol.com

RE: Gangrene S/P Cast Complication
From: Jeffrey Kass, DPM

I agree with all the previous excellent advice. I suggest considering the Artassist device. One may also consider L- argentine in topical or oral forms in lieu of nitroglycerin.

I think it is irrelevant that this occurred under the care of an orthopedist. The same outcome could of easily occurred to a podiatrist. I think the case is horrible and pray the patient gets better.

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

RE: CT Podiatrist Receives 3 Year Sentence and $134K Restitution
From: Michael M. Rosenblatt, DPM

Again, we have seen a recent publication of a podiatrist who will serve prison time due to a fraud conviction. His life and family are devastated. Healthcare auditors and prosecutors now regard podiatrists as one of their most accessible and easy sources for personal career advancement. All they have to do is generate computer printouts on repetitive Medicare claims for ingrown nail surgeries, especially in nursing homes. They concentrate on those who have the greatest numbers.

Then, they ask for your chart notes. Sometimes they just go right to the NHs and start interviewing patients. Incredibly, their....

Editor's Note: Dr. Rosenblatt's extended-length letter can be read here.

RE: Nothing Can Keep "California Girls" Off the Beach

Here is how our post-op patients keep their feet dry in Los Angeles... and still go to the beach.

Source: Dr. Keith Gurnick (with patient's permission)

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

EQUIPMENT FOR SALE -  FOX DIODE 1064nm LASER FOR SALE

Like new, under warranty, excellent results for onychomycosis, verrucae, spider veins. Portable, many extras. $9800. 727-586-3668 or 727-321-3100.

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 - UPSTATE NY 

Busy well, established multi-specialty practice in Upstate New York looking for an additional podiatric physician. Work with our three podiatric physicians that have a combined practice experience of over 100 years.  Very busy practice with a high volume of surgical cases. Working with three local hospitals. Foot, Rear Foot & Ankle Surgical procedures. Outstanding opportunity, Excellent salary and benefits. Advanced wound care. Broad based referrals. Opportunity for partnership. Electronic medical records. NYS Finger Lake Region. University atmosphere. Recreational, Social, Educational Opportunities. Please send CV to associateinfoot@yahoo.com or fax 607-723-1567.

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

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 - 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.

PRACTICES WANTED - PALM BEACH COUNTY, FL

We are looking to purchase a active practice in Palm Beach County.  Please contact Ian S.Goldbaum Podfather5@aol.com

PM News Classified Ads Reach over 14,500 DPMs and Students

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