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| PM News | |
The Voice of Podiatrists
Serving Over 15,987 Podiatrists Daily
September 15, 2014 #5,164  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 | |
Congratulations to Dr. Barbara Hirsch of Chevy Chase, MD, winner of Lower Extremity Biomechanics by Dr. Stephen Albert. 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.
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Lower Extremity Biomechanics |
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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| OBITUARIES | |
Warren Perkins, DPM
Dr. Warren Perkins, a legendary New Orleans sports figure, died Friday afternoon. He was 92. Perkins was elected to the Louisiana Sports Hall of Fame, the Louisiana Basketball Hall of Fame, and was the first basketball player enshrined in the Tulane Athletic Hall of Fame in 1977.
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Dr. Warren Perkins |
Perkins played professionally for the Tri-Cities State Hawks and had the distinction of playing in the first game of the then infant National Basketball Association. When Tri-Cities began talking about moving to Milwaukee, Perkins decided it was time to bid the NBA farewell and become Dr. Warren Perkins, podiatrist, a decision that led to a 52-year career.
Source: Peter Finney, The Times-Picayune [9/13/14]
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| PODIATRISTS IN THE NEWS | |
CA Podiatrist Uses Human Amniotic Membrane Allografts to Treat Diabetic Ulcers
The Advanced Foot and Ankle Center of San Diego is treating foot ulcers with great success, using a revolutionary new treatment that stimulates and regrows skin tissue. Known as the human amniotic membrane allograft (HAMA), the medical center has used this procedure to cure hundreds of foot ulcers.
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Dr. Phillip Wrotslavsky |
"HAMA involves the donation of a human placenta after a baby’s birth. The two layers of the placenta, the chorion and the amnion, have regenerative elements which can spur skin cell growth, therefore giving it healing properties," says podiatrist Dr. Phillip Wrotslavsky.
Source: Wabc6.com [9/13/14]
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| INTERNATIONAL PODIATRISTS IN THE COMMUNITY | |
Canadian Podiatrists Volunteer at 60 Km Walk for Breast Cancer
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(L-R) Drs. Chris Hastings, Robert Chelin, Neil Naftolin, Jeff Liebman, and Kel Sherkin |
Canadian podiatrists participated in a 2-day event on September 6th and September 7th in Toronto. Health services were provided at this event by the medical team that included several podiatrists. Over 3,000 walkers participated in this 2-day event which covered 60 km (40 miles) and raised $7,000,000 dollar for breast cancer research.
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| MEETING NEWS | |
5th Annual Superbones West 2014 Conference Wraps Up in Las Vegas
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Audience at Superbones West 2014 Conference |
The 5th annual Superbones West 2014 Conference took place at the Cosmopolitan Hotel in Las Vegas this past weekend to record crowds. Destination CME conferences are alive and well, and are being well attended by podiatrists. Attendees sat down for 8 hands-on workshops on topics as varied as wound care technology, locking plates, and using custom compounded medications. The group loved the Cosmopolitan Hotel, validating PRESENT’s decision to return here for next year’s Superbones West 2015 on October 22-14, 2015.
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| PODIATRIC PRODUCTS IN THE NEWS | |
RestorixHealth® Merges with Paradigm Medical Management
RestorixHealth, a leader in developing and managing comprehensive wound care centers, has finalized a merger agreement with Paradigm Medical Management. The combined companies, operating under the RestorixHealth name, will create one of the largest networks of wound care service providers in the country.
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Dr. Lee Rogers |
President Miguel Sandoval will serve as Senior Vice President of Managed Care, and Lee C. Rogers, DPM will serve as Medical Director of Amputation Prevention Programs.
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| QUERIES CLINICAL | |
Query: Epidermolysis Bullosa?
I recently saw a 15 year girl who had just returned from a long walk with a number of large bulla, filled with clear fluid on the plantar aspects of her digits, metatarsal heads, and heels (symmetrical). Her parents state that whenever she does any physical activity, this happens. Her PMH is unremarkable, and she does not blister anywhere else. No one else in her family has this problem. She has moist palms and soles, but no real signs of fungal or bacterial infections.
The only suggestions I had were for her to wear cool max socks, try to decrease the moderate hyperhidrosis, and to utilize a skin cream. I cast her for functional orthotics with Shear Ban under the balls of her feet and heels. I thought of using an entire top layer of Shear Ban, but it is expensive, and I am afraid she would slide off of it. I am open to suggestions, especially regarding the orthotic materials.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
It is fortunate for some that we do not use this logic for reimbursement of a surgical procedure. To carve down fees based upon the cost of the actual amount of suture and length of the suture used is equally as erroneous. True, the procedure fee is separated from one's costs vs. one's fees. If equal types of material(s) and professional components are utilized, then shouldn't there be an equal fee and reimbursement?
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1 | |
From: R. Kurt Meier, III, DPM
As someone who has lost a friend in the 9/11 disaster, I ABSOLUTELY believe that the picture [of the plane striking the WTC] should be shown year after year. I think that people tend to forget how horrific that day was. People tend to have short memories, and if it doesn't directly affect them, they often will downplay the memories. I liken it to disasters that happen in other "faraway" places in the U.S. When one sees the pictures initially, one is shocked and devastated.
One feels bad for what happened, but if there is no "personal" connection, it is locked away in memories. When one is directly affected by disaster, the circumstances change. Just as the bombing of Pearl Harbor was a horrible experience for my grandparents, so too is 9/11 a horrible thing that we must NEVER FORGET.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Doctoring in the Age of ObamaCare
From: Michael J. Ryan, DPM
Everyone should read the op ed in the Sept. 12 edition of The Wall Street Journal titled "Doctoring in the Age of ObamaCare" written by Dr. Mark Sklar. I think it does an admirable job of describing the difficult environment in which we now practice. It basically explains how we are becoming data processors instead of physicians and how the government continues to pile on more regulations and reporting requirements so we don't get "penalized" for trying to practice good medicine. And it does not even mention further governmental rules such as HIPAA compliance. It also talks about how the increased spending for healthcare is going to the middle men - i.e. administrators, computer software companies, consultants, etc. When our practice was obtaining quotes for EMR software several years ago, all 3 quotes we received from various software companies came in within $2-3,000 of the amount of meaningful use incentive money we could receive from the government. Not a coincidence.
I think that we as podiatrists, and all physicians, need to become more politically active, contacting our representatives, and even educating our patients on the increasing demands, rules, and restrictions on our practices from the government and the effect it has on patient care. Nothing is going to change until physicians as a group stand up for ourselves or "go on strike." I enjoy treating patients, but I am spending more and more time making sure I'm in "compliance" and inputting data to qualify not to have my reimbursement decreased. This requires more of my limited "free" time, at the expense of patient care.
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| RESPONSES/COMMENTS (NEWS STORIES)- PART 2A | |
From: Howard J. Lepolstat, DPM
Somewhere in this discussion, a differentiation should be made between bunions and HAVs. They are, of course, not equivalent but they are being addressed as though they are. A look at the biomechanics of the foot strongly suggests that simple bunions can and are caused by ill-fitting shoes as a single factor. However, an HAV, with or without a bunion, does need something of a genetic component for the shoe to act upon. In addition, if the genetic component (e.g. predisposition to hyperpronation) is strong enough, I believe that the HAV, possibly without a bunion, will form even without ever wearing shoes.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 2B | |
From: Kevin A. Kirby
Thanks to Drs. Kiel and Solomon for their replies on this interesting subject. I base my initial response that continued application of external force to a body part over time has the potential to deform that body part; such as the chronic wearing of pointy-toed dress shoes that are too short, on the known biomechanical property of all human tissues known as viscoelasticity.
Ligaments, tendons, cartilage, skin, and even bone are all viscoelastic structures which means that they exhibit time-dependent load versus deformation characteristics over time. Two of the most commonly accepted load vs. deformation behaviors of our body’s tissues are creep-response where a given magnitude of load is applied to a tissue over time and that tissue is seen to deform; and stress-relaxation where a tissue is elongated or compressed a certain amount and, then over time, the stress within the tissue decreases.
Because of this known time-dependent load vs. deformation characteristic of all the structural components of the human body, chronic application of abnormal magnitudes of forces have the potential to cause permanent deformation of those tissues, especially if the loads applied cause plastic deformation of those tissues. Whether or not a shoe produces permanent deformation of the foot is likely related to how much force is applied, how long that force is applied, and the internal structural ability of the foot to resist such change, along with other factors such as other activities, trauma, joint inflammation, etc. that may predispose the joint to such changes.
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| Double Decker Shoe? |
Source: Found on topankablog.hu
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MEETING NOTICES - PART 2
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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
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
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 - LOUISVILLE, KENTUCKY
Available immediately in a busy high visibility office with digital x-ray and over 3 years experience in Traknet EMR. Potential for partnership or purchase. Contact samuel10530@yahoo.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
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.
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