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The Voice of Podiatrists
September 19, 2006 #2,692 Editor-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2006- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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New Custom Diabetic Inserts For Only $22 A Pair
Orthofeet is glad to announce its new custom diabetic inserts, which received SADMARC Code verification A5513. These custom inserts are fabricated by the most advanced computerized system, with arch filler and forefoot accommodations, for superior support and protection.
- Now you can offer your patients state of the art prefab and custom inserts along with the best fitting diabetic shoes, and save: Stretchable Shoes - $42.00 a pair; Leather Shoes - $48.00 to $52.00 a pair; Prefab Inserts - $8.95 a pair; Custom Inserts - $22.00 a pair;
100% Medicare Compliant http://www.orthofeet.com/ ----------------- 800-524-2845
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PODIATRISTS IN THE NEWS |
Price Not a Good Factor in Judging Athletic Shoes: Pribut
Can youngsters get high-quality, cool shoes for $15 in a world where basketball shoes often top $120? NBA star Stephon Marbury, a point guard for the New York Knicks who was in Detroit to promote the $15 shoe Friday, lent his name to the Starbury One. He has committed to wearing the shoes through the coming basketball season. Spokesman Howard Schacter said there are plenty of skeptics on the quality of the shoe, asking whether Marbury wears orthotics. He does, as many NBA players do.
Dr. Stephen Pribut, a shoe specialist and podiatrist in Washington, D.C., didn't dismiss the shoe outright. It's possible to sell a shoe for that price if the shoe is manufactured and the materials are purchased in China. They are.
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Dr. Stephen Pribut |
"I wouldn't consider price as a good factor in rating shoes," Pribut said. "Though I would be skeptical at the $15 mark ... when looking at the other end, shoes retailing for $250, I'm skeptical, too."
Source: Margarita Bauza, Detroit Free Press [9/16/06]
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Gris-PEGĀ® (griseofulvin ultramicrosize) Tablets
There's a Different Way to Treat Athlete's Foot.Pedinol Pharmacal Inc. would like to thank the podiatry profession for making Gris-PEG® the #1 prescribed oral antifungal indicated for the treatment of tinea pedis, according to Podiatry Management. Gris-PEG is clinically proven to be more effective than a leading topical antifungal. Griseofulvin is the only oral antifungal approved by the FDA for the treatment of tinea pedis in the US. Gris-PEG is approved by the FDA for the treatment of tinea pedis in adults and children over 2 years old Gris-PEG® is available in strengths of 125mg and 250mg. For full prescribing information on Gris-PEG®, go to http://www.gris-peg.com
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PODIATRIC RESEARCH NEWS |
PA Podiatrist Receives 100K NIH Grant to Develop Math-Based Foot Model
Philip H. Demp, DPM, MA, MS, PhD, Adjunct Clinical Professor at the Temple University School of Podiatric Medicine and Adjunct Professor, Temple University Department of Mathematics has received a $100,000 grant from the National Institutes of Health for a the research project entitled," Development of a Geometric Forefoot Model: A Tool for Clinical Decision Making." This will be a collaborative study by the Gait Study Center of Temple University School of Podiatric Medicine and the Motion Analysis Laboratory of the Hospital for Special Surgery in New York City.
Dr. Demp's contribution will be a proposed geometrically-based forefoot model based on his pilot study, "Morphometric Evolution of the Metatarsal Length Pattern: Biomechanical Implications." Dr. Demp will also be involved in constructing the geometric models, interpreting final results and co-authoring manuscripts. It is the ultimate objective of this research team to develop a mathematical model of the foot structure that is sensitive to aberrant function and can be used to plan more effective conservative and surgical treatments.
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PM SURVEY WEEKLY CONTEST
Congratulations to Neil H Hecht, DPM, of Sherman Oaks, CA, winner of last week’s survey contest, who will receive a subscription to CodinglinePRINT (Value $195.00)
It’s now time for our grand prize of a one-week Windjammer Caribbean Cruise for two (Value $2,000.00)
To enter, simple complete our practice survey at www.podiatrym.com and send your name, address, and question #45 (no answer necessary) from the survey to bblock@podiatrym.com. Don’t forget to vote for next year’s inductee into the PM Podiatry Hall of Fame. This year, we’ve opened a new category for non-podiatrists.
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APMA COMPONENT NEWS |
Bart Gastwirth Elected to ACFAOM Board
Bart Gastwirth, DPM, FACFAOM, of Arlington Heights, IL, has been elected to the Board of Directors of the American College of Foot & Ankle Orthopedics & Medicine (ACFAOM) . He will begin his first 3-year term on January 1, 2007.
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Dr. Bart Gastwirth |
Dr. Gastwirth has been active in podiatric and medical education since graduating from the Illinois College of Podiatric Medicine in 1977, and is currently a Clinical Assistant Professor in the Department of Pediatrics, Section of Rheumatology at the Pritzker School of Medicine of the University of Chicago. He is a former Chairman and Professor in the Department of Orthopedics at the Scholl College of Podiatric Medicine. As a member of the core faculty of the podiatric surgical residency program at Advocate Illinois Masonic Medical Center, Dr. Gastwirth places emphasis on the development of residents to include public service.
He has served as a member of the Board of Directors of the Illinois Podiatric Medical Association and as a member of the Podiatric Section Council of the American Public Health Association. Dr. Gastwirth has authored numerous peer-reviewed publications and has lectured nationally and internationally.
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MEETINGS / COURSES
Register Now: Choose Miami or San Fran!
The American College of Foot & Ankle Orthopedics & Medicine (ACFAOM) is launching its new Clinical Encounter Series in two unique and rewarding CME programs on Heel Pain – October 28 in San Francisco; November 11 in Miami. ACFAOM Member registration fee - $195 – students & residents are free. Recognized national faculty will engaged participants in a dynamic exchange of ideas and hands-on workshops – 8 CE contact hours. Mark your calendar and register now at http://www.acfaom.org/heelpain.shtml
For a list of all meetings go to: www.podiatrym.com/meetings.pdf
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QUERIES |
Query: Cold Sterilization Mixture
When mixing solution for instrument trays, must you use distilled water or is tap water fine? Are there are any regulations governing this?
Cynthia Ferrelli, DPM, Buffalo, NY, drfoot@adelphia.net
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE: -
o Ulnar Deviation Diagnosis Coding o Evaluation & Management Stats o Transmetatarsal Amp Revisonal Coding o E/M Services & Dispensing Shoes o Billing for PO Wound VAC Application
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RESPONSES / COMMENTS |
RE: "Worst Jobs With Best Pay" From: Earl L. Cherniak, DPM It is the same prevailing problem that our profession has had and will have unless we remove the stigma of podiatrists "not being real doctors." It is an insult to be classified in this category. The optometrists and chiropractors do not do surgery and, to the best of my knowledge, only prescribe few if any internal medications. We must be classified as physicians and the only way that our profession will achieve this is by changing the curriculum of our colleges to enable our graduates to attain a medical or osteopathic degree. Earl L. Cherniak, DPM, DSc.(Hon), Los Angeles, CA drearlcherniak@aol.com
RE: Lamisil for 12 Year Old (Multiple Respondents) From: Bryan C. Markinson, DPM
Dr. Howard Fox's response and experience with a child suffering emotionally is the appropriate reply to Dr. Smith. He can probably see better examples of unfit parents during a trip to the local supermarket. Dr. Spielfogel marches in step to the PDR recommendations, which of course is generally prudent advice. I am sure however, that if one of his kids needed a tonsillectomy, he would not balk at the post-operative injection of Marcaine, even though that too "should not be used in children." Regarding "lack of clinical evidence in children," there is in fact plenty of evidence.
Gupta, et al., published an important paper entitled "Onychomycosis in children: prevalence and treatment strategies. J AM Acad Dermatol. 1997;36:395-402." The main points of the article were: 1) Onychomycosis is uncommon in children 2) Diagnosis should be confirmed before treating with oral agent 3) Important to inquire about onychomycosis, tinea pedis, and other superficial fungal infections in patient, siblings, parents, and other family members 4) Although not approved for use in children with onychomycosis, oral agents have been shown to be safe and effective.
The article recommends the following 90 day dosing schedule based on kg of body weight: Terbinafine <20 kg: 62.5 mg/day 20-40 kg: 125 mg/day >40 kg: 250mg/day Duration of treatment: Toenails - 12 weeks, Fingernails - 6 weeks
I have been using this dosing schedule for about 7 years, on approximately 3-5 kids per year. I have treated no patient younger than 9 years old. It is definitely off-label use and I have all of the pertinent informational discussions with the parents. Lately, I have started using off-label pulse-dosing of Lamisil in both adults and children with spectatcular clinical results. This dosing uses 70% less drug, and due to an 11-week drug holiday between pulses, the risk of hepatic injury is virtually nil. For the definitive study, see: The Successful Treatment of Trichophyton rubrum Nail Bed (Distal Subungual) Onychomycosis With Intermittent Pulse-Dosed Terbinafine, Nardo Zaias; Gerbert Rebell. Arch Dermatol 2004; 140: 691-695.
Bryan C. Markinson, DPM, NY, NY, Bryan.Markinson@msnyuhealth.org
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CLASSIFIED ADS |
HOUSE CALL PRACTICE FOR SALE – SOUTHERN CALIFORNIA
House Call practice for sale which includes approx. 400 patients and continued referrals. Perfect for solo practitioner. Extremely easy and profitable practice to run. Yearly gross of over $200K. Current DPM is retiring. Financials will also be provided. Please contact ccipinc@ccipinc.net
ASSOCIATE POSITION - NEW ENGLAND
Terrific Opportunity Now Available in growing New England practice. Well established and respected practice with new, large office space, latest technology, very helpful staff, loyal patients and solid referral base. Close proximity to hospitals with modern surgical suites. Opportunity for shared ownership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and particulars to NEAFC3@aol.com
PRACTICE FOR SALE/ASSOCIATE/PARTNERSHIP - WASHINGTON, DC
A 26 year old practice for sale in hospital's attached medical building. Fully equipped. All aspects of podiatric medicine;surgery. Large diabetic practice with wound care clinic. Large referral base with loyal patients. Charcot, forefoot, rearfoot, orthopedics. Residency required for privileges. Moving but will stay for transition. Associateship until purchase. Will finance sale with adequate down-payment. Serious inquires only. Contact scottr0666@yahoo.com
PRACTICE FOR SALE – SOUTH FLORIDA
Miami-Dade and SW Ft. Lauderdale, well established surgical practice for sale. This one has everything. Surgery, Orthopedics, Pediatrics, Trauma, ER, General Podiatry. Participates in all local and national managed care plans. $850,000 but will discount depending on amount up front. Mature, serious inquires with business experience preferred. Email response to podfootdocs@aol.com
FOR SALE - ORTHOTIC LAB EQUIPMENT
Supreme Dual Vacuum Press from Gateway with Gast Vacuum Pump, silencer and filter. full description of features upon request. Originally $1200, Like New $ 750 drmorse@northpod.com
PRACTICE FOR SALE - BERKELEY CALIFORNIA
Well-established office in professional medical building; Biomechanics, Geriatrics and General Podiatry; Excellent growth potential for surgery; Payor base MC, PPO, and self-pay (NO HMOs); Reliable referrals from local physicians; Electronic billing in-house; Transition terms negotiable. Send letter of intent to: foot4sale@sbcglobal.net
ASSOCIATE POSITON - SOUTHEAST TENNESSEE/ NORTH GEORGIA
Immediate position available or will wait for the right individual. Unique practice opportunity in growing multi-physician/multi-office practice. Well established/cutting edge within the medical community. Close proximity to hospitals as well as opportunity to become involved with a free standing podiatric surgical center. Must be BQ/BC. Minimum PSR/24. Competitive salary, bonus structure and benefits. E-mail CV to afcjen@hotmail.com
EQUIPMENT WANTED - X-RAY Machine
I am looking for a used x-ray unit, preferably no older than 15 years. EXCEL units or units of this type are appropriate for my needs. If you have a unit, with or without the stand, please e'mail a picture and relevant information to me at drkarendpm@aol.com I can also be reached at 619-892-3549. Shipping would be to Southern CA.
ASSOCIATE POSITION – NEW ENGLAND
Opportunity in growing New England practice. Well established and respected practice with large office and surgicenter, latest technology, great staff, loyal patients and solid referral base. Close proximity to hospitals, full scope practice. Opportunity for partnership. Prefer 24 month PSR with clinical practice experience or an experienced doctor looking to improve their situation. E-mail CV and contact info to: Footdoc-office@usa.net
ASSOCIATE WANTED - SOUTH FLORIDA
Miami-Dade and SW Ft. Lauderdale, well established surgical practice needs part-time podiatrists to assist in surgical cases and patient volume. Email response to podfootdocs@aol.com
PRACTICE FOR SALE/ASSOCIATE/PARTNERSHIP - WASHINGTON, DC
A 26 year old practice for sale in hospital's attached medical building. Fully equipped. All aspects of podiatric medicine;surgery. Large diabetic practice with wound care clinic. Large referral base with loyal patients. Charcot, forefoot, rearfoot, orthopedics. Residency required for privileges. Moving but will stay for transition. Associateship until purchase. Will finance sale with adequate down-payment. Serious inquires only. Contact scottr0666@yahoo.com
SEEKING ASSOCIATE POSITION IN TEXAS, DFW AREA
PSR-24 trained podiatrist seeking a FT associate position with possibility of future partnership. Trained in all aspects of podiatric medicine including forefoot and rearfoot surgery, and diabetic limb salvage. Email: fixfeet@hotmail.com
WEEKLY SPECIAL - One week of ads (6x) for only $75
PM Classified Ads Reach over 8,500 DPM's 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 8,000 DPM's. Write bblock@podiatrym.com for details. Note: For commercial or display ads contact David Kagan at (800) 284-5451 dekagan@aol.com
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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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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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