The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

September 24, 2012 #4,574 Publisher-Barry Block, DPM, JD

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CO Podiatrist Discusses Climbing Shoes

“The biggest foot problems that climbers have are associated with compression and friction,” says Dr. Thomas Shonka, attending podiatrist at the Boulder Center for Sports Medicine. Spot-stretching can help climbers with these and other issues (such as swollen nerves caused by repetitive movement) made worse by restrictive shoes. Any shoe-repair or ski-boot shop should be able to make the modifications.

Dr. Thomas Shonka

Dr. Shonka also recommends silicone pads to alleviate pain caused by hot spots.“You want to be sure to put more pressure around a pressure point than over it,” he says. In other words, encircle problem spots in little doughnuts of relief.

Source: Kate Nelson, Climbing [September 2012]

CA DPM is "Official Podiatrist" for Avon Breast Cancer Walk

When the Avon Foundation Walk For Breast Cancer kicks off this weekend in Santa Barbara, Dr. Stanley J. Zusman, with a 40-year Beverly Hills practice on Bedford Drive, will be there to serve the walkers. As the “official podiatrist,” Zusman will tend to sprains, ankle problems, sore feet, and whatever injuries participants endure in the two-day, 39-mile walk from Santa Barbara’s Chase Palm Park to Carpenteria State Beach, Sept. 22-23.

Dr. Stanley J. Zusman

He will be available all through the race, and even camp out with walkers in the “Wellness Village” Saturday night. Zusman and his daughter Lisa decided to get involved in the cause—for their first walk—when Zusman’s wife Marsha was diagnosed with breast cancer last January and needed an immediate lumpectomy. Every three minutes, someone in the U.S. is diagnosed with breast cancer, Zusman reports. “I cannot ignore this shocking statistic and the effect it had on my family; we have made it our commitment to work toward changing it,” said Zusman.

Source: The Beverly Hills Courier [9/21/12]

NY Podiatrist to be Sentenced for Healthcare Fraud and Tax Evasion

Federal prosecutors contend a judge should do more than just step on the toes of a podiatrist from Dongan Hills at his sentencing Friday on healthcare fraud and tax evasion convictions. They're recommending that Dr. Simon Levich be sentenced to 30 to 37 months in prison, according to court papers.
 
Dr. Levich, 56, has already agreed to forfeit $100,000, court documents show. Dr. Levich admitted to billing for services he rendered to patients under another podiatrist's identification number and to filing a false income tax return for 2004. Court papers said he stated his taxable income was $644,921 and he owed $200,365 in taxes when he knew the actual figures were "substantially greater."

Source:  Frank Donnelly, Staten Island Advance [9/21/12]

MO Podiatrist Admits to False Billing

A local podiatrist, Dr. John M. Dailey, pleaded guilty to federal charges Friday and admitted falsely billing Medicare for services he didn't provide. Dailey, 55, billed for services in 2008 and 2009 when he was actually outside the state, including on vacations to Las Vegas and Hawaii, prosecutors said. Dailey pleaded guilty to three felony counts of making false statements to Medicare, and is scheduled to be sentenced Jan. 7.

Source: Robert Patrick, St. Louis Past-Dispatch [9/21/12]

Physician's Stolen Laptop Leads to $1.5 Million Settlement

Stolen or lost laptops accounted for roughly 1 in 5 incidents of footloose patient data reported to the federal government in 2011, according to a recent study by the accounting firm Kaufman Rossin. If that statistic is not enough to convince out-and-about physicians to lock their laptops in their car trunks, the federal government will get their attention with a regulatory hammer. Just ask a group practice affiliated with the Massachusetts Eye and Ear Infirmary (MEEI), a specialty hospital in Boston.

In February 2010, a member of that group practice, now retired, had his unencrypted laptop stolen while he was lecturing in South Korea. The laptop contained demographic and health information on roughly 3,600 patients. When it announced the theft 2 months later, MEEI stated that there was no evidence to suggest that anyone had accessed or misused the data in the computer. In addition to apologizing for the data breach, MEEI said it was encrypting laptops connected to its network and educating its staff about limiting the amount of patient information stored on the devices. Those changes were not enough for the Department of Health and Human Services (HHS). On September 17, HHS announced that MEEI and an affiliated medical group, Massachusetts Eye and Ear Associates, had agreed to pay the government $1.5 million to settle "potential violations" of HIPAA. The Massachusetts providers also agreed to a corrective action plan to stay out of HIPAA trouble in the future.

Source: Robert Lowes, Medscape News [9/21/12]

Query: Source for Dehydrated Alcohol, Sodium Bicarbonate

I have been trying to order dehydrated alcohol 1 ml ampules and sodium bicarbonate 8.4%. I have been told that they are both unavailable and there is no release date. Any suggestions for possible substitutions or where I am able to purchase these?

Nicholas Romansky, DPM, Media, PA

RE: Prophylactic Antibiotics Prior to Podiatric Care (Eliott Udell, DPM)
From: Brian Fanno, DPM

With regard to antibiotic prophylaxis, cephalosporins are NOT considered broad spectrum; only a few are 4th generation. Depending on country categorization, they are considered and used as broad spectrum antibiotics. As for surgical prophylaxis, still use "IV Keflex." 

Brian Fanno, DPM, Selden, NY, Befoo7@aol.com

RE: A Bullied Teen Patient (Billie Bondar, DPM)
From: Ira Baum, DPM

Thank you very much Billie Bondar, DPM for pointing out this sad and preventable condition. Bullying is a form of abuse and just like other forms of abuse, leaves a lifetime scar and affects the psychological development of the victim. 

Ira Baum, DPM, Miami, FL, ibaumdpm@bellsouth.net

RE: A Bullied Teen Patient (Billie Bondar, DPM)
From: Elliot Udell, DPM

Perhaps some of our legal experts can enlighten us as to how we should handle a case of where a child tells us that he is being physically bullied by other students. Are the laws the same as they are in cases of parental abuse? Are we allowed or even obligated to report the matter to the school without the patient's permission? I could envision a scenario where the kid might not want to tick off his peers who are bullying him and might deny the matter or even sue the doctor for violating confidentiality laws by reporting the matter.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

Editor's comment: PM News does not provide legal advice. In a growing number of jurisdictions, there is duty to report suspected abuse of patients under 18 or over 60. The proper authority to contact about suspected cases of abuse is generally child protective services, rather than the school. One should contact a local office to ascertain whether it is appropriate to make an official report.

RE: New Documentary on Healthcare (Bret Ribotsky, DPM)
From: Robert Kornfeld, DPM

Thank you, Dr. Ribotsky for presenting this "eye-opener" to our profession. This is precisely why I practice the way I do. I am engaged in a true health promoting paradigm that addresses not only the symptoms of my patients, but the causes as well. For those of you who still believe that all you need is a prescription pad and a scalpel, you are heading for a rude awakening. The time is now to embrace the wisdom and efficacy of integrative medicine. Those of you who hold steadfast to your closed-mindedness will soon find yourself wondering why your patients are leaving your practice.
 
Robert Kornfeld, DPM, Manhasset, NY, Holfoot153@aol.com

RE: Stark Violation? (Joseph G. Smith, DPM)
From: Steven D Epstein, DPM

It amazes me that so many podiatrists still have such a low opinion of themselves. I should say right off that I've been just as guilty, grabbing whatever deal I could get when I needed the money. But there comes a time when we have to think for ourselves - not, will my competition grab the spot, but is this actually good for me?

This has nothing to do with "banding together." It has everything to do with whether you are proud of yourself, your work, what you do, and who you are. Under the best of circumstances, nursing home podiatry sucks. Treating patients seated in wheelchairs, moaning in pain when...  

Editor's note: Dr. Epstein's extended-length letter can be read here.

Steven D. Epstein, DPM, Lebanon, PA, sdepstein@yahoo.com

RE: Stark Violation (Michael M. Rosenblatt, DPM)
From: Dan Klein, DPM

I agree with Dr. Rosenblatt about podiatrist audits for routine care and billing CMS for this service. I have advised nursing home (NH) families and administrators that I refuse to bill insurance for this service and refer them to the Medicare statement about routine foot care. The majority of NH residents do not qualify under CMS guidelines, and I charge for the service. I have even seen and spoken with CEOs of companies that solicit for podiatrists to work for them doing routine service and billing insurance for this service. I refuse to give into coercive efforts by NH administrators to reference so and so podiatrist who bills insurance for all services.

I have told these administrators that my integrity for honest billing practices cannot be changed through coercion. Let those other podiatrists provide this service, bill insurance for routine care, and be subject to fraud investigation. Most families of NH residents understand and agree to have routine foot care provided on a re-occurring basis for a fee. They are glad not to have to transport their family member to the podiatry office for this service. If a service is deemed to be billable, I bill the appropriate insurance. This is done in concert with consults by the primary physician for these services.

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

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed. PODO2345@AOL.COM  516 476-1815.

ASSOCIATE WANTED / PRACTICE FOR SALE - BROOKLYN NEW YORK

28 yr old established practice looking for an ethical podiatrist to join and take over practice. Good location. Excellent opportunity. Asking 35 K. Also available equipment for sale chairs, whirlpools, x-ray machines, ultrasounds, supplies, etc. Contact ecdoc1@yahoo.com.

AVAILABLE POSITION – OSSINING, NY

Open Door is a Level-3 Patient Centered Medical Home & community health center is looking for a PT BC/BE podiatrist interested in working w/ a diverse patient population in our Ossining site. 2-3 days/wk. flexible hrs. Spanish-speaking a plus! forward resume to:nrodriguez@odfmc.org

ASSOCIATE POSITION - HAMPTON BAYS / LI, NY

Growing Suffolk County podiatric practice seeking part-time associate. Could lead to future partnership opportunity. Must be highly motivated, have excellent communications skills, be flexible and have exceptional clinical abilities. We are a 16+ year well respected practice. Fax resume to: (718) 723-5627 or e-mail: Wendymakarowitz@aol.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

ASSOCIATE POSITION – NEW YORK

Great opportunity to share “state-of-the-art” offices and equipment in mid-town Manhattan and White Plains with Board Certified podiatrist. Out-of-network or participating providers welcome. Please call 212-704-4310 for additional information and fax your CV to 212-704-4311.

ASSOCIATE POSITION - CENTRAL NEW JERSEY

Established, successful practice with multiple locations in Central Jersey seeking FT/PT Associate. PSR 24/36. Please forward CV to rpg145@gmail.com

ASSOCIATE POSITION - MASSACHUSETTS

Busy multi-office podiatry practice looking to expand. Need extremely energetic dedicated individual. Must be PSR 12-24 trained, EMR, laser, vascular testing the works. Must have sense of humor. MA License, NH License A+! Surgery, sports medicine, pediatrics, shoe store. Please send resumes to resumesent11@comcast.net.

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO-2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITION - SOUTHERN MICHIGAN

Associate with possible partnership wanted for large practice. Four physician practice looking for an associate. Salary plus incentive. You can practice with the security of four other physicians backing you. Safety in numbers. Email letter and CV to:PaulaPMAC@hotmail.com.

ASSOCIATE POSITION - KANSAS CITY

Kansas City may be the perfect move for you and your family. I am 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 a doctor who is as committed to your success as he is to his own. Go to: www.YourFutureInPodiatry.com for full details.

ASSOCIATE POSITION - MANHATTAN

In-network podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 5+ years experience only, and an in-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.com

ASSOCIATE POSITION- FREDERICK, MD

Office and Hospital based Podiatry group is seeking a highly trained, "high powered" surgical associate to compliment our 4 doctor group. Minimum PSR 36 trained with Rearfoot Reconstructive experience is required. Previous practice experience is preferred. Competitive salary and benefits package along with amazing working environment. Please forward cover letter and CV to drsteinberg@mynewfeet.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 infowww.greatfootcare.com. Send resume to Dr.Kassaris@yahoo.com

ASSOCIATE POSITION - SOUTH CAROLINA

Upstate practice seeking PSR-24/36 trained associate. Full-time position with partnership opportunity. Plans include new office and EHR System. Hospital privileges. Near Hartwell Lake and the Blue Ridge Mountains. Please send CV to palpodiatry@att.net.

ASSOCIATE POSITION - NASSAU COUNTY, NEW YORK

Exciting Opportunity! Associate position. Must be Board Qualified. Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to:Podiatryoffice@doctor.com

EQUIPMENT FOR SALE - PINPOINTE LASER

PinPointe Laser for sale. All accessories included. In service since 2008. Service policy in place, fully transferable. $30,000. tatarb@verizon.net

EQUIPMENT FOR SALE - PADNET

Lightly used: Full set of PadNet cuffs, automatic inflation system, PADNET machine, and cart for sale. asking $7,000. Turnkey. Provide vascular testing in office with ABI and PVR readings.KLAMDPM@hotmail.com

PRACTICE FOR SALE - WASHINGTON, DC

Brand new, street level. Outstanding downtown location. Sell with all new equipment and furniture. Nomir Laser and shockwave machine. Priced for fast sale. 202 669 7795

PRACTICE AND EQUIPMENT FOR SALE - QUEENS, NY

Podiatry practice for sale 25 years. Queens location. Solid patient base. Spanish speaking an asset. excellent opportunity. Supplies and new podiatry chair also available. Email:hsd18@aol.com.

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com

PM News Classified Ads Reach over 14,000 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 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 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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