|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 14,601 Podiatrists Daily
September 26, 2013 #4,873  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block
|
|
|
| PM NEWS QUICK POLL | |
|
|
|
| PODIATRISTS AND POLITICS | |
LACPMS Holds its 6th Annual One Voice Event
On September 21, 2013, the L.A. County Podiatric Medical Society held its 6th Annual One Voice Event at the Peninsula Hotel in Beverly Hills, California to raise funds for Cal PPAC. It was sponsored by Bako Laboratories, Arthrex, Rad Alliance, IV League, Pacific Vasucare, and Bauerfeind.
 |
|
(L-R) Drs. Jack Morgan and "Ollie" Foster |
According to the Chairman, Dr. Jack Morgan, the event has raised over $200,000 in the past 6 years. The gala evening was attended by over 100 people who drank, dined, and danced the night away.
|
 160
|
|
| PODIATRISTS IN THE COMMUNITY | |
PA Podiatrist Named Trustee to Juniata College Board
The Juniata College board of trustees has added four new members to begin the 2013-2014 academic year. The new trustees appointed to begin their service Sept. 1, 2013 through August 2016 include Dr. Gary Raymond, of Hollidaysburg, PA. Dr. Raymond, a native of Gallitzin, PA, has been the president and owner of Advanced Regional Center for Ankle and Foot Care since 1982 and also is the owner and managing partner of the Summit Tennis and Athletic Club in Altoona, PA.
 |
|
Dr. Gary Raymond |
Raymond has been an active volunteer for Juniata serving as president of the Juniata College Parents Council. He also is a clinical assistant professor at Temple University's School of Podiatric Medicine, and has published articles on clinical research in medical journals. In addition, he serves on the advisory board at S&T Bank, in Altoona, PA.
|
|
| IN THE COURTS | |
TN Podiatrist Testifies in Successful $2M Lawsuit Against Nail Salon
The superficial nerve fibers on Jenny Howell’s feet were so damaged in a pedicure at a Regal Nails salon that a spinal stimulator had to be surgically implanted to enable her to walk. The damage is permanent and affects every aspect of her life. According to court records, podiatrist Dr. Robert Spalding of Chattanooga, TN, author of the book Death by Pedicure, along with industry consultant and educator Janet McCormick, Frostproof, FL, co-owners of Medinail Learning Centers testified in the lawsuit as industry experts.
 |
|
Dr. Robert Spalding |
Instructions for a callus softener called for only a 45-second application time. According to testimony, nail technician Lilly Le, aka “Helen” applied and left the product on Howell’s feet for over 25 minutes, resulting in extremely painful and widespread blister formation and damage.
Source: FL Case #2010-CA-1776
|
|
| PODIATRIC PRODUCTS IN THE NEWS | |
AZ Podiatrist to Present Clinical Abstract on Ultraportable NPWT Device
Jodi L. Walters, DPM, director of Podiatry Research, Southern Arizona VA Health Care System, Tucson, AZ, assistant professor, University of Arizona, and Diplomate, American Board of Podiatric Surgery, will present a clinical abstract entitled, “Use of an Ultraportable Negative Pressure Wound Therapy Platform for Optimized Healing of a High Risk Surgical Incision and Chronic Ulceration in a Patient with Spina Bifida.” The abstract describes a 22-year-old college student with a history of spina bifida, chronic pain and chronic right foot ulceration with suspected clinical osteomyelitis. He suffered from an infection and a non-healing ulceration that existed for over three-and-a-half years. The patient was treated with the ciSNaP® for use on the closed incision followed by use of the SNaP System for standard NPWT.
 |
|
Dr. Jodi Walters |
The patient’s wound healed rapidly, enabling him to quickly return to active college life, and he remains completely healed after four months. “Use of both the ciSNaP and the SNaP Systems successfully treated a young, high-risk patient,” said Dr. Walters. “This patient’s quality of life had been seriously compromised for a long time due to his chronic wound and infection, resulting in missed classes; however, once we began our treatment regimen, he was completely healed in just over two week’s time.
|
|
| QUERIES (CLINICAL) | |
Query: Calcification 5th Toe
A 55 year old female presented with pain and swelling in her 5th toe for two weeks, worse after wearing shoes to a wedding. Clinically, the toe is inflamed, swollen, and painful to touch. There is a hammertoe deformity. No history of trauma, ever.
 |
|
Calcification of the 5th Toe |
Previous x-rays from 5 years ago show no calcification. Any ideas as to what happened and how to treat it? Is a biopsy necessary?
Neil Zwiebel, DPM, NY, NY
|
|
| QUERIES (EMR) | |
Query: Wellcentive
Does anyone have any experience with Wellcentive as a registry vendor to report PQRS?
Michael Forman, DPM, Cleveland OH
|
|
| QUERIES (DME) | |
Query: Denial of DME Application
I recently sent in my application for participation in the Medicare DME program. I paid, via American Express, the fee of $532, filled out the application (July 2013), and have been waiting for my identification numbers. My office manager called for follow-up recently, and was told that the application (and my file) were closed because (according to a supervisor) of a lack of a response requesting additional information. This additional information request was sent to me as a fax.
I just spoke to a supervisor, and explained that we never received such a fax. She said that unfortunately there is nothing that can be done. So right now, I am out $532, and cannot have my application re-opened. I would have to start again (and pay an additional $532). Does anyone have any suggestions as to how I would get this resolved?
Name Withheld
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Kazu Suzuki, DPM
I recommend that you convert this open amputation to a TMA. If there is a tissue defect, you can always fill it with wound VAC or even a muscle flap later on. HBOT will be helpful in wound healing, given that this was an ischemic event. Acute limb ischemia is indeed one of the recommended HBOT indications by the Undersea and Hyperbaric Medical Society Guidelines.
I am advocating TMA because I have done many Chopart amputations, with less than ideal outcomes; they are hard to shoe and ambulate afterwards. You can always do a BKA later, if all else fails. Try everything and anything you can for limb salvage. Given that this is a young healthy individual, you will be surprised how well and fast he heals, compared to our usual diabetic and geriatric patients.
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 2A | |
RE: Unstable Scar
From: John F. Swaim, DPM
After ruling out osteo, vascular compromise, and skin cancer, place the patient in a TCC for 6-8 weeks, removing and debriding the area Q2 weeks. If he can revert this to intact skin, use a multi-density diabetic insole with additional layers of materials and a higher durometer outer shell to accommodate this larger patient as the usual thicknesses found in approved diabetic insoles would be meager and inadequate in this individual.
The Achilles lengthening likely aggravated the heel. Add onto the shoe or CROW-walker outsole an 3/8" heel lift and counter. Adjust the thicknesses by using a pressure plate to verify pressure reduction by at least 1/2 at the heel. Add mid arch PPT layers to augment, as needed.
A daily emollient will maintain the skin. If he has any fat pad left, I would try Tubi-grip, worn daily, or one of those new plantar fasciitis sleeves. The compression might be enough to limit the lateral excursion and tensile strain of the remaining fat pad and overlying skin, allowing for more cushioning of the area during ambulation. If the skin is unable to heal, I'd move to a round of debridement, then apply ACELL before taking this patient to surgery for a graft or flap.
|
MEETING NOTICES - PART 1
|
|
|
| RESPONSES/COMMENTS (CLINICAL) - PART 2B | |
RE: Unstable Scar
From: Robert S. Schwartz, CPed
It is possible to reduce heel contact shear and pressure to the heel using heel and toe rockers (See attached photo). Rockers are designed to delay contact with the floor until the body passes over the heel and lands on the midfoot. MBT is an example of a ready-made shoe that offers this feature. It has both the delayed heel contact and SACH heel to absorb forces. The insole has to provide added protection.
 |
|
Ankle Joint Rocker with SACH Heel |
A horseshoe-designed device with dispersion under the calcaneus using a combination of memory foam (PPT, for example) and pink Plastazote under the ulcer, and a firm frame for stability and support should help. Appropriate footgear is critical including appropriate shoe size and style, and heel height. What footwear is he wearing around the house? Maybe he’s wearing no shoes.
|
MEETING NOTICES - PART 2
|
|
|
| RESPONSES/COMMENTS (EMR) | |
From: Al Musella, DPM, Michael L. Brody, DPM
The best program to use is sourceforge.net/projects/dban/. It is free. It will securely erase the data on the disk and leave it operational, so that others can re-install Windows.
It is not the whole computer that you need to worry about. It is about the storage of data in the computer. The storage of data is on your hard drive in your computer. It is also VERY IMPORTANT to realize that computers are NOT the only devices that you need to remove sensitive information from before they leave your office.
There was a recent case where Affinity Health Care paid a large fine for letting photocopy machines out the door with patient information on the hard drives in the copy machines. So the advice I am providing below is appropriate for any and all devices that may contain patient information including but not limited to...
Editor's note: Dr. Brody's extended-length letter can be read here.
|
MEETING NOTICES - PART 3
 160
|
|
|
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $169
(Less than $12 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, GA, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, FL, ID, IL, IA, MO, MT, NH, NY, NC, OK, PA, PR, TN, TX, UT, VT, WA, and DC
Choose any or ALL (50 CME Contact Hours) from the 30+ CME Category-1 articles posted
|
|
| CLASSIFIED ADS |
EQUIPMENT FOR SALE – USED PINPOINTE LASER
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.
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.
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 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 - 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 - 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 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 POSITIONS – MARYLAND (FULL-TIME/PART-TIME)
Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Podiatry Management Services provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.
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 WANTED: DPM NOT INTERESTED IN BONE SURGERY - ONTARIO, CANADA
Rare, Unique Opportunity Join my well established, dynamic and successful practice in a most amazing cosmopolitan city- Ottawa, Canada. The successful candidate will be permitted to perform soft tissue surgery including sinus tarsi stent implants. I do in-office osseous surgery (bunions, hammertoes, etc.). New DPMs in Ontario permitted bone surgery pending legislative changes. We also provide full orthopaedic and rehabilitative services, routine care and laser for onychomycosis. Remuneration is generous and commensurate with experience and productivity. Visit www.feetdocs.com and submit resumes and queries to dgreenberg@feetdocs.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 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- DAYTON, OHIO
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to: Ohiomedical@aol.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
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
PM News Classified Ads Reach over 14,500 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 14,500 DPMs. for details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 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.
|
| 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.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
