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PM News

The Voice of Podiatrists

Serving Over 14,864 Podiatrists Daily


October 04, 2013 #4,880 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

INTERNATIONAL PODIATRISTS IN THE NEWS
Indian Podiatrist Uses Novel PMMA Foot and Ankle Prosthesis  
 
The Department of Podiatric Surgery at the Amrita Institute of Medical Sciences successfully replaced the destroyed foot and ankle bones of a 30-year-old patient with a novel prosthesis using polymethyl methacrylate (PMMA). The surgery was led by Dr. Ajit Kumar Varma. The prosthesis was affixed through a surgical technique now known as the Amrita Sling Technique.
 
Dr. Ajit Kumar Varma
 
“The patient developed a spinal cord injury due to a fall from a height. This caused severe neurological deficit of his lower limbs. After some time, muscle strength of the lower limbs improved and he started walking. But when the bones of the right foot and ankle started bearing weight, they developed Charcot’s destruction as they were osteoporotic. We took three-dimensional color CT images of the patient’s normal foot and ankle on the left side. By creating a mirror image of these pictures, we got an idea about how to repair the damaged right foot and ankle bones," said Dr. Varma.
 
Source: The New Indian Express [10/2/13]
aetrex

polygel


PM NEWS QUICK POLL

Quick Poll

How do you think the Affordable Care Act (Obamacare) will affect your practice?
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Gordon Labs



PODIATRISTS IN THE COMMUNITY
NJ Podiatrist and Wife Own and Operate Medical Spa
 
Dr. Nicola Delorio became familiar with collagen during her medical residency, and injectible skin treatments were a growing part of her plastic surgery practice starting in Linwood in 1998. So Delorio's clientele grew, and a decade later, she and her husband, Dr. Gerald Galinus, opened Accent Aesthetics, Medical & Laser Day Spa in Galloway Township.
 
Dr. Gerald Galinus
 
Lasers are used for a variety of treatments, from tightening skin, to erasing fine lines, to removing irregularities, to spider veins and acne scarring from skin. The spa also offers laser hair removal. "We have two lasers for that, one for darker skin and one for lighter skin," Delorio said. Galinus, a podiatrist who runs the business side of Accent Aesthetics, also performs some of the laser treatments.
 
Source: Kevin Post, Press of Atlantic City [10/2/13]

Dr.Comfort


Medit


PUBLISHED PODIATRISTS
TN Podiatrist Publishes Diabetes Prevention Book 
 
For more than 30 years, Dr. Mark Hinkes has seen his patients with diabetes suffer from pain, ulcers, and infections, just because they didn’t follow sound foot healthcare guidelines. His new book, Healthy Feet for People with Diabetes, focuses on prevention.  
 
Dr. Mark Hinkes and New Book
 
The comprehensive guide to foot care has easy-to-follow steps for those most at risk of having foot problems. “While it’s a great guide for patients, it has also been well received by podiatry office staff, foot care nurses, and even pedicurists,“ Dr. Hinkes says. Hinkes is Chief of Podiatry and Director of Podiatric Medical Education at the Veterans Affairs Medical Center/Tennessee Valley Healthcare System in Nashville, Tennessee. 
 
Guerilla

PODIATRISTS AND DIABETES
AZ Podiatrist Uses Technology to Help Heal Diabetic Wounds
 
With up to 12,000 patient visits annually, the UA's Southern Arizona Limb Salvage Alliance clinic at The University of Arizona Medical Center – University Campus is one of the busiest in the world for diabetic limb salvage. In the five years that Dr. David G. Armstrong has been director of SALSA, a collaborative clinical and research alliance dedicated to advancing care of the diabetic foot and preventing amputations in North America and worldwide, he has honed his keen propensity towards technology-based solutions in treating and connecting with patients.
 
(L-R) Drs. Bijan Najafi and David Armstrong
 
“There is a massive trend of merging consumer electronics with cybernetic appliances,” says Armstrong. SALSA’s collaborative research team, the Interdisciplinary Consortium on Advanced Motion Performance, works on developing and tweaking gadgets that enhance quality of life. The team, known as iCAMP, is headed by biomedical engineer Bijan Najafi, with whom Armstrong works closely.
 
Source: Lisa Romero and Shiana Ferng, UA@work [10/1/13]

Earthwalk


PRACTICE MANAGEMENT TIP OF THE DAY
Bad Body Language That Hurts Your Career
 
Avoid these actions that can make you come across as insecure, incompetent or indifferent—all behaviors that can limit your career success: 
  •  Slouching. When you enter a room, the people around you take about four seconds to make up their minds about you. Stand tall, with square shoulders and your head upright to convey confidence—especially when you meet people for the first time. 
  •  Touching your face. That can often lead people to deem you as insecure or untrustworthy. Additionally, touching your lips can convey that you don’t agree with the other person. 
  •  Chewing your pen or eyeglass stems. That can make you look nervous or unconfident about the status of the negotiations. 
  •  Using a weak tone. While not a gesture, tonality does fall under the scope of body language. If you tend to raise your tone at the end of sentences—the way you do when you ask a question—you will have trouble convincing others to accept your point of view. If you are trying to influence someone, make sure your tone drops down at the end of sentences. 
Source:  Adapted from “7 Things Your Body Language Is Telling Your Boss,” Holly Ellyatt, Entrepreneur via Communication Briefings

Silipos


QUERIES (CLINICAL)
Query: Acral Melanocytic Nevus
 
This patient is a 57 year old Afro-American female who presented to the office with  two unilateral "purple"lesions of approximately 2 months duration. She stated that they began just as noticeable "brownish" lesions and changed color to "purple." 
 
Acral Melanocytic Nevus
 
Two 2 mm biopsies were taken from the lesion marked by the arrow. Path report came back acral melanocytic nevus, compound type. She is diabetic and on dialysis. Is any further treatment or diagnosis other than observation needed since there are multiple lesions? Would dermoscopy be of value? Any opinions would be appreciated.

Gill


RESPONSES/COMMENTS (CLINICAL)
From: Robert Colligan, DPM
 
Many years ago, I removed a calcified bony prominence from a distal phalanx, with a radiographic appearance much like this one. And strangely enough, several years later, I came across another patient with the same thing. Both reports came back as benign parosteal osteochondromatous proliferation (BPOP). Very little has been written on the subject, but I do recall there was an article written on the subject in JAPMA (2006). This incidentally was given a slightly different name: Bizarre parosteal osteochondromatous proliferation.
 
In both instances that I witnessed, the lesion was removed, and has not yet recurred.
 
Robert Colligan, DPM, Norfolk, NE, rcolligan@cableone.net

PPG


RESPONSES/COMMENTS (MEDICAL LEGAL)
From: Hal Ornstein, DPM
 
Whenever you mail something important to a patient, you should always send it return receipt - signature requested. Be sure to document that this was done, and place a copy of the receipt in the patient's medical records.
 
Hal Ornstein, DPM, Howell, NJ, toetoe@optonline.net

AMERX


RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
From: Michael M. Rosenblatt, DPM
 
A number of interesting posts were made concerning the risks of using smartphones to document NH visits and possible HIPAA violations. This is a realistic concern. Government is now getting to the point of absurdity, which we are also seeing by recent Congressional budgetary shutdowns. But we still have to deal with them. As it turns out, Apple is now getting deluged by requests from law enforcement agencies to decrypt their iPhones in criminal cases. 
 
This suggests that, at a minimum, it is NOT easy to decrypt an iPhone. Also, there are some excellent encryption apps for sale. I submit that the forces of HIPAA are less to worry about than the forces of an NH chart audit. I do agree that it is vital to purchase a good encryption program for your cell phone, and even look into ones that large businesses use, even if they cost more. If you are going to use your cell phone to document NH visits, you should definitely encrypt it. But you probably should do that anyway, especially if you have banking info on it, as many of us do. There are websites to help you with this
 
This is a temporary technology issue that will eventually be fixed, if not already. If you are concerned about smartphones, don't use them, but instead use a non-Internet connecting device, like an ordinary digital camera. Dr. Giaimo suggests an ordinary HD webcam without internal memory. Just please don't use the "encryption" excuse not to do what you need to do to protect yourself. Technical arguments will not keep you out of jail. Good documentation will.
 
Michael M. Rosenblatt, DPM, San Jose, CA, Rosey1@prodigy.net 

Neuremedy


RESPONSES/COMMENTS (OBITUARUIES) - PART 1
 
I met Dr. Petrolla in 1988 when I visited his office for the first time as a new rep when I started working for Pedinol. He was so gracious and generous with his time to speak with me. I felt I was talking to an old friend! The last time I was in his office, he was showing me videos of his grandson Luca. I will miss seeing his warm smile. I am grateful for the wonderful people I have met along the way in this profession, and Angelo was sure at the top! My condolences to Heather and his family.
 
Paula Pitts, The Tetra Corporation
MEETING NOTICES - PART 1

Superbones West

mailtoIFAF

RESPONSES/COMMENTS (OBITUARIES) - PART 2
 
I would like to add my sympathy and respects to the Petrolla family for their loss. I was a resident at the "Foot Clinics of Youngstown" along with Angelo, and my fondest recollections of him were his broad smile and relaxed, confident attitude. He was pleasant to be around, professional, and bright. Youngstown was noted for the phenomenal lunches given to the residents, and Angelo wasn't second place to anyone in enjoying them. I only recently heard he was ill, and his passing was very sad to me. Heather, his beautiful wife, would visit the clinic occasionally, and we all looked forward to seeing her. I am sorry for their loss and will pray for him.   
 
Robert Bijak, DPM, Clarence Center, NY
MEETING NOTICES - PART 2

NYCPM

ACFAS


YOU CAN'T MAKE THESE THINGS UP
RE: One Way to Reduce Post-op Drug Costs
 
Truth can be stranger than fiction. Today, I saw a 30-year-old patient who is status-post two weeks bunion surgery. She is breast-feeding, and today her husband informed me that in between applications of topical pain medication, she is putting breast milk on her wound. I told him, "why not. I can't imagine it's bad for the wound."
 
Peter Bregman, DPM, Las Vegas, NV
MEETING NOTICES - PART 3

podinst

CLASSIFIED ADS
NEW YORK PODIATRIST SOUGHT FOR PART-TIME WORK
 
at two different multi-specialty practices. These practices are interested in expanding their current medical services to include podiatric rehabilitation and possibly surgery. These medical sites are very dynamic with excellent/instant referral base. Must have excellent communication skills and be confident in your skill set. Bronx, Long Island and Brooklyn areas possible, depending on your location. If interested, please send resume and short statement concerning your interest in this job offering. Podiatry8888@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 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
 
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 – 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, Tell why you are a superstar. mny1029@gmail.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 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 - 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
 
PRACTICE FOR SALE - CENTRAL NY SYRACUSE SUBURB 
 
Disability forces quick sale of well-established 25+ year practice. Grossing 460,000. Fully equipped with pedorthist on staff. Brick building with apartment above office rented to same tenant 10+ years. Will sell practice and lease space or sell building along with this well rounded practice. High physician referral base. Respond to: instepwithpodiatry@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  -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: 18,500  E mail Dr. Zuckerman at: footcare@comcast.net. for questions and pricing .
 
EQUIPMENT FOR SALE - 2012 PINPOINTE FOOTLASER  
 
FDA-cleared treatment for toenail fungus. Used only 30 times. Doc closing practice. Paid 66K asking 46K or best offer. Buyer pays shipping from Arizona. rmfleck@cableone.net or call Robin at 928-443-0943 Thursday or Fridays 8-5.PST.
 
EQUIPMENT FOR SALE 
 
Chair Midmark 117-Burgundy very good working condition, Stryker surgical instruments (set of 3) System ll wire driver/RotoOsteome 10/Oscillating Saw 30 all recently refurbished with all accessories, and Quantiflex M.D.M nitrous oxide with 2 oxygen/2 nitrous oxide- mobile-needs to be refurbished. Valley Stream NY. Please respond to msjs63@yahoo.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.
 
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.
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Barry H. Block, DPM, JD
 
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