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| PM News | |
The Voice of Podiatrists
Serving Over 14,864 Podiatrists Daily
October 08, 2013 #4,883  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
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Aussie Podiatrist Discusses Indoor Vs. Outdoor Running
If your goal is to run a marathon, head to the great outdoors. If you're after a light jog, switch on your running machine, says Steve Manning, podiatrist and Queensland president of Sports Medicine Australia. "Running on a treadmill is fine for those with knee or hip problems, or if you're overweight, as there's little weight bearing on your joints," Manning says.
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Steve Manning |
"Running on the pavement uses a different type of muscle contraction, which a running machine can't emulate." As a running-machine surface is smooth, there is no change in your step or pace, which helps to increase your fitness levels. "Although cushioned running machines may help reduce the shock impact on knees and joints, continual running at the same pace will increase your risk of osteoporosis," Manning says. Whichever option you choose, keep running.
Source: Australia Daily Telegraph [10/5/13]
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| PM NEWS QUICK POLL | |
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| PODIATRISTS AND HUMANITARIAN CAUSES | |
NJ Podiatrist is Volunteer at Week-long Honduras Medical Mission
Dr. Emilio A. Puzo of Parsippany, NJ was the first podiatric surgeon to attend a week-long volunteer medical mission to a very rural area of Honduras, in Catacamas, a 5-hour car ride from the country’s capital. The program was sponsored by Saint Clare’s Hospital in Denville, NJ, where he is on staff. Puzo was part of a 16-person group, including OB/GYN, general, and urologic surgeons, anesthesiologists, OR nurses, infectious disease and ER doctors. His wife, Sherri Puzo, a project designer for an engineering firm, was also there and provided much needed logistical help.
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Dr. Emilio Puzo treats patient in Honduras |
Puzo saw roughly 70 patients on the first day of clinic. Some were pre-screened for surgery; many needed injections, prescriptions, and OTC supports. Surgeries included bunionectomies, open fasciotomies, posterior heel spur/Achilles debridement, nail matrixectomies, soft tissue mass excision, and diabetic I&Ds.
Source: Inside Saint Clare's [10/4/13]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
MA Podiatrist Named Medical Co-director of Wound Care Center
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Dr. John Guirini |
John Giurini, DPM has been named Medical Co-director at the Center for Wound Care & Hyperbaric Medicine, Beth Israel Deaconess-Needham. Dr. Giurini is chief of podiatry at Beth Israel Deaconess Medical Center and recently wrote a chapter entitled "The Diabetic Foot" in Fischer's Mastery of Surgery, 6th edition published by Lippincott-Williams/Wilkins. He is a past president of the American College of Foot and Ankle Surgeons.
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| PODIATRISTS AND FOOTWEAR | |
Despite Anthropomorphic Benefit, Heels Should be Avoided: IN Podiatrist
Dr. William Oliver, a podiatrist with Unity Healthcare in Lafayette, recommends avoiding heels if possible. “Women’s dress shoes are not designed for function but fashion,” he said. “(But) heels do accentuate the women’s calf muscles and make them more attractive, so there’s some anthropomorphic benefit to that.”
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Dr. William Oliver |
However, quickly transitioning into flats may be difficult because wearing high heels tightens the calf muscle over time.
Source: Taya Flores, Lafayette The Courier-Journal [10/6/13]
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| SUCCESS TIPS FROM THE MASTERS | |
Bret Ribotsky: Is there an ideal way to treat heel pain from a coding perspective, maximizing financial return?
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Dr. Michael Warshaw |
Michael Warshaw: You should always do what will help your patients get better fastest, as that is what I would want if I were a patient. From the audits and reviews that I do, one area that we really fall short on in podiatry is that most podiatrists do not take x-rays on the initial encounter. Podiatrists seems to be convinced that everyone with heel pain has plantar fasciitis. I think the differential for heel pain has about 32 different causes. Take an x-ray.
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Dr. Charles Zelen |
Meet the Masters airs this Tuesday night with guest Dr. Charles Zelen, nationally known surgical expert. You can register for this event by clicking here
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Don't Demotivate Staff - Part 1
You need all hands on deck—committed to the job and focused on reaching your goals. If you make these mistakes, however, you’ll end up with a bunch of unmotivated, disgruntled staff who won’t give it their best:
1. Neglecting to praise others’ efforts. If employees’ work goes unnoticed, they’ll stop working hard. Recognize everyone’s hard work; all it takes is a simple “Thank you” or “Nice job,” when employees do something praiseworthy.
2. Criticizing people publicly. Bash an employee in front of others, and you’ll not only anger the employee but you’ll also make the rest of the group uncomfortable and reluctant to point out their mistakes, which can lead to errors.
3. Refusing to explain your actions.You’re the boss. No one is denying that. However, if you don’t explain your management decisions - especially when they have a big impact on staff - employees resent you for it and begin to speculate and gossip about the reasons for your actions.
Source: Adapted from “8 Surefire Ways to Demotivate Your Employees" via Communication Briefings [October 2013]
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Elliot Udell, DPM
Dr. Markinson writes that the reliability of dermoscopy is related to the expertise of the person examining the lesion under the scope. This is true in one sense, but false in another. It's true that there are experts in the area of dermoscopy who can rule out the need for a biopsy based on what they view under the scope because they have studied thousands of lesions over many years. For many podiatrists, however, including myself, dermoscopic examination has increased the number of biopsies taken because by magnifying a lesion and comparing it to text case images, a greater level of suspicion is raised.
I have diagnosed melanomas and other cancerous lesions which were confirmed on biopsy, and these diagnoses were made using a very inexpensive scope. If I could have one wish come true, it would be to have every one of my colleagues start using dermoscopes in their offices regularly. I am certain that we would save countless lives by not overlooking lesions which may appear benign to the naked eye.
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| RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP - PART 1A) | |
From: Kevin A. Kirby, DPM
Even though 3-D printing, otherwise known as additive manufacturing, has been around since 1984, it has only been recently that the cost of 3-D printers have come down in price to consider making custom foot orthoses using this process. To my knowledge, there are no commercial labs that have, as of yet, started using 3-D printing to mass-produce custom foot orthoses.
Because of this, I would be suspicious of any podiatrist who claims to be ready to mass-produce custom foot orthoses for podiatrists using 3-D printing at this time. In addition, podiatrists must look closely at the durability of the materials used for 3-D printed orthoses. I sincerely doubt that they will even come close to the durability of polypropylene orthoses within the next five years.
However, within five to ten years, I believe that podiatrists may be able to make their own custom foot orthoses for their own patients using 3-D printers in their own offices which would be a huge breakthrough. This technology would then allow the podiatrist to examine and 3-D scan the patient's plantar foot and, with a few software commands, have the 3-D printer start fabricating the patient's custom foot orthoses on the spot in the office within approximately an hour. All the podiatrist's staff would need to do to the orthosis is to glue on a topcover, or add forefoot extensions, if that is necessary in the patient's orthoses.
Futuristic?...yes. Impossible?...no. Likely?....definitely!.
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| RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) - PART 1B | |
From: Fred Huss, DPM
This article describes a new 3-D scanning device that clips on to an iPad. The creators of the device are on Kickstarter, and selling it for $349. They are also offering to include the API that will let any developer create an app that can utilize the potential of the scanner. I think this may help open up what I believe is a costly proprietary market, (every orthotic company seems to have their own system), to a more universal platform. Add the ability to fabricate on a 3-D printer with newer materials, and you'll be able to provide these devices in a much shorter time frame.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Raymond F Posa, MBA
What Dr. Brody has missed and the overarching issue here is, "What is ePHI?" It is personally identifiable information. A picture taken of a wound, whether with a smartphone or camera, as long as it is saved with the random name generated by the camera or phone is not ePHI and not subject to HIPAA rules and regulations. It only becomes ePHI when we rename it and assign a name to it that is identifiable to the patient.
So feel free to document the wounds with either a smartphone or a camera; either is fine. After, transfer the image from your device to your medical records program and then rename it. At that point, it becomes ePHI.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 B | |
From: Michael L. Brody, DPM
I understand and appreciate your comments, but let me pose a few questions regarding how camera phones would be used and how low-cost digital cameras would be used.
1) If you have a low-cost digital camera that does not leave your office, what is the risk of...
Editor's note: Dr. Brody's extended-length letter can be read here.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Peter Bregman, DPM
I was shocked to learn yet again that flip-flops are not good for your feet! This revelation seems to continue despite the many, many mentions of it on this site. When will it end?
Editor's comment: PM News will stop reprinting snippets about flip-fops, high heels, etc. when the media stops covering these topics. The purpose of publishing these stories is not to educate podiatrists, but rather to show what the media is reporting. While we are aware that some podiatrists would like to disassociate themselves from footwear, we believe that would be counter-productive to the profession. If we discontinue being the medical experts on footwear, there are other less qualified specialists, such as pedorthists eager to fill that void. For that reason, PM is the only podiatric publication to feature an annual October issue devoted to footwear.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
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
POSITIONS AVAILABLE - UPSTATE NY, AND BUFFALO AREA
Looking for podiatrists to see residents in Nursing Homes in Upstate and Western NY. Locations include Gloversville, Utica, Buffalo, and surrounding areas. Great opportunity for supplemental or full time income. Email inquiries to phasetwopodiatry@gmail.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
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
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 42K 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 - 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.
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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
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immediately notify me and you are hereby instructed to delete all
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