The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

October 09, 2009 #3,670 Publisher-Barry Block, DPM, JD

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We just posted an article titled: Orthotic Therapy in Tough Economic Times by Lawrence Huppin, DPM.

Dr. Lawrence Huppin

You can read this informative and useful article at: http://www.podiatrym.com/pmarticle.cfm?id=129

NY Husband & Wife Podiatrists Injured in Boat Crash

The operator of the powerboat that crashed into a marshy island off Seaford on Sunday night killed three people and injured four. The boat was heading home to Copiague from a Freeport restaurant and fish market when he made a navigation error that he was trying to correct before the impact, two close friends said Tuesday.

Dr. Raymond and Laura Soluri

Nassau University Medical Center upgraded the conditions of three survivors Tuesday from critical to stable condition. The survivors are Sugamele, 50, of Massapequa, who suffered neck injuries; Raymond Soluri, 48, of Massapequa, who had fractured vertebrae in his neck; his wife, Laura, 54, who suffered head injuries; and a man from Farmingdale who is 54 and fractured both legs.

Source: Newsday [10/7/09]

NC Podiatrist-Daughter Honors Dad and Tradition

On the wall in Dr. Ainsley Roberson Rusevlyan’s waiting room hangs a portrait of the local podiatric physician’s late father, Dr. James “Bunk” Roberson. The portrait is one of many tributes to the elder Roberson, a longtime podiatrist who died a little more than a year ago. Also scattered about the waiting room are smaller reminders of Rusevlyan’s father, including a miniature tobacco barn and more items that are symbolic of his other passion: farming.

Dr. Ainsley Roberson Rusevlyan stands near a portrait of her late father, Dr. James ‘Bunk’ Roberson. (Photo Jonathan Clayborne)

Though inspired by the late Roberson, the atmosphere of the office is also reflective of the young doctor who is a self-described “Southern lady.” After completing her undergraduate education at East Carolina University, Rusevlyan went on to graduate from Temple University. Before returning to the area, she was chief resident at a veterans hospital in Philadelphia. “I got great training, very hands-on training,” she said. Though she received job offers in Philadelphia, Rusevlyan wished to come back home. “I came back to be with my family, and practice and continue that tradition,” she said.

Source: Jonathan Clayborne, Washington Daily News [10/7/09]

Reform Bill Might Require Doctors to Participate in The Public Plan

House Democrats in ongoing caucus meetings are considering additional options for cutting costs in a nearly $1 trillion health reform bill that leadership is pressing to finalize in the coming weeks. A surtax on the nation’s highest earners has been favored as way to offset costs, “and I think that’s the approach the House will follow,” Rep. Gerald Connolly (D-VA) told reporters.

Members of the caucus continued to wrangle with the format of the public plan. Setting reimbursement on negotiated rates would result in an estimated $25 billion in savings over 10 years, but rates set at Medicare plus 5% “would save $110 billion and that’s a big difference,” Connolly said.

Requiring doctors to participate in the public plan as a condition for accepting Medicare patients could potentially make up that difference, saving up to $90 billion over 10 years, offered Rep. Anthony Weiner (D-NY). The trade-off is physicians would know what their rates would be, “and they wouldn’t have to deal with insurance companies,” Weiner said.

Source: Jennifer Lubell, Modern Healthcare [10/7/09]

Query: Why Are Feet Ticklish?

Recently, I was asked by a patient, "Why are feet so ticklish?" I was embarrassed because I didn't have a knowledgeable answer. What is the physiological explanation? What part of the brain controls this? What is the neurological pathway? When do infants develop the sensation? Why are some people not ticklish? Could ticklishness be used as a neuropathy marker? Is ticklishness or lack thereof used diagnostically? Why can't you tickle yourself? Anybody have answers or a good source?
 
Tip Sullivan, DPM, Jackson, MS

RE: Scope of Practice to Treat Obesity (Tip Sullivan, DPM)
From: Lowell Scott Weil, Sr., DPM
 
Are the kids obese because they have flatfeet and they cannot (or chose not to) participate in sports or exercise ? Or do they have flatfeet because they are obese?

The standard line for heel pain was that the patients were obese. In a study by Godling and myself  in The Foot, about 20 years ago, we ran a control group without heel pain and found that their body mass index was statistically the same as the heel pain group.

Conclusion: podiatry patients are generally obese. (Godling was a Fellow from England and added: Americans are generally obese!)

Lowell Scott Weil, Sr., DPM, Des Plaines, IL, weil4feet@aol.com
 

RE: Alcohol Availability (Sloan Gordon, DPM)
From: Multiple Respondents

We purchase our 1cc ampules from Gill Podiatry.  You may buy 1, 2, or 3 at a time - whatever you wish.
 
Rich Hofacker, Akron, OH, Cavsdoc26@att.net (also Kevin L. Sneider, DPM, Judd Davis, DPM)

Universal FootCare sells individual ampules for around $12.00. Moore Medical sells 10 for around $80.00
 
Paul A. Galluzzo,  DPM, Rockford, IL, ftsurg1@aol.com

Have your local compounding pharmacist mix it for you in a 50ml vial; it has a shelf-life of one year, and is very cost-effective.

I use 5% ethyl alcohol by volume. I have him withdraw 2.5ml from a 50ml vial of .5% Marcaine with epi. that gives you an end product which will have a consistent concentration rather than mixing it yourself from little glass ampules. I hate cutting myself on those antiquated little things. I keep a couple of them handy, but only for the rare times that I run out of my multi-use vial.

Carl Ganio, DPM Vero Beach, FL, drcarlganio@bellsouth.net

RE: A Comparison of Negative Casting Techniques Used for the Fabrication of Custom Ankle-Foot Orthoses (Michael Turlik, DPM)
From: Doug Richie,Jr., DPM

I appreciate the passion demonstrated by Dr. Turlik in his response to my article posted on PM News [the website]. I must point out several important considerations  when one reads an article such as that cited by Menz, et al. which provides a systematic review of treatment outcomes with custom vs pre-fabricated foot orthoses.

Menz, et al. point out the paucity of quality randomized comparative trials comparing the outcomes of custom and over-the-counter foot orthoses in the treatment of common podiatric conditions. For Dr. Turlik to make the conclusion that...

Editor's Note: Dr. Richie's complete extended-length letter can be read at: http://www.podiatrym.com/letters2.cfm?id=29438&start=1

RE: Qualifying Routine Foot Care (Tony Poggio, DPM)
From: Shay E. Fish, DPM

I have been affirmed in two different states, by a CAC or a Medicare foot specialist, that each absent pulse is counted for the same reason: each limb is a "body area" as stated under "E/M Services Guidelines" of the AMA CPT manual.

Shay E. Fish, DPM, San Antonio, TX, fishdpm@aol.com

Editor's note: We would be interested to know if Dr. Fish has received this confirmation in writing. If not, providers who rely on oral representations may find themselves on shaky grounds if they are later audited.

RE: Obama’s Healthcare Plan  (Jonathan Purdy, DPM)
From: Scott Whitman, DPM

Dr. Purdy has an amazingly creative definition of socialism, a selective memory when it comes to history and economics, and a horribly bad case of confirmation bias. But he does write authoritatively with lots of passion.

What he is saying is to eliminate Medicare and Medicaid, and deregulate insurers. Then tell people that they need to be responsible citizens and buy insurance if they value their lives. And, I'm sure we need a tax break in there somewhere. And if they don't.... they are screwed. 

Scott Whitman, DPM, Brewster, NY, sewhitman@gmail.com

ASSOCIATE POSITION, VICTORIA, BC

Beautiful Victoria, B.C. Canada on the ocean, fast growing area. Associate for multi-office full scope practice. Reply to dr.cole@shaw.ca

ASSOCIATE POSITION - CHICAGO AREA
 
Well-established, state of the art medical-surgical podiatry practice seeking well-trained motivated individual to work full-time with future partnership possible. Will start with full schedule. PSR-24 a minimum. Email resume to Howard4624@gmail.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Looking for board certified/board eligible ABPS associate to join a multi doctor practice with 2 offices. May lead to eventual buy-in and purchase. Must have minimum 2-year residency and comfortable with rearfoot procedures and diabetic care, ER call. Must be dependable, honest, ethical individual. Send cover letter and CV to familyfootcenter@earthlink.net

OFFICE SPACE/ MRI RENTAL – NYC, LI

Turn-key space available, daily, monthly; East 60th off Park Ave, East 22nd St. off 3rd Ave, Hicksville and/or Plainview Long Island. JACHO-certified operating rooms available, as well as all surgical equipment and anesthesia. Extremity MRI Rental. Stark compliant. All exams read by board certified radiologist. Call for details. 516 476-1815

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com

DIABETIC RURAL OUTREACH PROGRAM - FLORIDA

We are seeking ethical, motivated podiatrists to treat homebound diabetic patients in Central and North Florida. Minimal travel. Must have valid Florida License and Active FL Medicare and Medicaid numbers. FAX CV TO 866- 258-9993 or call 800-779-8551.

EQUIPMENT FOR LOCUM TENENS/ASSOCIATE—PHOENIX

Busy multi-location practice in South East Valley seeks immediate well-trained personable individual. Part time Locum position may lead to permanent part-time, full-time, and buy- in potential if desired. Please send letter of interest and C.V. to AzToesRus@aol.com

ASSOCIATE POSITION - WASHINGTON, DC

Interested in working in Washington D.C.? Our group is looking to add a highly motivated, hard working, well trained podiatrist to our practice. Must have surgical training. We have a very busy multi-office practice. We practice state of the art podiatry with EMR and digital radiography. Associate to partner on a fast track for the right person. E-mail CV and cover letter to Washingtonpod@aol.com

ASSOCIATE POSITION (SURGICAL) – CONNECTICUT

Connecticut Surgical Group is seeking a Board-Certified podiatrist to add to our Surgical Podiatry division based in Central Connecticut. This podiatrist will provide all aspects of Podiatric care with a focus on wound and surgical care to a well-established patient base. We require PSR-36 training and board certification or eligibility, excellent surgical and wound care skills, a strong focus on providing compassionate care to our patients, and the ability to work as part of a team in a group practice setting. To apply please visit our website . EOE

ASSOCIATE POSITIONS - INDIANA/OHIO

PrimeSource Healthcare is a leading provider of mobile, on-site healthcare services at long-term and skilled nursing facilities. Our exceptional growth has created an immediate need for traveling, independent contractors of podiatry services in Indiana/Ohio. Earn between $175k and $225k per year. E-mail CV to kwright@pshcs.com. Visit us at pshcs.com.

ASSOCIATE POSITION - FREDERICK, MD
Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com

EQUIPMENT FOR SALE - HISTOFREEZER H60

170 ml gas, 30 2mm, 30 5mm applicators in original box, never used. Retail $299, only $225! I have five to sell. Closing satellite office. Other items available. 30 ga 1” and ½” BD needles only $15.00/box, retail $25.00. 941 922-3840

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.

EQUIPMENT FOR SALE - ORTHOTIC FABRICATION SYSTEM

Amfit Orthotic Insole Fabrication System with Footfax SL Contact digitizer- For Sale Machine, Laptop, rolling bag, small inventory of shoes, insoles, all cords, parts and hardware Asking $8k. OBO! Please contact Jeff at Jhunt@psbank.net for further information, pictures.

ASSOCIATE POSITION - AUSTIN AND SAN ANTONIO AREAS

Seeking well-trained ABPS board certified/qualified foot surgeons for surgical practice with national foot/hand/orthopedic surgery group.  Excellent salary/benefits. Email CV and cover letter to: slb99@pdq.net

PRACTICE FOR SALE - FLORIDA - ST. PETERSBURG AREA 

Part-time office, remodeled 4 years ago. Fully equiped and stocked, 2 treatment rooms, x-ray and processor, billing software. Low overhead ,good signage. Asking $40k. Contact mwftdr@aol.com

EQUIPMENT FOR SALE - AMFIT ORTHOTIC MANUFACTURING MACHINE

Includes digitizer, fabricating mill, new updates have been added and enough supplies to pay for the machine in the long run. At $200 per pair = about $28,000. Selling FOR $25,000, O.B.O, F.O.B. americanfoot@email.com or 405-733-2783.

NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

PM News Classified Ads Reach over 11,500 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 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. 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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