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| PM News | |
The Voice of Podiatrists
Serving Over 16,038 Podiatrists Daily
October 09, 2014 #5,185  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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How often do you refer a patient to a pedorthist? |
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| PODIATRISTS IN THE NEWS | |
Canadian Podiatrist Discusses Treatment of Plantar Fasciitis
Vancouver podiatrist, Dr. Joseph Stern, says that a classic sign of plantar fasciitis is experiencing heel and often arch pain when walking after non-weight-bearing rest. “Some people will say it hurts for the first bunch of steps, then it calms a bit and then as the day progresses, it hurts,” says Stern, president of the Canadian Podiatric Medical Association. About 90 per cent of cases have biomechanical underpinnings, in which the foot does not have a sound foundation when a person is standing, walking, or running, he says, pointing to such common causes as wearing worn-out or unsupportive shoes, carrying excess pounds, or having tight calf muscles.
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Dr. Joseph Stern |
“Treatment is like making a cake, as I tell patients. It’s going to be a little bit of this, a little bit of that. And sometimes one thing works and thank you very much.” Initial treatment usually involves having a patient roll the arch of their sole over a cold water bottle or tennis ball several times a day to stretch out the fascia. “Stretches are good, like pulling your toes up towards your nose, holding it for 20 to 40 seconds, then do it again,” Stern says. Other treatments include taping, orthotics, physiotherapy, acupuncture, or a shot of cortisone in the affected part of the foot to calm the inflammation. Some practitioners recommend a night splint, a brace that holds the foot with the toes pointing up to gently stretch the fascia while a person sleeps.
Source: Sheryl Ubelacker, The Globe and Mail [10/7/14]
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| PODIATRISTS IN THE COMMUNITY | |
CO Podiatrist Stays Busy Treating Athletes
When Dr. Ralph Wentz moved to Salida from Colorado Springs 20 years ago, he was looking for a place where he and his wife could enjoy an outdoor lifestyle. “I was looking for a place where we could combine our personal interests and professional interests,” he said. He said his wife, Denise Wentz, was able to work as a physical therapist at Heart of the Rockies Regional Medical Center, while he established his private practice as a board-certified doctor of podiatric medicine.
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Dr. Ralph Wentz (photo: J.D. Thomas) |
Wentz was a member of the medical staff at Memorial and Penrose hospitals in Colorado Springs from 1989 to 1994. He also served as a sports medicine consultant at the U.S. Olympic Training Center. “I was able to work with world-class athletes while I was there,” he said. He said he figured out he wanted to specialize in podiatry after spending time on ski patrol as a 15-year-old in northern Pennsylvania, where he wanted to help people with broken legs. Wentz sees about 100 patients a week. He said, because Colorado is the healthiest state in the U.S. and the region is inclined to outdoor activities, he stays busy.
Source: J.D. Thomas, Mountain Mail [10/7/14]
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| PODIATRISTS AND THE LAW | |
AL Podiatrist Facing More Than 200 Drug-related Charges
A Northport podiatrist who surrendered his medical license earlier this year is facing more than 200 drug-related charges, including drug trafficking and possession accusations. David Vance Robinson, 45, was arrested Tuesday. He is charged in a 223-count indictment issued by a grand jury last month. Charges include trafficking morphine, obtaining a controlled substance by fraud, conspiracy to commit a controlled substances crime, and possession of controlled substances.
Source: Tuscaloosa News [10/7/14]
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| INTERNATIONAL PODIATRISTS AND THE LAW | |
Aussie Podiatrist's Ban For Sexual Assault Reduced
A former Launceston podiatrist who sexually assaulted a patient during a consultation could be practicing within weeks thanks to a health tribunal decision. Terence Williams, 41, was found guilty of aggravated sexual assault after sticking his finger in the rectum of a female patient complaining of a sore foot. British-born Williams was de-registered in November 2011 following the complaint and sentenced to four months' jail, wholly suspended, in Launceston Supreme Court last year. Williams had pleaded not guilty. In a decision published this week, the tribunal said Williams' behavior amounted to professional misconduct, however, it noted the sexual assault was not "'premeditated or repetitious, and apparently it was not motivated by sexual gratification, but rather inexperience and poor judgment."
Source: Patrick Billings, The Examiner [10/7/14]
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| INTERNATIONAL PODIATRISTS AND PROFESSIONAL DISCIPLINE | |
NZ Podiatrist Disciplined for Not Warning Patient About Dangers of Steroid Injection
Deputy Health and Disability Commissioner Rose Wall has found a podiatric surgeon broke the rules in his treatment of a woman with nerve damage in her ankle. She found the surgeon gave the patient a steroid injection without warning her about the risk of tissue breakdown. The woman suffered an infected ulcer, which required surgical revision. The surgeon was asked to attend training, and have his documentation audited.
Source: Michael Sergel, Newstalk ZB [10/7/14]
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| HEALTHCARE NEWS | |
Medical ID Fraud Typically Higher During Fall
As the year starts to wrap up, millions of people look for ways to take advantage of last-minute health and dental insurance benefits. “Many people squeeze in additional appointments and look to fulfill Flex Spending Accounts before the year is finished,” said David Anderson, Director of Product Development for Protect Your Bubble. “Malicious activity recognizes this trend, and consumers need to be cognizant of activity that could compromise their identity and other personal information.”
Some telemarketers try casting a wide net with pre-recorded phone calls, telling people they have been selected for a free emergency alarm system, medications, or supplies for some health condition. Security experts say cyber criminals are increasingly targeting the $3 trillion U.S. healthcare industry, which has many companies still reliant on aging computer systems that do not use the latest security features. The percentage of healthcare organizations that have reported a criminal cyber attack has risen to 40 percent in 2013 from 20 percent in 2009, according to an annual survey by the Ponemon Institute think tank on data protection policy.
Source: Yahoo News [10/7/14]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
RE: Varicosities as a Cause of Tarsal Tunnel Syndrome (Alexander Terris, DPM)
From: Kyle Scholnick, DPM
Thank you, Dr. Terris, for your kind words. Unfortunately, if varicosities within the tunnel are the true cause of TTS, the options are few. Orthotics and the other modalities you have tried would be very effective if the cause of the TTS was mechanical in nature. However, the good news is that studies show that patients have a much better response to surgical treatment regarding TTS when an exact cause is found, which you have. Trying compression therapy as you are doing would be the final option. The best treatment in your case would be neurolysis by surgical ligation and removal of the varicosities. Don't use a tourniquet, so you can properly see the tortuous veins. Since you are in there, remember to release the proximal and distal tarsal tunnel as I described in Part 2 of the article found in the June 2014 issue of Podiatry Management .
I suppose another option could be to speak with a vascular surgeon about endovenous ablation or sclerotherapy of the refluxing vein. With endovenous ablation, they use a laser or radiofrequency to denature the vein under ultrasound guidance. Sclerotherapy is a non-invasive procedure where a liquid or foam sclerosing agent (polidocanol or sodium tetradecyl sulfate) is introduced into the refluxing vein to collapse and scar it. You can use hypertonic saline or glycerin too, but sodium tetradecyl sulfate and polidocanol are the only FDA-approved agents to my knowledge. Compression stockings should be used after these procedures to promote adequate venous closure.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Howard J. Bonenberger, DPM
I have found the following approach helpful in this difficult situation. Of course not all patients will be able/willing to do this, but many that do find it beneficial. Explain that you are looking to manage the problem without surgery; however in some cases, decompression is needed. A very simplified illustration of a cross-section of the tarsal tunnel is helpful. Discuss why patients' pain is often worse in the evening and while in bed (pooling and venous engorgement worsen throughout the day).
Examine the patient at an early morning appointment and again at a late afternoon or evening appointment...
Editor's note: Dr. Bonenberger's extended-length letter can be read here
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Peter Bregman, DPM
I saw a 37 year old female patient this past week who had satisfactory neurectomies on the right foot in the second and third interspaces, although she still complains that there is a swollen feeling of the toes. The numbness is somewhat annoying, but overall she says it's a satisfactory improvement from her pre-operative pain; however, she had a similar problem on the left second interspace with unsatisfactory results, which resulted in a stump neuroma. Then, the untrained surgeon tried to fix the problem in the arch of the foot. The patient continues to have severe unrelenting pain for the last two years and has been labeled a drug seeker. She has been taking chronic narcotics for the last two years.
She broke down in tears because of all of the problems related to a failed neurectomy. This is why I have been so adamant about performing decompression before doing any type of neurectomy procedure. Now, this patient will have to undergo another surgery with a nerve transplant which will hopefully work, but this is a devastating result that she did not have to have. I'm going to be posting her experiences on my YouTube page after her hopeful successful nerve transplant with graft surgery.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Dennis Shavelson, DPM
I am in concensus with Dr. McGuire that in order for DPMs with a passion for lower extremity biomechanics to thrive in the vast orthotic marketplace, we must become better experts and make our orthotics better products. We have no choice but to share the mountain that Dr. Root and others built for us. We must teach and be taught by others. We must form new partnerships and relationships and new definitions for this branch of podiatry. Most importantly, we must produce meaningful, compelling, logical and understandable reasons why we deserve to remain atop the mountain.
I remain pro-podiatry and in that vein, welcome pedorthics into our educational process. I look forward to forming new symbiotic relationships with my surgically-oriented, wound care-oriented, sports medicine-oriented, general podiatry-oriented, and biomechanically-oriented colleagues. I look forward to generating new relationships with physicians, pedorthists, physical therapists, athletic trainers, and chiropractors who share my passion for biomechanics.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear to a rodeo? |
Source: Tresha Carter via Dr. Dock Dockery
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
ASC STAFF PRIVILEGES AVAILABLE - NEW JERSEY
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POSITIONS AVAILABLE - FULL TIME/PART TIME IN WISCONSIN
Opportunities to serve residents of long-term care facilities in Wisconsin. High earning potential with competitive benefits as part of a 40 year old company for the right candidate. Contact ckestner@preferredpodiatry.com for additional information.
ASSOCIATE POSITION – MICHIGAN
Opportunity to join successful busy group practice; emphasis on exceptional pt care, education & compliance. Multi-office SE MI: EMR, digital xray, Full scope. Seeking Doctor who wants a sense of independence & ability to make meaningful contributions. Opportunity for partnership &/or employment. All inquires kept confidential. Please respond to thebestfootdoctors@gmail.com
ASOOCIATE POSITION – HOUSE CALLS – TX
We are interested in podiatrists for a house call practice. You can also build up your own walk-in patients. Please call 972-790-2800 or email uzoma_duru@yahoo.com
ASSOCIATE POSITION – OH
If you are…a “Buckeye” at heart & want to practice in a small town in the fastest growing county in Ohio; an achiever and know how to work hard for your goals. If you want your patients to know you personally and call you by your first name. to work with 3 podiatrists who deliver quality care with compassion and continually strive to improve; to join a stable thriving practice experiencing increased revenues of 66% in the past 5 years. Send your CV to
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary and December 2014 is next exam date. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com
ASSOCIATE POSITION – NORTHERN CALIFORNIA/SF EAST BAY
We’re seeking a podiatrist to join multi-office practice. Must have great people skills, bedside manner, and positive demeanor. California license required. No nursing home visits. Prefer private practice experience. Send CV and cover letter to: ebpod2008@gmail.com
IMMEDIATE POSITIONS AVAILABLE - SULLIVAN COUNTY and UPSTATE NEW YORK
Looking for podiatrists to see residents in nursing homes in and around Sullivan County and Upstate New York. Great opportunity for full-time or part-time income. Positions available immediately! Email inquiries to phasetwopodiatry@gmail.com
ASSOCIATE POSITION – NEW JERSEY
Busy practice seeking a Full or part-time associate available. Must be board qualified or certified by ABFAS. Must be self-motivated, Office is state of art with EHR, digital x-ray, ultrasound. Salary with bonus and benefits. Email resume with cover letter: njfootdr722@gmail.com
ASSOCIATE POSITION - MICHIGAN
Professional Foot & Ankle Centers of Davison and Lapeer is seeking personable and self-motivated associate(s) looking to build a career and long-term relationship/partnership. Must have PM&S 36 or equivalent training with a good work ethic and strong surgical skills. ER call and affiliation with a major wound care center is available. Modern offices with EMR and a fantastic staff. Competitive salary, bonus, benefits. E-mail CV with cover letter to: contactus@professionalfoot.com
FELLOWSHIP POSITION - NAPLES, FL
Reconstructive Ankle /Rearfoot, Ex Fix, arthroscopy fellowship. Must have 3 years residency + Board Qualified RRA by ABPS. 1 year spot. FL license. LOI and LOR from director required. $50,000 stipend. Start 1/2015 or 8/2015. mny1029@gmail.com
PRACTICE FOR SALE - CORONADO, CALIFORNIA
Ppractice on beautiful Coronado Island. 2 blocks from beach and right across the bridge to San Diego. Well- established 30 plus years. all aspects of podiatry including surgery. New patients and referrals from doctors in and around community. Hospital and senior residence blocks away. Priced to sell. Ready for immediate transition. pestibear@gmail.com
PRACTICE FOR SALE - FAIRFIELD COUNTY, CT
60 miles to Manhattan, 15 miles to Westchester county. Busy solo practice, grossing 280k on 2.5 days a week. Extremely low overhead. Beautiful office building with EMR. Practice shares space and staff with 6 MDs. Amazing referral base and growth potential. All surgery is currently referred out. Serious inquiries only contact: Samalsal@yahoo.com
PRACTICE FOR SALE - LONG ISLAND
30+ year old practice located on a busy street. Referrals from Doctors, Senior residence and Hospital in the community. Neighborhood is very family oriented. Good mix of general podiatry, sports injuries, DME; seniors, working population and children. Please contact: nspfeet@gmail.com
SPACE TO SHARE - MANHATTAN AND LI
Desirable locations on Upper East Side, Gramercy, the Financial District, and Plainview (North Shore Long Island). Extremity MRI and cat scan available in selected offices. Call 516 476-1815PODO2345@AOL.COM
PM News Classified Ads Reach over 16,000 DPMs and Students
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,000 DPMs. for details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. 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.
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ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
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employee or agent responsible for delivering the message to the
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prohibited. If you have received this communication in error, please
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