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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 14,864 Podiatrists Daily
October 10, 2013 #4,885  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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| PODIATRISTS IN THE NEWS | |
NY Podiatrist Discusses Plantar Fasciitis
According to Dr. Jacqueline Sutera, a podiatrist with practices in New York and New Jersey and an American Podiatric Medical Association spokeswoman, heel pain typically results from plantar fasciitis – inflammation of a ligament at the bottom of the foot. It can result from weight gain, unsupported arches or overactivity from exercise. You'll detect it by pain after periods of rest, like when you first step out of bed in the morning, or after intense activity. And it hurts because you're essentially walking on an injury, Sutera explains.
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Dr. Jacqueline Sutera |
You can heal your heel with the following regimen: at night, alternate two or three 15-minute periods of icing with 15-minute periods of rest; when you wake up, extend your leg and use a towel or yoga strap to stretch your toes back toward you. Meanwhile, wear supportive shoes and take anti-inflammatory medicine if needed. If you don't feel better after three weeks, see a doctor, she says. Untreated, plantar fasciitis can give way to other problems like tendenitis, a tightening of the Achilles tendon, which can rupture and land you in a cast.
Source: Rachel Pomerance, US News & World Report [10/7/13]
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| PM NEWS QUICK POLL | |
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| AT THE COLLEGES | |
Scholl College Students Receive Award from The Orthotic Group
The Orthotic Group (TOG) has generously donated a $4,500 award to six third-year students at the Dr. William M. Scholl College of Podiatric Medicine. These students demonstrated academic excellence in the Department of Podiatric Surgery and Applied Biomechanics Sports Medicine course.
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(L-R) Christina Staskiewicz, Andrew Pierre, Cassey Crowell, Indira Memisevic, Dr. Neil Horsley, Daniel Levine of The Orthotic Group, Elizabeth Bondi, and Allen Wang. |
The recipients of the 6th Annual TOG Award were: Christina Staskiewicz, Andrew Pierre, Elizabeth Bondi, Cassey Crowell, Indira Memisevic, and Allen Wang.
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| PODIATRISTS AND FOOTWEAR | |
NY Podiatrist Provides Shoe-Buying Advice
"Cheap shoes lead to blisters and calluses," says Dr. Alan Berman, a podiatrist who practices at Somers Orthopaedic Surgery & Sports Medicine Group in Carmel, NY. "I live close to New York City, and we often see someone come in with a stress fracture because they've basically been walking the streets barefoot, even though this foot-covering, so-called shoe is on their feet." Rather than buying based on price, Berman says, consumers should look for a shoe with a strong, rigid heel counter (at the back of the shoe) and a strong and sturdy arch. He would also like to see some flexibility in the toe area and, if we're talking sneakers, perhaps some mesh for breathability.
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Dr. Alan Berman |
More often than not, that's going to be a more expensive shoe. Berman likes Aetrex and New Balance, which aren't cheap (prices vary widely, but Aetrex is typically around $100 or more; New Balance is typically around $50 and up). "If you can bend the shoe in half, wrap it up and fold it in your pocket, it's not a very good shoe," Berman says.
Source: Geoff William, US News & World Report [10/7/13]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Find Your Niche'
"The key to success, said famed management consultant, Peter Drucker, is to discover what you're good at -- and then become exceptional at it. And," he added, "it's amazing how few people know what they're good at."
Source: 201 Secrets of a High Performance Dental Practice by Bob Levoy
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| QUERIES (CLINICAL) | |
Query: Fractured Digital Implant
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Fractured Digital Implants |
This 46 year old underwent hammertoe surgery. Four weeks post-op, she decided to return to Yoga. Her 2nd toe is now painful and malpositioned. The manufacturer has no idea on how to resolve this implant issue. Any ideas on how to approach correction?
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| QUERIES (EMR) | |
Query: CareCloud EHR & Concierge Service
I'm in the process of selecting an EHR and practice management software suite that is best suited for our practice and am seriously considering the CareCloud EHR & Concierge service. Do they have a good track record with podiatry? Is there a better system suited for a two-physician podiatry practice?
The key factors I'm looking for are integration of workflow, billing, scheduling (with online options), automated patient reminders, easy and intuitive use, quick charting by exclusion, a cloud-based system that works on all platforms (Mac/PC/Tablet, etc), and affordability.
Gian Steinhauser, DPM, Houston, TX
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| RESPONSES/COMMENTS (BIOMECHANICS) | |
From: Arthur Lukoff, DPM
One of the highlights of the Seminar was the presentation by Dr. Joseph D'Amico. D'Amico was the treating physician for Jerry Seinfeld. He was so instrumental in relieving the chronic foot pain of Mr. Seinfeld, that in a show of gratitude, Mr. Seinfeld made a sizable donation to the College and also funded part of the Schuster Seminar.
The presentation showed the work-up by Dr. D'Amico and how, by using the F-Scan, he was able to...
Editor's note: Dr. Lukoff's extended-length letter can be read here.
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| RESPONSES/COMMENTS (MEDICAL MISSIONS) | |
RE: 2014 Nicaragua Mission Trip
From: Charles Morelli, DPM
On February 14th - 23rd 2014, both Dr. Jeffrey Siegel and I will be going on our 11th week-long mission trip to Nicaragua and there is one spot open for a third-year, surgically-trained resident or fellow. The cost is approximately $1,700. Any residency director reading this, please give this information to your third-year residents. Care involving the rearfoot, forefoot, bone lengthening, trauma, ankle, Ilizarof, neurologic, pediatric, clubfoot, diabetic, etc. will be performed. You will be asked to give a lecture to the orthopedic residents at the hospital. This is a once-in-a -lifetime experience.
Please contact me by email only, and attach your CV. Letters of recommendation from your director will be useful, but are not required.
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Post Graduate Fellowships
University of Texas Health Science Center San Antonio
Reconstructive Foot and Ankle Surgery - This fellowship is a one-year experience during which the Fellow will develop a rational approach to revisional and reconstructive foot and ankle surgery. The Fellow will function as an Instructor / Clinical and participate in the teaching of Podiatric medical students and residents, and have ample opportunity to be involved in clinical and basic research projects. The fellowship will provide the Podiatric Surgeon, further expertise in Charcot reconstruction, trauma and deformity correction.
Duration: 1 year (7/1/14 – 6/30/15) Application Deadline: 12/01/2013 Interviews: TBD Stipend: $44,100/Year. Requirements: Completion of 3-year residency; a commitment to a part-time/full-time academic career in Podiatric Medicine and Surgery. Texas License eligible & ABPS Board Qualification eligible in Foot and Reconstructive Rearfoot/Ankle Surgery (Test dates & Application Deadlines TBA).
Submit a CV and letter of interest to: Thomas Zgonis, DPM, FACFAS, Associate Professor, Fellowship Director, University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive (MSC 7776) San Antonio, Texas 78229-3900 Email: Zgonis@uthscsa.edu Phone: (210) 567-5174 Fax: (210)567-4891.
All faculty appointments are designated as security sensitive positions.
University of Texas Health Science Center San Antonio is an equal opportunity/affirmative action employer.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Animesh (Andy) Bhatia, DPM
In the spirit of this debate about NH documentation, I would like to mention a FREE app that I have been using for off-site wound documentation. It is available to all users of iOS (Apple devices). It’s called WoundSmart. The app itself is also password-protected, which allows for another layer of protection; albeit I agree that may be insufficient for the strictest interpretation of e-PHI protection as per HIPAA.
However, the app itself allows you to photograph and document the nature, dimensions, and characteristics to amazing detail, resulting in a single comprehensive ‘note’ during successive visits to follow the progression of wounds. It is simply excellent to document wounds ‘on the go’.
I don’t enter any recognizable patient identifiers into it and it allows me to not have to take notes on a pad/paper (don’t residents do this?). Since this discussion on PM News began, I have gone back and looked at my app documentation, and I simply cannot see how it would be possible for anybody to link the photo and/or entire note to a specific individual. Even the time stamp and coordinates embedded in the photo would only lead a potential hacker to the facility but not to a specific patient. Maybe someone can enlighten me here if I am wrong. In the meantime, I highly recommend the use of this app.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Raymond F Posa, MBA
In response to questions regarding what is protected health information, we need to get back to the basics of HIPAA Privacy 101 - What is identifiable privacy information? The Privacy Rule is very clear on this and is not open to interpretation. There are 18 elements that constitute identifiable PHI; they are:
1. Name
2. Any address specification such as street, city, county, precinct, and zip code*
3. All dates except for the year including birth date, admission date, ...
Editor's note: Mr. Posa's extended-length letter can be read here.
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| RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) | |
From: Paul R. Scherer, DPM
I think one very important thing is being overlooked with the discussion of 3-D printing of orthotics. The basic theory we all work under is to balance or correct for the forefoot to rear foot deformity, allowing control of the compensation of the MTJ or subtalar joint. I don’t think the podiatrist who might purchase a 3-D printer would be willing to manipulate or balance the image before printing. This process is no longer taught in the podiatry schools, and I doubt they can learn as proficiently as the lab technicians who do 50+ per day in orthotic labs.
Most podiatrists are also unaware that many of the labs they use don’t do this either but rather, to reduce cost, scan the cast, box, or image and then select the closest library image on their server. This is no better than a drug store Dr. Scholl or other pre-fabricated orthosis. Interestingly, podiatrists spending $65 for a pair of orthoses, who think they are getting a good deal, are actually spending that money on a pair of devices they could buy for $20.
If you are interested in a fully corrected device with choice of arch fill, inversion, heel cup depth and skive, 3-D printing is probably at least five years away and will be done at a laboratory.
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Voters Prefer Oncychomycosis Over Congress
It's no surprise these days that Congress isn't very popular, but a new poll says voters have a higher opinion of witches, hemorrhoids, and jury duty than their lawmakers in Washington. Public Policy Polling, a Democratic-leaning firm based in North Carolina, asked a series of questions trying to gauge support for Congress compared with government-run institutions such as the Internal Revenue Service, health problems such as toenail fungus, cockroaches, and dog poop.
Voters say they have a higher opinion of hemorrhoids than Congress, by 53% to 31%. More than seven in 10 voters say they view jury duty more favorably than Congress, which musters only 18% support in that comparison. Even toenail fungus rates 3 percentage points higher Congress.
Source: Catalina Camia, USA Today [10/8/13]
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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
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
PRACTICE FOR SALE - BRIARWOOD, QUEENS
Part-time practice with potential for full time. practice located in the same building with a primary care doctor (great referral base). A block from Grand Central Pkwy and subway station. Serious inquiry only to specialtouchfootcare@gmail.com.
EQUIPMENT FOR SALE – USED PINPOINTE LASER
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.
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.
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
POSITIONS AVAILABLE - UPSTATE NY, BUFFALO AREA, AND CONNECTICUT
Looking for podiatrists to see residents in Nursing Homes in Upstate and Western NY. Locations include Gloversville, Utica, Buffalo, surrounding areas, and Connecticut. 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
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
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
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