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| PM News | |
The Voice of Podiatrists
Serving Over 14,864 Podiatrists Daily
October 11, 2013 #4,886  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 Ingrown Toenails
Ingrown toenails can be inherited (the so-called "pincer nail" that curves inward), or they can be caused by tight shoes or pantyhose, but it's most often due to cutting too deeply into the corners of nails, says Dr. Hillary Brenner, a New York podiatrist who also speaks for the APMA. As a result, skin grows over the nail, leaving you vulnerable to a bacterial infection that can become very dangerous should the bacteria reach the bloodstream. You'll know it's a bacterial infection by signs of redness, heat and swelling. Also, it smells bad.
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| Dr. Hillary Brenner |
Bacteria actually eat your sweat and excrete fumes, Brenner says. If you notice any red streaking from the infection site, she advises seeing a podiatrist immediately. Otherwise, treat the infection by soaking your feet in a lukewarm bath of Epsom salt for 15 to 20 minutes and apply moisturizing cream to soften the nail. Then, use sterile clippers to trim the nail, and apply Neosporin and a bandage to the wound, Brenner says. "It should be almost instantaneous relief."
Rachel Pomerance, US News & World Report [10/7/13]
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| PM NEWS QUICK POLL | |
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Basketball is the Ultimate Cross-Training Activity: Aussie Podiatrist
Dribbling. Layups. Shooting. Dodging. Stopping and starting. It's no wonder basketball is so exhilarating. And exhausting. "Basketball really is 'the cradle to the grave' sport," says Jayne Arlett, a sports podiatrist and fellow of the Australian Academy of Podiatric Sports Medicine and Sports Medicine Australia. She has worked with professional basketball teams in Australia, the U.S., and at the Olympics. "It doesn't matter what your ability or agility is, it's a great sport for all ages, and sexes," she says.
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Jayne Arlett |
Arlett says basketball players, along with soccer and AFL players, score the best in her preseason tests in all-round strength, fitness and flexibility. "Basketball involves running, jumping, twisting, turning, and reaching with arms," she says. "It's the ultimate cross-training activity."
Source: Charmaine Yabsley, Daily Life [10/9/13]
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| PODIATRISTS AND DIABETES | |
AZ Podiatrist Discusses Dietary Sugar and Diabetes
A recent Stanford University study found the more sugar in a population's food supply, the higher the rate of diabetes, independent of obesity rates. "We don't need to have this level of disease," Richard Jacoby, DPM, Medical Director, Scottsdale Neuropathy Institute, told Ivanhoe. Doctor Richard Jacoby knows what too much sugar can do.
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Dr. Richard Jacoby |
"Sugar is considered the number one culprit in cancer disease, as well as diabetic neuropathy, cardiac, and stroke," Dr. Jacoby said. The silent killer comes camouflaged in other foods as well. "Wheat, bread, any grain is sugar," Jacoby said. Those foods trigger an insulin response in the body leading to weight gain. "Six to eleven helpings of grains a day, that's absurd. That's why we are all diabetic," Dr. Jacoby said. Instead, he recommends a diet rich in omega-3 fatty acids and oils, grass fed meat and veggies.
Source: Ivanhoe News, Channel 5 [10/8/13]
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| PODIATRIST AND FOOTWEAR | |
PA Podiatrist Provides Tips on Safely Wearing Stylish Shoes
It’s the age old problem every single woman faces throughout her shoe-filled life: the pain and discomfort associated with wearing fabulous heels. Many of us have throughout the years adopted a “grin and bear it” attitude, choosing our love for stylish shoes over our desire to be comfortable. But, as it turns out, fabulous heels and pain-free feet aren’t mutually exclusive. We spoke to About.com podiatry expert Dr. Catherine Moyer, who gave us some tips for how to continue to wear stylish shoes — without paying the price in comfort.
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Dr. Catherine Moyer |
1. Make sure you are wearing the right size shoe. 2. Educate yourself on your own personal foot type. 3. The thicker the heel, the better. 4. Avoid thin soles, opting instead for a platform. 5. Take breaks. 6. Stretch your feet after you take your shoes off.
Source: Meghan Blalock, stylecaster.com [10/7/13]
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| IN THE COURTS | |
Cantaloupe Farmers Charged for Contamination Death of CO Podiatrist
Federal prosecutors have charged two brothers with misdemeanor crimes for their alleged roles in a deadly outbreak of foodborne illness. In documents filed last month with the U.S. District Court, prosecutors characterized Eric and Ryan Jensen as the "primary principals" of the farming operation in Granada, CO. If convicted of all the misdemeanor counts, the Jensens could face up to six years in prison and $1.5 million in fines.
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Dr. Mike Hauser |
Prosecutors announced the charges about two years after victims began falling ill from cantaloupes that state and federal officials traced back to Jensen Farms. The fruit was found to be contaminated with Listeria moncytogenes, which causes the human illness listeriosis. The outbreak caused 147 illnesses in 28 states and claimed the lives of 33 people, including former podiatrist Dr. Mike Hauser.
Source: Josh Long, Food Product Design [10/7/13]
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| QUERIES (CLINICAL) | |
Query: Unusual Gait
Enclosed are two videos I took of a new patient. He is a 26 year old male with no significant medical history other than his chief complaint. He informs me he notices he is "walking funny." He states this started about four years ago and never sought out any treatment. Relevant family history:his younger sister in grade school became confined to a wheelchair. The patient remarks no one ever figured out why.
I was hoping my colleagues could offer me a solid differential diagnosis and point me in the right direction of who or what specialist would best be able to help this patient. Other than the gait video provided, patellar and Achilles reflexes were both normal, and Babinski was negative.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Carl Solomon, DPM, Gregory T. Amarantos, DPM
Your case precisely demonstrates the concern I always express to vendors of the intramedulary implants for PIP joint fusions - - "If something goes wrong and I have to take 'em out, how the Hell do I remove them?" They always reply by telling me that they're easy to remove, or else they don't know of any instances where it has been a problem. Translated, that simply means that the problems haven't been reported. I've gotta' believe yours isn't the first.
It's fine to throw this up for discussion in a forum, but you would do all of us a favor if you publish this case in a peer-reviewed journal as a complication.
I had a similar experience. You should be able to remove most of the body of the implants. The small fractured pieces can be left in if you struggle too long in trying to remove them. Then, use a TenFuse hammertoe implant from Solana. It is a sterile bone graft that will fill in the medullary canals and you will obtain fusion.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Brian Kiel, DPM
I have a patient who had similar surgery and a similar complication performed by another doctor. The other doctor went in to remove the implants and, either as a result of the original implant fracture or as a result of the second surgery, the middle phalange was fractured in 3 fragments.The patient came to me with constant pain and with the concern of the shortening of the toe. After evaluation, I decided that to resolve both problems, we would remove the middle phalange and replace it with a round digital implant in order to maintain length.
The procedure went very well and at the first post-op visit, all was still doing well. By the second post-op visit, things were not doing well and to make a long story short, I had to eventually remove the implant and almost lost the entire toe. We did end up with a shorter toe because the distal phalange resorbed during the process. Retrospectively, I think that the middle phalange was already resorbing from the multiple traumas. If the original surgeon had just left the implants in place and just smoothed any protruding edges, I think the patient would have been fine.
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| RESPONSES/COMMENTS (EMR) | |
From: Joseph Cortes, DPM
Take a look at Practice Fusion. They are in the process of releasing an iPad version, and it works on any operating system. It is pretty easy to use and it is free. I wish I did not waste my money paying for an EMR system and end up paying for over-priced updates and maintenance fees.
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| RESPONSES/COMMENTS (BIOMECHANICS) | |
From: Lloyd S. Smith, DPM
I was privileged to be one of his students and during my formative years as a sports podiatrist, trusted him as an advisor, mentor, and colleague. He taught me many of my current approaches to sports injuries, biomechanics, and orthotics. I use those thoughts every day. But our world has changed, and I now use a scanner for most of my devices. I evaluate every patient and write every Rx and alter many of the standards used on those prescriptions. That is what Dick taught me and also what I have learned after nearly 40 years of sports podiatry.
I also think that 3-D imaging will fundamentally alter our scanners, our lab work, and our office orthotic labs. I am not sure how that will occur, but it will be different. It is an exciting time for custom orthotic work. I urge DPMs to carefully watch these changes as they occur.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Alec Hochstein, DPM
I want to thank Dr. Bhatia for mentioning the App that I developed WoundSmart. In developing this App, it was at the forefront of my mind that the debate about HIPAA compliance would come up. I went to great lengths to ensure that most of the pitfalls of smartphone documentation were taken into account while developing it.
As Dr. Bhatia mentioned, in addition to having a smartphone lock on an iOS device, the App itself also has a built-in password that can be set using any alphanumeric combination. This in itself is more secure than...
Editor's note: Dr. Hochstein's extended-length letter can be read here.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP) | |
From: Elliot Udell, DPM
The fact that people polled think more of onychomycosis, witches, and hemmorhoids than Congress is true, funny - but very deceptive. Students of American government realize that the public's opinion of Congress (which most polls say is extremely low) is totally irrelevant. People do not vote for Congress as a whole. They vote for their own local house or senate representative. Even though pollsters are saying that the public gives the current Congress a 10% rating, voters from individual congressional districts might be in love with their local representative no matter how dumb or inane that person appears to the rest of the country.
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MEETING NOTICES - PART 2
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| CLASSIFIED ADS |
ASSOCIATE POSITION AVAILABLE – NEW JERSEY
Podiatrist needed for an expanding practice in Bergen County. Will be required to perform house calls. Very competitive salary plus incentives. Must be motivated and willing to build a practice. Please email resume to: medicinenj66@yahoo.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
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
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.
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.
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If the reader of this message is not the intended recipient or an
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