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| PM News | |
The Voice of Podiatrists
Serving Over 14,864 Podiatrists Daily
October 14, 2013 #4,888  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 AND SPORTS MEDICINE | |
CA Podiatrist Elected to JCSM Board
Tim Dutra, DPM of Oakland, California, ha been elected to the Board of Directors of the Joint Commission on Sports Medicine and Sciences (JCSMS). The JCSMS consists of leaders from various sports-related organizations that get together annually to form and develop their own network and liaison strategies.
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Dr. Tim Dutra |
The JCSMS is committed to advancing the sports medicine profession. Dr. Dutra is past president of The American Academy of Podiatric Sports Medicine (AAPSM) and is the first podiatric physician elected to the board.
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| PM NEWS QUICK POLL | |
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| Results of Last Week's Poll |
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| APMA STATE COMPONENTS IN THE NEWS | |
Function and Heredity Contribute to Bunions: NY Podiatrist
According to Dr. Robert A. Russo, President of the New York State Podiatric Medical Association (NYSPMA), bunions form when the normal balance of forces exerted on the joints and tendons of the foot become disrupted. "Bunions occur after years of abnormal motion and pressure over the MTP joint," said Dr. Russo.
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Dr. Robert Russo |
"Bunions tend to run in families and can be caused by the way we walk and our inherited foot type." Dr. Russo advises anyone with foot pain or an unusual bump on the big or baby toe joint to seek podiatric treatment.
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| PODIATRISTS IN THE COMMUNITY | |
IN Podiatrists Sponsor Charity Run
Eleven-year-old Aleigha Sweet is a living, breathing, definition of courage. For the fourth year, Aleigha will be participating in the Annual Run for Riley, this Sunday at Maple Creek Middle School. This is the 7th annual Aboite Podiatry Run for Riley. “It will be different this year. This is the first year she will be participating with cancer,” her father Tom Sweet said.
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Drs. Lynn Stafford, Matthew Robison, and Jacqueline Monroe |
Over the past six years, the run has raised almost $77,000 for Riley's Hospital for Children. The organizers are hoping to break $100,000 this year. The event averages about 800 people, so organizers see this as a very doable goal. Race registration is $25 per person and thanks to Aboite Podiatry, that entire fee goes directly to the children at Riley.
Source: Ellie Bogue, News-Sentinel [10/11/13]
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| HEALTHCARE NEWS | |
Thousands of CT Doctors Fired by United HealthCare
In the midst of major changes in healthcare, UnitedHealthCare has sent thousands of pink slips to Connecticut doctors. Termination letters went to physicians caring for Medicare patients. Those letters were sent out to doctors caring for 'Medicare Advantage' patients. It's a plan, marketed to seniors to provide additional services through UnitedHealthCare. A mix of primary care and specialty doctors are affected by it. And it comes at a questionable time.
The Connecticut State Medical Society is fighting back. The biggest concern is patient access to healthcare. "What the government is looking for is to manage better care by adding a patient-centered medical home so that you have a doctor who is totally invested with taking care of every aspect of the patient and coordinating it. This is clearly not a patient-centered decision," said Dr. Michael Saffir, President of CT State Medical Society.
Source: Jocelyn Maminta, WTNH (CT) [10/10/13] Via Dr. Richard Rettig
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| RESPONSES/COMMENTS (CLINICAL) - PART AA | |
From: James Furmato, DPM
First, some caveats regarding the video. The patient is wearing clothing which obscures most of the lower extremities. There is no attention to ankles, knees, or hips (no zoom). There is no sagittal view. The patient can’t get close to normal gait until the third step. By that time, he’s halfway across the screen with only two frames to make some assessment. The bottom line is, the person who submitted these videos did not give us enough material to appreciate an “unusual gait”.
Both videos seem to present excessive transverse plane motion at the knees and in-toed gait. On video, the feet seem “C-shaped” or forefoot adducted. The history and video findings suggest Charcot-Marie-Tooth disease (progressive peripheral neuropathy).
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Dennis Shavelson, DPM
The most important lesson to be learned from this posting is that it is impossible to make a diagnosis from a gait exam and some cursory neurological tests. This patient needs to be referred elsewhere. That said, there seems to be muscular/neuromuscular weakness on the right side, along with a functional short limb. The quadraceps and hip muscles are most likely involved. In the foot, I suspect anterior tibial and peroneal involvement. The lowered beltline on the right is a tip-off to the inclined posture.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2A | |
From: Todd R Stewart, DPM
Having an implant fracture is not that rare an occurrence. We have all seen screws, plates, K-wires, and in this case, nitinol implants fracture. These can fracture for various reasons: defective implant, early unguarded weight-bearing, trauma, or surgeon error in inserting the implant.
In this case, both arms of the second toe implant and also a fractured arm of the third toe implant are noted. If there is mal-alignment or pain, the implants should be removed. The technique employed should be...
Editor's note: Dr. Stewart's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2B | |
From: Ralph Graham
It is no surprise that the manufacturers have no response as they indicate in their literature that this has never happened. As with all implants, the user has the duty of care to remove such fragments as may be causing pain, but this may not be all the pieces.
My own view is that any manufacturer that has no mechanism for removal of implants should be rejected as a supplier. We all know from experience that whatever you place in a foot may have to be removed, and a method for removal should be an absolute requirement before use.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Charles Morelli DPM
If you have a YAG laser, you need to either wear a mask during your treatment, have a vacuum system, or do both. It is well known that with these types of thermal ablative lasers, there is a laser plume effect that effectively aerosolizes the fungal elements as well as bacteria. In addition to dermatophytes, micro-organisms have been isolated from this "plume" and include staph epi., pyrogenese, faecalis, bacillis and c. albicans. You don't want to inhale these.
Besides not being able to accurately control the amount of heat and energy being delivered to the nail (in my opinion) and given other risks associated with a YAG laser (burns and hematomas) are why I have chosen to buy Noveon lasers for my offices. It is photobiologic, with no plume, and calibrated to always deliver the same quantity of energy to the patient.
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MEETING NOTICES - PART 1
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Doug Richie, DPM
Mr. David Hallowell need not waste the venture capital funds from Invest NI, as his "invention" is an exact copy of the Richie Brace with Arch Suspender which has been dispensed by podiatrists, pedorthists, and orthotists here in the United States for over 15 years.
Any practitioner need not wait to hear a lecture from Mr. Hallowell or wait for further research in order to implement this well-proven brace for patients. In the UK, the authentic Richie Brace with Arch Suspender is available from our distributor there: Firefly Orthotics.
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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.
SPACE AVAILABLE – BUFFALO GROVE, IL
Fully equipped podiatry office in Buffalo Grove, Illinois is looking for a podiatrist to share a space. Please email: jdhr2011@yahoo.com.
EQUIPMENT FOR SALE – USED PINPOINTE LASER
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.
ASSOCIATE POSITION AVAILABLE – NEW YORK AND/OR NEW JERSEY
Hard work, grueling hours, and low pay. Seeking a top producer only. We are seeking motivated and enthusiastic associate to join our well-established practice. Send resume to footcomfort@outlook.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
PODIATRIST WANTED - NEW JERSEY
Busy Northern New Jersey podiatry practice needs board certified podiatrist participating with Blue Cross/ Blue Shield to work in office one day a week to start. Email resume to minggao@optonline.net
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
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
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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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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