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| PM News | |
The Voice of Podiatrists
Serving Over 17,033 Subscribers Daily
October 15, 2015 #5,498  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- 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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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
CA Podiatrist Named Volunteer of the Decade
When the Benicia Police Department decided to give Ron “Doc” Uhlman the Volunteer of the Decade award last week, they thought the best way to get him down to the city hall ceremony was to trick him. Telling the notoriously humble volunteer that he’d be receiving his pin for working with the department, instead, Benicia Police Chief Erik Upson presented Uhlman with an award honoring him for his 20 years of hard work. “This department loves him across the board,” Upson later said of Uhlman. “He does so much, with so much humility, that there’s really nothing that he won’t do to help the officers or the staff out here — whatever it takes.
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Dr. Ron “Doc” Uhlman (Photo: Mike Jory) |
“And this is a retired doctor who’s basically willing to do whatever to support this department, small and big,” Upson added. Uhlman originally grew up in Ferguson, MS and went into the medical field in Springfield before heading to San Diego and eventually San Francisco for podiatry school. Uhlman started his residency program at Kaiser Pemanente in Vallejo, working there for 28 years, while maintaining nighttime volunteer commitments first at the Benicia Fire Department, then later the Benicia Police Department.
Source: Dianne de Guzman, Vallejo Times-Herald [10/13/15]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
NY Podiatrist Opens Medical Spa-Type Office
Patients may note the comfy atmosphere once inside the new location of Batavia Foot Care Center. But don’t get settled in, owner Dr. Dawn Dryden says. “I wanted a medical spa feel. I wanted a really inviting reception area for the patients to feel comfortable,” she said in her office in Batavia. “We call it a reception area, not a waiting room. Our patients don’t wait.”
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Drs. Dr. Dawn Dryden and Dr. Zerah Ali (Photo: Mark Gutman) |
Dryden had originally done some residency work at the practice, then owned by Dr. Gina Teresi, and became an associate. The two eventually partnered. Dryden took over the practice in 2011 as Teresi has slowly prepared to retire. She will work through the end of this year before going off to “enjoy life” with her husband and family, she said. Meanwhile, Dr. Zerah Ali has joined the staff to help out with the customer load. Since the practice opened, it has served more than 26,000 patients, Dryden said.
Source: Joanne Beck, The Daily News [10/13/15]
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| FROM PM's CURRENT ISSUE | |
Twice a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's featured article |
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| PRACTICE MANAGEMENT TIP OF OF THE DAY | |
11 Things to Know about the Meaningful Use Final Rule - Part 2
Stage 1 and 2 Objectives are Pared Back
For the EHR Incentive Programs in 2015 through 2017, eligible professionals have to achieve only 10 objectives, with one of them being a public health reporting objective. That’s down from 18 total objectives in previous versions of the program. Hospitals and critical access hospitals have to do nine objectives, with one of them being a public health reporting requirement, down from 20 total objectives previously.
Source: Health Data Management [10/11/15]
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of Barry Daub, DPM
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Dr. Barry Daub |
Dr. Barry Daub, Millersburg, PA, lost his battle to cancer October 10, 2015. Barry was a 1983 graduate of ICPM/Dr. William M. Scholl College of Medicine. He will be remembered as a great friend, devoted husband, father, and grandfather. He will be greatly missed.
David Dragoo, Mexico, MO
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Mike Boxer, DPM, Judd Davis, DPM
This sounds like your patient has a case of primary or idiopathic erythermalgia also called erythromelalgia. Look it up in any standard text on peripheral vascular diseases.
Mike Boxer, DPM, Woodmere, NY
The symptoms described by the patient and the fact that it is activity/heat induced suggests the possibility of erythromelalgia. Treatment involves keeping the feet cooler and various meds from OTC aspirin to a host of Rx meds. Orthotics are unlikely to have any effect on this condition.
Judd Davis, DPM, Colorado Springs, CO
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Howard Dananberg, DPM
I agree that this appears as a CRPS-type case, but when CFOs were fabricated, she seemed to improve for an extended period. This, coupled with the high level of inverted stance position would point to a fibula-related equinus. I published an article on this subject in the Sept issue of JAPMA in 2000.
When the fibula loses its translation ROM, a wide variety of symptoms can develop. One relates directly to a personal inhibition which relates to the lost fibula motion. The effect is to leave the posterior tibia unopposed and thus the inverted appearance. The other involves the release of neuropeptides which promote vaso-activity and nociceptive hypersensitivity. This could explain her odd burning complaints. The one other entity which can create this type of symptom is mastocytosis (which is also referred to as mastopsychosis for obvious reasons). Heat is a definite etiologic factor.
Manipulation of the ankle and cuboid are easy to perform, safe, and often spontaneously effective. These are on YouTube and can be searched under my name and manipulation. I have seen similar symptoms on many occasions with excellent outcomes. In mastocytosis, periodic care is required, as is avoidance of heat in this tough, lifelong condition. Good luck. I hope the simplest solution works.
Howard Dananberg, DPM, Stowe, VT
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| RESPONSES/COMMENTS (MEDICAL-LEGALAL) | |
From: Name Withheld
My practice mainly consists of general podiatry, especially routine foot care on patients with diabetes, PVD, and on certain anticoagulants. I perform many nail border avulsions (11730) and would consider this a red flag. I assume Medicare also found my numbers to be outside the norm by their silent investigation they performed without my knowledge. I THINK I HAVE YOUR ATTENTION! Around four years ago, two patients informed me that a Medicare representative knocked at their doors to ask them a few questions about their visits to my office concerning my nail avulsion procedure. The two questions they asked about the nail procedure were as follows: Was your ingrown nail painful? and Did the doctor inject a local anesthesic?
Needless to say, I am still in practice, so my patients' answers were "yes" and "yes." If you don't infiltrate a local anesthesic, you must document why. In my practice, I infiltrate 99.9% of the time. Documentation must include several points. Obviously pain and redness are important, but key phrases should include post-care instructions, dressing applied after hemostasis was achieved, and avulsion was performed to the level of the proximal nail fold (eponychium). Was permanent excision discussed? If not, why (PVD, diabetic, etc)? There are other documentation keys, but the point is that when you are performing a red flag procedure, do it by the book.
Name Withheld
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The University of Texas Health Science Center at San Antonio
Academic Podiatry Faculty Position
The nationally recognized School of Medicine at the University of Texas Health Science Center at San Antonio, Department of Orthopaedics, Division of Podiatric Medicine & Surgery is seeking an individual for full-time faculty position at the Assistant or Associate Professor level. Academic rank will commensurate with past experience. Responsibilities will include involvement in clinical care, resident education, and research activities.
The applicant must be Board qualified/certified to apply. A Texas License will be required. The School of Medicine, at the University of Texas Health Science Center at San Antonio is an equal employment opportunity/affirmative action employer including protected veterans and persons with disabilities. All faculty appointments are designated as security sensitive positions. Please send letter of intent, 3 recommendation letters and CV to:
Robert H. Quinn, M.D., Chair and Residency Program Director,
Department of Orthopaedics – MC 7774, 7703 Floyd Curl Drive
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Breast Health Awareness Month
From: Hal Ornstein, DPM
October is Breast Health Awareness month and a good opportunity to give back to the community and show your support for those with a history of breast cancer.
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Symbols Supporting Breast Cancer Awareness Month |
Consider putting together a team from your office to participate in a local walk to support breast cancer research. A notice could be posted in the office asking patients for donations. There are several inexpensive items relating to breast cancer awareness on Amazon and Oriental Trading as giveaways to all the patients in your office. We had an artist put pink ribbons on the front door and side window in our reception area, which did not take much time at all and was inexpensive. In November, we will remove the one on the door and leave the other up year round.
Hal Ornstein, DPM, Howell, NJ
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Stephen S. Pirotta, DPM, Stephen Peslar, BSc, DCh
I had Lasik surgery done several years ago. It didn't work well for me, but from everyone I talk to, I am the exception. Most people whom I have talked to over the years say it helped solve their dependency on glasses. For me, it did not. I wear glasses now, and did within several days of the surgery. I had it performed in a big city by someone who does hundreds and hundreds of them. As long as I wear my glasses, I am fine.
Stephen S. Pirotta, DPM, Bentonville, AR
Lasik surgery is not indicated for people who are very active and can be hit in the eye by a ball (squash or tennis or baseball) or by an elbow playing basketball. 15 years ago, I had my cornea reshaped conservatively without any surgery. From Paragon CRT, "it is a unique oxygen permeable therapeutic contact lens designed to temporarily correct myopia and moderate levels of astigmatism by gently reshaping the cornea. Paragon CRT lens is ideal for: patients with up to -6.00D of myopia & up to -1.75D of astigmatism."
I put the Boston-like lenses in at night before sleeping and took them out in the morning to put them into the cleaning and disinfecting solution. About every 4 weeks, I received another set of lenses to further reshape my corneas. Within 4 months, my vision went from 20:200 to 20:25. I did experience eye strain by the end of a busy day and ended up wearing +1.0 reading glasses. It's worth your consideration. It is a conservative corrective procedure.
Stephen Peslar, BSc, DCh, Toronto, Ontario
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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| Perfect for a barista? |
Janine used coffee filters and embroidery as decoration on these shoes.
Source: Janine van den Bosch via Virtual Shoe Museum
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MEETING NOTICES
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ADD NERVE TO YOUR PRACTICE
Find out how to enhance your practice with nerve diagnosis & surgical treatment.
Network to advance peripheral nerve treatment. Learn more options.
Join Us Nov 13-15 - Denver . Great Lectures, Demos & Wine!
(**Mention PM News Ad for $100 discount - mark on form)
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| CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – CALIFORNIA
OXNARD. Busy podiatry practice with strong office/nursing home patient base seeking podiatrist (Associate) to join upscale practice. Fully-equipped, patient-ready with trilingual staff (English/Spanish/Vietnamese). Located in highly desirable location conveniently located next to freeway, hospital and multiple surgery centers. Must be surgically trained (PSR 12+). Email CV to drtimwynn@yahoo.com.
ASSOCIATE POSITION - NYC
Lucrative position available for motivated, entrepreneurial Podiatrist in busy, upscale Park Avenue practice. Fabulous opportunity for creative, confident, skilled individual who is interested in all aspects of Podiatry, including surgery and office based procedures. Partnership opportunity. Contactinstitutebeaute885@gmail.com for details.
MOBILE PODIATRISTS NEEDED - HOME FOOT CARE, INC.
Looking for podiatrists to service the following areas: Las Vegas, Nevada, Oxnard/Ventura County, Santa Barbara, Lancaster/Palmdale, San Bernardino/Riverside, Palm Springs/Palm Desert. Full or Part-time available, Full/Part time available, flexible schedule, independence, excellent compensation, electronic billing/scheduling, great support staff. If interested, email CV to: homefootcare@hotmail.com check us out @ www.footdocs2u.com
ASSOCIATE POSITION - SOUTHWEST, FL
Associate position, now or July '16: must be BC by ABFAS, ability to work independently on complex cases. Long hours, hospital rounds, ER calls, great work ethic, team players needed. Fellowship experience preferred, not mandatory. LOI with how you are a superstar, LOR from director, key attendings, CV. great salary, bonus, partnership buy-in. Naples, FL klamdpm@hotmail.com
ASSOCIATE –PARTNERSHIP- OWNERSHIP FAST TRACK- CUPERTINO, CALIFORNIA
If you’re bright, articulate, and skilled in all aspects of foot and ankle surgery with a prime focus on the biomechanics of foot and leg function, I’m interested in you. Earn what you’re worth and live in Silicon Valley. Send resume to setdpm44@yahoo.com.
PART-TIME POSITION- CENTRAL NJ
Well established podiatry practice is looking for a hard working and motivated individual to work in all aspects of podiatric medicine and surgery. Please send CV to: advancedfoot1@aol.com
PODIATRIST WANTED - HOUSTON AREA
Looking for a great way to start your practice? Houston Podiatry is offering a great opportunity for Podiatrists looking for stable income while building their own practice. Full and part time positions are available and pay is set as a daily rate. All applicants must be licensed in Texas and carry their own malpractice insurance. Please submit resume with LOI to doctoranthon@gmail.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future. To apply, go to www.yourcareerinpodiatry.com
POSITIONS AVAILABLE IN CALIFORNIA AND NEVADA WITH WOUNDTECH
Why Woundtech? Largest employer of podiatrists * Earn a six figure living (No nights, No weekends, No call) * Benefits offered (health, dental, vision and paid malpractice)* No billing (No ICD10)* Flexible schedule.If you are ready to take back control of your life give me a call @ 954-602-9148 or email me @manker@woundtech.net to get a priority interview.
ASSOCIATE POSITION – GEORGIA
Village Podiatry Group, a subsidiary of Extremity Healthcare, has opportunities for motivated, talented, and board qualified or certified doctors to start immediately. Ideal candidates have 5+ years’ experience and knowledge of coding/billing. EHI currently offers the following ancillaries: Ambulatory Surgery Centers, Vascular Intervention Centers, Compounding & Retail Pharmacy, JACCHO Accredited Pathology lab able to perform Anatomic Pathology, DNA & Pharmacogenetics. We are also adding Hyperbaric Medicine, Wound Care and other ancillary services. Our successful model is built to enrich the physicians and their efforts. Serious inquiries to Tony Brzezicki, HR, tbrzezicki@extremityhc.com or fax (770.874.1748). EHI offers a competitive benefits package.
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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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| CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE WANTED
Two 3rd year residents seek to buy a practice financially stable to sustain two podiatrists. Well trained in conservative care, forefoot surgery, and wound care. Willing to move anywhere and start practicing in July 2016. Ideally selling physician would stay on during transition period. Please email footdoctors2016@gmail.com with more information.
PRACTICES WANTED - GEORGIA, TENNESSEE & OTHER SOUTHEASTERN STATES
If you are serious about selling or merging your practice into our model, the EHI Equity Based Supergroup Model, then we are interested in a conversation. We are looking mainly in Georgia and the Atlanta area but we will be ready for scaling in early 2016. Our practice top 3 criteria are; successful, must have a high volume of patients and Physicians who stay must be willing to utilize EHI's in-house ancillaries. If you meet these criteria, send us an e-mail to dhelfman@extremityhealthcare.com and dmazzone@globalmna.com, our investment banking firm.
EQUIPMENT FOR SALE – PODIATRY OFFICE CLOSING
Bronx podiatry office closing. Everything must go. X-cell x-ray machine, cassettes, Midmark 117 examining table (needs work), rolling matching cabinet, Stryker cast cutter, Mettler therapeutic ultrasound, chart, filing and storage cabinets, many surgical hand instruments, medical supplies, waiting room furniture. lee10462@gmail.com. (718) 829-7455.
PRACTICE FOR SALE – BONITA SPRINGS, FLORIDA
15 year old well established satellite podiatry practice for sale immediately. Well-equipped treatment rooms, digital x-ray. Located in busy multispecialty medical building with very busy Urgent Care Clinic, Outpatient Surgical Center, pharmacy, CT and MRI imaging center. Email bonitaspringspodiatry4sale@gmail.com
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. 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.
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
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
| | Guidelines |
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- Notes should be original and may not be submitted to
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RE: (Topic)
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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