The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

October 17, 2011 #4,281 Publisher-Barry Block, DPM, JD

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KS Podiatrist Discusses Footwear for Students

Since feet are vital in holding our bodies up, wearing a good, fitted shoe is crucial. “As a rule of thumb: the thicker the sole, the stiffer the shoe, the better the arch support, the better the shoe is going to be,” says Dr. David Laha, a podiatrist at Kansas City Foot Specialists in Overland Park. 

Dr. David Laha

The biggest problem for students is they do a lot of extra walking than they are used to, so having good footwear is going to make the hike around campus more comfortable and avoid injury, Laha says. Wearing a running shoe to get from class to class is the best option. Instead of spending small amounts of money on cheap shoes, save it up and buy one good pair. Motion control running shoes are usually the best for most people because they have features that prevent the foot from rolling inward, Laha says.

Source: Kylie Nutt, University Daily Kansan [10/13/11]

OH Podiatrist Names OCPM Walking Path

Aaron Chokan, DPM, class of 2001 and President of the OCPM Alumni Association, named the recently built walking path at the Ohio College of Podiatric Medicine for $50,000. The name of the walking path is now called The Chokan Family Wellness Walking Path. “I am very proud of my alma mater and all of the accomplishments of the college. My family and I wanted to contribute to the college that has provided an excellent opportunity for its students, faculty, and staff to help stay fit.”  

(L) The Chokan Family (R) The Chokan Family Walking Path

The walking path is 1/3 of a mile in length that encircles the Phase 1 property of OCPM’s Land Use Plan. The Phase 1 property also includes lighting, a 20’ x 30’ pavilion, a restroom, and a 65 foot bridge that covers a creek and connects the walking path to OCPM’s main facility.

TN Podiatrist Named Podiatrist of the Year

Dr. David Long has been selected as Podiatrist of the Year at the recent meeting of the Tennessee Podiatric Medical Association in Franklin. The annual award, memorializing Dr. Harry Casson of Maryville, is given to the podiatrist in recognition of outstanding service to the field of podiatry.

Dr. David Long

Dr. Long has served as chairman of the board of podiatric medical examiners for the past eight years, and as president of the Tennessee Podiatric Medical Association. Long practices at the East Wood Clinic in Paris and in Martin, and specializes in medicine and surgery of the foot and ankle, as well as sports medicine.
 
Source: The Paris Post Intellegencer [10/13/11]

Maryland Podiatrist Provides Marathon Training Advice

There is more to training for a marathon than running a few laps around the track. Finishing 26.2 miles, or even getting to the starting line, takes attention to some details about eating and hydrating, miles covered, and aches and pains. 

Dr. John Senatore (Photo Kim Hairston)

Dr. John Senatore, an avid runner and chief of podiatry in Union Memorial Hospital's sports medicine department says that all marathoners need to taper (gradually decrease) their weekly mileage starting at least two weeks prior to the race. 26.2 miles is a long way, and fresh legs are a must to finish.

Source: Meredith Cohn, The Baltimore Sun [10/5/11]

Aussie Podiatrist Rebounds From Financial Disaster

Early in March 2006, Port Melbourne entrepreneur Damien James discovered that $300,000 had gone missing from the foot care firm he started after graduating from Latrobe University in 1997 with a podiatry degree. After James confronted a staff member, the suspect fled overseas. After the theft, James had to shut his two podiatry businesses with a combined yearly income of over $1.5 million.

Damien James

"I went from running two of Australia's largest podiatry companies to being broke within a few weeks. My life was a mess," says James, 37. His reputation in tatters, he pondered leaving the industry. Instead, he re-launched fast under the same name, embarked on a Swinburne University entrepreneurship masters course, and engaged a mentor. James began regaining clients and winning new ones. Last year, his firm, Aged Foot Care Australia, posted a $2.2 million income, he says.

Source: David Wilson, The Sydney Morning Herald [10/14/11]

Query: Chronic Ankle Ulcers

An 86 year old male in good condition, arrived after 6 years of treatment by his PCP, with both medial and lateral ulcers on the same ankle. Initially the ulcers showed significant improvement with debridement, Venastat, and Amerigel. His ABI was over 0.9 (all 3 arteries, and circulation down to his hallux), so neither ulcer appears ischemic. Initially, I used support hose to treat him. When healing stalled, since the ulcers were not very deep, I decided to try Kalypto. With no further improvement after a month, he and his daughter decided that the pain from the pump was not worth it. 

(L-R) Medial and Lateral Ankle Ulcers Post-Debridement.

Last week, I applied some Silverlon. The pictures are of the lateral and medial ulcers immediately after dressing removal, and also after debridement. 1. Do you think there is enough difference between Synovis and KCI to make a pitch for the latter? 2. Without the NPWT, I would not have much confidence getting a "take" with either Dermagraft or Apligraf. Comments?

Jay Golstein, DPM, Portland, OR

Query: Image Problem with A2D2 Digital X-Rays

Our office is currently having ongoing problems with the quality of the images with an  A2D2 unit, which have never being crisp and certainly not showing the level of detail that would be expected of digital images. The company has been responsive in attempting to remedy the problem, but despite all attempts, the images are still of fair to poor quality, especially when looking for sharp images of cortical margins, etc. 
 
Has anyone else with an A2D2 unit experienced a similar problem, and if so, have you discovered a solution to the problem?  

David S. Wander, DPM, Philadelphia, PA

RE: Mini TightRope for Hallux Valgus (Michael B. DeBrule, DPM)
From: Barry Mullen, DPM

To reduce complications with the TightRope procedure, for starters, the first consideration is PATIENT SELECTION! Risk factors for implant failure include, but are not limited to: osteoporosis (penia), obesity, co-morbidities that affect serum calcium, choice of bunion surgery based on proper criteria, and lastly, surgical technique.
 
That said, overall, I'm not very impressed with this procedure, nor its results, but my patient sample is small. In addition, I did witness one of my partner's patients experience a 2nd metatarsal stress fracture. His technique was spot on and criteria very appropriate. Personally, I've long headed back to traditional osseous corrections based on IM angle severity (Why change what has always worked?), and if patients don't want to endure the fracture healing required, they are allowed to seek the TightRope elsewhere with a thorough explanation of the potential risk factors and failures associated with it.

Barry Mullen, DPM, Hackettstown, NJ, yazy630@aol.com

RE: Plantar Fibroma
From: Mark H. Sugar, DPM

I'm old school - this is a no-brainer (if you've had surgical training) - ask if the condition is painful or is getting larger. If the answer is yes, excise using local anesthesia, and make a linear incision on the mid-line of the lesion. Use sharp and blunt dissection and take it out.  That's all; case closed in 15-20 minutes. I did one last week and many others in the past 36 years. There is less trauma and fewer problems.

Mark H. Sugar, DPM, Hyattsville, MD, msugar8364@aol.com

RE: Pass/Fail for the First Three Semesters of Podiatry School (Al Musella, DPM)
From: Elliot Udell, DPM
 
When we really think about it, hasn't medical school always been pass and fail? Sure, there have been grades given and we all know the guy or gal in the back who always aced every examination, but what difference does it make when it comes to reality? Has any one of us gone to a physician for personal medical care and first asked to see his or her medical school grades? To the contrary, we might ask for recommendations from other physicians and people in the community. No reference is ever based on the doctor's med school grades.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

RE: Evolution of the Female Foot

Here's what happens with chronic wearing of high-heeled shoes.

Source: Submitted by Khurram Khan, DPM

EQUIPMENT FOR SALE - MICROVAS UNITS

2 lightly used Microvas units (2010) for sale at $7,000 each plus shipping. Paid $16,000 for each machine. Great way to add therapy modality to your practice. Contact: klamdpm@hotmail.com

EQUIPMENT FOR SALE - CLASS FOUR LASER

I have a class four pain laser for sale. Used for plantar fasciitis, Achilles tendonitis, neuroma, arthritic conditions and even fungus toe nails This laser is portable, re-chargable and can be move from room to room or office to office. This isn't the cold laser that you see. It is a 10 watt laser. We have used this laser on NFL sports players. For those that understand a good laser. E-mail David Zuckerman, DPM for Details and pricing. footcare@comcast.net

EQUIPMENT FOR SALE - ULTRASOUND, CRYO-PAC, FLOUROSCAN

Ultrasound w/printer, Cryo-Pac w/two probes, Flouroscan w/printer. There may be other surgical equipment as well. Please contact Jolene as young_jolene@yahoo.com

PRACTICE FOR SALE – NANAIMO, BRITISH COLUMBIA, CANADA

Have you ever dreamed of owning a practice where...you can see 0-50 patients daily * average 100 new patients monthly * have zero accounts receivable * gross $480 M per year * live in a beautiful community with skiing, hiking, fishing, and boating on your doorstep. This could be yours! If interested contact pistone@telus.net or call 250-754-4192.

PRACTICE FOR SALE/LEASE - NORTHERN, NJ

Part-time practice for sale or lease. Flexible terms, will consider lease with option for sale. Structured for a fast sale, first option on real estate. Great opportunity for a start-up or satellite with immediate income. Call 201-573-0555 or 551-574-0776 billfeet@aol.com

PRACTICE FOR SALE - ARKANSAS

Busy, well established practice of 13 years grosses 160K/year for the past 5 years, while working 3.5 days/week. Nursing homes available. 50% Medicare, average of 15 new patients/week. Doctor retiring. Please call 800-983-4194 for more details, or e-mailcontactus@podiatrypracticeconsultants.com

PRACTICE FOR SALE - SOUTHERN OH

Busy, well-established, full-time home visit practice. 100% referral-based. Wound care, pain management, routine care & DME’s. Excellent income, low overhead. Great opportunity for husband/wife business team. DPM relocating out-of-state for family. Contact:nanetter@zoomtown.com

PRACTICE FOR SALE - MOUNT KISCO, NEW YORK

Great opportunity in well-established, turn-key practice (or buy in option available) near Northern Westchester Hospital. Updated office includes four treatment rooms, two private doctor's suites, large waiting room with option to buy co-op. Excellent opportunity for growth. Contactbbrick2@yahoo.com

ASSOCIATE POSITION - SOUTH WEST FLORIDA

Full-time associate positions for an established group practice in Southwest Florida. Willing to train the right new graduates. Job will involved all aspects of podiatric care. You must be ambitious, hard-working and should have good people skills. Please e-mail your resume/CV tocontactus@ankleandfoot.net

ASSOCIATE POSITION - SOUTH CAROLINA
 
Upstate practice seeking PSR-24/36 trained associate. Full-time position with partnership opportunity. Must be ethical, highly-motivated with strong surgical and medical skills. Please send CV to palpodiatry@att.net

ASSOCIATE POSITION - DAYTON, OH

Join a Well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and current photo to Ohiodoctors@aol.com

ASSOCIATE POSITION - NASSAU COUNTY, NY

Podiatrist needed in Nassau county to start immediately. Flexible hours 2 days a week. Please email pittpod@gmail.com with inquiries.

ASSOCIATE POSITION - EAST TENNESSEE

30 year old practice with 5 offices in greater Knoxville area seeking ethical, personable, hardworking, team player. Extremely competitive base salary with bonus incentives and benefits. Knoxville is consistently ranked in top 5 places in U.S. Post-residency experience a plus. Please send resume to ddavidphawk@yahoo.com

ASSOCIATE POSITION - TEXAS (HOUSTON AREA)

Become a “SUCCESS”! Multi-professional podiatric practice seeks personable, talented, enthusiastic physicians with expertise in any of these areas: 1. Biomechanics 2. Geriatrics 3. Pediatrics 4. Trauma. Send CV and letter of intent to: sierrajip@gmail.com

ASSOCIATE POSITION - FLORIDA/N.W. FLORIDA- TALLAHASSEE AREA

Home of Florida State University. Great university town! Well established full scope solo physician with busy practice. Looking for a full time associate leading to partnership in a short time. Great general practice with 2 locations. Staff privileges with 2 local hospitals and 2 surgery centers. Offering competitive salary, health insurance. Will need forefoot and rearfoot surgical competency. Friendly office with fun staff that’s easy to work with. Call/Text – 850-510-4371.

ASSOCIATE POSITION – IOWA CITY AREA

Well-established, rapidly growing practice. Motivated, ethical and personable with well-trained PSR-24/36. Modern office with complete EMR, digital radiography, diagnostic ultrasound, and laser. Competitive salary/benefits package. If interested please email your CV, letter of intent and references to: NHFootDoc@yahoo.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Immediate position for associate to potential partnership available for a surgeon that is BQ/BC by ABPS. Must be a PSR 24 or PM&S 36 graduate. Salary with bonus. Email CV and samples recent cases done recently to: susmitad86@yahoo.com

SOUTHEAST GEORGIA & SOUTH CAROLINA

Seeking associate physician to join practice to cover nursing home facilities. Comprehensive package including Salary, Travel and Bonus benefits. Email cover letter and CV tomelissafoot@pol.net.

SEEKING ASSOCIATE POSITION - SUBURBAN DETROIT

ABPS certified podiatrist with several years experience seeking part-time position in suburban Detroit. On staff at area hospitals. Excellent clinical, surgical, and practice management skills. Please respond to michpod@hotmail.com

SPACE AVAILABLE - NYC & LI

SUB LEASING TIME on MRI (NYC)

Don't refer out $$ when they can go into your pocket. Beautiful state-of-the-art 5th Avenue medical office is offering lease time on a .31 tesla Esaote extremity MRI, complaint with Stark laws. This particular magnet is the only one accepted by insurances and Medicare as of 2012.  For more information email dri@myfcny.com.

PM News Classified Ads Reach over 13,500 DPM's 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 12,500 DPM's. Write tobblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $109 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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