The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

October 20, 2011 #4,284 Publisher-Barry Block, DPM, JD

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PA Podiatrist Uses Sensor Technology to Measure Pressure Points in Tennis Shoes

A tennis coach is using sensor technology embedded inside tennis shoes and corresponding video analysis of a player's movements on court to gain a better understanding of how the feet perform during play. Dr. Allan Grossman, a USPTA coach and podiatrist specializing in treating tennis players at the Harrisburg Foot and Ankle Center in Harrisburg, PA, embeds a sheet fitted with thousands of sensors that pinpoint pressure points inside tennis shoes. The battery-powered device connects to a cuff wrapped around the athlete's ankle to measure pressures on the feet during activity and transmit the data, using Wi-Fi, to a laptop computer, where both doctor and athlete can see exactly where pressure points arise during on-court movement. 

Dr. Allan Grossman & Pressure Sensor

His findings have been surprising. "Conventional thinking is that when tennis players load on the back leg to hit a forehand or plant the foot to change direction that their weight puts pressure on the outside of the foot," Grossman says. "What we learned through thousands of scans of players of all different levels is that, in virtually every case, the most pressure is applied on the inside of the foot. That's quite surprising — it's the opposite of conventional thinking."

Source: Richard Pagliaro, Tennis.com [10/18/11]

Five Barry Students Awarded Steinberg Scholarships

Five students from Barry University’s School of Podiatric Medicine have been awarded a Dr. Marvin and Ruth Steinberg Memorial Scholarship for the 2011-12 academic year. Sarah Haller, Sofie Pinney, Jessica Ortega, Jurgen Helmut Fernandez, and Armando Gonzalez will each receive a $1,000 scholarship to be used toward their tuition. All students were selected based upon their leadership qualities and academic merit. 

Dr. Lloyd Steinberg, Dr. John Steinberg, and Elaine Steinberg

Haller, class of 2013, serves as current president of Florida Podiatric Medical Student Association (FPMSA). She was recently awarded the Dr. Harvey Kopelman Award for leadership and dedication to the profession. Pinney, a former FPMSA president and a member of the class of 2012 has also served as chair of the 20th Annual Agnes Seminar. Ortega holds the position of FPMA liaison for community service and is the 2011 winner of the Dr. Patricia Kopenhaver Scholarship. Helmut Fernandez is the current president of the Hispanic Podiatric Medical Students Association (HPMSA). Gonzalez is the president of the class of 2014 and serves as the historian for the HPMSA.

Aussie Podiatrists Hit Airwaves to Promote Diabetes Awareness

A new series of advertisements are urging diabetics to get regular podiatry checks to reduce amputations. The ads, run by the Australasian Podiatry Council, feature three patients who believe their foot was saved, or would have been saved, by seeing a podiatrist. They will be broadcast on commercial television and community radio this month as part of foot health month. It is also World Diabetes Day on November 14. 

Aussie Podiatry Ad

Alfred Health podiatry program manager Liz Dalton, who is based at Caulfield Hospital, said toe and leg amputations were quite common in diabetics and could be avoided. Diabetics should check their feet daily for areas of redness, blisters, or discoloration, she said. “They should be looking for anything that wasn’t there yesterday,” Ms. Dalton said. “If you’re unaware of what can happen and what to look for, you can end up with ulcerations which may be slow to heal and ultimately lead to amputation.”

Source: Jenny Ling, Caulfield Glen Eira Leader [10/19/11]

FL Podiatrist Receives Community Service Award

At the recent OPAL (Oustanding People and Leaders) Awards, the community service award went to Dr. Dennis Frisch, who has been practicing podiatry in Boca Raton since 1983. He is board certified in foot surgery by the American Board of Podiatric Surgery and is a trustee of the American Board of Podiatric Medicine. Dr. Frisch received his Bachelor of Science degree from the University of Florida and his Medical degree from Dr. William Scholl College of Podiatric Medicine in Chicago. He is active in the community, serving on the Board of Directors of The Rotary Club of Boca Raton where he has been a member since 1984 and served two terms as president — in 1990 and 2005. 

Dr. Dennis Frisch

Frisch was appointed to Boca Raton Parks & Recreation Board in 2007 and elected commissioner of the Greater Boca Raton Beach and Parks District in 2008  He has been involved with youth sports leagues including Boca Jets Youth Football on the Board of Directors, Boca Raton High School Football Booster Club and the Boca Raton Rugby Football Club, as well as being an avid rugby player. “Volunteering actually focuses my life better,” he said.

Source: Dale M King, Boca Raton Tribune

Podiatrists Slated for Medical Staff President Eligibility

The Centers for Medicare and Medicaid Services (CMS) has unveiled a proposed rule that would amend the hospital Conditions of Participation (CoP) to allow podiatric physicians to serve as president of the medical staff in hospitals in states where it is not otherwise precluded by law. APMA and its members have advocated for this change for many years.

The proposed rule, titled Medicare and Medicaid Programs; Reform of Hospital and Critical Access Hospital (CMS-3244-P) reflects CMS' commitment to the general principles of the President's Executive Order 13563, released January 18, 2011, entitled "Improving Regulation and Regulatory Review." CMS acknowledges that in many states, "the laws underscore the widely held conclusion that the education, training, and experience of podiatric physicians are similar to that of their allopathic and osteopathic colleagues with respect to serving in such a hospital leadership position.

Source: APMA

RE: Chronic Ankle Ulcers (Jay Goldstein, DPM)
From: Dennis Shavelson, DPM

Ulcers on both sides of an ankle are rare in my experience and probably need 2X/ week attention or at least weekly care. I would set 4-6 weeks as a goal for reducing the wounds at least 25%.

I would make sure to eliminate pressure under the areas such as boots or tight socks, which press on the wounds or are in a position which presses his legs to a bed, foot stool, or to the other leg.

I would reduce...

Editor's Note: Dr. Shavelson's extended-length letter can be read here.

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

The TightRope is not a new idea. See the old Campbell's ortho text. Surgeons have been trying to tie mets together for a long time. In my opinion, it didn’t work then and it still doesn’t work over the long run. Regarding the dispersion of pressure using a plate (Arthrex) -- one of the few excuses that is espoused for using a TightRope in a bunion procedure is to avoid morbidity of excessive bone surgery and soft tissue dissection in an older population. I don’t know about this specific plate because I have never used it, but  common sense tells me that it would take a quite significant dissection to get one on. Someone convince me differently.
 
Tip Sullivan, DPM, Jackson, MS, tsdefeet@MSfootcenter.net

RE: Plantar Fibromas
From: W Dale Hall, DPM, Jeffrey Kass, DPM
 
Surgical excision has a great propensity for reoccurrence within a year. I suggest using Verapamil gel 15% -3 or 4 times daily. Although this is not conclusive, it is a treatment. I suggest doing excision, then follow-up with the Verapamil gel. You can have it compounded for a substantial cost decrease over one of the national known companies promoting this treatment.

W Dale Hall, DPM,  Oklahoma City,  OK, americanfoot@email.com

A clinician can ultimately decide which of the various treatments he wants to use but don't assume the "lump" is a fibroma. Make sure to biopsy the lesion prior to these treatments. If the lesion is in reality a sarcoma and one is jabbing the lesion a bunch of times, this could turn into a nightmare.
 
Jeffrey Kass, DPM, Forest Hills, NY jeffckass@aol.com

RE: Stay Away from Trimming Toenails
From: Peter Vannucchi, DPM

There have been some letters in podiatry news about the follies, scandal, and bugaboo going around about podiatrist billings for routine foot care, and in particular, nail trimming. Is there any question why our allopathic colleagues regard us with a certain disdain, and often times, we turn out to be the least wanted on the team? A good warning is this: stay away from trimming toenails. That's not a cockeyed doctrine! The reason is that it makes you look timid, among other things.

Not trimming toenails also keeps you out of trouble. Our basic vision and endeavor with the new order for things to come should be to further the profession and to keep on advancing regardless of whether we have to go over, under, or through our detractors, or even if need to hire them. Fortuitously, there are many unemployed physicians with plenty of vim and vigor who would enjoy working with a podiatrist. We should have only one motto: L'audace, L'audace, toujours L'audace! So be audacious as well as bodacious.

Peter Vannucchi, DPM, Dallas, TX, vannucchi@att.net

RE: OH Court Rules That Podiatrists Need ABPS Certification for Staff Privileges
From: Glenn M. Weinraub, DPM

The American College of Foot and Ankle Surgeons (ACFAS) calls attention to its position statement, the “Credentialing and Privileging of Podiatric Foot and Ankle Surgeons and Guidelines for Surgical Delineation of Privileges” document, which provides a current overview of what hospital Credentialing and Privileging Committees are looking for in granting privileges for surgeons. ACFAS encourages its members to take an active role in their facilities’ medical staff leadership and voluntary opportunities to garner additional understanding and appreciation of podiatric surgery. This document may be found at acfas.org/CPstatement.

Glenn M. Weinraub, DPM, President, American College of Foot and Ankle Surgeons, gweinraub@aol.com

RE: Foil Sutured Toenail (Timothy James Henne, DPM)
From: Shari Lewis Kaminsky, DPM

The thing I love best about a photo like this is that the ER doctors often can make us look so good.

Shari Lewis Kaminsky, DPM, Florissant,MO, sharikaminsky@hotmail.com

ASSOCIATE POSITION - LOS ANGELES COUNTY, CA
 
Interested in hiring a part-time leading to full-time podiatrist for northern Los Angeles County busy practice. Possibly leading to associateship. Please e-mail CV to avfootdoc@mail.com or fax to 661-265-1877.
 

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 - 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 to melissafoot@pol.net.

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.

PODIATRY OFFICE TO SHARE - SEATTLE, WASHINGTON 

Fully equipped podiatry office in North Gate area of Seattle. Office located in medical professional building near I-5. Office has 3 treatment rooms, 3 physical therapy rooms, direct digital x-ray, PAD- net, NCV testing equipment, physical therapy equipment. Please contact us: www.206footdoctor.com Tel. 425-643-8901isbinc2006@gmail.com

SPACE AVAILABLE - NYC & LI

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 - 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 - 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 – 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 - 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-mail contactus@podiatrypracticeconsultants.com

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

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