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| PM News | |
The Voice of Podiatrists
Serving Over 15,895 Podiatrists Daily
October 31, 2013 #4,903  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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| EDITOR'S NOTE | |
Technical Glitch in Ad Links
If you are receiving this as a repeat e-mail, it means that the links to the ads in the first copy were not properly working. This problem has been be fixed. We apologize for any inconvenience.
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| PODIATRISTS IN THE NEWS | |
PA Podiatrist Uses Team Approach to Save Diabetic's Foot and Leg
Patrick Hanley did not believe the first surgeon who told him he needed to amputate his leg. He didn't believe the second surgeon who said the infection on his right heel had reached the bone and amputating that leg above the knee was inevitable. Then he found Dr. Adam Teichman, who is part of the Limb Salvage Team at Sacred Heart Hospital in Allentown. He was convinced he could save Hanley's limb.
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Dr. Adam Teichman |
To save his leg, Teichman proposed cutting a portion of his heel and closing the wound. Teichman would need the help of at least two other physicians to complete the procedure. "It has to be," Teichman says about the teamwork necessary to save Hanley's leg. "I couldn't heal his wound without having a multidisciplinary approach." Hanley remained off his feet for nearly three months after the surgery, but it didn't take him long to recover his ability to walk after he began physical therapy. "Mr. Hanley and I have been through a lot together," Teichman says. "It's not every day that a patient doesn't want to give up."
Source: Milton D. Carrero, The Allentown Morning Call [10/28/13]
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| PM NEWS QUICK POLL | |
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| AT THE COLLEGES | |
TUSPM Professor Honored at Marine Corps Marathon Hall of Fame Dinner
Howard J. Palamarchuk, DPM, associate professor and director of sports medicine, was honored by the Marine Corps Marathon at the Hall of Fame Dinner on Friday evening, October 25th. Palamarchuk was awarded an Ambassador Award for his 22 years consecutive service for podiatric medical support of the race for his volunteer service.
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(L-R) Sara Naguib, Alissa Kuizinas, Michael Molitoris, Dr. Howard Palamarchuk, Lauren Pruner, Jacqueline Marie Chen |
Palamarchuk has trained over 200 student doctors at this event alone. Pictured with Dr. Palamarchuk are his TUSPM students who made a surprise appearance through the effort of Medical Team coordinator Captain Michele Weinstein, USN.
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| APMA STATE COMPONENTS IN THE NEWS | |
ACFAOM Hosts Biomechanics Workshop for NYCPM Student Chapter
NYCPM’s Student Chapter of ACFAOM Orthopedics Club started off the year with a biomechanics workshop featuring Dr. Marc A. Benard, Executive Director of the American Board of Podiatric Medicine (ABPM). This event was held at the Manhattan VA.
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(L-R) Drs. Marc Benard and Steven Goldman, and NYCPM ACFAOM student chapter president Shruti Patel |
Dr. Benard honed in on the importance of knowing origins and insertions of muscles and identifying what joints are crossed by these muscles to be able to use the fundamentals of biomechanics to manipulate the anatomy, surgically or non-surgically, to achieve correction. Dr. Steven L. Goldman, Vice President of ABPM gave a lecture on the process of how to become board qualified and certified by ABPM.
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| PODIATRISTS IN THE COMMUNITY | |
OH Podiatrist Sponsors 16th Annual Candy Swap for Charity
Dr. Bruce Blank will sponsor the 16th annual Halloween Candy Exchange for children with diabetes from 3-5 p.m. this Sunday at his St. Clairsville location for business, Achilles Foot & Ankle.
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Dr. Bruce Blank (Phot: Layla Van Dyne) |
Blank invites children with diabetes to come dressed in costumes and enjoy games, prizes, entertainment, sugar-free candy, and pizza donated by DeFelice Brothers. Children may bring in any candy they have collected which will be donated to the Soup Kitchen of Greater Wheeling.
Source: The Times Leader [10/21/13]
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| PODIATRISTS AND POLITICS | |
CA Podiatrist Picks up 4th Labor Endorsement in Congressional Bid
Dr. Lee Rogers has picked up yet another labor endorsement as momentum continues to grow for his campaign. The International Brotherhood of Electrical Workers (IBEW) Local 11 will back Rogers in the increasingly competitive race for California’s 25th Congressional District.
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Dr. Lee Rogers |
IBEW Local 11 is the fourth labor union to endorse Rogers in a string of endorsements coming since late September. The Rogers campaign’s success has come from strong fundraising figures and polling. In the third fundraising quarter of 2013, Rogers outraised incumbent Buck McKeon, a committee chairman, $227,000 to $208,000. Earlier this month an independent poll found McKeon losing to a Democratic challenger 44% to 46%.
Source: Santa Clarita Valley Signal [10/28/13]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Andrew Levy, DPM, Eugene A Batelli, DPM
I think there are several things to consider. First, is there a difference in the pathology between his feet? Were there any differences in the operative techniques, findings, or positioning of the implants between the feet? Was the patient to PT for gait training and/or was a local anesthetic block into the sinus tarsi tried?
I would like to see the DP view showing the position of the implant. In my experience, with bilateral surgery, it is not uncommon for one foot to be different from the other. I would not be in a rush to remove the implant without a trial of PT and a block. When you have him walking and in PT, concentrate on the gait of the good foot, the other will most likely come along. Let us know how it goes.
Most STJ stenting failures arise from other deformities in the foot, usually forefoot varus. Even with proper device placement, the forefoot varus will be compensated by rearfoot valgus, and cause lateral pain and sinus tarsitis. It's very rare that no other osseous or soft tissue procedures are needed. Bottom line: the companies may claim it's a cure-all, but it's not. All three cardinal planes must be corrected. I personally have been phasing these away and going back to calcaneal osteotomies for more predictable results.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
RE: Subtalar Arthroeresis Gone Bad?
From: Dennis Shavelson, DPM
This case reinforces my position that many cases of arthroeresis need adjacent Foot Centering orthotics that support the vaulted position that the implant is placing the foot in, as well as to compensate for pre-existing forefoot pathology that the stent cannot completely offset. The x-rays seem to reflect a well-placed, well-sized subtalar stent, but reveal the fact that there is continued collapse of the forefoot vault (see x-ray below).
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Forefoot Vault Sag Post-Arthroeresis |
I assume that, in this case, it is the obesity of the patient, age, activity level, SERM-PERM Interval, foot type, and other factors also come into play when deciding to couple a Foot Centering with an STJ implant. Before giving up, you should cast and dispense a vaulted orthotic in lieu of the subtalar joint neutral devices you probably dispensed when you mentioned that you have failed with orthotic intervention in this case.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Robert S. Schwartz, CPed, Stephen Musser, DPM
Consider an allergic reaction to the footwear (boots?) the patient is wearing.
With the information that has been provided, I would prescribe a high potency steroid ointment to be applied daily for two weeks. Tinea would be uncommon in that area, especially in females. The fact that it is pruritic is probably the reason it has increased in size due to the patient scratching. Does her bi-weekly treatments (for her other problem) involve any administration of medication? Looking closely at the photo, you can almost see where a bandage/pad may have been applied (latex allergy?).
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Post Graduate Fellowships
University of Texas Health Science Center San Antonio
Reconstructive Foot and Ankle Surgery - This fellowship is a one-year experience during which the Fellow will develop a rational approach to revisional and reconstructive foot and ankle surgery. The Fellow will function as an Instructor / Clinical and participate in the teaching of Podiatric medical students and residents, and have ample opportunity to be involved in clinical and basic research projects. The fellowship will provide the Podiatric Surgeon, further expertise in Charcot reconstruction, trauma and deformity correction.
Duration: 1 year (7/1/14 – 6/30/15) Application Deadline: 12/01/2013 Interviews: TBD Stipend: $44,100/Year. Requirements: Completion of 3-year residency; a commitment to a part-time/full-time academic career in Podiatric Medicine and Surgery. Texas License eligible & ABPS Board Qualification eligible in Foot and Reconstructive Rearfoot/Ankle Surgery (Test dates & Application Deadlines TBA).
Submit a CV and letter of interest to: Thomas Zgonis, DPM, FACFAS, Associate Professor, Fellowship Director, University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive (MSC 7776) San Antonio, Texas 78229-3900 Email: Zgonis@uthscsa.edu Phone: (210) 567-5174 Fax: (210)567-4891.
All faculty appointments are designated as security sensitive positions.
University of Texas Health Science Center San Antonio is an equal opportunity/affirmative action employer.
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
From: Tip Sullivan, DPM
I must not understand this PRP therapy line of discussion. As far as I know, platelet rich plasma (in its several forms) is used to enhance healing. If there is a physical tear in a structure and that structure’s length is physically altered, PRP will not lengthen or shorten it and straighten a toe. I suppose you could use it as an adjunct to surgical repair if you could justify the expense in some extraordinary case. A note from experience: Arthrex sells an angulated suture passing instrument that is (almost) worth the expense due to its reduction of dissection required.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Mary-Ellen Schimmoller
Having worked with physician practices for over 25 years, I have seen first-hand how embezzlement devastates a practice. The idea that one of the staff members that you have cared about and depended upon could be so cold and calculating in thievery is unfathomable.
While we know that processes need to be implemented to minimize the opportunity for theft, it is impossible to eliminate the opportunity altogether, especially with cash transactions. There are many ways that this type of theft can be hidden so that the patient account still reflects a decrease in patient liability. I recommend that discreet software audits be conducted periodically on all staff that handle cash - from the person collecting the cash, to the person who deposits the cash. If your software does not have the ability to provide you with detailed audit data, you may want to discuss this with your software vendor.
Along this vein, be sure that you're not interpreting the data incorrectly. Unfortunately, our firm has seen several innocent people get caught up in a "hunch" that something was amiss. It is also entirely possible that the wrong person is being pegged as the thief. If you suspect that there is something going on in your practice, do your homework without bringing everyone in the office into the mix. Once you have hard facts, you are prepared to move forward with corrective action.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Elliot Udell, DPM
Perhaps the reason why this question was raised at all is that there is no straight answer. On one hand, we know that diabetic patients who have poor glucose control as evidenced by high Hemaglobin A1C readings, will have a higher level of mortality and morbidity due to secondary complications. On the other hand, all of us from time to time have treated patients with peripheral neuropathy who have "borderline" blood glucose levels with unimpressive Hem A1C levels.
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MEETING NOTICES - PART 1
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| CLASSIFIED ADS |
EQUIPMENT FOR SALE - 10 WATT LASER
10 watt laser. Hardly ever used 9K Still under warranty. E mail Dr. Zuckerman at: footcare@comcast.net. for questions and pricing .
ASSOCIATE POSITION – BROOKLYN
Podiatrist needed for busy Brooklyn practice. Must be at least Board Qualified. Surgical background, personable and able to travel to different offices in Brooklyn. Part-time to start, with the potential for full time and partnership. Please email CV to evangbreth@gmail.com or fax to 718-840-0653.
PART-TIME PODIATRIST WANTED - SUFFOLK COUNTY, NY
Approximately 25 hrs/per week Must be reliable and punctual. Must have excellent chair-side manner and be highly skilled in conservative care. Offering $50/per hour. No other benefits. bombbustr7@aol.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
HOME FOOT CARE, INC. - LOS ANGELES, CALIFORNIA
Looking for reliable, honest, and motivated podiatrists to join our group to assist with house calls to patient’s home residences, and some group facilities. Candidate must be willing to drive throughout the San Fernando Valley and the greater Los Angeles area. Part/Full time, flexible hours, independence, great compensation! If interested, please email resume to: homefootcare@hotmail.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
ASSOCIATE POSITION - FLORIDA
Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Florida has a great scope of practice law and we rotate for ER call at all 4 hospitals. Candidate needs to be ethical and motivated. Established practitioner or new practitioner OK. Base salary, percentage, benefits including 401K. Fax CV to (239)566-8778 or Email CV to Drgordon@gulfcoastfootcare.com.
ASSOCIATE POSITIONS – PENNSYLVANIA
We are looking for podiatrists to see patients in nursing homes in the following parts of Pennsylvania: Scranton/Wilkes-Barre, State College, Pittsburgh, and the Greater Philadelphia Area. Please contact doconcall02@aol.com.
ASSOCIATE POSITION - DAYTON, OHIO
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon. Future Buy-in available. Please send CV to: Ohiomedical@aol.com
ASSOCIATE POSITION – TX
Are you looking for a permanent practice home? Do you have great biomechanics skills and maybe not so interested in ankle surgery? Are you highly motivated and ready to work in the Grapevine, Keller or Bedford area? If you answered yes to any of these questions, email: newfaantassociate@yahoo.com Put Hire Me in the subject line.
ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND
Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.com.
ASSOCIATE POSITION - PENNSYLVANIA
Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to: 123bunion@gmail.com
CENTRAL KENTUCKY DIABETES MANAGEMENT FELLOWSHIP
Directed by Dr. Jonathan Moore of Cumberland Foot and Ankle Centers of Kentucky, this non-accredited, 1-year fellowship starts in July and offers a wide variety of training opportunities that focus on diabetes, but span a wide variety of pathologies and unique training opportunities. Work hands-on with our office administration team to learn ICD-10. Our on-staff certified orthotist, physical therapist, shoe store staff, MRI director and other team members will make this the most valuable training year of your career. Generous stipend, benefits, and free housing. Learn more at www.myhappyfoot.com (click the Fellowship Tab). Send CVs to jmoore@aappm.org.
RECONSTRUCTIVE FELLOWSHIP POSITION – SOUTHWEST, FL
R U a SuperStar? PM&S36 or PSR24. prerequisite. Hardworking w/o Ego. ABPS BC/BQ required RRA. 1 year Fellowship will entail Ring, Rods, complex reconstructive planning/procedures and practice management. Research projects and posters to present at yearly fellowship conference. Send CV, Tell why you are a superstar. mny1029@gmail.com
DEAN - KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
The College of Podiatric Medicine at Kent State University invites applications and nominations for the position of Dean. The Dean of KSU’s College of Podiatric Medicine (KSUCPM) will lead the college, with complete line responsibility for personnel, general administration and management, budget, academic, and development functions. Interested candidates should have a DPM degree and academic credentials appropriate for appointment to the rank of full professor. Inquiries, nominations and applications are invited. Interested candidates should submit confidentially, a curriculum vitae and letter of interest to: Dr. Jett Pihakis, KentStatePodiatry@russellreynolds.com (202) 654-7800 Kent State University is an Affirmative Action/Equal Opportunity Employer.
PRACTICE FOR SALE - NASSAU COUNTY, NEW YORK
60 year old practice currently operating only 16 hours per week. Plenty of room for growth. Stable lease. Grossing 100k priced for quick sale at 65k. Three complete treatment rooms plus O.R. staff in place. Turn-key operation. Respond to footman007@aol.com
PRACTICE FOR SALE – GLENDALE, CA
Retiring from part-time practice averaging 15 hours a week practice, grossing well over $130,000 a year. No HMO, PPO or hospital surgeries (but located 20 minutes from 5 major area hospitals). Only accepting private insurance, Medicare and cash. Not participating in the diabetic shoe program. Unique practice specializing in off label liquid SILICONE injections (no insurance…cash only), Cryoneuroablation, x-rays, ultrasound imaging, Lixiscope, soft tissue surgeries, and some palliative care. In same great location, in the center of everything for the past 43 years. Unlimited potential. Call….818-384-2479
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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