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| PM News | |
The Voice of Podiatrists
Serving Over 18,398 Subscribers Daily
November 08, 2018 #6,304  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- 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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Have you ever conducted a patient satisfaction survey?
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| PODIATRISTS AND POLITICS | |
OH Podiatrist wins Re-election in Ohio's 2nd District
Republican incumbent Dr. Brad Wenstrup won re-election as representative for Ohio’s 2nd Congressional District, defeating Democratic challenger Jill Schiller and Green Party candidate James Condit, Jr.
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Dr. Brad Wenstrup |
Wenstrup was declared the winner with 58 percent of the votes counted. He received 118,262 votes while Schiller received 74,624 and Condit received 2,303.
Source: WCPO [11/6/18]
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| PODIATRISTS IN THE NEWS | |
MD Podiatrist Provides Advice on Bromhidrosis
When your feet sweat or get wet, bacteria build up and cause odor, says Kelly Geoghan, DPM, a podiatrist at Mercy Medical Center in Baltimore. The best solution? Keep your tootsies as moisture-free as possible. Dry them well after every shower and be sure to wipe in between your toes. If sweat’s your problem, spray your feet with a deodorant or antiperspirant, Dr. Geoghan suggests. An excess of foot sweat can even lead the dry skin between your toes to ball up into another icky foot issue: toe jam.
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Dr. Kelly Geoghan |
Avoid wearing socks and heavy shoes outside in the heat if you can help it. If these methods don’t get rid of the stench, says Dr. Geoghan, a prescription-strength roll-on made for body odor can probably kick it.
Source: Shzboxtoday.com [11/5/18]
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| PODIATRISTS AND FOOTWEAR | |
FL Podiatrist Discusses Plantar Fasciitis and Footwear
What can you do to alleviate the pain associated with plantar fasciitis? Footwear can be a starter. According to Dr. Grace Torres-Hodges, a Pensacola, FL-based podiatrist, while there is not a specific shoe type that addresses plantar fasciitis, some important things to look for involve rearfoot support including deep heel cups, firm heel counters, flared heels, good cushioning, and arch support, whether it’s a sneaker, loafer, or oxford. “Bottom line,” she said, “that knocks out your flip-flops and sandals.”
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Dr. Grace Torres-Hodges |
Dr. Torres-Hodges also recommends shopping for shoes later in the day when feet tend to swell. And while these may seem like footwear basics, she recommends patients not rely on the size of their last pair of shoes, since manufacturer sizing differs. “Get both feet measured, and buy for the larger foot,” she emphasized. Next, try on shoes with socks or the hose you expect to wear, as well as any orthotic devices that have been prescribed, since these can alter the fit and comfort of a shoe.
Source: Barbara Schneider-Levy, Footwear News [11/5/18]
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| PODIATRISTS IN THE COMMUNITY | |
CA Podiatrist Recognized for 36 Years Service to Native American Health Group
Fifty years ago, local Native Americans could get medical care close to home, thanks to a consortium that came to be known as Riverside-San Bernardino County Indian Health, Inc. A golden anniversary celebration to recognize the 50 years of healthcare services was recently held at the Morongo Band of Mission Indians Community Center.
Specialty services have been added as needed. Podiatrist Lyle Parker, DPM was recognized for his 36 years of service. Dr. Parker also presented a historic slide show before he and 18 other employees were recognized for more than 25 years of service.
Source: Diane A. Rhodes, Press-Enterprise [11/3/18]
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| IN THE COURTS | |
Lawsuit if You Don't Disclose Your Lack of Expertise?
How much information must you reveal to patients about your experience with specific procedures, your track record, and outcomes? More courts are now saying that it's possible that lack of disclosure violates informed consent rules. In an Iowa heart surgery case, a surgeon had never performed a procedure he recommended. The patient experienced severe complications and sued for both negligence and lack of informed consent.
In a 5-4 decision, the Iowa Supreme Court in June 2018 ruled that the patient had the right to know about the surgeon's lack of experience. Although a doctor's experience generally hasn't been considered part of the informed consent process, the law is evolving. The issue is often decided on a case-by-case basis. Still, more disclosure of experience, and even outcomes, may be required.
Source: Mark Crane, Medscape [10/30/18] via Dr. Allen Jacobs
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| FROM PM's CURRENT ISSUE | |
Several times 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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| QUERIES (NON-CLINICAL) | |
Query: Injections for Fibromas
I am considering adding Vitrase (hyaluronidase) and/or Xiaflex (collagenase) to my injection treatment offered for fibromas. I would appreciate any comment on dosage and cost, or information on a supplier for both.
Tip Sullivan, DPM, Jackson, MS
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| RESPONSES/COMMENTS (BILLING AND CODING) | |
From: Michael E. Graham, DPM
There has been so much controversy on the use of sinus tarsi implants, and one of the greatest is how to bill for the procedure. Orthopedic surgeons routinely bill the procedure as a subtalar fusion and have no issue with it. I agree that this is wrong. There is an argument to make on the use of CPT 28585 as it describes the procedure being performed, BUT the AMA and APMA have stated that this is not an accepted code. My company has stopped advocating that code once that clarification was made, even though we did have support from some insurance carriers who agreed it was a correct code.
I have spent considerable time, money, and effort to get a real code for this procedure and the best we can get right now is 0335T. That is the only “approved” code to bill for the insertion of a sinus tarsi implant – period! We need to pull together as a profession to publish more research and to keep pushing the insurance carriers to cover this procedure. Don’t sit on the sidelines and complain or commit insurance fraud. Patients will pay for the procedure - they pay billions for plastic surgery and dental care. My opinion is that foot alignment is more important to the body than a slightly crooked tooth. We need your help to fight this battle.
Disclosure: Dr. Graham is Founder & CEO of GRAMedica |
Michael E. Graham, DPM, Macomb, MI
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Allen Jacobs, DPM
It is not appropriate to willfully misrepresent facts to a patient. Tell the patient the truth. You are paid less for multiple procedures performed concurrently. You are not willing to accept the reduced payments. The patient should be made to understand that you utilize the same degree of care, time, cost, and expertise for each procedure.
If you are found negligent in the performance of a second or third procedure, I do not believe the jury award or settlement by the carrier is reduced 25 or 50 or 75 percent. Just tell the patient the truth. Misrepresentation is always unethical regardless of any well-intentioned reasons for doing so.
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Dieter Fellner, DPM
I empathize deeply with Dr. McCormick and his frustrations. The problem is, however, much more pervasive. Primary certification, with this exam is frankly absurd. I have over 30 years’ experience. I know my 'stuff' and I keep up-to-date. In 2016, I sat for their exams, as required. The system is flawed. I want to challenge those sitting comfortably on their lifetime certificate to submit to the same process (without cheating).
Let me be quite plain: the computer simulation is ridiculous. The marking of answers is inherently biased against the examinee. The hapless test taker is required to search frantically for those elusive buzz words that resonate with the marking. Doctors: that has nothing to do with clinical and surgical competency. The computer systems also tend to malfunction.
I have practiced surgery for decades. I have never been sued. I know of exam-taking superstars who get sued repeatedly. So, what exactly does the Board Certification provide? It is not clearly a yardstick for surgical competence. In England, where I first practiced, we have a system of periodic peer review. Assigned podiatric surgeons will visit the facility every two years for an on-site evaluation of surgical practice. This is a supportive function, as much as it is an audit. After 4 years of school and 3 years of residency and endless exams, when will America have confidence to allow their doctors to be doctors?
Dieter Fellner, DPM, NY, NY
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| RESPONSES/COMMENTS (EMR) | |
From: Ron Werter, DPM, James Koon, DPM
I’m a very satisfied Sammy user and highly recommend it to everyone. It’s efficient, does what’s needed, and saves time - which is money.
When I was in private practice two-and-a-half short years ago, we were using MacPractice MD. Our entire office was Mac-based and I loved it. It was easy to navigate, had all of the features that made it compliant with Meaningful Use/MIPS, and always worked. Their support was always available and competent and not terribly expensive (about $4,000/year for the two practitioners and electronic billing). Because everything was Mac-based, everything always worked. We used an on-site MacMini for our server and backed up off-campus every night. Being that I've been away from them for almost three years, I am only guessing when I say they likely have cloud-based server capability.
The program itself was very customizable, a feature I loved because...
Editor's note: Dr. Koon's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Inspired by the Jewish Tefillin (worn during morning prayers) |
Source: Chris Donovan via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
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You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $219 (less than $15 per CECH)
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – BLOOMINGTON, IN
A well-established, profitable 47 year-old podiatry practice is for sale in Bloomington, Indiana. All office equipment and inventory is separately for sale, including but not limited to a digital x-ray, c-arm, laser, and power chairs. Inquires can be made to blmpodiatry@gmail.com
PRACTICE FOR SALE - WESTERN WASHINGTON
30 year established practice in Auburn Washington. In medical office building connected to hospital. Practice scope includes clinic, hospital-based surgery, and hospital consultations. Forefoot, rearfoot, and ankle surgery. Will stay on three months during transition. Contact/send resume to Dgusman@hotmail.com
SPACE AVAILABLE – NY AND LONG ISLAND
Offices available to sublet and share, Manhattan and North Shore Long Island. Offices fully equipped with state-of-the-art equipment extremity MRI, foot/ankle CT scanner, diagnostic ultrasound and the availability to become a staff member of a certified ambulatory surgical center. Call 1516 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@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770.
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| CLASSIFIED ADS PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION – NORTH CAROLINA
Great opportunity in rural Northeastern NC! 20 year, well established practice with multiple locations, ready to continue to grow, seeking hard working podiatrist/s just entering practice or with experience, to join us. North Carolina license a must, Send questions and/or CV to iiicms@aol.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. A great opportunity for driven personable individual. Please e-mail CV, Letter of references, 1 minute Video Introduction Email: cnunez1940@gmail.com
ASSOCIATE POSITION - EASTERN SHORE of MD
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our three existing physicians willing to start within 3-4 months. We are an expanding practice with focus on all aspects of Podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite ambulatory surgery center and many other state of the art amenities. Excellent salary with bonus and benefits package. dpmkthomas@gmail.com
ASSOCIATE POSITION – MARYLAND
Established practice looking for a full-time podiatrist for our three Maryland locations. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol based office. Please send C/V to podiatristsmd@gmail.com
ASSOCIATE POSITION - NASSAU COUNTY, NY
Exciting opportunity! Busy Nassau County, NY office seeks full time podiatrist. State-of-the-art facility. Complete EMR, digital radiograph and diagnostic ultrasound. Excellent salary and benefits. Must be board qualified. Please e-mail resume to: Medicalofficeinquiry@gmail.com, or call: 516-902-1073
ASSOCIATE POSITION – HOUSTON, TEXAS
Busy podiatry practice seeks motivated DPM to join our team. Amazing opportunity for someone looking to grow with us. Incredible company culture. Suburban outpatient practice in an active part of town. Sports medicine and lots of kids. No weekends or hospital call. Interested applicants invited to send CV's to: HoustonDPMJob@gmail.com
MULTI-LOCATION GROUP - CHICAGO/NEAR WEST SUBURBS
Seeking F.T. ABFAS Board Certified/Eligible associate- P.T. available. MINIMUM 2 year practice experience required. Surgical/ortho patients. Great staff. DME, MIS, EMR, ultrasound, PRP, shockwave, digital x-ray, laser, sx center & Physical Therapy- Top pay, associateship & practice equity available for experienced candidates. Contact podiatryoffer@gmail.com
ASSOCIATE POSITION - UPSTATE NY
Excellent opportunity to start your career in a fresh practice! Seeking an associate to join, grow, and become partner. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Looking for a motivated individual to contribute to our growth through all aspects of podiatry. Please send CV to: docryanlee@gmail.com
ASSOCIATE POSITION – WESTERN PA
Well-established podiatry practice in Western, PA looking for a full-time Podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Graduation from an accredited medical school and completed accredited residency program. Board Certified/Qualified. Certificate/license medical license to practice in State of Pennsylvania. We offer a competitive compensation and benefits package to our team members. email CV to: dysteindpm@gmail.com
ASSOCIATE POSITIONS – PHOENIX
Phoenix office seeking the services of podiatrists. Practice offers a great opportunity to the right physicians to establish and grow. Physicians holding an Arizona State license preferred. IMMEDIATE full and part-time openings available. Please email your CV and cover letter to FootAnkleRescue@gmail.com
ASSOCIATE PODIATRIST NEEDED ASAP (AND JULY 2019)
Looking for enthusiastic, industrious podiatrist to join Foot and Ankle Specialists of the Mid-Atlantic practice in Wheaton and Rockville/ Shady Grove, Maryland. Surgical boards and ties to Maryland preferred. Good benefits and a competitive base salary with incentives. The position is available immediately but I am also interested in hiring another in July 2019. If you are interested in this opportunity, please respond to me (aspector@footandankle-usa.com) with your resume, comments and questions. I look forward to hearing from you. Adam K. Spector DPM, FASPS, Partner, Foot and Ankle Specialists of the Mid-Atlantic, Wheaton/Shady Grove Division, (301-949-3668), aspector@footandankle-usa.com
ASSOCIATE POSITION - WASHINGTON, DC
Growing, well-established practice seeking well-trained, hard-working surgical trained podiatrist. Practice with concentration in foot & ankle surgery as well as sports medicine. Excellent referral base. Downtown location. Full benefits package. Please send CV to WDCDPM@gmail.com
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Busy two physician practice in Upstate South Carolina seeking highly motivated, ethical associate. PSR-36 trained. High surgery case load. Competitive benefits & salary. Send CV to upstatescpodiatry@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770.
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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.
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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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