The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

November 10, 2008 #3,396 Editor-Barry Block, DPM, JD

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We’ve just posted a November CME titled:

By Dr. Kenneth Rehm

You can Earn 30 CPME-Approved CME Contact Hours Online

AACPM Grants Western University Access to AACPMAS Application Service

Western University of Health Sciences College of Podiatric Medicine has taken an important step in expanding its application pool. The college, which will welcome its first students in fall 2009, will participate in the American Association of Colleges of Podiatric Medicine’s central application service known as AACPMAS.

Dr. Lawrence Harkless

“I believe this is significant in our ability to attract the best and the brightest of students,” said CPM Dean Lawrence Harkless, DPM. “This will give each student who applies to the colleges of podiatric medicine an opportunity to evaluate us and decide if they want to train in an interprofessional environment. I expect the number of applications to double as this allows each student applicant access to Western’s CPM.”

CMC Podiatric Medical Education Program Welcomes Residents

Dr. Guido LaPorta, director, Podiatric Medical Education Program, welcomed the 2008 podiatry residents to Scranton, PA's Community Medical Center's (CMC) Podiatric Medicine and Surgery (PM&S-36) program.

CMC Welcomes Residents

Shown, from left: Dr. Tim Siebecker, clinical faculty member; new residents Dr. Norman Siddiqui, Dr. Dana Klush, Dr. Kelly Poncheri; Diann Winters; Director, Medical Staff Services and Podiatric Medical Education Coordinator, Dr. LaPorta; Dr. Cody Hoover, new resident and Dr. Mark Micciche, Clinical Faculty Member.

Source: Abington Journal Briefs [11/7/08]

Why We Don't Hear Others - Part 1

If you want to listen so you really hear what others say, make sure that you're not a(n):

• Identifier. If you refer everything you hear to your experience, you probably didn’t really hear what was said.
• Comparer. When you get side-tracked accessing the messenger, you’re sure to miss the message.
• Derailer. Changing the subject too quickly tells others you’re not interested in anything they have to say.
• Sparrer. You hear what’s said but quickly belittle it or discount it. That puts you in the same class as the derailer.
• Placater. Agreeing with everything you hear just to be nice or to avoid conflict does not mean you’re a good listener.

Source: The Writing Lab, Department of English, Purdue University Press

Query: Plantar Fascial Ruptures

I had a healthy 33 y/o male with no history of heel pain or plantar fasciitis present with bilateral plantar fascial ruptures. He states he was walking in the mall in his flip-flops when he heard a loud "pop" and felt immediate sharp, severe pain in both feet. The only medication the patient is taking is Doryx, which is a doxycycline prescription. The patient has been on the medication for 3 weeks. I've heard of Levaquin causing tendon ruptures, but I can't find anything about tetracycline causing tendon weakness or ruptures. Has anyone else had any similar patients?

Michael J. Ryan, DPM, Charlotte, NC

RE: Painful Callused Heels (Shari Kaminsky DPM)
From: Multiple Respondents

The condition described is known as hyperkeratosis traumatica marginalis calcis. It is thought to be caused by the wearing of loose-fitting shoes such as sandals. Friction between the loose fitting shoe and the heels produces the hyperkeratinization. It is also seen in patients who walk barefoot or in obese individuals who wear open back footwear. Patients should be instructed to only wear closed back shoes with firm counters and not go barefoot.

Epidermophyton floccosum (Epidermophyton inguinale) may affect the groin with a pruritic dermatitis and will produce plantar hyperkeratinization. Culture the skin and if the organism is isolated, try an oral antifungal. Topical antifungals do not penetrate the keratotic skin and are therefore not effective.

Mike Boxer, DPM, Woodmere, NY, mcbdpm@aol.com

Make sure that this is not Haxthausen’s disease, AKA keratoderma climactericum. This can initially affect only the heel from what I’ve read in dermatology texts.

Nicholas Taweel, DPM, PT, Philadelphia, PA, dpmpt@hotmail.com

I've had very good results with daily vinegar--water soaks and Vitamin A & D ointment h.s. under occlusion along with prn debridement.

Stanton C. Southward, DPM, Colorado Springs, CO, sbsouthie@comcast.net

RE: Non-Payment of Associate
From: Steven H. Goldstein, DPM

I was disgusted to hear of such nonsense by members of our own profession. This happens all too often. This is why legal contracts need to be drawn. In today's society, someone's handshake means nothing. I would file a complaint against the doctor with the state board of medical examiners and file a claim in small claims court. I would be very vocal to others of the type of person who would do such a thing. It is a shameful act of a despicable person.

Steven H. Goldstein, DPM, Royal Palm Beach, FL, Stevefootdr1@cs.com

ASSOCIATE POSITION AVAILABLE-MIDTOWN MANHATTAN

PODIATRISTS NEEDED - CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

PRACTICE / BUILDING FOR SALE - CENTRAL ILLINOIS

Practice and office building for sale. Full-time very busy practice with well built stand-alone office building. Podiatrist wishes to retire. High patient volume. No need for second office. Midsize town with University and Industry. Call 217-778-4465 for more details.

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for full-time podiatrist in a multi practice location in the Chicagoland and Northwest Indiana area. Must have two years of surgical residency. Please e-mail resume to d-kitchens@footexperts.com

ASSOCIATE POSITION –GEORGIA

A well-established practice in South Georgia seeks a full time PSR-24/36 trained podiatrist. Excellent benefit package. Please send CV to agriffin@southernpodiatry.com. For more information, visit our website

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