The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily

November 12, 2009 #3,699 Publisher-Barry Block, DPM, JD

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We’ve just posted the November 2009 CME titled:

By Lee C. Rogers, DPM and Nicholas J. Bevilacqua, DPM

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NY Podiatrist Discusses Prevention of Foot Pain

"About 75% of people have foot pain at some time in their life, especially as they age," says Dr. John F. Connors, a board-certified sports podiatrist in New York City. "It can be a big problem that hinders mobility, balance, and quality of life. Women, in particular, have more foot-related pain than men--especially women who wear high heels, narrow-toed shoes, sandals, or ill-fitting footwear."

Dr. John F. Connors

Losing weight also may help prevent pain down the road, Dr. Connors says. "One pound on your body can amount to as much as five pounds of pressure on your feet. Less body weight means less stress and shock on your feet."

Source: Michael O'Shea, Parade Magazine [11/8/09]

TUSPM Honors PA Podiatrist at Gallery of Success Awards

Leonard Portnoy, DPM has been named as one of the awardees of Temple University Gallery of Success Awards. Each year during homecoming, Temple University selects two alumni from each of the 17 schools and colleges for this distinction. Temple University has over 260,000 living alumni.

Dr. Leonard Portnoy

Dr. Portnoy received his Doctor of Podiatric Medicine degree from the TUSPM—Temple University School of Podiatric Medicine (formerly the Pennsylvania College of Podiatric Medicine.) He performed his residency at the Guiffre Medical Center, Philadelphia, PA.

Besides his numerous board/committee appointments with the Pennsylvania Podiatric Medical Association (PPMA) and other organizations during the years, Dr. Portnoy has been a devout member of the American Podiatric Medical Association’s Region Three Scientific Committee since 1974 and currently serves as its Chairman.

OH Podiatrist Organizes Candy Exchange Party

The 12th annual Halloween candy exchange party for children with diabetes was held at the offices of Achilles Foot and Ankle Surgery,  on Sunday, Nov. 1. Unlike other Halloween parties, this event is designed for children who have diabetes and, thus, cannot eat the typical sugared candies that other youngsters enjoy after an evening of trick-or-treating.

Dr. Bruce Blank at Halloween Exchange Party (Photo: Linda Comins)

Dr. Bruce G. Blank, podiatrist and organizer of the annual party, explained, "Halloween is a fun holiday, but not necessarily fun for children with diabetes. For the most part, they can't eat the treats they get." To give those youngsters an alternative, he said, "We have the children bring the sugared candy that they get on trick-or-treating night to our office. We have a costume party and, at the end of party, they give us the sugared candy and we give them snacks and treats that they can eat, that are more appropriate for their conditions."

In turn, Blank said, "The candy that they give us is then donated to the Soup Kitchen of Greater Wheeling. "It's been a fantastic event," Blank said of the holiday tradition. "Children enjoy it; families enjoy it. We have a lot of fun with it. We look forward to it every year."

Source: Linda Comins, News-Register

Query: Post-op Fracture Blister
 
60ish y/o healthy female had surgical reconstruction with arthrodesis of 1st MTPJ and 1st met/cuni, right foot. She developed a large fracture blister post-op which resulted in a small proximal dehiscence, which has never been clinically infected. She appears to be healing steadily without any more problems. There is still a 2.5cm X 1cm superficial wound which is meticulously cared for, and is steadily improving without antibiotics. There is no exposed hardware or appearance of infection. 

Fracture Blister Post-op

The patient has very little pain. A "C" arm shows very stable fusion sites. The patient understands the complication and is generally happy with her results. My question is: As long as the right foot with a clean open wound is isolated from the left in the OR, does anyone see a problem with repairing her left foot before her right foot is 100% epithelialized?

Fracture Blister, Current

Generally, I do not repair the contralateral foot until the person is 100%, but in this particular case, given that the patient will be independently ambulatory, I believe that there could be some consideration for the patient's request. Besides using as atraumatic technique as possible, does anyone have any pearls on avoiding fracture blisters in patients who have a history of developing them? 

Tip Sullivan, DPM, Jackson, MS

Query: Concierge Services

Does anyone provide concierge services for their staff members? A concierge service provides a wide variety of tasks and errands for employees, including such convenience services as picking up dry cleaning, or waiting at a person’s home for a  repairman or a delivery. Concierge services can be provided by someone hired for that purpose (one practitioner hired his retired father-in-law) or outsourced to an independent contractor. It's a terrific perk for employees.

Bob Levoy, Great Neck, NY

RE: 1st MPJ Closed Reduction in 13 Year Old Boy (Michael Tritto, DPM)
From: Narmo L. Ortiz, Jr., DPM, Keith Gurnick, DPM

Since there appears to be good alignment of the hallux proximal phalanx' growth plate, but with compression of the base upon the 1st metatarsal head due to the injury, I would apply a monolateral external fixator to re-align the anatomical structures with slight distraction at the MPJ, allowing for repair of the intersesamoidal ligament. Maintain alignment with the fixator for at least 6 weeks, remove it, then start ROM exercises as tolerated. Unfortunately, this type of injury would require him to avoid playing football for the season.

Narmo L. Ortiz, Jr., DPM, Cape Coral, FL, nlortizdpm@embarqmail.com

The joint is not properly reduced. I would like to see a "non-splinted" lateral view. It looks like the hallux is still not relocated properly in the sagittal plane at the 1st MPJ. This may require an O.R.I.F. with a 0.62 K-wire for 6 weeks, the same period to attempt to allow the tibial sesamoid to heal.
 
Keith Gurnick, DPM, Los Angeles, CA, keithgrnk@aol.com

RE: Painful Callus, Unresponsive to Conservative Care (Megan Lawton, DPM)
From: Stanton C. Southward, DPM

I would advise this patient be tried on rubber butter orthotics fabricated from semi-weight-bearing casts. Surgery and injections may thus be avoided.

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

RE: Edwin Probber, DPM

Dr. Ed Probber has passed away, at the age of 89. He was the most prominent early teacher of minimal incision surgery. He taught the minimal incision technique to literally thousands of podiatrists. He will be missed. For those that knew Ed, he was truly a unique individual.

Larry Kobak DPM, JD, Long Beach, NY
 

RE: Emergency Podiatric Practice in a Local Catastrophe  (Michael M. Rosenblatt, DPM)
From: Gerald Mauriello, Jr., DPM, MA

There is at least one state in which a DPM may assist a DO or MD in surgery. I have worked as a first assist in New Jersey. As DPMs in the state of NJ, we are legally permitted to assist and bill in any surgical case.

Gerald Mauriello, Jr., DPM, MA, Philadelphia, PA, drmauriello@gmail.com

RE: Transcription/Dictation Services (William M. Miller, DPM)
From: Christopher Formanek, DPM
 
I am very satisfied with Pilottech transcription (transcription.com) which I have used for the past year. 6.5 cents a line, 24-48 hour turnaround, dictations electronically transferred using a dictaphone downloadable. They are based out of India. I often receive reports within 12 hours!
 
Christopher Formanek, DPM, Baton Rouge, LA, maneaux@bellsouth.net
 

SEEKING ASSOCIATE - MIAMI, FL

Buy-in and purchase if you are interested. Well-rounded practice (EMR, Digital X-R) seeing 250+ pts/wk .30 yrs same location. Competitive salary + benefits + incentives. I am winding down my practice after 30 yrs. Will feed you my surgical load until you generate your own. Send resume to doctorinhialeah@aol.com

#0000ff">ASSOCIATE POSITION - PHOENIX, ARIZONA
Part Time/Full Time well-trained, ethical and hard working graduate of a PSR 24+/36 Residency to join our growing multi-location practice. Good mix of Surgery/Pediatric/General Podiatry. ER/Hospital Call a must. Very modern offices with EMR, U/S, Digital X-Ray, ESWT, Vascular Testing. Excellent referral base, and a well-trained staff. Base salary, bonus structure, benefits. Current AZ License a Must. Please e-mail CV and references to azpodiatrists@hotmail.com

DIABETIC RURAL OUTREACH PROGRAM - FLORIDA AND GEORGIA

Seeking DPM to join our program due to a high demand for Podiatric Care to off-site settings in SNF, ALFs and House Calls. Applicants must be willing to travel and must have experience. Current State License, Medicare and Medicaid numbers required. Seeking highly motivated individuals who can be team players, yet work independently. Must have strong work ethic and excellent communication skills. APPLY: Fax CV to: 866-258-9993 include 3 professional references. Please provide the geographic area where you can provide services. Further information call 800-779-8551 or email: info@DROPInternational.org. Visit our website

ASSOCIATE POSITION – RESEDA, CA

Podiatrist needed in Reseda, CA office 2-3 days/wk, 6hrs/day @ $375/day to senior community. Please have an active Medicare #. Position starts immediately. Please email CVs to coasttocoastpodiatry@yahoo.com

ASSOCIATE POSITION - FREDERICK, MD

Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.

ASSOCIATE POSITION – BROOKLYN, NY

Busy medical office in Brooklyn seeking part-time podiatrist. Good conditions. (718) 259-6666 phone (718)259-7000 fax, email zg0109@yahoo.com

PODIATRISTS 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 Jake Shimansky, Director of Physician Recruitment. Phone-773-342-5221 FAX 773-486-3548-E-Mail jshimansky@homephysicians.com www.homephysicians.com

ASSOCIATE POSITION - MINEOLA, NEW YORK

Full-time associate position with future partnership potential available with busy multi-office practices on Long Island. Must be proficient in all phases of podiatry with emphasis on surgery, biomechanics and RFC. Minimum standards include either a three-year PSR, or board qualified/certified status with ABPS. Existing hospital privileges with a NY based facility helpful. Interested doctors are encouraged to e-mail their CV to mets724@gmail.com

ASSOCIATION POSITION – NORTH CAROLINA

Cornerstone Health Care, one of the largest physician-owned and managed multispecialty groups in the Southeast, is seeking two podiatrists for offices located in the Piedmont Triad of North Carolina. Cornerstone has over 280 providers in 60 locations. Physicians benefit from centralized billing, contracting, and human resource, while maintaining autonomy over office practices. A state-of-the-art EMR system by Allscripts provides instant access to all Cornerstone patient records. Send CV to page.redpath@cornerstonehealthcare.com

ASSOCIATE POSITION - EAST CENTRAL FLORIDA

Wanted podiatrist for well-established practice in East Central Florida. Fulltime position to perform routine foot care in the office and nursing homes. Competitive salary and full benefits available.  Reply to jrdpm@bellsouth.net

ASSOCIATE POSITION-SOUTHERN CALIFORNIA, INLAND EMPIRE

2-office multi-doctor practice looking for ethical, dependable doctor to work 3-4 days per week. State-of-the-art, long established practice. Needs a team player which may lead to buy-in for the right doctor. Must be ABPS BC/BE. High surgical volume. Send cover letter and CV to bkatzman2@earthlink.net

ASSOCIATE POSITION - NORTHERN VIRGINIA/DC SUBURB

Excellent associate practice opportunity leading to partnership for PSR 24-36 foot and ankle surgically-trained physician. Currently 4-doctor/2 office practice in fast-growing area, expanding to 5 doctors. Hard working, personable, highly-motivated individuals needed. Great opportunity with excellent salary and benefits. No nursing homes. Top hospitals. Fax CV with references to 703-491-9994

ASSOCIATE POSITION - MISSOURI

Expanding multi-location practice seeks motivated individual to contribute to growth. Practice enjoys strong reputation and name recognition. Prefer candidates with interest in partnership opportunity. Established locations available for PSR 24+ and includes incentive comp with benefits/coverage. Please send CV to jmurray@foothealers.com or call John Murray at 314.842.3875.

ASSOCIATE POSITION – MINNESOTA

Well-established podiatry clinic located in the Twin Cities area has an immediate opening for a full-time podiatrist. The clinic is located just minutes from a surgery center as well as 2 major hospitals. Associate position is also open for partnership or purchase. Please email CV and inquires to rmccoy@associatedpodiatrists.com

ASSOCIATE POSITION - NW IOWA (SIOUX CITY AREA)

Well-established, diverse, growing practice. Excellent referral base. Seeking an ethical, hardworking, motivated, caring podiatrist to fill a full-time position. Multiple hospital affiliations. Generous income with room for growth, leading to partnership for the right candidate. See our community www.siouxlandchamber.com. Fax CV, resume, three references to 712-258-9977.

OFFICE SPACE/ MRI RENTAL – NYC, LI

Turn-key space available, daily, monthly; East 60th off Park Ave, East 22nd St. off 3rd Ave, Hicksville and/or Plainview Long Island. JACHO-certified operating rooms available, as well as all surgical equipment and anesthesia. Extremity MRI Rental. Stark compliant. All exams read by board certified radiologist. Call for details. 516 476-1815

ASSOCIATE POSITIONS - INDIANA/OHIO

PrimeSource Healthcare is a leading provider of mobile, on-site healthcare services at long-term and skilled nursing facilities. Our exceptional growth has created an immediate need for traveling, independent contractors of podiatry services in Indiana/Ohio. Earn between $175k and $225k per year. E-mail CV to kwright@pshcs.com. Visit us at pshcs.com.

PRACTICE FOR SALE- SEATTLE, WA

Beautiful office for sale in the heart of Seattle, WA. Newly renovated, 2,500 sf, new digital x-ray, vascular lab, state of the art physical therapy equipment, paper-less system, all new podiatric furniture and equipment, popular podiatric products store and beautiful diabetic shoe display. Office is located in the medical building and open 3 days a week. Great opportunity for expansion to full-time. Please send us a letter of interest to the: podiatrygroup@yahoo.com

ASSOCIATE POSITION FULL-TIME - SUBURBS OF CHICAGO

PSR 36 - month-trained podiatrist needed for busy suburban Chicago practice. Office and diagnostic equipment state-of-the-art. Full benefit package included. If interested, please fax your curriculum vitae to 847.352.0270 or email to foot1st@yahoo.com

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 a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com

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