The Voice of Podiatrists

Serving Over 12,000 Podiatrists Daily

November 13, 2009 #3,700 Publisher-Barry Block, DPM, JD

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We've just mailed the November 2009 Podiatry Management. This special 224-page issue contains seventeen major articles on diabetes and is filled with a variety of interesting, informative, and useful articles. You'll also find our usual assortment of features, including our columns, and two CPME-approved CMEs.

Podiatry Management, November 2009

MI Podiatrist Enpowers Diabetic Patients Through Education

Diabetes is the leading cause of non-traumatic amputations in the U.S., resulting in about 84,000 lower limb amputations each year and it's almost completely preventable. At Dr. Crystal Holmes' podiatric practice in the University of Michigan Health System, she treats and helps prevent diabetes-related foot complications, such as diabetic neuropathy, or nerve damage, wounds, and infections. Education and early intervention are critical.

Dr. Crystal Holmes

"I work to empower patients so they can take care of themselves and manage their disease — choosing the right foods, exercising, taking medications properly, and following up with doctors regularly," said Holmes.

Source; Angie's List, [11/1/09]
 

NC Podiatrist is Part of Community Wellness Program 

Proper athletic wear is a lesson the people who are part of "Walkable Wilson" are learning as they continue their nine weeks to better health. There are about 55 people enrolled in the nine week program. Proper footwear can make or break walking as a healthy habit. 

Dr. Kendall Blackwell

Dr. Kendall Blackwell, podiatrist, says about 30 percent of all of his patients come to him with ill-fitted shoes. Blackwell analyzes his patients' walk and sends them to certain athletic shoe stores to get a properly fitted shoe for walking or any other exercise they may want to do. Pronation is what Blackwell is looking for in his patients.

Source: Janet Conner, Wilson Times [11/11/09]

CA Podiatrist to Serve on Applied Technology Holdings, Inc. Board

Applied Technology Holdings, Inc., today announced that Dr. Jonathan Labovitz will serve on the company’s board of directors following the 2010 shareholders annual election of directors.

Dr. Jonathan Labovitz

Labovitz, who joined the Applied Technology board in 2009, is also the EVP Clinical Research and Chief Medical Officer: and a podiatric physician at COO West Torrance Podiatrists Group, Inc. Other affiliations include: CEO West Torrance Physical Therapy, Inc.; Officer and committee member in national, state and local medical associations; scientific and general chair of medical conferences attended by over 1,000 healthcare providers; Consultant in marketing and strategic planning to medical device companies and chief medical officer of MVP Sports Technologies, Inc., and Applied Medical Group. Inc. Dr. Labovitz is also assistant professor at Western University of Health Sciences, College of Podiatric Medicine.
 

Retired Podiatrist Authors Book Based on True Life Tragedy

“A Father’s Anguish” (published by iUniverse) was inspired by the rape of author Raymond Doyen’s daughter and the search for her abuser. While the police search for a serial rapist, so too does the victim’s father. Growing frustrated, the father finds his prey and kills him. The police must now switch gears from hunting a rapist to finding a killer. The detectives have mixed feelings about Stratton — they too have daughters. Doyen’s novel explores the psychology of abusers, of their victims, and of the family of victims. It examines sexual assaults, obsessive behavior and family love. “A Father’s Anguish” brings awareness to the crime of rape, the ordeal that these women must endure, and the legal complexities that do not always support the victim.

Dr. Ray Doyen

Raymond Doyen graduated from the Pennsylvania College of Podiatric Medicine in Philadelphia. For 24 years he practiced podiatry in Towanda, Pennsylvania. He relocated to North Carolina, founded a sea wall construction company, and began to write about this devastating episode in his life.
 

Query: Whitewash Check Fraud

I am curious to know if anyone on this forum has experienced whitewash check fraud. For years, I have used Online Update and Reconciliation for my checking accounts. A few weeks ago I did an update to find approximately ten checks had been paid from my business account all slightly under three hundred dollars. I immediately went to the bank, closed the account, and opened a new account. Account numbers then had to be changed at EFTPS and PayCycle. Fortunately, the bank reimbursed the money the next day.

For years, I have used a combination of Online BillPay through the bank and standard voucher paper checks. The checks were managed and printed with cash management software I have used since the eighties. The perpetrators had apparently scanned one of my paper checks made out to one of my payees. The checks that cleared the bank looked exactly like one of my paper checks including my exact signature. The only difference was that the bad check did not contain my telephone number. The checks were all cashed in the Ft. Worth area.

I have many business payees scattered throughout the country and there is no way of knowing how the check was altered or who did it. The checks that cleared the bank all had duplicate numbers in my check register made out to existing but different payees. If the bad guys printed and passed ten checks, then they could have printed hundreds. Since this happened, I have only written two paper checks. Payees are now paid through the bank BillPay system which does not show my account number. Those interested might check this website.

Pete Harvey, DPM, Wichita Falls TX
 

RE: Post-op Fracture Blister (Tip Sullivan, DPM)
From:  Narmo L. Ortiz, Jr., DPM, Robert Bondi, DPM

When you are performing an arthrodesis, when there is good bone to bone aposition, "fracture" blisters are rare but not impossible. A "necrotic" eschar has more to do with the handling of tissues, incision placement, and/or capillary perfusion of the surgical site. In a 60 yo, apparently healthy patient, even with good peripheral circulation of the major pedal vessels, capillary insult will most likely occur because of thinning of her dermis due to age.

I would strongly advice against a contralateral surgical correction while the wound is still present, more so due to the fact that sufficient time has not been allowed for the fusion sites to heal completely.

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

Based on the appearance of the wound with eschar and fibrous tissue present in the wound, this looks ischemic to me, I do not see any granulation tissue present. I would recommend non-invasive Doppler studies to evaluate perfusion and possible vascular consult before I considered operating on the other side.

Robert Bondi, DPM, Lee’s Summit, MO, Robert.Bondi@foot-docs.com
 

RE: Painful Callus, Unresponsive to Conservative Care  (Megan Lawton, DPM)
From: R.D. Teitelbaum, DPM

I believe Dr. Lawton was looking for guidance for a neurolytic type treatment for these lesions.  About every five years, I have a patient with similar lesion(s). They are excruciatingly painful on minimal palpation. Is this the 'neurovascular corn' we learned about years ago, one that somehow has gathered a nerve ending into it and is unrelentless?  Is this a 'porokeratosis'?  What it is, is rare and a challenge to the doctor.

What I have offered the patients in the past, with 75% success rate, is a '"changectomy", where I excise the lesion, with minimal sutures.  Yes, a lesion does return because the osseous and biomechanical factors will reassert themselves. But the result is a great improvement in the level of tenderness. I was planning on performing  the neurolysis  injection on my last patient with these lesions, but he had significant co-morbidities that precluded this treatment. 
 
R.D. Teitelbaum, DPM, Naples, FL, mfvandange@aol.com
 

RE: Emergency Podiatric Practice in a Local Catastrophe  (Michael M. Rosenblatt, DPM)
From: Ivar E. Roth DPM,MPH

In the great state of California, podiatrists can legally assist any physician and get paid for it.

Ivar E. Roth DPM,MPH, Newport Beach, CA, ifabs@earthlink.net
 

RE: Podiatrists and Flu Shots (Elliot Udell, DPM)
From: James J DiResta,DPM,MPH

I just wanted to punch in on the comments re: podiatrists involvement in H1N1 and seasonal flu vaccine program. This problem is a far greater issue than it might first appear. I understand fully the concerns on the scope of practice issue, poor reimbursement and the burden of increased paper work - all road-blocks for change.

In my opinion, these concerns are unfortunately...

Editor's Note: Dr. DiResta's extended-length letter appears at: http://www.podiatrym.com/letters2.cfm?id=30386&start=1

RE: Edwin Probber, DPM
From: Multiple Respondents

The passing of Ed Probber is a tremendous loss for the podiatry profession. Dr. Probber was a truly gifted podiatric surgeon and teacher of modern percutaneous minimally invasive surgical techniques. Dr. Probber loved curing his patients' deformities by operating through tiny punctures without the need for any lengthy incisions, sutures, or internal fixation devices. He was truly happy to see his MIS techniques finally being adopted by nearly every other surgical specialty. Ed, we will miss you.

Robert L. Kirell, DPM,  Plainview, NY

It is with sadness that I join my collages in mourning the loss of  Edwin Probber, DPM. He was a visionary and his genius and wit were unsurpassed. His masterful surgical expertise and purist innovations, including publishing Standards of Care, are a lasting legacy in patient care. He taught thousands of podiatrists and singlehandedly changed the face of modern podiatry. His impact on our profession is immeasurable and not yet fully realized.

He walked tall as a proud podiatrist and advocated that we follow the professional model of dentistry. As founder of the AAFAS, he tirelessly promulgated minimal invasive podiatric techniques and procedures. I'm grateful, like so many podiatrists, for having been his student and friend. May peace and love surround his loving wife Ellen and children Barry, Pam and Scott.

Stanton C. Southward, DPM, Colorado Springs, CO

Joanie and I were very saddened with the news that Ed passed away. Not only did Ed Probber teach thousands of podiatrists minimal incision surgery techniques, but he taught the "philosophy of practice," and instilled personalities in every podiatrist who took his course. Each person chose how they did surgery, but all of them learned lessons of practice that they never could learn from any other podiatrist.
 
In my opinion, he was "The Father of Office-Based Surgery." Ed was not only a very down-to-earth person, but one of the funniest people that I ever had the pleasure of knowing. Ed will be missed by many, but personally, I will always have a place in my heart for Ed Probber. He molded my beliefs and enhanced my entire practice life. Thanks Ed for giving me everything you had.
 
Stan Rosen, DPM, Tuscaloosa, AL
 

ASSOCIATE POSITION - CHICAGO AREA
 
Well-established, state-of-the-art medical-surgical podiatry practice seeking well-trained motivated individual to work full-time with future partnership possible. Will start with full schedule. PSR-24 a minimum. Email resume to Howard4624@gmail.com

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.

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

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

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

PM News Classified Ads Reach over 12,000 DPM's 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 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451 ext 110.

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