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PM News |
The Voice of Podiatrists
Serving Over 18,395 Subscribers Daily
November 13, 2018 #6,307 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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EDITOR'S NOTE |
Corrected Photo Posted
In yesterday's PM News, we inadvertantly posted an incorrect photo of Dr. Loretta Logan. The photo has been corrected.
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PM NEWS QUICK POLL |
Quick Poll
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What percentage of your patients use you portal to access their medical records?
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PODIATRISTS IN THE NEWS |
VT Podiatrist Explains How Othotics Improve Back Pain
To scholars of evolution, it isn’t necessarily surprising that our backs hurt. After all, we are the only known animal to stand upright, and our backs are responsible for maintaining our posture against the ceaseless force of gravity. Yet, what is surprising is that the origins of lower back pain may have less to do with our backs, and more with our feet. Dr. Howard Dananberg, a world-renowned podiatrist, believes orthotics may be our best bet for bucking back pain. The average individual walks anywhere from 2,500 to 15,000 steps a day, which can make for good exercise. However, those who have issues with their feet, such as flat-footedness or high arches, also tend to change their gait to compensate, which surprisingly, applies the most stress to the muscles of the lower back.
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Dr. Howard Dananberg |
In fact, it’s not the impact (as is common in running injuries), that causes the problem, but the actual swinging of the leg that strains the musculature. Dr. Dananberg and his colleagues found that for 84% of those with end-stage (i.e. “incurable”) lower-back pain, shoe orthotics could improve or relieve their pain. Dananberg also found that those with orthotics extended their hips almost 50% more, which meant less pressure on the muscles of their lower back (and 50% less pain).
Source: Adam Barsouk, Forbes [11/11/18]
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PODIATRISTS AND SPORTS MEDICINE |
MA Podiatrist Recognized for 30 years of volunteering at the Boston Marathon
Jonathan Kaplan, DPM of Wellesley, MA was honored by the Boston Athletic Association (BAA) for thirty years of service volunteering at the Boston Marathon. Twenty other volunteers were recognized for their service at a luncheon and received a medal.
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Dr. Jonathan Kaplan |
Dr. Kaplan has been chief of the podiatry team for the past ten years, managing his podiatry team of fifty to sixty doctors, residents, and podiatry students. He started volunteering in the medical tent at the finish line for the Boston Marathon when he was a podiatry student at the New York College of Podiatric Medicine.
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PODIATRISTS AND FOOTWEAR |
Wearing Bad Shoes Is Like Having Too Much Dessert: NY Podiatrist
According to a new British survey conducted by the College of Podiatry, it only takes one hour and six minutes of wearing uncomfortable shoes to feel pain, with ailments ranging from blisters to muscular problems. And heels are not the only culprit; even flip-flops can increase your risk for stress fractures. Dr. Hillary Brenner, a podiatric surgeon in NYC and spokesperson for the American Podiatric Medical Association (APMA) said, wearing shoes is like dieting, adding that you have to count the hours you wear them.
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Dr. Hillary Brenner |
“You can wear a bad shoe, just like you have dessert, but you don’t need dessert at every meal. You must sit down to find out which shoes you can wear, for how long, and why you don’t have to sacrifice style for support.”
Source: Olayemi John-Mensah, Daily Trust [11/9/18]
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MEETING NEWS |
Desert Foot 2018 Diabetic Limb Salvage Conference Supports New Technology
The Desert Foot 2018 Multi-Disciplinary Limb Salvage Conference convened in Phoenix again this year, focusing on new technology for the care and preservation of the diabetic lower extremity. The event comprised 4 days of cutting edge lectures, 17 hands-on workshops, and an abundance of industry events. Conference Co-Chairman Charles Andersen, MD, Lawrence Lavery, DPM, MPH and Lee Rogers, DPM led an esteemed faculty of 52 clinicians and researchers, educating hundreds of clinicians from around the country. Derek Hughes of 3M was honored as the Grand Sponsor of PRESENT Education for 2018, whose generous support allows PRESENT e-Learning Systems to deliver the PRESENT Residency Education Online weekly curriculum to hundreds more podiatric residents across the country.
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(L-R) Drs. Lawrence Lavery, Fermin Rafael Martinez De Jesus, and Charles Andersen |
The winners of the Desert Foot 2018 Abstract/Poster Competition were Jaminelli Banks, DPM for her study, “Use of Remote Temperature Monitoring to Identify Pre-Ulcerative Lesions for DFU Prevention and Early Detection: A Case Series of Four Patients” in the Resident category, and Paul Savage, DPM for his study, “Evaluation of ceragenin CSA-44 for acceleration of healing of chronic wounds associated with type 2 diabetes” in the Resident category. The winner of the 2018 Paul Brand Award for excellence in limb salvage leadership is esteemed general surgeon Fermin Rafael Martinez De Jesus, MD of Mexico City, Mexico. Next year’s Desert Foot Conference will take place Dec 4-7, 2019 at the Sheraton Grand Phoenix, Phoenix, AZ.
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PODIATRIC PRODUCTS AND SERVICES IN THE NEWS |
Digital Radiology Saves Money and Saves Lives: CA Podiatrist
With the right technology, clinicians at Adventist Health White Memorial's (AHWM) Center for Limb Preservation are saving the organization money while saving patients’ limbs. The team sees on average of 40 to 60 patients a day. The goal: catch complications early and avoid amputations. The team has a dedicated FDR D-EVO Suite II on the premises. Charles Ananian, DPM., staff podiatrist, Center for Limb Preservation and Advanced Wound Care, AHWM, said the sophisticated, world-class technology is a key contributor to the rapid diagnosis and treatment of patients and better overall outcomes.
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Dr. Charles Ananian |
“Normally what would happen is we send them into radiology maybe tomorrow and see them maybe the next day and by then, the problem could have compounded and become worse,” said Dr. Ananian. But with the FDR D-EVO Suite II onsite, “Now I see them at 4 o’clock, we send them right down the hall to get an x-ray here, I have the image in a few minutes, and I get to come up with a treatment plan for that patient in real time.”
Source: Imaging Technology News [11/7/18]
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PRACTICE MANAGEMENT TIP OF THE DAY |
CMS Finalizes 2019 Rules - Part 2
2. CMS has added an additional low-volume threshold exemption to MIPS for next year. To be excluded, providers or groups need to meet at least one of the following conditions:
• Have $90,000 or less in Medicare Part B allowed charges for covered professional services.
• Provide care to 200 or fewer Part B-enrolled patients.
• Provide 200 or fewer covered professional services under the PFS.
The minimum period for each performance category remains unchanged, so quality and cost stay at 12 months while improvement activities and promoting interoperability remain at a continuous 90-day period.
Source: Todd Shryock, Medical Economics [11/2/18]
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 |
From: Ed Davis, DPM
The lack of studies on this subject may be due, in part, to it being classified as a “rare” disease. I am not sure if it is really that rare. Diagnosis codes may be used to track disease entities and there is no unique code for Ledderhose disease.
I have been using serial ultrasound-guided injections of hyaluronidase mixed with triamcinolone acetonide for about 20 years with very good results. I would be happy to share my protocol with any interested podiatrist.
Ed Davis, DPM, San Antonio, TX
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 |
RE: Dealing with Pay Reductions for Multiple Procedures
From: Allen Jacobs, DPM
There is actually a CMS rule that addresses performing procedures on multiple days to increase reimbursement. It is in Chapter I (Page 8) General Correct Coding Policies for National Correct Coding Initiative Policy Manual for Medicare Services. “Physicians shall not inconvenience beneficiaries nor increase risks to beneficiaries by performing services on different dates of service to avoid MUE or NCCI PTP edits”.
Even though this is CMS/Medicare policy, many insurance companies utilize these guidelines.
Allen Jacobs, DPM, St. Louis, MO
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RESPONSES/COMMENTS (OBITUARIES) |
The monumental steps Dr. Dixon made to advance our profession are remarkable. On several occasions, I had the opportunity to spend time with her, and she never once spoke of any challenges, only positively of her career and life. I was in awe to see the tribute she was given at her 100th birthday celebration in her home town in Alabama. This event was sponsored by National Park Services for which she dedicated much of her time. Kudos to her daughter Janet who made it possible for Dr. Dixon to travel and be at many national podiatry events in her later years. For all the younger podiatrists reading this, please reflect on those such as Mildred, who sacrificed to build a strong and solid foundation for our wonderful profession.
Hal Ornstein, DPM, Howell, NJ
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YOU CAN'T MAKE THESE THINGS UP |
RE: Outrageous Shoe of the Day
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Flip-flop for a wine connoisseur? |
Source: Arjan Ederveen via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $219 (less than $15 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MD, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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CLASSIFIED ADS PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - LOS ANGELES CA
Excellent opportunity for hard working, ethical rearfoot and ankle trained foot & ankle surgeon. Full scope practice including fore/rearfoot surgery, trauma, biomechanics. Located across the street from a major hospital. Associateship leading to partnership. Email CV to lafootanklesurgeon@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 - LOUISVILLE, KY
Immediate opportunity to walk into a busy three doctor practice to take over for an established podiatrist moving back to his home town for family reasons. Multifaceted well-equipped office centrally located with a local residency. Send resume and letter of interest to benfeet@yahoo.com.
POSITIONS AVAILABLE – BROOKLYN, NY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Brooklyn, NY. Great opportunity for part-time income. Position available immediately! Send inquiries to: phasetwopodiatry@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 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
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
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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CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
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
SURGICAL INSTRUMENTS FOR SALE
Have retired. Selling surgical instruments and Ellman Surgitron For pictures and prices. Contact. Ksherkin@gmail.com
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
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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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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