The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

November 15, 2011 #4,306 Publisher-Barry Block, DPM, JD

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NJ Podiatrist 'Who Wants To Be A Millionaire?' Contestant Wins $100K

Having used up all her so-called "lifelines" and faced with the question, "What Saturn moon resembles the infamous 'Death Star' from the movie 'Star Wars?'" Jersey City resident Dr. Denise Bonnin passed up the chance to win $250,000 on ABC-TV's "Who Wants to Be A Millionaire?" 

Dr. Denise Bonnin stands with Emmy-award winning host, Meredith Vieira

But Bonnin, a podiatrist, hardly left the show empty-handed. She walked away -- happily -- having won $100,000. Her appearance, which was taped at ABC-TV studios in Manhattan on Oct. 25, aired Friday.

Travis Fedschun, The Jersey Journal [11/13/11]

OH Podiatrist Warns of Barefoot Running Shoe Dangers

You've seen those trendy shoes, or are they socks? To help you feel like you are running "barefoot." But a new report has a few important warnings for those who choose to wear them. Doctor Raymond Stolarski, a podiatrist at Group Health Associates for Tri-health, explains a warning about barefoot running shoes in a recent report from the American Council on Exercise. 

Dr. Raymond Stolarski

The report says that there are a couple of things to consider when it comes to these minimalist or fivefingers shoes, including technique, how much you weigh, and maybe more importantly whether you have the fit or foot for them. "The basis behind these shoes is that you can increase the blood flow to the forefoot, you can increase your speed with these shoes, and also individuals who use them say you have a better tactile sensation, on the surface you are running on," says Dr. Stolarski.

Source: Medical Edge, WKRC-12 [11/12/11]

GA Podiatrist Discusses Problems From Wearing the Wrong Sneakers

“Runner’s knee, plantar fasciitis, and early-onset arthritis are just a few problems that arise from exercising in the wrong sneakers,” says Dr. Louis Pack, a podiatrist in Greensboro, Georgia, and the author of The Arthritis Revolution. In contrast, shoes designed to compensate for the impact of your feet can prevent injuries and improve structural alignment and performance.

Dr. Louis Pack

To determine your foot type: Have a podiatrist examine you, or get an idea yourself by looking at the soles of a pair of worn-in flats. “The wear patterns show where you’re putting pressure when you walk,” says Pack.

Source: Elinor Smith, Fox News [11/11/11]

Editor's Note: PM News is proud to present excerpts from Meet the Masters. 

Bret Ribotsky:  When you need to use an anti-inflammatory for pain management, what’s your first choice?

Dr. Elliot Udell

Elliot Udell: Many NSAIDs can cause heart attacks and strokes. Studies have shown Naproxen to be the safest one.  However, it also is not safe when it comes to GI problems because all NSAIDs can cause gastrointestinal ulcerations and bleeding ulcers. I try to keep people on NSAIDs, when called for, for the shortest duration of time, say two or three weeks.

Dr. Eric Hubbard

Meet the Masters is broadcast each Tuesday Night at 9 PM (EST). This week's guest is Dr. Eric Hubbard, past president of the American Podiatric Medical Association. You can register for future events by clicking here

RE: Hyaluronic Acid Derivative Injections (Alan Berman, DPM)
From: Robert Chelin, DPM

I have been using hyaluronic acid fillers for DJD of the 1st MPJ for about seven years with good clinical success. The series of injections are done using interventional radiology. The product used is Suplasyn M.D. 0.7ml X3 over a three-week period.

Bioniche Life Sciences is the manufacturer of the product. The initial study was done by Dr. Robert Petrella in 2004. Dr. Petrella, Associate Professor of Medicine at the University of Western Ontario and Medical Director at the Canadian Centre for Activity and Aging in London, Ontario described the latest findings from two ongoing studies using Suplasyn® to treat osteoarthritis of the knee.

Dr. Petrella presented long-term outcomes from a...
 
Editor's note: Dr. Chelin's extended-length letter can be read here.

RE: Chronic Wound in Type 1 Diabetic
From: Frank Lattarulo, DPM

There are several factors and pathways to treat this patient. First, the wound must be thoroughly debrided down to good healthy tissue. A chronic wound needs to be made an acute wound. Freshen up the wound edges, debride to a 45 degree angle. The obvious also needs to be stated here. The wound does show that there could in fact be an infectious process going on by the extent of the peri-wound erythema. It's tough to tell from the photo.

Start from the ground up: fully and thoroughly debride this wound. Obtain deep tissue for gram stain culture and sensitivity. Obtain TCOM and arterial doppler studies. If warranted, based on the above results, refer to infectious disease, vascular surgery, and HBOT2 for consultation. Based on the above criteria, he may be a candidate for HBOT. Please refer to PCP for blood work as well as HgA1C. Nutrition is key as well.

If arterial studies show a good chance of healing, appropriately off-load the area, start him on a silver calcium alginate or something else, possibly hydrofera blue. If criteria dictate, then tissue replacement may be indicated such as Apligraft, Dermagraft, or Oasis. If this does not help and if ID gets the wound under control, vascular surgery may be indicated. If vascular surgery is in fact indicated, have him revascularized. If vascular states there is adequate blood flow without intervention and tropical/local wound care still fail, perform surgical excision of the offending bone. Remember, ID, vascular, off-loading, HBOT, and good medical and wound care usually heal most wounds, provided there is not advanced microvascular disease.

Frank Lattarulo, DPM, Elmsford, NY, doclatt@aol.com

RE: The Passing of Craig Gastwirth, DPM

Indeed, it is a very sad day for "Kernel" nation. Dr. Gastwirth was a kind and gentle man who always treated the residents with the utmost respect. My heartfelt condolences go out to the entire Gastwirth family.
 
Barry Mullen, DPM, Kern Resident 1981-83

Craig's warmth, humor, and courage were something to behold. As a new reviewer for Medicare, his desire for fairness and his unquestionable integrity were evident. His contributions to the House of Delegates at APMA will long be remembered. May he rest in peace.

Ken Malkin, DPM, Singer Island, FL

RE: The Passing of Craig Gastwirth, DPM

I am very saddened by the passing of Craig. Craig was one of the most responsible and devoted representatives of the podiatry profession that I have known. I was fortunate to have shared social and professional times together as newly married couples during our years at NYCPM and Kern Hospital residency. My sincere condolences to Cheryl, daughter Stacy, son Andrew, Glenn, Bart, and the entire family.
 
Howard Rosenbaum, DPM,  NYCPM, Class of '76

I was deeply saddened to hear about the passing of Craig. As a fellow classmate, I was fortunate to share many hours with Craig. He had a big heart and a sharp intellect. He was very generous in sharing his notes. He had a great sense of humor. Although we did not remain very close since his moving to Michigan, he will always be in my heart. He was truly a terrific human being. My sympathies go out to his family.

Neal Houslanger, DPM, NYCPM, Class of '76

RE: Diabetic Patient Check-ups (Tony Poggio, DPM, Richard A. Simmons, DPM)
From: David J. Kaplan, DPM

The PQRI findings that Medicare are pushing us to comply with suggest that patients require follow-up exams annually, semi-annually, quarterly, or more often depending on the level of disease that they suffer. Therefore, if you think a patient should be seen more frequently, and they meet the criteria set forth by the PQRI measures, schedule them accordingly. 

I just had a diabetic come for routine care and noticed a gangrenous lesion on one of her toes. With her diminished vision, she thought it was just a bruise and thought it would go away. Had she waited longer, she would have been right; it would have gone away...as well as her forefoot!

David J. Kaplan, DPM, San Mateo, CA, drdjkdpm@yahoo.com

RE: Minimalist Shoes May Have Some Benefits: TN Podiatrist
From: Robert Scott Steinberg, DPM

On one hand, Dr. Chatelain basically says he does not have direct experience with minimalist shoes, but then goes on to say, ".....most individuals could use the shoes and not experience any problems, with the exception of people who have vascular diseases or diabetes." Oh, really?

I have to ask Dr. Chatlain on what scientific evidence is he basing his opinion? For so many self-described experts, the story is the same. Oh, minimalist shoes will strengthen the muscles in the foot. Of course, these statements fly in the face of all the reasons. Running shoes have evolved in a manner that has lowered the foot injury rates, allowing so many more people to take up jogging and running, with tremendous health benefits. Yet, now it is a marketable trait to say the opposite! Duh!

Robert Scott Steinberg, DPM, Schaumburg, IL, Doc@FootSportsDoc.com

RE: Early Diagnosis of Bunions Can Prevent Foot Surgery (Dennis Shavelson, DPM)
From: Kevin A. Kirby, DPM

Dr. Shavelson addressed concerns regarding the theories proposed by Dr. Merton Root and his colleagues.  In the lectures I attended in the 1980's given by Dr. Root, one of the most interesting statements I heard Dr. Root make on a number of occasions was that he didn't expect his theories to last for more than 10 to 20 years since further scientific research would likely improve on them. Dr. Root’s intention was, I believe, not to teach a gospel of biomechanics that was to be set in stone and left unchanged.

Rather Dr. Root, by creating a new foot classification system, introducing the concept of the subtalar joint neutral position and developing an improved evaluation and orthosis manufacturing process. He was attempting to lay a foundation of knowledge and technical skills so that others who followed him would be able to reach higher levels of understanding regarding the function of the human foot and lower extremity.  My belief is that Dr. Root devoted his life to this cause so that new and improved methods of conservative and surgical mechanical treatments could be developed for patients who suffer from foot and lower extremity pain and dysfunction.
 
I believe we honor the memory of Dr. Root when we also endeavor to improve on the foundation of knowledge that he laid down for all of us. This is what he would expect from us as his podiatric colleagues.
 
Kevin A. Kirby, DPM, Sacramento, CA, kevinakirby@comcast.net

EQUIPMENT FOR SALE - SUPERPULSE 45 WATT PEAK POWER LASER ( LUMIX2)

Superpulse 45 watt peak power Laser ( lumix2) used once or twice. This is a real superpulse 910nw up to 100,000 HZ. Great Laser Used in the super bowl by the Green Bay Packer Why am I selling? I have too many lasers in my office now ( six) This is a great laser for plantar fasciitis. Achilles tendonitis. Lightweight portable. easy to use, fully programmable Sold to first person under $$12,000 You will NEVER get a laser like this at this price. Enjoy. it I just have too many lasers. David Zuckerman DPM footcare@comcast.net

EQUIPMENT FOR SALE - CLASS FOUR LASER- USED K-LASERS

I have used K-laser for sale. Still in Warranty. Used for plantar fasciitis, Achilles tendonitis, neuroma, arthritic conditions and even fungus toe nails This laser is portable, re-chargeable and can be move from room to room or office to office. This isn't the cold laser that you see. It is a 10 watt laser. We have used this laser on NFL sports players. For those that understand a good laser. E-mail David Zuckerman, DPM for Details and pricing. footcare@comcast.net

PRACTICE FOR SALE – NANAIMO, BRITISH COLUMBIA, CANADA

Have you ever dreamed of owning a practice where...you can see 0-50 patients daily * average 100 new patients monthly * have zero accounts receivable * gross $480K per year * live in a beautiful community with skiing, hiking, fishing, and boating on your doorstep. This could be yours! If interested contact  pistone@telus.net or call 250-754-4192.

ASSOCIATE POSITION - TEXAS

Well established, expanding podiatric medical and surgical practice with multiple locations Northeast of Dallas, Texas. Modern offices with EHR, digital radiography, Padnet vascular studies and laser. We offer a competitive salary and benefits package for a motivated, ethical, personable and well trained PSR/36 or board equivalent. This individual will also assist managing the residency program. Send resume (CV) to northtexaspodiatry@yahoo.com along with a letter of intent

ASSOCIATE POSITION – NEW YORK CITY/ LONG ISLAND

Seeking an ethical, competent, and responsible associate with a minimum of board qualification, who is proficient in all facets of podiatric medicine, surgery, and biomechanics for a multi-doctor and interdisciplinary medical practice in NYC with suburban NJ/NY satellite offices. Must be able to practice independently with excellent management skills. PT/FT with potential for partnership. ambulatewell@aol.com

ASSOCIATE POSITION - MARYLAND

Multi-office group seeks highly trained surgical associate to join us. Prefer person with frame and trauma experience. Our practice is state-of-the-art and has all modalities: EMR, PadNnet, on-site billing, diagnostic US, PRP, digital x-ray, etc. Excellent salary, bonus structure and benefits with partnership available. Please forward CV and letter of intent to docsbnb@aol.com

ASSOCIATE POSITION - ILLINOIS PERMANENT P/T

Podiatrist needed for Medinah Spine/Rehab/Podiatry. Upper middle class suburb multi-disciplinary established office seeks perm P/T podiatrist to service established podiatry practice. Please call SueL 630-529-0077 or fax resume to: 630-529-0087.

PODIATRY OFFICE TO SHARE - SEATTLE, WASHINGTON

Fully equipped podiatry office in North Gate area of Seattle. Office located in medical professional building near I-5. Office has 3 treatment rooms, 3 physical therapy rooms, direct digital x-ray, PAD- net, NCV testing equipment, physical therapy equipment. Please contact us: website Tel. 425-643-8901 isbinc2006@gmail.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM

SUB LEASING TIME on MRI (NYC)

Don't refer out $$ when they can go into your pocket. Beautiful state-of-the-art 5th Avenue medical office is offering lease time on a .31 tesla Esaote extremity MRI, complaint with Stark laws. This particular magnet is the only one accepted by insurances and Medicare as of 2012. For more information email dri@myfcny.com

 PM News Classified Ads Reach over 13,500 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 12,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $109 for a 50-word ad THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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