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PM News

The Voice of Podiatrists

Serving Over 18,687 Subscribers Daily


November 25, 2019 #6,556 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block

empiresep1619

PM NEWS QUICK POLL RESULTS
Results of last week's poll
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PM NEWS QUICK POLL

Quick Poll

Which operating system do you use on the computers in your practice?
 
docshopprooct1419B

AT THE COLLEGES
WesternU Podiatry Students Participate in Care Harbor Mega Clinic  
 
Western University of Health Sciences faculty, staff, and students were among the volunteers who stepped up to address the homeless problem by providing free medical, dental, vision, and podiatric care to over 1,000 homeless and others in need at the Care Harbor mega clinic at The Reef in downtown Los Angeles Nov. 15-17, 2019.
 
Dr. Jarrod Shapiro
 
College of Podiatric Medicine Associate Professor Jarrod Shapiro, DPM, supervised 19 CPM students on Saturday and 17 students Sunday. They performed a total of 80 procedures.
 
Source: Cision [11/21/19] 
anodynenov2519

PODIATRISTS AND REALITY TV
CA and NJ Podiatrists Star in TV Reality Series 
 
It's feet's time to shine! TLC is bringing a new reality show into your life all about funky feet. Starring Ebonie Vincent, DPM and Brad Schaeffer, DPM, My Feet Are Killing Me will feature the foot docs taking on all kinds of podiatric conditions. And it's not for the faint of heart. "This program examines podiatric medical conditions and the procedures involved with treating them," the voiceover says. "Due to their graphic nature, viewer discretion is advised."
 
Drs. Brad Schaeffer and Ebonie Vincent
 
The nine-part series premieres on Thursday, Jan. 2 at 10 p.m. In My Feet Are Killing Me, the expert podiatrists and surgeons are put to the task of restoring patients' confidence and getting them, quite literally, back on their feet. The doctors juggle all sorts of cases, from wart clusters and fungus to toe amputations and foot reconstructions. Cases range from a paranormal romance novelist who wants her sixth toe amputated and a former professional dancer who has a bunion so big she has problems walking, to a man suffering from Proteus syndrome and a nudist with severe fungus.
 
Source: Chris Harnick, E! News [11/21/19]
biomedixnov1819

PODIATRISTS IN THE NEWS
Painful Hallux Could Indicate Gout: CA Podiatrist
 
You notice an enlarged, painful big toe. It could be gout. Gorged on wine and steak? The painful aftermath could be gout, a type of arthritis that often affects the joint of the big toe. Foods high in purine, a chemical compound found in red meats, fish, and certain alcohol, can trigger an attack by raising levels of uric acid in the body. Uric acid is normally excreted through urine, but is overproduced or under-excreted in some people.
 
Dr. Bob Baravarian
 
“You’ll see the deposition of the uric acid in the joint, most commonly the big toe or the ankle,” says Bob Baravarian, DPM, a podiatric foot and ankle specialist at Providence Saint John's Health Center in Santa Monica, CA. “The patient will wake up with a hard, red, swollen joint. It’s extremely painful.” A doctor may prescribe anti-inflammatory drugs for short-term relief and medicines to reduce uric acid production. You may also need to follow a low-purine diet for long-term prevention. 
 
Source: Kelsey Kloss, MSN Lifestyle [11/20/19]
drjillsep1619

MEETING NEWS
AAPPM Wraps Up Fall Conference in Florida
 
Over 200 people were on hand in Daytona Beach for the 2010 Fall Conference of The American Academy of Podiatric Practice Management (AAPPM). One of the highlights of the Conference was the presentation of the Egerter-Greiner Award to longtime AAPPM board member and past president Bill McCann, DPM.
 
(L-R) Drs. Bill McCann and Charles Greiner
 
The award, named after two esteemed AAPPM members: Drs. Bernard Egerter, the first president and founding member of the AAPPM and Charles Greiner, a past president, is given to those that have unselfishly made a difference for greatly improving podiatry. 
Drsremedyjun2518R

QUERIES (NON-CLINICAL)
Query: Source for CBD Oil
 
I am looking for a reliable source to purchase topical CBD oil for patient use. It must be manufactured in the United States, not China. Besides providing a source, I would greatly appreciate some input as to the cost.
 
Jack Ressler, DPM, Delray Beach, FL
presentoct1419B

QUERIES (MEDICAL-LEGAL)
Query: EHR Charging for Medical Records
 
I have been with the same EHR company (Success EHS by Greenway) for over 10 years. They are sunsetting the EHR at the end of the year. They wanted me to stay with their recommended EHR product which I did not like. Now, I switched EMRs with a different company and they want to charge me 14K for all of my patient records. Is this legal? I have paid them a percentage every month for practice management and billing.  
 
Name Withheld
 
Editor's Comment: PM News does not provide legal advice. The answer may lie in the contract agreement you signed when you bought the EHR. The lesson to be learned is to always anticipate the possibilty that you may someday switch to a different EHR system and negotiate accordingly. Among the negotiated items are a liquidated damage clause if you end your contract prematurely and a clause that assures that the data provided to you will be in a "useable" format. 
sigmaoct2819

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
From: Todd Lamster, DPM
 
I respectfully disagree with a recent post from my colleague Dr. Werter. A bone surgery of any kind, whether it be a simple exostectomy or joint reconstruction, is much different than a P&A in terms of wound depth and potential for infection. An OR should be much cleaner than anyone's office, and in today's age of drug resistant bacteria, anything we can do to limit post-operative infection (especially osteomyelitis) should be considered and most likely carried out. With respect to anesthesia, light sedation to perform the digital block and keep the patient comfortable during the surgery is a good thing. 
 
In patients who have very high anxiety, it is proper and a necessary course of action. What about the pediatric patient who is screaming, crying, carrying on about "the shot" before doing a toenail procedure? I have taken quite a few of these patients to the OR simply to make sure that I can actually carry out the procedure safely and efficiently. In those cases, sedation for a P&A is absolutely necessary!  Lastly, pain is VERY subjective. We all know this. 
 
Patients' pain varies widely from the simplest skin closure or P&A to the most complex reconstructive procedure. Post-operative pain, in my opinion, tells you very little about the surgery, the technique, or the surgeon. I never tell patients in absolute terms how much or how little pain they should expect after any procedure I perform. Manage the patient, the pain, the wound, and move on.
 
Todd Lamster, DPM, Scottsdale, AZ
stablenov419

RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Steven Selby Blanken, DPM
 
The point people miss with the name plates is that the title of all the representatives always says “Dr., Mr., Ms., Miss, or Mrs.” Name plates don’t show the degree for anyone. I’m surprised by Dr. Jacobs’ comments that may have been interpreted in a negative tone by some about Dr. Wenstrup. I am so proud of Dr. Wenstrup. I have met him and hope he is President one day. I also feel Dr. Jacobs has been a great icon in our profession.
 
Steven Selby Blanken, DPM, Silver Spring, MD

apwhoct2119


RESPONSES/COMMENTS (CODINGLINE CORNER)
From: Lawrence Rubin, DPM
 
I believe the many comments and responses made on this subject amount to trying to answer this question: Can you bill a new patient Evaluation and Management (E/M) service for a preventive foot examination of a diabetic patient referred by a physician if there are no present diseases or disorders of the lower extremities? In addition, there would presumably not be medical record documentation of the required E/M "Chief Complaint" or "Nature of the Presenting Problem."
 
On the issue, while a podiatric comprehensive diabetes foot examination is universally accepted to be...
 
Editor's note: Dr. Rubin's extended-length letter can be read here.
Redig-thotics

YOU CAN'T MAKE THESE THINGS UP
GPS Implanted into Shoes Helps Track Alzheimer's Patients 
 
In the search for a solution to Alzheimer's patients who wander away from home, a Japanese company has devised a GPS device that can be inserted into the elderly person's shoe. In this way, every time they leave without informing anyone, their GPS will show their family where they are!
 
GPS Implanted into Shoes 
 
The GPS will send a notification to the smartphone of a relative who will be able to locate the elderly person through a map that can be viewed directly on the smartphone or on a computer. The device is designed to send notifications when the elderly person moves 165 ft (50 m), 328 ft (100 m) or 1640 ft (500 m) away from home. 
 
Source: wtvideo.com via Dr. Joseph Borreggine
MEETING NOTICES

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midwestfeb2519

NEED CME CREDITS FAST?

PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME

You can Earn up to 5Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $229 (less than $16 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, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI

Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, 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


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITIONS - PENNSYLVANIA - AVAILABLE IMMEDIATELY 
 
Podiatrists wanted for immediate hire to treat patients in Nursing Facilities and Assisted Living Communities in multiple locations in Pennsylvania. Full time and Part time positions available. A unique opportunity with flexible schedules and an unmatched potential for growth. Send CV and Cover letter to tajdpm@verizon.net
 
ASSOCIATE POSITION - ROCKLAND/WESTCHESTER/SUBURBAN NYC
 
Well-established foot and ankle surgery/sports medicine practice looking to hire a Talented Team Player to add to our successful family. Must be surgically trained, willing to work hard, and grow with us. Highly competitive salary. Modern, advanced equipment, including PinPointe Laser. Terrific opportunity for the right doctor. Signing bonus. Partnership potential. Please send Cover Letter and CV to: linchpindpm@yahoo.com 
 
ASSOCIATE POSITION - SUFFOLK COUNTY, NY 
 
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net
 
ASSOCIATE PODIATRIST - METROPOLITAN MARYLAND 
 
Established practice (3 locations) looking for a full-time podiatrist with opportunity for partnership. Must be motivated, personable and dedicated to our growing practice. Must have strong skills in wound care, diabetes, general podiatry and surgery. The ideal candidate will be able to merge into an already protocol-based office. State of the art, fully staffed facility including EMR, PadNet, DME, digital x-rays and shoe stores on premises. Staff privileges at 3 local hospitals. Great location close to Washington D.C. and Virginia. Please send CV to marylandpodiatryjobs@gmail.com
 
ASSOCIATE POSITION – NAPLES, FL
 
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. Also 1 fellowship position: ACFAS-approved surgical fellowship open for 2020 yr. MIS, RRA Surgery, Practice Management w over 1,200 procedures/450 cases/yr.  Must have foot/RRA ABFAS qualified status by 8/2020.  DrLam@NaplesPodiatrist.com
 
ASSOCIATE POSITION – ALABAMA 
 
Love the beach? Busy, established practice located in a coastal community is looking for a full-time or part-time podiatrist!  ABFAS board qualification or certification is required.  Must be motivated, hardworking, positive, and dedicated to growing the practice and individual career and reputation. Must have great people skills, caring bedside manner, and positive demeanor. Must work well with staff and local medical community. Competitive pay and partnership track available. Send CV and contact information to: manager@southbaldwinpodiatry.com
 
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS 
 
Is your ideal practice opportunity one with all aspects of podiatry included? We are a group practice with 6 offices looking for the right surgically trained board qualified/certified doctor to join our family. Forefoot and rearfoot surgery, as well as, wound care and limb salvage with privileges at 2 local hospitals are available. Partnership is certainly part of the long-term plan. We are looking for the right candidate. Send all inquiries and CVs to sgrulke2002@yahoo.com
 
POSITIONS AVAILABLE IMMEDIATELY -  MISSOURI, MINNESOTA AND KENTUCKY 
 
Looking for reliable and ethical podiatrists to service Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers. Generous compensation offered. Positions available immediately in Kentucky, Minnesota, and Missouri. Send inquiries and CV to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION – MARYLAND 
 
Perfect opportunity for highly motivated individual with excellent clinical skills and bedside manner. Candidate must be proficient with inpatient management, wound care and all aspects of podiatry. Competitive compensation package which includes base salary and bonus structure. Email letter of interest/CV to contact@shadygrovepodiatry.com
 
ASSOCIATE POSITION PART-TIME – BROOKLYN, NY 
 
Looking for part-time well rounded podiatrist to start right away. You can inquire at contactus@starrettpodiatry.com
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA (LONG BEACH) 
 
Established busy practice looking for a full-time podiatrist. This special doctor should be personal, teachable, motivated and independent. Five or more years of practice experience welcome. Need someone immediately. Please submit a CV with a cover letter and three professional references to PodiatristLB@gmail.com
 
ASSOCIATE POSITION – SAN ANTONIO, TX 
 
Well established practice seeks full-time podiatrist in San Antonio, TX. Recent expansion to second office location offers exclusive opportunity for growth. Candidate must possess strong surgical and clinical skills and have a team player attitude. Salary with incentive structure and benefits. Please send description of your background, training, practice expectations and CV to: lisa.baine@gmail.com
 
ASSOCIATE POSITION – LOS ANGELES, CA 
 
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
 
ASSOCIATE POSITION - PISCATAWAY/HILLSBOROUGH NJ 
 
Come join our fun-loving team. Looking for a full-time or part-time podiatrist for a well-run established practice.  You will immediately be busy with new patients.  Only serious inquires please. Send your CV to drwishnie@stopfootpainfast.com and write “I am your next shiny star” in the subject line and tell me why in the body of the email.
 
ANKLE & FOOT ASSOCIATES DEFORMITY CORRECTION & ADVANCED SURGICAL SKILLS FELLOWSHIP - SE GEORGIA 
   
Fellow position available for the year 2020-2021. Focus on deformity correction, orthoplastics, minimally invasive surgery, and trauma. Interested candidates should send CV to AnkleandFootFellowship@outlook.com. Fellow to be chosen by mid-December.
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - SOUTHWEST PA 
 
Make this your practice. Own this practice and gain an immediate return on your investment. Opportunity to harvest surgery currently referred out. Fully equipped. Turn-key operation for next owner. Transition by seller. Member Top Practices. Contact: MCrosby518@gmail.com
 
PODIATRY PRACTICE FOR SALE – WESTCHESTER, NY 
 
Well established, successful, located downtown in growing major city Westchester, NY. Parking, public transportation. Retiring due to health reasons. On surgical staff of close major hospital,  On ALL major health insurances, four treatment rooms, power chairs, EMR with Dragon, Electronic Billing, ERx, Digital Xray,Vascular Testing, Fluoroscopy, RSWT, Ultrasound, Radiofrequency, Cryoprobe, Autoclave, Whirlpools, Footmax Metascan, complete surgical (with power) and conservative care instruments. PRICED TO SELL. Will  introduce. E-mail: lifehope53@yahoo.com
 
EQUIPMENT FOR SALE - CUTTING EDGE MLS MPHI 5 LASER
 
Pre-owned Cutting Edge MLS Mphi 5 Laser, with upgraded Battery and new features for treatment of most all Inflammatory Conditions. New $48k. Now $21,500 obo Shipping included. Contact: surgeonman@aol.com
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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.
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.
Guidelines
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
  • Notes must be in the following form:
    RE: (Topic)
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    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
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  • Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.

Barry H. Block, DPM, JD
 
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