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procedure accompanied by risks. Canales admitted Montanaro to the hospital, where he spent the next 2 1/2 weeks working to save her foot. He ordered intravenous vancomycin, an antibiotic "so toxic that it can induce kidney failure in some patients." He took her into surgery the next day to remove dead skin, fat, muscle and bone, and he repeated the procedure every other day for a week. The doctor also arranged for hyperbaric oxygen therapy to help speed wound healing.
 
Source: Lynne Thompson, Cleveland Magazine [December 2013]
PM News

The Voice of Podiatrists

Serving Over 15,685 Podiatrists Daily


November 28, 2013 #4,926 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2013- No part of PM News can be reproduced without the
written permission of Barry Block

EDITOR'S NOTE

We Wish All Our Jewish Subscribers a Happy Hanukkah

Happy Hanukkah

Redi-thotics


PM NEWS QUICK POLL

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Dr. Remedy


PODIATRISTS IN THE NEWS
OH Podiatrist Saves Foot of Woman with MRSA Infection
 
Lyndsey Montanaro's long nightmare began after she had received several corticosteroids in her heel by a physician, yet still had increasing pain. She was referred to Dr. Michael Canales, a foot-and-ankle surgeon at St. Vincent Charity Medical Center's Spine and Orthopedic Institute. Tests showed Montanaro had developed a severe methicillin-resistant Staphylococcus aureus, or MRSA, infection. Canales hypothesizes that the virulent bacillus, infamously resistant to most traditional antibiotics, was introduced deep into the heel by one of the injections at the urgent-care center. Although infection after a properly administered injection is exceedingly rare, Montanaro's case is a reminder that an injection is an invasive
 

SWI


APMA COMPONENT NEWS
ASPS Holds Fall BVoard Meeting
 
The ASPS Board of Directors held their annual Fall board meeting November 15th and 16th in Bethesda, MD. At the meeting the board reviewed the association’s 2012-2013 Operational Plan noting that a majority of the planned initiatives were successfully accomplished. The board went on to outline an operational plan for 2013–2014, which includes the launch of a journal, new hands-on surgical training opportunities for residents, and the restructuring of ASPS committees.
 
Dr. David Yeager
 
“As our membership continues to grow, so do the needs of our membership, which is why the Fall ASPS Board Meeting is so important. We come together to plan how we can better serve our members, and in turn the profession. We look forward to expanding our educational opportunities, all of which will provide an opportunity for member involvement which we strongly encourage,” said ASPS Chair Dr. David Yeager. 

Care Credit


PODIATRISTS IN THE COMMUNITY
PA Podiatrist Named Top Doctor by Philadelphia Magazine
 
Dr. Chad Friedman
 
Dr. Chad Friedman was named Top Doctor in the Main Line Today December 2013 issue. Dr. Friedman is a partner in Podiatry Care Specialists, P.C. with offices in West Chester, Newtown Square, and Audubon, PA. He is board certified by the American Board of Podiatric Surgery and board certified by the American Board of Wound Management in wound care, and he is a Fellow of the American College of Foot and Ankle Surgeons. Friedman was also named a Top Doctor in December 2010 by the same publication.
 
Dr.Comfort

PODIATRISTS AND WOUND HEALING
AZ Podiatrists Discuss "Spray-on Skin" for Wound Healing 
 
UA researchers are studying the effectiveness of a “spray-on skin” intended to treat flesh wounds such as chronic leg ulcers that develop in elderly people. “I’m excited because, for a lot of this stuff, it sounds and it seems like Star Trek, where you’re spraying [skin] on,” said Dr. David G. Armstrong, a UA professor of surgery and director of SALSA, “but the future is now.”
 
Drs. David Armstrong  and Nicholas Giovinco 
 
As opposed to a skin graft, which is a flat layer of skin plastered onto the area, the liquid treatment can slip into the cracks and undulations of the wound, which could potentially make it a more effective option, said Dr. Nicholas Giovinco, assistant professor in the Department of Surgery and director of education for SALSA.
 
Source: Mark Armao, Daily Wildcat [11/24/13]

aetrex


PODIATRIC PRODUCTS IN THE NEWS
20/20 to Highlight New Digital X-Ray at RSNA
 
20/20 Imaging plans to highlight a new digital x-ray system with improved software capabilities and a higher-frequency generator at the upcoming Radiological Society of North America (RSNA) 2013 meeting. Targeted for the podiatry market, the higher-frequency system offers the potential for lower dose radiation with advanced imaging capabilities. It can also be anatomically programmed, which saves time, improves accuracy, and enhances efficiency by allowing exams to be selected at the technologist workstation instead of at the device, according to the firm.
 
Source: AuntMinnie.com [11/22/13]

PICA Group


MEETING NEWS
10th Annual Desert Foot 2013 Conference Offered New Venue and Programming
 
The 10th Annual Desert Foot 2013 Conference attracted a strong showing of serious wound care experts from 5 countries (USA, Canada, Dominican Republic, India, Norway) and 43 U.S. states this past week. What began as a VA DPM-focused meeting has expanded into a multi-disciplinary conference including MDs, nurses, physical therapists, research PhDs, as well as many podiatry residents and students. This year’s conference, held at the Sheraton Phoenix Downtown included, for the first time, a hands-on Wound Debridement Skills Workshop.
 
William Jeffcoate (R) accepts 4th Annual Paul Brand Memorial Award from Dr Robert Frykberg
 
The conference's highlight came when Chairman Robert Frykberg, DPM, MPH presented the 4th Annual Paul Brand Memorial Award to diabetic foot luminary William Jeffcoate from Nottingham, England. The award was sponsored by Osiris Therapeutics. The memorial lecture was delivered by Mr. Jeffcoate, and entitled, “The Diabetic Foot Syndrome – A British Perspective” CLICK HERE – to view conference summary, Abstract Poster, Workshop and Exhibit Hall Passport Winners

20/20


PHARMACEUTICAL NEWS
FDA Approves New Topical Antifungal Luliconazole 1%
 
The U.S. Food and Drug Administration (FDA) has approved the azole antifungal luliconazole 1% cream (Luzu, Valeant Pharmaceuticals) to treat fungal infections, the company announced today.
 
Luliconazole 1% cream is indicated for the topical treatment of interdigital tinea pedis (athlete's foot), tinea cruris (jock itch), and tinea corporis (ringworm), caused by the organisms Trichophyton rubrum and Epidermophyton floccosum, in adults aged 18 years and older.
 
Source: Megan Brooks, Medscape News [11/15/13]

Gill


QUERIES (NON-CLINICAL)
Query: Podiatrists as a Source for Cosmeceuticals?
 
Recently, someone came to the office who sells cosmeceuticals (creams, foot moisturizers, etc.). He wanted to buy these items from me in bulk at a premium. The question I have is: what motivation would he have looking to buy from me? Why wouldn't he go directly to the supplier and buy for the price that I or anyone else can get them for? Is he possibly selling them at a premium to someone else? What's the angle? 
 
Name Withheld (NJ)

Discount Med


RESPONSES/COMMENTS (ICD-10)
From: Robert Kornfeld, DPM
 
Everything posted on this forum relative to Medicare, Obamacare, managed care, and all the other extraordinary hoops that they put docs through to get paid for the good that they do for society makes me ever so grateful that I am opted out of Medicare, participate with no insurance companies, and am nearer to the end of my career than not. To be very honest, this is exactly like the cattle being led to the slaughter. It won't take long before most of you realize that all of your cooperation with Medicare and insurance companies, along with your altruism, is going to eventually either put you out of business, or will dramatically reduce your ability to make a decent (and honest) living. 
 
I urge all podiatrists who read this forum to give very strong consideration to looking into other fields of interest so you can slowly transition into something less regulated and much more lucrative. I've never been more serious since it is painfully obvious that the APMA is leading the death march and most of you are too afraid to do take a stand against the tyranny. I guess there is more honor in going down with the sinking ship. I apologize for bailing out 13 years ago.
 
Robert Kornfeld, DPM, Manhasset, NY, Holfoot153@aol.com
Post Graduate Fellowships
University of Texas Health Science Center San Antonio
 
Reconstructive Foot and Ankle Surgery - This fellowship is a one-year experience during which the Fellow will develop a rational approach to revisional and reconstructive foot and ankle surgery. The Fellow will function as an Instructor / Clinical and participate in the teaching of Podiatric medical students and residents, and have ample opportunity to be involved in clinical and basic research projects. The fellowship will provide the Podiatric Surgeon, further expertise in Charcot reconstruction, trauma and deformity correction.
 
Duration: 1 year (7/1/14 – 6/30/15) Application Deadline: 12/01/2013 Interviews: TBD Stipend: $44,100/Year.  Requirements: Completion of 3-year residency; a commitment to a part-time/full-time academic career in Podiatric Medicine and Surgery. Texas License eligible & ABPS Board Qualification eligible in Foot and Reconstructive Rearfoot/Ankle Surgery (Test dates & Application Deadlines TBA). 
 
Submit a CV and letter of interest to: Thomas Zgonis, DPM, FACFAS, Associate Professor, Fellowship Director, University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive (MSC 7776) San Antonio, Texas 78229-3900 Email: Zgonis@uthscsa.edu Phone: (210) 567-5174 Fax: (210)567-4891.
 
All faculty appointments are designated as security sensitive positions.
University of Texas Health Science Center San Antonio is an equal opportunity/affirmative action employer.

RESPONSES/COMMENTS (NON-CLINICAL)
From: Beth Shaub
 
APMA’s sponsored insurance program is administered by Selman. Their phone number is 800-556-7614. All of our member affinity programs are listed in the APMA News (space permitting). We also list our member affinity programs on the APMA website. 
  
Beth Shaub, Director, APMA Membership Services, bshaub@apma.org

Neuremedy


RESPONSES/COMMENTS (YOU CAN'T MAKE THESE THINGS UP)
From: Robert Bijak, DPM
 
"ANKLES AWAY", cute name, but a sad reality for so many podiatrists who can't touch the ankle. A few geographic areas are outliers and allow it; many don't. These outlier podiatrists have greater income and professional  potential and are more ready to think of themselves as physicians, and call those held back as haters. Even in NY, next year, you can't treat the ankle unless you had a 3-year residency. Think about it. Fighting for the ankle. Nurses, chiropractors, and physical therapist would laugh. It never occurs to them that there is a part of the body they can't touch. Podiatry has limited its scope by focusing on suits without addressing the inferior education that forbids podiatrists from taking exams for a broader license. I think the podiatric leadership enjoys the status quo that keeps them secure and in power.  
 
Robert Bijak, DPM, (podiatry hater), Clarence Center, NY, rbijak@aol.com
MEETING NOTICES - PART 1

aafas

UT Med


YOU CAN'T MAKE THESE THINGS UP

RE: How Jewish Podiatrists Celebrate Hanukah

Source: Pearl Herman

MEETING NOTICES - PART 2

sev

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Choose any or ALL (50 CME Contact Hoursfrom the 30+ CME Category-1 articles posted


CLASSIFIED ADS
DIABETES MANAGEMENT FELLOWSHIP - CENTRAL KENTUCKY
 
CVs and letters of interest are being accepted now for the most unique and well-rounded fellowship in podiatric medicine. This non-accredited, 1-year fellowship starts in July of 2014 and offers a wide variety of training opportunities that focus on diabetes, including diverse pathologies and unique medical and surgical opportunities. Regular surgical case load, intensive practice management, and the best prep for real world practice. Work with our on-staff certified orthotist, physical therapist, shoe store staff, MRI director, etc. Generous stipend, benefits, and free housing. Learn more at www.myhappyfoot.com (click the Fellowship Tab). Send CVs to jmoore@aappm.org.
 
PRACTICE FOR SALE – SOUTHWEST QUEENS, NEW YORK 
 
Busy, well established , fully equipped , newly redecorated office in good neighborhood. Grossing approximately $500k. Doctor relocating, but will stay on through July. Contact dfoot35@gmail.com
 
EQUIPMENT FOR SALE - USED CUTERA GENESISPLUS LASER 
 
Purchased new July 2011, new handpiece, updated software and re-calibrated in September 2013. This is a great laser for treating toenail fungus, scar reduction & warts.  $33,500.00 OBO. Please email dman1hansen@gmail.com or call 801-870-4161
 
EQUIPMENT FOR SALE - PADNET
 
Barely used PadNet machine for sale. Purchased in 2010 for $22k seeking $9,900 includes shipping. If interested email Dr. Eric Jamrok at drjamrok@yahoo.com
 
EQUIPMENT FOR SALE - PADNET
 
Padnet vascular testing machine with updated security software (purchased in 2012). Perfect condition only used for training. We do not have the patient population to provide this valuable diagnostic tool. Purchased for 20K, asking 12K (and we will pay for shipping costs). Please contact vcrismali@gmail.com 
 
EQUIPMENT FOR SALE – USED PINPOINTE LASER AND 2 USED Q-CLEAR LASERS
 
Used Pinpointe Laser for Sale! $17,500. 2 Used Q-Clear Lasers for sale $9,000 each. Please call 202-255-6236 or email: cosmedresources@verizon.net
 
EQUIPMENT WANTED - LASER FOR TOENAILS 
 
We are looking for a toenail fungus laser that is fairly new and still works great. Please e-mail us at  contactus@flfootandankle.com
 
ASSOCIATE POSITION -  ARKANSAS 
 
Ethical, highly motivated, enthusiastic associate needed to join successful, well-established practice located in Northwest Arkansas. Certified/qualified by ABPS with rearfoot training preferred. The practice has an excellent working relationship with a high referral base from local PCPs and other specialists. Well-rounded practice incorporates general podiatry, surgery, wound care, and sports medicine. Salary plus excellent bonus potential for the right individual. Send CV to: footdocmanager@yahoo.com. 
 
PART-TIME ASSOCIATE POSITION – CHICAGO, IL 
 
part-time opportunity in Chicago to provide treatment to homebound patients. You can create your schedule- logistical support provided. Reimbursement is 40% of collection. If interested, please call 312-375-6430.
 
ASSOCIATE POSITION - DAYTON, OHIO  
 
Join an established group practice in Dayton, Ohio excellent reputation, large referral base. Base Salary$120,000, benefits and bonus structure. EMR;diagnostic ultrasound; Padnet; CO2 and Cutera Laser for nails, all aspects of DME. We need well trained personable PSR24/36 surgeon.  Future Buy-in available. Please send CV to: Ohiomedical@aol.com
 
ASSOCIATE POSITION - CENTRAL FLORIDA
 
Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future. To apply please go to www.yourcareerinpodiatry.com
 
IMMEDIATE POSITION AVAILABLE IN SW FLORIDA 
 
Podiatrist to join a small group must be Florida licensed surgical privileges pending experience. Board Certification or Qualified preferred but not necessary. Some nursing home care and also limited traveling. Excellent pay and lifestyle. Send resume to 1Foot.Ankle@Gmail.com 
 
IMMEDIATE ASSOCIATE POSITION AVAILABLE IN THE HEART OF CENTRAL FLORIDA. 
 
Largest podiatry group in Polk County featuring EMR, muscle laser therapy, digital x-rays, vascular and NCV studies, ultrasound machines, shockwave therapy, and much more. We are a very busy office so expect patients the day you start and a competitive salary with bonuses. E-mail CV tocontactus@flfootandankle.com
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Very busy, two location group practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
 
PODIATRIST WANTED - SOUTHERN CALIFORNIA 
 
Podiatrist for practice in long-term care facilities. Facilities include Skilled Nursing, Assisted Living and Board and Care homes.  Professionally managed. Email interest and CV to: ZbubblesZ@aol.com
 
ASSOCIATE POSITION - CT (GREENWICH, FAIRFIELD AND NORTH HAVEN) 
 
Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
 
PM News Classified Ads Reach over 15,500 DPMs 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 15,500 DPMs. for details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $119 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.
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.
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Barry H. Block, DPM, JD
 
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