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The Voice of Podiatrists
Serving Over 16,735 Podiatrists Daily
December 03, 2014 #5,233  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2014- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Which of the following do you think contributes most to practice burnout? |
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| PODIATRISTS IN THE NEWS - PART 1 | |
Cuts in Insurance Coverage are Killing People: AZ Podiatrist
During the last recession, Arizona cut [insurance] coverage for tens of thousands of people. This year, the state expanded Medicaid again, although the decision faces a legal challenge. Arizona's on-again, off-again approach makes it a useful place to look at the impact of a program that covers more than 1 in 5 Americans. At the University of Arizona Medical Center in Tucson, Dr. David Armstrong still sees the impact. Nearly every day, Armstrong and Dr. Joseph L. Mills, who co-direct the Southern Arizona Limb Salvage Alliance, don surgical scrubs and step into an operating room to amputate limbs or cut away diseased bones and flesh of patients with diabetes who put off seeing a doctor.
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Dr. David Armstrong |
One afternoon, Armstrong's team labored to save the black, gangrenous left foot of a 30-year-old diabetic, sawing out infected bones, stitching healthy tissue and grafting skin in a bid to spare him life in a wheelchair. "If it was just a couple of months earlier, we probably could have stopped some of these problems," Armstrong said. Armstrong and other researchers documented a 37% increase in hospital admissions for diabetic foot ulcers between 2006 and 2011, according to a study they published in the journal Diabetes Care. Patients also stayed longer in the hospital with more severe outcomes, they found. Amputations, surgical complications, life-threatening infections, and deaths increased by nearly half. "These people's feet were literally killing them," Armstrong said.
Source: Noam N. Levey, The Los Angeles Times [11/30/14]
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| PODIATRISTS IN THE NEWS - PART 2 | |
Podiatric Care by NY Podiatrist Saves Patient's Foot From Amputation
Roberto Mosconi was warned. If he didn’t lose weight, get active, and take his medicine, he’d develop diabetes. It wasn’t until a year-and-a-half ago, when complications from the disease resulted in the development of gangrene and possible amputation of his left foot, that he understood the severity of his diabetes. Thankfully for Mosconi, his doctors saved his foot from amputation. Dr. John L. Zboinski, a podiatrist, surgically removed the infected tissues in his foot at Northern Dutchess Hospital in Rhinebeck, but because the operation left a gaping hole, Mosconi then underwent hyperbaric therapy at the hospital’s Wound Care and Hyperbaric Therapy Center.
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Dr. John Zboinski |
Each of the 42 treatments, over several weeks, had Mosconi spending two hours lying in an acrylic tube at the center, during which time pressurized oxygen spurred the wound’s healing. Beyond that, Mosconi had intravenous antibiotic treatments, plus his wound was treated with both a wound vacuum to remove excess fluid and an antibacterial honey paste, all to promote healing. It worked. Mosconi’s foot healed and he’s glad to be back at work assisting the chef at Rhinebeck’s Liberty Tavern.
Source: Karen Maserjian Shan, Poughkeepsie Journal [11/30/14]
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| PODIATRISTS IN THE COMMUNITY | |
NJ Podiatrist Celebrates 25th Year in Practice With Housecall to 1st Patient
Dr. Lori L. Lewis knew as a Woodbury sixth grader that she was going to be a doctor. She just didn't know what kind of doctor. A family doc, perhaps. Or a dentist. By the time she entered junior high, she knew. Watching her dad, Arthur Lewis Sr., struggle with the ravages of diabetes, she decided on podiatry as her chosen field. He passed away at age 49.
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Dr. Lori Lewis and Helen Harrison |
The bubbly, energetic woman who made the U.S. Olympic team trials as a sprinter in 1976 celebrated 25 years as a podiatrist and surgeon recently. Dozens of clients and friends crowded into her office on Route 45 in south Woodbury to hail her career. Her first patient, Helen Harrison, couldn't make the party, but Lori showed up with a corsage for her at her doorstep.
Source: Bob Shryock, South Jersey Times [11/30/14]
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| QUERIES (EMR) | |
Query: Can an EMR Company Hold Data Hostage?
I have become disenchanted with the EMR that I have had since 2010. I have received all the money associated with having and using this software to date; and for their help I am grateful. But this program is expensive (approximately $600/month plus the $9,000 to set it up) and, for me, difficult to navigate even after four years of 100% use. I have found and tried another that is easier and is FREE—not only free but with 24/7 help. If I now change to the free program and forego the previous paid one, can my old EMR hold hostage my records? I have heard horror stories of having to pay upwards of $20,000 to have access.
Name Withheld
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| CODINGLINE CORNER | |
Query: Storage: X-Ray Film vs. Digital
How long do I have to store my old x-ray films?
Mark C. Baxter DPM, Kingsport TN
Response: X-rays are the same as any other part of a patient's chart and must be kept the same length of time that the rest of a chart should be maintained.
Most experts recommend that charts be held for (7) years. X-rays (and charts) for minors should be held for a variable length which is calculated as until the child reaches the age of majority (usually 18) plus the statue of limitations for malpractice in your state. Click here for state by state requirements.
Barry Block, DPM, JD, Forest Hills, NY
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription
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| RESPONSES/COMMENTS (EMR) | |
From: Michael L. Brody, DPM
I have been involved part-time in the VA system for over 25 years and have been using CPRS and VistA since it was implemented at my VA facility. In reference to all the posts about CPRS (VistA), the EHR System used by the VA Systems, I would like to point out a few things:
*It is freely available for download to anybody. In fact, the very first EHR I installed at home when playing with systems was VistA.
*The backend runs on Linux servers and was not built for Windows computers.
*The front end CPRS is written in Delphi and is built to run on Windows computers.
*I believe that the system at the VA is...
Editor's note: Dr. Brody's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Brian Kashan, DPM
This topic hits a nerve with me, yet affects all of us on a daily basis. We are forced to accept the standards, rules, and policies stuffed down our throats every day. We can’t do this. We have to do that. We have to use this form for this. No form for that. This requires authorization. We can’t hold the member responsible. We can do this in 61 days, but not in 60. This is no guarantee of payment. On and on for eternity.
Now, we get a chance to have the tables turned, and we can tell a patient, “ your insurance company is the one who dictates when we charge you.” After 10 days, your visits will be...
Editor's note: Dr. Kashan's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Celebrity Shoe of the Day
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These canvas Beatles sneakers were all the rage in the late 60s. |
Source: Dr. Hartley Miltchin, Toronto, Canada
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MEETING NOTICES
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| CLASSIFIED ADS |
DIABETIC FOOT AND WOUND FELLOWSHIP – DALLAS, TX
One position for a 12-month TMB-approved Diabetic Foot and Wound fellowship beginning July 1, 2015. Candidate must have completed a podiatric residency/plastic surgical residency/general surgery residency and be eligible for Texas Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex wound patient. Interested candidates should email their CV, personal statement and 3 letters of recommendation toamanda.murden@utsouthwestern.edu. UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
EQUIPMENT FOR SALE - MULTIPLE ITEMS
PADNET $14,000 OBO Cost $28,000, 2 Midmark 417 chairs and 2 stools $4,000 each, Autoclave Ritter/MidmarkM 9 $2,000, Fluoroscan Premier Purchased used 1 year ago $20,000. EmailTajranier@aol.com
PRACTICE FOR SALE – MARYLAND
Well established, turn-key busy podiatry practice with accredited hospital-grade ASC is available for sale. Situated in a full service medical building located in a very desirable and convenient area of Northwest Baltimore County. Strong referral base and modern facility with EMR, digital x-rays, hi-def ultrasound and multi-use laser equipped. A great opportunity for a group to expand services into this area or for a very motivated and well trained individual. For more information contact Mr. Jesse Delanoy, attorney representative c/o Offit/Kurman Law Group: jDelanoy@offitkurman.com or at his office 301-575-0301.
PRACTICE FOR SALE- ARIZONA
Central Arizona - between Phoenix and Tucson. Well established and very busy 35 year old solo-practice. High volume surgery and general practice with good cross-section of patients from pediatric to geriatric. Hospital, surgicenter and in-office surgery. Located in professional center. Contact E-mail:pmmpod@gmail.com
ASSOCIATE POSITION - NEW YORK
Well- rounded, hospital based podiatry practice. Large number of new patients monthly, digital x-rays, and EMR. Team Podiatrist for Division 1 College Sports Program. Currently have 3 DPMs and 3 offices. Senior partner is Chair of Pod Dept.; Partner & Associate are involved in wound center. Offices located 75 miles north of New York City, in the beautiful Hudson Valley. More affordable cost of living; great place to live. Looking for a personable individual with strong ethics and high motivation. Seeking an associate leading to potential partnership. Must have PM & S- 36 training. Please call (845) 471-2243 or email eriksims@hotmail.com.
ASSOCIATE POSITION - TAMPA FLORIDA
Beaches, great weather, great restaurants, culture – Be part of a unique thriving practice model that will survive, all year! "Old-style" work ethic. Associate to "Buy-In" Opportunity. Customer service, sense of humor detailed, driven, laid back personality. Market yourself and the practice. Good surgical skills, Great practice management ability. Email, "I'm the ONE!", why you want to join this practice, CV, docmkatz@gmail.com
IMMEDIATE OPENING FOR A DPM IN THE DC METRO AREA
Foot and Ankle Specialists of the Mid-Atlantic, LLC is in need of a replacement practitioner in our Downtown Silver Spring and DC offices. Come join our team of top docs. If you are an established practitioner (available now), and you are enthusiastic, personable, motivated and well-trained, we would be delighted to discuss an associate position in our 33-doctor group with 21 locations with you. Significant patient flow, EMR, computerized scheduling, certified ambulatory surgical centers, hospital and physician referral base. Please send cover letter and resume to: newdpm@footandankle-usa.com.
ASSOCIATE POSITION - FREDERICK, MARYLAND
Exceptional opportunity for an associate Podiatrist who is trained in all aspects of trauma and podiatry. ER call is required. Salary with bonus structure and benefits package is offered. Please send CV and case log with cover letter to drsteinberg@mynewfeet.com
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary. Salary range $120k-$140k (base + bonus) and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com
ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our three existing physicians. 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. Send CV to dpmkthomas@gmail.com
ASSOCIATE POSITION - AVAILABLE IMMEDIATELY- KANSAS CITY
Kansas City may be the perfect move for you and your family. We are looking for an entrepreneurial-minded associate who wants to grow and then own part of an already successful practice. If you are the right candidate for this associate position, you will enjoy a competitive compensation package and you will be working with doctors who are as committed to your success as we are to our own. Go to:www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION – NORTHWEST INDIANA/CHICAGOLAND AREA
Busy established practice looking for a full time Associate with long term goal of partnership. Two to Three PSR trained. Modern office with EHR/Digital X-ray. Competitive salary, bonus and benefits. Please send cover letter, and CV to Pjames@cffaac.com
ASSOCIATE POSITION - DAYTONA BEACH, 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.
PODIATRIC PHYSICIAN WANTED - CHICAGO/SUBURBS
If you are working in private practice and have the time to see more patients; we can significantly increase your income. Chicago Podiatric Surgeons is looking for a minimum of two days per week commitment to work at one of our offices located in Chicago, Tinley Park or Lombard. Enjoy a full schedule and high compensation immediately. We would consider part or full time employment, independent contracting, partnership or merge. If interested or want more information contact, Thomas Carr, DPM at dr.tcarr@gmail.com.
ASSOCIATE POSITION, IMMEDIATE – NORTHERN CALIFORNIA/SF EAST BAY
We are seeking podiatrists to join our multi-office practice, immediate opening. Must have great people skills, bedside manner, and positive demeanor. California license required. No nursing home visits. Prefer private practice experience, credentialed with insurance. Full and Part Time positions. Send CV and cover letter to: ebpod2008@gmail.com
PM News Classified Ads Reach over 16,000 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 16,000 DPMs. For details, click here or write to:bblock@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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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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RE: (Topic)
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Body of letter. Be concise. Limit to 250 words or less). Use
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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.
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