The Voice of Podiatrists

Serving Over 10,000 Podiatrists Daily

December 05, 2007 #3,109 Editor-Barry Block, DPM, JD

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Flats Can Cause Back and Heel Pain: KY Podiatrist

"Wearing high heels regularly can cause injury to the toes, ankles, knees and back," says Dr. Benjamin Schaffer of the Commonwealth Foot & Ankle Center. "But you can avoid the abusive effects by limiting the time you wear them to a couple of hours and by sitting and standing during the course of an evening."

Dr. Benjamin Schaffer

He also points out that not all flats are orthopedically superior: "Flats with no arches or support in the sole can also cause back and heel pain … and those with pointy toes can cause the same deformities often associated with heels -- like bunions, calluses and hammertoes."

Source: Christine Fellingham, Louisville Courier-Journal [12/1/07]

NYCPM Honors Three at Convocation

With all the pomp and circumstance which has always characterized this event, The New York College of Podiatric Medicine (NYCPM) held its 9th Annual Convocation. NYCPM awarded honorary doctorate to three individuals who have advanced the mission of the college.

Anthony G. Viscogliosi, Daniel S. Pope, and Robert I. Shapiro

Daniel S. Pope is President of Better Living Now, Inc., a managed care provider of healthcare products and services that specializes in the needs of patients with chronic conditions. He was hooded by Todd Rynecki, RPH, Vice President of Sales for Better Living Now.

Robert I. Shapiro is the President of City Center Real Estate, Inc., a company he founded in 1964. Mr. Shapiro was instrumental in structuring the real estate deal which ultimately secured the financial future of NYCPM. He was hooded by his son Thomas M. Shapiro and his daughter Bettina Cisneros.

Anthony G. Viscogliosi is a founder of Small Bone Innovations, Inc., where he currently serves as Chairman and Chief Executive Officer. In his acceptance speech, he pledged at least $500,000 in surgical supplies for indigent patients. He was hooded by Guido LaPorta, DPM, a legendary podiatric surgeon and member of PM’s Podiatry Hall of Fame.

Eneslow and Aetrex Host Monday Night Football With Phil Simms

As The New England Patriots continue their quest for the perfect season, it was former New York Giants quarterback Phil Simms providing the live commentary at Eneslow’s flagship store in Midtown Manhattan.

Dr. Andrew Shapiro, NYSPMA Trustee, Phil Simms, and Dr. Barry Block

Dozens of podiatrists from the New York area filled the recently opened Eneslow megastore and enjoyed watching the game on several large screen TV’s throughout the store, as well as chatting with Simms and partaking of the hospitality of Eneslow CEO Bob Schwartz and his brother Larry, CEO of Aetrex Worldwide.

Simms proved an expert prognosticator. With Baltimore leading 10-3 near the end of the first half, he calmly predicted that the patriots would come back to win the game.

Query: Ingro Tool

Can anyone tell me where the IngroTool instrument can be purchased? Although it appears in their 2007 catalogue, Moore Medical has discontinued this item.

Fred Huss, DPM, Chicago, IL

Query: Record Storage

I now utilize an off site storage area for my old records. I am faced with moving them to another facility for a cost of about $150.00/month. Is it worth keeping the physical records or would it be better scanning the records and converting them to an electronic record. If so does anyone have any suggestions on whom or how to do so?

Alan Mauser DPM, Louisville, KY

Query: Screw Insertion

What is the correct coding for the insertion of percutaneous cannulated screw for delayed union across calcaneal-cuboid joint that already has in place a large compression staple? The procedure occurred 5 months after an initial attempt of arthrodesis.

Glenn Weinfeld, DPM, Cortland Manor, NY

Response: I would recommend CPT 28740 (arthrodesis, midtarsal or tarsal-metatarsal, single joint) with a "-52" (reduced procedure) modifier.

Walter Pedowitz, MD, Linden, NJ

Codingline subscription information can be found at:
http://www.codingline.com/subscribe.htm

Board Certification in Primary Care Podiatry (Juliet Burk, DPM)

As far as I know, the only board that APMA recognizes for primary care is ABPOPPM. I used the Review Text in Podiatric Orthopedics and Primary Podiatric Medicine by Bernard and Kravitz. The test, however, is a good test of the knowledge and experience you have gained through residency and the first years of practice. If you didn't gain the necessary knowledge then, you'll have a hard time "studying" for the exam.

Jennifer Ryder, DPM, Rapid City, SD, jenbenryder@yahoo.com

RE: Digital Imaging (Josh Prero, DPM)
From: Ken Meisler DPM, Chad D Brady, DPM

I purchased the Scan X from Stone Podiatry. It was basically, plug in and start using. It is very cost- effective (supplies, labor, time, space savings) and patients are very impressed. I only wish I had started a year or two ago.

Ken Meisler DPM, New York, NY, Kenmeisler@aol.com

We have the ScanX system in one office and recently placed the CR system by 20/20 imaging in a new office. After having used both of these systems, here are a few conclusions:

1. The image quality by the 20/20 system is FAR superior to that of the ScanX.

2. Tigerview (the software behind ScanX) is more user-friendly and much easier to use and navigate. The 20/20 software is easy enough, there are just a couple of additional steps to input patient demos (DOB, MR #, ) etc. It's also harder to change images if they are saved under the wrong pt.

3. The automatic loading of the 20/20 system is very nice and easy for your staff.

4. I like that the 20/20 set up better. Everything is on one cart. (Scanner, computer, 2 external hard drives, battery back-up, slots for your cassettes, printer) The cart is included as part of the system. With ScanX, if you don't have a counter top in your x-ray space, you'll have to either buy your own cart or place a counter top there to put the system on.

5. I also thought that the setup and training with 20/20 was better than with ScanX (we did not get it through Stone Podiatry however.)

6. When we bought the ScanX a few years ago the decision was based on the fact that the Reina system was almost $50K. The 20/20 system is now very competitive and worth every penny.

Bottom line...in my opinion, in a head to head in our practice the 20/20 system wins hands down. I'll take better image quality over friendlier software any day.

Chad D Brady, DPM, Albuquerque, NM, drchadbrady@yahoo.com

ASSOCIATE POSITION - WEST COAST, FL

Outstanding opportunity for PSR-36 graduate to join highly successful group podiatry practice in Summer 2008. Seeking a sociable, articulate graduate who is confident in rearfoot and ankle reconstructive cases but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to jwicks@ips-med.com

ASSOCIATE POSITION - NORTHWEST PENNSYLVANIA

Multi-specialty group is looking to add another Podiatric Surgeon or General Podiatrist to our well-established group. Office locations in northwestern Pennsylvania. Unlimited opportunities exist for the right Associate, wound care experience is a plus. Please forward your CV to adminsec@ips-mso.com

PODIATRISTS NEEDED - CHICAGO --NORTHWEST INDIANA

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists. We are located in Chicago and Northwest Indiana. Full and part time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com -- www.homephysicians.com

PART-TIME PRACTICE FOR SALE - FLUSHING, NY

40 year old part time practice for sale. Priced for quick sale. Please contact me at footdoc60@gmail.com. Serious inquires only please

PRACTICE FOR SALE - SOUTH CAROLINA

Upstate SC practice of 25 years. Retiring. High Volume. 65% routine foot care, 35% surgery. Several nursing homes. Plenty of opportunity for growth. Grosses over $450,000.00 yearly. Hospital and Surgery Center privileges. Financials available upon request. Serious inquiries only! Beautiful area. Contact: Carolinafootdoctor@yahoo.com

ASSOCIATE POSITION - SOUTHERN ILLINOIS

Tired of Nursing Home Care? Ready to join a well-established practice with 2 Board Certified Foot Surgeons? If you are a personable, ethical and responsible, hard-working podiatrist with interest in conservative care, including sports medicine, this may be the position for you. Competitive salaries, 401-K, health insurance, paid vacation and more. Please forward CV with references to nrussell@neondsl.com

ISO SOUTH JERSEY AREA OPPORTUNITIES

ABPS Certified with 20 years of experience looking to relocate to South Jersey/South Central Jersey. I am looking for a practice that appreciates and understands the value of experience and integrity. I am willing to discuss ALL options, including employment, partnerships, buy-ins, practice purchases, etc. All info will be kept confidential. E-mail panel32@comcast.net

ASSOCIATE WANTED – NEW YORK IMMEDIATE OPENING

Busy multi-dimensional practice; 70 miles north of New York City . Currently five (5)-doctor practice. looking to expand – all phases of podiatric medicine. contact: (845) 454-8308 EXT: 106

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