The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

December 06, 2012 #4,631 Publisher-Barry Block, DPM, JD

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FL Podiatrist Uses SteriShoe to Prevent Fungal Re-infection

Dr. Eric Weinstein clears the fungus using a laser treatment but some patients worry that the condition will come back. "Once we get rid of the fungus with the laser, then we have to do a little bit of maintenance and that means perhaps a topical on the nails to act as a protective barrier, to not get re-infected, but more importantly, we have to address the shoe which the toes sit in on a day-to-day basis," said Weinstein.

Dr. Eric Weinstein

Weinstein suggests that patients buy a SteriShoe, which emits an ultraviolet light that kills fungus or bacteria that's in the shoes. "It also helps with foot odor because the bacteria in shoes are a contributing factor to foot odor," said Weinstein. Users only need to put the device into closed toe shoes and turn it on. The SteriShoe automatically shuts off after 45 minutes. "Ideally, it's recommended to use it every day after you use those shoes, so when you put the shoe on the next morning, you can have confidence you won't be getting re-infected by what's breeding in your shoe," said Weinstein.

Source: Local 10.com [12/4/12[

CA Podiatrist Presents at Italian Orthopedic Meeting

Amol Saxena, DPM from Palo Alto CA, presented at the 2nd Annual Society for Muscles Ligaments & Tendons in Napoli, Italy Nov 30-Dec1. He was invited by Professor Nicola Maffulli, president of the society and  meeting chair Prof. Francesco Oliva. Also presenting from the U.S. was orthopedist John Furia, MD. 

(L-R) Dr. Amol Saxena, Professor Nicola Maffulli, and Dr. John Furia

Saxena, who also serves on The Journal of Muscles, Ligaments & Tendons editorial board, was the first podiatrist to present at the meeting attended by approximately 300 orthopedists and other musculoskeletal specialists, primarily from Italy. He presented on "return to sports after ligament and tendon surgery of the foot & ankle." Other topics included ESWT, PRP, and other soft tissue injuries of extremities.

Device-based Therapies for Onychomycosis Treatment Show Promise

Device-based therapies for onychomycosis show promise in initial clinical studies involving lasers, photodynamic therapy, iontophoresis, and ultrasound-based therapy. Device-based treatments may be advantageous because they are conducted in the clinic and only require short-term patient compliance. These modalities also have the potential to reduce adverse events caused by antifungal drugs, as they are highly localized treatments.

Devices may also be alternatives for patients whose susceptibility to onychomycosis infection arises from a co-morbidity, as these therapies do not interact with the drugs involved in the management of such conditions. In order to substantiate the efficacy of device-based therapies for onychomycosis, randomized controlled trials with mycological evaluation and long-term follow-up are required. We believe this therapeutic area will continue to expand and hope that broader clinical investigations will result in new options for practitioners.

Source: Aditya K. Gupta, MD, PhD, MBA, Medcape News [11/26/12]

Hiking Medicare Age Opposed by Left, Right

Proposals to increase the eligibility age for Medicare drew fire from across the political spectrum during a Washington meeting of some debt negotiation leaders. Sen. Max Baucus (D-MT), chairman of the powerful Finance Committee, said during the Fix the Debt Conference that he favored targeting the growth in healthcare costs instead of “shifting costs to seniors.”

Neera Tanden, president of the liberal Center for American Progress, agreed with Edmund Haislmaier, a senior research fellow at the conservative Heritage Foundation, that increasing the Medicare eligibility age would just shift the cost of their care to other systems. Tanden said employers would cover much of the shifted cost, while Haislmaier expected a cost shift to younger and healthier buyers in coming health insurance exchanges.
    
Source: Rich Daly, Modern Healthcare [12/4/12]

Query: Patient Access to X-Rays

Today, I had a patient come in with a piece of paper she signed in order to take her x-rays for a second opinion. The statement she had to sign read as follows: I agree to return all records that I have borrowed within 30 days of the date of pick up. If the records are not returned within the 30 days, I understand and agree to pay the $100 fee for not returning the documentation that was borrowed. Is this different from state to state?
 
Deborah S. Wehman, DPM, Richmond, IN

Editor's comment: PM News does not supply legal advice. Under HIPAA and state laws, patients are entitled to copies of medical records, including x-rays. "Copies: does NOT mean "originals", which should be ratained as part of your records. You are entitled to charge a reasonable fee for a copy of the x-rays. 

Query: Mobile Anesthesia Group

Can anyone recommend a mobile anesthesia group that can provide anesthesia, such as IV sedation, as well as local nerve blocks?
 
David Zuckerman, DPM, Cherry Hill, NJ

RE: Botox for Plantar Fasciitis? (David Kahan, DPM)
From: Allen Jacobs, DPM

Botox utilization for treatment of symptomatic plantar fasciitis is very well supported in the medical literature as isolated therapy, and in combination with platelet concentrate.
 
Examples include Sorensen, et al., JFAS 50 (2) 2011, Logan, et al., American J Physical Med and Rehab 85 (8) 2006, Placek, et al. Clin J Pain 22 (2) 2006, Babcock. et al., Am J.Phys Med and Rehab 84 (9) 2005, Zhang, et al. Inflammopharmacology 19 (1) 2011. There are many more citations supporting the use of Botox for plantar fasciitis. Each article sites a different regimen and dosage schedule.

Allen Jacobs, DPM, St. Louis, MO, allenthepod@sbcglobal.net

RE: CMS to Now Cover Obesity Counseling (Robert Bijak, DPM)
From: John F. Swaim, DPM

Having been the recipient of a fortuitous heart stent placement in my left anterior descending coronary artery which was 95% blocked along with being a licensed physician as well as having a primary care physician for a father to consult, coupled with a close relationship with my cardiologist, I feel more qualified than Dr. Bjiak to speak on the subject of CAD and obesity. I practice in a rural area of far Northern California where obesity is rampant. Diet and exercise are both acceptable means to reduce morbidity and mortality with respect to CAD. Of course, one would get an electrocardiogram and perform a complete physical exam on anyone at risk for a cardiac event before suggesting to them to undertake an exercise program for weight reduction.

Ironically, there is a text...

Editor's note: Dr. Swaim's extended-length letter can be read here.

RE: CMS to Now Cover Obesity Counseling (Robert Creighton DPM)
From: Dennis Shavelson, DPM

Dr. Creighton suggests that biomechanics “can’t be practically and effectively communicated to patients in the clinical setting.” I offer wellness biomechanics to fill the vacuum he describes. Podiatry sits as the foundation of the exercise pillar of the pyramid of care indicated to treat obesity (diet, exercise, medication). 

I do a functional foot typing, profiling every obese patient’s pedal weaknesses and strengths into one of five common subgroups. I do a muscle engine evaluation and a stance and gait evaluation. I can formulate a custom, professional program of biomechanical care that includes a foot centering orthotic, thus overcoming some of the collapse inherent in most feet.
                                                   
I then develop a program of muscle engine training that strengthens weak muscles and reduces compensatory overuse of others that enables the overweight patient to make positive custom lifestyle adjustments and train more successfully. Finally, I  advocate, support, and monitor their progress.

Dennis Shavelson, DPM, The FootHelpers Lab, drsha@foothelpers.com

RE: PAL Health Technologies CEO Dies
From: Paul Kesselman, DPM

Approximately 20 years ago, Jeff Schoenfeld began to provide me and several other podiatrists the opportunity to work on several projects. His dedication to PAL, his employees, and to the podiatry profession are legendary. Mr. Schoenfeld will surely be missed, but thanks to his vision, he has left behind a legacy which will continue to serve the podiatry profession for some time to come.

Paul Kesselman, DPM, Woodside, NY

RE: Halloween Leftovers?

Normally Natasha makes stunning hand painted wedding cakes and cookies, including gingerbread houses which Selfridges sold last Christmas. 

Gross Toe Cookies

But when Nevie Pie Cakes goes feral, she really goes for it. Check out these cookies which she will be selling.

Source: Cakehead Loves Evil via Dr. Bret Ribotsky

EQUIPMENT FOR SALE - IMAGING

MinXray X-ray-Stationary Podiatry System with orthoposer. Excellent condition. Best offer. Fluroscan officemate. This Mini C-Arm has excellent resolution; it is totally automatic and comes in a 4” Field of View. This system includes a printer. Very good condition - $7000
Email Dr Cohen for details and photos. jr11231@yahoo.com

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty . New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

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 PODO2345@AOL.COM 516-476-1815.

ASSOCIATE POSITION – WISCONSIN

Growing, innovative practice with multiple locations in South Eastern Wisconsin seeks an outgoing, team-focused podiatrist. Must be board certified/eligible, compassionate, professional, and flexible. Competitive salary and benefits, busy independent practice with large amount of new patients. Please send CV & letter of introduction to: Milwaukee.podiatrist@gmail.com

ASSOCIATE POSITION - PORTLAND, OREGON

Busy office with good steady referral sources looking to expand. Areas of expertise wanted: wound care, surgery of all aspects, knowledge of running an office. Please come with good personality and hard work ethic. New main and satellite offices. Email: office.pfac@gmail.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Busy multi office practice with latest in technology EMR, digital X-rays. Looking for BQ/BC by ABPS. Must be able to handle rearfoot / ankle trauma and reconstructive cases. Paid vacation, health insurance and partnership available. New or experience practitioners welcomed. Email resume to: mny1029@gmail.com

ASSOCIATE POSITION - KANSAS CITY

Kansas City may be the perfect move for you and your family. I am 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 a doctor who is as committed to your success as he is to his own. Go to: www.YourFutureInPodiatry.com for full details.

ASSOCIATE POSITION - NC PIEDMONT

Excellent opportunity for highly motivated, ethical, and personable PSR 24/36. This well established, 3-physician practice has excellent rapport with physician community, multiple office locations, and hospital privileges. Intent is an associate leading to partnership for the right individual. Competitive salary & benefits. Email CV to dpmassociatenc@gmail.com.

ASSOCIATE POSITION - SOUTH FLORIDA

Busy multi office practice needs 3 year surgically trained Podiatrist to join five doctor practice. Benefits include Salary, Bonus, Health Insurance, Pension Plan and CME. Digital x-Ray and EMR in all offices. If interested please send a CV and letter of interest to alvatore1@gmail.com.

ASSOCIATE POSITION - NASSAU COUNTY, NEW YORK

Exciting Opportunity! Associate position. Must be Board Qualified. Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to: Podiatryoffice@doctor.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Welcome to paradise! Immediate opening in a busy, multi-location practice. Six figure income potential possible for the motivated individual in the first year. Surgical training a plus. Hospital privileges available, depending on training. Must be Florida licensed. Great benefit package. Send CV and cover letter to 1foot.ankle@gmail.com.

ASSOCIATE PODIATRIST - NEW YORK CITY / BROOKLYN

Full time office locations. Excellent opportunity for a motivated, ethical and enthusiastic associate to join a successful, well established hospital affiliated practice. Must be residency trained PSR 24/36.Board eligible/certified by ABPS preferred. Must be competent in forefoot and rearfoot surgery. Competitive salary with incentives. Email CV to DRSTEVEMENNA@GMAIL.COM

ASSOCIATE POSITION – VIRGINIA

Two office practice, hospital and surgery center privileges, trauma call, modern offices, EHR, digital x-rays. Excellent compensation package. Position may lead to partnership. Candidate needs to be experienced in foot and ankle reconstruction, trauma, external fixation, and ankle replacement surgery. Email letter of interest and CV to Dr. Joe Disabato at jdisabato@vfasa.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

ASSOCIATE POSITION - CALIFORNIA, ORANGE COUNTY

We are a three physician group with two offices and a well rounded practice with all types of pathology encountered. Our EMR is fully implemented. If you are surgically trained and want to join a growing practice in beautiful Southern California email your resume to jibennett1@msn.com.

ASSOCIATE POSITION - PUERTO RICO

Looking for a well motivated surgically trained podiatrist for a 20 year old hospital-based multi office practice . Candidate must be personable, ambitious, and knowledge of SPANISH language a must. Hospital surgical privileges available with heavy load of high risk diabetic foot patients. This position leads to PARTNERSHIP, and eventually ownership. Offices located near San Juan Metro area near Beaches, great schools, and major shopping malls. Please send CV to medicopodiatra@aol.com

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to : practiceforsaleswfla@gmail.com.

PM News Classified Ads Reach over 14,000 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 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 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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