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| PM News | |
The Voice of Podiatrists
Serving Over 15,684 Podiatrists Daily
December 09, 2013 #4,936  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
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| PM NEWS QUICK POLL | |
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Results of Last Week's Poll |
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| PODIATRISTS IN THE NEWS | |
Re-aligning Feet Can Relieve Fibromyalgia-type Symptoms: FL Podiatrist
Re-aligning feet can relieve fibromyalgia-type symptoms, says podiatrist Dr. Howard Groshell. "We've done a study over the last five years of patients with fibromyalgia symptoms, which are predominately co-morbidities with symptoms that aren't related to anything, such as anxiety, depression, fatigue, sleep problems, restless leg syndrome, and digestive problems."
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Dr. Howard Groshell |
"When we evaluate them, their foot pain is almost as bad as their back pain and shoulder pain. When we re-align the structure of the foot, all of the symptoms appear to improve to some extent," says Groshell.
Source: WJXT Channel 4 [12/5/13]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
CA Podiatrist Named Co-Director of Amputation Prevention Center
Valley Presbyterian Hospital is pleased to announce Ronald Belczyk, DPM, as the Co-Director of the renowned Amputation Prevention Center. Dr. Belczyk joined the medical staff in September 2010 as a board-certified podiatric surgeon specializing in infection, deformity correction, and post-traumatic foot and ankle reconstruction.
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Dr. Ronald Belczyk |
In his new role, he will work with Amputation Prevention Center Medical Director George Andros, MD, to lead the highly regarded team of podiatric and vascular surgery specialists to provide a multi-disciplinary approach to limb preservation. Dr. Belczyk is actively involved in teaching, research, and clinical trials.
Source: Fort Mills Times [12/6/13]
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| PODIATRISTS AND SPORTS | |
NY Podiatrist Discusses Relationship between Two Baseball Legends
According to Dr. Rock Positano, a leading podiatrist who began treating Yankee legend Joe DiMaggio for his aching heels in the early 1990s and then became a Clipper intimate, Joe always stayed competitive with Ted Williams, Red Sox great, and remained keenly aware of what Ted was doing. “There was always this immense rivalry, even 50 years after they played ball,” Positano said. “Joe wouldn’t make a move without Ted doing it first. Like going to the White House. Joe did not want Ted to get all of the publicity.”
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Dr. Rock Positano and Joe DiMaggio |
In 1991, President George H.W. Bush wanted to honor Joe and Ted on the 50th anniversary of the streak and Williams’ .406 milestone, and then fly them to the All-Star Game in Toronto aboard Air Force One. “Joe had a trepidation about it. He said, ‘Doc, Williams is doing it, so I’ve got to do it.’” When DiMaggio introduced him to Ted at the Marriott Marquis hotel in New York, Positano was enamored with Williams and thought he was “larger than life.” But Joe didn’t want him to get too friendly with Ted. “He said, ‘Listen doc, he’s a little different than I am. He’s not as friendly as I am.’"
Source: Ben Bradlee Jr., The Boston Globe [12/3/13]
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| MEDICARE NEWS | |
Meaningful Use Deadline Pushed Back One Year
The CMS is giving providers another year to show they've met the Stage 2 criteria of the federal government's incentive program to encourage the adoption and meaningful use of electronic health records. That means the start of the next phase will be pushed back a year. Stage 2 will be extended through 2016, and Stage 3 won't begin until at least fiscal year 2017 for hospitals and calendar year 2017 for physicians and other eligible professionals that have by then completed at least two years at Stage 2, the CMS said Friday.
The latest extension parallels what the feds did with Stage 1, which was originally set to last two years but was lengthened by a year when it appeared that the industry would be overstretched to build and get acclimated to systems capable of meeting the federal payment program's more stringent Stage 2 criteria.
Source: Joseph Conn, Modern Healthcare [12/6/13]
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| CLINICAL STUDIES | |
Successful Repair of Bone Defects Using a Novel Tissue Engineered Bone Graft
Researchers at the Department of Orthopaedics, of the Second Affiliated Hospital of Xi'an Jiaotong University Health Science Center, led by Dr. Kunzheng Wang and Dr. Pei Yang have developed a novel biomimetic tissue-engineered bone graft based on rabbit adipose-derived stem cells (rASCs), collagen I, and a porous beta–tricalcium phosphate (beta–TCP) scaffold. The critical–sized bone defects model of rabbits was used to evaluate the efficiency of the construct. This discovery, reported in the December 2013 issue of Experimental Biology and Medicine, provides a novel candidate for bone defect repair.
The in vivo experimental results demonstrated that the novel biomimetic tissue-engineered bone graft could promote osteogenesis in critically-sized defects. Twelve weeks after implantation, the defects were almost completely repaired by the presence of the cortical bone and medullary cavity. The results also suggested that the degeneration of the scaffolds may be accelerated by the interaction of rASCs, collagen I, and the biomaterials.
Source: MDLinx Orthopedics [12/6/13]
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| QUERIES (CLINICAL) | |
Query: Severe Plantar Hyperkeratosis
This 59 year old male presented with extensive hyperkeratosis, bilateral and symmetrical on the plantar aspect of the heel as well as its periphery. He also has global forefoot keratoma and digital keratoma. His medical and surgical history is unremarkable. He has a cavus/supinated foot type, which is causing some of the hyperkeratosis formation. He states that this condition started about three years ago, with bilateral changes to his nails on the feet and hands (no callus to the palms). Nails and callus have a yellow/brown discoloration.
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Severe Plantar Hyperkeratosis (after debridement) |
Treatment has consisted of debridement of the calluses. I've discussed with him the possible advantage of orthotics, based on foot type and biomechanics. A dermatologist simply prescribed a hydrocortisone ointment that softened the lesions enough that he could attempt self-care. Any advice would be appreciated.
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| QUERIES (EMR) | |
Query: Verifying EHR Backups
With the recent HIPAA changes this past September, what is the best way to verify the integrity of our EHR and medical billing daily back-ups without affecting my current patient data on the server that holds the EHR and billing software?
Joseph Borreggine, DPM, Charleston, IL
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Jeffrey Kass, DPM, Michael M. Rosenblatt, DPM
This foot appears to be screaming Lapidus. I think if you fuse the first met base-cuneiform, you will not have to do any head work at all as when you properly align the first ray, there will be no bone sticking out medially.
I agree with the doctor who wrote about the "instability of the first ray" probably causing a very interesting and unusual "impingement" of the base/neck of the 2nd metatarsal area. I also noted some increased bone density at the site of impingement, which I think utterly proves the "case" for instability, with constant on and off pressure from the base of the 1st metatarsal during gait cycle.
Therefore, it makes no sense to do any surgery that only deals with...
Editor's note: Dr. Rosenblatt's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Barry Mullen, DPM
The extent of metatarsus adductus looks more than significant enough to increase the effective IM angle to a point where I agree that a distal 1st metatarsal osteotomy alone would not be expected to hold up in such a young patient. The metatarsal protrusion angle is fine. As such, pending the extent of 1st ray hypermobility, I'd opt for either a Lapidus fusion (if grossly unstable), or closing base wedge osteotomy (if stable). Additionally, the PASA looks very elevated, so a Reverdin-Laird is also likely needed, with proximal correction to properly realign the 1st ray.
Philosophically, I never did quite understand an approach where one does a "lesser" procedure because of its ease if one truly felt a more aggressive correction was in the patient's best interests. The lone excuse might be if a patient couldn't take the appropriate amount of time to properly manage the foot post-op, in this case 6 weeks of non-weight-bearing. Then again, in those instances, why not just postpone the needed correction UNTIL the patient can fully commit to the required post-op course? Otherwise, you are just asking for trouble.
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ACE USA and RPS Healthcare Expand Podiatrist Professional Liability Coverage
The Patient Protection and Affordable Care Act and Centers for Medicare & Medicaid guidelines and rules resulted in a record number of investigations and enforcement actions in 2011. ACE Medical Risk, a division of ACE USA, has responded through an endorsement that increases limits on Medicare/Medicaid legal expense reimbursements, raising coverage limits from $30,000 to $50,000 per action, with an annual aggregate of $50,000. This product is underwritten by companies within the ACE Group, an A.M. Best “A+” rated carrier, and is offered to podiatrists exclusively by RPS Healthcare, National Program Administrator of the Podiatry PLUS programs and one of the largest wholesalers and the largest Managing General Agent in the country. For more information Call 800-397-9697 ext 2646.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Pete Harvey, DPM
The concept of medical apology was first promoted by Doug Wojciezak in Illinois. Other states, like Michigan, later developed similar concepts.
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Jengyu Lai, DPM
Nutrition/diet is part of lifestyle medicine. We learned it from a family physician who joined our practice last year. He used to be the chair of family medicine at Mayo Clinic. You can find scientific publications by Dr. Ornish (President Clinton's physician) and more information from Dr. Fuhrman.
Reducing inflammatory pathways is the goal, and losing weight is the by-product. We have many patient testimonials. The majority of our physicians and staff adopt the diet at various degrees. I'm just glad that I can refer my patients to the family physician instead of hearing the scope of practice arguments.
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MEETING NOTICES - PART 1
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Stitched up and ready to play? |
Here are Kobe's new basketball sneakers which he designed with stitches in the back to remind him of his Achilles surgery and rupture.
Source: Submitted by Dr. Peter Bregman
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MEETING NOTICES - PART 2
BEST HOLIDAY GIFT? TRIP TO ARGENTINA!
Take advantage of a podiatry meeting in Argentina
May 3-11, 2014 - CME Provided
6 spots left!
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| CLASSIFIED ADS |
PART-TIME PRACTICE FOR SALE - NYC
Great Opportunity! Retiring podiatrist selling part time (18-20 hrs/wk), fully equipped, multi-disciplinary practice upper West Side of Manhattan. Densely populated, street level location near subway. 27 years at location. Option available to expand to full time or to share with eventual purchase. Reply to kappy105@yahoo.com. In subject please write: West Side Office.
PRACTICE FOR SALE – GLENDALE, CA
Retiring from part-time practice averaging 15 hours a week practice, grossing well over $130,000 a year. No HMO, PPO or hospital surgeries (but located 20 minutes from 5 major area hospitals). Only accepting private insurance, Medicare and cash. Not participating in the diabetic shoe program. Unique practice specializing in off label liquid SILICONE injections (no insurance…cash only), Cryoneuroablation, x-rays, ultrasound imaging, Lixiscope, soft tissue surgeries, and some palliative care. In same great location, in the center of everything for the past 43 years. Unlimited potential. Call 818-384-2479.
ASSOCIATE POSITION - NEW YORK/ NEW JERSEY
Looking for experienced podiatrist or 2013 residency graduate who is currently seeking to run a practice within a multi-specialty practice(s). Must currently be on Medicare and at least three to five insurance plans or have been accepted by those plans. Should be motivated and committed to be part of a healthcare team. Extremely competitive salary with the long term relationship in mind. Must have a minimum of one full day per week available and could be up to five days. Opportunities in several areas of NY and NJ areas with new opportunities becoming available. Podiatry8888@yahoo.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 – CONNECTICUT (HARTFORD AREA)
Available immediately. Looking for a Board Certified Surgeon with strong RF and ankle skills. This 20 year established practice offers EHR, digital x-ray and Noveon laser. All dues, malpractice and health insurance paid as well as 401K available. Excellent compensation. email lynnleblanc@cox.net
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
ASSOCIATE POSITION - BOSTON SUBURB
Excellent opportunity to join a well-established practice. Located in western suburb of Boston. Office includes EMR, digital x-ray, orthotic scanner. Seeking personable, enthusiastic, motivated associate with goal to become partner. Practice includes surgery, sports medicine, general podiatry. PSR 24/36. Send CV to: jstewartdpm@comcast.net
IMMEDIATE OPENING - SOUTH JERSEY
Exceptional opportunity for a full-time, surgically trained podiatrist to join a busy, well rounded practice covering all aspects of podiatry including; surgery, wound care, and sports medicine. Must be highly motivated, personable, and have good communication skills. The practice is affiliated with a hospital residency program. Opportunity for future buy-in/partnership. Please send cover letter and CV tosuperstarstaff1@gmail.com. In the subject line, please write, "I am your next associate."
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
ASSOCIATE POSITION –OH
Group practice in Ohio seeks a well-trained surgeon, PSR24/36 preferred. Our practice provides all of the latest technology needed to provide patients with the best care, including Lasers, PAD Testing, DME, EMR and Digital X-ray. Competitive compensation package including salary and bonus. Please send CV to: DPMgroup1@yahoo.com
ASSOCIATE POSITION – LONG ISLAND, NY
Looking for an experienced ethical, board certified/qualified podiatrist, must be personable, energetic and highly motivated. Well rounded practice incorporating all phases of podiatry including general podiatry, surgery, wound care, orthopedics. P/T, F/T position available, excellent salary. Please email CV to:jobke@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
ASSOCIATE POSITION - TAMPA BAY AREA
Excellent opportunity to join a well-established multi-office group practice in the beautiful Tampa Bay area starting July 2014. We are seeking a highly motivated, ethical and outgoing physician with Florida license to join our growing practice. Competitive salary, excellent benefits, bonus structure with partnership opportunity. Please email CV to Kpontious9@yahoo.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.
EQUIPMENT FOR SALE – USED PINPOINTE LASER
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 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
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.
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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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