The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

December 17, 2011 #4,334 Publisher-Barry Block, DPM, JD

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Walk Regularly for Exercise: NY Podiatrist

"Sore feet may be from artificial surfaces we walk and run on, overuse, or being overweight," says Rochester Clinic podiatrist Dr. David E. Jones, who specializes in medical, surgical, and biomechanical foot and ankle management. 

Dr. David Jones

"Walk regularly for exercise (and don't confuse good walking shoes for work with dress shoes). Spray all your shoes with Lysol monthly to limit fungus," says Jones.

Source: Jeff Hansel, Post-Bulletin.com [12/14/11]

Sole Supports Donates to Yucatan Crippled Children’s Project at Barry

Barry University’s School of Podiatric Medicine received a $12,000 donation from Dr. Ed Glaser of Sole Supports, Inc., (Lyles, TN) for the Yucatan Crippled Children’s Project (YCCP). The contribution subsidizes costs for medical supplies and equipment.

(L-R) Dr. Ed Glaser of Sole Supports, Inc., with Dr. Charles Southerland, medical director for the Yucatan Crippled Children’s Project

For 15 years, the YCCP has been going on medical mission trips to Merida, Mexico to perform surgery on disadvantaged, crippled children from the Yucatan Peninsula. The project has organized more than 70 trips rendering treatment to more than 7,400 children in need. Dozens of doctors and students alike train and assist in surgeries, logging in more than 23,500 volunteer hours – providing their expertise and time to the mission.

SPY Imager Shows Blood Flow in the Skin: CA Podiatrist 

When a doctor is surgically debriding a wound, it is not always possible to see the extent of the dead tissue needing removal. There are now devices to help doctors see exactly where to go during the surgery by revealing which tissue still has blood flow (live tissue) and which does not (dead tissue). 

Dr. Lee Rogers

According to Dr. Lee C. Rogers, Associate Medical Director of the Amputation Prevention Center at Valley Presbyterian Hospital in Los Angeles and Chair of the American Diabetes Association’s Professional Foot Care Council, “The SPY Imager from Novadeq is brand-new in the wound-healing arena. It is a novel device that uses a kidney-safe dye that can shows you the blood flow in the skin when looked at with a laser camera. Additional devices that can help doctors assess the blood flow to your limbs are PADnet from BioMedix, and SensiLase from Väsamed.”

Source: Joy Pape,  RN, Diabetes Self-Management [12/12/11]

FL Podiatrist Sucessfully Defends Her PhD Thesis 

First year podiatric resident Dr. Jaclyn Marino of the Miami VAMC has successfully defended her PhD thesis; “The Emotional Impact on Familial Caregivers of the Diabetic Foot Ulcer Patient.”  

Dr. Jaclyn Marino

Her work was presented to the School of Public Health at The University of North Texas Health Science Center at Fort Worth in partial fulfillment of the requirements for the Degree of Doctorate of Public Health, Social & Behavioral Science.

TN Podiatrist Sponsors Peskanov Festival Recital 

Alexander Peskanov, world-renowned concert pianist, composer, master teacher, and the author of The Russian Technical Regimen, is returning to the Tri-Cities area in January. Mr. Peskanov will pay tribute to the 200 year anniversary of Franz Liszt celebrated in 2011. 

Dr. Paul Schodowski

Dr. Paul Schodowski of Kingsport Podiatry, is a sponsor of the event. Schodowski graduated fromTemple University School of Podiatric Medicine and completed his residency at Montgomery Hospital.

Source: Times-News [12/14/11]

Query: Chronic Diabetic Ulcer

I would appreciate some suggestions as to how to cure this ulcer in this 51 yr white female, 5'2", 170 lbs who presented with a diabetic ulcer she has had for the past 10-12 months. She has been a Type 1 diabetic, with accompanying diabetic neuropathy for the past 10 yrs. Her meds include the following: Novarapid, NPH, Cymbalta, Lyica, Synthroid, conjugated estrogen, Apo-Atorvastatin. 

Chronic Diabetic Ulcer

Previous treatments have included 2 sessions of Flagyl 500 and Clavulin 500 together, each session for a 4-week period. She is using crutches to remain non-weight bearing on that foot. She is presently using Amerigel daily. X-rays are normal. Debridement occurs every 3-4 weeks. There is no sinus tract present and the surrounding skin is normal with granulation tissue present. There has been minimal change since the inception of treatment.

Kel Sherkin, DPM, Toronto, Canada

Query: Contrast Material for Injections

Does anyone know where our clinic can obtain contrast material for injections?

Brandon Nelson, DPM, Seattle, WA

Query: Diabetic Shoe Frequency

Could someone please clarify the Medicare guidelines regarding the frequency of dispensing diabetic shoes and inserts? I'm aware that they are covered for one pair of shoes and 6 inserts per year. However, if they receive shoes and inserts on October 30, 2011, would they be eligible for another pair on January 1, 2012? I'm just a little confused as to whether "per year" is 12 months from previous dispensing or from January 1 - December 31.

Vicci Nails, Billing Manager, Ankle & Foot Assoc, LLC,  Waycross, GA

Response: This clarification comes directly from the article attached to the Therapeutic Shoes for Persons with Diabetes LCD:

"For patients meeting the coverage criteria, coverage is limited to one of the following within one calendar year (January – December):

- One pair of custom molded shoes (A5501) (which includes inserts provided with these shoes) and 2 additional pairs of inserts (A5512 or A5513); or

- One pair of depth shoes (A5500) and 3 pairs of inserts (A5512 or A5513) (not including the non-customized removable inserts provided with such shoes)."

So, yes, given your scenario and based on the calendar year definition, a patient could receive one pair of shoes and the three pair of insoles on October 31st of this year and be eligible for another pair starting January 1st of next year.

Paul Kinberg, DPM, Dallas, TX

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RE: Allscripts Vendors are Not Created Equal
From:  Frederick J Rothberg, DPM

I also have been misled by E-transmedia. We were promised a podiatry version of Allscripts Myway which they did not deliver. E-transmedia is not capable of providing the podiatry content as was promised. Instead, they are attempting to modify the medical program in lieu of providing the real podiatry product.

Microwize is a computer company located in Paramus, NJ which created and sold the podiatry content to Allscripts Myway.  However, E-transmedia is unwilling to pay for the podiatry license from Allscripts to permit them to download the data for the podiatry program. I suggest that anyone who would like to use Allscripts Myway go directly to Microwize and to avoid E-transmedia. It has been a frustrating experience that is still unresolved in our practice.

Frederick J Rothberg, DPM Brick NJ frothberg1@gmail.com

RE: Concierge Medical Care on Demand (Bret Ribotsky, DPM)
From: Eric Edleman, DPM

Dr. Ribotsky's spine surgeon friend has figured out how to get tipped, just like when we leave extra for the waiter for great service at dinner. What's the expected gratuity if you need an operation performed correctly? An extra $1,000? He's not going to win a humanitarian award, but this is not unheard of. In the old Soviet world of Eastern Bloc countries, doctors were paid so poorly under the socialized medical system that it was customary for patients or their families to offer gifts or money in order to receive their care.

Perhaps this is where our own medical care system will wind up eventually. You'll have your Medicare card and then you'll need to slip the guy at the blood lab $20 for your blood test, or the fellow at the MRI scanner $100 to get you in "this month." Just like slipping the maitre d' a few bucks to get your table faster. Sarcasm aside, we should probably be better than this.

Eric Edleman, DPM, Syracuse, NY, ericedelman@gmail.com

RE: Starting a Practice (Michael Rosenblatt, DPM)
From: Pete Harvey, DPM

I agree with Dr. Rosenblatt. Practice management meetings offer many tips on starting and running a practice. One of the greatest tips I ever received was from Bob Levoy many years ago when he asked the audience to stop practicing on Saturdays. Then I eliminated Fridays. Next will be Thursdays.
 
Pete Harvey, DPM, Wichita Falls, TX, pmh@wffeet.com

RE: This Country is Going Broke (Robert Bijack, DPM)
From: David S. Wander, DPM

Dr. Bijack, I'll be happy to relay your message to my wife, who is an Ivy League grad and a special education teacher, that you consider her "minimally skilled" and overpaid only because she belongs to a union. I guess her salary has nothing to do with her education, hours after school she dedicates to her students, her compassion, AND her significant skills.

David S. Wander, DPM, Philadelphia, PA, dswdpm@gmail.com

ASSOCIATE POSITION - CENTRAL VALLEY/SOUTHERN CA
 
Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital-based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to: Tonya@wetreatyourfeet.com
 

ASSOCIATE POSITION - ALBANY/CAPITAL DISTRICT AREA

Immediate position available with generous salary, fringe benefits and percentage. All phases of Podiatry. For more information please contact Dawn at (518) 828-6516 or fax your resume to(518) 828-9510.

ASSOCIATE NEEDED - NORTHERN CINCINNATI, OHIO (FAIRFIELD)

Lead to partnership &/or buy practice. Well-established, reputable & successful (700K collection annual) 25+ year practice. Newer 2k sq.ft office condo & w/5 tx rooms, Aver.80 new patients monthly, full hospital privileges, DME, Padnet, digital x-rays. Inquires to email: gsherwood1@cinci.rr.com

ASSOCIATE POSITION - NAPLES, FLORIDA

Great opportunity for PSR- 24/36 BE/BC podiatrist with strong surgical skills to join multi-office practice. Hospital privileges available at 648 bed hospital system, 200 bed hospital system and multiple surgical centers. Candidate should have the skills and desire to perform rearfoot/ankle surgery. Florida has a great scope of practice law and we rotate for ER call. Candidate needs to be ethical and motivated. Established practitioner or new practitioner. In a cover letter tell me why you should be selected for the team. Email cover letter and CV with subject line "I am your new team member." to Drgordon@gulfcoastfootcare.com

ASSOCIATE POSITION - SOUTH CAROLINA

Upstate practice seeking PSR-24/36 trained associate. Full-time position with  partnership opportunity. Must be ethical,  highly-motivated with strong surgical and medical skills. Please send CV to palpodiatry@att.net

ASSOCIATE POSITION - NEW MEXICO

Exciting opportunity for an associate in sunny Albuquerque, New Mexico. Please visit our website at FamilyFootTeam.com for all the details and how to apply.

ASSOCIATE POSITION - TEXAS

Practice in Houston is looking for PSR 24/36, BE/BC trained doctor. We are situated in an affluent area with a large medical community with EMR, diagnostic ultrasound, digital x-ray, multi use laser and our own surgery center. We seek a highly skilled surgeon, well-trained in trauma, wound care and rear foot reconstructive procedures willing to learn and incorporate into our “system.” Must be outgoing, goal-oriented, motivated and positive. Partnership available after successfully attaining the first year’s goals. Compensation includes excellent salary, health benefits, paid vacation and CMEs. Please send CV, references and letter of interest to faajobs@gmail.com

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - EAST TENNESSEE

30 year old practice with 5 offices in greater Knoxville area seeking ethical, personable, hardworking, team player. $160,000 base salary with bonus incentives and benefits. Post-residency experience a plus. Please send resume to ddavidphawk@yahoo.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Immediate position for associate to partnership for a surgeon that is BQ/BC by ABPS. Must be a PSR-24 or PM&S-36 trained. 100K start. Must be ethical, self-starter, hard worker ,team player. Willingness to learn / work as part of a team. Great ancillaries & surgery facility. Must be proficient in rearfoot/ankle surgery. Email CV and recent cases to: susmitad86@yahoo.com

ASSOCIATE POSITION - TEXAS

Well established, expanding podiatric medical and surgical practice with multiple locations Northeast of Dallas, Texas. Modern offices with EHR, digital radiography, Padnet vascular studies and laser. We offer a competitive salary and benefits package for a motivated, ethical, personable and well trained PSR/36 or board equivalent. This individual will also assist managing the residency program. Send resume (CV)to northtexaspodiatry@yahoo.com along with a letter of intent.

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 516 476-1815 PODO2345@AOL.COM

PRACTICE FOR SALE – NANAIMO, BRITISH COLUMBIA, CANADA

Have you ever dreamed of owning a practice where...you can see 0-50 patients daily * average 100 new patients monthly * have zero accounts receivable * gross $480K per year * live in a beautiful community with skiing, hiking, fishing, and boating on your doorstep. This could be yours! If interested contactpistone@telus.net or call 250-754-4192.

EQUIPMENT FOR SALE - SUPERPULSE 45 WATT PEAK POWER LASER (LUMIX2)

Superpulse 45 watt peak power Laser (lumix2) used once or twice. This is a real superpulse 910nw up to 100,000 HZ. Great Laser Used in the super bowl by the Green Bay Packer Why am I selling? I have too many lasers in my office now ( six) This is a great laser for plantar fasciitis. Achilles tendonitis. Lightweight portable. easy to use, fully programmable Sold to first person under $$12,000 You will NEVER get a laser like this at this price. Enjoy. it I just have too many lasers. David Zuckerman DPMfootcare@comcast.net

EQUIPMENT FOR SALE - LASERSCOPE LASER SYSTEM

Laserscope Model Lyra i YAG Laser system with 3 handpieces, eyewear sets, calibration unit, complete manual, foot control and video information, for fungus nails, vein therapy and hair removal. The unit has the attached cooling system and all accessories. flpodiatrist@tampabay.rr.com

PM News Classified Ads Reach over 13,500 DPM's 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 13,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $109 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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