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PM News

The Voice of Podiatrists

Serving Over 16,812 Podiatrists Daily


December 24, 2014 #5,251 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

aetrex


PM NEWS QUICK POLL

Quick Poll

How long was your residency?

Multiradiance


AT THE COLLEGES
Dressing for the Holidays at the FCNY
 
"Dressings" for the holiday at FCNY
 
There's no need to let a little surgery get in the way of holiday cheer! Doctors and students made sure that Foot Center of New York (FCNY) patients’ lower extremities are dressed for any festivity. The patients love their fun holiday bandages!

AMERXL4


optima6


PODIATRISTS AND SPORTS MEDICINE
CT Podiatrist Discusses Lower Back Pain in Runners
 
Many athletes suffer from lower back pain associated with muscle strains or spasms. "If the back pain is not due to a direct trauma and no numbness goes down the leg, it may be due to a structural weakness. Always look to the feet, which may be the problem," says podiatrist Dr. Robert F. Weiss.
 
Dr. Robert Weiss
 
"A common cause of lower back problems is a biomechanically weak foot, especially the Morton's foot. This foot type is structurally and mechanically imbalanced, allowing the foot to pronate, or roll in. To add to the problem, running on the hard roads causes trauma with retrograde forces up the foot, legs, and lower back," says Weiss.
 
Source: The Westport News [12/22/14] 

Dr.Comfort


Safestep


INTERNATIONAL PODIATRISTS IN THE NEWS
Trinidad Podiatrist Discusses Onycholysis
 
Onycholysis means separation of nails from nail beds. "There are many causes for such a development. Nails worn long, are frequently lifted by being snagged. It is a nail disorder frequently encountered, and is characterised by a spontaneous separation of the nail plate from the underlying and or lateral supporting structures," says podiatrist  Leana Huntley.
 
Leana Huntley
 
The most common cause of onycholysis is trauma. "Even slight trauma can cause onycholysis when it happens repetitively, for example, the daily tapping of long fingernails on a keyboard or counter. Onycholysis also can be caused by manicure tools that are pushed beneath the nail to clear dirt or smooth the nail. Too much moisture also can cause the problem. Nails with onycholysis are usually smooth, firm, and without inflammatory reaction. Onycholysis is not a disease of the nail matrix, but nail discoloration may appear underneath the nail as a result of secondary infection. When it occurs, a co-existent yeast infection is suggested," says Huntley. 
 
Source: Trinidad Express [12/22/14]

ortho4


IN THE COURTS
Supreme Court to Hear King v. Burwell on March 4
 
The U.S. Supreme Court has scheduled oral arguments in King v. Burwell for March 4, meaning a decision in the landmark case is likely by the end of June. The question in King v. Burwell is whether the language of the Patient Protection and Affordable Care Act allows consumers to receive premium subsidies in states that have not established their own exchanges and instead are relying on HealthCare.gov. One part of the law says the subsidies are available only to Americans who enrolled “through an exchange established by the state,” leading those behind the lawsuit to argue that the subsidies shouldn’t be available to those in states without their own exchanges. 
 
But the Obama administration argues that the law's clear intention was to offer subsidies and expand coverage to Americans in every state, and that other sections of the law indicate that subsidies are available to people in states served by the federal exchange. The IRS has been interpreting the law to mean Americans in every state should be eligible for the cash. If the court rules the subsidies illegal in states without their own exchanges, its likely millions of Americans would no longer be able to afford their insurance. That in turn could lead healthy people to drop their coverage, leaving only the sick on the federal exchange. That could put insurers in a financial bind and the law itself in jeopardy.
 
Source: Lisa Schencker, Modern Healthcare [12/22/14] 

Pedifix


PRACTICE MANAGEMENT TIP OF OF THE DAY
Tips for New Medical Practice Staff Performance Reviews - Part 2
 
Many practices hold a 90-day review with new staff members to discuss performance, areas that need improvement, and provide kudos for a job well done. Here are a few tips to help ensure you are making the most of these important evaluations:
 
3. Be detail-oriented. Frame the review (and your conversation with the staff member) around their job description. Be on the lookout, however, for smaller details when it comes to professionalism and patient relations. For instance, consider whether the staff member is willing to ask questions (a good thing), and if he is always asking the same questions (a bad thing). Similarly, don't focus on how often he makes mistakes, but on how often he learns from those mistakes, said Stryker. "If you make the same mistake repeatedly then we've got a problem — you have to learn from that."
 
4. Gauge engagement. You want your staff members to be engaged and committed to helping improve your practice. Consider how many suggestions the staff member has made that were helpful and whether the staff member is willing to share her input and ideas, said Stryker.
 
5. Ask for input. The 90-day review isn't just for you to share your thoughts, it's also the new hire's opportunity to share his thoughts, experiences, needs, and questions. Ask the staff member how he feels about working in the practice, how the orientation process could be improved, and so on, said Troy Jaklich, president of Legacy Human Resources, which specializes in medical offices. 
 
Source: Aubrey Westgate, Physicians Practice [12/9/14]

optima5


CODINGLINE CORNER
Query: Coding the Treatment of a Porokeratosis
 
How do I properly bill (diagnosis and procedure code) for treating a painful porokeratotic plantar discreta lesion that I treated with cantharidin? The patient has Medicare. 
 
Carlos Dimidjian, DPM, Big Spring, TX
 
Response: The question is how successful, long-term, is the treatment? I will assume the application of canthardin is meant to destroy the benign lesion. The procedure coding would be CPT 17110. The ICD-9 code for a typical acquired painful porokeratotic plantar lesion is ICD-9 705.89 - disorder of sweat glands, other. 
 
You should check with the Novitas (Texas) Medicare for coverage guidelines. 
 
Tony Poggio, DPM, Alameda, CA 
 
Codingline subscription information can be found here
APMA Members: Click here for your free Codingline Silver subscription

Dr. Remedy


RESPONSES/COMMENTS (NON-CLINICAL)
RE: Becoming a Certified Foot Care Nurse 
From: Michael Costantino, DPM
 
With all the emphasis on surgical training, this link illustrates how some in the nursing profession view basic foot care as an area that is underserved. Has the profession taken this area of patient care for granted?
 
Michael Costantino, DPM, West Palm Beach, FL

manta


RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
From: Joseph Borreggine, DPM
 
I stumbled across this article this morning from a fellow colleague who posted this on her Facebook page. I believe that this article has hit the nail right on the head. The regulations that have been created over the last decade certainly have impeded the delivery of good medicine.
 
Joseph Borreggine, DPM, Charleston, IL

icsdec


YOU CAN'T MAKE THESE THINGS UP

RE: Post-op Christmas Spirit

Christmas Crutches
 
This patient came in for his first post-op visit using his crutches. He obviously was not going to  let foot surgery interfere with his festive holiday spirit. Note: the lights were battery-operated.
 
Dr. Pat Caputo, Holmdel, NJ
MEETING NOTICES - PART 1

mailtoIFAF

ACFAP


CLASSIFIED ADS
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
 
POSITIONS AVAILABLE - FULL TIME/ PART TIME WISCONSIN
 
Opportunities to serve residents of long-term care facilities in Madison and Milwaukee Wisconsin. High earning potential with competitive benefits as part of a 40 year old company for the right candidates. Contact ckestner@preferredpodiatry.com for additional information.
 
 
ASSOCIATE POSITION- NORTHERN NJ - MORRIS COUNTY
 
31 year old established, respected office with 4 DPMs. Large referral base from PCPs, Vascular, Peds and Orthopedists. A well-rounded hospital and surgical center based podiatry practice encompassing all aspects of foot and ankle care. Large number of new patients weekly, solid surgical schedule. Large modern office with digital x-rays and EMR. Involved with residency program. Looking for a personable individual with strong ethics and high motivation. Seeking serious associates only leading to partnership. Must have PMSR/RRA or equivalent training. Very competitive compensation package. Starting July 2015. Please email CV and references to Northnjpod1@gmail.com
 
ASSOCIATE POSITION  - TAMPA FLORIDA 
 
Beaches, great weather, great restaurants, culture , all year!  – Be part of a unique thriving practice model that will survive any environment. "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
 
ASSOCIATE POSITION – GEORGIA 
 
Join our Team! Thriving, five location, progressive, podiatry practice seeking a family-oriented Associate Podiatrist to build career and long-term relationship. Must be surgically trained (PSR-24/36) and have EMR experience. Position available in our Statesboro, GA location, one of the fastest growing cities in Georgia and home to Georgia Southern University. Associate will have full range of services and access to Surgical Center along with access to all of the latest diagnostic and therapeutic technologies. Email CV with Cover Letter to hr@atlanticfeet.com.
 
ASSOCIATE POSITION AVAILABLE -  NORTH GEORGIA/CHATTANOOGA AREA
 
Busy group practice located in Chattanooga area seeking a growth-oriented individual with a strong work ethic to join our expanding 5 physician TEAM.  Must have PM&S 36.  Established patient base with tremendous growth opportunity.  Associate with partnership potential. Chattanooga offers a strong music and arts culture, unrivaled outdoor amenities, and a government/populace committed to sustainable development.  Competitive Salary and benefits.  Email cover letter and CV to hr@advfootcare.com
 
ASSOCIATE POSITION - OHIO 
 
Well-established group practice in Ohio seeks a well-trained surgeon, PSR24/36. Our practice provides all of the latest technology needed to provide patients with the best care, including ultrasound, 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 – SOUTH EAST FLORIDA 
 
Growing south east Florida practice seeks personable  motivated associates for long term position. Rearfoot and ankle training required. Please reply with CV to jbv2323@gmail.com 
 
IMMEDIATE POSITIONS AVAILABLE - UPSTATE NEW YORK- SYRACUSE, UTICA, AND ALBANY AREAS
 
Looking for podiatrists to see residents in nursing homes in and around Upstate New York. Great opportunity for full-time or part-time income. Positions available immediately! Email inquiries tophasetwopodiatry@gmail.com
 
ASSOCIATE PART-TIME POSITION – PHOENIX ARIZONA
 
Seeking part-time associate in a group practice. Board Qualified/Certified , motivate, ethical, hard-working. Established 30 + year-old practice with diverse patient demographics with large referral base. Letter/CV to pdxbaba@gmail.com
 
ASSOCIATE POSITION AVAILABLE FOR SOUTHEASTERN PA
 
General and surgical podiatry practice providing comprehensive patient care with hospital privileges available.  Must be surgically trained.  Send letter and CV to  podmedsurg@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 -  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 PODIATRIST POSITION – CHICAGO AREA 
 
Well-rounded urban practice with hospital affiliation looking for Associate to cover 2 offices. All phases of podiatric practice. Four day week schedule.  Must have 3 year residency and proficient in rear foot surgery. Six figure base income, health, malpractice, 401K Contribution. Joint Commission Accredited on-site surgical suite.  Interested podiatric physician can fax your resume to:  773-374-5860 or e-mail drjenkins@southchicagofoot.com
 
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 to amanda.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 – X-RAY MACHINES  
 
Two classic podiatry base unit x-rays machines.  1) a 1992 model but basically in perfect shape. Recently calibrated and inspected. MB700A1C $2,500. The second is older and the platform could use new vinyl but the head was recently replaced, so basically it’s a brand new tube. We're only asking $1,500 for it. We're in Austin Texas so any shipping, other than driving it, will be expensive due to weight and insurance. Mark Robson 512-944-2920 mrobsondpm@aol.com
 
EQUIPMENT FOR SALE 
 
(1) Extra Corporeal Acoustic Therapy - Cura Medix  D Actor 50- 2 yrs old. 3 Applicators. Excellent Condition $12,000 OBO (1) Pressure Specified Sensory Device - Quantitative Sensory Testing with Light Touch, Two-Point Discrimination and Grip Strength- $15,000 OBO. jbv2323@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.
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.
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Barry H. Block, DPM, JD
 
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