The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

December 25, 2012 #4,647 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2012- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

NY Podiatrist's Foundation Releases Winter Wonderland Song

Dr. Kathy Reilly Fallon and New Song

Heavenly Productions Foundation, a non-profit charitable organization founded by podiatrist Dr. Kathy Reilly Fallon to assist needy children has just released "Winter Wonderland", a single song release. The vocalists on this song are: Dr. Kathy Reilly Fallon, Lindsay Harrison Lukeman, and Amanda Nicole.

Query: Aldara for Verrucae

Does anyone have experience using topical Aldara (imiquimod) for the treatment of plantar verrucae? It is a drug classified as an immune response modifier. Its application dosage is three times per week for up to 16 weeks.
 
Joshua Kaye, DPM, Los Angeles, CA

RE: The Passing of Susan Gudeon

I want to thank everyone for your kind thoughts and prayers on the loss of my brave wife Susan, who finally lost her 28 month battle with pancreatic cancer yesterday. She's resting and at peace, always having appreciated the love and support you all gave to her. For those of you who have asked, here are the details of the arrangements:

Funeral Services: Monday, December 24, 10am at Parkside Chapel, 98-60 Queens Blvd., Rego Park, NY 11374. Shiva afterwards, 2pm-6pm at the home of Dr. Arthur Gudeon, 6400 Saunders Street, Apt. 5J, Rego Park, NY 11374.

Shiva at the home of Karla Gudeon, 3 Milleridge Lane, Smithtown, NY 11787 (631) 553-4779: Tuesday, Dec. 25, 12pm-5pm. Wed., Dec. 26, 12pm-4pm & 6pm-9pm.

Arthur Gudeon, DPM, Rego Park, NY, afootdoc@hotmail.com

RE: Use of Terbinafine With History of Chronic Hepatitis C (Edmond F. Mertzenich, DPM)
From: Jay D. Helman, DPM

Pulse dosing terbinafine will not raise liver enzyme levels. Two tabs daily for one week and repeat for 3 consecutive months, then re-evaluate at 6 months to determine if additional dosing is necessary. I've used this method for the past 10 years without any side-effects or liver enzyme issues. If the patient goes to Walmart, he can get the medication (28 pills) for $4. Just make sure you're dealing with a dermatophyte, not spores or yeast.

Jay D. Helman, DPM, Pearl River, NY, footdr80@hotmail.com

RE: Footwear Modifications S/P 4th and 5th Ray Resections (Jeffrey Kass, DPM)
From: Seth J. Steber, DPM

As the primary doctors of evaluating human motion & biomechanics, we need to evaluate our patients accordingly, and with quantitative data. There are affordable systems available to use in our practices to quickly evaluate our treatments in the cases Dr. Kass is talking about. These systems can evaluate our patients barefoot, in shoes, in shoes with orthoses or braces - all in under 5 minutes. Evaluate, intervene, and re-evaluate. 

Seth J. Steber, DPM, Lehighton, PA, acpwc@ptd.net

RE: Displaced MBA Implant (Louis W. Nordeen, DPM)
From: David Secord, DPM

As the MBA (or any other arthroereisis implant) doesn’t occupy or involve the STJ, why would you do an arthroscopic procedure there? What indication is there to violate a joint without radiographic indications of osteoarthritis or pathology? Did you mean to ‘scope’ the sinus tarsi? If so, wouldn’t that disrupt the very fibrotic tissue and remodeling of the area which would make the need for the implant moot? I’ve also taken out my fair share of these, done nothing else other than some physical therapy, if indicated, and they do fine. I’d have to see some stats on this to be convinced it is unnecessary.

David Secord, DPM, Corpus Christi, TX, david5603@pol.net

RE: AOS Incompatibility problem with Windows 8 (Elliot Udell, DPM)
From: Robert Scott Steinberg, DPM

It's an AOS problem, period. They had months with the new Windows 8 (W8) code to update their program. That's their job. Microsoft does not have to modify Windows for every third-party program on the market. I would really push AOS, and I mean really push. Contact your state society, and post on other listservs.

Don't let up on AOS, and if they refuse to update their program, they may be in violation of the agreement. And, it was AOS's responsibility to check if AOS worked with W8 as soon as it was released to developers. AOS just decided to abandon you. It was reasonable to expect computers to die, and that AOS customers WOULD be replacing computers with ones with W8.

Robert Scott Steingberg, DPM, Schaumburg, IL, foot_doctor@sbcglobal.net

RE: Definition of Diabetic (Charles Morelli, DPM)
From: John L. Sherman, DPM

ADA guidelines for diagnosing:
 
Diabetes: fasting glucose of >126 or HgA1C of >6.5%
Prediabetes: fasting glucose of 100-125 or HgA1C of 5.7% to 6.4%
Normal: fasting glucose <99 or HgA1C of about 5%
 
Unfortunately, many patients are not told specific numbers by their doctor or do not want to hear that information when told. It is amazing how many patients deny it even though I can see the diagnosis listed in their medical record. There are always those patients who carry the diagnosis but do not consider themselves to have the disease, so but they do not take pills or insulin. For those patients, I explain that the “medicine” for them is better diet, weight loss, and exercise. This is when they usually state that their doctor has been telling them to do just that for years!
 
Can one become non-diabetic? Perhaps not, due to genetic predisposition. Certainly they can be well-controlled or in remission such as after gastric bypass.
 
John L. Sherman, DPM, Medford, MA, John_Sherman@vmed.org

RE: Efficacy of Compounded Drugs (Bryan C. Markinson, DPM)
From: Allen Jacobs, DPM

In response to the query of Dr. Markinson, compounding is not a "free for all" in which arena any practitioner might conjure up a witches brew of their liking. Compounding pharmacies with which I am familiar (I have used products from 4 different compounding pharmacies) are all very much supervised by pharmacists and Pharm.Ds, with the requisite knowledge to understand what agents may be combined with what agents, what agents may not be combined, and so forth. I suggest that those responsible have a great deal more knowledge of potential interactions and other potential issues than Dr. Markinson.

Individual compounded products do not undergo an FDA approval process anymore than...

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

RE: FL Podiatrist Publishes Children's Book
From: Robert Creighton, DPM

The book was inspired by my own children whose pillows always seemed to be on the floor being kicked and stepped on. After coming home from a day at the office, I could only imagine how many different microbes were residing on my kid's pillows. I have made the book FREE at Amazon from Monday, December 24th through Wednesday December 26th. I think our colleagues will definitely relate, and get a chuckle out of it. They can go HERE to get the book for Kindle device, Kindle for laptop/desktop, or Kindle app on phone. "Likes" and reviews at the book's Amazon page will be appreciated.

Robert Creighton, DPM, St. Petersburg, FL, rcreightonjr@hotmail.com

NYC PODIATRY OFFICE FOR RENT/SHARE

BEST NYC location. FIFTH AVE/42ND ST. Turnkey operation with two fully equipped, built out exam rooms, third exam room if needed , X-ray, Shockwave, lasers etc. Perfect for NEW PODIATRIST or SATELLITE location. ALL you need is a PHONE ,and COMPUTER! Even has in-office Physical Therapist for you to work with! RENT includes all other standard expenses (utilities, cleaning, waste disposal etc.) P/T, $2250. F/T., $3000 Please send inquiries to hansfeet2@gmail.com.

ASTORIA PODIATRY OFFICE FOR RENT/SHARE

BEST ASTORIA location. 30TH AVE./32nd ST. Turn-key operation with 4 fully equipped, built-out exam rooms, private Drs.' Office/Consult room, X-ray, cryo-therapy, beautiful waiting area, large staff area, Shockwave, Multiple Lasers etc. Perfect for NEW PODIATRIST or SATELLITE location. ALL you need is a PHONE and COMPUTER! RENT includes all other standard expenses (utilities, cleaning, waste disposal etc.) P/T, $2500. F/T., $3500. Please send inquiries to hansfeet2@gmail.com.

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.

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

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 - 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 - 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 - 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 - 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 - 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. 6 figures salary guarantee. New or experience practitioners welcomed. Email: mny1029@gmail.com

ASSOCIATE POSITION – NORTHERN CALIFORNIA/SF BAY AREA

We’re looking for someone entrepreneurial to join our growing practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. No nursing home visits. Send your CV and cover letter to: cvpodiatrist@gmail.com

ASSOCIATE POSITION - FLORIDA

Associate wanted for well-established practice in central Florida. Experienced support staff, six figure salary, malpractice coverage and health insurance provided. Excellent opportunity for a promising future, this position will provide for the possibility of partnership in the future. To apply please go to www.yourcareerinpodiatry.com

ASSOCIATE POSITION - GRAPEVINE, TEXAS

Do you want to practice in a fast paced office environment? Do you like all aspects of podiatric medicine? Very busy 2 office practice looking for associate to add to our group of 5. If you are a forward thinking, surgically trained podiatrist send your CV to giacalone@faant.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 o training. Must be Florida licensed. Great benefit package. Send CV and cover letter to 1foot.ankle@gmail.com.

ASSOCIATE POSITION - LEADING TO FULL OWNERSHIP 20 MINUTES NORTH OF BOSTON MA

Well-established practice & beautiful modern office and equipment great location. X-ray, EMR, ultrasound. Great work ethic needed. Fast track to ownership. Competitive starting salary. Well-rounded practice was grossing over 600K. Strong emphasis on surgery & sports medicine. Send CV to footguru@cox.net

ASSOCIATE POSITION - ORANGE COUNTY, NY

Full-Time or part-time. Looking for a highly motivated, surgical trained podiatrist in Orange County, NY (West Point). Hospital, wound center and surgical center affiliated. A busy practice that covers hospital in-patients, wound center, and ER calls. Must be trained in all foot surgery and be able to handle advanced diabetic wound care. 1 hour car ride from NYC and close to hiking, fishing, skiing and state parks. Email CV and contact info to: clsp4@yahoo.com

ASSOCIATE POSITION - NEW YORK

Established and modern podiatry practice seeking well trained podiatrist for our two offices located in the Hudson Valley. Individuals must be highly motivated, ethical, and have PM & S-36 training. Partnership potential! Please see our recruitment video (845) 471-2243, esims@simspodiatry.com

ASSOCIATE POSITION - CT - (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 - MICHIGAN

Multi-doctor practice looking to add associate for two offices in Flint, MI. Partnership opportunity for right person. Needs to be proficient in forefoot surgery. Two docs already proficient in rearfoot/ankle surgery. Competitive salary, paid vacation and seminars. Patient schedule available “now” from retiring associate. Email resume flintfootdocneeded@gmail.com

ASSOCIATE POSITION - 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

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.

• To Post a message, send it to:    bblock@podiatrym.com
• Notes should be original and may not be submitted to other publications or listservs without our express written permission.
• Notes must be in the following form:
  RE: (Topic)
  From: (your name, DPM)
  Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
  Your name, DPM City/State
• Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.