The Voice of Podiatrists

Serving Over 12,500 Podiatrists Daily

December 27, 2010 #4,047 Publisher-Barry Block, DPM, JD

A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2010- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.

TX Podiatrist Uses Acoustic Energy to Treat Plantar Fasciitis

Plantar fasciitis occurs when a patient suffers a micro-tear in the tissue that runs along the bottom of the foot, causing inflammation and heel pain. “If you can’t walk on your heels, then you can’t really walk," said Dr. Gabriel Maislos, a doctor of podiatric medicine. To treat the pain, Maislos offers a series of treatments using a device called E-PAT, which stands for extra-corporeal pulse activation treatment. It sends acoustic energy waves into the inflamed area to shock it back into shape, taking it from a chronic condition to an acute one.

Dr. Gabriel Maislos

“Basically, it reminds your body that you have this problem and you need to start the healing process, because when something’s chronic, it’s almost as if your body doesn’t realize that it needs to be healed," said Maislos. Each treatment takes about 15 minutes.  Most patients require about three treatments to get them back on their feet without pain. Each E-PAT treatment costs $200, and it is not covered by insurance. Some patients may feel a little sore after the first treatment, but that usually goes away within a day or two.

Source: Lisa Rose, KY3 News [12/24/10]

Two OCPM Faculty Members Named Ohio Magazine's Memorable Educators for 2010

Kathy Siesel, DPM and Stephanie Belovich, PhD have been named to Ohio Magazine's Memorable Educators for 2010.

Dr. Kathy Siesel

Dr. Siesel, OCPM Alumnus, is the Interim Chair of the Biomechanics and Orthopedics Department. Dr. Siesel has been teaching at OCPM for almost 20 years! Dr. Siesel is also a diplomat on the American Board of Podiatric Orthopedics and Primary Podiatric Medicine. She is involved in many community service events that include treating runners (with OCPM students) at local and regional marathons.

Dr. Stephanie Belovich

Dr. Belovich is the Chair of the Basic Sciences Department and has been teaching at OCPM for 17 years. Dr. Belovich is a member of the Council on Podiatric Education. She has contributed to many publications, including the chapter "Fractures in the Carlston Annis Shell Mound, Skeletal Population", in the book Archaeology of the Middle Green River Region, Kentucky.

Barefoot Running Not for Everyone: MD Podiatrist

Barefoot running has produced a legion of followers, although there are no significant studies on the positive or negative effects of the trend. “You definitely run differently,” said Dr. James Christina, director of Scientific Affairs of the American Podiatric Medical Association, because running barefoot changes the strike zone to the ball of the foot, and flexes tendons and strengthens muscles in a new way.

Dr. James Christina

Chistina adds that those who are unable to walk for long distances barefoot probably aren't meant to run barefoot. Shoes for barefoot running — such as the Vibram Five Fingers — are designed to provide no support, only to protect the bottom of the feet from foreign objects on the ground.

Source: Omaha World-Herald [12/24/10]

Revise Unfair e-prescription Policy, Doctors Say

The American Medical Association and more than 100 other state and specialty medical societies are urging the Dept. of Health and Human Services to revise a Medicare e-prescribing policy that slaps doctors with a financial penalty in 2012 if they don't meet specified e-prescribing criteria during the first six months of 2011.

The medical organizations are dismayed with a new regulation from the Centers for Medicare & Medicaid Services that uses e-prescribing activity during the first six months of 2011 as the basis for imposing penalties in 2012. In addition, the government would look at the entire 2011 calendar year to determine the 2013 penalties physicians would pay.

Source: Chris Silva, AMNews [12/20/10]

Query: Cost Savings With Digital X-Ray System?

Our office has not gone with digital x-rays as of yet. I can appreciate the ease of x-ray storage and modulation of the image. Pretty nifty. But on a dollars and cents issue, I cannot understand how digital films are going to pay for themselves. Other than convenience, how will it increase our income? Please explain.
 
Michael Forman, DPM, Cleveland, OH

RE: Undiagnosed Diffuse Skin Lesions (Joe Agostinelli, DPM)
From: Multiple Respondents

In view of the history given by Dr. Agostinelli, the esophageal mass must be diagnosed. If carcinoma, consider the Howell-Evans syndrome, which would fit the pattern of lower extremity skin lesions depicted.

Bryan C. Markinson, DPM, NY, NY, bryan.markinson@mountsinai.org

Consider  Howell-Evans syndrome. This is a form of keratosis plantaris palmaris hereitarium (KPPH) that has keratosis of palms and especially soles, plus carcinoma of the esophagus. Referral to a gastro MD is indicated. Then, if diagnosis is confirmed, local care  with large doses of vitamin A plus debridement and topicals like salicylic plasters and 40 percent ureas may be of help.

Marc A Brenner, DPM, Glendale, NY, Icare4yourfeet@aol.com

Although not seen every day, please consider cutaneous T-cell lymphoma (mycosis fungoides). Sometimes mistaken for T. corporis or psoriasis. Early lesions may even respond to topical steroids, further confusing the picture. Advanced disease may present with most of the findings mentioned, including the keratoderma. Hematology/oncology referral would be my choice. 
 
Gary Gugliada, DPM, Staten Island, NY, sage718@aol.com

RE: Undiagnosed Diffuse Skin Lesions (Joe Agostinelli, DPM)
From: Multiple Respondents

Think psoriasis. Do a punch biopsy to confirm.

Estelle Albright, DPM, estellealbright@hotmail.com

Do a microscopic skin exam for scabies.

Paul M. Taylor, DPM, Silver Spring, MD, paulmtaylor@comcast.net

The presence of oral thrush and peri-anal plaque makes me suspicious of undiagnosed HIV/AIDS. An HIV test or T-cell count will give you the answer you need.  While I have not seen these particular lesions in advanced AIDS patients (with thrush), I have seen a variety of skin lesion that were outside of the norm.

Please educate all of us and keep us updated when you discover the answer.

Kathy Satterfield, DPM, Pomona, CA, vsatterfield@westernu.edu

RE: Radiesse or Other Injectable Implants (Ron Worley, DPM)
From: Greg Aposperis, DPM

Just for informational purposes, please note that the late Sol Balkin, DPM (who practiced in Glendale, CA) used silicon injectables for lesions and replacement of fat pads. His work dates back to the 1960s and he was authorized to use this material, but was unable to get approval for this off-label use as he did not perform before and after immunological testing. His success rate was excellent and he published many papers on the subject, as well as having lectured and demonstrated his technique.

Greg Aposperis, DPM, Santa Barbara, CA, santabarbarafootclinic@yahoo.com

RE: Whom Do You Trust? (Robert Scott Steinberg, DPM)
From: Glenn B. Gastwirth, DPM
 
APMA does not have a “preferred partnership” with New Balance. Actually, there is no such relationship between APMA and any company.

Glenn B. Gastwirth, DPM, Executive Director and CEO, APMA, GBGastwirth@apma.org

RE: Austin Complications
From: Gino Scartozzi, DPM

One clarification regarding the bi-correctional and tri-correctional Austin osteotomies that I have described. These osteotomies, I typically perform in the confines of the distal metaphysis of the first metatarsal, where stability is best assured.

The bi-correctional Austin (converging adductory wedge excisions for PASA correction...

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

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Douglas Richie, DPM is seeking a well-trained, motivated podiatric physician to join his two office practice located in North Orange County, California. Applicants must have completed a 3-year residency program and must have exceptional skills in reconstructive foot and ankle surgery, sports medicine and podiatric biomechanics. This is a salaried position with a goal of long-term buy-in for equity ownership. Send letter of interest and CV to drichiejr@aol.com

PART-TIME/FULL-TIME PODIATRIST NEEDED - INDIANA

Part-time full-time Podiatrist needed for our Indiana offices. Must have Indiana license. Must have completed two years of surgical residency. If qualified email to f-massuda@footexperts.com

ASSOCIATE POSITION - CHICAGO

Weil Foot & Ankle Institute, Des Plaines, IL (www.weil4feet.com) is seeking associate position in summer 2011. This 15 member podiatric medical and surgical group is internationally acclaimed. Twelve locations throughout Chicagoland, with a 3 operating room surgery center, MRI’s, computerized footprint analysis, orthotic and brace laboratory, radiofrequency coblation technology, extracorporeal shockwave devices, PRP and clinical research program. Successful candidate will have completed a 3-year residency, experience in wound care, trauma, and sports medicine. Competitive salary, bonuses commensurate with experience and training. E-mail letter of interest and CV to Harriet Kass, HR, hkass@weil4feet.com 847-390-7666

ASSOCIATE POSITION - BOSTON

CPME Board certified podiatrist wanted to join Orthopedic & Arthritis Center at Brigham & Women’s Hospital, Boston, MA. The position is per diem, 2 days/ week. Interested candidates should send their CV to: Brenda Surowiec, Orthopedic & Arthritis Center, 75 Francis Street, Boston, MA 02115. Or email to bsurowiec@partners.org

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 and current photo to Dr.Kassaris@yahoo.com. Applications due by Jan 31st.

ASSOCIATE POSITION – LONG ISLAND

FT/PT Associate position available with busy multi-office podiatry group on Long Island. Our practice is state-of-the-art, and encompasses all phases of podiatric care. We welcome new practitioners, or someone who would be open to merging a smaller practice with ours, and benefitting from our practice management overlay. We also invite residents graduating in 2011 who want to practice on Long Island to apply for this position. Compensation includes competitive salary and bonuses. Vacation pay and malpractice insurance are also offered with a full time position. Please send your CV by fax (631) 293-5984 or e-mail to mets724@gmail.com

ASSOCIATE POSITION - SAYREVILLE, NJ
 
Part time position for growing second office, 8 hours a week. Potential for growth and more days/hours. PSR/36 preferred. Can start immediately. E mail CV to advancedfoot1@aol.com

PART-TIME / FULL-TIME PODIATRIST NEEDED ASAP - CHICAGO

Part-time podiatrist needed for 2 offices in Chicago with an average of 20 hours/week. Must have Illinois license. Must have completed 2 years of surgical residency. If qualified, email to: A-Storjohann@footexperts.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Immediate opening. Well-established multi-office practice with EMR, Digital x-ray, and more. Seeking full-time associate with PM and S-36 training. Independent and highly motivated. Must be BC/BS in rearfoot and ankle with confidence in complex reconstructive cases. Full benefits package, competitive salary. Email CV to: JLH459@aol.com

PODIATRIST NEEDED -  NYC/ QUEENS 
 
SPANISH SPEAKING Podiatrist. PSR-24 +. Experience in Current office billing,  interpersonal skills,  business and staff operational skills, knowledge of Ins. policies, ability to sell non-ins. covered products/treatments, well-trained and confident from basic RFC to Surgery, respectful & honest to  patients and staff all a must. Position includes non-paid training as well as paid office sessions. P/T with real potential for growth, full-time position/partnership. Multi-Office practice looking for help towards  growth and expansion. Please call 631-270-4724 and fax cover letter and C.V.

ASSOCIATE POSITION - WILMINGTON, DELAWARE

Largest Practice in Delaware - well organized eight doctor multi-office practice. Seeking PM&S36+ trained podiatrist who wants to perform rear-foot surgery, EMR/Digital X-rays/PADnet/Ultra-sound/Surgery Center, etc. Associated with a PM&S36+ residency program. Call Chris Savage, DPM 302-658-1129.

ASSOCIATE POSITION - MICHIGAN - (OAKLAND COUNTY)

Outstanding opportunity for associate in well-established practice, general & surgical podiatry forefoot, rearfoot & ankle (full or part-time). Well-trained, responsible, motivated with good communication skills, ABPS qualified or better. Send CV & letter of interest to: PodiatristWanted@AOL.com. All replies kept strictly confidential

PRACTICE FOR SALE - BOSTON, MASSACHUSETTS

40 year old updated practice with outstanding potential. Within 5 miles of Boston hospitals and 5 blocks from train station. Buy the practice, equipment and goodwill for a reasonable price. Excellent opportunity for resident or second location for practicing podiatrist. Multiple referral sources. Email vshdeep@yahoo.com

PM News Classified Ads Reach over 12,500 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 12,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. 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.