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| PM News | |
The Voice of Podiatrists
Serving Over 13,500 Podiatrists Daily
December 27, 2011 #4,342  Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2011- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.
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| OBITUARIES | |
Paul H. “Wink” Winkler, DPM
Dr. Paul H. “Wink” Winkler, passed away Wednesday, December 21, 2011 at the Brookstone Meadows, in Omaha, NE. During World War II, Paul served with the Army of the United States from 1943-1946 and received numerous decorations and citations. He graduated in 1952 from The California College of Podiatric Medicine and moved to Hastings, NE. He lived there for 59 years where he practiced podiatry before retiring.
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Dr. Paul Winkler |
Winkler served as the Past President of the Nebraska Podiatry Association. Paul excelled at whatever he attempted. He was a champion golfer, hand-ball player & tennis player, fisherman, and bowler. He played basketball during podiatry school, even playing against the Harlem Globetrotters.
Source: KHAS-TV Hastings [12/25/11]
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| PODIATRISTS IN THE NEWS | |
Preventative Surgery Can Save Limbs in Diabetics: NY Podiatrist
"To prevent foot ulcers, it's important for diabetics to be screened by a podiatrist for circulation, lack of sensation, and for bony prominences such as bunions or hammertoes, says Dr. Russell Caprioli, Chief of the Podiatry Department at North Shore University Hospital & Long Island Jewish Center.
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Dr. Russell Caprioli |
"We do a great deal of preventative surgery which we employ when we see that there is going to be a future problem," says Caprioli. "The goal is to increase blood flow and to off-load the foot."
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| E-HEALTH NEWS | |
Early EMR Adopters Get a Break; Tougher Criteria Delayed to 2014
Physicians meeting criteria in 2011 to earn federal electronic medical record incentives will have more time before the Dept. of Health and Human Services requires them to satisfy tougher standards for attaining additional bonuses.
The move is being viewed by physicians and health policy observers as a goodwill gesture by the Obama administration toward EMR early adopters. Doctors and hospitals who currently meet stage 1 meaningful use criteria would be able to vie for bonuses for an extra year under the same requirements, HHS Secretary Kathleen Sebelius announced on Nov. 30. These bonus recipients would not need to upgrade their EMR systems to comply with stage 2 standards until 2014, instead of 2013 under the initial plan.
Source: Charles Fiegl, AM News (12/12/11]
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| QUERIES - NON-CLINICAL | |
Query: Hiring an In-House Biller
What should a DPM look for when hiring an in-house biller? Comments and suggestions would be appreciated.
Darryl J Martins, DPM, Jackson, MI
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| QUERIES( EMR) | |
Query: Compatible Billing Program or Billing Service with Practice Fusion
Does anyone have any recommendations for a billing program or billing service that is compatible with Practice Fusion?
John Scholl, DPM, Lady Lake, FL
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
RE: Partial Non-union Subtalar Joint Arthrodesis (Judd Davis, DPM)
From: Majid Seyedin, DPM
Removing the screw may help relieve the pain. The positioning of the screw, as evident on the AP view, has apparently missed most of the talus, grabbing it by its most lateral aspect, if at all. That could also explain the non-union due to inadequate or no compression. In addition, the screw head may act as a block in sagittal plane motion, causing pain.
Placing of a screw from the anterior-superior to the posterior-plantar approach poses at least three disadvantages:
1) The surgical incision is potentially dangerous to the...
Editor's note: Dr. Sayedin's extended-length letter can be read here.
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
RE: Chronic Rash in 14 Year Old (Bruce Krell, DPM)
From: Elliot Udell, DPM
There appears to be clearing in the center of many of these lesions, especially on the left foot. This could be ringworm, of which the etiology is fungal. Try anti-fungals topically first in addition to a low potency steroid, and see what happens.
Another possibility is shoe-caused contact dermatitis. To determine if this is the case, take your punch biopsy instrument and cut out a piece of the patient's shoe in the area where the lesions are appearing. Apply this to the patient's back using hypoallergenic tape and paste a plain piece of the tape on another part of the back as a control. Examine it in 48 hours.
If you do go the route of biopsy, you will want not only a pathology study but a fungal study; so consult with your path lab first to determine how they want you to send the specimen.
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
RE: Orthotic Therapy For Hallux Rigidus (Elliot Udell, DPM)
From: Keith Gurnick, DPM
Can someone tell me the rationale behind this statement by Dr. Udell to treat symptomatic HR or HL. "If you want to try conservative measures first, take a role of adhesive-backed 1/8th inch felt, which is available from any podiatry supplier, and make a Morton's extension and tape it on to the affected foot. Have the patient try it for a few days to see if it works. Have the extension go to the tip of the hallux."
I do not understand how a non-rigid Morton's extension or padding under the hallux will alleviate 1st MPJ pain due to this condition. This includes items such as a Cluffy wedge. The philosophy that the padding under the big toe, or the wedge under an orthotic extension pushes up the hallux to dorsi-flex the 1st MPJ by allowing the 1st metatarsal to plantarflex in gait does not seem plausible. Would this not simply use up some of the limited available dorsi-flexion and further put pressure dorsally at the joint. To me, it is like the tail wagging the dog. How can this work?
I often pad or tape with a dancer's type pad to off-load the hallux and 1st metatarsal head by lifting up under 2-5 met heads, or when indicated, I make a custom orthotic with similar forefoot padding and extensions. Some people call this a "reverse Morton's extension," but I don't like that term. Any thoughts?
Keith Gurnick, DPM, Los Angeles, CA, keithgrnk@aol.com
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: Selling Old X-Rays for Silver (Michael J Felicetta, DPM)
From: Susan M. Weeks, PMAC
I recommend checking with the company that services your x-ray machine. Our vendor, Volunteer X-ray, picks up our old films to be destroyed. They are our business partner and maintain patient privacy. As silver recovery is costly, a large quantity is needed to see any profit. We have agreed that any profits recovered are donated to a local charity. This is a win/win: our community benefits, and our practice eliminates storage of old films.
Disclaimer: I do not have any business interest in Volunteer X-ray.
Susan M. Weeks, PMAC, Knoxville, TN, weekssusan@bellsouth.net
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ANATOMY FACULTY POSITION
12 Month Basic Science faculty appointment at the rank of Assistant or Associate Professor. Responsibilities will be to teach Anatomy in the School of Podiatric Medicine. Additional duties will include research, student advisement, and committee work. A doctorate in Anatomy or a related discipline is required and a minimum of two years full-time teaching experience at a college, preferably graduate level, is highly recommended.
Review of applications will begin immediately. Interested candidates should submit a letter of application, curriculum vitae, statement of teaching philosophy, and three letters of recommendation sent to Sanjay Sesodia, Ph.D., Chair, Anatomy Faculty Search Committee, Barry University, 11300 NE 2nd Ave, Miami Shores, FL 33161 (ssesodia@mail.barry.edu) Electronic applications are encouraged. U.S. citizenship or permanent residency required.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: Holiday Staff Bonuses
From: Kathleen Neuhoff, DPM
I close my office on a Wednesday afternoon, hire a limo or rent a van and driver, take my staff to an outlet mall about 1 hour away, give them each $300 and set them loose to shop! On the way there, we each fill out a booklet for each of our team members with positive things - the staff member gets to keep their book. On the way home, we share what we have bought-the "rule" is that at least 50% of the gift money must be spent on the employee (they can save the rest or spend it, however they wish). When we arrive home, we go to my house where we have a potluck dinner to which spouses and children are invited. We exchange gifts and I give each team member a personalized ornament with their name, FFCC, and the year on it.
We all have fun and I know team members feel special and tell many people about their workplace.
FYI - I have 7 full-time employees, 2 part-time, and 1 full-time temp. We have survived our conversion to EHR because nobody wanted to let the team down!
Kathleen Neuhoff, DPM, South Bend, IN, vetpod@aol.com
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| RESPONSES/COMMENTS (NEWS STORIES) | |
RE: MN Podiatrist Supports Statewide Single Payer Health Insurance System (Richard M. Maleski, DPM)
From: Todd Rotwein, DPM
To accommodate Dr. Maleski, let's start with a somewhat similar situation; namely, New York State public utilities. Now, in many cases they are privately-held corporations, but their rates are subject to a guarantee of a ten percent profit under the state constitution. Given the fact that our practices are also private property, are you proposing that fees paid under a single-payer system be subject to a review that would guarantee every practitioner a profit? And, what would that rate of return be set at? Further, what kind of body would be created that would have the capability of analyzing the financial data of millions of healthcare practices?
I guess that fees could be set by fiat, with the realization that some people would go bankrupt. That, however, would amount to governmental expropriation of private property, and would be unconstitutional. While I can understand how academically-, institutionally-, and governmentally-employed health professionals can be blithely unaware of the financial implications of a single-payer system on the average practitioner, I find it astounding that anyone in private practice would be.
Todd Rotwein, DPM, Hempstead, NY, drdpm@aol.com
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| CLASSIFIED | |
ASSOCIATE POSITION - HAWAII (OAHU)
Full-time position available. Join this fantastic practice in paradise. Diagnostic ultrasound, Digital X-Ray, EHR, Surgical Privileges, Competitive Salary plus benefits package. Send CVtoyoleven316@yahoo.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 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 - 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. Excellent start salary with bonus. 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 with letter of intent to: susmitad86@yahoo.com
ASSOCIATE POSITION - NEW JERSEY
Associate/Partnership available to energetic doctor(s) or willing to merge into larger group/multi-specialty practice. 25% Medicare, 75% Privates/HMOs, No Medicaid. 8,500 visits per year. Diversified hospital/office wound care, hospital/ASC surgery, and general podiatry. 27 years of excellent local reputation. 2,700 sq ft office opposite hospital in desirable Monmouth County. capstops@aol.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 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." toDrgordon@gulfcoastfootcare.com
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
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
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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| 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.
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If the reader of this message is not the intended recipient or an
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immediately notify me and you are hereby instructed to delete all
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