The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

December 27, 2012 #4,649 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.

Cosmetic Foot Surgery Should Be Realistic: NY Podiatrist

Dr. William Spielfogel said that while there are some acceptable reasons that women would opt to get cosmetic surgery on their feet, including painful bunions or deformities, "A lot of people want to fit a square peg into a round hole, and it just doesn't work. Sometimes you have to be somewhat realistic," said Spielfogel.

Dr. William Spielfogel

Spielfogel is the head of podiatry at Lenox Hill Hospital in New York and is a published author of several scientific papers and chapters in medical textbooks. He co-chairs the New York State Podiatric Medical Association's Clinical Conference in New York City.

WI Podiatrist Discusses Management of Diabetic Foot Complications

Diabetic complications in the feet can be very dangerous; in fact, diabetes is the leading cause of lower-limb amputations that aren’t the result of a traumatic injury. "Fortunately, most of these complications and amputations can be prevented," says podiatrist Dr. Amy Jaeger. "With proper foot care and guidance from a podiatrist, you can manage the effects of the disease on your feet. Comprehensive foot care programs can reduce amputation rates by 45 to 85 percent."

Dr. Amy Jaeger

Diabetic ulcers are often one of the first signs of complications from diabetes in the lower leg, says Jaeger. "These ulcers can stem from a small wound or cut on the foot that is slow to heal. Remember, too, that people with diabetes have a decreased immune response, which can make common foot infections more prevalent. If left untreated, ulcers can become harder to treat and can lead to amputation."

Source: Wisconsin Rapids Tribune [12/21/12]

OH Podiatrist Gets Ready For Capitol Hill

Dr. Brad Wenstrup, a Cincinnati podiatrist who also serves as a Lt. Colonel in the U.S. Army Reserve, spent much of the post-election weeks trying to get set up for his new job as congressman. Wenstrup, 54, who was deployed to Iraq in April 2005 and served as chief of surgery at the 344th Combat Support Hospital at Abu Ghraib, can’t fully maintain his private practice now that he’ll be a member of Congress.

Dr. Brad Wenstrup

Instead, he’ll keep his certification afloat by practicing at Walter Reed Army Medical Center, near Washington, D.C. It's a service for which he won’t get paid, but will get retirement points as a reservist. “It’s a good chance for me to continue to see patients," he said.

Source: Jessica Wehrman, Dayton Daily News [12/24/12]

TX Podiatrist Sentenced in Healthcare Fraud

A San Antonio podiatrist and one of his employees were sentenced Friday to five months of probation and restitution of $83,754 for trying to defraud Medicare and Medicaid out of more than $300,000. Dr. Bhavesh J. Shah and Andrea Christina Iturrieta, a biller who lives with Shah, each pleaded guilty in September to two federal healthcare fraud charges. The pair's plea deals said Shah, 40, admitted to investigators that from 2008 through last year, his clinics billed for diabetic therapeutic shoes and inserts that weren't provided.

Source:  Guillermo Contreras, San Antonio Express-News [12/21/12]

Rising Patient Deductibles Spell Trouble for Doctors

Health plan deductibles are rising, and patient self-pay of deductibles is typically difficult for doctors to collect, meaning that increasingly more doctors may lose money on patient deductibles. This is according to athenahealth, a Watertown, Massachusetts, company that provides cloud-based services for medical groups.

"Benefit plans are shifting to include higher deductibles," says Tricia Andriolo-Bull, Vice President of Payer Strategy at athenahealth. "There's more cost-shifting in co-pays and co-insurance. The higher deductibles are a good way for employers to keep premium rates down. But any increase in self-pay is bad for the physician because it's hard to collect."

Source: Leslie Kane, Medscape News

RE: Aldara for Verrucae (Joshua Kaye, DPM)
From: Robert C Chelin, DPM, John Scholl, DPM

I have used Aldara for several years as an alternative in treating verruca. In Canada, Aldara is supplied in blister packs. We have our patients apply it daily under occlusion for about 3 months. For this, you will require 12 blister packets. To avoid wastage, we have the balance of the blister pack placed in a baggy so it will not dry up. In addition, we recommend oral Vitamin A as an adjunct to boost the immune system response.

Robert C Chelin, DPM, Toronto, Canada, ft-biz@rogers.com

I have had success with Aldara cream with patients who range from children to young adults around 30 years of age. The off-label use that I subscribe to is nightly application and cover with Band-aid before bedtime. Normally, the patient will follow this regimen for 8 weeks. In some cases, the verucca will resolve during this time period. I have had a couple of cases that did not resolve in the 8 week period. After stopping the medication, the warts were gone after 1-2 months. I have not had success in older adults with this medication.
 
John Scholl, DPM, Lady Lake, FL, drjms@embarqmail.com

RE: The Future of EMR Software Companies
From: Joshua Kaye, DPM

For those who are not already completing their meaningful use attestation period, as 2012 comes to an end, so does the opportunity to acquire the full amount of incentive funds from CMS. The many EMR software companies can no longer incentivize doctors to purchase their software by pointing out the high amount of available funds, and thus the potential profitability of the companies will decrease. 

The big question is which of the many software companies will survive and which will be acquired by others. Amazing Charts has been recently purchased by Pri-Med. The future of Practice Fusion is probably the next big question. Can they continue to economically survive as a “free software”, or will they be sold or become an IPO, similar to the path of other high-tech business models? And with the acquisition of a software company, there is generally a change in the pricing structure. Changing from one software to another is not usually easy. Getting all your old medical records back as .pdf files would also not be easy to deal with.
 
Joshua Kaye, DPM, Los Angeles, CA, jk@joshuakaye.com

RE: AOS Incompatibility Problem with Windows 8 (Elliot Udell, DPM)
From: Stephen Musser, DPM

I am not a computer guru, but in general (because I've been 'burned' with operating systems that have been sub-par), I would wait until a new operating system has been out for a while before I purchase a new computer (of course, after that timeframe, it's no longer 'newer'). I went on-line and purchased a new computer that had Windows 7. The point of this is to check with your EHR vendor before getting a new computer to ensure compatibility with the EHR system you have and to wait and see how the newer operating system is functioning.

Stephen Musser, DPM, Cleveland, OH, ly2drmusser@gmail.com

RE: Policy for Handguns in a Podiatric Office ( Wm. Barry Turner, BSN, DPM)
From: Robert Scott Steinberg, DPM

I believe this discussion started because most of our hearts were broken a week ago Friday. Pistols are not the problem. Weapons of mass destruction are the problem. In mere seconds, 20 children and 6 adults were slaughtered. No, the pistol-packing-Petes, for the most part, don't worry me. It's those who just can't wait to go Rambo and be a "hero" who worry me. The NRA seems to be more a terrorist organization, suggesting more violence in the face of too much already.

Robert Scott Steinberg, DPM, Schaumburg, IL, Doc@FootSportsDoc.com

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

I am not shocked and dismayed at the tone of Dr. Allen Jacobs' response to my inquiry as to the standards and practices for compounding pharmacists. After all, he has growled at me in this forum before! In no way did I portray the practice as a "free for all" and I certainly did not indict any such compounds as witches brews.

I never mentioned the FDA, and never compared any compounded product to that of the "products or therapies endorsed by Dr. Markinson in his lectures." That, in my opinion, was a very cheap shot. In fact, my query, if anything, elevated...

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

PRACTICE PRICED TO SELL OR ASSOCIATE POSITION - 20 MINS NORTH OF BOSTON MA

Well-established practice & beautiful modern 3500sqft office & equipment in great location. X-ray, EMR, ultrasound. Well-rounded practice was grossing over 600K. Strong emphasis on surgery & sports medicine. Selling price is at substantially reduced cost. Send CV or interest in buying practice to footguru@cox.net

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

PODIATRISTS WANTED - NORTHERN AND SOUTHERN CALIFORNIA

Excellent opportunity for independent, professionally managed practice in skilled nursing facilities. E-mail interest and CV to ZBUBBLESZ@aol.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 - MARYLAND

If you are a graduating resident, in July, or an established practitioner (available now) and you are enthusiastic, personable, motivated and well-trained, we would be delighted to discuss an associate position in our group with you. We are a 17-doctor group, with 12 locations. Significant patient flow already in place to keep you busy from the start! All the bells and whistles-EMR, digital x-rays, ultrasound, computerized scheduling, certified ambulatory surgical centers, hospital and physician referral base. Please send cover letter and resume to newdpm@footandankle-usa.com. We look forward to hearing from you.

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 - 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

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.

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.

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

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.