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| PM News | |
The Voice of Podiatrists
Serving Over 13,500 Podiatrists Daily
December 29, 2011 #4,344  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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| PODIATRISTS IN THE NEWS | |
Treat Toning Shoes Like Fitness Tools: MN Podiatrist
Foot doctors for years have been prescribing shoes with unstable soles to help patients with foot or ankle arthritis, but can they also get you a few steps closer to firmer thighs? Podiatrist Dr. Paul Langer of Twin Cities Orthopedics in Minneapolis said that although muscles likely do work harder to overcome the instability of the shoes, he is skeptical that it's to the extent that it will actually burn fat and boost muscle tone.
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Dr. Paul Langer |
What they can do, Langer said, is redistribute the pressure on your foot, alleviating stress and strain on the joints, which is helpful for people suffering from arthritis in the foot. People should treat the shoes like fitness tools, Langer said. The most problems he sees are from overuse.
Source: Alexia Elejalde-Ruiz, Chicago Tribune [12/28/11]
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| PODIATRISTS AND SPORTS MEDICINE | |
NY Podiatrist Discusses Lacing
There's a good reason that, over time, cross-lacing has become the standard. Studies show that it is one of the strongest shoe-lacing methods and provides fairly even pressure across the length of the foot. As a result, it works reasonably well for most people. “If the shoe is fitting them well, if they have what we would consider a relatively average foot — not too high an arch, not too low, not too wide, not too narrow — they should do pretty fine with that,” said Dr. Karen Langone, president of the American Association of Podiatric Sports Medicine. “It's the rest of us, sometimes we need to make a little tweak here or there.”
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Dr. Karen Langone |
Runners, on the other hand, can try a number of alternative lacing methods that still provide the stability needed for running but can improve the way the foot and shoe fit together. The simplest variation is a technique known as a lace lock. It starts from the bottom with a standard cross-lacing technique but at the second-to-last hole, the laces go straight up to the last hole on the same side, rather than crossing the tongue of the shoe again. That forms two loops through which the opposite ends of the laces are threaded, and then tied off normally. The lace lock helps to tighten up the heel, preventing slippage, Langone said.
Source: Bent Bulletin.com
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| OUTSIDE INTERESTS | |
NY Podiatrist Forms Doo-Wop Group in South Florida
As a teenager being raised in the Bronx, Dr. Marc Hudes of Monticello, NY was always involved in street corner harmony, and he never lost the interest. In the past few years, spending more time in Florida in the winter, he formed a group, comprised of all local talent that have recently retired. The group, named the Renditions, consists of a computer programmer, a teacher, an executive from the garment center, a hair dresser, and a primary care physician. Hudes is the lead singer.
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Dr. Marc Hudes (L) sings lead with the Renditions. |
The Renditions had their debut on December 19, 2011 to a crowd of over 500 persons at a club house in a development in Boynton Beach, Florida. The rave reviews have not stopped. They are scheduled to perform at local events and community centers with all proceeds donated to charity. They have posted Book of Love & Little Star on Youtube. |
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| PODIATRISTS IN THE COMMUNITY | |
NY Podiatrist Holds Holiday Shoe Drive for the Needy
Williston Park podiatrist Dr. Mary Carlson ran a holiday shoe drive with Beacon Church for the month of December to help the needy in Long Island and surrounding areas. Carlson asked everyone to donate new or lovingly used men’s, women’s and children’s shoes or sneakers for the less fortunate in her community. Volunteers from St. Aidan’s Church, along with Girl Scouts Troop 2339 from St. Christopher’s Church in Baldwin, helped disinfect, sort, and pack-up all the shoes for donation.
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Dr. Mary Carlson (L) with volunteers. |
“It was a great turn-out and we collected a total of 1637 pairs of shoes during this holiday season which we gave to various charities, including Interfaith Nutrition Network, Queens County Aids Center, Harvest of the World, and House of Hope,” says Carlson. To date, she has received over 8,000 pairs of shoes, which she has donated to various non-profit organizations in her Long Island community.
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| QUERIES (MEDICAL/LEGAL) | |
Query: Obligation to Bill for Co-Pay
Are we required to bill them this amount by law, or can it be written off at our discretion? In other words, if you decide not to bill them, will you be penalized by Medicare?
Bryan Calvo, DPM, Miami, FL
Editor's Comment: PM News does not provide legal advice. All providers are required to bill for co-pays and deductibles. A provider, practitioner or supplier who routinely waives Medicare co-payments or deductibles could be held liable under the Medicare and Medicaid anti-kickback statute 42 U.S.C. 1320a-7b(b). Anyone who routinely waives co-payments or deductibles can be criminally prosecuted and excluded from participating in Medicare and the state healthcare programs under the anti-kickback statute 42 U.S.C. 1320a-7(b)(7).
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
RE: Chronic Rash in 14 Year Old (Bruce Krell, DPM)
From: Neil Levin, DPM
This lesion looks like granuloma annulare, a benign skin condition. It is common in children, usually asymptomatic and disappears within two years or so. There is no treatment necessary. Some topical steroid creams can improve pruritis, if that is a symptom.
Neil Levin, DPM, Sycamore, IL, drfeet1@aol.com
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
RE: Orthotic Therapy For Hallux Rigidus (Elliot Udell, DPM)
From: Ayne Furman, DPM
My personal theory why soft Morton's extensions such as felt work for some patients with structural HL is that the joint does not allow adequate hallux toe purchase. I believe that filling in the gap between the floor and hallux decreases the amount of 1st MPT joint jamming during gait.
Have the patient stand. If you are still young enough to get down to the floor to sight under the hallux, you will often see a gap between the floor and toe. Older practitioners try slipping a piece of paper under the hallux. If the paper does not meet resistance, then there is not adequate toe purchase.
Another possible reason that Dr. Udell's adhesive felt under the hallux may be effective is that it is functioning like a modified turf toe strapping, and limiting 1st MPT ROM, which will help reduce 1st MPT pain.
Ayne Furman, DPM, Alexandria, VA, l_foot_r@hotmail.com
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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 (EMR) | |
RE: Creating Patient E-mail Addresses (Mark Stempler, DPM)
From: Michael L. Brody, DPM
To put is plain and simple, clinical records contain what is defined as "Protected Health Information" under the HIPAA Rules. Sending PHI (Protected Health Information) via unencrypted email is a HIPAA violation. Email is NOT secure. If you follow this recommendation, you are in violation of Federal Law. I have serious concerns about any EMR vendor who does not know the rules and regulations about protection of patient data, especially if the EMR vendor hosts your patient data in their cloud.
As far as the recommendation that you create email addresses for your patients, that simply strikes me as less than kosher. I would not want to have to explain my actions to an auditor who walked into my office for a meaningful use audit if I were using this method of sending clinical summaries to patients. I am personally very uncomfortable with the recommendations you are getting from your vendor.
Michael L. Brody, DPM, Commack, NY, mbrody@tldsystems.com
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Jeanne M. Arnold, DPM
We've used B.W. Recycling. They are located in Florida, but pick up nationwide. Pick-up is free with a minimum poundage of x-rays. They pay you a small amount for the recovered silver, and send a destruction certificate for your records. You can find them online at bwrecycling.com or call 954-981-1113.
Jeanne M. Arnold, DPM, Coeur d'Alene, ID, jarnolddpm3@frontier.com
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| RESPONSES/COMMENTS (NEWS STORIES) | |
RE: MN Podiatrist Supports Statewide Single Payer Health Insurance System (Todd Rotwein, DPM)
From: David Gurvis, DPM
I am well aware that the problem is multi-factorial, if not entirely protean, but the insurance companies are for-profit and on the stock exchanges. They are primarily responsible to one segment of society, and that is the shareholder. When I buy and hold a stock, I expect to see profit in the company, a return on my investment. And I expect to see that by any means the company needs to do to "perform." Were these companies not-for-profit (e.g. the old Blue Cross/Blue Shield), I have to wonder if the problems would be as great as they are.
Changing this will not change a thing, but it is morally reprehensible what the CEOs of these companies are paid. The CEO of Well Point is paid about 1.1 million dollars with a 1.1 million dollar bonus in 2009, along with other compensation (stock options) worth 13 million. This was reported to be a 51% increase that year, based on performance. Funny, but I don't recall getting a raise that year? I wonder if she has any problems paying her bills or sleeping at night?
David Gurvis, DPM, Avon, IN, deg1@comcast.net
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of The Day
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Heartbreakers? |
Source: Submitted by Dr. Arthur Gudeon
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MEETING NOTICES
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| CLASSIFIED ADS | |
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
PART-TIME PODIATRIST NEEDED - LOS ANGELES, CALIFORNIA
Busy podiatrist looking for assistance with patients located in facilities, homes, office, etc. Flexible hours, independence, and great compensation. If interested email CV to homefootcare@hotmail.com or call Terri at 323-353-8103.
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 - 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 CV toyoleven316@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
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.
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
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