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10/21/2019    

QUERIES (NON-CLINICAL)


Query: Meperidine Shortage


 


I have used many different post-operative pain meds over the years for short-term, post-op pain, but I seem to always gravitate back to good old parenteral Demerol. It has a wide dosing window and is quite sedative. It seems like in my area of the country, we are having a shortage and pharmacies are calling and telling me they can’t get it. Is anyone across the nation having the same problem?


 


Tip Sullivan, DPM, Jackson, MS

Other messages in this thread:


10/30/2019    

QUERIES (NON-CLINICAL)


Query: Recommendations for Virtual Scribes


 


I am looking to hire a virtual scribe and wanted to know if anyone has any recommendations for companies that they have used. It's a bonus if the company that they use also has experience with Practice Fusion. 


 


Eli Fialkoff, DPM, Fort Lauderdale, FL

10/24/2019    

QUERIES (NON-CLINICAL)


Query: Apus PXP-15HF X-Ray Unit


 


I have an Apus PXP-15HF x-ray unit that I purchased about 8 years ago. Unfortunately, the company that sold us the unit is out of business and the x-ray images are diminishing. Does anyone know of a company that services this unit or does anyone have this unit with whom I can converse with for possible help tips?


 


Elliot Diamond, DPM, Philadelphia, PA

10/18/2019    

QUERIES (NON-CLINICAL)


Query: Med Resource Power Table 


 


Has anyone ever used a company in Florida called Med Resource for a power table? They sell a Med Resource 646 power table and I am unable to find a review of them or their products. 


 


Brian Kiel, DPM, Memphis, TN

10/15/2019    

QUERIES (NON-CLINICAL)


Query: Recommendation for Air Purifer


 


Can someone recommend a good air purifier for our treatment rooms that help keep any residual nail dust from being inhaled and keep the air cleaner and fresher?


 


Shashank Srivastava, DPM, Rockville, MD 

10/10/2019    

QUERIES (NON-CLINICAL)


Query: Source for Koven Hadeco SmartDop 20 Manual


 


I chanced upon a Koven Hadeco SmartDop 20, in excellent condition, for minimal investment. I would like to be able to use this at a satellite clinic but do not have the operations manual. Of course, the company no longer supports the device, nor has any manual (or so they say). Does anyone know where I could find one?


 


Conway McLean, DPM, Marquette, MI

10/05/2019    

QUERIES (NON-CLINICAL)


Query: Making Appointments When the Office is Closed


 


Can anyone recommend a good service or a good idea for making appointments when staff isn’t present? 


 


Gary Hoberman, DPM, Chicago, IL

09/16/2019    

QUERIES (NON-CLINICAL)


Query: Easy and Simple EMR System


 


I need to get a new EMR system and I want it to be simple and easy. Any recommendations from any podiatrists?


 


Jill Hagen, DPM, Engelwood, NJ

09/14/2019    

QUERIES (NON-CLINICAL)


Query: General Solo Practice Overhead


 


I’m writing to see if there is any current information published discussing average solo podiatry practice overhead that is stratified and broken down into categories such as DME, etc.? 


 


Mark Gerig, DPM, Amarillo, TX


 


Editor's comment:  You can obtain a wealth of information on expenses by reading PM's current Practice Management Survey. While it doesn't break down expenses by type of practice, the overall survey indicates that the overhead in a solo practice will be greater than in a group practice. 


 


09/12/2019    

QUERIES (NON-CLINICAL)


Query: Program to Track Lab Specimens


 


Can anyone recommend a good program to track laboratory and biopsy specimens.


 


Chris Ferguson, DPM, NY, NY

09/11/2019    

QUERIES (NON-CLINICAL)


Query: Source for Televere Digital X-ray System Battery for Cassette


 


Does anybody know where we can purchase (at a reasonable price) a replacement battery for the x-ray cassette for a Televere digital x-ray system to make it remote? 


 


Vincent Marino, DPM, San Francisco, CA 

09/10/2019    

QUERIES (NON-CLINICAL)


Query: Disposal of Human Bones


 


I am in possession of actual human bones, including the whole lower extremity that we were required to purchase for anatomy class in the late 70s at ICPM. We will soon be downsizing our home and I have left practice and I wonder how one disposes of human remains like these. What do I do with them?


 


Michael Cohn, DPM, Albuquerque, NM


 


Editor's note: Your alma mater would probably be happy to receive this as a donation.

09/03/2019    

QUERIES (NON-CLINICAL)


Query: Source for a Scribe


 


Can someone tell me where I can find a scribe for my office? Either in-office or virtual..


 


Michael Galoyan, DPM, Middle Village, NY

08/20/2019    

QUERIES (NON-CLINICAL)


Query: Payment for Residency Rotations?


 


I have a question for residency directors. Do department heads at your institution expect to be paid to allow podiatric residents to do their rotations in their departments?


 


Robert Scott Steinberg, DPM, Schaumburg, IL

08/15/2019    

QUERIES (NON-CLINICAL)


Query: Source for X-Ray Duplication Film


 


I'm looking to purchase x-ray duplicating film as well as roller transport clean-up film. Any sources would be appreciated.


 


Paul A. Galluzzo, DPM, Rockford, IL 

08/05/2019    

QUERIES (NON-CLINICAL)


Query: Proper Techniques for Traditional X-Ray Film


 


There are still many offices using traditional x-rays. We use an older, but properly functioning, X-Cel unit and a Hope automatic processor. Both units are well-maintained and serviced monthly. The quality of our foot films is excellent, but our ankle views are under-penetrated despite changes in technique. We were told that the intensifying screens have a limited lifetime and should be replaced. We recently purchased new 10x12 cassettes with intensifying screens (Medlink, blue, 800).


 


I need a recommendation for developing proper and reliable techniques (time, mA, and kVp) for our new cassettes. There must be an easy reference or YouTube video to help make this task easier. Our original techniques do not work with our new cassettes.  


 


Greg Caringi, DPM, Lansdale, PA

07/29/2019    

QUERIES (NON-CLINICAL)


Query: Switching to VoIP


 


Has anyone switched to a VoIP phone system and how is it working? Pros and cons? Which company do you use?


 


Robert DiCaprio, DPM, Schenectady, NY

07/25/2019    

QUERIES (NON-CLINICAL)


Query: Podiatry Surgical Burrs or Other Hand Piece Options for MIS


 


I have been using Foredom duplex hand pieces for over 30 years. They accepted 1/16" bits. They no longer make these quick change hand pieces that fit these standard podiatry bits; or at least I'm not able to find them. Does anyone know of a company that sells either 3/32" podiatry surgical burrs or other hand piece options used for minimally invasive surgeries? 


 


Brian R. Lee, DPM, Mt. Vernon, IL

07/11/2019    

QUERIES (NON-CLINICAL)


Query: Affordable Amniotic Membrane Product


 


I have been using AmnioFix injectable for plantar fasciitis and Achilles tendinitis. Recently, they have begun the process of getting FDA approval for these and similar conditions and were told they had to remove it from the market and only allow the sheet forms to be available in the OR. This raises the cost dramatically. Is anyone using any other amniotic membrane product with good results? One that remains around $225 or so?


 


David E Gurvis, DPM, Avon, IN

06/24/2019    

QUERIES (NON-CLINICAL)


Query: Practice Burnout


 


Things out here in the real world for us solo practitioners is not getting better. I have had a solo practice for 30 years and built an office building and a surgery center. I really love my profession, but hate the business aspect of it. It is all worry about payroll, insurance, loan payments, supplies, retirement, etc. ad nausea! I am considering selling the whole thing and just going to work for a salary.


 


I am not sure that is reasonable at 63 years old. It certainly makes me fearful in some ways to consider it. Any suggestions or reliable information/experience on how to make such a change would be helpful and appreciated.


 


Name Withheld

06/21/2019    

QUERIES (NON-CLINICAL)


Query: Source for Affordable Amnion Injections


 


I am looking for an affordable source for amnion injections. There used to be many sources for an injection that would cost me around $250. It seems that some of these are going away. Any help would be appreciated. 


 


Thomas J. Chambers, DPM, Mesa, AZ

06/20/2019    

QUERIES (NON-CLINICAL)


Query: Sterilization of Nail Nippers


 


If I am understanding the APMA Weekly Focus dated June 11 correctly, it suggests that we perform steam sterilization of nippers after each use. I have always used cold sterilization between patients with steam sterilization at the end of each day or after I accidentally cut a patient. It made it clear that this was a suggestion and not a standard of care. I wonder what my colleagues are doing. 


 


Matthew B. Richins, DPM, Joplin, MO

06/12/2019    

QUERIES (NON-CLINICAL)


Query: Opening a Cash-only, Non-surgical Foot Clinic


 


Four other retired DPMs and I are interested in opening a cash-only, non-surgical foot clinic (no insurance precerts/deductibles/co-payments) in a disadvantaged area of our urban community. Any advice would be appreciated.


 


Name Withheld

05/21/2019    

QUERIES (NON-CLINICAL)


Query: Source for Formaldehyde Products


 


I have been using Lazerformalyde and/or 10% Formadon for years for verruca plantaris. None of the pharmacies in my area have access to 10% formaldehyde or Lazerformalyde. Are there any other sources for this? Would there be any issue with me purchasing 10% buffered formaldehyde and dispensing it from my office?


 


Ira R. Cohen, DPM, Downey, CA

05/20/2019    

QUERIES (NON-CLINICAL)


Query: CPR Certification for Staff


 


I am considering CPR certification for my entire staff. Do most private podiatry offices certify their staff? Are the podiatrists certified? 


 


Olga Luepschen, DPM, Sebring, FL

04/29/2019    

QUERIES (NON-CLINICAL)


Query: Are the Meet the Masters Podcasts Still Available?


 


I am a 2nd year student at CSPM. Recently, I noticed the Meet The Masters (Podiatric Success) website was down and I was unable to go back to listen to the old podcasts from other DPMs. I have listened to most of the episodes and it has allowed me to learn so much about the profession and how much progress has been made within the field. 


 


In fact, one episode about the California's Physician and Surgeon Task Force is what convinced me to enroll in podiatry school and stay in California. It was also one of reasons which motivated me to run for the CPMA Student Representative position and be involved with the profession early on. My classmates have also benefitted from this podcast and has helped us realize the different paths that are available in this field and the work that needs to be done to help this field grow, such as student recruitment.  Please advise.


 


Andrew Hu, CPMA Representative, Class of 2021


 


Response:  From 2009-2017, I had the incredible opportunity to interview and host town hall discussions with over 500 of the most incredible DPMs in the world. Due to needed security Web issues, my IT partners took down the website and the audio downloading ability last month without my notice. I’m happy to report all 420 episodes are now available as a PodCast through Apple Podcast. I expect this to remain available for a few months, so for now, please consider downloading the series. There is zero cost as this is offered as a service to our great profession.


 


Bret Ribotsky, DPM, Boca Raton, FL
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