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11/22/2022
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: Greg Caringi, DPM
As I have gotten older, I put together a rock-and-roll cover band with some of the other docs in my community as a reaction to many of my high school friends joining ukulele groups and playing pickleball. I hope that future generations do not ignore the wisdom and work of those who went before them. Our parents' generation is all but gone. I still have many questions that I wish I could ask them.
Greg Caringi, DPM, Lansdale, PA
Other messages in this thread:
11/28/2022
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: Thomas Silver, DPM
I remember the wise words of an instructor who said, "when a patient has knee pain, our job is to determine if the pain is coming from the knee, above the knee, or below the knee. If it's coming from below the knee, then we can fix it; otherwise, refer them to the appropriate specialist who can fix it." I think the same goes for back pain. If it could be coming from the feet, then (hopefully) we can fix it. Over the years, I have found it to be a real bonus when I get patients into orthotics and they tell me that their knee, hip, and/or back pain went away too!
Thomas Silver, DPM, Golden Valley, MN
11/25/2022
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: Bruce Smit, DPM
I too recognized the hazard of getting older as I aged. Many years ago as a young man and before my medical training, I played in a rock band in the Chicago area that played all the top 40 hits of the time. We were, thankfully, successful competing against a plethora of garage bands all who wished for "Rock and Roll success". We played record hops with the top DJs in Chicago's radio industry. We played with Herman's Hermit's and Wayne Fontana and the Mind Benders on stage at Chicago's Arie Crown Theatre in McCormick Place. We recorded a 45 rpm record at RCA Victor studios, and as it was time to release the single, The Beatles arrived!
55 years later, I ran into the drummer by accident. He was still playing his guitar as a one-man band in the local lounges. We decided to "regroup" and with the help of two more formed a cover band. We have a regular gig at a local bar/grill and host about 75 guests at a time. What a blast we are having at age 76 years, grey hair (no pot bellies), and fortunately good health.
Bruce Smit, DPM, Frankfort, IL
08/26/2022
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: Steven D Epstein, DPM
Name Withheld's comment about obtaining used open vials from the OR while the nurses look the other way is a direct violation of safe injection practices. This CDC document explains that multi-use vials should be dedicated to a single patient, whenever possible.
In many states, such as Pennsylvania, where I practice, all it takes is a single anonymous complaint from a patient, employee, or other person to the department of health that you are doing something wrong and that will bring down a surprise inspection of your office, in which everything in your office is fair game for them to look at. This then can result in immediate license suspension. This is done by the health department's administrative power without due process, and without any specific regulations within the podiatry practice act having been violated. Then you have to appeal to get your license back. Many docs would be surprised at what a bunch of nurses and epidemiologists might consider substandard, such as your flooring material and the kind of products you use for office cleaning. All of these things are covered in a host of CDC and other relevant agency documents.
It would be very easy for Name Withheld to get into trouble. An employee of the hospital who disagrees with another employee's practices could simply lodge that complaint.
Steven D Epstein, DPM, Lebanon, PA
10/07/2021
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: Estelle Albright, DPM
You are correct in stating, "A simple scratch causing a break in the skin" could lead to consequences...particularly if it occurs in the act of drilling toenails or using a Dremel drill with sandpaper burr...one small scratch or scrape with a power tool like a Dremel causes a serious issue." Why not instead treat the underlying fungus problem: Be the physician that you are.
Nothing anyone can say will change the minds of those who insist on using this archaic way of treating patients' fungal nails. I wonder how this would stand up in court..."So, doctor, you use a woodworking tool to treat patients, is that correct, doctor?"
Estelle Albright, DPM, Indianapolis, IN
03/11/2020
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: Gary S Smith, DPM
The issue of podiatrists obtaining parity with lesser trained medical professionals that have a broader spectrum of care than we do has come up many times. Many people would like to see this change but instead of doing anything, everybody sits back and expects podiatry "groups" that have nothing to gain and everything to lose to do it for us. If we're going to make a move, now is the time. There is a huge shortage nationwide in healthcare providers. Many places only have PAs treating patients with no MD coverage and everybody looks the other way.
I have thought about starting a dialogue with legislators in Pennsylvania about this but I have some reservations. If I was able to get it approved in some manner to where DPMs could treat...
Editor's Note: Dr. Smith's extended-length letter can be read here.
12/08/2016
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
RE: Medical Marijuana and Podiatry
From: Jay Kerner, DPM
As per my previous posts regarding prescribing medical marijuana for such conditions as diabetic neuropathy, ishemic pain, and debilitating arthritis, I again wish to raise my concern that as podiatrists, we de-value our profession by not retaining parity with the other medical professions.
As stated in Newsday last weekend, as of November 29th, nurse practitioners may certify patients for medical marijuana in New York State. Physician assistants will no doubt eventually be included, as they are already licensed to prescribe...
Editor's note: Dr. Kerner's extended-length letter can be read here.
04/11/2014
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
From: George Stephen Gill, DPM, MBA
Kudos to Lawrence Rubin, DPM - academic clinician extradonaire! To this day, his diagnostic radiology course (62/63 ICPM) resonates superior every time I view a film or do a differential diagnosis of osseous pedal pathology. Thank you Larry ...just thought you and others should know!
08/12/2013
RESPONSES/COMMENTS (NON-CLINICAL) - PART 4
RE: Vasyli Medical Affiliates Program (Eric Simmons, DPM)
From: Brandon Noble
Regarding the concern of the legality of the Orthaheel referral program and the referral bonus paid – we at Orthaheel have performed our due diligence researching law and discussing the program with governing bodies of healthcare professionals before launching the program to ensure we are providing a legal and ethical program to our valued customers.
The goal of the Orthaheel referral program is to reward physicians for referring patients to Orthaheel with the goal of creating a great experience for both the patient and physician. If any of you have concerns or question regarding the program, we would be happy to answer them. Please feel free to contact us at bnoble@vionicgroup.com for more information.
Brandon Noble, CO, LO, Director of Medical SalesVionic Group, bnoble@vionicgroup.com
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