Query: Asking About Gender
What choices do podiatrists have on their patient input forms regarding gender? I just wondered what podiatrists are asking their patients these days when it comes to that issue.
W. David Herbert DPM, JD, Billings, MT
Query: Source for Diabetic Shoe Company
What diabetic shoe companies are others using that have both good products and good service?
David Gurvis, DPM, Avon, IN
Query: ANS and Sudomotor Testing
I send many patients for vascular as well as neuro testing. There is a diagnostic machine available for purchase that allows practitioners to do the testing in our office. One of the machines I have found is called VitalScan which includes autonomic nervous system testing, vascular testing, and sudomotor reflex testing. Does anyone have any experience with these types of machines? Does anyone know if Medicare/commercial insurance allows reimbursement to podiatry for these types of diagnostic tests?
Carol Moore, DPM, Orland Park, IL
Query: Source for CBD Oil
I am looking for a reliable source to purchase topical CBD oil for patient use. It must be manufactured in the United States, not China. Besides providing a source, I would greatly appreciate some input as to the cost.
Jack Ressler, DPM, Delray Beach, FL
Query: Recommendations for Collection Agency
Does anyone have a recommendation for a collection agency?
John Scholl, DPM, Lady Lake, FL
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
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
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
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
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
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
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
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
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.
Query: Program to Track Lab Specimens
Can anyone recommend a good program to track laboratory and biopsy specimens.
Chris Ferguson, DPM, NY, NY
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
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.
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
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
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
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
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
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
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
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.