Sequestration’s Impact on Podiatry?

Let’s start with this – the Sequestration: What is It?

Sequestration is a legal term used to describe the act of a higher authority taking control of an asset — usually property or money — until a legal dispute is rectified, thus preventing destruction or loss of the asset until appropriate decisions regarding the asset have been made.

In this case, “the sequestration” refers to the Budget Control Act of 2011 which guaranteed that if the congress and president didn’t come to a consensus regarding measures for reducing the budget deficit, there would be across-the-board cuts meaning the treasury would freeze monies from almost every government program including the military and Medicare.

No consensus was met, so the sequestration went into effect on March 1.

So what type of impact will the Sequestration have on Podiatry?

Podiatry is often considered a specialty and as a result, even though a person’s feet are the foundation of their ability to remain independently mobile, people with foot ailments rarely make their feet their highest priority if they don’t have unlimited funds.  This will come into play when medical coverage is thinned and is part of the key in determining the impact the sequestration will have on podiatrists.

While the impact the sequestration will have on podiatry can in part be formulated by evaluation of the language in the Budget Control Act, the effect is still largely a product of human behavior and decisions.

Predicting the impact is speculation, but the following is known:

1) March 1st the act went into effect and all Medicare payouts must be in compliance by April 1st.  Fewer patients may seek specialty care.

2) There will be a 2% (max) cut in reimbursements for DPMs from Medicare payouts.

3) As of yet, there is no set date for a congressional review of the sequestration. In other words, this could be permanent.

The simple (though speculative) answer:

The impact the sequestration will have on podiatrists is a reduction in reimbursement from Medicare patient as well as potentially fewer patients as public concerns about their own medical coverage loom.

 

If you have any other questions or wish to schedule an appointment, contact We Treat Feet Podiatry by clicking here to view our various locations and phone numbers!

We Treat Feet! That’s what we do. From the simplest nail problems, to the most complex foot deformities, we provide exceptional care in a kind and compassionate manner. We offer board certified physicians that have spent years learning the intricate structures and functions of the human foot and ankle. No knees or elbows here, only the best foot and ankle care available in Maryland.

From heel pain, bunions, Sports medicine injuries, broken bones, neuromas, hammertoes, and flatfeet to Achilles tendon problems, we have the most modern technology available to help you, including digital x-ray, diagnostic ultrasound, and vascular testing equipment.

Our physician team offers treatments for people of all ages, from infants to seniors. No foot is too big, no problem is too big, because remember, We Treat Feet!

You can check us out on Facebook and Twitter as well!

Dr. Mikel Daniels

Dr. Daniels offers the latest techniques in foot and ankle surgery, including postoperative pain buster pumps, minimally invasive foot surgery, and the removal of painful skin lesions (corns and calluses).

Education and Experience: Dr. Daniels is a board certified foot surgeon, a distinction he received from the American Board of Podiatric Surgery, and a graduate of both Muhlenberg College and the Temple University School of Podiatric Medicine. He is also a member of several specialty organizations, including:

•      The American Podiatric Medical Association

•      The Maryland Podiatric Medical Association

•      The American College of Foot and Ankle Surgeons

Dr. Daniels has also served as a consultant for multiple biomedical companies and instrument/equipment manufactures and is on the speakers panel for companies such as Pfizer for Lyrica, New Deal/Integra for the MBA Subtalar implant, and Merete Medical for the Metafix locking plate system.

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Home Life: Dr. Daniels is happily married to his wife Melissa and the couple has 2 sons, Elliot and Ethan.

 

If you have any other questions or wish to schedule an appointment, contact We Treat Feet Podiatry by clicking here to view our various locations and phone numbers!

We Treat Feet! That’s what we do. From the simplest nail problems, to the most complex foot deformities, we provide exceptional care in a kind and compassionate manner. We offer board certified physicians that have spent years learning the intricate structures and functions of the human foot and ankle. No knees or elbows here, only the best foot and ankle care available in Maryland.

From heel pain, bunions, Sports medicine injuries, broken bones, neuromas, hammertoes, and flatfeet to Achilles tendon problems, we have the most modern technology available to help you, including digital x-ray, diagnostic ultrasound, and vascular testing equipment.

Our physician team offers treatments for people of all ages, from infants to seniors. No foot is too big, no problem is too big, because remember, We Treat Feet!

You can check us out on Facebook and Twitter as well!

Sources:

Dr. Francisco Pizarro

Dr. Pizarro graduated from the New York College of Podiatric Medicine in 2003. He went on to do his surgical residency at Kingsbrook Jewish Medical Center in Brooklyn, NY. During residency Dr. Pizarro developed a strong interest in the treatment of complex diabetic wounds. A native of the New York Metro area, Dr. Pizarro practiced in Queens and Brooklyn, NY for over 5 years.

Check out this short video featuring Dr. Pizarro at one of We Treat Feet’s locally sponsored events!

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Dr. Dee McCrary III

Dr. McCrary specializes in both arthroscopic and open management of forefoot pathologies, complex rear foot and ankle pathologies, and reconstructive surgery. He also has extensive experience managing diabetic wounds and foot infections.

Podiatric Education and ExperienceDr. McCrary received his Doctor of Podiatric Medicine from Temple University School of Podiatric Medicine in Philadelphia, Pennsylvania. Then, Dr. McCrary completed an intensive three-year podiatric surgical residency through the Kaiser Permanente North Bay Consortium in Vallejo, CA, outside San Francisco.

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Home Life: Currently living in Baltimore, Maryland, Dr. McCrary is an avid runner who has completed both the Dallas White Rock and Philadelphia marathons. He now has his sights set on the Baltimore Running Festival.

If you have any other questions or wish to schedule an appointment, contact We Treat Feet Podiatry by clicking here to view our various locations and phone numbers!

We Treat Feet! That’s what we do. From the simplest nail problems, to the most complex foot deformities, we provide exceptional care in a kind and compassionate manner. We offer board certified physicians that have spent years learning the intricate structures and functions of the human foot and ankle. No knees or elbows here, only the best foot and ankle care available in Maryland.

From heel pain, bunions, Sports medicine injuries, broken bones, neuromas, hammertoes, and flatfeet to Achilles tendon problems, we have the most modern technology available to help you, including digital x-ray, diagnostic ultrasound, and vascular testing equipment.

Our physician team offers treatments for people of all ages, from infants to seniors. No foot is too big, no problem is too big, because remember, We Treat Feet!

You can check us out on Facebook and Twitter as well!

‘Knock Your Socks Off’ for Diabetes in November!

This November, the APMA is encouraging people from all over the country to ‘Knock Your Socks Off’ in an effort to prevent diabetes-related foot complications – ranging from discomfort to in some cases, amputation.

The campaign is being directed at the hispanic population of the US as currently 12% of it’s population has diabetes. More importantly, the ethnicity is 66% more likely to develop the disease than any others.

There are various initiatives within the ‘Knock Your Socks Off’ campaign including:

In addition to these resources, the best step in preventing one of these complications is to visit your local podiatrist. If you have any further questions whatsoever about the campaign or about any diabetes-related foot health, the experts at We Treat Feet Podiatry would be more than happy to answer them! Simply shoot us a note at info@wetreatfeet.com or call at 410-363-4343.

 

Preeminent Orthopedic Surgeon Lauds Progress in Podiatric Medicine

A recent commentary written by Augusto Sarmiento, M.D. in The Journal of Bone and Joint Surgery lauds the progress made by podiatrists in recent years.  Dr. Sarmiento notes, “…they [podiatrists] have become experts in the field to the point that it is ludicrous to argue that their qualifications do not allow them to cover such a wide territory.”

Dr. Sarmiento’s analysis concludes that as the healthcare field will generate over 5.6 million new jobs in the next 8 years (due to the Baby Boomer generation growing older) podiatrists are poised to fill a vital role in US Health Care.  This increased reliance on podiatrists’ specialization is backed by data collected from Thomson Reuters which shows podiatrists have perf0rmed more than 316,000 of 30 common foot/ankle procedures  in 2010 while orthopedic surgeons have performed only 97,659.

While Dr. Sarmiento’s claims are not part of an official statement of the American Academy of Orthopedic Surgeons, he is one of the organizations most respected members and continues his praise by noting how much podiatric training has improved, citing that podiatrists have “become doctors/surgeons who currently care for patients with all types of musculoskeletal conditions below the knee” and catalogs a variety of complex surgical procedures podiatrists are well-equipped to handle.

To download a complete copy of Dr. Sarmiento’s article, please click here.

If you have any other questions or wish to schedule an appointment, contact We Treat Feet Podiatry by clicking here to view our various locations and phone numbers!

We Treat Feet! That’s what we do. From the simplest nail problems, to the most complex foot deformities, we provide exceptional care in a kind and compassionate manner. We offer board certified physicians that have spent years learning the intricate structures and functions of the human foot and ankle. No knees or elbows here, only the best foot and ankle care available in Maryland.

From heel pain, bunions, Sports medicine injuries, broken bones, neuromas, hammertoes, and flatfeet to Achilles tendon problems, we have the most modern technology available to help you, including digital x-ray, diagnostic ultrasound, and vascular testing equipment.

Our physician team offers treatments for people of all ages, from infants to seniors. No foot is too big, no problem is too big, because remember, We Treat Feet!

You can check us out on Facebook and Twitter as well!

Sources:

American Podiatric Medical Association
The Journal of Bone and Joint Surgery

Hammertoe: Signs, Symptoms, Treatment and Prevention

Hammertoe is a condition in which one or both joints of the second, third, fourth, or fifth (little) toes are abnormally bent (contracture). Commonly caused by a muscle or tendon imbalance – though hammertoes can be inherited or result from trauma – this condition usually starts out mild and slowly worsens over time.

Hammertoe Symptoms and Signs

•      Pain or irritation when wearing shoes

•      Corns and calluses

•      Inflammation

•      Redness

•      Burning sensation

•      Contracture (bending) of the toe

•     In more severe cases, open sores may form

Hammertoe Treatment

Due to its progressive nature, hammertoes should receive treatment as soon as possible. If left untreated, hammertoes can become more rigid. If this is the case, non-surgical treatment is no longer an option.

Non-Surgical Treatment of Hammertoes includes:

Padding corns and calluses: Your podiatrist can either prescribe or provide you with a special pad designed to shield corns and prevent irritation.

Changes in shoewear: Shoes with pointed toes are strictly forbidden. The same goes for shoes that are too short or high heels. All three of these will force the toe against the front of the shoe, aggravating your condition.

Orthotic devices:  Custom orthotics can be placed in your shoe to help control the muscle/tendon imbalance.

Injection therapy:  Corticosteroid injections can be used to ease pain and inflammation.

Medications:  Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.

Splinting/strapping: Splints or straps may realign the affected toe.

If the hammertoe does not get better with non-surgical treatment and your condition worsens, surgery may be your last option.

If you have any other questions or wish to schedule an appointment, contact We Treat Feet Podiatry by clicking here to view our various locations and phone numbers!

We Treat Feet! That’s what we do. From the simplest nail problems, to the most complex foot deformities, we provide exceptional care in a kind and compassionate manner. We offer board certified physicians that have spent years learning the intricate structures and functions of the human foot and ankle. No knees or elbows here, only the best foot and ankle care available in Maryland.

From heel pain, bunions, Sports medicine injuries, broken bones, neuromas, hammertoes, and flatfeet to Achilles tendon problems, we have the most modern technology available to help you, including digital x-ray, diagnostic ultrasound, and vascular testing equipment.

Our physician team offers treatments for people of all ages, from infants to seniors. No foot is too big, no problem is too big, because remember, We Treat Feet!

You can check us out on Facebook and Twitter as well!

Sources:

Hammertoe Foot Health Facts

APMA Podiatrists Keep Our Olympic Athletes Running & Jumping Toward Success

This summer at the Olympic games in London, several APMA members made the trip over to London to ensure atheletes from all across the world had feet fit for competition.

Dr. John Connors, DPM, of New York, treated 19 patients from 5 different countries, all of whom participated in the Track & Field portion of the games.  A veteran of treating elite athletic competition – his private practices serve elite and Olympic-level athletes in the US – Dr. Connors still found himself starstruck when meeting Olympic superstars like Gabby Douglas who he deemed, “The Queen of the Olympics”.

“Experiencing the Olmypics as a sports podiatrist was phenomenal”, Dr. Connors said, “I was treated as the foot and ankle expert [podiatrists] truly are.  Doctors from Germany and Spain were seeking my advice on various conditions, and it was great exposure for all of podiatric medicine.”

Jane Anderson, DPM of Chapel Hill, NC and Colleen Schwartz, DPM, of Pleasaton, CA had more pleasure than business scheduled for their trip to the UK.  Anderson had developed a relationship with French soccer player Camille Abiliy through a host program back in 2010 and was invited to hang out with the French soccer team for much of their stay.

Mark Mendeszoon, DPM, from Chardon, OH and who is known as Dr. Zoom for his obsession with everything Track & Field, made a last minute decision to travel to the games but says it’s one he’ll never forget.  He had the opportunity to work with eventual gold medal pole vaulting champion Jen Suhr and was quoted as saying, “I’m blessed to work with athletes at all levels, but London was electric.”

The APMA hopes that it’s members will continue to show their value to elite athletics every 4 years!

Think Your Heels Hurt? Look at These Shoes and Think Again!

First, watch this:

Here are a couple still shots of those…things:


Almost hard to watch, isn’t it?  Well it’s part of a new exhibit called Scary Beautiful and is a collaboration between Leanie van der Vyver and Dutch shoe designer René van den Berg.  Here is the philosophy behind their creation:

Humans are playing God by physically and metaphorically perfecting themselves. Beauty is currently at an all-time climax, allowing this project to explore what lies beyond perfection.

Scary Beautiful challenges current beauty ideals by inflicting an unexpected new beauty standard.

So I think the takeaway here is, next time your find yourself in an uncomfortable pair of heels, think about this poor girl and remember – things could be worse.

Sources:

The Look (Today Show)

US Surgeon General Addresses the APMA

United States Surgeon General Regina Benjanmin, MD, MBA congratulated the American Podiatric Medical Association on it’s 100 years of advancing podiatric medicine at the 2012 Annual Scientific Meeting (also know as The National).

She lauded the APMA and the work it’s members do on a daily basis stating, “[The role] today’s podiatrists [play] in the diabetic management team is a vital step to preventing amputation”

The Surgeon General has put an emphasis on encouraging lifestyles of sickness and disease to ones of wellness and prevention and thus continued by saying, “Podiatric care must continue to advance.  You not only save lives, limbs, and health-care dollars, you also preserve dignity and quality of life.”

Dr. Benjamin closed with an interesting story of a young woman who say a man on the beach early in the morning throwing starfish back into the ocean.  When the woman asked the man why he was returning the starfish, one by one, to the water even though he would never be able to save them all as the sun rose, the man responded by picking up a single starfish and saying, “It makes a difference for this starfish”.

“I commend you for the important health-care services you provide everyday,” Dr. Benjamin concluded, “Learn all you can at The National, then go home and find your starfish.”

To view a video of Dr. Benjamin’s speech, you can visit www.c-span.org/events/surgeon-general-speaks-to-podiatric-association/10737433170.

If you have any other questions or wish to schedule an appointment, contact We Treat Feet Podiatry by clicking here to view our various locations and phone numbers!

We Treat Feet! That’s what we do. From the simplest nail problems, to the most complex foot deformities, we provide exceptional care in a kind and compassionate manner. We offer board certified physicians that have spent years learning the intricate structures and functions of the human foot and ankle. No knees or elbows here, only the best foot and ankle care available in Maryland.

From heel pain, bunions, Sports medicine injuries, broken bones, neuromas, hammertoes, and flatfeet to Achilles tendon problems, we have the most modern technology available to help you, including digital x-ray, diagnostic ultrasound, and vascular testing equipment.

Our physician team offers treatments for people of all ages, from infants to seniors. No foot is too big, no problem is too big, because remember, We Treat Feet!

You can check us out on Facebook and Twitter as well!

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