THE PODIATRY FORUM 

Welcome to the PODIATRY FORUM created in 1999

for STUDENTS  &  DOCTORS

"Building a podiatric community through cooperation"

Created in 1999 to facilitate intelligent & constructive communication between prospective students , podiatric medical students & doctors.  Thank you for making the PF the busiest podiatry forum on the internet. Comments expressed are NOT those of the webmaster, moderators nor advertisers/sponsors but rather reflect the opinions of that individual poster.  

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question for pods

by patient (no login)

my feet hurt..help me

Posted on Apr 9, 2004, 9:17 PM
from IP address 66.185.84.69

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Re: question for pods

by Anonymous (no login)

Your feet hurt??? This is like telling a mechanic you car is broken over the phone and asking what is wrong w/ it.

Posted on Apr 15, 2004, 5:32 PM
from IP address 192.189.247.241

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podiatry schools

by RF (no login)

hi everyone..i've been lookin into the profession for quite some time and i want to thank everyone who posted in this forum for their cooperation. You all gave me a chance to look at the profession and fully examine the good and bad and see y ppl are in both ends of the spectrum..personally i'm still interested in the profession because it suits me best..there's nothin wrong with doin what u like and im a strong advocate of "do what u like" and "like what u do"...i realized a few things though....podiatry is not a guaranteed profession like the MDs/DDS/PharmD etc...meaning..jus because ur in a podiatry med school that does not guarantee u a successful future..and i believe this is the problem with many ppl on this forum..they were misled by the well groomed admissions counselors and student affairs of the pod colleges who drew a rosy picture for them of how they will be making money and livin comfortable lives.....

On the other hand, if one works hard in podiatry school and earns a strong residency position..the sky is the limit it seems...u see i notice that the profession is on a very individual basis...if you're good..then you should be succesful (ofcourse there r rare exceptions to every rule)...the degree itself is not very marketable because of the fact that not every DPM is on the same playing field...the new younger "surgical" generation is looking very educated and well trained so naturally they r landing the good jobs and associate positions..this was somethin i really looked into and researched...alot of students get offered 70+ while they r finishin up their residencies so they would start right after their training!!

Personally, im never afraid of a little hard work..i believe that god made us all with a purpose or to fulfill a 'message' sort of speak and it seems that this door has been open for me and i am ready for this big step....i do understand the many risks involved, but i also have faith in god and my abilities..nothing in this world comes easy

I have been accepted at 2 reputable pod med schools...ocpm and temple...i am very thankful to god for this opportunity but i am still debating as to which can offer me the best education adn the best residency postion possible...ur input is very welcome here...

i welcome all your feedback, negative or positive...everyone on this forum has provided me of the pieces of the puzzle that defines the status of the profession....thank u all!!

Posted on Apr 9, 2004, 12:41 AM
from IP address 66.185.84.76

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Define success..

by (no login)

It's implied that you will work hard in pod school and will land a residency that will enable you to learn from those around you AND from yourself. It's what you do with what you have that counts.

In the end it is your business savvy that's going to make or break your success - (that is if you define success as having a good practice making good money for what you're doing). Having an office is just like running a business. I have friends that are great docs but are not doing well. I have friends that are so-so docs that are doing great and everything in between. The people that are doing the best are those that have a good business mind and are able to make good business decisions.

Posted on Apr 21, 2004, 9:14 AM
from IP address 66.6.80.48

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You're 100% right

by RF (no login)

I agree with u 100%...my definition of success has to include the proper business savvy characteristics you were talking about. I do intend to learn from those around me and benefit from them..those who unfotunately struggle and from those who succeeded.

I know there's alot of hardwork involved and countless research but I am up for it. I know at the end of the day I am running a business as much as I am treating patients as a "podiatric physician". I notice that those who do well in the business are those who fully train and MARKET themselves with the title "foot specialists" or the "best in the business"...just like any other business...we are offering a service which can be done by other healthcare professionals...but we are "the best"....a business person would have to use his/her business sense to ATTRACT new customers aka patients by providing every foot-service under one professional name "FOOT SPECIALIST"...I've worked in marketing before and I know that the idea is to make the customer DEMAND and WANT the service even if he/she DOES NOT NEED IT. I saw this trend with podiatrists in Ontario, Canada where I am from. Keep in mind that these podiatrists do not get any hospital previlidges but they still succeed in attracting patients..

I think when it comes down to it...just like opening any business, u have to look and asess all the risks involved...thats y its important to listen to all the "negative" posts because there's a reason y these ppl have failed and their views are just as important if not more imporant than the "positive" feel good stories....At least the "gloomers" as they've often been referred to as, provide an imporatant aspect of the podiatry reality which the schools always seem to hide...I really do believe and listen to their opinions because there is no such thing as a 100% safe or guaranteed business....A DPM is not an MD and thats the root of the problems...ppl seem to assume that because we are "physicians" therefore we are guaranteed income and benefits like MDs...but infact we have to compete and outcompete them alongside other allied health professionals who do our work, such as nurses doing wound care and chiropractors prescribing orthotics...therefore, to succeed u have to be a business man before u r a doctor and THATS WHAT THE SCHOOLS NEVER SAY...

Perhaps that problem would be solved if we as an association fought like the D.O.'s to make sure our students and professionals write the USMLE exams...maybe then our DPM degree can do the marketing for us without having us do the marketing for our degrees...but until that happens i'm looking forward to the challenges ahead and learning from EVERY colleague..the one who succeeded, and definately from the one who unfortunately failed....its a tough road ahead but nothing comes easy these days...ur input and contribution can be very helpful for me...positive and negative...thank u all and god bless..

RF

Posted on Apr 24, 2004, 12:40 PM
from IP address 66.185.84.76

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Re:podiatry schools

by me (no login)

I think you should have some apprehension, and many of the things you fear are out there. However, if you work hard the rewards are there. I graduated from OCPM and I am about to complete a PPMR/PSR24. I interviewed with about 7 different groups and received offers from each above 70K. The opportunities are there for those that have the training. I feel the strides being made in the residency circles will ensure a more stable future. I concede that I completed the PPMR and went on the accept a resident position at a high powered program to complete the PSR24. If I had only done the PPMR and went into private practice I would be dead in the water. 3 years is a must. Another factor is the amount of podiatric students that are seeking residency is down and many programs are out that provide the training needed to succeed. For those that have provided a negative light are those that do not have the training. I recently applied for privledges at the local hospital where they currently have only one page of procedures and it was very limited. I turned in about four pages and my surgical logs to back up my requests with all being accepted.
Please do not hesitate to contact me. Mellerdpm@msn.com

Posted on Apr 26, 2004, 12:37 AM
from IP address 63.155.224.58

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Re: podiatry schools

by Anonymous (no login)

go to Temple

Posted on May 17, 2004, 8:45 PM
from IP address 67.171.104.111

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pus on the bottom of my feet

by (no login)

Hello,

For the past couple years, I have had a recurring foot problem where on the fleshy parts of the bottom of my feet (around metatarsal area, and then the balls of my feet) skin sort of dies and there are white blotches that are easily peelable, sometimes down to the dermis.

In addition, sometimes they are painful, and those painful ones turn out to have pus in them, which I have popped to relieve the pressure. Sorry to be so graphic, but I am assuming this is a medical forum, and you've probably seen and heard of worse.

I cannot find anywhere what this condition is called, nor do I have any idea how to treat it. Sometimes I will peel it or pick at it, sometimes I leave it alone, but it is starting to disturb me, and I want to improve my foot health in a substantial way.

I am hoping someone can email me or help provide some advice as to what to do. Thank you, Dave

Posted on Apr 6, 2004, 11:24 PM
from IP address 24.60.191.32

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Bullous Impetigo

by anon (no login)

Have you looked up Bullous Impetigo, characterized by large blisters on the plantar surfaces of the hands and feet and are secondary to Staph infections. Worth a shot and if it doesn't pan out, see a Podiatrist and have them culture the blisters.

Posted on Apr 10, 2004, 12:08 PM
from IP address 65.43.176.5

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Re: pus on the bottom of my feet

by Anonymous (no login)

Dave, if you would like some serious information, go to www.apma.org and contact them for infortion. This website is usually not very helpful in giving good advice. So, go striaght to the source.

JP

Posted on Apr 15, 2004, 5:24 PM
from IP address 192.189.247.241

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obtaining a residency in CA

by Anonymous (no login)

I was accepted into four podiatry schools already. The only school I'm waiting to hear from is CCPM. If I do not hear from CCPM, which school offers me the best chance of obtaining a residency in CA.
Temple, Scholl, Barry, or NYCPM?

Posted on Apr 5, 2004, 6:22 PM
from IP address 128.220.205.89

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First Visit to this Site

by Chris (no login)

What a bunch of crap this website is. People have nothing better to do than complain about their sad state of affairs. Podiatry has enough good people in it, and good people coming up through the ranks that all the criers and losers can leave if they want. Just because someone doesn't have as good of a residency training as their peers, or the business sense to survive in the real world, doesn't mean that Podiatry is doomed to failure. All healthcare is feeling a crunch right now with escalating medical malpractice costs and "lottery lawsuits" based on nothing more than "it's my turn to get rich". This other crap about sending rearfoot to the orthopods, well if you weren't trained for it, then send it to whoever you want. But the truth is many of your podiatric colleagues are being trained to handle anything in the rearfoot and are being trained side by side with the orthopods. Podiatry is evolving and isn't the cash cow it was in the 70s and 80s with bunionectomies getting paid thousands of dollars. The world of healthcare is changing so either you adapt with it and continue to succeed, or you sit back and have nothing better to do than complain and whine to this site. Deal with it.

Posted on Apr 3, 2004, 12:46 PM
from IP address 68.233.44.208

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Re: First Visit to this Site

by Trey Anastasio (no login)

Agreed. This site is full of a bunch of PPMR trained pods who love to dish out sob stories. I still plan on doing P&A's on every newborn to put you PPMR clip and chippers out of the business.

Posted on Apr 4, 2004, 1:30 AM
from IP address 64.12.116.202

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Re: First Visit to this site

by me (no login)

I agree with you as well. I feel there are a variety of factors that affect an individual doing well in this field. Number one is training, if you don't have the training you are going to be very limited in what you can do. If you don't have the training than go and get it, it is out there and available. Number two is business skills. Some are born with and others have to learn, be an associate and learn from others if you are not born with it. Finally as a subset of business, you have to be willing to adapt, that is if you think an individual is going to simple set up shop in an area like Cleveland (280 pods in the city limits) and make 100k right out of gates, they are crazy. I have been lucky enough to have mentors that hussle and succeed and this attitude is going to allow me to succeed anywhere.

Posted on Apr 26, 2004, 12:48 AM
from IP address 63.155.224.58

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Untitled

by templestud (no login)

I was looking at "Podiatry Today"'s classified section and the only jobs I saw were looking for at least a PSR-24. If you get a PPMR or a PSR-12 how does one get a job besides opening own practice while
getting paid descent money?

Posted on Apr 2, 2004, 8:22 PM
from IP address 129.32.8.15

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CAN ANYONE HELP PLEASE -

by (no login)

Hello.

Can anyone help please

I have 2000 words to write on the following Title:

What are the social, cultural and psycho-social elements which influence podiatric practice?

Please email me on p@spitfre.biz

Thanking you in anticipation.

Kind Regards
PJ

Posted on Apr 2, 2004, 1:53 PM
from IP address 81.130.117.23

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I need help to?

by (no login)

Hi just wondered if you got any information i have to work on the same essay and could do with some help would be good to here from you Cheers.

Posted on Apr 16, 2004, 8:13 AM
from IP address 195.92.67.79

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Tranfer from DPM school to MD school?

by Perseph976 (no login)

Is is it possible to transfer from a DPM school to a MD school after the first or second year in the DPM program?

Thanks.

Posted on Apr 1, 2004, 1:53 PM
from IP address 167.82.191.50

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NO, for DPM; in some cases yes with DDS credits

by A. Blankenship (no login)

Podiatry school courses are NOT accepted by any allopathic/osteopathic schools for advanced standing etc... (wonder why?) You MUST begin from square one. In a few cases DDSs can use their courses from 1sr/2nd year to get a higher standing. I tried and researched this topic extensively. Sorry, perhaps you can leave pod and earn acceptance into MD/DO school.

Posted on Apr 4, 2004, 11:40 AM
from IP address 170.223.175.85

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Re: NO, for DPM; in some cases yes with DDS credits

by Anonymous (no login)

Podiatry school courses are NOT accepted by any allopathic/osteopathic schools for advanced standing etc... (wonder why?) You MUST begin from square one. In a few cases DDSs can use their courses from 1sr/2nd year to get a higher standing. I tried and researched this topic extensively. Sorry, perhaps you can leave pod and earn acceptance into MD/DO school.

Wonder why?

Well; those schools, like podiatry schools, are in the money business as well. They would like the tuition dollars that you will spend to retake courses.

Ask them if they will give higher standing to transfer students coming from other medical schools. Ask about Do and MD schools. The likely answer is that they will need to evaluate it on a case by case basis. One excuse will be that they are in a different teaching system. (Problem based learning vs. structured by organ systems etc.)

It's not just the podiatry schools.

Posted on Apr 10, 2004, 4:13 PM
from IP address 24.225.60.114

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O.K.

by Anonymous (no login)

Your extensive research is a bit off cue. There are allopathic schools that will allow transfer credits. Believe me I know. I was miserable in podiatry school and transferred after the first year to M.D. school. If you really want to make the move then do the research. I don't know the extent of your extensive research, but it took me about 3 wks to find a school that would take some not all of my credits. After the initial school I had the opportunity to go to several other schools. Still, I am preparing for USMLE step 2 and both parts and will be matching in 2005. I will actually be finishing my rotations sooner than if I stayed in podiatry school. It has been the best transition I have ever made. I knew the first few weeks of podiatry school that I made a mistake. I am not saying that podiatry is bad in any way whatsoever it just was not for me. So do the research if you wish.

Posted on Apr 10, 2004, 9:58 PM
from IP address 4.158.189.20

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Offshore MD school?

by ex-pod student (no login)

Hhhmmm. This seems like it was an offshore MD school, Ross, SGU, AUC, etc. I don't know of any US mainland schools that offer advanced standing for a podiatry student wanting to transfer. Which school was this that allowed advanced standing? I am entering a US medical school this fall and withdrew from my podiatry school. Advanced standing was not even an option, I have to start from the beginning. I think it's well worth it.

Posted on Apr 23, 2004, 8:17 PM
from IP address 207.229.174.30

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How?

by DPM student (no login)

Hi. I've really enjoyed my first year in podiatry school. But as with a lot of us I'm wondering if I should've applied to allopathic schools before I came here. It seems that you were able to make the transition. I don't mind repeating the first year but I'd like to start this fall. Can you point me in the right direction? Thanks

Posted on Apr 28, 2004, 5:34 AM
from IP address 198.81.26.43

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Re:

by zela (no login)

No, not even a foreign MD school will take your credits.

Posted on Apr 4, 2004, 12:21 PM
from IP address 207.42.135.28

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transfer

by pod (no login)

there exists some podiatry schools in which students take academic classes with m.d. students so it might be possible.

GET IT IN WRITING if they tell you you have this option!

once again, GET IT IN WRITING.

good luck.

Posted on Apr 8, 2004, 7:42 AM
from IP address 69.29.101.11

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Dry rough skin on feet

by (no login)

My wife has dry rough skin on her feet, mainly because of the type of high-heeled shoes women wear. Is there any product or treatment that can be used to remove the rough skin and restore them to original condition?

Thanks,
Eric

Posted on Mar 30, 2004, 9:53 PM
from IP address 209.195.87.130

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Realities of Podiatry

by Ben (no login)

I started buying into a podiatry practice several years ago, not long after finishing my residency, and I made numerous mistakes and fell into many traps that could easily have been avoided.

First of all, I started buying into the practice without having worked there previously; therefore the buy in price was based on the senior partner’s salary. Although the corporate tax returns verified that the salary was indeed accurate, the valuation analysis of the practice did not disclose the fact that the senior partner’s salary included income from another partner who also was buying into the practice. Nor did the analysis indicate the compensation he was receiving for administrative duties. The money received from these sources artificially increased the value of the practice, and I would easily have noticed that if I had worked as an associate for several years and learned the level of the practice’s production before I started buying in.

The next mistake I made was to take the appraisal of the practice at face value (which was done by the same company I use for my malpractice insurance) and not hire someone to do a full appraisal of the practice for me. The bottom line is that a young practitioner should not buy a practice without at least several years of private-practice experience and without having worked in the practice for a number of years to make sure that the level of production more accurately reflects the buy-in price.

Posted on Mar 25, 2004, 8:31 AM
from IP address 12.101.107.154

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Tendonitis

by Karen (no login)

I am searching for answers and thought I would ask here. I am a basketball coach and have a player with significant pain in her left foot. It is on the outside of her foot, just below her ankle bone, slightly toward her achilles tendon. She remembers a specific moment when the injury occurred, then the pain increasing in intensity over a two week period before it was severe enough to mention to the coaches and trainers. She has been told it is tendonitis and was placed on anti-inflammitory medication. She has been resting it for over 3 weeks and has seen improvement, but every time she tries to increase her activity is comes back quickly.

My question is would cortisone (sp?) be indicated for an injury like this? Should she see a podiatrist instead of an orthopedic doctor? Any advice is appreciated as she has a scholarship riding on her ability to play this summer.

Posted on Mar 22, 2004, 1:24 AM
from IP address 130.13.164.86

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How innocent

by jd (no login)

That was a legitimate question you asked Karen, perhaps you're not familier with this forum it's rarely used by people serious about their profession.
You'll notice it's mostly for complaining and whining. That's not to say that there aren't caring decent and most of all competent Podiatrists. There just not many here, this forum was highjacked along time ago. It would restore our faith in Podiatry if someone can step forward and give this woman a legitimate answer. As a Lawyer and not Podiatrist unfortunately I don't have the proper license to help you. But I know there are very good Podiatrists that read this forum but stay quiet. Good luck!

Posted on Mar 27, 2004, 9:23 AM
from IP address 68.215.2.69

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Hijacked by Reality and Multiple Concerns

by John (no login)

To blindly dismiss the major podiatry concerns here is an outrage and categorically write people off in the US as 'disgruntled" or loser, or what ever PC liberal term is being thrown about is horrible especially for $147800 in student loans, that is $147800 in student loans that areNOT dischargable unlike businesses and taxepayer airline bailouts or $87 BILLION for a third world 'country'.

Happy talk and pod school propanganda will NOT solve the major problems afflicting podiatry. Research the profession, then research some more, call hospitals, call major academic medical centeres for scope, practice, credentials, call the NIH for a list of DPMs that are grant recepients, go to the journal look for pods that publish REAL research and contact them for another opinion.

Podiatrics may provide some opportunity but it may not and is far more risky than other more well established medical careers. Unless some of these podiatry proponents are going to pay for your rent, food, utilities, gas, taxes, loans, etc,, then they should NOT be telling someone especially a 20 something what to do with 120K in nondischargable debt/loans!

Good luck.

Posted on Mar 28, 2004, 12:13 PM
from IP address 170.223.175.85

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Pray Tell, JD why are you here?

by Pod (no login)

Just curious, what is an attorney doing on this website? You seem to have an agenda.

Posted on Mar 29, 2004, 9:02 PM
from IP address 69.29.102.90

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No Agenda

by jd (no login)

No Agenda "Pray Tell" I represented a few Podiatrists or there spouses in the past and stumbled onto this web site while searching for info on Podiatry. I've liked and respected all that I've met. Now other lawyers are another thing.

Posted on Apr 6, 2004, 11:52 AM
from IP address 68.219.34.107

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Well

by Anonymous (no login)

Karen,
I am a podiatrist and would suggest you see one in your locale. An orthopedist with a lot of foot and ankle experience is also an option.
It is impossible to diagnose without actually seeing the patient.
Some differentials could be a peroneal tendon injury, a healing sprain,osteochondral injury, bone edema/bruise, capsulitis, bursitis, and a posterior talar process fracture(or os trigonum). Advanced imaging such as an MRI may be helpful in addition to an anatomical clinical evaluation.
Hope this helps.

Posted on Mar 28, 2004, 12:32 PM
from IP address 64.12.116.209

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some advice

by MD student (no login)

If her pain persists, I would get an MRI to eval. for any pathology...otherwise, continue rest, heat treatments, NSAIDS, and last resort would be a cortisone shot if per pain is still significant but no more than 3 a year...hopefully she will be better long before then. I'm only a 1st yr MD student so sorry if I missed anything! I'm sure the podiatrists out there has better answers...in the meantime, get a good supporting ankle brace if she is to do any activities!

Posted on Mar 28, 2004, 11:41 PM
from IP address 69.137.1.83

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Professional advice

by Anonymous (no login)

Regardless from whom she receives medical care, she needs to have an x-ray of both the foot and ankle to rule out the possibility of an occult fracture. Her provider needs to elicit a detailed history of the mechanism of injury, i.e. did it occur when she was going up on her foot or did she "roll" her foot in? With a thorough history and physical and x-rays, any competent provider will be able to formulate a treatment plan. Presumably other athletes have seen providers and they can be a good referral source.

Posted on Mar 30, 2004, 10:32 PM
from IP address 165.121.195.71

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In response...

by Nadia (no login)

I think she should HONESTLY, see both. She will quickly realize that the podiatrist will provide her with more specific and personal care. However, its never bad to get a second opinion... either way if this is so important to her, she should make the effort to compare :)

NF

Posted on Apr 6, 2004, 10:16 PM
from IP address 66.131.130.152

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tendonitis

by Anonymous (no login)

karen, no to cortisone,it would only weaken an acute injury.further strain needs to be eliminated ,immobilization,physical therapy,graduated stretching and activity.from one happy foot doc.

Posted on May 23, 2004, 11:41 PM
from IP address 67.38.18.97

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Sad strategy for podiatry colleges.

by Anonymous (no login)

Podiatry students are being told that there are lots of opportunities for podiatrists in smaller cities that are underserviced by podiatrists and orthopedic surgeons. While this sounds like a valid statement many smaller cities and larger towns are (were) dependent on 2-5 large corporate employers. Rochester, NY is one example, when the big employers, eg Kodak, Xerox etc, started shutting down factories and laying off 1,000s of employees a major recession hit the city. Today, there are over 5,000 vacant houses. Try to go there and set up a podiatry clinic and guess what? It'll probably fail. What's happening across the USA? The following info is from CNN.

"Here is a list of companies we've confirmed are "Exporting America." These are U.S. companies either sending American jobs overseas, or choosing to employ cheap overseas labor, instead of American workers.

3Com
3M

A
Aalfs Manufacturing
Accenture
Adaptec
ADC
Adobe Systems
Advanced Energy Industries
Aetna
Affiliated Computer Services
AFS Technologies
A.G. Edwards
Agere Systems
Agilent Technologies
AIG
Alamo Rent A Car
Albertson's
Alcoa Fujikura
Allen Systems Group
Alliance Semiconductor
Allstate
Alpha Thought Global
Amazon.com
AMD
American Express
American Household
American Management Systems
American Standard
AMETEK
Amphenol Corporation
Analog Devices
ANDA Networks
Andrew Corporation
Anheuser-Busch
AOL
A.O. Smith
Apple
Applied Materials
Art Leather Manufacturing
ArvinMeritor
A.T. Cross Company
AT&T
AT&T Wireless
A.T. Kearney
Automatic Data Processing
Avanade
Avanex
Avaya
Avery Dennison

B
Bank of America
Bank of New York
Bank One
Bassett Furniture
BearingPoint
Bear Stearns
Bechtel
Becton Dickinson
BellSouth
Bentley Systems
Berdon LLP
Best Buy
BISSELL
Black & Decker
Bose Corporation
BMC Software
Boeing
Braden Manufacturing
Bristol-Myers Squibb
Brocade
Bumble Bee
Burle Industries
Burlington House Home Fashions

C
Cadence Design Systems
Candle Corporation
Capital One
Carrier
Carter's
Caterpillar
Celestica
Cendant
Cerner Corporation
Charles Schwab
ChevronTexaco
CIBER
Ciena
Cigna
Circuit City
Cisco Systems
Citigroup
Clorox
CNA
Coca-Cola
Cognizant Technology Solutions
Collins & Aikman
Columbia House
Comcast Holdings
Computer Associates
Computer Sciences Corporation
CompuServe
Continental Airlines
Convergys
Cooper Crouse-Hinds
Cooper Tire & Rubber
Cooper Tools
Corning
Countrywide Financial
COVAD Communications
Cross Creek Apparel
Crown Holdings
CSX
Cummins
Cypress Semiconductor

D
Dana Corporation
Daniel Woodhead
Daws Manufacturing
Delco Remy
Dell Computer
Delphi
Delta Air Lines
Delta Apparel
Direct TV
Discover
Document Sciences Corporation
Donaldson Company
Dow Chemical
Dresser
Dun & Bradstreet
DuPont

E
Earthlink
Eastman Kodak
Eaton Corporation
Electroglas
Electronic Data Systems
Electronics for Imaging
Eli Lilly
Elmer's Products
E-Loan
EMC
Emerson Electric
En Pointe Technologies
Equifax
Ernst & Young
Ethan Allen
Evolving Systems
Expedia
Extrasport
ExxonMobil

F
Fair Isaac
FCI USA
Fedders Corporation
Federal Mogul
Federated Department Stores
Fellowes
Fender Musical Instruments
Fidelity Investments
Financial Techologies International
First American Title Insurance
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Gateway
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H
Halliburton
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Jabil Circuit
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KANA Software
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Lands' End
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M
The Manitowoc Company
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Moen
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N
Nabco
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Office Depot
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palmOne
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Quark
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Sabre
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Target
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Wachovia Bank
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X
Xerox
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Y
Yahoo!
York International

Z
Zenith"

So sad, but the truth. So anyone planning on setting up in a smaller city or larger town that depends on 2-5 large employers better beware. I bet that if that town is thriving today, in 5-10 years it won't be because the manufacturers/service providers will off shore the work.

Posted on Mar 21, 2004, 7:01 PM
from IP address 142.3.102.202

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Have you heard of Capitalism?

by Ron (no login)

What do you want, the US gov't to stop allowing US companies to send their work force off shores? We have to allow for this in our economy and create jobs that Americans want and are competitively priced compared to our overseas partners. It's Global!

Posted on Mar 29, 2004, 1:12 PM
from IP address 68.104.196.26

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Re: Sad strategy for podiatry colleges.

by Anonymous (no login)

You forgot Shell

Posted on May 20, 2004, 7:19 PM
from IP address 67.10.178.27

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Applying to schools

by (no login)

I'm an undergraduate senior who is in the process of applying to podiatry schools. At first I was really excited about podiatry but recently I've been hearing a lot of negative comments about the field. I'm hoping to go to school in Chicago and was hoping someone could give some advice. I'd like to know if I should still consider podiatry, weither or not the school you go to changes your experience, and what should I expect.

thanks

Posted on Mar 18, 2004, 1:42 PM
from IP address 68.77.119.12

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RE: Pod Schools

by The Toeman (no login)

Liz,

I would never got to pod school if I had to do it again. I had a great job before I went to school & should have stayed where I was.

Now, if your grades are good & MCAT scores are good, look at MD or DO school.

I have many friends in podiatry ( I am not involved in Podiatry now, but I have the letters DPM..... mind you this coming from someone who is in their 40's who has accomplished a lot in my life), that are really struggling. Many have also left the field & are now in other professions.

That is not to say you can not do good. I have a friend who is doing fantastic. But, for many, I now are still struggling, & these are guys who have been out there for 5+ years.

I would think it over. Talk to some pods in your area. See what they tell you. But, not the ones in their 60's, they are all doing good. Look at the average guy who has been out there for 5 years. How is he doing?

Enrollment is way down.

Good luck in whatever you choose.

The Toeman,DPM

Posted on Mar 20, 2004, 9:27 PM
from IP address 67.29.203.3

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Buyer Beware with Podiatry

by John (no login)

Podiatry may offer you some potential. However, there are a great many factually "negative" comments that are directly inherent with regard to podiatry. That is not to say you may be able to do well. As the previous responder suggests, speak to many pods 3,5,10 years out with different residencies and see how they are doing. Moreover, call area hospitals and ask if pods are on staff and IF so, what is their scope. Call the VP of medical affairs or chief of surgery. Call community hospital, call "academic" hospitals.

Most pods do NOT like to deal with reality, however, most pods are those who could not earn a spot in MD/DO/DDS school. That is fact. It is a 3rd or 4th choice for some. On a shuttle bus, an pod school administrator was overheard stating that the pod schools was soliciting DDS rejects to apply to pod school.

MCATs are not reqd. anymore to pod school given the very few people even applying to pod school.

Do NOT believe the pod spin regarding fewer people applying to med school. That is spin. yes fewer people (very qualified) people may be applying to MD/DO school but these schools can still select from thousands of EXCELLENT applicants. Unlike podiatry which maybe has ~300 APPLICANTS for ALL 6 ACCPM schools. These are APPLICANTS.

There are no loan repayment programs for pods. Yes loans may have 'low' interest rates, yet you must pay back b/w 100-150K in debt which requires you to make an a good deal of money 75-80+-150K a year 9before taxes to sustain yourself.
MDs/DOs.DDS.PA/NPs, ALL have loan repayment programs--why NOT podiatry???

Most health care people and the lay public have NO clue what a DPM is, does, training etc...One of my genl surgical attgs. thought a DPM was a trade school with 1-2 years of "training."


There is no consistent training for pods
The formal education for pods from a basic science point is very good, however clinically 3,4yrs is very poor and in need of serious remiation which is LONG overdue.

The APMA, and other political societies/trade orgs REQUIRE dues from students unlike MD/DO/DDSs.

If your grades from undergrad are good, and FROM a top tier undergrad with decent MCATs GO for MD/DO you are infinitely better off.

Posted on Mar 22, 2004, 1:35 PM
from IP address 170.223.175.85

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Re: Buyer Beware with Podiatry

by Anonymous (no login)

QUOTE
Most pods do NOT like to deal with reality, however, most pods are those who could not earn a spot in MD/DO/DDS school. That is fact. It is a 3rd or 4th choice for some. On a shuttle bus, an pod school administrator was overheard stating that the pod schools was soliciting DDS rejects to apply to pod school.QUOTE

This is not fact. If you really believe this is a fact, give a reference for your source. What this really is, is heresay. And only second or third hand at that. Were you the one that overheard this statement? (It doesn't say "I overheard").

You really shouldn't post garbage like this and expect people to believe it.

Posted on Mar 27, 2004, 4:36 PM
from IP address 24.225.60.114

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Response

by John (no login)

Yes, I DIRECTLY heard the comment made by a podiatry administrator in 1999 on the shuttle bus.

Also in regard to your statement regarding a 2nd, 3rd, 4th choice for most pod student, that is a fact. I was a student admission work study asst. and was privy to this. Most pod students are those who could not earn acceptance into medical school. Many came from lower -tier schools and GPAs that were low. Direct direct involvement and personal observation throughout my first year, most students statement their frusterations that they could not earn acceptance into MD/DO and even DDS school. These are facts, not 'garbage, are you angry at the message or messenger?

Posted on Mar 28, 2004, 11:59 AM
from IP address 170.223.175.85

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the choice

by pod (no login)

Dear Liz,

Take an afternoon and read as many of the posts on this site as possible. Just by the questions that you are asking, it is apparent that you have more research to do.

How many pods have you talked to that have graduated in the past 5 yrs. How are they doing?

Contact some employers who are advertising for newly graduated residents. What are they paying?

What, if any, will your student loan debt be per month?

How will this effect your salary?

How strong is your business skills? In my opinion, the employee podiatrist is often at a serious disadvantage to the podiatrist who can run their own practice.

Where do you want to practice someday?

Just some things to think about. Take your time and make sure you know all the facts. This is an important decision.

Posted on Mar 23, 2004, 8:01 AM
from IP address 69.29.101.176

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same old

by anon (no login)

It is comical to read all these posts of "Drs" supporting DO schools. It seems that it wasn't that long ago when students were being discouraged from this very profession. Also it amazes me that for at the least ten years you doomsayers have been touting the fall of Podiatry and yet, no wait, its still coming, no not yet, thats right keep talking about it. The only good thing they are telling this young student is talk to practitioners right now and read about the profession. Pick up the February Edition of Practice Management magazine, it breaks down everything about the profession from the length of employmwent of respondents to the prescriptions they are writing the most. Oh yeah they even report income which can't possible be correct since they are returning anonymous surveys!! My advice, talk to people, talk to students and take advice from those who know what is happening in the profession and have some inkling of truth in what they profess. Oh yeah don't read anything on this site but this email.

Posted on Mar 28, 2004, 1:15 AM
from IP address 65.43.180.223

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Re: Applying to schools

by 2nd yr student (no login)

This forum is definitely not the place to go for any information. Please go to aacpm.org for valid, positive feedback on both the education and the profession. (Good luck and remember that this site is full of "doom and gloom", and that most of the negative comments come from people who would also be horrible ditch diggers)

Posted on Mar 23, 2004, 8:23 PM
from IP address 209.101.119.226

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careful

by (no login)

Liz,

Listen to nothing you read on this site......

Posted on Mar 26, 2004, 12:25 PM
from IP address 152.163.253.1

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To Liz : Gerry, my friend, what is your motivation?

by Pod (no login)

Dear Liz,

For anyone to tell you that all the posts on this site are worthless and inconsequential seems like poor logic to me.

At the very least I think that a rational person can deduce that:

There are some unhappy people in this profession due to their EXPECTATIONS not meeting reality.

On another subject,

It was most disheartening today to meet an M.D.'s wife and learn that his student loans are being completely covered by the employer-hospital. He owes around 190k. Funny, but there are only a small handful of such opportunities in our profession in the Indian Health Service. Or in other words, our govt. doesn't care what we owe, but God help us if we don't pay them back.

Posted on Mar 29, 2004, 8:58 PM
from IP address 69.29.102.90

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Re: Applying to schools

by (no login)

Hi Liz,
I am applying to DMP schools too. I am in the same boat as you. I got into Chicago too. I am really struggling to make up my mind. If you want we can search the profession together. I have a list of some 30 DPM's that I will be contacting soon. If you are interested, e-mail me a note.

Good luck
P.S. I am a resident of Ontario and hope that you are too.

Posted on Apr 5, 2004, 7:32 PM
from IP address 64.80.207.26

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Seavers Disease - Need help

by (no login)

My PCP told me I have Seaver Disease - effecting the heal on my left foot. It has hurt for over a year. He told me it will go away, but everytime I do anytime of physical exercise (golf, jogging), after I take weight off of it (sit for hr), the foot tightens up and feels like it's broken. I walk with a limp. He told me to take Aleve..Every morning, I limp when I get up.Any other help anyone would recommend. I'm too young (40) to be limping around.

Posted on Mar 17, 2004, 8:45 PM
from IP address 24.34.167.133

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Re: Seavers Disease - Need help

by Anonymous (no login)

It also sounds like you are too old for Sever's apophysitis. You may want to have your PCP check it out a bit more, and ask for a referal to a podiatrist.

Posted on Mar 18, 2004, 8:38 PM
from IP address 24.225.60.114

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you think you are too young!

by (no login)

My 10 year old son was just diagnosed with Seaver Disease!. His pediatrician told us that it occurs in very active people who run frequently or participate in a lot of sports. He indicated that it was an inflammation in the cartiledge where the growth plate is in my son's heel. He said that once his foot stops growing it should heal, but now I am not so sure. He limps almost all the time. We were advised to take Motrin right before his sports events. It does help, but it is a short term solution. His heel also mostly hurts in the morning. He is now wanting to take Mortin everyday and I am not sure this is a good idea for a long term solution (where does it end). Any help or suggestions that you discover would be appreciated. Good Luck!

Posted on Apr 1, 2004, 12:23 PM
from IP address 168.166.80.205

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severs

by New Pod (no login)

Some other helpful hints for Severs disease. One, has your son tried stretching exercises to stretch out his Achilles Tendon? This is the tendon that is putting lots of stress on his growth plate at the back of the heel bone. Also, using a heel lift may help relieve some of the stress from the Achilles tendon, but it will not help the problem any since it actually supports the Achilles in a shortened position. I would try regular stretching and using heel inserts during activity. Gradually reduce the height of the heel inserts over a period of a couple months. The doc was correct in saying that once he is done growing it should stop huring.

New Pod

Posted on Apr 4, 2004, 3:08 AM
from IP address 68.112.214.168

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Severs Disease

by (no login)

My 13 year old was just diagnosed yesterday with Seavers Disease. The orthopedic told us the same thing about how it effects active children. My son has just began his 10th year playing baseball. This year in the 7th grade, he played football, basketball, and ran track on the "school" team. He has complained of his feet hurting for more than a year now; but just this past week he started limping really bad. The orthopedic said that the pain will go away when the growth plate closes completely. In the mean time, Motrin 600 mg, heel cup, and ice is what he recommended. I am afraid that he will start to rely on the Motrin everyday, as you are with your son. The orthopedic did say that he was not damaging anything by continuing to play baseball, as long as he felt up to it. I asked how much longer he would be going through the "growing stage" and he couldn't give me an answer. He is wearing a size 10 now, which is about what his peers are wearing. If you find any more information about Seavers or treatment options, please pass it on.

Posted on Apr 13, 2004, 10:54 AM
from IP address 208.44.54.50

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I HAVE IT TOO

by (no login)

I have had seavers disease for almost a year and a half and i have tryed every thing.
IT ISNT GOING AWAY! every time i do somthing running it hurts! I ahve tried taking tylenol before every thing i do, but it just doesnt work! pleaze if you have any information that hasnt been said on thgis site e-mail me right away! thank you!




Scincerly,
Seavers shannon

Posted on Apr 15, 2004, 6:51 PM
from IP address 69.177.3.131

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severs

by (no login)

this sounds like heel spur fascitis syndrome. Start stretching and purchase good shoes. Possible buy an otc insole, if no better see a podiatrist.

Posted on Apr 3, 2004, 7:32 PM
from IP address 63.127.57.245

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Ever heard of SSRI's?

by AussiePod (no login)

Wow, to the inordinately large amount of negative people who have nothing better to do than abuse their own profession, you have made me glad to be an Australian Podiatrist, I came to this site expecting useful Podiatric information, and am about to log off feeling in need of some SSRI's- perhaps should should all take them yourself instead and find a life.

Posted on Mar 17, 2004, 9:05 AM
from IP address 210.50.24.9

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Foot Burns

by (no login)

An older family friend severly burned his feet recently walking across a hot pool surface at a resort. He has diabetic neuropathy and hence did not notice the temperature of the deck, until another person noticed his feet bleeding. The resort doctors claimed the surface would have to be over 140 degrees to burn skin. Is that true or could an older gentleman's feet be burned by lesser temperatures? Additionally, only the balls of his feet were burned, would this be out of line with the normal gate of his walk?

Posted on Mar 16, 2004, 12:37 PM
from IP address 66.73.0.210

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DJD / Osteoarthritis / Brace orthodic

by (no login)

Hello, I broke my Talus in my ankle 3.5 years ago. Ever since then, I have had pain. I had my pin and screw removed, bone graph took well. I have full range of motion and strength. Not until recently did my films start showing some signs of DJD, or osteo arthritis. The pain is felt most often when I drive. I have a 100 mile round trip commute every day. When I walk I have pain, and when I do sleep at night it is only for an hour or two, and then it wakes me up. I have just went to my last Ortho appointment, and they sent me to Physical Therapy, and they suggested a rocker shoe, and then I went to the brace shop, and they are making a mold of my calf/ankle to simulate fusion. At a later date this brace could be cut to allow movement of my toes upward. I am wondering how helpful these braces are, and do they simulate fusion? The doctors say that I wont qualify for surgery to clean out my joint or for fusion because of my age? True UnTrue? I am on Etodlac, and I cant tell that it is helping much, because I have changed jobs about the same time that I started taking this medicaiton. I am beginning to wonder if the VA is trying to just pass me off with some anti-inflamatories, and not treat me with some type of arthritis aiding medication. Thank you for any advice/suggestions. Travis Kish

Posted on Mar 10, 2004, 11:36 PM
from IP address 4.5.1.208

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some answers

by anon (no login)

There are a few things that need to be clarified, one of them is your age but regardless, treatments should not be sacrificed because of this. My other question would be where are you seeing the DJD, between the Talus and the Tibia or between the Talus and the Calcaneus. One possible therapy to consider is osteocartilaginous grafts, usually taken from the knee to decrease the progression of the disease. It is a very new procedure and a lot of research is directed here now but with a little searching and some phone calls you may find a practitioner or a team willing to help. I'm not sure about them recommending against a fusion or surgery to resect the joint. This doesn't seem to be in the best interest of the patient, do you have medical insurance that would allow you to go elsewhere? I think that a good practicing podiatrist would beable to relieve your condition and slow the progression with a well executed treatment plan. This plan would consist of physical therapy, drugs and surgery. I wouldn't take what the VA tells you as gospel, I would seek a second opinion from a qualified pod in private practice. Some thoughts.

Posted on Mar 14, 2004, 6:37 PM
from IP address 65.43.183.235

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Some better answers

by Anonymous (no login)

Allograft reconstruction (bone from a cadaver) is indeed being studied. However, this is really for patients with focal loss of bone such as anterior tibial deficiency or a large osteochondral defect. Your condition sounds like more like generalized post-traumatic arthritis and if anybody recommended an attempted allograft reconstruction of it I would run the other way as fast as I could.

Your age is not a contraindication for a fusion. If it takes away your pain and allows you to get some of your life back then it's a good option for you.

By the way, the VAST majority of podiatrists are completely unqualified to take care of hindfoot arthritis. I think you'd be better off sticking with an orthopedic surgeon.

Posted on Mar 19, 2004, 7:58 PM
from IP address 69.91.33.117

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Vast majority

by Anonymous (no login)

Yes not all DPMs are trained in hinfoot arthrodesis but a large number of orthopedists have little training or experience with these procedures either.

Just question both the orthopedist and podiatric ankle/footsurgeon about their experience.

For the record a significant number of my hindfoot and ankle fusions are referred to me (a DPM) from orthopedic surgeons.

Posted on Mar 24, 2004, 11:34 AM
from IP address 205.188.116.205

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Re: Vast majority

by John Vestman (no login)

Yeah Right!

Posted on Mar 27, 2004, 7:00 PM
from IP address 205.188.116.205

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Huh?

by anonymous (no login)

By your yeah right are you agreeing or insinuating I am fabricating my story? It's true I do receive many surgical refrrals from orthopedists. Why does that surprise you? Many orthopedists work with DPMs and even hire them as part of their groups. I personally know 10 who are working full scope in large ortho practices and 3 of my residents have been hired by ortho groups in the last 2 years.
In addition 2 others have join large multidisciplinary groups that have orthopedists and do all of the foot and ankle work.
The problem with many on this site is they admit they are not making it, are not members of the APMA, ACFAS etc and therefor are out of touch of what's truly going on out there. They assume whatever is happening to them or a few friends is the average/status quo. Quite the contrary. This year there were more residency spots than graduates. PSR-24s went unmatched. Job opportunities now exist in previously untapped markets. One of my residents last week should me his contract with a starting salary of 140,000 plus bonuses. The rest have 70-100,000 bases.

You can believe it or not but things are not bad for everyone

Yeah right

Posted on Mar 28, 2004, 12:43 PM
from IP address 64.12.116.209

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what part

by Anonymous (no login)

of the country do you practice in?

Are there any foot and ankle orthopedists in your area? None of the orthopedists where I'm at would send anything out to pods (maybe toenails)

Posted on Apr 5, 2004, 10:29 PM
from IP address 69.91.33.117

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Yes

by Anonymous (no login)

I live in the fourth largest city and we have many "foot" orthopedists. Why would an orthopedist send me patients? You would have to ask them.

Being an MD or DPM does not make you the best, Your experience, skill, and training do. I can tell you that my residents surgical logs blow away an orthopedists and the majority of foot fellows.

If we are so "bad" then why do they refer to us? Why do they hire us for full scope? Why do they let us publish in their journal? Why do they share the stage with us at national meetings?

Get over yourself There are good DPM, MDs, and DOs and there are bad ones. Degree alone does not make the difference.

BTW, I haven't trimmed a toenail in 10 years. But when I did I was as proud of that as when I do an ankle fusion.

Posted on Apr 12, 2004, 4:17 PM
from IP address 64.12.116.202

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all people do is complain...

by M (no login)

It is funny how you only hear about the bad things in podiatry from the select few who have a grudge against their profession. All I have read about in this forum is people complain about podiatry, yet I am sure these individuals are still practicing podiatrists. If you don't like what you are doing - leave! the profession does not need sour grapes. The podiatric community needs to come together, not complain to each other. The bad attitude is contagious. This forum should be used to further the profession, not deter future podiatrists. So lets all swallow our pride and help move the podiatric profession to new hights. This is a wonderful field of medicine where there are opportunities to grow.

Posted on Mar 10, 2004, 10:50 PM
from IP address 66.159.136.65

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Just leave?

by pod (no login)


I am sure that some of the dissenters would happily leave if their student loans could be wiped out.

Dont you get it? If you fail at this, you still get to keep your six figure student loan even if you bag groceries at walmart. There is NO way out!

So my advice is not to take any career decision lightly if it involves taking on significant student loans.

Posted on Mar 12, 2004, 11:56 PM
from IP address 69.29.103.143

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X-Ray Safety

by (no login)

I am interested in trying to learn about radiation safety in podiatry. I would greatly appreciate it if you could provide any insight/experiences in this area. I recently visited a podiatrist and had some x-rays done and I would like to know if my experience is common or not!

The PA did not seem to have any knowledge about radiation safety. She was training another PA and said that the dose is so low that they could stand in the room (right next to the machine) to take all of the x-rays. She did not collimate at all to reduce my exposure and also did not ask if I was pregnant.

Is this common procedure in a podiatrist's office? Is any training usually given in regards to radiation to the PA's? I am thinking of writing an anonymous letter to my Dr. to enlighten him on radiation protection for both the young girls working in his office and the patients.

Thank you for any responses.

Posted on Mar 4, 2004, 8:54 AM
from IP address 68.158.139.245

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Safety

by Anonymous (no login)

Most units used in Podiatry offices have little or no scatter. A piece of film placed adjacent to the foot being exposed would not be exposed. They should have had a poster with the standard pregnancy warning in the room. Some states require training for staff taking xrays in the DPM office. TX is one that I am aware of.

Posted on Mar 6, 2004, 7:55 PM
from IP address 205.188.209.74

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radiation safety

by tammy (no login)

I am board certified in Radiologic Technology. First if you had a PA doing the x-rays you need to find out if they have a BMO (Basic Machine Operator) license. Even if they do I wouldn't let them take my x-ray. These people have either very little or no knowledge of radiology. In many cases all they have to do is pass a test w/ a 65 or greater. When you have a board certified technologist we spend many clinical as well as class hours to include radiation safety. I would personally refuse to have an x-ray done in a podiatry or chiropractic office due to lack of education of many of these peolpe. Further more, many of the x-rays are of poor quality and if they were taken to say an ortho. doc would have to be repeated.

Posted on May 4, 2004, 9:51 PM
from IP address 152.163.252.197

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PICA drops Montana podiatrists

by (no login)

The following is a letter mailed to PICA two weeks ago regarding there dropping of Montana podiatrists. To date I have received no response. I would appreciate hearing publicly from other states that also were dropped. Thanks in advance.



February 12, 2004



Jerry Brant, DPM

President/CEO PICA/OUM

110 Westwood Place, suite 100

Brentwood, TN 37027



Dear Dr Brant



You recently notified loyal policyholders in the state of Montana that PICA and OUM would no longer be providing them service. The reason given for cancellation of these policies is “the current adverse legal climate that exists in Montana”. This is somewhat perplexing and very disheartening for a number of reasons.



The legal climate in Montana, adverse or not, is the same as it was last year and the year before that. Certainly no negative tort reform occurred during our last legislature which meets every two years. In fact during the previous decade, through which PICA/OUM insured Montana podiatrists, there has been positive tort reform. Your letter states “we are hopeful that the state will enact meaningful tort reform in the near future. Should this occur, we will re-consider our decision and may seek a license for PICA in the state.” Obviously it would be helpful to us if you could define “meaningful tort reform”.



With your decision to drop Montana podiatrists our membership is now in dire straits.

We are having difficulty finding coverage from another insurer. As you know, there are a limited number of companies that insure podiatrists and most are not licensed in our state. The predicament we find ourselves in is not unlike the circumstances that were present in 1980. At that time podiatrists in need of an insurer banded together and formed the Podiatry Insurance Company of America. Every podiatrist has heard your slogan “formed by podiatrists for podiatrists”. OUM has been around for almost as long. They tout their long-term commitment to podiatry, stating they are “Your partner in practice”. The OUM web site boasts that they are admitted and licensed in all 50 states.



It has become painfully obvious that PICA’s original mission and purpose no longer exists. This company was created to come to the needs of podiatrists when no one else would. Now Montana podiatrists have been dropped because you perceive an adverse climate in our state and fear disaster that has not occurred. It appears that the mission now is to play it safe and maximize profits. We are disappointed and humbly beg you to reconsider.



Sincerely





Anthony J. Quebedeaux, DPM, FACFAS

President Montana Podiatric Medical Association

Posted on Mar 2, 2004, 11:23 PM
from IP address 67.27.93.68

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