Jeffrey Search Results
Begin Message Board SearchSearching file 25 Message Number 252126 Posted by Chris H on 11/11/08 at 14:13 Thanks for your response, John. When I first developed PF, the only way I could walk at all was with the Pinnacle Powersteps in a soft, not rigid shoe. Unfortunately, they do not fit in most of my shoes. My custom Sport orthotics are partial, so I can fit them in more (tho by no means many) shoes. I think I do need some kind of orthotic/insert...the only shoes I can get by without wearing them are one pair of boots and one pair of cloglike sneakers. I would love to find a doctor I can trust. I do not trust my podiatrist at all any more. Thanks and good luck to you, too.
Result number: 1 Posted by john h on 11/07/08 at 11:44 Chris: I am by no means an expert on orthotics but I have had perhaps 15 different pair for both feet. Five of these were custom orthotics. The first pair I had were the hard Sports Orthotic which is a well known maker of orthotics. The Doctor casted them in his office and the cast was sent to their headquarters for manufacture. They did not bend at all and they had a nice well made cover perhaps 1/8' thick. They were full length. Many posters on the board refer to them as 'ice scrapers' as that is what they ended up doing with them. I wore them both at work and when I was running. They definitely made my feet worse. I would never wear a hard orthotic again. That is not to say these type of orthotics do not help some people but in my case there is no doubt in my mind they contributed to making my PF worse. I wore them even after I quit running. As I recall, the cost at that time for the Sports Orthotic was near $400. There have been many post on this board from people who did not like the hard orthotic but not nearly as many who loved them. I also had some orthotics casted based on me walking across a pad with built in sensors which transmitted information to a computer. This information was sent directly to a plant, which I think was in Canada. These cost around $350 but were also a failure. They would make adjustments for free if I sent them back. There were sort of a semi rigid orthotic. One Doctor prescribed a semi soft orthotic which was casted at a local lab by a trained man in the making and fitting of orthotics. The orthosis were made on site so I went back several times for adjustments and it was easy for them to shave or make what ever adjustments were necessary. They casted by having you step into a box with foam. I was having some physical therapy on my feet. My therapist once worked for some orthopedic doctors and his job was to cast feet for orthotics. He said he would have a pair of orthotics made for me from a top company and give them to me at cost. Yes I was all over it. They were well made and were semi rigid. He gave me the invoice from the company and it was only $100 including taxes. There is apparently a good markup on orthotics. I have tried perhaps 15 pair of off the shelf orthotics. Currently Ihave been wearing a New Balance orthotic ($39.95), they has worked as good as anything but of course I still have bi-lateral pain. Yesterday a representative of a medical company gave me a pair of the Good Feet Store orthotics. I have always thought this store to be a rip-off although I have no evidence that it is not a legitimate store. Anyway I only took the Good Feet Orthotic as he was with a large company who I do business with. I am just trying them out for three or four weeks and if I do not like them I just walk down stairs and return them to him. I have been wearing them for 24 hours and actually they feel rather good at this point. I will leave some feedback on these after about a week or so. Everyone responds differently to orthotics and to different styles and brands. If you get the wrong one it can make your feet hurt more. Get the right one and your feet might just feel better. There is no one brand that is best for all people. It is a process of trial and error. How they work for you is not related to cost in my personal experience. Of course the shoe you place them in has a lot to do with how the orthotic will perform. I have spent perhaps $3000 or more over the past 14 years on orthotics and a lot of money on shoes. There is no 'Holy Grail' of orthotics or shoes. Find a Doctor you can trust but remember he/she may be married to one manufacturer. A number of pro athletes wear orthotics for preventative measures as well as for help with foot problems. Some people such as people with flat feet or deformaties may clearly need orthotics. It is a no brainer in some cases but for most of us our feet look good just looking at them so it is up to our Doctor with our input to find a suitable orthosis. Make sure you really need one. Good luck.
Result number: 2 Posted by Chris H on 11/05/08 at 17:31 Hi Jeremy, I am back with another question for you regarding custom orthotics. Can they cause other problems? I was prescribed a pair (rigid sport) and have been wearing them daily. (Not in athletic soes--never did find a pair that didn't hurt--my heel or my ankle.) I've been wearing them in soft shoes like Bernie Mev and Tsubos. Now I have pain in my outer foot and upper ankle-even while in bed. Could this be casued by my orthotics? Should I stop wearing them? Don't tell me to go back to my podiatrist--I did and she said and I quote, 'huh'. I did post a similar question in ask the Doc. By the way, I do not have a bone spur, have a high arch, and overpronate only slightly if at all. Thank you so much. Chris Thansk so much.
Result number: 3 Posted by Theodore Flandreau on 9/15/08 at 08:13 dear sirs... i stumbled across you threads as i was searching for the U.S. link to sonorex which seems to be gone. i was treated with sonorex about 3-4 years ago for tendonitus 'tennis elbow' by dr. jeffrey gross in NYC. before i went in to see him the the pain was so bad i could not even pick up a penny or hold a pencil. after 2 treatments using JUST the sonorex ESWT machine, i was cured..i did not want to even come in for a 3rd treatment but dr. gross insisted a 3 session treatment. i have never had a recurring symptom since..2 years later i had wrist pain.. carpel tunnel...i went to see dr. gross...same routine...same results..and it was all covered by my insurance..this machine is a god damned miracle...recently i had knee pain.. i went to see dr. gross...it turns out that my pain was not something ESWT could cure...BUT...dr. gross told me that sonorex was having some issues...that insurance companies were no longer going to cover this procedure..that not everyone was having the success that thousands of others including myself were having. this is truly a great loss to everyone worldwide, reading your threads about plantar issues and some drug related uses should not cloud the plain fact that this machine works. bottom line..case closed!!!!!! if anyone needs me to testify in a court of law the effectiveness of sonorex and ESWT...PLEASE dont hesitate to contact me. by the way..at the same time a good friend was having the same elbow pain i was having...he went and had the 'tennis elbow' surgery..i just saw him recently..he is still miserable after 3 months of rehab and 4 years have past...he still wears that velcro band around his arm... ESWT WORKS!!!!!! thank you. THEODORE F. FLANDREAU V DANBURY,CT. teddyfive at hotmail.com 9/14/2008
Result number: 4 Posted by Pam on 7/31/08 at 12:24 This posting seems to contradict the posting above regarding those with metatarsal neuromas or forefoot capsulitis shoule always avoid this brand (Dansko)-- I'm confused: Posted by Dr. Jeffrey Oster DPM, C.Ped (Member # 1) on July 11, 2002 11:02 PM: OK, Brenda, let's roll up our sleeves and see if we can pull off a miracle internet cure. First, you did check out those pages on our site for capsulitis and neuromas? Be sure to read those carefully and see if anything rings a bell. Next, call around and try to find a store that sells Dansko Clogs. I know, clogs are shoes that you either love or hate, but I just want you to try them. Clogs have a very wide forefoot and a rocker sole. You may be very surprised at how simple a remidy they can be(I have a pair on right now). The width of the forefoot and the rocker sole combine to really help forefoot problems; perfect for both capsulitis and neuromas. Check'm out and let me know how you do, OK? Jeff [Big Grin]
Result number: 5 Posted by Chris H on 7/13/08 at 16:53 Hi Jeremy, Thanks for your response. Actually, it was the 826, not the 926, that were recommended to me. Neither they nor the NB 1062 were comfortable for my heel--I am not sure if they were too controlling. Anyway, I returned them both and was sold, by the same store but different salesperson, Saucony Grid Tangent. They felt comfortable in the store, but when I tried them today, after 15 minutes my ankles were killing me. Throbbing. Then again, I was on my feet a lot yesterday, and am wondering if I turned my ankle? My ankles were also throbbing last night even after icing. I am not so sure I have either a wide foot, nor a very narrow ankle. I'm not even sure I pronate. My physical therapist thinks my ankle is stiff,and has me doing excercises to help that. He also says that if the only shoe I am comfortable in is very flexible, I should look for a flexible shoe--one that bends at the toe, instead of a stiff, more controlling shoe, I have not found the SAUCONY Shadow 6000. Will keep looking for it. I tried on several Keens today, but my ankles hurt so bad I couldn't judge. Thanks for any further thoughts you have.
Result number: 6 Posted by Jeremy L, C Ped on 7/12/08 at 13:01 That's great! Glad to hear she's enjoying her adventure, and likes her purchase.
Result number: 7 Posted by Dr. DSW on 7/12/08 at 09:57 Jeremy, Just to let you know, my daughter has been extremely happy with her choice of the Salomon's during her current trip to Africa. As per our conversation,although she is tall, thin and athletic, she has a relatively wide forefoot and thin heel and pronates, the Salomon's fit her well and have been extremely comfortable. She hasn't even worn her orthoses and has been on all types of terrain. The Gore-Tex XCR has been great since it's light and dries quickly. She's worn them in the desert, streets, during hiking, and hasn't complained once (which I find incredible as her father!). Ironically, one of the other girls from her college study-abroad program purchased the same shoe and is equally as comfortable.
Result number: 8 Posted by Jeremy L, C Ped on 7/10/08 at 21:12 If shoes such as New Balance's 1062 and (I am assuming) 926 are being recommended for you, then there are some clear fit characteristics that ought to be met. These shoes best match feet that are relatively broad and oblique in the forefoot, high in the instep, and narrow in the heel. There are other brands, in various footwear categories, that have similar shapes and credible constructions available. I don't know what hiking boots you wear, but outdoor brands that match your foot type include Garmont and Keen. Something like the Vento or new Nagevi would likely provide positive results. The Eclipse and Sitka would also be good choices, but may also be too much boot for your needs. If those New Balance shoes fit well, but may have felt too controlling, there are models from Saucony and Asics that may benefit you. Especially if the 926 was a favorable offering, Saucony's Shadow 6000 is well worth consideration. As for casual shoes, there are hordes of quality shoes that don't appear orthopedic and can be worn with dresses, et. al. I have mentioned the 'M: sandals from Kumfs here a lot in the past. They are basically an extremely well made, much cheaper option in comparison to Mephisto sandals. Zumfoot also has a couple cute upper patterns. Caminhar is an awesome product, but is not not widely distributed. Some of New Balance's Aravon collection may also appeal to you. Have fun on your trip. Remember to keep up your use of your Powerstep inserts, and maintain your stretching regimen.
Result number: 9 Posted by Chris H on 7/10/08 at 12:33 Hi Jeffrey, I am new to PF-just got it four weeks ago, and hope I don't have it as long as so many here have! But I am grateful to have found this site. Long story short--female, 53 years old, 5'3, 130 pounds (heavy for me, but considered normal). Wore thong-type low-heeled (not flat) hard sandals on a business trip for two days in a huge warehouse with cement floors. Walked through airport, woke up with PF in left foot. Saw podiatrist immediately, and twice since. Had one cortisone shot, and have had 5 (so far) PT treatments. My problem--I am leaving for a family vacation in ONE week in Yellowstone and Grand Teton National Parks. We WERE to go hiking a lot--I can barely walk a block! I am only comfortable in ONE pair of shoes--an old pair of Berne Mev Mary Janes, worn with powerstep pinnacle inserts (a lifesaver).I have been wearing them every day (yuck) and they are stretching out. My legs get very tired, on the side and front of my calves, and I walk VERY slowly. My Nikes and Pumas (very flat, with velcro close) are unbearable. I went to Fleet Feet (running shoe store) where they recommended two pairs of New Balance (1062 and 826). Neither felt comfortable, but I took them home to try them again. Nope. Not as comfy. I am going to return them, but I HAVE to have walking shoes! I also tried on my hiking boots--I think this tired out my legs out in minutes--seems too stiff? I think I overpronate a bit (due to wear on shoes) but PT and shoe salesperson says no. She did not want to give me a I have high arches--higher in my left foot. I am not a runner--salesperson kept saying it's hard to fit me when I am injured. I want a shoe BECAUSE I am injured! Also, another cute everday shoe or sandal would be great--I work and wear skirts a lot. Any suggestions for a better shoe for me? Thanks so much! Chris
Result number: 10 Posted by Jeffrey on 11/08/07 at 11:59 I just bought a jar of Verapamil 15% in Lipoderm for 39.99. I went to a local Pharmacy called a Compound Pharmacy and they made it for me. Check your local pharmacies to see if you have one of these in your area. This is a 30 day supply and I hope it works because I really don't want to go through the surgery.
Result number: 11 Posted by Kevin L on 8/28/07 at 17:48 Dr DSW Below are all the Podiatry providers that take my insurance within 30 miles of my zip 11223 (Brooklyn NY) In alphabetical order…then with detailed info address…etc etc.. A Abady, Robert, DPM 1 Abeles, Jay, DPM 11 Abrahamson, Hal, DPM 11 Alfieri, Donna M., DPM 1 Alongi, Maryanne, DPM 11 Amante, Gregory, DPM 5 Amato, Richard, DPM 11 Amico, Susan G., DPM 5 Archer, Jean V., DPM 5 Aronica, Frank R., DPM 5 Asaro, Carlo S., DPM 1 Assini, Joseph, DPM 5 Axman, Wayne R., DPM 11 B Babayev, Emil, DPM 5 Bagner, Jerome E., DPM 11 Baird, William T., DPM 5 Balboa, Henry M., DPM 11 Barbaro, Thomas, DPM 11 Bar-David, Tzvi, DPM 1 Barkoff, Matthew W., DPM 11 Barkoff, Steven L., DPM 5 Barlizo, Sharon R., DPM 1 Barone, Salvatore A., DPM 5 Barragan, Juan C., DPM 1 Bartol, David M., DPM 5 Bass, Elliot L., DPM 5 Bass, Fara D., DPM 5 Bautista, Debbie P., MD 1 Bayerbach, Frank, DPM 1 Becker, Jack S., DPM 11 Bell, Burt L., DPM 5 Bendeth, Marc L., DPM 11 Benzakein, Ralph, DPM 5 Berlin, Kim, DPM 11 Bienenfeld, Jay D., DPM 5 Biller, Bob S., DPM 11 Bilotti, Mary A., DPM 11 Birch, Gregory M., DPM 5 Bover, Elina, DPM 5 Braun, Suzanne G., DPM 5 Breitman, Debra, DPM 11 Breth, Evan G., DPM 5 Bubbers, Linda A., DPM 11 Buenahora, Joseph A., DPM 11 Burzotta, John L., DPM 11 Bushansky, Abe A., DPM 1, 5 Butters, Marva, DPM 5 Butts, Bryon G., DPM 1 Buxbaum, Frederick D., DPM 5 Buzermanis, Steven Z., DPM 5 C Caimano, Francis X., DPM 11 Campbell, Andrew, DPM 1 Campbell, Douglas E., DPM 5 Caprioli, Russell, DPM 11 Caprioni, Enrico P., DPM 5 Carlton, Lawrence S., DPM 5 Castillo, Dennis E., DPM 5 Catanese, Dominic J., DPM 1 Charlot, Giznola J., DPM 1, 5 Cheng, Tung W., DPM 6 Chernick, Stephen B., DPM 11 Chionis, Anthony, DPM 1 Chopra, Jaideep, DPM 1, 6 Cicio, Gary, DPM 6 Ciment, Avraham Y., DPM 1 Cohen, Greg E., DPM 6 Cohen, Richard B., DPM 6 Cohen, Robert J., DPM 1, 11 D Dacher, Jeffrey, DPM 6 D'Amato, Theodore A., DPM 6 D'Angelo, Nicholas A., DPM 6 Daniel, Lawrence B., DPM 6 Davies, Daniel A., DPM 11 Davies, Gregory F., DPM 11 De Bello, John A., DPM 1 DeCicco, John J., DPM 11 DeLeon, Jose L., DPM 1 Dellolio, Joseph A., DPM 1 DeMeo, James R., DPM 6 Dennis, Lester N., DPM 6 DeSantos, Pasquale, DPM 6 Dhandari, Angeleta, DPM 1 Dharia, Sumit S., DPM 6 Dixit, Chaitanya V., DPM 6 Donovan, Glenn J., DPM 6 Dorazi, Stephen T., DPM 6 Dubov, Spencer F., DPM 11 E Edelstein, Michael C., DPM 1 Ehrlich, Josh C., DPM 6 Einhorn, Jill L., DPM 6 Elsinger, Elisabeth C., DPM 1 F Fagen, Leonard, DPM 6 Falcone, Jeffrey J., DPM 6 Feldman, Gary B., DPM 11 Ficke, Henry, DPM 6 Finkelstein, Barry I., DPM 1 Fiorenza, Dominic, DPM 11 Fox, Corey, DPM 11 Fox, Roberta A., DPM 11 Frankel, Bruce, DPM 1 Freiser, Mark A., DPM 1 Fridman, Robert, DPM 1 Friedlander, Bruce W., DPM 6 Fuchs, David B., DPM 11 G Ganjian, Afshin, DPM 6 Garcia, Sandra P., DPM 1 Garofalo, Alfred A., DPM 6 Garofalo, Gail F., DPM 11 Gasparini, Mark C., DPM 11 Gaudino, Salvatore C., DPM 2, 6 Geiger, Arthur, DPM 6 George, Thomas, DPM 2, 6, 11 Gertsik, Vladimir V., DPM 6 Gervasio, Joseph, DPM 11 Giammarino, Philip A., DPM 6 Ginsberg, Steven E., DPM 2 Giordano, Richard S., DPM 2 Gitlin, David, DPM 2 Glockenberg, Aaron, DPM 2, 6 Goez, Emilio A., DPM 2, 11 Goldenberg, Perry Z., DPM 2 Goldman, Gershon A., DPM 6 Goldstein, Harold L., DPM 2 Goldstein, Israel, DPM 7 Golub, Cary M., DPM 12 Gonzalez, Ivan, DPM 7 Goodman, Warren J., DPM 7 Gottlieb, Robert J., DPM 12 Gramuglia, Vincent J., DPM 2 Greenbaum, Bruce R., DPM 7 Greenbaum, Mitchell A., DPM 12 Greiff, Lance, DPM 2, 12 Grossman, Myles, DPM 12 Guberman, Ronald M., DPM 7 Gutierrez, David, DPM 2 Gventer, Mark, DPM 7 H Habib, Henry, DPM 7 Harris, Carl F., DPM 2 Heller, David P., DPM 7 Herbert, Scott E., DPM 12 Herman, Craig P., DPM 2, 7 Hershey, Paul E., DPM 12 Herzberg, Abraham, DPM 12 Hickey, John, DPM 12 Honore, Lesly S., DPM 12 Horl, Lawrence, DPM 12 Horowitz, Mitchell L., DPM 7, 12 I Iorio, Anthony R., DPM 2 Irwin, Robert A., DPM 12 Isaacson, Ernest, DPM 2 Ivanovs, Ray, DPM 7 J Jackalone, John A., DPM 12 Jacobs, Louis W., DPM 2 Jarbath, John A., DPM 7, 12 Joshi, Pradip M., DPM 2 Jusma, Francoise D., DPM 7 K Kaiser, Craig A., DPM 7 Kapadwala, Imtiyaz I., DPM 7 Karpe, David E., DPM 12 Kashefsky, Helene P., DPM 12 Kasminoff, June G., DPM 12 Katz, Alex S., DPM 7 Katzman, Barry, DPM 7 Kessler, Howard N., DPM 12 Kisberg, Stephen, DPM 12 Kitton, Stuart E., DPM 12 Klein, Michael S., DPM 12 Klirsfeld, Jeffrey S., DPM 12 Knobel, Jeffrey, DPM 7 Kohn, Arlene F., DPM 12 Kolberg, John J., DPM 2, 12 Koslow, Paul M., DPM 12 Kumrah, Praveen, DPM 2 L Lafferty, William A., DPM 7 Lai, Katherine M., DPM 2 Landau, Laurence D., DPM 12 Landy, Robert J., DPM 2, 12 LaRocca, Albert, DPM 12 Larsen, Joseph A., DPM 12 LaSalle, Michael, DPM 2 Lepore, Frank L., DPM 7 Levine, Stanley, DPM 12 Levitsky, David A., DPM 12 Levitz, Steven J., DPM 7 Levy, Brian K., DPM 7 Levy, Denise A., DPM 2 Levy, Paul J., DPM 2 Liswood, Paul J., DPM 7 Livingston, Douglas W., DPM 12 Livingston, Leon B., DPM 13 Livingston, Michael D., DPM 13 Locastro, Robert M., DPM 2 Lok, Jonat, DPM 2 Lopiano, Steven N., DPM 2 Losyev, Sergey, DPM 7 Lucido, Jeffrey V., DPM 7 Lynn, Brian P., DPM 2, 13 M Mahgerefteh, David, DPM 7, 13 Makower, Bryan L., DPM 7 Mandato, Mark, DPM 7 Mantzoukas, Argirios, DPM 7 Marcelonis, Debra A., DPM 7 Marchese, Nicholas A., DPM 13 Marville, Jillion, MD 3, 7 Masani, Farhan, DPM 13 Matthews, Frederick, DPM 8 McElgun, Terence M., DPM 13 Mckay, Douglas J., DPM 8 Mcshane, William J., DPM 13 Meliso, Vincent D., DPM 8 Meller, Edward P., DPM 8 Meshnick, Joel A., DPM 8, 13 Micallef, Joseph, DPM 8, 13 Moazen, Ali, DPM 13 Mollica, Peter W., DPM 8 Mollica, Raymond J., DPM 8 Montag, Richard M., DPM 13 Montalvo, Luis, DPM 8 Morreale, Edward, DPM 8 N Nachmann, Dennis S., DPM 3 Naik, Hetal B., DPM 8 Nekritin, Vadim, DPM 8 Nester, Elizabeth M., DPM 13 Nester, Matthew J., DPM 13 Newmark, Alan J., DPM 8 Nezaria, Yehuda, DPM 13 Novofastovsky, Raisa, DPM 8 O Odinsky, Michael E., DPM 8 Odinsky, Wayne Z., DPM 13 Oliva, Imelda A., DPM 3, 8 Orlando, Anthony, DPM 8 Oropall, Robert, DPM 3 Owusu, Stephen E., DPM 8 P Pace, George N., DPM 8 Pace, John F., DPM 8 Pannell, Richard, DPM 3 Papa, Philip M., DPM 8 Passik, Arthur L., DPM 8 Pawson, John F., DPM 8 Pecora, Maria, DPM 8 Pedro, Helder F., DPM 8, 13 Perez, Walter H., DPM 8 Peterson, Donald T., DPM 13 Pierre, Nadja M., DPM 8 Pierre, Nedjie, DPM 9 Plotka, Steven D., DPM 3 Posner, Jonathan, DPM 3 Prince, Steven L., DPM 9, 13 Purvin, Jay M., DPM 13 R Rabiei, Payman, DPM 9 Radler, Bruce L., DPM 9 Rampino, Robert, DPM 3 Ransom, Sherry M., DPM 3 Raskin, Simon, DPM 9 Reifer, Howard J., DPM 9 Richardson, Hugh L., DPM 13 Richman, Tara, DPM 3 Romano, Constance A., DPM 9 Rosen, Alan J., DPM 9 Ross, Charles F., DPM 3 S Saadvandi, Terence M., DPM 9 Sande, Hervey, DPM 9 Scheiner, David M., DPM 9 Schikman, Lana, DPM 9 Schneidermesser, Susan G., DPM 9 Schulman, Leonard B., DPM 3 Scotti, Lorenzo, DPM 3 Shapiro, Eugene, DPM 9 Shechter, David Z., DPM 9 Shechter, Stuart B., DPM 9 Sherman, Gary, DPM 9 Silberstein, Jeffrey, DPM 9 Silverstein, Alan B., DPM 9 Snyder, Robert S., DPM 3 Spector, Donald, DPM 3 Spellman, Dean S., DPM 3 Spielfogel, William D., DPM 9 Spilken, Terry, DPM 3 Spindler, Harlan, DPM 9 Stanimirov, Catherine, DPM 9 Steiner, Richard M., DPM 3, 9 Stern, Stuart M., DPM 3 Strassman, David, DPM 3 Strassman, Lawrence, DPM 3 Stuto, Joseph C., DPM 9 T Tabari, Issac, DPM 3 Tajerstein, Alan R., DPM 9 Tanenbaum, Mark, DPM 9 Tartack, Ira, DPM 9 Tavroff, Clifford D., DPM 9 Thompson, Michael, DPM 3 Trepal, Michael J., DPM 9 Trivlis, Maryann Z., DPM 9 U Unger, Leslie M., DPM 9 V Vader, Bonnie, DPM 9 Velasco, Debra, DPM 3 Vincetic, Anto, DPM 3 Vitale, Thomas, DPM 3 W Waiss, Samuel M., DPM 9 Wallach, Jacob B., DPM 9 Walter, Eric G., DPM 3 Wexler, Craig, DPM 3 Winston, Wayne, DPM 4 Wolstein, Lewis, DPM 4 Wolstein, Peter D., DPM 4 Woltman, Robert T., DPM 4, 10 Z Zonenashvili, Merabi, DPM 10 Zwiebel, Neil S., DPM 10 PODIATRY Abady, Robert, DPM 181172P 731 White Plains Rd Bronx, NY 10473 (718) 589-8324 181173P Burnside Medical Center 165 E Burnside Ave Bronx, NY 10453 (718) 563-0003 St Barnabas Hospital Alfieri, Donna M., DPM 37006P 4206 Barnes Ave Bronx, NY 10466 (718) 325-6487 Mount Vernon Hospital, Our Lady of Mercy Medical Center Asaro, Carlo S., DPM 37182P 1400 Pelham Pkwy S Bronx, NY 10461 (718) 918-7224 50629P 3424 Kossuth Ave Bronx, NY 10467 (718) 519-3589 Jacobi Medical Center, North Central Bronx Hospital Speaks Italian Bar-David, Tzvi, DPM 36919P 3616 Henry Hudson Pkwy E Bronx, NY 10463 (718) 548-5757 Columbia-Presbyterian Medical Center Speaks HebrewSpanish Barlizo, Sharon R., DPM 357781P HHC-Lincoln M&MH Center 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center, Metropolitan Hospital Center Speaks FrenchSpanish Barragan, Juan C., DPM 36954P St. John's Medical Center 1561 Westchester Ave Bronx, NY 10472 (718) 328-6200 Speaks Spanish Bautista, Debbie P., MD 301273P St. Barn Ambulatory Care 4487 3rd Ave Bronx, NY 10457 (718) 960-1780 301276P Union Comm Hlth Ctr 2021 Grand Concourse Bronx, NY 10453 (718) 960-3933 348297P CCDC/Burnside Med Ctr 731 White Plains Rd Bronx, NY 10473 (718) 589-8324 Our Lady of Mercy Medical Center, St Barnabas Hospital Bayerbach, Frank, DPM 216992P Mercy Community Care 4234 Bronx Blvd Bronx, NY 10466 (347) 341-4300 39016P Metropolitan Podiatry Ass 667 E 233rd St Bronx, NY 10466 (718) 430-6066 M1246P 2371 Arthur Ave Bronx, NY 10458 (718) 364-6199 Brunswick General Hospital, Brunswick Hospital Center, Inc, Good Samaritan Hospital, Good Samaritan Hospital (West Islip) Speaks SpanishGermanItalian Bushansky, Abe A., DPM 368478P 1715 University Ave Bronx, NY 10453 (718) 960-5616 368491P 1963 Grand Concourse Bronx, NY 10453 (718) 294-5000 Brooklyn Hospital Center (Downtown Campus), Interfaith Medical Center, Parkway Hospital Butts, Bryon G., DPM 349336P 421 E 149th St Bronx, NY 10455 (718) 401-3668 The Mount Sinai Hospital of Queens Speaks Spanish Campbell, Andrew, DPM 36957P St. Barnabas Hospital 4422 3rd Ave Bronx, NY 10457 (718) 960-9000 56967P Union Community Health Ct 260 E 188 St Bronx, NY 10458 (718) 220-2020 56970P St. Barnabas Ambulatory C 4487 3rd Ave Bronx, NY 10457 (718) 960-1780 56972P Bronx Park Medical Pavill 2016 Bronxdale Ave Bronx, NY 10462 (718) 863-8695 St Barnabas Hospital Catanese, Dominic J., DPM 37141P Orthopedic Surgery Dept. 1695 Eastchester Rd Bronx, NY 10461 (718) 405-8430 Albert Einstein College of Medicine, Community Hospital at Dobbs Ferry, Montefiore Med Ctr (Henry & Lucy Moses Div), SAINT MARYS HOSPITAL Charlot, Giznola J., DPM 357878P HHC-Jacobi Medical Center 1400 Pelham Pkwy S Bronx, NY 10461 (718) 918-6610 357880P HHC-North Central Bx Hosp 3424 Kossuth Ave Bronx, NY 10467 (718) 519-2108 Jacobi Medical Center, Kings County Hospital Center, North Central Bronx Hospital Chionis, Anthony, DPM 54771P 1725 Edison Ave Bronx, NY 10461 (718) 892-5542 Parkway Hospital, St John's Episcopal Hospital - Far Rockaway Speaks Greek, Modern (1453-) Chopra, Jaideep, DPM 284748P NY Westchester Square Med 2475 Saint Raymonds Ave Bronx, NY 10461 (718) 792-1100 Staten Island University Hosp-North, University Hospital of Brooklyn Speaks Hindi Ciment, Avraham Y., DPM 351611P Soundview Healthcare ntwk 731 White Plains Rd Bronx, NY 10473 (718) 589-8324 351618P Diallo Medical Center 1760 Westchester Ave Bronx, NY 10472 (718) 892-8474 351623P Jessica Guzman Med Ctr 616 Castle Hill Ave Bronx, NY 10473 (718) 239-9013 351628P Burnside Medical Center 165 E Burnside Ave Bronx, NY 10453 (718) 563-0003 Our Lady of Mercy Medical Center, St Barnabas Hospital, Westchester Medical Center Speaks Hebrew Cohen, Robert J., DPM M4190P 140-1 Elgar Pl Bronx, NY 10475 (718) 671-0400 Our Lady of Mercy Medical Center, Parkway Hospital Speaks French De Bello, John A., DPM 289396P New York Foot Care Srvc 3635 E Tremont Ave Bronx, NY 10465 (718) 409-0400 3114603P New York Foot Care Svc 421 E 149th St Bronx, NY 10455 (718) 365-6363 36995P New York Foot Care Svc 3201 Grand Concourse Bronx, NY 10468 (718) 365-6363 Montefiore Med Ctr (Henry & Lucy Moses Div), Mount Sinai Hospital of Queens, North Shore University Hospital, Our Lady of Mercy Medical Center, Parkway Hospital Speaks Spanish DeLeon, Jose L., DPM 179943P 625 E Fordham Rd Bronx, NY 10458 (718) 933-1900 37252P 2111 Williamsbridge Rd Bronx, NY 10461 (718) 828-6060 Our Lady of Mercy Medical Center Speaks Spanish Dellolio, Joseph A., DPM 38329P 4362 White Plains Rd Bronx, NY 10466 (718) 994-7054 Montefiore Med Ctr (Jack D Weiler Hosp of A Einst), Our Lady of Mercy Medical Center, Westchester Medical Center Speaks Spanish Dhandari, Angeleta, DPM 116473P North Central Bronx Hosp 3424 Kossuth Ave Bronx, NY 10467 (718) 519-3589 116482P Jacobi Medical Center 1400 Pelham Pkwy S Bronx, NY 10461 (718) 918-5700 Jacobi Medical Center, North Central Bronx Hospital Edelstein, Michael C., DPM 178750P 3224 Grand Concourse Bronx, NY 10458 (718) 561-0041 Our Lady of Mercy Medical Center Speaks Spanish Elsinger, Elisabeth C., DPM 37257P MAP-Dept of Ortho Sgy 3400 Bainbridge Ave Bronx, NY 10467 (718) 920-2060 Montefiore Med Ctr (Henry & Lucy Moses Div) Speaks German Finkelstein, Barry I., DPM 169233P 3327 Bainbridge Ave Bronx, NY 10467 (718) 881-7990 194335P NY Podiatry & Foot Surg 2425 Eastchester Rd Bronx, NY 10469 (718) 881-7990 227755P Wilson Orthopedics 75 E Gun Hill Rd Bronx, NY 10467 (718) 798-1000 Montefiore Med Ctr (Jack D Weiler Hosp of A Einst), United Hospital Medical Center (NY) Speaks HebrewYiddish Frankel, Bruce, DPM 200374P Lincoln Medical & Mental 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center Freiser, Mark A., DPM 36628P Bronx Footcare 421 E 149th St Bronx, NY 10455 (718) 292-5045 New York Westchester Square Medical Center, Our Lady of Mercy Medical Center, St Barnabas Hospital Speaks SpanishFrench Fridman, Robert, DPM 351650P 3616 Henry Hudson Pkwy Bronx, NY 10463 (718) 548-5757 Columbia-Presbyterian Medical Center Garcia, Sandra P., DPM 353857P Happy Feet 953 Southern Blvd Bronx, NY 10459 (718) 542-0472 Board Certified Male Female Wheelchair Accessible 353859P Uptown Healthcare Mgmt In 930 E Tremont Ave Bronx, NY 10460 (718) 860-1111 Forest Hills Hospital Speaks Spanish Gaudino, Salvatore C., DPM 37096P 71 Metropolitan Oval Bronx, NY 10462 (718) 829-6436 Mount Sinai Medical Center, Parkway Hospital, Queens Hospital Center George, Thomas, DPM 197631P 3219 E Tremont Ave Bronx, NY 10461 (718) 792-8115 Hempstead General Hospital Med Ctr., New York Westchester Square Medical Center Ginsberg, Steven E., DPM 132102P 2391 Arthur Ave Bronx, NY 10458 (718) 365-4141 SVCMC-St Marys Hospital Brooklyn, St Joseph's Hospital Division, CMC Giordano, Richard S., DPM 36494P 1217 Castle Hill Ave Bronx, NY 10462 (718) 828-6982 Northern Westchester Hospital Center, Our Lady of Mercy Medical Center Gitlin, David, DPM 379153P HHC-Lincoln M&MH Center 234 E 149th St Bronx, NY 10451 (718) 579-4900 Metropolitan Hospital Center Glockenberg, Aaron, DPM 201399P Lincoln Med & Mental Hlth 234 E 149th St Bronx, NY 10451 (718) 579-4900 276540P 2445 Arthur Ave Bronx, NY 10458 (718) 733-1999 Kings County Hospital Center, Lincoln Medical & Mental Health Center, Our Lady of Mercy Medical Center, St Barnabas Hospital, Union Hospital of the Bronx (closed) Speaks PolishHebrew Goez, Emilio A., DPM 301254P Union Comm Hlth Ctr 2021 Grand Concourse Bronx, NY 10453 (718) 960-3933 301255P St Barn Ambulatory Care 4487 3rd Ave Bronx, NY 10457 (718) 960-1780 371846P St. Barnabas Hospital 4422 3rd Ave Bronx, NY 10457 (718) 960-6105 51028P Bronx Park Med Pavilion 2016 Bronxdale Ave Bronx, NY 10462 (718) 863-8695 Nassau University Medical Center, Saint Catharines General Hospital, St Barnabas Hospital Speaks Spanish Goldenberg, Perry Z., DPM 231271P 3250 3rd Ave Bronx, NY 10456 (718) 328-3668 St Barnabas Hospital Goldstein, Harold L., DPM 187909P 2016 Bronxdale Ave Bronx, NY 10462 (718) 863-8695 37017P St. Barnabas Hospital 4422 3rd Ave Bronx, NY 10457 (718) 960-6105 371962P St Barnabas Ambulatory C 4487 3rd Ave Bronx, NY 10457 (718) 960-6488 371965P Union Community Health Ct 2021 Grand Concourse Bronx, NY 10453 (718) 960-3933 371966P Union Community Health Ct 260 E 188th St Bronx, NY 10458 (718) 220-2020 St Barnabas Hospital, United Hospital Medical Center (NY), White Plains Hospital Center Speaks SpanishItalian Gramuglia, Vincent J., DPM 216990P Mercy Community Care 4234 Bronx Blvd Bronx, NY 10466 (347) 341-4300 49500P AllMed Medical & Rehab 4377 Bronx Blvd Bronx, NY 10466 (718) 325-0700 49501P Metropolitan Podiatry Ass 667 E 233rd St Bronx, NY 10466 (718) 430-6066 M1576P 3795 E Tremont Ave Bronx, NY 10465 (718) 828-3333 New York Westchester Square Medical Center, Our Lady of Mercy Medical Center Speaks SpanishItalian Greiff, Lance, DPM 354487P 3333 Henry Hudson Pkwy Bronx, NY 10463 (718) 601-2100 Brooklyn Hospital Center (Downtown Campus), New York Flushing Hospital & Medical Center, Parkway Hospital Gutierrez, David, DPM M1570P 2100 Bartow Ave Bronx, NY 10475 (718) 320-0200 Our Lady of Mercy Medical Center Speaks Spanish Harris, Carl F., DPM 201401P Lincoln Med & Mental Hlth 234 E 149th St Bronx, NY 10451 (718) 579-4900 Harlem Hospital Center, Lincoln Medical & Mental Health Center Herman, Craig P., DPM 227774P Advanced Foot Care 3396 E Tremont Ave Bronx, NY 10461 (718) 409-2121 300046P Bronx Health Center 975 Westchester Ave Bronx, NY 10459 (718) 991-9250 New York Westchester Square Medical Center, Our Lady of Mercy Medical Center Speaks Spanish Iorio, Anthony R., DPM 357778P HHC-Lincoln M&MH Center 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center, Metropolitan Hospital Center Isaacson, Ernest, DPM 341669P Parkchester Family Foot 1340 Metropolitan Ave Bronx, NY 10462 (718) 863-3338 Beth Israel Medical Center (Petrie Campus), Our Lady of Mercy Medical Center Speaks Hebrew Jacobs, Louis W., DPM 36524P 4240 Hutchinson River Pkwy E Bronx, NY 10475 (718) 671-2233 Speaks SpanishHungarian Joshi, Pradip M., DPM 36975P 1963A Daly Ave Bronx, NY 10460 (718) 617-6141 39978P 1650 Selwyn Ave Bronx, NY 10457 (718) 590-1800 Bronx-Lebanon Hospital Center - Fulton Division, Our Lady of Mercy Medical Center Speaks Spanish Kolberg, John J., DPM 351082P 1387 Grand Concourse Bronx, NY 10452 (718) 992-9918 New Island Hospital Speaks Spanish Kumrah, Praveen, DPM 187664P 2015 Grand Concourse Bronx, NY 10453 (718) 299-7295 214484P Uptown HealthCare Mgmt 1778 Jerome Ave Bronx, NY 10453 (718) 764-1661 221984P 1807 Randall Ave Bronx, NY 10473 (718) 617-2468 New York Westchester Square Me, Our Lady of Mercy Medical Center Speaks HindiPunjabi LaSalle, Michael, DPM 200845P Lincoln Medical & Mental 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center Lai, Katherine M., DPM 37068P Center for Podiatric Care 1500 Astor Ave Bronx, NY 10469 (718) 882-6881 Beth Israel Medical Center (Petrie Campus), Mount Sinai Medical Center, Our Lady of Mercy Medical Center Landy, Robert J., DPM 37072P 1340 Metropolitan Ave Bronx, NY 10462 (718) 863-3338 Massapequa General Hospital, Our Lady of Mercy Medical Center, Parkway Hospital, Southside Hospital, Winthrop University Hospital Speaks Spanish Levy, Denise A., DPM 141439P Hyperbaric Unit 111 E 210th St Bronx, NY 10467 (718) 920-6655 Montefiore Med Ctr (Henry & Lucy Moses Div) Speaks Spanish Levy, Paul J., DPM 169192P 2545 Wallace Ave Bronx, NY 10467 (718) 231-2500 36736P 2539 Fish Ave Bronx, NY 10469 (718) 231-2500 Brooklyn Hospital Center (Downtown Campus), Our Lady of Mercy Medical Center Speaks Spanish Locastro, Robert M., DPM 124212P 731 White Plains Rd Bronx, NY 10473 (718) 893-7773 Southside Hospital, St Barnabas Hospital, St Catherine of Siena, St Catherine of Sienna Medical Center Lok, Jonat, DPM 227010P East Tremont Medical Ctr 930 E Tremont Ave Bronx, NY 10460 (718) 860-1111 New York Downtown Hospital (Beekman), Our Lady of Mercy Medical Center Lopiano, Steven N., DPM 36777P 3108 Kingsbridge Ave Bronx, NY 10463 (718) 548-1102 Our Lady of Mercy Medical Center Speaks SpanishItalian Board Certified Male Female Wheelchair Accessible Lynn, Brian P., DPM 38157P Ctr for Ortho Specialty 1695 Eastchester Rd Bronx, NY 10461 (718) 405-8430 38159P MAP - Dept. of Ortho Surg 3400 Bainbridge Ave Bronx, NY 10467 (718) 920-2060 Long Island Jewish Medical Center, Montefiore Med Ctr (Henry & Lucy Moses Div) Speaks Spanish Marville, Jillion, MD 179966P Morris Heights Hlth Ctr 625 E 137th St Bronx, NY 10454 (718) 401-6578 49882P Morris Heights Hlth Cntr 85 W Burnside Ave Bronx, NY 10453 (718) 716-4400 Nachmann, Dennis S., DPM 188735P Urgent Foot Care,PC 3594 E Tremont Ave Bronx, NY 10465 (718) 597-5800 37260P Urgent Foot Care PC 3058 E Tremont Ave Bronx, NY 10461 (718) 409-0500 37261P 1216 Beach Ave Bronx, NY 10472 (718) 597-1107 40448P 326 E 204th St Bronx, NY 10467 (718) 655-3410 53065P 1387 Grand Concourse Bronx, NY 10452 (718) 992-9918 Bronx-Lebanon Hospital Center - Fulton Division, Montefiore Med Ctr (Jack D Weiler Hosp of A Einst), New York Westchester Square Medical Center, Our Lady of Mercy Medical Center Speaks Spanish Oliva, Imelda A., DPM 357238P HHC Morrisania D & T Ctr 1225 Gerard Ave Bronx, NY 10452 (718) 960-2781 357786P HHC-Lincoln M&MH Center 234 E 149th St Bronx, NY 10451 (718) 579-4900 Kings County Hospital Center, Metropolitan Hospital Center, Morrisania Hospital Speaks TagalogSpanish Oropall, Robert, DPM 142725P Metropolitan Podiatry Ass 667 E 233rd St Bronx, NY 10466 (718) 430-6066 18943P 820 Lydig Ave Bronx, NY 10462 (718) 792-5900 New York Westchester Square Medical Center, Our Lady of Mercy Medical Center Speaks German Pannell, Richard, DPM 288046P HHC-Morrisania D &TC 1225 Gerard Ave Bronx, NY 10452 (718) 960-2781 Harlem Hospital Center, Metropolitan Hospital Center Plotka, Steven D., DPM 200379P HHC Lincoln Hospital 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center, Mount Sinai Medical Center, Raritan Bay Medcal Center, Robert Wood Johnson University Hosp. Speaks Spanish Posner, Jonathan, DPM 105432P Jonathan Posner, DPM 360 E 193rd St Bronx, NY 10458 (718) 933-2400 105434P Jonathan Posner, DPM 1621 Eastchester Rd Bronx, NY 10461 (718) 405-8040 143124P MMG - CHCC 305 E 161st St Bronx, NY 10451 (718) 579-2500 P0052P 2532 Grand Concourse Bronx, NY 10458 (718) 960-1500 Montefiore Med Ctr (Henry & Lucy Moses Div) Rampino, Robert, DPM 157922P North Central Bronx Hosp 3424 Kossuth Ave Bronx, NY 10467 (718) 519-3630 157925P Jacobi Medical Center 1400 Pelham Pkwy S Bronx, NY 10461 (718) 918-5700 Coney Island Hospital Ransom, Sherry M., DPM 198963P Derm & Surgery Associates 3620 E Tremont Ave Bronx, NY 10465 (718) 792-4700 Mount Vernon Hospital Richman, Tara, DPM 364345P Tej Podiatric Group P.C. 1963-A Daly Ave Bronx, NY 10460 (718) 617-6141 Bronx-Lebanon Hospital Center - Fulton Division Ross, Charles F., DPM 3113966P HHC-Lincoln Med & Mntl HC 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center, Metropolitan Hospital Center Schulman, Leonard B., DPM 36464P MMC-Family Care Center 3444 Kossuth Ave Bronx, NY 10467 (718) 920-2273 Montefiore Med Ctr (Henry & Lucy Moses Div) Scotti, Lorenzo, DPM 36715P North Central Bronx Hosp 3424 Kossuth Ave Bronx, NY 10467 (718) 519-3589 51545P Jacobi Medical Center 1400 Pelham Pkwy S Bronx, NY 10461 (718) 918-7224 Coney Island Hospital, Jacobi Medical Center, North Central Bronx Hospital Speaks ItalianSpanish Snyder, Robert S., DPM 46604P 3867 E Tremont Ave Bronx, NY 10465 (718) 792-8790 Forest Hills Hospital, Parkway Hospital Speaks Spanish Spector, Donald, DPM 36812P Cambridge Podiatry Center 259 W 231st St Bronx, NY 10463 (718) 548-3080 St Joseph's Medical Center-Yonkers Spellman, Dean S., DPM 381596P Middletown Podiatry Assoc 1200 Waters Pl Bronx, NY 10461 (718) 863-5511 New York Westchester Square Medical Center Spilken, Terry, DPM 200471P HHC Lincoln Hospital 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center Steiner, Richard M., DPM 188831P 3530 Henry Hudson Pkwy E Bronx, NY 10463 (718) 548-3550 379697P Kingsbridge Community Med 170 W 233rd St Bronx, NY 10463 (718) 543-0700 SVCMC-St Vincents Manhattan Stern, Stuart M., DPM 36652P Morris Park Podiatry 1015 Morris Park Ave Bronx, NY 10462 (718) 863-3737 New Island Hospital, Plainview Hospital, Syosset Hospital Strassman, David, DPM 349822P MMC - Dept of Surgery 111 E 210th St Bronx, NY 10467 (718) 920-6603 Montefiore Med Ctr (Jack D Weiler Hosp of A Einst), New York Methodist Hospital, New York Westchester Square Medical Center Strassman, Lawrence, DPM 358330P MMC - Eastern Vascular 1825 Eastchester Rd Bronx, NY 10461 (718) 792-8115 Montefiore Med Ctr (Jack D Weiler Hosp of A Einst), New York Westchester Square Medical Center Tabari, Issac, DPM 208998P 108 E 183rd St Bronx, NY 10453 (718) 295-4600 Lutheran Medical Center, Nassau University Medical Center Speaks FARSI, EASTERNPersian Thompson, Michael, DPM 36705P 2574 Frisby Ave Bronx, NY 10461 (718) 892-8382 Brooklyn Hospital Center (Downtown Campus), Our Lady of Mercy Medical Center Velasco, Debra, DPM 201409P HHC Lincoln Hospital 234 E 149th St Bronx, NY 10451 (718) 579-4900 214314P Segundo Ruiz Belvis DTC 545 E 142nd St Bronx, NY 10454 (718) 579-4000 288345P HHC-Morrisania D &TC 1225 Gerard Ave Bronx, NY 10452 (718) 960-2781 Lincoln Medical & Mental Health Center, Metropolitan Hospital Center Speaks Spanish Vincetic, Anto, DPM 231369P 3635 E Tremont Ave Bronx, NY 10465 (718) 409-0400 Montefiore Med Ctr (Henry & Lucy Moses Div), Mount Vernon Hospital Speaks Croatian Vitale, Thomas, DPM 201089P HHC Lincoln Hospital 234 E 149th St Bronx, NY 10451 (718) 579-4900 Lincoln Medical & Mental Health Center Walter, Eric G., DPM 142727P Metropolitan Podiatry Ass 667 E 233rd St Bronx, NY 10466 (718) 430-6066 357174P 1619 Pelham Pkwy N Bronx, NY 10469 (718) 665-3410 36967P Bronx Foot Rehab Assoc. 326 E 204th St Bronx, NY 10467 (718) 655-3410 New York Westchester Square Medical Center, Our Lady of Mercy Medical Center, SJRH - St Johns Division, St Barnabas Hospital Speaks German Specialist Board Certified Male Female Wheelchair Accessible PODIATRY (Continued) Wexler, Craig, DPM 36647P 2391 Arthur Ave Bronx, NY 10458 (718) 365-4141 Newton Memorial Hospital, Our Lady of Mercy Medical Center Winston, Wayne, DPM 359588P Signature Health Center 220 E 161st St Bronx, NY 10451 (718) 537-1100 Forest Hills Hospital Wolstein, Lewis, DPM 42408P 100-1 De Kruif Pl Bronx, NY 10475 (718) 671-7226 New York Westchester Square Medical Center, United Hospital Medical Center (NY), White Plains Hospital Center Speaks Spanish Wolstein, Peter D., DPM 19917P 1340 Metropolitan Ave Bronx, NY 10462 (718) 863-3338 Speaks SpanishTagalog Woltman, Robert T., DPM 174899P 1488 Metropolitan Ave Bronx, NY 10462 (718) 823-6239 174900P Wellness Medical Asso 1180 Morris Park Ave Bronx, NY 10461 (718) 863-8465 Long Island Jewish Medical Center, New York Westchester Square Me, Peninsula Hospital Center Board Certified Male Female Wheelchair Accessible PODIATRY Amante, Gregory, DPM 199177P 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital Speaks Spanish Amico, Susan G., DPM 184838P SL Quality Care Diagnosti 9708 Seaview Ave Brooklyn, NY 11236 (718) 444-0520 184843P SL Quality Care Diagnosti 1902 86th St Brooklyn, NY 11214 (718) 621-9400 184852P SL Quality Care Diagnosti 1220 Avenue P Brooklyn, NY 11229 (718) 376-1004 49812P 9731 4th Ave Brooklyn, NY 11209 (718) 836-1800 SVCMC-St Vincents Staten Island, Staten Island University Hosp-North, Victory Memorial Hospital Speaks ItalianSpanish Archer, Jean V., DPM 105663P Brookdale Family Care Ctr 2554 Linden Blvd Brooklyn, NY 11208 (718) 240-8600 40532P Jamaica Hosp Medical Ctr 3080 Atlantic Ave Brooklyn, NY 11208 (718) 647-0240 Jamaica Hospital Speaks Spanish Aronica, Frank R., DPM 36667P 20 Plaza St E Brooklyn, NY 11238 (718) 638-6387 Catholic Medical Center (NY), Long Island College Hospital Speaks SpanishItalian Assini, Joseph, DPM 36727P 8616 3rd Ave Brooklyn, NY 11209 (718) 948-3838 Doctors Hosp. of Staten Island, Lutheran Medical Center, Staten Island University Hosp-North, Victory Memorial Hospital Speaks Italian Babayev, Emil, DPM 224479P Perloff Medical PC 2626 E 14th St Brooklyn, NY 11235 (718) 368-2626 37241P Professional Medical Plaz 2269 Ocean Ave Brooklyn, NY 11229 (718) 339-8200 46696P 421 Ocean Pkwy Brooklyn, NY 11218 (718) 287-4200 Lutheran Medical Center, New York Methodist Hospital Speaks Russian Baird, William T., DPM 37008P Plaza Foot Care, PC 5412 Kings Plz Mall Brooklyn, NY 11234 (718) 377-1212 Peninsula Hospital Center Speaks SpanishFrenchRussian Barkoff, Steven L., DPM 36921P 248 Roebling St Brooklyn, NY 11211 (718) 599-0505 Brooklyn Hospital Center (Downtown Campus), New York Methodist Hospital Speaks Spanish Barone, Salvatore A., DPM 36884P 1601 Voorhies Ave Brooklyn, NY 11235 (718) 646-5553 Lutheran Medical Center Speaks SpanishGerman Bartol, David M., DPM 139333P North Star Orthopedics 1408 Ocean Ave Brooklyn, NY 11230 (718) 338-0909 59239P North Star Orthopedics 2615 E 16th St Brooklyn, NY 11235 (718) 745-8787 59240P North Star Orthopedics 26 Court St Brooklyn, NY 11242 (718) 935-0311 M6958P 1000 Church Ave Brooklyn, NY 11218 (718) 826-4000 M6958P 740 64th St Brooklyn, NY 11220 (718) 439-2000 Parkway Hospital Bass, Elliot L., DPM 36493P 2381 E 29th St Brooklyn, NY 11229 (718) 743-1400 49605P Elliot L Bass, MD 2 W End Ave Brooklyn, NY 11235 (718) 743-2900 Bass, Fara D., DPM 50123P 2 W End Ave Brooklyn, NY 11235 (718) 743-1400 M100 2381 E 29th St Brooklyn, NY 11229 (718) 743-1400 New York Methodist Hospital Speaks Yiddish Bell, Burt L., DPM 105602P 7608 20th Ave Brooklyn, NY 11214 (718) 837-8003 113259P 3065 Brighton 5Th St Brooklyn, NY 11235 (718) 332-2722 New York Community Hospital of Brooklyn Benzakein, Ralph, DPM 36761P 2241 Ocean Ave Brooklyn, NY 11229 (718) 998-1375 New York Community Hospital of Brooklyn Speaks ArabicHebrewRussianSpani sh Bienenfeld, Jay D., DPM 47072P 165 Taylor St Brooklyn, NY 11211 (718) 599-0753 Peninsula Hospital Center Speaks SpanishHebrewYiddish Birch, Gregory M., DPM 36595P 6419 Bay Pkwy Brooklyn, NY 11204 (718) 232-6737 Staten Island University Hosp-North Bover, Elina, DPM 353725P A. Amerimed Physician P.C 1655 E 13th St Brooklyn, NY 11229 (718) 339-3100 353726P A. Amerimed Physician P.C 1100 Coney Island Ave Brooklyn, NY 11230 (718) 434-7533 New York Methodist Hospital Speaks AbkhazianAfam (Oromo) Braun, Suzanne G., DPM 142989P 2171 Nostrand Ave Brooklyn, NY 11210 (718) 758-8920 359508P 710 Parkside Ave Brooklyn, NY 11226 (718) 270-2075 University Hospital of Brooklyn Speaks SpanishItalian Breth, Evan G., DPM 49200P Evan G. Breth, DPM 2352 Ralph Ave Brooklyn, NY 11234 (718) 251-0200 M1550P 263 7th Ave Brooklyn, NY 11215 (718) 369-8080 M1551P United Medical Assoc 9001 3rd Ave Brooklyn, NY 11209 (718) 748-2900 M1552P 7124 18th Ave Brooklyn, NY 11204 (718) 234-3333 Lutheran Medical Center, New York Methodist Hospital Bushansky, Abe A., DPM 231380P 734 Pennsylvania Ave Brooklyn, NY 11207 (718) 493-5986 37057P 711 Eastern Pkwy Brooklyn, NY 11213 (718) 493-5986 Brooklyn Hospital Center (Downtown Campus), Interfaith Medical Center, Parkway Hospital Butters, Marva, DPM 343047P 158 Clarkson Ave Brooklyn, NY 11226 (718) 783-4780 Brooklyn Hospital Center (Downtown Campus), Kings County Hospital Center Buxbaum, Frederick D., DPM 36540P 1501 W 6th St Brooklyn, NY 11204 (718) 837-0442 New York Community Hospital of Brooklyn, New York Methodist Hospital, Parkway Hospital Buzermanis, Steven Z., DPM 57282P 1230 Neptune Ave Brooklyn, NY 11224 (718) 615-3200 57282P 3245 Nostrand Ave Brooklyn, NY 11229 (718) 615-3777 57282P 345 Schermerhorn St Brooklyn, NY 11217 (718) 858-6300 Campbell, Douglas E., DPM 37122P MAIMONDES MED CTR BROOKLYN, NY 11219 (718) 283-7593 54942P 4801 Fort Hamilton Pkwy Brooklyn, NY 11219 (718) 853-7469 54944P 241 Willoughby St Brooklyn, NY 11201 (718) 853-7469 Maimonides Medical Center Caprioni, Enrico P., DPM 163554P 326 7th St Brooklyn, NY 11215 (718) 369-7192 New York Methodist Hospital Speaks ItalianSpanish Carlton, Lawrence S., DPM 36731P 1981 Flatbush Ave Brooklyn, NY 11234 (718) 338-8715 Brooklyn Hospital Center (Downtown Campus) Castillo, Dennis E., DPM 0X190P 345 Clinton Ave Brooklyn, NY 11238 (718) 783-7300 105747P 450 Clarkson Ave Brooklyn, NY 11203 (718) 783-7300 376722P SUNY Downstate Med Ctr 840 Lefferts Ave Brooklyn, NY 11203 (718) 783-7300 376724P SUNY Downstate Med Ctr 445 Lenox Rd Brooklyn, NY 11203 (718) 783-7300 Brooklyn Hospital Center (Downtown Campus), Interfaith Medical Center, Kingsbrook Jewish Medical Center, University Hospital of Brooklyn Speaks Spanish Board Certified Male Female Wheelchair Accessible ) Charlot, Giznola J., DPM 358034P HHC-Kings County Hospital 451 Clarkson Ave Brooklyn, NY 11203 (718) 245-3325 Jacobi Medical Center, Kings County Hospital Center, North Central Bronx Hospital Cheng, Tung W., DPM 36670P 299 Livingston St Brooklyn, NY 11217 (718) 624-2150 Speaks Chinese Chopra, Jaideep, DPM 283717P Medical Office 462 Ocean Pkwy Brooklyn, NY 11218 (718) 856-6010 284749P 1324 Bergen St Brooklyn, NY 11213 (718) 774-5224 362592P 710 Parkside Ave Brooklyn, NY 11226 (718) 270-2045 363451P University Phys of Bklyn 450 Clarkson Ave Brooklyn, NY 11203 (718) 270-2045 Staten Island University Hosp-North, University Hospital of Brooklyn Speaks Hindi Cicio, Gary, DPM 36673P 142 Joralemon St Brooklyn, NY 11201 (718) 624-3003 Beth Israel Med Ctr (Kings Hwy Division), Long Island College Hospital, New York Downtown Hospital (Beekman) Cohen, Greg E., DPM 168309P 142 Joralemon St Brooklyn, NY 11201 (718) 624-3003 Cabrini Medical Center, Long Island College Hospital Cohen, Richard B., DPM 36732P 1331 E 16th St Brooklyn, NY 11230 (718) 375-3400 Brooklyn Hospital Center (Downtown Campus) D'Amato, Theodore A., DPM 369717P 9731 4th Ave Brooklyn, NY 11209 (718) 745-3177 Staten Island University Hosp-North, Victory Memorial Hospital D'Angelo, Nicholas A., DPM M1613P 6511 20th Ave Brooklyn, NY 11204 (718) 837-7300 New York Methodist Hospital Speaks Italian Dacher, Jeffrey, DPM 36847P 3901 Nostrand Ave Brooklyn, NY 11235 (718) 648-9104 Woodhull Medical & Mental Health Ctr Speaks Yiddish Daniel, Lawrence B., DPM 10292P 2832 Linden Blvd Brooklyn, NY 11208 (718) 240-2000 58558P Lawrence B. Daniel, DPM 1576 E 66th St Brooklyn, NY 11234 (718) 241-3803 Brooklyn Hospital Center (Downtown Campus), Montefiore Med Ctr (Henry & Lucy Moses Div), Montefiore Med Ctr (Jack D Weiler Hosp of A Einst) DeMeo, James R., DPM 169482P 1545 Atlantic Ave Brooklyn, NY 11213 (718) 613-4856 Cabrini Medical Center, Interfaith Medical Center, Mount Vernon Hospital, SJRH - St Johns Division DeSantos, Pasquale, DPM 371165P HHC-Coney Island Hospital 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital Speaks ItalianSpanish Dennis, Lester N., DPM 50225P 746 Manhattan Ave Brooklyn, NY 11222 (718) 389-4404 Catholic Medical Center (NY), New York Flushing Hospital & Medical Center, New York Hospital Medical Center of Queens, St Joseph's Hospital Division, CMC, United Hospital Medical Center (NY), Wyckoff Heights Medical Center Dharia, Sumit S., DPM 349314P 552 Saint Marks Ave Brooklyn, NY 11238 (516) 359-3339 Speaks Gujarati Dixit, Chaitanya V., DPM 229092P NY Medical Associates 98 Avenue U Brooklyn, NY 11223 (718) 372-0500 39505P 1700 Flatbush Ave Brooklyn, NY 11210 (718) 692-1120 M1245P 2235 W 9th St Brooklyn, NY 11223 (718) 372-0400 Jamaica Hospital, New York Methodist Hospital, Our Lady of Mercy Medical Center Speaks SpanishHindiItalian Donovan, Glenn J., DPM 348058P HHC-Coney Island Hospital 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital Dorazi, Stephen T., DPM 144643P 374 Stockholm St Brooklyn, NY 11237 (718) 963-7233 Franklin Hospital, New York Hospital Medical Center of Queens, New York United Hospital Medic, Sound Shore Medical Center of Westchester, Wyckoff Heights Medical Center Speaks Spanish Ehrlich, Josh C., DPM 341691P Astrocare Medical Center 1669 Bedford Ave Brooklyn, NY 11225 (718) 467-7200 36823P 1651 Coney Island Ave Brooklyn, NY 11230 (718) 382-2221 49886P 1535 51st St Brooklyn, NY 11219 (718) 436-8886 Maimonides Medical Center, Staten Island University Hosp-North Speaks HebrewYiddishRussian Einhorn, Jill L., DPM 36976P 2616 Avenue U Brooklyn, NY 11229 (718) 891-2706 Beth Israel Med Ctr (Kings Hwy Division), Maimonides Medical Center Fagen, Leonard, DPM 36474P 1390 Pennsylvania Ave Brooklyn, NY 11239 (718) 642-2088 Brookdale Hospital Medical Center Speaks Spanish Falcone, Jeffrey J., DPM 168454P 8012 3rd Ave Brooklyn, NY 11209 (718) 745-5600 New York Methodist Hospital Ficke, Henry, DPM 177873P 2875 W 8th St Brooklyn, NY 11224 (718) 266-3131 288626P 444 Avenue X, Ste 1E Brooklyn, NY 11223 (718) 375-1616 288630P 2015 Bath Ave Brooklyn, NY 11214 (718) 375-1616 Long Beach Memorial Hospital Speaks GermanItalianSpanish Friedlander, Bruce W., DPM 229664P 567 9th St Brooklyn, NY 11215 (718) 840-0220 Long Island College Hospital Speaks SpanishFrench Ganjian, Afshin, DPM 37177P 146 Sheridan Ave Brooklyn, NY 11208 (718) 235-6100 Coney Island Hospital, St Joseph's Hospital Division, CMC Speaks PersianSpanishRussianItalia n Garofalo, Alfred A., DPM 226023P Woodhull Med & Ment HC 760 Broadway Brooklyn, NY 11206 (718) 388-5889 Bellevue Hospital Center, Gouverneur Hospital, Woodhull Medical & Mental Health Ctr Gaudino, Salvatore C., DPM 114762P Boro Medical, PC 540 Atlantic Ave Brooklyn, NY 11217 (718) 855-4900 37094P Bensonhurst Fam. Foot Ctr 7819 18th Ave Brooklyn, NY 11214 (718) 234-7054 51018P Bensonhurst Family Foot 420 74th St Brooklyn, NY 11209 (718) 836-1017 Mount Sinai Medical Center, Parkway Hospital, Queens Hospital Center Geiger, Arthur, DPM 52948P Kings County Hospital Ctr 451 Clarkson Ave Brooklyn, NY 11203 (718) 245-3325 Kings County Hospital Center George, Thomas, DPM 197909P 888 Fountain Ave Brooklyn, NY 11208 (718) 235-0574 Hempstead General Hospital Med Ctr., New York Westchester Square Medical Center Gertsik, Vladimir V., DPM 193957P Gertsik Podiatry< PC 415 Ocean View Ave Brooklyn, NY 11235 (718) 934-4842 New York Methodist Hospital Speaks Russian Giammarino, Philip A., DPM 149919P 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 199181P HHC-Sheepshead Bay Ctr 3121 Ocean Ave Brooklyn, NY 11235 (718) 646-9190 36584P 8607 21st Ave Brooklyn, NY 11214 (718) 266-1986 Coney Island Hospital, Lutheran Medical Center Speaks SpanishItalian Glockenberg, Aaron, DPM 36620P Kings County Hospital Ctr 451 Clarkson Ave Brooklyn, NY 11203 (718) 245-3325 Kings County Hospital Center, Lincoln Medical & Mental Health Center, Our Lady of Mercy Medical Center, St Barnabas Hospital, Union Hospital of the Bronx (closed) Speaks PolishHebrew Board Certified Male Female Wheelchair Accessible Goldman, Gershon A., DPM 372901P Fayn Medical PC 1517 Voorhies Ave Brooklyn, NY 11235 (718) 648-2491 Forest Hills Hospital, Parkway Hospital Speaks HebrewFrenchYiddishSpanis h Goldstein, Israel, DPM 169498P Ezra Medical Center 571 McDonald Ave Brooklyn, NY 11218 (718) 686-7600 228018P 468 Ocean Pkwy Brooklyn, NY 11218 (718) 693-0578 Speaks YiddishRussianRomanianHe brew Gonzalez, Ivan, DPM 137870P East New York D & TC 2094 Pitkin Ave Brooklyn, NY 11207 (718) 240-0400 Brooklyn Hospital Center (Downtown Campus), Kings County Hospital Center, St Joseph's Hospital Division, CMC, University Hospital of Brooklyn Speaks SpanishFrenchPortugueseIt alian Goodman, Warren J., DPM 213648P Kings Highway Podiatry 380 Avenue U Brooklyn, NY 11223 (718) 376-3077 Victory Memorial Hospital Speaks FrenchSpanish Greenbaum, Bruce R., DPM P0058P 3000 Ocean Pkwy Brooklyn, NY 11235 (718) 265-2600 Staten Island University Hosp-North, Staten Island University Hosp-South Guberman, Ronald M., DPM 144825P Wound Healing & Hyperbar 374 Stockholm St Brooklyn, NY 11237 (718) 381-8402 FLUSHING HOSPITAL MEDICAL CENTER, Franklin Hospital, Jackson Heights Hospital Division (closed), Sound Shore Medical Center of Westchester, Wyckoff Heights Medical Center Speaks Spanish Gventer, Mark, DPM 49889P 434 3rd St Brooklyn, NY 11215 (718) 499-7583 New York Community Hospital of Brooklyn Speaks RussianSpanish Habib, Henry, DPM 44484P 8000 4th Ave Brooklyn, NY 11209 (718) 833-8136 SVCMC-St Vincents Manhattan Speaks ItalianArabic Heller, David P., DPM 36550P 843 Utica Ave Brooklyn, NY 11203 (718) 345-8923 49818P 2124 Knapp St Brooklyn, NY 11229 (718) 743-4121 Interfaith Medical Center Herman, Craig P., DPM 363912P 94-98 Manhattan Avenue Brooklyn, NY 11206 (718) 388-0390 New York Westchester Square Medical Center, Our Lady of Mercy Medical Center Speaks Spanish Horowitz, Mitchell L., DPM 123582P Quality Health Center Inc 138 Division Ave Brooklyn, NY 11211 (718) 387-2408 Ivanovs, Ray, DPM 226092P Woodhull Med & Ment HC 760 Broadway Brooklyn, NY 11206 (718) 388-5889 Woodhull Medical & Mental Health Ctr Jarbath, John A., DPM 155825P 2051 Flatbush Ave Brooklyn, NY 11234 (718) 677-1000 Forest Hills Hospital, New York Hospital Medical Center of Queens, Parkway Hospital, Peninsula Hospital Center Speaks FrenchCreoles and pidgins, French-based (Other) Jusma, Francoise D., DPM 221129P Cumberland D & T Ctr 100 N Portland Ave Brooklyn, NY 11205 (718) 260-7500 221130P Woodhull Med & Ment HC 760 Broadway Brooklyn, NY 11206 (718) 388-5889 M4204P 100 Parkside Ave Brooklyn, NY 11226 (718) 940-5288 Brooklyn Hospital Center (Downtown Campus), Woodhull Medical & Mental Health Ctr Speaks FrenchCreoles and pidgins, French-based (Other) Kaiser, Craig A., DPM 361854P 1220 Avenue P Brooklyn, NY 11229 (718) 376-1004 361888P 19-02 86th St Brooklyn, NY 11214 (718) 621-9400 361892P 9708 Seaview Ave Brooklyn, NY 11236 (718) 444-0520 37134P 465 Ocean Pkwy Brooklyn, NY 11218 (718) 941-3796 Maimonides Medical Center, New York Methodist Hospital Kapadwala, Imtiyaz I., DPM 37207P 220 A. Saint Nicholas Ave Brooklyn, NY 11237 (718) 418-8540 50700P 2848 Church Ave Brooklyn, NY 11226 (718) 703-3000 Kingsbrook Jewish Medical Center, Wyckoff Heights Medical Center Speaks UrduHindi Katz, Alex S., DPM 291819P 2797 Ocean Pkwy Brooklyn, NY 11235 (718) 615-4444 New York Community Hospital of Brooklyn Speaks RussianHebrewSpanish Katzman, Barry, DPM M0791P 233 Nostrand Ave Brooklyn, NY 11205 (718) 826-5900 New York Flushing Hospital & Medical Center, New York Hospital Medical Center of Queens, Parkway Hospital Speaks Spanish Knobel, Jeffrey, DPM M4199P 1636 E 14th St Brooklyn, NY 11229 (718) 336-1800 M4200P 662 Bedford Ave Brooklyn, NY 11211 (718) 336-1800 Beth Israel Medical Center (Petrie Campus), Brookdale Hospital Medical Center, Jamaica Hospital Speaks RussianYiddish Lafferty, William A., DPM 355861P 858 Schenectady Ave Brooklyn, NY 11203 (718) 604-5574 SVCMC-St Vincents Staten Island, Staten Island University Hosp-North Lepore, Frank L., DPM 194379P 349 Henry St Brooklyn, NY 11201 (718) 780-8104 Catholic Medical Center (NY), Long Island College Hospital, Wyckoff Heights Medical Center Speaks ItalianSpanish Levitz, Steven J., DPM 371880P 3010 Avenue L Brooklyn, NY 11210 (718) 258-1820 Brooklyn Hospital Center (Downtown Campus), Wyckoff Heights Medical Center Levy, Brian K., DPM 109695P 1390 Pennsylvania Ave Brooklyn, NY 11239 (718) 642-2088 Brookdale Hospital Medical Center, Kingsbrook Jewish Medical Center Speaks Spanish Liswood, Paul J., DPM 37131P Comprehensive Podiatry Sv 7212 4th Ave Brooklyn, NY 11209 (718) 745-0256 53864P 506 6th St Brooklyn, NY 11215 (718) 780-5850 Lutheran Medical Center, New York Methodist Hospital Speaks RussianSpanish Losyev, Sergey, DPM 173305P 2005 Ocean Ave Brooklyn, NY 11230 (718) 645-4324 Lutheran Medical Center Speaks Russian Lucido, Jeffrey V., DPM 36833P 441 77th St Brooklyn, NY 11209 (718) 745-3800 54176P 150 55th St Brooklyn, NY 11220 (718) 630-7095 Doctors Hosp. of Staten Island, Lutheran Medical Center Speaks ItalianSpanish Mahgerefteh, David, DPM 349781P 4405 16th Ave Brooklyn, NY 11204 (718) 633-8662 Parkway Hospital Speaks Yiddish Makower, Bryan L., DPM 100861P Downstate Foot &Ankle Pod 121 Dekalb Ave Brooklyn, NY 11201 (718) 250-8753 101467P 176 Fenimore St Brooklyn, NY 11225 (718) 940-0400 36786P 100 Parkside Ave Brooklyn, NY 11226 (718) 768-1906 54693P Downstate Foot & Ankle Po 322 Linden Blvd Brooklyn, NY 11226 (718) 768-1906 Brooklyn Hospital Center (Downtown Campus), New York Methodist Hospital Speaks SpanishFrench Mandato, Mark, DPM 298290P HHC-Kings County Hospital 451 Clarkson Ave Brooklyn, NY 11203 (718) 245-3325 Kings County Hospital Center, Metropolitan Hospital Center Mantzoukas, Argirios, DPM 221092P HHC-Coney Island Hospital 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital Speaks Greek, Modern (1453-) Marcelonis, Debra A., DPM 173195P 465 New Lots Ave Brooklyn, NY 11207 (718) 240-8900 Jamaica Hospital Board Certified Male Female Wheelchair Accessible PODIATRY (Continued) Marville, Jillion, MD 49868P 353 Empire Blvd Brooklyn, NY 11225 (718) 221-9244 Matthews, Frederick, DPM 302146P Frederick Matthew DPM 1641 Bergen St Brooklyn, NY 11213 (718) 778-2938 Interfaith Medical Center Speaks Spanish Mckay, Douglas J., DPM 54837P 1704 Mermaid Ave Brooklyn, NY 11224 (718) 265-0900 Staten Island University Hosp-North Meliso, Vincent D., DPM 212393P 1029 Manhattan Ave Brooklyn, NY 11222 (718) 383-3377 37004P Lorimer Foot Care 411 Graham Ave Brooklyn, NY 11211 (718) 383-2518 New York Methodist Hospital Speaks Italian Meller, Edward P., DPM 112287P Ambulatory Care Clinic 1 Brookdale Plz Brooklyn, NY 11212 (718) 240-5045 112288P Urban Strategies 1873 Eastern Pkwy Brooklyn, NY 11233 (718) 240-8700 Jamaica Hospital, St Joseph's Hospital Division, CMC Meshnick, Joel A., DPM 105804P Kings Country Medical Doc 2705 Mermaid Ave Brooklyn, NY 11224 (718) 265-2222 191516P 2876 W 27th St Brooklyn, NY 11224 (718) 265-2222 57875P ODA Primary Health Care 14-16 Heyward St Brooklyn, NY 11211 (718) 260-4600 Lutheran Medical Center, Staten Island University Hosp-North Micallef, Joseph, DPM 106156P 1095 Flatbush Ave Brooklyn, NY 11226 (718) 240-8800 Brookdale Hospital Medical Center, Forest Hills Hospital, Jamaica Hospital, New York Hospital Medical Center of Queens Mollica, Peter W., DPM 36634P 8223 14th Ave Brooklyn, NY 11228 (718) 875-9357 36635P 410 Clinton St Brooklyn, NY 11231 (718) 875-9357 36636P 585 Schenectady Ave Brooklyn, NY 11203 (718) 604-5481 Interfaith Medical Center, Kingsbrook Jewish Medical Center, New York Methodist Hospital Speaks Italian Mollica, Raymond J., DPM 36621P 8223 14th Ave Brooklyn, NY 11228 (718) 236-2871 50026P Raymond J Mollica, MD 410 Clinton St Brooklyn, NY 11231 (718) 875-1105 Catholic Medical Center (NY), Kingsbrook Jewish Medical Center, Lutheran Medical Center, New York Methodist Hospital Montalvo, Luis, DPM 37021P 7523 Fort Hamilton Pkwy Brooklyn, NY 11228 (718) 745-7266 Lutheran Medical Center, Wyckoff Heights Medical Center Speaks Spanish Morreale, Edward, DPM 0X185P 736 Ocean Pkwy Brooklyn, NY 11230 (718) 437-9343 SVCMC-St Vincents Manhattan Speaks ItalianSpanish Naik, Hetal B., DPM 113873P Lafayette Med Office PC 468 Lafayette Ave Brooklyn, NY 11205 (718) 399-6234 145498P 1417 Foster Ave Brooklyn, NY 11230 (718) 421-6300 37256P 121 Dekalb Ave Brooklyn, NY 11201 (718) 250-8753 Brooklyn Hospital Center (Downtown Campus), Lutheran Medical Center, Maimonides Medical Center Speaks HindiGujaratiSpanishUrdu Nekritin, Vadim, DPM 294087P 2306 Avenue U Brooklyn, NY 11229 (718) 769-8210 St John's Episcopal Hospital Speaks Russian Newmark, Alan J., DPM 36637P 34 Plaza St E Brooklyn, NY 11238 (718) 857-9004 54470P 372 Kingston Ave Brooklyn, NY 11213 (718) 604-0675 Brooklyn Hospital Center (Downtown Campus) Speaks SpanishHebrewFrench Novofastovsky, Raisa, DPM 214483P 1812 Quentin Rd Brooklyn, NY 11229 (718) 382-1773 37025P 3066 Brighton 6 Brooklyn, NY 11235 (718) 382-1773 37026P 8622 Bay Pkwy Brooklyn, NY 11214 (718) 333-2121 51725P All Medical Care L.L.P. 8622 Bay Pkwy Brooklyn, NY 11214 (718) 333-2121 Lutheran Medical Center, New York Community Hospital of Brooklyn Speaks Russian Odinsky, Michael E., DPM P0019P 200 Montague St Brooklyn, NY 11201 (718) 422-8000 P0019P 546 Eastern Pkwy Brooklyn, NY 11225 (718) 604-4800 Oliva, Imelda A., DPM 139001P Kings County Hospital Ctr 451 Clarkson Ave Brooklyn, NY 11203 (718) 245-3325 Kings County Hospital Center, Metropolitan Hospital Center, Morrisania Hospital Speaks TagalogSpanish Orlando, Anthony, DPM 371187P HHC-Coney Island Hospital 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital, Forest Hills Hospital, Lutheran Medical Center, North Shore University Hospital Owusu, Stephen E., DPM 208624P 434 Rockaway Ave Brooklyn, NY 11212 (718) 346-2628 37081P Mount Zion Podiatry,PC 106 Pennsylvania Ave Brooklyn, NY 11207 (718) 385-2085 Jamaica Hospital, St Joseph's Hospital Division, CMC Pace, George N., DPM 373411P Manhattan Footcare 133 Smith St Brooklyn, NY 11201 (718) 330-1117 Cabrini Medical Center, Long Island College Hospital, New York Downtown Hospital, New York Downtown Hospital (Beekman) Speaks Spanish Pace, John F., DPM 45625P John F. Pace, MD 398 Court St Brooklyn, NY 11231 (718) 834-0909 Long Island College Hospital, SVCMC-Bayley Seton Papa, Philip M., DPM 141176P Coney Island Hospital 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital Passik, Arthur L., DPM 45847P 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 Coney Island Hospital, Massapequa General Hospital, Plainview Hospital, Syosset Hospital Speaks SpanishItalianGreek, Modern (1453-) Pawson, John F., DPM 134403P 9229 Flatlands Ave Brooklyn, NY 11236 (718) 257-1444 202015P Bay Park Medical, PC 6403 18th Ave Brooklyn, NY 11204 (718) 621-0800 New York Community Hospital of Brooklyn Speaks SpanishRussianChineseHeb rew Pecora, Maria, DPM 40587P 3245 Nostrand Ave Brooklyn, NY 11229 (718) 615-3777 Forest Hills Hospital, Jamaica Hospital, New York Hospital Medical Center of Queens, St Joseph's Hospital, St Joseph's Hospital Division, CMC Speaks Spanish Pedro, Helder F., DPM 339019P Family Physician FHC 5616 6th Ave Brooklyn, NY 11220 (718) 439-5440 339024P Caribbean American FHC 3414 Church Ave Brooklyn, NY 11203 (718) 940-9425 54244P Sunset Park Family Health 150 55th St Brooklyn, NY 11220 (718) 630-7208 Long Island Jewish Medical Center, Lutheran Medical Center Perez, Walter H., DPM 114659P Advanced Walkin Foot CAre 2146 Beverley Rd Brooklyn, NY 11226 (718) 675-1100 216489P 2919 Avenue T Brooklyn, NY 11229 (718) 336-4390 38123P Advanced WalkIn Foot Care 1214 Coney Island Ave Brooklyn, NY 11230 (718) 677-7700 Brooklyn Hospital Center (Downtown Campus), Interfaith Medical Center, Jamaica Hospital Speaks SpanishRussianTurkish Pierre, Nadja M., DPM 225911P Woodhull Med & Ment HC 760 Broadway Brooklyn, NY 11206 (718) 388-5889 Brooklyn Hospital Center (Downtown Campus), Woodhull Medical & Mental Health Ctr Speaks French Pierre, Nedjie, DPM 145469P 552 Saint Marks Ave Brooklyn, NY 11238 (718) 398-8700 37250P 3400 Snyder Ave Brooklyn, NY 11203 (718) 693-4060 37251P The Brooklyn Hospital Cen 121 Dekalb Ave Brooklyn, NY 11201 (718) 488-3708 Brooklyn Hospital Center (Downtown Campus) Speaks FrenchCreoles and pidgins, French-based (Other) Prince, Steven L., DPM 125224P JHMC DTC - East New York 3080 Atlantic Ave Brooklyn, NY 11208 (718) 647-0240 Jamaica Hospital, V A Hospital - St. Albans Rabiei, Payman, DPM 214667P Metropolitan Foot Care PC 94-13 Flatlands Ave Brooklyn, NY 11236 (718) 649-6464 58033P Metropolitan Foot Care PC 3309 Church Ave Brooklyn, NY 11203 (718) 209-0013 Kingsbrook Jewish Medical Center, Long Island Jewish Medical Center, Parkway Hospital Speaks HebrewPersian Radler, Bruce L., DPM 36518P 6416 17th Ave Brooklyn, NY 11204 (718) 236-2821 Staten Island University Hosp-North Raskin, Simon, DPM 377535P Simon Raskin, DPM, P.C. 1409 Gravesend Neck Rd Brooklyn, NY 11229 (718) 332-7771 Reifer, Howard J., DPM 152842P 1670 E 17th St Brooklyn, NY 11229 (718) 382-9200 174814P 2433 86th St Brooklyn, NY 11214 (917) 974-8726 174816P 3059 Brighton 13Th St Brooklyn, NY 11235 (917) 974-8726 198147P Quentin Medical, PC 280 Quentin Rd Brooklyn, NY 11223 (718) 336-4499 217778P 157 York St Brooklyn, NY 11201 (718) 222-0333 Brooklyn Hospital Center (Downtown Campus), Kings County Hospital Center Speaks Spanish Romano, Constance A., DPM 36902P 386 Graham Ave Brooklyn, NY 11211 (718) 389-9870 Cabrini Medical Center, Interfaith Medical Center Speaks Italian Rosen, Alan J., DPM 36933P 5402 Flatlands Ave Brooklyn, NY 11234 (718) 444-3338 Brookdale Hospital Medical Center Saadvandi, Terence M., DPM 349531P Physicare Multi Services 150 55th St Brooklyn, NY 11220 (718) 253-3900 349532P Nostrand Community Medica 220 13th St Brooklyn, NY 11215 (718) 769-4988 349533P Brighton Community Medica 9000 Shore Rd Brooklyn, NY 11209 (718) 646-5500 Lutheran Medical Center Speaks Arabic Sande, Hervey, DPM 52950P Kings County Hospital Ctr 451 Clarkson Ave Brooklyn, NY 11203 (718) 245-3325 Kings County Hospital Center Scheiner, David M., DPM 208600P Good Health Medical, P.C. 3019 Brighton 1St St Brooklyn, NY 11235 (718) 743-9700 Brunswick Hospital Center Inc, South Nassau Comm. Hospital, South Nassau Communities Hosp., South Nassau Communities Hospital, Winthrop University Hospital Speaks RussianSpanish Schikman, Lana, DPM 359328P Kingsbrook Jewish Med Ctr 585 Schenectady Ave Brooklyn, NY 11203 (718) 604-5388 Kingsbrook Jewish Medical Center Speaks Russian Schneidermesser, Susan G., DPM 37048P 18 Prospect Park W Brooklyn, NY 11215 (718) 398-7593 37049P 894 Eastern Pkwy Brooklyn, NY 11213 (718) 778-7311 Kingsbrook Jewish Medical Center Speaks Spanish Shapiro, Eugene, DPM 36841P 301 Ocean View Ave Brooklyn, NY 11235 (718) 332-2582 New York Community Hospital of Brooklyn Speaks Russian Shechter, David Z., DPM 49893P 3066 Brighton 6Th St Brooklyn, NY 11235 (718) 743-0111 New York Hospital Medical Center of Queens, St Joseph's Hospital Division, CMC, Wyckoff Heights Medical Center Shechter, Stuart B., DPM 49678P Stuart B Shechter, MD 3066 Brighton 6Th St Brooklyn, NY 11235 (718) 743-0111 Island Medical Center (NY)_ Sherman, Gary, DPM M4643P 7902 Bay Pkwy Brooklyn, NY 11214 (718) 236-7520 Maimonides Medical Center, New York Downtown Hospital (Beekman), SVCMC-St Vincents Staten Island Silberstein, Jeffrey, DPM 36639P 1367 51st St Brooklyn, NY 11219 (718) 438-4305 Speaks YiddishSpanish Silverstein, Alan B., DPM 36642P 1185 Dean St Brooklyn, NY 11216 (718) 774-2740 Interfaith Medical Center Spielfogel, William D., DPM 36935P Hamilton Podiatry PC 369 93rd St Brooklyn, NY 11209 (718) 680-6276 Columbia-Presbyterian Medical Center Spindler, Harlan, DPM 36541P 5412 Kings Plz Brooklyn, NY 11234 (718) 377-1212 Peninsula Hospital Center, Wyckoff Heights Medical Center Speaks FrenchRussianSpanish Stanimirov, Catherine, DPM 112328P 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 137433P Ida G Irael Comm Hlth Ctr 2201 Neptune Ave Brooklyn, NY 11224 (718) 946-3400 Coney Island Hospital Speaks Spanish Steiner, Richard M., DPM 101731P 2811 Ocean Ave Brooklyn, NY 11229 (718) 648-5609 SVCMC-St Vincents Manhattan Stuto, Joseph C., DPM 36813P 100 Remsen St Brooklyn, NY 11201 (718) 624-7537 Brooklyn Hospital Center (Downtown Campus), Long Island College Hospital, New York Community Hospital of Brooklyn Tajerstein, Alan R., DPM 36951P 1335 54th St Brooklyn, NY 11219 (718) 972-5000 Brooklyn Hospital Center (Downtown Campus) Speaks YiddishHebrew Tanenbaum, Mark, DPM 36644P 1648 E 14th St Brooklyn, NY 11229 (718) 627-0585 Tartack, Ira, DPM 187670P Coney Island Hospital 2601 Ocean Pkwy Brooklyn, NY 11235 (718) 616-4331 New York Community Hospital of Brooklyn, Our Lady of Mercy Medical Center Speaks ItalianSpanishRussian Tavroff, Clifford D., DPM P0038P 233 Nostrand Ave Brooklyn, NY 11205 (718) 826-5900 Trepal, Michael J., DPM 183218P 115 Henry St Brooklyn, NY 11201 (718) 624-8022 Long Island College Hospital, Metropolitan Hospital Center, New York Downtown Hospital (Beekman), SVCMC-St Vincents Manhattan Trivlis, Maryann Z., DPM 216717P 248 Avenue P Brooklyn, NY 11204 (718) 945-0770 Brooklyn Hospital Center (Downtown Campus) Speaks Greek, Modern (1453-) Unger, Leslie M., DPM 36470P 1405 46th St Brooklyn, NY 11219 (718) 438-8717 49514P Lesie M Unger, MD 2315 Mermaid Ave Brooklyn, NY 11224 (718) 373-1820 Maimonides Medical Center Speaks SpanishYiddish Vader, Bonnie, DPM 36966P 621 Amboy St Brooklyn, NY 11212 (718) 345-2935 Brookdale Hospital Medical Center, Forest Hills Hospital Speaks Spanish Waiss, Samuel M., DPM 351219P 2223 Coney Island Ave Brooklyn, NY 11223 (718) 375-6096 New York Community Hospital of Brooklyn Speaks HebrewYiddish Board Certified Male Female Wheelchair Accessible PODIATRY (Continued) Wallach, Jacob B., DPM 15739P 2108 Avenue P Brooklyn, NY 11229 (718) 951-6399 Maimonides Medical Center Woltman, Robert T., DPM 205506P Lyudmila Cavalier Physici 9014 Flatlands Ave Brooklyn, NY 11236 (718) 209-5353 Long Island Jewish Medical Center, New York Westchester Square Me, Peninsula Hospital Center Zonenashvili, Merabi, DPM 293458P 201 Kings Hwy Brooklyn, NY 11223 (718) 621-1811 Staten Island University Hosp-North Speaks RussianGeorgianSpanish Zwiebel, Neil S., DPM 363102P 420 Fulton St Brooklyn, NY 11201 (718) 797-3668 Cabrini Medical Center, Long Island College Hospital Kings PODIATRY Abeles, Jay, DPM 36958P 4136 Hicksville Rd Bethpage, NY 11714 (516) 796-2900 Massapequa General Hospital, New Island Hospital, Syosset Hospital Abrahamson, Hal, DPM 54152P 100 Manetto Hill Rd Plainview, NY 11803 (516) 822-9595 Catholic Medical Center (NY), Forest Hills Hospital Speaks Hebrew Alongi, Maryanne, DPM 36724P 226 7th St Garden City, NY 11530 (516) 248-9680 Franklin Hospital , Massapequa General Hospital, New Island Hospital Amato, Richard, DPM 343044P R.A. Podiatry, P.C. 2116 Merrick Ave Merrick, NY 11566 (516) 378-9191 New Island Hospital Axman, Wayne R., DPM 179959P 70 Maple Ave Rockville Centre, NY 11570 (516) 536-3336 182388P 1420 Broadway Hewlett, NY 11557 (516) 374-8600 Long Beach Memorial Hospital, Long Island Jewish Medical Center, Mount Sinai Hospital, Mount Sinai of Queens, New York Hospital Medical, South Nassau Communities Hospital Speaks SpanishGreek, Modern (1453-) Bagner, Jerome E., DPM 36499P 30 Hempstead Ave Rockville Centre, NY 11570 (516) 764-6800 49647P 165 N Village Ave Rockville Centre, NY 11570 (516) 746-6800 New Island Hospital Speaks YiddishItalianJapaneseSpani sh Balboa, Henry M., DPM 36506P 100 Manetto Hill Rd Plainview, NY 11803 (516) 822-9595 Forest Hills Hospital, New Island Hospital, Syosset Hospital Barbaro, Thomas, DPM 36883P 706 Jericho Tpke New Hyde Park, NY 11040 (516) 326-7979 Long Island Jewish Medical Center, North Shore University Hospital Speaks Italian Barkoff, Matthew W., DPM 36920P 2900 Hempstead Tpke Levittown, NY 11756 (516) 579-2800 Glen Cove Hospital, New Island Hospital, North Shore University Hospital, Plainview Hospital, Syosset Hospital Speaks Spanish Becker, Jack S., DPM 36551P 178 E Rockaway Rd Hewlett, NY 11557 (516) 596-1700 49835P Jack S Becker, MD 3000 Hempstead Tpke Levittown, NY 11756 (516) 579-1700 Franklin Hospital, Franklin Hospital , Nassau University Medical Center, South Nassau Communities Hosp., South Nassau Communities Hospital Bendeth, Marc L., DPM 36520P 1226 W Broadway Hewlett, NY 11557 (516) 374-4444 Berlin, Kim, DPM 36650P 830 Atlantic Ave Baldwin, NY 11510 (516) 623-4580 Long Beach Memorial Hospital, South Nassau Communities Hospital Speaks Spanish Biller, Bob S., DPM M1057P 756 E Park Ave Long Beach, NY 11561 (516) 432-7470 LONG BEACH MEMORIAL MEDICAL CENTER, SAINT JOHNS EPISCOPAL HOSPITAL-SOUTH SHORE Bilotti, Mary A., DPM 169106P Long Island Podiatry Grp 2001 Marcus Ave New Hyde Park, NY 11042 (516) 327-0074 M0911P Long Island Podiatry Grp 375 N Central Ave Valley Stream, NY 11580 (516) 825-4070 Franklin Hospital , Long Island Jewish Medical Center Speaks Spanish Breitman, Debra, DPM 36886P 250 Broadway Lawrence, NY 11559 (516) 239-4700 Peninsula Hospital Center, St John's Episcopal Hospital, St John's Episcopal Hospital - Far Rockaway Speaks Spanish Bubbers, Linda A., DPM 36627P Sunrise Foot Care 4880 Sunrise Highway Massapequa Park, NY 11762 (516) 795-6255 Syosset Hospital Speaks Spanish Buenahora, Joseph A., DPM M2238P 477 Newbridge Rd East Meadow, NY 11554 (516) 679-1338 Brunswick General Hospital, Brunswick Hospital Center Inc, New Island Hospital, Plainview Hospital, Syosset Hospital, Wyckoff Heights Medical Center Speaks SpanishYiddish Burzotta, John L., DPM 36762P 2419 Jericho Tpke Garden City Park, NY 11040 (516) 294-9540 50161P Pro Health Care 2800 Marcus Ave Garden City Park, NY 11042 (516) 622-6040 Long Island Jewish Medical Center, North Shore University Hospital Speaks Italian Caimano, Francis X., DPM 300372P Francis X Caimano 495 S Broadway Hicksville, NY 11801 (914) 555-1212 P0014P 350 S Broadway Hicksville, NY 11801 (516) 938-0100 Syosset Hospital Speaks Spanish Caprioli, Russell, DPM 359698P 1999 Marcus Ave New Hyde Park, NY 11042 (516) 555-1212 36764P Long Island Podiatry Grp 2001 Marcus Ave New Hyde Park, NY 11042 (516) 327-0074 Franklin Hospital, Franklin Hospital , Long Beach Memorial Hospital, Long Island Jewish Medical Center Speaks ItalianSpanish Chernick, Stephen B., DPM 50872P 175 Fulton Ave Hempstead, NY 11550 (516) 489-2261 Parkway Hospital, St John's Episcopal Hospital - Far Rockaway Speaks SpanishHebrew Cohen, Robert J., DPM 36557P 72 Covert Ave Garden City, NY 11530 (516) 354-7222 Our Lady of Mercy Medical Center, Parkway Hospital Speaks French Davies, Daniel A., DPM 36889P 6 Scranton Ave Lynbrook, NY 11563 (516) 596-0022 Cabrini Medical Center, Good Samaritan Hospital, Good Samaritan Hospital (West Islip) Speaks Italian Davies, Gregory F., DPM 36657P Syosset Medical Building 175 Jericho Tpke Syosset, NY 11791 (516) 496-7676 Glen Cove Hospital, North Shore University Hospital, Plainview Hospital, Syosset Hospital Speaks Spanish DeCicco, John J., DPM 36618P 875 Old Country Rd Plainview, NY 11803 (516) 681-8866 New Island Hospital, Plainview Hospital, Syosset Hospital Speaks SpanishGreek, Modern (1453-)Italian Dubov, Spencer F., DPM 383227P New Island Hospital 4295 Hempstead Tpke Bethpage, NY 11714 (631) 858-0011 Mary Immaculate Hospital, Massapequa General Hospital Inc., NY Hospital Medical Center of Queens, Plainview Hospital Speaks YiddishSpanishItalian Feldman, Gary B., DPM 36826P 5 Sunrise Plz Valley Stream, NY 11580 (516) 825-6825 St Joseph's Hospital Division, CMC Fiorenza, Dominic, DPM P0048P 350 S Broadway Hicksville, NY 11801 (516) 938-0100 Fox, Corey, DPM 37000P Massapequa Podiatry Assoc 4160 Merrick Rd Massapequa, NY 11758 (516) 541-9000 Brunswick General Hospital, Brunswick Hospital Center Inc, New Island Hospital, Plainview Hospital, Syosset Hospital Speaks SpanishTagalogItalian Fox, Roberta A., DPM 37003P 410 Lakeville Rd New Hyde Park, NY 11042 (516) 488-5050 Long Island Jewish Medical Center Fuchs, David B., DPM 36704P 855 Cynthia Dr East Meadow, NY 11554 (516) 292-2372 New Island Hospital, Syosset Hospital Garofalo, Gail F., DPM 37140P NS Podiatric Med & Surger 410 Lakeville Rd New Hyde Park, NY 11042 (516) 326-4709 Long Island Jewish Medical Center, St Catherine of Siena, St Catherine of Sienna Medical Center, Winthrop University Hospital, Winthrop-University Hospital Gasparini, Mark C., DPM 337162P 119 New York Ave Massapequa, NY 11758 (516) 804-9038 Speaks Italian George, Thomas, DPM 141475P 1029 Bellmore Rd North Bellmore, NY 11710 (516) 679-4636 Hempstead General Hospital Med Ctr., New York Westchester Square Medical Center Gervasio, Joseph, DPM 36653P 1000 Park Blvd Massapequa Park, NY 11762 (516) 799-0550 36654P 156 Post Ave Westbury, NY 11590 (516) 334-8208 Massapequa General Hospital, Massapequa General Hospital Inc., New Island Hospital, Plainview Hospital, Southside Hospital Goez, Emilio A., DPM 51027P Long Island Foot Care 294 W Merrick Rd Freeport, NY 11520 (516) 378-8383 Nassau University Medical Center, Saint Catharines General Hospital, St Barnabas Hospital Speaks Spanish Golub, Cary M., DPM 37076P 854 E Broadway Long Beach, NY 11561 (516) 889-2200 Long Beach Medical Center, South Nassau Communities Hospital Speaks Hebrew Gottlieb, Robert J., DPM 36579P 188 W Main St Oyster Bay, NY 11771 (516) 922-0502 Glen Cove Hospital, Good Samaritan Hospital (West Islip) Speaks Spanish Greenbaum, Mitchell A., DPM 36924P 111 Mineola Ave Roslyn Heights, NY 11577 (516) 484-1444 36925P 525 Woodbury Rd Plainview, NY 11803 (516) 433-3353 Glen Cove Hospital, Long Island Jewish Medical Center, New Island Hospital, North Shore University Hospital, Plainview Hospital, Syosset Hospital Speaks Spanish Greiff, Lance, DPM 36988P 29 Barstow Rd Great Neck, NY 11021 (516) 829-1028 Brooklyn Hospital Center (Downtown Campus), New York Flushing Hospital & Medical Center, Parkway Hospital Grossman, Myles, DPM 36831P 2174 Hewlett Ave Merrick, NY 11566 (516) 379-2560 41745P 156 Post Ave Westbury, NY 11590 (516) 334-8208 New Island Hospital, Plainview Hospital Speaks SpanishHebrew Herbert, Scott E., DPM 284145P 49 Church St Freeport, NY 11520 (516) 378-0184 St Catherine of Siena Hershey, Paul E., DPM 36462P 2110 Northern Blvd Manhasset, NY 11030 (516) 627-5775 Long Island Jewish Medical Center, Saint Francis Hospital - Bronx Speaks SpanishYiddish Herzberg, Abraham, DPM 54315P 300 Franklin Ave Valley Stream, NY 11580 (516) 561-1617 54316P 833 Northern Blvd Great Neck, NY 11021 (516) 622-7900 Franklin Hospital, Jamaica Hospital Speaks Yiddish Hickey, John, DPM M4002P 2870 Hempstead Tpke Levittown, NY 11756 (516) 735-4545 New Island Hospital, Plainview Hospital, Syosset Hospital Honore, Lesly S., DPM 132409P Podiatry Services of New 905 Uniondale Ave Uniondale, NY 11553 (516) 565-5666 132410P 981 Rosedale Rd Valley Stream, NY 11581 (516) 295-6307 Cabrini Medical Center, Mercy Medical Center, Winthrop-University Hospital Speaks SpanishFrenchCreoles and pidgins (Other) Horl, Lawrence, DPM 36912P 61 N Park Ave Rockville Centre, NY 11570 (516) 766-5550 Forest Hills Hospital, Hempstead General Hospital Med Ctr., Mercy Medical Center, Peninsula Hospital Center, South Nassau Communities Hospital, St John's Episcopal Hospital - Far Rockaway Speaks Spanish Horowitz, Mitchell L., DPM M2025P 2720 Jerusalem Ave North Bellmore, NY 11710 (516) 679-2720 Irwin, Robert A., DPM 37172P 143 Merrick Ave Merrick, NY 11566 (516) 623-2800 NY Hospital Medical Center of Queens, New Island Hospital, New York Hospital Medical Center of Queens, Syosset Hospital Speaks SpanishItalianGreek, Modern (1453-) Jackalone, John A., DPM 277559P Podiatry Offices 4295 Hempstead Tpke Bethpage, NY 11714 (516) 579-3500 Catholic Medical Center (NY), Forest Hills Hospital, Long Beach Memorial Hospital, St Vincents Medical Center Of New York Speaks Spanish Jarbath, John A., DPM 155828P 50 Hempstead Ave Lynbrook, NY 11563 (516) 599-0302 Forest Hills Hospital, New York Hospital Medical Center of Queens, Parkway Hospital, Peninsula Hospital Center Speaks FrenchCreoles and pidgins, French-based (Other) Karpe, David E., DPM 160781P Howard Kessler & Assoc PC 200 N Village Ave Rockville Centre, NY 11570 (516) 764-0434 Franklin Hospital, Franklin Hospital , Peninsula Hospital Center, South Nassau Comm. Hospital, South Nassau Communities Hosp. Speaks Spanish Kashefsky, Helene P., DPM 37071P 2201 Hempstead Tpke East Meadow, NY 11554 (516) 572-0123 Nassau University Medical Center Speaks Spanish Kasminoff, June G., DPM 37044P 666 Old Bethpage Rd Old Bethpage, NY 11804 (516) 777-3668 Massapequa General Hospital, New Island Hospital, Syosset Hospital Kessler, Howard N., DPM 36570P 200 N Village Ave Rockville Centre, NY 11570 (516) 764-0434 Franklin Hospital, Franklin Hospital , Mercy Medical Center, Nassau University Medical Center, South Nassau Communities Hosp., South Nassau Communities Hospital Kisberg, Stephen, DPM 36519P 11 Franklin Pl Woodmere, NY 11598 (516) 295-2121 St John's Episcopal Hospital - Far Rockaway Kitton, Stuart E., DPM 36573P 41 Woods Dr Roslyn, NY 11576 (516) 626-3999 MEADOWLANDS HOSPITAL MEDICAL CENTER, Mount Sinai Medical Center, SVCMC-St Vincents Manhattan, The Mount Sinai Hospital of Queens Speaks Spanish Klein, Michael S., DPM 36893P East Norwich Podiatry 898 Oyster Bay Rd East Norwich, NY 11732 (516) 624-2101 36894P Oceanside Podiatry 3105 Lawson Blvd Oceanside, NY 11572 (516) 766-8500 Glen Cove Hospital, Long Beach Memorial Hospital, Syosset Hospital Klirsfeld, Jeffrey S., DPM 36857P 2870 Hempstead Tpke Levittown, NY 11756 (516) 731-3300 Massapequa General Hospital, New Island Hospital, Syosset Hospital Speaks Spanish Kohn, Arlene F., DPM 37113P Family Footcare 120 Bethpage Rd Hicksville, NY 11801 (516) 938-6000 Mercy Medical Center, New Island Hospital, Syosset Hospital Speaks Spanish Kolberg, John J., DPM 37222P 320 Post Ave Westbury, NY 11590 (516) 338-8802 New Island Hospital Speaks Spanish Koslow, Paul M., DPM 50912P Great Neck Podiatry Asso 29 Barstow Rd Great Neck, NY 11021 (516) 829-1028 Maimonides Medical Center, New York Hospital Medical Center of Queens, New York Methodist Hospital LaRocca, Albert, DPM 36594P 2 Raemar Ct Bethpage, NY 11714 (516) 935-0111 New Island Hospital Speaks ItalianGerman Landau, Laurence D., DPM 193059P 86 George St Roslyn Heights, NY 11577 (516) 731-1900 38312P 160 Hicksville Rd Bethpage, NY 11714 (516) 731-1900 New Island Hospital, Plainview Hospital Landy, Robert J., DPM 123448P 120 Bethpage Rd Hicksville, NY 11801 (516) 827-4500 123481P 530 Hicksville Rd Bethpage, NY 11714 (516) 937-5000 Massapequa General Hospital, Our Lady of Mercy Medical Center, Parkway Hospital, Southside Hospital, Winthrop University Hospital Speaks Spanish Larsen, Joseph A., DPM 50624P National Foot Care 2419 Jericho Tpke Garden City Park, NY 11040 (516) 294-9540 North Shore University Hospital Levine, Stanley, DPM 36477P 4725 Merrick Rd Massapequa, NY 11758 (516) 799-8545 Brunswick General Hospital, Brunswick Hospital Center Inc, Hempstead General Hospital Med Ctr., Massapequa General Hospital, New Island Hospital, Syosset Hospital Speaks SpanishGermanItalian Levitsky, David A., DPM 301933P 161 Orchard St Plainview, NY 11803 (516) 822-9666 Board Certified Male Female Wheelchair Accessible Livingston, Douglas W., DPM 37180P Livingston Foot Care Spec 1685 Newbridge Rd North Bellmore, NY 11710 (516) 826-0103 Brunswick Hospital Center Inc, Massapequa General Hospital Inc., Nassau University Medical Center, New Island Hospital, Plainview Hospital, Syosset Hospital Livingston, Leon B., DPM 36486P Livingston Foot Care Spec 1685 Newbridge Rd North Bellmore, NY 11710 (516) 826-0103 New Island Hospital, Plainview Hospital, Syosset Hospital Livingston, Michael D., DPM 37064P Livingston Foot Care Spec 1685 Newbridge Rd Bellmore, NY 11710 (516) 826-0103 Brunswick Hospital Center Inc, Nassau University Medical Center, New Island Hospital, Plainview Hospital, Syosset Hospital Lynn, Brian P., DPM 108081P Comprehensive Podiatric 2110 Northern Blvd Manhasset, NY 11030 (516) 627-5775 355143P Comprehensive Podiatric 935 Northern Blvd Great Neck, NY 11021 (516) 627-5775 Long Island Jewish Medical Center, Montefiore Med Ctr (Henry & Lucy Moses Div) Speaks Spanish Mahgerefteh, David, DPM 349786P 230 Middle Neck Rd Great Neck, NY 11021 (516) 829-2560 Parkway Hospital Speaks Yiddish Marchese, Nicholas A., DPM 359291P 1000 Park Blvd Massapequa Park, NY 11762 (516) 799-0550 New Island Hospital, Southside Hospital Masani, Farhan, DPM 37069P 530 Old Country Rd Westbury, NY 11590 (516) 334-7642 Nassau University Medical Center, Syosset Hospital, Wyckoff Heights Medical Center Speaks SpanishFrenchHindiUrdu McElgun, Terence M., DPM 36861P 520 Franklin Ave Garden City, NY 11530 (516) 746-4732 36862P 1135 N Broadway Massapequa, NY 11758 (516) 756-0091 380037P N. Shore Hosp., Plainview 888 Old Country Rd Plainview, NY 11803 (516) 796-1313 New Island Hospital, Plainview Hospital, Syosset Hospital Speaks SpanishItalian Mcshane, William J., DPM 36802P Harbor Podiatry PC 131 Main St East Rockaway, NY 11518 (516) 593-2233 36803P 54 Main St Hempstead, NY 11550 (516) 538-4531 Franklin Hospital, Island Medical Center (NY)_ Meshnick, Joel A., DPM 139939P 2574 Hewlett Ln Bellmore, NY 11710 (516) 781-5440 Lutheran Medical Center, Staten Island University Hosp-North Micallef, Joseph, DPM 36900P 101st Avenue Foot Care PC 287 Northern Blvd Great Neck, NY 11021 (516) 773-4001 Brookdale Hospital Medical Center, Forest Hills Hospital, Jamaica Hospital, New York Hospital Medical Center of Queens Moazen, Ali, DPM P0033P 226 Clinton St Hempstead, NY 11550 (516) 483-2020 Speaks Persian Montag, Richard M., DPM 36509P 528 Bellmore Ave East Meadow, NY 11554 (516) 483-7386 Island Medical Center (NY)_, Plainview Hospital, Syosset Hospital Speaks Spanish Nester, Elizabeth M., DPM 37243P 3 Walnut Rd Glen Cove, NY 11542 (516) 674-9661 37244P Nester Podiatry Associate 267 Lincoln Blvd Long Beach, NY 11561 (516) 889-0969 57655P East Coast Podiatry PLLC 680 Merrick Rd Baldwin, NY 11510 (516) 889-0969 Glen Cove Hospital, Long Beach Medical Center Speaks Spanish Nester, Matthew J., DPM 211451P Nester Poadiatry Assoc 3227 Long Beach Rd Oceanside, NY 11572 (516) 431-1600 50871P Nester Podiatry Asso. 3 Walnut Rd Glen Cove, NY 11542 (516) 674-9661 Long Beach Medical Center, Long Beach Memorial Hospital, St John's Episcopal Hospital, St John's Episcopal Hospital - Far Rockaway Speaks Spanish Nezaria, Yehuda, DPM 37236P 7 Franklin Ave Lynbrook, NY 11563 (516) 887-2820 49675P 2053 Bellmore Ave Bellmore, NY 11710 (516) 887-2820 Franklin Hospital, Franklin Hospital , Huntington Hospital Speaks Hebrew Odinsky, Wayne Z., DPM P0034P 2035 Lakeville Rd New Hyde Park, NY 11040 (718) 343-0600 New York Hospital Medical Center of Queens, Parkway Hospital, Rockaway Beach Hospital (closed) Pedro, Helder F., DPM 54241P Helder F. Pedro, DPM 1 Willow Pl Albertson, NY 11507 (516) 621-3721 Long Island Jewish Medical Center, Lutheran Medical Center Peterson, Donald T., DPM 36931P 8029 Jericho Tpke Woodbury, NY 11797 (516) 496-0900 Plainview Hospital, Syosset Hospital Prince, Steven L., DPM 124780P 78 Marina Rd Island Park, NY 11558 (516) 432-1332 Jamaica Hospital, V A Hospital - St. Albans Purvin, Jay M., DPM 36608P 467 Merrick Ave East Meadow, NY 11554 (516) 489-1950 New Island Hospital, Plainview Hospital Richardson, Hugh L., DPM 195855P L.I. Podiatric Grp 2001 Marcus Ave New Hyde Park, NY 11042 (516) 327-0074 195856P L.I. Podiatric Grp 375 N Central Ave Valley Stream, NY 11580 (516) 825-4070 363220P 1999 Marcus Ave New Hyde Park, NY 11042 (516) 555-1212 Franklin Hospital, Franklin Hospital , Long Island Jewish Medical Center, Long Island Jewish, Manhasset (closed) Speaks Spanish Bronx Kings Nassau
Result number: 12 Posted by oma z on 7/21/07 at 02:18 It has come to my attention, that even if you have been imprisoned for a few years for hiring people to severely assault your ex-wife and her boyfriend, and be convicted of multiple felonies from that assault, a doctor may still be able to hold a license in the state of California. So Gionis could very well have had his license during the time that Axiom's president claims Gionis did the study on the DRX (which according to Gibson was '2002 maybe.') The information on the public California medical record is, Gionis was on probation until November 2002. So Mr. Gibson wasn't sure in his testimony when the study was done. 'Maybe' doesn't connote certainy. I had mistakenly posted 2001, so I guess I retract that too. '2002 maybe' was when Gionis did the study, but could it be 2001 maybe? Sometimes I get confused when I read Gibson's depositions as he kind of 'takes the scenic route' to say what another person might say in one sentence. It took one page for him to admit Axiom didn't have a patent on the DRX in a March 2006 deposition. That was surprising especially when their websites, videos, marketing materials, Powerpoints, seminars, and DVD's mailed out to thousands of chiropractors claimed it was patented at the time. I'll let you know what I find out on the Gionis thing. I know there is one clear cut oath that doctors take and that is, 'First do no harm.' What do you guys think of someone being able to practice medicine with violent felony convictions. Oh wait, he didn't do anything violent. He only wrote checks. An orthopedic surgeon would know that to slice a tennis player's Achilles tendon (the boyfriend's) would pretty much mess them up for a long, long time, possibly never getting their game back. What the heck. We all deserve a do over right? Just watch your backside. _______________________________________________ Just so I don't get it wrong....it's just a copy and paste from the Calif State Records. So there maybe must not have been any violation of the Medical Practice Act. Case Number: 041992018443 Description of Action: PROBATION COMPLETED. Effective Date of Action: NOVEMBER 05, 2002 Disciplinary Actions Taken by Other State or Federal Government No information available from this agency Felony Convictions The information provided only includes felony convictions that are known to the Board. All felony convictions known to the Board are reviewed and administrative action is taken only if it is determined that a violation of the Medical Practice Act occurred. For more information regarding felony convictions, contact the court of jurisdiction listed below. Complaint Number: 041992018443 Court: ORANGE COUNTY SUPERIOR Docket Number: C-73252 Description: 2 COUNTS 182.1 PC-CONSPIRACY TO COMMIT ASSAULT & CONSPIRACY TO COMMIT RESIDENTIAL TRESPASS;1 COUNT245(A)(1) PC-ASSAULT W/DEADLY WEAPON; 1 COUNT 245 (A) (2) PC - ASSAULT WITH FIREARM. ***APPEAL PENDING*** Sentence: 4 YEARS STATE PRISON;$10,000.00 RESTITUTION; Effective Date of Action: MAY 11, 1992 ________________________________________________ Here's the 1995 California Superior Court Records. Wayne is referring to John Wayne's daughter. On the morning of October 3, 1988, Wayne and Luby attended an aerobics class in Corona del Mar. At approximately 11:30 a.m., they returned to Luby's residence in Newport Beach. Hintergardt and a man named Jeffrey Bouey were waiting. They approached Luby and Wayne as Luby and Wayne exited their car in the garage, and asked Luby if his name was Roger Luby. Luby said yes. Suddenly, the men drew guns. When Luby asked if they were joking, Hintergardt said, 'This isn't no _______ joke,' and struck Luby on the head {Page 9 Cal.4th 1205} with his gun. Hintergardt threatened to kill Luby if he yelled or screamed. He forced Luby to the ground, holding the gun to his head. After handcuffing Luby's hands and ankles, Hintergardt repeatedly smashed Luby's face into the concrete floor, warning him not to move or scream. Hintergardt then severed Luby's right Achilles tendon with a knife, and attempted to do the same to the left tendon. Meanwhile, Bouey held a gun to Wayne's head and forced her to the ground. When Hintergardt finished with Luby, he handcuffed Wayne's hands and feet. Hintergardt yelled at Wayne, then grabbed her hair and slammed her face into the concrete floor twice. Wayne felt her head split open and blood stream down her face. Hintergardt told her, 'You're _______ with the wrong people.' _____________________________________________________________________ (Doesn't this remind you of a scene from 'Goodfellows?' ____________________________________________________________________ After Hintergardt and Bouey left, Wayne and Luby were taken to a hospital for medical treatment. Wayne required more than two dozen stitches for the wound to her head. Luby received stitches on his head and on his severed right Achilles tendon. He had to wear a full hip-to-ankle cast for three weeks, then a knee-to-ankle cast for some time after that. Even after months of therapy, Luby's right Achilles tendon felt dead and numb.
Result number: 13 Posted by Peter w on 6/21/07 at 08:41 Whilst I cant comment on the medical question, I can advise that the nearest cryosurgery physician to Austin is based in Round Rock ..Dr Jeffrey Cohen can be contacted on 5122550125.
Result number: 14 Posted by Dr. Ed on 12/29/06 at 13:55 Excellent article Marie. I am not sure that the issue of religiosity plays such a prominent role though. "Temerity is mandatory when you are doing God's work, and Carter makes it clear in this polemical book that, in excoriating Israel for its sins -- and he blames Israel almost entirely for perpetuating the hundred-year war between Arab and Jew -- he is on a mission from God" I think that the above paragraph mentions a mjor problem with Carter and his book. He makes no real attampt at objectivity. He squarely places the blame on the Israelis. The book borders on being a diatribe about everything the Israelis have done wrong but ignores most of what the Arabs have perpetrated. I picked up the book t oread at the airport last week during a long layover but had to put it down due to its diatrive like nature which was difficult to stomach. I would have very limited criticism if this book was written by another author who has a known agenda or less prominence. Cerainly, if the book was written by say, Louis Farrakhan, there would be little to be angry about as we may expect someone of his set of opinions to produce such a book. The subject of my anger as mentioned before is that I view the position of an ex-President as being sacrosanct. Almost all ex-Presidents seem to hold that position in such a manner - Nixon, Ford and yes Bill Clinton upholds such expectations. Why not Carter? Carter, as I see it, has a responsibility and a tradition to uphold. The book is a piece of yellow journalism not consistent with the dignity of one who represented the Office of the President of the United States.
Result number: 15 Posted by marie on 12/29/06 at 13:03 Without having read Carter's book I cannot comment too much on many of the specific criticisms Goldberg makes of it. In Goldberg's defense of Israel here, he seems to ignore issues like the placement of the security wall (I agree that the wall itself is probably a good idea), the general treatment of the Palestinians by the Israelis which does not look that great if you really study it, and just how much territory that Israel is really willing to leave to the Palestinians and how much they intend to keep for themselves. Should Israel abide by the UN resolutions? Since I have experienced manufactured sins about me by Ed I can relate to what Goldberg is describing. LOL. But he gets one thing wrong and that's the mischaracterization of Christians and forgiveness. As Christians we follow the teachings of Jesus Christ......in the New Testament but we also adhere to the Old Testament (our commonality with the Jewish faith). We follow Christ's example as he forgave and asked God to forgive those who crucified him so must we. "Forgive them Father, for they no not what they do." http://www.washingtonpost.com/wp-dyn/content/article/2006/12/07/AR2006120701835.html There are differences, however, between Carter's understanding of Jewish sin and God's. God, according to the Jewish Bible, tends to forgive the Jews their sins. And God, unlike Carter, does not manufacture sins to hang around the necks of Jews when no sins have actually been committed.
Result number: 16 Posted by R. Parker on 10/10/06 at 18:12 Dr. Goldstein, To my understanding, the portion of the lateral plantar nerve which course toward the abductor hallucis is a pure motor nerve and not a sensory branch. The reference which I copied below seems to be consistent with my belief that the Baxter's nerve is a mixed nerve which innervates the lateral aspect of the foot. But we may simply be playing semantics with which nerve is the problem. Jeffrey A. Oster, DPM, C.Ped and last updated 6/07/06. Baxter's nerve supplies motor innervation to the abductor digiti minimi muscle. The function of the abductor digiti minimi muscle is to abduct or pull the little toe away from the fourth toe. In extreme cases of Baxter's Nerve entrapment, the motor function of the abductor digiti minimi muscle may be compromised. This test can be misleading due to the fact that many patients do not have the ability to abduct the little toe at all. ============================================================ By Stephen Offutt, DPM, MS and Patrick DeHeer, DPM If Baxter’s nerve entrapment is present, the patient may not be able to abduct the fifth digit. Clinically, we have not found this to be a reliable indicator. Patients with classic Baxter’s nerve entrapment often will deny first step pain but, on the contrary, will complain of symptoms worsening with prolonged activity. They may also complain of laterally radiating pain. ============================================================ Timothy Daniels, MD The most common nerve involved in this process is the first branch of the lateral plantar nerve sometimes referred to as Baxter's nerve. This is a motor sensory branch which supplies sensory nerves to the periosteum of the calcaneus and motor nerves to the abductor digiti minimi muscle. ============================================================
Result number: 17 Posted by marie on 10/07/06 at 08:40 So what you're saying is that the Republican Party thinks it's ok to be pedophiles. Gotcha. How do you defend the fact that the KKK is comprised of 100% Republicans? It's just Gotcha Politics as usual. Alrighty you asked for links. You see links and a comment are ok and boy do I have links for each and every comment in the post. Not only will you get links on the list but you are so getting links to many corruption charges against Republicans. Yahooooooooooo!! Enjoy----if this isn't enuff let me know I have more. Thanks again!!!! :) http://blogs.abcnews.com/theblotter/2006/09/exclusive_the_s.html http://www.wjla.com/news/stories/0906/364718.html http://www.armchairsubversive.com/Lou_Beres.htm http://www.armchairsubversive.com/Larry_Dale_Floyd4.htm http://www.9news.com/acm_news.aspx?OSGNAME=KUSA&IKOBJECTID=63d817b2-0abe-421a-00cb-fc3faca6d4c9&TEMPLATEID=0c76dce6-ac1f-02d8-0047-c589c01ca7bf http://query.nytimes.com/gst/fullpage.html?res=9807E6DE1331F935A35752C0A9629C8B63 http://www.armchairsubversive.com/Bobby_Stumbo.htm http://www.ocregister.com/ocregister/news/homepage/article_1158949.php http://www.armchairsubversive.com/Armando_Tebano.htm http://www.armchairsubversive.com/John_Collins.htm http://www.concordmonitor.com/apps/pbcs.dll/article?AID=/20050929/REPOSITORY/509290372/1001/NEWS01 http://www.northjersey.com/page.php?qstr=eXJpcnk3ZjcxN2Y3dnFlZUVFeXkyJmZnYmVsN2Y3dnFlZUVFeXk2MTM1NzU1 http://abclocal.go.com/wls/story?section=local&id=4397569 http://www.capitalnews9.com/content/top_stories/?ArID=149693 http://www.armchairsubversive.com/David_Swartz.htm http://www.azcentral.com/specials/special12/articles/0414nesmith14.html http://www.arkansasleader.com/2005/10/editorial-good-words-for-criminals.html http://www.armchairsubversive.com/Edison_Misla_Aldarondo.htm http://www.armchairsubversive.com/John_Curtain.htm http://toledoblade.com/apps/pbcs.dll/article?AID=/20050624/NEWS24/50624002 http://politicalgraveyard.com/bio/sword-szymczak.html#RI91AA6OL http://www.armchairsubversive.com/Howard_Scott_Heldreth2.htm http://www.publicintegrity.org/report.aspx?aid=753 http://www.fas.org/irp/ops/ci/leung.html http://www.washingtonpost.com/wp-dyn/articles/A54571-2005Jan6.html http://www.cicentre.com/Documents/DOC_Smith_James_J_Case.htm http://www.crimelibrary.com/serial_killers/unsolved/btk/33.html http://www.armchairsubversive.com/morency2.htm http://www.armchairsubversive.com/Nicholas_Elizondo.htm http://www.nytimes.com/ref/membercenter/help/erights_unavail.html http://easyreader.hermosawave.net/news2001/0621/rb%20Shortridge.asp http://www.bloomberg.com/apps/news?pid=10000103&sid=aBiarD4WDkww&refer=us http://news.bbc.co.uk/2/hi/americas/3321483.stm http://www.kcci.com/news/3976822/detail.html http://www.thedenverchannel.com/news/1130885/detail.html http://www.newschannel8.com/Global/story.asp?S=1749917 http://www.wtnh.com/Global/story.asp?S=1913548 http://msnbc.msn.com/id/9837835 http://www.themonitor.com/SiteProcessor.cfm?Template=/GlobalTemplates/Details.cfm&StoryID=13961&Section=Valley http://mediastudy.com/articles/av5-26-05.html http://sf.indymedia.org/news/2003/02/1570946.php http://www.voxfux.com/features/bush_child_sex_coverup/franklin.htm http://www.newschannel8.com/Global/story.asp?S=1749917 http://www.time.com/time/magazine/article/0,9171,1101890213-151183,00.html http://www.thewbalchannel.com/news/2153721/detail.html http://www.courts.state.va.us/opinions/opncavtx/3244031.txt http://www.coloradoconfidential.com/showDiary.do;jsessionid=4D86342CB24E8D0CE2C29C1D77C9DBB9?diaryId=749 http://www.teleplex.net/shj/smith/trial/smithsss.html http://blogs.salon.com/0002551/2003/12/08.html http://www.glinn.com/news/h122989a.htm http://www.armchairsubversive.com/jeffrey_patti.htm http://www.sacbee.com/static/live/news/calreport/N2001-11-22-2300-0.html http://www.armchairsubversive.com/hathaway1.htm http://www.dailylocal.com/site/news.cfm?newsid=11151295&BRD=1671&PAG=461&dept_id=17782&rfi=6 http://www.armchairsubversive.com/Jon%20Matthews%20Guilty.htm http://users.cybercity.dk/%7Eccc44406/smwane/Ingram5.htm http://www.newsmax.com/archives/articles/2001/3/5/161648.shtml http://www.thevitalvoice.com/2002/2002_1227/rathmann.html http://www.armchairsubversive.com/Keith%20Westmoreland.htm http://www.feminist.org/news/newsbyte/uswirestory.asp?id=7849 http://starbulletin.com/2000/07/20/news/briefs.html http://www.reviewjournal.com/lvrj_home/2002/Oct-30-Wed-2002/news/19951668.html http://5thestate.com/030628.htm http://boothbayregister.maine.com/1999-04-15/barter_pleads_guilty.html http://www.armchairsubversive.com/Mark_Harris4.htm http://www.armchairsubversive.com/Russell_Harding.htm http://www.sdcitybeat.com/article.php?id=3674 http://www.palmbeachpost.com/localnews/content/news/limbaugh/120503_limbaugh.html http://www.washingtonpost.com/wp-dyn/articles/A32554-2005Apr6.html http://www.missoulian.com/articles/2005/07/14/news/mtregional/news07.txt
Result number: 18 Posted by marie on 10/06/06 at 21:35  Get off your Republiperv soap box! Gotcha politics will be the ruin of your party. Gotcha politics is the very reason the 109th and Bush are noting but lame ducks. Republicans are in power in ALL 3 sections of our government would fail our nation as they have. They cannot get anything done. Their to busy playing GOTCHA politics. The Republican party has many outstanding members but this week we've seen that some of the people Democrats have been complaining about for years are anything but outstanding. It's time to clean house. It's time Republicans take responsibility for their decisions and their behavior. Join us. Many Republicans are beginning to stand up......not to be a Republican or a Democrat but Americans. We are all in this together. My U.S. Senator told us "It's not about Red or Blue it's about Red, White and Blue." That's why I back him! * Republican Congressman Mark Foley abruptly resigned from Congress after "sexually explicit" emails surfaced showing him flirting with a 16-year old boy. * Republican executive Randall Casseday of the conservative Washington Times newspaper was arrested for soliciting sex from a 13-year old girl on the internet. * Republican chairman of the Oregon Christian Coalition Lou Beres confessed to molesting a 13-year old girl. * Republican County Constable Larry Dale Floyd was arrested on suspicion of soliciting sex with an 8-year old girl. Floyd has repeatedly won elections for Denton County, Texas, constable. * Republican judge Mark Pazuhanich pleaded no contest to fondling a 10-year old girl and was sentenced to 10 years probation. * Republican Party leader Bobby Stumbo was arrested for having sex with a 5-year old boy. * Republican petition drive manager Tom Randall pleaded guilty to molesting two girls under the age of 14, one of them the daughter of an associate in the petition business. * Republican County Chairman Armando Tebano was arrested for sexually molesting a 14-year-old girl. * Republican teacher and former city councilman John Collins pleaded guilty to sexually molesting 13 and 14 year old girls. * Republican campaign worker Mark Seidensticker is a convicted child molester. * Republican Mayor Philip Giordano is serving a 37-year sentence in federal prison for sexually abusing 8- and 10-year old girls. * Republican Mayor Tom Adams was arrested for distributing child pornography over the internet. * Republican Mayor John Gosek was arrested on charges of soliciting sex from two 15-year old girls. * Republican County Commissioner David Swartz pleaded guilty to molesting two girls under the age of 11 and was sentenced to 8 years in prison. * Republican legislator Edison Misla Aldarondo was sentenced to 10 years in prison for raping his daughter between the ages of 9 and 17. * Republican Committeeman John R. Curtain was charged with molesting a teenage boy and unlawful sexual contact with a minor. * Republican anti-abortion activist Howard Scott Heldreth is a convicted child rapist in Florida. * Republican zoning supervisor, Boy Scout leader and Lutheran church president Dennis L. Rader pleaded guilty to performing a sexual act on an 11-year old girl he murdered. * Republican anti-abortion activist Nicholas Morency pleaded guilty to possessing child pornography on his computer and offering a bounty to anybody who murders an abortion doctor. * Republican campaign consultant Tom Shortridge was sentenced to three years probation for taking nude photographs of a 15-year old girl. * Republican racist pedophile and United States Senator Strom Thurmond had sex with a 15-year old black girl which produced a child. * Republican pastor Mike Hintz, whom George W. Bush commended during the 2004 presidential campaign, surrendered to police after admitting to a sexual affair with a female juvenile. * Republican legislator Peter Dibble pleaded no contest to having an inappropriate relationship with a 13-year-old girl. * Republican advertising consultant Carey Lee Cramer was sentenced to six years in prison for molesting two 8-year old girls, one of whom appeared in an anti-Gore television commercial. * Republican activist Lawrence E. King, Jr. organized child sex parties at the White House during the 1980s. * Republican lobbyist Craig J. Spence organized child sex parties at the White House during the 1980s. * Republican Congressman Donald "Buz" Lukens was found guilty of having sex with a female minor and sentenced to one month in jail. * Republican fundraiser Richard A. Delgaudio was found guilty of child porn charges and paying two teenage girls to pose for sexual photos. * Republican activist Mark A. Grethen convicted on six counts of sex crimes involving children. * Republican campaign chairman Randal David Ankeney pleaded guilty to attempted sexual assault on a child and was arrested again five years later on the same charge. * Republican Congressman Dan Crane had sex with a female minor working as a congressional page. * Republican activist and Christian Coalition leader Beverly Russell admitted to an incestuous relationship with his step daughter. * Republican Judge Ronald C. Kline was placed under house arrest for child molestation and possession of child pornography. * Republican congressman and anti-gay activist Robert Bauman was charged with having sex with a 16-year-old boy he picked up at a gay bar. * Republican Committee Chairman Jeffrey Patti was arrested for distributing a video clip of a 5-year-old girl being raped. * Republican activist Marty Glickman (a.k.a. "Republican Marty"), was taken into custody by Florida police on four counts of unlawful sexual activity with an underage girl and one count of delivering the drug LSD. * Republican legislative aide Howard L. Brooks was charged with molesting a 12-year old boy and possession of child pornography. * Republican Senate candidate John Hathaway was accused of having sex with his 12-year old baby sitter and withdrew his candidacy after the allegations were reported in the media. * Republican preacher Stephen White, who demanded a return to traditional values, was sentenced to jail after offering $20 to a 14-year-old boy for permission to perform oral sex on him. * Republican talk show host Jon Matthews pleaded guilty to exposing his genitals to an 11 year old girl. * Republican anti-gay activist Earl "Butch" Kimmerling was sentenced to 40 years in prison for molesting an 8-year old girl after he attempted to stop a gay couple from adopting her. * Republican Party leader Paul Ingram pleaded guilty to six counts of raping his daughters and served 14 years in federal prison. * Republican election board official Kevin Coan was sentenced to two years probation for soliciting sex over the internet from a 14-year old girl. * Republican politician Andrew Buhr was charged with two counts of first degree sodomy with a 13-year old boy. * Republican legislator Keith Westmoreland was arrested on seven felony counts of lewd and lascivious exhibition to girls under the age of 16 (i.e. exposing himself to children). * Republican anti-abortion activist John Allen Burt was found guilty of molesting a 15-year old girl. * Republican County Councilman Keola Childs pleaded guilty to molesting a male child. * Republican activist John Butler was charged with criminal sexual assault on a teenage girl. * Republican candidate Richard Gardner admitted to molesting his two daughters. * Republican Councilman and former Marine Jack W. Gardner was convicted of molesting a 13-year old girl. * Republican County Commissioner Merrill Robert Barter pleaded guilty to unlawful sexual contact and assault on a teenage boy. * Republican City Councilman Fred C. Smeltzer, Jr. pleaded no contest to raping a 15 year-old girl and served 6-months in prison. * Republican activist Parker J. Bena pleaded guilty to possession of child pornography on his home computer and was sentenced to 30 months in federal prison and fined $18,000. * Republican parole board officer and former Colorado state representative, Larry Jack Schwarz, was fired after child pornography was found in his possession. * Republican strategist and Citadel Military College graduate Robin Vanderwall was convicted in Virginia on five counts of soliciting sex from boys and girls over the internet. * Republican city councilman Mark Harris, who is described as a "good military man" and "church goer," was convicted of repeatedly having sex with an 11-year-old girl and sentenced to 12 years in prison. * Republican businessman Jon Grunseth withdrew his candidacy for Minnesota governor after allegations surfaced that he went swimming in the nude with four underage girls, including his daughter. * Republican campaign worker, police officer and self-proclaimed reverend Steve Aiken was convicted of having sex with two underage girls. * Republican director of the "Young Republican Federation" Nicholas Elizondo molested his 6-year old daughter and was sentenced to six years in prison. * Republican president of the New York City Housing Development Corp. Russell Harding pleaded guilty to possessing child pornography on his computer. * Republican benefactor of conservative Christian groups, Richard A. Dasen Sr., was found guilty of raping a 15-year old girl. Dasen, 62, who is married with grown children and several grandchildren, has allegedly told police that over the past decade he paid more than $1 million to have sex with a large number of young women. BTW: There is a whole lot more where this came from.........please, please keep playing this game. I do so delight in sharing the truth.
Result number: 19 Posted by marie on 10/04/06 at 17:57 I hate gotcha politics it's just dumb but since the conservatives here seem to enjoy the game I guess I'll play along. And please ask me for links to all of these for varification because I so have them. * Republican Congressman Mark Foley abruptly resigned from Congress after "sexually explicit" emails surfaced showing him flirting with a 16-year old boy. * Republican executive Randall Casseday of the conservative Washington Times newspaper was arrested for soliciting sex from a 13-year old girl on the internet. * Republican chairman of the Oregon Christian Coalition Lou Beres confessed to molesting a 13-year old girl. * Republican County Constable Larry Dale Floyd was arrested on suspicion of soliciting sex with an 8-year old girl. Floyd has repeatedly won elections for Denton County, Texas, constable. * Republican judge Mark Pazuhanich pleaded no contest to fondling a 10-year old girl and was sentenced to 10 years probation. * Republican Party leader Bobby Stumbo was arrested for having sex with a 5-year old boy. * Republican petition drive manager Tom Randall pleaded guilty to molesting two girls under the age of 14, one of them the daughter of an associate in the petition business. * Republican County Chairman Armando Tebano was arrested for sexually molesting a 14-year-old girl. * Republican teacher and former city councilman John Collins pleaded guilty to sexually molesting 13 and 14 year old girls. * Republican campaign worker Mark Seidensticker is a convicted child molester. * Republican Mayor Philip Giordano is serving a 37-year sentence in federal prison for sexually abusing 8- and 10-year old girls. * Republican Mayor Tom Adams was arrested for distributing child pornography over the internet. * Republican Mayor John Gosek was arrested on charges of soliciting sex from two 15-year old girls. * Republican County Commissioner David Swartz pleaded guilty to molesting two girls under the age of 11 and was sentenced to 8 years in prison. * Republican legislator Edison Misla Aldarondo was sentenced to 10 years in prison for raping his daughter between the ages of 9 and 17. * Republican Committeeman John R. Curtain was charged with molesting a teenage boy and unlawful sexual contact with a minor. * Republican anti-abortion activist Howard Scott Heldreth is a convicted child rapist in Florida. * Republican zoning supervisor, Boy Scout leader and Lutheran church president Dennis L. Rader pleaded guilty to performing a sexual act on an 11-year old girl he murdered. * Republican anti-abortion activist Nicholas Morency pleaded guilty to possessing child pornography on his computer and offering a bounty to anybody who murders an abortion doctor. * Republican campaign consultant Tom Shortridge was sentenced to three years probation for taking nude photographs of a 15-year old girl. * Republican racist pedophile and United States Senator Strom Thurmond had sex with a 15-year old black girl which produced a child. * Republican pastor Mike Hintz, whom George W. Bush commended during the 2004 presidential campaign, surrendered to police after admitting to a sexual affair with a female juvenile. * Republican legislator Peter Dibble pleaded no contest to having an inappropriate relationship with a 13-year-old girl. * Republican advertising consultant Carey Lee Cramer was sentenced to six years in prison for molesting two 8-year old girls, one of whom appeared in an anti-Gore television commercial. * Republican activist Lawrence E. King, Jr. organized child sex parties at the White House during the 1980s. * Republican lobbyist Craig J. Spence organized child sex parties at the White House during the 1980s. * Republican Congressman Donald "Buz" Lukens was found guilty of having sex with a female minor and sentenced to one month in jail. * Republican fundraiser Richard A. Delgaudio was found guilty of child porn charges and paying two teenage girls to pose for sexual photos. * Republican activist Mark A. Grethen convicted on six counts of sex crimes involving children. * Republican campaign chairman Randal David Ankeney pleaded guilty to attempted sexual assault on a child and was arrested again five years later on the same charge. * Republican Congressman Dan Crane had sex with a female minor working as a congressional page. * Republican activist and Christian Coalition leader Beverly Russell admitted to an incestuous relationship with his step daughter. * Republican Judge Ronald C. Kline was placed under house arrest for child molestation and possession of child pornography. * Republican congressman and anti-gay activist Robert Bauman was charged with having sex with a 16-year-old boy he picked up at a gay bar. * Republican Committee Chairman Jeffrey Patti was arrested for distributing a video clip of a 5-year-old girl being raped. * Republican activist Marty Glickman (a.k.a. "Republican Marty"), was taken into custody by Florida police on four counts of unlawful sexual activity with an underage girl and one count of delivering the drug LSD. * Republican legislative aide Howard L. Brooks was charged with molesting a 12-year old boy and possession of child pornography. * Republican Senate candidate John Hathaway was accused of having sex with his 12-year old baby sitter and withdrew his candidacy after the allegations were reported in the media. * Republican preacher Stephen White, who demanded a return to traditional values, was sentenced to jail after offering $20 to a 14-year-old boy for permission to perform oral sex on him. * Republican talk show host Jon Matthews pleaded guilty to exposing his genitals to an 11 year old girl. * Republican anti-gay activist Earl "Butch" Kimmerling was sentenced to 40 years in prison for molesting an 8-year old girl after he attempted to stop a gay couple from adopting her. * Republican Party leader Paul Ingram pleaded guilty to six counts of raping his daughters and served 14 years in federal prison. * Republican election board official Kevin Coan was sentenced to two years probation for soliciting sex over the internet from a 14-year old girl. * Republican politician Andrew Buhr was charged with two counts of first degree sodomy with a 13-year old boy. * Republican legislator Keith Westmoreland was arrested on seven felony counts of lewd and lascivious exhibition to girls under the age of 16 (i.e. exposing himself to children). * Republican anti-abortion activist John Allen Burt was found guilty of molesting a 15-year old girl. * Republican County Councilman Keola Childs pleaded guilty to molesting a male child. * Republican activist John Butler was charged with criminal sexual assault on a teenage girl. * Republican candidate Richard Gardner admitted to molesting his two daughters. * Republican Councilman and former Marine Jack W. Gardner was convicted of molesting a 13-year old girl. * Republican County Commissioner Merrill Robert Barter pleaded guilty to unlawful sexual contact and assault on a teenage boy. * Republican City Councilman Fred C. Smeltzer, Jr. pleaded no contest to raping a 15 year-old girl and served 6-months in prison. * Republican activist Parker J. Bena pleaded guilty to possession of child pornography on his home computer and was sentenced to 30 months in federal prison and fined $18,000. * Republican parole board officer and former Colorado state representative, Larry Jack Schwarz, was fired after child pornography was found in his possession. * Republican strategist and Citadel Military College graduate Robin Vanderwall was convicted in Virginia on five counts of soliciting sex from boys and girls over the internet. * Republican city councilman Mark Harris, who is described as a "good military man" and "church goer," was convicted of repeatedly having sex with an 11-year-old girl and sentenced to 12 years in prison. * Republican businessman Jon Grunseth withdrew his candidacy for Minnesota governor after allegations surfaced that he went swimming in the nude with four underage girls, including his daughter. * Republican campaign worker, police officer and self-proclaimed reverend Steve Aiken was convicted of having sex with two underage girls. * Republican director of the "Young Republican Federation" Nicholas Elizondo molested his 6-year old daughter and was sentenced to six years in prison. * Republican president of the New York City Housing Development Corp. Russell Harding pleaded guilty to possessing child pornography on his computer. * Republican benefactor of conservative Christian groups, Richard A. Dasen Sr., was found guilty of raping a 15-year old girl. Dasen, 62, who is married with grown children and several grandchildren, has allegedly told police that over the past decade he paid more than $1 million to have sex with a large number of young women. BTW: There is a whole lot more where this came from.........please, please keep playing this game. I do so delight in sharing the truth.
Result number: 20 Posted by Dr. David S. Wander on 9/02/06 at 23:04 Dr. Z, Is there any particular reason that you are bringing up this podiatrist's name up on this website? Are you attempting to make some casual "link" between him and "R. Parker, DPM"? Because R. Parker, DPM and Jeffrey A. Parker, DPM certainly don't match up, and I would be very careful bringing up a doctor's name on this site unless it is for some positive purpose.
Result number: 21 Posted by Dr. Zuckerman on 9/02/06 at 21:31 Parker, Jeffrey, A, D.P.M. Hospitals: Bon Secours Community Hospital Specialties: Podiatry - Accepting Referrals: Yes Group_Name: Dr. Jeffrey Parker Locations: 156 Pike St., Port Jervis, NY 12771 P: (845) 856-7700 F: (845) 858-9284
Result number: 22 Posted by larrym on 9/01/06 at 08:51 End of an Affair It turns out that the person who exposed CIA agent Valerie Plame was not out to punish her husband. Friday, September 1, 2006; A20 WE'RE RELUCTANT to return to the subject of former CIA employee Valerie Plame because of our oft-stated belief that far too much attention and debate in Washington has been devoted to her story and that of her husband, former ambassador Joseph C. Wilson IV, over the past three years. But all those who have opined on this affair ought to take note of the not-so-surprising disclosure that the primary source of the newspaper column in which Ms. Plame's cover as an agent was purportedly blown in 2003 was former deputy secretary of state Richard L. Armitage. Mr. Armitage was one of the Bush administration officials who supported the invasion of Iraq only reluctantly. He was a political rival of the White House and Pentagon officials who championed the war and whom Mr. Wilson accused of twisting intelligence about Iraq and then plotting to destroy him. Unaware that Ms. Plame's identity was classified information, Mr. Armitage reportedly passed it along to columnist Robert D. Novak "in an offhand manner, virtually as gossip," according to a story this week by the Post's R. Jeffrey Smith, who quoted a former colleague of Mr. Armitage. It follows that one of the most sensational charges leveled against the Bush White House -- that it orchestrated the leak of Ms. Plame's identity to ruin her career and thus punish Mr. Wilson -- is untrue. The partisan clamor that followed the raising of that allegation by Mr. Wilson in the summer of 2003 led to the appointment of a special prosecutor, a costly and prolonged investigation, and the indictment of Vice President Cheney's chief of staff, I. Lewis "Scooter" Libby, on charges of perjury. All of that might have been avoided had Mr. Armitage's identity been known three years ago. That's not to say that Mr. Libby and other White House officials are blameless. As prosecutor Patrick J. Fitzgerald has reported, when Mr. Wilson charged that intelligence about Iraq had been twisted to make a case for war, Mr. Libby and Mr. Cheney reacted by inquiring about Ms. Plame's role in recommending Mr. Wilson for a CIA-sponsored trip to Niger, where he investigated reports that Iraq had sought to purchase uranium. Mr. Libby then allegedly disclosed Ms. Plame's identity to journalists and lied to a grand jury when he said he had learned of her identity from one of those reporters. Mr. Libby and his boss, Mr. Cheney, were trying to discredit Mr. Wilson; if Mr. Fitzgerald's account is correct, they were careless about handling information that was classified. Nevertheless, it now appears that the person most responsible for the end of Ms. Plame's CIA career is Mr. Wilson. Mr. Wilson chose to go public with an explosive charge, claiming -- falsely, as it turned out -- that he had debunked reports of Iraqi uranium-shopping in Niger and that his report had circulated to senior administration officials. He ought to have expected that both those officials and journalists such as Mr. Novak would ask why a retired ambassador would have been sent on such a mission and that the answer would point to his wife. He diverted responsibility from himself and his false charges by claiming that President Bush's closest aides had engaged in an illegal conspiracy. It's unfortunate that so many people took him seriously.
Result number: 23 Posted by Laurie F on 8/24/06 at 11:37 :) Thank Richard - hey as a who'd a thunk it...i was tring to find a C ped clinic or c Ped not affiliiated with a shoe store (not that there are not good people who are with chain stores) and i found this! http://www.allina.com/ahs/AMC.nsf/page/AMC_Coon_Rapids Pedorthist and orthotic footwear Keith Marnholtz, ATC/R Colin Olson, MS, Cped., ATC/R Jeffrey L. Peterson, MS, Cped., ATC/R This is my med cliinic! :)
Result number: 24 Posted by Ralph on 7/01/06 at 17:37 WASHINGTON (AP) — Tires made for passenger cars and light trucks will be required to withstand new speed and endurance tests by 2007 in the first new federal safety standards for tires since 1967. Congress ordered the National Highway Traffic Safety Administration to make the changes in 2000 after the recall of millions of Firestone tires. "Without question, these new performance requirements will improve tire safety," said NHTSA Administrator Dr. Jeffrey Runge. Most tires on the market already comply with the new standards. NHTSA estimated that 5 to 11% of tires will have to be redesigned or modified to comply. The update ordered by Congress in the wake of the deadly Firestone tire debacle and finalized by the National Highway Traffic Safety Administration will cover nearly 300 million new tires when it takes effect in 2007, and could cost manufacturers as much as $30 million per year. The new requirements are expected to cost tire manufacturers $31.6 million, NHTSA said. The agency estimates they will save at least four lives and prevent 102 injuries each year. Under the new criteria, tires must be tested at 87, 93 and 99 miles per hour for 30 minutes at a time. That is an increase from the current test of 75, 80 and 85 miles per hour. A tire will be considered compliant if there is no visual evidence of tread separating or cracking after the test, and the tire pressure isn't lower than the initial pressure. Tires also will be tested for endurance in a 34-hour test. That test will run tires at 75 miles an hour for four hours, carrying 85% of the tire's maximum load, six hours with 90% of the maximum load and 24 hours with 100% of the maximum load. That test speed is 50% higher than the current test and 50% longer than the current distance. The standards also include a new test to ensure performance even if a tire is underinflated. The test, designed to mimic long-distance family travel, runs the tire for 90 minutes at 75 miles per hour at the level of underinflation that sets off a vehicle's tire pressure warning system. NHTSA didn't adopt several other tire safety proposals it was considering, including one for checking the strength of a tire's performance on hazardous roads. The agency said it also didn't adopt another test that measured the effects of aging, but it is working with tire manufacturers to develop such a test. Under the rules NHTSA originally proposed, the agency estimated that 30% of tires wouldn't pass and costs to tire makers would approach $300 million. Still, NHTSA said the new standards are reasonable ones "based on the best currently available information."
Result number: 25 Posted by Ralph on 6/26/06 at 15:41 I just remembered I posted this list some time ago. There are three doctors on this list in Texas. The list is probably larger now. I remember a post by Dr. Goldstein saying he had gone to Texas and trained a doctor there. Don't know who though. The three on this list will at least give you a start and perhaps they can provide more referrals for you. Good luck. Posted by Ralph on 12/22/05 at 12:14 As of this printing there are 52 doctors in the U.S. and 2 in Puerto Rico. Alabama Daphne, AL Randell Braun, DPM 1913 US Highway 98 Daphne, AL 36526 Phone: 251-626-5065 Fax: 251-626-7580 Helena Charles Oehrlein, DPM 4290 Highway 52 W, Suite D Helena, AL 35080 Phone: 205-271-7620 Fax: 205-620-1905 Arizona Phoenix Brian Allen, DPM 14001 N. 7th Suite A-101 Phoenix, AZ 85022 Phone: 602-942-3966 Phoenix Deo Rampertab, DPM 3201 W. Peoria Ave. Suite D805 Phoenix, AZ 85029 Phone: 602-843-8585 Fax:602-843-3664 California Bakersfield Jim Malone, DPM 4000 Stockdale Hwy Suite C Bakerfield, CA 93309 Phone: 661-832-3600 Fax: 661-322-6249 Bakersfield Moshe Sinaie, DPM 4000 Stockdale Hwy Suite C Bakerfield, CA 93309 Phone: 661-832-3600 Fax: 661-322-6249 Pleasanton ValleyCare Medical Center 5725 W. Las Positas Blvd. Pleasanton, CA 94588 Phone: 925-847-3000 Ventura Randy Nordyke, DPM 4080 Loma Vista Rd. Suite D - Dudley Bldg. Ventura, CA 93003 Phone: 805-650-8333 Fax:805-650-8382 Connecticut Norwalk Devang Patel, DPM 605 West Ave. Norwalk, CT 06850 Phone: 203-838-0442 Fax: 203-838-9431 Florida New Port Richie Ira Bennett, DPM 1810 Wellness Lane New Port Richie, FL 34655 Phone: 727-848-3433 MacClenny Jon Coleman, DPM 159 North 3rd Street MacClenny, Florida 32063 Phone: 904-259-5277 Fax: 904-653-2093 Port Orange Pamela Kirby, DPM 4606 Clyde Morris Blvd. Suite 1J Port Orange, FL 32129 http://www.pamkirby.com Phone: 386-788-4111 Fax: 386-788-4113 Viera Robert Tinsley, DPM 7341 Office Park Place. Suite 103 Viera, FL 32940 Phone: 321-253-4973 Fax: 321-253-4913 Idaho Idaho Falls Sunnyside Foot & Ankle Tony D. Quinton, DPM 3369 Merlin Dr Idaho Falls, ID 83404 Phone: 208-529-2230 Fax: 208-529-2252 Idaho Falls Bruce Tollman, DPM 782 South Woodruff Avenue Idaho Falls, ID 83401 Phone: 208-529-8393 Fax: 208-529-8398 Illinois Lombard Esther Lyon, DPM Lombard Foot & Ankle Clinic 6 East Saint Charles Rd. #100 Lombard, IL 60148 http://www.drestherlyon.com Phone: 630-495-1240 Fax: 630-495-1993 Urbana Phillip Logsdon, DPM Carle Clinic Assoc. 602 West University Avenue Urbana, IL 61801 Phone: 217-383-3260 Fax: 217-383-4459 Louisiana Baton Rouge Richard Palecki, DPM 8338 Summa Ave. Suite 201 Baton Rouge, LA 70809 Phone: 225-766-0283 Fax: 225-819-1863 Michigan Highland Gary Wasiak, DPM 2997 E. Highland Rd. Highland, MI 48356 Phone: 248-478-6363 Taylor Lawrence Fallat, DPM 20555 Ecorse Road Taylor, MI 48180 Phone: 313-389-2288 Fax: 313-389-2286 North Carolina Raleigh The Foot & Ankle Associates of North Carolina Clarence Stewart, DPM 2701 New Bern Avenue Raleigh, NC 27610 http://www.footandankleassoc.com Phone: 919-231-7969 Fax: 919-231-7970 New Jersey Edison Anthony Sergi, DPM 1628 Oak Tree Road Edison, NJ 08820 Phone: 732-494-5601 Fax: 732-321-6530 Livingston Steven Goldstein, DPM, DABPS, FAPWCA 349 East Northfield Rd. #LL6 Livingston, NJ 07039 http://www.footfreezer.com Phone: 973-992-9214 Fax: 973-992-4625 Email: Dr. Goldstein Piscataway Peter Wishnie, DPM 84 Stelton Road Piscataway, NJ 08854 Phone: 732-968-3833 Fax: 732-968-8821 New Mexico Albuquerque Theodord Varoz, DPM 1204 Candelaria Road NW. #C Albuquerque, NM 87107 Phone: 505-345-8529 Fax: 505-345-6410 New York Brooklyn Advanced Walk-In Foot Care, PLLC Walter Perez, DPM 2146 Beverly Rd. Brooklyn, NY 11226 Phone: 718-675-1100 Fax: 877-868-8633 Kingston Douglas Tumen, DPM 103 Hurley Ave Kingston, NY 12401 http://www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Kingston Michael C. Kelleer, DPM 103 Hurley Ave Kingston, NY 12401 http://www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Kingston Daniel C. Longo, DPM 103 Hurley Ave Kingston, NY 12401 http://www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Kingston Clifford J. Toback, DPM 103 Hurley Ave Kingston, NY 12401 http://www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Massapequa Michael Tumen, DPM 4333 Merrick Rd. Massapequa, NY 11758 Phone: 516-541-1591 Fax: 516-541-1628 New York City The Foot Center of Manhattan 450 7th St. Ste 1004 New York, NY 10123 The Foot Center of Manhattan Phone: 888-306-6936 New York City 139th Street Medical Stuart Kitton, DPM 3410-18 Broadway New York, NY 10031 Phone: 212-844-9490 Fax: 212-283-5005 New York City Oliver Zong, DPM 29 John St. #201 New York, NY 10038 http://www.nycfootcare.com Phone: 212-385-2400 Fax: 212-385-2434 Ohio Toledo Brent Rubin, DPM 3055 West Sylvania Avenue Toledo, OH 43613 http://www.brentlrubinassoc.com Phone: 419-473-0125 Fax: 419-473-1230 Pennsylvania Aliquippa Christina Teimouri, DPM Beaver Valley Foot Clinic 2438 Brodhead Rd. Aliquippa, PA 15001 http://www.bvfootclinic.com Phone: 724-375-1577 Fax: 724-857-0855 Philadelphia Robert Cohen, DPM 255 S. 17th St, Suite 2404 Philadelphia, PA 19103 Phone: 215-545-0388 Puerto Rico Bayamon Joaquin Balaguer, DPM 100 Pasco San Pablo Suite # 409 Bayamon, Puerto Rico 00961 Phone: 787-787-5690 Fax: 787-798-2325 San Juan Jorge Garcia Montehiedra Podiatry Center Montehiedra Town Center Ave Los Romero, Suite 204 San Juan, PR 00926 Phone: 787-789-3790 South Carolina Spartanburg Henry McAninch, DPM 184 Oakland Ave. Spartanburg, SC 29302 Phone: 864-582-8570 Fax: 864-585-3528 South Dakota Sioux Falls Michael McGowan, DPM 2127 South Minnesota Sioux Falls, SD 57105 Phone: 605-332-2661 Fax: 605-332-7458 Texas Austin Bernabe Canlas, DPM The Center for Foot & Ankle Surgery 1015 E. 32nd, Suite 212 Austin, TX 78705 Phone: 512-447-8853 Austin Michael Golf, DPM 4310 James Casey, Suite. 3-A Austin, TX 78745 http://www.michaelgolf.com Phone: 512-448-3668 Irving Ronica Holcombe, DPM North Texas Foot & Ankle 1145 Kinwest Pkwy. Suite 100 Irving, TX 75063 http://www.ntfoot.com Phone: 214-574-9255 Fax: 214-574-9258 McAllen Javier Cavazos, DPM 1401 East Ridge Rd. Suite E McAllen, TX 78503 http://www.rgvfootcare.com Phone: 956-618-2970 Fax: 956-618-2398 Round Rock Jeffrey Cohen, DPM Precision Podiatry 901 Round Rock Ave. Suite C100 Round Rock, TX 78681 PrecisionPodiatry.com Phone: 512-255-0125 Fax: 512-255-0153 Utah Layton Brian Richman, DPM 1660 West Antelope Drive Suite 110 Layton, UT 84041 Phone: 801-825-4709 Fax: 801-774-0735 Virginia Hampton Arnold Beresh, DPM 2202-A Executive Dr. Hampton, VA 23666 http://www.footfacts.net Phone: 757-827-7111 Fax: 757-827-7164 Richmond Mitchell Waskin, DPM 1465 Johnston-Willis Drive Richmond, VA 23235 http://www.320-foot.com Phone: 804-320-3668 Fax: 804-320-2600 Virginia Beach Michael Holtz, DPM 5253 Providence Rd, Suite 100 Virginia Beach, VA 23464 http://www.virginiapodiatry.com Phone: 757-495-6113 Fax: 757-495-6156 Washington Seatle Allen Doan, DPM 5415 Rainier Avenue South. Suite B Seatle, WA 98118 Phone: 206-722-3745 Fax: 206-772-1357 West Virginia Logan Logan Foot & Ankle Clinic Steven Scott Melek, DPM Route 10, Triangle Professional Building Logan, WV 25601 Phone: 304-752-3338 Fax: 304-752-0194
Result number: 26 Posted by Robert J. Sanfilippo, DC, CCSP, ART on 2/10/06 at 08:24 Hello there Jeffrey and I can't divulge those secrets because if I did "I'd have to kill you." Okay, I'm kidding but I love that line from the movies. When you are trained in ART, you are taught to hone your touch and you learn the 300+ nerve entrapments within the body. Take for instance, the median nerve. This nerve is considered to be the main cause of carpal tunnel which is in the wrist. To truly evaluate this nerve you must follow the nerve from its origin in the cervical spine to its ending point in your thumb and palm. The nerve can be trapped at the scalenes, at the subscapularis, medial intermuscular septum, pronator teres, thenar muscles, flexor retinaculum, and palmar fascia. We know where to go and then use our adept touch to free that nerve if it is truly entrapped. Experience is definitely a must when it comes to ART. I hope that explains it for you... Dr. Rob
Result number: 27 Posted by Jeffrey on 2/09/06 at 21:53 Dr. Sanfilippo: I'm wondering how the ART doctor determines if it is in fact entrapment. It seems that even the orthpaedics who do TT surgery are often unsure. Thank you.
Result number: 28 Posted by Jeffrey on 2/09/06 at 20:48 Can I have fries with that?
Result number: 29 Posted by Richard, C.Ped on 1/13/06 at 15:51 I am in south carolina. You might be able to try Jeff Rich. I think it is expensive, but he is good. Jeffrey S. Rich New York, NY 10022 Work Phone: (212) 832-1648 Custom Sports Lab Ltd. C/O U.S. Orthotic Center 515 Madison Ave. New York, NY 10022
Result number: 30 Posted by Ralph on 12/22/05 at 12:14 As of this printing there are 52 doctors in the U.S. and 2 in Puerto Rico. Alabama Daphne, AL Randell Braun, DPM 1913 US Highway 98 Daphne, AL 36526 Phone: 251-626-5065 Fax: 251-626-7580 Helena Charles Oehrlein, DPM 4290 Highway 52 W, Suite D Helena, AL 35080 Phone: 205-271-7620 Fax: 205-620-1905 Arizona Phoenix Brian Allen, DPM 14001 N. 7th Suite A-101 Phoenix, AZ 85022 Phone: 602-942-3966 Phoenix Deo Rampertab, DPM 3201 W. Peoria Ave. Suite D805 Phoenix, AZ 85029 Phone: 602-843-8585 Fax:602-843-3664 California Bakersfield Jim Malone, DPM 4000 Stockdale Hwy Suite C Bakerfield, CA 93309 Phone: 661-832-3600 Fax: 661-322-6249 Bakersfield Moshe Sinaie, DPM 4000 Stockdale Hwy Suite C Bakerfield, CA 93309 Phone: 661-832-3600 Fax: 661-322-6249 Pleasanton ValleyCare Medical Center 5725 W. Las Positas Blvd. Pleasanton, CA 94588 Phone: 925-847-3000 Ventura Randy Nordyke, DPM 4080 Loma Vista Rd. Suite D - Dudley Bldg. Ventura, CA 93003 Phone: 805-650-8333 Fax:805-650-8382 Connecticut Norwalk Devang Patel, DPM 605 West Ave. Norwalk, CT 06850 Phone: 203-838-0442 Fax: 203-838-9431 Florida New Port Richie Ira Bennett, DPM 1810 Wellness Lane New Port Richie, FL 34655 Phone: 727-848-3433 MacClenny Jon Coleman, DPM 159 North 3rd Street MacClenny, Florida 32063 Phone: 904-259-5277 Fax: 904-653-2093 Port Orange Pamela Kirby, DPM 4606 Clyde Morris Blvd. Suite 1J Port Orange, FL 32129 www.pamkirby.com Phone: 386-788-4111 Fax: 386-788-4113 Viera Robert Tinsley, DPM 7341 Office Park Place. Suite 103 Viera, FL 32940 Phone: 321-253-4973 Fax: 321-253-4913 Idaho Idaho Falls Sunnyside Foot & Ankle Tony D. Quinton, DPM 3369 Merlin Dr Idaho Falls, ID 83404 Phone: 208-529-2230 Fax: 208-529-2252 Idaho Falls Bruce Tollman, DPM 782 South Woodruff Avenue Idaho Falls, ID 83401 Phone: 208-529-8393 Fax: 208-529-8398 Illinois Lombard Esther Lyon, DPM Lombard Foot & Ankle Clinic 6 East Saint Charles Rd. #100 Lombard, IL 60148 www.drestherlyon.com Phone: 630-495-1240 Fax: 630-495-1993 Urbana Phillip Logsdon, DPM Carle Clinic Assoc. 602 West University Avenue Urbana, IL 61801 Phone: 217-383-3260 Fax: 217-383-4459 Louisiana Baton Rouge Richard Palecki, DPM 8338 Summa Ave. Suite 201 Baton Rouge, LA 70809 Phone: 225-766-0283 Fax: 225-819-1863 Michigan Highland Gary Wasiak, DPM 2997 E. Highland Rd. Highland, MI 48356 Phone: 248-478-6363 Taylor Lawrence Fallat, DPM 20555 Ecorse Road Taylor, MI 48180 Phone: 313-389-2288 Fax: 313-389-2286 North Carolina Raleigh The Foot & Ankle Associates of North Carolina Clarence Stewart, DPM 2701 New Bern Avenue Raleigh, NC 27610 www.footandankleassoc.com Phone: 919-231-7969 Fax: 919-231-7970 New Jersey Edison Anthony Sergi, DPM 1628 Oak Tree Road Edison, NJ 08820 Phone: 732-494-5601 Fax: 732-321-6530 Livingston Steven Goldstein, DPM, DABPS, FAPWCA 349 East Northfield Rd. #LL6 Livingston, NJ 07039 www.footfreezer.com Phone: 973-992-9214 Fax: 973-992-4625 Email: Dr. Goldstein Piscataway Peter Wishnie, DPM 84 Stelton Road Piscataway, NJ 08854 Phone: 732-968-3833 Fax: 732-968-8821 New Mexico Albuquerque Theodord Varoz, DPM 1204 Candelaria Road NW. #C Albuquerque, NM 87107 Phone: 505-345-8529 Fax: 505-345-6410 New York Brooklyn Advanced Walk-In Foot Care, PLLC Walter Perez, DPM 2146 Beverly Rd. Brooklyn, NY 11226 Phone: 718-675-1100 Fax: 877-868-8633 Kingston Douglas Tumen, DPM 103 Hurley Ave Kingston, NY 12401 www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Kingston Michael C. Kelleer, DPM 103 Hurley Ave Kingston, NY 12401 www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Kingston Daniel C. Longo, DPM 103 Hurley Ave Kingston, NY 12401 www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Kingston Clifford J. Toback, DPM 103 Hurley Ave Kingston, NY 12401 www.hvfootassociates.com Phone: 845-339-4191 Fax: 845-339-3309 Massapequa Michael Tumen, DPM 4333 Merrick Rd. Massapequa, NY 11758 Phone: 516-541-1591 Fax: 516-541-1628 New York City The Foot Center of Manhattan 450 7th St. Ste 1004 New York, NY 10123 The Foot Center of Manhattan Phone: 888-306-6936 New York City 139th Street Medical Stuart Kitton, DPM 3410-18 Broadway New York, NY 10031 Phone: 212-844-9490 Fax: 212-283-5005 New York City Oliver Zong, DPM 29 John St. #201 New York, NY 10038 www.nycfootcare.com Phone: 212-385-2400 Fax: 212-385-2434 Ohio Toledo Brent Rubin, DPM 3055 West Sylvania Avenue Toledo, OH 43613 www.brentlrubinassoc.com Phone: 419-473-0125 Fax: 419-473-1230 Pennsylvania Aliquippa Christina Teimouri, DPM Beaver Valley Foot Clinic 2438 Brodhead Rd. Aliquippa, PA 15001 www.bvfootclinic.com Phone: 724-375-1577 Fax: 724-857-0855 Philadelphia Robert Cohen, DPM 255 S. 17th St, Suite 2404 Philadelphia, PA 19103 Phone: 215-545-0388 Puerto Rico Bayamon Joaquin Balaguer, DPM 100 Pasco San Pablo Suite # 409 Bayamon, Puerto Rico 00961 Phone: 787-787-5690 Fax: 787-798-2325 San Juan Jorge Garcia Montehiedra Podiatry Center Montehiedra Town Center Ave Los Romero, Suite 204 San Juan, PR 00926 Phone: 787-789-3790 South Carolina Spartanburg Henry McAninch, DPM 184 Oakland Ave. Spartanburg, SC 29302 Phone: 864-582-8570 Fax: 864-585-3528 South Dakota Sioux Falls Michael McGowan, DPM 2127 South Minnesota Sioux Falls, SD 57105 Phone: 605-332-2661 Fax: 605-332-7458 Texas Austin Bernabe Canlas, DPM The Center for Foot & Ankle Surgery 1015 E. 32nd, Suite 212 Austin, TX 78705 Phone: 512-447-8853 Austin Michael Golf, DPM 4310 James Casey, Suite. 3-A Austin, TX 78745 www.michaelgolf.com Phone: 512-448-3668 Irving Ronica Holcombe, DPM North Texas Foot & Ankle 1145 Kinwest Pkwy. Suite 100 Irving, TX 75063 www.ntfoot.com Phone: 214-574-9255 Fax: 214-574-9258 McAllen Javier Cavazos, DPM 1401 East Ridge Rd. Suite E McAllen, TX 78503 www.rgvfootcare.com Phone: 956-618-2970 Fax: 956-618-2398 Round Rock Jeffrey Cohen, DPM Precision Podiatry 901 Round Rock Ave. Suite C100 Round Rock, TX 78681 PrecisionPodiatry.com Phone: 512-255-0125 Fax: 512-255-0153 Utah Layton Brian Richman, DPM 1660 West Antelope Drive Suite 110 Layton, UT 84041 Phone: 801-825-4709 Fax: 801-774-0735 Virginia Hampton Arnold Beresh, DPM 2202-A Executive Dr. Hampton, VA 23666 www.footfacts.net Phone: 757-827-7111 Fax: 757-827-7164 Richmond Mitchell Waskin, DPM 1465 Johnston-Willis Drive Richmond, VA 23235 www.320-foot.com Phone: 804-320-3668 Fax: 804-320-2600 Virginia Beach Michael Holtz, DPM 5253 Providence Rd, Suite 100 Virginia Beach, VA 23464 www.virginiapodiatry.com Phone: 757-495-6113 Fax: 757-495-6156 Washington Seatle Allen Doan, DPM 5415 Rainier Avenue South. Suite B Seatle, WA 98118 Phone: 206-722-3745 Fax: 206-772-1357 West Virginia Logan Logan Foot & Ankle Clinic Steven Scott Melek, DPM Route 10, Triangle Professional Building Logan, WV 25601 Phone: 304-752-3338 Fax: 304-752-0194
Result number: 31 Posted by Ralph on 12/06/05 at 14:08 Dr. Z, You are also "published" in Podiatry Management. While it may not be the New England Journal of Medicine with it's "Original Studies" it does contain discussion type information on various topics. I found it interesting because it contains a variety of topics. If readers have time they my want to go to the Podiatry Management website. Here is the one that you submitted Dr. Z. I agree with Dr. Weil that we need to move to what is called evidence- based medicine. It is here and our profession must becoming part of this new and important method for treatment efficiency evaluation. Double blind, randomized , multi-center studies are the gold standard that we should aim for. It is possible to use this standard with cry therapy. There was a study with arthroscopy knee surgery when they did the actual incision. With cryotherapy all you would need to do is place a fake band aid over the fake incision and that could be sham. My point is that we need to stop looking for excuses for this type of testing and think of ways to actually do the testing. Is this difficult? Yes. Can it do done. Absolutely. We will look back at this someday and think how could I ever do a procedure without some level of study. Cryotherapy and ESWT are two treatments that can be done very easily. Let’s not fight it David Zuckerman, DPM Woodbury, NJ Here is an example of some of the discussions I found. All in all it's an informative site. 81.6%) 03/25/05 Double-blinded Studies and Cryosurgery and ESW Therapy ( 81.6%) 03/24/05 Double-blinded Studies and Cryosurgery and ESW therapy (Drs. Weil and Goldstein) ( 81.6%) 03/29/04 Cyrotherapy for Plantar Fasciitis (John Renard, DPM) ( 79.7%) 03/07/03 CPT 11900 Denial For Fibroma Injection ( 79.7%) 08/02/02 Coding Enucleation of Porokeratotic Lesions ( 77.4%) 09/13/05 Alcohol Injections for Heel Pain (Gary Dockery, DPM) ( 77.4%) 08/28/05 Billing For Multiple Verrucae ( 77.4%) 07/23/05 Cryoablation (G. Stephen Gill, DPM, MBA) ( 77.4%) 05/30/05 Laser Wart Ablation Coding ( 77.4%) 03/26/05 Double-blinded studies, sham surgeries and Evidence Based Medicine (Drs. Gurvis and Zuckerman) ( 77.4%) 03/23/05 Chronic Heel Pain (Lowell Weil, Sr., DPM) ( 77.4%) 03/22/05 Chronic Heel Pain ( 77.4%) 03/21/05 Chronic Heel Pain (Alan Mauser, DPM) ( 77.4%) 03/05/05 Plantar Fasciitis Pain Statistics (Steven Goldstein, DPM) ( 77.4%) 02/21/05 Partial Tear of Plantar Fascia (Jeffrey Kass, DPM) ( 77.4%) 11/11/04 Controlled Studies for Neurolytic Injections (Michael Schneider, DPM) ( 77.4%) 03/27/04 Cyrotherapy for Plantar Fasciitis? ( 77.4%) 10/16/02 Coding For Cyrosurgery Multiple Procedures
Result number: 32 Posted by D. on 11/09/05 at 08:23 Dr. Wander: Thanks for responding. Check this out. I could be wrong, but there doesn't seem to be any legal implications to one stating one's experience. October 25, 2005 -- NEW York dentists have begun buying up negative-sounding domain names because disgruntled patients have gone from picketing outside their offices to detailing their grievances on Web blogs. "State authorities are so slow to process claims and so reluctant to punish professionals," explained one expert. First there was baddentist.com, where unhappy clients went after Dr. Larry Rosenthal, who brightened the bicuspids of Donald Trump, Bruce Springsteen and Catherine Zeta-Jones. The site has drawn over 200,000 hits. Rosenthal, who has denied any wrongdoing, settled several malpractice suits. The latest version of vigilante consumer education is worstdentist.com, which is devoted to the alleged atrocities of cosmetic dentist Jeffrey Golub-Evans, who is responsible for the smiles of Kim Cattrall, Regis Philbin, Wayne Newton and Bridget Moynihan. The renegade site claims that Golub-Evans has been sued for malpractice 12 times and made 10 malpractice payments totaling more than $300,000.
Result number: 33 Posted by Kathy G on 7/01/05 at 09:37 I just finished Hal Coben's "The Innocent." It was an excellent mystery, full of twists and turns. I'm now going to start an Edna Buchanan book, "Shadows." She used to write about Brit Montero, a Miami newspaper crime reporter, which Buchanan herself was, even winning a Pulitzer Prize. Her newest character works in a Cold Case department of a police station, also in Miami. Her books are usually ideal for a summer read or for that matter, any time you want to read a light mystery. I also have Jeffrey Deaver's new book home but I'm never going to be able to read it before it's due and I'll have to go back on hold for it. Same with Kellerman's "Rage." My husband said it wasn't up to Kellerman's usual standards. I read my first Jodi Picoult book and it was great. It's entitled, "My Sister's Keeper." It raises all kinds of ethical issues and I love the way it's told from the standpoint of everyone in the story. I highly recommend it. If you're looking for funny books, try any of Janet Evanovich's books. It's probably best to start with the first, "One for the Money." Her books are hilarious! She's up to eleven and I'm afraid I'll be on vacation when it comes in for me. Like Linda, I get all my books at the library. My book group just finished "In Harms Way," about the sinking of the US Indianapolis. I'm sure John's familiar with this subject. I confess; so many good books came in when I was supposed to be reading it that I never read much of it but the discussion on the book was fascinating. This month, we're reading our "Classic for the Year," "Tess of the D'Ubervilles." I read it way back when I was a sophomore in high school and at that time, I was so taken with it, I read many of Thomas Hardy's books. I don't know if I'll remember much of it. My husband is about to start Patterson's "Broken Prey." I'm on hold for that next. So many books; so little time! Did you like the Grisham book? And Linda, I loved "The Thorn Birds" but was so disappointed in her other books. I also love the movie. I hadn't thought of "A Tree grows in Brooklyn" in ages. It was my mother's favorite book.
Result number: 34 Posted by Ralph on 5/17/05 at 14:04 Dr. Zuckerman, My question is a simple one based on what doctors like yourself have seen and experienced. If indeed Podiatric Medicine is seeing horrific complications regularily due to Plantar Fascia Surgery why do Podiatrist still continue to do them? "Do no harm" is the doctors creed yet Podiatric Medicine apparently is very willing to turn a blind eye to this procedure and instead willing to continue seeing horrific results happen to their patients by their own hands. They just can't say NO. I can't remember which Podiatrist posting here said they make far more income doing a surgery than performing ESWT, but ME thinks in the long run the added income from in office ESWT or traveling ESWT is a pretty good size income carrot waved before doctors when companies like the one recently cited by the FDA asks them to joint a group. The amount posted on their website as added yearly income if I remember correctly was six figures. I can't remember if that was for treating one patient per week or per month but it wasn't pocket change. Added or even replacement income generated by using ESWT without the time involve with doing a surgery could free up a lot of the doctor time without any loss of income and perhaps even a gain at the end of the year. The Wall Street Journal article I posted earlier about goes on to say "The problem (false reporting) calls into question whether journals can play the role of gatekeeper in an era when articles are increasingly used as MARKETING TOOLS. Editors have "found themselves playing a game of research hide-and-seek," says Jeffrey Drazen, editor in chief of the New England Journal of Medicine. They have "had experiences" where authors tried to pitch it, where they were telling you the good news and not the bad news." It's also possible I think to relate this statement to the people doing the most marketing of ESWT and as a whole Podiatrist seem to be the largest group marketing ESWT today. I think we have to ask ourselves how much of that carrot that was promised plays a part in their marketing of ESWT.
Result number: 35 Posted by joeW on 12/09/04 at 15:13 I had it done last Thursday in Detroit for $699 total per foot. Web site is www.footpaindoc.com, Dr. Jeffrey Klein, very good! I have about a 30% improvement already, suppose to take 6 - 12 weeks.
Result number: 36 Posted by joeW on 12/09/04 at 15:09 I had it done in Waterford Mi last Thursday, I notice an improvement already maybe 40%, The Dr. Jeffrey Klein told me it was about 80% effective and he has been doing them for years. He had a special $699 rate on his web site www.footpaindoc.com. It is suppose to take 6 weeks to really start getting better and heal by 12 weeeks. Good Luck!
Result number: 37 Posted by Elyse B on 6/11/04 at 15:06 yes Jeffrey S Rich, 515 Madison Avenue, Suite 730, 832-1648, fantastic, 10 times better than the podiatrist I went to. You will be happy with him.
Result number: 38 Posted by lauriel on 6/09/04 at 12:06 Jeffrey, they wont cut any nerve, at least that was what my Dr told me. I had TTS surgery 12/02. It took me months to recover. Hang in there Laurie
Result number: 39 Posted by Pauline on 6/02/04 at 14:39 Dr. Ed, If it is such a "rag" what did so many of your colleagues contribute to its pages and still continue to submit articles today? Of course I realize the recent split Here are a few of those examples. Posted : (259) MAY 28, 2000 LETTERS/WEB MEDICAL MAGAZINE Podiatry Online NewsFlash (PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE) LETTERS (PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE)(PIPE) From: David Zuckerman, DPM Subj: Brian Gale, DPM I feel the only way to get the APMA to listen is to stop paying dues. Money talks. So lets stop paying dues until there is a response from the APMA leadership. I do know in my state of New Jersey the dues statements will be coming out. So all of you who really want to help Brian Gale or who feel that our leaders aren't listening, hold back the dues and wait until satisfaction comes forth. I will start this with myself. Anyone ready to join in the strike? David Zuckerman, DPM Twenty year APMA member Twenty year NJPMA member footcare@home.com PS: The organization is the membership, don't ever forget this!!!!!! _____________________________ From: Podiatry Online NewsFlash Date: Tue, 11 Jan 2000 19:49:08 -0500 From: Jeffrey Marks, DPM Subj: Orthopedics Today 1999 An orthopedic colleague of mine just handed me the December issue of Orthopedics Today. He thought it might interest me because they devoted three pages to the diabetic foot. Page 1 has a special report with the headline: Orthopedists can help reduce risk of diabetic foot complications. Pages 18-19 talks about shoes, orthoses help reduce diabetic foot morbidity. Michel S. Pinzur, MD professor of orthopedic surgery and rehabilitation at Loyola University is quoted as saying "There is mounting evidence that prophylactic foot care comprising patient education, protective shoe wear and monitoring will prevent morbidity, we've seen that not only will shoe wear and monitoring prevent morbidity, but they're extremely cost-effective." Pinzur chairs the diabetes committee of AOFAS. The article also mentions the Medicare shoe reimbursement guidelines. I have been aware of the orthopedic foot initiative but it was interesting to see it in print and I wanted to share this with my fellow podiatrists. Jeffrey Marks, DPM footdocnetmail@netscape.net
Result number: 40 Posted by Terri on 5/26/04 at 06:29 Jeffrey, please don't think you were "disappointing" anyone here. We were just concerned over the speed of the surgery being scheduled and performed. You've explained a bit more here of the steps you've gone through to get to this point and it's very understandable. The important thing to do now is listen to your dr and don't push your recovery! My surgery was Jan 2nd and I've been up, down and sideways since. I also said if I had even a 50% improvement, I'd be happy. I think I'm definitely there now but it's been a long, strange trip (to paraphrase a popular song)! And I'm still healing. Most of us won't know the extent of success for up to a year after surgery. Keep us posted with your recovery and remember to ice and elevate. You can put an ice pack behind your knee.
Result number: 41 Posted by lauriel on 5/25/04 at 10:58 jeffrey, wishing a good recovery. I had TTS surgery 12/02. It is a long healing process, It took me months, but now I am battling Plantar fasciatis (sp) you are right about the scar tissue. Make sure you get a PT that has TTS experience. I started about 7 weeks aftert surgery. it was a godsend. Make sure you talk to the pT about scar tissue. I had started developing it and the one PT wasnt working the incision, he left and the new PT started massaging a certain way to break up what little was there and to keep more from forming. I had a lot of ups and downs, over several months. I still get occasional zingers. Just think positive and dont try to rush anything. Laurie
Result number: 42 Posted by Jo B. on 5/19/04 at 18:45 Jeffrey, I too have bi-lateral TTS. I suffered with painful feet for almost 3 years and was just recently diagnosed. The doc tried me with orthodics (and they didn't help) and I've been going to physical therapy for about 4 months. I had a NCV tes with positive results. I am having an MRI done Tuesday and the doc said to think about surgery. It had gotten so bad, that I had problems walking and was falling a lot. The therapy has helped some, because I also had tendonitis in both feet. It has help that, but not the TSS. Hang in there and good luck!
Result number: 43 Posted by Elyse B on 5/19/04 at 14:01 Hi Richard, thanks for answering. I think actually I have medium arches. I was never tested for short heel cord nor fore foot varus. The podiatrist only gave me x-rays for heel spurs and then immediately fitted me for orthotics. Right now I am going "naked" with no orthotics as I have returned them to the podiatrist but using the SOF sole arch plus inner sole. I am running 4 times a week mostly on soft surfaces. The pain is not excruciating so I think I have a mild case. I am also doing Active RElease therapy. I am doing something "controversial" on these boards and going to try the SDO's. I had an appointment with Dr. Jeffrey Rich at U.S. Orthotics but cancelled it because I cannot handle too many things at once and will give the SDO's a try first and then go to the pedorthist. Where are you located by the way?
Result number: 44 Posted by Terri on 5/18/04 at 19:25 John, so good to hear from you again. I take it from your message you went to a pain mgmt specialist too? How are you doing now? Jeffrey, I really do hope you wait on this surgery. Believe me, we've all been where you are, feeling this is finally something I can DO for this, even if we're not sure it's going to work. I had surgery on my right foot Jan. 2nd of this year. Went thru hell and back up until the past couple of weeks. I was scheduled to have surgery on the left foot this month and cancelled it. Due to the work of a gifted trainer/physical therapist I am now doing so much better, I just can't believe it. Are you taking any supplements? PLEASE re-think having surgery tomorrow!
Result number: 45 Posted by John Martello on 5/17/04 at 18:59 jeffrey, I har you loud and clear as i am young too only 33. I have heard too many people with bad outcomes with this surgery, but i did have a neurologist in my area tell me its a 50/50 surgery. He knew someone who did well with the surgery and i knew someone who did not. theres your 50/50. Get more evidence from nerve test, go to PAIN MANAGEMENT SPECIALIST BEFORE YOU LET THEM CUT YOU OPEN !!!!!
Result number: 46 Posted by Elyse B on 5/05/04 at 13:12 Thanks, I called Jeffrey Rich who is a pedorthist who just makes orthotics and made an appointment for next week. I am not sure what caused the PF. Probably because I started running 1 year ago, and got right into it, way too much mileage, too much training on hills etc. etc. So therefore backing off and starting over for me once the pain is gone is what I need to do. Truth be told from day one I felt these orthotics were built too high up in the heel. The podiatrist insisted they were correct and I would get used to them. I wore them 1 hour, 2 hours, 3 hours etc. and they still hurt. I really am not familiar with the materials that orthotics are made of but it looks like cork (or something similar) is what is used to build up the arches and also the heel is built up which is not comfortable. This Jeffrey Rich stated that he makes "soft" orthotics, soft sounds really good to me now. Even the SDO or Powerstep sounds good.
Result number: 47 Posted by Richard, C.Ped on 5/05/04 at 12:50 It depends also on your foot type and if any special posting has to be placed on the orthosis. You mentioned New York. If you are near this guy, you may want to give him a call: Member Name: Mr. Jeffrey S. Rich Company: Custom Sport Lab, Ltd. Address: c/o U.S. Orthotic Center 515 Madison Ave. New York, NY 10022 United States (USA) Phone: 212-832-1648
Result number: 48 Posted by Pauline on 5/04/04 at 14:05 Dr. Z, The group is a large practice in Pennsylvania. Dr. Zingas has nothing to do with it. He hasn't moved. Many sources, many places. Tri-State Orthopaedics & Sports Medicine, Inc. Jack Failla, MD Brian F. Jewell, MD Jeffrey N. Kann, MD Steven E. Kann, MD Mark J. Langhans, MD Paul A. Liefeld, MD Victor J. Thomas, MD Gerard J. Werries, MD Northpointe Center Suite 100 300 Northpointe Circle Seven Fields, PA 16046 Phone: 724-776-2488 Map Pittsburgh Office & Research Park 5900 Corporate Drive Suite 200 Pittsburgh, PA 15237 Phone: 412-369-4000 Map Twin Towers Office Building 4955 Steubenville Pike Suite 120 Pittsburgh, PA 15205 Phone: 412-787-7582 Map Centre Commons Suite 300 5750 Centre Avenue Pittsburgh, PA 15206 Phone: 412-605-0399 Map
Result number: 49 Posted by Kathy G on 8/13/03 at 11:05 I ran my virus scan, one more time, just to be sure and it came out OK. I can't believe that people start these viruses just for kicks. If they're smart enough to design this kind of virus, why don't they get a job where they can use their brilliance to achieve something positive? I've mentioned it before but if anyone's interested in the field of computer hacking, Jeffrey Deaver wrote a fascinating mystery entitled, "The Blue Nowhere," that is both a good read and gives you an idea of how fanatical these computer people can be. I highly recommend it! I liked it so much;I read it a second time and I hardly ever read a book twice.
Result number: 50 Posted by marie on 7/27/03 at 17:38 As I have mentioned in an earlier post we have had 2 friends that we lost to murder. Today I will share Jaimee's story. I worked at a large furniture store in Indianapolis when I first graduated from college. They trained us to be interior designers. One of my co-workers, Jaimee's husband, also had a degree in Art Ed. He and I hit it off and we usually paled around together at work. I had met his wife on several occasions....she was a doll. He was so much in love with her. Jaimee was a trainer for an Indiana department store chain. She worked downtown and at a small upscale mall on the north side. After a couple of years I switched jobs to learn about the graphics industry. I kept in touch with my friends at the store. One morning I heard a familiar name on the radio news my heart stopped.....I listened closer and they said Jaimee Brumbly...not alot of Brumbly's out there. She was found dead in the trunk of her car in a downtown grocery store parking lot. I phoned friends immediately and spent time with my friend....This is Jaimee's story. She was leaving the shopping mall store...her car was parked in the employee parking lot it was 11:00 a.m. There was a hedge of bushes dividing the employee and customer lot....they had grown rather tall. Jaimee interrupted a man breaking into some cars. He shoved her in the back of her 2 door car and had a knife. He took her to a wooded spot in the downtown area and assaulted her. He tied her up, put her in the trunk of her car and shoved her panty hose into her mouth and throat. He drove the car to a nearby grocery store and abandoned it. Jaimee slowly suffocated in the trunk of her car while people were going in and out of the grocery store. They said it was a slow painful death. This is her husband's story. He received a call from the department store because Jaimee hadn't shown up downtown to do training and they were concerned. Steve immediately left and traced her driving route from one store to the next and found no sign of her or her car. He called police and tried to report her missing. They said they couldn't do anything until 24 hours passed because she was an adult. He phoned her parents and they all began to search for her. Jaimee's father was the head of the gas company in Indy. He asked that all his drivers to look out for her car. It was a Gas Co. employee that found her car early the next morning. Time went by and the investigation seemed hopeless. About 6 weeks later there was a break. A man had tried to attack a woman in a downtown parking garage. Another man happened to be going to his car when he heard a scuffle and a woman yelling. I guess she was putting up quite a fight. The man was able to not only get him off of her but held him there until she was able to call the police. (This was in the 80's no cell phones). He was connected to Jaimee's murder by his fingerprints, blood samples (Jaimee had skin and blood under her nails as she tried to fight him), and semen. The man pleaded guilty to the count of attempted rape in the parking garage and NOT GUILTY for raping and murdering Jaimee by reason of insanity. The murderer (I have chosen to never speak his name) had a history of mild mental illness. He had been in and out of hospitals for years. He was homeless. The trial was long and public. It was hard on Jaimee's family and especially for her husband. In the end the man was found guilty and although mentally ill was given the death penalty. The judge determined that many mentally ill people do understand right from wrong. The fact that he tried to hide Jaimee by tying her up, stuffing her panthose down her throat, and placing her in the trunk shows that he knew and understood that what he had done was wrong because he was hiding it, therefore he deserved the maximum penalty. It was a precident setting case. Her husband would only be interviewed by one person from the news, Jane Pauley. They had gone to the same high school. Jaimee's death changed the courts forever. Her case is sited in both famous and not so famous trials across the country on a daily basis. Who has it affected....Jeffrey Daumer and Susan Smith are the two that come to mind. thanks for listening...I don't share this story often. No one has the right to commit a violent act against another person, period. marie
Result number: 51 Posted by Ed Davis, DPM on 6/12/03 at 01:57 Advanced Search Help Books Policy Studies Cato Policy Report Cato Journal Regulation Magazine Cato Handbook for Congress Congressional Testimony Legal Briefs Cato Audio Cato's Letters To Be Governed... Events Archive Make a Contribution About Sponsorship Alternative Giving Methods Levels and Benefits Pocket Constitution Email Updates Cato Audio Cato Store Cato on Your PDA Cato University El Cato Cato Policy Analysis No. 288 November 12, 1997 Replace FDA Regulation Of Medical Devices With Third-Party Certification by Noel D. Campbell Noel D. Campbell is in the Department of Economics, Gordon College, Barnesville, Georgia. -------------------------------------------------------------------------------- Executive Summary No manufacturer can market a medical device, alter manufacturing processes for a device, or propose a new use for an existing device without the prior approval of the Food and Drug Administration (FDA). The FDA monopoly over market access is a bottleneck, delaying the introduction of new medical devices for up to three years and restricting the flow of information from manufacturer to user about approved devices. These actions not only violate the basic rights of the device manufacturers and consumers who wish to trade with one another--they have resulted in thousands of deaths. The solution to the problems caused by the FDA's monopoly over market access and dissemination of information is to turn over the certification of medical devices to certification agencies competing in a free market. The best known of the privately funded institutions that certify safety and performance in other markets is Underwriters Laboratories, Inc. UL's and similar organizations' certification of the safety of products provides valuable information to consumers and leaves manufacturers and consumers free to trade with one another--a basic right in a free society. Unlike proposed reforms that leave FDA's monopoly intact, the market solution ensures that consumers will be able to choose in a market well stocked with safe, effective devices, guided by qualified experts with superior information. Certifying organizations, anxious to maintain their reputation as guardians of safety and efficacy, will protect consumers from a "race to the bottom" and from "fly-by-night" manufacturers. When, as now sometimes happens, unsafe or ineffective products mistakenly reach the market, the court system provides a mechanism for legal redress and government prosecution. The incentives for certifiers in a free market are far more effective for generating good results than the incentives for bureaucrats with monopoly powers. Introduction In 1992, FDA Commissioner David Kessler concluded that it is too great a burden for average Americans to make decisions concerning their own health care. He stated, If members of our society were empowered to make their own decisions . . . then the whole rationale for the agency (FDA) would cease to exist. . . . To argue that people ought to be able to choose their own risks, that government should not intervene . . . is to impose an unrealistic burden on people. [1] Kessler's statement makes clear his opinion about the FDA's role in society and about the necessity for paternalistic government intervention. In his view, the citizen has no freedom to rely on medical advice from professionals of his or her own choosing and to decide along with those professionals which medicines and medical devices to use. Only the government decides. This study presents a proposal to do away with FDA's monopoly over market access for medical devices and to replace it with third-party certification. This solution to the problems raised by FDA regulation will produce a market with safe, effective devices and wide-open exchange of information. Proposed "reforms" of the FDA system, which are described in this analysis, would leave the agency's monopoly intact and continue FDA's power to restrict the flow of information from manufacturer to consumer. The Nature of the Problem The FDA has become a bottleneck, delaying the introduction of new medical devices for up to three years and causing the deaths of thousands of Americans who are denied access to these new devices. [2] The basic problem with the FDA can be stated with a simple example from statistical theory. FDA makes decisions about whether or not devices are safe and effective, and two types of statistical errors are possible: A Type I error occurs when a false hypothesis is accepted as true. It results in an unsafe or ineffective device being marketed. A Type II error occurs when a true hypothesis is rejected as false. It prevents or delays the entry of a safe and effective device into the market. The FDA focuses too much on preventing Type I errors. That is, the FDA spends too much time and too many resources trying to prevent the introduction of devices that may later prove to be unsafe or ineffective. Consequently, the FDA does not spend enough time and resources ensuring that safe and effective devices are not locked out of the market. The result is that safe devices are subject to extremely long and costly delays before they can be marketed. The FDA behaves that way because it is a public agency that answers to politicians, and Congress and the President pass on the political pressure they feel to the agencies under them. Congress' actions have been described as follows: First require that the FDA do the unwise or impossible. A few years later, ask the General Accounting Office to tell you if FDA is doing the unwise or impossible as instructed. Express shock and surprise when you learn that it is not. Hold hearings to pistol-whip FDA and industry in order to support the passage of more unwise or impossible-to-implement legislation. [3] Another FDA watcher describes how Congress turns agencies into public scapegoats and whipping boys, creating and maintaining the FDA's obsessive desire to minimize Type I errors: From FDA commissioner to the bureau heads to the individual NDA [New Drug Application] reviewers, the message is clear: if you approve a drug with unanticipated side effects, both you and the agency will face the heat of newspaper headlines, television coverage and congressional hearings. On the other hand, if FDA insists on more and more data from a manufacturer, and finally approves a drug, which should have been on the market months or years before, there is no such price to pay. Drug lag's victims and their families will hardly be complaining, because they won't know what hit them. . . . They only know that there is nothing their doctors can do for them. From the standpoint of . . . politics, they are invisible. [4] The Perils of Delaying Medical Devices All regulatory agencies are human institutions. Regardless of motive or enthusiasm, they make mistakes and produce delays. When the FDA makes a mistake and allows unsafe and harmful products on the market, there is a clear result: people die. But what is not so clearly seen is that people also die when the FDA fails to act or acts too slowly in allowing a life-saving device on the market. Moreover, businesses may lose profits, jobs may be destroyed, and consumers may pay more for the goods they purchase. One can seldom specify the deaths that occurred because the FDA was slow to allow a drug or device on the market. There are, however, some well-known examples: Thrombolytic therapy dissolves blood clots in heart attack victims. Every year 700,000 people suffer heart attacks, and 9 percent of them die. The FDA found the therapy reduced heart attack fatalities by 18 percent, but it took two years to approve the new drug application. The result was as many as 22,000 deaths. [5] Based on FDA's own calculations, between November 1988 and May 1992, 3,500 kidney cancer sufferers died as the FDA deliberated the approval of Interleukin-2, which was already available in Denmark, France, and seven other European countries. [6] Misoprostol prevents bleeding ulcers caused by aspirin and other, similar drugs. These ulcers are common in arthritis sufferers. According to the FDA's own figures, Misoprostol can potentially help 10,000 to 20,000 people every year. During the nine and one-half months it took the FDA to approve the new drug application no one could use the therapy. That means 8,000 to 15,000 Americans may have died because Misoprostol was not available sooner. [7] Delays in medical devices also cost lives and prolong illness. Seven thousand Americans die every year because the AmbuCardioPump, a CPR device used in emergency rooms and available in most industrialized nations, is not available in the United States. [8] In 1993 the FDA disallowed the use of a specialized infant ventilator, a machine that helps very sick infants to breathe. The FDA's action cost the lives of 10 to several hundred infants. [9] FDA action in 1992 halted production of Physio-Control's cardiac defibrillators for more than two years, before allowing production to resume. A defibrillation authority, Dr. Richard Cummins, estimates "that FDA's shutdown of Physio-Control might have caused a thousand deaths." [10] "Balloon implants used to plug life-threatening holes in brain arteries were rejected by the FDA because the developers did not properly document their benefits. Some neurosurgeons call the balloons `the world's standard of care.'" [11] Annually, 40,000 men undergo surgery to correct benign prostate swelling. An American-designed safe, painless, permanent alternative--a tiny implantable wire coil--was still not available in the United States six months after its introduction in Europe. [12] Despite the clearly demonstrated safety and accuracy of the home HIV test, FDA delayed its marketing for five years. As a result, an estimated 10,000 people were infected with HIV because people who would have used the test to find out that they were carriers of the virus could not do so. [13] These numbers reflect only some of the fatalities, pain, and suffering that can be laid at the FDA's door. Quality of life suffers when the FDA refuses to allow drugs and medical devices to be sold until its exhausting, Byzantine approval procedures are completed. Vice President Al Gore's National Performance Review proudly predicted that by 1997 new devices would receive final approval and be marketed within one year. [14] Even had that goal been reached, the FDA would have delayed access to the market for one year, twice the time allowed in the law. In the case of thrombolytic therapy, that would have meant that only 11,000 people would have died. Taxpayers also bear a large, direct burden because of the FDA. The FDA is a monumental, costly enterprise funded almost entirely by tax dollars (one exception is the FDA program that permits drug manufacturers to make payments to the FDA that are used to hire and keep additional drug review and approval personnel at the agency). The FDA budget has hovered just below $1 billion annually since 1994. [15] The Alternative Is there an alternative to entrusting a monopoly agency with coercive powers? Yes. The alternative requires no massive expenditures of the public purse to work. It makes fullest use of millions of bits of knowledge. It is based on individual freedom. It has a proven record of success. Privatization of the certification of medical devices will save lives and alleviate suffering. It is the efficient, effective alternative to the FDA's current command-and-control approach to regulation. Privatization is widely regarded as a positive step for most areas of government, but many people are reluctant to privatize an agency concerned with health and safety matters. Will the free market work? It works now and certifies the safety and effectiveness of thousands of products. It can work for medical devices. Third-Party Certification What would happen if the FDA were stripped of its monopolistic position over market access? Who would the public turn to for testing and certification of safety and effectiveness? How would the public know medical devices are safe? These questions have answers, and the answers lead to the prospect of an approval process that will be faster and more responsive to the need for new life-improving therapies and products. Not only can consumers get more speedy and flexible approval of safe devices, but they can get it without sacrificing quality and effectiveness and at lower cost. No one in the market has the capacity to block the sale of new devices, and no one can prevent consumers and their medical advisers from making their own decisions about the medical devices that they use. Without FDA's monopoly over market access, the market will be well stocked with safe and effective devices, and consumers and their advisers--physicians, nurses, pharmacists, physical therapists, and other health professionals--will have the knowledge to use them wisely. Private third parties would certify devices, and the FDA would retain its role in investigating and prosecuting fraud when it occurs. This system is preferable to the current regulatory structure, and it will become a reality when the FDA's monopoly powers over market access and the dissemination of information are removed. The market, relying on individual initiatives, generates new institutions to spread information through the economy. The other key accomplishment of the market is that it induces and sustains such institutions without coercion, with minimal resource cost, and with a maximum of personal freedom. Market-created institutions produce and disperse a vast volume of information about safety and quality every day. For example, Consumer Reports and the Washington Checklist tell prospective shoppers about best buys; the American National Standards Institute (ANSI) provides manufacturers with standards for manufacturing and safety so the consumer knows that "brand X FM tuner" will work with "brand Y amplifier." There is no compelling reason to believe that the market would not induce that same information flow about the safety and performance of medical devices. There are reassuring working examples of market solutions to the same types of issues addressed by the FDA. The best-known example is Underwriters Laboratories, Inc. (UL), which has been certifying product safety for more than 100 years--longer than the FDA has been in existence. Like the FDA, UL is committed to public safety. Both organizations work to safeguard the public from dangerous products. Both are staffed by expert scientists and technicians. UL's actions, like the FDA's, affect millions of consumers and involve products worth billions of dollars. Every day, the public buys and uses products that are UL listed or FDA approved. We put on our FDA-approved cosmetics after drying our hair with our UL-listed hair dryers. We pour FDA-approved vitamin-enhanced milk over the breakfast cereal we cooked on UL-listed stove tops. Driving home from work, we take FDA-approved aspirin while cooling off with UL-listed automotive air-conditioners. Only the number of products the market produces limits the parallels. But there are some significant differences. The FDA is a tax-funded public agency, given legal monopoly power over market access and the dissemination of information. Its relationship to Congress leads the FDA to concentrate on approving only those devices that are extremely likely to be safe. The consequence is that many safe and effective devices never reach consumers. UL is a private organization that receives no tax revenue. Its clients, mostly manufacturers, wholly support it. It has no legally created monopoly over market access; it cannot deny consumers choice; it has no incentive to minimize the chance of a Type I error at the expense of Type II errors. UL's market-created incentives are to test products appropriately, minimizing the probability of both Type I and Type II errors. Underwriters Laboratories William Henry Merrill, a fire safety inspector from Boston, founded UL in 1894 as an independent, not-for-profit organization. It provides certifications of safety for thousands of products and writes standards for manufacturing and performance for hundreds of others. It has been so successful and its market acceptance so complete that consumers scarcely ask themselves if many of the products they buy are safe. They make the rational assumption that they will be because UL and similar organizations certify them. UL's stated, explicit mission is "Testing in the Public Interest." As Inspector Merrill said in 1923, "We are doing something for manufacturers, buyers, users, and property owners everywhere. We are doing something for humanity." [16] UL certifies more than 14,000 different types of products. Every year, UL issues over six billion individual UL marks, the "trademark" symbol affixed to certified items which are UL listed. UL has more than 40,000 clients, including manufacturers, retailers, insurers, code officials, architects, and government agencies. Among many other products, UL tests and certifies electrical and medical appliances and equipment, automotive and mechanical products, fire-resistant and other "code" materials, bullet-resistant glass, Occupational Safety and Health Administration (OSHA)-designated "hazardous location" products, alarm systems, and chemicals. UL writes and maintains 696 different end-use product standards. UL helps develop national and international codes and works toward standards harmonization. [17] UL does not provide the insurance function of underwriting risk. It produces no testimonials, advertisements, or other marketing support for its clients. The sole business of UL is disseminating safety and performance information. UL approval sometimes is conditioned on manufacturers' issuing warning labels, use-and-care booklets, safety tips, and other consumer information. UL itself distributes informational literature, news releases and broadcasts public service announcements to educate the public about the meaning of the UL mark. UL disseminates all this information because the market demands it, not because the government requires it. How good is UL at what it does? UL's employees are the most expert personnel in their profession. Their professional opinion on a given subject is the best available. Homer Pringle of UL's legal department says, "Put UL personnel on the stand, and they will beat anybody else's expert witnesses." [18] Value Added and No Monopoly No statutory, regulatory, or court-ordered mandate requires manufacturers to seek UL approval, yet tens of thousands do. Why? Consumers want to buy safe and effective products. The people at UL have staked their time, their reputations, and their livelihoods on providing consumers with accurate and timely information. The UL organization acts like a performance bond. Manufacturers who pay for UL's services are posting that bond. Consumers recognize this and are willing to buy or pay more for UL-listed products. Thus, manufacturers who produce a good product want UL listing. Companies that make a poor, unsafe product are not listed with UL, many retailers balk at stocking such products, and many consumers think twice before buying them. Product safety is ensured, and the private market has generated value-adding information. Incentives Market survival dictates that UL be extremely diligent in avoiding both Type I and Type II errors and in maintaining independence from its clients. If UL were a tool of certain manufacturers, UL could not avoid listing unsafe products. Were that to happen, consumers and competitors would discover it and the UL mark would no longer add value to products. As a result, manufacturers would stop paying for UL and its services. It is costly for everyone, including manufacturers and UL, to have poor quality and performance standards and unsafe products. In its 1994 Annual Report, UL said, The "real" cost . . . is compromised safety, which can ultimately result in product rejection, manufacturing delay, and greater costs. A final result is the loss of the certification organization's credibility and the manufacturer's product acceptance. The loss of credibility would spell the end of jobs for UL's management and employees. UL, consumers, and manufacturers all want a reliable and independent UL, and all have incentives to keep it that way. Unlike the FDA, UL has incentives to reduce Type II errors. If UL in any way unnecessarily delays the marketing of a new product, it lowers the value of the UL mark to producers. That means that UL has powerful incentives to certify a product as quickly as possible without unduly increasing the likelihood of committing a Type I error. UL operating practices contribute to appropriately rapid certification. UL works closely with the manufacturer's product developers from the earliest stages of research, to help them meet the known burden of the applicable standards. Before a sample product or process is even complete, UL may have been able to certify it. Who Pays? UL gets its job done efficiently and at low cost. In 1994, UL employed more than 3,900 people, including more than 900 degreed engineers and many more researchers and technicians. In that same year, the FDA employed 1,093 people in the Commissioner's office alone, as well as 984 in the Center for Devices and Radiological Health and 925 in the Center for Food Safety. In its 1994 income tax return, UL claimed revenues of $281.1 million. [19] That is a substantial sum, but less than the $921 million Congress appropriated for the FDA in the same year. Moreover, UL pays its employees out of revenues it earns from providing valuable services for its customers, whereas FDA staff are paid out of tax dollars that all consumers are required to pay. Manufacturers pay for UL's services. UL charges a fee based on a cost-of-testing approach then bills out its on-site inspectors at a flat rate. Consumers who do not benefit from UL's services do not have to pay for them. UL is free from pressures to comply with special interests; it must satisfy customers directly. In other words, it is not detached from the people who use its services as tax-supported government agencies are. For their fees, clients get follow-up services that include frequent, unannounced visits to their production facilities worldwide. In 1994, more than 481,000 on-site follow-up-service visits were conducted for the benefit of UL clients, the manufacturers and merchants who pay for UL's services. [20] During such visits, UL personnel check production controls, observe on-site testing, conduct inspections, and select samples for further testing at UL labs. They even check to see if the certification program is posted on the wall. If the facility does not pass inspection, the manufacturer has two weeks to correct the mistakes. After that, UL pulls its certification. Competition UL can perform its tasks efficiently because of a simple, understandable reason. Unlike the FDA, UL operates in the private market, and it is not legally protected from competition. Competition in the market for high-quality product safety information has the same effect that competition has in any market. Goods and services produced in a competitive market are produced efficiently, at the lowest cost. Though UL enjoys the widest name recognition in the marketplace, its market is competitive, and UL has competitors. Among many others, these competitors include Electronics Testing Laboratories, a subsidiary of the British conglomerate Inchcape; Factory Mutual of Norwood, Massachusetts; and Canadian Standards Association of Rockville, Ontario. Some competitors use UL standards as the basis of their certification, but others write their own. Some of UL's competitors are for-profit organizations. Others are subsidiaries of other corporate entities. Though UL uses the term "friendly competition," [21] the competition is there. If UL's standards are inappropriate, or if the public loses confidence in the good name of UL, then there are other organizations ready to serve the market. UL has incentives to do its job quickly, accurately, and efficiently. If those incentives break down for any reason, the critical point is that even a malfunctioning UL cannot make consumers suffer. Consumers are still able to use the information at hand and make an informed choice. UL tests products and certifies their safety, providing consumers with accurate, timely information, and no more. Consumers can decide for themselves, based on good information, if they want to buy a riskier product or not. No monopolistic government agency prevents their making their own choices. UL Standards for Safety How does a "standard for safety," a product standard, get written? The process begins after a product has been submitted for testing to UL. UL then issues an outline of its planned investigation to interested parties and solicits comments and criticisms. Based on that feedback, UL amends the outline and issues the proposed standard to repeat the process. That reiteration produces the published standard in a timely fashion. The whole process usually takes only three to four months, and amendments to the standard can be published and made available within a day. Based on a standard, UL engineers can write a certification program within a couple of weeks. [22] Moreover, UL standards are flexible in that they are designed to accommodate manufacturing innovations, in a manner consistent with the original intent of the standard. "[B]uilt into UL Standards are requirements that facilitate changes and eliminate undue restrictions on design." [23] Government Agencies Use UL Private consumers are not the only beneficiaries of UL's services. Government agencies also depend on the company. UL is an active participant in development of "building codes" in over 40,000 local jurisdictions around the country. The UL mark is accepted in all 40,000 of those jurisdictions. [24] OSHA recognizes UL as one of its 13 Nationally Recognized Testing Laboratories (NRTLs). OSHA's guiding documents specifically state that an NRTL shall certify all electrical workplace products. Many of the standards for certification were developed by other third-party certification organizations--in particular, the American Society for Testing and Materials (ASTM) and the American National Standards Institute (ANSI), but some are UL standards. As an NRTL, UL certifies the safety of products that affect the occupational safety of employees. Most of UL's work as an NRTL involves electrical products, but it also evaluates fire suppressant and elimination products and liquid petroleum gas appliances. [25] Even medical equipment carries UL's safety certification. UL tests medical equipment and devices for safety. Turn over most medical equipment, and there will be the UL mark. [26] To be sold as medical devices, the equipment must still be approved by the FDA, at enormous cost, but UL has already certified its safety. As described below, FDA has initiated a study of alternatives to its current regulatory program for medical devices. UL is one of the certified third parties in the program. That does not mean that the FDA is one of UL's clients, but it demonstrates that the FDA recognizes UL's competency. The Success of Market Certification In Senate testimony, FDA Commissioner Kessler stated, "The assurance that FDA is there everyday doing its job is so fundamental that we have the luxury of taking it for granted." One implication of his statement is that the FDA is necessary for Americans to feel secure about their medical devices. Extending that logic, do consumers worry that their televisions will start fires, or that they will be injured using their toasters? Is there a strong popular demand for the federal government to certify the safety of consumer products and restrict consumers' access to these products? There is no such demand because UL and the other competing certifying organizations already fill the role. The market system already produces accurate information about the quality of consumer products. The FDA and Medical Devices Developing a medical device is a lengthy process that usually goes through three steps after prototypes are first manufactured: pre-clinical testing on animals, clinical testing involving human beings, and FDA review for approval. The FDA review process imposes significant delays upon the marketing of new devices. A Brief History of Medical Device Regulation The fundamental sanctioning law of the FDA, the Federal Food, Drug, and Cosmetic Act of 1938 (FDC Act), clearly separated medical devices from pharmaceuticals and gave the FDA power of premarket approval over pharmaceuticals but gave it no corresponding power over medical devices. ("Pharmaceuticals" are products that produce an effect through chemical or metabolic action. "Biologics" are products of biological origin that have pharmaceutical properties.) A "medical device," according to the General Accounting Office (GAO), "can be any product used to cure, prevent, diagnose, or treat illness, provided that its principal intended purposes are not achieved primarily by chemical or metabolic action." [27] Devices range from Band-Aids and tongue depressors to kidney dialysis units and heart lung machines. Under the 1938 law, the FDA's options for regulating devices were limited to asking the courts for the authority to block new devices or to remove existing devices from the market. Within that limited sphere, the FDA blocked or removed dozens of fraudulent medical devices during the next quarter century. Following passage of the 1962 amendments to the FDC Act, which expanded the FDA's mandate to require proof of effectiveness as well as safety for drugs and which increased the FDA's enforcement powers, the FDA struggled to secure the same authority over medical devices that it already had over drugs. [28] The Medical Device Amendments of 1976 enjoined the FDA to "provide reasonable assurance of the safety and effectiveness of the device[.]" Safety and effectiveness were to be determined with respect to the device's intended user, its prescribed or recommended uses, and its probable benefit weighed against the probable risk of illness resulting from its use. The most significant aspect of the 1976 amendments was the establishment of the FDA as the gatekeeper over market access for medical devices. Power had clearly shifted to the FDA. Instead of being required to demonstrate its case to the satisfaction of a court, the FDA could now ban devices on its own legal authority, and it was left to the injured party to seek a judicial review. The next significant event in medical device regulation was the November 1990 passage of the Safe Medical Devices Act (SMDA). The pattern repeated itself. The FDA garnered more power, added more layers of costly reporting and bureaucratic requirements, and gained more powers of interference in the market. The SMDA instituted a massive system of post-market surveillance and a reporting scheme wherein medical device users, of any sort, are required to file reports anytime a device could be implicated in a patient's injury or illness. Often hastily written, these reports are seldom-useful research tools. The FDA requires users to decide for themselves when such a report is necessary. [29] In addition, the FDA received new authority to impose civil penalties for violations of the Act, or not to impose the penalties, at the FDA's discretion. Classes and Tiers and What Difference Do They Make? The 1976 amendments established three classes of medical devices (Classes I, II, and III), corresponding to devices of low, medium, and high risk. In 1994, the FDA implemented a three-tier system that ranks devices according to the intensity of required review. Tier I devices require the least review. With the combination of the class and tier systems, the FDA can categorize medical devices in nine different ways (e.g., Class I, Tier I; Class II, Tier I; Class III, Tier I; Class I, Tier II; Class II, Tier II, etc.). Some devices are novel, and some devices are similar, or nearly equivalent, to existing devices. For high-risk novel devices, the FDA requires a full pre-market approval (PMA) review before allowing the marketing of the device. Low-risk novel devices similar to other approved devices are evaluated under a provision called "510(k)" (after a section of the 1976 law). The 510(k) process initially required only that the manufacturers notify the FDA about the device and convince the agency that it was equivalent to an existing device. The FDA does not require full PMAs before considering approval for new uses of approved devices. Those are evaluated as "PMA supplementals" and require only an abbreviated approval process. These neat distinctions, if they ever existed, have been battered down by the FDA's constantly expanding requirements. The 510(k) process, through arbitrary and baffling FDA requests for more information, ballooned from a simple notification process into a system often tantamount to a full PMA. Former FDA chief counsel Peter Barton Hutt said that the FDA staff reviewers "sent back 510(k)s with so many trivial, unimportant questions that they eventually became the same as a PMA." [30] In an apparent acceptance of reality, the SMDA of 1990 formally altered the 510(k) process from notification to an approval process and augmented the types and quantities of required data. Approval Rates for Medical Devices Table 1 shows the number of submissions for FDA approval of medical devices and the number of approvals each year from 1989 through mid-1995. As can be seen, the number of submissions was highest in 1989, probably because of manufacturers' desires to avoid the new requirements expected with the passage of the SMDA in 1990. Since then the number of 510(k) submissions has remained constant at about 6,000 per year. PMAs have fallen from more than 70 per year to the 40s, and PMA Supplementals have fallen from about 600 to about 400. Approvals per year of 510(k)s have remained nearly constant, and approvals of PMAs and PMA Supplementals have fallen. According to a 1995 GAO report, the FDA has approved 73 percent of the 40,950 510(k) applications received during 1989 through May 1995 and disapproved 2 percent. As of May 1995, 4 percent of the 1989 PMAs were unresolved, and 81 percent of the 1994 PMAs were still in review. The FDA is far short of reaching its mandated requirements to complete reviews of 510(k)s in 90 days and PMAs in 180 days. Table 1 Submissions and Approvals for Medical Devices 510(k)s PMAs PMA Supplementals Year Total Approved Total Approved Total Approved 1989 7,023 5,258 84 45 804 640 1990 5,835 4,633 77 36 660 557 1991 5,835 4,513 72 21 595 493 1992 6,533 4,888 66 21 605 474 1993 6,306 4,654 40 7 394 311 1994 6,446 4,342 43 3 372 269 1995 3,033 1,429 19 0 210 78 Source: "Medical Devices: FDA Review Time," GAO/PEMD-96-2, October 1995, p. 27. How Long Does FDA Review Take? The 1976 law requires the FDA to complete review of 510(k) devices within 90 days and review of PMAs within 180 days. Those requirements have proved unreachable for the FDA. In 1995, at the request of Representative Joe Barton (R-Tex.), the GAO examined the FDA review times for medical devices from fiscal year 1989 to May 18, 1995. [31] In its October 1995 report, the GAO found that FDA had failed to meet the review deadlines. For 510(k)s: · The median approval time for 510(k) applications was 222 days for applications submitted in 1993. · The average for all 510(k)s was even greater, 269 days, and will continue to grow as the remaining open cases (3 percent) are gradually closed. If these outstanding reviews were arbitrarily closed at the cut-off date for the GAO's data collection, the mean would jump to 285 days. For PMAs: · The median review time for PMAs completed in 1993 was 804 days. The mean was 591 days for all PMAs over the 1989 through 1993 time period. · Open or unresolved PMAs, for which reviews were not complete, ranged from 4 percent of 1989 submissions to 40 percent of 1992 and 1993 submissions and 81 percent of 1994 submissions. For PMA Supplementals: · For PMA Supplementals submitted in fiscal year 1991, the median review time was 154 days, the mean was 261 days, and 3 percent of the submissions remained open. · The mean time for review of all PMA Supplementals was 238 days. The GAO analysis showed that the time used by manufacturers to gather new information had held steady during 1989-1993. [32] The increases in review times resulted almost entirely from FDA actions. In its printed response to the GAO report, the FDA maintained that the GAO's figures misrepresented the facts and recommended use of different methods for measuring review times. However, by the FDA's own conventions its performance was even worse in the later years of the study. [33] The FDA also maintained that changes in their administrative process and changes in the nature of new submissions distorted the GAO's numbers. The GAO's response was, "We are not able to verify the effect changes have actually had on review time. To the extent that these changes did affect review time, they are reflected in the review times as presented[.]" [34] In a December 12, 1995, speech at the Food and Drug Law Institute's annual meeting, FDA Commissioner Kessler boasted that the FDA had reviewed 96 percent of all pending final applications in 1995. [35] That seemingly impressive claim is misleading; it ignores other changes in FDA's review. The FDA has increased the number of trials it requires before approval can be considered and is now changing the requirements again. It has also drastically increased the amount of information it demands before accepting a new device application. [36] Moreover, Jeffrey Kimball, the executive director of the Medical Device Manufacturers Association, attributes the FDA's success in reducing its backlog to a simple procedure. The FDA now rejects more new device applications. [37] In fact, in the GAO report "Medical Devices: FDA Review Times," the FDA lists "refuse to accept/file policies" as one of the changes instituted to reduce review times. [38] The final results are long delays between the development of a device and the time it becomes available to consumers who need it. In addition, FDA's more stringent gatekeeping over which applications it will consent to review may be leading to the rejection of useful devices in order to reduce review times. Type I Errors Still Occur Despite the FDA's obsession with Type I errors, some do "slip through the cracks." The FDA approved the Bjork-Shirley Heart Valve in 1979. The manufacturer, a Pfizer subsidiary, stopped selling the heart valve in 1986 because too many failed. Though the valve failed in only 0.5 percent of all patients between 1979 and 1994, 300 people died worldwide, including 130 in the United States. Despite the low failure rate, the performance of the heart valve qualifies as a Type I error because the FDA expected a failure rate lower than 0.5 percent. In 1994, Pfizer and the U.S. Department of Justice agreed to a $10.75 million settlement plus reimbursement of U.S. government expenses associated with valve replacement. [39] The lesson learned from the Bjork-Shirley case is that Type I errors will on rare occasions still occur, despite massive government intervention into the marketplace to prevent them. Reform Is Not the Solution Responding to the delays and inefficiencies in FDA review, Congress has considered a number of FDA reforms. None has been enacted in the device area. If any had been enacted, they would have changed FDA's marching orders but left its monopoly over market access intact. In addition, the FDA is experimenting with "reform" of medical device review. That experiment is no more than an outsourcing of FDA's work to be paid for by device manufacturers. It, too, leaves FDA's monopoly intact. In any case, it is not expected to accomplish much. Tightening the Screws With the exception of 1992's Prescription Drug User Fee Act, which allows manufacturers of certain drugs to pay extra cash to hasten the review process, little FDA reform has been accomplished. That "reform" takes on an odd form, to be sure. The taxpayer-supported FDA failed so miserably at meeting its drug review mandate that Congress now allows drug manufacturers to give money to the FDA so that the agency can employ more staff for drug review. Whatever the merits of the Drug User Fee Act, there is no corresponding user-fee program for medical devices. Instead there has been a documented tightening of the screws at the FDA. [40] Consciously stepped-up enforcement activity, coupled with the FDA's own uncertainty in trying to please inconsistent congressional taskmasters, [41] has produced predictable, distressing results within the medical-device industry. Indeed, businesses have moved their operations into foreign nations. In a June 1994 survey by the American Electronics Association, 29 percent of the polled firms indicated that they had shifted investment overseas, 22 percent said they had moved personnel overseas, and 40 percent said they had reduced their U.S. payroll as a result of FDA delays. [42] Internal Reform at the FDA In 1994, the FDA began to exempt large numbers of Class I devices from the requirements of the revamped post-SMDA 510(k) process. Now, large numbers of those lowest-risk devices reach the market through notification, much as they would have in the original 510(k) process. Practically, that means that incremental advances in the design, or changes in the manufacture or materials, of such items as bedpans, Band-Aids, sterile gauze, or tongue depressors are no longer automatically kept off the market while the FDA grinds through its review process. The pervasiveness and silliness of the problems addressed by SMDA are illuminated by the fact that the FDA would have automatically blocked the sale of a manufacturer's tongue depressors because of a switch from spruce wood to yellow pine. The FDA's Trial of Third-Party Review In August 1996, the FDA initiated a feasibility study of a revised review system for low- to moderate-risk devices. [43] As an experiment, FDA accredited outside reviewers to test the design, performance, and safety of at least 10 categories of devices. The outside reviewers make recommendations to the FDA about approval or disapproval, and the FDA makes the final decision. The FDA's feasibility study, administered through the Division for Small Manufacturer's Assistance, located in the Center for Devices and Radiological Health (CDRH), is very limited in scope. It is an optional fee-for-service program in which fees are negotiated between the third-party review organizations and the manufacturers. The third parties can review, but not certify, those Class I products not already exempt from 510(k) review, and ultimately they will be permitted to review 30 Class II products. Among the Class I products the FDA allows third parties to certify are neonatal eye pads and patient examination gloves. Included in the higher-risk, Class II devices are "condoms (latex only)" and "scented or unscented deodorized tampons." [44] The products, all subject only to 510(k) notification and not PMAs, were chosen so that they would require no clinical studies and little data gathering. There are two crucial aspects of the pilot program's operation. First, the program amounts to no more than outsourcing of FDA operations. The third parties are simply doing what the FDA would have been doing. Al Bracey of the CDRH Division for Small Manufacturer's Assistance suggested that the program was initiated to save FDA resources and to expedite approval, not to study the impacts of reforming the manner in which the FDA reviews devices. [45] The second crucial aspect of the program is that the FDA retains complete control of approval. The third parties make recommendations to the FDA, which does what it pleases with them. The FDA retains its full monopoly powers. Bracey believes FDA would make its reasons for disapproval of a recommendation known, but it is not required. He also believes there are no special provisions for manufacturers whose products are not approved within the pilot program. Aggrieved manufacturers would have no more recourse than they currently do, which is limited to attempting to get a court to rein in the FDA. The FDA used two principal criteria when it selected third-party reviewers for participation in the feasibility study--scientific expertise and avoiding conflicts of interest. In conversation with the author, Al Bracey stressed concerns about conflict of interest over technical expertise. Ten or 11 of the 37 initial applications were not reviewed, primarily because of the FDA's perception of conflict of interest. Seven companies, including UL, made the FDA's final cut. As of November 15, 1996, the FDA had received only two 510(k) reviews from third parties. Bracey agreed that the program was new, having begun on August 1, 1996, and that the third parties were, in November, only gearing up to market their services. However, in that same length of time, the FDA had received "approximately 300 510(k)s eligible for third-party review." [46] As a result of the tiny number of third-party reviews, the FDA called for "comments on the reasons for the industry's low utilization rate of the pilot program to date and the steps, if any, that the FDA should take to address this situation." [47] Whatever the FDA did in response to the information it received has accomplished little. According to a Senate report [48] released in July 1997, fewer than 10 submissions for approval of medical devices had gone through the third-party (or "accredited organization") review process in the first 10 months of the program. Even before the program started, the FDA and the manufacturers were well aware of the weak incentives for manufacturers to use the program. The FDA report of a meeting on June 19, 1996, states Some industry representatives expressed concern . . . about the limitations of the pilot program that may restrict manufacturers' incentive to participate. In particular they commented that including only low- to moderate-risk devices in the pilot program and limiting third parties' role to making recommendations rather than final decisions might result in marketing clearances that are no faster, and perhaps slower, than those made by FDA alone. [49] In response, the FDA set itself a 30-day time frame to respond to all submissions made by third parties, under the assumption that 30 days plus the private review time will still be quicker than the FDA's mandated but seldom achieved 90-day review time. [50] Despite the limited use of third parties, FDA reported, Potential third parties expressed strong interest in the pilot program and indicated that they have the capability, independence, and controls to conduct sound and unbiased reviews. Most advocated that the FDA rely on existing accreditation systems and criteria for potential third parties, and that the setting of fees should be left to market forces. [51] At the same meeting, some potential third-party reviewers advocated Standards-based third party reviews rather than reviews focused on substantial equivalence; increased harmonization with international standards; and reliance on existing accreditation systems and criteria for potential third parties. [52] The FDA rejected these ideas. It said that the program was not designed to address innovations in the review process, but to address the feasibility of outsourcing the FDA's workload, and that it could find no accreditation criteria suitable for 510(k) review. Congressional Calls for Reform Members of Congress from all points of the ideological spectrum and from both parties have called for reform. More basic change must occur in the very way FDA sees its mission. FDA . . . must come to understand and believe that . . . consumer protection means not only protecting consumers from unsafe and [in]effective products, but also assuring that individuals have timely access to . . . improvements and breakthroughs in biomedical therapies and food technology. [Then-Sen. Nancy Landon Kassebaum (R-Kan.)] [53] [On] the issue of delays. . . . One of the things that emerge from conversations with people in the biotechnology community is that they are deeply concerned that science has now surpassed the regulatory framework of the agency. . . . [T]he regulatory framework . . . [is] from a whole other era and that now science is moving at such a rapid rate that the old mechanisms aren't working. . . . [W]e need a passion for change. If not, I believe that Congress is going to roll right over [FDA]. [Sen. Barbara Mikulski (D-Md.)] [54] Even FDA Commissioner Kessler said he saw the need for change, or at least saw the congressional sledgehammer hanging over the FDA. "[W]e are working hard to make the FDA more efficient," and "[W]hen it comes to getting needed therapies to dying patients, the riskiest thing we can do is be unwilling to take risk." [55] Discussing "accelerated approval" of products for life-threatening conditions, Dr. Kessler said, "I think we have an obligation to speed them up." On the same day, he responded to criticism that the FDA is slow, pugnacious, and obstructionist by saying, "We need to fix it." [56] All of the above quotes are from a single hearing before the Senate Committee on Labor and Human Resources in the 104th Congress in 1995. Despite the apparent urgency, no legislation about the FDA emerged from that Congress. Actions in the 105th Congress Both Houses of Congress are considering legislation to reform the FDA, and action is expected because of the pressure generated by the expiration of the Prescription Drug User Fee Act of 1992 on September 30, 1997. Bills in both houses provide for third-party review of medical-device applications, but those bills preserve the FDA's monopoly control over which devices can be marketed. Senate The Senate Committee on Labor and Human Resources approved S. 830 in June 1997, and the whole Senate is expected to consider the bill in July. S. 830 directs the secretary of health and human services (HHS) (hereafter "the secretary") to employ third-party firms to review applications for the marketing of medical devices. S. 830 eases restrictions on the use of unapproved devices when a physician determines that there is no substitute for the device and when the manufacturer of the device is seeking FDA approval for its marketing. This provision directly acknowledges the role of the physician in deciding on the best device for treating the patient. Nevertheless, it reserves to the FDA the power to take that device out of the physician's hands should its review convince the agency (if not the physician) that the device should not be on the market. In any case, the administration of the provision promises difficulties. The legislation directs the secretary to publish standards for medical devices such that a manufacturer can obtain access to the market by certifying to the secretary that a device meets the suitable standard. The secretary is also directed to accept compliance with any national or international standard as evidence for the marketability of a device. The secretary is granted the power to review the certification statements to ensure that the provisions of the standard are reached. The legislation directs the secretary to publish a list of Class II devices that do not require 510(k) approval before being marketed. In addition, the secretary is to respond to requests for adding other devices to that list. If enacted, this provision will largely restore the 510(k) process to a notification process as it was originally intended. Manufacturers whose devices are classified as Class III are permitted to petition the secretary for reclassification of the device as Class I or II. The secretary has 90 days to classify a device; currently, on average, the FDA takes 137 days for initial classification. The pending legislation would require FDA to respond to a petition for reclassification within 60 days. Were the secretary to make an initial classification decision within 90 days and respond to an appeal for reclassification within 60 days, almost half a year would lawfully pass before the FDA considered the device for approval. In reality, given the FDA record of meeting deadlines, more time would be expected to pass. Within one year of its enactment, S. 830 directs the secretary to accredit individuals and organizations to review 510(k) applications for devices and to make initial determination of the classification (Class I, II, or III) of a device. The secretary is not directed to accredit individuals or organizations to review applications for devices that are "life supporting," "life sustaining," or "intended for implantation in the human body for a period of over 1 year." Nor is he directed to accredit third-party review for Class III devices, but the secretary is granted the discretion to make such accreditations. A manufacturer will be able to ask for a third-party review of its device proposal, and the secretary is to offer the manufacturer a choice of at least two review organizations. Compensation for the review is to be worked out between the manufacturer and the review organization. Initially at least, third-party review will be limited to 510(k) applications; supposedly, all 510(k) reviews will be completed within 90 days. The third-party review can take up to 60 days, and the FDA review of the third party's recommendation is to be completed in an additional 30 days. To reach those goals will surely require changes at the FDA where missed deadlines are common. Moreover, the imposition of the deadlines will surely be met with an FDA request for additional funds for its review activities, even though the third-party review would greatly reduce its workload. House On May 21, 1997, Rep. Joe Barton (R-Tex.) and Rep. Anna Eshoo (D-Calif.) introduced the Medical Device Regulatory Modernization Act. It provides for new rules to govern the use of "Investigational Devices" that require the secretary of HHS to define conditions under which devices intended for human use can be exempted from certain requirements of the Act. In other words, some uses of some devices would be permitted even before the devices were approved for marketing. In addition, manufacturers would be permitted to make minor modifications to devices that are undergoing clinical trials without having to restart the review process with a new application. The bill also provides exemptions for devices that will serve only a tiny patient population and that probably would not be brought to market if the costs of the full review process had to be borne. The Barton-Eshoo Bill directs the secretary of HHS to publish notices identifying and adopting applicable nationally or internationally recognized consensus standards to which a person [a manufacturer] may self-certify compliance for the purpose of demonstrating a reasonable assurance that a device is safe or effective or to determine compliance with any requirement of this Act. This provision reserves to the secretary the decision about which consensus standards to recognize, and a later provision reserves to the secretary the authority to demand all data and information considered by the applicant, thereby maintaining government control. Even so, if consensus standards are published, manufacturers will be spared at least some of the delay now imposed by the FDA. The bill also directs the secretary to accredit third-party organizations to review applications for 510(k) devices. Third-party accreditation would be limited to Class I and Class II devices (excepting Class II devices that are designed for implantation or that could have life-threatening consequences should they fail). The secretary would provide manufacturers that choose the third-party route with a choice between at least two accredited organizations. The FDA Monopoly Is Preserved The bills are a step forward in the review of 510(k) applications, but the FDA retains its powers. As the Senate report says, The provision maintains a strong, continued role for the FDA in the device approval process. . . . The FDA alone accredits the pool of qualified private parties to conduct the reviews. . . . The FDA's role is not limited to accredited-party selection. In addition, the Agency retains all the authority it has under current law to make final product review decisions . . . there is no presumption given to the accredited party's recommendation of approvability or classification of a product. [57] Although the proposed legislation would probably result in wider use of third-party review, it represents, in effect, outsourcing of an activity currently done by FDA employees. More positively, should either of the bills or a compromise between them become law, the legislation might embolden legislators to further relax the FDA's grip on the marketing of devices. Beyond Reform Reforms are designed to improve or amend a system that is not functioning properly, not to replace the system. Reducing the amount of paperwork that goes along with a regulation is a reform. Removing an agency's regulatory power is a remedy, not a reform. The overriding problem with proposed FDA reforms is that they leave the medical device approval system unchanged in its most important aspect. The FDA will still hold its gatekeeper monopoly, constricting the market for safe medical devices. Independent Review Panels Are Not Independent Congress has long favored "independent review panels" as checks on FDA actions, and there are sixteen standing scientific/medical review panels under the Medical Device Committee in the FDA's Office for Device Evaluation. (Each of the required quarterly meetings of each of the 16 panels costs $20,000.) [58] In addition to subject matter experts, the medical-device review panels include a consumer's representative and an industry representative, in nonvoting roles. The only difference between panel members and regular FDA personnel is that the members are designated as "special government employees," meaning that they can work for the government only a certain number of hours per year. Many of the problems with FDA review can be traced to the panels. This is not an indictment of the panel members, but of an FDA structure that produces problems that can be subsumed under two general categories: expertise and incentive for the panels and timeliness of the process. The FDA is charged with finding the "best and brightest" among researchers and medical professionals to staff its review panels, but reviewers have few incentives to devote time and energy to review. Most importantly, panel members have other full-time occupations. Although they should be knowledgeable about the devices under review as well as about the theories and practices of clinical testing, they are also required to have no conflicts of interest. The format of the review process builds in delay. The members of the review panels are required to have no contact with any manufacturer; thus, there is no cooperation between the panel and the manufacturer during product development or between the review panel and the FDA personnel overseeing data collection for device review. This forces the manufacturer to do all of its work separately and submit it to a body that must then take time to review all of the manufacturer's material. Quite apart from expertise and timeliness, the critical problem in relying more heavily upon the FDA review panels is not the review panels themselves. The problem is that the panels are an extension of the FDA, and an FDA "by any other name" is an instrument of the FDA's monopoly. In the final analysis, the bureaucracy of the FDA, adding its delays and mistakes, still stands between the manufacturer that can provide the device and the consumers who need it. The potential for third-party review lies in the possibility that third parties will conduct the review process in a fashion different from the FDA's. Specifically, third-party approval must be free of the vagueness and arbitrariness that marks the FDA approval process and able to adapt to changing technological, clinical, and market conditions. Performance Standards Will Not Eliminate the FDA's Monopoly Replacing arbitrary command-and-control regulations with written standards, as required in the pending legislation, would be a definite improvement over the current situation. It would, in fact, offer manufacturers a known burden of proof. However, government automatically approaches new regulations from a "one size fits all" mentality. There is no reason to assume that product performance standards will be any different. The FDA will look for one standard to apply in every case for particular devices. Products will be evaluated and research conducted to meet exactly that standard and no other. Few incentives will exist for companies to develop devices that outperform the standard. Whether the device far exceeds the standard or barely passes the test, it will still get the same FDA approval. Meeting a government-mandated standard passes along a fixed amount of information about quality in every case. The manufacturers cannot readily internalize the benefits from outperforming the standard when the FDA holds a monopoly on recognition. In any case, use of performance standards and self-certification (in some specific cases decided by the secretary of HHS), by itself, will not change the FDA's behavior. The FDA will still possess the legal power to require submission of data and information for its review. Product performance standards may introduce another bias into research. Given the cost of developing new devices, manufacturers may concentrate their efforts on producing devices that clearly comply with certain product standards and avoid the cost-increasing uncertainty of innovative device development that may involve classification delays or writing a new standard. Still a further issue arises. How is the FDA, or a set of its employees, to choose the best or most appropriate standard from among the collection of good standards? In the market for other sorts of goods, consumers, by their choices of what to buy, determine the standards for safety, effectiveness, and quality. Many different marketplace standards exist simultaneously, and the market provides a wide range of goods of varying quality. In a monopoly, the monopolist sets the standards; currently, the FDA has a legally protected monopoly. The question is, how the FDA, or who at the FDA, will be able to make the decision that is best for all people in all circumstances regarding the most appropriate standard. In a specific example, will a standard that requires 70 percent effectiveness for 90 percent of all patients always be better than a standard that is 90 percent effective for 70 percent of all patients? The incentives for the FDA will not have changed, and the FDA will still overinvest in minimizing Type I errors. The FDA's primary use of other organizations' standards will not change the incentives. The FDA will adopt those standards that do not force the agency to be more concerned with Type II errors. If, somehow, the FDA is required to accept standards that seem to necessitate a change in philosophy, it can still find a way to delay and obfuscate and slow down the approval process. Even in defiance of the law, that is exactly the history of the FDA. [59] There are a nearly infinite number of margins along which agents of the FDA can delay approval, even if it technically breaks the law or neglects to follow executive orders. The FDA's proponents can argue that the FDA is an independent organization insulated from special interests. Technically that is true, but the FDA gets its budget and mandate from Congress, which resists few political pressures. Even if the FDA were staffed with public servants with the purest motives, what they do depends on the money and mandate imposed by Congress. FDA standards cannot help but reflect that congressional pressure. Senator Tom Harkin (D-Iowa) remarked, "The person who pays the piper calls the tune," [60] referring to conflicts of interest that may arise when manufacturers are allowed to pay independent reviewers. But, today, the government pays the piper, and it dictates how the FDA sets its performance standards. The FDA's Trial of Third-Party Review May Doom Significant Change of the Current System The FDA's third-party certification pilot program may actually limit the possibility for more far-reaching change. In operation it resembles nothing more radical than a user-fee program for devices. The FDA retains its complete sway over approval, and the FDA has handpicked the devices and third parties so that no clinical and no or very little protocol-establishing work will be done. Some of the predictions made by potential third-party reviewers in June 1996, before the program began, were eerily borne out in comments a year later. According to an official from a firm that offers third-party review, reviewing organizations have the capacity to, and want to, review more complex devices. As it is, the official says, firms with good review resources are not interested in routine "cookbook" reviews [61] of simple devices, and firms that do not have good review resources see the simple devices as a market. [62] The FDA and other interested parties are aware of the limitations to the pilot program, [63] but the attempts to improve it are unlikely to succeed while the FDA maintains its stranglehold on approval. In practice, the FDA's trial program may block any consideration of alternatives to the FDA's current monopoly. If the currently proposed legislation does not pass, the FDA can continue to run the pilot program. After studying the "feasibility" of such an approach, the agency may conclude that third-party review is a dismal failure or that it is irrelevant because most manufacturers chose to certify through the FDA anyway. In either case, the FDA would report to Congress that third-party review is not effective. As an agency initiative, the FDA can kill the program outright and declare it a failure. It can also drag out the program for years under continual refunding for more study. While the program is going on (and it can be prolonged indefinitely), it can be used to delay consideration of any legislative proposals for third-party certification. Legislation, it will be said, should be delayed "pending the outcome of the pilot program." A Case for the Market Solution The theory of political economy tells us that legislated reform is more costly and harder to achieve than agency reform, but it is more permanent. Common sense tells us that the more power one removes and the more fundamentally and thoroughly that power is reallocated, the harder and less likely is the regrowth of the original system. In the case of device regulation, the most fundamental and thorough reallocation of the FDA's powers, and the most permanent means of altering the monopoly, is legislating the FDA completely out of its monopoly on certifying medical devices. That involves dismantling its device certification approval system and allowing market institutions to certify devices. The Market Solution: A Question of Rights and Justice Individuals and groups have the right to trade--that is, to make binding contracts with one another. More specific to the topic of this paper, manufacturers have a right to market medical devices, and consumers have a right to purchase those medical devices, provided that both parties agree to the terms of the contract that binds them. When the FDA delays or prevents a manufacturer from marketing a medical device, the FDA has violated that manufacturer's right to market that device and the rights of all consumers who wish to purchase the use of that device. Governing bodies are established in America to protect rights, not to violate them. The FDA or some other enforcement arm of the government can protect rights by investigating and prosecuting fraud when it occurs. For example, the marketing of a medical device advertised to consumers as safe and effective but later shown to be unsafe and ineffective is fraud. Manufacturers of fraudulent medical devices are guilty of crimes and should be investigated, prosecuted, and punished. However, fraud cannot be established before a product is advertised and marketed; it can only be established after a product has been marketed and evidence exists to prove the fraudulent act in a court of law. The concept of justice in America is that one is presumed innocent until proven guilty. In the case of medical devices, this concept of justice implies that the FDA would have to prove to a court of law that a manufacturer had engaged in fraud before a product could be legitimately banned from the market. Of course, this is not how the process works under the current system of FDA regulations. These regulations require manufacturers to "prove their innocence" by demonstrating that their medical devices are safe and effective before they market those devices. This regulatory process inverts the concept of justice from "innocent until proven guilty" to "guilty until proven innocent." Why the Market Model Will Work for Medical Devices Third-party certification is an undeniable and unqualified success. Under the watchful eyes of UL and its competitors, consumers are certain that literally thousands of the products they use are safe. Within specified limits, bulletproof glass is indeed bulletproof, and smoke detectors go off in the event of a fire. Magnetic resonance imaging (MRI) machines, the Jarvik-7 artificial heart, and cardiac arrest paddles are different from light bulbs, toasters, and cordless telephones. But all are designed to perform specific functions under specified conditions, and they can be certified to work as designed without government monopoly of the certification process. After all, until about a quarter century ago, medical devices reached the market without government approval. With repeal of the government monopoly on approval, they can again reach the market as certified products. Those that work well will be purchased and used, and those that do not will languish unsold. And in cases of fraud, the manufacturer will be held liable. Businesses try to attain maximum profits, and harming customers does not contribute to that goal. Buying and selling are rarely single, isolated transactions where the participants never again have any contact. Most buying and selling takes place as repeated interactions in an environment where reputation is important. Customers who are harmed not only withdraw their patronage, but tell others of their experiences as well. It is standard business lore that sellers never hear from satisfied customers, but everyone hears from unsatisfied ones. The larger issue is that companies maximize profits by having a long-standing repeat customer base, not by taking advantage of every new customer. Though the consumer may be only an occasional customer of device manufacturers' products, the doctors and hospitals who prescribe the products and the pharmacies and drug stores that retail them are repeat customers (or customers not at all). A reputation for honesty and fairness is necessary for generating profits. The longest established, most profitable companies enjoy good reputations. For example, in the market for home appliances, Maytag, General Electric, and Kitchenaid provide quality products and enjoy good reputations. When buying or replacing a major appliance, many consumers consider the brand of refrigerator, range, or dishwasher that has a long-standing reputation for quality. When the reputation or product begins to slip, so do the fortunes of the company, as in the case of U.S. carmakers in the 1970s. That is doubly true when a product requires a long, expensive development and/or a costly production run, as do some medical devices. The concern is not with simple devices like tongue depressors, but with devices of greater complexity and risk, such as implantable devices and diagnostic machines. Reputation is more important in the medical-device market than in many other markets. To earn their return on investment in such devices, manufacturers need to continue operation for a long while. Such devices are not cars or jeans, sold in a market with many different producers and consumers; they are highly specialized products with relatively limited markets. Generating a profit takes time and repeated interactions. The drive for profit creates powerful incentives for businesses to market quality devices. Although the market places no restrictions on entry, it places many restrictions on success. Under conditions of free competition, there are no guarantees that a firm will be profitable. Those that prosper are those that provide products and services that perform as advertised. Government Approval Is No Guarantee of Efficiency or Safety Certainly not all the best minds, nor all the best people interested in quality output, are drawn into government work. In fact, the argument normally goes the opposite way: the government has difficulty attracting good people. In comparison with private enterprise, the government offers lower pay, poorer amenities, increasingly unstable tenure, and a terrible public image. In addition to attracting different personnel, government agencies differ from firms in the free market in that they are more likely to be rewarded than punished for failures. When government agencies fail, the typical response from policymakers is that they were underfunded or did not have sufficient powers. The remedy is typically to increase their budgets and augment their powers--in other words, to reward their failures. The U.S. Department of Agriculture and the 1997 Strawberries Scare. In the spring of 1997, strawberries that were contaminated with the virus that causes hepatitis A were distributed to schoolchildren. When the story broke, the company that had originally shipped the strawberries was blamed, its president quit, and its future was placed in great doubt. Meanwhile, the U.S. Department of Agriculture (USDA), which is responsible for the school lunch program and which distributed the strawberries to schools, paid no price for its neglect. Instead, calls for more USDA funding are the likely outcome. The contrast can hardly be more striking. Companies in the private sector pay for their mistakes. Government agencies are excused and often rewarded with more money. The FDA Drug Approval Process. As already mentioned, drug manufacturers are permitted to pay money to the FDA so the agency can hire additional personnel to review drug applications. FDA failure to meet its legislated mandates to review drug applications in a timely manner made the program necessary. The "pay-for-review" program more appropriately allocates the cost for drug review, placing it on the manufacturers rather than the taxpayers. But it preserves the FDA's monopoly. The FDA Trial of Third-Party Review of Medical Devices. Manufacturers' frustration with the slowness of the medical-device review process was transmitted to the FDA and to Congress. The FDA's trial of third-party review is one response. It represents no more than a direct payment to third-party organizations for doing the work that FDA was supposed to do. But the FDA retains its monopoly. Protection from Dangerous Devices To get straight to the heart of consumers' concerns, can a company similar to UL protect the public from dangerous and ineffective medical devices? Yes, the public can be protected to the extent that members of the public desire protection. In the absence of the FDA monopoly, devices might be marketed without third-party certification, but consumers and their medical advisers or the retailers who have customer contact could decide whether the promise of the device outweighed its risks, instead of having their decisions dictated by bureaucrats. Having more options, rather than fewer, is normally to the consumer's advantage. Consumers averse to risk could limit purchases to certified devices, and others could, if they chose, purchase uncertified ones, as is now the case with nonmedical devices. The lack of compulsory, monopolized certification is not a problem with hair dryers and bulletproof glass, failures of which can be fatal, and there is no reason to expect market certification of medical devices to be any different. A key argument for FDA regulation of medical devices is that consumers do not have information or the specialized training needed to make good medical decisions. Market certification is the answer to this problem; it allows consumers to draw on highly trained and competent assistance. Consumers would rely heavily on the advice of their physicians as to what they should do, just as they do today. In making recommendations, a doctor would rely heavily on the private certification organizations, knowing that a series of bad recommendations would greatly damage his or her practice. The knowledge accumulated at the FDA would not disappear. The FDA's competent reviewers would be hired by third-party organizations; few would hire on in the fast food industry. In the absence of FDA-sanctioned gag rules that limit what manufacturers can tell physicians about their products, the medical-device companies themselves would become important sources of information, enabling doctors to make better decisions. Doctors and medical practitioners will be reluctant to rely on devices that lack third-party listing. The only consumers who would use such devices would be those willing to bear a great deal of risk. Riskier devices, such as implantables, require a doctor for their installation, and complicated diagnostic and treatment devices that require specialized knowledge for their operation are prohibitively expensive to operate outside of a clinical setting. It is difficult even to conceive of a patient being successful in forcing his doctor to implant an unsafe pacemaker or buying a radiation therapy machine for his own unsupervised use. As a final preventative, there is that store of knowledge the FDA has habitually denigrated or denied: the consumer's common sense. "Fly-by-night" manufacturers, by definition, are not concerned about the long-run effects of reputation on profits. The market cannot prevent such producers from taking devices to market, but their devices will not be certified. Shoddy products will not get the mark, and will therefore sell for less. Thus, the market will be protecting itself against fly-by-nighters by supplying two interrelated types of information: a specific certifier's mark, or lack thereof, and the price. Under the current regulatory scheme, one government-mandated amount of information is supposed to cover all contingencies, and there is no information about effective devices that involve more risk than the FDA has decided to allow. There is much less information under the present regime than consumers or their doctors would have in the free market. Anything man-made can break down and cause disastrous consequences. Likewise, no quality certification scheme can work so efficiently that it never approves an unsafe device. Some FDA mistakes have been mentioned, and UL makes an occasional one as well. A New York Times reporter summarized the result of one UL mistake: Two decades ago, hundreds of homes nationwide were damaged and dozens killed or injured in fires caused by aluminum wiring, a product that UL had listed. Numerous other fires were reported in commercial establishments. Investigations showed that aluminum connections at outlets and switches could deteriorate over time and overheat. Eventually, the wiring was no longer installed. [64] In any testing by any organization, private or public, there is always the chance of certifying an unsafe device. Likewise, there is always the chance that any single copy of any manufactured device will cease to function properly. Perfection cannot be the appropriate standard. The relevant question is whether we should expect more or less failure, specific or categorical, under a free market regime than under a centralized regulatory regime. Because of the incentives faced by private institutions, a market certification process should result in no more frequent categorical failures than in the FDA regulatory system, and market access for safe devices should be faster. This statement is not to minimize or marginalize the suffering that results when a device fails or is later found to be unsafe. However, keeping useful devices off the market, banning them, or delaying their market delivery also causes deaths and prolongs suffering. Though unsafe devices will be certified and though samples of safe devices will fail, as happens under FDA regulation, only market certification minimizes the chance of both types of errors. Supply of Effective Devices Until now, third-party-certification organizations within the United States have been primarily concerned with safety and not with effectiveness or performance. UL and other companies conduct performance tests only for products to protect life and safety, such as smoke alarms and fire extinguishers. In contrast, the FDA evaluates the performance of every device submitted for approval. Can third-party certifiers like UL accommodate performance testing on a much larger basis? The certification industry would certainly change if the public demanded a general effectiveness mandate in addition to a safety mandate, but the certifying organizations could adapt. Adding effectiveness testing will not change the market incentives for third-party organizations. The organizations would strive to be involved in research and development from the earliest stages and to produce flexible, adaptable certification systems. The resulting systems would move to include standards that incorporate effectiveness requirements. The standards, based on defined expectations for performance, would be of the appropriate quality, reflecting the consensus of consumers, manufacturers, and standards authorities. Importantly, those companies would still be dealing directly with their final clients: the consumers and the manufacturers. No special interests or perverse bureaucratic incentives created by congressional oversight would introduce distortions. A more basic inquiry is whether the market would demand that third parties certify effectiveness. Private certifiers in Europe and much of the rest of the world are required only to certify that the medical device performs as the manufacturer intended. That appears to be sufficient because the European market is well stocked with safe and effective devices, as shown by the large numbers of European-approved devices that are ultimately approved by the FDA. Europeans seem to have suffered no systematic health problems as a result of their certification system, whereas the benefits of the FDA process are empirically dubious. [65] In short, if Congress strips the FDA of the power to restrict the actions of other players in the market for medical information, a requirement that a device perform "as the manufacturer intended" may be sufficient to produce effective devices. Absent any FDA restrictions on the information that manufacturers can make available, the device manufacturers would have a major incentive to contract for performance or effectiveness testing in order to distribute information with their products. The effectiveness data must be strong enough to convince the primary purchasers--the trained doctors to whom consumers entrust medical decisions or the pharmacy and drugstore owners who depend on frequent, repeated shopping trips by their customers. Several factors would ensure the accuracy of the manufacturer's effectiveness data. First, there are the motives of reputation and profit. Medical devices are purchased to perform certain tasks and not to be admired on the coffee table or bookshelf. Few doctors prescribe, few retailers stock, and few consumers buy a device that is not effective, regardless of whether it is safe or not. Consumers prefer devices that both do not harm them and that help them. If the devices do not help, there is no reason to buy. Second, there are sticks to go with the carrot of profit--that is, tort actions and laws against fraud. The threat of legal action for deliberate misrepresentation will buttress the profit motive and induce manufacturers to market effective devices. Removing the FDA's monopoly on information and market access will also free up another set of market participants who have their own incentives to qualify the effectiveness of devices. Medical professional organizations and research physicians put out a lot of information "for free." In fact, medical practice is steered by distribution of information, whether word-of-mouth presentations at conferences or technical journal articles, and it often results in "off-label" uses of drugs and devices. A free market for information about devices will spur these activities. Doctors could build their careers independently from the device manufacturers when they submit their clinical results to peer-reviewed journals and professional meetings. A physician's career, academic standing, and fortune can be built on documenting a new use for a device or on replicating successful trials or on debunking effectiveness claims. Consumers may never read the New England Journal of Medicine, but their physicians do. No "Race to the Bottom" Competition in the private market creates powerful incentives to reduce costs. One way to reduce costs is to produce goods or services of a lower quality. Called "race to the bottom" in other situations, this is often cited as a reason for public rather than private provision of goods and services. Would private competition in the market for device certification produce a "race to the bottom"? The executive officers of certification organizations are keenly aware of the fact that competing to lower the certification hurdles is destructive. If the standards are too lax, the third-party listing becomes meaningless to consumers, and therefore meaningless to manufacturers, who would have no incentive to buy the certifier's services. There will be no change in the incentives that standards- writing companies face if they are allowed to certify medical devices. Just as the market produces low-quality goods, it also produces high-quality goods, and consumers' desires dictate which products remain on the market. The market for standards and certification is no different. The market will generate a range of appropriate standards, each providing the consumer a specific amount and type of information. Consumers will demand at least some high-quality standards and some labs to perform high-quality testing. Furthermore, the individual consumer need not know what the different marks certify. The consumer's doctor will know because he has much more incentive to know. The empirical experience of the last century has borne out these observations. As competing organizations have come into the market, the testing burden has not become easier for manufacturers, and consumers are still confident about the safety of their products. The adoption of UL's standards by other certifying agencies exemplifies this. UL has been the dominant certifying agency for decades, and it has already incurred the development cost of these standards. Instead of creating new, easier standards, the new competitors to UL have adopted the efficient, accepted UL standards and competed on the basis of cost or personal service. The integrity of testing standards and certification has been upheld. Appropriately Assign Liability Some defenses of the current regulatory scheme are anchored in liability assignment questions. The argument goes: The possibility of suffering irreparable damage from a liability suit involving medical devices can paralyze research, development, marketing, and distribution, and the FDA's public approval and some degree of immunity from liability are necessary. Such scenarios of market paralysis are offered to justify government regulation as necessary to appropriately assign or mitigate liability. In reality, there is no reason to expect such disasters to occur in markets for medical devices, any more than in markets for fire alarms and fire extinguishers. Concerning manufacturers' refusal to market devices, Michael Krauss of the George Mason School of Law writes: Both economic theory and present-day practice suggest that fear of product liability does not stop manufacturers from producing goods. Manufacturers produce motorcycles and ladders despite the absence of pre-market government approval. They are held liable when their product is defectively designed or manufactured. [66] Krauss goes on to say that except for recent cases involving Class III devices, "FDA approval does not immunize manufacturers from product liability." [67] Moreover, courts have ruled that FDA approval does not afford protection from liability. Therefore, if it is true that fear of liability judgments would prevent manufacturers from producing devices if there were no FDA, it should prevent them from doing so under the current system as well. Doctors often prescribe FDA-approved therapies for unapproved uses; such "off-label" uses may account for up to 60 percent of all prescriptions written. [68] Writing such "off-label" prescriptions exposes doctors to the standards of common-law negligence principles, by which they can be found liable for their actions; yet they continue to prescribe "off-label" rather than accept the truncated liability offered by the FDA. There is no reason to believe that breaking the FDA's approval monopoly would cause radical changes in the common-law standards doctors already face. Without the FDA's approval, a physician would be liable only if the current medical consensus rejected the particular use of a device or if the doctor prescribed a patently unsafe device or a device that could not be made safe for the prescribed usage. Doctors would then rely on the safety mark of the certifier, and the usage guidelines from the manufacturer's information and from medical journals in writing prescriptions. Those guidelines and the safety seal would then be the basis of a doctor's defense in a liability suit. Expanding third-party certification to medical devices may increase the liability exposure of the certifying organizations. The potential that certifying organizations may be held liable for the manufacturer's products may cause potential certifiers to stay out of the medical device market. However, certifying organizations are not sellers, advertisers, distributors, or manufacturers of products. They do not offer testimonials or underwrite risk. Third-party certification simply states the professional opinion of the certifiers as to the safety and, perhaps, the effectiveness of the good. They can still be sued, but the law does not assign many of the principles of liability to such certification organizations, and there is no principle to hold a certifier liable for an unforeseeable error, provided the certifier was not negligent. The laws governing fraud and liability protect consumers. An injured consumer still retains all powers of legal redress. Breaking the FDA's legal monopoly on approval of medical devices in no way implies a change in liability law or practice. Currently, the FDA does not especially help or hinder consumers bringing torts before the court, nor does it protect the public by filing individual or class actions on behalf of aggrieved consumers. If the FDA were no longer to exercise monopoly authority, such suits would still be brought, and the relative balance of power between consumers and corporations or physicians would not have changed. The notion that harmed consumers need the FDA to help them collect damages from deep-pocketed medical establishments is specious. Manufacturers of medical devices have never been immune from torts, and removing the FDA blockade to market access will not change that. There is, of course, no reason to forbid the FDA to continue in its current role but without its monopoly. It could compete with private certifiers and manufacturers, and consumers could rely on an "FDA mark" as their chosen standard for safety and effectiveness. Other manufacturers, health professionals, and consumers might prefer other marks. Given the record of the FDA, that would be no surprise. The question is not whether devices would be certified, but which organization should certify them. Conclusion The U.S. Congress needs to turn over the FDA review and approval of medical devices to independent, privately funded institutions. Legislation has given the FDA a virtual monopoly over the marketing of medical devices, and political pressure forces the FDA to place too much emphasis on preventing the marketing of unsafe and ineffective devices. In doing so, the FDA permanently blocks or delays for years the marketing of safe and effective devices, some of which would save lives if they were available on the market. The cost of FDA regulation of medical devices is higher medical prices, and, more important, unnecessary deaths and suffering. Reforming FDA processes is not the solution. The reform proposals discussed in Congress have centered on bringing efficiency and accountability to the FDA. They have been designed to force the FDA to adapt to the increasing pace of innovation and the demands of American consumers. Yet the best efforts of congressional and agency reformers fall short. The sad fact is that the reforms insulate the FDA from the market in important ways. The FDA has powerful incentives to drag its feet and request ever more information, delaying approval while people suffer and die. It will continue to demand more information rather than see its power diminish. It will minimize the risk of approving an unsafe device, at virtually any cost, for fear of congressional repercussions. What is most important is that the FDA retains the power to enforce its decisions. The reforms leave intact the FDA's power to prevent new devices from entering the market. There is an alternative to reform: abandon the current regulatory process and embrace the free market that has worked so well for so long in other fields. Third-party certification promises safe and effective devices--quickly and efficiently--and gives consumers the freedom to choose the amount of risk that best suits them. The market provides consumers with the full remedies and protections of our legal system, and it frees businesses from the crippling costs of undue regulation. The solution is for Congress to reject mere reform of an unwieldy and dangerous agency and to consider the alternative--turning the certification of medical devices over to the free market. -------------------------------------------------------------------------------- Notes The author acknowledges the assistance of Cato interns-- Craig Farnham, Matthew Brown, and Clay McFaden--in the preparation of this Policy Analysis. [1]. Robert Goldberg, "The Kessler Legacy at the FDA," IPI Insights, January-February 1997, p. 1. [2]. Mike Meyers, "Doctor Went to Japan for Treatment He Couldn't Receive in America," Minneapolis Star Tribune, June 26, 1994, p. 14A. [3]. Alexander Volokh, "Clinical Trials--Beating the FDA in Court," Reason, May 1995, p. 24. [4]. Sam Kazman, "Deadly Overcaution: FDA's Drug Approval Process," Journal of Regulation and Social Costs #1, no. 1 (August 1990): 43. [5]. Ibid., p. 44. [6]. Volokh, p. 23. [7]. Kazman, p. 43. The fatality figures are calculated by multiplying the length of time required to approve the new drug application by the number of lives the FDA claims the therapy will save. [8]. Volokh, p. 23. [9]. Elizabeth Porter, "David Kessler's High-Wire Act on Enforcement," Medical Industry Executive, January 1994, p. 20. See also Robert Higgs, "Wrecking Ball: FDA Regulation of Medical Devices," Cato Institute Policy Analysis no. 235, August 7, 1995. [10]. Quoted in ibid., p. 36. [11]. Alan M. Slobodin, "The Real Problem with Health Care in America: While Dr. David Kessler Fiddles, Medical Approvals Lag and Americans Die," Legal Backgrounder 9, no. 36 (October 8, 1994): 2, quoting Neergaard, "Is Red Tape Sacrificing U.S. Medicine? Doctors, Companies Battle the FDA," The Legal Intelligencer, August 30, 1994, p. 3. [12]. Tom Hamburger and Mike Meyers, "Losing the Edge: Overseas Patients Reap the Benefits of U.S. Research While Those Here Wait," Minneapolis Star Tribune, June 26, 1994, p. 1A. [13]. Goldberg, "The Kessler Legacy at the FDA," p. 3. [14]. Bill Clinton and Al Gore, "Reinventing Drug and Medical Device Regulations," National Performance Review, April 1995, pp. 2-3. [15]. Steve Langdon, "FDA Drug Approval Process May Undergo Surgery," Congressional Quarterly Weekly, January 27, 1996, p. 222. [16]. Inspector Merrill is quoted in This Inventive Century: The Incredible Journey of Underwriters Laboratories (Northbrook, Ill.: Underwriters Laboratories, Inc., 1994), p. 5. [17]. All information comes from author's telephone conversations with UL personnel and from UL's 1992-1994 Annual Reports. [18]. Author's telephone conversations with Homer Pringle, UL Legal Department. [19]. 1994 Federal Income Tax Return, reported in Barry Meier, "Sparks Fly over Industry Safety Test: Regulators Fault UL on Standard for Device," New York Times, December 24, 1995. [20]. Underwriters Laboratories, 1994 Annual Report, p. 16. [21]. Author's telephone conversations with Homer Pringle, UL Legal Department. [22]. Author's telephone conversations with Frank Brutomesso, UL Standards Department. [23]. "Method of Development, Revision and Implementation of UL Standards for Safety" (Northbrook, Ill.: Underwriters Laboratories, Inc.), pp. 10-11. [24]. Underwriters Laboratories, 1994 Annual Report, p. 10. [25]. Author's telephone conversation with Roy Resnick, Occupational Safety and Health Administration, December 6, 1996. [26]. Author's telephone conversations with Frank Brutomesso, UL Standards Department. [27]. General Accounting Office, "Medical Device Regulation: Too Early to Assess European System's Value as Model for FDA," March 1996, p. 3. [28]. For supporting examples, see Higgs. [29]. Higgs, pp. 14-15 and endnotes. [30]. Peter Barton Hutt quoted in ibid., p. 9 and endnotes. [31]. General Accounting Office, "Medical Devices: FDA Review Time," October 1995. [32]. Ibid., pp. 5-16. [33]. Ibid., p. 73. [34]. Ibid., p. 15. [35]. David Masci with Steve Langdon, "Bill to Overhaul FDA Process Gets Nod from Panel," Congressional Quarterly Weekly, March 30, 1996, p. 887. [36]. Robert M. Goldberg, "Why Kessler Must Go," Wall Street Journal, April 4, 1996. [37]. Steve Langdon, "FDA Drug Approval Process May Undergo Surgery," Congressional Quarterly Weekly, January 27, 1996, p. 223. [38]. General Accounting Office, "Medical Devices," p. 75. [39]. Higgs, p. 14. [40]. For a synopsis, see Higgs, pp. 24-35. [41]. For a discussion of the inconsistent standards to which Congress holds the FDA see Higgs. See also "Industry Sways Dingell to Its Side," Clinica, September 9, 1992; and U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Oversight and Investigations, Less Than the Sum of Its Parts: Reforms Needed in the Organization, Management, and Resources of the Food and Drug Administration's Center for Devices and Radiological Health, 103d Cong., 1st sess., Committee Print 103-N, May 1993. [42]. American Electronics Association News Release, Washington, June 23, 1994. [43]. Much of the following information is derived from author's conversations with Al Bracey, Division for Small Manufacturer's Assistance, Center for Devices and Radiological Health (CDRH), Food and Drug Administration. All references to Bracey result from the author''s telephone conversation with him on September 18, 1996. Information not arising from this conversation is available on CDRH Web sites concerning the pilot program, at www.fda.gov/cdrh/3rdprty.html and www.fda.gov/cdrh/ohipfed.html. [44]. See the Class II Devices link, at www.fda.gov/cdrh/3rdprty.html. [45]. Author's conversation with Al Bracey. [46]. See the November 15, 1996, update at www.fda.gov/cdrh/update.html, p.3. [47]. Ibid., p. 1. [48]. Committee on Labor and Human Resources, U.S. Senate, Report 105-43 (Washington: U.S. Government Printing Office, 1997), p. 22. [49]. "Information on Medical devices: Third Party Review of Selected Pre-Market Notifications; Pilot Program," www.fda.gov/cdrh/ohipfed.html, September 17, 1996. [50]. Ibid. [51]. Ibid. [52]. Ibid. [53]. Senate Committee on Labor and Human Resources, "The FDA and the Future of American Biomedical and Food Industries, Hearings of the Committee April 5 and 6, 1995." (Washington: U.S. Government Printing Office, 1995), p. 97. [54]. Ibid., pp. 119-121. [55]. Ibid., pp. 11, 102. [56]. Ibid., pp. 125, 126. [57]. Senate Report 105-43, 1997, p. 22. [58]. Author's conversation with Melpi Jeffries, Center for Devices and Radiological Health, December 6, 1996. [59]. For a discussion on how the FDA breaks statutory law by delaying the approval process, see Higgs, pp. 8-10, where he discusses the FDA's ignoring 1976 amendment requirements to solicit PMA submissions on predicate Class III devices, and to produce performance standards for Class II devices. See also Lydia Verheggen, "FDA Review Times: Not Making the Grade," Issue Analysis no. 23, Citizens for a Sound Economy, February 20, 1996. Verheggen details the FDA's violation of its statutory deadlines to approve drugs, devices, animal drugs, and food additives. [60]. David Masci with Steve Langdon, p. 888. [61]. This term was used in Senate Report 105-43, p. 24. [62]. From conversations with a company official, June 27, 1997. [63]. See Senate Report 105-43, pp. 22-24. [64]. Barry Meier, "Sparks Fly over Industry Safety Test," New York Times, December 24, 1995, section 3, p. 1. [65]. See Higgs, especially the text and notes 167-173. See also U.S. House of Representatives, Committee on Energy and Commerce, Subcommittee on Oversight and Investigations, p. 237: "It is unclear why medical devices that have undergone both regulatory scrutiny and actual market use in Europe, Canada, and Japan are not also approved in the United States within a similar time frame, particularly since U.S. medical device firms generally seek to first market their products in the United States. There is no evidence which indicates that products available in these major overseas markets are any less safe than products available in the United States." [66]. Michael I. Krauss, "Loosening the FDA's Drug Certification Monopoly," George Mason Law Review 4(1996): 457-483 at p. 477. [67]. Ibid., p. 477. [68]. John Calfee, "The Leverage Principle in FDA's Regulation of Information," in Competitive Strategies in the Pharmaceutical Industry, ed. R. Helms, quoted in ibid., p. 472. © 1997 The Cato Institute Please send comments to webmaster Send this page to a friend Printer Friendly Version 1000 Massachusetts Avenue, N.W. Washington D.C. 20001-5403 Phone (202) 842-0200 Fax (202) 842-3490 All Rights Reserved © 2003 Cato Institute June 12, 2003 Iran: Déjà Vu All Over Again by Charles V. Peña [Archives] Rumsfeld: Iran Likely to Have Nuclear Weapons in the Future Rockefeller Calls for End to Term Limits on Committee House Legislation Targets Internet Gambling [Archives] Tune in to CNNfn on Thursday at 11am EDT to see Tom Firey discuss Medicare. Charles Peña will discuss terrorism on MSNBC tomorrow periodically from 1pm to 6pm EDT.
Result number: 52 Posted by Pauline on 3/16/03 at 21:34 Bev, Dr. Jeffrey Klein DPM uses the Ossatron and I believe he was the first Dr. in Mich to use ESWT so I'd say he's been doing it the longest in MI. I think he has at least offices one near Pontiac and one in Southfield. Dr. Arthur Manoli M.D. is in the Pontiac area with an office in the medical center attached to St. Joseph's Mercey but as far as I know he does not use ESWT. You could call his office. Manoli is the guru of Foot and Ankle surgery in MI. He is an Orthopedic specialist, is listed in Best Doctors in America and has posted here on occasion. What I find interesting is that none of our major centers Beaumont, St. John's or Henry Ford have put in ESWT machines and as you know Henry Ford treats all the major sport teams. Dr. Zingas ran the FDA Dornier studies at Henry Ford, but at last contact they didn't buy the machine. Zingas left Henry Ford and is now only with St. John's and he's still not using it.
Result number: 53 Posted by Kathy G on 2/26/03 at 08:28 For those of you who like mysteries and are interested in computers, Jeffrey Deaver's book, The Blue Nowhere, is fascinating! I read it when it first came out in 2001 and I just finished reading it again. When I first read it, I kind of rushed through parts of it because I wanted to see what happened next. This time, I took my time and was able to absorb more of the information that's provided about hackers and the whole sub-culture in which they live. As I'm in my dotage, I couldn't even remember who the bad guy was and that made the second reading almost as good as the first:) I highly recommend it!
Result number: 54 Posted by jeff A on 1/21/03 at 19:57 I am a practicing chiropractor and own two goodfeet stores. There seems to be some unanswered questions that I may be able to shed some light on. When not to visit a goodfeet store or seek self "treatment" with OTC orthopedic devices, arch suuports etc. If you are diabetic, have peripheral neuropathy and or decreased circulation, have a foot deformity congenital or from injury, have a anatomic(true) short let , are currently under a doctors care for foot ankle knee hip ailment, have open sores or ulcerations on your lower extremities, have pain at night or in bed, recent surgery( not released by your doctor or physical therapist), unrelenting pain not improved with rest.. You should get the idea. In these situations or if you are unsure, PLEASE see a qualified healthcare professional. The goodfeet stores were never intended to compete with the medical profession. If anything it has increased the awareness of the importance of arch supports and their benefit through high visibilty and advertising. Our business niche is a retail setting with customer service carrying high quality arch supports, cushions and shoes. You can try them all on in the store. We have had people take long walks from the store to test them before buying. The "sales people are trained in how to present and fit them properly. The rest is up to you. If a customer asks if any of our products can fix their particular problem(for example plantar fascitis) they are told only what they have heard from other custmers and use this knowledge to recomend various products for the customer to try in the store. They follow up by phone with every customer. If you don't have insurance coverage, regardless of what you have read, you may save money and you will not get a lifetime warranty anywhere else. In my office when I sold custom footleveler orthotics, by the time you paid exam and follow up visits and product cost you were looking at $300- $400 for one pair of orthotics that you couldn't try first or exchange. If anybody has had a bad experience with an aggressive salesperson, please contact the store manager or owner, they will want to know. If you are not satisfied with your products, please come back to the store and allow us to resize, try different products or receive store credit( sorry, we are not Nordstoms). I really appreciate reading the comments and experiences people have had because it helps me understand our customers needs and make appropriate changes. Please feel free to contact me with specific questions or post them. One last thing. The stores are independently owned dealerships. I speak for myself and my own stores. We set our own prices based on geographic costs and what the market will bear. There is enough competition in this industry that I really don't think anybody can get "ripped off". Please shop around. We offer service and quality and I believe we are competitve in that market. Our success and customer satisfaction show that. Jeffrey A. Ando, D.C. Doctor of Chiropractic jeffando@hotmail.com
Result number: 55 Posted by monte on 12/14/02 at 23:36 sandy...sorry for the delay. his name is Dr Rosenstein at 929 Park ave and 80th street in NYC His son is Jeffrey the Cped Rosenstein, Bernard DPM - Academy Foot & Ankle Assoc-Ny (212) 861-7170 you can tell him john montaperto recommended you...he may remember my name. not that i carry any weight.... good luck...let me know you like them
Result number: 56 Posted by Carole C in NOLA on 11/19/02 at 22:34 At my grade school we got whatever the boys got. Usually instead of paddling (in private) they would hit us on the hand with a ruler in public if we were unruly. Mrs. Morrisey broke a 12" hardwood ruler on a little boy named Jeffrey's hand in second grade, I remember. Being a budding heelspurs.com goodie-goodie, I actually liked school, never intentionally misbehaved, and never got hit with the ruler. But once, I was sent to the office and had to sit there and think for fifteen minutes, and I was tearfully repentent by that time. I think that if I had had a teacher named Mr. Lovingood, I might have got in trouble too, for sassing the teacher. Too tempting! Carole C
Result number: 57 Posted by Pauline on 9/11/02 at 21:46 Machine: HMT OssaTron . . . Installed: 1/2000 KLEIN, JEFFREY MI INSTITUTE OF SHOCK WAVE THERAPY 3711 ELIZABETH LAKE ROAD WATERFORD, Michigan, USA . . . TOLL FREE 1-866-HEEL-SPUR OR 248 681-6180 . . . BUNION1@AOL.COM LOCATED IN WATERFORD/NORTHERN OAKLAND COUNTY. APPROXIMENTLY 35 MIN. OUTSIDE OF DETROIT AND 10 MIN. WEST OF THE PONTIAC SILVERDOME. OUR OTHER LOCATION IS IN OAK PARK. DR. KLEIN IS BOARD CERTIFIED BY THE ABPS IN FOOT AND ANKLE SURGERY. HE IS AFFILIATED WITH MULTIPLE HOSPITAL'S INCLUDING ST.JOSEPH MERCY-OAKLAND, NORTH OAKLAND MEDICAL CENTERS, PROVIDENCE HOSPITAL AND MEDICAL CENTERS, ST. JOHN'S OAKLAND GENERAL HOSPITAL, HURON VALLEY-SINAI DMC HOSPITAL.WE HAVE MORNING AFTERNOON OR EVENING HOURS AND DR. JEFFREY B. KLEIN & DR. MARIE DELEWSKY (MARIEDPM@AOL.COM) ARE NOW EXCEPTING NEW PATIENTS.
Result number: 58 Posted by Pauline on 9/11/02 at 21:41 Here is information from Scotts ESWT location site. Location ID #73 . . . Machine: HMT OssaTron . . . Installed: 1/2000 KLEIN, JEFFREY MI INSTITUTE OF SHOCK WAVE THERAPY 3711 ELIZABETH LAKE ROAD WATERFORD, Michigan, USA . . . TOLL FREE 1-866-HEEL-SPUR OR 248 681-6180 . . . BUNION1@AOL.COM LOCATED IN WATERFORD/NORTHERN OAKLAND COUNTY. APPROXIMENTLY 35 MIN. OUTSIDE OF DETROIT AND 10 MIN. WEST OF THE PONTIAC SILVERDOME. OUR OTHER LOCATION IS IN OAK PARK. DR. KLEIN IS BOARD CERTIFIED BY THE ABPS IN FOOT AND ANKLE SURGERY. HE IS AFFILIATED WITH MULTIPLE HOSPITAL'S INCLUDING ST.JOSEPH MERCY-OAKLAND, NORTH OAKLAND MEDICAL CENTERS, PROVIDENCE HOSPITAL AND MEDICAL CENTERS, ST. JOHN'S OAKLAND GENERAL HOSPITAL, HURON VALLEY-SINAI DMC HOSPITAL.WE HAVE MORNING AFTERNOON OR EVENING HOURS AND DR. JEFFREY B. KLEIN & DR. MARIE DELEWSKY (MARIEDPM@AOL.COM) ARE NOW EXCEPTING NEW PATIENTS. --------------------------------------------------------------------------------
Result number: 59 Posted by Lee M on 8/11/02 at 09:15 Scott, As many have before, thank you for your comprehensive and useful site. Everyone with plantar fasciitis should study its contents. I have an interesting case to report which may help others. It is particularly interesting in that (1) I am quite sure what caused my heel pain, (2) I tried several treatment methods without benefit, (3) I had a successful outcome without ESWT. At this time I don't have the patience to find the right spot on the message boards to put this, so maybe you can do it (with or without editing) for me. At the end of May 2001 I was moving furniture in my late father's home prior to an estate sale. A large couch-bed was refusing to move across the carpet a few inches. I was being careful with my back, so I took a different approach. I sat on the floor with my back against a wall, knees bent, and feet at the bottom side of the couch where the wood support structure was. Slowly I straightened my knees. The couch moved rather easily and I went on to something else. A day later I noticed what felt like a small rock in my right shoe at the center of my heel. But there was nothing there! I studied the shoe more closely, removed some fake leather at the heel, and found a nail head sticking up just a bit. I had been walking on it for two days at that point. I clipped off the shoe nail with a hand tool, but when walking it still felt like something was there. Over the next week the "something" turned into a minor pain, then a sensitive spot, and it wasn't long before I was limping. You all know the story. Some Dr. Scholl's foam helped a little but not very much. I started looking around the Web, saw this site, and got more knowledgeable and more worried at the same time. I ordered a pair of the well-rated squishy German silicone heel pads and started stretching exercises. The soft pads were more comfortable but I was still limping. It was now more than a month, self-help was going nowhere, and I started to plan for ESWT. But for ESWT you need (or should have) six months of conservative treatment; even the Canadian services appear to want some history of a podiatry visit. So off I went to my internist. He took an X-ray, saw a heel spur, and sent me on to the podiatrist. Based on the heelspurs.com postings I did not expect much help from the podiatrist but thought of him as my ESWT gateway. He confirmed the diagnosis of plantar fasciitis and taped my foot rather thoroughly, differently from Scott's images. It helped a lot. I could now walk with much less limp and pain. I nursed his tape and kept it on for a whole week, meanwhile buying some of my own. A week later he inspected my foot and measured me for orthotics. I thought that would be more money down the drain but remembered the ESWT-gateway plan. Because of the beginnings of a rash on my foot he would not tape it again. Instead he wanted me to use ice and stretches. He had a clever way of managing the ice: You take a Styrofoam coffee cup, fill it with water, and freeze it. Then you use it directly on the heel like a giant Popsicle; as it melts down, you peel off the Styrofoam. Ice it about 10 minutes, twice a day. I did. It helped. I also did his version of the stretch exercises, pushing against a doorway at two different levels to stretch two different areas. As I am not good at physical exercise description I won't try explaining them, but there is something like them on heelspurs.com. Having tasted taping, I was not about to give it up. Following Scott's pictures I used 3 long pieces of tape. The results were nearly as good as the podiatrist's; the tape would last 2 or 3 days even with showering. Fortunately, Scott's tape pattern did not go near where the rashes were from the podiatrist's tape. And during all this I was still using the squishy silicone heel pads in my shoes. After two weeks the orthotics were ready. They are hard plastic inserts, not really very thick (thinner at the heels than the silicone pads), that extend only partway into the shoe. I put on my shoes and was AMAZED. It was the best, nicest, most comfortable feeling that you can imagine--far, far better than the silicone pads. The pain was significantly less as I walked. I stopped using tape but kept up the icing and stretching. The orthotics were always in the shoes. At home I was able to go barefoot because our carpet is on a thick "commercial" pad rather than the more common soft shredded urethane pad. Surprise! My heels were getting better week after week. The podiatrist checked my feet and the fit of the orthotics and agreed with my own assessment: It was working. My plan had been to aim for ESWT in December, when I could make a "vacation" trip to Canada. But my podiatrist had essentially cured me by October. I was walking painlessly at full stride, not thinking about my heels at all except when I put the orthotics into my shoes. I even stopped visiting heelspurs.com! And I was totally amazed when my health insurance paid for the orthotics. The final test came last April, when my wife and I walked and stood for hours on vacation. (This unathletic Southern Californian uses his car to get around; it's only on trips that I really walk a lot.) Even with luggage the feet stayed happy. So here's my take: Give a good podiatrist a chance. He or she may be able to help you. I am happy to give the name of mine: Dr. Jeffrey A. Klemes Diplomate, American Board of Podiatric Surgery Fellow, American College of Foot Surgeons 8920 Wilshire Blvd., Suite 320 Beverly Hills, CA 90211 (310) 657-4080 By the way, we did talk about ESWT; he is open to it and uses an OssaTron facility in the San Fernando Valley. Whether I would have used that or gone to Canada for ESWT I cannot now say. Good luck, perseverance, patience, and hope, Lee M Los Angeles, California
Result number: 60 Posted by Ed Davis, DPM on 4/08/02 at 20:20 Dr. Z: Jeffrey Stone, DPM of Fresno, CA is sort of the guru of podiatric ultrasound. He sets up training courses. Now that you have the diagnostic ultrasound it would be great to learn all the things that can be imaged with the unit. Many individuals who take a superficial glance at the technology feel that the image quality reveals less than MRI. That may be true at times but the key to ultrasound is the ability to place structures in motion while observing them. Jeff's number is 209-436-1213. Ed
Result number: 61 Posted by GailB on 2/24/02 at 13:16 Hi everyone. I just now can get to the computer, my wonderful husband moved it to my bedside. I had surgery on Jan 30th, It was much more intensive then they had thought but I am on the mend. I had tarsal tunnel repair:they released the faschia all the way through the foot and up the ankle: they removed the heel spur: and most importantly removed the mass the size of a golf ball that had been so painful for so long. The stiches were taken out on Feb 14th(Happy Valentines Day)....all 42 of them....The pathology report should be in my surgeons hands when I go for my next post-op visit, Tues, FEB 26th. They were pretty sure the mass was just tissue, but tested it anyway. I can not walk of course, YET. I can not put this foot to the floor at all. I am in the bed b/c when i get in the wheelchair and try to move around much i have severe swelling. I had infection but a good shot and oral antibiotics knocked that out quickly. I am diabetic so they are being extra precautious. I am going stir crazy now that I am not on constant pain meds. My four children have been wonderful and my husband a saint! Thanks be to God. Thanks to everyone for your emails. SOrry I have just now gotten an update to all of you. I filed paperwork for my SS Disability this week. HOPEFULLY something will become of this! My doctor and my surgeon both submitted letters and their strong opinion. We will not ever know if all these problems come from the laser surgery the podiatrist did in Dec of 2000. BUt I will not recommend himm to anyone, that I can tell you, My problems multiplied after he touched me. We had considered a lawsuit, but not sure now that I am in good hands of a wonderful surgeon. Dr Jeffrey Herring, with the Tennessee Orthopedic Alliance, Baptist-Nashville TN is to be highly recommended!!! Hope if there is anyone else out there who is near the Nashville area and in need of a good doctor, heis your man! Talk to all of you soon@ Gail
Result number: 62 Posted by GailB on 2/24/02 at 13:14 Hi everyone. I just now can get to the computer, my wonderful husband moved it to my bedside. I had surgery on Jan 30th, It was much more intensive then they had thought but I am on the mend. I had tarsal tunnel repair:they released the faschia all the way through the foot and up the ankle: they removed the heel spur: and most importantly removed the mass the size of a golf ball that had been so painful for so long. The stiches were taken out on Feb 14th(Happy Valentines Day)....all 42 of them....The pathology report should be in my surgeons hands when I go for my next post-op visit, Tues, FEB 26th. They were pretty sure the mass was just tissue, but tested it anyway. I can not walk of course, YET. I can not put this foot to the floor at all. I am in the bed b/c when i get in the wheelchair and try to move around much i have severe swelling. I had infection but a good shot and oral antibiotics knocked that out quickly. I am diabetic so they are being extra precautious. I am going stir crazy now that I am not on constant pain meds. My four children have been wonderful and my husband a saint! Thanks be to God. Thanks to everyone for your emails. SOrry I have just now gotten an update to all of you. I filed paperwork for my SS Disability this week. HOPEFULLY something will become of this! My doctor and my surgeon both submitted letters and their strong opinion. We will not ever know if all these problems come from the laser surgery the podiatrist did in Dec of 2000. BUt I will not recommend himm to anyone, that I can tell you, My problems multiplied after he touched me. We had considered a lawsuit, but not sure now that I am in good hands of a wonderful surgeon. Dr Jeffrey Herring, with the Tennessee Orthopedic Alliance, Baptist-Nashville TN is to be highly recommended!!! Hope if there is anyone else out there who is near the Nashville area and in need of a good doctor, heis your man! Talk to all of you soon@ Gail
Result number: 63 Posted by Julie on 2/22/02 at 14:22 Hi Clara No, I haven't come across Jeffrey Jones. What is he a teacher of? And what does he mean by 'controlling the inner-sense'? I'd like to know more about him, so please tell me. Glad Office Yoga is still being helpful to you. Yes, when you can't stand, it's surely useful to have a battery of things you can do sitting in a chair. That was the idea of the book - though when I wrote it I hadn't heard of PF. Maybe there are Qi Gong exercises you can do sitting? I would have thought that with a little adaptation, you could... It's a couple of days since you posted about your setback. Are you feeling any better yet? I hope so. Love to you from across the North Sea Julie
Result number: 64 Posted by Clara from Sweden on 2/22/02 at 05:39 Hi! Yes I think you are one hour "behind". Nice to "hear your voice"!! :) Thanks Julie, you are an angel! One of! Well, they haven´t started the re-building of the library yet. But I will take that in my reminder when we will "get it up do discussion" again. It may take a while before all bosses understand how important the floor´s underlay is. I can´t do yoga right now, but I have your Office yoga in mind every day. i do some of the practises once or twice a day at my desk. And the breathing has really helped me thru many difficult times. I do some Qi-Gong too, I love it! But then I must stand up and that is no good right now. Hugs to you Julie //Clara PS Do you know who Jeffrey Jones is? I have met him a couple of times. He is a teacher in England, and learns how to control the "inner-sense" if you understand what I mean. I just wondering if you know who he is, he is a lovely person, and I have learned a lot from him. DS
Result number: 65 Posted by Donna SL on 2/18/02 at 18:39 Hi Laurie, I'm still in San Francisco. We've had to put our plans on hold from moving for the moment. The position my husband was going to take as an interim step until we went back to the UK was at the World Trade Center. Thank goodness he didn't start that position before the tragic event. We've ruled out NY all together for now. I wish I had a magic wand, and could rip out all your pain right now. You seem too sweet of a person to be suffering like this. BTW, have you ever been in contact with a Dr. Roger A. Mann, or his son Jeffrey? They are MD's located in Oakland, at 3300 Webster st, and are suppossed to be one of the best foot, and ankle surgeons in the world. I've heard they have helped the most difficult of cases. I think this is still their current phone number. 510-451-6266. Donna
Result number: 66 Posted by Nancy N on 9/13/01 at 22:26 Barb-- The problem with this line of thought (aside from the fact that it's keeping me from sleep! :) ) is that it does get dicey and eventually it makes my head hurt. But I do believe that we are socialized into our views of right and wrong--we may indeed be able to sense it intrinsically, but how and why we do that is going to be colored by whatever socialization we were exposed to. The human brain is an amazing thing--very adaptable, which can be both a blessing and a curse, depending on the forces it's exposed to. Free speech might be an absolute truth--for me. Might not be for someone else. It's all very individual. For me, I believe that the WTC is a horrible tragedy and a sign to us that it is time to wake up and take our place in the global community--and because I see that good end, I have trouble declaring it completely evil. It is only completely evil if we allow these people to have died in vain. Similarly, my anger about this tragedy comes from the fact that when 270 people died in Lockerbie in 1988 we did not learn from their deaths and make them mean something by using the knowledge from that attack to prevent this one. To me, that is simply unconscionable. To the businessman who made the decision not to spend the money to change security practices, perhaps it was not. I don't know. I can only judge by my own moral compass and recognize that other people may see things differently than me--and that the difference is not necessarily bad. As for giving up to sin totally (which is what I think you meant in your last sentence, not entirely sure but I am really tired), absolutely I think there are people who give themselves up to it. Absolutely. But then we get into the debate over whether it's giving themselves up to evil, or insanity--or if they are the same thing. Charles Manson, Jeffrey Dahmer, Ted Bundy--insane, or sane, cold-blooded evil incarnate? I don't know, it's a very tough call, and one that I am definitely not qualified to make. My point in bringing up this topic is not to say that we are wrong to be upset, or that we deserved to be attacked. My point is simply to remind everyone that there are two sides to every story, and we need to keep the other side in mind before we issue blanket condemnations, especially when those condemnations involve entire ethnic groups. I just don't believe in absolutes (except maybe absolute zero). They make me uncomfortable, because there is almost always an exception--which negates the "absolute." (Or maybe I'm just commitment-phobic, which is probably also true!) OK, I am exhausted and I am going to bed. I hope what I just wrote at least makes a little sense...
Result number: 67 Posted by elliott on 8/03/01 at 08:23 I posted a duplicate of this post on the ESWT forum; not sure how many visit there regularly so I thought I'd repeat it here (is that OK or are we not supposed to do that?) Just thought I'd mention that an article on ESWT appears in the latest (September) issue of Runner's World, page 21. It's not that long an article (remember, it's Runner's World) and the acronym was mistakenly inverted as EWS (remember, it's Runner's World). It also said "extracorporal" instead of "extracorporeal". Are these interchangeable or can we throw in a third "remember, it's Runner's World"? The article has short paragraphs each to answer how it works, whom it's for, success rate and cost. There's a link given to healthtronics.com. One Jeffrey Ross, D.P.M. from Baylor College in Houston, is quoted for the whom-it's-for paragraph. Is that the same Jeff who posts on this site?
Result number: 68 Posted by elliott on 8/03/01 at 08:19 Just thought I'd mention that an article on ESWT appears in the latest (September) issue of Runner's World, page 21. It's not that long an article (remember, it's Runner's World) and the acronym was mistakenly inverted as EWS (remember, it's Runner's World). It also said "extracorporal" instead of "extracorporeal". Are these interchangeable or can we throw in a third "remember, it's Runner's World"? The article has short paragraphs each to answer how it works, whom it's for, success rate and cost. There's a link given to healthtronics.com. One Jeffrey Ross, D.P.M. from Baylor College in Houston, is quoted for the whom-it's-for paragraph. Is that the same Jeff who posts on this site?
Result number: 69 Posted by Julie on 7/15/01 at 02:42 Jeff (Jeffrey Oster) is a certified podiatrist/pedorthist, as you can discover on the website he has now told us of about nineteen times. He certainly has a lot of foot knowledge, but he is also clearly selling us foot stuff. I hope Scott has cottoned on. I feel we're having a snow job done on us. As for his advice on the heels-hanging-off-the-stair stretch, I said what I thought of this on another thread: it is dangerous because it is not controllable. At best it's painful (and therefore for most people probably unhelpful); at worst it can tear the fascia or rupture the Achilles Tendon. I hope he will respond to the unease some of us have expressed, and perhaps enter a dialogue - I hate to think that he's giving this diabolical stretch to all his pf patients! And I hope new people won't get enthusiastic about it.
Result number: 70 Posted by Jeffrey on 6/11/01 at hrmin Dear Dr, I was diagnose ( not conclusive ) with having stress fracture in my right foot through a bone scan. I have been in pain for 8 months esp. at my sesmoid and metatarsal bone. There has also been fluid at my ankle joint. After going to many podiatrists ,orthopedic surgeon and having many tests done, I am exasperated with my situation. I can't seem to find any answers and this has severely affected my active lifestyle. Can you tell me what I should do ?
Result number: 71 Posted by jeffrey.N on 5/23/01 at 01:06 In response to Jan at jcooper@gers.com Several years ago I had a very painful heal spur, being fearful of what I'd heard about cortisone injections, I looked for alternatives. My local GP prescribed a course of anti-inflammatory tablets (Naprosen 500) which I took regularly. After 6 weeks I was walking without pain and have had only one slight recurrence in 7 years, again a course of Naprosen eliminated the problem. May be worth a try. Worked for me. Good luck.
Result number: 72 Posted by paula gr on 4/26/01 at 16:33 any docs here ever heard of dr jeffrey johnson at barnes jewish hospital in st louis missouri? i found an article by him on the internet about adult acquired flatfoot. he sounds very knowledgable. and barnes jewish sounds like a good orthoeapedic dept. lately the docs here in atlanta are telling me they can't diagnose it if i can't stand up. how do i get a definitive diagnosis on why i can't stand and bear weight if i have to stand and bear weight to get a diagnosis). i feel like a character in a kafka novel.
Result number: 73 Posted by Jeffrey on 4/26/01 at hrmin Hello Dr. Zuckerman, Thank you for replying so quickly. I am impressed with your profesionalism and I am sure alot of your readers feel the same. Getting back to your queston, the fracture is at my ankle and metatarsal bone. There has been fluid build up at these places. My doctor has given me numerous steriod shots to calm it down. I am using an aircast for my ankle and a pad in my shoe for my metatarsal. My doctor says I should see a change in two weeks. Is that possible since I have been in pain for 9 months ? This has also affected my knee and hamstring on my other leg. Can anyone figure out a witch brew to cure my ailments ? lol
Result number: 74 Posted by Jeffrey on 4/26/01 at hrmin Dear Dr. I had pains in my ankle, metatarsal and sesmoid bones for nine months. It didn't show on x-rays nor MRI. My doctor says I have a stress fracture based on my bone scan. I am using an aircast. How long does it take for my bones to heal ? What can I do to prevent it from happening again ? Your advice is greatly appreciated.
Result number: 75 Posted by Nanafitz on 9/04/00 at 20:22 Hi John a.......the biomechanical specialist I saw is Jeffrey Cusack DPM, E. Northport, NY. 1-631-266-2220. I saw him only once so far, and I have no basis for comparison. I liked him very much, though. The exam was extensive and I got a copy (> 10 pages) of the report that he sent to my referring podiatrist. I didn`t understand a lot of it, but I see him tomorrow so my list of questions is long. Good luck!Result number: 76 Searching file 1 Message Number 11972 Posted by JeffreyT on 10/22/99 at 00:00 Did anyone know that the actor Harrison Ford also suffers form PF? s He says even with all his $ nothing helps. Notice his gimp when he runs in his films. We are not alone! Result number: 77 Message Number 11848 Posted by kellyc on 10/19/99 at 00:00 I am part of the study in St. Louis under Dr. Jeffrey Johnson. I got my treatment today and as I type I am completely numb from the ankle down! I ended up with 6 shots before getting to a comfort zone for the treatment. It's not painful per se but more "uncomfortable". Keep your fingers crossed that I'm one of the real ones and actually got the treatment, not the placibo. Result number: 78 Searching file 0 Begin Guestbook searchesOver 50 records returned. Search was stoppedIf this search is crucial and you need to see all returned results, email scott@heelspurs.com |