Lori Search Results
Begin Message Board SearchMessage Number 261610 Posted by Melinda C. on 10/29/09 at 14:54 I am having a tarsal tunnel release surgery tomorrow and am concerned about the post-op pain. My doctor prescribed 7.5 mg of Loritab. Another physician and friend both told me that it wouldn't be strong enough. Called my doctors office and just got a call back that said it would be strong enough and he wouldn't give me anything stronger. Is Loritab strong enough for this post-op pain?
Result number: 1 Posted by John D on 10/28/09 at 15:24 Greetings: I am a physician assistant for the last 35 years. Have had terrible trouble with plantar fascititis for many years off and on, mainly because I enjoy hiking the AT too much and I am too damn old for that. LOL I have had custom orthotics from my GREAT Podiatrist in Lake Mary Florida, Chris Mason DPM and they have really helped. It took 5 injections of steroids into my left heel to completely erradicate the pain. I went to the Good Feet Store out of curiosity in Orlando and I was not pleased. Their products are off the shelf and their sales technique left me wanting to call law enforcement, plus they were just completely wrong. I would urge everyone to go to a realy good reputable podiatrist and seek assistance there. Find out who the doctors go to for their feet then you do the same. Each foot is different and you need the custom orthotics molded for just your feet. Yes they are expensive but when you have to walk on feet al day long what price is comfort????? John
Result number: 2 Posted by MarkJ on 10/20/09 at 08:09 After exhausting nearly three years of conservative efforts to relieve plantar fasciitis which I am sure is now fasciousis, I am seriously considering the Topaz procedure. The question I have is what are the success rates with this treatment? When I first started exploring this option, I viewed the topazinfo.com website that claimed Topaz had a 95% success rate, which, on a comparative basis, was significantly higher that ESWT and other procedures. When I recently revisted that website, I could not find that claim or comparison listed again. Why did they take this off? Can they not substantiate their claims? Does any doctor, especially Dr. Ed who has referenced this website, have any concern about Topaz and its effectiveness? Where can I go to find out more about the success rates of this relative to ESWT (which is not covered by insurance)and endoscopic plantar fasciotomy?
Result number: 3 Posted by marie:) on 10/18/09 at 07:50 Thanks Allen. Yes I read the article. I am still exploring all sides to this issue so I do read counter points. I posted this article because i thought it would add another point of view to the conversation. I'm not sure that you completely understand what KBR's responsibility is here. They are not responsible for the actual attack but they are responsible for any cover up or intimidation that followed. It seems the courts will make those determinations. It appears they used the arbitration contract to do so. That is why the amendment passed and why the article I posted has such a weak argument.
Result number: 4 Posted by Dr. Ed on 10/17/09 at 17:00 David - keep in mind that there are large numbers of patients on drugs to suppress hydrochloric acid production, proton pump inhibitors such as Nexium/Prilosec. Since both intrinsic factor and hydrocholoric acid are needed for B12 absorbtion, I would look more closely at such patients. Also, more people are reducing the intake of foods containing B12 which tends to be found in animal products. Vegetarians as well as bean sprout, avocado eating Californians may have less consumption of red meat than Texans. ;) Here in Texas, dietary theory is fairly simple: the steer eat the vegetables and we eat them. Ed
Result number: 5 Posted by Dr. DSW on 10/05/09 at 18:24 Jen, You kind of prove my point. Every doctor's technique differs, therefore can not really be compared. I do not try to 'hit the bone' for the reasons you've already experienced. Sometimes the bone does get 'hit', but not very often. Additionally, unlike many doctors who unfortunately inject very quickly, which is basically a 'hit or miss' approach, I inject very slowly. Although may sound more painful, it's just the opposite. This allows me to inject the anesthesia in the syringe very slowly, allowing the area to numb as I inject. Often, the pain is from the sudden influx of a lot of fluid into a small area causing intense pain and burning. By injecting a very small amount at a time, the area is numbing as I'm injecting a very small amount at a time. Also, I go very slow so IF I do touch the bone, I touch it gently, I don't 'hit' the bone. The only real discomfort associated with the injections I give is the initial 'stick' which is also greatly reduced by spraying the skin with ethyl chloride or a similar topical skin freeze. Just like anything, it's often simply a matter of 'technique'.
Result number: 6 Posted by marie:) on 9/30/09 at 18:45 Just correcting an old urban legend that China is drilling oil 45 miles of the Florida coast. It all began when Cheney quoted George Will. Even Cheney admits he was mistaken. In fact George Will wrote an entire article correcting the issue. CHINA is NOT drilling of the shore of Cuba. ;) http://www.factcheck.org/askfactcheck/are_the_chinese_drilling_off_the_coast.html Cheney: As for other locations, George Will pointed out in his column the other day that oil is being drilled right now 60 miles off the coast of Florida. But we're not doing it, the Chinese are, in cooperation with the Cuban government. Even the communists have figured out that a good answer to high prices is more supply. Associated Press Online: Cheney's office said in a statement to The Associated Press that the vice president had erred. 'It is our understanding that, although Cuba has leased out exploration blocks 60 miles off the coast of southern Florida, which is closer than American firms are allowed to operate in that area, no Chinese firm is drilling there.' But the false claim has been repeated by those in favor of lifting a federal moratorium on drilling in offshore areas and in the Arctic National Wildlife Refuge. A variation on the theme was delivered by South Carolina Republican Sen. Lindsey Graham on June 22 on NBC's 'Meet the Press':Graham: Cuba is doing a deal with China, potentially, to drill off our shores.
Result number: 7 Posted by Susan on 9/18/09 at 16:51 Hu, Wow! It helps to talk to people. I was diagnosed with RSD 15 years too late after having ill-advised ankle surgery, which only exacerbated everything enormously. On October 4th I am going to Florida to have a ketamine infusion, if the doctor thinks I am a good candidate or hyperbaric oxygen. Those are the only options I have left. Not only do medications not work for me, but I get every conceivable horrible side effect. I really hope that the treatments in Florida work, because the pain and disfunction are unbearable. For 15 years doctors refused to believe that this condition wasn't all in my head. Had I been treated early, this situation never would have occurred. Anyone who has had success with ketamine or oxygen, please contact me. That would give me a big boost. And thanks so much for writing. Susan
Result number: 8 Posted by Dr. DSW on 9/16/09 at 06:29 Norm, I may be wrong, but IF I remember correctly, you're a physician. I was involved with many of those infamous debates many years ago regarding some of the cryosurgery issues. You correctly stated the main point that I was 'arguing' during that time when one of the doctors was exploring/utilizing cryosurgery for tarsal tunnel symptoms. And that was the claim that it was 'selectively' destroying (effecting)sensory fibers, while not injuring motor fibers. I kept asking for an explanation, but never received what I considered an adequate answer. As you apparently know, the tibial nerve is a mixed nerve, meaning it is both sensory and motor, and I never understood how cryosurgery could selectively eliminate sensory fibers without injuring or POTENTIALLY injuring motor fibers. Therefore, I felt that utilizing cryosurgery on a mixed nerve had the potential to be a disaster if the motor fibers were injured. HOWEVER, after some research and an eventual explanation some time later by Dr. Carazos (sp) and his colleagues in Arizona and Florida, I began to understand that they really are NOT applying the 'freeze' to the actual tibial nerve, but are more accurately targeting the more terminal branches of the tibial nerve which are strictly sensory branches. In my opinion, the success or failure of the procedure will therefore be dependent on the level of the nerve entrapment/involvement. If the involvement is proximal in the tarsal tunnel and involves the actual tibial nerve, my opinion is that cryosurgery has the potential danger of injuring motor and sensory fibers. If the involvement is distal and only involves the sensory nerves, I believe that the procedure is no more risky than other alternatives. If my memory is correct, I also thought you were being treated for RSD/CRPS??? Prior to any procedure, I would attempt to determine whether the pain is from the potential nerve entrapment, RSD/CRPS (if you have this disorder) or both, and discuss all treatment options with your 'team' of doctors.
Result number: 9 Posted by LindaM on 8/29/09 at 17:00 It's hard for me to measure my improvement since ESWT. In general, my feet feel better, but there are some things that I was able to do pre-ESWT that I'm having trouble doing now. For example, I used to be able to work out on the stair master at the gym. I had gradually worked my way up to almost 45 minutes, and although my feet never felt terrific afterwards, they never seemed to get any worse either. Since ESWT, I have not been able to use any machines at the gym nor take walks without wearing airheels. I'm fortunate because I can still bike, but otherwise, I'm having trouble finding a way to enjoy the outdoors (or work out indoors properly in the bad weather). I was hoping to find options that might not require a long recovery time. I had the ESWT done on January of this year and found that my recovery was very slow. This is why I have been exploring other alternatives. If you think a 2nd ESWT treatment would produce good results, I may consider it again for this winter. Thanks for your consideration, Dr. Z.
Result number: 10 Posted by james wolf on 8/27/09 at 06:37 dr. please explain the difference between and arthoplasty vs. an arthodesis of the big toe;my podiatrist wants to remove both implants from my big toes which i had surgery about twenty years ago and perform and arthodesis ( fuseing of the joint ) and claims he can straighten the toes and replace them to their original lenght ( shorten almost 3/8' by the first operation ) by placing and implant in both toes;the foot and ankle surgeon saids this is a very difficult operaton and wants to perform and arthoplasty of both toes by performing and additional surgery of removing a small piece of bone from both legs from below the knee to be used in the arthoplasty but claims he will have to shorten both toes further;confused and concerned and would appreciate your opinion and comments thank you, james wolf fort lauderdale florida
Result number: 11 Posted by marie:) on 8/15/09 at 17:48 Stephen Hawking is alive because of NHS in the UK. Urgggghhhh....sorry but it's frustrating when sensible and intelligent people don't know a con when the see one. No horseman just a bunch of fools on some rodeo horses thinking they can sell them as race horses. Hey john, did I ever tell you I have some land in Florida for sale......great deal. Lots of water and wildlife....lets talk. ;) http://www.guardian.co.uk/politics/2009/aug/12/birthers-stephen-hawking-paul-rowen The stories of people dying on a waiting list or being denied altogether read like a horror script … People such as scientist Stephen Hawking wouldn't have a chance in the UK, where the National Health Service would say the life of this brilliant man, because of his physical handicaps, is essentially worthless.' We say his life is far from worthless, as they do at Addenbrooke's hospital, Cambridge, where Professor Hawking, who has motor neurone disease, was treated for chest problems in April. As indeed does he. 'I wouldn't be here today if it were not for the NHS,' he told us. 'I have received a large amount of high-quality treatment without which I would not have survived.' Something here is worthless. And it's not him.
Result number: 12 Posted by Jen R on 8/11/09 at 08:16 Hi Brian, I am not a doctor but I have suffered for PF for a long time (over 10 years) and have learned quite a bit during my search for pain relief. What I can tell you is that a treadmill is NOT recommended for people with PF because it does not mimic the normal gait of walking. On a treadmill, your foot slides back and as it comes up actually puts more tension on the PF ligament than walking does. So...maybe just stick with walking the dog and other non-impacting exercise. I exercise 3 or 4 times a week and have taken the treadmill totally out of my routine. I've found riding a bike gives me a great workout without pounding my feet. There are also other things like ellipticals, swimming and the cardio machine that you turn pedals with your arms (I forget the name of it). These can all help you burn calories and strengthen your heart and muscles without beating on your feet. Additionally, good shoes and orthodics may also help keeping in mind that what you may think is a 'good' shoe may actually not be the best shoe for your foot shape and issues. Just because a shoe is expensive or good for someone else doesn't mean that same shoe will be good for you. From my time on this website, I don't hear many of the doctors and experts express many good thoughts on Nike shoes. A certified pedorthist or shoe expert at one of the specialty stores might be able to help you find the shoe and/or orthodic that is best for you. Good luck, Jen R
Result number: 13 Posted by marie:) on 8/07/09 at 17:21 As a moderate I can tolerate many right and left wing political talking heads as long as they aren't to extreme. Beck was one of them. Now he turns my stomach. In-sighting people to boost your paycheck is such an obvious maneuver. It makes these kinds of pundits legitimate arguments come across as foolish. So no more Beck for me. Not that it matters a great deal to anyone else, but I have personal ethics and morals I prefer to live by. To each their own. Keep the discussion real and on point. Otherwise all I see is the Conservative end of the Republican Party as past tense. http://chattahbox.com/us/2009/08/07/violent-right-wing-town-hall-mob-linked-with-group-promoted-by-glenn-beck/ An angry mob of near-rioting right-wing protesters overwhelmed a Tampa, Florida Democratic town hall Thursday night organized to discuss health reform, requiring dozens of police officers to control the unruly crowd. Many of the protesters were members of a right-wing Conservative activist group, called Tampa 912 that’s promoted by Conservative Fox News host Glenn Beck.
Result number: 14 Posted by laurah on 8/06/09 at 20:39 I am pretty sure I have Chronic Exertional Compartment Syndrome, and have had for many years. I need to find someone in South Florida who is familiar with this condition. I have been to my primary care provider, as well as a specialist, neither of whom had heard of the problem and thought I had neuropathy in my feet.
Result number: 15 Posted by john h on 7/20/09 at 11:11 First, let me say I have never smoked and wish no one smoked. As the states and Federal Government continues to try and tax cigarettes off the market a strong 'black market' for this product is building up daily. Not unlike our attempts to prohibition in the 30's or present day drugs. Where there is a market for a product and in particular an addictive one there will be suppliers who will step forward: By GARY FIELDS WASHINGTON -- States across the U.S. have been taking a harder line against an old problem -- cigarette smuggling -- as part of the widening search for solutions to their budget problems. States including Florida, Maryland, Michigan, New York, Rhode Island and Virginia this year have stepped up law-enforcement efforts with the aim of recouping taxes lost to bootleg cigarette sales. View Full Image Getty Images Studies indicate states are losing about $5 billion annually in tax revenue because of illegal tobacco sales, said Phil Awe, who heads the tobacco-diversion division of the Bureau of Alcohol, Tobacco, Firearms and Explosives. 'We do not want to have our tax laws ignored and lose tax revenue from legitimate sales of cigarettes,' Maryland State Comptroller Peter Franchot said of the crackdown. He estimates that his state is losing 'hundreds of thousands of dollars' annually. The focus on cigarette smuggling is one of several initiatives gaining momentum as states hunt for new revenue to avoid cutting services or raising taxes. Some are contemplating revising current laws or creating new ones that could force out-of-state online retailers to collect sales taxes. Others, such as Michigan, are looking at releasing some state inmates and closing prisons. Maryland is pushing several initiatives, including a partnership with the Internal Revenue Service that is helping the state collect back taxes from federal contractors.
Result number: 16 Posted by scott r on 7/09/09 at 09:57 I thought this article might be of interest. I think treating paying patients over the internet is going to be a quickly growing trend. ===== Jane Rust woke up early one day last year and discovered that her left eye was red, swollen and itchy. So she logged on to her family doctor’s Web site and typed a message describing her symptoms and asking what to do. By mid-morning, the 61-year-old homemaker received an online response from her doctor with a diagnosis—conjunctivitis, or pink eye, probably contracted from a child in her Sunday-school class—and a prescription to pick up at the pharmacy. “I didn’t have to disrupt my day,” says Ms. Rust, who lives in Readyville, Tenn. “It’s much more efficient.” This year, 39% of doctors said they’d communicated with patients online, up from just 16% five years earlier, according to health-information firm Manhattan Research, a unit of Decision Resources Inc. So far, the most common digital doctor services are the simplest ones, like paying bills, sending lab results and scheduling appointments. But patients like Ms. Rust are also using computers to deal with issues that usually require a trip to the doctor’s office. Though the number of physicians doing formal digital visits is still small, the practice of online care has grown as more health insurers begin paying doctors for treating patients virtually, albeit at a lower fee scale than for traditional in-office appointments. Among companies that now cover digital visits are Aetna Inc. and Cigna Corp., as well as Blue Cross Blue Shield plans in states including Florida, Hawaii and North Carolina. WellPoint Inc. and Humana Inc. are trying it in parts of the country, and may expand their coverage. “If this service is valued, and there is payment for it, we will see many more primary-care physicians doing it,” says Ted Epperly, a doctor in Boise, Idaho, who is president of the American Academy of Family Physicians. Dr. Epperly offers online visits to his patients, but currently just 3% of the physician group’s members do. That low participation rate, however, doesn’t reflect the widespread use of less-formal digital tools like email to communicate with patients. Minneapolis-based Fairview Health System, a hospital and clinic operator, started offering digital visits around 18 months ago after it negotiated payments from some insurers with a large presence in the local market. About 85% of the digital visits between Fairview doctors and privately insured patients are now covered. Doctors who offer digital visits say they generally are most effective for treating mild, simple conditions, often when patients are too busy or too far away to come to the office. Ailments most frequently treated online include sinus problems, cold and flu symptoms, urinary infections, and coughs. Other common conditions are back pain and sleep issues. Louis Petrillo, 57, a psychologist in Westfield, N.J., says he regularly turns to his family’s doctor, Robert Eidus, for online advice about his frail 90-year-old mother, who finds office visits difficult. His son who is away at college also used an online visit when he had sinus problems. “I can get into his virtual office anytime,” says Dr. Petrillo. He feels the online care works well largely because Dr. Eidus knows his family members’ regular health complaints. But physicians typically won’t treat certain conditions through online advice, particularly chest pain or other symptoms that may signal an emergency. Some state medical boards have rules that limit the use of digital visits, including requiring that doctors see patients in person before prescribing drugs. Even with minor ailments, many physicians will offer digital advice only to regular patients, for liability reasons and also because they feel that in-person visits are important to discuss broader health issues. Insurers that cover digital visits often require the use of certain technologies or formats, in part to meet federal privacy requirements but also to ensure that a digital visit is legitimate. Companies say they had initial concerns that doctors might seek to boost their revenue by making excessive use of online communications, or classifying quick emailed messages as reimbursable visits. But so far that hasn’t happened, insurers say. Health plans also generally require that online visits be initiated by patients. One format, offered by companies including McKesson Corp.’s RelayHealth and Medfusion Inc., requires patients to fill out interactive questionnaires that automatically generate follow-up queries based on the symptoms they initially describe. The answers go to the patient’s doctor, who typically responds within a day. Another type of digital doctor visit is more like secure email, with patients typing up a free-form message, often sent through a special Web site. Physicians often follow up with questions and then a written response within 24 hours. Medem Inc.’s Online Consultations follows this format. Another option is live online visits, using technology from companies such as American Well Corp. The firm has created an encrypted setup for real-time interaction between doctors and patients, using Web video, live chat or a phone conversation connected through a secure computer system. OptumHealth, a unit of UnitedHealth Group Inc., is rolling out the American Well system nationally. Daniel Nishikata, 28, of Pearl City, Hawaii, says he likes being able to get real-time care fast and late at night, when he’s often awake because he works the graveyard shift at a pharmacy. One Sunday at 2 a.m., Mr. Nishikata logged on to the American Well system sponsored by his insurer, nonprofit Hawaii Medical Service Association, which provides Blue Cross Blue Shield coverage. The system allows patients to communicate with doctors who are on call. Through the online visit, for which he owed a $10 co-pay, Mr. Nishikata got a renewal of his sleep-drug prescription, which he picked up the following Monday morning. When an insurer doesn’t pay for online visits, some doctors are asking patients to pay around $20 to $35—far less than an in-person visit. The lower rate reflects the fact that digital visits typically are less demanding and require less of a doctor’s time. The reduced rate appeals to patients like Shellie Kemp, 30, of Port St. Lucie, Fla. Ms. Kemp lost her banking job last year, and she has no health insurance through her work as a substitute teacher. Her husband has a high-deductible plan. When the couple came down with flu-like symptoms recently, Ms. Kemp filled out online questionnaires for both of them about their symptoms. Their doctor, Lisa Rankin, responded by prescribing antibiotics. The Kemps were charged $30 each. “It gives you a chance to have your doctor treat you, and it’s affordable,” says Ms. Kemp. Doctors also use digital communication to track patients with chronic conditions like diabetes who can regularly send in their blood-sugar readings. Shawnda Johnson, an Oakland, Calif., pediatrician with the big nonprofit Kaiser Permanente, has used its secure email to monitor a patient she had diagnosed with attention-deficit disorder. Instead of bringing him in to the office, the boy’s parents would regularly send updates about his condition. Dr. Johnson adjusted his medication dose based on the feedback. Conditions that may be ambiguous don’t lend themselves to online diagnosis. Some doctors say they won’t diagnose complaints such as vertigo and ear aches without an exam. Melissa Gerdes, a family doctor in Whitehouse, Texas, won’t treat abdominal pain in an online visit. “How are you supposed to tell a bladder infection, or appendicitis, or an aneurysm?” she says. “There are too many different potential causes for pain in the belly area.” Of course, patients can’t always tell what’s urgent. Gynecologist James R. Frede, who practices in Wailuku, Hawaii, grew concerned about six weeks ago when a patient, during a live online conversation with him, described serious abdominal pain that left her curled up in bed. She’d recently learned she was pregnant. Dr. Frede, worried that her symptoms could signal an ectopic, or tubal, pregnancy, urged her to get to an emergency room. Dr. Frede met her there and confirmed that she did have the condition. The woman was treated and recovered.
Result number: 17 Posted by marie:) on 6/30/09 at 08:56 Not to take away from Doc Watson because he's an awesome picker and songwriter...........but I think it's a matter of taste. I'm a pretty open minded person when it comes to the arts so I can appreciate many types and forms of music. I mean someone who loves heavy metal probably doesn't care for Watson. ;) Jackson wrote some incredible songs that I doubt anyone hasn't heard........like Billie Jean and Thriller. On top of that he was an incredible entertainer........which probably made his songs what they were. But I have no interest in comparing his work to that of Sonnie Terry & Brownie McGee. Why compare? Art is art and each person will have their own personal ideas and appreciation. If you like it and you gain something from listening to it then the artist has accomplished their goal. I don't own anything by MJ but it doesn't mean I don't appreciate his talent or respect those who are his fans. Why try to one up it? Why knock one form of music style over another? My favorite music is the blues.......the old stuff, not to many people have heard of some of these guys but it doesn't make them more or less of musicians then Michael, Elvis or the Beatles. Compare, one up........no thanks. ........here this one is for you Rick http://www.floridamemory.com/Collections/folklife/mp3/CD4/13Shady-Grove.mp3
Result number: 18 Posted by Jeremy L, C Ped on 5/24/09 at 08:28 Okay, so we all know there is a recent glut of 'biomechanical footwear' on the market today. And each and every product show I attend there's some other new brand making their launch. Well established brands are also bringing out models within this category. Some of these have been out long enough now to establish some level of acclaim and criticism. Today, I'll focus on Chung Shi. This brand is (as best as I can determine) exclusively sold in the US through Foot Solutions franchises. Their website makes these claims regarding this brand: • Promotes the natural walking and jogging gait • Helps prevent injuries to tendons, ligaments and muscles • Achieves better postural alignment • Makes muscles work harder and, therefore, burn more calories • Absorbs shock to the feet, knees, hips and back • Leads to a more relaxed, upright posture improving respiration • Strengthens the core muscles • Increases calorie consumption (compared with “normal” shoes) • Improves posture and relieves pressure on the vertebral column • Improves respiratory and circulatory function, strengthens and improves control of muscles leading to greater relaxation • Improves athletic endurance • Finger-pressure massage effect of Chung Shi activates the reflexology zones of the feet • Tones and strengthens the feet, legs, buttocks, abs and back • Improves the appearance of cellulite When one sees this many benefits promoted on a single product, he/she may assume that the marketers are throwing up as many as they can and hope they get some to stick. And he/she wouldn't be completely wrong in that assessment. There are almost no independent studies to verify that most of what is stated is true. What can be relied upon is the evidence demonstrating that shoes engineered to encourage sole strike more towards the front of the heel, then accelerate the gait through propulsion, does help strengthen core muscle groups and reduce impact vibration to the body. The sole profile employed by Chung Shi and its polyurethane sole material do these things adequately. What they fail to do is employ more traditional interior sole construction techniques which are necessary for those who already have a functional gait deformity. The perfect example is an individual who has consistent heel pain, as well as a common forefoot supinatus deformity. This person has a laxity in the connective tissue leading the larger bones in the forefoot, not allowing normal strength levels and windlass effect through gait propulsion. This commonly leads to strain to the medial portion of the plantar fascia and heel pain. This person typically needs to turn the forefoot out to compensate for this functional deformity, causing an excess rotation of the midfoot. Shoes worn by this type of person regularly show two visible signs. There is acute sole wear on the outside of the heel, coupled with acute wear on the inside ball of the foot, often not extending through the area of the great toe. The majority of shoes available at retail will also exhibit a further wear deformity, in that the abducted gait of this person causes a twist in the middle of the shoe's sole. When a credibly made shoe is held upright and viewed from the heel counter, the sole beneath the heel is on a flat plane with the sole under the forefoot. Shoes that lack adequate midfoot support will show the forefoot twisted up on the inside half. When this occurs in the shoe, it extends and exacerbates the pain for those with common type of plantar fasciitis. This is essentially what happens with Chung Shi shoes. When new and with its biomechanical properties intact, it likely does provide functional benefits to the wearer. Whether they do as much as what is advertised is likely on a case by case basis. What is clear is that the polyurethane sole has no material placed in the midfoot area to reinforce it against torsional break down and deformity. Those possessing a supinatus deformity will eventually cause this kind of twist in the sole and erase the majority of whatever functional benefits the shoe has, sometimes within weeks of owning them. Based on what I've seen thus far in my patients, and their footwear, I can safely say that those having forefoot varus and supinatus deformities should avoid this brand. You doctor should be able to tell you whether you have either of these conditions. Even those with fairly normal feet should consider avoiding the brand, if they weigh sufficiently over 200 pounds. That kind of weight placed above any under-supported soling should always be questioned. Best functional performance will mostly come from those who are lighter in weight and possess either fairly normal gait mechanics or have a modest supinated gait. As always, don;t always believe the hype. And shop wisely.
Result number: 19 Posted by lori w on 5/23/09 at 10:45 Hi,Can you tell me how your surgery went I'm having surgery Jul 1st.was wondering what I'm in for Thanks Lori
Result number: 20 Posted by Kathryn P. on 5/08/09 at 08:43 Thank you for your quick response. I currently live and have residence in Florida. However, I am moving back to Maryland on Monday. I have looked into programs in Florida but, I can't wait any longer for medical assistance. I have also called several doctors offices to see if they could help me. In the end I can't afford it even with the little discount they offer. I've just come to the point where I've done everything I can and now I need my parents to help me. I will continue to look in Maryland and I will get care as I can afford to.
Result number: 21 Posted by Kathryn P. on 5/07/09 at 17:09 I began having pain over a month ago. I just graduated from college and lost my health insurance. I also just lost my job as a server because, I couldn't perform my job due to my increasing pain. I'm at the point where I'm moving from Florida back to Maryland where my parents live. I am really grateful they can help me but, it is still going to be really hard without insurane. Any advice?
Result number: 22 Posted by sunnyw on 5/05/09 at 15:13 What part of the country did you have the ESWT in? I can't find anyone in the Southwest that do that procedure. or in the northern part of Florida.
Result number: 23 Posted by marie:) on 4/30/09 at 17:21 Alright Arlan Spector! McCain showing an effort to listen and change with town hall meetings. Coleman it's over, Pawlenty do your job or forget bid for presidency....we all saw what obstructing the voters did in Ohio. Poor Kenneth Blackwell. It's all about choice. http://www.foxnews.com/politics/2009/04/28/specter-secures-seat-party-switch/ Now that Sen. Arlen Specter is switching to the Democratic Party, he'll have to screw up pretty bad to lose his bid for a sixth term next year, say political analysts and lawmakers who consider his re-election a foregone conclusion. http://voices.washingtonpost.com/44/2009/04/30/gops_big_names_try_to_forge_ne.html?wprss=44 a group of party heavyweights including former Florida Gov. Jeb Bush and Sen. John McCain (R-Arizona) are launching a new group that will hold town halls around the country and look to produce GOP ideas on issues like education and health care. http://www.cbsnews.com/blogs/2009/04/30/politics/politicalhotsheet/entry4980753.shtml 'Most Minnesotans – including Republicans – believe that once the state Supreme Court rules, Governor Pawlenty should do his legal duty and certify Al Franken as our senator,' an announcer says in the spot. 'But the national Republican donors don’t want Minnesota to have our rightful representation in the Senate. The Republican Campaign Chairman, Texas Senator Cornyn, said Norm Coleman’s court challenges could take 'years' to resolve.'
Result number: 24 Posted by john h on 4/23/09 at 16:16 Fascinating information: Real story of Obama (POTUS) and the hostage rescue...... Your 'Real' story is not exactly the way I heard it, and probably has a few political twists thrown in to stir the pot. Rather than me trying to correct it, I'll just tell you what I found out from my contacts at NSWC Norfolk and at SOCOM Tampa. First though, let me orient you to familiarize you with the 'terrain.' In Africa from Djibouti at the southern end of the Red Sea eastward through the Gulf of Aden to round Cape Guardafui at the easternmost tip of Africa (also known as 'The Horn of Africa') is about a 600 nm transit before you stand out into the Indian Ocean. That transit is comparable in distance to that from the mouth of the Mississippi at New Orleans to the tip of Florida at Key West-- except that 600 nm over there is infested with Somalia pirates. Ships turning southward at the Horn of Africa transit the SLOC (Sea Lane of Commerce) along the east coast of Somalia because of the prevailing southerly currents there. It's about 1,500 nm on to Mombassa, which is just south of the equator in Kenya. Comparably, that's about the transit distance from Portland Maine down the east coast of the US to Miami Florida. In other words, the ocean area being patrolled by our naval forces off the coast of Somalia is comparable to that in the Gulf of Mexico from the Mississippi River east to Miami then up the eastern seaboard to Maine. Second, let me globally orient you from our Naval Operating Base in Norfolk, VA, east across the Atlantic to North Africa, thence across the Med to Suez in Egypt, thence southward down the Red Sea to Djibouti at the Gulf of Aden, thence eastward to round Cape Guardafui at the easternmost tip of Africa, and thence southerly some 300 miles down the east cost of Somali out into the high seas of the Indian Ocean to the position of MV ALABAMA is a little more than 7,000 nm, and plus-nine time-zones ahead of EST. Hold that thought, in that, a C-17 transport averaging a little better than 400 kts (SOG) takes the best part of 18 hours to make that trip. In the evening darkness late Thursday night, a team of Navy SEALs from NSWC (Naval Surface Warfare Center) Norfolk parachuted from such a C-17 into the black waters (no refraction of light) of the Indian Ocean-- close-aboard to our 40,000 ton amphibious assault ship, USS BOXER (LHD 4), the flagship of our ESG (Expeditionary Strike Group) in the AOR (Area Of Responsibility, the Gulf of Aden). They not only parachuted in with all of their 'equipment,' they had their own inflatable boats, RHIB's (Rigid Hull, Inflatable Boats) with them for over-water transport. They went into BOXER's landing dock, debarked, and staged for the rescue-- Thursday night. And, let me comment on time-late: In that the SEAL's quick response-- departing ready-alert in less than 4 hours from Norfolk-- supposedly surprised POTUS's staff, whereas President Obama was miffed not to get his 'cops' there before the Navy. He reportedly questioned his staff, 'Will 'my' FBI people get there before the Navy does?' It took the FBI almost 12 hours to put together a team and get them packed-up-- for an 'at sea' rescue. The FBI was trying to tell him that they are not practiced to do this-- Navy SEALs are. But, BHO wanted the FBI there 'to help,' that is, carry out the Attorney General's (his) orders to negotiate the release of Captain Phillips peacefully-- because apparently he doesn't trust GW's military to carry out his 'political guidance.' The flight of the FBI's passenger jet took a little less than 14 hours at 500-some knots to get to Djibouti. BOXER'S helos picked them up and transported them out to the ship. The Navy SEALs were already there, staged, and ready to act by the time POTUS's FBI arrived on board latter that evening. Notably, the first request by the OSC (On Scene Commander) that early Friday morning to take them out and save Captain Phillips was denied, to wit: 'No, wait until 'my' FBI people get there.' Third, please consider a candid assessment of ability that finds that the FBI snipers had never practiced shooting from a rolling, pitching, yawing, surging, swaying, heaving platform-- and, target-- such as a ship and a lifeboat on the high seas. Navies have been doing since Admiral Nelson who had trained 'Marines' to shoot muskets from the ship's rigging-- ironically, he was killed at sea in HMS VICTORY at the Battle of Trafalgar by a French Marine rifleman that shot him from the rigging of the French ship that they were grappling alongside. Notably, when I was first training at USNA in 1955, the Navy was doing it with a SATU, Small Arms Training Unit, based at our Little Creek amphib base. Now, Navy SEAL's, in particular SEAL Team SIX (The 'DevGru') based at NSWC (Naval Surface Warfare Center) at Little Creek do that training now, and hone their skills professionally- - daily. Shooting small arms from a ship is more of an accomplished 'Art Form' than it is a practiced skill. When you are 'in the bubble' and 'in tune' with the harmonic motion you find, through practice, that you are 'able to put three .308 slugs inside the head of a quarter at 100 meters, in day or night-- or, behind a camouflaged net or a thin enclosure, such as a superstructure bulkhead. Yes, we have the monocular scopes that can 'see' heat-- and, draw a bead on it. SEALs are absolutely expert at it-- with the movie clips to prove it. Okay, now try to imagine patrolling among the boats fishing everyday out on the Grand Banks off our New England coast, and then responding to a distress call from down around the waters between Florida and the Bahamas. Three points for you to consider here: (1) Time-Distance- Speed relationships for ships on the high seas, for instance, at a 25-knot SOA (Speed Of Advance) it takes 24 hours to make good 600 nm-- BAINBRIDGE did. (2) Fishermen work on the high seas, and (3) The best place to hide as a 'fisherman' pirate is among other fishermen Early Wednesday morning, 4/8/2009, MV ALABAMA is at sea in the IO about 300 miles off the (east) coast of Somalia en route to Mombassa Kenya. Pirates in small boat start harassing her, and threatening her with weapons. MV ALABAMA's captain sent out the distress call by radio, and ordered his Engineer to shut down the engines as well as the ship-service electrical generators-- in our lingo, 'Go dark and cold.' He informed his crew by radio what was happening, and ordered them to go to an out-of-the-way compartment and lock themselves in it-- from the inside. He would stay in the pilot house to 'negotiate' with the pirates. The pirates boarded, captured the Captain, and ordered him to start the engines. He said he would order his Engineer to do so, and he called down to Engine Control on the internal communication system, but got no answer. The lead pirate ordered two of his four men to go down and find him and get the engines started. Inside a ship without any lights is like the definition of dark. The advantage goes to the people who work and live there. They jumped the two pirates in a dark passageway. Both pirates lost their weapons, but one managed to scramble and get away. The other they tied up, put tape over his mouth and a knife at his throat. Other members of the crew opened the drain __s on the pirates boat and cast it adrift. It foundered and sunk. The scrambling pirate made it back to the pilot house and told of his demise. The pirates took the Captain at gun point, and told him to launch one of his rescue boats (not a life boat, per se). As he was lowering the boat for them, the crew appeared with the other pirate to negotiate a trade. The crew let their hostage go to soon, and the pirates kept the captain. But, he purposefully had lowered the boat so it would jam. With the rescue boat jammed, the pirates jumped over to a lifeboat and released it as the captain jumped in the water. They fired at him, made him stop, and grabbed him out of the water. Now, as night falls in the vastness of the Indian Ocean, we have the classic 'Mexican' standoff, to wit: A life-boat that is just that, a life-boat adrift without any means of propulsion except oars and paddles; and, a huge (by comparison) Motor Vessel Container Ship adrift with a crew that is not going to leave their captain behind. The pirates are enclosed under its shelter-covering, holding the captain as their hostage. The crew is hunkered down in their ship waiting for the 'posse' to arrive. After receiving MV ALABAMA'S distress call, USS BAINBRIDGE (DDG 96) was dispatched by the ESG commander to respond to ALABAMA's distress call. At best sustainable speed, she arrived on scene the day after-- that is, in the dark of that early Thursday morning. As BAINBRIDGE quietly and slowly, at darkened-ship without any lights to give her away, arrived on scene, please consider a recorded interview with the Chief Engineer of MV ALABAMA describing BAINBRIDGE's arrival. He said it was something else '... to see the Navy slide in there like a greyhound!' He then said as she slipped in closer he could see the 'Stars and Stripes' flying from her masthead. He got choked up saying it was the '...proudest moment of my life.' Phew! Let that sink in. Earlier in the day, one of the U.S. Navy's Maritime Patrol Aircraft, a fixed wing P3C, flew over to recon the scene. They dropped a buoy with a radio to the pirates so that the Navy's interpreter could talk with the pirates. When BAINBRIDGE arrived, the pirates thought the radio to be a beaconing device, and threw it overboard. They wanted a satellite telephone so that they could call home for help. Remember now, they are fishermen, not 'Rocket Scientists,' in that, they don't know that we can intercept the phone transmission also. MV ALABAMA provided them with a satellite phone. They called home back to 'somebody' in Eyl Somalia (so that we now know where you live) to come out and get them. The 'somebody' in Eyl said they would be out right away with other hostages, like 54 of them from other countries, and that they would be coming out in two of their pirated ships. Right-- and, the tooth fairy will let you have sex with her. Yea, in paradise. The 'somebody' in Eyl just chalked up four more expendables as overhead for 'the cost of operation.' Next page. Anyway, ESG will continue to 'watch' Eyl for any ships standing out. The Navy SEAL team, SEAL TEAM SIX, from NSWC briefed the OSC (Commander Castellano, CO BAINBRIDGE) on how they could rescue the captain from the life boat with swimmers-- 'Combat Swimmers,' per se. That plan was denied by POTUS because it put the captain in danger-- and, involved killing the pirates. The FBI negotiators arrived on scene, and talked the pirates into sending their wounded man over for treatment Saturday morning. Later that afternoon, the SEAL's sent over their RHIB with food and water to recon the life boat but the pirates shot at it. They could have taken them out then (from being fired upon) but were denied again being told that the captain was not in 'imminent danger.' The FBI negotiators calmed the situation by informing the pirates of threatening weather as they could see storm clouds closing from the horizon, and offered to tow the life boat. The pirates agreed, and BAINBRIDGE took them under tow in their wake at 30 meters-- exactly 30 meters, which is exactly the distance the SEALs practice their shooting skills. With the lifeboat under tow, riding comfortably bow-down on BAINBRIDGE's wake-wave ('rooster tail'), had a 17-second period of harmonic motion, and at the end of every half-period (8.5 seconds) was steady on. The light-enhanced (infra-red heat) monocular scopes on the SEAL's .308 caliber Mark 11 Mod 0 H&K suppressor-fitted sniper rifles easily imaged their target very clearly. Pirates in a life boat at 30-meters could be compared to fish in a barrel. All that was necessary was to take out the plexiglass window so that it would not deflect the trajectory of the high velocity .308 round. So, a sniper (one of four) with a wad-cutter round (a flaxen sabot) would take out the window a split second before the kill-shot-- no change in sight-picture, just the window blowing out, clean. Now, here's the part BHO's 'whiz kids' knew as well as the Navy hierarchy, including CO BAINBRIDGE and CO SEAL TEAM SIX. It's the law in Article 19 of Appendix L in the 'Convention of the High Seas' that the Commanding Officer of a US Ship on the high seas is obligated to respond to distress signals from any flagged ship (US or otherwise), and protect the life and property thereof when deemed to be in IMMINENT DANGER. So, in the final analysis, it would be Captain Castellano call as to 'Imminent Danger,' and that he alone was obligated (duty bound) to act accordingly. Got the picture? After medically attending to the wounded pirated, and feeding him, come first light (from the east) on Easter Sunday morning and the pirates saw they were being towed further out to sea (instead of westward toward land), the wounded pirate demanded to be returned to the lifeboat. There would BE NO more negotiations- - and, the four Navy SEAL snipers 'in the bubble' went 'Unlock.' The pirate holding Captain Philips raised the gun to his head, and IMMINENT DANGER was so observed and noted in the Log as CO BAINBRIDGE gave the classic order: WEAPONS RELEASED! I can hear the echo in my earpiece now, 'On my count (from 8.5 seconds), 3, 2, 1, !' POP, BANG! Out went the window, followed by three simultaneous shots. The scoreboard flashed: 'GAME OVER, GAME OVER-- NAVY 3, PIRATES 0!' I hope you found the above informative as best I know it-- and, please excuse me in that after more than 50 years the Navy is still in me. I submit that AMERICA is going to make a comeback, and more than likely it'll be on the back of our cherished youth serving with honor in Our military. So, let's Look Up, Get Up-- and, Never Give Up! God Bless Our Troops, and GOD SAVE AMERICA! Bxxxxx
Result number: 25 Posted by john h on 4/21/09 at 11:25 Marie: I actually did plant a Victory Garden in my back yard in the 40's. We could also buy $.10 war stamps and put them in a small book until you had enough to buy a war bond which I think was $18.75 and would pay you $25.00 when it matured. Sort of like Green Stamps if you recall those. Every town had a memorial in a park with the names of the dead from the town killed in the war were on it. Seems like you needed a ration card for almost everything such as certain foods, gas, tires, toothpaste. I recall butter in particular. We had something that looked like white margarine which came with a little packet of yellow coloring. You placed the coloring in the stuff and then massaged it with your hands until it looked like butter. Tasted awful. After a while you just took all this for granted and you never heard people complain, I lived near Ft Sheridan, Illinois where we had German prisoners. I would walk up to a plain old metal fence and chat with them daily. Most were very young and spoke decent English. They did not look like the face of evil. They were housed in old Army barracks and were treated very well. Much better than men in todays prisons. I would on occasion give them candy which was also hard to get. Cigarettes were also rationed and everyone wanted those. As I recall shoe soles were hard to get especially rubber. Anything made of rubber. My shoes sucked.
Result number: 26 Posted by marie:) on 4/10/09 at 07:58 I agree with you Dr. Z. :) When the TARP package was passed once again Paulsen assumed they would use it to continue lending.........and that is where the problem lies. We simply cannot assume people will do the right thing, we must require them to do the right thing. That's why we regulate certain industries. I think Obama is doing that with the automotive industry and the same heavy handedness should be applied to banking. Can Obama and his team change the TARP agreement passed under the Bush administration? I believe they are trying. Can CNN make a difference? Maybe.....certainly worth exploring. So what is the president up to with banking and lending? some of my concerns are being addressed.........is it enough? Does the plan require changes or are they just trying to encourage lending? How long before we see a difference? it looks like they aready to oust execs.,in 30 days money for small business loans will be available and encourage lending. http://online.wsj.com/article/SB123896116444090481.html?mod=googlenews_wsj Treasury Secretary Timothy Geithner said Sunday that the Obama administration would consider removing top management and boards at financial companies if the government were to offer 'exceptional' assistance to keep the firms operating. http://www.bloomberg.com/apps/news?pid=20601103&sid=aylbeokVZaWo&refer=us Obama Bank Policy Signals $1 Trillion in Writedowns http://www.washingtonpost.com/wp-dyn/content/article/2009/04/08/AR2009040804138.html?wprss=rss_business One item authorized by the stimulus bill, the Business Stabilization Loan Program, provides for loans of up to $35,000 to small businesses so they can make payments on their outstanding debt. The loans would be 100 percent guaranteed by SBA. The stimulus package also authorized the SBA to guarantee pools of small-business loans held by broker-dealers, and to set up a new program to help inject more money into lending markets. http://online.wsj.com/article/SB123931996530606873.html Some of the nation's biggest lenders, including Bank of America Corp., J.P. Morgan Chase & Co. and Wells Fargo & Co., are beginning to roll out a new program established by the Obama administration as part of its housing-rescue plan to help refinance homeowners who otherwise couldn't get new loans. http://www.bloomberg.com/apps/news?pid=20601103&sid=a8RXZ9E8JWMU&refer=us Banks are hoarding cash and driving up borrowing costs as Treasury Secretary Timothy Geithner seeks to spur them to resume lending by enticing private investors to buy troubled assets clogging their balance sheets.
Result number: 27 Posted by Rick R on 4/08/09 at 11:12 John, Do you remember the problems Florida had with tourists getting gunned down? This started the concealed carry movement which has cascaded to all but Illinois and Wiscionsin. There were dire predictions of the wild west blood on the streets you name it. The reality has been lower gun crime as you have noted for Texas. The criminals were armed to begin with and now have good reason to wonder about a potential victim. I'm sure there are examples of missuse on the part is license holders but overall it's safer. Rick
Result number: 28 Posted by Brook B on 3/27/09 at 13:04 I had the kidner procedure done on Feb. 25th. My doctor was great and surgery went really well. I was in a cast splint for one week and then in a full hard cast for another week and a half. I was then switched to a boot, but to be non-weight bearing. At 3 1/2 weeks after surgery, I started walking on my boot. That a week ago. I go to the doctor today to get it checked out. I'm worried that she won't like that I've been walking when i wasn't supposed to, but everything feels great, swelling is down, and coloring is getting back to normal. I'll probably be in the boot for a couple more weeks, but atleast I can start some therapy to get some strength back (i hope anyways).
Result number: 29 Posted by john h on 3/26/09 at 13:22 Rick: I saw that program. Right you are on farming being dependant on other industries such as CAT and Johh Deere, etc. Of course we have to get the product to market in trucks, trains, boats, etc We have the most efficient farming system in the world and get the most our of an acre of earth than anyone. The USA has the ideal weather for farming. Not near the hot or cold latitudes and lots and lots of fertile farmland. Most farming production comes from large farms but we still have the salt of the earth small farmers. In our town we have the Farmers Market located on the river front near the Clinton LIbrary. Over the years we have got to know some of these small farmers who bring their products year after year. There is a black family that we have been buying our veggies from for over 20 years. Last week I had two men from Japan wanting to rent an office in my building. They buy soy beans from our local farmers and export them back to Japan where their other family members sell it on the open market. They purchase it buy the thousands of tons so keep reps near the source. Arkansas is very much a farming state. We lead the nation if not the world in rice production and chicken production (Tyson Foods). Near Hope where President Clinton was born they are known for the largest water mellons in the USA and hold big festivals yearly. I can drive out of Little Rock in any directon and be in the country in 10-15 minutes. We have a large number of fresh water lakes, mountains, the Arkansas River which feeds the Mississippi. If the government should somehow screw up our farming exports in Arkansas we would be in deep do do. This comes up on occasion when some one in Congress makes some comment that could effect our trade balance. A Doctor friend of mine took a yetar off a few years ago. In his back yard on the river he kept a very nice sailing boat (with motor of course). He sailed down the river to the Mississippi with his family and dog. From the Mississipppi they entered the gulf of Mexico and then saiiled along the coast to Florida then around Forida and up the Atlantic. After stopping at many places along the way he entered a waterway that took him back to the Mississippi and back home. This was a one year trip. He kept us all posted with a website which he updated daily. His adventure was one I sure would like to take.
Result number: 30 Posted by marie:) on 3/07/09 at 14:24 It's not the little homes it's the big ones that are the problem. We live in a resort area and people bought and built like crazy banking on the potential increase in the value of their property. Now when we drive around those areas there are homes for sale as far as the eye can see. Most of the mortgage bankers I know spend most of their days taking property away from people and they are utterly stressed. I live in the Midwest and yes it's one of the hardest hit areas in the nation. It didn't happen a few months ago. it's been in the works for several years now. When you're at ground level to disaster and screaming for someone to pay attention for years it's difficult to feel sorry for all those who ignored our warnings. But in a pinch the Midwest will drop everything to help another American in need. We had no problem sending whatever we could to Louisiana, Alabama, Mississippi, Florida and Texas when they have been hit with natural disasters.......now we need the favor returned. I'm not holding my breath.
Result number: 31 Posted by Dr. DSW on 3/06/09 at 18:20 As far as I know, the company is out of business. However, I know there are other companies where you can still purchase supplies IF you already have a unit. I do not know of other competing brands, but I'm sure you can do a google search. I know there is a Marc Katz, DPM in Florida heavily involved with cryosurgery, so maybe he can be of help. Additionally, Lawrence Fallat, DPM in Michigan maybe able to help.
Result number: 32 Posted by Dr. Z on 3/05/09 at 20:57 I have an opinion that I would like to add and I hope you give this some though. The reason the economy is dropping into the well, is because we as human haven't kept up with the hugh expansion that has taken place. Amazon.com is ripping the market apart. Here is what I am saying Two newspapers are going bankrupt in Philadelphia. You can read news online or watch it on TV. Since the companies didn't expand into the future they are now gone. The Auto industry is the same thing. We make cars people don't want we make cars too expense. I predict that this is the beginning of the end of the use of cars. Yes they are fun to drive fun to buy but they really are a very expensive and poor means of transportation. I remember when you would drive to Florida with the family because of the high cost of flying . Now its cheaper to fly. This is just a few example of my opinion. I sure we can have fun thinking about other examples. Yes mortage, lending banks are part of the equation but my theory is there is a hugh gap between present and future technology and we are going thru an expansion . I am betting that in my life time we will travel to Europe in less then one hour. We will board a shuttle to fly to a space station and it will rotation and we will board the landing shuttle all within one hour. There will no more cars- who needs cars. Fast trains. Tube travel etc The auto industry will make all of these advances and cars will be gone. When banks invest in projects that ARE outdated then the bank will go down too. Its a chain reaction. This will correct itself when our technology catches up with the markets and the govt can't advance technology all by itself. Yes this is a correction. A correction to make us move faster into the future and with it MORE prosperity and better lives. This is what it is all about nothing more
Result number: 33 Posted by Fernando on 3/05/09 at 08:13 HI, your case sounds like what I had a couple of years ago, I suffered from PF for about two years, I used to work in a restaurant so I had to be on my feet all day, it was so bad that I started to feel a burning pain in the soles of both feet, I saw a neurologist who did a few nerve tests and they all were normal, I had to quit my job and was unemployed for about 9 months without seeing any improvement, I quit seeing doctors because they all say there was nothing wrong with me besides the PF... I moved down to Florida and the weather here gave me a great deal of relieve, for some reason the cold weather makes the burning pain worse. It;s been two years since I left NYC and it's now when I can say my PF is cured, yes, it took over two years after I started treatment ( orthotics, rest, stretching, etc) to cure this PF, however, I still got the burning pain eventhough is mild, I think I can live with it. So my advice is DONT GIVE UP, I almost did because I thought there was no way out of that pain, I was depressed all the time, keep fighting, I don't know what kind of job do you have but take it easy with you feet, use orthotics, warm water helped me when I was in a lot of pain.... Good luck Fernando.
Result number: 34 Posted by john h on 3/03/09 at 18:43 It is the fine print of these many measures that most people do not understand or even know exist. The provision in the Obama bill that provides for a tax on producers of greenhouse gasses is going to show up in you energy bill whether you make $500 a month or $250,000 a year. It will also show up in the price of everything you buy that is produced by plants emitting greenhouse gasses. That is almost everyone. Below is Secretary Gathner's statement under questioning today: But the Treasury secretary acknowledged that consumers could face higher electric bills because Obama would impose fees on greenhouse gas producers, including power plants that burn fossil fuels, by auctioning off carbon pollution permits. The goal is to reduce the emissions blamed for global warming while raising a projected $646 billion over 10 years. 'Now, if people don't change how they use energy, then they will face higher costs for energy,' Geithner said. The poorest people have the least energy efficient homes. That $13 a week increase we just got just flew out the window. At the moment our problem is not global warming but the economy. Let us put off global warming until the economy starts back upwards. According to some Administration officials that will only be until the end of the year. That is not to long to wait is it? We have enough economic problems at the moment with out adding another one. Seems to me we are trying to do to much to fast. The administration is saying we do all this now or the end of days will be upon us. We are going to end up spending over 3 Trillion dollars or more. Seems like a little thoughtful exploring the options and reading the details would be in order. You sure would not like your pilot running through his checklist like this. I read my flight checklist every flight and every word of it for 20 years. Our House did not even read a Trillion dollar stimulus bill and passed it overwhelmingly. Something is wrong here.
Result number: 35 Posted by jessica on 2/26/09 at 17:10 Since the pain in my ankle returned approx 7 months ago I have developed a discoloration of my tibial tendon area. Somedays it looks like a black and blue and just recently took on a very red color. I have shown my drs and they never answer my question. I just returned from a vacation and while there I had a very bad 'outbreak'. I went to the nurses station at the resort and she had no idea what it could be. I took pictures but have to wait until next week to see my dr at which time he is going to perform a nerve block. Have any of you had a nerve block before for TTS? And now I am told I could have a blockage at my sacchonis nerve.(I have no idea how to spell). Anyone have any ideas? Why does my dr insist that Tramadol is the only medication he can prescribe to me? It does not work and I have told him over and over. I have read alot on here and none of you seem to have been prescribed Tramadol- does any one know about this drug?
Result number: 36 Posted by marie:) on 2/22/09 at 20:33 The big winners are Florida, California, Texas and New York. You can check out how the job market will be affected in your state at the link below. http://www.whitehouse.gov/assets/documents/Recovery_Act_state-by-state_jobs_2-131.pdf If you want to follow the money from the American Reinvestment and Recovery Plan go to this site.......... http://www.recovery.gov/  and if you wnt to read the bill go here......... http://www.whitehouse.gov/the_press_office/ARRA_public_review/
Result number: 37 Posted by john h on 2/19/09 at 13:48 Marie: California leads the nation along with Florida and Arizona in home foreclosures and the value of homes decreasing. With every minute that passes in California your home is less worth than it was. Yes, I understand and know it is expensive to live in California. That is why they are losing their big companies to states that offer great tax incentives. With these companies departing goes the tax base, Even the movie industry is vacating California. Movies are now made in states that actually pay the movie industry to make their movies in their states. Losing a big tax base and replacing them with illegal aliens is not a formula for success. In the current California budget there was a provision that provided reducing the school budget by 8 billion dollars. I do not know if it was still in the budget that passed last night but I bet it is. I have absolutely no problem with legal Hispanics entering this nation. I have a large problem with all the illegals and the plans to make all the illegals American Citizens. We have many people who want to immigrate to America and they are going about it the right way. To just carte blanch let all illegals become American citizens is a slap in the face to those who are going about becoming a citizen the right way. It is estimated that in the next 50 years (Census Estimates) our population will increase by 50 million people. Our birth rate is flat and the estimates are that 100% of the growth will come from immigration. We need to be able to absorb these people into the general population in an orderly manner and with a plan. They should learn to speak English or there children should learn to speak English for starters. I lived in an Italian neighbor hood growing up. All my buddies spoke English as well as me. They also spoke fluent Italian. Many of their parents spoke some English but the primary language in their home was Italian
Result number: 38 Posted by jack S on 2/08/09 at 12:31 Dear jill and deb, Thanks for the info. I am day 2 after my sympathetic nerve block and I am excited to be walking almost pain free. I have not walked this briskly since befor the original surgery. My dr in San pedro ca tucked my nerve ending into nearby muscle to prevent a stump. My coloring of the foot looks better and the temperature feels the same. I hope I do not have to have a second block. I wish good luck to us all. We need our feet. Thank you for all of your input Jack
Result number: 39 Posted by Dr. DSW on 2/06/09 at 14:46 James, I am a podiatrist/podiatric surgeon. I would recommend a podiatric surgeon that is board certified by the American Board of Podiatric Surgery or an orthopedic surgeon that specializes in ONLY the foot/ankle. If ultimately an arthrodesis is performed, the original length can be 'regained' or re-estimated via the use of a bone graft. There are different donor sites that can be utilized, including the fibula and hip, but often there are frozen grafts or allografts that may be able to be utilized, that are not sourced from your body. I have performed my share of arthrodesis procedures with and without grafts, and the success rates for first MTPJ fusions is very high. Naturally, it depends on the health status of the patient, the compliance of the patient post operatively, the skills of the surgeon, the 'stock' of the bone, 'Mother Nature', the integrity of the internal or external fixation utilized and strict adherence to your surgeon's post operative protocol. However, just as with ANY surgery, there can never be a guarantee that your pain will be eliminated. But since you are having pain due to your limited range of motion, there are probably some degenerative changes and/or scar tissue in the area. Once again, please remember that I have not seen or examined your foot or your x-rays. Once an arthrodesis is performed, ALL motion at the joint is eliminated, therefore the pain is usually eliminated. Your 30 degree motion will NOT be improved, since an arthrodesis limits ALL motion at the joint, since the joint is fused. In an active patient, the joint is usually fused at a 15-20 degree ankle to allow for a more natural gait, but the joint will not/should not bend. Your foot will compensate, and orthoses will be highly recommended. Contrary to many misconceptions, you can still remain active following an arthrodesis, with some modifications/adaptations. I will not provide you with a time regarding how long you will be in cast, post op shoe, etc., or how long it will be before you can wear a sneaker, since every patient heals differently, every surgeon has a different post op protocol, and it is so dependent on the fixation utilized, your body's ability to heal, etc. Questions to ask the doctor are whether or not you need ANY surgical procedure, or whether there is any conservative treatment that may alleviate your symptoms such as an orthoses or some shoe modifications such as a rocker bottom, etc. An injection in the area, physical therapy, etc., may help. Your doctor may look at your films and examine your feet and decide on some other procedure. Once AGAIN, I have never examined you or your films, and an arthrodesis may NOT be indicated. Your treatment will all be dependent on your exam, symptoms and findings. The only doctors I know of in Florida are Thomas Merrill DPM who heads the department of surgery at the Podiatric Medical College at Barry University with I believe is in the Miami area. He is excellent and well trained and very experienced in all phases of foot/ankle surgery. There is also Harold Vogler, DPM, who actually works with an orthopedic group and performs all their foot/ankle surgery, but he is in Sarasota. Once again, I believe Dr. Thomas Merrill is closest to you and he is associated with the podiatric medical college.
Result number: 40 Posted by LindaW on 2/06/09 at 10:21 Hi Kelly, We do not leave for Vegas until April vacation this year and it should be pretty warm then. I know in the past, we have always gone in February, but this year our friends who have the time share said that it would be warmer in April, so this year we can actually go swimming. I hope you had a good time in Florida anyway. The job market stinks and no I have not had any luck. I did get offered a job about 3 weeks ago, but the neurologist only wanted to offer me 10.00 an hr. and no benefits and this was full time. I told him that I could not afford to live on that and he was insulted that I turned down that offer. Some Part of me feels real guilty about turning down that position, but then I think about it, I would not be able to pay my bills with that and I would be in the same situation that I am in now. My husband finally has an interview on Monday for an electrician. The company is based out of Woburn MA and it is pretty good money. Now if the guy calls back my husband to let him know where they are going to meet, then it will probably be a pretty good sign that he has the job. Well I have to go get ready for an interview for a job that really has nothing to do with what I went to school for, but career services said that it would help while I am still looking. It is only part time, but the money is pretty good. It is providing home health therapy to children after school and on weekends. I hope my attitude does not show through that I really do not want this job. I do need some money coming in, because unemployment ends this coming week. I will tell you how it goes and then maybe next week, we can go for lunch somewhere. LindaW
Result number: 41 Posted by Kelly L on 2/06/09 at 07:42 Hi, when do you leave for Vegas? I hope it's warmer there than it was in Florida. We had one day where it reached about 70,other than that,cold and windy around 50. How goes the job hunt? Hopefully better than mine. Talk to you soon. Kelly
Result number: 42 Posted by Alicia on 1/27/09 at 11:45 Doctors, I have a very difficult story that I'm hoping someone can help me with. I'm a 30 something female that. I have had 4 surgeries on my left big toe beginning 1991. In 1991 my 1st surgery was a bilateral bunion and the right healed but left did not. In 2007 I found a Pod that cleaned out the arth and straighten the joine with 2 pins. It gave me back some range of motion; however, there was significant pain to walk. I visited a second Dr and he suggested that I have the pins removed. I went back to original Dr. and he removed them (without question)2007. In doing so he must have destroyed a nerve bacause not only did I have more pain but the slightest graze sent me through the roof. I visited a third Dr (for a 4th surgery) and that ORTHO suggested a fusion (in his defense he did not want to do because he said I was too active and young). He agreed that the nerve damage was ver serve and that he could fix that and if that didn't help he would go back in. We decided on the fusion and that was done in 2008. Now it's 2009 I'm left a mangled toe that has been cut 6x (4 ontop and 2 on side)the toe is flipped up 1.5' off the ground and I walk with a limp and bent over in order not to put pressure on the toe and the toe rubs the top of all shoes causing discomfortand. I can not put on a sneaker and definitely not any shoe. The swelling is so massive that it comes right through any shoe and I still have the nerve pain (no as much) but putting on a sock is uncomfortable. I have flew to both Florida and California to meet with 2 different Dr's to help me. Can any of you Doctor's help me with this problem? I'm so desperate!!
Result number: 43 Posted by john h on 1/21/09 at 09:26 This information is from the Los Angeles Times. Is it any wonder that the state is something like 36 billion dollars in debt. This is only one state and backs up the forecast that the U.S. will grow by 50 million people by 2050 and 100% of this growth will come from immigration. This problem is not going away and will only get worse. It does have an effect on the economic troubles we have today: 1. 40 % of all workers in L. A. County ( L. A. County has 10.2 million people)are working for cash and not paying taxes. This is because they are predominantly illegal immigrants working without a green card . 2. 95% of warrants for murder in Los Angeles are for illegal aliens. 3. 75% of people on the most wanted list in Los Angeles are illegal aliens. 4. Over 2/3 of all births in Los Angeles County are to illegal alien Mexicans on Medi-Cal, whose births were paid for by taxpayers. 5. Nearly 35% of all inmates in California detention centers are Mexican nationals here illegally . 6. Over 300,000 illegal aliens in Los Angeles County are living in garages. 7. The FBI reports half of all gang members in Los Angeles are most likely illegal aliens from south of the border. 8. Nearly 60% of all occupants of HUD properties are illegal. 9. 21 radio stations in L. A. are Spanish speaking. 10. In L. A. County 5.1 million people speak English, 3.9 million speak Spanish. (There are 10.2 million people in L. A. County ) . (All 10 of the above are from the Los Angeles Times ) Less than 2% of illegal aliens are picking our crops, but 29% are on welfare . Over 70% of the United States ' annual population growth (and over 90% of California , Florida , and New York ) results from illegal immigration. 29% of inmates in federal prisons are illegal aliens . We are a bunch of fools for letting this continue .
Result number: 44 Posted by Ryan on 1/14/09 at 12:27 Table 1. Direct-Access Status by State States That Permit Physical Therapy Evaluations and treatment without Physician Referral Alaska, Arizona, Arkansas, Calif. Colorado, Delaware, Florida, Idaho, Illinois, Iowa, Kentucky, Maine, Maryland, Mass. Minnesota, Montana, Nebraska, Nevada, N.H. New Mexico, North Carolina, N. Dakota, Oregon, R Island, S. Dakota, Texas, Utah, Vermont, Washington, West Virginia, Wisconsin. I said nothing about insurance covering treatment and I don't know if it's self pay or covered but they do treat patients. I believe the number has increased since the printing of this article.
Result number: 45 Posted by Ryan on 1/14/09 at 12:13 Without being defensive simply neutral these are the facts. Table 1. Direct-Access Status by State States That Permit States That Permit States That Require Physical Therapy Physical Therapy Physician Referral Evaluation and Evaluation Only for Physical Therapy Treatment Without Without Physician Evaluation and Physician Referral Referral Treatment Alaska Connecticut Alabama Arizona Georgia Indiana Arkansas Hawaii Missouri California Kansas Ohio Colorado Louisiana South Carolina Delaware Michigan Virginia Florida Mississippi Idaho New Jersey Illinois New York Iowa Oklahoma Kentucky Pennsylvania Maine Tennessee Maryland Washington, DC Massachusetts Wyoming Minnesota Montana Nebraska Nevada New Hampshire New Mexico North Carolina North Dakota Oregon Rhode Island South Dakota Texas Utah Vermont Washington West Virginia Wisconsin
Result number: 46 Posted by Kelly L on 1/11/09 at 18:56 Yup, I think I can do Tuesday. Actually I LOVE this weather, everything is so clean and peaceful. Besides, I'm leaving for Florida on Sat morn. So, I'll see you at DD on Tues. at 12:30. Bye for now
Result number: 47 Posted by Aron L on 1/07/09 at 22:46 AnnShh, I am still in my cast from a repair of a subluxating peroneal tendon. Basically, I had no fibular groove for the tendons to sit in, so they subluxated on a regular basis. I did the PT, the CAM walker, ice, anti-inflammatories, and nothing helped. The surgery honestly wasn't that bad, but be prepared for a long stint on crutches. I had an arthrotomy, a radical reconstruction, and a repair of the subluxating tendon. I was on darvocet for about 6 days, then Advil was suffucient. I've been in the hard cast/splint for 3 weeks non-weight bearing, and I get it taken off tomorrow as well as getting the sutures removed. I'll be in the big black boot for 3 more weeks with partial weight bearing, and then into my shoes with full weight bearing. You surgeon of course may have a very different time frame for you, but that's what mine was. I do recommend that you find an orthopedic surgeon that is highly reguarded, because the sural nerve runs right through the area of the incision, and it is very easy to have nerve involvement and then be stuck with numb, tingly toes. I was fortunate in having a great surgeon down here in Florida, and my pre-operative pain was gone immediately, and post-operative pain was gone in a matter of days(as long as the peroneus brevis didn't so much as twitch). Sounds like surgery is the way to go if you aren't getting relief from PT - but I would definitely find the best possible surgeon you can.
Result number: 48 Posted by Dr. Z on 12/27/08 at 14:47 http://mcgs.bcbsfl.com/index.cfm?fuseaction=main.main&doc=Extracorporeal%20Shock%20Wave%20(ESW) There is no ESWT coverage with Medicare in Florida. Call you tricare carrier and ask them about ESWT benefits
Result number: 49 Posted by JERRYG on 12/27/08 at 10:59 I AM A CANDIDATE FOR ESWT,BUT I DO NOT KNOW IF MEDICARE WILL COVER THE COST OF THIS PROCEDURE, WHICH MY PHYSICIAN SAYS IS COSTLY. I HAVE MEDICARE A&B, AND I AM ALSO A RECIPIENT OF TRICARE FOR LIFE. I AM A RESIDENT OF FLORIDA.
Result number: 50 Posted by john h on 12/23/08 at 19:43 I am a big baseball fan. I have followed the Cubs almost my entire life. As a teenager I could sit in the bleachers in Wrigley Field for $.75 and in the Bleachers for $2.00. Of course that was a lot money in those days. Today the New York Yankees signed one player to an 8 year contract for $170 million dollars. That is obscene in my view. The Yankees have a new stadium that will open up this year. My understanding it was largely funded by the tax payers. Not sure just how the financial set up is. I hope the taxpayers are in not way involved in building this stadium for a reported One Billion Dollars. This one players will make almost as much as some teams entire payroll. Yes, he is good but something just does not ring true to me. I am a Capitalist and agree you are entitled to make as much as you can. I certainly hope this player will make some good use of this money by giving back to his community. Many people will be forced out of the ball parks because they can no longer afford the price of tickets. The New York Yankees will have a payroll of perhaps 230 million dollars this year while teams like the Washington team will struggle along with a payroll of perhaps 30-35 million dollars. A good team of long standing like the St Louis Cardinals have a team payroll of under 100 million. The Yankees will eventually sign all the best players at ever position. This does not always work as this year they did not even make the playoffs and the winner of the American League was a Florida team with a payroll of around 40 million. In order to try and keep teams like the Yankees from buying up every star player in site the League devised a formula whereby teams who exceeded a certain amount would pay a so called Luxury Tax. The Yankees paid a luxury tax this year of 26.9 million dollars. The only other team to pay a luxury tax was the Detroit Tigers who paid 1.6 million dollars. Their luxury tax only was almost as large as some teams payroll. Does anyone deserve to make a 25 million dollars a year? It is part of our American economic system. What do you do with that much money. Tiger Woods makes perhaps 100 million dollars a year and has his own Jet and 10 million dollar boat. Movie stars make obscene amounts of money. It is not only the CEO's that make the big dollars. Scientist who discover life saving drugs can become famous but never make much money. Some low ranking soldiers in Iraq can make not much more than minimum wage. If I made 25 million dollars a year I would take it but quickly set up some charitable institution for at least 3/4 of my income after taxes and perhaps more. Do we not all wonder what people with this amounts of money do from day to day? Was Einstein rich? I do not know. Did Jonas Salk die rich? Once again I do not know. Even in Communist nations there are certain people who become rich one way or the other. Same with China who now has billionaires. I guess it is one of the frailties of mankind to be greedy far beyond their needs. I know Bill Gates and his wife have and continue to give away billions of dollars. I very much admire him for that. I am sure there are others that do the same thing and we never hear about them. Then there are those who cannot get enough money and money becomes their obsession and if you will their love.
Result number: 51 Over 50 records returned. Search was stopped© heelspurs.com LLC | 
|