lak Search Results
Begin Message Board SearchMessage Number 266253 Posted by Aurora on 7/16/10 at 03:26 In September of 2009, I was riding a mule in Yosemite National Park when he fell. I felt him going and bailed to the left while he fell to the right. I had to be carried 3 miles on a stretcher and hauled 50 miles to the hospital. At least the whole thing makes a good story. I fractured the neck of my left talus as well as broke a small piece off the outside. I also pulled a flake of bone off the 'belled' part of my fibula. After I got home (near Atlanta), I had surgery to repair my ankle. I ended up with 4 screws in my talus. I used a kneewalker to get around -- it was wonderful!! In February I had surgery on my right wrist to repair my scapholunate ligament. That was an unrelated condition. Now I'm trying to get back to normal activities. It's extremely hard. We have a 12 acre farm, and it's very hard for me to get back to my normal activity level. It's especially frustrating to ride my horses! It becomes excrutiatingly painful to keep my foot in the stirrup. I have no intention of having this injury stop me from riding and enjoying life, but it can be incredibly painful. My doctor says that I might have arthritis in my subtalar joint, which seems pretty likely given the symptoms. I can't take NSAIDs. I had a series of steroid injections in my wrist and I believe these were a factor in weakening the scapholunate ligament to the point where it simply snapped. For this reason I'm hesitant to do any injections in my ankle. I'm terrified that something else will weaken and snap. Now that I've read what so many people have said about post traumatic ankle pain, I don't feel so alone. I just don't know what to think about my ankle. My wrist (after 3 surgeries) is finally feeling much better. My ankle seems to be at a constant state of crappy. I don't want to be a couch potato -- I know that for sure. I'm ready to get on with my life and get my two 3 year old fillies under saddle. I'm just having a very hard time getting back to life with things the way they are. Any suggestions? Thank you!!
Result number: 1 Posted by John H on 5/25/10 at 11:35 Marie I was born in North Georgai (Gainsville). Went through grade school in Applachia in the last count west in North Carolina near the Cherokee Indian Reservations. I was there in the 30's and 40's and have more than just a book memory of what it was like in the South. I often played with black children in the lower grades after school. By pure accident I was in Selma when Dr. King and his marchers crossed the bridge. I was stationed in New Jersey at the time and was on my way back to Trenton from Texas. I had New Jersey License Plates so we were a bit concerned about he local whites. My wife has a deep southern drawl so when we were stopped on several occasions I let her do the talking. The road from Montgomery to Selma was very narrow and we got more than a few chants when locals saw our license plates from Jersey. We were a bit scared. After the service I went to work for a large corporation out of St Louis. They were the company that owned the facility I managed where there were still signs for blacks/whites only. Those signs were in the south but the company that tolerated them was from St. Louis. One event still sticks very much in my head to this day. When I was about 20 I was having a coke in a restaurant on a 4 lane highway leading from Chicago to the northern suburbs (Skokie Highway). It was a very hot summer day. A black man came in and asked for a drink of water. He was rudely turned away. I attended both a catholic grade school and regular one and there were no blacks in my class. My High School In Highland Park, Illinois had over 1000 students and we did not have one black student. When I attended Lake Forest College in the northern suburbs we had one black student who was the star on our football team. I have lived all over this nation and you can be sure that prejudice can and does exist anywhere. I remember then and I know now. We have come a long long way and have a long way to go. The real end to prejudice will come from a change in the heart. We will always have some form of prejudice. Northern Ireland and England, Jews and Arabs, Muslims and Non Muslims. These prejudices have existed for thousands of years and they do not go away because some one wills it so. Today young Islamic children are being taught to hate non Muslims in many parts of the world. They will grow up to hate and the beat goes on. I have met as many angry racist in the North as I ever have in the South. Racism knows no boundaries and knows no particular race. In Japan I found that the cultured society really wanted nothing to do with Americans. The French were not always very friendly once you got out of the cities. Strangely the Germans seemed to like us. Cultures clash in this world and they have since man first became man. I suspect their will be clash of cultures long after you and I have gone. Just think it has only been 65 years since a man named Hitler wanted to exterminate all Jews in the world and believed in the superiority of the pure Germanic Aryan Race. We now have a man in Iran today who also want to exterminate all the Jews from the face of the earth. Just how far have we really come?
Result number: 2 Posted by Pained on 5/24/10 at 14:43 The injury was the result of trauma. I had jumped into the shallow part of a lake that I had mistakenly thought I had raked clear of rocks. Sure enough, my heel landed squarely on the lone rock. The pain at the moment was absolutely excruciating, but not knowing the physiology of the foot, I figured it would heal over time. It never did, and now the pain varies from not too bad to unbearable, depending on how much time I spend on the foot. I was diagnosed through by MRI. The specialist stated that the chamber walls were ruptured, and that they were practically obliterated. I now wear great 'air' cushioned crosstrainers and try to give the foot plenty of rest, but as I said in the earlier post, I'm an active guy with an active family, so that's not always possible. He informed me that currently, there are no clinical trials (due to no public interest), and that collagen injections were a temporary solution at best. So I wonder if I should just preserve what I have (his words) and worry about pain management, or continue to research clinical trials and possible devices that may help?
Result number: 3 Posted by Pained on 5/24/10 at 14:17 The injury was the result of trauma. I had jumped into the shallow part of a lake that I had mistakenly thought I had raked clear of rocks. Sure enough, my heel landed squarely on the lone rock. The pain at the moment was absolutely excruciating, but not knowing the physiology of the foot, I figured it would heal over time. It never did, and now the pain varies from not too bad to unbearable, depending on how much time I spend on the foot. I was diagnosed through by MRI. The specialist stated that the chamber walls were ruptured, and that they were practically obliterated. I now wear great 'air' cushioned crosstrainers and try to give the foot plenty of rest, but as I said in the earlier post, I'm an active guy with an active family, so that's not always possible. He informed me that currently, there are no clinical trials (due to no public interest), and that collagen injections were a temporary solution at best. So I wonder if I should just preserve what I have (his words) and worry about pain management, or continue to research clinical trials and possible devices that may help?
Result number: 4 Posted by Guy on 5/21/10 at 16:10 Hi I recently had an injury a Fractured foot and had to go to a specialist in foot care. He is a D.P.M. I asked him what was better a cast or the black wlaking boot he had given me, he said that 'the black boot works just as good as a cast'. Is that true?.
Result number: 5 Posted by Guy on 5/21/10 at 16:06 Hi I recently had an injury a Fractured foot and had to go to a specialist in foot care. He is a D.P.M. I asked him what was better a cast or the black wlaking boot he had given me, he said that 'the black boot works just as good as a cast'. Is that true?.
Result number: 6 Posted by Dr. Wedemeyer on 5/19/10 at 17:10 On an aside have you all seen where LA mayor Antonio Villaraigosa urged a boycott of Arizona over the immigration issue? Someone should give the mayor a copy of the Art of War because even I anticipated the response from Arizona Corporation Commissioner Gary Pierce: http://www.washingtontimes.com/news/2010/may/18/arizona-dares-los-angeles-to-carry-out-boycott/ To add insult to injury, there's this: Mayor Antonio Villaraigosa today used the customary bet between mayors of cities involved in major sporting events to again criticize Arizona's illegal immigration law. In a letter to Phoenix Mayor Phil Gordon, Villaraigosa wrote that if the Phoenix Suns defeat the Los Angeles Lakers in the NBA's Western Conference finals, 'we will humbly accept ownership of `America's Toughest Sheriff,' Joe Arpaio, sheriff of Maricopa County,' who he criticized for comments on illegal immigration. http://www.dailybreeze.com/ci_15108968 This guy is clearly unfit to run LA.
Result number: 7 Posted by John H on 5/17/10 at 13:23 Rick: I finished grade school In Highwood, IL in the northern suburbs of Chicago and then finished high school at Higland Park High School. I then attended Lake Forest College. One of my friends was a driver for the mob and he would pick up gamblers at a local train station and then drive them to various pubs in the north side of Chicago. My friend and I, as teens, would sometimes drive with his father and the gamblers and go into these places. We would go to the north side pubs that looked like any other pub other than they had a back room where all sorts of gambling was going on. They had large boards on the wall that kept up with the horse racing, all sorts of gambling like in Vegas. Policemen were near the front door so clearly the Chicago Police were in on the action. There were clearly some very rich people and mean looking mob guys in the places. This went on through my four years of high school and then in college. I never witnessed any trouble and there were many places like this on the near north side. I would assume city hall clearly had to know all this was going on and likely was in on the action. This was in the late 40's and early 50's at which time I left Chicago. Drinks were free in the back rooms if you qualified to get in. Chicago politics had to be some of the worst in the nation. This is the political system Obama made his bones in and sort of emulates today in the way in runs the government. Ram it down their throats where they like it or not. That wold be the way Mayor Daily would do it and no one would stand up to him.
Result number: 8 Posted by Max K on 4/26/10 at 03:20 'Is it really true his birth certificate with Dr. Signature, etc. has not been made public?' That's right. What has been made public is this document: http://en.wikipedia.org/wiki/File:BarackObamaCertificationOfLiveBirthHawaii.jpg which was not generated by a hospital and does not include the name of any hospital, much less the name of the physician. Here is LTC Terry Lakin speaking in a video about his doubts about Obama's eligibility status: http://www.safeguardourconstitution.com/video1.html LTC Terry Lakin
Result number: 9 Posted by Lakemom on 4/01/10 at 21:33 Thanks Jeremy, add this to my bilat morton's foot and toed in gait, orthotically I have alot going on to try to correct.
Result number: 10 Posted by Lakemom on 4/01/10 at 14:19 Hi Drs and Jeremy, I havn't posted here for a while but wondered about this question. One of my sets of orthotics that I have a certain amount of success with are the only pair ever, that casted in neutral, has one rearfoot in valgus and the other in varus. Is it common to have each foot be so opposite? Thank you! Lakemom
Result number: 11 Posted by Jeremy L, C Ped on 2/18/10 at 19:05 It certainly wouldn;t hurt to see Brian Graham, C Ped. He does specialty work with many of Detroit's professional athletes, and I have faith in his abilities. He can be reached through: Performance Zone 140 Engelwood Dr Ste E Lake Orion, MI 48359-2410 Phone: (248)371-3800
Result number: 12 Posted by Rick R on 2/09/10 at 10:27 There you go again putting words in my keyboard ;) I'm having fun complaining about the early season alarmist forecasters. Same holds true for the local snow removal folks by the way. There's 6 guys competing for each snowflake in late November, by now it's as hard to get them out as it is to get baby seals to visit the Louisville Slugger factory. I'm with you, I'd much much rather have some fresh snow than the inevitable layer of dirt that dominates this time of the year. I plan my budgeted use of vulnerable feet around the snow. Made sure I ran last night since there is no way I can play in the snow and run on the same day. My feet hate shoveling snow but for some reason by back likes it. I have to compete with the lady next door, she likes to shovel snow as much as I do. Now I know why, it's her moms' fault. I figured I'd have free reign since she delivered twins on Jan 12, but no, now I have to get out in time to beat her mom to the snow. Mom's here to help with the short people; they have a 4 yr old in addition to the twins. Mr. next door has a job and is remodeling a bathroom, a task for which I have great sympathy, not to mention his daddy duties. I get to shovel the empty house accross the street, it's only right for all the years my cat used to hold his kitty meetings in their garage. Rick
Result number: 13 Posted by BrendaC on 1/15/10 at 00:41 Jeremy, I live in northern utah about 1-1/2 hours drive one way from Salt Lake City. Thanks, Brenda
Result number: 14 Posted by scott r on 1/12/10 at 12:29 Dear members of the ISMST, Happy New Year! Forgive us; we are starting 2010 a little late! We are finalizing the organization and NEW ONLINE REGISTRATION process for the 13th ISMST Congress in Chicago, June 24-26, 2010. The registration site should be complete and ready to use within 2 weeks!! You will be able to access Congress Registration, Hotel Reservations for the Hyatt Regency Chicago (site of the Congress), register for social activities for you and your guests, and travel arrangements from an international travel agency that we have established a relationship. All of this at www.shockwavetherapy.org!!!! Chicago will be at its best at the end of June. Many festivals and activities will be happening in Chicago at that time including the beginning of ∜The Taste of Chicago.∠This is one of the most famous food and music festivals in the United States and ends with the United Statescelebration of Independence Day on July 4. A wonderful social schedule has been planned that should excite the members, their families and guests. On June 24, there will be a dinner cruise on Lake Michigan with incredible views of the Chicago Skyline that is included in the registration fee for attendees. On June 25, we will be celebrating with our colleagues and friends and the world renowned ∜House of Blues∠and enjoying live music, great food and companionship. Abstract submission for the Annual ISMST Congress in Chicago is already available at the Congress homepagewww.shockwavetherapy.org. Based on feedback from previous Congresses, we are planning to have more lectures on specific conditions with guest speakers discussing innovative alternatives in addition to the usual excellent discussions on shock wave. We expect to have more abstract submissions than ever before so please get yours submitted as early as possible!! We are also considering having a poster presentation section to the Congress this year for those abstracts that are not accepted to oral presentation or for those who would prefer to present in that manner. In two weeks, the 1st ISMST Basic Research Meeting will be held in Vienna, Austria, January 22-23, 2010. The program promises exciting sessions and discussions. The program can be seen at www.ismst.com. For the first time, the ISMST has two exciting events this year. This is a result from the increasing reputation of shockwave therapy and the excellent research and publications that are being done by YOU, The ISMST MEMBERSHIP!!! We hope that the members of the ISMST will take the opportunity to join these meetings, submit and present abstracts and participate in the ever increasing area of shockwave therapy. The selected venues are famous, the speakers at the Vienna Congress are top quality and the Chicago Congress promises to offer the greatest international presentation of shockwave therapy. We encourage You to have to visit our websites, www.shockwavetherapy.org, and www.ismst.com to find all the information about the two meetings! Hoping to see You in Vienna and/or Chicago!! We wish You the very best for 2010! Best regards Lowell Weil Jr. and Vinzenz Auersperg President of the ISMST General Secretary of the ISMST
Result number: 15 Posted by John H on 1/05/10 at 14:10 Employers have found that they can get the same production with fewer employees. They are not likely to go back to the old ways and will wait until they are very confident that the economy has really recovered before they start hiring. It is much harder to fire an employee than to hire one. The Wall Street Journal recently had a good article on where the jobs were and were not. Some states have around a 5-6% unemployment rate while some have the rate pushing near 13% or higher. When you live in a distressed area like Michigan then there is a good chance you are upside down on your mortgage and may have little cash to deal with moving. As I recall, most of the states with increased jobs or low unemployment were in the South. Who wants to move to to New York or California with the onerous taxes and the states having enormous debts. I think our unemployment rate in Arkansas is 7% or less. We have a balanced budget by law. No over crowding as we have a population of under 3 million. Plenty of water and lakes and relatively inexpensive housing. From a manufacturing point of view the south has fewer unions to deal with and most states have right to work laws. I do not know how Michigan and in particular the Detroit area will ever recover. They have so many problems I would not know where to start. Perhaps California rivals them in many ways. There are certain jobs that there are not enough employees available. Engineers, chemist, many of the sciences, health care workers. If you have been an assembly line worker in a Detroit auto plant you do not have many skill sets to transfer to other jobs. Some people see the future and are cross training into needed jobs. One thing I discovered when recently looking for an administrative assistant with good computer skills was that there are not that many out there. There are an infinite number who applied for this job but most just do not measure up. I was amazed to find so many people who were college graduates who had the skill levels of a 11Th or 12Th grader. You begin to see just how bad our education system is once you start interviewing people. Speaking from experience I often wonder why young people do not consider the military. If not for a career then for all the training you can get for free. I entered the Air Force with basically no skills. From there I became a pilot and officer, had free health care, graduated from college on the GI Bill, received extensive electronics training. learned leadership skills while commanding squadrons of 300+ men and women. You can go as far as you want to go. Train into fields that you want to train into and for the most part leave with skills that are transferable to the civilian world. This sure beats standing on the corner collecting unemployment. Yes it can be dangerous but so is being a fireman or policeman or coal miner. The services all need volunteers. I know it is not for the older guys or women but how many millions are young and unemployed and who do not even give a thought to the military. If you want to see a group of inspired young men and women who are happy to be part of something then go to a graduation ceremony at a Marine camp. They will walk out of there as proud as pea__s and being part and feeling the part of being the best you can be. Being part of something bigger than yourself has rewards that are far reaching. When I left the military I had a very good job waiting for me on the day I retired. I have done well in civilian life but I will always think of myself as an Air Force Officer and pilot first. Nothing in my life has compared to the comradeship and experiences of my military life.
Result number: 16 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: 17 Posted by wendyn on 10/20/09 at 10:25 Hmm- interesting theories. I've never seen or heard anything that supports an increase in drug use with an increase in rape. Usually rape is more associated with the objectification and overall social attitudes towards women as inferior in patriarchal societies. But it would make for some interesting research to find out just what the connections are. I can say from personal experience, pot makes most people feel like eating potatoe chips and saying 'dude' a lot. It is not really like drinking. It can heighten and distort senses (makes things taste better, makes smells stronger, makes sounds louder, makes time seem to take longer). It's not usually associated with violence or anything that requires much more effort than snacking. LSD - also from personal experience (hey, I had an interesting youth) does not make you lose inhibitions as much as it changes perception. It might make you feel like you are the F key on a typewriter or that you see snowflakes on your skin. Again - not normally associated with rape or violence, but certainly not good for you just the same. Have a nice week John - we'll chat again!
Result number: 18 Posted by Rick R on 9/23/09 at 09:25 John, I used the Danish wind industry website to research wind power. Our country would be a grid containing a windmill every 2,200 feet in all directions. Given that not all land has appropriate infrastructure or friendly geography (rivers, lakes, mountains)the country would be a big wind farm. My analysis was based on replacing coal and oil currently used for applications where electricity is an option. We need to look at the end state of any direction and not just let the problems creep up on us. That looks like a massive problem for birds. I'm far more inclined to solar. I wonder if a 'sonic shield' could be used to divert birds. The rare elements used in batteries not found in the US could lead to a shift in energy dependence rather than our desired independence. We need well thought out science and economics, not popular fads and politics. We also can't afford to abandon current sources and methods of energy production. All it takes is one unforseen consequence to sink us. I'm thinking belt and suspenders for a while. Rick
Result number: 19 Posted by john h on 8/25/09 at 17:14 Rick my misadventure with animals was when me and my buddy were fishing in south Georgia in a lake surrounded by a very wooded area. We were bass fishing in the late afternoon. We had heard and seen some wild pigs on the banks all day. They were skinny and made all kinds of noise. We figured no problem as they were just skinny pigs so we started to venture towards shore as about 5 or 6 pigs seemed to congregate where we were going to pull our little 14' flat bottom on shore. The closer we got the louder they got and we begin to wonder if they could pose a threat. About 10' from shore I pulled our stringer of fish out of the water as it was starting to get shallow. At that point all the pigs jumped in the water and made like tarzan for our boat. I got out a paddle but I was no match for 6 determined pigs. They actually jumped into the boat and the first bite I saw one of them take on one of my 5-6 lb bass cut him right in half. The boat was sure not big enough for 2 men and 6 hungary pigs so we jumped into the water and headed for shore.
Result number: 20 Posted by marie:) on 8/14/09 at 17:15 This is a tragedy of epic proportions. I haven't spoken to my Lakota friends for a while now............It's always been bad but the generosity of these people still touches my heart. Even the poorest of poor in our nation have their dignity. The recession has hurt all of us but none more the Lakota tribe. This story focuses on a two Vietnam combat tour veteren. http://www.cnn.com/2009/POLITICS/08/13/king.sotu.economy/index.html To spend a day crossing the reservation is to see a place stunningly beautiful and seemingly forgotten all at once, small, poor communities tucked into the hollows of western South Dakota's Cheyenne River Reservation. The poverty is all the more striking because of the richness of the setting: green and golden rolling hills, roaming horses and cattle, and tall corn and golden sunflowers sprouting from the fertile soil. 'Ziebach County is the No. 1 county statistically with child poverty,' he said. 'Now that alone is generational, with the trauma of poverty and the broken family. # The unemployment rate on his reservation runs higher than 80 percent; # Ziebach County, where he lives, is the nation's poorest, with just shy of 56 percent of its residents below the poverty line. Poverty among children in the county eclipses a staggering 70 percent.
Result number: 21 Posted by Rick R on 8/13/09 at 17:58 Bumber, talk about an impact on society. I'll have to call my best freind who I am sure is in mourning, presuming the pony express made it to his hill. Ever hear of Lakeland Bases? He's the 'land' part. Dan Lakin (I think) was the marketing and finance dude and Hugh was the master craftsman. Now he's growing hops in Paonia Co. and building a few custom guitars here and there. If you ever heard of Paonia ....bad girl stop that stuf... isn't good for you unless of course you have cataracts! Joe Cocker lives about 8 miles from there. Rick
Result number: 22 Posted by Lakemom on 7/26/09 at 20:56 What I like about Quarks is that they look like the actual size of my feet, like a regular pair of clogs. JillS, they are slip on. Crocs in my size 10.5 look so huge that I bypassed on them pretty quick. Thanks for filling me in on the content of the sole Jeremy.
Result number: 23 Posted by Lakemom on 7/25/09 at 13:13 I have a pair of Quarks that I put a different arch support in that works well as an indoor shoe and one to wear around the pool outside. They are a step up from Crocs i think. I wear a Pro style. http://www.quarkgear.com/privacy.asp
Result number: 24 Posted by BobK on 7/23/09 at 09:21 Thanks, Ben. I have just ordered that book you recommended. Yes, I’ve had a few injuries, mostly from over training, since I started running marathons in 2005. I used a compression brace to run through a hamstring tear, which healed in about six months. No recurrence. Then, after some good overtraining, I developed patellar tendonitis (runner’s knee), which slowed me down a bit, but I was able to run marathons while wearing the double Cho-Pat brace. However now since I have not run in a month, the knees are fine. I have no crepitus in either knee joint and I do stretch on a big ball for my back, which has never bothered me. Have you tried the Cho-Pat brace? It worked well for me. But, after doing research on PF, I now realize that I can’t run through this one. Yesterday I watched the video made by Dr. Jim Amis on PF, which pushes a simple 2-3 minute stair stretch three times a day. Even after healing, he recommends a stair stretch of two minutes twice a day. I will see him in six weeks and will see how this stretching routine works in that time. Now I do regret having had those two cortisone shots several months ago and having had the advice that running a marathon was OK. But that is water over the dam. Since I have been running marathons for only a few years, I feel this injury will heal and I can return to that distance. However I must be careful about this injury and do the daily stretches. I may not be able to run 7 or 8 a year. Outside of golf, which involves hours on my feet, which I feel impedes healing, I use the elliptical and a quad machine, both of which don’t put pressure on my heel. Very boring, but some exercise. I have an aqua jogger and have done some jogging in the pool, which I may continue. Also very boring. I don’t run for a runner’s high but rather for the competition in the marathon, which I find exciting. Somehow I am still maintaining my weight, possibly because I became a vegan two years ago. I also enjoy the peace of a run in a local park with a lake and woods. And I also enjoy being fit and disease free, compared to most Americans who are overweight and very susceptible to illness. I came across a runner’s rehab where he started very slowly, doing only a mile at a time. When I get to that stage, I guess I will begin slowly and perhaps wait a week, as you mentioned. What do you mean by saying you are 95% free of PF? Can you run for a mile or two? If, when running, your foot hurts, do you stop right away? In the El Paso marathon that I ran in March, I had heel pain around mile 13 and figured it would go away as pain often does during a marathon. But it didn’t and the heel hurt quite a bit during the last 13 miles. I won by age bracket but I wonder if it was worth it. Maybe I should have stopped completely and not finished, which would be hard mentally for me to do. I guess that is when the real problem started. Bob
Result number: 25 Posted by john h on 4/10/09 at 12:11 The most vulnerable part of any helicopter in flight is the tail rotor. A hit to the tail rotor and you start to spin like a top from which there is no recovery. There was a case of a helicopter being brought down by a bow and arrow in Africa. We were all issued flak jackets and the pilot and copilot nearly always sat in theirs. When we were going into a heavily defended area to drop off teams we had a large steel shield that you could hang over your shoulders and cover you down to your waist. It weighed around 100 lb. Problem was it made it to awkward to fly the aircraft so none of us wore it. I tried it once and never again. We were lucky they were not using the hand held heat seeking missiles in Vietnam. Still we lost over 6000. We usually flew with a FAC (Forward Air Controller). He would be flying between 3000-5000 feet above us as we descended to a pre-planned drop off point. At that altitude he could see the flashes from gun fire and advise us we were taking ground fire and we did not even know it. Once I was at about 2000 feet and saw all these flashes directly in front of me. I thought they were tracers and there was no way to avoid them. As it turned out it was an aircraft called 'Litter Bug' who regularly dropped leaflets from a high altitude. As these leaflets fluttered in the sun they produced a sparkle effect that looked like a tracer. I thought we were done for but later felt like a fool. From my base on the Mekong River in northern Thailand, just across from Laos, A fighter could make it to Hanoi in less than an hour. At night we could sit on the porch of our hooch and watch the 85-mm bust in the air over the Ho Chi Ming trails. It was like the 4th of July. Our night aircraft were old WWII B-26's which were modified and painted solid black and called the A-26. These guys went into steep dives over a pitch black jungle at night to deliver their ordinance. Takes some kind of pilot to handle that. Our base actually looked like an old WWII base. We had PSP metal runways. Our aircraft included the A-1 which was a carrier fighter/bomber with the folding wings. It could carry an enormous pay load and fly for 6 hours and take a lot of damage and keep on going. We had C-47 gun-ships which were made in the 1930's. We used a lot of C-130 gun-ships that could fire cannons and rapid fire heavy duty mini guns. They would roll up on their side and using infrared fire through the clouds. Our B-52's who are now near 60 years old and still flying, used conventional bombs. They flew at around 40,000 feet and you did not see them or hear them. The first thing the enemy knew was that hundreds of thousands of lb. of bombs were devastating the area. Unfortunately they were very vulnerable to SAM Missiles and when they tried to fly them over Hanoi they were going down like ducks on a firing range. The pilots were on the verge of refusing to fly over Hanoi when the Macnamara Whiz Kids finally figured out that mission was not worth the losses. This war was micro managed back in Washington by young guys from Ivy League schools who had no experience in war. Lot of little O-2 bird dog aircraft used as one pilot spotter aircraft. Each assigned to a specific area which they came to know like their own farm. They would call in for attack aircraft when needed and fire smoke rockets to locate the targets. I flew a few missions with them just to see what it was like. They were flying very low so they never stopped weaving back and forth as an AK47 could bring one down. I saw aircraft I have never seen before or since flying around Laos just on top of the trees. Have no idea of who they were or what they were doing. We had so many aircraft that we were radar controlled just like at the airports in NYC. Few pilots ever survived going down in Laos where most of the air-war took place. The bad guys used dogs to find you. Laos was a long way from Hanoi by foot. The bad guys usually just killed who ever they caught after interrogating them. We rarely ever recovered any remains of downed crews in Laos. We still to this day have people searching for lost aircraft and have come up with a few remains. The most important thing we carried was our radio. Without radio contact, if you went down, you were almost out of luck. To much jungle to be seen. I picked up down pilots and the long range patrol teams. We have lost up to 3 aircraft and crews trying to save one pilot. Our crews had to know that someone would make an all out effort to get them if needed and that we would. I saw a film of a rescue helicopter hovering over a downed pilot. He was being filmed by the second helicopter. There were other fighters in the area but no jets. Only the slower A1's. Two MIGs suddenly appeared and fired a missile directly into the hovering helicopter. It was just a giant fireball. All the other aircraft headed for cover as we had nothing in the area that could go up against a MIG. Sad part of this story is at that point in the war our guys in Washington would not let us attach the airfields from which the MIGs operated in Hanoi. There were many areas I flew through I could not fire back even if fired upon. Another great decision emanating from Washington. No fire zones in a war. That is like an oxymoron. Moron being the part of the word that makes sense.
Result number: 26 Posted by Goaskalice53 on 4/07/09 at 19:35 Dr I do know if I pull the little toe up and out the pain goes away. Kind of hard to walk like that... Also taping works wonders. I am very active although wlaking hurts now. Would this joint stiifen up and burn at night? Thanx so much for your info. Let me know if you open a practice in Cincy... I will there.
Result number: 27 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: 28 Posted by Lakemom on 3/24/09 at 17:19 I usually find each person I go to gives me a little piece of the puzzle to help my situation. Hope things improve with time.
Result number: 29 Posted by denisea on 3/24/09 at 10:25 Hey Lakemom, I was kind of surprised I didn't get more out of my visit with Dr. Kirby. It's sometimes difficult to stress that I've had this for a long time and have tried most everything short of surgery. He referred me to Dr. Blake in the City who is just such a wonderful guy and did help a little so I am grateful for that. I moved out of SF so can't see him much anymore. Maybe if I wasn't two hours away from Kirby I could have worked more closely with him. Oh well.... ; ) Loved your rant Jeremy!
Result number: 30 Posted by Lakemom on 3/23/09 at 21:12 Denisea, I wondered how your Dr. Kirby visit went. Sorry you didn't come away with some big relevation.
Result number: 31 Posted by denisea on 3/23/09 at 19:21 Wow, thank you Jeremy! I'm excited to check out your recommendations. It's funny you say that about pressure on lateral side of foot. Could me tending over the last year to walk/stand on the outside of my feet (just for some relief from the medial heel pain) be contributing to the metatarsalgia? I did see Dr. Kirby about 7 months ago. He didn't really have much input. He saw the orthotics I was currently wearing, liked them and just made a minor adustment. He mentioned (as do most pods or Cpeds) that I don't seem to pronate much, my foot looks pretty good (a little bunions), that the fasica (aponeurosis) is really, really tight and I don't have much of a fat pad. He told me to do some wall stretches (but I don't cause of this site) and told me a good guy to follow up with in the city with Dr. Blake. I saw Dr. Blake (who said the same thing everyone does) who made me some huge cushiony orthotics with helped because they were cushiony, but since then they wore down and he refurbished them and they haven't been the same since. I still wear the hard orthoics in my other shoes, but can only wear the huge cushy ones in the athletic shoe. I figured it was time to invest in some seriously good shoes. I try to wear my asic gel-kayano as much as I can, but I've had them forever without much luck. So, I take your advice with much respect. I'm off to my ART session right now, which I just restarted last week. It seemed to be the thing that helped me the most last year. Denise
Result number: 32 Posted by sherrie m on 3/19/09 at 08:24 I just had foot surgery and was unable to walk or put weight on my right foot for 2 weeks. I couldn't drive and was unable to get groceries and take care of myself for 8 weeks. I want to make my next surery easier and saw a doctor in CA who has his patients up and walking with in a few days.Please commet on the care proviced by Dr. Richard R. Moy, DPM, INC Foothill Surgical Institute in Lake Forest CC
Result number: 33 Posted by Lakemom on 3/12/09 at 18:59 I too have good luck with Ryka. Must be my foot shape. What I like about Ryka is the stability I get in the rearfoot from the extra external medial and lateral supports. I am wearing GMC walk which is not being made anymore but the muse has this too. http://www.zappos.com/n/p/dp/38856337/c/169617.html Usually shoes have alot of medial support but not bilateral stabilizing support. Are there other shoes brands that have this Jeremy?
Result number: 34 Posted by Lakemom on 3/10/09 at 19:19 Sorry Dr. DSW, I only posted since Dr. W suggested helping find a Dr. and Dr. Huppin had actually written one of the posts in the library on this site about orthotics.
Result number: 35 Posted by Dr. DSW on 3/10/09 at 19:00 Lakemom, Do NOT post on this message board unless you are ASKING a question.
Result number: 36 Posted by Lakemom on 3/10/09 at 18:45 If you are willing to drive to Seattle Washington, Dr. Larry Huppin is an orthotics expert. http://www.footankle.com/huppin.htm
Result number: 37 Posted by john h on 3/07/09 at 11:38 Wendy: I grew up in the Chicago suburbs. Even in the 50's we had a great rail system. Almost no one who worked in Chicago drove. Everyone took the train which when it arrived in Chicago became the Elevated and made the loop around Chicago. There were probably 20 stops or more before reaching Chicago at each little suburban town like Lake Forest, Highland Park, etc. We also had a fast Diesel train from Chicago to Milwaukee called the '400'. I thin it may have been because it took 400 minutes from Chicago to Milwaukee. It ran parallel with the suburban train. A litttle farther west was another major track that headed west. In the early morning it was a ritual to see the wives dropping off their husbands at the small stations headed to Chicago. I think train are great but in my opinion are mostly for large cities and long hauls. Money is made on cargo which is why Amtrack often has had money problems as it is a people train.
Result number: 38 Posted by Lakemom on 2/19/09 at 20:27 I use a rowing machine so I am not weight bearing on my feet or put stress on my ankles. Maybe there is an indoor pool and you can swim somewhere.
Result number: 39 Posted by Suedehead on 2/16/09 at 22:19 I have researched RSD/CRPD a lot ever since the pain doc first suggested it. I do my own PT in the form of stretching, massages, and I walk on the treadmill for a few minutes a couple times a week even though it hurts and burns like hell. I live in Southern Utah and have went to the University of Utah in Salt Lake City and consulted and had tests by both an Orthopedic Surgeon and the Neurology department. The Ortho DR. said he had seen some bad cases of TTS and didn't agree with the surgery. The Neurologists said that I am missing a key sign of RSD which is color change in my legs/feet, he advised I wait a few more months before I consider the SCS implant. They don't seem to understand how painful it is, I guess people have a hard time with things they can't see. Meanwhile I am just stuck in chronic pain and unable to work. I just get the feeling no one I have seen even knows how to treat RSD, short of the implant. I still have a hard time believing this all came from heel pain that started after a morning run. Maybe I should be in an RSD forum, but I just wanted to hear some opinions of people who had dealt with TTS and maybe had similar problems. Thanks for responding.
Result number: 40 Posted by Dr. Wedemeyer on 2/12/09 at 15:06 I looked at that particular shoe online Rosebee. One issue that I thought could be addressed is the height of the heel counter of the shoes you will be fitting this device in. From what I can see and that's only online mind you, that shoe does not have a remarkably low heel counter. That model shoe does however have a dramatic heel pitch angle and would not be my first choice for custom inserts. You always lose a certain amount of the depth of in a shoe with orthoses depending on the materials used. It may be the actual depth of the shoe itself that is a problem (as Lakemom pointed out on the Insole/Orthotic/Shoe board you should try those devices in other shoes as well). The characteristics of the shoes that will be worn with your orthoses are an integral part of the success equation for any custom orthosis. Some shoes are just not capable of use with them.
Result number: 41 Posted by Lakemom on 2/11/09 at 21:11 Buy some other shoes to try (you can always return them) to see if the problem is the shoes or the orthotics. If they work in other shoes you have the answer
Result number: 42 Posted by Lakemom on 1/31/09 at 11:58 While I don't diagree with you Dr. DSW, where they went to school is only one of the criteria I use before I spend my money to go see yet another Dr. who I cannot meet first and determine the qualities you describe. I know that I am too complicated to go see someone who has only been practicing for under 5 years who graduated from some school in the Carribean. I ask if the Dr. has a special interest area ie biomechanics which is my problem vs a surgical specialty which is not the right direction for me. I want to know not only the medical school but where they did their residency or fellowship if they went on for advanced training. If you google them you sometimes find articles they may have published or organizations they are a member or volunteer at or places they have gone or are going to speak. Some Drs. now have websites to describe their practice. It costs nothing to do this research and I agree it may not get me to someone who can help me. I have been to plently of Drs. who are supposed to be the 'best' and they seem to give up too quickly after I may have waited weeks to months to get in to see them. But if you have a problem that no one else seems to have then there is no one to ask who to go to.
Result number: 43 Posted by Lakemom on 1/30/09 at 19:28 Glad I could be of help. Nowadays you can usually google a Doctor's name and in healthgrades or one of those similar sites you can find the school and year of graduation but I kinda think the staff should be alittle more proactive since the diploma is usually somewhere on the wall in the office. I will check out Mystery Diagnosis, sounds interesting. I watched a show awhile ago where for 20 years a young woman had gone from Dr. to Dr. with various problems that seem to be mysterious and arise and go. She had been to over 60 drs, told everything from her having Cancer, to Aids, that she was going to die and she should put her affairs in order. One day when she was feeling better, she went for a hike since she had always loved hiking and the poor thing was bite by a Lyme tick and got Lyme disease on top of everything else but it was because she was bit by the tick and treated by someone who was an infectious disease Dr who specialized in the kinds of illnesses ticks pass she was finally cured. Apparently, 20 years ago while hiking she had been bit by a tick and infected with whatever it passed to her and her body had been fighting it ever since. It was because she had been to those 60 Drs, had every scan, test and procedure under the sun, he knew that those other areas were not the source. She was finally cured, got married and hopefully is living a full life. It is this story I keep in mind when I get so frustrated trying to find people can help me.
Result number: 44 Posted by vsmith on 1/30/09 at 03:47 Lakemom, what a great post. Every patient should print it out and post it on their refridgerator. I could not agree more that being sick is expensive and sometimes the only way to get better is to throw money at your problem. That is why 95% of my physicians do NOT take insurance. More bang for the buck sometimes works.
Result number: 45 Posted by Lakemom on 1/29/09 at 18:41 I understand what you are saying Susan about how some doctors will be turned off by a patient expressing their knowledge. I have met a number who respond that way. I often get a similar but different response because I look great, healthy, strong but have trouble walking more than a couple of blocks. They don't believe I could have such trouble. In cases that I know that time is short and I think I won't be believed I do a couple of things. 1. The moment the doctor walks in the room the meter is on so be succinct, clear, very pleasant with a written list of your top 3 concerns. I do no small talk until the end when we are done. Do not talk about every thing that is wrong, talk about what brings you there THAT DAY. Practice the few sentences to summarize it before you go. I often write out my history for them to peruse because it is shorter for them to read it then for me to tell it. 2. If I go to someone I think is very time short or I feel like I am too emotional to go through it again, I bring my husband to affirm 'Yes' she can't walk very far, I dropped her at the door to come see you. And to keep it help keep it simple when I try to get too detailed. The doctor can only take in so much in those 10-15 anyway so get your best bang for your buck by being focused. 3. I emphasize that I am looking for a plan, a path, not a solution. It has been 12 years and I havn't found the solution yet so I don't expect them to find it right away either. Healthcare isn't going to change any time soon interms of the quickness people are pushed through. You do however, have a some choices of where to go even with managed care. It may mean driving farther to find a smaller practice to take care of you. I never go see a Dr. without knowing where they went to medical school. How long have they been in practice? Do they have a special interest (you can ask the staff all this, if if they don't know and aren't willing to find out, cross them off the list. A doctor's staff is a reflection of his practice. If they are competent, he is likely to be also.) And I hate to say it but being sick is expensive and sometimes the only way to get better care is to throw money at your problem.
Result number: 46 Posted by john h on 1/29/09 at 09:51 Well put LAKEMOM. A large problem in our society now is that people take less and less responsibility for their actions which includes looking out for your own health. We have come to expect government, our Doctors, or any other service provider to watch out for us. We have millions of people signing mortgages without reading them and then blame the lender when something goes wrong. We blame credit card companies for high interest rates when no one puts a gun to our head to use a credit card or use it responsible. We alway have our friendly lawyers who are on TV to take your case for free to sue almost any entity. If a company is big or bigger they become even bigger targets.
Result number: 47 Posted by john h on 1/29/09 at 09:50 Well put LAKEMOM. A large problem in our society now is that people take less and less responsibility for their actions which includes looking out for your own health. We have come to expect government, our Doctors, or any other service provider to watch out for us. We have millions of people signing mortgages without reading them and then blame the lender when something goes wrong. We blame credit card companies for high interest rates when no one puts a gun to our head to use a credit card or use it responsible. We alway have our friendly lawyers who are on TV to take your case for free to sue almost any entity. If a company is big or bigger they become even bigger targets.
Result number: 48 Posted by Lakemom on 1/29/09 at 09:40 I'll say, you certainly did open a can of worms Dr. W. I think what every patient needs to remember is no matter who you receive care from you must take responsibility to be your own advocate & case manager. No one, i repeat NO ONE, will take as much time and concern regarding your care than you will. It makes me crazy when someone tells me they are on a drug and they don't know why, or for how long never mind that they don't bother to read the little handout that comes from the drug store on basic side effects. For a Dr. to remember every little nuance of some slight problem you had and the situation surrounding it is unrealistic. Patients need to be well informed, ask open ended questions including, if you are concerned about a drug ask the Dr. why it was prescribed and if he feels in his opinion you should be concerned. If he blows you off, find a new Dr you feel you can talk to.
Result number: 49 Posted by Dr. DSW on 1/28/09 at 13:41 Lakemom, Thank you, but the bottom line is that the quinolones are simply the 'drug of choice' for many urological conditions and other problems. If you look up certain conditions in an infectious disease manual, certain quinolones are the first line of drugs recommended for many conditions. I believe that many of these other specialists are aware of the potential side effects, but as with prescribing any medication, the doctor must weigh the potential risks vs. the potential benefits. And if the doctor believes the benefits outweigh the risks, then he/she will write the prescription. And statistically, tendon injuries still occur rather rarely compared to the benefits these antibiotics often provide.
Result number: 50 Posted by Lakemom on 1/28/09 at 13:33 Cafe Verona was Sweet Surprises, sorry forgot their new name when they moved. Glad the Northface outlet is still there. I still have a fleece jacket that is in better shape 25 years later than newer fleec now.
Result number: 51 Posted by Lakemom on 1/28/09 at 13:30 While is sounds like you are very meticulous Dr. DSW, I don't know that every Dr. is so thorough. I would imagine that only doctors who are very involved with musculoskeletal issues are as aware of this Cipro side effect so Gyns, Urologists, GI drs may use it more often without running through the possible tendon issue scenerio.
Result number: 52 Posted by Lakemom on 1/28/09 at 07:03 I went to the Annals of Pharmacology for the orginal abstract but you have to pay to have it printed PDF. Here is the link to the abstract. A hospital library might print it for you. http://www.theannals.com/cgi/content/abstract/35/12/1540
Result number: 53 Posted by Dr. Wedemeyer on 1/27/09 at 23:06 Excellent questions Susan. I always inquire about current and past medications because tendinopathy is a common complaint that I treat. Antibiotics are generally regarded as safe and as having a low potential for side-effects in the patient population, therefore often they are not even mentioned during the history or noted on the intake sheet. I find that my common practice of asking the same questions several different ways and repetitively tends to elicit the entire rx history and that there is a steep rise in cases attributed to this class of medication. I also feel that physicians are aware of the issue and reporting it but that yes, it is still under-reported as the cause. Lakemom do you have that full article? Could you email it to me if you do please? Thank you.
Result number: 54 Posted by Lakemom on 1/27/09 at 21:20 I was on another foot forum a while ago and a woman was complaining of various nerve symptoms after her surgery and she wrote that she had been on Cipro prior to the surgery for a UTI. I searched and posted this link as Cipro has been watched and documented as to causing other neuropathy/musculoskeletal issues. Better to ask for a different drug for infections I think. http://www.medscape.com/viewarticle/411159
Result number: 55 Posted by Lakemom on 1/27/09 at 21:06 The grocery store was probably the first normal store to go, it was close to the Gatehouse on Lytton across the street up one block from the park. I had been to the Gatehouse many times, nice bar area in front. I lived in Menlo Park on Harvard st. The Northface outlet used to be at the end of my street behind the gas station on Cambridge before it moved to Alma. (I think it is gone entirely now) Wheelsmith used to be next door to it on Alma. Then Wheelsmith move across from Sweet Surprises coffee house on Hamilton which used to be a little hole in the wall coffee place when it opened on Univers. Ave. We used to rollerskate (this tells you how able i was then) down to Pete's coffee next to Draegers on the weekend. Draegers was only 1 story then. I bought my wedding cake from the Swiss bakery in downtown Menlo Park. We still have a number of friends in the Bay area and visit when we can.
Result number: 56 Posted by Lakemom on 1/26/09 at 20:40 Thanks for the quick lowdown of Univ ave in P.A. I lived in Menlo Park and P.A. for many years and used to work at Stanford. I have been gone for 20 years. What is sad is once upon a time, as you know, Univ ave was a real downtown that had more than just restaurants and high end shops. The economy then couldn't support the Varsity theater, the grocery store on Lytton and the Woolworths and if they hadn't closed up then, they certainly would be having trouble now.
Result number: 57 Posted by Karen on 1/16/09 at 09:57 I've been told by my Dr. that heel spurs do not cause pain. I have had bilateral PF for about 3 year off and on. I have had three shots in my left foot and 2 in the right. I went through 6 week of therapy inwhich they used ultrasound to treat both feet along with massage and stretching. My left foot improved quite a bit however my right foot got worse. During the ultrasound therapy on my right foot I had several occasions inwhich a sharp pain shot through my foot. I tlaked to my Doctor about it and she ordered a MRI on my right foot to see if there was possibly a stress fracture. The MRI results did not indicate for sure if there was a stress fracture or not but it did show a lot of inflammation. The doctor put me in a cam walker for 6 weeks. At this point, 6 weeks later, I can't tell that there has been much improvement at all. I'm becoming very discouraged and don't know what to do next. I do have spurs on both heels and that is why I was wondering if the spur on the right foot could be causing the pain that I can't seem to get rid of. What would you suggest next? I have thought about the Ossatron treatment but my insurance will not cover it. Will the Ossatron treatment also get rid of the heel spurs?
Result number: 58 Posted by Dr. Wedemeyer on 1/14/09 at 21:06 This entire discussion has now been reduced to a contest: 'Dr. Wedemeyer, My original response is no worse or better then the sentense you wrote in yours 'To my knowledge a PT still requires a written order from a doctor or physician for a course of therapy on a patient.' Throw in the caveats and insurance and neither statement stands alone.' I meant only to inform you and others that what your PT is telling you is based in a specious and probably unrealistic interpretation of the law. In the real world, as Lakemom pointed out insurance is a factor and not many insurers will pay for self-procured care by a PT. The patients may enjoy a more direct access to a PT's services but that treatment may not be recognized as a benefit without a script from a doctor. Is that a more reasonable statement that can stand alone then Ryan? They also still cannot directly manage personal injury, worker's compensation or group insurance claims without a script or in most states a referral. Under these circumstances I would feel that notifying the patients up front of these facts would be important as many patients rely on their insurance benefits for care. I don't call that 'autonomy' to practice independent of physicians, do you?
Result number: 59 Posted by Lakemom on 1/14/09 at 19:15 I believe in NJ and NY you can see a PT for 30 days without a Dr. prescription, insurance probably won't reimburse those days though, then after 30 days you need to be seen by a Dr. to authorize further visits. In the last several years, I have spent a lot of time seeing P.T.s and like nurses there is a range of skill and competence levels. Since P.T. education has changed so now all P.T.s going to school must have enough training to have their Doctorate, you then have an inexperienced PT with a doctorate degree who has limited real patient experience. That is not the person I want directing my care. Unfortnately, to play the flip side now, orthopedics are surgeons. When they see a patient who they feel only needs P.T., they usually write a fairly broad prescription that gives the P.T. leeway to do whatever they see should be done. If you are having post-op P.T., then the surgeons are more specific.
Result number: 60 Posted by DR. Z on 1/13/09 at 13:22 ] Subject:FW: Israeli Date:Tuesday, January 13, 2009 7:39:08 AM [View Source] Dan Rather, Katie Couric, and an Israeli commando were captured by terrorists in Iraq . The leader of the terrorists told them that he would grant them each one last request before they were beheaded. Dan Rather said, 'Well, I'm a Texan, so I'd like one last bowlful of hot spicy chili.' The leader nodded to an underling who left and returned with the chili. Rather ate it all and said, 'Now I can die content.' Katie Couric said, 'I'm a reporter to the end. I want to take out my tape recorder and describe the scene here and what's about to happen. Maybe someday someone will hear it and know that I was on the job till the end.' The terror leader directed an aide to hand over the tape recorder and Couric dictated some comments. She then said, 'Now I can die happy.' The leader turned and said, 'And now, Mr. Israeli tough guy, what is your final wish?' 'Kick me in the ass,' said the soldier.' 'What?' asked the leader? 'Will you mock us in your last hour?' 'No, I'm not kidding. I want you to kick me in the ass,' insisted the Israeli. So the leader shoved him into the open and kicked him in the ass. The soldier went sprawling, but rolled to his knees, pulled a 9 mm pistol from under his flak jacket, and shot the leader dead. In the resulting confusion, he jumped to his knapsack, pulled out his carbine and sprayed the terrorists with gunfire. In a flash, all terrorists were either dead or fleeing for their lives. As the soldier was untying Rather and Couric, they asked him, 'Why didn't you just shoot them in the beginning? Why did you ask them to kick you in the__first?' 'What?' replied the Israeli, 'and have you two assholes report that I was the aggressor?!
Result number: 61 Posted by Lakemom on 1/09/09 at 13:22 I know I am not supposed to post here but Monica, I don't know where you live but you may need to consider going to a major medical center like Hosp. for Special surgery where doctors care for very complicated cases. At least for an evaluation. http://www.hss.edu/orthopedic-foot-ankle-service.asp Good luck
Result number: 62 Posted by Lakemom on 1/02/09 at 21:40 Very nicely said John. Just have to add the part about how the woman my husband married who was the big downhill skier and roller skater is now lucky to make it through a trip to the grocery store due to mobility issues and the man I married who was so light and silly now visits his ailing aging parents every day the good son he is, one with Alzheimers, the other with so many chronic problems and pain he doesn't leave his wheelchair. But we are so thankful and feel so lucky to have each other and would never want to be with anyone else.
Result number: 63 Posted by Lakemom on 12/30/08 at 08:06 I am assuming you mean you have a bunion on the right foot. Shoes that have a wider deeper toe box that do not put pressure on the bunion. Nothing tapered to the tip. You might consider seeing someone about support for your feet as bunions can be caused by excess pronation of that foot.
Result number: 64 Posted by Lakemom on 12/30/08 at 08:01 I don't know if this would help or if you would be willing to do this but if you were very very diligent to not walk any excess you could rent a mobility scooter if your school has ramps, elevators etc. You could tell everyone the doctor insisted you stay off your feet or not go back to school for the semester. Otherwise, I am with the others to take online courses and take the semester off.
Result number: 65 Posted by Lakemom on 12/26/08 at 21:08 I wish you the best outcome from what obviously is going to be complicated surgery. I think you are very smart to have a plan on how to manage your pain and skilled people involved who can decide on what to give you. Hope 2009 is a better year for you with solid healing.
Result number: 66 Posted by Lakemom on 12/23/08 at 15:59 Alex, I'm not a PT but if you are reaching for your feet then you are stretching your hamstrings not your calves. If you wrap a towel around your feet and pull them toward you that stretches your calves in a non weightbearing way. Maybe you could schedule a visit or 2 with a experienced PT who can go over stretches with you.
Result number: 67 Posted by Lakemom on 12/22/08 at 12:04 So, how did she look after she spread it on her face.
Result number: 68 Posted by Lakemom on 12/22/08 at 06:31 That is the same shoe I am talking about. I contacted Brooks and they are phasing it out, they claim the last is like the Addiction but I havn't tried a pair. Maybe Jeremy knows.
Result number: 69 Posted by Lakemom on 12/21/08 at 21:39 Yep, 'Celebrity aging secrets' and 2009 best wrinkle creams. Or maybe they think we are worried about wrinkles on our feet.
Result number: 70 Posted by Lakemom on 12/21/08 at 21:37 Maybe its just my machine but the Google ads to the right of your first post Wendyn are all about wrinkle cream. Your using the word 'botox' must have signalled that anyone reading your post must need some attention to their face. Funny. I wonder if the same is with my post now too.
Result number: 71 Posted by Lakemom on 12/21/08 at 21:28 The synergy is no longer being made as I tried to buy a pair in black so you might choose a different shoe to move to.
Result number: 72 Posted by Lakemom on 12/20/08 at 13:29 I love the term 'iosodopes'.
Result number: 73 Posted by Dr. Wedemeyer on 12/17/08 at 01:20 mayday While I respect GP's and applaud their referral for orthoses, I question them sending you to a provider who is not a doctor that can determine the correction. Diagnosing the pathologic forces acting on your foot and the correction are paramount to the success of a custom medical device. Podiatrists are the best trained physicians to accomplish this task, period. You may find doctors of other disciplines with this training but they are few and far between. I myself am a CPed and honestly many Cped's that I know probably could prescribe these devices, perhaps even better than a physician with no real interest in foot biomechanics. That is beside the point though. The orthosis industry is a mix of providers and methods and to be blunt there are a lot of chain stores out there teetering precariously on the fence of scope of practice and negating the physician's correction in the script and dispensing these items. I do not feel this is appropriate nor is it in the best interest of that patient or the health care industry. In the US we have two bodies that govern orthotic and prosthetic practice the ABC and the BOC (of which I am licensed by both as Certified Pedorthist). I would like to post here a specific portion of their scope of practice standards from the ABC website for all to ponder when stepping into a retail store for medically necessary orthoses with a blank script in hand: Practice of Pedorthics: Pedorthics is the practice, pursuant to a written order/prescription when addressing a medical condition, of evaluating, treatment planning, patient managing, measuring, designing, fabricating, assembling,fitting, adjusting or servicing, necessary to accomplish the application of a pedorthic device for the prevention or amelioration of painful and/or disabling conditions of the foot and ankle. Some see the 'written order/prescription' phrase as a go ahead to provide custom medical devices without the prescription. It is not ambiguous if you ask me and I believe that their intent was to have licensed physicians provide the correction on the script. This does not seem to be observed in common practice though. Further: The practice of pedorthics by a certified pedorthist inherently includes both prescriptive and nonprescriptive work because of the universal use of footwear. As a member of the health care team, a C.Ped. plays an important role in the patient’s foot care; however, absent another professional certification or credential, a certified pedorthist shall not diagnose, prescribe, provide medical prognosis, or perform invasive procedures. A written order/prescription is required for any pedorthic device, modification, and/or prefabricated below the knee anatomical support addressing a medical condition. A C.Ped’s activities must reflect his/her certification and education. A C.Ped fits, fabricates, adjusts, modifies, or transfers devices which reflect his/her certification. I believe this is relevant to your concerns 'absent another professional certification or credential, a certified pedorthist shall not diagnose, prescribe....A written order/prescription is required for any pedorthic device, modification, and/or prefabricated below the knee anatomical support addressing a medical condition'. So your MD did prescribe orthoses but he did not prescribe the correction now did he/she? I know that I may catch some flak for my views on this but it is a nagging problem that I see in the industry far too frequently. We have a chain store near me where the same thing occurs and I have patients present to me on referral from the foot specialists who are angry and feel that custom orthoses 'do not work'. What doesn't work is their ill-conceived, turnkey profit system insert that is woefully inappropriate for that patient. I'll step off my soapbox now but I can say that my personal success rate with those PF patients who need a custom orthosis is excellent compared to the people led to these retail chains, possibly because I can also provider physical medicine and I work closely with medical physicians who specialize in the feet, as does Jeremy, another Cped on this site (he is actually in their office, part of the team). In summary no amount of treatment, either medical or conservative will yield results if your problem is of a biomechanical etiology and orthoses are not prescribed appropriately to address the forces and tissue insult causing your concerns. Your shoe gear is an intergral piece of this equation that is best handled by the Cped (and some podiatrists).
Result number: 74 Posted by Jen R on 12/14/08 at 13:27 Haha...I knew you'd understand! At least I'll be riding in style!!!!! Just be sure the drugs are good! I actually have a list of treatments that I keep up to date. I will either fax it or email it to you tomorrow (the up to date list is actually on my computer at work). And thanks Lakemom for the well wishes. Jen
Result number: 75 Posted by Lakemom on 12/14/08 at 12:24 Jen, I hope this works out for you. You certainly deserve some improvement after all these years of problems. Good luck.
Result number: 76 Posted by BrianG on 12/11/08 at 17:55 Dr W, I don't think you understood what I wrote to you yesterday. I DID read and answer the posts in order. Just go back and look at the time of my posts. I read Lakemom's post first, and answered her at 14:46pm. I then read your post, and and answered it at 14:56. I went right down the list, as you suggested. I don't think that people realize that Scott's board is different than most. Like I said yesterday, it only appears that I answered your post first, because that post is listed above my answer to Lakemom. One more thing, I did a search of Tim before I answered his post. I wanted to see where he was coming from, as his post wasn't very nice. I've already listed why. Most all of Tim's posts are in the same vein. In fact, it wasn't too long ago when he blasted Dr Z, because he didn't like the way he (Dr Z) answered someone else's question. So, thats it, I'm done. I'll now be waiting to hear what you find from the Chicago doctors.
Result number: 77 Posted by Jen R on 12/11/08 at 06:02 Lakemom is right...as long as you continue the long hours of standing...you are probably significantly reducing any chances of healing. Any chance the hospital would let you change to a 'light duty' type of assignment where you wouldn't have to stand so much? I coached high school basketball for 16 years and the last 6 or 7 of them I was dealing with PF. After a two hour practice I would go home and almost be in tears from the pain. I just can't even imagine how I could have survived the kind of standing you endure in your job. I know you have to be frustrated and discouraged...but please don't give up hope. There are always options. Maybe you can look into being a nurse that goes into homes. At least you'd be able to sit a little and you wouldn't be standing on those concrete floors. Or...look into the administrative end of nursing...you could have a very long career in that area. In the meantime, though, please do yourself a favor and find the most knowledgeable doctor or CPed who can help you with a custom orthodic and the correct shoes. Those may make a huge difference. Jen R
Result number: 78 Posted by Lakemom on 12/10/08 at 21:35 It sounds like you are on your feet so much that no matter what you do, it is going to be difficult for them to heal. Feet take a very very long time to heal. I don't have PF, but have had ankle tendonitis for over a year now. I'm sure you love your job but maybe it is time to consider something that you are sitting more so that what ever treatments you try will have a better chance of working. Good luck.
Result number: 79 Posted by Lakemom on 12/10/08 at 21:29 I think Dr. Wander has the timing of things under control. When the doctors are ready to recruit PF members for their study Dr. Wander certainly knows where he can find PF patients who are interested in participating so they can be screened for participation. It certainly sounds like it could be another avenue for treatment.
Result number: 80 Posted by BrianG on 12/10/08 at 14:46 Hi Lakemom, You have a good idea, to let the radiologists at Jefferson Medical College know about this latest study. I'm hoping that you'll get involved, and wil send them the article. You should be able to get a phone number, or e-mail address, from Google. Here is the article, just to make it a little easier for you :) http://www.rsna.org/Media/rsna/RSNA08_newsrelease_target.cfm?id=385
Result number: 81 Posted by Lakemom on 12/10/08 at 08:56 I really hope that progress in treatment of PF is made through the communication and connection of this foot forum. The web is so amazing in how each person can bring their bit of info and experience and it branches into other connections that could never possibly occur any other way.
Result number: 82 Posted by Lakemom on 12/08/08 at 18:07 I had read about this technique doing research for tendonitis in my ankle. There are 2 radiologist at Jefferson Medical college in Philadelphia who use this technique for various tendon issues using ultrasound. I would imagine they would be interested in exploring it for PF if someone were to contact them. Below is science article from 2002 http://www.sciencedaily.com/releases/2002/12/021205083918.htm And a printed abstract from 2008 in Am Jour ultrasound medicine. http://www.jultrasoundmed.org/cgi/content/abstract/27/8/1137
Result number: 83 Posted by Lakemom on 12/05/08 at 14:25 Well stated John. I totally agree with you.
Result number: 84 Posted by Lakemom on 12/04/08 at 16:24 I wasn't going to bring up what our outgoing president sounds like when he opened his mouth for us all to hear on TV. Clearly all that alcohol knocked off some brain cells or maybe he always spoke that way. I think Obama is clearly an improvement
Result number: 85 Posted by Lakemom on 11/22/08 at 16:49 Maybe the lost art of diagraming sentences will return to the classroom and our children will be able to actually recognize an article, a modifier and a quantifier in a sentence. Perhaps his use of proper english will motivate students to do the same and it won't cost anything. Hard to fault someone for speaking clearly and completely.
Result number: 86 Posted by Dr. DSW on 11/20/08 at 07:51 Lakemom, I don't perform ESWT very often, but when I have, I DID utilize the Dornier WITH ultrasound guidance, but despite that fact, I don't see any evidence that there are any actual 'studies' documenting that it is any more efficacious, though it would seem to make sense logically.
Result number: 87 Posted by Lakemom on 11/20/08 at 06:57 Thanks for you input Tim. I don't have PF, but I like to read the entire board to learn. I have numerous other foot issues, so have not read the specifics of how ESWT works. Despite your accurate description of S-I joint injection, there are plenty of Drs. who inject by landmark only I guess hoping the cortisone will somehow filter where it is supposed to go. What I do know is that many tools that are cost effective to help treat or diagnosis a patient, for many medical problems, are often not used. Be it out of laziness, lack of education, the old we 'always did it this way attitude' or the 'I've done this so many times I don't need those extra tools.' If the tool exists to help treat a problem and it has been documented to be of help, improve outcomes and is cost effective to use then why not use it?
Result number: 88 Posted by Lakemom on 11/18/08 at 17:18 It is unfortunate when technology provides us tools and then we get lazy about using them. I have S-I joint dysfunction and contemplated having it injected with cortisone. My Dr. does not use fluoroscopy for his injections, just injects by landmark. I did a search and one study showed that 60% of S-I joint injections without fluoroscopy do not get into the S-I joint so they are only really hitting it 40% of the time. If I ever need ESWT Dr. Z, you are the guy I am calling.
Result number: 89 Posted by Lakemom on 11/18/08 at 06:02 Normally I don't wear straight lasted shoes, my foot can't figure out how to come down but these are wider though a B width so I have room inside the shoe to move in the forefoot. I just like how stable it is. Thanks for the suggestion of NB.
Result number: 90 Posted by Lakemom on 11/17/08 at 17:21 Interesting Dr. Z, thanks for the explanation. Do you ever find though that some people feel pain in places that the problem really isn't. So as Dr. Ed indicated, do most Drs. use ultrasound along with ESWT to better determine the site of imflammation?
Result number: 91 Posted by Lakemom on 11/17/08 at 15:17 Unfortunately the Synergy is also discontinued. I emailed them and they suggested the addition walker. I walk toed in and the synergy had the right amount of stability and motion control without trying to over control me. The addiction looks more controlling. Is there a Brooks running shoe that is comparable or someone elses walking shoe? Thanks in advance jeremy.
Result number: 92 Posted by Lakemom on 11/16/08 at 11:21 Why would having or not having anesthetic make any difference to the outcomes?
Result number: 93 Posted by Lakemom on 11/15/08 at 19:51 This was sent to me and I figured this was the right group to forward it to. Subject: Let's just say thank you XEROX IS DOING SOMETHING COOL If you go to this web site, www.LetsSayThanks.com you can pick out a thank you card and Xerox will print it and it will be sent to a soldier that is currently serving in Iraq . You can't pick out who gets it, but it will go to a member of the armed services. How AMAZING it would be if we could get everyone we know to send one!!! It is FREE and it only takes a second. Wouldn't it be wonderful if the soldiers received a bunch of these? Whether you are for or against the war, our soldiers over there need to know we are behind them. This takes just 10 seconds and it's a wonderful way to say thank you. Please take the time and please take the time to pass it on for others to do. We can never say enough thank you's. Thanks for taking to time to support our military!
Result number: 94 Posted by marie:) on 11/13/08 at 19:07 I thought Gov. Pawlenty nailed it on the head. I listened to him speak tonight and as part of a panel. He's the ticket for 12. If I was a Republican I'd pay very close attention to what this man has to offer. http://www.upi.com/Top_News/2008/11/12/Pawlenty_calls_on_GOP_to_modernize/UPI-34731226522409/ 'We cannot be a majority governing party when we essentially cannot compete in the Northeast, we are losing our ability to compete in Great Lakes states, we cannot compete on the West Coast, we are increasingly in danger of (not) competing in the mid-Atlantic states, and the Democrats are now winning some of the Western states,' he said. 'That is not a formula for being a majority governing party in this nation.'
Result number: 95 Posted by Lakemom on 11/13/08 at 18:55 I agree with Wendyn. I have no trouble with how she looks it how she sounds with that 'bless their little hearts' twang. She's smart but not that smart, that is not what draws or repels people. I think most people want a president that they can look up to and admire not someone who could be their next door neighbor.
Result number: 96 Posted by Lakemom on 11/13/08 at 18:42 Carl is a great choice, it would be worth you driving if you can. I met him at a class in Philadelphia.
Result number: 97 Posted by Lakemom on 11/12/08 at 06:13 thanks for your input jeremy!
Result number: 98 Posted by Lakemom on 11/11/08 at 19:28 I really would like to be special for something else. Have you ever made someone a first ray cut out in one orthotic and a mortons extension on the other with bilat Mortons foot or is that wacky?
Result number: 99 Posted by Lakemom on 11/10/08 at 06:44 Jeremy and Dr. Wedemeyer. I have bilat Mortons foot and to add to my gait difficulties walk toed in and have about 5 degrees more tibial varum in my rt tibia. I own 2 pairs of orthotics with first met cutouts and while my left foot could be convinced to comply my rt foot no way can be convinced to do this. My left forefoot is more valgus so perhaps that is why. I have read the literature about how cutouts are bringing the first met down to the ground which makes perfect sense if you have a plantarflexed first met that is not elevated or short. But when the first met is elevated, it is an awfully long way down to the ground to get that first met down and it just pulls the rest of my foot (which is already walking toed in) into pronation to get there. I understand totally about why this design is supposed to 'engage' the hallux and increase its ROM to prevent or improve hallux limitus but there has to be more feet than mine that won't do this.
Result number: 100 Posted by Lakemom on 11/07/08 at 13:47 Sorry for the leap Dr. DSW, at the age of 18, I don't know if I clearly could make a decision that could impact my ability to walk for the rest of my life. I would still encourage anyone, especially those who have had difficulties with past surgeries to get a second or third opinion.
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