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Message Number 266082
Posted by Joan on 7/05/10 at 13:47
Do you wake up with pain every day? Is it constant? My foot is 'tender' when I get up but I don't experience a lot of pain til I'm moving around a lot. It's 10:30 and my foot is tingling and some numbness but not the 'pain' too much yet. What do the doctors mean by 'push it?' How often do you see the P.T? Did you do foot flexes before you saw the P.T?
Sorry to hear you had two bad days without the elevation. My foot was O.K at Target cause it was elevated. I would've called Steve sooner if it had started hurting. I've got much more compassion for people in wheelchairs now. Customers and employees were asking if I needed any help.
I'm glad the pulling sensation will be going away, hopefully pretty soon.
How do you manage with one crutch? Use the crutch on your left side to help not to put too much weight on your foot? You said yesterday you have problems with your shoulders so it's been harder to use the crutches. That sure isn't something someone needs for this kind of recovery. Do you have any help?
I think you said the doctor said your nerves were really bad? Mine said the nerve didn't look too bad and I've had little swelling and no infecton thank goodness. I'll take your advice and not do more until the doc says to. I will walk a little with the boot every day until I see him next Monday. He said if it hurts don't do it. 'It will take as long as it takes.'
Result number: 1
Posted by Joan on 7/04/10 at 19:51
Thanks Kim. So around 8 weeks you started taking a few steps still using crutches but adding more weight? How many times in a day would you think? So you are walking to the mailbox, garden etc now without crutches? Do you have pain when you aren't walking? You said you're still taking crutches with you when you go anywhere or using motorized cart. Does the doctor have any prognosis as to when you will walk without assistance? I know everyone is different but I sure didn't think it would be like this.
I have pain centering from the incision, outside of my foot, tingling/burning in toes...it just seems to move around. It's basically where I had it before surgery. Today has been better but after Steve picked me up at Target, it started getting worse. Maybe sitting in the car not being elevated too much. It wasn't bad at Target although I was in my wheel chair with it elevated. I was there 1 1/2 hours! I still feel pulling sensations from the surgery sight. I haven't started PT yet. The doctor hasn't mentioned it. I see him at 6 1/2 weeks. I do flex my foot. My heel feels kind of thick and not much feeling to the touch. Is that normal?
We lived in Santa Fe a million years ago. Only for a few months.
It did do me good to have a change of scenery. I wish I could drive so I'm not dependent on everyone. Thanks again.
Result number: 2
Posted by Steve L on 6/07/10 at 20:57
I'm having the chielectomy surgery 6/10/10 by a orthopedist with lots of experience, am looking forward to it - I still have some years of sports (soccer, lacrosse) left.
Is a ankle block routine? I was hoping to get by without one
Result number: 3
Posted by SteveG on 5/16/10 at 23:52
No, Rick, I live in Seattle, but my sister lives in illinois, and she has mentioned this to me a few times, but I had no idea of the extent of the problem.
Result number: 4
Posted by Rick R on 5/14/10 at 12:42
Are you in Illinois too? I assisted with the Dan Proft campaign for governor. Boy did I learn a lot about our mess. Let's look at what the successful states have in common and what the train wrecks have in common and how those groups differ. It won't simply boil down to Republican vs Democrat.
Result number: 5
Posted by SteveG on 5/14/10 at 01:10
Result number: 6
Posted by Rick R on 5/12/10 at 15:12
This is a bit of a surprise. Here's more from Spain:
It looks like they are making some of the hard decisions that need to be made.
Result number: 7
Posted by SteveG on 5/12/10 at 00:43
This one surprised me -
Result number: 8
Posted by John H on 5/07/10 at 13:25
Well written article Steve. I read the WSJ regularly except on Saturday. I somehow missed this. I think the powerful trade unions are going to cause extreme problems for the government. They will cause riots in the streets and likely more deaths. There is nothing the Greek government can do but balance the books one way or the other. Since most workers are union members they will suffer the consequences of the many cuts that will be made. Their Union Leaders should remind them that government can only help them by cutting spending and or raising taxes. The cuts will be deep and lasting. If they continue to march it will only get worse. Worst case is they are expelled from the Euro-Zone and go bankrupt. I want to know what idiots still buy Greek government bonds? Even at 20-30% it is like throwing you money into a deep pit of fire. The Euro-Zone still has Spain, Portugal, and Italy on the edge of the abyss. A failure of Greece could put into motion the failure of the other borderline nations. Germany is the strongman of Europe and they cannot save them all. I would speculate that the Euro-Zone could be endanger of breaking up in the future. Germany who has a healthy economy and its citizens are not going to pay for the failure of other nations to balance their books. We in the U.S. are on the same path as Greece. Whether it is a Democrats or Republicans in office they are going to have to stop being the sugar daddy to all of us. We need personal responsibility. Our government is not to be looked to for solving all our problems or providing us with all the free goodies. If you want that then move to Europe where that is really not working very well. No matter what kind of system you live under you deserve what you put into the system. Of course there are the exceptions where all of us should have no problem helping. There is still no free lunch no matter what our President or Congress may promise. If you do not personally pay then your children will.
Our Federal Government was designed to 1. Provide security for the nation 2. Provide a banking system 3. Provide roads 3. Provide a postal system. Have we ever gone beyond that. Our Constitution has been so perverted our Founding Fathers would no longer recognize it.
Result number: 9
Posted by SteveG on 5/07/10 at 12:56
This piece in the WSJ does a nice job or explaining their situation and how they go there -
Result number: 10
Posted by John H on 5/06/10 at 18:07
Very informative article Steve. I think Greece has a ratio of 150% of GDP to debt. In plain everyday words they spend more than they produce. Every American should understand that. There are several other nations in the Euro-Zone who are spending more than they are producing. The U.S currently has a ratio of 86% of GDP to debt. That is acceptable except it is forecast by our own government agency to be spending more than our GDP. That spells big time trouble. Perhaps we should have waited a couple of years on the Health Care bill of almost one trillion dollars. No one argues we needed reform but we face a more dangerous problem with our growing debt. I fear the more government gets involved with almost everything they will enact some laws and regulations that could tilt our table into even more severe problems. That is the history of governments. It is the history of government in the Euro-Zone and they have reached the tilting point already. According to forecasters we are only 2-3 years away from the same problems in Europe other than we can print money. We could inflate our money and thus reduce our debt. This would certainly cause China to sell our bonds immediately if inflation takes off. People living off fixed incomes would suffer disaster. I certainly remember the Carter years when interest rates on a 30 year U.S. bond was from 16-17% and even at that I was afraid to buy one. That had such a profound effect on me that I still fear inflation more than other disasters. You can wipe out a lifetime of savings in an instant.
There remains one indisputable fact and that is you cannot spend more than you make whether you are an individual or a government. I do not care if it is a health care bill or any other kind of bill we must get our spending under control or increase revenue. There is no other choice other than eventually going bankruptcy.
Result number: 11
Posted by SteveG on 5/06/10 at 16:31
John - Ya, this is pretty scary; here is an excellent article I read this morning -
Result number: 12
Posted by SteveG on 3/30/10 at 20:50
Result number: 13
Posted by SteveG on 3/30/10 at 00:14
This has been discussed before; do a search on 'platelet' to review earlier posts
Result number: 14
Posted by John H on 3/25/10 at 16:51
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March 24, 2010
Amish, Muslims to be excused from Obamacare mandate?
The Senate health care bill just signed contains some exemptions to the 'pay-or-play' mandate requiring purchase of Obamacare-approved health insurance or payment of a penalty fine. As Fox News has pointed out, for instance, the Amish are excused from the mandate:
So while most Americans would be required to sign up with insurance companies or government insurance plans, the church would serve as something of an informal insurance plan for the Amish.
Law experts say that kind of exemption withstands scrutiny.
'Here the statute is going to say that people who are conscientiously opposed to paying for health insurance don't have to do it where the conscientious objection arises from religion,' said Mark Tushnet a Harvard law professor. 'And that's perfectly constitutional.'
Apparently, this exemption will apply similarly to believers in Islam, which considers health insurance - and, for that matter, any form of risk insurance - to be haraam (forbidden).
Steve Gilbert of Sweetness & Light calls our attention to the probability that Muslims will also be expempt. According to a March 23 publication on an authoritative Islamic Web site managed by Sheikh Muhammed Salih Al-Munajjid, various fatwas (religious decrees) absolutely forbid Muslim participation in any sort of health care or other risk insurance:
Health insurance is haraam like other types of commercial insurance, because it is based on ambiguity, gambling and riba (usury). This is what is stated in fatwas by the senior scholars.
In Fataawa al-Lajnah al-Daa'imah (15/277) there is a quotation of a statement of the Council of Senior Scholars concerning the prohibition on insurance and why it is haraam:
It says in Fataawa al-Lajnah al-Daa'imah (15/251):
Firstly: Commercial insurance of all types is haraam because it involves ambiguity, riba, uncertainty, gambling and consuming people's wealth unlawfully, and other shar'i
Secondly: It is not permissible for the Muslim to get involved with insurance companies by working in administration or otherwise, because working in them comes under the heading of cooperating in sin and transgression, and Allaah forbids that as He says: 'but do not help one another in sin and transgression. And fear Allaah. Verily, Allaah is Severe in punishment'
[al-Maa'idah 5:2]. End quote.
And Allaah knows best.
So, it turns out that observant Muslims are not only strictly forbidden from buying any health insurance under the ObamaCare mandate, but may also not even work for any company that provides such insurance or any other form of commercial insurance.
It is not made clear whether or not it is religiously okay to accept 'free' non-insured medical care such as that offered in hospital ERs and to some who are covered by Medicaid.
Whether it's all right to serve as a doctor, nurse, or orderly caring for patients whose medical services are being paid for by insurance is not covered in the present response - but one could probably obtain a religious ruling from the Sheikh, whose site welcomes the submission of questions about Islamic law and practices.
WordWayze is the nom de plume of a freelance writer and political pundit who would prefer not to become the object of any attention such has been paid to the Mohammed cartoonists of Denmark and others.
Result number: 15
Posted by SteveG on 3/23/10 at 01:03
Alas, I meant leg. The rest of your post is intriguing. I gather you are saying that a longer leg will compensate and become shorter and this 'shorter' leg will, in turn, supinate and beome longer. Perhaps, then the right combination of compensation and supination will lead to the optimal length -- hmmmm. I am just theorizing, of course.
Result number: 16
Posted by SteveG on 3/22/10 at 19:27
Result number: 17
Posted by SteveG on 3/22/10 at 13:30
I don't even understand this. Have you seen a pod? What treatments have you used to treat the PF - orthodics? nightslints? cortizone? What sort of stretching are you doing?
I have been on this board A LONG TIME, and I have never seen anyone discuss foot length and it's relation to PF
Result number: 18
Posted by monte on 3/17/10 at 16:28
hey steve, thanks for thinking of me. It is almost 10 years now with this problem. My condition is better than it was in the beginning. I still have overall foot pain but it is better. I still am fearful of lines, since I cannot stand long. Last night i managed to walk 20 minutes on a treadmill (about 1 mile). That was a milestone for me. I am not sure that i will ever be painfree, but this is better than it was. I have some day that are worse than others. Orthotics help me now. They used to hurt alot, but now they help. I try to not over baby my feet and use them and that seems to help a little too. I still go to Dr Sanfilippo for deep massage therapy. Every little bit helps.
I still plug along, not much else i can do. Thankfully, i have a job where i can sit all day.
Hope you are doing better.
Result number: 19
Posted by SteveG on 3/17/10 at 14:17
How are you these days?? I know you gave this problem both barrels
Result number: 20
Posted by Dr. Wedemeyer on 3/08/10 at 16:53
Julie (our yoga Julie?)I hope my tone was not challenging, it wasn't meant to be at all. It may have been with Steve but I think Steve is a level headed guy with a thick skin and understands my responses (although he may not agree). I feel the MMR is a huge bolus given too early in life but who am I to argue with the CDC and pharmaceutical manufacturers?
I feel all of health care is also a business and we cannot remove the bias of opposing groups and interests protecting their market share. Objectivity flies out the window when that share is a large sum. H1N1 is a really good example.
Result number: 21
Posted by Dr. Wedemeyer on 3/07/10 at 13:53
Julie I am not rabidly anti-immunization. I do believe that the current schedule is more a result of influence than necessity for some self-limiting and inactive conditions. Do I question the continued mass immunization schedule for disease where there has not been any statistical activity for some time? Yes. I also believe than in the event of new outbreaks of potentially life-threatening disease that it is foolish not to be immunized.
Some perspective here, look at the H1N1 hype. Look at the tables I provided from the CDC. I do not have the figures in front of me but a relatively small percentage of Americans were immunized against H1N1 and yet it did not mutate into the dreaded threat that it was hyped to be did it? Influenza in its myriad forms has been with us since recorded history, it combined into a form we had not seen prior and the media blew it way out of proportion in my opinion. It could have become a real problem but thankfully it did not and has not yet. Certain groups are more susceptible to influenza, this has always been the case. Was I concerned for myself? No. Am I more concerned for children and the elderly? Yes.
Am I 100% sold on the belief that immunization is solely responsible for the low levels of communicable notifiable diseases on the CDC list? No, but I do believe that immunization has played a large role. Viral agents and communicable diseases have historically spiked and waned on their own prior to mass immunization.
Steve suggests through that study that a large number of chiropractors are opposed to immunization. I would imagine that resistance to immunization runs higher in my field than in the medical field. That does not mean that the larger percentage of chiropractors are against immunization. It also does not mean that chiropractors are unscientific as Steve suggests.
There are those in my profession and probably every other who don't agree with everything fed to them by the medical establishment or the media or who are more holistic in mindset. To a point I agree, medicine is not a panacea and there is a lot more to health and well being than vaccines and pills. Can we agree on that?
Result number: 22
Posted by Dr. Wedemeyer on 3/01/10 at 22:39
Steve this is a good discussion. I am open to discussion when the other point of view is thoughtful and devoid of artifice. I feel that you are touching on points that many readers may also question or do not understand where we as a profession stand. I cannot speak for my colleagues of course but I can share my own views.
If you really look at the history of the allopathic and osteopathic professions you will find many of their practices were in fact questionable and primitive by today’s scientific standards. All professions eventually progress I would hope. In the case of osteopathy, they were absorbed by the medical profession and for the most part abandoned the humor theory and their vitalistic and holistic roots. Of course you can still find DO’s who have maintained that identity and practice Traditional Osteopathy. Chiropractic is really still in its infancy as a healing art and it will progress. It has already become a mainstream practice for spinal concerns.
It could be argued that despite allopathy’s strong foray into the scientific method that many of its principles today are not causal and that there are methods enjoying wide use that are in fact investigational. Many of the medications today are being prescribed in the “blockbuster” fashion for off-label use despite the absence of formal regulatory agreement for the indications prescribed. Gabapentin is a classic example; it was originally FDA cleared as an adjunct to other medications to treat epilepsy. 80% of its use is for off-label concerns such as neuralgia and neuropathic pain, migraine among many others.
My point in the above is that if the precise mechanism of action and the mechanism (causal link) between a disease and the drug treating it can not be established, should we abandon that medication for those indications if its benefits outweigh its risks (or does this logic only apply to the practice of chiropractic)? How do we really know that spinal manipulation doesn’t enjoy ‘off-label’ benefits if there is no solid evidence to support the argument that there is no benefit outside of pain relief? The track record for the safety of chiropractic (real statistics and not the hyperbole we have been fed through a biased media and decades of misinformation) concludes one to believe based on the best evidence that it is safer than OTC aspirin? I can back up that claim Steve.
If you don’t believe me look into the malpractice rates for chiropractors versus medical physicians and allied health professionals. It may surprise you) and its track record and survival as a healing art despite heavy opposition early on alone speak volumes about the efficacy of care and the public’s support of the profession. As I stated before we are grossly underutilized at fault of our own.
As for the notion that subluxations are the cause of all of man’s ills, I do not know many chiropractors who still support that belief. Anecdotally, I have patients who report all manner of relief of symptoms that I have never proposed that I can help them with. I typically treat what walks in the door with pain, dysfunction and discomfort. I am comfortable with that and apparently my patients are as well. I am aware of a great number of chiropractors who treat in this manner. I am also acutely aware that many make fantastic claims and adhere to a belief system that you challenge. That is your right Steve just as it is the right of those who believe in those claims to seek out practitioners who treat more than musculoskeletal concerns.
I have strong views on immunization but do not feel that that is a topic where you can just choose a side, it is a very complex discussion and certainly worthy of investigation and debate. I am not against immunization in total but feel that the current schedule is out of proportion to what may be necessary, the potential threats and emerging diseases, and the fact that many of the targeted diseases on the schedule are in fact self-limiting and in many cases new threats have not been reported or encountered in some time. You appear to be very in favor of immunization Steve, can you tell me when the last case of fatal mumps, measles or rubella was encountered in the U.S.? I am not saying that immunization has never been a good idea or that potential complication from one of these illnesses is not of concern, but why the chronic escalation of doses throughout life if humoral and cell-mediated immunity are in fact valid methods of bolstering the immune system against pathogens? I would venture that many people out there question the motives of the vaccine manufacturers and have concerns that immunization is also not without risk, not enough is really known about the subject to know for sure but I do understand your point.
You wrote: “I As I argued above, the validity of its claims concerning musculoskeletal problems rest on #3, and I don’t have any axe to grind. It may be that chiropractic is effective in some shoulder injuries (X) and not effective in other injuries (Y), and that this stems from the fact that y represents a different type of soft tissue injury that is not as amendable to manipulation. This sort of thing can’t be resolved through introspection. You would have to set up a study, try to control the variables, etc.”
and: “Does not correlate well” – meaning that people experience more satisfaction and a better outcome than some study would lead you to conclude? I can see where age might be correlated with a negative outcome, but not how the scientific method could be correlated with one.”
Right. Evidence based Medicine is all the rage right now. It is a subject that I have discussed with Dr. Ed on several occasions and I do hope that he chimes in here. EBM and the Randomized Clinical Trial and Meta-Analysis are being heralded as capable of trumping other forms of evidence. Evidence from clinical experience is often refuted and relegated to the bottom of the pile based on the assumption that EBM (RCT’s and MA’s) are the best evidence available. Chiropractors are not against the scientific method, they are merely guilty of tipping the hierarchy in the favor of clinical experience (probably because of the lack of funds to do adequate studies). You may call that scientific heresy but objective results gained through subjective and objective clinical outcomes far outweighs objective data chosen subjectively by authors and biased RCT’s. Just look at gabapentin, or are we splitting hairs here?
Some good food for thought for you Steve, here is an excellent study performed by MD’s and DC’s together on the subject of hypertension and upper cervical misalignment that surprised the medical establishment recently:
Hopefully more RCT’s and MA’s will be conducted which will support the claims of those in my profession who adhere to the subluxation theory in coming years. If not, then we as a group will have to abandon and rethink how what we do affects our patients and the claims that some make. For me this will be of no consequence professionally, I do not make those claims. Let’s not throw the baby out with the bath water though until ALL of the evidence is in please.
Result number: 23
Posted by Dr.DSW on 2/27/10 at 20:07
I deleted your post simply because I did not believe it was a good idea to for you to post your private cell phone number on this site.
I know Dr. Steve Goldstein used to be heavily involved with cryosurgery, and if I'm not mistaken I also believe he was involved with training doctors for Cryostar (I may be wrong, it may have been another company). Dr. Goldstein has retired, and is now living in Florida, but you may be able to track him down.
Additionally, I believe Dr. Doug Tumen is also using cryotherapy in New York, but once again I'm not sure if he's using a Cryostar unit.
I would recommend that you post your question on Barry Block, DPM's site PM News , since that is read by thousands of DPM's on a daily basis, and someone may have an answer to your question.
Result number: 24
Posted by SteveG on 2/25/10 at 17:32
Dr. Wedemeyer - I appreciate your detailed responses to my post. To put it succinctly, I believe the chiropractic has a dubious origin and becomes rational and well supported to the extent that it moved away from the origin and embraces a more mainstream scientific model. Take, for example, the comment in your first post:
“The “straight” chiropractors adhere to Dr. DD Palmer’s original theory that the subluxation was the primary cause of all of man’s ills. Their practice is devoted to the removal of the subluxation via the spinal adjustment and that the body will do the rest if the nerve interference caused by this aberration is removed.”
The view that “subluxation was the primary cause of all of man’s ills” is, to say the least, a shocking claim. At any rate, it is certainly philosophy masquerading as science. I don’t know what percentage of chiropractors in the US would still subscribe to this view, and it may well be that percentage is quite small. Since I am in my 50s, the chiropractors I referred to are most likely retired now and may represent a dying breed. However, the fact that people feel compelled to produce studies like the following (in the early 90s) makes me wonder:
And poll results like the following also give a fellow like me pause. Although the comment at the end concerning 1980 tends to support the view that age is a factor:
“Many chiropractors advise against immunization. In 1992, 37% of 178 chiropractors who responded to a survey agreed that 'there is no scientific proof that immunization prevents infectious disease' and 23% said they were uncertain . Among the 'unproven' group, 24% were American Chiropractic Association (ACA) members and 65% belonged to the International Chiropractors Association (ICA). Twenty-seven percent of the respondents said their own families had not been immunized, and 58% agreed with the statement 'Immunization should never be given to people over 60 years of age.' Before filling out the forms, the chiropractors were asked to read a 1979 American Public Health Association (APHA) policy statement warning that 40% of American children under age 15 had incomplete immunization against preventable diseases and that severe complications can result . Only 14% agreed that 'the chiropractic profession should fully support the APHA immunization policies for children and adults' Chiropractors who graduated before 1980 tended to be more negative than those who had graduated in 1980 or afterward .”
1. Colley F, Haas M. Attitudes toward immunization: A survey of American chiropractors. Journal of Manipulative and Physiological Therapeutics 17:584-590, 1994.
I don’t know what to make of this study except that many of those cited must have odd views about the nature of viral infections and how they are prevented and treated, and that these views are at odds with what the folks up the street believe at the University of Washington Medical Center.
I As I argued above, the validity of its claims concerning musculoskeletal problems rest on #3, and I don’t have any axe to grind. It may be that chiropractic is effective in some shoulder injuries (X) and not effective in other injuries (Y), and that this stems from the fact that y represents a different type of soft tissue injury that is not as amendable to manipulation. This sort of thing can’t be resolved through introspection. You would have to set up a study, try to control the variables, etc. And to find out if manipulation was the cause of the improvement you would, likewise, have to perform a study. It may be that some other variable accounts for all or part of the pain relief – placebo, exercise, Advil, etc. For example, I was reading yesterday that medical science now suspects that a lack of vitamin D may play a role in the high rate of MS we have here in the Pacific Northwest (and it Scotland, which has the highest rate in the world). If prescribing more vitamin D during routine exams lead to a decrease in this devastating disease that would provide support for this theory. And this, in turn, could lead to more investigation about the role that the vitamin plays in the faulty immune response. It would not constitute proof, but such is the manner in which science and medicine grows.
On a related note, I found one of your final remarks puzzling, and perhaps we do disagree on this.
“In regard to your third syllogism though, I must disagree. While the scientific method has a value it does not correlate well with clinical outcomes and patient satisfaction studies on the subject of chiropractic (and other areas of medicine).”
“Does not correlate well” – meaning that people experience more satisfaction and a better outcome than some study would lead you to conclude? I can see where age might be correlated with a negative outcome, but not how the scientific method could be correlated with one.
There are two kinds of explanations:
1. Causal – how did this happen?
2. Teleological – what’s the purpose of this?
And science and medicine primarily traffic in #1, and to understand why group A had a better outcome than group B, you would set up a study along the lines outlined above.
Result number: 25
Posted by cfall on 2/24/10 at 17:13
Does anyone have any information on Dr.'s in DC area - I just went to see Dr. Steven Neufeld at The Orthopaedic Foot and Ankle Center in Arlington, VA and was wondering if anyone else had seen him or someone in his office.
I have had PF for over a year and an extremely tight calf muscle on my right leg for approximately 4 years. Honestly I haven't walked right since a severe sprain to my left ankle in Dec 05. I have been seeing my normal ortho for lower back pain, calf pain, and foot pain since May of 2008 - the foot pain keeps getting worse not better. I have tried PT, accupuncture, and corisone shots, and now am at my wits end - had a partial rupture on right foot in June 09 and spent 11 1/2 weeks in a boot which threw my back into fits and caused PF in left foot. Had Topaz procedure done by Podiatrist who has now given up on me. My regular ortho sent me to this surgeon because he doesn't do ESWT or PF surgery himself. He told me I pretty much had three choices, do nothing, ESWT, or open surgery. I just got word today that insurance will pay for ESWT but I am considering doing the open surgery because he says he will take care of bone spur and release my calf muscle.
Any thoughts on what I should do?
Result number: 26
Posted by Dr. Wedemeyer on 2/24/10 at 15:03
Steve I found a few studies for your perusal. This is a very short list of high-quality studies and not a complete list by any means. I feel that you are under the impression that there are relatively scarce clinical studies to support what chiropractors do and that you are a skeptic. I too am skeptical of colleagues who do not provide an accurate assessment of a patient’s problem and a reasonable treatment plan and predicted outcome based on experience. In truth we all have a choice in who to seek for our complaint and that is what is important.
Of course as a practicing chiropractic doctor, I feel compelled to refute your assertions that I feel are not factual or incorrect. I have tried to objectively do so and do not care to argue or belabor the point with you. You have your views and I respect that; I hope that you can respect mine and realize that your post is highly derogatory of my profession. I will not let that stand without vigorous defense.
I always tell people that chiropractic is not for everybody, meaning that some people would rather take pain medication than seek active treatment. Others are likely to see their primary care physician and go the physical therapy route. Much of the time after those have failed, they seek out a chiropractor. We have our failures as well, although choosing those patients that you feel you can truly help is paramount.
At any rate, it is an interesting parallel to the posters on this site who often despite having been under excellent medical or podiatric care continue to endure pain and disability. You see multiple diagnoses and treatments and yet they have not resolved. My point here is that pain and dysfunction of a spinal origin are multi-factorial entities and that no one treatment can claim to be the Holy Grail in terms of outcomes (just look at the myriad common treatments for plantar fasciitis). Because not everyone responds in the same way to every treatment, options then become of greater importance, especially in chronic conditions. Chiropractic is but one option and an excellent one for many types of spinal pain.
In regard to your third syllogism though, I must disagree. While the scientific method has a value it does not correlate well with clinical outcomes and patient satisfaction studies on the subject of chiropractic (and other areas of medicine). A recent Consumer Reports poll showed chiropractors had higher satisfaction rates than competing providers for the treatment of low back pain. I am certain that similar polls for other musculoskeletal complaints would have similar findings:
Studies on chiropractic spinal manipulative therapy and DDD
Studies on chiropractic efficacy
Giles LGF, Muller R. ‘A Randomized Clinical Trial Comparing Medication Acupuncture and Spinal Manipulation.’ Spine 2003;28(14):1490-1503 “ The results of this efficacy study said just that spinal manipulation, if not contraindicated, may be superior to needle acupuncture or medication for the successful treatment of patients with chronic spine pain syndrome….'
To be fair a study of chiropractic versus a specific method of physical therapy (Mckenzie) is included. I utilize elements of the Mckenzie Protocol in my treatment of disc patients from the initial visit when indicated:
Result number: 27
Posted by Dr. Wedemeyer on 2/21/10 at 22:28
I feel that some of the points that Steve has raised have merit, others I feel are factually incorrect or require further clarification and comment from someone inside the chiropractic profession.
First it may surprise you Steve to learn that outside of the U.S. various forms of manipulation of the lower extremity are not only widely recognized and utilized, they are a mainstay of the podiatric and medical professions. There is a growing industry in teaching these techniques to other professions and in one case that I know of it is a medical physician who not only employs some form of manipulation and/or mobilization of the pedal articulations specifically (although he offers courses in the entire appendicular skeleton). Why is it then that in the U.S. such an approach is met with skepticism? I will offer an answer to that later on.
The allegation that chiropractic is not mainstream is an archaic and outdated one, at least with respect to musculoskeletal medicine. In both Medicare and group health insurance chiropractic is a reimbursable benefit based on medical necessity. The irony is that for years when billing Medicare the diagnosis and description of services in Medicare was to “spinal manipulation to correct a subluxation”. Currently a primary subluxation code is used and affirmed with a secondary diagnosis code such as degenerative disc disease (DDD) to affirm the etiology of the subluxation. Some would call this progress because the term subluxation is poorly understood (and yes possibly over utilized) and a bone of contention in the allopathic field.
The irony is that the diagnosis of DDD is a misnomer; it is neither purely degenerative nor is it a disease in the true sense of the word. Therefore the diagnosis of DDD is no more accurate than the subluxation diagnosis that you are deriding. DDD is often a precursor to degenerative arthritic changes in the surrounding spinal joints termed osteoarthritis (OA or degenerative joint disease or DJD). Again OA is a misnomer because it is not inflammatory, as are the other arthritides, which the components of its name suggest. Who is being imprecise in their diagnostic lexicon now? The answer is both allopathy and chiropractic and the entire health care system.
Much of what chiropractic terms a subluxation refers to normal anatomical joint movement and position to adjacent structures (motion segments) that are restricted or altered in some fashion (trauma, overuse, soft-tissue, postural etc.). It is beyond the physiologic range of motion for the individual organism but not a true luxation or dislocation of the joint. Within this explanation I can certainly say that subluxations do exist, do cause pain, dysfunction, soft-tissue changes in the surrounding area, and that chronic fixation malposition can eventually lead to plastic deformation of the spinal discs and supportive ligaments and so on by alteration of normal joint mechanics (I prefer in my office to use the terms fixation malposition, disc derangement etc. but this is a preference and in no way means that my colleagues are somehow incorrect by using the term subluxation).
Why the difference in terminology? As Dr. DSW so eloquently pointed out in his response, I am a more progressive chiropractor. My profession essentially consists of two camps of differing philosophies on patient treatment. The “straight” chiropractors adhere to Dr. DD Palmer’s original theory that the subluxation was the primary cause of all of man’s ills. Their practice is devoted to the removal of the subluxation via the spinal adjustment and that the body will do the rest if the nerve interference caused by this aberration is removed. They do not employ adjunct physical medicine procedures in the treatment of their patients. I have a number of colleagues who are friends who practice in this manner. Many of these belong to a practice management group and promote a “wellness” lifestyle with adjustments taking top position of the hierarchy of care. Some do not diagnose any condition as affirmed by the rider on their malpractice insurance. They tend to have high-volume practices, very loyal and satisfied patients and I respect their right to practice in this manner with one caveat; I personally feel that patients should pay for this type of care out-of-pocket.
The other camp is termed the “mixers”. We tend to offer physical medicine adjuncts and a more integrative approach, many share office space with allopathic physicians and refer back and forth, co manage and co-treat alongside medical physicians, podiatrists, are on staff at a few hospitals etc.. Of course there is a lot of overlap in these philosophies.
In my office patients are evaluated with standard orthopedic and neurologic examination methods, a diagnosis and treatment plan is formulated based on the results of that exam and treatment is routinely re-evaluated for response to care and efficacy. I refer all radiographic studies to an outside facility (I do not xray every patient with mechanical low back pain), I often refer for second opinions and if within a reasonable time a patient has not achieved significant results, the patient is referred out to an appropriate provider for their condition. There is an end point to care for that complaint when insurance is involved. Chronic conditions aside I feel that patients deserve fair mediation of their presenting complaints and that my role is to afford them that in a responsible, professional manner and to reduce their reliance on active care.
I will say this Steve, you have given some though to this matter. Considering that statistically 3 out of 4 adults will suffer a debilitating low back complaint at some point in their lifetime and that low back pain is the second most common presentation the emergency room, second only to childbirth, the role chiropractic doctors play in the health care arena is not a small one even limited to this one problem that we treat effectively. I feel that my profession has done a very poor job to define our role to the public and the allopathic profession and to integrate in the modern health care system. We have survived as a profession based on the overwhelming support of our patients and the few chiropractors who are politically involved in pursuing those goals. More research and much more professional equity and public trust is essential in the ensuing years for chiropractic to thrive and grow. I hope to be some small part of that effort. I do love my profession and the people that I help, I cannot imagine being anything else or having a greater purpose in life.
If you really would like to understand the origin of the ingrained negative response to the word “subluxation”, I would suggest that you read the book “In the Public Interest” by William Trevor. It chronicles the American Medical Association’s personal and private war on the chiropractic profession and the resulting Wilk vs. the AMA lawsuit whereby we gained the right to practice our art and let you, the public decide which treatment you can choose and deem effective.
Dr. DSW is spot on. Chiropractic is not the question, the provider is. The vast majority of my colleagues are dedicated, professional and skilled individuals who truly care about the patients that they treat. Your assertion that:
“I would bet good money that if I picked five chiropractors at random and saw them this afternoon, none of would say, ”Well Steve, it looks like degenerative disk disease with some arthritic changes and there is really not much I can do for you.” What I would get is the same “subluxation” song and dance I received in 1992.”
Is plainly incorrect and merely your opinion based on your experience and bias. Poll another 100 people and the results would show you are in the minority. Oh and by the way, many of my patients have chronic spondylosis (which is a more realistic diagnostic terminology typically by the time patients reach my office) from the above and only get relief from either manipulation or the adjuncts that I provide in my office. Off of the top of my head a few of these are medical physicians (who are medical failures) who I am sure would come on the board and dispel your notions should that be necessary.
Result number: 28
Posted by SteveG on 2/19/10 at 16:29
I was prompted to write this after reading on one of the other threads that a lady has seen a chiropractor for two years to help her with her “foot alignment”. She is, not surprisingly, looking on this site for other options. About 20 years ago I started to have problems with my neck. A saw a series of chiropractors in the first 5 years or so. Invariably, after looking at x-rays (or without them) they diagnosed me with “subluxation” – meaning my disks were out of alignment. This, in turn, would lead to some treatments and some hits on my checking account. This also led me to recall a time in my childhood when a chiropractor convinced my mother that he could “help with my asthma and allergies”; however, after no observable benefit, she started to spend her money on something else.
After a point, I sought more mainstream medical advice. After another round of x-rays, my doctor gave me what I am sure now is the correct diagnosis i.e., degenerative disk problems. It started, he thought, with a herniation of the disk, since that would account for the pain that would radiate down my arm. This, he noted, was suggested by the narrowing of the disk space shown on the x-ray and that only an MRI would enable him to see the soft tissue. But this test was not warranted, since it would not change the treatment options.
I would bet good money that if I picked five chiropractors at random and saw them this afternoon, none of would say, ”Well Steve, it looks like degenerative disk disease with some arthritic changes and there is really not much I can do for you.” What I would get is the same “subluxation” song and dance I received in 1992.
This rant leads me to what I will call Steve’s syllogism (SS):
1. Symptoms are effects
2. Medical explanations are causal explanations
3. The best method we have for discovering the causal structure of the world is the scientific method.
2 is, to my mind, universal. If the people in some village claim the children are ill because they offended the spirit of the water, then the spirit plays a causal role in explaining why the kids got sick. And it is via 3 that we come to unravel the nature of medical mysteries and problems. For example, even though the symptoms are different, it was science that discovered that lupus and rheumatoid arthritis are both auto-immune diseases.
So, when confronted by claims that chiropractic can cures allergies, people need to ask for some empirical support for this claim – where is the double blind study that supports this kind of talk. And what reason is there to believe the pain in Judy’s leg can be explained in term of subluxation? Now, it may be true that some symptoms are caused by subluxation, but it is only via SS that we can start to figure out what those cases are and how they are different from, for example, degenerative disk problems. And it is only via SS that we can start to find out what role, if any, chiropractic can play in helping degenerative disk problems.
Result number: 29
Posted by SteveG on 2/05/10 at 16:22
A good pair of orthodics should help with the 'tension'; do you have to stand on your feet all day due to your job? I hate to tell ya, but there is a good chance the release is not the answer and could lead to additional problems; I don't think you would fine a knowledgable pod that would recommend a open release - I gather they abandoned that due to the number of complications. If I were you I would do anything possible to stay off my feet all day and avoid the surgery
And what does this mean - 'chronically inflamed' - as in red and warm to the touch, slightly swollen.
Result number: 30
Posted by John H on 2/05/10 at 11:46
Steve: I think it is Denmark or one of the countries in that area that is forecast to be predominantly Muslim in a decade. Many of the natives are moving out of the nation as more and more Muslims move in. We have relatively few Muslims in our nation. Primarily because of the distance between the U.S. and Muslim nations. Europe is more or less a stones throw and up until recent years opened their arms to Muslims moving in. Most Christian nations believe in freedom of religion. Muslim nations on the other hand do not readily accept Christians. In some cases they believe in killing them. All this dates back to the Crusades and is unlikely to change anytime soon or ever. Freedom of religion sounds great until it is actually put into practice on the ground. If you hire a Muslim in your company you are likely to be required to let him pray 9 times a day and very possible let women wear a veil at work. If the Christians see this in the work place then they will demand equal time off. The fundamental differences between Muslims and Christians is so large that war in one form or another has existed since the Koran was written in the 6Th century. The goal of radical Muslims is to convert the world or kill non Muslims. They are willing to die for their beliefs. How do you bridge this divide? Europe is only in recent years beginning to experience the problems when Christianity faces off against Muslims in their own nations. The Muslims and Christians certainly do not live in harmony and are largely divided in areas where Muslims live and where others live. One might criticize the Mosque as places where plots are made against Christians but one also might criticize the Catholic Church who for centuries did the very same thing against Muslims or other non-Catholic religions. Perhaps religions has been the cause of more deaths in the history of man than any other single cause. Any more mass murders of Americans on our own soil by Muslims could lead to some nasty outcomes and as our intelligence says repeatedly it it not a matter of 'if' but 'when'.
Result number: 31
Posted by SteveG on 2/04/10 at 14:23
Although I think you should hide your Zorro mask, I think the French are right on this one. All of the countries in Europe have, in fact, been playing with fire by letting in so many immigrants from Somali, Morocco, etc. Denmark is an excellent case in point. They let in a huge number is the early 90s thinking that they would a) put them on the dole b) get them job training and c) just wait for them to assimilate into the general culture.
Well, it wasn’t long before the police got wind of “honor killings” and girls who had their genitals mutilated on someone’s kitchen table started showing up in clinics, etc. In fact, it wasn’t until Theo van Gogh was stabbed that people started to take a stand and denounce what was going on.
An insightful book on this topic is Infidel by Ayaab Ali. She was born in Morocco and immigrated to Europe. She was also subjected to genital mutilation and later forced into an unwanted marriage. The book is packed with sharp observations about the role of Islam and the Muslim Brotherhood in Somalia and, now, in Europe. She is, I believe, hiding in Canada, since it has been made it clear to her that if they ever catch her, its curtains.
In fact, to get insight into how kooky those folks have become you don’t have to look any further than Iraq. The vast majority of the people killed by the so called “insurgency” haven’t been American and British soldiers, they have been other Muslims. As in Pakistan, they are constantly blowing each other up over differences in doctrine that strike the outside observer as, well, kooky.
It’s an interesting historical question as to why the faith has taken such a kooky turn in my lifetime. The Looming Tower
gives a nice overview of, for example, Sayyid Qutb, and the rise of radical Islam. Part of it stems, I gather, from the defeat and humiliation of Nassar. Clerics argued that when you turn your back on God and put your faith in nationalist leaders, such is your fate. At any rate, Islam is the only major religion that is Universalist (everyone has to become a Muslim or be subjugated by the faith) and overtly political (there is nothing equivalent to Sharia in Buddhism or Christianity). This yearning for a medieval style dictatorship based on Islamic law is bound to collide with liberal western values.
Result number: 32
Posted by Stevew on 2/01/10 at 03:58
I don't know a surgeon in your area. BUT, the first person I met who also had TTS was a young woman about 23 years old. Other than TTS we had nothing in common. I was twice her age, she was an athelete and I was a smoker.
I just wanted to tell you that story of a very young, healthy person who got tarsal nerve pain.
Good luck finding the right doctor. I hope your 13 year old recovers. My feet are much better than they were 13 years ago (I had my surguries in 1997)
Result number: 33
Posted by Stevew on 2/01/10 at 03:45
My neurologist put me on 40mg a day of time released oxycontin. It has been a miracle drug for me. I was almost unable to work (counselor) and today I work about half time and I get around very well.
I was completely freaked the day my doc offered me oxycontin. All I knew were the horror stories and I thought that by the doc telling me to use oxycontin that my 'life' was over. It has turned out to be a real life saver for me.
Result number: 34
Posted by Stevew on 2/01/10 at 03:34
I don't know about this topical but most have either menthol or capsillian (pepper).
There are a jillion of these products on the market. I bought every one of them. Not many gave deep relief.
I did have some luck with patches that had menthol (I am alergic to the pepper stuff) The patches hold in heat. I used to put them right on the TTS site. Haven't used them in years because I had the surgery and that helped a lot (had it about 13 years ago)
Result number: 35
Posted by Stevew on 2/01/10 at 02:38
I had tts surgery on both feet 13 years ago. I've also had surgeries on my back and hands. I would do the TTS surgeries again in a heartbeat. I still have some pain, but it's easily 70% BETTER than before the surgery.
Result number: 36
Posted by Stevew on 2/01/10 at 02:27
I buy cheap shoes at Walmart. they have wide sizes. I wear them until they wear out and toss 'em. Since they only cost about $20 it is a good deal - plus you can pull out the insides and put in orthotics. Walmart has a lot of products for people with disabilities - like the Dr. Schools Diabetic Socks. Those are great.
Result number: 37
Posted by Dr. DSW on 1/30/10 at 06:50
It's early in the morning on the East Coast (6:45 am) and I've got to run to the office, so I can't give you a detailed answer at the present time.
However, I'll make 3 quick points;
1) In the future, please refrain from calling any doctor a 'a-hole', since it can ruin a doctor's reputation without that doctor having the ability to defend him/herself.
2) I have full confidence in Dr. Wedemeyer, and it would probably be a great idea to make an appointment and let him evaluate you.
3) Dr. Steve Smith is excellent and very bright, and I would also have full confidence in his diagnostic and clinical skills. He also has a lot of integrity.
4) You obviously do have a very difficult case, and it would be tough to make any real significant recommendations without a hands on exam, considering the fact you've already attempted almost all conservative options, you've had blood tests, you've had an MRI, ultrasound, bone scan, etc., and you've been evaluated by the appopriate specialists. At this point, I believe that you may want to either visit Dr. Wedemeyer or have confidence in Dr. Smith.
Result number: 38
Posted by Mark R on 1/30/10 at 02:33
So it appears Dr. Wedemeyer is close by, it would be good to get your feedback and maybe I could come by. I have jumped around to different doctors a bit after trying their orthotics or not seeing results. Other Drs. I have visited were:
Hugo Perez, nice guy, did injections and orthotics were no help.
Dr. DeSantis in Orange - First Dr., orthotics were no help
Dr. Gerkin in Newport - Said 'boy, this looks complicated and not an easy answer' then walked backwards out of the room while I was still talking to him. What an A-hole.
Steve Smith - Nice guy, Final dr. who recommended surgery as a last option.
Dr. Austin - Rheumatologist, did all kinds of tests and found nothing, which is both good and bad!
Davis Koh, PT in Irvine who does graston with good success.
Result number: 39
Posted by John H on 1/26/10 at 13:08
Steve like all great PF drugs this one went down the drain. I have reached the point of accepting PF for what it is. I do know that certain things will make it worse and all revolve around over activity. I had a good go for most of my life and guess I should count myself lucky to not have encountered this until later in life. I played basketball and ran most all my life. Got to start acting my age it seems.
Result number: 40
Posted by Rekha on 1/23/10 at 23:02
Steve: Yes I was on this board several years ago!!.
I am having a recurrance of PF - which has been doing good for past 2-3 days but now my knee and hip is hurting due to overcompensating and climbing my stairs at home.
So I will hold off on bicycling until I see my Dr next week. I am getting orthotics next week also, which should help my walking..
this is frustrating!
thanks everyone for your advice. I appreciate it.
Result number: 41
Posted by SteveG on 1/23/10 at 12:56
How has that fibromyalgia drug worked for you? Are you still having positive results?
Result number: 42
Posted by SteveG on 1/23/10 at 12:53
Did you try to stretch your calf muscle and had no luck? I have heard of people having the achilles tendon lengthened, but you are the first person who has posted about having the muscle cut
Result number: 43
Posted by SteveG on 1/23/10 at 12:51
Rekha - were you on this board several years ago? I used the stationary bike when my PF was at it's worst and use it now. Use the foot straps so your whole foot takes the pressure as you pedal, and I keep the level at 3 (which is low) and pedal faster. This has worked fine for me.
Result number: 44
Posted by Rekha on 1/23/10 at 11:00
Steve, can you post your answer to this question on the PF board? No Dr answered my question...and I want some insight..thanks!!
Result number: 45
Posted by SteveG on 1/21/10 at 20:11
This is the Doctors board, sorry
Result number: 46
Posted by SteveG on 1/21/10 at 20:10
Were you on this sight several years ago?? Biking should be fine; that's what I did when it was bad and what I do now. I use a bike at the gym with the foot strap, so the whole foot is involved in pedling. I also keep the level at 3-4 for 30 minutes.
Result number: 47
Posted by for stevec on 1/13/10 at 09:03
I have had pf in both feet for five years. Im a lot better than I used to be. When I first started out I had that classic symptom of out of bed in the morning foot pain. I still have pf, but dont have that classic symptom anymore, I wear shoes right out of bed so Im not reinjuring the area every morning, as your plantar fascia will tighten up in the night, calves etc... Im by no means a doctor, but I agree with the doctors go get it checked out immediately! Linda.
Result number: 48
Posted by james wolf on 1/11/10 at 21:30
dr.dsw i am james wolf of plantation florida and posted twice last regarding the implant surgery i had almost twenty years ago;i have since continued my research and have discover the two piece hinged biomet implant for the big toe invented by dr. richard koeing dpm of merritt island ,florida formly of hollywood, florida who has been implanting the device for almost ten years;i talked to the head nurse at hollywood memorial west hospital who had the device implanted into one of big toes in 2007 by him who is very satisfied and pain free with almost 85 degree movement of the toe (virgin surgery no implant removal);he has been performing surgery removing the implant and inserting the biomet device for almost ten years;are you fimiliar with the device and procedure and have you ever performed this surgery with what type of results;i sent him my four month old xrays from dr. steven spinner dpm plantation florida for comments and evaluation;do you know of dr. richard koeing and what questions should i be asking( i have a list of almost fifteen questions from my past surgery and do not want to make another mistake with any of my toes;still in constant pain with only 30 degrees movement at best;do you think 85 degrees is realistic and pro's and con's of this procedure vs. arthodesis which dr. spinner suggested to eliminate the pain;i respect you past comments and opinions and appreciate any suggestions or comments you have on the device and procedure;awaiting your response
sincerly yours james wolf plantation, florida
Result number: 49
Posted by Amy on 1/10/10 at 11:29
I've had very similar pain to Stevec since April 2006, and doctors are at a loss. It's not PF, as it doesn't match enough of the symptoms. I had TTS release done in October 2008, which helped the TTS symptoms, and a lateral ligament release in July 2009, which has helped with some of the instability issues in my ankle- I'm fairly hypermobile and would sprain my ankle roughly once a month before. However, I still get the pain in my foot. Looking at the sole of my foot, the pain originates from pretty much in the centre width wise, and two thirds up the length of the foot (nearer the toes). No doctor/phyiso has been able to suggest what it could be. I had MRI and ultrasound scans in 2007 or 2008 which were inconclusive. I've tried researching it myself, but found nothing conclusive. My consultant has discharged me, and dismissed my concerns when I brought them up again at the last appointment. Do you have any suggestions at all? Even better, do you know of any doctors you could recommend in the UK? I'm in Lancashire but after nearly 4 years of pain, I'd travel pretty much anywhere in the UK to get this fixed.
Stevec, sorry to gatecrash your post, I have no advice but plenty of sympathy for you!
Result number: 50
Posted by stevec on 1/08/10 at 14:36
I hope someone might be able to help me out. I have a foot problem. Basically the bottom of my foot becomes sore after about 20 minutes of walking or standing. It seems to match many of the symptoms of PF but I never have pain in the morning. My feet always feel best in the morning. Its primarily the arch of the right foot that seems to be the worst and start to hurt most rapidly. Running shoes with lots of support AND lots of cushion help the most. I have had this problem predominately since I completed the 2006 LA marathon. New shoes make a difference but seem to sort of 'collapse' after a week or so.
One odd thing I noticed is that if I rotate my right leg outward away from my left leg it can really reduce the soreness of my foot. This can actually work with both feet. More pronounced in right foot.
Any help would be greatly appreciated as this is a daily chronic issue.
Result number: 51
Posted by Catherine on 12/26/09 at 00:41
I just want to say a little more clearly what I mean about flexible shoes. Firstly, with my flexible running shoes and my flexible backed steve maddens, I have no pain or irritation to my heels. Secondly, by flexible I mean that I can easily take the back of the shoe and bend it all the way down to the inside of the shoe. For me, it's fool-proof. Never has a shoe with a flexible back hurt my heels. Also, I still manage to have a chic shoe collection following this rule!
Result number: 52
Posted by Catherine on 12/26/09 at 00:29
I'm 24 now, but I've had (self-diagnosed) Haglunds for ten or so years. The bumps on my heels bothered me for a long time, probably caused by my ridiculously high arches. At one point, during cold months, I had 7 or so pairs of shoes that I would rotate between because each irritated my feet a little differently. Then, when the heel swelling became too much, I'd wear flip flops (still winter time).
At this point in my life, I'M DEALING WITH MY HEELS AND MAKING THEM WORK. Here's what I did to get to this point. First, I stopped wearing shoes with backs for several months (spring-fall). I wanted the swelling to go down and to see if the bumps would still be there (they were, of course). Now, I only buy shoes with soft, flexible backs. I wear lots of light weight Steve Madden shoes with socks during the winter because some of their shoes have really bendable backs. For active shoes, I've found something that works! It used to be that my heels would be killing me just on my walk to the gym. Now I have some awesome New Balance light weight running shoes that have flexible backs! They're awesome! As long as I wear good socks that come up to my ankle (not those shorty socks), my heels are fine! Here's a link to them:
Or, you can search 'WR790NR.' These shoes have changed my active life. I used to hike in flip flops... not anymore!
In general, I'd say that finding the right shoes is what can make the difference. Let your heels heal. Then wear shoes with very flexible backs or no backs!
Result number: 53
Posted by Steve on 11/09/09 at 09:51
I am looking for a recommendation for a doctor who does ESWT in the DC area. Since insurance does not cover, I am told this will be less expensive in the Maryland suburbs, where the procedure can be done in-office. I have had ESWT on the other foot, and it was a success. My podiatrist in Virginia can do it, but it will be very expensive.
Have fastidiously taken all the conservative steps for a long period of time now, and they have not worked. So looking to do this well but also affordably.
Result number: 54
Posted by STEVE on 11/05/09 at 15:44
BAD IDEA! Don't do it! They give you USED supports when you go back in for the 'Lifetime Re-Fit'*** They don't tell you this but it is in their contract! I demanded new ones as I will not wear something somebody else had on their feet & you pay a fortune for these. They dont mention it on tv either!
I cant believe Ed Mccaffery would be a spokes person for this company with such a shady policy.
Result number: 55
Posted by Dr. Ed on 10/03/09 at 00:54
A major consideration is that stage of the PTTD. Other issues such as subtalar joint and ankle arthrosis? An MRI will often help answer such questions.
There are a number of brace/AFO designs to consider. A new design is working very well on advanced PTTD patients, the 'Turbo.'
Result number: 56
Posted by Steve S on 9/30/09 at 12:15
What is the price for ph4se foot orthotics and how could they be ordered?
Result number: 57
Posted by Steve G on 9/29/09 at 13:24
I am 62 years old, a flatfoot pronator with bilateral PTTD. Initial symptom presentation was in the late 90's. Cortisone injections, Iontophoresis, ultrasound and various orthotics including a Richie brace have provided conservative management until recently. Debilitating pain focused along the inferior aspect of the medial malleolus and lateral calcaneus has me confined to a wheelchair or crutches. An X-ray reveals no bone fractures. Both feet display 'too-many-toes', seen walking away. The surgical proposal is a triple arthrodesis (cuneiform, navicular and subtalar), FDL transfer and column lengthening. The literature, most notably, Myerson, reports significant evidence of poor outcomes, particularly nonunions, malunions, arthritis and infections with mild to moderate benefit, if at all. Kaiser podiatrists dismiss the suggestion of Prolotherapy as an ineffective and risky consideration. I am seeking suggestions about this and other modalities likely to produce benefit.
Result number: 58
Posted by marie:) on 9/11/09 at 16:39
Here is more info on his past. He's pretty prominent in Kentucky.
At first glance it might seem odd that former Gov. Louis B. Nunn's son, Republican candidate for governor Steve Nunn, is an underfunded outsider in the May 20 primary.
The younger Nunn, a former Nixon White House intern and son of a Republican state governor, has established a record as an effective state representative for the past 12 years. Thirty-five bills he sponsored have become law, despite his service in a chamber dominated by Democrats.
Result number: 59
Posted by marie:) on 9/11/09 at 14:38
Steve Nunn???? This one is just weird. I am really shocked on this one. Sanford and Duvall would have about topped the weirdness factor........Nunn??? I'm still shocked. I guess we'll have to wait and see if he's responsible.
State police have charged former Kentucky GOP lawmaker Steve Nunn with violating a protective order after his former girlfriend was found shot to death in downtown Lexington.
Hours after her body was discovered, Nunn was found shot in Barren County, according to Jay Blanton, spokesman for Gov. Steve Beshear. Other reports say he was found with 'self-inflicted' wounds. Nunn has reportedly been taken to the Bowling Green Medical Center. He is in Kentucky State Police custody, according to Lt. David Jude, for violating a protection order.
Result number: 60
Posted by Dr. DSW on 8/21/09 at 19:55
Well, considering that I've been working 6 days a week and can't get away from the office, I vote for a meeting in Philly. That way I can get Jeremy a cheesesteak from Steve's 'Prince of Steaks' that he's been craving.
And I'll get Dr. Wedemeyer to 'kick it up a notch' with some East Coast hustle/bustle instead of his easy going California stuff! Then we'll all go over and harass Dr. Z while he's 'shocking' some patients with ESWT, and when he's done we can go over to Jefferson University and see if Dr. Nazarian will fill us in on his latest dry needling techniques.
Of course, I wouldn't be a very good host if I didn't introduce you to the best breweries and watering holes in the area.
So, when is everyone going to get their plane tickets to Philly??? I've got a nice big home with plenty of extra bedrooms to accommodate guests, so no one even has to stay in a hotel. And Dr. Z lives within walking distance of my home.
Result number: 61
Posted by Dr. DSW on 8/21/09 at 19:55
Well, considering that I've been working 6 days a week and can't get away from the office, I vote for a meeting in Philly. That way I can get Jeremy a cheesesteak from Steve's 'Prince of Steaks' that he's been craving.
And I'll get Dr. Wedemeyer to 'kick it up a notch' with some East Coast hustle/bustle instead of his easy going California stuff! Then we'll all go over and harass Dr. Z while he's 'shocking' some patients with ESWT, and when he's done we can go over to Jefferson University and see if Dr. Nazarian will fill us in on his latest dry needling techniques.
Of course, I wouldn't be a very good host if I didn't introduce you to the best breweries and watering holes in the area.
So, when is everyone going to get their plane tickets to Philly??? I've got a nice big home with plenty of extra bedrooms to accommodate guests, so no one even has to stay in a hotel. And Dr. Z lives within walking distance of my home.
Result number: 62
Posted by SteveG on 8/16/09 at 11:50
No. He is a moral cretin and the public and NFL should take a stand
Result number: 63
Posted by Debbi on 7/10/09 at 11:35
Dr. Steven K. Neufeld and Dr. Buchanan are foot and ankle specialists in Arlington, VA. Neufeld is renowned all over the country. He's busy but perhaps his partner Buchanan can see you earlier. I see Neufeld. He did a distracted subtalar joint fusion on me in December and will be repairing my peroneal tendon in October, which has popped out. They have a PT facility onsite.
Result number: 64
Posted by steve ciaffoni on 6/26/09 at 18:09
wow I have the same thing left foot lump, some pain
Result number: 65
Posted by Dr. DSW on 6/18/09 at 06:35
There is no answer to which total ankle works best. It's surgeon preference, since each surgeon usually prefers one particular type of ankle replacement.
Although I practice in Philly and perform just about all procedures, I have not performed any ankle replacements.
In the Philadelphia area, a few names come to mind. I'm not sure about his experience with ankle replacements, my Dr. Michael Downey at Presbryterian/part of U of P (I know I messed up the spelling of Presby) is an excellent surgeon and is probably performing ankle replacements.
Dr. Steve Raiken at Jefferson performs ankle replacements.
Dr. Jason Miller is a young guy who works for an orthopedic group outside of Philly (Ruggierrio & Ruggierrio) or something like that if you google the group name, but his name is not yet on their web site. He definitely is performing ankle replacements because he was recently on the news.
My first choice would be to call Dr. Downey at Presby.
Result number: 66
Posted by SteveG on 6/15/09 at 18:54
30 pounds seemed a turning point
Result number: 67
Posted by STEVE on 4/26/09 at 13:21
Good Day Jennifer,I quess to say your not alone with this problem! My girl friend had the same problem!She tried every thing! I said to her in a joking manner why don't you just go barefoot? Well she took me up on it & she has been for several years now & has no pain or discomfort!She does wear shoes when she has to,Her feet are so well adjusted & her soles are like shoe leather! I swear you could drive a car under her arches there like yours off the charts!!I hope this may give you another option? Do you have a photo you can send I would like to pass it on to her.Let me know if this works for you. Warmest regard's Steve toolguy at inwave1.com please vist my web site at inventors101.com
Result number: 68
Posted by john h on 4/03/09 at 15:09
Barney Frank was perhaps the most vocal of all the members on the House Committee comming down hard on the AIG CEO who was working for $1 a year and had only been on the job for a few months. I would consider his questions or statements if you will to be insulting.
Mr Frank never mentioned that:
Disbursement forms show that dozens of aides working for the Financial Services Committee got a bonus from panel Chairman Barney Frank. Spokesman Steven Adamske said the Massachusetts Democrat gives bonuses to staffers because 'government workers are pretty low paid.' He said several aides who got bonuses had worked long hours during 2008 on the government's Troubled Asset Relief Program.
Top Financial Services Committee Republicans also gave their aides bonuses. 'These were merit bonuses for people who had performed especially well,' said Larry Lavender, an aide to Rep. Spencer Bachus of Alabama, the ranking Republican on the committee.
Overall in the House, disbursements were roughly evenly split between Republicans and Democrats.
Result number: 69
Posted by john h on 3/17/09 at 13:27
Everyone is on the warpath about the bonuses paid out by AIG. Democrats and Republicans alike. The public is outraged as they should be. We are short on details at this point. Apparently most of these bonuses were paid out under contracts that were written before we gave AIG any bailout money. We face a larger problem than just getting the money back and that is 'The sanctity of Contracts'. If it becomes OK to just void contracts then companies, unions, real estate contracts, etc will just start tearing them up left and right. This will be played out in the courts or we will just have to clinch our teeth and pay up:
'On that last issue, lawyers, Wall Street types and compensation consultants agree with the president. But from their point of view, the “fundamental value” in question here is the sanctity of contracts.
That may strike many people as a bit of convenient legalese, but maybe there is something to it. If you think this economy is a mess now, imagine what it would look like if the business community started to worry that the government would start abrogating contracts left and right.
As much as we might want to void those A.I.G. pay contracts, Pearl Meyer, a compensation consultant at Steven Hall & Partners, says it would put American business on a worse slippery slope than it already is. Business agreements of other companies that have taken taxpayer money might fall into question. Even companies that have not turned to Washington might seize the opportunity to break inconvenient contracts.
If government officials were to break the contracts, they would be “breaking a bond,” Ms. Meyer says. “They are raising a whole new question about the trust and commitment organizations have to their employees.” (The auto industry unions are facing a similar issue — but the big difference is that there is a negotiation; no one is unilaterally tearing up contracts.)'
Result number: 70
Posted by marie:) on 3/10/09 at 16:40
'Between 2004 and 2008, Democrats more than doubled their party-identification advantage in Pennsylvania. A survey of party switchers in the state found that a majority of the reaffiliating voters had belonged to the GOP for 20 years or more. They were educated and affluent. More than half of those who left stated that the GOP had become too extreme.'
'...the Republican Party needs to evolve. We need to put free-market health-care reform, not tax cuts, at the core of our economic message. It's health-care costs that are crushing middle-class incomes. Between 2000 and 2006, the amount that employers paid for labor rose substantially. Employees got none of that money; all of it was absorbed by rising health-care costs. Meanwhile, the income-tax cuts offered by Republicans interest fewer and fewer people: before the recession, two thirds of American workers paid more in payroll taxes than in income taxes.'
I wanted to add these two specific points from the article to the discussion. As I see it this is the largest problem the Republican Party faces. There are Limbaugh Republicans and then there is the rest of the party. The Limbaugh Republicans ran the show for the past 14 years and their policies failed. Flat out. I'm not sure why the Republican Party allowed themselves to be taken over with Limbaugh ideology but they did. As a result the moderates lost trust in the party. And they have swung slightly left. Two reasons I left the Republican Party 1.) Iran/Contra and lack of responsibility and 2.) Rush Limbaugh. It's taken many of my Republican family members to do the same but in the last election..............the majority of them swung for HOPE and a 21st reality check. It's not 1981. Going back in time will only hurt the party. It's time to face the reality of health care and the needs of the working class and middle class. It's time to make changes and face the future with a plan that benefits the majority instead of the few. You're correct Steve, Frum gets it. The question is when will the rest of the Republican Party?
Result number: 71
Posted by Rick R on 3/10/09 at 09:59
Thanks for sharing this article. I think Frum nailed it. The Repubs are vulnerable to Rush's style, there is a void and no unified voice of the party. So it's easy for the Dems to point to Rush, the wacky entertainer as representing the party. That's a pretty easy target and a hit on Rush becomes a hit on the party. Not good for Republicans.
Result number: 72
Posted by SteveG on 3/09/09 at 19:28
I would have to say that Frum is right on the money with this one -
Result number: 73
Posted by SteveG on 2/28/09 at 16:41
Margaret - Your experience sounds similar to mine, except that I had ESWT in 2003. The pain in my heel slowly disappeared. To help eliminate the discomfort throughout the arch and the ball of your foot you should also make sure you stretch your posterior muscle groups (i.e. Achilles tendon). I really benefited from the Strassburg sock you see mentioned on this site.
I am glad you are headed in the right direction. I was in bad shape 6-7 years ago, but I can pretty much do everthing I want now - go shopping, walk my dog, etc, etc.
Result number: 74
Posted by Steven McCrane on 2/25/09 at 11:50
I have one that I do not use in my office and would love to sell it at cost of what I have left on payments. It is approx $14,000 left.
It is located in San Angelo, TX. Please call me at 325-642-0439 if interested.
Result number: 75
Posted by john h on 2/11/09 at 11:24
Marie: These are musings from some famous and respected people. I think you could very well interject Messiah into most of these musings and not be disrespectful. Some refer to him as a Messiah and the rest put him on that level. He has been put on a higher level than any President in my life time and his expectations are likely to take a Messiah to accomplish. In the long run this is likely to be a problem for him unless he is who all these people think he is. Do you put him on the same level as these people? I do not. I think he is a mere mortal with uncommon speaking ability to almost hypmotize an audiance. He may turn out to be a great President or not. Time will tell. I certainly do not ascribe any of these type quotes below to any mortal man. Apparently some people see him as no mere mortal.
OBAMA CONVERSION STORIES
''No one saw him coming, and Christians believe God comes at us from strange angles and places we don't expect, like Jesus being born in a manger.'
'Many even see in Obama a messiah-like figure, a great soul, and some affectionately call him Mahatma Obama.'
-- Dinesh Sharma
'We just like to say his name. We are considering taking it as a mantra.'
-- Chicago] Sun-Times
'A Lightworker -- An Attuned Being with Powerful Luminosity and High-Vibration Integrity who will actually help usher in a New Way of Being'
-- Mark Morford
'What Barack Obama has accomplished is the single most extraordinary event that has occurred in the 232 years of the nation’s political history'
-- Jesse Jackson, Jr.
'This was the moment when the rise of the oceans began to slow and our planet began to heal.'
-- Barack Obama
'Does it not feel as if some special hand is guiding Obama on his journey, I mean, as he has said, the utter improbability of it all?'
-- Daily Kos
'He communicates God-like energy...'
-- Steve Davis (Charleston, SC)
'Not just an ordinary human being but indeed an Advanced Soul'
-- Commentator at Chicago Sun Times
'I'll do whatever he says to do. I'll collect paper cups off the ground to make his pathway clear.'
-- Halle Berry
'A quantum leap in American consciousness'
-- Deepak Chopra
'He is not operating on the same plane as ordinary politicians. . . . the agent of transformation in an age of revolution, as a figure uniquely qualified to open the door to the 21st century.'
-- Gary Hart
'Barack Obama is our collective representation of our purest hopes, our highest visions and our deepest knowings . . . He's our product out of the all-knowing quantum field of intelligence.'
-- Eve Konstantine
'This is bigger than Kennedy. . . . This is the New Testament.' (PIPE) 'I felt this thrill going up my leg. I mean, I don't have that too often. No, seriously. It's a dramatic event.'
-- Chris Matthews
'[Obama is ] creative imagination which coupled with brilliance equals wisdom . . . [He is] the man for this time.'
-- Toni Morrison
'Obama's finest speeches do not excite. They do not inform. They don't even really inspire. They elevate. . . . He is not the Word made flesh, but the triumph of word over flesh . . . Obama is, at his best, able to call us back to our highest selves.'
-- Ezra Klein
'Obama has the capacity to summon heroic forces from the spiritual depths of ordinary citizens and to unleash therefrom a symphonic chorus of unique creative acts whose common purpose is to tame the soul and alleviate the great challenges facing mankind.'
-- Gerald Campbell
'We're here to evolve to a higher plane . . . he is an evolved leader . . . [he] has an ear for eloquence and a Tongue dipped in the Unvarnished Truth.'
-- Oprah Winfrey
“I would characterize the Senate race as being a race where Obama was, let’s say, blessed and highly favored. That’s not routine. There’s something else going on. I think that Obama, his election to the Senate, was divinely ordered. . . . I know that that was God’s plan.'
-- Bill Rush
Result number: 76
Posted by john h on 2/05/09 at 13:53
I have a problem with the government setting wage caps for anyone in private business. Be it Wall Street or any where else. It is another giant step towards socialism. Government has done a poor job at best in the businesses it gets involved in such as Fanny Mae and Freddie Mac and the U.S. Postal Service. This nation was built on private enterprise establishing business, running their business, and failing when they cannot compete. Government is best at running the U.S. Military. The government is now involved in running and taking a stake in Insurance Companies, Banks, Investment Banks, Mortgage Companies and other formerly private business. It seems we may also be in the Auto business. If a company like GM cannot make it then they should go bust. Government cannot make consumers buy cars no matter where we give the auto companies a hundred billion dollars or not or whether we have a government Car Czar or not. Our government does not create jobs or does it know how to run an insurance company or run a car company. Once you start setting executive pay then you might as well try and run the company. Setting a salary cap is a political move that will have zero consequence. I am not prepared to turn this nations economic system over to a government who the people judge to be incompetent with an approval rating of less than 17%. Recent polls show the public now has more people opposed the the Stimulus Plan than want it. By a large margin. We will get a stimulus plan out of the Senate but it will not be the Nancy Polosi plan out of the House. The people are not buying into this spending splurge that no one has any idea if it will work. Some of the junk attached on to this Stimulus plan out of the House absolutely insults our intelligence. Our government played a large part in getting us into this mess and they may play a large part in making it worse. Setting salary caps is nothing of any consequence what so ever. It will not create one job. It may give the allusion of doing something good but it is still nothing more than politics as usual. It is basically a disguised 'class warfare' move.
As to baseball salaries I have mentioned there has been attempts by the Congress to get into how baseball is run. Fortunately for all us baseball fans their attempts have fallen on deaf ears. If Manny Rameriz can make $25 million a year or Tiger make $100 million a year or Steve Jobs make a billion a year I say good for them. They have a service or a product that people want and in the American system you are entitled to make all you can, if it is legal. Do you really think that capping the salary of companies that have taken government money will prevent them from making more than that if their companies do well? I have read nothing about stock options or the many other ways people can be paid other than salaries. Our Stimulus plan before it is over will be in the Trillions. Wall Street as we knew it is gone for ever as are the big brokerage houses and investment banks. Bonuses were down 44% in 2008 and will likely be down another 50% or more this year as these people are paid largely based on profits and there profits will continue to go down this year and likely next year.
My way out proposal would be to elect no one to Congress who has a net worth of more than $400,000. We then might get some people who have had to work for a living and not a Senate which is know as the Millionaires Club. In my world this makes as much sense as setting the Wall Street Cap. Most of our nations wealth is controlled by those who work down on Wall Street. Our IRA's, SEP's, Stocks, and Bonds are all being managed down on the evil street. Not just the rich people but the average working Joe who's Union or company has all their savings in these investments. We sure need the brightest and most honest people running these companies. Everyone on Wall Street is not a crook but we have lumped them all together. We as a people are greedy and we have more than enough greed in our companies. We spent money in the 90's that we did not have and now it is time to pony up what we owe.
Result number: 77
Posted by cwk on 2/04/09 at 22:58
If Steve Jobs, Tiger Woods or any of the other people you mention ask for federal dollars to keep them afloat then they should have to abide by salary caps. Once their debt is paid off they can make as much as they like.
Why do you keep drawing analogies that are completely off base?
If you are doing federally funded research you have to play by their rules. If you get an SBIR grant you have to cap the money you take from the program.
If you get a mortgage the lender may require you to pay off all your debts or treat the house for termites.
The bottom line is that the only people who must abide by the salary caps are those who have run their companies into the ground so perilously that they must borrow money. The caps are not retroactive-----so going forward anyone who doesn't like the caps can decide to go elsewhere for their bailouts--or they can sink.
Result number: 78
Posted by john h on 2/04/09 at 12:20
That is big money to me but NFL ASSISTANT Coaches make from 1-2 million a year. Tiger Woods caddie makes more than that. Tom Dashhel makes millions for just being an adviser to a law firm on how to deal with Congress. Something stinks with this. How about trying to put a CAP on the Union Auto Workers and see how that works. Some of these big companies are going to lose some talent that had nothing to do with the companies failures. He may limit their salaries but there are many ways to compensate beyond salaries. Many people are paid totally on a percentage of profits. Who is to say how much a CEO is worth in a particular company. Some may be worth nothing and a guy like Steve Jobs was probably worth a billion dollars as he is the one who came up with the I-Pod and a lot of other innovative ideas. He probably quadrupled the value of the stock when he returned to head the company he founded. If government sets salaries for CEO's they might as well run the entire company. That should work out real good. Sort of like the USPS.
Result number: 79
Posted by cwk on 1/31/09 at 04:13
Steve Jobs makes $1 a year. He also has stock options which mean that his compensation is tied to the company's success. This is performance based compensation.
Bonuses for Wall Street bankers, VC fund managers and many CEO's are not based on performance. For example this year the size of bonuses were the 6th highest of all times and no one could say that the performance of the recipients was the 6th best year ever.
CEO's compensation is set by boards. Board members are often appointed at the behest of CEOS. Board members are also compensated with salary, expenses and stock options. It can be a pretty sweet deal - everybody takes care of their own.
The sad thing is that often no one is looking out for the customer or the worker.
I don't think it is reasonable to expect that high salaries will be outlawed. I do think that these compensation structures should be considered when designing tax policy. I am not alone. Warren Buffet agrees.
Result number: 80
Posted by john h on 1/30/09 at 11:51
President Obama and the Congress is on the warpath about the large bonus being paid to CEO's and in particular Wall Street CEO's. Probably rightfully so. This does pose some interesting questions.
We have people like Tiger Woods and many NFL and MLB players who make over $100 million dollars a year when you count in endorsements. We have billionaire TV and Hollywood personalities. I think Oprah fits into that category. ARod of the Yankees makes $27 million dollars a year and has a 12 year contract and easily makes more than that in endorsements. Is there a problem with any of this? It goes along with our free enterprise system to make all you can and not be limited by government.
If a company like Mobil Exxon makes several hundred billion dollars in one year then what is the CEO worth? Many of these CEO's income is made largely on bonus money and not on salary. Eight of the new cabinet members are millionaires many times over. Hillary and Bill Clinton are worth hundreds of millions of dollars and own thee million dollar plus homes. Two in the Washington area. The Kennedy fortune is probably worth more than a billion dollars. Joe Biden own a million dollar plus home. Does any of this matter? The Senate is known as 'The Millionaires Club'. Largely because they are nearly all millionaires and needed to be to get elected.
Steve Jobs is the heart and soul of Apple and it was on the ropes until he returned as CEO. When he returned the company began it's rise to be one of the best companies in the USA. Now he is ill and the stock is dropping. What is a guy like him worth in bonus money. Probably a billion dollars if you look at the profit increase he brought to the table.
President Obama has said there will be no pay raises for his staff and I assume Cabinet. That is largely symbolic as most of the Cabinet members are wealthy but it is a good gesture.
Politicians like to play class warfare pitting one against the other. Personally I do not mind Tiger, Oprah or Steve Jobs making all the money they can make. I am a capitalist and not a socialist. We attempt to level incomes somewhat by taxes and actually do a decent job as only a few percent of the people pay around 70% of the taxes
We must walk softly when government steps in and says it is unconciousable for Wall Street CEO's to make all these billions in bonuses. No one has said how many of the CEO's are making this money or just how good their companies are doing or if the majority of their pay comes in bonuses. It appears all CEO's have been painted with one broad brush stroke. Let them be named by name and say why they are being over compensated. We take a new step towards socialism every day it seems. I would like to be rich but will never be. I have no problem with people making all they can if it comes by honest work or smarts. I understand that some of this criticism by the President is directed towards companies who are receiving bailout money. However, he is not saying that clear enough. He is painting with a broad stroke. I hope we remain a Capitalist nation or as close as we can come to one and a Democracy.
Result number: 81
Posted by cwk on 1/26/09 at 12:22
I have an office and a house in San Francisco where my kids go to high school. We are remodeling the house in SF so I live in another house 20 miles south of the city- near Stanford and Sand Hill Road- the birth place of HP, Apple, Google and many more.
Restaurants in SF and Palo Alto are full on the weekends but it is possible to get a table. Weeknights seem to be another story----lots of empty tables when I walk past.
Two stores have closed since Sept. along our SF neighborhood shopping street (we don't have strip malls in SF or in my area of the peninsula)
Another store is having a going out of business sale. It is not unusual for a store to close I think the difference will be in how long it takes for another to replace it. Both stores were for high end trinkets and my SF neighborhood is, at it's heart, pretty down to earth.
The store that is having the going out of business sale is a record store. They sell vintage records and new CD's. Very sad but not surprising, given the transformation of the music industry, that this unique part of SF is going.
University Ave. in Palo Alto seems to be normal with no closures that I have noted. I lived in PA for almost 20 years, thru the 87 crash and the recession of the early 90's when the store and restaurant closures were more extensive. But things could change quickly. The university and medical center are nearby and assure lots of foot traffic.
As of Nov. houses were still selling but only after remaining on the market for 2-6 months. For most of the past 10 years houses stayed on the market for 2-6 days and got multiple offers over asking price. Not sure if anything is selling now tho.
There is no credit for anyone so the real estate market depends on all cash buyers. 50% of houses sold last month in California (not SF and mid-peninsula) were foreclosed properties.
The lack of credit means that early stage companies and start ups must depend on folks who can work for equity or live off of their own cash reserves. This limits the launch of innovative products but since lots of entrepreneurs are 20 somethings who can live in group houses and eat Ramen this does not mean an end to innovation- just a slow down.
The tech world is a bit stunned- perhaps in a way I have not seen before.
Microsoft is laying off folks which should not really surprise anyone given the quality of their products in the past 9 years but still----
Steve Jobs is gone from Apple and it seems that will be permanent. Besides being very, very sad at a human level it feels like the end of a very special era in my part of the world. That said there is a lot of energy around creating iPhone apps.
This is more than a slow down- this is a new era for investing, real estate and innovation. That does not have to be a bad thing. Hopefully people will live with more personal responsibility with regard to spending and saving. I am sick to death of watching people maneuver SUVs into to small parking spaces, tear down charming cottages to throw up monster houses with over blown bathrooms and brag about their $ 3,000 handbags to the hard working Vietnamese woman who is giving them a $7 manicure.
Over the weekend I worked with the board at a private school where the all of the teachers and a %age of parents constitute the governing body . The teachers vetoed a small cost of living raise and opted for no raise. The parents responded by raising their tuition the same %age of the rejected salary increase. 95K in budget cuts were made and no one was angry, crying or being divisive. Everyone made sacrifices to ensure that there will be money to give more tuition aid to families who may be facing financial pressures. The spirit was not the 'me, me, me--get your hand out of my wallet' that has characterized our society since at least the Reagan era. The collective attitude was about pulling together for the greater good.
I don't think it is exactly the Age of Aquarius but it has the potential to be a time when people are more connected to community.
So if you want to read more about how folks in Silicon Valley are talking about these ties you can watch this slide show which has been making the rounds for three months. You may have already seen it.
Result number: 82
Posted by F.S. on 1/12/09 at 12:06
Thank you for your response. I am 55 year old woman from the Chicago area also. I had a TTS release by Dr. Steve Haddad 8 years ago. He is fabulous. The release worked for a few years. The pain has been back for several years and I manage it with Neurontin, PT. I am also trying a new anti-depressant called Prestiq. My pain is becoming more of a problem during the day, but I chose to not take meds in the am. I am not sure what to do to further manage my pain.
Dr. Haddad is currently recommending I repeat the EMG/NCV. However, I DO NOT really want to repeat the surgery so, in your opinion, how would this test result benefit me? Ålso, I know from previous experience that this test is no party and I suffered flare up from the test. I am at my wits end. I suppose the reasoning for repeating the NCV is my burning pain could be coming from a disc, but all PT's say I do not present that way.
Is is common for TTS pain to recur after say numerous years to pass? 50% pain reduction from this surgery is not that great. I mean, it is alot to go thru and then there are no guarantees that you will be pain free.
What do you recommend one to do if they do not want to repeat TTS surgery. I have not tried pain patch. Do you know where I might get help in Chicago area.
Thank you for sharing any advice from your vast experience with this problem. Any info is really helpful to us, even thou we have drs. it feels like it it hard to nail down how to best deal with this pain. Fellow Sufferer.
Result number: 83
Posted by Steve on 1/11/09 at 13:18
I have been off pain meds for 2 1/2 days now and am sleeping in my own bed instead of the couch.I can walk great,only discomfort is the bandage wrap under my foot.Zero issues on anything.The toe does not even hurt to the touch.In a couple days I will get he wrappings off and it should be even better then.I can bend mt toes down great but I have not tried to bend up yet as the bandage prevents that anyway.
The toe was red and dark after day 2 but that is going away as well.There is a little swelling in all the toes but I only see it but do not feel it.
Result number: 84
Posted by Steven Scott on 1/10/09 at 16:57
I just came across your message board. I am interested in knowing if the surgery increased or decreased your RSD symptoms. If your RSD got better do you think it was a result of your surgery. I would like you opinion on surgery with RSD. Do you think RSD gets stuck in it's pain loop secondary to unresolved trauma? eg: an injury that has healed a fracture but signs of RSD reside in the limb.
Thanks for your ideas and input
kiwiwins at hotmail.com
Result number: 85
Posted by steve on 1/08/09 at 14:22
It is day 4 for me and I can walk with no problem.This board has scared me prior and now I realize that the majority of those who have something wrong post.
I had a cheilectomy and and eseotomy(sp??) They cut my big toe back as well.I stopped taking pain meds now as they are not needed at all.
I could hobble from day one,the first 24-48 was the worst but now its much better.I am a 46 year old male.
Result number: 86
Posted by steve on 1/05/09 at 17:25
I had this procedure done today along with the osteotomy.I am a 46 year old active male
I managed to scare myself and raise my anxiety by reading this site.
The whole thing went well.I woke up with very little pain with a boot on and my foot wrapped in an ace bandage.It now 5 hours later and zI am not even groggy.I ate a good lunch,drank some juice and so far its all not bad.Wish I had it done years ago.
I will report back after I get past the so called dreaded day two.
Result number: 87
Posted by SteveG on 12/23/08 at 01:01
Ron - the adjustments to the orthodics described above are meant to provide more support for the lateral band. You should discuss these modifications with your pod. In fact, if I was you I would print them up and show them to him or her and ask about this modification as a way to help your discomfort. The pain does not alway subside and needs to be taken seriously. There are folks that end up with lateral column problems that are quite debilitating. The surgery is not a procedure to be taken lightly and can have serious consequences
Result number: 88
Posted by SteveG on 12/22/08 at 11:22
John - I think that this is most likely to to the recent and sad state of the economy; but the problems with the big three are more fundamental. Having owned both Toyota and Ford products in the last 20 years, my sister remarked that she would not buy another Ford if they were selling for $5,000 a piece.
Result number: 89
Posted by marie:) on 12/19/08 at 14:04
Well at this point they still don't have a winner. It surprises that you'd support Coleman over Franken. Coleman has alot of the same problems that Ted Stevens of Alaska had. If Coleman fails to retain his Senate seat it'll be a blessing to the Republican Party because they'll be spared from another public humiliation. Did you not know he's under a probe by the FBI?
Agents with the FBI have talked to or made efforts to talk to people in Texas familiar with the allegations, according to a source familiar with the situation.
Houston is where the first of two lawsuits was filed alleging Nasser Kazeminy, a Bloomington financier, tried to steer $100,000 to Coleman via his wife's Minneapolis employer. The second suit, filed in Delaware, alleges Kazeminy initially tried to get money directly to the senator.
Result number: 90
Posted by SteveG on 12/19/08 at 11:19
Ron - an adjustment to your orthodic is often discussed in reference to this problem. Here is part of a post from one of the doctors on this site -
Treatment for lateral column pain (cuboid syndrome) after such surgery may include manipulation of the calcaneocuboid joint and orthotics. Orthotics are like prescription eyeglasses -- the prescription must be RIGHT. The orthotics must have adequate lateral column support. Adequate lateral column support may be achieved in an orthotic via: increased hyperconvexity of the orthotic shell at the area of the calcaneocuboid joint, an extended rearfoot post and extrinsic forefoot valgus posting, when indicated. This is generally a fairly quick and simple problem to deal with (there are always exceptions) so if your doc is not sufficiently comfortable with this, a visit to a second doc may be in order.
Result number: 91
Posted by SteveG on 12/17/08 at 19:00
Ron - The plantar fascia is a supportive 'ligament' so when it is released, its job needs to be taken up by other structures. The lateral discomfort you discribe is a common complication from the surgery. Do a search on 'lateral column pain' and you will see several discussion of this issue, treatment options,etc.
Result number: 92
Posted by john h on 12/17/08 at 14:40
My good news is my SEP account actually increased in value this week.
Where did the $50 billion dollars the NYC crook on Wall Street go? I know it was a Ponzi scheme but there is about $50 billion unaccounted for dollars floating around out there somewhere. No one man could spend that much. Much of the losses are with European investors including banks. There must be more stupid people out there than I thought. The old Greed factor once again strikes.
The Apple CEO, Steve Jobs will not be at the annual Apple convention this year. This has caused Apple stock to drop as people are worried about his health. He is one guy the really is the most important cog in the Apple story. Apple is near $100. I was really smart a couple of years ago and sold out at $35. scottr has always been a big Apple fan and he should be a millionaire if he put his money where his mouth is. Of course, I have always used Mac's from day one so am an addicted user of Apple products. My first Mac had 1 MB of memory. At that time 1 Mb of memory cost around $75. Now days we use 1-10 GB in our computers. I have not even comprehended what that would equate to at $75 per MB?
Result number: 93
Posted by wendyn on 11/30/08 at 21:27
Max - I asked Steve this (but never got an answer from him) so I'll ask you: How many Muslims do you know personally?
Do you work with any? Do you call any your friends? Do any live in your community?
Result number: 94
Posted by SteveG on 11/24/08 at 12:06
This is the most amazing piece in today’s paper. It’s hard for me to believe that the Seattle paper had the audacity to print this drivel. Every time one of these gangsters is shot, the local paper goes on about how he was about to turn is life around and go to Princeton, etc, etc. The article itself notes the following:
- According to King County court records, Jones has pleaded guilty at least 13 times since 2006 to robbery, assault, residential burglary, harassment, criminal trespass and theft.
13 times in 2 years! What on earth was he even doing out on the street. It was undoubtedly one of the conditions of his parole that he not hang out with other gangsters. Like I say, it’s hard to believe they can print stuff like the following:
Result number: 95
Posted by SteveG on 11/17/08 at 09:02
Excellent overview of why they should go bankrupt -
Result number: 96
Posted by marie:) on 11/14/08 at 20:47
I still can't believe we do not know the results of 3 Senate races. It appears Stevens may be on his way out in Alaska. Franken is behinfd Coleman by around 200 votes. Since they use scanners for voting I'm not sure he'll pull ahead.............and there is going to be a run off in Georgia on Dec. 2nd because neither Dem or Republican candidates got the 50% required amount of votes. McCain will go down to campaign and it's likely Obama may make an appearance in Georgia to.
Result number: 97
Posted by john h on 11/13/08 at 11:47
Wendy: When Sarah Palin was named as the VP choice I had never heard of her. My feelings were neutral. I became very impressed when I heard her acceptance speech. After learning more about her I was still impressed but felt she did not have the experience or knowledge to become the President. Actually she had more experience in an executive positions as Governor than Obama but he looked more Presidential and talked more like a President. Sarah Palin is very much a person like you and me from what I see. She seems like an everyday person but clearly has something the voters in Alaska like. Obama is a Harvard educated lawyer. He moves in circles you and I are not likely to ever move in. Sarah will never have the charisma that Obama possesses nor have the smooth talk of the Harvard lawyer. Even Obama's wife is an eastern educated lawyer from a top school. The Obama's remind me of the Kennedy's in many ways. I hope Obama will govern from near the center and he has my support. He has a far left Congressional Leadership to deal with. In the end they will decide what passes and what does not.
I got off my subject of Sarah Palin. She is very much disliked by women according to polls and on this board. There has to be something beyond politics for this to happen. She has been a good Governor of Alaska and has only recently burst upon the political scene. There is something that many women see that they do not like in her and it is not about politics. I do not know what it is. She very much still has star power in the the U.S. and when she appears on all the networks their ratings shoot up.
I heard her speak before the Republican Governor's Association this morning. It was an excellent and compelling speech. She still comes across to me as an average American mom with a lot of smarts who could and is very likely to become a power in the Republican Party. I agree she was not ready to be President. Neither was Obama, but he will be smart enough to listen to his experienced advisers until he gets a hold on how things function when you are the actual President.
Joe Biden was more qualified to be President than any of the four Presidential and VP candidates. We do not elect the most qualified Presidents in this nation as you know.
If Senator Ted Stevens is re-elected as Senator from Alaska then it is likely the House will have him removed for being a convicted felon. That would mean Sarah Palin would appoint who ever to fill his position as Senator. She could even appoint herself. I doubt that will happen but I do see her as a Senator from Alaska at some point. I like the woman. By the way, in giving her speech today she had her hair down. First time I had seen that. She looked great. Is that a problem for women? Can a nice looking woman, with 4 children, one with downs, one pregnant and not married rise to become a Senator or more in our government? If nothing else she is a stand up mother.
Result number: 98
Posted by cwk on 11/11/08 at 14:55
Thanks to John and to other veterans and service families on this board.
I like this quote from Adlai E. Stevenson's speech, The Nature of Patriotism,
' Patriotism is not short, frenzied outbursts of emotion, but the tranquil and steady dedication of a lifetime.'
John, you and I have different life experiences and view points but from reading your comments on this board I can see that your dedication to your family and to the country is much deeper and longer than your military career. I believe you have lived a life of service and honor. As my kids say--'That's way cool.'
Result number: 99
Posted by SteveG on 11/11/08 at 11:19
Thanks for your service, John. This country owes a debt of gratitude to all of its veterans.
Result number: 100
Posted by wendyn on 11/08/08 at 22:26
Thanks for posting this link Steve - I had not seen this story. I am suprised that your churches are allowed to take a political stand and preach on how to vote. Churches are not allowed to do that here - people are supposed to vote with their conscience, not their religion. Intersting.
Result number: 101
Posted by SteveG on 11/08/08 at 18:25
This is a story that is flying all over the bogosphere. Getting blacks out to vote in California also had the result that they drove a stake throught the heart of guy marriage. Gay leaders thought they would back them up as another minority facing discrimination, but that's not what they got.
Just for the record, I support gay marriage (civil unions)and believe that in a more enlightened world, they would be treated like everyone else -
Result number: 102
Posted by wendyn on 11/05/08 at 20:58
Hi Tammy. I fully respect your right to your own opinion on all political things...but I think you need to consider those opinions honestly and objectively while you consider the realistic position your country (and most of the rest of the world) is in. Regardless of whether or not McCain won or Obama won the election, people are going to have to sink or sacrifice. I know that Steve and John both think I'm a bit of a pessimistic nut case for believing that Hard Times are Ahead, but I do believe that is the future. And I'm certainly not alone.
In the debates as well as several interviews Obama made it very clear that things like healthcare are goals, but that the most important thing to do first is to deal with an economic crisis that few people have even begun to understand.
I can assure you that you will NOT be out of this mess in 4 years. It has just begun to unfold.
Yes your media is biased in many matters. They always have been. (The rest of the world has long known this to be the case)
That bias and narrow focus is why most Americans have no idea what's happening in the rest of the world.
That bias and narrow focus is why most Americans have no idea what's happening to their own economy.
It's really important to use the power of the Internet to get out there and do your own research. Start reading blogs and news articles outside of the mainstream media...particularly from other countries. At least it will give you some other opinions and ideas to offset what you hear on Fox and CNN. I will post some links if you're interested.
Result number: 103
Posted by SteveG on 11/05/08 at 11:41
Nicely stated John. I was also impressed with this opinion piece in from Australia -
Result number: 104
Posted by wendyn on 11/01/08 at 18:49
Thanks Steve - I really shouldn't post when I'm crabby and uncomfortable..my thoughts don't come out all that clearly.
I'm glad to hear that you think things in the financial world are improving and I would be very happy if you turn out to be right. There seems to be a couple different schools of thought on that topic. There are those (unfortunately I am one of them) who believe that the financial rescue plans will only slow down the inevitable financial correction and adjustment that needs to happen.
We live in a world with an economy that relies on people buying a bunch of things they don't need with money that they don't have. It can't last forever.
If you believe that things will improve then my comment about 'the brunt of the blame' won't make any sense. If things in the economy get worse - home values continue to go down, people continue to lose money in their investments and retirment plans, many many people lose their jobs, inflation goes up, and standard of living plummets then people will naturally blame whoever is in power at the time. It won't matter that the financial mess has taken years and years to create.
We can see that happening now with Obama's campaign (no matter how much I like him) blaming Bush for all the current financial problems. It's not just Bush and it's not just this administration. It's not just Fannie Mae and Freddie Mac. These problems are way bigger and way more complicated than that, but people like to have someone to point a finger at.
If things are _really_ bad in another four years, then I suspect those fingers will be pointed right at McCain or Obama - regardless of the fact that the mess already exists. Anything either one of them does could appear to just make the whole situation worse. It will be very difficult to sort out policies and decisions that are helping from those that are not helping.
Yes - I think that you and I agree on the status of the war in Iraq and what needs to be done, but it's like nails on a chalkboard to me every time I hear Palin say that 'We will win this war in Iraq'.
Like I said - I'd love to be wrong about how things will be in the economic future. I don't really think I'm a pessimist, but I am a realist. I've spent a lot of time (way too much time) over the last year or so researching the financial situation (the housing bubble, our aging population, peak oil, government and personal debt etc.) and I just have no reason to belive that we can just continue on with the same standard of living that we've all become accustomed to.
Don't know if any of that will make any more sense than my first post, but I tried!
Result number: 105
Posted by SteveG on 11/01/08 at 12:26
Wendy - I think we are in a recession and that the credit market will get tighter, but I don't fear that the world economy is on the verge of collapse.
From this morning's Market Watch -
Investor sentiment has improved thanks to the steps taken by the Federal Reserve and Treasury Department to add liquidity to the system. These moves have unfrozen the credit markets and they have brought some level of normalcy to the commercial paper market,' said Robert Pavlik, chief investment officer at Oaktree Asset Management.
I quite don't follow some of your other remarks -
1. I suspect that whoever is elected on Tuesday will eventually (undeservingly) receive the brunt of the blame.
No matter who wins they won't be blamed for a) the fact that HUD put pressure on Freddie and Fannie to give out loans to people with dubious credit b) the fact that Wamu would not listen to their underwriters or their risk assessment staff, etc, etc. Nor can they be blamed for the fact that we have troops in Iraq. And even there the situation seems to be slowly improving -
2. I'm consistently amazed to hear Palin and McCain talk about how curent problems can be solved by 'fighting for America' and 'winning the war in Iraq'. I don't know how an economic situation can be improved by fighting for or over anything, and I don't think that 'winning' is an attainable or identifiable goal that can ever be achiveved in Iraq.
I don't think that anyone has argued that solving the problem in Iraq will resolve the problems caused by mortgage backed securities.
I defined 'winning in Iraq' in an earlier post. Although as you will recall, I think that we both agree that winning the 'war on terror' is, in the current world climate, hard to envision -
This is not to say that the next president won't face a host of problems - climate change, when to get out of Iraq, the problem of fanatical islam (as laid out in the link above). But the world can work together as it has in this credit crises.
Result number: 106
Posted by SteveG on 10/31/08 at 10:24
I thought it was Obama who was a friend of Khalidi; it's hard to keep track
Result number: 107
Posted by john h on 10/29/08 at 11:58
SteveG: Something that I have never understood, even when I had more adrenaline than I do now, is the fervor shown by the hundreds of thousands of people who show up at a potential Presidents appearance. Not just Obama but any high level candidate. People seem to see these people as almost Gods who will somehow change there lives forever. When I see so many people screaming and jumping at 2am for some guy running for President I just do not get it. Never have, even when my guy was about to win. I have a buddy who was into the election of our former Senator Prior. He worked 12 hours a day on behalf of him and I do not know that Senator Prior hardly knew him. Nevertheless he treated him like Jesus returned to earth. Maybe I am missing out on something. I cheer for my loser Cubs and hope my candidates win but do not change my life for them or go berserk when they show up in town to raise money. For the most part I give a total of $3 to candidates when I check it off on my return. I think all candidates should be restricted to this money. These people are just mortals like you and me with the same warts and often more. I could really get enthused when I was on a combat mission and would feel great when it was over and we succeeded. There was no one there to cheer for us but our team felt like we had just conquered Rome.
Result number: 108
Posted by john h on 10/29/08 at 11:23
SteveG: I like the analogy. Good thinking. I will throw Murphy's Law into the mix.
Result number: 109
Posted by SteveG on 10/28/08 at 17:41
Beacon of light though he may be,I doubt that people who show up at his rallies believe that his election is a harbinger of the age of Aquarius. Although perhaps the moon is in the 7th house and Jupiter is line with Mars, and he is simply lucky enough to run when everything is aligned?
Result number: 110
Posted by ejw on 10/25/08 at 20:07
I am in sothern CA and have recently aborted my DRX9000 treatment after collapsing on the floor with severe crippling spasms associated with the treatment. I was also told to keep coming after several visits when the techs said, 'oh that pain is just old scar tissue tearing.' I immediately had a new MRI and it turns out that was complete bullsh*t and now my pain is no better and I am completely unstable in my lumbar and factet joint areas. I can barely drive myself to work each day and have to take lots of meds to get through even a 4-6 hour day. I have since shown my MRI to another DC and an Ortho/Neuro surgeon who both confirmed that I never shoul have been put on this treatment as there was no chance of improvement with the virtually no nucleus pulposus material left in the discs. I'm incredibly angry and have received a full refund, but now I can barely work a 4-day work week and spend every other waking hour laying on the floor with muscle relaxants, opiates, and ice packs. I see lots of suits by DCs against Axiom, but no suits by patients and would like to join forces with other people who have been injured. Please contact me if you would like to discuss this. Thanks,
Result number: 111
Posted by SteveG on 10/19/08 at 23:47
Susan, instead of a 'cold dark feeling' you should be laughing. This piece was silly. Let's take a couple of these 'insights'
Legalize 'Total Information Awareness'-going through all Americans' phone calls, e-mail messages and other personal records without needing probable cause. - how many people would it take to go through all of the email that is sent in Seattle in one day?
Take control of the Internet, globally using it as an offensive political weapon-while claiming to be spreading democracy throughout the world. This is likewise, absurd. When I go out to heelspurs, I will be redirected to a page that pounds Mccain's diabolical plans into my cortex? The Chinese can't control the internet and they are quick to crack down on any political dissent
Dispense with checks and balances in favor of the 'unitary executive authority' of the president. He will do away with with the constitution and having himself declared emperor or 'president for life'?
Alienate nations that refuse to join our war coalitions. And what does 'alienate' mean in this context? He was tarnish the good name of Norway?
Again, this is just goofy
Result number: 112
Posted by SteveG on 10/15/08 at 22:21
Natalie - I have had ESWT and would be happy to answer your questions. Yes, my doctor referred me for the treatment.
Result number: 113
Posted by john h on 10/14/08 at 15:22
Steve G: I watch him on and off when I happen to catch him on a show. He is interesting and informed. Sometimes I agree with him and sometimes I do not. He is always worth listening to where you agree with him or not. He seems to have information that is not always available to the average person.
Result number: 114
Posted by SteveG on 10/14/08 at 15:15
I feel compelled to come to Hitchen’s defense. Although he was until the last few years an ultra left winger ( He was, among other things, on the staff of the Nation magazine), he jumped ship when left wing icons like Chomsky and Michael Moore started to say all kinds of wacky things about 9/11, and seemed unwilling or unable to denounce the attack and the people and ideas behind it. His review of Moore’s film is a gem:
Hitchin’s discusses Iraq with his former collegue at the Nation, Eric Alterman, in Today’s bloggingheads –
Result number: 115
Posted by steven on 10/14/08 at 06:29
How is the best way to tape the arch to help relieve the pain of severs disease when a 13 year old boy is playing soccer. The podiatrist showed me earlier this year but I do not remember how to do it.
Result number: 116
Posted by SteveG on 10/10/08 at 21:09
Result number: 117
Posted by john h on 10/10/08 at 13:15
SteveG is on the money in that pain on the outside of the foot is often reported after surgery. From reading post over many years on this board this pain can last up to a year or more and then go away. Steve knows more about how people have dealt with this pain than I do but it seems to happen as often as not after PF surgery. What type of surgery did you have? Through a scope, minimal invasive, open? I have seen more problems posted from people who had surgery through a scope than other types of surgery. Many if not most Podiatrist have stopped using scope surgery for PF. MD's rarely use a scope.
Result number: 118
Posted by wendyn on 10/09/08 at 20:48
Steve - I can't remember where you live. Do you have Muslim people in your neighborhood, your workplace etc? Lots of your comments make sense to me - till we get to the end. Yes, there are radical Muslims who frighten me. There are radical Christians who frighten me as well. There are peace-loving, every day Muslims and there are peace-loving every day Christians.
I'm a bit wary of most (all?) religions.
A very good friend of mine was born in Alberta, is Muslim, and wears hijaab. She has a master's degree and is divorced. She is intelligent, assertive, and I am not afraid of her at all. I go to school with Muslims and I work with Muslims. Some I like, some I don't..... just like white non-Muslim people.
Yes - rarely you do hear about honor killings or genital mutilations in Canada, but we have fundamental laws that are in place for our protection and those laws cannot and should not be lessened to appease religous preferences. Of any kind.
Result number: 119
Posted by SteveG on 10/09/08 at 18:13
Aaron - what treatments did you have prior to surgery? The problem with the outside of your feet seems to sometimes occur after surgery. They may be able to help by adjusting your orthodic. Do a search on 'lateral column pain' 'cuboid syndrome'. The treatments include PT, joint manipulations, orthodic adjustment, etc. You need to talk to your pod or surgeon about this ASAP
Result number: 120
Posted by SteveG on 10/08/08 at 14:53
John - I would hate to see you go. You are responsible for setting a responsible and thoughful tone on this board, and I have learned much from your posts. And, although the level of discourse around here has, indeed, hit a pretty low level, it would be nice to see you stick around.
Result number: 121
Posted by john h on 10/06/08 at 18:21
Steve: I tend to agree with your post. Winning in the sense we are used to winning like in football or baseball is not likely to happen. We are not fighting one enemy. We are fighting an idea and it is based in religion and it is worldwide. We can slow it down and hopefully keep it off our shores. The consequences of not doing this could be catastrophic. Terrorist may be difficult to defeat but on the other hand they do not have a Navy or an Air Force and therefore not capable of capturing any mature nation. It is possible they could fall under the weight of there own misadventure. People have this innate desire to be free to speak, to worship, to learn. This is not in the terror game plan. Over time they could slowly but surely disappear. They can do great damage to us but they cannot capture or destroy us. I would hope we leave Iraq strong enough to fight off any terror group that threatens to take over their nation. They may not be a Democracy as we know it but they will not be an Al Qaeda breeding ground either. Iraq since the surge has made some giant strides. No longer do we see list of our military in the paper who have been killed by bombs. People in some of the smaller and rich nations in the Middle East have tasted freedom and western ideas and they are not going back
Not being able to defeat terror on the battlefield such as in WWII does not mean we ignore it. We have seen the results of that with 9/11. Some have said the war on terror could go on for 100 years. Indeed it could.
Result number: 122
Posted by SteveG on 10/06/08 at 16:32
Wendy, this is a follow up to some issues you raised recently. Don’t worry about “picking a fight” – these are important questions
1. What makes anyone believe that a western-style government is what the people of Iraq want? How often do the people of an invaded country honestly and deeply desire to take on the principles and policies of their invaders?
An interesting question. I suppose that, if you invade or dismantle a country, you try to replace its previous government with the most enlightened form of government (i.e., democracy). That way the future government can be responsive to the needs and desires of its people. One of the tip offs that you’re dealing with a dubious leader is that he tries to make himself “president for life” (e.g., Chavez) or tries to circumvent the democratic process (e.g., Mugabe). This is not to say that you have a right to overthrow governments to put a democracy in place. But, for example, at the end of WWII we had to decide what to do with Japan and its monarchy. In such a case, putting a democracy in place seems the wisest choice, and Japan and Italy, for example, don’t yearn for their fascist past.
To take your second question –
2. How often do the people of an invaded country honestly and deeply desire to take on the principles and policies of their invaders?
This probable depends in large part how extensive the “principles and policies” are. Take the Chinese invasion of Tibet. Tibet was basically a Theocracy in 1959, and, as such, totally at odds with the principles of Marxist Leninism. This made the invasion and its aftermath much more difficult. And whether you stay and continue to impose your will makes the people much more likely to resist. If we had stayed in Japan and tried to dictate their domestic and foreign policy, we would have a tough situation on our hands.
What makes our situation in Iraq different from Tibet, is that we would love to get out, assuming we did not leave anarchy or a medieval-style dictatorship based on Sharia in place. In am sure at this point, if we could leave it similar to, say Turkey, we would be happy and proceed to bail out. This is how we would define “winning in Iraq”.
When people talk about “winning the war on terror” I am, as I think you are, pretty skeptical. We are not at war with terror, but with a fanatical brand of Islam. As such it won’t capitulate like a nation would (Germany 1945). This is, of course, not simply “our” problem. All of the Sunni states, for example, have been under threat for decades. Anwar Al Sadat was gunned down the Muslim Brotherhood when it became clear to them that he wanted to broker a deal with Israel. Bin Laden’s right hand man (al-Zawahiri) was a wheel in the Brotherhood before he threw in with al-Qaeda's more expansionist aims.
Why the religion has taken this kooky and virulent form is an interesting and complicated historical question. After Nassar got humiliated by Israel, many clerics argued it was because people had put their faith in nationalism and secular leaders rather than in God. I suppose if Jesus came out of the clouds and set people straight on this 72 virgins stuff, it might help defuse the situation, but I wouldn’t put much hope in that occurring. All this is, of course, maddening, since the society that al-Zawahiri yearns for is not even tenable – by the time it got through enslaving all the women and killed or ran off anyone with any education, its people would continually starve. And this, in turn, would be blamed on all kinds of “Zionist” and ”Crusader” conspiracies.
As I see it, all you can do by way of “winning” is to be diligent and try to inoculate your country by seriously limiting immigration from Muslim countries. In the early 90s Denmark let in a large number of refugees from Morocco and Somalia. They thought that it would simply be a matter of getting them housing, vocational training, and assimilation was next. It wasn’t long before the authorities became aware of “honor” killings and woman were showing up in clinics who have had their genitals mutilated on someone’s kitchen table. After the assassination of the filmmaker Theo van Gogh, the supporters of Western values started to push back, but by then they were in a hell of a fix.
So, as I say, I think any talk about “winning the war on terror” has to be taken with a few pounds of salt.
Result number: 123
Posted by wendyn on 10/04/08 at 07:51
Thanks Steve. Let me ask this next then...
What makes anyone believe that a western-style government is what the people of Iraq want? How often do the people of an invaded country honestly and deeply desire to take on the principles and policies of their invaders?
If China came in tomorrow, destablized _your_ country, and tried to forcibly implement _their_ style of goverment in an effort to 'help' _you_ out of a crisis (pick the economic situation)- how would Americans respond?
I'm not trying to pick a fight, but when people on the news say 'we _will_ win this war' I don't have the opportunity to pick up the phone and say, 'What do you mean!?!?!'
Result number: 124
Posted by ROSEW on 10/04/08 at 00:15
Sorry thank you STEVE G also
Result number: 125
Posted by SteveG on 10/03/08 at 22:57
Wendy - I would say you are on it when you say - 'It seems as though the aim of the war is now to establish a democratic western-style government and restore some level of peace to a very unstable society.'
Winning at this juncture would, to my mind, mean having a stable government in place so we can get out. What you don't want is for it to decend into anarchy à la Somalia, and you don't want the enemies of civilization to take over.
Result number: 126
Posted by SteveG on 10/03/08 at 17:42
'It's the same old Republican taste in presidents: a dingbat who can be controlled behind the scenes.'
Result number: 127
Posted by john h on 10/02/08 at 22:42
Steve: Today on The Factor they had Barney Frank as the guest. I thought he and the host were in hand to hand mortal combat over Frank's part in the FMaye debacle. There are more and more articles starting to appear on Frank and his questionable actions. I think the guy should be discharged as Chairman of the committee for total incompetence. For some years now the former Chairman of the Fed and even John McCain have said that these Quasi Government Mortgage Loan companies were going to collapse. The two hold 70% of all mortgages and Frank is very much responsible for forcing banks to make loans to unqualified people. There is no question on that point. The banks of course and the borrowers are also very much responsible. I personally have worked very hard in my life to meet all obligations and have gone without rather than buy something I could not afford. I cannot find much sympathy for people who buy something then default on it and I end up helping pay for their incompetence and all the others involved. This is why there was such a flood of calls to the House to not pass the bill. Americans did not like to think they were going to bail out not only Wall Street and the Banks but people who took on debt they could not pay.
Result number: 128
Posted by SteveG on 10/02/08 at 18:20
John - As you and I have noted, the 'social engineeing' aspect of this is getting swept under the rug, and this was the was the result of both parties. From the Weekly Standard -
Result number: 129
Posted by SteveG on 9/26/08 at 23:25
Wendy - many people benefit from night splints. I used the Strassburg sock. I provides a gentle stretch and can be worn at night -
Result number: 130
Posted by john h on 9/24/08 at 23:23
Excellent article Steve. Is it not always astonishing how our elected Government officials starting with the Presidents on down manage to stay above the blame for such problems as the housing problem. They investigate everyone except themselves. While they were pushing to expand loans to almost anyone they throw out the magic word 'racism' and what bank is not going to make a loan. It is not governments roll to make us all equal as we are not all equal. It is not now nor never was governments job to insure we had a home at any cost. The Constitution does not guarantee we all have a house. You have a house when you earn enough money to pay for it and a lender who will loan you the money.
Each day the major networks start the evening news like Chicken Little with 'The Sky is Falling'. Much of what makes a successful economy is how much faith we have in our economic system. One would think the world was ending with the reports on the news each night. We would all be better served as would our nation if they would stick to the 'facts' and not sensationalize every economic problem. More people than not have no understanding of economics what so ever and all they can take away from these nightly broadcast is the next Great Depression is upon us. If we want a great depression one of the best ways to get into one is scare the hell out of everyone to the point they all rush to the banks to remove their money and pull all their savings out of the market. The Psychology of the market is driven by the faith we all have in our system and that is in turn very much effected by 'how' the news is presented. Even the tone of voice of the anchors appears to be in a near panic mode. Just the facts please and we will determine what to take from these facts.
I would think that not 1% of the population understand that in obtaining a home loan that you can count unemployment income and welfare income as part of your total income for obtaining the loan. It seems more logical that these two items would be reason enough not to grant a loan. In one on one loans no business person is ever going to make such a loan. Only when government gets involved do such things occur. Even for government this is way over the top.
Result number: 131
Posted by SteveG on 9/24/08 at 18:54
John - I agree this is astonishing, and contradicts everything I learned about buying a home and what it entails. The role of social engineering has not gotten enough press in this whole affair. I am not saying that social engineering is the whole story, but it's an important part of it -
There was also a nice discussion on blogging heads the other day that I learned a lot from -
Result number: 132
Posted by SteveG on 9/23/08 at 17:40
Rose - how many shots have you had? I don't understand the need for surgery, since the surgery does what the tear does - releases part of the fascia. Perhaps the detachment is very small. Is your doctor pushing for surgery? If I were you I would get another opinion. ESWT is the way to go if at all possible
Result number: 133
Posted by SteveG on 9/18/08 at 12:04
Indicative of how wacky that worldview is -
Result number: 134
Posted by SteveG on 9/15/08 at 19:18
Brenda - I would say that the ESWT was the most beneficial of all of the treatments and should be looked into if you are a good candidate. Other things that helped:
Loosing 30 pounds
Strassburg sock - worn at night for stretching
Surgery is, indeed, the court of last resort; if you spend enough time on the board you will become aware of what a risky procedure it really is. But as I say, don't let it get you down. The posters that were on the board when I was active are long gone. They gradually got better and left the board behind.
Result number: 135
Posted by tammy on 9/14/08 at 21:32
Thank you so much for the link. I just read an article entitled, 'Obama, Shaman' and it was not only beautifully written but also very enlightening. There was actually alot of other good stuff on there too...Not all politics:-)
Also, thanks for the story about the pitt bulls. I shared it with my 16 yr. old daughter who wants to be a vet. She is always making the environment v. genetics argument but I think your story was quite compelling.
Result number: 136
Posted by SteveG on 9/14/08 at 20:35
Well, for all of the posters. I have found this (city Journal) to be one of the most interesting (and gutsy) online magazines on the web
Result number: 137
Posted by SteveG on 9/14/08 at 20:31
Ed - the following was taken from another interesting article
Pit bulls and pit-bull crosses (not always easy to distinguish) have
caused more than a third of the nation's dog-bite fatalities since 1979 and a comparable proportion of serious injuries. The rising number of attacks, and the unease pit bulls and other dangerous dogs cause in public spaces, have spurred many municipalities to crack down with legislation ranging from muzzle laws to bans on pit bulls and certain other breeds.
New York City, with a million dogs, conforms to these national trends. In 1997, the Department of Health reported 7,075 dog bites in the city and some 1,000 complaints about frightening dogs. Gotham police and other authorities had to round up 892 biting dogs in 1997, 200 more than the year before. Of these, 294—33 percent—were pit bulls or pit-bull mixes, though they make up only an estimated 15 percent of the city's dogs.
Result number: 138
Posted by SteveG on 9/14/08 at 20:19
Don't be too discouraged. I had a very debilitating case in 2002 and was a very frequent poster on this board. I tried all the conservative treatments (including ESWT) and I gradually got better. I was not completely cured, but I can pretty much do everything I could before. This weekend, for example, we went shopping and I was on my feet for most of the afternoon, then we can home and took our dogs for a walk. But it did take at least a year and a half before I got to where I am now. And there are new treatments that did not exist then e.g., Topaz.
Result number: 139
Posted by Dr. Ed on 9/13/08 at 08:12
This is one of the best explanations I have read on this subject! It places the the pro and con arguments in perspective. You have left little doubt in my mind that this breed is not an appropriate pet. Do you have statistics on human injuries caused by pit bulls?
Result number: 140
Posted by SteveG on 9/12/08 at 13:06
After another savage attack on an elderly woman here in the Seattle area, there are an increasing number of people calling for a ban on the breed. Although I was not sure what to make of the idea, I found the following post pretty persuasive:
I'm a veterinarian and I fully support breed-specific legislation against pit bulls and other 'bull' breeds, as well as all dogs bred for fighting or with innate aggressive tendencies towards humans (ie the Dogo, the Fila, and others). People who support these breeds do not understand them or have a stake in maintaining (trainers, veterinarians) them in almost all cases. These dogs were bred to have a heightened predatory response and a prolonged aggressive response (term 'gameness'). In practice this means a pit bull will respond to a certain level of arousal (ie excitement) with an aggressive response which is very drawn out, whereas a collie would respond to arousing stimuli with herding behaviour, or a lab with retrieving behaviour. The lab was bred to retrieve, the collie was bred to herd, and the pit bull was bred to kill. Does this make pit bulls 'evil'? No, definitely not, but it does make them significantly more dangerous in a society which includes children and elderly individuals that might be perceived by the dogs as prey and are very likely to create the kind of arousal in the dogs - via screaming, running, high-pitched voices, or walking bent-over - that tends to trigger an aggressive response. Your dog may well go her entire life without being aroused past her threshold into a predatory state - most pits do - but if she *is* ever triggered you will be nearly powerless to prevent an attack, the strength of these dogs is almost unimaginable.
When I was in general practice I had a client who had 2 *sweet and submissive* pits. At the time *I* would have extolled the virtues of these dogs - they were awesome and the absolute easiest to
work with of any breed brought in. And these 2 were absolutely my favorite - hilarious, well-behaved, taken care of, spayed, and loved. They'd lived peacefully with her, her husband, her 14 year-old cat, and her *3 year-old* daughter for the last 8 and 12 years respectively. One day the cat saw a bird through the window and jumped on the sill and started *chattering* at her (have you ever heard a cat do that? They sound almost like a squirrel) and one dog (the older) went for her and pulled her down off the window sill. My guess is that the dog may have been having a predatory dream at that time which had her in a state of arousal and the noise the cat made simply pushed her over the edge. The other joined in and the two dogs pulled the cat apart (there were literally only pieces of her left) while the owner and her daughter watched stunned from across the room. The little girl started crying hysterically and the dogs turned toward *her* growling because they were so aroused from their attack on the cat. The cat gave one final twitch and the dogs went after it again which allowed the mother to get herself and her daughter to the bathroom. Within seconds the cat was dead and the dogs came after the child again and prowled outside the bathroom and scratched at the base of the door for over an hour trying to get in to kill the child. By the time the husband got home the dogs had calmed and were their typical, friendly, goofy selves. Save the blood all over them and the living room and the pieces of dead cat + his wife and child locked in the bathroom and hysterical, he'd never have guessed what had happened. *I* went to that home to euthanize the dogs that afternoon because she wouldn't bring her daughter out of the bathroom until both dogs were dead and I
had said so, *I* saw the carnage first-hand. Have you ever seen what is left of an animal after two pit-bulls rip into it? If it had been the child that had made an unusual noise that had just happened to spark the predatory drive that has been bred into those dogs it would have been the child in pieces on the living room floor. This is what I believe most people do NOT understand or deny. How many innocent children have to die before these dogs are removed from our society?
The other issue to consider is whether it is fair to these dogs themselves to keep the breed around. Probably 70% are owned by individuals who use them for fighting or for guarding drugs/stolen property, another 15-20% are owned by individuals who don't out-and-out abuse them, but keep them chained in the yard to ward off invaders or just to look 'tough', which leaves only 10-15% of pit bulls in decent, loving homes. Is your desire to own this specific breed really worth the horrors the vast majority of them must live through? Have you ever seen the injuries inflicted on a dog in a dog fight? I have and I wouldn't wish it on any animal. I think the kindest thing for these dogs and the safest thing for society is to enact breed-specific legislation that grandfathers existing dogs but makes neutering them mandatory - that way the breed dies out over 1-2 generations and existing pets aren't harmed. Yes, people will still breed them during the ban, but those are the same people that use them for fighting and for guarding drugs now, so even though there will have to be euthanasia of some litters bred after a ban is in effect, it isn't a choice between a nice life or euthanasia, it is a choice between a life of dog-fighting or a peaceful death
Result number: 141
Posted by Susan on 9/08/08 at 18:01
This was an email so I can't give a link.
Subject: Fw: The Real Scoop on Sara Palin
Here's a copy of the Anne Kilnenny email that's been getting passed around by email for the last few days. Anne claims to be a Wasilla Alaska resident. Snopes.com and others have verified her identity.
She paints a picture of Sarah Palin that Karl Rove might not appreciate. Judge for yourself:
The Anne Kilkenny Email:
ABOUT SARAH PALIN
I am a resident of Wasilla, Alaska. I have known Sarah since 1992. Everyone here knows Sarah, so it is nothing special to say we are on a first-name basis. Our children have attended the same schools. Her father was my child's favorite substitute teacher. I also am on a first name basis with her parents and mother-in-law. I attended more City Council meetings during her administration than about 99% of the residents of the city.
She is enormously popular; in every way she’s like the most popular girl in middle school. Even men who think she is a poor choice and won't vote for her can't quit smiling when talking about her because she is a 'babe'.
It is astonishing and almost scary how well she can keep a secret. She kept her most recent pregnancy a secret from her children and parents for seven months.
She is 'pro-life'. Sh e recently gave birth to a Down's syndrome baby. There is no cover-up involved, here; Trig is her baby.
She is energetic and hardworking. She regularly worked out at the gym.
She is savvy. She doesn't take positions; she just 'puts things out there' and if they prove to be popular, then she takes credit.
Her husband works a union job on the North Slope for BP and is a champion snowmobile racer. Todd Palin’s kind of job is highly sought-after because of the schedule and high pay. He arranges his work schedule so he can fish for salmon in Bristol Bay for a month or so in summer, but by no stretch of the imagination is fishing their major source of income. Nor has her life-style ever been anything like that of native Alaskans.
Sarah and her whole family are avid hunters.
Her experience is as mayor of a city with a population of about 5,000 (at the time), and less than 2 years as governor of a state with about 670,000 residents.
During her mayoral administration most of the actual work of running this small city was turned over to an administrator. She had been pushed to hire this administrator by party power-brokers after she had gotten herself into some trouble over precipitous firings which had given rise to a recall campaign.
Sarah campaigned in Wasilla as a 'fiscal conservative.' During her 6 years as Mayor, she increased general government expenditures by over 33%. During those same 6 years the amount o f taxes collected by the City increased by 38%. This was during a period of low inflation (1996-2002). She reduced progressive property taxes and increased a regressive sales tax which taxed even food. The tax cuts that she promoted benefited large corporate property owners way more than they benefited residents.
The huge increases in tax revenues during her mayoral administration weren't enough to fund everything on her wish list though, borrowed money was needed, too. She inherited a city with zero debt, but left it with indebtedness of over $22 million. What did Mayor Palin encourage the voters to borrow money for? Was it the infrastructure that she said she supported? The sewage treatment plant that the city lacked? or a new library? No. $1m for a park. $15m-plus for construction of a multi-use sports complex which she rushed through to build on a piece of property that the City didn't even have clear title to, that was still in litigation 7 yrs later; to the delight of the lawyers involved! The sports complex itself is a nice addition to the community but a huge money pit, not the profit-generator she claimed it would be. She also supported bonds for $5.5m for road projects that could have been done in 5-7 yrs without any borrowing.
While Mayor, City Hall was extensively remodeled and her office redecorated more than once.
These are small numbers, but Wasilla is a very small city.
As an oil producer, the high price of oil has created a budget surplus in Alaska. Rather than invest this surplus in technology that will make us energy independent and increase efficiency, as Governor she proposed distribution of this surplus to every individual in the state.
In this time of record state revenues and budget surpluses, she recommended that the state borrow/bond for road projects, even while she proposed distribution of surplus state revenues: spend today's surplus, borrow for needs.
She's not very tolerant of divergent opinions or open to outside ideas or compromise. As Mayor, she fought ideas that weren’t generated by her or her staff. Ideas weren't evaluated on their merits, but on the basis of who proposed them.
While Sarah was Mayor of Wasilla she tried to fire our highly respected City Librarian because the Librarian refused to consider removing from the library some books that Sarah wanted removed. City residents rallied to the defense of the City Librarian and against Palin's attempt at out-and-out censorship, so Palin backed down and withdrew her termination letter. People who fought her attempt to oust the Librarian are on her enemies list to this day.
Sarah complained about the 'old boy's club' when she first ran for Mayor, so what did she bring Wasilla? A new set of 'old boys'. Palin fired most of the experienced staff she inherited. At the City and as Governor she hired or elevated new, inexperienced, obscure people, creating a staff totally dependent on her for their jobs and eternally grateful and fiercely loyal; loyal to the=2 0point of abusing their power to further her personal agenda, as she has acknowledged happened in the case of pressuring the State's top cop (see below).
As Mayor, Sarah fired Wasilla's Police Chief because he 'intimidated' her, she told the press. As Governor, her recent firing of Alaska's top cop has the ring of familiarity about it. He served at her pleasure and she had every legal right to fire him, but it's pretty clear that an important factor in her decision to fire him was because he wouldn't fire her sister's ex-husband, a State Trooper. Under investigation for abuse of power, she has had to admit that more than 2 dozen contacts were made between her staff and family to the person that she later fired, pressuring him to fire her ex-brother-in-law. She tried to replace the man she fired with a man who she knew had been reprimanded for sexual harassment; when this caused a public furor, she withdrew her support.
She has bitten the hand of every person who extended theirs to her in help. The City Council person who personally escorted her around town introducing her to voters when she first ran for Wasilla City Council
became one of her first targets when she was later elected Mayor. She abruptly fired her loyal City Administrator; even people who didn’t like the guy were stunned by this ruthlessness.
Fear of retribution has kept all of these people from saying anything publicly about her.
When then-Governor Murkowski was handing out political plum s, Sarah got the best, Chair of the Alaska Oil and Gas Conservation Commission: one of the few jobs not in Juneau and one of the best paid. She had no background in oil & gas issues. Within months of scoring this great job which paid $122,400/yr, she was complaining in the press about the high salary. I was told that she hated that job: the commute, the structured hours, the work. Sarah became aware that a member of this Commission (who was also the State Chair of the Republican Party) engaged in unethical behavior on the job. In a gutsy move which some undoubtedly cautioned her could be political suicide, Sarah solved all her problems in one fell swoop: got out of the job she hated and garnered gobs of media attention as the patron saint of ethics and as a gutsy fighter against the 'old boys' club' when she dramatically quit, exposing this man’s ethics violations (for which he was fined).
As Mayor, she had her hand stuck out as far as anyone for pork from Senator Ted Stevens. Lately, she has castigated his pork-barrel politics and publicly humiliated him. She only opposed the 'bridge to nowhere' after it became clear that it would be unwise not to.
As Governor, she gave the Legislature no direction and budget guidelines, then made a big grandstand display of line-item vetoing projects, calling them pork. Public outcry and further legislative action restored most of these projects; which had been vetoed simply because she was not aware of their importance; but with the unobservant she had gained a reputation as 'anti-pork.'
She is solidly Republican: no political maverick. The State party leaders hate her because she has bit them in the back and humiliated them. Other members of the party object to her self-description as a fiscal conservative.
Around Wasilla there are people who went to high school with Sarah. They call her 'Sarah Barracuda' because of her unbridled ambition and predatory ruthlessness. Before she became so powerful, very ugly stories circulated around town about shenanigans she pulled to be made point guard on the high school basketball team. When Sarah's mother-in-law, a highly respected member of the community and experienced manager, ran for Mayor, Sarah refused to endorse her.
As Governor, she stepped outside of the box and put together of package of legislation known as 'AGIA' that forced the oil companies to march to the beat of her drum.
Like most Alaskans, she favors drilling in the Arctic National Wildlife Refuge. She has questioned if the loss of sea ice is linked to global warming. She campaigned 'as a private citizen' against a state initiative that would have either a) protected salmon streams from pollution from mines, or b) tied up in the courts all mining in the state (depending on who you listen to). She has pushed the State’s lawsuit against the Dept. of the Interior's decision to list polar bears as threatened species.
McCain is the oldest person to ever run for President; Sarah will be a heartbeat away from being President.
There has to be literally millions of Americans who are more knowledgeable and experienced than she.
However, there's a lot of people who have underestimated her and are regretting it.
CLAIM VS FACT
'Hockey mom': true for a few years
'PTA mom': true years ago when her first-born was in elementary school, not since
'NRA supporter': absolutely true
Social conservative: mixed. Opposes gay marriage, BUT vetoed a bill that would have denied benefits to employees in same-sex relationships (said she did this because it was unconsitutional).
Pro-creationism: mixed. Supports it, BUT did nothing as Governor to promote it.
'Pro-life': mixed. Knowingly gave birth to a Down's syndrome baby BUT declined to call a special legislative session on some pro-life legislation.
'Experienced': Some high schools have more students than Wasilla has residents. Many cities have more residents than the state of Alaska. No legislative experience other than City Council. Little hands-on supervisory or managerial experience; needed help of a city administrator to run town of about 5,000.
Political maverick: not at all
Open & transparent: ??? Good at keeping secrets. Not good at explaining actions.
Has a developed philosophy of public policy: no
'A Greenie': no. Turned Wasilla into a wasteland of big box stores and disconnected parking lots. Is pro-drilling off-shore and in ANWR.
Fiscal conservative: not by my definition!
Pro-infrastructure: No. Promoted a sports complex and park in a city without a sewage treatment plant or storm drainage system. Built streets to early 20th centurystandards.
Pro-tax relief: Lowered taxes for businesses, increased tax burden on residents.
Pro-small government: No. Oversaw greatest expansion of city government in Wasilla’s history.
Pro-labor/pro-union. No. Just because her husband works union doesn't make her pro-labor. I have seen nothing to support any claim that she is pro-labor/pro-union.
WHY AM I WRITING THIS?
First, I have long believed in the importance of being an informed voter. I am a voter registrar. For 10 years I put on student voting programs in the schools. If you google my name (Anne Kilkenny + Alaska), you will find references to my participation in local government, education, and PTA/parent organizations.
Secondly, I've always operated in the belief that 'Bad things happen when good people stay silent'. Few people know as much as I do because few have gone to as many City Council meetings.
Third, I am just a housewife. I don't have a job she can bump me out of. I don't belong to any organization that she can hurt. But, I am no fool; she is immensely popular here, and it is likely that this will cost me somehow in the future: that’s life.
Fourth, she has hated me since back in 1996, when I was one of the 100 or so people who rallied to support the City Librarian against Sarah's attempt at censorship.
Fifth, I looked around and realized that everybody else was afraid to say anything because they were somehow vulnerable.
I am not a statistician. I developed the numbers for the increase in spending & taxation 2 years ago (when Palin was running for Governor) from information supplied to me by the Finance Director of the City of Wasilla, and I can't recall exactly what I adjusted for: did I adjust for inflation? for population increases? Right now, it is impossible for a private person to get any info out of City Hall; they are swamped. So I can't verify my numbers.
You may have noticed that there are various numbers circulating for the population of Wasilla, ranging from my 'about 5,000', up to 9,000. The day Palin’s selection was announced a city official told me that the current population is about 7,000. The official 2000 census count was 5,460. I have used about 5,000 because Palin was Mayor from 1996 to 2002, and the city was growing rapidly in the mid-90’s
August 31, 2008
Result number: 142
Posted by marie:) on 9/08/08 at 08:06
The 20 million dollar debt is a fact. And an investigation into her ethics is a fact. Nothing is skewed. I asked a question all you need to do is answer with facts. Attacking me peronally does not change facts. Pretty things are nice but if you can't afford them don't buy them.
Audiotapes released last month reveal that aides to the 44-year-old governor pressured Safety Director Walter Monegan to dismiss Trooper Mike Wooten, after Wooten allegedly threatened Palin’s father during a messy child custody fight with the governor’s sister Molly.
— Palin didn’t back McCain in the primary. She stayed neutral in Alaska’s January primary — perhaps on account of McCain’s opposition to drilling in ANWR. “A lot of us are sitting back and waiting to see if there will be new players in there,' she said in 2007. 'That’s probably why that box that says ‘none of the above’ is so popular right now.'
— Mayoral performance. Palin, who portrays herself as a fiscal conservative, racked up nearly $20 million in long-term debt as mayor of the tiny town of Wasilla — that amounts to $3,000 per resident. She argues that the debt was needed to fund improvements.
— Stevens and Young, redux. Palin has distanced herself from the state’s two most popular politicians, but both appeared at Palin fundraisers during her 2006 gubernatorial bid.
— The environment. As governor, Palin vetoed wind power and clean coal projects, including a 50-megawatt wind farm on Fire Island and a clean coal facility in Healy that had been mired in a dispute between local and state governments.
— And, maybe, censorship. According to the Frontiersman newspaper, Wasilla’s library director, Mary Ellen Emmons, said that Palin asked her outright if she 'could live with censorship of library books.” Palin later dismissed the conversation as a “rhetorical” exercise.
Result number: 143
Posted by Steve on 9/05/08 at 18:22
I usually wear 38 R Birk Arizona. CPED suggested to go with 38 in Birko Balance. I am having lot of issues with the insert. My right foot kind of slides forward if I wear the insert. Also I feel uncomfortable all the time when walking with the insert. I have a flexible flat feet.
Is it the size issue or is it not the right kind of insert for me? Even though it was tweaked couple of times, have no change in the insert's behavior. CPED has completely given up. Including the insert and fees for modification I spent around $140. And now the insert is collecting dust.
Any recommendations please?
Result number: 144
Posted by marie:) on 9/01/08 at 20:01
Steve - so you think we wouldn't go to war to protect our oil interests? Did I ever state that I thought we would seize their oil or their reserves???? NOPE. Who said anything about selling it for below market price? Not me. ????? I have never said we went into Iraq for oil but I believe that was part of it. I would expect our leaders to protect our oil interests irregardless of the nation. That's what leaders do. We are so dependent on oil that all it would take is for OPEC to cut us off and the USA would cease to excist as it does today. That's reality.
It's a business deal that means someone at this end of the pipeline might get a job or a boost in their economy. Unfortunately the end of their pipeline is in China.
In the meantime we have an astronomical deficit, in part due to the war. Our people have bore the burden of a nation who has so many internal struggles that we have had to remain in there in force just to protect them from each other.
Result number: 145
Posted by SteveG on 9/01/08 at 12:02
Marie - so you do think that it was about oil and this China deal shows that they have betrayed us or they did not understand what we were expecting to get out of it in the end? I agree that we are dependent on oil, but I never thought that we would seize and control their oil reserves or, via some veiled threat, force them to sell it to us at far below market price.
Result number: 146
Posted by SteveG on 8/31/08 at 22:56
Marie - I understand what your saying, but this is part of their having and being an autonomous nation. It also shows how silly alot of the talk was about how the whole war was a thinly disguised grab for their oil. I knew at the time that they would sell the oil to whoever waved the most money in their face.
Result number: 147
Posted by Steveg on 8/26/08 at 21:20
My daughter seems to have this also. Does this have long term effects if not treated? We have her wearing a boot cast at the present time due to a doctors visit, but Seavers disease was not mentioned. Does this seem like a proper treatment?
Result number: 148
Posted by Rick R on 8/26/08 at 07:12
Great stuff, a bit disturbing, but great.
Result number: 149
Posted by Dr. DSW on 8/23/08 at 08:46
I have some points to make:
1) NEVER listen to pessimists like 'Steven', who have absolutely no if and when you will get better in one week or one year. He is not qualified to make that statement, and it is a completely irresponsible statement for ANYONE to make that statement that hasn't evaluated you personally, even a medical professional.
2) As a doctor that treats this condition dozens of times weekly for over 23 years, I can assure you that despite this website, the OVERWHELMING majority of patients have complete resolution of their symptoms in a relatively short time. Once again, those that don't have discomfort have no need to visit this site. Therefore, when visiting this site it often seems that no one with PF ever seems to get better.
3) You are in EXCELLENT hands. The doctors in Weil's group are all highly skilled and qualified, and certainly are more qualified to answer all your questions than anyone on this site.
4) Therefore, instead of obtaining misinformation or conflicting views on this site, from other patients that don't TRULY know anything about your particular case, I would strongly recommend you place your confidence in Dr. Weinberg and address all your questions to him. I assure you that he is more than qualified to address all your concerns.
Result number: 150
Posted by SteveG on 8/23/08 at 00:32
Is mexico showing signs of becoming a failed state? It seems like there are more and more stories in which police officers and government officials are being gunned down in the streets, often in open daylight, kidnapping of government official or their children,open warfare between drug cartels, etc. This post also comments on the role of oil in the process -
Result number: 151
Posted by SteveG on 8/22/08 at 20:36
Goodness. Seems a bit abrupt
Result number: 152
Posted by SteveG on 8/21/08 at 18:51
Another interesting piece -
Result number: 153
Posted by rawn t on 8/21/08 at 13:46
Thanks for the compliment! I havent recorded anything recently that is available.
If anyone out there would like to contact me about their sugery (the Dellon procedure) I would apprecite it. http;//rawnsteventakacs.com
Result number: 154
Posted by rawn t on 8/20/08 at 21:08
Email addresses are not being accepted on this blog. Please contact me through my website on the contact page http://rawnsteventakacs.com
Result number: 155
Posted by MargaretY on 8/20/08 at 15:10
Thanks Jen & Steve, I'm feeling good about the potential for the Dornier option. My appointment is tomorrow, so I'll find out more then. I have pain in both heels, and arch pain as well in one foot. I'll see what they have to say about that. -my
Result number: 156
Posted by Jen R on 8/20/08 at 07:39
Again...I am not a doctor...but from my research there is a huge different between the Ossatron & Dornier. The most obvious difference is that the Ossatron is done in a hospital setting under anesthesia while the Dornier is normally done in a doctor's office using a local block and ultrasound guidance to detect the most inflammed part of the PF.
I agree with Steve that the Dornier is the better/safer way to go. In my research I found that because of the anesthesia and more powerful shockwaves...there are more potential risks with the Ossatron. While the Dornier is not 100% guaranteed...negative side effects are very uncommon and the worse case scenario is that it wouldn't help you (but it shouldn't hurt you).
Dr. Z is our resident guru on ESWT so hopefully he can give you more precise information...but I think you are on the right track.
Good luck...and I'm glad that you got the second opinion.
Result number: 157
Posted by SteveG on 8/19/08 at 21:34
The Dornier is the better choice. It has the ultrasound and you are done pretty fast. I have had both high and low energy treatment - the high with the Dornier. They treat the heel, so if your pain is in the arch, you are, unfortunately, not a good candidate. However, this may have changed. I had the treatment 4 years ago.
Result number: 158
Posted by Sheila on 8/16/08 at 19:48
I had the surgery and have almost no pain. Mine was yesterday morning and I'm walking just fine with very little meds for pain. My doc does things differently. He said so many times patients have the same problem cause surgeons close the wound and close it tightly, then tell people not to walk on their foot! This causes the nerve to become trapped in the scaring and healing process. I left walking on the OUTTER part of my foot, with kind of a stiff walk. Try talking to yur doctor. Also, there are typically three places that have to be addressed during this surgery, if they are not, you will not get better. Steven Smith, MD or DO (can't remember) with Tulsa Metro foot and ankle specialist. Give him a call. I have found it's worth the trip to get a fix. Pain sucks. This man is a genius. After 8 years of floating docs he finally figured out all my leg, back, hip, and foot pain was because of my foot!
Result number: 159
Posted by SteveG on 8/15/08 at 18:59
Not tried therapy - do you mean ESWT or Topaz. I would spend the money before I let them cut my feet
Result number: 160
Posted by john h on 8/08/08 at 12:06
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E-mail this to a friend Printable version
Oil 'could hit $200 within years'
Rising oil prices push up the cost of other items such as petrol and plastics
A serious oil supply crisis is looming, which could push prices above $200 a barrel, a think tank has warned.
A 'supply crunch' will affect the world market within the next five to 10 years, the Chatham House report said.
While there is plenty of oil in the ground, companies and governments were failing to invest enough to ensure production, it added.
Only a collapse in demand can stave off the looming crisis, report author Professor Paul Stevens said.
'In reality, the only possibility of avoiding such a crunch appears to be if a major recession reduces demand - and even then such an outcome may only postpone the problem,' he said in The Coming Oil Supply Crunch.
Result number: 161
Posted by SteveG on 8/06/08 at 11:52
JDF - I have had the high-energy treatment. I would lay off the elliptical trainer in general. If you stand behind people that are using it you will notice that they come up on the balls of their feet. This puts strain on the fascia. I use a stationary bike.
Result number: 162
Posted by Steveg on 8/01/08 at 23:53
Susan - I have found our disagreements cordial and reasonable
Result number: 163
Posted by Steve W on 7/28/08 at 22:47
HiYa Jen...It is me. I sent you an email.
Got your email as well Dr. J. You should be hearing back from Jerry Prater soon. We have a few preliminary issues we need to hash over with Don, and then I would like to work with a couple of our docs here in Birmingham to experience the outcomes first hand. But if it's everything I'm hearing, I am very much looking forward to working with the technology.
Talk to you soon.
Result number: 164
Posted by Dr. Z on 7/27/08 at 18:38
If you e-mail me at foot.care at verizon.net I will look in my contacts at my office. Maybe Steve will come back to this site and help you. The device he is going to use is the NEO GEN EST device. This is distributed by Outcome Medical from Georgia. I have personally used this device in my office for both acute and chronic pain over the past six months with very good results. This is a protocol that takes place over 30 days. Go to www.outcomemedical.com
if you want to read about this technology.
Result number: 165
Posted by Barb on 7/27/08 at 16:52
Would you please give me the needed info so that I can contact 'Steve W in Birmingham Alabama'. I am in desperate PAIN and he may be an option for me.
Result number: 166
Posted by Jen R on 7/25/08 at 11:48
I tried to send you an email using the address I had for you but it did not go thru. If you are the Steve that I met at Dr. Roberson's office in Birmingham, Alabama could you please email me at jenross24 at hotmail.com? Thanks!
Result number: 167
Posted by Suzy D on 7/25/08 at 09:04
I agree about the Cymbalta. It seems to take the focus off the foot pain and also helps with sleep pattern. It has not helped as much as for you, Steve, but has allowed a more normal life. Combined with a low dose of Methadone, there is less pain in feet.
Result number: 168
Posted by Suzy D on 7/25/08 at 09:04
I agree about the Cymbalta. It seems to take the focus off the foot pain and also helps with sleep pattern. It has not helped as much as for you, Steve, but has allowed a more normal life. Combined with a low dose of Methadone, there is less pain in feet.
Result number: 169
Posted by Steve on 7/24/08 at 14:56
A pain management specialist. He was an MD. Hope this helps.
Result number: 170
Posted by Steve on 7/24/08 at 12:21
I have have very similiar symptoms to you. I too have tried almost everything. My main symptom is burning especially when I sit with shoes on. I have had problems for about 8 years. In addition to always using orthotics, never going bare foot and stretching, I have been taking some RX for a few years now. I take Lyrica and Cymbalta. They both help alot. Especially cymbalta. I was very concerned about taking an anti depressent for this but I figured I would give it a try. It has really helped. I still have some pain but I live a 90% normal life. My foot pain is not my focus any more. I also can do everything I use to do. Like hike and take long walks. Some how the cymbalta makes me not think of the pain and go on with my life.
Result number: 171
Posted by SteveG on 7/24/08 at 10:58
I knew the Chinese were supplying arms to some dubious characters, but I did not know they were building the homes they hide in, etc.
Another interesting case will be when some 'leader' tries to nationalize all the industry and boot 'em out, like Idi Amen did - or like the white farmers under Mugabe.
Result number: 172
Posted by john h on 7/24/08 at 10:32
Steve G: I have never read anything on this. If the Chinese are indeed making any plans for Africa they will sure run into big problems when they reach North Africa which is largely Muslim. The Muslims will fight you until the death and the Chinese will find out what Russia, The British, the U.S. and the Crusaders have found out. That fighting Muslims in their territory is an unending battle that will drain you of your resources and people for decades. The Crusaders ran into the same problem and it has continued since Mohamed wrote the Koran.
Result number: 173
Posted by Jen R on 7/24/08 at 06:17
Is this the same Steve I met in Alabama??
Result number: 174
Posted by SteveW on 7/23/08 at 23:18
Hi Dr. Z!
Long time no chat. Don't know if you remember me but you and I used to have debates about Ossatron vs. Eops Ultra here years ago. Sorry to butt in on the thread but I just wanted to stop by and see if you're still moderating. I think the last time we spoke was by phone as I was treating with the Orthospec.
I assume we'll be talking soon. I'm 2nd in command at Lenox now next to Jerry Prater and it looks like we will be working with you guys on EST. We're excited about the technology. Don claims you're getting fantastic results. Assuming we experience the same, I think we can make a significant impact in the market in a short time. I'm looking forward to working with you on this.
Talk to ya soon.
Result number: 175
Posted by Steve G on 7/22/08 at 21:27
I thought this was very interesting
Result number: 176
Posted by SteveinVa on 7/18/08 at 11:23
2 years ago I had surgery to repair both my longus & brevis tendons. The longus was so damaged that it was excised and sutured to my brevis above the ankle bump. The brevis was less damaged and was debrided--no transfer was deemed necessary. Recovery was very slow but by Feb 2008 (18 mos. after surgery) I was contemplating starting to run again. Up to that point I had been biking and using the eliptical and was almost pain free.
In early March 2008, while standing barefooted, I noticed a burning/bee sting/stone bruise pain on the underside of my foot between the 4th & 5th met. I had no pain while not bearing weight. The pain worsened steadily and my doctor ordered an MRI which showed no interspace lesion, no neuroma, no plantar plate fracture or rupture, and no metatarsal stress fracture.
In walking incorrectly to avoid the pain underneath my foot I developed severe pain in my hindfoot/ankle where my tendon surgery occurred. Dr. had me non weightbearing in a split for 6 weeks and ordered therapy. After 6 weeks I was able to slowly increase weightbearing and was finally able to walk almost painfree and return to short intervals on the eliptical and bike. However, now my pain in the 4th interspace is back (it had subsided while non weightbearing). Dr. thinks my nerve is irritated by poor biomechanics. He also says he has never seen a neuroma in the 4th interspace. He gave me some inserts and I'm doing some message & ultrasound therapy but I don't seem to be improving. Any thoughts about what this condition may be?
Thanks very much.
Result number: 177
Posted by Rick R on 7/15/08 at 17:03
I hate to admit it but I first heard of this listening to Michael Savage a few months ago.
Result number: 178
Posted by Rick R on 7/15/08 at 07:07
Indeed quite informative. Sometimes I even question the intentions. Where would our social engineers like to take us. There is no doubt a movement to redistribute wealth and in this case have the earners underwrite the risk for others. But I'd like to know where it stops. Is there an end state vision and if so what does that look like. Or is there an endless pandering for votes with no regard to where it will take us; perhaps a complete ignorance of long term consequences, or worse yet a complete disregard for the consequences.
Result number: 179
Posted by marie on 7/14/08 at 19:27
CNN did a great job of explaining how it all evolved. I didn't really begin paying attention myself until last fall.........I was amazed at how quickly it all came about.
Here is a transcript
Result number: 180
Posted by Steve G on 7/14/08 at 15:57
John - I thought it was quite interesting. I remember all the rhetoric about 'expanding the American dream' and 'making housing more affordable', but I did not start to connect the dots until today.
Result number: 181
Posted by john h on 7/14/08 at 13:36
Steve G: Very informative post of which I was not aware. Just another example of the Government getting involved in the business world. Sort of an example of social engineering in a sense. An example of lenders being blamed by the public for a problem created by government. Good intentions gone terrible wrong which any good lender could have and should have seen the outcome. Every American does not deserve a house. It is not written in the Constitution that we all deserve a house or a car or anything else. We are guaranteed the right to pursue the dream to own a house or a car. More and more our people look to the government as the provider of everything. The only money the government has is what they take from the citizens.
Result number: 182
Posted by SteveG on 7/14/08 at 11:55
From a blog post this morning -
Normally, financial crises happen because really, really rich people screw up, because they're the ones who have most of the money. Yet, the mortgage meltdown is much more egalitarian in origins than the typical collapse. For instance, until a few months ago, mortgages backed by the now tottering Fannie Mae and Freddie Mac were capped at $417,000. Certainly not all, but some of the blame should rest on the bipartisan consensus to social engineer the home ownership rate above the 64 percent level, where it had been stuck since the 1960s.
Here are some excerpts from my June 22 article in Taki's Magazine on 'The Diversity Recession:'
In 1992, Congress passed the Government Sponsored Enterprises bill, which set “targets” (i.e., quotas) for Fannie Mae and Freddie Mac, which are quasi-governmental publicly-traded for-profit thing-a-ma-bobs, to encourage “affordable” and “underserved” (more or less minority) home loans.
Both the Clinton and Bush departments of Housing and Urban Development raised the quotas repeatedly. For example, initially, the Clinton Administration required 21% of these quasi-governmental mortgages must go to ”underserved areas” (which are officially defined as “low-income census tracts or in low- or middle-income census tracts with high minority populations'), but the quota for 2008 established by the Bush Administration is 39 percent.
Reuters reported October 13, 1999:
'The mortgage industry intends to pursue minorities with greater intensity as federal regulators turn up the heat to increase home ownership in underserved groups. ‘We need to push into these underserved markets as much as we can,’ said David Glenn, president and chief operating officer of Freddie Mac. …
'In September, Freddie Mac launched a new lending program, based on research done in collaboration with five black colleges, to bring more African-Americans into the market.
'The federal government in the meantime has increased pressure on lenders to seek out minorities, as well as low-income groups and borrowers with poor credit histories.
'Fannie Mae recently reached an agreement with the U.S. Department of Housing and Urban Development to commit half its business to low-and moderate-income borrowers. That means half the mortgages bought by Fannie Mae would be from those income brackets.'
Now, even the head of Freddie Mac has protested that the quotas have become “perverse.” On March 12, 2008, Bloomberg News reported:
'Freddie Mac Chief Executive Officer Richard Syron said he’s urging changes in federal rules that enabled too many low- and moderate-income Americans to buy houses they can’t afford. It’s ‘perverse’ that Freddie Mac and Fannie Mae, the two biggest providers of money for U.S. home loans, have been encouraged ‘to put people into homes that they end up losing,’ Syron said at a meeting with analysts and investors in New York.'
Ironically, Syron helped get us into this mess when he was head of the Boston Fed. His Freddie Mac biography boasts, “Syron also was sponsor of a landmark study on racial discrimination in mortgage lending …”
… Straightforward tax-and-spend programs were out of favor in the 1990s, but lean-on-lenders for the benefit of your political constituents is always in season.
For instance, an article entitled “Fannie Mae Bending Financial System to Create Homeowners, Says Raines” reported in 2000:
'Yet home ownership is unevenly distributed in society, [Fannie Mae head Franklin] Raines said. He quoted the famous pronouncement by W.E.B. Du Bois, in The Souls of Black Folk in 1903, that the problem of the 20th century is the problem of the color line. Du Bois also observed that the size and arrangement of people’s homes is an index of their condition…
'In the early days of the movement, he said, there was a significant commitment of government funds. … Now, said Raines, more money is being invested in community development through private mechanisms, including Fannie Mae, which works through mainstream lenders to reach out to underserved communities.
'During the 1990s, Fannie Mae pledged $1 trillion in capital over seven years to boost home ownership among underserved populations. Last spring, said Raines, the commitment was completed ahead of schedule, and Fannie Mae pledged a further $2 trillion to assist 18 million families during the next decade.' [More]
A trillion here, a trillion there, pretty soon you are talking about real money.
Bill Burnham explains how Fannie Mae and its supposed competitor Freddie Mac work here. Essentially, they figured out in the 1980s that they had a license to print money, as long as Congress didn't take it away:
Fannie Mae’s only significant problem thus became that the supply of mortgage securities would prove insufficient to fund its projected earnings growth (which was well above the projected growth in mortgage debt). As a result Fannie began a series of largely successful political campaigns to increase the volume of mortgage securities available to fund their habit. Theoretically, the easiest way to increase the supply of mortgage securities was to get the federal government to increase the size limit of mortgages that Fannie could buy and guarantee, but this was a very difficult political fight for Fannie to win because commercial and investment banks dominated the so-called “jumbo” mortgage market and, already smarting from Fannie’s dominance of the so-called “conforming” market, they had drawn a line in the sand in the jumbo market and committed most their lobbying resources to keeping Fannie’s size limit as low as possible.
Moral Hazard vs. Mo’ Money
While Fannie still fought to increase its size limits, it quickly found another, much more politically palatable, way to increase the pool of mortgages it could buy: it dropped underwriting standards under the guise of increasing “home ownership” and “affordability”.
Traditionally, Fannie had required the mortgages it purchased to be so-called 80/20 mortgages wherein the borrower puts at least a 20% down payment on the mortgage. This was a requirement because residential mortgages in the US are a “no-recourse” loan in which the borrow can generally “walk away” from the loan with no recourse to the lender other than seizing the house and reporting the default to a credit agency. A 20% down payment was generally thought to be enough to dramatically limit the moral hazard of borrowers “walking away” because housing values would have to decline 20%+ for the borrower to be underwater and even then the borrower would still face the prospect of losing their own sunk capital which makes walking away even more difficult from a psychological perspective
The problem with a 20% down payment is for many people it was very hard to come up with that big a down payment and thus it limited the total size of the mortgage market which in turn limited the volume of mortgage securities that Fannie Mae could purchase for its golden goose. While the obvious solution to this problem is just to lower the down payment requirement, Fannie couldn’t do this unilaterally because the government unit that regulated it would see such cuts as needlessly raising Fannie Mae’s risk profile. Far more politically astute that that, Fannie Mae began a campaign to increase “home ownership” and “affordability”. It created a home ownership “foundation” which opened offices in almost every congressional district and promptly set about mobilizing all the local advocates for “affordable” housing to put pressure on their elected representatives to let Fannie Mae offer “affordable housing programs”. Of course, “affordable housing problems” was just a euphemism for allowing Fannie Mae to lower its underwriting standards so that more mortgages could be created and the golden goose could thus kick out more golden eggs.
This proved to be a highly effective political coalition for Fannie Mae. Not only did they build a huge network of grass roots political supporters through their “foundation”, but politicians saw political advantages in supporting the programs because it cast them in the role of trying to help families buy a new home (as opposed to lowering underwriting standards to help a giant corporation keep up its earnings growth by taking a free ride on the US government’s guarantee). Even commercial banks and investment banks signed on to the program because it at least resulted in higher origination fees and an expanded credit market, even if most of the assets ultimately went to Fannie Mae and Freddie Mac.
Fannie Mae's 'grassroots' allies are all over the political spectrum, including the far left. Barack Obama's friends at ACORN are in deep with Fannie Mae.
Paul Jackson at Housing Wire writes:
It wasn’t that long ago, after all, that nearly everyone was swept up in “the Ownership Society” — with the White House issuing press release after press release challenging lenders to loosen their credit standards and make riskier loans to minorities in the name of “expanding homeownership.” Consumer groups often even partnered with lenders to make riskier loans to the very minority groups they’re now indignantly suing lenders for lending to.
Let’s take a trip down memory lane, shall we? Consider this press release from Citigroup in September of 2004, which finds ACORN and Citi happily holding hands and pushing “the goals of both organizations to promote homeownership in low- and moderate-income neighborhoods, especially in immigrant communities.”
From the press statement:
“With this agreement, ACORN will be able to expand our mission of strengthening communities by helping low- and moderate-income families, including new immigrants to this country, become homeowners,” said Maude Hurd, National President of ACORN.
It’s not as if Citi and ACORN were the only ones jumping deep into subprime lending together, either. Economic policy research at the time centered on how lenders were denying loans to those with poor credit, often minorities; consider the following conclusion from a September 1999 study:
The Urban Institute report issued today says that “not all Americans enjoy equal access to the benefits of homeownership, in part because of unequal access to capital.”
“Fair lending” essentially became synonymous with a universal lowering of credit standards — and as lenders loosened credit standards, community groups cheered, and the White House lauded the commitment to “expanding homeownership.”
Legislatively, President Bush went so far as to propose eliminating down payment requirements altogether. In a September 2004 press statement, administration officials touted a so-called “Zero-Downpayment Initiative” that would eliminate the statutory requirement of a minimum three percent down payment for FHA-insured single-family mortgages for first-time homebuyers.
Even when we had clear data suggesting that lending to people who couldn’t afford their loans would likely end up badly, we ignored it. Consider this story from April 2004, which noted a Fannie Mae study that found that 49 percent of English-language Hispanics, 46 percent of Spanish-language Hispanics, and 42 percent of African Americans cited “credit concerns” as the primary reason they had not yet bought a home.
Instead of realizing that borrowers’ concerns over their credit and finances might actually be valid, we — and that means everyone, from lenders to legislators, to community and consumer groups — decided to convince them otherwise, out of the belief that being part of the “Ownership Society” trumped small-minded credit concerns. There was a bigger experiment in social progress at stake, after all.
We unfortunately now know all too well how well pursuing “greater access to credit and capital” turned out, not only for ACORN and Citi, but for nearly every lender and consumer group out there that bought into the strange and wonderful ethic of “the Ownership Society.” None more than Countrywide Financial.
Result number: 183
Posted by Steve Z. on 7/05/08 at 13:48
I had the procedure done three weeks ago in Crosslanes, West Virginia by Dr. Steven Melek. I am still healing from the procedure, so to be completely honest fair, I will not yet call it a complete success nor a total or even partial failure....just too soon to tell.
Dr. Melek was VERY communicative and accomodating throughout planning, during my visit with him, and since the procedure. I cannot compliment him enough for being so patient-oriented.
The procedure was very similar to any of the videos you can find online, except that Dr. Melek actually froze three distinct areas in my heel rather than a single one. This, of course, made the procedure last longer. I was still in and out in 90 minutes, and I walked out on that foot with nothing more than a slightly-loosened Teva sandal. The worst part of the procedure was the second of the four lidocaine injections I received, which must have been 'right on the spot'. It was only slightly worse than the worst of the cortisone shots I had previously received...only it lasted considerably longer. (If I'd had a bullet, I'd have bitten it in half.) Once over that hump, the rest of the procedure was absolutely painless. There was virtually no blood, and I experienced no post-operative bruising. The next day was a bit sore, but not bad, and I was walking on it with only a small bandaid over the tiny incision....just resting a lot.
At this point, there is still some soreness on the bottom of the heel, but I think I may have brought some of it on myself when I accidently 'twisted' the heel when barefoot on a hardwood floor...I think I may have undone some healing which had taken place to that point.
Overall, my pain started out a 10...very constant throughout the day, heightened in the morning, and frequently burning and throbbing at night. Right before I 'twisted' it, it averaged a 3-4 with long periods of total painlesness. Now, since the little accident, it averages 4-5, still with periods of total painlessness. I am being VERY careful to wear good-fitting shoes with good orthotics, which helps immensely during the day.
I greatly prefer the procedure to cortisone injectinos thus far, and even if an area was 'missed' and I had to repeat the procedure to eliminate it, I will do so gladliy. I can tell already that I will be satisfied with the ultimate results.
If you would like more detailed information, please feel free to email me at srz at maysvilleky.net. I would be happy to assist you in making contact with Dr. Melek.
Result number: 184
Posted by Dottie on 6/25/08 at 20:45
I absolutely love my surgeon (as does my sister who works in a law firm that does med-mal cases), Dr. Steven Frank at the St. Louis, MO, offices of Feet for Life. The website is www.feetforlifecenters.com
Before my surgery today, my big sister was very worried and he spent a long time - in the pre-op area at Missouri Baptist Hospital - teaching her about what TTS was and where nerves can be constricted. He explained what he did on during my prior surgery and what he was going to do today. I felt like I was a model at a teaching hospital. It was pretty cool since I learned a lot myself...even if the anesthesia has now made it a little fuzzy. He is kind, compassionate and LISTENS to his patients. I initially saw him when he was at another practice and the reason he did not do my first surgery is because I could not find him since he had moved. After my 1st surgery was a TOTAL cluster and I was in agony, Dr. Frank popped up on my Aetna Insurance list of podiatrists at a new location/new practice group. I called and told the receptionist how excited I was to find him again. She said 'Oh, everybody says that...his patients love him!'
I am a very sensitive person and I am an emotional person. I appreciate medical professionals who treat me like a human being and don't blow me off because I'm scared or emotional. Nothing p*sses me off more than someone treating me in a condescending manner. Both Dr. Frank and his assistants really were kind to me during one especially frightening visit...a day I decided I was not ready to have the right foot done. I was shaking and crying like a big doofus! But they were so honestly wonderful in making me feel OK about everything. I cannot say enough good things about the folks at Feet for Life in St. Louis.
Of course, this is just my opinion and my own personal experience. I am sure most people here have good things to say about their surgeons. I would not want to imply anything negative about anybody (except perhaps the two podiatrists who will remain nameless that were less than helpful to me).
Keep the faith! There are good podiatrists out there...it took me eight years of conservative treatments that did not work and more doctors than I could list here but I am happy that I finally found the right one for me.
Plus I write too long of posts and I also talk too much. I am sorry! I can't help myself.......
Result number: 185
Posted by Dottie on 6/23/08 at 14:29
My very first podiatrist (who initially diagnosed me with TTS) pretty much told me there was nothing that could be done. He didn't even do the surgery anymore because he didn't believe in it. My next surgeon did my first surgery and although I am sure many of his patients love him, he missed a muscle constricting my nerve which my third surgeon found during my re-do. Also the PF release during my 1st surgery hurt me big time. He also didn't listen to me when I kept saying something was wrong. Then he wanted to just cut the nerves to my foot. I never went back again.
My now surgeon is Dr. Steven Frank, an incredibly compassionate understanding surgeon. I'm kindof a pill (kindof is an understatement) and he tolerates me so he must be a saint. He currently works with the St. Louis office of Feet for Life. Feet for Life does the Topaz method for plantar fasciitis. If only I had found them earlier, I wouldn't have had the problems I endured from the PF release. (Hindsight is 20/20) Anyway, I recommend Dr. Frank to anyone who is looking for a local wonderful podiatrist/foot surgeon. Their website is www.feetforlifecenters.com
Result number: 186
Posted by Rick R on 6/18/08 at 15:28
They had high school back then? Sorry I just had to. And how about those old Hawks! I used to run into Stan Mikita on a fairly regular basis back in the 80's. I left him alone and treated him like any other guy I kept running into. We used to stay in the same hotel right next to Harry & Steve's in Mesa Az. where I'd encounter the cubbies from time to time. Never really knew any of the big time guys. A couple of guys in the league my son plays in and I still coach a wee bit with got drafted so who knows. I got a bit of training from Larry Bitner, great guy.
I learned a new trick for action, the new puppy is a chick magnet. Now if I could only take him into the grocery store.
Result number: 187
Posted by Steve on 6/16/08 at 07:05
Anyone out there with more up to date information on successes with this gel? I have my second surgery coming up soon to remove my plantar fibromatosis (second attempt the first one was only just over a year ago) so am interested in anything that can help
Result number: 188
Posted by Susan on 6/15/08 at 10:41
I've mentioned The China Study' before, but maybe it's time to post another excerpt from it. I'm sure SteveG will think it's all nuts and quackery, since surely the medical industry knows what it's doing, and cannot be wrong.
From 'The China Study' by Colin Campbell, PhD:
'I will not ask you to believe conclusions based on my personal observations, as some popular authors do. There are over 750 references in this book, and the vast majority of them are
primary sources of information, including hundreds of scientific publications from other researchers that point the way to less cancer, less heart disease, fewer strokes, less obesity, less
diabetes, less autoimmune disease, less osteoporosis, less Alzheimer’s, less kidney stones and less blindness.
Some of the findings, published in the most reputable scientific journals, show that:
• Dietary change can enable diabetic patients to go off their medication.
• Heart disease can be reversed with diet alone.
• Breast cancer is related to levels of female hormones in the blood, which are determined by the food we eat.
• Consuming dairy foods can increase the risk of prostate cancer.
• Antioxidants, found in fruits and vegetables, are linked to better mental performance in old age.
• Kidney stones can be prevented by a healthy diet.
• Type 1 diabetes, one of the most devastating diseases that can befall a child, is convincingly linked to infant feeding practices.
These findings demonstrate that a good diet is the most powerful weapon we have against disease and sickness. An understanding of this scientific evidence is not only important for improving health; it also has profound implications for our entire society. We must know why misinformation dominates our society and why we are grossly mistaken in how we investigate diet and disease, how we promote health and how we treat illness.
These findings—the contents of Part II of this book—show that heart disease, diabetes and obesity can be reversed by a healthy diet. Other research shows that various cancers, autoimmune diseases, bone health, kidney health, vision and brain disorders in old age (like
cognitive dysfunction and Alzheimer’s) are convincingly influenced by diet. Most importantly, the diet that has time and again been shown to reverse and/or prevent these diseases is the same whole foods, plant-based diet that I had found to promote optimal health in my laboratory research and in the China Study. The findings are consistent.'
Result number: 189
Posted by SteveG on 6/13/08 at 14:49
The study of the fundamental nature of knowledge, reality, and existence, esp. when considered as an academic discipline. See also natural philosophy. This pretty wells sums it up. At the highest level you can think of it as three inquiries:
1. What we know – called epistemology
2. What exists – called metaphysics
3. What’s worthwhile – ethics, social philosophy, aesthetics
1 concerns the nature of knowledge and justification. So, for example, Scott R’s view that science alone provides knowledge (or justified belief) and that philosophy is worthless musing describes his epistemology and social philosophy.
According to the local bookstore, metaphysics is concerned with Tarot cards, crystals, etc. When philosophers use the term they are mainly referring to what is called ontology (your view about what exists). For example, I saw a program on Nova recently about pure mathematics. The show made the point that the vast majority of pure mathematicians are Platonists. Meaning that they think that sets and numbers, for example, are “abstract objects” and that they exist independently of thought and language. That mathematical truths are “discovered” not “invented”. So their “ontology” includes (in additional to cars, tables, and chairs) things like sets and numbers. As they name suggests, it was Plato who first suggested this view.
When asked to justify this sort of claim (their epistemology) they would note that my belief that 3+3=6 is true. It’s not an empirical claim – if someone came up to my desk today and said that there were some objects in the lobby and that when you counted them 3+3=7, I would dismiss such talk with a wave of my hand. The number “3” is not located in any place or during a period of time etc, etc.
Value theory concerns the stuff I mentioned – ethics, social philosophy, aesthetics.
And the study of the theoretical basis of a particular branch of knowledge or experience : the philosophy of education. For example, Scott laid out his “philosophy of education” in some of this recent posts. I wasn’t clear if he thought English professors should be thrown off campus, but it’s clear he regards them as very suspect.
Result number: 190
Posted by SteveG on 6/12/08 at 13:55
No, Fodor is not claiming that the local hospital should not do brain scans or that it does not provide diagnostic information. But as I say, here, I think, is the root of our disagreement. Take your premise
Understanding how every piece of the brain works, and how the pieces work together, is the only way to really know how our minds work (let’s call this P).
But, contra P, cognitive psychology is constantly coming up with and testing theories about long and short term memory, how concepts are used in making inferences, etc, etc, without needing or hoping to get insight from neurological investigations. Our friend John H has the following views:
• There are moods – being depressed
• There are beliefs – J believes that interest rates will go down
• Beliefs can have different content –
o J believes that (he has plantar fasciitis)
o J believes that (he has arthritis)
o J believes that (interest rates will go down)
• This content is composed of concepts that can be used for different beliefs (beliefs are compositional) -
o J believes that (arthritis is painful)
• Different mental states can have the same content -
o J hopes that (Obama will be defeated in November)
o J doubts that (Obama will be defeated in November)
None of this required any insight from brain scans. In fact, there are limits to how much of the above list neurological investigation could overturn. Let’s say they discover that the following beliefs occur in EXACTLY the same place and under the same conditions in the brain:
J believes that (he has PF)
J believes that (he has arthritis)
Would he infer “I thought they were different beliefs, but I guess not”? And what If, it turns out, nobody ever does find a brain region that’s specific to thinking about arthritis or interest rates? Would that seriously be a reason to doubt that there are such mental states? Or that they are mental states of different kinds? Or that they occur in the brain? All of this shows, I think, that our views about the mind (and how we justify those views) are independent of whatever views we might have about the molecular structure of synapses and neurotransmitters.
And, although I think that brain scans can provide important information about the correlation between brain states and mental states, and that this is crucial for advances in how we treat neurological diseases, I don’t think AI or cognitive science should look to neurological investigations for guiding research programs in the future. The most important advances in 20th-century psychology are arguably Turing’s proposal for a computational theory of thought and Chomsky’s discovery of the mathematical structure of language. Neither of these emerged from, or was so much as influenced by, neurological investigations.
But I suspect you have a somewhat different view in mind. Namely that neurological investigation will eventually enable us to solve the hard problem. To wit: it is widely supposed that the world is made entirely of mere matter, but how could mere matter be conscious? How, in particular, could a couple of pounds of grey tissue have experiences?
But there doesn’t seem to be anything about matter in virtue of which conscious experience could arise from it; or that if there is, we have literally NO IDEA what it could be. In particular, we can’t imagine any way of arranging small bits of unconscious stuff that would result in the consciousness of the larger bits of stuff of which they are the constituents. It isn’t like other reductionist theories where we can see how X entities can, with certain bridge principles, be reduced to Y entities. For example it’s not like liquids where we can see, more or less, how constituent molecules that aren’t liquid might be assembled to make larger things that are. How on earth could anything of that sort explain the emergence of consciousness from matter?
I want to make clear: I am a physicalist: I think that if there was a person that was, molecule for molecule, in the same neurological state you are in now, that person would be in the same mental state you are in now. What we do know is that brain states “cause” or “give rise to” mental states, but we don’t really have any idea what “cause” or “gives rise to” means in this context or how it works. And, unlike you, I am not at all optimistic that an answer is coming.
Result number: 191
Posted by SteveG on 6/10/08 at 19:49
Scott We understand that's a lot of typing. But we would like to hear your thoughts on my final comment -
But the most interesting part of this discussion has been the hints it provides about the Scott R Theory of Education (SRTE). Let’s say that across the hall from the mornings philosophy class, an English professor is discussing Hemingway’s The Sun Also Rises. Is this fellow also a fraudulent leech of the tax payers money? Or is it only the lady that discusses Plato’s dialogues? If someone in the history department is discussing Locke’s role in the Enlightenment. Is your reaction – fire ‘em, who cares what Locke did and what scientific insight could it possibly provide!
I would appreciate hearing your thoughts on humanities and what role, if any, they should play in the modern university
Result number: 192
Posted by SteveG on 6/10/08 at 14:01
Scott ( and John H) - Another interesting post. Truly your world-view is an interesting one. Going through these
1. Semantic Web.
I believe the “semantics” referred to here is still derivative (contingent on minds), but I will delay that discussion.
2 and 3 above both seem to me misguided and don’t reflect the current role of philosophy . Much of the work in cognitive science and AI is driven by work that was originally done by philosophers – including work in semantics, intentional logic, epistemology, etc. Take, for example, two of the people mentioned above (Barwise and Perry). The theory of semantics they developed (situation semantics) has been widely discussed in AI. The following article in AI magazine lists the workshop described below the link
A workshop entitled “Barwise and Situation Semantics” was collocated with CONTEXT-03 and chaired by Tim Fernando (Trinity College). The workshop was based on the work of Jon Barwise and John Perry on situation semantics, a semantic framework that analyzes context in terms of situations. It provided a forum to discuss what problems, issues, or insights connected with Barwise’s work motivate
And the following article describes a computational model based on the semantic theory Perry and Barwise developed
More generally, much of the driver for work in AI leverages models and theories developed by philosophers. The review listed below makes the following acknowledgement (Searle teaches philosophy at Berkeley) -
How you turn this informal story into a computational system that can take part in conversations is a fascinating, and unsolved, problem. Artificial intelligence and computational linguistics work in this area has very largely been based around attempts to encode Searle's (1969) notion of speech acts in the STRIPS notation for describing actions, and then to use standard AI planning techniques (Fikes and Nilsson 1971; Sacerdoti 1977) to manipulate such actions.
5. I was pointing out that the arguments surrounding the operation of the human brain change as they are proven wrong in the same way arguments about the nature of God change
This is an interesting comment. No doubt views about the operation of the brain changes as new data and better imaging becomes available. Aquinas argued many moons ago that God is
• Exists necessarily (i.e., his existence is not contingent on the existence of anything else).
• Is pure actuality (he does not have any potential)
I am curious as to how you think this view has changed “when confronted with new facts”. And what are these facts?
6. I meant logical thinking when compared to animals, not memory. My 6 pound chihuahua has a better memory and pattern-recognition system than i. I often learn what i am about to do by noticing my dog change in behavior as a result of predicting what i am doing next. This proves she is more conscious than i. There are some things she predicts that i haven't figured out clues she's keying on.
Hmmmm. Perhaps “dog psychology” could be a topic for discussion. For my part, I believe my dog is conscious and has beliefs and desires. I don’t think she has a “better” memory than I do because the list of things she can remember is much more limited conceptually. She cannot, for example, remember that it was Truman who fired Macarthur and ended his career. She has, however, a sense of smell that is detailed beyond my comprehension.
8. By your reasoning, you are the only one who has ever been conscious. It seems you really don't want consciousness to ever be in the world of observable science and that you'll change your definition in the face of any argument to make it something observable and therefore worthy of rational discourse. You insist on forcing it into some mubo-jumbo mystical meta-physical world, probably sitting on the right hand of God. Neuroscience can look at individual neurons firing with brain scans. You have never had a thought, feeling, emotion, or taste that has not been seen in monkeys while doing a brain scan. Look into mirror neurons, for example. This is why consciousness is in the realm of science.
Much of our disagreement turn here, I think. My grandmother did not need brain scans to infer that other people were conscious and neither do we. I think other people are conscious because:
• I am (I cannot really be mistaken about that)
• Other people are obviously like me
• Their actions are explained in terms of their beliefs and desires ( why is Jones raising his hand – because he wants the waiter’s attention and he believes that’s a good way to get it)
When you do a scan you aren’t observing Fred’s consciousness. The brain scan can tell you that certain mental states are associated with certain brain states. Although I don’t quite understand why this is thought to be such a big deal or so insightful. As Jerry Fodor stated in a recent article:
“ what if, as it turns out, nobody ever does find a brain region that’s specific to thinking about teapots or to taking a nap? Would that seriously be a reason to doubt that there are such mental states? Or that they are mental states of different kinds? Or that the brain must be somehow essentially involved in both?”
In fact the whole article is worth a look –
But the most interesting part of this discussion has been the hints it provides about the Scott R Theory of Education (SRTE). Let’s say that across the hall from the mornings philosophy class, an English professor is discussing Hemingway’s The Sun Also Rises. Is this fellow also a fraudulent leech of the tax payers money? Or is it only the lady that discusses Plato’s dialogues? If someone in the history department is discussing Locke’s role in the Enlightenment. Is your reaction – fire ‘em, who cares what Locke did and what scientific insight could it possibly provide!
I would appreciate hearing your thoughts on humanities and what role, if any, they should play in the modern university
Result number: 193
Posted by SteveG on 6/09/08 at 14:02
Scott - Wow, that’s quite a post, and it seems to be addressing a whole slew of different enemies of property thinking. Taking some of these in turn
1. The Chinese room argument uses the fact that most people don't know how to program as a way to obfuscate the subject and draw a desired false conclusion.
No, the argument is meant to show that computers don’t do semantics. It does not have anything to do with how adept you are at writing code. You need minds, not computers, to say “this class refers to current payroll in our software architecture”. Computers aren’t in that line of work. Computers are purely computational (syntactic).
2. Each philosopher invents his own contorted religion with bits and pieces from his favorite prophets. No real-world facts or truths can change their minds. Their thought process is too dedicated to satisfying their own desires. This includes contorting things for mystic pleasure. Religious people stick to very simple tried-and-true thought processes to get around any objections. Philosophers use undefined aspects of words to contort everything beyond their own and anyone else's understanding to arrive as various interesting, mystical, or self-desired conclusions.
I am not sure I follow this part. So, no philosopher can come up with a correct account of the world because they are too dogmatic? Let’s say there is this fellow, call him Scott R., who believes that only well-supported scientific theories provide knowledge. And that the sort of logical and conceptual analysis that philosophers indulge cannot clarify or solve any problems. This would be a PHILOSOPHICAL position, since it is not the sort of thing that can be tested empirically. Any such view about the scope and nature of human knowledge would, ipso facto, be a philosophical position. Are we in agreement about this?
3. Philosophers use undefined aspects of words to contort everything beyond their own and anyone else's understanding to arrive as various interesting, mystical, or self-desired conclusions.
I am not sure who you have in mind or how you understand the discipline. But philosophers play a cutting edge role in AI and systems of communication and representation. Without a doubt, the Center for the Study of Language and Information at Stanford is the cutting edge, and if you look at the various researchers, Perry, Barwise, Zalta, Bratman, etc, are all from the Philosophy department –
4. Besides, to me the Turing test does not directly address consciousness as i described. It is a good test, but an obfuscation if used to define consciousness.
I am with you on this one
5. The history of continually redefining consciousness in the face of new facts is like the history of denying the truth of evolution. It was once thought that logical thinking and memory was the highest forms of human intelligence, and it was what separated us from the animals. To keep their arrogance in the face of computers, people decided consciousness, not intelligence, was the highest form of human experience. Somehow, many decided that human brains are qualitatively different from other animals with the same physical type of brains. Experiments showing consciousness in animals make no difference to them.
This seems to conflate consciousness with intelligence, and I am not sure where you come up with these claims. For example:
6. It was once thought that logical thinking and memory was the highest forms of human intelligence, and it was what separated us from the animals.
Who was it that thought that animals don’t have memory? And how did they account for the fact that my dog goes to the back door to be let out, and doesn’t just pick a door at random. You have to posit memory to account for their behavior. Either that or it‘s just miraculous that so many of their guesses seem correct. And…
7. To keep their arrogance in the face of computers, people decided consciousness, not intelligence, was the highest form of human experience. Somehow, many decided that human brains are qualitatively different from other animals with the same physical type of brains
Someone in psychology argued that, unlike people, animals are not conscious and are really just sophistical automatons? Who was that?
8. Experiments showing consciousness in animals make no difference to them. They'll just change their definition. But i think these days, they have run out of definitions that can avoid all the facts.
There aren’t any experiments showing consciousness in animals. No one can say, “look there it is”. Since it is, as I noted in my earlier post, by nature, subjective.
Well, that should do it for now
Result number: 194
Posted by SteveG on 6/07/08 at 11:48
Although I agree that we have made great technical strides, there are two aspects of your post that I am more skeptical about than you are. To cut to the chase, “minds” have two fundamental properties that nothing else has:
Intentionality – this is the “aboutness” of mental states. When I believe that Dr. Z is a podiatrist, my belief is somehow “about” Dr. Z. Computers don’t have that property – they are purely syntactic. It takes a mind to say and understand “this data element refers to Jim’s payroll” “this wooden post in the ground means stop”. This was the point that John Searle made famous in his Chinese room argument
Consciousness – X is conscious if it “is like something to be an X”, and I don’t think anyone has really an idea how being in brain state C “causes” or “gives rise to” my belief that my wife is mad or the experience of tasting carrots. I am a physicalist in that I think that if a person was, molecule for molecule, in the same brain state you are in now that person what be in the same mental state you are in now. This is, of course, the mind body problem, and I don’t see any widely accepted views out there about how this might work.
In fact, I am inclined to agree with Thomas Nagel that, tempting as it may be to fall back on the familiar kind of reductionist approach which has worked so well in other areas, phenomenal, subjective experience is a special case. Reductive arguments always seek to give an explanation in objective terms, but the essential point about conscious experiences is that they are subjective. The whole idea of an objective account therefore makes no sense - no more sense than asking what my inward experiences are really like, as opposed to how they seem to me. How they seem to me is all there is to them. Any neutral, objective, third-person explanation has to leave out the essence of the experience. The point about conscious experience is that there is something it is like to see x, or hear y, or feel z.
Result number: 195
Posted by SteveG on 6/05/08 at 22:49
Well you have clearly shown that you know how to cut and paste. But I am not sure what you are reading into this article or if you think what you have pasted refutes my last note.
What the article describes is the use of complex computer models to aid in diagnosis and treatment:
'To provide that assistance, Eddy has spent the past 10 years leading a team to develop the computer model that helped him crack the diabetes puzzle. Dubbed Archimedes, this program seeks to mimic in equations the actual biology of the body, and make treatment recommendations as well as figure out what each approach costs.'
And it is through such advances in treatment and diagnostics that medical science will continue to grow and improve. You seem to think or imply that this article shows that medical science is quackery and without any rational support. The truth is that, like geology or any science, medicine learns and grows through the type of process and critical thinking that this article describes. My wife's cousin was just diagnosed with MS, and, although they cannot cure her, they (i.e., medical science) has a much clearer idea of the nature of the disease and can offer her treatment options, like Copaxone, that did not exist when I was a boy.
Result number: 196
Posted by Susan on 6/05/08 at 21:32
May 29 2006
For Eddy, this is one small step toward solving the thorniest riddle in medicine -- a dark secret he has spent his career exposing. 'The problem is that we don't know what we are doing,' he says. Even today, with a high-tech health-care system that costs the nation $2 trillion a year, there is little or no evidence that many widely used treatments and procedures actually work better than various cheaper alternatives.
A great many doctors and health-care quality experts have come to endorse Eddy's critique. And while there has been progress in recent years, most of these physicians say the portion of medicine that has been proven effective is still outrageously low -- in the range of 20% to 25%. 'We don't have the evidence [that treatments work], and we are not investing very much in getting the evidence,' says Dr. Stephen C. Schoenbaum, executive vice-president of the Commonwealth Fund and former president of Harvard Pilgrim Health Care Inc. 'Clearly, there is a lot in medicine we don't have definitive answers to,' adds Dr. I. Steven Udvarhelyi, senior vice-president and chief medical officer at Pennsylvania's Independence Blue Cross.
Coming from a family of four generations of doctors, Eddy went to medical school 'because I didn't know what else to do,' he confesses. As a resident at Stanford Medical Center in the 1970s, he picked cardiac surgery because 'it was the biggest hill -- the glamour field.' But he soon became troubled. He began to ask if there was actual evidence to support what doctors were doing. The answer, he was surprised to hear, was no. Doctors decided whether or not to put a patient in intensive care or use a combination of drugs based on their best judgment and on rules and traditions handed down over the years, as opposed to real scientific proof. These rules and judgments weren't necessarily right. 'I concluded that medicine was making decisions with an entirely different method from what we would call rational,' says Eddy.
Result number: 197
Posted by SteveG on 6/05/08 at 20:01
Susan - I don't mean to set you off, but this some of the most disjointed nonsense I have seen on this site. The first two paragraphs are made up of such sweeping generalizations, that it’s hard to know where to start. But let’s take these one at a time –
“Even today, with a high-tech health-care system that costs the nation so much money, there is little or no evidence that many widely used treatments and procedures actually work.”
What treatments and procedures do they have in mind?? The truth is that medical science has made major strides in my lifetime (I am 50). The bee sting kit that saved my life two weeks ago was not invented by an Apache medicine man. It came as a result of the detailed understanding of allergies and the immune system that science provides. I could list such examples all evening, but it comes down to the following three premises:
1 Symptoms are effects
2 Medical explanations are causal explanations and….
3 The best method we have for discovering the causal structure of the world is the scientific method.
Consider, for example, the AID epidemic. Only the kind of rigorous empirical research that science provides could have explained the nature of the epidemic and its cause so quickly. We could not have keep so many patients alive by going to some medicine man in Cambodia and asking 'What do you make of this mysterious breakdown of the immune system'.
Any any viable treatments that naturopaths provide are going to be dependent on the same type of knowledge. It's not going to come from introspection or be deduced from self-evident axioms; it's going to come from the type of empirical research they do down the street at the University of Washington.
The paragraph about the Nazi must be cut from another article, since I don’t understand how it’s related to the rest of your post.
The final paragraph is also nonsense. My family doctor always emphasizes the need to keep my weight down and exercise. It's not his fault if so many people in our society dismiss this advice. If your family doctor is really that inept, you need to see mine or find a new one on your own.
Moreover, any magazine in the local supermarket will tell you about the need to diet and keep your weight down; you really don't need a doctor to provide this insight. And do you really need a doctor to tell you it is unwise to get a sunburn?
At any rate, this is a really odd and misguided attack on the medical profession and I wonder what has happened to make you this irrational and angry.
Result number: 198
Posted by SteveG on 6/04/08 at 19:55
Paul - It is too early to consider EPF. Note the recent discussion on surgery -
Even the Doctors are wary of it as a treatment option and emphasize that it is a LAST resort. I had a very debilitating case of PF around 2002-2003, and I gradually got better - but it took a few years. Treatments included -
o Loosing 30 pounds
o Custom orthodics
o Foot Trainer
I would exhaust all of my options before I ever considered it, and you are right to be concerned about it. If it does not go well you are in a hell of a fix. I would definitely look into the Topaz procedure first
Result number: 199
Posted by Steve Z. on 5/31/08 at 11:57
I have a chronic case of plantar faciitis that has been haunting me for over a year, now. It took me three months to figure out it was not a stone bruise and get a proper diagnosis. By that time, the inflammation was quite severe. I have tried anti-inflammatories, massage therapy, two cortisone injections, night splints, and a 10 week bout in a walking cast. Nothing has worked for more than 6 weeks max. There seems to be nobody capable of performing cryosurgery in Kentucky. After a long search and several disappointments, I have finally located a podiatrist in West Virginia about 3 hours from my location who will perform the procedure. I am looking forward to having the procedure done, and the relief I expect to get from it. Prior to going in, I would be interested in any advice, questions to ask, etc. Any ideas what I might expect from my insurance company? (Humana) I will share my experiences as they take place.
Result number: 200
Posted by SteveG on 5/05/08 at 18:35
Melissa - here is how I did it. I started going to the mall and walking for 5 minutes. If that did not seem to make my feet worse, I went to 10, etc.
But if you have only had it for 3 months, you are still early in the process. Have your feet improved in the last 3 months?
Result number: 201
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