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Searching file 26

Message Number 260226
Reply Me My Beloved One View Thread
Posted by Cecelia on 8/31/09 at 17:00



Hello My Beloved One in Christ.

I greet you with the name of our Lord Jesus Christ, It is true that this letter may come to you as a surprise. Nevertheless, I humbly ask you to give me your attention and hear me well.

My name is Mrs.Cecelia Smith from Australia. I am married to Dr. Wilson Smith who worked with our Embassy in Lome , Togo for a period of 8years before he died. We were married for 22 years before the death of my husband after a brief illness which led me to adopte a child (Henry, 15yrs). Since my husbands death I decided not to remarry due to my religious belief. When my late husband was alive he deposited the sum of US$5.7m(Five Million Seven Hundred Thousand dollars) with a Bank in Togo. Presently this money is still in the custody of the Bank in Lome Togo. Recently, my doctor told me that I would not last for the next Four months due to cancer illness.

I made a decision after the death of my husband, to establish a charity foundation to help the less privileged in the society and also donate this money to churches, organisation, hoping that I will one day be free from this sickness. I never knew that I am dying with it and very fast.

Since I have no time to accomplish this dream, I want you to use this money and establish a charity foundation for the less privilege people and also make donation to churches, orphanages, widows in your country or any other location of your choice. l took this decision because i know my adopted son alone can not inherit this money. Moreover, my husband relatives are not close to me since I develop a Cancer problem and it had been their wish to see me dead in order to inherit his wealth since i was not able to give birth. These people are not worthy of this inheritance. This is why I am taking this decision.

I don't need any telephone communication in this regard because of my ill-health. As soon as I receive your reply via email ' mrs.cecelia at hotmail.com ' I will give you the contact of the Bank in Togo where this money is deposited. I will also issue a letter of authorisation to the bank that will prove you the present beneficiary of this money. I also want you to always put me in prayer.

Any delay in your reply may give me room to look for another good person for this same purpose. Please assure me that you will act accordingly as I stated herein.

Hoping to receive your response soonest.

Thanks and Remain blessed.
Yours sister in the Lord,

Mrs. Cecelia Smith
Email: mrs.cecelia at hotmail.com

Result number: 1

Message Number 260134

Re: Stimulus is working........ View Thread
Posted by john h on 8/27/09 at 12:16

Actually I do hope you are right and I am wrong Marie. Based on what I see and read I just cannot see much good happening in the next 12 months. In todays world 12 months can be a lifetime. I cannot possible wrap my brain around a 9 trillion dollar debt. Unless we can start reducing it our government treasuries and bonds are going to have to increase their interest rates to attract buyers and the debt will increase even faster. If you and I owe an enormous sum of money we know the bank is not going to finance anything for us or loan us any money. It is as simple as that.

The FDIC who insures all our money in the banks which can be in cash or CD's is running out of money it was announced yesterday. Due to the continuing bank failures. They are probably going to have to receive money from the government (Another bailout). This reported in yesterday's WSJ. This may be the first time this has ever happened since that agency was created after the great depression. Compared to our economic problems healthcare runs a distant second. If the plans coming out of the house on healthcare are adapted there is no way they will be deficit neutral. Personally I think the economist in either party are just guessing and hoping that what we are throwing at the economy in the way of stimulus, taxes, etc will work. Economics is no science and on a global scale ranks up there with witchcraft. When you find economist from such schools as Harvard and Princeton having diametrically opposing views on cutting taxes or raising them then you know we have a problem Houston.

It might be worth noting that Ben Bernake who has just been reappointed comes from the Milton Friedman school of economics which says the market economies are relative stable if left to themselves and depressions are a result of government intervention. Others will have other views but for the next 4 years Mr. Bernake is in charge. Following is from Chicago School of Economics:


'The Chicago School of economics is best known for its free market advocacy and monetarist ideas. According to Milton Friedman and monetarists, market economies are inherently stable if left to themselves and depressions result only from government intervention.[45] Friedman, for example, argued that the Great Depression was result of a contraction of the money supply, controlled by the Federal Reserve, and not by the lack of investment as Keynes had argued. Ben Bernanke, current Chairman of the Federal Reserve, is among the economists today generally accepting Friedman's analysis of the causes of the Great Depression.[46] Milton Friedman effectively took many of the basic principles set forth by Adam Smith and the classical economists and modernized them. One example of this is his article in the September 1970 issue of The New York Times Magazine, where he claims that the social responsibility of business should be “to use its resources and engage in activities designed to increase its profits…(through) open and free competition without deception or fraud.” [47]

Here is a question for you to ponder: What is the goal of business? Most will say to make a profit as if you do not you will soon have no buiness. Others will say the number one goal is to 'serve the public good' and then make a profit. These two do not always go hand in hand and an argument can be made either way depending on the circumstances. A good example of this might be a state lottery. It has a goal of making a profit but does it serve the public good? Many fights continue today over this.

Result number: 2
Searching file 25

Message Number 259054

Re: Tamiflu and H1N1 View Thread
Posted by Julie on 7/23/09 at 11:30


'In England there is a reported 100,000 relatively new cases of Swine Flu. The government is going to allow those who think they may have the flu to call their Doctor on the phone and be able to receive a prescription of one of the meds such as Tamiflu.'

Correction, John.

The government asked a couple of weeks ago that people not visit their GPs, which certainly made sense for the reason you give. They have now asked people NOT TO CALL their GPs, but to call a dedicated call centre which will diagnose over the phone and issue a certificate for Tamiflu which can be collected by a 'flu friend' with the patient's identification. There is a good deal of concern about this, since the call centre operators have no medical training and will diagnose from a sheet that lists symptoms. But the panic engendered by the media has created an impossible situation for the GPs, and some means of controlling it had to be put in place.

The virus can mutate and become more serious than it has been so far, but swine flu is - for the present - a mild illness, so one could argue that it would be better to get it sooner rather than later.

Glaxo Smith Kline expect to sell 3 billion dollars worth of flu medication. Hmmm.

Result number: 3

Message Number 258857

Re: Sneakers 1 motion 1 neutral View Thread
Posted by vsmith on 7/15/09 at 05:55

Thanks Jeremy, seen many podiatrists and others to analyze my gait. Unfortunately, self diagnosis seems to be the way to go as it is ME with the issue. I live in a big city where they analyze gait on a treadmill but that is only as good as the 'store clerk' reading the video or watching teh gait. I have been running for years so I sort of can self diagnose. Unfortunately through my experience when changing from a cushioning shoe to a stability shoe you do sacrifice cushioning unless you put your own in the shoe. But i will give having my gait analyzed another time as a new running store opened up

Result number: 4

Message Number 258849

Sneakers 1 motion 1 neutral View Thread
Posted by vsmith on 7/14/09 at 20:47

I have been running for. In the past I have had PF and a neuroma. I purchased othotics from podiatrists which were not successful. I purchased the Blue Powerfeet they seem to work. But my question is:

I have medium arches with very very rigid feet which is whyt I wear nuetral sneakers. But for years I have had ITB which i am convinced is because my right foot rolls a bit to the outside.

My question to the good doctors or pedorthists can you wear 1 stability sneaker or motinlo control sneaker on 1 foot and a neutral on the other? If I trade up to stability or motion control I have to give up cushioning. It is a dilemma and my ITB's are short.

Thanks for any help

Result number: 5

Message Number 257642

Getmo View Thread
Posted by john h on 5/20/09 at 11:51

The Senate voted 90-6 today to deny funds requested by Obama to close Getmo. No American wants these terrorist on our soil with a chance they could be released on our soil if they were tried under our American judicial system. Obama had already back tracked some by saying that the 27 worst would not be tried in this nation and would be tried by a Tribunal. He took a lot of heat from the far left including the ACLU for not closing Getmo completely and trying them all here. The Senators were getting a lot of heat from their constituents who wanted no part of these thugs in their states. What happens now is beyond my powers to even guess but I for one want no part of any of them in the USA enjoying our rights which they deny to their own people in their native lands. This is one of those things that politicians make promises on while campaigning when they do not know the whole story as to why they were in Getmo in the first place.

Obama's promise on this one seems to be going down in flames but at least he was not going to bring the worst of the worst here. Being the President and running for President is a very different thing.

Back when Castro released all the people from the jails and mental hospitals and sent them in a boat fleet to the USA there was a large closed down Army base in Ft Smith, Arkansas. Then Governor Clinton, accepted a large number of these people into the Ft Smith community. Crimes of all sorts increased and the end result was Clinton lost the Governorship on the next election on that issue. No Senator who hopes to be re-elected is going to chance having a terrorist released in his state.

Result number: 6

Message Number 256799

Cryosurgery in the Atlanta Area View Thread
Posted by bsmith on 4/10/09 at 10:43

I am having terrible pain with my MN and after doing some research I have discovered Cryosurgery for MN! Does anyone know of a DPM who does Cryosurgery for MN in the Atlanta GA area? Any information will be greatly appreciated! I am a runner, and can't run because of the pain...so I need help!!

Result number: 7

Message Number 256616

Re: topaz procedure View Thread
Posted by Marien on 4/04/09 at 12:40

Unlisted
Coding for the Topaz Procedure (Bruce Werber, DPM)

04/03/2009 David J. Freedman, DPM


RE: Coding for the Topaz Procedure (Bruce Werber, DPM) From: David J. Freedman, DPM
I reviewed Dr. Werber's response to Dr. Goldsmith comments and it is unfortunate but Dr. Werber does not understand coding. The fact is CPT code 28899 or 27899, just as Dr. Goldsmith related in his comments, are the only codes that Podiatric surgeons can currently bill for this type of procedure.

Dr. Werber stated: 'why would we use an unlisted CPT code for using radio frequency coblation for tendon repair, or in treating plantar fasciosis. If you are treating tendinosis using radio frequency coblation, use the appropriate code for tendon repair.'

It is wonderful that there are new procedures like Topaz are being done and that he is an advocate of such a modality, but you have to understand coding. There is no code for 'coblation'or 'Topaz'. He should be asking the industry representatives he has been working with at Topaz; why they have not attempted to receive a CPT Code for their procedure. The reason they have not to date is there is not enough evidence based medicine to support a new CPT Code. His suggestion of using another CPT code, that in no way describes the coblation procedure, constitutes fraudulent billing.

I encourage podiatrists doing this or any new technology procedure. Verify the CPT billing before you begin with credible resources like APMA or AMA. The fact that the new modality is not specifically related in the CPT Code is a major reason not to bill with an existing CPT Code that seems closely related to the procedure but is not the procedure described in CPT.

Do not put your practice at risk by listening to individuals that do not have coding experience, credentials or understand CPT. The best place to validate a procedure and the way it is billed is to send a request to the CPT Assistant to get a formal ruling from the American Medical Association's CPT Assistant.

Do not get caught up in fraudulent billing.

David J. Freedman, DPM, Silver Spring, MD, DJFREEDMAN at aol.com

Result number: 8

Message Number 255525

Re: 75 View Thread
Posted by vsmith on 2/28/09 at 20:03

I am unclear as to how you moderate?

Result number: 9

Message Number 255514

Re: 75 View Thread
Posted by Dr. DSW on 2/28/09 at 12:41

Jud

First of all, you are NOT supposed to post under two different identities. Either choose 'Judy' or 'vsmith' but not both.

Secondly, why don't you take a look and you'll notice that I did NOT delete CWK's post. I know you won't apologize for your error, because that's not your style.

Thirdly, you just don't 'get it' do you. I'm always amazed when someone stoops low enough to make ANY comparison to what happened in Europe. Comparing my deletion of Susan's post to Europe in the 30's is an insult to all those who lost their lives.

You have the audacity to post under TWO different names...Judy AND 'vsmith' and you blame ME for deleting 'Susan's' post that made false accusations about me. And my point has been and continues to be that the TWO of you can hide behind a keyboard and post under fictitious names anonymously, while I post under a REAL name. So when I'm attacked and those accusations are FALSE and I prove them to be false, I DEMAND a retraction.

And until that retraction and/or apology is made, I will NOT allow that person to post on this site. Therefore, it is ultimately HER decision, not mine.

That in NO WAY can be compared to Europe in the 30's and YOU know that fact, so let's not insult those that died and make a completely invalid comparison.

I do not simply sit back and delete posts that I disagree with....but I will protect ALL those that post under real names when they are attacked falsely by those posting anonymously.

So end your drama.

Result number: 10

Message Number 255500

Re: 75 View Thread
Posted by vsmith on 2/27/09 at 17:04

duh Dr. Ed if you have to ask then i am not going to tell you

Result number: 11

Message Number 255248

ESWT in AR or OK? View Thread
Posted by Rock on 2/19/09 at 08:10

Hey guys, I've been interested in this tretment for a long time (4 or 5 years)... I have achilles heel spurs on both feet but much worse on my right and I have constant pain on the right foot, regardless of how active I am ... I've been hoping to get ESWT done but my insurance won't cover it so far (at least, not for achilles spurs). My local podiatrist would have to rent the machine which makes the $$ out of reach for me... but if I could find somewhere regionally located (I'm in Fort Smith, AR) like in AR, MO, KS, TX or OK (preferrably, AR, OK or MO) then maybe I could afford it if the place had their own machine on hand?

Just wondering if anyone is aware of a good ESWT clinic in my region? I've done pretty much everything, been using orthodics for 4 or 5 years, just got my 2nd pair a couple months ago, I've tried completely not doing anything for 3 or 4 months at a time and still no improvement... I just want this to stop.

Thanks

Rocky

Result number: 12

Message Number 255097

my aching feet and legs View Thread
Posted by RN7888 on 2/15/09 at 22:29

My problem began 22 years ago, I had a neuroma removed in my right foot. Which lead to having the neuroma removed every two years until 1999. At which point I had tarsal tunnel surgery bilateral. This gave me a few years of relief. But I'm to the point now I can't take it anymore. I'm 45 years and my feet and lower legs are painful 24/7. I have tried every insert, shoe, brace, therapy I can find. I can't wear shoes with backs on them so clogs are it. Right I'm sitting here and from my feet to my knees feel cold, burning and hurt. There are areas on both now that are numb and my right leg is getting smaller. EMG, MRI's all come back negative. The pain always starts in my feet and moves up to my knees and sometimes to my hips. I can't walk barefoot even on carpet, and God help me in the morning after being off my feet all nite. The medication that gives me any relief right now is tramadol. I have taken the anti-inflammatories for so long I am either allergic to them or it does not help. I have to go to an assigned clinic because of my husband's job and the last time I went there the doctor to me that it was plantar facitis and treatment didn't help. I've been checked for diabetes and that negative. Also the skin on my feet peel from the heel around the bottom outside to the ankle (where my scars are) across the bottom of my foot (it makes a triangle). I really don't know what it' like to live without pain and I don't know who ask or request to see. I'm in Indiana and if there is a specialist around here I would greatly appreciate the name. Thanks

Result number: 13

Message Number 254855

Re : To Dr. Wedemeyer View Thread
Posted by CJ on 2/06/09 at 18:55

Re: To Dr. Wedemeyer
Posted by CJ on 1/31/09 at 13:19

I think Wedemeyer is trying to perpetuate the current status quo with doctors and insurance companies. I do not consider that information. It actually perpetuates the current state of affairs. It can change since the statute allows treatment without a physician order. Period. YES THE STATUS QUO CAN CHANGE. Payment/diagnosis etc are all secondary.

Re: To Dr. Wedemeyer
Posted by PhDPT on 1/31/09 at 17:16

I couldn't agree with you more, CJ. It's the attitudes of 'old school' physicians that maintain the status quo.

Regardless of a physical therapist's education, certifications, fellowships, and residencies, some physicians will continue to minimize their qualifications. Dr. Wedemeyer lives in California, where the ethics and professionalism of the medical community are questionable. I spent a large part of my career working there. It all comes down to the dollar. If a patient rolls an ankle while during his daily jog, does he really need to wait two hours in the waiting room, spend money out of pocket, or spend insurance dollars, to be told he has an ankle sprain and needs PT? Clearly self-referral will save the patient time and money. Is this about the patient or is it about money? Doctors want to capture those easy dollars, so that is why they lobby to keep PTs from autonomous practice.

PTs are taught to recognize what is beyond their scope of practice. Dr. Wedemeyer, have you no faith in the intelligence and common sense of another educated provider? Is your community so egocentric that it feels the need to ridicule ('when pigs fly') the progress of another profession?

Re: To Dr. Wedemeyer
Posted by CJ on 1/31/09 at 19:36

Very true PhDPT, the case you pointed out warrants questioning of the status quo.
But I disagree that it is the intention of Dr. Wedemeyer to minimize the integrity or qualification of others.
Infact it was Wedemeyer who pointed out the reality of the status quo with insurance companies. What I did not agree with was that this status quo is the reality. It will only be a matter of time before we say it was a thing of the past. Lobbying must change to activism. It must change to involvement in local chapters of organizations (possibly medical), voicing opinions or disagreements and making small contributions, if needed.
Another case in point is the Conflict of interest that has gone unnoticed in some states (makes you wonder how lobbyists work) pertaining to physician ownership of allied medical facilities including PT clinics. Providing your own patients as business to a facility owned by you contravenes the very essence of medical ethics. Infact in some places, you even hear terminology like physician directed PT with WC (gosh gimme a break please). Some might argue that it is the good intentions of patient care that drive this. I firmly believe that it is the lure of the dollar on most occasions.
I am not against investment in such ventures provided that patients from your own facility are seen elsewhere for allied services to start with. Next would possibly be barring physician friends of the physician..... since in essence the focus should be patient care for a price and less on how lucrative it is to refer for the payout.

Wedemeyer, please chime in with your comments. I have to admit that your views were virtuous and worthy of a contest until things went personal from all sides. We could overlook the personal in the interest of keeping people healthy.

Re: To Dr. Wedemeyer
Posted by CJ on 1/31/09 at 20:40

Wedermeyer, aopreciate a response. Are you a chiropractor or a medical physician?
I find it misleading for chiropractor to call themselves Dr.'s. I'd have preferred Cr.'s, just so that the difference is well established.

Re: To Dr. Wedemeyer
Posted by CJ on 1/31/09 at 23:52

Thought this information was interesting.

++++
Calif. DCs Face Workers' Compensation Dilemma
SB 354 Would Require MD Authorization After 15 Visits for Chiropractor treatment
http://www.chiroweb.com/mpacms/dc/article.php?id=9238

++++
http://www.chirobase.org/15News/wcri.html .
++++
Is there lobbying in the second article?

Re: To Dr. Wedemeyer
Posted by CJ on 2/01/09 at 00:03

Lobbying and activism at work.
+++++
http://www.calphys.org/html/bb212.asp
http://www.ventura-chiropractor.com/Chiropractic/News.htm
+++++

Re: To Dr. Wedemeyer
Posted by Dr. Wedemeyer on 2/02/09 at 02:16

CJ,

What purpose are you aiming for here exactly? I do not understand your comments about 'the status quo' and your perception that I am trying to 'perpetuate it', whatever “it” is. If anyone of the providers who contribute here would like to see a change in health care and insurance it is me.

I stand by my original post because it is not only factual; it is the way the system is enforced in the real world. Don't blame me for that, I personally do feel PT's are highly skilled and trained and know a number that I respect a great deal. I doubt that anyone here has issue with PT's, they are an important member of the health care team.

I wholly disagree that patient diagnosis is secondary. It is secondary to what CJ? I also disagree that to many patients the issue of payment is secondary. I work in health care everyday and I am sure Dr. Wander and Dr. Z will tell you that insurance and reimbursement are a large factor in whether or not a patient will seek care or receive it.

I was only commenting on the previous statements which intimated that PT's have a license that is autonomous from doctor or physician oversight. Show me a PT who works outside of the system and I will show you a PT who probably does not receive any referrals from doctors and who may be practicing outside of their scope; in any state. Is this right or wrong? I don't really have a comment on that because it is moot point, why do PT's need to have physician status (direct access to patient care seems enough) when we have several categories of professions that issue a doctorate degree and license commensurate with that? Does that sound like improved care or professional centrism in a polar hierarchy of professional training? The old “we want to do so much more” that all limited license practitioners seem to adopt as a mantra. They (PT’s) could probably do more but can and will they?

Let's set the record straight. I am a Doctor of Chiropractic (and a Certified Pedorthist). This is well known to the readers here and I continually remind them that I am not an M.D. or a D.P.M. I do not answer questions involving surgical issues unless they are related to my scope and experience. I do feel that my contribution there is of value, appropriate and I hope the readers do as well.

It is not misleading for me to call myself a doctor. I am a Doctor of Chiropractic, which is plainly stated on my professional licenses. Is a Podiatrist a doctor? Are psychologists 'doctors'? I underwent 8 years of college, four National Board Examinations and a CA State Licensing Exam. I am bound by my professional license to take an oral history, perform a physical examination, perform imaging studies and refer out for further studies and lab work when indicated, arrive at a diagnosis and formulate a treatment plan for my patients as are all 'doctors'. I have physician status in Medicare and with health insurers as a Chiropractic Doctor, bill insurance for my treatment and receive payment for my services.

What world do you live in making that statement CJ? Can I ask what your occupation is? I don't appreciate the inference that somehow because I am not a medical doctor I am not a doctor and should somehow hide in shame. Shame on you.

My initial interest in this site came about because of my interest in the foot and ankle and Pedorthics. Along the way I was urged to continue to answer questions because of the relationship of my training in Chiropractic and spinal issues that present as lower extremity problems. I answer a lot of questions related to foot conditions and orthoses because I practice both Chiropractic and Pedorthics and there is a lot of overlap.

If this were my first or first few posts I would have posted my name as David G. Wedemeyer, D.C., C.Ped. If you peruse the site you will find numerous posts by me under that name. Over time the readers have come to know me and many just refer to me as Dr. Wedemeyer or Dr. W (sorry Dr. Wander). I do not receive any form of compensation and I have not had one patient referral from this site. This is not advertising for me, I do it because it is the right thing to do and what I chose to do everyday in my office. Therefore it is appropriate to use and be called by my title and up to now that has offended no one.

BTW that post on Chiroweb became law in 2004 with SB899. It limits both PT and DC visits to a 24 visit soft cap. Patients lost, we lost and the PT profession lost. It was not a good day for either profession. That attempt at insulting Chiropractors failed miserably because I can post the similar findings (all funded by insurance companies) that shoe the same rate spiral in costs due to PT treatment in the Ca Worker's Comp system.

PhDPT,

Also carefully reread the passage about “when pigs fly”. That comment was not made by me but by an orthopedic friend of mine when I queried him about PT scope of practice in CA. You can remove your foot from your mouth any time it is comfortable for you and apologize. You obviously came here with an axe to grind and judging by your post lack reading and cognition skills as well.

Your post was completely unwarranted and since you choose not to use your professional name I question YOUR authenticity and will not engage you. If any further posts of that nature occur I will also ask the moderators to remove your posts unless you can act in a manner befitting your alleged professional title.

I merely commented on a post that I felt contained information that was misleading. Take it for what you may, I will not engage anyone who attacks me and makes spurious assumptions about my motives or who seeks to denigrate me professionally.

If you want to discuss this thread rationally and without the aggressive style I am seeing here, I am willing to discuss it. I ask in return that you respect that I will not entertain anymore assumptions, obvious negative posts about my profession or juvenile comments. I really don’t appreciate armchair critics coming to a site where I have tried to help people with questions and present honest, factual responses the their questions, treating me with zero respect.

If this continues I can just as easily discontinue my involvement with this site and you two can claim some great victory as the internet despots of venom and malfeasance.

I wonder what the readers have to say on the issue?

Sincerely,

David G. Wedemeyer, D.C., C.Ped aka Dr. Wedemeyer

Re: To Dr. Wedemeyer
Posted by Dr. DSW on 2/02/09 at 14:04

I will strongly defend DR. Wedemeyer and his contributions to this website, as well as his strong knowledge base. Dr. Wedemeyer's introduction here was not an 'easy' one, as I was one of the first people he encountered and had to 'impress'. I questioned what a chiropractor had to contribute to this site, but was quickly won over by his knowledge and thirst to learn more from those outside his expertise, such as myself, Ed Davis, DPM, Jeremy Long, Cped, David Zuckerman, DPM, etc. His drive led him to obtain his Cped and my respect for him continued and still continues to grow.

Unlike the recent 'critics', he has a real name and a real reputation to maintain. Therefore, as a moderator on this site, I will always allow questions and answers to occur, but will NOT tolerate 'anonymous' attacks on people with real names and reputations.

It's extremely easy (and cowardly) to sit behind a computer and an anonymous screen name and sling attacks, but that will NOT happen. If this dialogue is going to continue, real names will be expected, or posts will be deleted. 'Man-up' or leave.

Dr. W's contributions are too valuable on this site for him to be attacked by anonymous cowards.

Re: To Dr. Wedemeyer
Posted by CJ on 2/02/09 at 22:37

It was heartening to see you respond, Wedemeyer. But I must admit as I read thro' the rest of the post, it did not feel the same. I did not intend to get under your skin. Moreover, everything I put down in my post was my own opinion. I also would like to mention that the 'when pigs fly' comment brings disrepute to whoever should subscribe to it.

I shall try to clarify and would hope you are open to a point of view, refraining from the personal.

Let me redirect the discussion to what was originally being discussed.
Plain and simply put, - A PT can see a patient without a referral. PERIOD. A PT has autonomy. Now it could be in state TIMBUKTO, USA but the statute is clear. I am not sure if the medical community is willing to actively educate patients in this regard. Every statute has a ton of other print (the if's and but's) that marrs the basic fact. And it is up to activism within that community to evangalize, psuodo lobby and do what it takes to clear things up.
What I meant by 'perpetuating' is that this fact is marred by your post when you bring in other caveats such as insurance like Ryan indicated. As much as your intentions are to be factual, they are not and I stand by that.

The status quo (to be cognitively clear) is the so called system, Wedermeyer, you talk about. Specifically, the system of referrals both within the medical community as well as approvals with insurance groups. The reason why I have separated insurance is because they work under a model of risk/premium/payment. Patient care is just another avenue wherein it has been applied. In my opinion, the original intention of a referral, put very simply was 'The issue is beyond the scope of work of the referree, and is referring the patient to someone with those skills'. Referrals for the purpose of oversight or management is a form of self-virtuousness on the part of any medical practitioner be it allied or mainstream.

My simple response to your question QUOTE 'Why do PT's need to have physician status?' UNQUOTE, is Why not? I know THEY CAN - YES THEY CAN. The program is evolving and very capable and as I have always said, it is up to that community to get it up to that status. For the record, For you to be an impediment or even question it does not bear well with your professional community.
That said, I do not feel, anyone should call themselves Doctors (Dr's,) other than medical doctors because they were the first one's to lay claim to that designation. I'd refrain from being too cognitive here. You may ask why and in my opinion, because it is misleading to the common person whose care has been entrusted. The question I asked you Wedemeyer was never meant to judge your intellect or the credibility of the chiropractic community since this is a purely social forum. Infact, the levels the chiropractic community has reached should serve as an example for other allied serviced. You are probably doing some good work here within the medical section and I'd encourage you to keep it up.

Rest assured though, I will always voice my disagreement of statements that in my opinion are factually incorrect, and as always without getting personal.

Re: To Dr. Wedemeyer
Posted by Dr. DSW on 2/03/09 at 08:14

'CJ',

I find it interesting that you avoided one simple question that DR. Wedemeyer asked, and that is what you do for a profession. Since you are still hiding behind initials of anonymity, surely stating your profession would not reveal your identity.

And despite your claims of not getting 'personal', there is surely a tone of disrespect everytime you say 'Wedemeyer' in your post. It is glaringly obvious that it is your way of simply removing his credentials and speaking 'to him' with disrespect. He has already given you his name and credentials, so at LEAST address him accordingly, such as David, or David Wedemeyer, DC. This isn't the military, and referring to him as 'Wedemeyer' simply makes your post and intention more transparent.

Your rationale that only medical doctors should be able to utilize the term 'Dr.' because 'they were the first to 'lay claim to that designation' is simply an absurd statement. When EXACTLY did medical doctors 'lay claim' to that privilege??? Please give me that date so I can document it in history.

And what do you propose that all dentists, podiatrists, optometrists, chiropractors and PhD's do with their advanced degrees? Should they simply address themselves as Mr./Mrs./Ms.??? because the medical doctors were the first to 'lay claim' to that designation?

Boy, this could be REALLY confusing. Who laid claim to the term ENGINEER first? The occupation that runs the locomotive or the occupation that is involved with chemical, mechanical, electrical, civil, and other types of 'engineering'. That could be REALLY misleading to the public if someone simply tells you that he/she is an 'engineer'.

I really don't think the public is as naive or 'stupid' as you think, and 'just in case' there are laws to protect the consumer. Most if not all states do require a professional designation on all business cards or stationery, etc. A doctor can't simply put Dr. Joe Shmo, without either putting Joe Shmo, DC or chiropractic physician in print. Similarly, a doctor can't print Dr. Joe Smith, foot and ankle surgeon on his card. Somewhere, it must either have the designation DPM following the name, or the word podiatrist, podiatric, etc.

That is true for all professions. So don't worry, the consumer is protected. But once again, please provide me with the date that medical doctors were the first to 'lay claim' to that designation. And while you're at it, tell us all YOUR profession. And it would be nice to show Dr. Wedemeyer a little respect in your future postings.

Re: To Dr. Wedemeyer
Posted by Dr. Wedemeyer on 2/03/09 at 10:48


Dr. DSW you typed my sentiments perfectly. 'CJ' is merely 'perpetuating' the bias that was spawned from the AMA's decades old dogma that only a medically trained professional can use the title doctor. These are straw man arguments and their purpose is solely to belittle and minimize other professions (and in particular me) and it is a myopic and out of date argument and professionally disrespectful.

I wonder what your view is on PT's who have attained the DPT designation, do they deserve also to be referred to as doctor or not? Since you appear to be their apologist (or appear to be a PT yourself by the theme and comments in your posts), would you call your DPT 'Smith' instead of Dr. Smith? How about Dr. Wander, is he a real doctor or just playing one on HS?

For the record CJ, my signs and business cards clearly denote my professional pedigree. No prospective patient would ever accuse me of being remiss in adhering to the appropriate legal standards of advertising and presenting my professional designation as anything other than what they truly are.

When another doctor's office calls (and this includes MD's, DO's and DPM's) or an insurance adjustor, attorney, Medicare agent and just about anyone else that I can think of, they refer to me by my title and not colloquially as David or Wedemeyer. If they did they would be promptly corrected.

Likewise, I always ask patients if I can use their first name or what they would like to be called out of respect. I do treat some MD's and their families and even they call me doctor. I wouldn't think of calling one of them by their first name unless we had an established relationship and it was mutually agreed upon as appropriate. I guess your bias somehow makes you special enough to think that you can show me disrespect? Wrong.

Again CJ, what is it that you do for a living? I feel strongly that we deserve to know not only who we are discussing this subject with but now that you have compounded your post with disrespect it is pertinent.

If you cannot show me a modicum of respect then please do not address me at all. I will not continue to discuss any matter with a person who's identity is unknown and whose motivation is in question.

You wrote:

'That said, I do not feel, anyone should call themselves Doctors (Dr's,) other than medical doctors because they were the first one's to lay claim to that designation.'

This is without question the most ridiculous argument ever presented. This was in fact constructed merely to antagonize me and you have failed miserably.

and

'I'd refrain from being too cognitive here. You may ask why and in my opinion, because it is misleading to the common person whose care has been entrusted.'

First there is no doctor/patient relationship implied and the providers here are merely giving advice and typically AFTER the posters have seen a doctor already. In my office where there is such a relationship I guarantee you that no patient of mine has ever been mislead as to my professional qualifications. Period.

Personally I don't care what you call me CJ, or if you post to threads that I have participated in at all, but if you wish to address me colloquially on this board your posts will be deleted and I will not address you again. Show me the respect that I deserve and I will show you the same, otherwise this discussion is terminated.

Re: To Dr. Wedemeyer
Posted by Dr. Wedemeyer on 2/03/09 at 20:05

Dr. DSW wrote:

'Boy, this could be REALLY confusing. Who laid claim to the term ENGINEER first? The occupation that runs the locomotive or the occupation that is involved with chemical, mechanical, electrical, civil, and other types of 'engineering'. That could be REALLY misleading to the public if someone simply tells you that he/she is an 'engineer'.'

I love your logic Dr. DSW. I suppose if we all followed CJ's logic Dr. Martin Luther King would have to purchase malpractice insurance or when found out would have simply become known as 'that over-achiever', because he's not a REAL doctor.

I wonder who coined the term 'counselor' first, lawyers or people in the mental health field? Should we instead be calling Marriage and Family Counselors 'Marital Aids' so as not to step on the toes of the legal profession.............?

Posted to Category: Social / Support Reply to Message # 254747
Re: To Dr. Wedemeyer
Posted by Dr. DSW on 2/03/09 at 20:45

Counselor??? I thought that was the person that took care of the kids at the local camp? Now what are we going to call THEM?

Re: To Dr. Wedemeyer
Posted by CJ on 2/04/09 at 21:48

Oops, diagress should read digress.
Digression = 'of the point', 'deviate', 'go off at a tangent', 'stray', 'wander', 'ramble'

Re: To Dr. Wedemeyer
Posted by Julie on 2/06/09 at 10:33

'I wonder what the readers have to say on the issue?'

Dr Wedemeyer, this reader thinks that 'Ryan' and 'CJ' may be the same person. Whatever his/her/their agenda is, the posts all have the same insolent, bating tone of voice. PhDPT's 'I couldn't agree with you more, CJ' is suspicious too.

I know it's difficult to keep silent in the face of this sort of thing, but silence is probably best. You don't have to explain, argue, or justify yourself to anyone.
.

Re: To Dr. Wedemeyer
Posted by Dr. DSW on 2/06/09 at 10:49

Julie,

I appreciate your support of Dr. Wedemeyer, and I'm confident he also appreciates your support. The idea of 'Ryan' and 'CJ' being one and the same has already crossed several of our minds, but the IP addresses are from two completely different geographic locations.

Re: Linda
Posted by Kelly L on 2/06/09 at 12:01

Next week would be great. Good luck to you and the hubby.Let me know how it goes.

Re: To Dr. Wedemeyer
Posted by Dr. Wedemeyer on 2/06/09 at 13:20

Thank you Julie, as Dr. DWS said your support is appreciated. I certainly can find other uses for my free time but have chosen to continue to be available here because I feel that it is the right thing to do and I am committed to continue to learn about other disciplines.

That said, I have never denigrated the Physical Therapy profession or it's practitioners. Somehow my comments have produced a backlash of 'us vs. them' mentality posts and the comments regarding the use of the title Doctor, which are straw man arguments and serve no purpose other than to antagonize me.

I stand by what I wrote regarding the issue of direct access to care and while it may appear that there is direct access to care and management by PT's, the caveats and laws vary so greatly from state to state that I felt the original statement was not factual.

Often this type of care is not reimbursable by health insurance and most states limit the number of visits or length of time that a PT may treat a patient without physician or doctor referral (and where this is noted licensed Doctor's of Chiropractic are plainly stated as one of the qualifying referring doctor's to initiate or manage that care.

How about them apples?

Posted to Category: Social / Support Reply to Message # 254837
Re: To Dr. Wedemeyer
Posted by Dr. DSW on 2/06/09 at 15:11

After all the time I spent defending you, and you can't even 'spell' my initials correctly in your last post???? Thanks a LOT David Wedemeyer CD!!!

Re: To Dr. Wedemeyer
Posted by CJ on 2/06/09 at 15:55

I am amused at the digression and debate over issues that in my opinion are secondary. I've been asked this before in a reply to my post. Secondary to what?...... and as always without being judgemental to the questioner, I'd say ...SECONDARY TO WHAT IS ACTUALLY BEING DISCUSSED, YOU QUESTIONER.
Also what surprises me is the focus on the personal and secondary. Things like who is CJ, What is his profession?. Are PT's, DPT's and chiro's actual doctor's? Does the law protect people against ambiguity? Was MLK an actual doctor? Malpractise insurance , that 17 and 17b on the HCFA need 'referral's or other source's' info and NPI? Are Ryan and CJ the same?
We do not need to agree but perpetuating an opinion with the purpose of self-gain or self-gratificaiton is plain evil...... If I was moderator, I'd place them in a thread possibly called 'SAY ANYTHING BUT BE CAREFUL SINCE IT REFLECTS ON YOU INDIVIDUALLY OR YOUR PROFESSION (ONCE UNAMBIGUOUSLY IDENTIFIED)'. This is indicative of loss of focus. PERIOD. The only difference between my original deleted post and the repost was that I removed the words -'DSW/Wedemeyer'. Now isn't that absurd? Posts that contain disgusting quotes like 'WHEN PIGS FLY', 'FAT RODENT'S BEHIND' just to name a few, have gone unmoderated. I ask - What good does that do to your professional status or is it just plain pathetic. Do you see a different set of rules here? Also if CJ has said anything incorrect, I'd appreciate disagreement and reason but high handedness, threats and authoritativeness surely isn't warranted.

Now back to the actual discussion. Focus people focus.
PT's are allowed to see patients without a referral PERIOD. This fact has been severely marred by some in this post.
So my call is to all PT's, start your own practices or join a PT owned one. Join your associations and be active in them. Like I have said, it is extremely gratifying to start any kind of entrepreunership.

As an aside, try putting nothing nothing in item 17 and 17b on the HCFA for most good PPO insurances (not medicare) and let me know if you get a denial. Beyond a certain number of visits, the payer may ask for more treatment info. In my opinion, that is reasonable since 'Wouldn't I want to see and know above and beyond a plain bill, if I were paying for something?'. If it is MVA insurance, don't bother with that at all since the insurance and lawyers may not be picky even when it comes to ICD codes or proc codes. Just do a google search on chiropractor and MVA and see the results for yourself.

Re: To Dr. Wedemeyer
Posted by CJ on 2/06/09 at 16:24

How about discussing the following the quote below, now that we clear that 'PT's can see patients without a referral'

QUOTE
The Conflict of interest that has gone unnoticed in some states (makes you wonder how lobbyists work) pertaining to ownership of allied medical facilities including PT clinics. Providing your own patients as business to a facility owned by you contravenes the very essence of medical ethics. ...
I am not against investment in such ventures provided that patients from your own facility are seen elsewhere for allied services to start with. Next would possibly be barring physician friends of the physician..... since in essence the focus should be patient care for a price and less on how lucrative it is to refer for the payout.
UNQUOTE

Result number: 14

Message Number 254716

Re: To Dr. Wedemeyer View Thread
Posted by Dr. Wedemeyer on 2/03/09 at 10:48

Dr. DSW you typed my sentiments perfectly. 'CJ' is merely 'perpetuating' the bias that was spawned from the AMA's decades old dogma that only a medically trained professional can use the title doctor. These are straw man arguments and their purpose is solely to belittle and minimize other professions (and in particular me) and it is a myopic and out of date argument and professionally disrespectful.

I wonder what your view is on PT's who have attained the DPT designation, do they deserve also to be referred to as doctor or not? Since you appear to be their apologist (or appear to be a PT yourself by the theme and comments in your posts), would you call your DPT 'Smith' instead of Dr. Smith? How about Dr. Wander, is he a real doctor or just playing one on HS?

For the record CJ, my signs and business cards clearly denote my professional pedigree. No prospective patient would ever accuse me of being remiss in adhering to the appropriate legal standards of advertising and presenting my professional designation as anything other than what they truly are.

When another doctor's office calls (and this includes MD's, DO's and DPM's) or an insurance adjustor, attorney, Medicare agent and just about anyone else that I can think of, they refer to me by my title and not colloquially as David or Wedemeyer. If they did they would be promptly corrected.

Likewise, I always ask patients if I can use their first name or what they would like to be called out of respect. I do treat some MD's and their families and even they call me doctor. I wouldn't think of calling one of them by their first name unless we had an established relationship and it was mutually agreed upon as appropriate. I guess your bias somehow makes you special enough to think that you can show me disrespect? Wrong.

Again CJ, what is it that you do for a living? I feel strongly that we deserve to know not only who we are discussing this subject with but now that you have compounded your post with disrespect it is pertinent.

If you cannot show me a modicum of respect then please do not address me at all. I will not continue to discuss any matter with a person who's identity is unknown and whose motivation is in question.

You wrote:

'That said, I do not feel, anyone should call themselves Doctors (Dr's,) other than medical doctors because they were the first one's to lay claim to that designation.'

This is without question the most ridiculous argument ever presented. This was in fact constructed merely to antagonize me and you have failed miserably.

and

'I'd refrain from being too cognitive here. You may ask why and in my opinion, because it is misleading to the common person whose care has been entrusted.'

First there is no doctor/patient relationship implied and the providers here are merely giving advice and typically AFTER the posters have seen a doctor already. In my office where there is such a relationship I guarantee you that no patient of mine has ever been mislead as to my professional qualifications. Period.

Personally I don't care what you call me CJ, or if you post to threads that I have participated in at all, but if you wish to address me colloquially on this board your posts will be deleted and I will not address you again. Show me the respect that I deserve and I will show you the same, otherwise this discussion is terminated.

Result number: 15

Message Number 254712

Re: To Dr. Wedemeyer View Thread
Posted by Dr. DSW on 2/03/09 at 08:14

'CJ',

I find it interesting that you avoided one simple question that DR. Wedemeyer asked, and that is what you do for a profession. Since you are still hiding behind initials of anonymity, surely stating your profession would not reveal your identity.

And despite your claims of not getting 'personal', there is surely a tone of disrespect everytime you say 'Wedemeyer' in your post. It is glaringly obvious that it is your way of simply removing his credentials and speaking 'to him' with disrespect. He has already given you his name and credentials, so at LEAST address him accordingly, such as David, or David Wedemeyer, DC. This isn't the military, and referring to him as 'Wedemeyer' simply makes your post and intention more transparent.

Your rationale that only medical doctors should be able to utilize the term 'Dr.' because 'they were the first to 'lay claim to that designation' is simply an absurd statement. When EXACTLY did medical doctors 'lay claim' to that privilege??? Please give me that date so I can document it in history.

And what do you propose that all dentists, podiatrists, optometrists, chiropractors and PhD's do with their advanced degrees? Should they simply address themselves as Mr./Mrs./Ms.??? because the medical doctors were the first to 'lay claim' to that designation?

Boy, this could be REALLY confusing. Who laid claim to the term ENGINEER first? The occupation that runs the locomotive or the occupation that is involved with chemical, mechanical, electrical, civil, and other types of 'engineering'. That could be REALLY misleading to the public if someone simply tells you that he/she is an 'engineer'.

I really don't think the public is as naive or 'stupid' as you think, and 'just in case' there are laws to protect the consumer. Most if not all states do require a professional designation on all business cards or stationery, etc. A doctor can't simply put Dr. Joe Shmo, without either putting Joe Shmo, DC or chiropractic physician in print. Similarly, a doctor can't print Dr. Joe Smith, foot and ankle surgeon on his card. Somewhere, it must either have the designation DPM following the name, or the word podiatrist, podiatric, etc.

That is true for all professions. So don't worry, the consumer is protected. But once again, please provide me with the date that medical doctors were the first to 'lay claim' to that designation. And while you're at it, tell us all YOUR profession. And it would be nice to show Dr. Wedemeyer a little respect in your future postings.

Result number: 16

Message Number 254559

Re: that was from: View Thread
Posted by vsmith on 1/30/09 at 03:47

Lakemom, what a great post. Every patient should print it out and post it on their refridgerator.

I could not agree more that being sick is expensive and sometimes the only way to get better is to throw money at your problem. That is why 95% of my physicians do NOT take insurance. More bang for the buck sometimes works.

Result number: 17

Message Number 254485

Re: Follow-up on Fluoroquinone Antibiotics View Thread
Posted by Dr. DSW on 1/28/09 at 13:37

Susan,

The reason I often refrain from engaging certain people in conversation on this forum, is because there will ALWAYS be scenarios and cases where there are exceptions to the rule. And you seem to love to bring up the anecdotal cases of doctors that practice 'bad medicine'.

Will you please understand that I will NEVER have an explanation for those doctors. NEVER. There is nothing I can ever say for a family doctor that over-prescribes antibiotics. Yes, it happens on a daily basis. Mrs. Smith calls her doctor on the phone, says she's got a 'bad cold and a cough' and Dr. X calls in a prescription for an antibiotic without EVER seeing or evaluating Mrs. Smith. That's simply BAD medicine. The chances are that Mrs. Smith has some viral ailment that won't even respond to antibiotics. BAD MEDICINE.

Similarly, I can't explain the bad podiatrist that doesn't give patients treatment options, and tells them that the source of the heel pain is their 'heel spur'. And after one visit schedules the patient for 'heel spur' surgery. BAD MEDICINE.

So, if you want to continue conversations with me, please don't bring up every single exception to the rule, and every bad doctor that practices on this planet.

I don't speak for the bad doctors out there, because I don't practice 'bad' medicine. I speak for the doctors that practice medicine the way I EXPECT medicine to be practiced. I don't lower my standards according to how other people practice, therefore I don't deal with anecdotal tales.

So let's speak about how things are SUPPOSED to be done, and I'll tell you the rationale of why sometimes QUALITY doctors may prescribe a quinolone, despite the side effects.

As far as your 'problem' with my scenario, I have no idea what you were attempting to state in your first comment. I THINK you were attempting to state that just because a patient didn't have a problem with a particular antibiotic in the past, doesn't mean they won't in the future. And of course that holds true for ALL medications.

So, does that mean I'm never supposed to give a patient a medication a second time just in CASE they have a reaction??? If a patient has a reaction to a medication, they will simply let me know and I'll tell them to d/c the medication and it will be noted for future reference.

And to answer your second question, if the patient had no allergies or digestive issues, I would prescribe the antibiotic that had the lowest cost, easiest dosage regimen, lowest interaction rate with other meds she was taking and highest efficacy rate, combined with the highest safety profile/lowest incidence of reported side effects.

But keep one thing in mind, EVERY medication has a significant list of potentially serious side effects. Some are just more publicized than others.

Result number: 18

Message Number 254458

Re: Height View Thread
Posted by vsmith on 1/28/09 at 05:25

a rose by any other name... you are a bigot

Result number: 19

Message Number 254455

Re: For cwk View Thread
Posted by cwk on 1/28/09 at 00:30

Northface outlet is still on Alma
I remember the Swiss Bakery but it is long gone.
Don't remember Sweet Surprises but Wheelsmith is still on University.
Cafe Verona was the coffee house I remember well but it closed in 03.

Result number: 20

Message Number 254447

Re: For cwk View Thread
Posted by Lakemom on 1/27/09 at 21:06

The grocery store was probably the first normal store to go, it was close to the Gatehouse on Lytton across the street up one block from the park. I had been to the Gatehouse many times, nice bar area in front.

I lived in Menlo Park on Harvard st. The Northface outlet used to be at the end of my street behind the gas station on Cambridge before it moved to Alma. (I think it is gone entirely now) Wheelsmith used to be next door to it on Alma. Then Wheelsmith move across from Sweet Surprises coffee house on Hamilton which used to be a little hole in the wall coffee place when it opened on Univers. Ave.

We used to rollerskate (this tells you how able i was then) down to Pete's coffee next to Draegers on the weekend. Draegers was only 1 story then. I bought my wedding cake from the Swiss bakery in downtown Menlo Park.

We still have a number of friends in the Bay area and visit when we can.

Result number: 21

Message Number 254206

Today's Speeches View Thread
Posted by john h on 1/20/09 at 14:28

I watched many of today's speeches. The one that left me dumbfounded was the poet. I am not in to poetry and would not know a good poem from a great one. Her ;poem sounded like no poem I have ever heard. I am sure there is a message in it but I do not know what it is. My type of poem is like 'The Village Blacksmith' by Longfellow. I thought the Black Reverend who followed her was good and humorous. I enjoyed him. Maybe you need to be a graduate of Harvard or Yale to understand her type of poetry. I do not even know who the nations poet was under Bush? Maybe he did not have one.

Most people seemed to enjoy the festivities and we now have a new President and Commander in Chief. It is time to work. President Obama has the people with him and a Congress that is controlled by Democrats. He would seem to have a mandate. We all need to support him the best way we can as we are all in this boat together. This does not mean we do not have a loyal opposition.

I think perhaps to many people have high hopes for an 'immediate' turn around to our many problems. President Obama has an opportunity to be President of the ages or to fall on his face. That comes with the current economy and wars in the Middle East, India/Pakistan, Israel vs Hamas and Iran, North Korea. He has a Democratic majority but also has The Blue Dog Democrats who will not always support him. A very tough road lies ahead and he has my support. I got to watch the festivities with a group of military men and women at our local Air Base. The group was quiet and subdued and was of mixed races and women and men.

Result number: 22

Message Number 254190

Re: Had my first LED treatment at P.T. View Thread
Posted by John Smith on 1/20/09 at 00:58

http://cgi.ebay.com/ws/eBayISAPI.dll?ViewItem&item=300288180390&_trksid=p3907.m32&_trkparms=tab%3DSelling


Our LED Light System has unique design combining all three different LED wavelength lights (Red Light, Yellow Light, and Blue Light) into one compact unit. It is cost-effective, compact and easy to operate. You can pack it into your luggage while you are travelling and use it for your daily application.

Input Voltage: AC 100~240V
Output Power: 25W
Weight: 4 LB
Dimension: 14'x 9'x 3' (or 32cm x 21cm x 7.5 cm)


Main Feature: Compact, Foldable and Easy To Carry

Result number: 23

Message Number 253751

Re: New CIA Chief View Thread
Posted by cwk on 1/06/09 at 10:51

John- The most important change that President Elect Obama is bringing to the Presidency is the thoughtful, balanced way in which he makes decisions. He is a team builder who is comfortable listening to a wide variety of view points, able to make decisions that reflect integration of conflicting data and a leader with a history of bringing diverse groups to consensus. This is a massive improvement from the current occupant of the White House who set policy with little or no input from competing viewpoints, made ' instant decisions, refused to ever think again, and showed disdain for any process of thinking things through or ever having second thoughts.' (quote from Andrew Sullivan) Remember that GWB fired Paul O'Neill for questioning tax cuts. O'Neill's book described the frightening lack of rigorous thinking and debate which characterized the Bush administration. It is really no surprise that GWB's domestic and foreign policies led to the messes our new president, and all of us, now face.
Thank God we have only 14 more days to go-------

I agree with Rick that the CIA needs to be reminded that they work for the President. I don't think being an 'insider' ensures success. George Tenant was an insider, having been a member of Clinton's National Security Team, Deputy Director of the CIA and Director in the late 90's. Yeah- we all know his track record......

It turns out that a number of conservatives are supportive of the Panetta choice. Writing in NRO http://tinyurl.com/9tmm4q Michael Ledeen say, 'I always liked Panetta. He served in the Army and is openly proud of it. He seems to be a good lawyer (oxymoronic though it may seem). He's a good manager. And he's going to watch Obama's back at a place that's full of stilettos and a track record for attempted presidential assassination second to none.........I think it is a smart move.'

Ben Smith at Politico http://tinyurl.com/a7ft7c reports that Richard Perle, Chariman of President Bush's Defense Policy Board supports the choice of Panetta. He quotes Perle saying that Panetta is 'a very smart, very capable guy with a lot of experience - I think he's the right sort of person to take a shot at improving the place.' Perle was and remains a big critic of the CIA. He also said, 'It's going to take somebody from outside to right that ship, if it can be done,'

Smith also quoted Douglas Feith, who was Undersecretary of Defense for Policy in the outgoing administration. Feith said, ' possible implication of appointing somebody from the outside is that the president recognizes that there are serious problems at the CIA and he wants somebody who is not a part of those problems,'

These guys are neo-conservatives and they like the choice even though Diane Feinstein is disappointed.

So once again President Elect Obama is demonstrating his intelligence, courage and political skill.

Result number: 24

Message Number 253003

Re: What Do You People Think About the Auto Bailout and Czar? View Thread
Posted by vsmith on 12/11/08 at 17:39

I just want to know what the Big 3 are going to do about their issues. Are they going to change the way they do business, are they going to change their factories, are they going to build cars that people actually want instead of gas guzzling trucks. Unfortunately John the government has to step in, clearly the Big 3 are incapable of being in touch with the state of where we are in teh world right now. They lost touch, they did not get it that big gas guzzlers would lose their appeal.

If a huge amount of our economy did not have a trickle down effect from the Big 3, I would say shut them down. If you did a survey i bet more than half would say they would rather buy a Toyota

Result number: 25

Message Number 252311

Re: Kelly L View Thread
Posted by Kelly L on 11/16/08 at 09:07

If you were on 295 coming back from Lincoln, it is the Greenville Exit. I'm not sure the number. It is right off the exit. It is at the Top of Smithfield Commons. 12:00, right?

Result number: 26

Message Number 252265

Re: Four Star General Dunwoody View Thread
Posted by vsmith on 11/14/08 at 17:42

because maybe you can get killed in the armed services is why young people don't go into the service.

Result number: 27

Message Number 252264

Re: GM may go under????? View Thread
Posted by vsmith on 11/14/08 at 17:40

John I don't know who is to blame about the auto debacle nor can I figure a way out of it. While my father was a union man his entire life, I have big problems with it. I live in NYC and when the subway workers went on strike last year, it was unbelievable. To hear the transit workers complain that they can retire at 50, have full benefits during retirement and collect their full pension after 20 yeaers was just shocking. And they wanted more money. In this day and age what company offers benefits like the auto industry? A promise of health benefits for life? Huh? I don't think so. Additionally, did these companies have any insight to what was happening around them, i.e., the environment, foreign cars which were better made? Why would anyone buy an American car? I have not bought an American car in ages.

On one hand, i say let them go bankrupt, who needs them, but on the other hand I don't trust giving those companies a bailout. I don't think right now money can actually fix them. And if bailout money is going to pay retirees benefits I for sure am not for that.

Result number: 28

Message Number 252176

Re: Republican email agenda?????hmmmmm??? View Thread
Posted by vsmith on 11/12/08 at 20:20

Larry you must have missed your ride on the UFO at Area 51, you are now seeing things on websites which are disappearing before your very eyes.

Result number: 29

Message Number 252137

Re: patriots think and vote View Thread
Posted by vsmith on 11/11/08 at 19:17

Larry i think they are waiting for you in Area 51 to beam you back up.

Result number: 30

Message Number 252091

Re: patriots think and vote View Thread
Posted by vsmith on 11/10/08 at 16:49

Larry for once tell the truth, do you really believe Bush did a great job on Katrina? i await your answer but clearly since you are a Bush man you are sure to think Bush did a great job in response to katrina.

Result number: 31

Message Number 251834

Re: I Finished My List of 30 Reasons View Thread
Posted by vsmith on 11/04/08 at 20:07

sorry Dr. Z. I mean to say Right Wing, Ultra Conservative who believes Obama is anti-Israel and McCain is pro Israel. Again you must be the only right winger in NJ

Result number: 32

Message Number 251824

Re: I Finished My List of 30 Reasons View Thread
Posted by vsmith on 11/04/08 at 18:44

Excellent Susan but for sure the Tammy will contradict everything you wrote and that right wing anti-Israel Dr. Z will do it also.

Result number: 33

Message Number 251758

I Finished My List of 30 Reasons View Thread
Posted by cwk on 11/02/08 at 14:13

http://acivilizationworthyofthename.blogspot.com/

1. Barak Obama is-reflective- He embraces country’s virtues and is not afraid to address problems.

2. Barak Obama is a gentleman- He treats others with respect.

3. Obama’s tax plan is a first step toward a responsible budget. The Congressional Budget Office projects that McCain's plan will lead to the biggest growth of the deficit.

4. Obama’s health care plan begins to address serious problems.

5. Obama’s call on the Iraq war was correct and courageous.

6. Obama balances faith and politics. He is a man of faith who respects other spiritual journies.

7. Obama has a history of unifying leadership. He can be a political unifier.

8. Barak Obama has temperament to be president. He has superior intellect and calmness.

9. Obama’s tax plan is a step toward necessary tax reform.

10. Obama has managed a well run campaign.

11. Obama advocates personal and public fiscal responsibility.

12. The vile racism of the Republican party must not win. Our children are watching?

13. Obama understands complexity of foreign policy issues and is realistic about what must be done.

14. Obama is respected around the world and and will represent us well.

15. His position on the difficult subject of abortion is fair and balanced.

16. Sarah Palin is not ready to be president and John McCain is 72.

17. John McCain’s lack of focus on what concerns people most and emphasis on the trival proves he is not capable of managing priorities as President.

18. I do not want more conservative appointments to the Supreme Court. Read Gary Wills and Cass Sunstein.

19. Obama’s Presidency will help bridge the racial and cultural divide.

20. The principles of capitalism support progressive tax. Obama is not a socialist indeed according to the principles of Adam Smith he is a good capitalist.

21. She Blinded Me With Science- Palin attacks necessary research that would help her own cause and rejects research based science.

22. I’m Sick of Divisive, Dishonest Destructive Manipulation by the Media. Let’s show the media that we will not be bamboozled by innuendo, guilt by association, trivia and lies

23. Americans Are Fair and Balanced- we are not ‘afraid’ of a Black man.

24. Democrat presidents have been good for the economy

25. Obama and his family is an authentic example of solid family values I want my children to admire and emulate

26. We are not as divided as our politics suggest; Obama is attracting leading conservative thinkers and leaders who are disgusted with the result of the past eight years and saddened by the McCain campaign

27. Obama understands the importance of net neutrality that will assure innovation, wealth creation and social change will thrive on the net; we need a responsible climate policy governed by science

28. We must defend the Constitution from distortion which allows sweeping executive powers.

29. Because it’s a damn good list.

30. Because it is time--hell it is past time.

Result number: 34

Message Number 251733

Re: McCain and the Internet View Thread
Posted by vsmith on 10/31/08 at 18:31

I don't it is too painful for McCain to use a blackberry that is just a load of hooplah

Result number: 35

Message Number 251724

Re: An Admirable Campaign View Thread
Posted by vsmith on 10/31/08 at 16:20

I will never change what I believe and I believe in Obama even if he loses. Again he is an honorable man.

Z. we know why you are for McCain it is all about the Benjamins and you earn more than $250K so you are worried. Your view is narrow and one sided and you need to be more open minded and it is not all about the money. You know what your governement has no right to tell you what you have to do and MY my government has NO right to tell me that I cannot have an abortion or any woman cannot have an abortion. So put that in your pipe and smoke it.

Result number: 36

Message Number 251695

"The REAL John McCain - bully, traitor, liar, adulterer and warmongering criminal" View Thread
Posted by Susan on 10/31/08 at 11:18

http://www.wakeupfromyourslumber.com/node/6065

JOHN McCAIN - THE MOST FLAWED PRESIDENTIAL CANDIDATE IN HISTORY

Thursday, February 28, 2008 9:05 AM

Roland C. Eyears

It is now clear that what is left of the Republicon Party, after being fatally poisoned by the Bush administration, intents to commit suicide by nominating Senator John McCain (R-Hanoi) for the presidency. Where do I start?

THE EARLY YEARS

McCain spent his boyhood in exclusive boarding schools where staffers were paid to put up with his tirades. We all did some immature things before we matured. But with McCain, the tirades continue today.

Had he not been the son and grandson of admirals, there is scant chance he would have been admitted to the U.S. Naval Academy. Given his behavior patterns and academics, had he not been the son and grandson of admirals, there is little doubt he would have been thrown out. Instead, in 1958 he managed to graduate 894 out of 899. Had he not been the son and grandson of admirals, he is no chance he would have been accepted into the prestigious naval flight training program over far better qualified officers. On his way to becoming a North Vietnamese ace, the aviator lost 3 expensive aircraft on routine, non-combat flights. Little was made of all that, because he was, you know, the son and grandson of admirals.

McCain’s most horrendous loss occurred in 1967 on the USS Forrestal. Well, not horrendous for him. The starter motor switch on the A4E Skyhawk allowed fuel to pool in the engine. When the aircraft was “wet-started,” an impressive flame would shoot from the tail. It was one of the ways young hot-shots got their jollies. Investigators and survivors took the position that McCain deliberately wet-started to harass the F4 pilot directly behind him. The cook (I think he meant kook) off launched an M34 Zuni rocket that tore through the Skyhawk’s fuel tank, released a thousand pound bomb, and ignited a fire that killed the pilot plus 167 men. Before the tally of dead and dying was complete, the son and grandson of admirals had been transferred to the USS Oriskany.

As a rising naval officer, McCain was surrounded by rumors of numerous adulterous affairs, such as used to be called “conduct unbecoming an officer.” Author and biographer Robert Timberg has detailed several of McCain’s sexual relationships with subordinates when serving as a Squadron Leader and an Executive Officer. I think we all know such behavior is a clear violation of the Uniform Code of Military Justice, in other words, a crime.

When McCain’s application to the National War College was rejected, according to noted author and researcher Joel Skousen, he whined to daddy who pulled strings with the Secretary of the Navy.

PRISONER OR HONORED GUEST?

McCain’s 5½-year stay at the Hanoi Hilton (officially Hoa Loa Prison) has ever since been the subject of great controversy. He maintains that he was tortured and otherwise badly mistreated. One of many who disagree is Dennis Johnson, imprisoned at Hanoi and never given treatment for his broken leg. He reports that every time he saw McCain, who was generally kept segregated, the man was clean-shaven, dressed in fresh clothes, and appeared comfortable among North Vietnamese Army officers. He adds that he frequently heard McCain’s collaborative statements broadcast over the prison’s loud speakers.

On October 26, 1967, McCain’s A-4 Skyhawk was shot down over Hanoi. The fractures of 1 leg and both arms were reportedly due to his failure to tuck them in during ejection. According to U.S. News & World Report (May 14, 1973), McCain didn’t wait long before offering military information in return for medical care. While an extraordinary patient at Gi Lam Hospital, he was visited by a number of dignitaries, including, to quote McCain himself, General Vo Nguyen Giap, the national hero of Dienbienphu.

Jack McLamb is a highly respected name in law enforcement circles. After 9 years of clandestine operations in Cambodia and unmentionable areas, he returned home to Phoenix where he became one of the most decorated police officers on record. Twice McLamb was named Officer of the Year. He went on to become an FBI hostage negotiator. This man has stated that every one of the many former POWs he has talked with consider McCain a traitor. States McLamb, “He was never tortured…The Vietnamese Communists called him the Songbird, that’s his code name, Songbird McCain, because he just came into the camp singing and telling them everything they wanted to know.” McLamb further quotes former POWs as saying McCain starred in 32 propaganda videos in which he denounced his country and comrades.

The Glavnoje Razvedyvatel’noje Upravlenije is the Soviet’s military intelligence division. Numerous sources confirm that during the Nam Era, the English-speaking Vietnamese who conducted interrogations of American prisoners were always overseen by Russian GRU officers. The ranking GRU officer at the Hanoi Hilton had a multilingual teenage son who was tasked with translating all interrogation reports into Russian. He would become known only as T.

According to T who interpreted all interrogations and notes pertaining to McCain during the latter’s stay from December, 1969, to March, 1973, when a well-fed looking McCain’s was released, privileges were extended. These included time at a furnished apartment in Hanoi – furnished with 2 prostitutes. McCain would attribute such absences to solitary confinement.

It has been widely reported that following his father’s appointment as CINCPAC Commander-in-Chief of all U.S. forces in the Vietnam theater of operations, McCain was offered an immediate parole. McCain insists that he refused such a preference. Others insist that his father refused to allow such a preference. In any event, such an offer would have required the approval of the Soviet masters, and T would have seen documentation. He has no recollection of such an offer.

In 1991 the Soviet Union was in a state of collapse. People and things were up for grabs. During that thaw, a mass document swap took place between the KGB and CIA. All T’s translations were included. If these dots are really connected, it is small wonder that McCain had fought consistently to keep all files sealed, block any attempts to retrieve POWs, and establish the friendliest of relations with his former tormentors.

Imagine the possibilities. A Clintonian leak during the presidential campaign. Or, in the unlikely event of a McCain victory, blackmail of the Manchurian Candidate.

It is public record that Admiral McCain was on hand to greet his son upon return. According to Major Mark A. Smith (USA Retired), a Green Beret and former POW, a trusted friend of his accompanied the Admiral that day. Later, when the friend referred to that meeting, McCain became enraged, volunteered that he had received “no special treatment,” and then denied that his father was there.

In 1989 legislation known as The Truth Bill was introduced in the U.S. House. It required the Department of Defense to publish the names and information on all unaccounted for POWs, MIAs, and KIAs in WW II, the Korean War, and Vietnam. It languished and was resurrected 2 years later. Then came the McCain Bill, promptly enacted, that blocked such information. The DoD does not even have to acknowledge confirmed sightings of live Americans.

TEMPER AND TEMPERMENT

The senator’s temper and temperament remain in question. His biographer quotes him: “At the smallest provocation I would go off into a mad frenzy, and then suddenly crash to the floor unconscious.” Has he moderated over time? Apparently. Somewhat. Senators who have had McCain scream hyphenated obscenities at them nose-to-nose include Rick Santorum, Richard Shelby, Thad Cochran, and James Inhofe. Most colleagues decline comment. The man has been called psychologically unstable.

BIRDS OF A FEATHER?

Four years ago McCain loudly defended the glorious hero of the Vietnam War, John Kerry. That would be the young naval officer who hid out in an office until he took command of a river patrol boat for a few weeks. He put in for a purple heart every time he got a scratch or bruise. With 3 of those, he rotated out with the intention of running for public office as a war hero. When Kerry saw the level of anti-war sentiment, he quickly morphed into an anti-war hero running for public office and later married the widow of an extremely wealthy, conservative senator who died under highly suspicious circumstances. Swift Boat Veterans for Truth have not died. Their affiliate is Vietnam Veterans Against John McCain, headed by former Sergeant Ted Sampley, who also serves as vice-president of the half-million member Rolling Thunder Motorcycle Rally.

Sampley has spent years working toward the return of Vietnam era MIAs and POWs abandoned by our government (which is invariably the case at a war’s end). McCann has thwarted him at every turn, dismissing 1,600 credible first hand sightings, 14,000 second hand sightings, and countless radio intercepts that supported the observations.

In 1991 a Senate Select Committee held hearings on the subject of Vietnam POWs. Tracy Usry, honored Vietnam veteran and former chief investigator for the Senate Foreign Relations Committee, testified that American POWs were routinely interrogated by Soviet intelligence officers. Several times, an enraged McCain interrupted, shouting that, “…none of the returned U.S. POWs released by Vietnam was ever interrogated by the Soviets.” He knew better. So apparently did Bui Tin, former Senior Colonel, NVA, who testified that he had been privy to all Soviet documents pertaining to American prisoners. He supported Usry, refuted McCain, and offered his personal records as added proof.

In short order, Usry and all participating staff members were fired. Jack Wheeler, Republicon insider and master strategist, attributed that to McCain’s behind-the-scenes pressuring.

Add to that McCain’s despicable treatment of families of POWs. Is that based on guilt or is the man simply despicable?

A LITTLE HISTORY LESSON

In the 1920s, the Bronfman family of Montreal rose to power and wealth based particularly on its Seagrams liquor business, which had as its Prohibition Era partner Meyer Lansky, American Mafia boss. Bootlegging profits were enormous. The family branched into many areas, including media. In recent years, Bronfman acquired a major chunk of Time-Warner.

Michael Collins Piper is the author of several books including FINAL JUDGMENT and THE HIGH PRIESTS OF WAR. According to his research, Jack Ruby, Texas nightclub manager and silencer of JFK’s alleged assassin, was a Bronfman asset. Piper identifies Ruby as “a key player” in the smuggling of arms stolen from U.S. military bases to Israel.

In the years prior to World War II, the move into Arizona was made. In 1941, Gus Greenbaum of Phoenix started a national wire service for bookies. When he shifted to Las Vegas in 1946 to oversee Meyer Lansky’s casino interests and subsequently replace the infamous, violent Bugsy Siegel, Kemper Marley was appointed crime syndicate boss of Arizona. According to sources within the Marley group, it was Bronfman who put him in the liquor business and enabled him to build a statewide monopoly. In 1948, the feds sent 52 employees to prison for liquor violations. Rumor has it that Marley remained untouched because one of his lieutenants, James Hensley, took the fall and did a dime. Piper reports that Hensley’s attorney and dealmaker was William Rehnquist. Yes, that would be the Chief Justice who later pulled his former girlfriend onto the high court and spent his last decade on the bench hallucinating on drugs. Upon release, Marley gave Hensley one of the biggest Anheuser-Busch distributorships in the country – certainly the biggest in Arizona. Thank you for your faithful service.

Then one day in 1981, an obscure, newly retired naval officer rode into the land of sun, cacti, and retirees. After his first wife, who had raised his children and waited for him became crippled in an accident, John McCain had dumped her overboard and married his mistress – Cindy, daughter of James Hensley. The next year the “straight talker” was installed in the U.S. House of Lords. Four years later he moved to the senate.

So who owns honest John McCain? The mob that runs Arizona? The big Vegas money that continues to contribute heavily? The Israeli connection? You be the judge.

UNDERSTANDING ECONOMICS – WHO NEEDS IT?

Not long ago, McCain stated to a journalist that, “Economics isn’t my strong suit.” But, he added, he is reading Greenspan. That would be Fed Chairman Alan Greenspan who, during his tenure, expanded the money supply more than in all the years since 1913. The Greenspan who kept the printing presses running at warp speed, turning out little pieces of paper called money and backed by the promises of politicians. Alan the Inflator fueled the dotcom bubble, the stock market bubble, and more recently the real estate bubble. It is no wonder that the LONDON ECONOMIST recently pegged 2007 true U.S. inflation at 17%. Just what we need – another president who is an economic illiterate. It’s small consolation that McCain admits it, because if elected, he’d appoint the wrong advisors.

MCCAIN VERSUS THE CONSTITUTION

McCain, also known as senator hyphen around D.C., frequently partners with members of the far left. The McCain-Feingold Campaign Finance Reform Bill was an obvious, full-frontal attack on the First Amendment – perhaps the most blatant since the Sedition Act 200 years previous. Specifically, it outlawed the most protected of free speech, political descent. This alone should be a deal breaker. Anyone voting for the bill should have been impeached and removed from office. George Bush, when he broke another of his pledges and signed the odious legislation, said he had problems with it but that the Supreme Court might very possibly strike down parts. Apparently, his thinking was (1) this is bad law, but why should I worry, and (2) I don’t need to do my job because somebody down the line might do it for me.

Accordingly, it is entirely logical that radio talk show hosts are in strong opposition to McCain. They understand how much he hates free speech, and they don’t want to see a return to the deceptively named Fairness Doctrine that used to force broadcasters to devote matching time to the promotion of liberal views to balance conservative. At the core is the liberals’ fear of exposure to the marketplace of ideas and free discourse. To them, it is not enough that you have a dial and an opposed thumb. If we’re going to have a Fairness Doctrine, let’s carry it all the way out. For every 80 anti-gun news stories, I want to see 80 (easy to find) pro-gun stories. Not 1. For every male bashing commercial, mandate one female bashing. Let’s limit the number of black players on college and NBA teams to 12½ percent, reflective of the population. Et cetera.

McCain also works to destroy the Second Amendment. John McCain does not trust you with a firearm, regardless of the plain words of the Constitution. He would bar you from defending yourself from marauders and certainly from an out-of-control government. The Gun Owners of America rates McCain F minus. Although the National Rifle Association is far softer in defending gun rights, its president has termed McCain the “worst Second Amendment candidate.” Example: McCain sponsored an amendment to S. 1805 that would destroy gun shows by outlawing private gun sales at such events, although they have been proven to not be a significant source of criminals’ weapons. A next step would be the outlawing of private transfers. A father would be unable to pass down a family treasure without government blessing. The unconstitutionality of all this is of no importance to the senator and his ilk. Check his record. This alone should be another deal breaker.

Just about everybody loves a maverick, right? Spirit of America and all that. We often impute a certain sense of integrity to someone who turns on his own. Is the senator from Hanoi really a maverick? Sure, but from what? Honor? Duty? The Constitution he works so hard to make irrelevant? But as a career politician and long-time member of the Council on Foreign Relations, McCain is also a one- worlder and a senior insider.

CAMPAIGN FINANCE

I’m sure the sponsor of the so-called Campaign Finance Reform Bill wouldn’t mind if we took a cursory look at his donors. They include the sinister international currency manipulator George Soros, JP Morgan Chase & Company, Citigroup, Goldman Sachs, and Lehman Brothers. In other words, McCain is backed by most of the usual suspects who back “the competition.”

According to WorldNetDaily, since 2001, this candidate has receiving funding via the Reform Institute of Alexandria, Virginia, founded to launder money from George Soro’s Open Society Institute and Theresa Heinz Kerry’s Tides Foundation. Let’s just know who owns whom. All this only makes sense. The senator is a long-time member of the Council on Foreign Relations, a one-worlder, an ultimate insider.

Funding scandals? Sure. We have them too. Does anybody remember the Keating Five debacle from 1987 that cost depositors and taxpayers $160 million? Charles Keating owned American Continental Corporation and its subsidiary Lincoln Savings & Loan. Facing multiple federal indictments, he called on the recipients of his largesse – Senators Alan Cranston, John Glenn, Don Riegle, and from the great State of Arizona Dennis DeConsini and John McCain. Strings were pulled, but, in the end, Keating was convicted. In 1991, the Senate Ethics Committee (I know, such an oxymoron) ruled that McCain hadn’t quite done anything illegal. But by his own standards he was corrupt.

D.C. FOLLIES

Recently, the New York Times ran a piece suggesting that McCain may have had an affair with lobbyist Vicki Iseman that went back 8 years. Ms. Iseman is a partner in Alcalde & Fay, who represent Carnival Lines, several broadcasters, and municipalities. The Times, along with Drudge and the Washington Post, had been sitting on the story for some weeks. The allegations are unproven, and, the senator has exhibited extraordinary self-control when denying them. I can only say that he has a history of this type of Clintonian behavior, both in the military and, admittedly, during his first marriage. Apparently it is acceptable anymore. In any case, I question whether the Times should have run with this.

Influence peddling? Sure, McCain rode Lowell Paxson’s jet several times. It would be asking a lot of a high-profile senator to walk through a crowded airport and climb on a commercial flight. Maybe he wrote Paxson checks at the commercial fare rate. He did accept $100,000 donation from Alcalde & Fay. And he did write 2 letters recommending that the FCC approve Paxson’s purchase of a Pittsburgh TV station. Only two? Lobbyists lobby. I don’t have any finger to point here.

THE GREAT CONSERVATIVE

Taking a page from Bill Clinton’s Attorney General, McCain has called Christian leaders “agents of intolerance.”

McCain often crosses the aisle to block the confirmation of conservative judges with strict construction leanings. His record on taxes is clear; he likes them. Senator hyphen has co-sponsored ill conceived legislation that would boost gasoline prices by more than half a dollar a gallon. And he supports radical global warming measures that would significantly disadvantage the U.S.

COME ON UP. HERE’S A CHECK.

Teaming again with Teddy Kennedy, at al, the senator from Hanoi sponsored an amnesty bill for illegal aliens. A top aide, Juan Hernandez previously held a cabinet level position with ex-president of Mexico Vincente Fox. This dual citizen is on record as favoring “Mexico First.” McCain supports open borders. Well, until he caught sight of the prize. These days he’s auto-phoning into Ohio, promising that “first I’ll close the borders.” He’d still like to see Social Security money paid to the sneak-ins. Another deal breaker?

DISCLAIMERS AND CONCLUSIONS

The presidential frontrunners have a curious commonality. Not one has any significant administrative history. None has headed a company, none has managed an organization, and none has ever had to meet a payroll. Their experience has been totally devoted to throwing other people’s money at problems they created (often for that very purpose), and they’ve run nothing but their mouths. Seriously, if you owned a large business enterprise, is there any chance that you would pick one of the candidates to manage it?

As for the illegal, immoral war in which we are engaged, Obama is clean, Hillary is implicated, and McCain says he’s fine with another hundred years.

Personalities aside, I’m not certain how much difference it makes. McCain has essentially endorsed Hillary. According to him, “She has integrity,” and “I have no doubt that she would be a good president.” He likes, really likes the woman, and says, “I think she’s a very good person.” Meanwhile, Barack Hussein Obama’s policies differ not one whit from Hillary’s. So that’s a popularity contest.

Then there is the matter of the label. In his way, George Bush has done to the Republicon Party what Bill Clinton did to the Democrat Party in his way. In the last congressional race, the Rs did poorly; yet their D replacements have fixed nothing. The congress’s approval rating is 22 percent. As the legatee of Bush, what does baggage does McCain bear? Here are just a few bags: unrestrained spending, huge trade deficits, illegal wars of aggression, empire building beyond our capacity, abandonment of our fallen veterans, war crimes, the elimination of civil liberties with war as a pretext, the death of habeas corpus, favoring Israel over the U.S., the stock bubble, the real estate bubble, collapsing home values, permanent core job losses, true 10 percent inflation, debasement of the currency (They won’t even publish M3 numbers anymore.), torture of prisoners (On October 6, 2006, McCain voted to exempt the CIA from restrictions.), prisoner rendition, deconstruction of the Constitution, opening our borders to everybody and anybody, violations of separation of powers, corruption, and incredible incompetence. I could go on. My question: Is the Republicon nomination worth more than 15 cents? Even if McCain puts nominal Democrat Joe Lieberman on his ticket to demonstrate bi-partisanship and pull in Dems and Independents?

Are you a genuine social conservative? Do you believe in our wonderful Constitution? Are you opposed the Iraq War and its precursor strategies that have killed hundreds of thousands of innocents? Are you fiscally responsible? Do you truly understand the principles of republicanism? Do you believe in marital fidelity? Are you a supporter of free speech? I submit that if your answer to any of these questions is yes, you cannot vote for John McCain and retain your integrity. The lesser of 2 or 3 evils is still evil. In this case, not by a measurable amount.

The party of Ronald Reagan left me years ago. America’s bright beacon of hope, so loved by much of the world for over 200 years, is being reduced to a faint glow in the eyes of the true believers.

We have had some incredibly unqualified and inept people run for and sometimes win the top job. But John McCain must be the most flawed and compromised candidate in our nation’s history.

Result number: 37

Message Number 251661

Re: For Dr. Z View Thread
Posted by vsmith on 10/30/08 at 18:59

maybe because there is nothing on the tape that would be of interest. Is it going to change your mind or anyone else's mind at this time. it is also part of McCain's dirty campaign. I agree with Susan, McCain has a lot of stuff in his past that is not pretty, biggest being the Keating 5.

Result number: 38

Message Number 251308

Re: Nice pic from today! View Thread
Posted by vsmith on 10/19/08 at 13:19

Great pictures Marie. How inspiring!!!

Result number: 39

Message Number 251256

Re: Last Debate View Thread
Posted by john h on 10/17/08 at 10:40

Mr. Smith you need do no more than Google Fannie Mae and sub-prime market to find all the information you want into how deeply Fannie Mae was into sub-prime. This is basically what brought down the company and led to the Government taking over Fannie Mae and Freddie Mac. In the frenzy to increase profits they were more than eager to purchase these high interest rate loans and that they did. When the housing bubble burst so did Fannie and Freddie. You are now one of the millions of proud owners of Fannie and Freddie as are we all.

Sub-prime loans often with no money down and falsified income documents from the buyers with no one even checking the qualification of buyers was just part of this mess. We also had men like Barney Frank pushing for even more sub-prime loans to increase home ownership of the poor and minorities. Freddie and Fannie were rolling in profits at one time with the CEO's walking away with hundreds of millions of dollars in bonuses. The companies were lauded by many for their help in increasing home ownership. Many sounded warnings early on about Fannie and Freddie getting into the high risk loan business but no one in Congress followed up on it. Had they done that early on we would perhaps not be in the mortgage business our selves on this fine day.

When two quasi government companies own 70% of all mortgages you basically have your eggs all in one basket. The chickens have come home to roost.

Result number: 40

Message Number 251255

Re: Last Debate View Thread
Posted by john h on 10/17/08 at 10:24

vsmith: I beg to differ with you on Fannie Mae. They were heavy into the sub-prime market. Between Fanny Mae and Freddie Mac they owned 70% of all mortgages. It was difficult for them to not be in the sub-prime market. The following article is from the Washington Post and and I can produce numerous such articles and data to back it up. It is rather common knowledge:


Fannie's Perilous Pursuit of Subprime Loans
As It Tried to Increase Its Business, Company Gave Risks Short Shrift, Documents Show


Fannie Mae chief Daniel H. Mudd says few predicted a downturn. (By Carol T. Powers -- Bloomberg News)
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By David S. Hilzenrath
Washington Post Staff Writer
Tuesday, August 19, 2008; Page D01
In January 2007, as years of loose mortgage lending were about to send the nation's housing market into devastating decline, Fannie Mae chief executive Daniel H. Mudd wrote a confidential memo to his board.

Discussing the company's successes, Mudd said one of Fannie Mae's achievements in 2006 was expanding its involvement in the market for subprime and other nontraditional mortgages. He called it a step 'toward optimizing our business.'

A month later, Fannie Mae outlined plans to further expand its activities in the subprime market. The company recognized the already weak performance of subprime loans but predicted that they would get better in 2007, according to another Fannie Mae document.

Internal documents show that even late in the housing bubble, Fannie Mae was drawn to risky loans by a variety of temptations, including the desire to increase its market share and fulfill government quotas for the support of low-income borrowers.

Since then, Fannie Mae's exposure to loosely underwritten mortgages has produced billions of dollars of losses and sent its stock price plummeting, prompting the federal government to prepare for a potential taxpayer bailout of the company. This month, Fannie Mae reported that loans from 2006 and 2007 accounted for almost 60 percent of its second-quarter credit losses.

Fannie Mae documents from the period, obtained by The Washington Post, paint a picture of a company with the dual incentives of fostering affordable housing and making money, and of one caught between the imperatives of increasing its market share while avoiding excessive risk. In a bid to juggle these demands, the company's executives took on risks they either misunderstood or unduly minimized.

Result number: 41

Message Number 251254

Re: Last Debate View Thread
Posted by vsmith on 10/17/08 at 04:30

let me qualify Fannie and Freddie have not been in the subprime markets in any meaningful way.

Result number: 42

Message Number 251252

Re: Last Debate View Thread
Posted by vsmith on 10/16/08 at 18:56


First: Fannie and Freddie have NOT nor have EVER been in the subprime market.

Second: trickle down economics does not always work.

Third: Ireland is NOT a wealthier country than the U.S.

Fourth: to assume that higher profies would result in a larger work force as opposed to higher margins is pretty naive.

Result number: 43

Message Number 251230

Re: Good Feet Store View Thread
Posted by Mike P on 10/16/08 at 09:55

I guess I should have done this search and reading earlier but alas, after the fact is better than nothing. I recently went to the GFS, like Tina. A much different problem though but still got the whole package. I had suffered a fall about 3+ years ago that continually made my back pain, sciatica, and long term standing and walking more difficult. After Chrioprator diagnosis and treatments that lasted about a week for over a year, I had to pursue another avenue. The problem was I 'broke' my back at the lower lumbar vertabrae, or so I was told and it healed slightly forward of proper alignment. Surgery was NOT recommended due to the risk and nerves associated. OK, that left me with enduring pain off and on or trying something new. Granted, I was taken in by the testimonials, espceially Emmett Smith, the footballer and Dancing with the Stars contestant who wears the GFS product. Now, after overpaying, in my opinion, for their 3 stage system, I must say I am satisfied with the results. Maybe I could have done it cheaper, who knows. But when you weigh it against Chrio treatments ongoing with my insurance co-pay, I will have broken even in less than a year. So, I guess the point is, each person is different as to what they accomplish with the GFS product and what the alternative is.

Result number: 44

Message Number 251062

Re: Dangerous View Thread
Posted by vsmith on 10/10/08 at 19:26

i agree Wendyn, it is very divisive.

Result number: 45

Message Number 251004

Re: race baiting View Thread
Posted by vsmith on 10/09/08 at 19:10

i know this is really simplistic but if the country were not at war, do you think that money could be plowed into the economy? Time to focus on our own shores is my feeling right now as who knows how long any of us will have jobs. Believe you me it is going to trickle down to all of us. I bet by the end of the year many of us will be out of work. Sales people more than anyone else. It may not look like it today but it is going to happen.

Result number: 46

Message Number 251000

Re: race baiting View Thread
Posted by vsmith on 10/09/08 at 18:18

I just watched McCain/Paulin on Hannity and it was UNBELIEVABLE. On this day when the stock market is crashing, the only thing they can talk about is Bill Ayers and Reverend Wright and paint Obama as unAmerican. It is a dirty trick and clearly obvious. Who cares I am getting broker and broker every day. I will have to work until I am 103 to fix my 401K and we are race baiting. Again what a weak trick. I just cannot understand why McCain is doing this when our economy is tanking. Can someone explain this to me.

Result number: 47

Message Number 250972

Re: McCain View Thread
Posted by vsmith on 10/09/08 at 05:33

you are sending us to read Krauthaumer? I think not, yet another right wind zealot like Sean Hannity an admitted anti-semite. jeez elections bring out the worst in all of us.

Result number: 48

Message Number 250955

Re: McCain View Thread
Posted by vsmith on 10/08/08 at 19:50

Tammy you are one scary woman and to think that we live in the same country frightens me.

Result number: 49

Message Number 250944

Re: McCain View Thread
Posted by vsmith on 10/08/08 at 15:48

Unfortunately John H, your candidates have resorted to hate, which is really a shame. No one is being hateful here. Additionally everyone respects both you and McCain for your service to this country but you have to admit that McCain is grasping at straws with his hateful mesages and name calling. I do believe that Obama has risen about teh shallowness and the hate. I also believe that by calling Obama 'that one' was about as low as one could go without directly being racist. It is a darn shame ... all of it.

Result number: 50

Message Number 250774

Re: McCain pulls out of Michigan.............. View Thread
Posted by vsmith on 10/03/08 at 19:00

great, good news for Obama

Result number: 51

Message Number 250773

Re: Wow, that's harsh View Thread
Posted by vsmith on 10/03/08 at 19:00

Here, here Susan, 'harsh' was being kind.

Result number: 52

Message Number 250762

Re: The Debate View Thread
Posted by vsmith on 10/03/08 at 16:41

well said Dr. W. Palin comes hand in hand with McCain. Doesn't anyone question mcCain's judgment for picking such an inexperienced person to be his running mate? Maverick, think not.

Result number: 53
Searching file 24

Message Number 249951

Re: Polls???? View Thread
Posted by john h on 9/08/08 at 14:02

Sounds good to me Tammy. We will surely have some changing poll results from the debates soon to start. Nixon lost the election almost totally on the debates. He was sweating profusely and did not look good at all. Looked like he had malaria. On the other hand JFK looked like a movie star and was cool as could be.

Obama is sure a great speaker but I do not know how he will do with questions he does not know that are coming. McCain does not look as cool or is as smooth as Obama so he will have his work cut out for him. I think he will have some informed answers as he has been in the Senate for over 20 years.

Sarah Palin I think will more than just hold her own. The later part of her speech at the Convention she had to wing it, as the teleprompter got our of sync. She did not miss a beat. I think she will be as cool and as good looking as JFK was. I have no idea of how up to date she will be on the questions posed by the moderators and that will decide her fate as it probably will McCain's. I do worry about McCain's age as do many Americans and she is truly a heart beat away from the Presidency. These coming debates will have much to do about who our next President is.

It is not often mentioned because it is one of those things people do not like to talk about and that is race. There are still today many voters who will not vote for a Black man. These people will never admit this so we have no idea of just how many are out there and what effect they have on poll results. We probably have a number of voters who will not vote for a woman but once again we have no idea of how many of them there are. There will be voters who will not vote for a man named Barrack Hussein Obama but would elect the same man if he were named Bud Smith. That exist whether we like it or not. Franklin Roosevelt went to great length for many years to hide the fact he was a cripple. Most of our nation did not know it until later in his Presidency. He thought and maybe was correct that it would effect his votes. People often vote for many things beyond issues. In 1940 there would be zero chance for a Woman or Black man to become President. We have come a long way. In this election we have a Woman, A Black man with a strange name to Americans, a 71 year old White Man running. A lot of things beyond issues. This will be rather historic election as we will either have a female VP or a Black President. I guess you could say 'We have come a long way baby'.

Last but not least what do you people think about who she really wants to win this election? In her heart of hearts she knows if Obama loses she could be the #1 candidate in 4 years to go up against a probable Sarah Palin as McCain will be 76 years old. If Obama wins he is the obvious candidate for the next term. Hillary is very very ambitious just like Bill. It is easy to say she clearly supports Obama but does she really????? Being the next Ted Kennedy in the Senate is not like be the President and living in the White House. She has had a taste of that and she is one tough minded Woman.

Result number: 54

Message Number 249324

Re: Tarsal Tunnel Surgery Recovery View Thread
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: 55

Message Number 249234

Triple arthrodesis w/fusion 11 years ago View Thread
Posted by marcia e on 8/14/08 at 16:43

Dear Doctor, The success of my surgery has been amazing. An accident 30 years ago shattered my foot and I walked with severe pain until 1997 when I met Dr. Ronald Smith, Long Beach California, who performed this surgery. While the recovery/healing process was grueling (I was in a non-weight buring cast for 4 1/2 months), I have been walking pain free now for 11 years. I recall Dr. Smith telling me this 'fix' would last about 10 years - how right he was. I have recently been experiencing slight pain and what I am assuming is movement of the metal in my foot. An xray was done and I am in the process of being referred to a specialist. The radiologist's report says there is arthritis and bone shavings in the site, probably caused from bone to metal contact. (I should add that I have been walking a vigorous 3 miles a day for the past year).

Here's my question: How common is this type of condition? Can you tell me what the next step will be? Has this surgery been perfected in the last 10 years and/or are there better options for me now? I am trusting this is!!!

thanks in advance for your opinion.
Marcia

Result number: 56

Message Number 248778

Re: What's going to happen to the internet? View Thread
Posted by cwk on 7/31/08 at 01:22

Susan,
I did not make my point clear so I will try again.

There are two possible ways we can be charged for the web. One is for internet access and the other is to pay for content.

Almost everyone pays for access now altho free internet access is becoming more and more available in towns of all sizes. Most Americans move and access information thru wired connections to their homes. With a few exceptions these connections are provided by phone and cable companies. Of course these companies are motivated by profit and will maintain price levels and extract maximum profit from their investments — similar to how OPEC sets production quotas to guarantee high prices for oil. But if they charge too much or package access in confusing, expensive ways that are prohibitive to users their profits will actually go down because users have choices. Just like the phone companies are suffering because users are forgoing landlines in favor of cell and Skype these companies will loose market share if they overcharge. Internet users have choices for access and businesses and governments are developing more choices. Amsterdam and some cities in Utah have deployed their own fiber to carry bandwidth as a public utility.Other cities are cutting deals with big companies to provide access. A future possibility is to buy your own fiber just like people go off the electric grid with solar and wind power.


The other way to pay for the internet is to pay to view certain sites or to pay for content. Charging for content has been a huge failure. It ain't gonna happen. The web is like a party- if no one comes the party sucks. No one will come to a pay for view site. That has been proven. The NYT gave up the pay for content program cuz it didn't work. They make money from advertisers who want to grab the eyeballs that read the Times online. Heelspurs is free because it is a sales channel. The content is the reason you come to the Scott's online party but once here you buy stuff or follow links to Goggle ads and Scott makes money. Scott is not going to charge you to come and he is not going to host his site on a server that charges you. No one is going to come to that party so no one will profit- not even the 'corporate marauders' your blogger fears so much.

Free or really cheap content is what drives the economic engine of the web. Of course there are threats to freedom and access and it is very interesting to watch the struggles play out. The best resource for understanding what is going on is The Electronic Frontier foundation. There is also a great new book out called Who Controls the Internet but Wu and Goldsmith.

Free file sharing of music in the 90's helped to pave the road for cheap music and entertainment on iTunes. That hasn't hurt the little guy- indeed it has given the common man and woman more choices in music and entertainment.

Microsoft used to have a monopoly on software but those days are over. You can get free Open Source software, free operating systems and, thru Google, tons of free applications. You don't need Microsoft to create a spreadsheet, a powerpoint or a document. Free works cuz it makes money. That model would be destroyed by creating a high priced web and corporations, like NYT and Google, are not going to let that happen. Neither will governments.

While we must be vigilant about all of our freedoms but the boogie man of Kevin Parkinson's is not a real threat.

I hope I connected the dots in a way that makes sense.
CWK

Result number: 57

Message Number 248350

Re: S. Res. 580: Senate on preventing Iran from.......... View Thread
Posted by marie:) on 7/09/08 at 16:43

co-sponsors of the bill............nice bi-partisan effort imho.

#
# and 32 Co-Sponsors

* Sen. Maria Cantwell [D, WA]
* Sen. Benjamin Cardin [D, MD]
* Sen. Robert Casey [D, PA]
* Sen. C. Saxby Chambliss [R, GA]
* Sen. Norm Coleman [R, MN]
* Sen. Susan Collins [R, ME]
* Sen. Kent Conrad [D, ND]
* Sen. Bob Corker [R, TN]
* Sen. John Cornyn [R, TX]
* Sen. Michael Crapo [R, ID]
* Sen. Jim DeMint [R, SC]
* Sen. Elizabeth Dole [R, NC]
* Sen. Byron Dorgan [D, ND]
* Sen. John Isakson [R, GA]
* Sen. Tim Johnson [D, SD]
* Sen. Amy Klobuchar [D, MN]
* Sen. Mary Landrieu [D, LA]
* Sen. Joseph Lieberman [I, CT]
* Sen. Mel Martinez [R, FL]
* Sen. Robert Menendez [D, NJ]
* Sen. Barbara Mikulski [D, MD]
* Sen. Patty Murray [D, WA]
* Sen. Bill Nelson [D, FL]
* Sen. Pat Roberts [R, KS]
* Sen. Jefferson Sessions [R, AL]
* Sen. Gordon Smith [R, OR]
* Sen. Olympia Snowe [R, ME]
* Sen. John Sununu [R, NH]
* Sen. John Thune [R, SD]
* Sen. David Vitter [R, LA]
* Rep. Roger Wicker [R, MS-1]
* Sen. Ron Wyden [D, OR]

Result number: 58

Message Number 248242

heredity is equal to evolution View Thread
Posted by scott r on 7/06/08 at 06:01

Not accepting evolution as fact is the greatest source of American ignorance that is not present in the rest of the world. It keeps us in the dark ages of superstition and witchcraft when compared to Europe and Asia. So I have often looked for ways to explain basic science to my very religious family. I live in Montgomery, so ancient superstitions and witchcraft-based cults are rampant. Sacrifice and magic and are central beliefs of the cults, primarily mythology Jesus. The romans had no record of such a person so it's very strange that Americans treat that particular cult's early writings as more significant than all the other Jesus mythologies that came before and after the Jesus mythological writings. The new testaments is just a sampling from a cult that copied from many other cults that came before. At least Mohammad and the Mormon's Joseph Smith are proven historical figures.

Anyway, I was just thinking about how each child is proof of evolution, if you believe in basic heredity. The randomness of the 50% of genes selected from each parent is the source of the randomness of evolution. Christians think the randomness that selected the genes of their children is a gift from God, and yet at the same time they vehemently deny that it exists if you apply it to more than one generation. Mutations are no longer used in sexual animals as a source of evolution because there are enough genes out there to create any sort of animal from the existing genes. Sex is the fastest form of evolution.

Result number: 59

Message Number 247957

Bush or Obama? Who would you align yourself if......... View Thread
Posted by marie:) on 6/24/08 at 21:42

you were a Republican running for office?

This was at least interesting........

http://news.yahoo.com/s/ap/20080625/ap_on_el_pr/obama_senate_ad;_ylt=AmAmoZGvzMewOKMKvfoQDvWyFz4D
Observers in both parties said it appeared to be the first time in this election cycle that a GOP Senate candidate had aligned with Obama.

The ad, responding to an independent Democratic ad linking Smith to high gas prices, credits Obama with saying that 'Gordon Smith led the fight for better gas mileage and a cleaner environment.'

Result number: 60

Message Number 247067

Re: Exercises for Recovering PF and AT View Thread
Posted by Dr. Wedemeyer on 5/24/08 at 09:47

Frank

Assuming you have cleared weight training exercise with the doc treating your PF, I agree its probably time to get back on the proverbial exercise horse.

I have a couple suggestions based on actually training at the same gym where several of my PF patients do.

#1. Have your doc or a good cped pick out the appropriate footwear for you to commence training in (it sounds as though you may already have it). Whatever worked for you to overcome PF, such as motion control vs. cushioning stick with that choice in footwear.

#2. Stretch before and after your leg routine.

#3. Use very light weight and do high reps but not to the point of fatigue for 4-6 weeks. Give your muscles, ligaments and tendons the time they need to adjust to the new routine. Also initially only do legs 1-2 times per week and do the posterior muscles on a different day.

Also be very careful doing squats and calf work for 6 weeks. You're not in a hurry.

#4. Rest and nutrition are crucial to recovery. Buy a good multi-vitamin and mineral complex with adequate C (1-2 grams/day), copper, manganese, selenium and zinc. This will support your soft tissue recovery.

Buy a good whey or egg protein supplement and drink it before and after your training. I like the MRM 100% all natural whey that is sweetened with Stevia. It is loaded with Amino Acids and especially L-Glutamine, which will greatly reduce your muscle soreness and promote lean body mass. Jay Robb makes an excellent egg white protein powder also with Stevia.

#5. Perform squats with the bar only or very light weight on a Smith machine. Do not squat lower then say 45 degrees until you can comfortably do this without flare-up. If presses aggravate you, try cycling as your main exercise until you gain some strength, muscle memory and flexibility back. I would also avoid lunges for now. Stick with leg extensions, curls and very light calf raises with the knees flexed after the cycling warm up.

I hope this helps and let us know how you're doing.

Good luck

Result number: 61

Message Number 246962

Re: Einstein on God View Thread
Posted by john h on 5/19/08 at 11:13

When it comes to the God or a God then Einstein has not better knowledge than any Joe Smith you meet on main street. God is a matter of faith and God can neither be proved or disproved. Einstein's knowledge of the Universe will give him a different perspective than a less educated person but by no means gives him a better perspective on the or a God.

We really do not know how the Universe was created. We have the Big Bang Theory and the God Theory. Neither can be proved or disproved. We know that there are stars that are billions of light years removed from our earth. That is for light to reach our earth from such planets traveling at 186,000 miles per Second it takes billions of years to reach us. We do not know what is beyond that father-est star we can identify. The number of stars is beyond our comprehension or as Carl Saga would say 'billions and billions'. Our Sun is a dwarf compared to most known stars and will someday die and explode. If it follows the pattern of other stars. Newton discovered gravity or defined it but we still do not know what it is. There are so many things we can make educated guesses on but cannot see such as Dark Energy which may occupy the empty space in the universe we cannot see. The Universe is known to be expanding from scientific observation which brings to us the theory of the Big Bang which nearly all astrophysicist believe formed the universe. Many believers in a God do not dispute this as they can fit it into their beliefs. Our Galaxy the Milky Way is on a collision course with another galaxy and it appears that sometime in the distant future they will collide. There is only speculation as to what this might mean as Galaxies are frequently colliding. In the past month or so the scientific world was excited to find a new Super Nova (exploding star) only a few million light years from our earth. In the year 2013 a new super telescope will be launched into space. It will be about 10 times more powerful than the current Hubble Telescope which has opened a new world to Astronomer's and AstroPhysicist. One cannot even guess what we may discover. Man has been on earth a second or less in Universe time and has learned an amazing amount of knowledge about the Universe. Unfortunately man has a limited time as the earth and our sun will eventually burn out or be destroyed by some catastrophic astronomical event we cannot even imagine. Where God fits into all this is up to you as even Einstein had no better handle on God than you.

Result number: 62

Message Number 246854

Re: DRX 9000 Lawsuits View Thread
Posted by Oma Z offers clarity on 5/15/08 at 11:52

At long last Oma Z the self appointed and exiled queen of us all in the spinal decompression world has offered some clarity on this discussion board. Now it has become personal for her. This has never been about Axiom or their supposedly intolerable business practices, it is about a conflict and the failure to have one in her personal life as it relates to religion and money, as the two are hardly ever mutually exclusive. I have not viewed this web board for some time, then a colleague told me that it was getting quite interesting and that I should have another look. And just like that I tune in and shazam, it hits me, the righteous and moralistic west falls are at it again. You can not legislate morality by imposing or criticizing ones religious beliefs onto others. The US Constitution even says so, if you need a copy I will provide one to you. It holds the balance of free speech and religion as constants, even an atheist can have back pain. I suppose that by trying to paint the Axiom folks out as scientology zealots will further the westfall plight to collect on some sham lawsuit. Now would it surprise our message board readers that the westfall’s are mormons? Bet you didn’t know that now huh? And since they chose to paint with such a broad brush I guess that they are polygamists. Tell me what compound in Texas do you belong to? Tell me, what does scientology have to do with honesty or dishonesty? Aren’t all religions corruptible? Simply hypocritical morons, not very mormon of you to find the good in us all. What would the good book and the prophet joseph smith have to say for your sinister preaching’s and hypocritical livelihood? But then again it doesn’t mater, because mormon’s don’t believe in heaven anyway, they might as well make it hell on earth for all of us as well.

Result number: 63

Message Number 246562

Crutches for Sesamoid Fracture? View Thread
Posted by Chris L on 5/05/08 at 13:51

After an X-ray and MRI, my podiatrist is 90% sure I have a fractured tibial sesamoid (rather than a biparted bone), an injury which is likely 7-9 months old. I'm into by 7th week of wearing a velcro boot and using the Smith & Nephew bone stimulator twice a day religiously. Unfortunatley, I was only able to use crutches during the fifth week while on vacation. I'd like to use them all of the time, but it's impossible as a busy parent living in a three story house. Is it a waste of time to be wearing this boot if I'm walking on it and not using crutches? How long should I wear this boot? Also, should I be icing it at all?

Chris L.

Result number: 64

Message Number 246497

Re: Plantar Trifecta View Thread
Posted by jim on 5/02/08 at 13:46

Mary,

If you are in JAX, FL, you should go see DR Smith or Dr Horowitz at the JAX foot and ankle center. They are the best DPMs I have seen in 7 years. They have Cryo and many other treatments.

Dr. Earl R. Horowitz, Director
Podiatrist/Foot Specialist
2550 Park St.
Jacksonville, FL. 32204
(904) 387-1403
jomayo3 at aol.com

Result number: 65

Message Number 246140

Re: Bill Clinton’s Madness: A Consequence of Heart-Bypass View Thread
Posted by Susan on 4/21/08 at 12:43

were they ever?

interesting article with different opinion
http://www.slate.com/id/2188751/
exerpt
'The one scene that sums it up for me,'' Smith says, 'is one day in September of 2000, when they had both just given speeches, and she was in the campaign van and he was leaning in and they were staring into each others eyes' in a way that made aides who witnessed the scene wish they were anywhere else. 'They were staring into each other's eyes, and it was described to me as a moment of rapture. It's always been a different kind of marriage, but if you define your passion in those terms, yeah, it's there.'

Result number: 66

Message Number 245643

Phentermine No Proc View Thread
Posted by Jerusalem Artichoke Weight Loss Pill on 4/09/08 at 09:55


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Result number: 67

Message Number 242863

tendon filleted for ankles View Thread
Posted by LOIS AXELSEN on 2/06/08 at 16:00

Years prior, my son had extreme pain in both feet. Years, of many different doctors, found a podiatrist in Orlando, Dr. David Smith (???) he preformed surgery in 1989. We would like some hint of the name of the condition! Son was born without the proper tendons beneath the ankle bones, bone rubbing on bone. Surgery included filleting a tendon then wrapping between these bones. The condition has now appeared in my 10 year old granddaughter (we suspect). Going to podiatrist on Saturday.

Very important
Thanks in advance!!!!!

Result number: 68

Message Number 242562

Re: Obamatrons View Thread
Posted by john h on 1/30/08 at 12:13

Ed: I think one needed to live through the Kennedy/Mary Jo Kopechne horror to really understand just how bad this thing was. For those who were not alive at that time Ted Kennedy and his staff were having a party at a small island of Chappaquiddic. No wives attended. Mary Jo, a young staff worker, and Kennedy left the party for reasons still not explained and drove down towards the water. Both were likely drinking. Ted drove off a small bridge into the water. Mary Jo drowned. Ted who survived did not go back to the party but says he swam across a bay in the dark to the mainland. He said he tried to rescue Mary Jo but did not report the drowning until the next day after he met with his family, advisers, and lawyers. It is alleged and likely the Kopechne family was paid to drop the affair and not take it to court. I do not know if the family ever admitted to such an agreement or not.

Since that time Ted Kennedy has had various problems in his life including the last big one in the family home in Palm Beach when he got into some serious problems when he went partying with his young son Patrick who is now or was a Rhode Island Congressman and William Kennedy Smith. After a night of drinking, Ted, his son and William Kennedy Smith returned to the compound. The two younger men each brought home a woman. At one point William took his companion to the beach. She claimed she was raped by William while Patrick was with his lady friend in the bedroom. Miss Bowman later told Police she escaped from William and ran back into the house and called friends to come and get her. She also stated Ted was watching as the rape was occurring. She then reported the incident to the Police. During the investigation Senator Kennedy was caught in many deceptions. The lady who claimed rape was dragged though the mud by the family attorneys. William was never convicted because it became a he said she said. What on earth was a Senator doing out at night drinking with the young men and then coming home with them with the girls they picked up?

How do Presidents, Senators, and other high elected officials get away with such behavior, some of which has led to death. It is not a Democrat or Republican thing but a power thing with men who think they are above decency, integrity, and indeed the law itself. Why do we keep electing such people even in the face of overwhelming evidence of wrong doing? I frankly have no idea. We get the type of government we deserve as we are the ones who put them in office and keep them there. With the resume some of these people could present, you would not hire them as your baby sitter, gardner, or window washer yet would vote them into the highest offices of the land. It is often written about the Distinguished Senator From Mass. What is distinguished about this man? Power can corrupt people beyond our wildest imaginations.

Result number: 69

Message Number 241832

It's Mahmoud Ahmadinejad. View Thread
Posted by Tim M. on 1/11/08 at 09:09

Wiki site:

http://en.wikipedia.org/wiki/Mahmoud_Ahmadinejad

Politicians, all over the world, are always demonizing the other guy; don't forget Reagan's 'Evil Empire' and Bush's 'Axis of Evil.'

Like our own homegrown American politicians, Ahmadinejad is a product of his culture and his religious beliefs. The Mormon founder Joseph Smith, Jr., originally supported the laws regarding slavery, and it wasn't until 1978 that blacks could become LDS ministers. So for all of his formative years, Mitt Romney was taught, and believed, that blacks were inferior to whites.

I would tend to be more excited about Mitt's world view than I would about Mahmoud 's.

Result number: 70
Searching file 23

Message Number 238625

Re: UNLOCKING OVERPRONATION View Thread
Posted by larrym on 10/29/07 at 20:44

I cant belabor this with you again. Pascal is a principal just like many others When Gallagher smashs a watermelon there are also several theories at play. That doesnt mean what he is doing is 'scientific proof'

Your scans dont prove what you claim either and they dont prove control. They are simply measuring or quantifying the cushion of the device because there is a buffer of gel between the foot and the sensor. You may recall the old style waterbeds. From an orthopedic standpoint, they were bad compared to a standard mattress with proper amount of CONTROL AND CUSHION AND SUPPORT. I could put a sensor under a persons body and have them lie on a floor and measure pressure

i could show all kinds of scary pressure points. I could put sensor under a giant bag of water , ala the old waterbeds and show less pressure points. THAT DOES NOT PROVE control or support it just shows that a bag of fluid between the body and hard floor is reduced. That said it isnt proof of proper support or control and it isnt some futuristic science that thousands of other practitioners are too dimwitted to grasp.

You refr to root and claim your device follows his theories because you say so. It is not demonstrated based on journals and just because you say it is so, doesnt make it so any more than me saying Dr Chris Smith is a smart guy, I agree with his theories, so my devices are proven scientifically.

As far as how it works, it is a bladder filled with gel inside of a laminated layer. It is not anything that different just the fact that gel flows away from pressure and you dont get the fact that that is not a good way to control function.

If it is such a ground-breaking design and theiry then why didnt you patent it?

If it was such ground breaking technology then it would be ripped off or copied over and over by now. Granted Dr Schools and those guys at the home flower shows sell gel filled otc inserts but other than that it would be used. As far as the science of fitting it, you say that it is science and measured in grams of material added or removed. How is that science? you make the decision based on not even seeing the patient but asking them 'how does it feel'

Then you go on to say that an orthotic needs to feel good, that is true. A device can 'feel good' but not address symptoms. I call that the Dr Scholls affect. When new they feel better than nothing then they take a compression set and in a few weeks they are shot. Your device doesnt take a compression set. Companies like Bauerfein in Germany make toms of visco elastic polymer devices. they have spent tons on research and they also use a firmer form.

I used to work for a ski boot manufacture and they were a leader in silicone injected liners. They settled on an RTV silicone because in a liquid or gel state the material migrates within the bladder and doesnt provide enough support in the areas of greatest pressure.

Result number: 71

Message Number 238617

Re: UNLOCKING OVERPRONATION View Thread
Posted by Jeremy L, C Ped on 10/29/07 at 18:01

There isn't just one example that I employ when creating orthotic designs. Each is individually tailored for the needs of the individual. Examples of evidence I use in determining these designs are based upon clinical work done by Drs. Ritchie and Smith, among many others. Much of their specific work has to do with the first ray as it relates to and functions with the subtalar and mid-tarsal joints. You can read upon plenty of examples of theirs through Podiatry Today, Podiatry Management and JAPMA. I expect these are journals you see with the regularity that most of the professionals here do.

Result number: 72

Message Number 236307

Heel Pain related to edema View Thread
Posted by Barbara S on 9/18/07 at 15:21

I am a 67 year old woman. I do not do any strenous activity and only go to 'Curves' about 3 times per week for strength building exercises. In the past 3 months I've had pain in my right heel, especially in the morning when I first get up or right after a rest in my lounge chair. I also have an unexplained edema or swelling in the ankle of that foot (for some years). The recent heel thing is painful and the ankle swelling is not painful.
After reading about heel spurs on this website, I believe that is my problem and I'm also wondering if the heel spur is in any way related to the ankle swelling which I've had for some time. Please respond if possible. Thank you, Barbara Smith

Result number: 73

Message Number 235077

Re: anyone... someone...this is my big reach out to the people at heelspurs.com View Thread
Posted by Kevin L on 8/28/07 at 17:48

Dr DSW
Below are all the Podiatry providers that take my insurance within 30 miles of my zip 11223 (Brooklyn NY) In alphabetical order…then with detailed info address…etc etc..
A
Abady, Robert, DPM 1
Abeles, Jay, DPM 11
Abrahamson, Hal, DPM 11
Alfieri, Donna M., DPM 1
Alongi, Maryanne, DPM 11
Amante, Gregory, DPM 5
Amato, Richard, DPM 11
Amico, Susan G., DPM 5
Archer, Jean V., DPM 5
Aronica, Frank R., DPM 5
Asaro, Carlo S., DPM 1
Assini, Joseph, DPM 5
Axman, Wayne R., DPM 11
B
Babayev, Emil, DPM 5
Bagner, Jerome E., DPM 11
Baird, William T., DPM 5
Balboa, Henry M., DPM 11
Barbaro, Thomas, DPM 11
Bar-David, Tzvi, DPM 1
Barkoff, Matthew W., DPM 11
Barkoff, Steven L., DPM 5
Barlizo, Sharon R., DPM 1
Barone, Salvatore A., DPM 5
Barragan, Juan C., DPM 1
Bartol, David M., DPM 5
Bass, Elliot L., DPM 5
Bass, Fara D., DPM 5
Bautista, Debbie P., MD 1
Bayerbach, Frank, DPM 1
Becker, Jack S., DPM 11
Bell, Burt L., DPM 5
Bendeth, Marc L., DPM 11
Benzakein, Ralph, DPM 5
Berlin, Kim, DPM 11
Bienenfeld, Jay D., DPM 5
Biller, Bob S., DPM 11
Bilotti, Mary A., DPM 11
Birch, Gregory M., DPM 5
Bover, Elina, DPM 5
Braun, Suzanne G., DPM 5
Breitman, Debra, DPM 11
Breth, Evan G., DPM 5
Bubbers, Linda A., DPM 11
Buenahora, Joseph A., DPM 11
Burzotta, John L., DPM 11
Bushansky, Abe A., DPM 1, 5
Butters, Marva, DPM 5
Butts, Bryon G., DPM 1
Buxbaum, Frederick D., DPM 5
Buzermanis, Steven Z., DPM 5
C
Caimano, Francis X., DPM 11
Campbell, Andrew, DPM 1
Campbell, Douglas E., DPM 5
Caprioli, Russell, DPM 11
Caprioni, Enrico P., DPM 5
Carlton, Lawrence S., DPM 5
Castillo, Dennis E., DPM 5
Catanese, Dominic J., DPM 1
Charlot, Giznola J., DPM 1, 5
Cheng, Tung W., DPM 6
Chernick, Stephen B., DPM 11
Chionis, Anthony, DPM 1
Chopra, Jaideep, DPM 1, 6
Cicio, Gary, DPM 6
Ciment, Avraham Y., DPM 1
Cohen, Greg E., DPM 6
Cohen, Richard B., DPM 6
Cohen, Robert J., DPM 1, 11
D
Dacher, Jeffrey, DPM 6
D'Amato, Theodore A., DPM 6
D'Angelo, Nicholas A., DPM 6
Daniel, Lawrence B., DPM 6
Davies, Daniel A., DPM 11
Davies, Gregory F., DPM 11
De Bello, John A., DPM 1
DeCicco, John J., DPM 11
DeLeon, Jose L., DPM 1
Dellolio, Joseph A., DPM 1
DeMeo, James R., DPM 6
Dennis, Lester N., DPM 6
DeSantos, Pasquale, DPM 6
Dhandari, Angeleta, DPM 1
Dharia, Sumit S., DPM 6
Dixit, Chaitanya V., DPM 6
Donovan, Glenn J., DPM 6
Dorazi, Stephen T., DPM 6
Dubov, Spencer F., DPM 11
E
Edelstein, Michael C., DPM 1
Ehrlich, Josh C., DPM 6
Einhorn, Jill L., DPM 6
Elsinger, Elisabeth C., DPM 1
F
Fagen, Leonard, DPM 6
Falcone, Jeffrey J., DPM 6
Feldman, Gary B., DPM 11
Ficke, Henry, DPM 6
Finkelstein, Barry I., DPM 1
Fiorenza, Dominic, DPM 11
Fox, Corey, DPM 11
Fox, Roberta A., DPM 11
Frankel, Bruce, DPM 1
Freiser, Mark A., DPM 1
Fridman, Robert, DPM 1
Friedlander, Bruce W., DPM 6
Fuchs, David B., DPM 11
G
Ganjian, Afshin, DPM 6
Garcia, Sandra P., DPM 1
Garofalo, Alfred A., DPM 6
Garofalo, Gail F., DPM 11
Gasparini, Mark C., DPM 11
Gaudino, Salvatore C., DPM 2, 6
Geiger, Arthur, DPM 6
George, Thomas, DPM 2, 6, 11
Gertsik, Vladimir V., DPM 6
Gervasio, Joseph, DPM 11
Giammarino, Philip A., DPM 6
Ginsberg, Steven E., DPM 2
Giordano, Richard S., DPM 2
Gitlin, David, DPM 2
Glockenberg, Aaron, DPM 2, 6
Goez, Emilio A., DPM 2, 11
Goldenberg, Perry Z., DPM 2
Goldman, Gershon A., DPM 6
Goldstein, Harold L., DPM 2
Goldstein, Israel, DPM 7
Golub, Cary M., DPM 12
Gonzalez, Ivan, DPM 7
Goodman, Warren J., DPM 7
Gottlieb, Robert J., DPM 12
Gramuglia, Vincent J., DPM 2
Greenbaum, Bruce R., DPM 7
Greenbaum, Mitchell A., DPM 12
Greiff, Lance, DPM 2, 12
Grossman, Myles, DPM 12
Guberman, Ronald M., DPM 7
Gutierrez, David, DPM 2
Gventer, Mark, DPM 7
H
Habib, Henry, DPM 7
Harris, Carl F., DPM 2
Heller, David P., DPM 7
Herbert, Scott E., DPM 12
Herman, Craig P., DPM 2, 7
Hershey, Paul E., DPM 12
Herzberg, Abraham, DPM 12
Hickey, John, DPM 12
Honore, Lesly S., DPM 12
Horl, Lawrence, DPM 12
Horowitz, Mitchell L., DPM 7, 12
I
Iorio, Anthony R., DPM 2
Irwin, Robert A., DPM 12
Isaacson, Ernest, DPM 2
Ivanovs, Ray, DPM 7
J
Jackalone, John A., DPM 12
Jacobs, Louis W., DPM 2
Jarbath, John A., DPM 7, 12
Joshi, Pradip M., DPM 2
Jusma, Francoise D., DPM 7
K
Kaiser, Craig A., DPM 7
Kapadwala, Imtiyaz I., DPM 7
Karpe, David E., DPM 12
Kashefsky, Helene P., DPM 12
Kasminoff, June G., DPM 12
Katz, Alex S., DPM 7
Katzman, Barry, DPM 7
Kessler, Howard N., DPM 12
Kisberg, Stephen, DPM 12
Kitton, Stuart E., DPM 12
Klein, Michael S., DPM 12
Klirsfeld, Jeffrey S., DPM 12
Knobel, Jeffrey, DPM 7
Kohn, Arlene F., DPM 12
Kolberg, John J., DPM 2, 12
Koslow, Paul M., DPM 12
Kumrah, Praveen, DPM 2
L
Lafferty, William A., DPM 7
Lai, Katherine M., DPM 2
Landau, Laurence D., DPM 12
Landy, Robert J., DPM 2, 12
LaRocca, Albert, DPM 12
Larsen, Joseph A., DPM 12
LaSalle, Michael, DPM 2
Lepore, Frank L., DPM 7
Levine, Stanley, DPM 12
Levitsky, David A., DPM 12
Levitz, Steven J., DPM 7
Levy, Brian K., DPM 7
Levy, Denise A., DPM 2
Levy, Paul J., DPM 2
Liswood, Paul J., DPM 7
Livingston, Douglas W., DPM 12
Livingston, Leon B., DPM 13
Livingston, Michael D., DPM 13
Locastro, Robert M., DPM 2
Lok, Jonat, DPM 2
Lopiano, Steven N., DPM 2
Losyev, Sergey, DPM 7
Lucido, Jeffrey V., DPM 7
Lynn, Brian P., DPM 2, 13
M
Mahgerefteh, David, DPM 7, 13
Makower, Bryan L., DPM 7
Mandato, Mark, DPM 7
Mantzoukas, Argirios, DPM 7
Marcelonis, Debra A., DPM 7
Marchese, Nicholas A., DPM 13
Marville, Jillion, MD 3, 7
Masani, Farhan, DPM 13
Matthews, Frederick, DPM 8
McElgun, Terence M., DPM 13
Mckay, Douglas J., DPM 8
Mcshane, William J., DPM 13
Meliso, Vincent D., DPM 8
Meller, Edward P., DPM 8
Meshnick, Joel A., DPM 8, 13
Micallef, Joseph, DPM 8, 13
Moazen, Ali, DPM 13
Mollica, Peter W., DPM 8
Mollica, Raymond J., DPM 8
Montag, Richard M., DPM 13
Montalvo, Luis, DPM 8
Morreale, Edward, DPM 8
N
Nachmann, Dennis S., DPM 3
Naik, Hetal B., DPM 8
Nekritin, Vadim, DPM 8
Nester, Elizabeth M., DPM 13
Nester, Matthew J., DPM 13
Newmark, Alan J., DPM 8
Nezaria, Yehuda, DPM 13
Novofastovsky, Raisa, DPM 8
O
Odinsky, Michael E., DPM 8
Odinsky, Wayne Z., DPM 13
Oliva, Imelda A., DPM 3, 8
Orlando, Anthony, DPM 8
Oropall, Robert, DPM 3
Owusu, Stephen E., DPM 8
P
Pace, George N., DPM 8
Pace, John F., DPM 8
Pannell, Richard, DPM 3
Papa, Philip M., DPM 8
Passik, Arthur L., DPM 8
Pawson, John F., DPM 8
Pecora, Maria, DPM 8
Pedro, Helder F., DPM 8, 13
Perez, Walter H., DPM 8
Peterson, Donald T., DPM 13
Pierre, Nadja M., DPM 8
Pierre, Nedjie, DPM 9
Plotka, Steven D., DPM 3
Posner, Jonathan, DPM 3
Prince, Steven L., DPM 9, 13
Purvin, Jay M., DPM 13
R
Rabiei, Payman, DPM 9
Radler, Bruce L., DPM 9
Rampino, Robert, DPM 3
Ransom, Sherry M., DPM 3
Raskin, Simon, DPM 9
Reifer, Howard J., DPM 9
Richardson, Hugh L., DPM 13
Richman, Tara, DPM 3
Romano, Constance A., DPM 9
Rosen, Alan J., DPM 9
Ross, Charles F., DPM 3
S
Saadvandi, Terence M., DPM 9
Sande, Hervey, DPM 9
Scheiner, David M., DPM 9
Schikman, Lana, DPM 9
Schneidermesser, Susan G., DPM 9
Schulman, Leonard B., DPM 3
Scotti, Lorenzo, DPM 3
Shapiro, Eugene, DPM 9
Shechter, David Z., DPM 9
Shechter, Stuart B., DPM 9
Sherman, Gary, DPM 9
Silberstein, Jeffrey, DPM 9
Silverstein, Alan B., DPM 9
Snyder, Robert S., DPM 3
Spector, Donald, DPM 3
Spellman, Dean S., DPM 3
Spielfogel, William D., DPM 9
Spilken, Terry, DPM 3
Spindler, Harlan, DPM 9
Stanimirov, Catherine, DPM 9
Steiner, Richard M., DPM 3, 9
Stern, Stuart M., DPM 3
Strassman, David, DPM 3
Strassman, Lawrence, DPM 3
Stuto, Joseph C., DPM 9
T
Tabari, Issac, DPM 3
Tajerstein, Alan R., DPM 9
Tanenbaum, Mark, DPM 9
Tartack, Ira, DPM 9
Tavroff, Clifford D., DPM 9
Thompson, Michael, DPM 3
Trepal, Michael J., DPM 9
Trivlis, Maryann Z., DPM 9
U
Unger, Leslie M., DPM 9
V
Vader, Bonnie, DPM 9
Velasco, Debra, DPM 3
Vincetic, Anto, DPM 3
Vitale, Thomas, DPM 3
W
Waiss, Samuel M., DPM 9
Wallach, Jacob B., DPM 9
Walter, Eric G., DPM 3
Wexler, Craig, DPM 3
Winston, Wayne, DPM 4
Wolstein, Lewis, DPM 4
Wolstein, Peter D., DPM 4
Woltman, Robert T., DPM 4, 10
Z
Zonenashvili, Merabi, DPM 10
Zwiebel, Neil S., DPM 10

PODIATRY
Abady, Robert, DPM
181172P
731 White Plains Rd
Bronx, NY 10473
(718) 589-8324
181173P
Burnside Medical Center
165 E Burnside Ave
Bronx, NY 10453
(718) 563-0003
St Barnabas Hospital
Alfieri, Donna M., DPM
37006P
4206 Barnes Ave
Bronx, NY 10466
(718) 325-6487
Mount Vernon Hospital, Our
Lady of Mercy Medical Center
Asaro, Carlo S., DPM
37182P
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-7224
50629P
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3589
Jacobi Medical Center, North
Central Bronx Hospital
Speaks Italian
Bar-David, Tzvi, DPM
36919P
3616 Henry Hudson Pkwy E
Bronx, NY 10463
(718) 548-5757
Columbia-Presbyterian
Medical Center
Speaks HebrewSpanish
Barlizo, Sharon R., DPM
357781P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Speaks FrenchSpanish
Barragan, Juan C., DPM
36954P
St. John's Medical Center
1561 Westchester Ave
Bronx, NY 10472
(718) 328-6200
Speaks Spanish
Bautista, Debbie P., MD
301273P
St. Barn Ambulatory Care
4487 3rd Ave
Bronx, NY 10457
(718) 960-1780
301276P
Union Comm Hlth Ctr
2021 Grand Concourse
Bronx, NY 10453
(718) 960-3933
348297P
CCDC/Burnside Med Ctr
731 White Plains Rd
Bronx, NY 10473
(718) 589-8324
Our Lady of Mercy Medical
Center, St Barnabas Hospital
Bayerbach, Frank, DPM
216992P
Mercy Community Care
4234 Bronx Blvd
Bronx, NY 10466
(347) 341-4300
39016P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
M1246P
2371 Arthur Ave
Bronx, NY 10458
(718) 364-6199
Brunswick General Hospital,
Brunswick Hospital Center, Inc,
Good Samaritan Hospital,
Good Samaritan Hospital (West
Islip)
Speaks
SpanishGermanItalian
Bushansky, Abe A., DPM
368478P
1715 University Ave
Bronx, NY 10453
(718) 960-5616
368491P
1963 Grand Concourse
Bronx, NY 10453
(718) 294-5000
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Parkway
Hospital
Butts, Bryon G., DPM
349336P
421 E 149th St
Bronx, NY 10455
(718) 401-3668
The Mount Sinai Hospital of
Queens
Speaks Spanish
Campbell, Andrew, DPM
36957P
St. Barnabas Hospital
4422 3rd Ave
Bronx, NY 10457
(718) 960-9000
56967P
Union Community Health Ct
260 E 188 St
Bronx, NY 10458
(718) 220-2020
56970P
St. Barnabas Ambulatory C
4487 3rd Ave
Bronx, NY 10457
(718) 960-1780
56972P
Bronx Park Medical Pavill
2016 Bronxdale Ave
Bronx, NY 10462
(718) 863-8695
St Barnabas Hospital
Catanese, Dominic J., DPM
37141P
Orthopedic Surgery Dept.
1695 Eastchester Rd
Bronx, NY 10461
(718) 405-8430
Albert Einstein College of
Medicine, Community Hospital
at Dobbs Ferry, Montefiore
Med Ctr (Henry & Lucy Moses
Div), SAINT MARYS
HOSPITAL
Charlot, Giznola J., DPM
357878P
HHC-Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-6610
357880P
HHC-North Central Bx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-2108
Jacobi Medical Center, Kings
County Hospital Center, North
Central Bronx Hospital
Chionis, Anthony, DPM
54771P
1725 Edison Ave
Bronx, NY 10461
(718) 892-5542
Parkway Hospital, St John's
Episcopal Hospital - Far
Rockaway
Speaks Greek, Modern
(1453-)
Chopra, Jaideep, DPM
284748P
NY Westchester Square Med
2475 Saint Raymonds Ave
Bronx, NY 10461
(718) 792-1100
Staten Island University
Hosp-North, University
Hospital of Brooklyn
Speaks Hindi
Ciment, Avraham Y., DPM
351611P
Soundview Healthcare ntwk
731 White Plains Rd
Bronx, NY 10473
(718) 589-8324
351618P
Diallo Medical Center
1760 Westchester Ave
Bronx, NY 10472
(718) 892-8474
351623P
Jessica Guzman Med Ctr
616 Castle Hill Ave
Bronx, NY 10473
(718) 239-9013
351628P
Burnside Medical Center
165 E Burnside Ave
Bronx, NY 10453
(718) 563-0003
Our Lady of Mercy Medical
Center, St Barnabas Hospital,
Westchester Medical Center
Speaks Hebrew
Cohen, Robert J., DPM
M4190P
140-1 Elgar Pl
Bronx, NY 10475
(718) 671-0400
Our Lady of Mercy Medical
Center, Parkway Hospital
Speaks French
De Bello, John A., DPM
289396P
New York Foot Care Srvc
3635 E Tremont Ave
Bronx, NY 10465
(718) 409-0400
3114603P
New York Foot Care Svc
421 E 149th St
Bronx, NY 10455
(718) 365-6363
36995P
New York Foot Care Svc
3201 Grand Concourse
Bronx, NY 10468
(718) 365-6363
Montefiore Med Ctr (Henry &
Lucy Moses Div), Mount Sinai
Hospital of Queens, North
Shore University Hospital, Our
Lady of Mercy Medical Center,
Parkway Hospital
Speaks Spanish
DeLeon, Jose L., DPM
179943P
625 E Fordham Rd
Bronx, NY 10458
(718) 933-1900
37252P
2111 Williamsbridge Rd
Bronx, NY 10461
(718) 828-6060
Our Lady of Mercy Medical
Center
Speaks Spanish
Dellolio, Joseph A., DPM
38329P
4362 White Plains Rd
Bronx, NY 10466
(718) 994-7054
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), Our
Lady of Mercy Medical Center,
Westchester Medical Center
Speaks Spanish
Dhandari, Angeleta, DPM
116473P
North Central Bronx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3589
116482P
Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-5700
Jacobi Medical Center, North
Central Bronx Hospital
Edelstein, Michael C., DPM
178750P
3224 Grand Concourse
Bronx, NY 10458
(718) 561-0041
Our Lady of Mercy Medical
Center
Speaks Spanish
Elsinger, Elisabeth C.,
DPM
37257P
MAP-Dept of Ortho Sgy
3400 Bainbridge Ave
Bronx, NY 10467
(718) 920-2060
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Speaks German
Finkelstein, Barry I.,
DPM
169233P
3327 Bainbridge Ave
Bronx, NY 10467
(718) 881-7990
194335P
NY Podiatry & Foot Surg
2425 Eastchester Rd
Bronx, NY 10469
(718) 881-7990
227755P
Wilson Orthopedics
75 E Gun Hill Rd
Bronx, NY 10467
(718) 798-1000
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), United
Hospital Medical Center (NY)
Speaks HebrewYiddish
Frankel, Bruce, DPM
200374P
Lincoln Medical & Mental
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Freiser, Mark A., DPM
36628P
Bronx Footcare
421 E 149th St
Bronx, NY 10455
(718) 292-5045
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center, St
Barnabas Hospital
Speaks SpanishFrench
Fridman, Robert, DPM
351650P
3616 Henry Hudson Pkwy
Bronx, NY 10463
(718) 548-5757
Columbia-Presbyterian
Medical Center
Garcia, Sandra P., DPM
353857P
Happy Feet
953 Southern Blvd
Bronx, NY 10459
(718) 542-0472
Board Certified
Male Female
Wheelchair Accessible
353859P
Uptown Healthcare Mgmt In
930 E Tremont Ave
Bronx, NY 10460
(718) 860-1111
Forest Hills Hospital
Speaks Spanish
Gaudino, Salvatore C.,
DPM
37096P
71 Metropolitan Oval
Bronx, NY 10462
(718) 829-6436
Mount Sinai Medical Center,
Parkway Hospital, Queens
Hospital Center
George, Thomas, DPM
197631P
3219 E Tremont Ave
Bronx, NY 10461
(718) 792-8115
Hempstead General Hospital
Med Ctr., New York
Westchester Square Medical
Center
Ginsberg, Steven E., DPM
132102P
2391 Arthur Ave
Bronx, NY 10458
(718) 365-4141
SVCMC-St Marys Hospital
Brooklyn, St Joseph's Hospital
Division, CMC
Giordano, Richard S.,
DPM
36494P
1217 Castle Hill Ave
Bronx, NY 10462
(718) 828-6982
Northern Westchester Hospital
Center, Our Lady of Mercy
Medical Center
Gitlin, David, DPM
379153P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Metropolitan Hospital Center
Glockenberg, Aaron,
DPM
201399P
Lincoln Med & Mental Hlth
234 E 149th St
Bronx, NY 10451
(718) 579-4900
276540P
2445 Arthur Ave
Bronx, NY 10458
(718) 733-1999
Kings County Hospital Center,
Lincoln Medical & Mental
Health Center, Our Lady of
Mercy Medical Center, St
Barnabas Hospital, Union
Hospital of the Bronx (closed)
Speaks PolishHebrew
Goez, Emilio A., DPM
301254P
Union Comm Hlth Ctr
2021 Grand Concourse
Bronx, NY 10453
(718) 960-3933
301255P
St Barn Ambulatory Care
4487 3rd Ave
Bronx, NY 10457
(718) 960-1780
371846P
St. Barnabas Hospital
4422 3rd Ave
Bronx, NY 10457
(718) 960-6105
51028P
Bronx Park Med Pavilion
2016 Bronxdale Ave
Bronx, NY 10462
(718) 863-8695
Nassau University Medical
Center, Saint Catharines
General Hospital, St Barnabas
Hospital
Speaks Spanish
Goldenberg, Perry Z.,
DPM
231271P
3250 3rd Ave
Bronx, NY 10456
(718) 328-3668
St Barnabas Hospital
Goldstein, Harold L.,
DPM
187909P
2016 Bronxdale Ave
Bronx, NY 10462
(718) 863-8695
37017P
St. Barnabas Hospital
4422 3rd Ave
Bronx, NY 10457
(718) 960-6105
371962P
St Barnabas Ambulatory C
4487 3rd Ave
Bronx, NY 10457
(718) 960-6488
371965P
Union Community Health Ct
2021 Grand Concourse
Bronx, NY 10453
(718) 960-3933
371966P
Union Community Health Ct
260 E 188th St
Bronx, NY 10458
(718) 220-2020
St Barnabas Hospital, United
Hospital Medical Center (NY),
White Plains Hospital Center
Speaks SpanishItalian
Gramuglia, Vincent J.,
DPM
216990P
Mercy Community Care
4234 Bronx Blvd
Bronx, NY 10466
(347) 341-4300
49500P
AllMed Medical & Rehab
4377 Bronx Blvd
Bronx, NY 10466
(718) 325-0700
49501P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
M1576P
3795 E Tremont Ave
Bronx, NY 10465
(718) 828-3333
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks SpanishItalian
Greiff, Lance, DPM
354487P
3333 Henry Hudson Pkwy
Bronx, NY 10463
(718) 601-2100
Brooklyn Hospital Center
(Downtown Campus), New
York Flushing Hospital &
Medical Center, Parkway
Hospital
Gutierrez, David, DPM
M1570P
2100 Bartow Ave
Bronx, NY 10475
(718) 320-0200
Our Lady of Mercy Medical
Center
Speaks Spanish
Harris, Carl F., DPM
201401P
Lincoln Med & Mental Hlth
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Harlem Hospital Center,
Lincoln Medical & Mental
Health Center
Herman, Craig P., DPM
227774P
Advanced Foot Care
3396 E Tremont Ave
Bronx, NY 10461
(718) 409-2121
300046P
Bronx Health Center
975 Westchester Ave
Bronx, NY 10459
(718) 991-9250
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks Spanish
Iorio, Anthony R., DPM
357778P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Isaacson, Ernest, DPM
341669P
Parkchester Family Foot
1340 Metropolitan Ave
Bronx, NY 10462
(718) 863-3338
Beth Israel Medical Center
(Petrie Campus), Our Lady of
Mercy Medical Center
Speaks Hebrew
Jacobs, Louis W., DPM
36524P
4240 Hutchinson River Pkwy
E
Bronx, NY 10475
(718) 671-2233
Speaks SpanishHungarian
Joshi, Pradip M., DPM
36975P
1963A Daly Ave
Bronx, NY 10460
(718) 617-6141
39978P
1650 Selwyn Ave
Bronx, NY 10457
(718) 590-1800
Bronx-Lebanon Hospital
Center - Fulton Division, Our
Lady of Mercy Medical Center
Speaks Spanish
Kolberg, John J., DPM
351082P
1387 Grand Concourse
Bronx, NY 10452
(718) 992-9918
New Island Hospital
Speaks Spanish
Kumrah, Praveen, DPM
187664P
2015 Grand Concourse
Bronx, NY 10453
(718) 299-7295
214484P
Uptown HealthCare Mgmt
1778 Jerome Ave
Bronx, NY 10453
(718) 764-1661
221984P
1807 Randall Ave
Bronx, NY 10473
(718) 617-2468
New York Westchester Square
Me, Our Lady of Mercy
Medical Center
Speaks HindiPunjabi
LaSalle, Michael, DPM
200845P
Lincoln Medical & Mental
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Lai, Katherine M., DPM
37068P
Center for Podiatric Care
1500 Astor Ave
Bronx, NY 10469
(718) 882-6881
Beth Israel Medical Center
(Petrie Campus), Mount Sinai
Medical Center, Our Lady of
Mercy Medical Center
Landy, Robert J., DPM
37072P
1340 Metropolitan Ave
Bronx, NY 10462
(718) 863-3338
Massapequa General Hospital,
Our Lady of Mercy Medical
Center, Parkway Hospital,
Southside Hospital, Winthrop
University Hospital
Speaks Spanish
Levy, Denise A., DPM
141439P
Hyperbaric Unit
111 E 210th St
Bronx, NY 10467
(718) 920-6655
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Speaks Spanish
Levy, Paul J., DPM
169192P
2545 Wallace Ave
Bronx, NY 10467
(718) 231-2500
36736P
2539 Fish Ave
Bronx, NY 10469
(718) 231-2500
Brooklyn Hospital Center
(Downtown Campus), Our Lady
of Mercy Medical Center
Speaks Spanish
Locastro, Robert M.,
DPM
124212P
731 White Plains Rd
Bronx, NY 10473
(718) 893-7773
Southside Hospital, St
Barnabas Hospital, St
Catherine of Siena, St
Catherine of Sienna Medical
Center
Lok, Jonat, DPM
227010P
East Tremont Medical Ctr
930 E Tremont Ave
Bronx, NY 10460
(718) 860-1111
New York Downtown Hospital
(Beekman), Our Lady of Mercy
Medical Center
Lopiano, Steven N., DPM
36777P
3108 Kingsbridge Ave
Bronx, NY 10463
(718) 548-1102
Our Lady of Mercy Medical
Center
Speaks SpanishItalian
Board Certified
Male Female
Wheelchair Accessible
Lynn, Brian P., DPM
38157P
Ctr for Ortho Specialty
1695 Eastchester Rd
Bronx, NY 10461
(718) 405-8430
38159P
MAP - Dept. of Ortho Surg
3400 Bainbridge Ave
Bronx, NY 10467
(718) 920-2060
Long Island Jewish Medical
Center, Montefiore Med Ctr
(Henry & Lucy Moses Div)
Speaks Spanish
Marville, Jillion, MD
179966P
Morris Heights Hlth Ctr
625 E 137th St
Bronx, NY 10454
(718) 401-6578
49882P
Morris Heights Hlth Cntr
85 W Burnside Ave
Bronx, NY 10453
(718) 716-4400
Nachmann, Dennis S.,
DPM
188735P
Urgent Foot Care,PC
3594 E Tremont Ave
Bronx, NY 10465
(718) 597-5800
37260P
Urgent Foot Care PC
3058 E Tremont Ave
Bronx, NY 10461
(718) 409-0500
37261P
1216 Beach Ave
Bronx, NY 10472
(718) 597-1107
40448P
326 E 204th St
Bronx, NY 10467
(718) 655-3410
53065P
1387 Grand Concourse
Bronx, NY 10452
(718) 992-9918
Bronx-Lebanon Hospital
Center - Fulton Division,
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), New
York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks Spanish
Oliva, Imelda A., DPM
357238P
HHC Morrisania D & T Ctr
1225 Gerard Ave
Bronx, NY 10452
(718) 960-2781
357786P
HHC-Lincoln M&MH Center
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Kings County Hospital Center,
Metropolitan Hospital Center,
Morrisania Hospital
Speaks TagalogSpanish
Oropall, Robert, DPM
142725P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
18943P
820 Lydig Ave
Bronx, NY 10462
(718) 792-5900
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks German
Pannell, Richard, DPM
288046P
HHC-Morrisania D &TC
1225 Gerard Ave
Bronx, NY 10452
(718) 960-2781
Harlem Hospital Center,
Metropolitan Hospital Center
Plotka, Steven D., DPM
200379P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Mount Sinai
Medical Center, Raritan Bay
Medcal Center, Robert Wood
Johnson University Hosp.
Speaks Spanish
Posner, Jonathan, DPM
105432P
Jonathan Posner, DPM
360 E 193rd St
Bronx, NY 10458
(718) 933-2400
105434P
Jonathan Posner, DPM
1621 Eastchester Rd
Bronx, NY 10461
(718) 405-8040
143124P
MMG - CHCC
305 E 161st St
Bronx, NY 10451
(718) 579-2500
P0052P
2532 Grand Concourse
Bronx, NY 10458
(718) 960-1500
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Rampino, Robert, DPM
157922P
North Central Bronx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3630
157925P
Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-5700
Coney Island Hospital
Ransom, Sherry M., DPM
198963P
Derm & Surgery Associates
3620 E Tremont Ave
Bronx, NY 10465
(718) 792-4700
Mount Vernon Hospital
Richman, Tara, DPM
364345P
Tej Podiatric Group P.C.
1963-A Daly Ave
Bronx, NY 10460
(718) 617-6141
Bronx-Lebanon Hospital
Center - Fulton Division
Ross, Charles F., DPM
3113966P
HHC-Lincoln Med & Mntl HC
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Schulman, Leonard B.,
DPM
36464P
MMC-Family Care Center
3444 Kossuth Ave
Bronx, NY 10467
(718) 920-2273
Montefiore Med Ctr (Henry &
Lucy Moses Div)
Scotti, Lorenzo, DPM
36715P
North Central Bronx Hosp
3424 Kossuth Ave
Bronx, NY 10467
(718) 519-3589
51545P
Jacobi Medical Center
1400 Pelham Pkwy S
Bronx, NY 10461
(718) 918-7224
Coney Island Hospital, Jacobi
Medical Center, North Central
Bronx Hospital
Speaks ItalianSpanish
Snyder, Robert S., DPM
46604P
3867 E Tremont Ave
Bronx, NY 10465
(718) 792-8790
Forest Hills Hospital, Parkway
Hospital
Speaks Spanish
Spector, Donald, DPM
36812P
Cambridge Podiatry Center
259 W 231st St
Bronx, NY 10463
(718) 548-3080
St Joseph's Medical
Center-Yonkers
Spellman, Dean S., DPM
381596P
Middletown Podiatry Assoc
1200 Waters Pl
Bronx, NY 10461
(718) 863-5511
New York Westchester Square
Medical Center
Spilken, Terry, DPM
200471P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Steiner, Richard M., DPM
188831P
3530 Henry Hudson Pkwy E
Bronx, NY 10463
(718) 548-3550
379697P
Kingsbridge Community Med
170 W 233rd St
Bronx, NY 10463
(718) 543-0700
SVCMC-St Vincents Manhattan
Stern, Stuart M., DPM
36652P
Morris Park Podiatry
1015 Morris Park Ave
Bronx, NY 10462
(718) 863-3737
New Island Hospital, Plainview
Hospital, Syosset Hospital
Strassman, David, DPM
349822P
MMC - Dept of Surgery
111 E 210th St
Bronx, NY 10467
(718) 920-6603
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), New
York Methodist Hospital, New
York Westchester Square
Medical Center
Strassman, Lawrence,
DPM
358330P
MMC - Eastern Vascular
1825 Eastchester Rd
Bronx, NY 10461
(718) 792-8115
Montefiore Med Ctr (Jack D
Weiler Hosp of A Einst), New
York Westchester Square
Medical Center
Tabari, Issac, DPM
208998P
108 E 183rd St
Bronx, NY 10453
(718) 295-4600
Lutheran Medical Center,
Nassau University Medical
Center
Speaks FARSI,
EASTERNPersian
Thompson, Michael, DPM
36705P
2574 Frisby Ave
Bronx, NY 10461
(718) 892-8382
Brooklyn Hospital Center
(Downtown Campus), Our Lady
of Mercy Medical Center
Velasco, Debra, DPM
201409P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
214314P
Segundo Ruiz Belvis DTC
545 E 142nd St
Bronx, NY 10454
(718) 579-4000
288345P
HHC-Morrisania D &TC
1225 Gerard Ave
Bronx, NY 10452
(718) 960-2781
Lincoln Medical & Mental
Health Center, Metropolitan
Hospital Center
Speaks Spanish
Vincetic, Anto, DPM
231369P
3635 E Tremont Ave
Bronx, NY 10465
(718) 409-0400
Montefiore Med Ctr (Henry &
Lucy Moses Div), Mount
Vernon Hospital
Speaks Croatian
Vitale, Thomas, DPM
201089P
HHC Lincoln Hospital
234 E 149th St
Bronx, NY 10451
(718) 579-4900
Lincoln Medical & Mental
Health Center
Walter, Eric G., DPM
142727P
Metropolitan Podiatry Ass
667 E 233rd St
Bronx, NY 10466
(718) 430-6066
357174P
1619 Pelham Pkwy N
Bronx, NY 10469
(718) 665-3410
36967P
Bronx Foot Rehab Assoc.
326 E 204th St
Bronx, NY 10467
(718) 655-3410
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center, SJRH -
St Johns Division, St Barnabas
Hospital
Speaks German
Specialist
Board Certified
Male Female
Wheelchair Accessible
PODIATRY (Continued)
Wexler, Craig, DPM
36647P
2391 Arthur Ave
Bronx, NY 10458
(718) 365-4141
Newton Memorial Hospital,
Our Lady of Mercy Medical
Center
Winston, Wayne, DPM
359588P
Signature Health Center
220 E 161st St
Bronx, NY 10451
(718) 537-1100
Forest Hills Hospital
Wolstein, Lewis, DPM
42408P
100-1 De Kruif Pl
Bronx, NY 10475
(718) 671-7226
New York Westchester Square
Medical Center, United
Hospital Medical Center (NY),
White Plains Hospital Center
Speaks Spanish
Wolstein, Peter D., DPM
19917P
1340 Metropolitan Ave
Bronx, NY 10462
(718) 863-3338
Speaks SpanishTagalog
Woltman, Robert T., DPM
174899P
1488 Metropolitan Ave
Bronx, NY 10462
(718) 823-6239
174900P
Wellness Medical Asso
1180 Morris Park Ave
Bronx, NY 10461
(718) 863-8465
Long Island Jewish Medical
Center, New York Westchester
Square Me, Peninsula Hospital
Center
Board Certified
Male Female
Wheelchair Accessible
PODIATRY
Amante, Gregory, DPM
199177P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Speaks Spanish
Amico, Susan G., DPM
184838P
SL Quality Care Diagnosti
9708 Seaview Ave
Brooklyn, NY 11236
(718) 444-0520
184843P
SL Quality Care Diagnosti
1902 86th St
Brooklyn, NY 11214
(718) 621-9400
184852P
SL Quality Care Diagnosti
1220 Avenue P
Brooklyn, NY 11229
(718) 376-1004
49812P
9731 4th Ave
Brooklyn, NY 11209
(718) 836-1800
SVCMC-St Vincents Staten
Island, Staten Island University
Hosp-North, Victory Memorial
Hospital
Speaks ItalianSpanish
Archer, Jean V., DPM
105663P
Brookdale Family Care Ctr
2554 Linden Blvd
Brooklyn, NY 11208
(718) 240-8600
40532P
Jamaica Hosp Medical Ctr
3080 Atlantic Ave
Brooklyn, NY 11208
(718) 647-0240
Jamaica Hospital
Speaks Spanish
Aronica, Frank R., DPM
36667P
20 Plaza St E
Brooklyn, NY 11238
(718) 638-6387
Catholic Medical Center (NY),
Long Island College Hospital
Speaks SpanishItalian
Assini, Joseph, DPM
36727P
8616 3rd Ave
Brooklyn, NY 11209
(718) 948-3838
Doctors Hosp. of Staten Island,
Lutheran Medical Center,
Staten Island University
Hosp-North, Victory Memorial
Hospital
Speaks Italian
Babayev, Emil, DPM
224479P
Perloff Medical PC
2626 E 14th St
Brooklyn, NY 11235
(718) 368-2626
37241P
Professional Medical Plaz
2269 Ocean Ave
Brooklyn, NY 11229
(718) 339-8200
46696P
421 Ocean Pkwy
Brooklyn, NY 11218
(718) 287-4200
Lutheran Medical Center, New
York Methodist Hospital
Speaks Russian
Baird, William T., DPM
37008P
Plaza Foot Care, PC
5412 Kings Plz Mall
Brooklyn, NY 11234
(718) 377-1212
Peninsula Hospital Center
Speaks
SpanishFrenchRussian
Barkoff, Steven L., DPM
36921P
248 Roebling St
Brooklyn, NY 11211
(718) 599-0505
Brooklyn Hospital Center
(Downtown Campus), New
York Methodist Hospital
Speaks Spanish
Barone, Salvatore A.,
DPM
36884P
1601 Voorhies Ave
Brooklyn, NY 11235
(718) 646-5553
Lutheran Medical Center
Speaks SpanishGerman
Bartol, David M., DPM
139333P
North Star Orthopedics
1408 Ocean Ave
Brooklyn, NY 11230
(718) 338-0909
59239P
North Star Orthopedics
2615 E 16th St
Brooklyn, NY 11235
(718) 745-8787
59240P
North Star Orthopedics
26 Court St
Brooklyn, NY 11242
(718) 935-0311
M6958P
1000 Church Ave
Brooklyn, NY 11218
(718) 826-4000
M6958P
740 64th St
Brooklyn, NY 11220
(718) 439-2000
Parkway Hospital
Bass, Elliot L., DPM
36493P
2381 E 29th St
Brooklyn, NY 11229
(718) 743-1400
49605P
Elliot L Bass, MD
2 W End Ave
Brooklyn, NY 11235
(718) 743-2900
Bass, Fara D., DPM
50123P
2 W End Ave
Brooklyn, NY 11235
(718) 743-1400
M100
2381 E 29th St
Brooklyn, NY 11229
(718) 743-1400
New York Methodist Hospital
Speaks Yiddish
Bell, Burt L., DPM
105602P
7608 20th Ave
Brooklyn, NY 11214
(718) 837-8003
113259P
3065 Brighton 5Th St
Brooklyn, NY 11235
(718) 332-2722
New York Community Hospital
of Brooklyn
Benzakein, Ralph, DPM
36761P
2241 Ocean Ave
Brooklyn, NY 11229
(718) 998-1375
New York Community Hospital
of Brooklyn
Speaks
ArabicHebrewRussianSpani
sh
Bienenfeld, Jay D., DPM
47072P
165 Taylor St
Brooklyn, NY 11211
(718) 599-0753
Peninsula Hospital Center
Speaks
SpanishHebrewYiddish
Birch, Gregory M., DPM
36595P
6419 Bay Pkwy
Brooklyn, NY 11204
(718) 232-6737
Staten Island University
Hosp-North
Bover, Elina, DPM
353725P
A. Amerimed Physician P.C
1655 E 13th St
Brooklyn, NY 11229
(718) 339-3100
353726P
A. Amerimed Physician P.C
1100 Coney Island Ave
Brooklyn, NY 11230
(718) 434-7533
New York Methodist Hospital
Speaks AbkhazianAfam
(Oromo)
Braun, Suzanne G., DPM
142989P
2171 Nostrand Ave
Brooklyn, NY 11210
(718) 758-8920
359508P
710 Parkside Ave
Brooklyn, NY 11226
(718) 270-2075
University Hospital of Brooklyn
Speaks SpanishItalian
Breth, Evan G., DPM
49200P
Evan G. Breth, DPM
2352 Ralph Ave
Brooklyn, NY 11234
(718) 251-0200
M1550P
263 7th Ave
Brooklyn, NY 11215
(718) 369-8080
M1551P
United Medical Assoc
9001 3rd Ave
Brooklyn, NY 11209
(718) 748-2900
M1552P
7124 18th Ave
Brooklyn, NY 11204
(718) 234-3333
Lutheran Medical Center, New
York Methodist Hospital
Bushansky, Abe A., DPM
231380P
734 Pennsylvania Ave
Brooklyn, NY 11207
(718) 493-5986
37057P
711 Eastern Pkwy
Brooklyn, NY 11213
(718) 493-5986
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Parkway
Hospital
Butters, Marva, DPM
343047P
158 Clarkson Ave
Brooklyn, NY 11226
(718) 783-4780
Brooklyn Hospital Center
(Downtown Campus), Kings
County Hospital Center
Buxbaum, Frederick D.,
DPM
36540P
1501 W 6th St
Brooklyn, NY 11204
(718) 837-0442
New York Community Hospital
of Brooklyn, New York
Methodist Hospital, Parkway
Hospital
Buzermanis, Steven Z.,
DPM
57282P
1230 Neptune Ave
Brooklyn, NY 11224
(718) 615-3200
57282P
3245 Nostrand Ave
Brooklyn, NY 11229
(718) 615-3777
57282P
345 Schermerhorn St
Brooklyn, NY 11217
(718) 858-6300
Campbell, Douglas E.,
DPM
37122P
MAIMONDES MED CTR
BROOKLYN, NY 11219
(718) 283-7593
54942P
4801 Fort Hamilton Pkwy
Brooklyn, NY 11219
(718) 853-7469
54944P
241 Willoughby St
Brooklyn, NY 11201
(718) 853-7469
Maimonides Medical Center
Caprioni, Enrico P., DPM
163554P
326 7th St
Brooklyn, NY 11215
(718) 369-7192
New York Methodist Hospital
Speaks ItalianSpanish
Carlton, Lawrence S.,
DPM
36731P
1981 Flatbush Ave
Brooklyn, NY 11234
(718) 338-8715
Brooklyn Hospital Center
(Downtown Campus)
Castillo, Dennis E., DPM
0X190P
345 Clinton Ave
Brooklyn, NY 11238
(718) 783-7300
105747P
450 Clarkson Ave
Brooklyn, NY 11203
(718) 783-7300
376722P
SUNY Downstate Med Ctr
840 Lefferts Ave
Brooklyn, NY 11203
(718) 783-7300
376724P
SUNY Downstate Med Ctr
445 Lenox Rd
Brooklyn, NY 11203
(718) 783-7300
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Kingsbrook
Jewish Medical Center,
University Hospital of Brooklyn
Speaks Spanish
Board Certified
Male Female
Wheelchair Accessible
)
Charlot, Giznola J., DPM
358034P
HHC-Kings County Hospital
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Jacobi Medical Center, Kings
County Hospital Center, North
Central Bronx Hospital
Cheng, Tung W., DPM
36670P
299 Livingston St
Brooklyn, NY 11217
(718) 624-2150
Speaks Chinese
Chopra, Jaideep, DPM
283717P
Medical Office
462 Ocean Pkwy
Brooklyn, NY 11218
(718) 856-6010
284749P
1324 Bergen St
Brooklyn, NY 11213
(718) 774-5224
362592P
710 Parkside Ave
Brooklyn, NY 11226
(718) 270-2045
363451P
University Phys of Bklyn
450 Clarkson Ave
Brooklyn, NY 11203
(718) 270-2045
Staten Island University
Hosp-North, University
Hospital of Brooklyn
Speaks Hindi
Cicio, Gary, DPM
36673P
142 Joralemon St
Brooklyn, NY 11201
(718) 624-3003
Beth Israel Med Ctr (Kings
Hwy Division), Long Island
College Hospital, New York
Downtown Hospital (Beekman)
Cohen, Greg E., DPM
168309P
142 Joralemon St
Brooklyn, NY 11201
(718) 624-3003
Cabrini Medical Center, Long
Island College Hospital
Cohen, Richard B., DPM
36732P
1331 E 16th St
Brooklyn, NY 11230
(718) 375-3400
Brooklyn Hospital Center
(Downtown Campus)
D'Amato, Theodore A.,
DPM
369717P
9731 4th Ave
Brooklyn, NY 11209
(718) 745-3177
Staten Island University
Hosp-North, Victory Memorial
Hospital
D'Angelo, Nicholas A.,
DPM
M1613P
6511 20th Ave
Brooklyn, NY 11204
(718) 837-7300
New York Methodist Hospital
Speaks Italian
Dacher, Jeffrey, DPM
36847P
3901 Nostrand Ave
Brooklyn, NY 11235
(718) 648-9104
Woodhull Medical & Mental
Health Ctr
Speaks Yiddish
Daniel, Lawrence B.,
DPM
10292P
2832 Linden Blvd
Brooklyn, NY 11208
(718) 240-2000
58558P
Lawrence B. Daniel, DPM
1576 E 66th St
Brooklyn, NY 11234
(718) 241-3803
Brooklyn Hospital Center
(Downtown Campus),
Montefiore Med Ctr (Henry &
Lucy Moses Div), Montefiore
Med Ctr (Jack D Weiler Hosp
of A Einst)
DeMeo, James R., DPM
169482P
1545 Atlantic Ave
Brooklyn, NY 11213
(718) 613-4856
Cabrini Medical Center,
Interfaith Medical Center,
Mount Vernon Hospital, SJRH -
St Johns Division
DeSantos, Pasquale, DPM
371165P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Speaks ItalianSpanish
Dennis, Lester N., DPM
50225P
746 Manhattan Ave
Brooklyn, NY 11222
(718) 389-4404
Catholic Medical Center (NY),
New York Flushing Hospital &
Medical Center, New York
Hospital Medical Center of
Queens, St Joseph's Hospital
Division, CMC, United
Hospital Medical Center (NY),
Wyckoff Heights Medical
Center
Dharia, Sumit S., DPM
349314P
552 Saint Marks Ave
Brooklyn, NY 11238
(516) 359-3339
Speaks Gujarati
Dixit, Chaitanya V., DPM
229092P
NY Medical Associates
98 Avenue U
Brooklyn, NY 11223
(718) 372-0500
39505P
1700 Flatbush Ave
Brooklyn, NY 11210
(718) 692-1120
M1245P
2235 W 9th St
Brooklyn, NY 11223
(718) 372-0400
Jamaica Hospital, New York
Methodist Hospital, Our Lady
of Mercy Medical Center
Speaks SpanishHindiItalian
Donovan, Glenn J., DPM
348058P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Dorazi, Stephen T., DPM
144643P
374 Stockholm St
Brooklyn, NY 11237
(718) 963-7233
Franklin Hospital, New York
Hospital Medical Center of
Queens, New York United
Hospital Medic, Sound Shore
Medical Center of Westchester,
Wyckoff Heights Medical
Center
Speaks Spanish
Ehrlich, Josh C., DPM
341691P
Astrocare Medical Center
1669 Bedford Ave
Brooklyn, NY 11225
(718) 467-7200
36823P
1651 Coney Island Ave
Brooklyn, NY 11230
(718) 382-2221
49886P
1535 51st St
Brooklyn, NY 11219
(718) 436-8886
Maimonides Medical Center,
Staten Island University
Hosp-North
Speaks
HebrewYiddishRussian
Einhorn, Jill L., DPM
36976P
2616 Avenue U
Brooklyn, NY 11229
(718) 891-2706
Beth Israel Med Ctr (Kings
Hwy Division), Maimonides
Medical Center
Fagen, Leonard, DPM
36474P
1390 Pennsylvania Ave
Brooklyn, NY 11239
(718) 642-2088
Brookdale Hospital Medical
Center
Speaks Spanish
Falcone, Jeffrey J., DPM
168454P
8012 3rd Ave
Brooklyn, NY 11209
(718) 745-5600
New York Methodist Hospital
Ficke, Henry, DPM
177873P
2875 W 8th St
Brooklyn, NY 11224
(718) 266-3131
288626P
444 Avenue X, Ste 1E
Brooklyn, NY 11223
(718) 375-1616
288630P
2015 Bath Ave
Brooklyn, NY 11214
(718) 375-1616
Long Beach Memorial Hospital
Speaks
GermanItalianSpanish
Friedlander, Bruce W.,
DPM
229664P
567 9th St
Brooklyn, NY 11215
(718) 840-0220
Long Island College Hospital
Speaks SpanishFrench
Ganjian, Afshin, DPM
37177P
146 Sheridan Ave
Brooklyn, NY 11208
(718) 235-6100
Coney Island Hospital, St
Joseph's Hospital Division,
CMC
Speaks
PersianSpanishRussianItalia
n
Garofalo, Alfred A.,
DPM
226023P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
Bellevue Hospital Center,
Gouverneur Hospital, Woodhull
Medical & Mental Health Ctr
Gaudino, Salvatore C.,
DPM
114762P
Boro Medical, PC
540 Atlantic Ave
Brooklyn, NY 11217
(718) 855-4900
37094P
Bensonhurst Fam. Foot Ctr
7819 18th Ave
Brooklyn, NY 11214
(718) 234-7054
51018P
Bensonhurst Family Foot
420 74th St
Brooklyn, NY 11209
(718) 836-1017
Mount Sinai Medical Center,
Parkway Hospital, Queens
Hospital Center
Geiger, Arthur, DPM
52948P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center
George, Thomas, DPM
197909P
888 Fountain Ave
Brooklyn, NY 11208
(718) 235-0574
Hempstead General Hospital
Med Ctr., New York
Westchester Square Medical
Center
Gertsik, Vladimir V., DPM
193957P
Gertsik Podiatry< PC
415 Ocean View Ave
Brooklyn, NY 11235
(718) 934-4842
New York Methodist Hospital
Speaks Russian
Giammarino, Philip A.,
DPM
149919P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
199181P
HHC-Sheepshead Bay Ctr
3121 Ocean Ave
Brooklyn, NY 11235
(718) 646-9190
36584P
8607 21st Ave
Brooklyn, NY 11214
(718) 266-1986
Coney Island Hospital,
Lutheran Medical Center
Speaks SpanishItalian
Glockenberg, Aaron,
DPM
36620P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center,
Lincoln Medical & Mental
Health Center, Our Lady of
Mercy Medical Center, St
Barnabas Hospital, Union
Hospital of the Bronx (closed)
Speaks PolishHebrew
Board Certified
Male Female
Wheelchair Accessible
Goldman, Gershon A.,
DPM
372901P
Fayn Medical PC
1517 Voorhies Ave
Brooklyn, NY 11235
(718) 648-2491
Forest Hills Hospital, Parkway
Hospital
Speaks
HebrewFrenchYiddishSpanis
h
Goldstein, Israel, DPM
169498P
Ezra Medical Center
571 McDonald Ave
Brooklyn, NY 11218
(718) 686-7600
228018P
468 Ocean Pkwy
Brooklyn, NY 11218
(718) 693-0578
Speaks
YiddishRussianRomanianHe
brew
Gonzalez, Ivan, DPM
137870P
East New York D & TC
2094 Pitkin Ave
Brooklyn, NY 11207
(718) 240-0400
Brooklyn Hospital Center
(Downtown Campus), Kings
County Hospital Center, St
Joseph's Hospital Division,
CMC, University Hospital of
Brooklyn
Speaks
SpanishFrenchPortugueseIt
alian
Goodman, Warren J., DPM
213648P
Kings Highway Podiatry
380 Avenue U
Brooklyn, NY 11223
(718) 376-3077
Victory Memorial Hospital
Speaks FrenchSpanish
Greenbaum, Bruce R.,
DPM
P0058P
3000 Ocean Pkwy
Brooklyn, NY 11235
(718) 265-2600
Staten Island University
Hosp-North, Staten Island
University Hosp-South
Guberman, Ronald M.,
DPM
144825P
Wound Healing & Hyperbar
374 Stockholm St
Brooklyn, NY 11237
(718) 381-8402
FLUSHING HOSPITAL
MEDICAL CENTER, Franklin
Hospital, Jackson Heights
Hospital Division (closed),
Sound Shore Medical Center of
Westchester, Wyckoff Heights
Medical Center
Speaks Spanish
Gventer, Mark, DPM
49889P
434 3rd St
Brooklyn, NY 11215
(718) 499-7583
New York Community Hospital
of Brooklyn
Speaks RussianSpanish
Habib, Henry, DPM
44484P
8000 4th Ave
Brooklyn, NY 11209
(718) 833-8136
SVCMC-St Vincents Manhattan
Speaks ItalianArabic
Heller, David P., DPM
36550P
843 Utica Ave
Brooklyn, NY 11203
(718) 345-8923
49818P
2124 Knapp St
Brooklyn, NY 11229
(718) 743-4121
Interfaith Medical Center
Herman, Craig P., DPM
363912P
94-98 Manhattan Avenue
Brooklyn, NY 11206
(718) 388-0390
New York Westchester Square
Medical Center, Our Lady of
Mercy Medical Center
Speaks Spanish
Horowitz, Mitchell L.,
DPM
123582P
Quality Health Center Inc
138 Division Ave
Brooklyn, NY 11211
(718) 387-2408
Ivanovs, Ray, DPM
226092P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
Woodhull Medical & Mental
Health Ctr
Jarbath, John A., DPM
155825P
2051 Flatbush Ave
Brooklyn, NY 11234
(718) 677-1000
Forest Hills Hospital, New York
Hospital Medical Center of
Queens, Parkway Hospital,
Peninsula Hospital Center
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Jusma, Francoise D., DPM
221129P
Cumberland D & T Ctr
100 N Portland Ave
Brooklyn, NY 11205
(718) 260-7500
221130P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
M4204P
100 Parkside Ave
Brooklyn, NY 11226
(718) 940-5288
Brooklyn Hospital Center
(Downtown Campus), Woodhull
Medical & Mental Health Ctr
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Kaiser, Craig A., DPM
361854P
1220 Avenue P
Brooklyn, NY 11229
(718) 376-1004
361888P
19-02 86th St
Brooklyn, NY 11214
(718) 621-9400
361892P
9708 Seaview Ave
Brooklyn, NY 11236
(718) 444-0520
37134P
465 Ocean Pkwy
Brooklyn, NY 11218
(718) 941-3796
Maimonides Medical Center,
New York Methodist Hospital
Kapadwala, Imtiyaz I.,
DPM
37207P
220 A. Saint Nicholas Ave
Brooklyn, NY 11237
(718) 418-8540
50700P
2848 Church Ave
Brooklyn, NY 11226
(718) 703-3000
Kingsbrook Jewish Medical
Center, Wyckoff Heights
Medical Center
Speaks UrduHindi
Katz, Alex S., DPM
291819P
2797 Ocean Pkwy
Brooklyn, NY 11235
(718) 615-4444
New York Community Hospital
of Brooklyn
Speaks
RussianHebrewSpanish
Katzman, Barry, DPM
M0791P
233 Nostrand Ave
Brooklyn, NY 11205
(718) 826-5900
New York Flushing Hospital &
Medical Center, New York
Hospital Medical Center of
Queens, Parkway Hospital
Speaks Spanish
Knobel, Jeffrey, DPM
M4199P
1636 E 14th St
Brooklyn, NY 11229
(718) 336-1800
M4200P
662 Bedford Ave
Brooklyn, NY 11211
(718) 336-1800
Beth Israel Medical Center
(Petrie Campus), Brookdale
Hospital Medical Center,
Jamaica Hospital
Speaks RussianYiddish
Lafferty, William A., DPM
355861P
858 Schenectady Ave
Brooklyn, NY 11203
(718) 604-5574
SVCMC-St Vincents Staten
Island, Staten Island University
Hosp-North
Lepore, Frank L., DPM
194379P
349 Henry St
Brooklyn, NY 11201
(718) 780-8104
Catholic Medical Center (NY),
Long Island College Hospital,
Wyckoff Heights Medical
Center
Speaks ItalianSpanish
Levitz, Steven J., DPM
371880P
3010 Avenue L
Brooklyn, NY 11210
(718) 258-1820
Brooklyn Hospital Center
(Downtown Campus), Wyckoff
Heights Medical Center
Levy, Brian K., DPM
109695P
1390 Pennsylvania Ave
Brooklyn, NY 11239
(718) 642-2088
Brookdale Hospital Medical
Center, Kingsbrook Jewish
Medical Center
Speaks Spanish
Liswood, Paul J., DPM
37131P
Comprehensive Podiatry Sv
7212 4th Ave
Brooklyn, NY 11209
(718) 745-0256
53864P
506 6th St
Brooklyn, NY 11215
(718) 780-5850
Lutheran Medical Center, New
York Methodist Hospital
Speaks RussianSpanish
Losyev, Sergey, DPM
173305P
2005 Ocean Ave
Brooklyn, NY 11230
(718) 645-4324
Lutheran Medical Center
Speaks Russian
Lucido, Jeffrey V., DPM
36833P
441 77th St
Brooklyn, NY 11209
(718) 745-3800
54176P
150 55th St
Brooklyn, NY 11220
(718) 630-7095
Doctors Hosp. of Staten Island,
Lutheran Medical Center
Speaks ItalianSpanish
Mahgerefteh, David, DPM
349781P
4405 16th Ave
Brooklyn, NY 11204
(718) 633-8662
Parkway Hospital
Speaks Yiddish
Makower, Bryan L., DPM
100861P
Downstate Foot &Ankle Pod
121 Dekalb Ave
Brooklyn, NY 11201
(718) 250-8753
101467P
176 Fenimore St
Brooklyn, NY 11225
(718) 940-0400
36786P
100 Parkside Ave
Brooklyn, NY 11226
(718) 768-1906
54693P
Downstate Foot & Ankle Po
322 Linden Blvd
Brooklyn, NY 11226
(718) 768-1906
Brooklyn Hospital Center
(Downtown Campus), New
York Methodist Hospital
Speaks SpanishFrench
Mandato, Mark, DPM
298290P
HHC-Kings County Hospital
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center,
Metropolitan Hospital Center
Mantzoukas, Argirios,
DPM
221092P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Speaks Greek, Modern
(1453-)
Marcelonis, Debra A.,
DPM
173195P
465 New Lots Ave
Brooklyn, NY 11207
(718) 240-8900
Jamaica Hospital
Board Certified
Male Female
Wheelchair Accessible
PODIATRY (Continued)
Marville, Jillion, MD
49868P
353 Empire Blvd
Brooklyn, NY 11225
(718) 221-9244
Matthews, Frederick, DPM
302146P
Frederick Matthew DPM
1641 Bergen St
Brooklyn, NY 11213
(718) 778-2938
Interfaith Medical Center
Speaks Spanish
Mckay, Douglas J., DPM
54837P
1704 Mermaid Ave
Brooklyn, NY 11224
(718) 265-0900
Staten Island University
Hosp-North
Meliso, Vincent D., DPM
212393P
1029 Manhattan Ave
Brooklyn, NY 11222
(718) 383-3377
37004P
Lorimer Foot Care
411 Graham Ave
Brooklyn, NY 11211
(718) 383-2518
New York Methodist Hospital
Speaks Italian
Meller, Edward P., DPM
112287P
Ambulatory Care Clinic
1 Brookdale Plz
Brooklyn, NY 11212
(718) 240-5045
112288P
Urban Strategies
1873 Eastern Pkwy
Brooklyn, NY 11233
(718) 240-8700
Jamaica Hospital, St Joseph's
Hospital Division, CMC
Meshnick, Joel A., DPM
105804P
Kings Country Medical Doc
2705 Mermaid Ave
Brooklyn, NY 11224
(718) 265-2222
191516P
2876 W 27th St
Brooklyn, NY 11224
(718) 265-2222
57875P
ODA Primary Health Care
14-16 Heyward St
Brooklyn, NY 11211
(718) 260-4600
Lutheran Medical Center,
Staten Island University
Hosp-North
Micallef, Joseph, DPM
106156P
1095 Flatbush Ave
Brooklyn, NY 11226
(718) 240-8800
Brookdale Hospital Medical
Center, Forest Hills Hospital,
Jamaica Hospital, New York
Hospital Medical Center of
Queens
Mollica, Peter W., DPM
36634P
8223 14th Ave
Brooklyn, NY 11228
(718) 875-9357
36635P
410 Clinton St
Brooklyn, NY 11231
(718) 875-9357
36636P
585 Schenectady Ave
Brooklyn, NY 11203
(718) 604-5481
Interfaith Medical Center,
Kingsbrook Jewish Medical
Center, New York Methodist
Hospital
Speaks Italian
Mollica, Raymond J.,
DPM
36621P
8223 14th Ave
Brooklyn, NY 11228
(718) 236-2871
50026P
Raymond J Mollica, MD
410 Clinton St
Brooklyn, NY 11231
(718) 875-1105
Catholic Medical Center (NY),
Kingsbrook Jewish Medical
Center, Lutheran Medical
Center, New York Methodist
Hospital
Montalvo, Luis, DPM
37021P
7523 Fort Hamilton Pkwy
Brooklyn, NY 11228
(718) 745-7266
Lutheran Medical Center,
Wyckoff Heights Medical
Center
Speaks Spanish
Morreale, Edward, DPM
0X185P
736 Ocean Pkwy
Brooklyn, NY 11230
(718) 437-9343
SVCMC-St Vincents Manhattan
Speaks ItalianSpanish
Naik, Hetal B., DPM
113873P
Lafayette Med Office PC
468 Lafayette Ave
Brooklyn, NY 11205
(718) 399-6234
145498P
1417 Foster Ave
Brooklyn, NY 11230
(718) 421-6300
37256P
121 Dekalb Ave
Brooklyn, NY 11201
(718) 250-8753
Brooklyn Hospital Center
(Downtown Campus), Lutheran
Medical Center, Maimonides
Medical Center
Speaks
HindiGujaratiSpanishUrdu
Nekritin, Vadim, DPM
294087P
2306 Avenue U
Brooklyn, NY 11229
(718) 769-8210
St John's Episcopal Hospital
Speaks Russian
Newmark, Alan J., DPM
36637P
34 Plaza St E
Brooklyn, NY 11238
(718) 857-9004
54470P
372 Kingston Ave
Brooklyn, NY 11213
(718) 604-0675
Brooklyn Hospital Center
(Downtown Campus)
Speaks
SpanishHebrewFrench
Novofastovsky, Raisa, DPM
214483P
1812 Quentin Rd
Brooklyn, NY 11229
(718) 382-1773
37025P
3066 Brighton 6
Brooklyn, NY 11235
(718) 382-1773
37026P
8622 Bay Pkwy
Brooklyn, NY 11214
(718) 333-2121
51725P
All Medical Care L.L.P.
8622 Bay Pkwy
Brooklyn, NY 11214
(718) 333-2121
Lutheran Medical Center, New
York Community Hospital of
Brooklyn
Speaks Russian
Odinsky, Michael E.,
DPM
P0019P
200 Montague St
Brooklyn, NY 11201
(718) 422-8000
P0019P
546 Eastern Pkwy
Brooklyn, NY 11225
(718) 604-4800
Oliva, Imelda A., DPM
139001P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center,
Metropolitan Hospital Center,
Morrisania Hospital
Speaks TagalogSpanish
Orlando, Anthony, DPM
371187P
HHC-Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital, Forest
Hills Hospital, Lutheran
Medical Center, North Shore
University Hospital
Owusu, Stephen E., DPM
208624P
434 Rockaway Ave
Brooklyn, NY 11212
(718) 346-2628
37081P
Mount Zion Podiatry,PC
106 Pennsylvania Ave
Brooklyn, NY 11207
(718) 385-2085
Jamaica Hospital, St Joseph's
Hospital Division, CMC
Pace, George N., DPM
373411P
Manhattan Footcare
133 Smith St
Brooklyn, NY 11201
(718) 330-1117
Cabrini Medical Center, Long
Island College Hospital, New
York Downtown Hospital, New
York Downtown Hospital
(Beekman)
Speaks Spanish
Pace, John F., DPM
45625P
John F. Pace, MD
398 Court St
Brooklyn, NY 11231
(718) 834-0909
Long Island College Hospital,
SVCMC-Bayley Seton
Papa, Philip M., DPM
141176P
Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital
Passik, Arthur L., DPM
45847P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
Coney Island Hospital,
Massapequa General Hospital,
Plainview Hospital, Syosset
Hospital
Speaks SpanishItalianGreek,
Modern (1453-)
Pawson, John F., DPM
134403P
9229 Flatlands Ave
Brooklyn, NY 11236
(718) 257-1444
202015P
Bay Park Medical, PC
6403 18th Ave
Brooklyn, NY 11204
(718) 621-0800
New York Community Hospital
of Brooklyn
Speaks
SpanishRussianChineseHeb
rew
Pecora, Maria, DPM
40587P
3245 Nostrand Ave
Brooklyn, NY 11229
(718) 615-3777
Forest Hills Hospital, Jamaica
Hospital, New York Hospital
Medical Center of Queens, St
Joseph's Hospital, St Joseph's
Hospital Division, CMC
Speaks Spanish
Pedro, Helder F., DPM
339019P
Family Physician FHC
5616 6th Ave
Brooklyn, NY 11220
(718) 439-5440
339024P
Caribbean American FHC
3414 Church Ave
Brooklyn, NY 11203
(718) 940-9425
54244P
Sunset Park Family Health
150 55th St
Brooklyn, NY 11220
(718) 630-7208
Long Island Jewish Medical
Center, Lutheran Medical
Center
Perez, Walter H., DPM
114659P
Advanced Walkin Foot CAre
2146 Beverley Rd
Brooklyn, NY 11226
(718) 675-1100
216489P
2919 Avenue T
Brooklyn, NY 11229
(718) 336-4390
38123P
Advanced WalkIn Foot Care
1214 Coney Island Ave
Brooklyn, NY 11230
(718) 677-7700
Brooklyn Hospital Center
(Downtown Campus), Interfaith
Medical Center, Jamaica
Hospital
Speaks
SpanishRussianTurkish
Pierre, Nadja M., DPM
225911P
Woodhull Med & Ment HC
760 Broadway
Brooklyn, NY 11206
(718) 388-5889
Brooklyn Hospital Center
(Downtown Campus), Woodhull
Medical & Mental Health Ctr
Speaks French
Pierre, Nedjie, DPM
145469P
552 Saint Marks Ave
Brooklyn, NY 11238
(718) 398-8700
37250P
3400 Snyder Ave
Brooklyn, NY 11203
(718) 693-4060
37251P
The Brooklyn Hospital Cen
121 Dekalb Ave
Brooklyn, NY 11201
(718) 488-3708
Brooklyn Hospital Center
(Downtown Campus)
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Prince, Steven L., DPM
125224P
JHMC DTC - East New York
3080 Atlantic Ave
Brooklyn, NY 11208
(718) 647-0240
Jamaica Hospital, V A Hospital
- St. Albans
Rabiei, Payman, DPM
214667P
Metropolitan Foot Care PC
94-13 Flatlands Ave
Brooklyn, NY 11236
(718) 649-6464
58033P
Metropolitan Foot Care PC
3309 Church Ave
Brooklyn, NY 11203
(718) 209-0013
Kingsbrook Jewish Medical
Center, Long Island Jewish
Medical Center, Parkway
Hospital
Speaks HebrewPersian
Radler, Bruce L., DPM
36518P
6416 17th Ave
Brooklyn, NY 11204
(718) 236-2821
Staten Island University
Hosp-North
Raskin, Simon, DPM
377535P
Simon Raskin, DPM, P.C.
1409 Gravesend Neck Rd
Brooklyn, NY 11229
(718) 332-7771
Reifer, Howard J., DPM
152842P
1670 E 17th St
Brooklyn, NY 11229
(718) 382-9200
174814P
2433 86th St
Brooklyn, NY 11214
(917) 974-8726
174816P
3059 Brighton 13Th St
Brooklyn, NY 11235
(917) 974-8726
198147P
Quentin Medical, PC
280 Quentin Rd
Brooklyn, NY 11223
(718) 336-4499
217778P
157 York St
Brooklyn, NY 11201
(718) 222-0333
Brooklyn Hospital Center
(Downtown Campus), Kings
County Hospital Center
Speaks Spanish
Romano, Constance A.,
DPM
36902P
386 Graham Ave
Brooklyn, NY 11211
(718) 389-9870
Cabrini Medical Center,
Interfaith Medical Center
Speaks Italian
Rosen, Alan J., DPM
36933P
5402 Flatlands Ave
Brooklyn, NY 11234
(718) 444-3338
Brookdale Hospital Medical
Center
Saadvandi, Terence M.,
DPM
349531P
Physicare Multi Services
150 55th St
Brooklyn, NY 11220
(718) 253-3900
349532P
Nostrand Community Medica
220 13th St
Brooklyn, NY 11215
(718) 769-4988
349533P
Brighton Community Medica
9000 Shore Rd
Brooklyn, NY 11209
(718) 646-5500
Lutheran Medical Center
Speaks Arabic
Sande, Hervey, DPM
52950P
Kings County Hospital Ctr
451 Clarkson Ave
Brooklyn, NY 11203
(718) 245-3325
Kings County Hospital Center
Scheiner, David M., DPM
208600P
Good Health Medical, P.C.
3019 Brighton 1St St
Brooklyn, NY 11235
(718) 743-9700
Brunswick Hospital Center Inc,
South Nassau Comm. Hospital,
South Nassau Communities
Hosp., South Nassau
Communities Hospital,
Winthrop University Hospital
Speaks RussianSpanish
Schikman, Lana, DPM
359328P
Kingsbrook Jewish Med Ctr
585 Schenectady Ave
Brooklyn, NY 11203
(718) 604-5388
Kingsbrook Jewish Medical
Center
Speaks Russian
Schneidermesser, Susan
G., DPM
37048P
18 Prospect Park W
Brooklyn, NY 11215
(718) 398-7593
37049P
894 Eastern Pkwy
Brooklyn, NY 11213
(718) 778-7311
Kingsbrook Jewish Medical
Center
Speaks Spanish
Shapiro, Eugene, DPM
36841P
301 Ocean View Ave
Brooklyn, NY 11235
(718) 332-2582
New York Community Hospital
of Brooklyn
Speaks Russian
Shechter, David Z., DPM
49893P
3066 Brighton 6Th St
Brooklyn, NY 11235
(718) 743-0111
New York Hospital Medical
Center of Queens, St Joseph's
Hospital Division, CMC,
Wyckoff Heights Medical
Center
Shechter, Stuart B., DPM
49678P
Stuart B Shechter, MD
3066 Brighton 6Th St
Brooklyn, NY 11235
(718) 743-0111
Island Medical Center (NY)_
Sherman, Gary, DPM
M4643P
7902 Bay Pkwy
Brooklyn, NY 11214
(718) 236-7520
Maimonides Medical Center,
New York Downtown Hospital
(Beekman), SVCMC-St Vincents
Staten Island
Silberstein, Jeffrey, DPM
36639P
1367 51st St
Brooklyn, NY 11219
(718) 438-4305
Speaks YiddishSpanish
Silverstein, Alan B., DPM
36642P
1185 Dean St
Brooklyn, NY 11216
(718) 774-2740
Interfaith Medical Center
Spielfogel, William D.,
DPM
36935P
Hamilton Podiatry PC
369 93rd St
Brooklyn, NY 11209
(718) 680-6276
Columbia-Presbyterian
Medical Center
Spindler, Harlan, DPM
36541P
5412 Kings Plz
Brooklyn, NY 11234
(718) 377-1212
Peninsula Hospital Center,
Wyckoff Heights Medical
Center
Speaks
FrenchRussianSpanish
Stanimirov, Catherine,
DPM
112328P
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
137433P
Ida G Irael Comm Hlth Ctr
2201 Neptune Ave
Brooklyn, NY 11224
(718) 946-3400
Coney Island Hospital
Speaks Spanish
Steiner, Richard M., DPM
101731P
2811 Ocean Ave
Brooklyn, NY 11229
(718) 648-5609
SVCMC-St Vincents Manhattan
Stuto, Joseph C., DPM
36813P
100 Remsen St
Brooklyn, NY 11201
(718) 624-7537
Brooklyn Hospital Center
(Downtown Campus), Long
Island College Hospital, New
York Community Hospital of
Brooklyn
Tajerstein, Alan R., DPM
36951P
1335 54th St
Brooklyn, NY 11219
(718) 972-5000
Brooklyn Hospital Center
(Downtown Campus)
Speaks YiddishHebrew
Tanenbaum, Mark, DPM
36644P
1648 E 14th St
Brooklyn, NY 11229
(718) 627-0585
Tartack, Ira, DPM
187670P
Coney Island Hospital
2601 Ocean Pkwy
Brooklyn, NY 11235
(718) 616-4331
New York Community Hospital
of Brooklyn, Our Lady of Mercy
Medical Center
Speaks
ItalianSpanishRussian
Tavroff, Clifford D., DPM
P0038P
233 Nostrand Ave
Brooklyn, NY 11205
(718) 826-5900
Trepal, Michael J., DPM
183218P
115 Henry St
Brooklyn, NY 11201
(718) 624-8022
Long Island College Hospital,
Metropolitan Hospital Center,
New York Downtown Hospital
(Beekman), SVCMC-St Vincents
Manhattan
Trivlis, Maryann Z., DPM
216717P
248 Avenue P
Brooklyn, NY 11204
(718) 945-0770
Brooklyn Hospital Center
(Downtown Campus)
Speaks Greek, Modern
(1453-)
Unger, Leslie M., DPM
36470P
1405 46th St
Brooklyn, NY 11219
(718) 438-8717
49514P
Lesie M Unger, MD
2315 Mermaid Ave
Brooklyn, NY 11224
(718) 373-1820
Maimonides Medical Center
Speaks SpanishYiddish
Vader, Bonnie, DPM
36966P
621 Amboy St
Brooklyn, NY 11212
(718) 345-2935
Brookdale Hospital Medical
Center, Forest Hills Hospital
Speaks Spanish
Waiss, Samuel M., DPM
351219P
2223 Coney Island Ave
Brooklyn, NY 11223
(718) 375-6096
New York Community Hospital
of Brooklyn
Speaks HebrewYiddish
Board Certified
Male Female
Wheelchair Accessible
PODIATRY (Continued)
Wallach, Jacob B., DPM
15739P
2108 Avenue P
Brooklyn, NY 11229
(718) 951-6399
Maimonides Medical Center
Woltman, Robert T., DPM
205506P
Lyudmila Cavalier Physici
9014 Flatlands Ave
Brooklyn, NY 11236
(718) 209-5353
Long Island Jewish Medical
Center, New York Westchester
Square Me, Peninsula Hospital
Center
Zonenashvili, Merabi,
DPM
293458P
201 Kings Hwy
Brooklyn, NY 11223
(718) 621-1811
Staten Island University
Hosp-North
Speaks
RussianGeorgianSpanish
Zwiebel, Neil S., DPM
363102P
420 Fulton St
Brooklyn, NY 11201
(718) 797-3668
Cabrini Medical Center, Long
Island College Hospital
Kings
PODIATRY
Abeles, Jay, DPM
36958P
4136 Hicksville Rd
Bethpage, NY 11714
(516) 796-2900
Massapequa General Hospital,
New Island Hospital, Syosset
Hospital
Abrahamson, Hal, DPM
54152P
100 Manetto Hill Rd
Plainview, NY 11803
(516) 822-9595
Catholic Medical Center (NY),
Forest Hills Hospital
Speaks Hebrew
Alongi, Maryanne, DPM
36724P
226 7th St
Garden City, NY 11530
(516) 248-9680
Franklin Hospital ,
Massapequa General Hospital,
New Island Hospital
Amato, Richard, DPM
343044P
R.A. Podiatry, P.C.
2116 Merrick Ave
Merrick, NY 11566
(516) 378-9191
New Island Hospital
Axman, Wayne R., DPM
179959P
70 Maple Ave
Rockville Centre, NY 11570
(516) 536-3336
182388P
1420 Broadway
Hewlett, NY 11557
(516) 374-8600
Long Beach Memorial
Hospital, Long Island Jewish
Medical Center, Mount Sinai
Hospital, Mount Sinai of
Queens, New York Hospital
Medical, South Nassau
Communities Hospital
Speaks SpanishGreek,
Modern (1453-)
Bagner, Jerome E., DPM
36499P
30 Hempstead Ave
Rockville Centre, NY 11570
(516) 764-6800
49647P
165 N Village Ave
Rockville Centre, NY 11570
(516) 746-6800
New Island Hospital
Speaks
YiddishItalianJapaneseSpani
sh
Balboa, Henry M., DPM
36506P
100 Manetto Hill Rd
Plainview, NY 11803
(516) 822-9595
Forest Hills Hospital, New
Island Hospital, Syosset
Hospital
Barbaro, Thomas, DPM
36883P
706 Jericho Tpke
New Hyde Park, NY 11040
(516) 326-7979
Long Island Jewish Medical
Center, North Shore University
Hospital
Speaks Italian
Barkoff, Matthew W.,
DPM
36920P
2900 Hempstead Tpke
Levittown, NY 11756
(516) 579-2800
Glen Cove Hospital, New
Island Hospital, North Shore
University Hospital, Plainview
Hospital, Syosset Hospital
Speaks Spanish
Becker, Jack S., DPM
36551P
178 E Rockaway Rd
Hewlett, NY 11557
(516) 596-1700
49835P
Jack S Becker, MD
3000 Hempstead Tpke
Levittown, NY 11756
(516) 579-1700
Franklin Hospital, Franklin
Hospital , Nassau University
Medical Center, South Nassau
Communities Hosp., South
Nassau Communities Hospital
Bendeth, Marc L., DPM
36520P
1226 W Broadway
Hewlett, NY 11557
(516) 374-4444
Berlin, Kim, DPM
36650P
830 Atlantic Ave
Baldwin, NY 11510
(516) 623-4580
Long Beach Memorial
Hospital, South Nassau
Communities Hospital
Speaks Spanish
Biller, Bob S., DPM
M1057P
756 E Park Ave
Long Beach, NY 11561
(516) 432-7470
LONG BEACH MEMORIAL
MEDICAL CENTER, SAINT
JOHNS EPISCOPAL
HOSPITAL-SOUTH SHORE
Bilotti, Mary A., DPM
169106P
Long Island Podiatry Grp
2001 Marcus Ave
New Hyde Park, NY 11042
(516) 327-0074
M0911P
Long Island Podiatry Grp
375 N Central Ave
Valley Stream, NY 11580
(516) 825-4070
Franklin Hospital , Long Island
Jewish Medical Center
Speaks Spanish
Breitman, Debra, DPM
36886P
250 Broadway
Lawrence, NY 11559
(516) 239-4700
Peninsula Hospital Center, St
John's Episcopal Hospital, St
John's Episcopal Hospital -
Far Rockaway
Speaks Spanish
Bubbers, Linda A., DPM
36627P
Sunrise Foot Care
4880 Sunrise Highway
Massapequa Park, NY 11762
(516) 795-6255
Syosset Hospital
Speaks Spanish
Buenahora, Joseph A.,
DPM
M2238P
477 Newbridge Rd
East Meadow, NY 11554
(516) 679-1338
Brunswick General Hospital,
Brunswick Hospital Center Inc,
New Island Hospital, Plainview
Hospital, Syosset Hospital,
Wyckoff Heights Medical
Center
Speaks SpanishYiddish
Burzotta, John L., DPM
36762P
2419 Jericho Tpke
Garden City Park, NY 11040
(516) 294-9540
50161P
Pro Health Care
2800 Marcus Ave
Garden City Park, NY 11042
(516) 622-6040
Long Island Jewish Medical
Center, North Shore University
Hospital
Speaks Italian
Caimano, Francis X.,
DPM
300372P
Francis X Caimano
495 S Broadway
Hicksville, NY 11801
(914) 555-1212
P0014P
350 S Broadway
Hicksville, NY 11801
(516) 938-0100
Syosset Hospital
Speaks Spanish
Caprioli, Russell, DPM
359698P
1999 Marcus Ave
New Hyde Park, NY 11042
(516) 555-1212
36764P
Long Island Podiatry Grp
2001 Marcus Ave
New Hyde Park, NY 11042
(516) 327-0074
Franklin Hospital, Franklin
Hospital , Long Beach
Memorial Hospital, Long
Island Jewish Medical Center
Speaks ItalianSpanish
Chernick, Stephen B.,
DPM
50872P
175 Fulton Ave
Hempstead, NY 11550
(516) 489-2261
Parkway Hospital, St John's
Episcopal Hospital - Far
Rockaway
Speaks SpanishHebrew
Cohen, Robert J., DPM
36557P
72 Covert Ave
Garden City, NY 11530
(516) 354-7222
Our Lady of Mercy Medical
Center, Parkway Hospital
Speaks French
Davies, Daniel A., DPM
36889P
6 Scranton Ave
Lynbrook, NY 11563
(516) 596-0022
Cabrini Medical Center, Good
Samaritan Hospital, Good
Samaritan Hospital (West Islip)
Speaks Italian
Davies, Gregory F., DPM
36657P
Syosset Medical Building
175 Jericho Tpke
Syosset, NY 11791
(516) 496-7676
Glen Cove Hospital, North
Shore University Hospital,
Plainview Hospital, Syosset
Hospital
Speaks Spanish
DeCicco, John J., DPM
36618P
875 Old Country Rd
Plainview, NY 11803
(516) 681-8866
New Island Hospital, Plainview
Hospital, Syosset Hospital
Speaks SpanishGreek,
Modern (1453-)Italian
Dubov, Spencer F., DPM
383227P
New Island Hospital
4295 Hempstead Tpke
Bethpage, NY 11714
(631) 858-0011
Mary Immaculate Hospital,
Massapequa General Hospital
Inc., NY Hospital Medical
Center of Queens, Plainview
Hospital
Speaks
YiddishSpanishItalian
Feldman, Gary B., DPM
36826P
5 Sunrise Plz
Valley Stream, NY 11580
(516) 825-6825
St Joseph's Hospital Division,
CMC
Fiorenza, Dominic, DPM
P0048P
350 S Broadway
Hicksville, NY 11801
(516) 938-0100
Fox, Corey, DPM
37000P
Massapequa Podiatry Assoc
4160 Merrick Rd
Massapequa, NY 11758
(516) 541-9000
Brunswick General Hospital,
Brunswick Hospital Center Inc,
New Island Hospital, Plainview
Hospital, Syosset Hospital
Speaks
SpanishTagalogItalian
Fox, Roberta A., DPM
37003P
410 Lakeville Rd
New Hyde Park, NY 11042
(516) 488-5050
Long Island Jewish Medical
Center
Fuchs, David B., DPM
36704P
855 Cynthia Dr
East Meadow, NY 11554
(516) 292-2372
New Island Hospital, Syosset
Hospital
Garofalo, Gail F., DPM
37140P
NS Podiatric Med & Surger
410 Lakeville Rd
New Hyde Park, NY 11042
(516) 326-4709
Long Island Jewish Medical
Center, St Catherine of Siena,
St Catherine of Sienna Medical
Center, Winthrop University
Hospital, Winthrop-University
Hospital
Gasparini, Mark C., DPM
337162P
119 New York Ave
Massapequa, NY 11758
(516) 804-9038
Speaks Italian
George, Thomas, DPM
141475P
1029 Bellmore Rd
North Bellmore, NY 11710
(516) 679-4636
Hempstead General Hospital
Med Ctr., New York
Westchester Square Medical
Center
Gervasio, Joseph, DPM
36653P
1000 Park Blvd
Massapequa Park, NY 11762
(516) 799-0550
36654P
156 Post Ave
Westbury, NY 11590
(516) 334-8208
Massapequa General Hospital,
Massapequa General Hospital
Inc., New Island Hospital,
Plainview Hospital, Southside
Hospital
Goez, Emilio A., DPM
51027P
Long Island Foot Care
294 W Merrick Rd
Freeport, NY 11520
(516) 378-8383
Nassau University Medical
Center, Saint Catharines
General Hospital, St Barnabas
Hospital
Speaks Spanish
Golub, Cary M., DPM
37076P
854 E Broadway
Long Beach, NY 11561
(516) 889-2200
Long Beach Medical Center,
South Nassau Communities
Hospital
Speaks Hebrew
Gottlieb, Robert J., DPM
36579P
188 W Main St
Oyster Bay, NY 11771
(516) 922-0502
Glen Cove Hospital, Good
Samaritan Hospital (West Islip)
Speaks Spanish
Greenbaum, Mitchell A.,
DPM
36924P
111 Mineola Ave
Roslyn Heights, NY 11577
(516) 484-1444
36925P
525 Woodbury Rd
Plainview, NY 11803
(516) 433-3353
Glen Cove Hospital, Long
Island Jewish Medical Center,
New Island Hospital, North
Shore University Hospital,
Plainview Hospital, Syosset
Hospital
Speaks Spanish
Greiff, Lance, DPM
36988P
29 Barstow Rd
Great Neck, NY 11021
(516) 829-1028
Brooklyn Hospital Center
(Downtown Campus), New
York Flushing Hospital &
Medical Center, Parkway
Hospital
Grossman, Myles, DPM
36831P
2174 Hewlett Ave
Merrick, NY 11566
(516) 379-2560
41745P
156 Post Ave
Westbury, NY 11590
(516) 334-8208
New Island Hospital, Plainview
Hospital
Speaks SpanishHebrew
Herbert, Scott E., DPM
284145P
49 Church St
Freeport, NY 11520
(516) 378-0184
St Catherine of Siena
Hershey, Paul E., DPM
36462P
2110 Northern Blvd
Manhasset, NY 11030
(516) 627-5775
Long Island Jewish Medical
Center, Saint Francis Hospital -
Bronx
Speaks SpanishYiddish
Herzberg, Abraham, DPM
54315P
300 Franklin Ave
Valley Stream, NY 11580
(516) 561-1617
54316P
833 Northern Blvd
Great Neck, NY 11021
(516) 622-7900
Franklin Hospital, Jamaica
Hospital
Speaks Yiddish
Hickey, John, DPM
M4002P
2870 Hempstead Tpke
Levittown, NY 11756
(516) 735-4545
New Island Hospital, Plainview
Hospital, Syosset Hospital
Honore, Lesly S., DPM
132409P
Podiatry Services of New
905 Uniondale Ave
Uniondale, NY 11553
(516) 565-5666
132410P
981 Rosedale Rd
Valley Stream, NY 11581
(516) 295-6307
Cabrini Medical Center, Mercy
Medical Center,
Winthrop-University Hospital
Speaks
SpanishFrenchCreoles and
pidgins (Other)
Horl, Lawrence, DPM
36912P
61 N Park Ave
Rockville Centre, NY 11570
(516) 766-5550
Forest Hills Hospital,
Hempstead General Hospital
Med Ctr., Mercy Medical
Center, Peninsula Hospital
Center, South Nassau
Communities Hospital, St
John's Episcopal Hospital -
Far Rockaway
Speaks Spanish
Horowitz, Mitchell L.,
DPM
M2025P
2720 Jerusalem Ave
North Bellmore, NY 11710
(516) 679-2720
Irwin, Robert A., DPM
37172P
143 Merrick Ave
Merrick, NY 11566
(516) 623-2800
NY Hospital Medical Center of
Queens, New Island Hospital,
New York Hospital Medical
Center of Queens, Syosset
Hospital
Speaks SpanishItalianGreek,
Modern (1453-)
Jackalone, John A., DPM
277559P
Podiatry Offices
4295 Hempstead Tpke
Bethpage, NY 11714
(516) 579-3500
Catholic Medical Center (NY),
Forest Hills Hospital, Long
Beach Memorial Hospital, St
Vincents Medical Center Of
New York
Speaks Spanish
Jarbath, John A., DPM
155828P
50 Hempstead Ave
Lynbrook, NY 11563
(516) 599-0302
Forest Hills Hospital, New York
Hospital Medical Center of
Queens, Parkway Hospital,
Peninsula Hospital Center
Speaks FrenchCreoles and
pidgins, French-based
(Other)
Karpe, David E., DPM
160781P
Howard Kessler & Assoc PC
200 N Village Ave
Rockville Centre, NY 11570
(516) 764-0434
Franklin Hospital, Franklin
Hospital , Peninsula Hospital
Center, South Nassau Comm.
Hospital, South Nassau
Communities Hosp.
Speaks Spanish
Kashefsky, Helene P., DPM
37071P
2201 Hempstead Tpke
East Meadow, NY 11554
(516) 572-0123
Nassau University Medical
Center
Speaks Spanish
Kasminoff, June G.,
DPM
37044P
666 Old Bethpage Rd
Old Bethpage, NY 11804
(516) 777-3668
Massapequa General Hospital,
New Island Hospital, Syosset
Hospital
Kessler, Howard N., DPM
36570P
200 N Village Ave
Rockville Centre, NY 11570
(516) 764-0434
Franklin Hospital, Franklin
Hospital , Mercy Medical
Center, Nassau University
Medical Center, South Nassau
Communities Hosp., South
Nassau Communities Hospital
Kisberg, Stephen, DPM
36519P
11 Franklin Pl
Woodmere, NY 11598
(516) 295-2121
St John's Episcopal Hospital -
Far Rockaway
Kitton, Stuart E., DPM
36573P
41 Woods Dr
Roslyn, NY 11576
(516) 626-3999
MEADOWLANDS HOSPITAL
MEDICAL CENTER, Mount
Sinai Medical Center,
SVCMC-St Vincents
Manhattan, The Mount Sinai
Hospital of Queens
Speaks Spanish
Klein, Michael S., DPM
36893P
East Norwich Podiatry
898 Oyster Bay Rd
East Norwich, NY 11732
(516) 624-2101
36894P
Oceanside Podiatry
3105 Lawson Blvd
Oceanside, NY 11572
(516) 766-8500
Glen Cove Hospital, Long
Beach Memorial Hospital,
Syosset Hospital
Klirsfeld, Jeffrey S.,
DPM
36857P
2870 Hempstead Tpke
Levittown, NY 11756
(516) 731-3300
Massapequa General Hospital,
New Island Hospital, Syosset
Hospital
Speaks Spanish
Kohn, Arlene F., DPM
37113P
Family Footcare
120 Bethpage Rd
Hicksville, NY 11801
(516) 938-6000
Mercy Medical Center, New
Island Hospital, Syosset
Hospital
Speaks Spanish
Kolberg, John J., DPM
37222P
320 Post Ave
Westbury, NY 11590
(516) 338-8802
New Island Hospital
Speaks Spanish
Koslow, Paul M., DPM
50912P
Great Neck Podiatry Asso
29 Barstow Rd
Great Neck, NY 11021
(516) 829-1028
Maimonides Medical Center,
New York Hospital Medical
Center of Queens, New York
Methodist Hospital
LaRocca, Albert, DPM
36594P
2 Raemar Ct
Bethpage, NY 11714
(516) 935-0111
New Island Hospital
Speaks ItalianGerman
Landau, Laurence D., DPM
193059P
86 George St
Roslyn Heights, NY 11577
(516) 731-1900
38312P
160 Hicksville Rd
Bethpage, NY 11714
(516) 731-1900
New Island Hospital, Plainview
Hospital
Landy, Robert J., DPM
123448P
120 Bethpage Rd
Hicksville, NY 11801
(516) 827-4500
123481P
530 Hicksville Rd
Bethpage, NY 11714
(516) 937-5000
Massapequa General Hospital,
Our Lady of Mercy Medical
Center, Parkway Hospital,
Southside Hospital, Winthrop
University Hospital
Speaks Spanish
Larsen, Joseph A., DPM
50624P
National Foot Care
2419 Jericho Tpke
Garden City Park, NY 11040
(516) 294-9540
North Shore University
Hospital
Levine, Stanley, DPM
36477P
4725 Merrick Rd
Massapequa, NY 11758
(516) 799-8545
Brunswick General Hospital,
Brunswick Hospital Center Inc,
Hempstead General Hospital
Med Ctr., Massapequa General
Hospital, New Island Hospital,
Syosset Hospital
Speaks
SpanishGermanItalian
Levitsky, David A., DPM
301933P
161 Orchard St
Plainview, NY 11803
(516) 822-9666
Board Certified
Male Female
Wheelchair Accessible
Livingston, Douglas W.,
DPM
37180P
Livingston Foot Care Spec
1685 Newbridge Rd
North Bellmore, NY 11710
(516) 826-0103
Brunswick Hospital Center Inc,
Massapequa General Hospital
Inc., Nassau University Medical
Center, New Island Hospital,
Plainview Hospital, Syosset
Hospital
Livingston, Leon B., DPM
36486P
Livingston Foot Care Spec
1685 Newbridge Rd
North Bellmore, NY 11710
(516) 826-0103
New Island Hospital, Plainview
Hospital, Syosset Hospital
Livingston, Michael D.,
DPM
37064P
Livingston Foot Care Spec
1685 Newbridge Rd
Bellmore, NY 11710
(516) 826-0103
Brunswick Hospital Center Inc,
Nassau University Medical
Center, New Island Hospital,
Plainview Hospital, Syosset
Hospital
Lynn, Brian P., DPM
108081P
Comprehensive Podiatric
2110 Northern Blvd
Manhasset, NY 11030
(516) 627-5775
355143P
Comprehensive Podiatric
935 Northern Blvd
Great Neck, NY 11021
(516) 627-5775
Long Island Jewish Medical
Center, Montefiore Med Ctr
(Henry & Lucy Moses Div)
Speaks Spanish
Mahgerefteh, David, DPM
349786P
230 Middle Neck Rd
Great Neck, NY 11021
(516) 829-2560
Parkway Hospital
Speaks Yiddish
Marchese, Nicholas A.,
DPM
359291P
1000 Park Blvd
Massapequa Park, NY 11762
(516) 799-0550
New Island Hospital, Southside
Hospital
Masani, Farhan, DPM
37069P
530 Old Country Rd
Westbury, NY 11590
(516) 334-7642
Nassau University Medical
Center, Syosset Hospital,
Wyckoff Heights Medical
Center
Speaks
SpanishFrenchHindiUrdu
McElgun, Terence M.,
DPM
36861P
520 Franklin Ave
Garden City, NY 11530
(516) 746-4732
36862P
1135 N Broadway
Massapequa, NY 11758
(516) 756-0091
380037P
N. Shore Hosp., Plainview
888 Old Country Rd
Plainview, NY 11803
(516) 796-1313
New Island Hospital, Plainview
Hospital, Syosset Hospital
Speaks SpanishItalian
Mcshane, William J., DPM
36802P
Harbor Podiatry PC
131 Main St
East Rockaway, NY 11518
(516) 593-2233
36803P
54 Main St
Hempstead, NY 11550
(516) 538-4531
Franklin Hospital, Island
Medical Center (NY)_
Meshnick, Joel A., DPM
139939P
2574 Hewlett Ln
Bellmore, NY 11710
(516) 781-5440
Lutheran Medical Center,
Staten Island University
Hosp-North
Micallef, Joseph, DPM
36900P
101st Avenue Foot Care PC
287 Northern Blvd
Great Neck, NY 11021
(516) 773-4001
Brookdale Hospital Medical
Center, Forest Hills Hospital,
Jamaica Hospital, New York
Hospital Medical Center of
Queens
Moazen, Ali, DPM
P0033P
226 Clinton St
Hempstead, NY 11550
(516) 483-2020
Speaks Persian
Montag, Richard M.,
DPM
36509P
528 Bellmore Ave
East Meadow, NY 11554
(516) 483-7386
Island Medical Center (NY)_,
Plainview Hospital, Syosset
Hospital
Speaks Spanish
Nester, Elizabeth M., DPM
37243P
3 Walnut Rd
Glen Cove, NY 11542
(516) 674-9661
37244P
Nester Podiatry Associate
267 Lincoln Blvd
Long Beach, NY 11561
(516) 889-0969
57655P
East Coast Podiatry PLLC
680 Merrick Rd
Baldwin, NY 11510
(516) 889-0969
Glen Cove Hospital, Long
Beach Medical Center
Speaks Spanish
Nester, Matthew J., DPM
211451P
Nester Poadiatry Assoc
3227 Long Beach Rd
Oceanside, NY 11572
(516) 431-1600
50871P
Nester Podiatry Asso.
3 Walnut Rd
Glen Cove, NY 11542
(516) 674-9661
Long Beach Medical Center,
Long Beach Memorial
Hospital, St John's Episcopal
Hospital, St John's Episcopal
Hospital - Far Rockaway
Speaks Spanish
Nezaria, Yehuda, DPM
37236P
7 Franklin Ave
Lynbrook, NY 11563
(516) 887-2820
49675P
2053 Bellmore Ave
Bellmore, NY 11710
(516) 887-2820
Franklin Hospital, Franklin
Hospital , Huntington Hospital
Speaks Hebrew
Odinsky, Wayne Z., DPM
P0034P
2035 Lakeville Rd
New Hyde Park, NY 11040
(718) 343-0600
New York Hospital Medical
Center of Queens, Parkway
Hospital, Rockaway Beach
Hospital (closed)
Pedro, Helder F., DPM
54241P
Helder F. Pedro, DPM
1 Willow Pl
Albertson, NY 11507
(516) 621-3721
Long Island Jewish Medical
Center, Lutheran Medical
Center
Peterson, Donald T.,
DPM
36931P
8029 Jericho Tpke
Woodbury, NY 11797
(516) 496-0900
Plainview Hospital, Syosset
Hospital
Prince, Steven L., DPM
124780P
78 Marina Rd
Island Park, NY 11558
(516) 432-1332
Jamaica Hospital, V A Hospital
- St. Albans
Purvin, Jay M., DPM
36608P
467 Merrick Ave
East Meadow, NY 11554
(516) 489-1950
New Island Hospital, Plainview
Hospital
Richardson, Hugh L., DPM
195855P
L.I. Podiatric Grp
2001 Marcus Ave
New Hyde Park, NY 11042
(516) 327-0074
195856P
L.I. Podiatric Grp
375 N Central Ave
Valley Stream, NY 11580
(516) 825-4070
363220P
1999 Marcus Ave
New Hyde Park, NY 11042
(516) 555-1212
Franklin Hospital, Franklin
Hospital , Long Island Jewish
Medical Center, Long Island
Jewish, Manhasset (closed)
Speaks Spanish
Bronx Kings Nassau

Result number: 74

Message Number 234721

Re: Jeremy: Custom Sandal Footbeds? View Thread
Posted by Dr. Wedemeyer on 8/21/07 at 13:42

IS DBX6 a product of Dr. Smith's lab?

The reason I became so interested in carboplast and dbx6 is the low profile for sports, especially those where a snug shoe fit necessitates low volume. Cycling shoes as I am sure you know are particularly difficult to fit and since there is no ambulation I can use a much slimmer insert.

I have a huge demand for this type of insert and could mold them for cyclists at a very fair cost as well. I've found depending on the foot characteristics that traditional posting and mechanics changes in the saddle and cyclists/triathletes are very sensitive to minute changes.

I'm also trying out Dr. Kiper's SDO, and a thin poly/ppt combo

Result number: 75

Message Number 234716

Re: Jeremy: Custom Sandal Footbeds? View Thread
Posted by Jeremy L, C Ped on 8/21/07 at 12:57

I've always liked the flat blanks as a base shell component. Specifically, it works well for me in athletic applications where I need to have good control in the longitudinal axis while still allowing some accommodation in medial-lateral court motion. TPE also provides similar characteristics; however, it's not quite as consistent as Dr. Smith's material.

Result number: 76

Message Number 234492

Re: ?'s from Post Op Visit - Dr. DSW View Thread
Posted by Juleen on 8/16/07 at 10:48

I was referring to Dr. Ronald Smith in my note back to Dr. Wedemeyer.

Cities in the area are: Irvine, Newport Beach, Laguna Beach, Laguna Niguel, Mission Viejo, Tustin, Orange, Huntington Beach, Fountain Valley, Anaheim, Westminster, Placentia.

Orange County is located between Los Angeles and San Diego.

I was given another name by a friend of the family: Dr. Steven D.K. Ross. He's an Orthopedic Foot & Ankle specialist and a Clinical Professor at UCI. He's not associated with my insurance and I'll be pushing to see if there is anyway to get a consult with him and to get the insurance company to pay for it.

If you have any other referrals or suggestions please let me know.

Thank You!

Result number: 77

Message Number 234482

Re: ?'s from Post Op Visit View Thread
Posted by Dr. DSW on 8/16/07 at 05:48

Are you referring to Steven Smith?

Result number: 78

Message Number 234461

Re: ?'s from Post Op Visit View Thread
Posted by Juleen on 8/15/07 at 19:01

Dr. Wedemeyer,

Dr. Smith and I discussed a TTR. At the time he felt the PTT was intact but weak. Dr. Smith has an excellent reputation and CV. Unfortunately, that also comes at a price. I paid out of pocket to see him for a 2nd opinion.

Result number: 79

Message Number 234458

Re: ?'s from Post Op Visit View Thread
Posted by Dr. Wedemeyer on 8/15/07 at 17:58

Juleen did Dr. Smith offer to treat you? He also comes highly recommended and I spoke to someone just yesterday who had their ruptured Achilles reattached by him. The outcome has been good thus far.

Result number: 80

Message Number 234443

?'s from Post Op Visit View Thread
Posted by Juleen on 8/15/07 at 14:41

I had my first post op visit this morning. My 5th toe is still moving, but not as much as it was. The incision is HUGE! The stitches will stay in for at least 10 more days. He wants me to follow up with the Neurologist again to see if there is anything that we could be missing. He feels that with the release and neuro wraps he's done all he can do for the TTS. Hopefully the residual spasms / twitching are due to continued swelling. It is too soon to tell if all the medial nerve pain is gone. Hard to differentiate the incision pain and other pain at this time.

We had a very long conversation regarding the PTT. He states that I have a high arch ('higher than 95% of his pts...') and because of that he's not that worried about the PTT. He was saying that there are many other tendons in the foot that can help pick up the load. I brought up our conversation we had prior to Sx where he stated he wouldn't just leave the PTT if there was a problem. I told him I was very concerned and wished he would have taken action to either reattached the PTT or correct the deficit. He stated he could not visualize the PTT and that he felt is was up in the calf area. He stated that since there was a 4cm gap to start with even if he had retrieved the PTT there would have been a larger deficit to fill and he would have been very leary utilizing an allograft again. He stated that I'd have to wear a good orthotic and we'd have to keep an eye on my foot. He stated that as the arch drops and things move around it would warrant further surgery. I asked why he didn't attempt to reattach the PTT or correct the defect. He doesn't feel it is that big of a deal at this point... he shrugged it off.

I'm sorry, but I've always been under the impression that the PTT is a pretty big deal. If it is no longer attached why would you play a wait and see game? Why would you not prevent any further damage rather than waiting for further damage and correcting it after the fact...

Prior to this Sx I sought second opinions from Dr. Ronald Smith, Orthopedic Foot & Ankle Spec. (His Dx was TTS - he felt the PTT was weak...didn't mention rupture or loss of PTT), Dr. Brage, Orthopedic Foot & Ankle Spec. (Stated MRI was useless, Dx - TTS, no mention of PTT or rupture - stated, '...I'm not the man for this job...'), Dr. Matthew Cox, DMP (Dx - TTS, no mention of PTT or rupture, wanted to see what other Ortho's thought prior to making commitment). Not one of them picked up on the rupture of the PTT. All of them were seen within the last month.

Please let me know if you agree or disagree with the surgeon's logic. I'm not looking to second guess, I'm just looking for some direction.

If you know of any DPM or Orthopedic Foot & Ankle Specialists in Orange County, CA that would be great. I was given a name by Dr. Wedemeyer - I'll follow up on that.

Thank You!

Result number: 81

Message Number 232195

Re: cyroanalgesia for plantar fibromatosis View Thread
Posted by Dr. Z on 6/28/07 at 16:46

I find that Dr. Goldstein's writing isn't the best or the first when it comes to butchering the use of English Language. It is Dr. Z that holds this honor and he will continue with all is heart to make sure that Dr. Goldstein is 2nd.
Seriously I have known Dr. Goldstein since our first day of Podiatric Medical School. He is one of the finest gentleman that you ever get the pleasure of meeting. I still smile when I see him in my minds eye sitting in the the first chair in the first row of a class room that seats over one hundred people. Steve why the first seat in the first row. I have always wondered for the past 30 years plus.
Steve I ran into Bill Smith and his sends his regards. We had a great class !!!

Result number: 82

Message Number 232072

Re: SDO Report - 6-14-07 View Thread
Posted by Jeremy L on 6/26/07 at 08:09

yes, I've mentioned here in the past with some frequency. In addition to Ritchie's work, Smith's and Haag's are also important.

Result number: 83

Message Number 231766

Re: Finn Comfort footbed types View Thread
Posted by JenniferA on 6/18/07 at 11:57

Thanks Jeremy!

Is there an online resource you can recommend for the different types of Finn Comfort lasts? I don't esp. mind going to Foot Solutions for a proper fitting, but at the same time I wouldn't mind knowing which models have lasts similar to the Jamaica, in case I find a good closeout online . . .

I appreciate the time you take to answer this and all the shoe questions. Reading the archive has been very helpful.
Jennifer A

Result number: 84

Message Number 230677

Re: heel pain/arch pain View Thread
Posted by Jeremy L on 5/28/07 at 10:12

My favorite among the various dynamic devices I have tested/handled over the years was the old, plantar bladder version of Reebok's pump. Like your device, it allowed natural changes of the foot through the gait path. Unlike the SDO, it had greater posterior coverage and control, plus the air volume was controlled by the wearer. I had a pair of the basketball shoes with this system, and it was the most amazing shoe I ever wore in my Baltimore leagues. That shoe, sadly, is long way past recovery. I still have my lacrosse cleats which use a similar system, and I archive it like a Smithsonian treasure (not unlike the first ever track spike, still in Reebok's executive offices).

Result number: 85

Message Number 230668

Re: Military Records ONLINE -Memorial Day - Franklin,TN View Thread
Posted by Oma Z on 5/28/07 at 02:38

Before we moved to Vegas we lived in Franklin, TN for 11 years. A really quaint and beautiful place. But it hosted the bloodiest battle of the civil war. I remember the tour guide of The Carter House telling us that as Confederates took their 'suicide march' towards Franklin, there were so many Confederate soldiers killed they couldn't even fall over they were so packed together.

The Battle of Franklin
November 30, 1864
Called 'The Gettysburg of the West,' Franklin was one of the few night battles in the Civil War. It was also one of the smallest battlefields of the war (only 2 miles long and 1 1/2 miles wide). The main battle began around 4:00 pm and wound down around 9:00 pm.

Federal Casualties - 2,500 men
Confederate Casualties - 7,000 men


So many very young and tender lives lost. Part of it was General Hook's pride. His other generals counseled it wasn't a good idea, but he would not listen. Below is a first hand account and rather graphic of that Battle. War is ugly.

____________________________

The fighting soon became brutal and fiendishly savage, with men bayoneted and clubbed to death in the Carter yard. A Confederate soldier was bayoneted on the front steps of the Carter House. Men were clubbing, clawing, punching, stabbing and choking each other. The smoke from the canons and guns was so thick that you could not tell friend from foe.
During the five hours of fighting, the Carter Family took refuge in their basement. 23 men, women and children (many under the age of 12) were safely protected while the horrible cries of war rang out above them. The head of the family, Fountain Branch Carter, a 67-year old widower, had seen 3 of his sons fight for the Confederacy. One son, Theodrick (Tod), was serving as an aid for General T.B. Smith on the battlefield and saw his home for the first time in 3 years. Crying out, 'Follow me boys, I'm almost home,' Captain Tod Carter was mortally wounded and died 2 days later at the Carter House.
________________________________

Result number: 86
Searching file 22

Message Number 229961

Re: is kadian supposed to be strong? View Thread
Posted by Dr. Donner on 5/16/07 at 11:44

Kadian is an extended release form of morphine sulfate and is available in 20mg,30mg,50mg,60mg and 100mg strengths in capsules containing polymer coated granules similar to the technology first introduced as a 'spanule' by what was then Smith Kline and French in the 1950's. It is intended for dosing once or twice daily (every 12 to 24 hours), depending on the degree of pain, the response and, of course, the prescriber's directions. So, you are taking the lowest dosage form available for that particular product. You haven't said what strength you are taking of the Vicodan, but if you are in need of both morphine and Vicodan, you must be experiencing a great deal of pain. What occasioned this? In my experience, the vast majority of foot surgeries do not require such a level of strong analgesics. But not everyone is affected to the same degree by the same medications, and certainly narcotic medications are noted for their relatively rapid buildup of tolerance. You should be very careful, particularly when using these meds, as they have great potential for both addiction and serious, even potentially life threatening side effects if used improperly. Follow your prescriber's directions and keep him/her updated on your results.

Result number: 87

Message Number 229947

Re: is kadian supposed to be strong? View Thread
Posted by Dr. Donner on 5/16/07 at 09:51

Kadian is an extended release form of morphine sulfate and is available in 20mg,30mg,50mg,60mg and 100mg strengths in capsules containing polymer coated granules similar to the technology first introduced as a 'spanule' by what was then Smith Kline and French in the 1950's. It is intended for dosing once or twice daily (every 12 to 24 hours), depending on the degree of pain, the response and, of course, the prescriber's directions. So, you are taking the lowest dosage form available for that particular product. You haven't said what strength you are taking of the Vicodan, but if you are in need of both morphine and Vicodan, you must be experiencing a great deal of pain. What occasioned this? In my experience, the vast majority of foot surgeries do not require such a level of strong analgesics. But not everyone is affected to the same degree by the same medications, and certainly narcotic medications are noted for their relatively rapid buildup of tolerance. You should be very careful, particularly when using these meds, as they have great potential for both addiction and serious, even potentially life threatening side effects if used improperly. Follow your prescriber's directions and keep him/her updated on your results.

Result number: 88

Message Number 228823

Re: Minimizing Scars View Thread
Posted by Dr, David S. Wander on 4/30/07 at 06:28

Yes, originally the product was a silicone gel sheeting product manufactured by Smith and Nephew and available only through physicians. This was many years ago. However, now there are many over the counter products made of silicon gel sheeting that is readily available in every pharmacy. I believe that Band-Aid brand makes one, Neosporin makes one, Spenco makes one, etc. You should be able to find a few varieties in the section of your pharmacy where they sell Band-Aids.

The silicone products to REDUCE scars, but scars are a natural part of healing and will always exist. The silicone products are expensive and must be worn for a long time to apply pressure to the scar for the product to work. However, these products WILL reduce scarring when worn according to the directions.

Result number: 89

Message Number 227991

Obama makes idiotic comparison V Tech to Imus View Thread
Posted by larrym on 4/17/07 at 16:13

http://www.politico.com/blogs/bensmith/0407/Obama_on_Virginia_Tech_and_Violence.html

Result number: 90

Message Number 227990

Obama makes idiotic comparison V Tech to Imus View Thread
Posted by larrym on 4/17/07 at 16:02

http://www.politico.com/blogs/bensmith/0407/Obama_on_Virginia_Tech_and_Violence.html

Result number: 91

Message Number 227747

Re: nonfused big toe joint View Thread
Posted by Dr.Goldstein on 4/14/07 at 17:23

If you are talking about fusion of the first metatarsophalangeal joint after removal of a titanium implant the joing should have been fixated with screws across it or a metal plate. In additional this would be a perfect indicational for the use of an electrical bone stimulator such as Exogen by Smith and nephew or the EBI unit

Result number: 92

Message Number 227703

Re: A Scandal Bigger than Walter Reed The Rape, Assault and Harassment of Women in the Military View Thread
Posted by john h on 4/13/07 at 19:26

I might add to that Officers cannot fratnerized with female enlisted personnel. That can get you court martialed. It also works in reverse. In my 20 years in the military I never once saw a rape case on my base. That is not to say it did not happen but if it did it would be extraordinary. I have read about a few cases over the years but I would bet there is a lot less harassment, rape, etc in the military than there are in the civilian world. In the service academies which have both men and women you have the Honor Code where you are honor bound to report anything that does not meet the Honor Code you swear to uphold. Under this code if you observe a wrong doing you are obligated to report it and if you do not you have violated the Honor Code and are subject to immediate dismissal from the academy. Yes there have been violations but I bet 95% or more are turned in by their fellow academy mates. As a Squadron Commander for three different squadrons of units of men and women numbering 300 or more I knew and was responsible for everyone in my unit. I had a monthly standup meeting with the Wing Commander where I stood in front of every Commander on the base and reported both the good and bad that had occurred the past month. You were interrogated by the Wing/Base Commander for what seemed like hour upon hour about your units activities. I sure did not want to have to stand up there and say Lt. Jones raped Lt. Smith. I would almost prefer death. In the military we have Ft Leavenworth where military personnel are sentenced to. When they say hard labor they really mean it at Ft Leavenworth. Squadrons Commander are required to hold monthly meetings with all attending to discuss the topics of the day which always included safety, your mission, and your conduct, etc. All though a Commander would not be court martialed if one his men/women did wrong you can bet it may end up on his efficiency report one way or the other. This is what determines your promotions. Military personnel are put in very difficult situations Aircraft carriers have over 5000 men and women with the average age being around 21. They are at sea for sometimes 9 continuous months or more. There are going to be things happen but most of it is consensual. I do not think women are on nuclear subs yet but they also are at sea and under water for months on end. I always felt safer on a base than in a civilian community. We basically had little crime.

Result number: 93

Message Number 226869

Re: Rickr View Thread
Posted by john h on 4/05/07 at 14:29

Cannot wait to see Obama and Hillary debate. Obama is a personable and good speaker. Hillary has major $$$$$ but not nearly the speaker Obama is. As we get closer to the election I think both will pull out all the stops. Hillary can get rather vicious if she wants to so I hope Obama does not have much in his past Hillary can jump on. Of course Obama can jump on Bill's past sins and say Hillary condoned them. Before Bill was running for President it was widely known here in Arkansas that he was a playboy. There were also some strong rumors about Hillary and Vince Foster. They both worked at the Rose Law Firm and went to retreats together. I still see a couple of Bill's girl friends around town. Not rumored girl friends but the real deal ones. One had a complete face job and looks pretty nice. Hillary has been taking some flak on TV for always wearing pants suits. I think she could move into some new type of outfit as they are not very becoming. Her designer must be out of touch.
One of my buddies has a sister named Kathy Hockersmith. The Clintons took her to Washington to decorate the White House. From that she got also sorts of business in D.C. and I assume has become rich. She was just a small time local home decorator here in Little Rock.

I thought McCain might be the Republican nominee but he is not raising nearly enough money. Juliana's wife and his three marriages may hurt him. I was not that impressed with her on the recent TV interview. In fact I would say she would hurt him. He was asked if he would bring her to Cabinet Meetings? He said yes if she wanted to and might have something to offer. Duh! She would to have zero qualifications to offer anything in a cabinet meeting. I will compare her to Heinz Kerry who I think was a negative for Kerry as she seemed strange to me. I never could picture her as first lady. It looks like we could end up with Romney. He raised more money than all the rest combined. Of course, it is much to early to figure anything as anything could happen in the Middle East or even here for that matter which could change the entire dynamic of an election.

Go Cubs!!! Hillary is a Cubs fan so there is at least one thing I like about her. President Hillary Clinton and her spouse William Jefferson Clinton! Those words just do not roll off my lips very well. I may swallow my tongue. I rather doubt she will carry Arkansas but it will be close. Being a small state (2.7 mil) you keep no secrets around here. I was at the Governors Mansion yesterday. Our Governor as you know is also running for President. Our state legislature is about 80% Democratic but are not like Northern Liberal Democrats. In the North they might be called Republicans.

Result number: 94

Message Number 226366

Re: Heel the Pain Inserts View Thread
Posted by Jeremy L on 3/31/07 at 08:59

They've been discussed in the past, but it's probably been a year. The design philosophy behind HTP's is similar to what is being recommended through research done by Dr. Smith at Northwest Podiatric and Dr. Ritchie at Seal Beach. Namely, it's vital to properly cup the calcaneus and place the apex of the medial longitudinal arch beneath the talo-navicular joint.

The HTP insert does this well, but then again so do so many other inserts which most of the professionals here prefer as OTS devices. Down Unders, Powersteps, Birkenstock and Superfeet all perform similar functions; however, these products all allow additional modifications to better satisfy patient needs.

Result number: 95

Message Number 225994

what a story! View Thread
Posted by john h on 3/26/07 at 09:52

The Friday Morning Story

March 23, 2007

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1st Lieutenant Jared Landaker USMC
.
* His Last Flight *

February 17, 2007, 0350 curbside at 24th and M, Washington DC. 16 Degrees with a light breeze. Going home after my second week of freezing temps to my home in SoCal. Fly my aircraft, ride a horse, climb a mountain and get back to living. I’m tired of the cold.

0425 paying the taxi fare at Dulles in front of the United Airlines counter, still cold.

0450 engaging the self-serve ticker machine and it delivers my ticket, baggage tag and boarding pass. Hmmm, that Marine is all dressed up early…? Oh, maybe, Hmm, Good Morning Captain, you’re looking sharp.

Pass Security and to my gate for a quick decaf coffee and 5 hours sleep. A quick check of the flight status monitor and UA Flt 211 is on time, I’m up front, how bad can it be? Hmmm, that same Marine, he must be heading to Pendleton to see his lady at LAX for the long weekend all dressed up like that….? Or maybe not?

Attention in the boarding area, we will begin boarding in 10 minutes, we have some additional duties to attend to this morning but we will have you out of here on time.

That Captain now has five others with him, BINGO, I get it, he is not visiting his lady, he’s an official escort. How I remember doing that once, CACO duty. I still remember the names of the victim and family, The Bruno Family in Mojave…, all of them, wow, that was 24 years ago. I wonder if we will ever know who and why?

On board, 0600: Good morning folks this is the Captain. This morning we have been attending to some additional duties and I apologize for being 10 minutes late for pushback but believe me we will be early to LAX. This morning it is my sad pleasure to announce that 1st LT Jared Landaker USMC will be flying with us to his Big Bear home in Southern California.

Jared lost his life over the sky’s of Iraq earlier this month and today we have the honor of returning him home along with his Mother, Father, Brother and uncles. Please join me in making the journey comfortable for the Landaker family and their uniformed escort. Now sit back and enjoy our ride, we are not expecting any turbulence until we reach the Rocky Mountains and at that time we will do what we can to ensure a smooth ride. For those interested you can listen in to our progress on button 9.

Up button 9: Good morning UA 211 you are cleared to taxi, takeoff and cleared to LAX as filed. From the time we started rolling we never stopped. 1st LT Landaker began receiving his due.

4 hours and 35 minutes later over Big Bear MT, the AB320 makes a left roll and steep bank and then one to the right…Nice touch CAPTAIN. Five minutes out from landing, the Captain, Ladies and Gents after landing I’m leaving the fasten seatbelt sign on and I ask everyone in advance to yield to the Landaker family. Please remain seated until all members have departed the aircraft. Thank you for your patience, we are 20 minutes early.

On roll out, I notice red lights, emergency vehicles everywhere. We are being escorted directly to our gate, no waiting anywhere, not even a pause. Out the left window, a dozen Marines in full dress blues. Highway Patrol, Police, Fire crews all in full dress with lights on. A true class act by everyone, down to a person from coast to coast. Way to go United Airlines for doing the little things RIGHT, because they are the big things; Air Traffic Control for getting the message, to all law enforcement for your display of brotherhood.

When the family departed the aircraft everyone sat silent, then I heard a lady say, God Bless You and your Family, Thank You. Then another, then another, then a somber round of applause. The Captain read a prepared note from Mrs. Landaker to the effect, Thank you all for your patience and heartfelt concern for us and our son. We sincerely appreciate the sentiment. It is nice to have Jared home.

After departing the a/c I found myself along with 30 others from our flight looking for a window. Not a dry eye in the craft. All of us were balling like babies. It was one of the most emotional moments of my life. We all stood silent and watched as Jared was taken by his honor guard to an awaiting hearse. Then the motorcade slowly made it’s way off the ramp.

I have finally seen the silent majority. It is deep within us all. Black, Brown, White, Yellow, Red, Purple, we are all children, parents, brothers, sisters, etc…we are an American family.

What you don’t know is that on the flight I was tapped on the shoulder by Mrs. Landaker who introduced herself to me after I awoke.

Early in our taxi out from the gate at Dulles, the gent next to me (a Fairfax City Council Member and acquaintance of the Thuot family) were talking to the flight attendant and mentioned that we had sons serving on active duty, What do you say? How tragic, they must be devastated. He said many of the passengers had told him the same thing so somewhere in the flight he shared his tidbits with Mrs. Landaker. Our flight attendant had been struggling with what to say, to find the right words, so he told the Landaker family of passengers who were parents of service members who connected with their grief as parents.

After I gathered myself, I stepped back to their row, two behind me and introduced myself to Mr. Landaker (a Veteran of South East Asia as a Tanker) and Jared’s uncle and brother. What a somber moment. Their Marine Captain escort was a first rate class act. He had been Jared’s tactics instructor and volunteered for this assignment, as he said, Sir, it is the least I could do, he was my friend and a great stick. He absolutely loved to fly. It’s an honor to be here on his last flight.

1115: On my connecting flight, my mind raced. How lucky I was to have had an opportunity to fly my father to Spain and ride the carrier USS John F. Kennedy home in 1981. The same year Jared was born. How lucky I was to have my father on the crows landing when I made my final cat shot in an F-14. Jared’s father never had that chance. Jared was at war, 10,000 miles away.

When Mr. Landaker and I were talking he shared with me, When Jared was born he had no soft spot on his head and Dr’s feared he would be developmentally challenged. He became a Physics Major with Honors, high school and college athlete, and graduated with distinction from naval aviation flight school! He was short in stature, but a Marine all the way. Visit his life story on line at www.bigbeargrizzly.net. Bring tissue.

February 7, 2007, Anbar Province, Iraq. 1st LT Jared Landaker United States Marine Corps, Hero, from Big Bear California, gave his live in service to his country. Fatally wounded when his CH-46 helicopter was shot down by enemy fire, Jared and his crew all perished. His life was the ultimate sacrifice of a grateful military family and nation. His death occurred at the same time as Anna Nicole Smith, a drug using person with a 7th grade education of no pedigree who dominated our news for two weeks while Jared became a number on CNN.

1st LT Landaker, a man I came to know in the sky’s over America on 17 February 2007, from me to you, aviator to aviator, I am unbelievably humbled. It was my high honor to share your last flight. God bless you.

Semper Fi


~ This was written by Stuart Witt of Ridgecrest. He was on the flight from Washington, D. C. to Los Angeles Feb. 17 with the Landaker family as they brought their son, 1st Lt. Jared Landaker, home for burial. This is his story in its entirety exactly as it was written ~

Result number: 96

Message Number 225761

Re: drug company perks for doctors View Thread
Posted by john h on 3/22/07 at 20:02

Susan: Here is a list of the top 50 Drug Comanies. By far the U.S. has the most on this list. I would not be surprised to see some of these foreign companies largely owned by U.S. Stock Holders.

Top 50 pharmaceutical companies

The following is a list of the top 50 pharmaceutical and biotech companies ranked by healthcare revenue. Some companies (eg, Bayer) have additional chemicals revenue not included here. The phrase Big Pharma is often used to refer to companies with revenue in excess of $3 billion, and/or R&D expenditure in excess of $500 million, and represents the first 30 or so companies in this list.
Rank 2004 Company Country Healthcare Revenue 2004 (USD millions) Healthcare R&D 2004 (USD millions) Net Income/ (Loss) 2004 (USD millions) Employees 2004
1 Pfizer USA 52,516 7,684 11,361 115,000
2 Bristol-Myers Squibb USA 47,348 5,203 8,509 109,900
3 GlaxoSmithKline UK 37,318 5,204 7,886 100,619
4 Sanofi-Aventis France-Germany 31,615 4,927 6,526 96,439
5 Novartis Switzerland 28,247 4,207 5,767 81,392
6 Hoffmann-La Roche Switzerland 25,163 4,098 5,344 64,703
7 Merck & Co. USA 22,939 4,010 5,813 62,600
8 AstraZeneca UK-Sweden 21,427 3,803 3,813 64,200
9 Abbott Laboratories USA 19,680 1,697 3,236 50,600
10 Johnson & Johnson USA 19,380 2,500 2,388 43,000
11 Wyeth USA 17,358 2,461 1,234 51,401
12 Eli Lilly and Company USA 13,858 2,591 1,810 44,500
13 Bayer Germany 10,554 1,299 750 113,060
14 Amgen USA 10,550 2,028 2,363 14,400
15 Boehringer Ingelheim Germany 10,146 1,532 1,104 35,529
16 Baxter International USA 9,509 517 388 48,000
17 Takeda Pharmaceutical Co. Japan 9,330 1,285 2,636 14,510
18 Schering-Plough USA 8,272 1,607 -981 30,500
19 Astellas Pharma Japan 7,904 1,213 566 15,500
20 Procter & Gamble USA 7,786 n/a 7,257 110,000
21 Schering Germany 5,103 1,143 622 26,131
22 Merck KGaA Germany 5,018 611 836 28,877
23 Eisai Co. Japan 4,857 744 527 8,295
24 Novo Nordisk Denmark 4,847 727 837 20,285
25 Teva Pharmaceutical Industries Israel 4,799 338 332 13,813
26 Genentech USA 4,621 948 785 7,646
27 Sankyo Co. Japan 4,329 822 459 11,444
28 Akzo Nobel The Netherlands 4,037 644 1,065 61,400
29 Alcon Switzerland 3,914 390 872 12,200
30 Forest Laboratories USA 3,160 294 839 5,136
31 Daiichi Pharmaceutical Co. Japan 2,964 546 353 7,333
32 Chugai Pharmaceutical Co. Japan 2,833 463 328 5,327
33 Taisho Pharmaceutical Japan 2,655 221 337 5,378
34 Altana Germany 2,623 506 486 10,783
35 Serono Switzerland 2,458 595 494 4,902
36 Bausch & Lomb USA 2,232 163 160 12,400
37 Mitsubishi Pharma Japan 2,226 480 125 5,917
38 Biogen Idec USA 2,210 684 518 4,266
39 Genzyme USA 2,201 392 87 7,100
40 Solvay Belgium 2,170 366 673 29,300
41 UCB Belgium 2,088 404 451 11,403
42 Allergan USA 2,046 346 377 5,030
43 Kyowa Hakko Kogyo Co. Japan 2,035 230 170 5,960
44 Shionogi & Co. Japan 1,862 279 180 5,522
45 Ivax USA 1,837 142 198 10,100
46 Chiron Corporation USA 1,723 431 79 5,400
47 Watson Pharmaceuticals USA 1,641 134 151 3,851
48 H. Lundbeck Denmark 1,625 296 288 5,155
49 Sumitomo Chemical Co. Japan 1,622 239 612 20,195
50 Tanabe Seiyaku Co. Japan 1,509 264 151 4,517
Source: Top 50 pharmaceutical companies, MedAdNews, September 2005

Result number: 97

Message Number 224948

Re: I'm breaking the rules! View Thread
Posted by Dr. Ed on 3/11/07 at 23:17

Scott:

You are operating under the assumption that religion and science are mutually exclusive. That may apply when comparing science to viewpoints of a fundamentalist, that is, one who takes the bible literally, word for word. Nevertheless, many religious people are not fundamentalists. Keep in mind that many great scientists wee religious, eg. Albert Einstein.

Here is how Einstein reconciles science and religion:

http://www.sacred-texts.com/aor/einstein/einsci.htm

Another difficulty you may have is viewing religion based on the literal interpretation of the bible. Judaism utilizes the Old Testament with emphasis on the first 5 books or Torah. The oral Torah is what is known as the Talmud which became transcribed eventually and offers further elucidation in a manner that may surprise you. Many sages of the Talmud were noted astronomers. There is even an allowance for extraterrestrial life -- a well known Talmudic passage in which a sage, in answer to a question to what G-d does during the night responds, 'He flies through 18,000 worlds on His chariot...' (Avodah Zarah 3a)

The next holy book in Judaism, the Zohar, provides even deeper insights into the nature of the universe in a manner that is not inconsistent with science. I remember that the Big Bang theory was welcomed by many Jewish scholars as it parallels the Kabbalistic (Zohar) description of the tzimtzum (great contraction) which occurred right before creation. Quite frankly, I am in way over may head
when talking about Kabbalah. I highly recommend the book entitled, 'Let There Be Light -- Modern Cosmology and Kabbalah -- A New Conversation between Science and Religion' by Howard Smith (New World Library, Novato, California; 2006)

Ed

Result number: 98

Message Number 224027

Re: Sesmoid Fracture View Thread
Posted by Dr.Goldstein on 3/02/07 at 17:20

If the fracture has not healed by now approximately 6 months it is considered a non-union and will not go onto healing on its own. There are 2 thoughts here one would be try try an electrical bone stimulator such as Exogen made by Smith and Nephew. The other is surgical excision. There can be the risk of the hallux going into abent posistion called hallux hammertoe or the hallux drifiting away from your second toe called hallux varus but surgical technique has alot to do with this.The excicion method means 6-8 weeks minimum without running and you may still need an orthotic anyway.

Result number: 99

Message Number 223654

Re: MortonsFoot.com View Thread
Posted by Jeremy L on 2/26/07 at 14:55

If the first ray column is lifted on a continual basis, eventually the connective tissue will want to operate regularly in that position. This is called an elevatus deformity, where the first ray can be dorsiflexed but cannot plantarflex it's normal 1 cm. Overall, this type of condition weakens the medial column and reduces the elasticity of the windlass effect. For many individuals it's more advantageous to support the apex of the medial arch at the talo-navicular joint, which in turn activates the mechanism that fires the windlass effect. If you need to see more clinical reading of this, do a web search for Doug Ritchie DPM or Dr Smith at Northwest Podiatric Labs.

Result number: 100

Message Number 223022

Re: Liability View Thread
Posted by Ralph on 2/19/07 at 12:49

Yanni,
Thank you for posting. Dr. Wander said he couldn't remember if the poster in question used the doctors full name. If SHE never used his entire name or got specific where he practiced how would anyone prove she was slandering one particular doctor? There could be several Dr. Smiths or Martin or Moores etc in various states. Readers could guess or might think that she was speaking about Dr. X in NY, NY as an example, but is a guess by someone good enough to prosecute without the guys full name and where he practices etc.?

Result number: 101

Message Number 222659

Re: impostors View Thread
Posted by Ralph on 2/15/07 at 17:01

Since we have people posting under various names more then one I imagine I wonder if Scott could post the name of our posters and list the names they are posting under.

I also thought that Scott can tract IP addresses. If that's possible he could just match up IP addresses to see who is posting under different identities and how many they are using.

Example. Say the real posters name is Dr. Peters MD but he posts sometimes as Dr. Peters but at other times as the following:
Mary,
I help
DPM short for(Dr. Peters M.D.)
Thelma
Peter Pan
Rocky S

or maybe the posters real name is Marty and he posts as:
Melvina
Martin J Smith
Captain
Zelda

Result number: 102

Message Number 221823

Seven Senate Republicans Intend To Pursue Iraq Debate View Thread
Posted by marie on 2/07/07 at 21:05

Ok this is very new information........lets see where it goes. It confuses me that Warner presented a resolution to debate the Iraq War and then voted against it but it looks like they intend to resubmit the resolution and scolded both Dem and Republican Leadership in their letter. The Senators are Olympia Snowe, John Warner, Chuck Hagel, Susan Collins, Norm Coleman, Gordon Smith, George Voinovich. Inquiring minds want to know why Brownback, Sununu, Specter and Murkowski names are not on the letter????? All of these Senators have expressed grave reservations on the troop increase in Iraq. For that matter where is Senator Lugar? Great guy and a moderate Republican who has had many criticisms of the war but when push comes to shove all he has had is words. Americans deserve action. It seems to me that instead of speaking their minds to the news media to drum up support for themselves they should be doing something in the Senate that is THE most important issue our country faces.......The Iraq War.

http://www.thewashingtonnote.com/archives/001932.php

We respectfully advise you, our leaders, that we intend to take S. Con. Res 7 and offer it, where possible under the Standing Rules of the Senate, to bills coming before the Senate.

Result number: 103

Message Number 220899

At Least A Dozen Republican Senators Unconvinced On Escalation View Thread
Posted by Denise on 1/27/07 at 21:03

http://www.mydd.com/story/2007/1/11/17410/7272


Twelve Republican Senators have now expressed a varying degree of "concern" over Bush's escalation plan. In addition to Trent Lott and Richard Lugar, we have the following quotes:
Senator Chuck Hagel Calls the President's Speech the Most Dangerous Foreign Policy Blunder since Vietnam. "I think this speech given last night by this president represents the most dangerous foreign policy blunder in this country since Vietnam -- if it's carried out. I will resist it." [Senate Foreign Relations Committee Testimony, 1/11/07]

Senator Norm Coleman Opposes President Bush's Escalation Plan. "And to put the lives of Americans soldiers -- more, in the center of that, without first having something that's substantial, something we can point to, other than this sense of trust, other than looking someone in the eye, having a conversation. I'm not prepared, at this time, to support that. It's -- the cost is too great." [Senate Foreign Relations Committee Testimony, 1/11/07]

Senator John Sununu Expressed His Concerns about President Bush's Escalation Plan. "There were some areas where I have a little bit more concern, such as whether or not the use of the troops discussed will really be appropriate in dealing with sectarian violence in Baghdad..." [Senate Foreign Relations Committee Testimony, 1/11/07]

Senator George Voinovich Is Skeptical of the Plan for Escalation. "I think you should know that I am skeptical that a surge of troops will bring an end to the escalation of violence and the insurgency in Iraq. Many of the generals that have served there have said they don't believe additional troops will be helpful in Baghdad particularly. And, Madam Secretary, my faith in Prime Minister Maliki's ability to make the hard choices necessary to bring about political solutions has to be restored. What we need is a political solution between the Sunnis and the Shiite." [Senate Foreign Relations Committee Testimony, 1/11/07]

Senator Lisa Murkowski Not Convinced by the President's Plan. "I would agree with Senator Hagel that, given the American lives that have been lost in Iraq, we want to make sure that we have a policy that is worthy of their sacrifices. And those are his words. And I think they're very well spoken. But I'm not convinced, as I look to the plan that the president presented yesterday, that what we're seeing is that much different than what we have been doing in the past." [Senate Foreign Relations Committee Testimony, 1/11/07]

Senator Vitter Is Concerned the President's Plan is Too Little Too Late. "And so that does lead to a concern of mine that we may commit the same mistake I think we clearly have in the past, which is too little, maybe too late." [Senate Foreign Relations Committee Testimony, 1/11/07]

Senator Susan Collins Says an Increase in Troop Levels Is a Mistake. "Based on the trip I took to Iraq last month, I concluded it would be a mistake to increase the overall level of troops in Iraq." [Chicago Tribune, 1/11/07]

Sen. Gordon Smith Opposes the Escalation. "We are extending an ineffective tactic to further the status quo. Iraqis must be the ones to settle their own peace." [AP, 1/10/07]

Senator Olympia Snowe Is Skeptical That an Escalation Will Address the Problem. "I have deep scepticism about it, about a surge addressing the root causes of the mistrust and hatred that sects have for each other. That's what I expressed. The fact of the matter is that the American people don't support this war and the way it has evolved because they see the Iraqis fighting among themselves instead of for themselves." [Irish Times, 1/10/07]

Sen. Sam Brownback - from Baghdad -- Says Escalation Is Not the Answer. "I do not believe that sending more troops to Iraq is the answer. Iraq requires a political rather than a military solution." [AP, 1/10/07

Admazing how many of the Republicans voicing "concerns" have dicey re-election prospects in 2008: Sununu, Collins, Smith, and Coleman. Expressing concern, and then caving, has long been a game Republicans have played in order try and look independent. However, without the ability to control the agenda, and thus as easily alter legislation, it may no longer be so easy for them to claim that they reached a compromise on a given bill, and thus have decided to change their vote.

In this case, the telling vote may come during McConnell's attempt to block Kennedy's attempt to block the escalation, or at least put severe restrictions upon it. McConnell has vowed a filibuster attempt, and claims to have Lieberman's support. If all twelve of these Republicans were to break, it would not matter what Lieberman did, because Democrats would have the necessary 60 votes to break a filibuster even sans Tim Johnson.

This will be a telling moment in the Senate, and I am glad we are starting to list names and statements on the issue. Hopefully, we will soon be able to take down names on actual votes. I love the smell of Republican defection in the morning.

Result number: 104

Message Number 220365

Re: THE HUMAN FOOT IS PREY TO ACTION—A STEP AT A TIME View Thread
Posted by Jeremy L on 1/22/07 at 14:41

Just for clarification, there are many orthotic designs that maintain healthy elasticity without being made of silicon. One of the main reasons there has been a practical movement away from Root designs is due to the use of rigid subortholenes and carbon graphite in casts modified to elevate the first metatarsal. I tend to practice in the ranges of thought presented by Ritchie and Smith, which do not place too much limitation on the windlass effect. Therefore, the treatment is in the correct cast modification and the shell material is selected based on criteria such as body weight and activity/activity level.

Result number: 105

Message Number 220193

Federal Employees Owe $2.8 Billion in Income Tax View Thread
Posted by Denise on 1/19/07 at 19:06

http://taxprof.typepad.com/taxprof_blog/2007/01/federal_employe.html

Federal Employees Owe $2.8 Billion in Income Tax

According to press reports, more than 450,000 active and retired federal employees owe $2.8 billion in federal income taxes. WTOP Radio created this Excel Spreadsheet from data obtained through FOIA requests.

In absolute terms, the departments and administrative agencies with the most tax scofflaws among active employees are:

1. Post Office: 56,652
2. National Guard: 44,492
3. Active Duty Military: 39,366
4. Veterans Affairs: 17,976
5. Army: 17,535
6. Navy: 11,746
7. Air Force: 10,754
8. Homeland Security: 9,818
9. Agriculture: 4,345
10. Health & Human Services: 4,136

In percentage terms, the departments and administrative agencies with the most tax scofflaws among active employees are:

1. U.S. Commission on Civil Rights: 9.43%
2. Government Printing Office: 7.41%
3. Smithsonian Institution: 5.56%
4. Court Services: 5.45%
5. Selective Service: 5.42%
6. Defense: 5.37%
7. Pension Benefit Guaranty Corp.: 5.33%
8. Equal Opportunity Commissioner: 5.25%
9. Federal Labor Relations Authority: 5.06%
10. National Endowment for the Humanities: 4.95%

In percentage terms, the departments and agencies with the least tax scofflaws among active employees are:

1. International Boundary and Water Commission: 0.90%
2. Treasury Department: 1.30%
3. National Endowment for the Arts: 1.76%
4. National Credit Union Administration: 1.78%
5. Office of Special Counsel: 1.79%
6. Department of Justice: 1.91%
7. U.S. Nuclear Regulatory Commission: 1.91%
8. NASA: 2.16%
9. Tennessee Valley Authority: 2.23%
10. Presidio Trust: 2.36%

Other notable departments and agencies have these percentages of employees who are tax scofflaws:

* House of Representatives: 4.81%
* SEC: 3.05%
* Senate: 3.76%
* Tax Court: 4.85%
* White House: 2.95%

January 19, 2007 in News (PIPE) Permalink

Result number: 106
Searching file 21

Message Number 219473

Why are the DRX9000 guys suing me???? View Thread
Posted by Oma Z on 1/11/07 at 20:02

Axiom DRX9000- Why are these guys suing me????

THE CHIROPRACTIC JOURNAL - JANUARY 2007

Read and respected by more doctors of chiropractic than any other
professional publication in the world.
A publication of the World Chiropractic Alliance January 2007

Device championed by JC Smith under fire as fraudulent

The "DRX 9000 spinal decompression system" is the subject of recent lawsuits and legal investigations as a fraudulent device being promoted by false advertising. The device has been widely promoted and touted by JC Smith, DC, winner of the American Chiropractic Association's 'Service to Chiropractic'award.

In one article, Dr. Smith stated that "The most effective form of care for failed back surgery, severe low back pain, or for patients with back pain in most cases of patients who complete the program." Speaking of his own "Spinal Care Clinic," Smith proudly announced, "Without hesitation I can say the DRX 9000 ranks
among the best treatments for many types of low back pain, and when combined with our spinal rehab program, patient improvement is assured."

It is widely accepted that the "success" of Smith's back pain clinic depended on his use of this device. Yet, according to prosecutors, the device is "questionable" and advertised claims that the device has an "86 percent success rate for treating debilitating back pain without surgery" is unfounded.

According to a report in the Monterey (Calif.) Herald, the "District Attorney's Consumer Protection Unit demanded substantiation of the claims from the chiropractors and the device's distributor, Axiom Worldwide Inc., but has received none. He said a multi-agency task force is investigating avenues of possible civil and criminal actions against the company."

Two California DCs were fined $25,000 for violating false-advertising laws by publishing the claims made by the company. One of the doctors cooperated with prosecutors and had $17,000 of his fine suspended.

One claim was particularly blatant to investigators. Although the company states that the device was based on "an accidental NASA discovery" that outer space quickly and easily solved most back pain, prosecutor John Hubanks said that, in fact, NASA has determined space travel has a detrimental impact on the spine.

Smith's article echoed the claims made by the company, which also assert that pre- and post-treatment MRIs demonstrate a greater than 50% reduction in the size and extent of herniation after four weeks of treatment, and that it has an 86% treatment success rate with persons suffering from herniated or bulging lumbar discs, degenerative disc disease, post-surgical relapses, or facet
syndromes.

Ironically, in an article for Journal of Chiropractic Humanities (1999), Smith accused the chiropractic profession of unethical behavior, citing "tacky Page 1 of 2 Device championed by JC Smith under fire as fraudulent advertising and outlandish claims" as two of its more grievous shortcomings.

"However topical any discussion about ethics may be," he wrote, "it is a subject in dire need of debate because the chiropractic profession appears to some in the public arena to be the least ethical of all the health professions, due to years of intense medical misinformation/slander as well as the use of tacky advertising, outlandish claims, sensational leadership and cases of insurance fraud that appear on news programs such as '60 Minutes.'"

California isn't the only state to investigate the claims made by the DRX 9000. In Nov. 2006, the Oregon Board of Chiropractic Examiners announced that it was questioning the company's claims about its device's link to NASA research.

The Oregon Board noted: "A typical claim is that an 'Accidental Discovery by NASA in Outer Space Quickly and Easily Solves 86% of Back Pain... Astronauts that left with back pain would come back without it...."

Yet, according the to Board's press release, information obtained by the Board "casts doubt on the validity of these advertising claims. One study published in Psychosomatic Medicine in 2001 states, 'Back Pain is one of the most frequently occurring medical problems during space flight. It has been reported by 68% of astronauts.' Another 2001 article in the same journal states, 'astronauts grow
taller in space, and stretching of the spinal nerve roots can lead to back pain.'"

The Board cited several other references that clearly refute the company claim. The Board contacted the company for substantiating evidence but never received a response.

In addition, Oregon Board Executive Director Dave McTeague noted that "The Board is concerned about high pressure marketing to potential patients using questionable claims. The typical treatment protocol calls for twenty treatments over a six-week course of therapy. Add to that the financial pressures of purchasing a DRX 9000 type device (upwards of $65,000 to $125,000, Used 2005 model on ebay for $65,000) and there may be other motives for the treatment program than optimal patient care."

The profit potential for the device was apparent in a report by American HealthChoice, Inc. (AHC) that operates 13-company owned clinics in Texas and more than 30 affiliated clinics in Texas, Tennessee and Kansas.

According to the company report, AHC installed a DRX 9000 system at its Katy, Texas clinic August 2004. "The Company anticipates net revenue of approximately $100,000 per quarter in fiscal 2005 from this one system," it noted, adding that "the capital investment for the DRX 9000 is approximately
$95,000 per system."

http://www.worldchiropracticalliance.org/tcj/2007/jan/d.htm

Result number: 107

Message Number 219340

Reisisting The Urge To Surge View Thread
Posted by marie on 1/10/07 at 18:03

These are the Republicans Bush will have to convince tonight to make the possiblity of a surge happen. If they don't buy it it's dead in the water. I've been reading Iraqi blogs tonight to get a sense of what their thoughts on a surge are and they are very skeptical. What's interesting is the commentary on the pro Bush Iraiq sites. They seem to have lost faith in Maliki. Iraq The Model has some interesting observations on what is happening in Iraq this week. They seem to think the NEW Security Program has already begun. http://iraqthemodel.blogspot.com/

Resisting the Urge To Surge......

Senator Warner (R) former Chairman of the Armed Sevices Comte.

Senator Lugar (R) former Chairman of the Foriegn Relations Comte.

Sen. Sam Brownback (R)

Sen. Saxby Chambliss (R) Armed Services Cmte

Sen. Susan Collins (R)

Sen. Norm Coleman (R)

Sen. Gordon Smith (R)

Sen. John E. Sununu (R) Foriegn Relations Cmte

Sen. Arlen Specter (R)

Sen. Chuck Hagel (R)

Me? I'm willing to listen but it had better be good.

Result number: 108

Message Number 218229

Re: Woodward kept silent until Ford passed away..... View Thread
Posted by Dr. Ed on 12/29/06 at 01:34

What impeachable offense has Bush done? You cannot impeach a President because you do not agree with his policies.

Nixon was a Boy Scout compared to Bill Clinton. Nixon was under a lot of scrutiny due to his poor relations with the press. Nevertheless, the Watergate break in was small change compared to all of Clinton's shenanigans -- Travelgate; Monica Lewinski, Jennifer Flowers and a whole host of sexual indiscretions; the Whitewater scandal, etc.

Clinton set the all time record for scandals. The following is a tabulation of the Clinton scandal record from the Progressive Review (not a conservative publication -- although if you want more I can go there):

The Clinton Legacy


The Progressive Review


This list was compiled at the end of the Clinton administration.


Our Clinton Scandal Index


RECORDS SET

- The only president ever impeached on grounds of personal malfeasance
- Most number of convictions and guilty pleas by friends and associates*
- Most number of cabinet officials to come under criminal investigation
- Most number of witnesses to flee country or refuse to testify
- Most number of witnesses to die suddenly
- First president sued for sexual harassment.
- First president accused of rape.
- First first lady to come under criminal investigation
- Largest criminal plea agreement in an illegal campaign contribution case
- First president to establish a legal defense fund.
- First president to be held in contempt of court
- Greatest amount of illegal campaign contributions
- Greatest amount of illegal campaign contributions from abroad
- First president disbarred from the US Supreme Court and a state court

* According to our best information, 40 government officials were indicted or convicted in the wake of Watergate. A reader computes that there was a total of 31 Reagan era convictions, including 14 because of Iran-Contra and 16 in the Department of Housing & Urban Development scandal. 47 individuals and businesses associated with the Clinton machine were convicted of or pleaded guilty to crimes with 33 of these occurring during the Clinton administration itself. There were in addition 61 indictments or misdemeanor charges. 14 persons were imprisoned. A key difference between the Clinton story and earlier ones was the number of criminals with whom he was associated before entering the White House.

Using a far looser standard that included resignations, David R. Simon and D. Stanley Eitzen in Elite Deviance, say that 138 appointees of the Reagan administration either resigned under an ethical cloud or were criminally indicted. Curiously Haynes Johnson uses the same figure but with a different standard in "Sleep-Walking Through History: America in the Reagan Years: "By the end of his term, 138 administration officials had been convicted, had been indicted, or had been the subject of official investigations for official misconduct and/or criminal violations. In terms of number of officials involved, the record of his administration was the worst ever."


STARR-RAY INVESTIGATION

- Number of Starr-Ray investigation convictions or guilty pleas (including one governor, one associate attorney general and two Clinton business partners): 14
- Number of Clinton Cabinet members who came under criminal investigation: 5
- Number of Reagan cabinet members who came under criminal investigation: 4
- Number of top officials jailed in the Teapot Dome Scandal: 3

CRIME STATS

- Number of individuals and businesses associated with the Clinton machine who have been convicted of or pleaded guilty to crimes: 47
- Number of these convictions during Clinton's presidency: 33
- Number of indictments/misdemeanor charges: 61
- Number of congressional witnesses who have pleaded the Fifth Amendment, fled the country to avoid testifying, or (in the case of foreign witnesses) refused to be interviewed: 122

SMALTZ INVESTIGATION

- Guilty pleas and convictions obtained by Donald Smaltz in cases involving charges of bribery and fraud against former Agriculture Secretary Mike Espy and associated individuals and businesses: 15
- Acquitted or overturned cases (including Espy): 6
- Fines and penalties assessed: $11.5 million
- Amount Tyson Food paid in fines and court costs: $6 million

CLINTON MACHINE CRIMES
FOR WHICH CONVICTIONS
HAVE BEEN OBTAINED

Drug trafficking (3), racketeering, extortion, bribery (4), tax evasion, kickbacks, embezzlement (2), fraud (12), conspiracy (5), fraudulent loans, illegal gifts (1), illegal campaign contributions (5), money laundering (6), perjury, obstruction of justice.

OTHER MATTERS INVESTIGATED BY SPECIAL PROSECUTORS
AND CONGRESS, OR REPORTED IN THE MEDIA

Bank and mail fraud, violations of campaign finance laws, illegal foreign campaign funding, improper exports of sensitive technology, physical violence and threats of violence, solicitation of perjury, intimidation of witnesses, bribery of witnesses, attempted intimidation of prosecutors, perjury before congressional committees, lying in statements to federal investigators and regulatory officials, flight of witnesses, obstruction of justice, bribery of cabinet members, real estate fraud, tax fraud, drug trafficking, failure to investigate drug trafficking, bribery of state officials, use of state police for personal purposes, exchange of promotions or benefits for sexual favors, using state police to provide false court testimony, laundering of drug money through a state agency, false reports by medical examiners and others investigating suspicious deaths, the firing of the RTC and FBI director when these agencies were investigating Clinton and his associates, failure to conduct autopsies in suspicious deaths, providing jobs in return for silence by witnesses, drug abuse, improper acquisition and use of 900 FBI files, improper futures trading, murder, sexual abuse of employees, false testimony before a federal judge, shredding of documents, withholding and concealment of subpoenaed documents, fabricated charges against (and improper firing of) White House employees, inviting drug traffickers, foreign agents and participants in organized crime to the White House.

ARKANSAS ALTZHEIMER'S

Number of times that Clinton figures who testified in court or before Congress said that they didn't remember, didn't know, or something similar.

Bill Kennedy 116
Harold Ickes 148
Ricki Seidman 160
Bruce Lindsey 161
Bill Burton 191
Mark Gearan 221
Mack McLarty 233
Neil Egglseston 250
Hillary Clinton 250
John Podesta 264
Jennifer O'Connor 343
Dwight Holton 348
Patsy Thomasson 420
Jeff Eller 697

FROM THE WASHINGTON TIMES: In the portions of President Clinton's Jan. 17 deposition that have been made public in the Paula Jones case, his memory failed him 267 times. This is a list of his answers and how many times he gave each one.

I don't remember - 71
I don't know - 62
I'm not sure - 17
I have no idea - 10
I don't believe so - 9
I don't recall - 8
I don't think so - 8
I don't have any specific recollection - 6
I have no recollection - 4
Not to my knowledge - 4
I just don't remember - 4
I don't believe - 4
I have no specific recollection - 3
I might have - 3
I don't have any recollection of that - 2 I don't have a specific memory - 2
I don't have any memory of that - 2
I just can't say - 2
I have no direct knowledge of that - 2
I don't have any idea - 2
Not that I recall - 2
I don't believe I did - 2
I can't remember - 2
I can't say - 2
I do not remember doing so - 2
Not that I remember - 2
I'm not aware - 1
I honestly don't know - 1
I don't believe that I did - 1
I'm fairly sure - 1
I have no other recollection - 1
I'm not positive - 1
I certainly don't think so - 1
I don't really remember - 1
I would have no way of remembering that - 1
That's what I believe happened - 1
To my knowledge, no - 1
To the best of my knowledge - 1
To the best of my memory - 1
I honestly don't recall - 1
I honestly don't remember - 1
That's all I know - 1
I don't have an independent recollection of that - 1
I don't actually have an independent memory of that - 1
As far as I know - 1
I don't believe I ever did that - 1
That's all I know about that - 1
I'm just not sure - 1
Nothing that I remember - 1
I simply don't know - 1
I would have no idea - 1
I don't know anything about that - 1
I don't have any direct knowledge of that - 1
I just don't know - 1
I really don't know - 1
I can't deny that, I just -- I have no memory of that at all - 1

THE CLINTON LEGACY:
LONELY HONOR

Here are some of the all too rare public officials, reporters, and others who spoke truth to the dismally corrupt power of Bill and Hill Clinton's political machine -- some at risk to their careers, others at risk to their lives. A few points to note:

- Those corporatist media reporters who attempted to report the story often found themselves muzzled; some even lost their jobs. The only major dailies that consistently handled the story well were the Wall Street Journal and the Washington Times.

- Nobody on this list has gotten rich and many you may not have even heard of. Taking on the Clintons typically has not been a happy or rewarding experience. At least ten reporters have been fired, transferred off their beats, resigned, or otherwise gotten into trouble because of their work on the scandals. Whistleblowing is even less appreciated within the government. One study of whistleblowers found that 232 out of 233 them reported suffering retaliation; another study found reprisals in about 95% of cases.

- Contrary to the popular impression, the politics of those listed ranges from the left to the right, and from the ideological to the independent.


PUBLIC OFFICIALS

MIGUEL RODRIGUEZ was a prosecutor on the staff of Kenneth Starr. His attempts to uncover the truth in the Vincent Foster death case were repeatedly foiled and he was the subject of planted stories undermining his credibility and implying that he was unstable. Rodriguez eventually resigned.

JEAN DUFFEY: Head of a joint federal-county drug task force in Arkansas. Her first instructions from her boss: "Jean, you are not to use the drug task force to investigate any public official." Duffey's work, however, led deep into the heart of the Dixie Mafia, including members of the Clinton machine and the investigation of the so-called "train deaths." Ambrose Evans-Pritchard reports that when she produced a star witness who could testify to Clinton's involvement with cocaine, the local prosecuting attorney, Dan Harmon issued a subpoena for all the task force records, including "the incriminating files on his own activities. If Duffey had complied it would have exposed 30 witnesses and her confidential informants to violent retributions. She refused." Harmon issued a warrant for her arrest and friendly cops told her that there was a $50,000 price on her head. She eventually fled to Texas. The once-untouchable Harmon was later convicted of racketeering, extortion and drug dealing.

BILL DUNCAN: An IRS investigator in Arkansas who drafted some 30 federal indictments of Arkansas figures on money laundering and other charges. Clinton biographer Roger Morris quotes a source who reviewed the evidence: "Those indictments were a real slam dunk if there ever was one." The cases were suppressed, many in the name of "national security." Duncan was never called to testify. Other IRS agents and state police disavowed Duncan and turned on him. Said one source, "Somebody outside ordered it shut down and the walls went up."

RUSSELL WELCH: An Arkansas state police detective working with Duncan. Welch developed a 35-volume, 3,000 page archive on drug and money laundering operations at Mena. His investigation was so compromised that a high state police official even let one of the targets of the probe look through the file. At one point, Welch was sprayed in the face with poison, later identified by the Center for Disease Control as anthrax. He would write in his diary, "I feel like I live in Russia, waiting for the secret police to pounce down. A government has gotten out of control. Men find themselves in positions of power and suddenly crimes become legal." Welch is no longer with the state police.

DAN SMALTZ: Smaltz did an outstanding job investigating and prosecuting charges involving illegal payoffs to Agriculture Secretary Mike Espy, yet was treated with disparaging and highly inaccurate reporting by the likes of the David Broder and the NY Times. Espy was acquitted under a law that made it necessary to not only prove that he accepted gratuities but that he did something specific in return. On the other hand, Tyson Foods copped a plea in the same case, paying $6 million in fines and serving four years' probation. The charge: that Tyson had illegally offered Espy $12,000 in airplane rides, football tickets and other payoffs. In the Espy investigation, Smaltz obtained 15 convictions and collected over $11 million in fines and civil penalties. Offenses for which convictions were obtained included false statements, concealing money from prohibited sources, illegal gratuities, illegal contributions, falsifying records, interstate transportation of stolen property, money laundering, and illegal receipt of USDA subsidies. Incidentally, Janet Reno blocked Smaltz from pursuing leads aimed at allegations of major drug trafficking in Arkansas and payoffs to the then governor of the state, WJ Clinton. Espy had become Ag secretary only after being flown to Arkansas to get the approval of chicken king Don Tyson.

DAVID SCHIPPERS was House impeachment counsel and a Chicago Democrat. He did a highly creditable job but since he didn't fit the right-wing conspiracy theory, the Clintonista media downplayed his work. Thus most Americans don't know that he told NewsMax, "Let me tell you, if we had a chance to put on a case, I would have put live witnesses before the committee. But the House leadership, and I'm not talking about Henry Hyde, they just killed us as far as time was concerned. I begged them to let me take it into this year. Then I screamed for witnesses before the Senate. But there was nothing anybody could do to get those Senators to show any courage. They told us essentially, you're not going to get 67 votes so why are you wasting our time." Schippers also said that while a number of representatives looked at additional evidence kept under seal in a nearby House building, not a single senator did.

JOHN CLARKE: When Patrick Knowlton stopped to relieve himself in Ft. Marcy Park 70 minutes before the discovery of Vince Foster's body, he saw things that got him into deep trouble. His interview statements were falsified and prior to testifying he claims he was overtly harassed by more than a score of men in a classic witness intimidation technique. In some cases there were witnesses. John Clarke has been his dogged lawyer in the witness intimidation case that has been largely ignored by the media, even when the three-judge panel overseeing the Starr investigation permitted Knowlton to append a 20 page addendum to the Starr Report.


OTHER

THE ARKANSAS COMMITTEE: What would later be known as the Vast Right Wing Conspiracy actually began on the left - as a group of progressive students at the University of Arkansas had formed the Arkansas Committee to look into Mena, drugs, money laundering, and Arkansas politics. This committee was the source of some of the important early Clinton stories including those published in the Progressive Review.

CLINTON ADMINISTRATION SCANDALS E-LIST: Moderated by Ray Heizer, this list has been subject to all the idiosyncrasies of Internet bulletin boards, but it has nonetheless proved invaluable to researchers and journalists.


JOURNALISTS

JERRY SEPER of the Washington Times was far and away the best beat reporter of the story, handling it week after week in the best tradition of investigative journalism. If other reporters had followed Seper's lead, the history of the Clintons' machine might have been quite different.

AMBROSE EVANS-PRITCHARD of the London Telegraph did a remarkable job of digging into some of the seamiest tales from Arkansas and the Clinton past. Other early arrivals on the scene were Alexander Cockburn and Jeff Gerth.

CHRISTOPHER RUDDY, among other fine reports on the Clinton scandals, did the best job laying out the facts in the Vince Foster death case.

ROGER MORRIS AND SALLY DENTON wrote a major expose of events at Mena, but at the last moment the Washington Post's brass ordered the story killed. It was published by Penthouse and later included in Morris' "Partners in Power," the best biography of the Clintons.

OTHERS who helped get parts of the story out included reporters Philip Weiss, Carl Limbacher, Wes Phelan, David Bresnahan, William Sammon, Liza Myers, Mara Leveritt, Matt Drudge, Jim Ridgeway, Nat Hentoff, Michael Isikoff, Christopher Hitchens, and Michael Kelly. Also independent investigator Hugh Sprunt and former White House FBI agent Gary Aldrich.

SAM SMITH of the Progressive Review wrote the first book (Shadows of Hope, University of Indiana Press, 1994) deconstructing the Clinton myth and the Review developed a major database on the topic.

The Clintons, to adapt a line from Dr. Johnson, were not only corrupt, they were the cause of corruption in others. Seldom in America have so many come to excuse so much mendacity and malfeasance as during the Clinton years.

.

.

Result number: 109

Message Number 218149

Sesamoid bone View Thread
Posted by Carilynem on 12/28/06 at 14:17

Over the past year I have first fractured the inner sesamoid bone in my left foot. At that time I have had 2 injections and had to wear a cam walker for a few months. About 4 weeks ago I broke the same bone in half this time. I had to get another injection and I'm back in the cam walker. My doctor told me that I could not have any more injections and my last resort would be surgery. But I know surgery might cause a whole different set of problems. If I have the surgery is there in type of prostetic that can be inserted where the sesamoid bone was??? Thanks for the help...

Result number: 110

Message Number 218103

Re: Ed who? View Thread
Posted by marie on 12/28/06 at 10:35

Your attacks on the anti-war movement are anti-Catholic. These are your standards. To criticize one's foundation of faith must mean they are against that faith. If you are going to break the commandment of God "Though shalt not bear false witness against thy neighbor" in your post to me then you must be prepared to suffer from this err of faith. To be Catholic is not at one's convinience. You either follow the faith or you don't and if you don't then you're Catholic in name only. I see you mentioned your wife. I am sorry to hear that she has decided not to follow the words of Pope John Paul the II & Benedict. Having faith is never an ez road to follow. It takes great courage. I will keep her in my prayers and I forgive her.

http://www.jimtardio.com/notre-dame/notre-dame-basilica-sacred-heart-interior-small.jpg

Lying encased under this alter at the Basilica of the Sacred Heart are the bones of two Roman Centurians. They refused to participate in the crucifiction of Christians in Rome. They were crucified along with the Christians. No government can take away from man his "free will".

The recent Holocaust Denial convention in Iran reminds me of these two centurians. I have to wonder if any of the executioners of the Jewish people in the concentration camps refused to participate. They committed a great sin against mankind for participating in the Holocaust. Did they use the gift of "free will" to stop what was going on? I'd like to think some of them did. Unfortunately we had to document photos from one of the concentration camps before being sent to the Holocaust and Smithsonian museums. I have only looked at them once. Once was one time to many. It didn't take photos to convince me. I knew it to be fact as my faith guides me.

Result number: 111

Message Number 216071

Re: ART and Graston for PF View Thread
Posted by vsmith on 11/24/06 at 13:53

Dolores I am curious what do you think a podiatrist or physical therapist would have done differently than an ART practitioner? WE know from the posters here that there is only limited treatment for chronic PF that podiatrists can provide.

Result number: 112

Message Number 214535

Re: New look Neuropathy Trust Website TTS sufferers please see! View Thread
Posted by Gilligan on 10/29/06 at 22:06

That website was way too slick to be worthy of 'Trust'. A worrisome part is some of their sponsors:

Pfizer Limited
Napp Pharmaceuticals plc
GlaxoSmithKline
Biogen Idec Inc.
CeNeS Pharmaceuticals plc

They also SELL niformation instead of putting it on the web site.
After seeing the above, i read a little more with and found this well-hidden as the very last sentence of their 'policy statement'

"We strongly support the application of licensing regulations and procedures to pharmaceutical products and believe that, in the interest of patients, similar standards ought to be required of individuals and organisations wishing to market non-pharmaceutical treatments to the general public."

In other words, unless you've got $6 million dollars to convince the FDA that your product will help the condition, they do not believe your information should be made available to the public. They believe only pharmaceuticals should be used for the condition.

Result number: 113

Message Number 213218

Pictures? sm View Thread
Posted by Auntie on 10/13/06 at 20:20

Here is what happens when people take pictures at "Gay Pride" events and want the general population to look at them - this is referring to an event in San Diego. The article was dated Sept. '06. Here is a link to the full article...I know you'll want one. I just pasted the gist of it here for people who don't want a long read.

http://headlines.agapepress.org/archive/9/262006d.asp

Last July, the City Council approved a resolution termed "Gay Pride Week," which is capped off by a parade held at week's end. The resolution was initiated by councilwoman Toni Atkins -- the first openly lesbian mayor of the city -- who aggressively defends homosexual causes in her public life as a council member. In its July 25 proclamation, Council members -- by their vote of commendation -- unanimously encouraged San Diegans to attend the event on July 28-30.

Hartline speculated at the time that, if exposed, the parade would be a public embarrassment to them. He now wonders why they chose to hide what actually occurred during the event -- such as promotion of strip clubs like "Déjà Vu" and pornographer Larry Flynt's store "Hustler."

Speaking at the September 12 forum, Hartline explained that he thought the July action to officially sanction the pride event was in poor judgment. He stated that since children were present along the parade route, it was improper to sanction an event where pornography was promoted, condoms and sexual lubricants were distributed, public nudity was on display, and male escort and strip club businesses were participants. Much of this evidence was depicted in photographs taken by San Diego News Notes reporter Allyson Smith.

Some of the pictures Hartline attempted to show at the forum were, according to the activist, "more graphic in nature." Hartline explained that his purpose was to expose the hypocrisy of Council members in granting their July motion. However, Council chairman Peters chose to prohibit Smith's pictures from being viewed by the public. "I can't allow you to put these pictures on television," he stated in city chambers.
Wow...if they can't be put on television, why were they allowed to happen in real life on city streets?

According to Pam Hardy, Peters' communications director, Hartline "wanted to show some pictures that were inappropriate" and, therefore, were prohibited from being shown. She did not agree that Peters exercised a form of censorship, despite Hartline's claim, and refused to respond further when asked to explain why the police refused to cite parade participants for public nudity. She deferred that question to the police department and refused further comment.

No, I am not a member of that group...don't know anything about that other Kansas group you mentioned, either. But no matter what kind of Christian group you think it is, what they said was true.

I have, actually, seen pictures of some Gay Pride event a while back (some of the tamer ones) that were sent out by Agape Press. I probably could find the email again that they were in. I'm not very hopeful that you would accept their validity either, though. :)

Result number: 114

Message Number 212536

Re: Larry, larry, larry View Thread
Posted by marie on 10/07/06 at 08:40

So what you're saying is that the Republican Party thinks it's ok to be pedophiles. Gotcha.

How do you defend the fact that the KKK is comprised of 100% Republicans?

It's just Gotcha Politics as usual.

Alrighty you asked for links. You see links and a comment are ok and boy do I have links for each and every comment in the post. Not only will you get links on the list but you are so getting links to many corruption charges against Republicans. Yahooooooooooo!! Enjoy----if this isn't enuff let me know I have more. Thanks again!!!! :)

http://blogs.abcnews.com/theblotter/2006/09/exclusive_the_s.html
http://www.wjla.com/news/stories/0906/364718.html
http://www.armchairsubversive.com/Lou_Beres.htm
http://www.armchairsubversive.com/Larry_Dale_Floyd4.htm
http://www.9news.com/acm_news.aspx?OSGNAME=KUSA&IKOBJECTID=63d817b2-0abe-421a-00cb-fc3faca6d4c9&TEMPLATEID=0c76dce6-ac1f-02d8-0047-c589c01ca7bf
http://query.nytimes.com/gst/fullpage.html?res=9807E6DE1331F935A35752C0A9629C8B63
http://www.armchairsubversive.com/Bobby_Stumbo.htm
http://www.ocregister.com/ocregister/news/homepage/article_1158949.php
http://www.armchairsubversive.com/Armando_Tebano.htm
http://www.armchairsubversive.com/John_Collins.htm
http://www.concordmonitor.com/apps/pbcs.dll/article?AID=/20050929/REPOSITORY/509290372/1001/NEWS01
http://www.northjersey.com/page.php?qstr=eXJpcnk3ZjcxN2Y3dnFlZUVFeXkyJmZnYmVsN2Y3dnFlZUVFeXk2MTM1NzU1
http://abclocal.go.com/wls/story?section=local&id=4397569
http://www.capitalnews9.com/content/top_stories/?ArID=149693
http://www.armchairsubversive.com/David_Swartz.htm
http://www.azcentral.com/specials/special12/articles/0414nesmith14.html
http://www.arkansasleader.com/2005/10/editorial-good-words-for-criminals.html
http://www.armchairsubversive.com/Edison_Misla_Aldarondo.htm
http://www.armchairsubversive.com/John_Curtain.htm
http://toledoblade.com/apps/pbcs.dll/article?AID=/20050624/NEWS24/50624002
http://politicalgraveyard.com/bio/sword-szymczak.html#RI91AA6OL
http://www.armchairsubversive.com/Howard_Scott_Heldreth2.htm
http://www.publicintegrity.org/report.aspx?aid=753
http://www.fas.org/irp/ops/ci/leung.html
http://www.washingtonpost.com/wp-dyn/articles/A54571-2005Jan6.html
http://www.cicentre.com/Documents/DOC_Smith_James_J_Case.htm
http://www.crimelibrary.com/serial_killers/unsolved/btk/33.html
http://www.armchairsubversive.com/morency2.htm
http://www.armchairsubversive.com/Nicholas_Elizondo.htm
http://www.nytimes.com/ref/membercenter/help/erights_unavail.html
http://easyreader.hermosawave.net/news2001/0621/rb%20Shortridge.asp
http://www.bloomberg.com/apps/news?pid=10000103&sid=aBiarD4WDkww&refer=us
http://news.bbc.co.uk/2/hi/americas/3321483.stm
http://www.kcci.com/news/3976822/detail.html
http://www.thedenverchannel.com/news/1130885/detail.html
http://www.newschannel8.com/Global/story.asp?S=1749917
http://www.wtnh.com/Global/story.asp?S=1913548
http://msnbc.msn.com/id/9837835
http://www.themonitor.com/SiteProcessor.cfm?Template=/GlobalTemplates/Details.cfm&StoryID=13961&Section=Valley
http://mediastudy.com/articles/av5-26-05.html
http://sf.indymedia.org/news/2003/02/1570946.php
http://www.voxfux.com/features/bush_child_sex_coverup/franklin.htm
http://www.newschannel8.com/Global/story.asp?S=1749917
http://www.time.com/time/magazine/article/0,9171,1101890213-151183,00.html
http://www.thewbalchannel.com/news/2153721/detail.html
http://www.courts.state.va.us/opinions/opncavtx/3244031.txt
http://www.coloradoconfidential.com/showDiary.do;jsessionid=4D86342CB24E8D0CE2C29C1D77C9DBB9?diaryId=749
http://www.teleplex.net/shj/smith/trial/smithsss.html
http://blogs.salon.com/0002551/2003/12/08.html
http://www.glinn.com/news/h122989a.htm
http://www.armchairsubversive.com/jeffrey_patti.htm
http://www.sacbee.com/static/live/news/calreport/N2001-11-22-2300-0.html
http://www.armchairsubversive.com/hathaway1.htm
http://www.dailylocal.com/site/news.cfm?newsid=11151295&BRD=1671&PAG=461&dept_id=17782&rfi=6
http://www.armchairsubversive.com/Jon%20Matthews%20Guilty.htm
http://users.cybercity.dk/%7Eccc44406/smwane/Ingram5.htm
http://www.newsmax.com/archives/articles/2001/3/5/161648.shtml
http://www.thevitalvoice.com/2002/2002_1227/rathmann.html
http://www.armchairsubversive.com/Keith%20Westmoreland.htm
http://www.feminist.org/news/newsbyte/uswirestory.asp?id=7849
http://starbulletin.com/2000/07/20/news/briefs.html
http://www.reviewjournal.com/lvrj_home/2002/Oct-30-Wed-2002/news/19951668.html
http://5thestate.com/030628.htm
http://boothbayregister.maine.com/1999-04-15/barter_pleads_guilty.html
http://www.armchairsubversive.com/Mark_Harris4.htm
http://www.armchairsubversive.com/Russell_Harding.htm
http://www.sdcitybeat.com/article.php?id=3674
http://www.palmbeachpost.com/localnews/content/news/limbaugh/120503_limbaugh.html
http://www.washingtonpost.com/wp-dyn/articles/A32554-2005Apr6.html
http://www.missoulian.com/articles/2005/07/14/news/mtregional/news07.txt

Result number: 115

Message Number 212119

Re: Plantar Fasciitis View Thread
Posted by PaulP on 10/03/06 at 10:10

Friday: Are you sure this is the woman you saw in the post office?
Burns: Absolutely! Who could forget such a monstrous visage? She
has the sloping brow and cranial bumpage of the career
criminal.
Smithers: Uh, Sir? Phrenology was dismissed as quackery 160 years ago.
Burns: Of course you'd say that...you have the brainpan of a
stagecoach tilter!


******************
Some Simpsons quoting to brighten our Tuesday morning :) :)

Result number: 116

Message Number 210630

Re: interesting View Thread
Posted by LaurieF on 9/18/06 at 22:25

Jeremy L- I will not mention that game again. You have been to kind for mee to rub salt in the would! Besides - i think Fox is an excellent coach and once Smith is healthy...it's on!

PaulP - LOL!!!! I will do my level best to not taunt YOU - but since I was born on the correct side of the cheddar curtain ( Minnesota side for those who are not aware there IS a correct side - or a cheddar curtain!), it is hard for me not to want to get a little payback now that they are down in the cellar where they belong! My corporate HQ is in central sconni- so at gatherings it is quite literally 300 rabid drooling Packer fans. And me. ACCK!!!

Result number: 117

Message Number 210199

Re: Is there a treaty between the U.S. and Israel? View Thread
Posted by Rick R on 9/13/06 at 13:05

I have speculated for many years that the way to strike at the U.S. with a nuke is the build the bad boy right here. Events of late have demonstrated that we can't be sure what might get into this country, be it via river crossing or ocean container or a Buick with pontoons. Oh wait we did stop the Buick.

Any nation wishing to do us harm would be completly insane to do so in an open manner. For us to act only where clear lines of state sponsorship are established could be fatal. For us to act randomly and blast the wrong entity to smitherenes isn't exactly a good plan either.

How do we know, I believe that was the intent of the whole "with us or against us" concept. I suspect you are right that we'd act pretty decisively to the next major attack.

What would happen if we created a rouge national goon squad and disavowed any knowledge of or ties to and sent them out to do our dirty work? It wouldn't be the first time in world history that an established world power had to adapt to the tactics of a pipsqueek.


Rick

Result number: 118
Searching file 20

Message Number 209353

Re: Prolotheraphy View Thread
Posted by Randal Smith on 9/05/06 at 15:38

I had 4 treatments for my neck and lower back... My neck, which has two fused disc, it helped, I feel it helped strengthen the area, and I have less flare-ups.... Considerably less.... If I could get my lower back in better shape, I would go back and get another couple treatments on my neck....

My lower back, which has a small herniation, I really can't say it helped..... Epidurals (the opposite of prolo) have helped this,, and I'm now trying to explore minimally invasive surgery options....

I was referred to this by a friend, who had lower back surgery, then later starting have pain again... He went for 3 or 4 prolo treatments, and it really helped him....

I went to Caring Medical in Oak Park, outside Chicago.... Ross Hauser I think was the doctor....

Randal Smith
ransmith at alltel.net

Result number: 119

Message Number 209091

Re: "Good Feet" Store and Arch Supports View Thread
Posted by Jade on 9/02/06 at 16:28

Are you that stupid, how can a scam persist for more than so and so years? Lol? How do business that oppress the poor like Microsoft, Smiths or Walmart rise to the top? By lying scheming and strong arming. If your employees are clever and ruthless enough, JUST LIKE THE ROMAN EMPIRE, you can stay in power for a very long time. Your question is just as stupid as asking, "How could Saddam stay in power for so long if he was corrupt?" or other stupid questions like that.

On top of that, go to http://www.thedenverchannel.com/7newsinvestigates/4979919/detail.html

What they discovered was the same I discovered before even seeing that website. The owner in my area said they can correct blah blah with the insoles. BULL. I told the scammer about a pair of insoles I got off tv and he said it wouldn't work because they just ask for your shoe size. LOL, THAT IS PRETTY MUCH ALL HE DID TOO AND GAVE ME A CHOICE OF TWO INSOLES AND WOULD NOT TELL ME THE DIFFERENCE WHEN I ASKED. ONE WAS GREY ONE WAS WHITISH. The only difference was that one seemed barely to flex a little more or either one was formed better. Guess what? While staring at his pile of thrown away insoles from convinced customers (nice tactic) and trying to see if I could find the ones I bought, I FOUND THEM, SHOWED THEM TO HIM AND HE SAID OH THEY GOT SUED, AND I REEXAMINED THEM WHILE HE WAS AWAY. I waited for him to bring me or show me the insoles he wanted me to buy, GUESS WHAT? THE INSOLES HE WAS TRYING TO SELL ME WERE THE SAME AS THOSE $24 ONES I GOT ON TV WHICH GUESS WHAT? WERE CAUSING ME THE SAME PAIN AS THOSE INSOLES! And what was his magical method of masking the pain lol? THE SAME I CAME UP WITH!: PLACING THE INSOLES OVER THE HARD ONES HE WAS SELLING ME. And ooooh, his generic black cover-up were better tho cuz uh, well he didn't say, but said they'd last six months, which is shorter than the amount of time others have lasted me.

He wanted $369 not including tax in the price for his set up. Lol, I still have my imitation? azzner alzner whatevers and can easily buy a pair of Dr. Scholls and place them over them for less than $369 that's for sure.

Check out http://lulu.com/newkingdom

Result number: 120

Message Number 208971

Wilson Plame lie View Thread
Posted by larrym on 9/01/06 at 08:51

End of an Affair
It turns out that the person who exposed CIA agent Valerie Plame was not out to punish her husband.

Friday, September 1, 2006; A20



WE'RE RELUCTANT to return to the subject of former CIA employee Valerie Plame because of our oft-stated belief that far too much attention and debate in Washington has been devoted to her story and that of her husband, former ambassador Joseph C. Wilson IV, over the past three years. But all those who have opined on this affair ought to take note of the not-so-surprising disclosure that the primary source of the newspaper column in which Ms. Plame's cover as an agent was purportedly blown in 2003 was former deputy secretary of state Richard L. Armitage.

Mr. Armitage was one of the Bush administration officials who supported the invasion of Iraq only reluctantly. He was a political rival of the White House and Pentagon officials who championed the war and whom Mr. Wilson accused of twisting intelligence about Iraq and then plotting to destroy him. Unaware that Ms. Plame's identity was classified information, Mr. Armitage reportedly passed it along to columnist Robert D. Novak "in an offhand manner, virtually as gossip," according to a story this week by the Post's R. Jeffrey

Smith, who quoted a former colleague of Mr. Armitage.

It follows that one of the most sensational charges leveled against the Bush White House -- that it orchestrated the leak of Ms. Plame's identity to ruin her career and thus punish Mr. Wilson -- is untrue. The partisan clamor that followed the raising of that allegation by Mr. Wilson in the summer of 2003 led to the appointment of a special prosecutor, a costly and prolonged investigation, and the indictment of Vice President Cheney's chief of staff, I. Lewis "Scooter" Libby, on charges of perjury. All of that might have been avoided had Mr. Armitage's identity been known three years ago.

That's not to say that Mr. Libby and other White House officials are blameless. As prosecutor Patrick J. Fitzgerald has reported, when Mr. Wilson charged that intelligence about Iraq had been twisted to make a case for war, Mr. Libby and Mr. Cheney reacted by inquiring about Ms. Plame's role in recommending Mr. Wilson for a CIA-sponsored trip to Niger, where he investigated reports that Iraq had sought to purchase uranium. Mr. Libby then allegedly disclosed Ms. Plame's identity to journalists and lied to a grand jury when he said he had learned of her identity from one of those reporters. Mr. Libby and his boss, Mr. Cheney, were trying to discredit Mr. Wilson; if Mr. Fitzgerald's account is correct, they were careless about handling information that was classified.

Nevertheless, it now appears that the person most responsible for the end of Ms. Plame's CIA career is Mr. Wilson. Mr. Wilson chose to go public with an explosive charge, claiming -- falsely, as it turned out -- that he had debunked reports of Iraqi uranium-shopping in Niger and that his report had circulated to senior administration officials. He ought to have expected that both those officials and journalists such as Mr. Novak would ask why a retired ambassador would have been sent on such a mission and that the answer would point to his wife. He diverted responsibility from himself and his false charges by claiming that President Bush's closest aides had engaged in an illegal conspiracy. It's unfortunate that so many people took him seriously.

Result number: 121

Message Number 208238

Katrina timeline View Thread
Posted by marie on 8/23/06 at 20:50

Made this timeline last November some time. Anyhoooooo it's serves as a reminder of August 29th and the days that followed.........who was there and who was not.

They cried for help but no one came.

Friday, August 26

GOV. KATHLEEN BLANCO DECLARES STATE OF EMERGENCY IN LOUISIANA: [Office of the Governor]

GULF COAST STATES REQUEST TROOP ASSISTANCE FROM PENTAGON: At a 9/1 press conference, Lt. Gen. Russel Honore, commander, Joint Task Force Katrina, said that the Gulf States began the process of requesting additional forces on Friday, 8/26. [DOD]

Saturday, August 27

5AM KATRINA UPGRADED TO CATEGORY 3 HURRICANE [CNN]

GOV. BLANCO ASKS BUSH TO DECLARE FEDERAL STATE OF EMERGENCY IN LOUISIANA: I have determined that this incident is of such severity and magnitude that effective response is beyond the capabilities of the State and affected local governments, and that supplementary Federal assistance is necessary to save lives, protect property, public health, and safety, or to lessen or avert the threat of a disaster. [Office of the Governor]

FEDERAL EMERGENCY DECLARED, DHS AND FEMA GIVEN FULL AUTHORITY TO RESPOND TO KATRINA: Specifically, FEMA is authorized to identify, mobilize, and provide at its discretion, equipment and resources necessary to alleviate the impacts of the emergency. [White House]

Sunday, August 28

2AM KATRINA UPGRADED TO CATEGORY 4 HURRICANE [CNN]

7AM KATRINA UPGRADED TO CATEGORY 5 HURRICANE [CNN]

MORNING LOUISIANA NEWSPAPER SIGNALS LEVEES MAY GIVE: Forecasters Fear Levees Will Not Hold Katrina: Forecasters feared Sunday afternoon that storm driven waters will lap over the New Orleans levees when monster Hurricane Katrina pushes past the Crescent City tomorrow. [Lafayette Daily Advertiser]

9:30 AM MAYOR NAGIN ISSUES FIRST EVER MANDATORY EVACUATION OF NEW ORLEANS: We are facing the storm most of us have feared, said Nagin. This is going to be an unprecedented event. [Times-Picayune]

4PM NATIONAL WEATHER SERVICE ISSUES SPECIAL HURRICANE WARNING: In the event of a category 4 or 5 hit, Most of the area will be uninhabitable for weeks, perhaps longer. At least one-half of well-constructed homes will have roof and wall failure. All gabled roofs will fail, leaving those homes severely damaged or destroyed. Power outages will last for weeks. Water shortages will make human suffering incredible by modern standards. [National Weather Service]

AFTERNOON BUSH, BROWN, CHERTOFF WARNED OF LEVEE FAILURE BY NATIONAL HURRICANE CENTER DIRECTOR: Dr. Max Mayfield, director of the National Hurricane Center: We were briefing them way before landfall. It is not like this was a surprise. We had in the advisories that the levee could be topped. [Times-Picayune; St. Petersburg Times]

LATE PM REPORTS OF WATER TOPPLING OVER LEVEE: Waves crashed atop the exercise path on the Lake Pontchartrain levee in Kenner early Monday as Katrina churned closer. [Times-Picayune]

APPROXIMATELY 30,000 EVACUEES GATHER AT SUPERDOME WITH ROUGHLY 36 HOURS WORTH OF FOOD [Times-Picayune]

Monday, August 29

7AM KATRINA MAKES LANDFALL AS A CATEGORY 4 HURRICANE [CNN]

8AM MAYOR NAGIN REPORTS THAT WATER IS FLOWING OVER LEVEE: I have gotten reports this morning that there is already water coming over some of the levee systems. In the lower ninth ward, we have had one of our pumping stations to stop operating, so we will have significant flooding, it is just a matter of how much. [NBC’s Today Show]

MORNING BUSH CALLS SECRETARY CHERTOFF TO DISCUSS IMMIGRATION: I spoke to Mike Chertoff today he is the head of the Department of Homeland Security. I knew people would want me to discuss this issue [immigration], so we got us an airplane on a telephone on Air Force One, so I called him. I said, are you working with the governor? He said, you bet we are. [White House]

MORNING BUSH SHARES BIRTHDAY CAKE PHOTO OP WITH SEN. JOHN MCCAIN [White House]

11AM BUSH VISITS ARIZONA RESORT TO PROMOTE MEDICARE DRUG BENEFIT: This new bill I signed says, if you are a senior and you like the way things are today, you are in good shape, do not change. But, by the way, there is a lot of different options for you. And we are here to talk about what that means to our seniors. [White House]

LATE MORNING LEVEE BREACHED: A large section of the vital 17th Street Canal levee, where it connects to the brand new hurricane proof Old Hammond Highway bridge, gave way late Monday morning in Bucktown after Katrina s fiercest winds were well north. [Times-Picayune]

11:30AM MICHAEL BROWN FINALLY REQUESTS THAT DHS DISPATCH 1,000 EMPLOYEES TO REGION, GIVES THEM TWO DAYS TO ARRIVE: Brown s memo to Chertoff described Katrina as this near catastrophic event but otherwise lacked any urgent language. The memo politely ended, Thank you for your consideration in helping us to meet our responsibilities. [AP]

2PM BUSH TRAVELS TO CALIFORNIA SENIOR CENTER TO DISCUSS MEDICARE DRUG BENEFIT: We have got some folks up here who are concerned about their Social Security or Medicare. Joan Geist is with us. I could tell she was looking at me when I first walked in the room to meet her, she was wondering whether or not old George W. is going to take away her Social Security check. [White House]

9PM RUMSFELD ATTENDS SAN DIEGO PADRES BASEBALL GAME: Rumsfeld joined Padres President John Moores in the owner s box at Petco Park. [Editor & Publisher]

Tuesday, August 30

9AM BUSH SPEAKS ON IRAQ AT NAVAL BASE CORONADO [White House]

MIDDAY CHERTOFF FINALLY BECOMES AWARE THAT LEVEE HAS FAILED: It was on Tuesday that the levee may have been overnight Monday to Tuesday that the levee started to break. And it was midday Tuesday that I became aware of the fact that there was no possibility of plugging the gap and that essentially the lake was going to start to drain into the city. [Meet the Press, 9/4/05]

PENTAGON CLAIMS THERE ARE ENOUGH NATIONAL GUARD TROOPS IN REGION: Pentagon spokesman Lawrence Di Rita said the states have adequate National Guard units to handle the hurricane needs. [WWL-TV]

MASS LOOTING REPORTED, SECURITY SHORTAGE CITED: The looting is out of control. The French Quarter has been attacked, Councilwoman Jackie Clarkson said. We are using exhausted, scarce police to control looting when they should be used for search and rescue while we still have people on rooftops. [AP]

U.S.S. BATAAN SITS OFF SHORE, VIRTUALLY UNUSED: The USS Bataan, a 844-foot ship designed to dispatch Marines in amphibious assaults, has helicopters, doctors, hospital beds, food and water. It also can make its own water, up to 100,000 gallons a day. And it just happened to be in the Gulf of Mexico when Katrina came roaring ashore. The Bataan rode out the storm and then followed it toward shore, awaiting relief orders. Helicopter pilots flying from its deck were some of the first to begin plucking stranded New Orleans residents. But now the Bataan s hospital facilities, including six operating rooms and beds for 600 patients, are empty. [Chicago Tribune]

3PM PRESIDENT BUSH PLAYS GUITAR WITH COUNTRY SINGER MARK WILLIS [AP]

BUSH RETURNS TO CRAWFORD FOR FINAL NIGHT OF VACATION [AP]

Wednesday, August 31

TENS OF THOUSANDS TRAPPED IN SUPERDOME; CONDITIONS DETERIORATE: A 2 year old girl slept in a pool of urine. Crack vials littered a restroom. Blood stained the walls next to vending machines smashed by teenagers. We pee on the floor. We are like animals, said Taffany Smith, 25, as she cradled her 3 week-old son, Terry. By Wednesday, it had degenerated into horror. At least two people, including a child, have been raped. At least three people have died, including one man who jumped 50 feet to his death, saying he had nothing left to live for. There is no sanitation. The stench is overwhelming. [Los Angeles Times, 9/1/05]

PRESIDENT BUSH FINALLY ORGANIZES TASK FORCE TO COORDINATE FEDERAL RESPONSE: Bush says on Tuesday he will fly to Washington to begin work with a task force that will coordinate the work of 14 federal agencies involved in the relief effort. [New York Times, 8/31/05]

JEFFERSON PARISH EMERGENCY DIRECTOR SAYS FOOD AND WATER SUPPLY GONE: Director Walter Maestri: FEMA and national agencies not delivering the help nearly as fast as it is needed. [WWL-TV]

80,000 BELIEVED STRANDED IN NEW ORLEANS: Former Mayor Sidney Barthelemy estimated 80,000 were trapped in the flooded city and urged President Bush to send more troops. [Reuters]

3,000 STRANDED AT CONVENTION CENTER WITHOUT FOOD OR WATER: With 3,000 or more evacuees stranded at the convention center and with no apparent contingency plan or authority to deal with them collecting a body was no one s priority. Some had been at the convention center since Tuesday morning but had received no food, water or instructions. [Times-Picayune]

5PM BUSH GIVES FIRST MAJOR ADDRESS ON KATRINA: Nothing about the president s demeanor which seemed casual to the point of carelessness suggested that he understood the depth of the current crisis. [New York Times]

8:00PM CONDOLEEZZA RICE TAKES IN A BROADWAY SHOW: On Wednesday night, Secretary Rice was booed by some audience members at Spamalot!, the Monty Python musical at the Shubert, when the lights went up after the performance.[New York Post, 9/2/05]

9PM FEMA DIRECTOR BROWN CLAIMS SURPRISE OVER SIZE OF STORM: I must say, this storm is much much bigger than anyone expected. [CNN]

Thursday, September 1

8AM BUSH CLAIMS NO ONE EXPECTED LEVEES TO BREAK: I do not think anybody anticipated the breach of the levees. [Washington Post]

CONDOLEEZZA RICE VISITS U.S. OPEN: Rice, [in New York] on three days vacation to shop and see the U.S. Open, hitting some balls with retired champ Monica Seles at the Indoor Tennis Club at Grand Central. [New York Post]

STILL NO COMMAND AND CONTROL ESTABLISHED: Terry Ebbert, New Orleans Homeland Security Director: This is a national emergency. This is a national disgrace. FEMA has been here three days, yet there is no command and control. We can send massive amounts of aid to tsunami victims, but we can’t bail out the city of New Orleans. [Fox News]

2PM MAYOR NAGIN ISSUES DESPERATE SOS TO FEDERAL GOVERNMENT: This is a desperate SOS. Right now we are out of resources at the convention centre and do not anticipate enough buses. We need buses. Currently the convention centre is unsanitary and unsafe and we are running out of supplies. [Guardian, 9/2/05]

2PM MICHAEL BROWN CLAIMS NOT TO HAVE HEARD OF REPORTS OF VIOLENCE: I have had no reports of unrest, if the connotation of the word unrest means that people are beginning to riot, or you know, they are banging on walls and screaming and hollering or burning tires or whatever. I have had no reports of that. [CNN]

NEW ORLEANS DESCEND[S] INTO ANARCHY: Storm victims were raped and beaten, fights and fires broke out, corpses lay out in the open, and rescue helicopters and law enforcement officers were shot at as flooded-out New Orleans descended into anarchy Thursday. This is a desperate SOS, the mayor said. [AP]

CONDOLEEZZA RICE GOES SHOE SHOPPING: Just moments ago at the Ferragamo on 5th Avenue, Condoleeza Rice was seen spending several thousands of dollars on some nice, new shoes (we have confirmed this, so her new heels will surely get coverage from the WaPos Robin Givhan A fellow shopper), unable to fathom the absurdity of Rice s timing, went up to the Secretary and reportedly shouted, How dare you shop for shoes while thousands are dying and homeless! [Gawker]

MICHAEL BROWN FINALLY LEARNS OF EVACUEES IN CONVENTION CENTER: We learned about that (Thursday), so I have directed that we have all available resources to get that convention center to make sure that they have the food and water and medical care that they need. [CNN]

Friday, September 2

ROVE-LED CAMPAIGN TO BLAME LOCAL OFFICIALS BEGINS: Under the command of President Bush s two senior political advisers, the White House rolled out a plan to contain the political damage from the administration s response to Hurricane Katrina. President Bush s comments from the Rose Garden Friday morning formed the start of this campaign. [New York Times, 9/5/05]

9:35AM BUSH PRAISES MICHAEL BROWN: Brownie, you are doing a heck of a job. [White House, 9/2/05]

10 AM PRESIDENT BUSH STAGES PHOTO-OP BRIEFING: Coast Guard helicopters and crew diverted to act as backdrop for President Bush s photo-op.

BUSH VISIT GROUNDS FOOD AID: Three tons of food ready for delivery by air to refugees in St. Bernard Parish and on Algiers Point sat on the Crescent City Connection bridge Friday afternoon as air traffic was halted because of President Bush s visit to New Orleans, officials said. [Times-Picayune]

LEVEE REPAIR WORK ORCHESTRATED FOR PRESIDENT S VISIT: Sen. Mary Landrieu, 9/3: Touring this critical site yesterday with the President, I saw what I believed to be a real and significant effort to get a handle on a major cause of this catastrophe. Flying over this critical spot again this morning, less than 24 hours later, it became apparent that yesterday we witnessed a hastily prepared stage set for a Presidential photo opportunity; and the desperately needed resources we saw were this morning reduced to a single, lonely piece of equipment. [Sen. Mary Landrieu]

BUSH USES 50 FIREFIGHTERS AS PROPS IN DISASTER AREA PHOTO-OP: A group of 1,000 firefighters convened in Atlanta to volunteer with the Katrina relief efforts. Of those, a team of 50 Monday morning quickly was ushered onto a flight headed for Louisiana. The crew s first assignment: to stand beside President Bush as he tours devastated areas.[Salt Lake Tribune; Reuters]

3PM BUSH SATISFIED WITH THE RESPONSE: I am satisfied with the response. I am not satisfied with all the results. [AP]

Saturday, September 3

SENIOR BUSH ADMINISTRATION OFFICIAL LIES TO WASHINGTON POST, CLAIMS GOV. BLANCO NEVER DECLARED STATE OF EMERGENCY: The Post reported in their Sunday edition As of Saturday, Blanco still had not declared a state of emergency, the senior Bush official said. They were forced to issue a correction hours later. [Washington Post, 9/4/05]

9AM BUSH BLAMES STATE AND LOCAL OFFICIALS: [T]he magnitude of responding to a crisis over a disaster area that is larger than the size of Great Britain has created tremendous problems that have strained state and local capabilities. The result is that many of our citizens simply are not getting the help they need. [White House, 9/3

Result number: 122

Message Number 208105

Re: Helle Comfort by Romu's (shoes) View Thread
Posted by Jennie in Bucks County on 8/22/06 at 00:23

While searching for Helle's, I came upon this site & everyone's posts. How excellent! I started buying Helle's in the summer of 2005 & I am 100% hooked. I have 9 pair. Actually I just purchased 2 more today. I live in PA outside of Phila. We have this wonderful shoe shop called the Shoe Café in Newtown PA (215-- owned by Andi Kaplan and her husband Marvin. She is fabulous! What is so crazy good is that Andi has the most amazing shoe sales (I kid you not). She carries the most incredible shoes anywhere. Today I rode by the Shoe Cafe & I always look for her SALE signs. The sign said "Buy 1 PAIR & GET 3 FREE" - YES! That sign is very enticing, especially at her "end of the season" sale. It's that time too! She has many great lines besides Helle. Andi's website is below & please let her know I sent you (Jennie Smith).......

http://www.shoecafe.com/store6.htm ....... Thanks! By the way you can order online also, email, call, whatever. Her staff is wonderful & very informed. They really go out-of-their-way to accommodate everyone. Good luck & happy shoe shopping.

Result number: 123

Message Number 208104

Re: Helle Comfort by Romu's (shoes) View Thread
Posted by Jennie Smith in Bucks County on 8/22/06 at 00:19

While searching for Helle's, I came upon this site & everyone's posts. How excellent! I started buying Helle's in the summer of 2005 & I am 100% hooked. I have 9 pair. Actually I just purchased 2 more today. I live in PA outside of Phila. We have this wonderful shoe shop called the Shoe Café in Newtown PA (215-- owned by Andi Kaplan and her husband Marvin. She is fabulous! What is so crazy good is that Andi has the most amazing shoe sales (I kid you not). She carries the most incredible shoes anywhere. Today I rode by the Shoe Cafe & I always look for her SALE signs. The sign said "Buy 1 PAIR & GET 3 FREE" - YES! That sign is very enticing, especially at her "end of the season" sale. It's that time too! She has many great lines besides Helle. Andi's website is below & please let her know I sent you (Jennie Smith).......

http://www.shoecafe.com/store6.htm ....... Thanks! By the way you can order online also, email, call, whatever. Her staff is wonderful & very informed. They really go out-of-their-way to accommodate everyone. Good luck & happy shoe shopping.

Result number: 124

Message Number 207555

Re: Yup - I was right. Tendons are torn/tearing View Thread
Posted by Bryan W. on 8/16/06 at 22:23

Good luck MUF, we have our fingers crossed for you!!! Try Mr and Mrs Smith movie (Pitt and Jolie) for a good laugh!!!

Result number: 125

Message Number 207446

Re: Katrina "victims" victimize Texas View Thread
Posted by john h on 8/16/06 at 09:40

I really cannot speak towards the Katrina victims although Arkansas was the second state behind Texas where they were displaced to. I did not notice any increase in crime but then I was not looking for it.

I can speak to the influx of the Cuban Boat People that Castro sent to our shores many years ago. Many were mental patients, criminals, etc that he cleared out of his institutions. A large camp was established in Ft Smith, Arkansas. The crime in that area went off the map and as I recall it may have cost Clinton the only election he ever lost (Governor). New Orleans was a poor city to begin with and rampant with crime so the bad guys had to go somewhere. Houston would seem like a good place for them. Large with a lot of available drugs and buyers.

Result number: 126

Message Number 207421

Democrat Party's long history of racism View Thread
Posted by Dr. Ed on 8/16/06 at 01:39

Great to see the political discussion board back.

The Democrat Party's Long and Shameful History of Bigotry and Racism

A common attack upon conservatives and republicans by the ultra left is to engage in what has come to be known as "playing the race card" but is more accurately described as racial McCarthyism. Hardly a day goes by without a member of the far left wing falsely accusing conservatives of racism, bigotry, and a wide array of similar nasty things. They are not only dishonest, but they often border on the absurd, as in NAACP leader and hyper bigot Julian Bond's recent implication to his organization that Bush administration officials supported confederate slavery. Amazingly, Bond's statements went without condemnation from the radical Democrat party or others in his organization.


Not surprisingly, in all the lies and accusations of racism by the radical left wing, the truth becomes distorted not only about the Republicans but also the Democrats who make these accusations themselves. For instance, you may or may not have heard Democrat Senator Robert Byrd's outburst of racist bigoted slurs, more specifically the "n-word," on national television in March of 2001. Amazingly, this incident of blatant racism on national television drew barely a peep from the NAACP, Jesse Jackson, Julian Bond, Mary Frances Berry, or any of the other ambulance chasers who purport themselves to be the leaders of the civil rights movement. In contrast, the main source of well deserved criticism for Byrd's racist outburst came not from any of the so called leaders of the civil rights movement but from from Republican Majority Leader Dick Armey (source). The race hustlers Jackson, Mfume et al turned a blind eye towards this act of racism by one of their own party, at most issuing an unpublicized slap on the wrist, or, as was more often the case, making not a peep. But where the race hustlers turn a blind eye and spew their lies, it is up to conservatives to set the record straight with the truth.

In response to the growing practice of racial McCarthyism by prominent left wing Democrats, it is necessary to expose the truth about the Democrat Party's record on Civil Rights:


I. Acts of Bigotry by Prominent Democrats and Leftists:
Franklin Delano Roosevelt: Franklin Roosevelt, the long time hero and standard bearer of the Democrat Party, headed up and implemented one of the most horrible racist policies of the 20th Century – the Japanese Internment Camps during World War II. Roosevelt unilaterally and knowingly enacted Japanese Internment through the use of presidential Executive Orders 9066 and 9102 during the early years of the war. These orders single-handedly led to the imprisonment of an estimated 120,000 law abiding Americans of Japanese ancestry, the overwhelming majority of them natural born second and third
generation American citizens. Countless innocents lost their property, fortunes, and, in the case of an unfortunate few, even their lives as a result of Roosevelt's internment camps, camps that have been accurately described as America's concentration camps. Perhaps most telling about the racist nature of Roosevelt's order was his clearly expressed intention to apply it almost entirely to Japanese Americans, even though America was also at war with Germany and Italy. In 1943, Roosevelt wrote regarding concerns of German and Italian Americans that they t0o would share in the fate of the interned Japanese Americans, noting that "no collective evacuation of German and Italian aliens is contemplated at this time." Despite this assertion, Roosevelt did exhibit his personal fears about Italian and German Americans, and in his typical racist form he used an ethnic stereotype to make his point. Expressing about his position on German and Italian Americans during World War II, Roosevelt stated “I don’t care so much about the Italians, they are a lot of opera singers, but the Germans are different. They may be dangerous.”

Roosevelt also appointed two notorious segregationists to the United States Supreme Court. Roosevelt appointed South Carolina segregationist Democrat Jimmy Byrnes to the court. Roosevelt later made Byrnes a top advisor, where the segregationist earned the nickname “assistant president.” Byrnes was Roosevelt’s second choice behind Harry Truman for the VP nod in his 1944 reelection bid. Roosevelt also appointed segregationist Democrat Senator Hugo Black of Alabama to the court. Black was a former member of the Ku Klux Klan with a notorious record of racism himself.

Hugo Black: A former Democrat Senator from Alabama and liberal U.S. Supreme Court Justice appointed by FDR, Hugo Black had a lengthy history of hate group activism. Black was a member of the Ku Klux Klan in the 1920's and gained his legal fame defending Klansmen under prosecution for racial murders. In one prominent case, Black provided legal representation to Klansman Edwin Stephenson for the hate-induced murder of a Catholic priest in Birmingham. A jury composed of several Klan members acquited Stephenson of the murder, reportedly after Black expressed Klan gestures to the jury during the trial. In 1926 Black sought and won election as a Democrat to the United States Senate after campaigning heavily to Klan membership. He is said to have told one Klan audience "I desire to impress upon you as representatives of the real Anglo-Saxon sentiment that must and will control the destinies of the stars and stripes, that I want your counsel." In the Senate Black became a stauch supporter of the liberal New Deal initiatives of FDR and a solid opponent of civil rights legislation, including a filibuster of an anti-lynching measure. Black led the push for several New Deal programs and was a key participant in FDR's court packing scandal. Roosevelt appointed Black, a loyal ally, to the U.S. Supreme Court. During the Senate confirmation of Black's nomination, the issue of his strong Klan affiliations caused a public controversy over his appointment. Following the confirmation Roosevelt claimed ignorance of Black's Klan past, though this claim was dubious at best. Black's first Senate election, which occurred with Klan support, had been covered nationally a decade earlier in 1926. Black's Klan affiliations were a well known part of his political background and recieved heavy coverage in the newspapers at the time of his appointment. On the court, Black became a liberal stalwart. He also continued his career of supporting racism by authoring the opinion in favor of FDR's Japanese internment program in the infamous Korematsu ruling.

Senator Robert Byrd, D-WV: Byrd is a former member of the Ku Klux Klan and is currently the only national elected official with a history in the Klan, a well known hate group. Byrd was extremely active in the Klan and rose to the rank of “Kleagle,” an official Klan membership recruiter. Byrd once stated that he joined the Klan because it was effective in "promoting traditional American values" (Source). Byrd's choice of words speak volumes about his bigotry considering the fact that the Klan is a notorious hate group, and the racist "values" it promotes are anything but American. One of the earliest criticisms of Byrd's Klan ties came in 1952 when he was running for Congress. Byrd responded by claiming that he had left the Klan in 1943 while noting that "(d)uring the nine years that have followed, I have never been interested in the Klan." Byrd was lying, however, as he engaged in correspondence with a Klan Imperial Wizard long after he claims to have ended his ties with the hate group.

In a letter to the Klan leadership (Source) dated 3 years after he purported to have ended his ties with them, Byrd wrote "I am a former kleagle of the Ku Klux Klan in Raleigh County and the adjoining counties of the state. The Klan is needed today as never before and I am anxious to see its rebirth here in West Virginia." Byrd continued his racist diatribe "It is necessary that the order be promoted immediately and in every state of the Union" and followed with a request for assistance from the hate group's leadership in "rebuilding the Klan in the realm" of West Virginia.

Byrd's racism extends far beyond his Klan membership. In a letter he wrote on the subject of desegregating the armed forces, Byrd escalated his racist rhetoric to an appalling level. In the letter, Byrd vowed that he would never fight in an integrated armed services noting "(r)ather I should die a thousand times, and see Old Glory trampled in the dirt never to rise again, than to see this beloved land of ours become degraded by race mongrels, a throwback to the blackest specimen from the wilds" (Source).

Byrd's racist opinions have shown their ugly face in his behavior in the Senate. Byrd led the filibuster of the Civil Rights Act of 1964 and, according to the United States Senate's own website, filibustered the legislation to the bitter end appearing as one of the last opponents to the act before a coalition of civil rights proponents led by Republican Minority Leader Everett Dirksen invoked cloture so that the Civil Rights Act of 1964 could pass. At the time, Byrd was in the the midst of a 14 hour and 13 minute filibuster diatribe against the key civil rights measure (Source). Throughout the 1960's, Byrd was was one of the staunchest opponents to civil rights in the U.S. Senate. Byrd’s racist history drew attention recently when he went on national television and repeatedly used the n-word, one of the most vicious racial slurs in existence, in an appearance on national television. Byrd uttered the slur on Fox News Sunday with Tony Snow on March 5, 2001. Despite the appalling nature of the remark, it went largely ignored by the mainstream media and the self appointed "civil rights" leadership. Whereas a similar remark by anyone other than a leading Democrat Senator would assuredly prompt the likes of Jesse Jackson to assemble protest rallies demanding resignations, the Jackson crowd was eerily quiet following Byrd's remarks, issuing only low key suggestions that Byrd should avoid making such bigoted remarks.

In a sickening recognition of Byrd's appalling political career, the national Democrat party has done nothing but embrace the West Virginia senator with leadership roles and practically every honor imaginable. To this very day the Democrats call former Klansman turned U.S. Senator Robert Byrd the "conscience of the Senate." They have embraced him as their party's central pillar in all ways possible. Byrd has been reelected more times than any other Democrat senator, has served as a Democrat in Congress, a Democrat State Senator in West Virginia, and a Democrat State Delegate in West Virginia. Democrats have made repeatedly elected Byrd into their national party leadership and into the U.S. Senate leadership. He became secretary of the Senate Democrat Caucus in 1967, and Senate Democrat Whip in 1971. The Democrats elected former Klansman Byrd as their Senate Majority Leader from 1977-1980 and as their Senate Minority Leader from 1981-1986. Byrd was again elected Democrat Majority Leader from 1987-1988. Democrats made Byrd the chairman of the powerful Appropriations Committee and President Pro Tempore of the Senate from 1989 until the Republicans won control of the Senate in November 1994. Following the defection of Jim Jeffords in June 2001, the Democrats again made Byrd the chairman of the Appropriations Committee and elected him to the highest ranking office in the Senate: the President Pro Tempore, a position which also put this former Klansman 4th in line for the presidency. Byrd lost his position when Republicans retook the Senate in late 2002, but continues to serve as one of the highest ranking members of the Democrat Senate leadership today.

Senator Ernest Hollings, D-SC: Hollings is liberal Democrat Senator from South Carolina who is also notorious for his use of racial slurs. He rose out of the Democrat Party's segregationist wing in the 1960's as governor of South Carolina. While in office as governor, Hollings personally led the opposition to lunch counter integration in his state. The New York Times reported on March 17, 1960 that then-governor Hollings "warned today that South Carolina would not permit 'explosive' manifestations in connection with Negro demands for lunch-counter services." According to the article, Hollings gave a speech in which he "challenged President Eisenhower's contention that minorities had the right to engage in certain types of demonstrations" against segregation. In the speech Hollings described the Republican president as "confused" and asserted that Eisenhower had done "great damage to peace and good order" by supporting the rights of minorities to protest segregation at the lunch counters.

Governor Hollings' support for segregation continued throughout his term and included his attendance at a July 23, 1961 meeting of segregationist Democrats to organize their opposition to the civil rights movement. Hollings was one of four governors in attendence, all of them Democrats. The others included rabid segregationists Orval Faubus of Arkansas and Ross Barnett of Mississippi. The New York Times reported on the meeting, noting that among the strategies discussed were using the segregationist White Citizens Council organization to mobilize political opposition to desegregation.

In more recent years Hollings, a senior Democrat senator, has made disparaging racial remarks and slurs against minorities. Senator Hollings, who was a contender for his party's presidential nomination in 1984, blamed his defeat in the primaries by using a racial slur against Hispanics. After losing the Iowa Straw Poll, Hollings stated "You had wetbacks from California that came in here for Cranston," referring to one of his opponents, Alan Cranston. A few years later Hollings reportedly used the slur "darkies" to derogatorily refer to blacks. He also once disparagingly referred to the Rainbow PUSH Coalition as the "Blackbow Coalition," and called former Senator Howard Metzenbaum, who is Jewish, "the Senator from B'nai B'rith." Hollings gained international criticism for his remarks about the African Delegation to the 1993 Geneva GATT conference, where he crudely remarked "you'd find these potentates from down in Africa, you know, rather than eating each other, they'd just come up and get a good square meal in Geneva." Hollings was also the Governor of South Carolina who raised the confederate flag over the state capitol in the early 1960's in what was considered at the time to be an act of defiance to civil rights. The press ignored Hollings and his role in the flag issue at the same time the political correctness police were smearing George W. Bush during his campaign after Bush correctly remarked that the flag was a state issue to be decided upon by South Carolina and not the national government.

Jesse Jackson: Jackson was the featured prime time speaker at the 2000 Democrat Convention. Jackson has a history of using anti-Semitic slurs and derogatorily calling New York City “Hymietown.” Jackson, a prominent self proclaimed "civil rights leader," is himself guilty of the same bigotry he dishonestly purports to oppose.

Dan Rather: Rather, the well known television anchor for CBS, is also a liberal Democrat who has spoken at fundraisers for the Democrat party in the past. The notoriously left wing reporter appeared on the Don Imus radio show on July 19, 2001 where he was interviewed about his long term refusal to cover the Gary Condit (D-CA) scandal involving an affair with a missing intern despite the scandal's national prominence. Rather noted on the air that CBS had basically forced him to cover the story that was on every other network and on the front page of all the major newspapers, all this after Rather avoided it for months. Rather stated on the air, refering to CBS, that "they got the Buckwheats" and made him cover the Condit scandal. The term "Buckwheat" is considered an offensive racial stereotype that stems from an easily frightened black character named "Buckwheat" on the Little Rascals comedies. It is widely regarded as a racial epithet and has long been condemned as an offensive stereotype by several civil rights organizations. In several past incidents (see here and here) the use of the epithet "Buckwheat" has recieved condemnation by the NAACP, Al Sharpton and other left wing organizations. These left wing organizations and personalities have demanded that other media personalities be fired over using the epithet, and even staged a protest at a school over the mere allegation that the racist stereotype had been used by a teacher. Yet these same liberal groups have, to date, remained completely silent now that one of their own, Dan Rather, is guilty of using the same offensive racial stereotype they have condemned elsewhere on a national radio show. It's just more proof of how the left wingers who cry the loudest with accusations of racism against others turn a blind eye when somebody of their own left wing ideology is the undeniable culprit of a blatantly racist act or statement!

Cragg Hines: Hines is one of the most rabidly partisan DC based Democrat editorial columnists to work for a major newspaper, and he makes no attempts to hide it. To Hines, pro-lifers are "neanderthals," as is often the case with those who differ in opinion with him. Ironically, Hines, a columnist who regularly touts himself as an enlightened progressive, is also known for racial remarks and religious intolerance. He attacked Senator Jesse Helms in an August 26, 2001 editorial with not only the usual liberal name calling, but also with a racial epithet. Hines used the racial slur "cracker" to attack Helms. He used the epithet not only within the article's text, but he even included it in the piece's title. In a sense of heavy irony, Hines' article accused Helms of bigotry for, among other things, opposing liberal policies like affirmative action. He didn't seem to object to himself for his own bigotted language in the same article. Hines has also drawn heavy criticism from Catholics including a letter to the editor from the former President of the U.S. Catholic Bishop's Conference for his seemingly agenda-driven criticisms of Catholicism and its religious leaders, often based on little or no historical evidence, which he has expressed in numerous editorial columns.

Al Sharpton: Sharpton, a perrenial Democrat candidate and one of the rumored candidates for the Democrat's 2004 presidential nomination, has a notorious racist past. Sharpton was a central figure who fanned the 1991 Crown Heights race riot, where a mob shouting anti-semetic slurs murdered an innocent Jewish man. Sharpton also incited a 1995 protest of a Jewish owned store in Harlem where protesters used several anti-semetic slurs. During the protests, a Sharpton lieutenant called the store's owner a "bloodsucker" and declared an intent to "loot the Jews." A member of the protest mob later set fire to the store, resulting in the death of seven (source).

Representative Dick Gephardt, D-MO: Gephardt, the former Democrat Minority Leader in the U.S. House of Representatives, gave several speeches to a St. Louis area hate group during his early years as a representative. According to the St. Louis Post-Dispatch, Gephardt spoke before the Metro South Citizens Council, a now defunct white supremacist organization, during his early years as a congressman. Newsmax.com further reported that Gephardt had openly asked the group for an endorsement of his candidacy during one of his many visits with the organization. Gephardt has long avoided questions about his past affiliation with this group.

Andrew Cuomo: Cuomo, Bill Clinton's former Housing Secretary and a prominent Democrat political player in New York, was tape recorded using racially inflamatory rhetoric to build opposition to a potential Democrat primary opponent while speaking to a Democrat group. Cuomo stated that voting for his rival for the New York Democrat gubernatorial nomination Carl McCall, who is black, would create a "racial contract" between Black and Hispanic Democrats "and that can't happen." Upon initial reports, Cuomo denied the statement but later a tape recording surfaced. Cuomo later dropped out of the race for governor (source).

Lee P. Brown: Brown, Bill Clinton's former drug czar and Democrat mayor of Houston, engaged in racist campaigning designed to suppress Hispanic voter turnout during his 2001 reelection bid. Brown faced challenger Orlando Sanchez, a Hispanic Republican who drew heavy support from the Hispanic community during the general election. Two weeks prior to the runoff, Brown's campaign printed racist signs designed to intimidate Hispanic voters. The signs featured a photograph of Sanchez and the words "Anti-Hispanic." The signs drew harsh criticism from Hispanic leaders as their message was designed to intimidate and confuse Hispanic voters. Around the same time the signs were being used, Brown supporter and city councilman Carol Alvarado made a series of racially charged attacks on Sanchez, implying a desire to see the supression of Hispanic voter turnout in the runoff. Brown staffers also went on record claiming that Sanchez was not a true Hispanic. The racist anti-Hispanic undertones of Brown's reelection bid were so great that liberal Democrat city councilman John Castillo, himself Hispanic, retracted his endorsement of Brown in disgust and became a Sanchez supporter in the final week of the campaign. Following the harsh condemnation of the racist signs and tactics, Brown purported that his campaign was removing them even though many still lingered around Houston up until the election. When election day came along, Brown placed more of the racist signs at polling places, despite his claim to have stopped using them. The large campaign billboard style election day signs featured, in Spanish, the word "Danger!" on them followed by Sanchez's name with a large red circle and slash through it. The signs identified the Brown campaign as their owner on the bottom. Brown's racially charged reelection effort barely squeeked by Sanchez on election day, winning 51% to 49% following a series of racially motivated advertisements in which the Brown campaign appealed to the fear of black voters by invoking images of the gruesome lynching death of James Byrd, Jr. and by attempting to pit them against Hispanics. While Brown had the audacity to declare himself a mayor for all people and all ethnicities at his victory party, many in Houston fear the racial wounds inflicted by his campaign will take years to heal.

Mary Frances Berry: Berry is the Democrat chair of the US Commission on Civil Rights (USCCR). She purports herself to be an "independent" in her political affiliation in order to hold her job on the civil rights commission where partisan membership may not exceed 4 for either party, but is in fact a dedicated liberal Democrat who openly supported Al Gore for president and has given a total of $20,000 in personal contributions to the Democrat Party, Al Gore for President, and other Democrat candidates over the last decade. Berry is an open racist who is affiliated with the far-left Pacifica radio network, a group with ties to black nationalist causes. Berry once stated "Civil rights laws were not passed to protect the rights of white men and do not apply to them," indicating that she believes the USCCR should only look out for civil rights violations against persons of certain select skin colors.

Billy McKinney: Former Democrat State Representative Billy McKinney of Georgia, who is also the father of former Democrat congresswoman Cynthia McKinney of the same state. During his daughter's failed 2002 reelection bid, McKinney appeared on television where he blamed his daughter's difficulties on a Jewish conspiracy. McKinney unleashed a string of anti-semitic sentiments, stating "This is all about the Jews" and spelling out "J-E-W-S." McKinney lost his own seat in a runoff a few weeks later.

The Democrat Party and the Ku Klux Klan: Aside from the multiple Klan members who have served in elected capacity within the high ranks of the Democrat Party, the political party itself has a lengthy but often overlooked history of involvement with the Ku Klux Klan. Though it has been all but forgotten by the media, the Democrat National Convention of 1924 was host to one of the largest Klan gatherings in American history. Dubbed the "Klanbake convention" at the time, the 1924 Democrat National Convention in New York was dominated by a platform dispute surrounding the Ku Klux Klan. A minority of the delegates to the convention attempted to condemn the hate group in the party's platform, but found their proposal shot down by Klan supporters within the party. As delegates inside the convention voted in the Klan's favor, the Klan itself mobilized a celebratory rally outside. On July 4, 1924 one of the largest Klan gatherings ever occurred outside the convention on a field in nearby New Jersey. The event was marked by speakers spewing racial hatred, celebrations of their platform victory in the Democrat Convention, and ended in a cross burning.




II. Democrat opposition to the Civil Rights Movement:
A little known fact of history involves the heavy opposition to the civil rights movement by several prominent Democrats. Similar historical neglect is given to the important role Republicans played in supporting the civil rights movement. A calculation of 26 major civil rights votes from 1933 through the 1960's civil rights era shows that Republicans favored civil rights in approximately 96% of the votes, whereas the Democrats opposed them in 80% of the votes! These facts are often intentionally overlooked by the left wing Democrats for obvious reasons. In some cases, the Democrats have told flat out lies about their shameful record during the civil rights movement.

Democrat Senators organized the record Senate filibuster of the Civil Rights Act of 1964. Included among the organizers were several prominent and well known liberal Democrat standard bearers including:
- Robert Byrd, current senator from West Virginia
- J. William Fulbright, Arkansas senator and political mentor of Bill Clinton
- Albert Gore Sr., Tennessee senator, father and political mentor of Al Gore. Gore Jr. has been known to lie about his father's opposition to the Civil Rights Act.
- Sam Ervin, North Carolina senator of Watergate hearings fame
- Richard Russell, famed Georgia senator and later President Pro Tempore

The complete list of the 21 Democrats who opposed the Civil Rights Act of 1964 includes Senators:

- Hill and Sparkman of Alabama
- Fulbright and McClellan of Arkansas
- Holland and Smathers of Florida
- Russell and Talmadge of Georgia
- Ellender and Long of Louisiana
- Eastland and Stennis of Mississippi
- Ervin and Jordan of North Carolina
- Johnston and Thurmond of South Carolina
- Gore Sr. and Walters of Tennessee
- H. Byrd and Robertson of Virginia
- R. Byrd of West Virginia

Democrat opposition to the Civil Rights Act was substantial enough to literally split the party in two. A whopping 40% of the House Democrats VOTED AGAINST the Civil Rights Act, while 80% of Republicans SUPPORTED it. Republican support in the Senate was even higher. Similar trends occurred with the Voting Rights Act of 1965, which was supported by 82% of House Republicans and 94% of Senate Republicans. The same Democrat standard bearers took their normal racists stances, this time with Senator Fulbright leading the opposition effort.

It took the hard work of Republican Senate Minority Leader Everett Dirksen and Republican Whip Thomas Kuchel to pass the Civil Rights Act (Dirksen was presented a civil rights accomplishment award for the year by the head of the NAACP in recognition of his efforts). Upon breaking the Democrat filibuster of the 1964 Civil Rights Act, Republican Dirksen took to the Senate floor and exclaimed "The time has come for equality of opportunity in sharing in government, in education, and in employment. It will not be stayed or denied. It is here!" (Full text of speech). Sadly, Democrats and revisionist historians have all but forgotten (and intentionally so) that it was Republican Dirksen, not the divided Democrats, who made the Civil Rights Act a reality. Dirksen also broke the Democrat filibuster of the 1957 Civil Rights Act that was signed by Republican President Eisenhower.

Outside of Congress, the three most notorious opponents of school integration were all Democrats:
- Orval Faubus, Democrat Governor of Arkansas and one of Bill Clinton's political heroes
- George Wallace, Democrat Governor of Alabama
- Lester Maddox, Democrat Governor of Georgia

The most famous of the school desegregation standoffs involved Governor Faubus. Democrat Faubus used police and state forces to block the integration of a high school in Little Rock, Arkansas. The standoff was settled and the school was integrated only after the intervention of Republican President Dwight D. Eisenhower.

Even the Democrat Party organization resisted integration and refused to allow minority participation for decades. Exclusion of minorities was the general rule of the Democrat Party of many states for decades, especially in Texas. This racist policy reached its peak under the New Deal in the southern and western states, often known as the New Deal Coalition region of FDR. The Supreme Court in Nixon v. Herndon declared the practice of "white primaries" unconstitutional in 1927 after states had passed laws barring Blacks from participating in Democrat primaries. But the Democrat Parties did not yield to the Court’s order. After Nixon v. Herndon, Democrats simply made rules within the party's individual executive committees to bar minorities from participating, which were struck down in Nixon v. Condon in 1932. The Democrats, in typical racist fashion, responded by using state parties to pass rules barring blacks from participation. This decision was upheld in Grovey v. Townsend, which was not overturned until 1944 by Smith v. Allwright. The Texas Democrats responded with their usual ploys and turned to what was known as the "Jaybird system" which used private Democrat clubs to hold white-only votes on a slate of candidates, which were then transferred to the Democrat party itself and put on their primary ballot as the only choices. Terry v. Adams overturned the Jaybird system, prompting the Democrats to institute blocks of unit rule voting procedures as well as the infamous literacy tests and other Jim Crow regulations to specifically block minorities from participating in their primaries. In the end, it took 4 direct Supreme Court orders to end the Democrat's "white primary" system, and after that it took countless additional orders, several acts of Congress, and a constitutional amendment to tear down the Jim Crow codes that preserved the Democrat's white primary for decades beyond the final Supreme Court order ruling it officially unconstitutional.

Hispanics in South Texas were treated especially poorly by the Democrat Party, which relied heavily on a system of political bosses to coerce and intimidate Hispanics into voting for Democrat primary candidates of choice. Though coercion is illegal, this system, known as the Patron system, is still in use to this day by local Democrat parties in some heavy Hispanic communities of the southwest.


The next time Democrats take to the national airwaves to dishonestly accuse Republicans of racial hatred, remember who the historical record up until this very day points to as the real bigots: The Democrat Party. In all possible ways, the Democrat Party is built around the pillars of ultra leftists, many of whom are known participants in racism and/or affiliates of racist hate groups. Consider the Democrat Party of today's heroes and leaders:
- Franklin Delano Roosevelt, Democrat icon and orchestrator of Japanese Internment
- Ex-House Minority Leader Dick Gephardt, former affiliate of a St. Louis area racist group
- Ex-Senate President Pro Tempore Robert Byrd, former Ku Klux Klansman known for making bigoted slurs on national television
- Rev. Jesse Jackson, Democrat keynote speaker and race hustler known for making anti-Semitic slurs
- Rev. Al Sharpten, Democrat activist and perennial candidate and race hustler known inciting anti-Semitic violence in New York City
- Sen. Ernest Hollings, leading Democrat Senator known for use of racial slurs against several minority groups
- Lee P. Brown, former Clinton cabinet official and Democrat mayor of Houston who won reelection using racial intimidation against Hispanic voters
- Andrew Cuomo, former Clinton cabinet official and Democrat candidate for NY Governor who made racist statements about a black opponent.
- Dan Rather, Democrat CBS news anchor and editorialist known for using anti-black racial epithets on a national radio broadcast
- Donna Brazile, former Gore campaign manager known for making anti-white racial attacks. Brazile has also worked for Jackson, Gephardt, and Michael Dukakis

The simple truth is that the Democrat Party's history during this century is one closely aligned to bigotry in a record stemming largely out of the liberal New Deal era up until the modern day. Bigots are at the center of the Democrat party's current leadership and role models. And in a striking display of hypocrisy, many of the same Democrats who dishonestly shout accusations of "bigotry" at conservatives are practicing bigots of the most disgusting and disreputable kind themselves.



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2001, The Capitalist Conservative Republican Homepage. All Rights Reserved.

Result number: 127

Message Number 205940

Re: Hillary exposed View Thread
Posted by john h on 8/01/06 at 11:49

Lay off the Wellsley and Smith girls. I once lived in the area and dated them. They may be coed these days but back then they were all girls. At the time I did not know there was such a thing as a Liberal or Conservative. Come to think about it, I may have been happier not knowing such things.

Result number: 128

Message Number 205773

Heel tearing and tingling sensation...please reply...thanks View Thread
Posted by Smith11 on 7/30/06 at 07:23

This is a message I posted a few days ago, but never got a response. I would be most appreciative if one of the doctors could help..thanks very much:

Hello-
I have recently begun feeling a tingling feeling in my heel when stretching, leaning forward or flexing my foot. It has been going on for about ten days. It really feels like a tearing sensation emanating from the bottom of my heel. Once stretched fully and for a few moments the tingling will stop, but then resume in a short time when next tested. I have not had heel problems in the past. Any idea what this could be, or what I should do to make it stop? Thanks..... -Michael

Result number: 129

Message Number 205394

Tingling feeling in the heel... View Thread
Posted by Smith11 on 7/26/06 at 18:40

Hello-
I have recently begun feeling a tingling feeling in my heel when stretching, leaning forward or flexing my foot. It has been going on for about ten days. Once stretched fully and for a few moments the tingling will stop, but then resume in a short time when next tested. I have not had heel problems in the past. Any idea what this could be, or what I should do to make it stop? Thanks..... -Michael

Result number: 130

Message Number 205346

Tingling in the heel View Thread
Posted by Smith11 on 7/26/06 at 11:22

Hello-
I have recently begun feeling a tingling feeling in my heel when stretching, leaning forward or flexing my foot. It has been going on for about ten days. Once stretched the tingling will stop, but then resume in a short time when next tested. I have not had heel problems in the past. Any idea what this could be, or what I should do to make it stop? Thanks..... -Michael

Result number: 131

Message Number 204664

Re: Your president on geography and world affairs View Thread
Posted by john h on 7/19/06 at 11:12

Marie: The current thinking is that the front runner for the Republican nomination is McCain. Condolece Rice is often talked about as a possible VP. She certainly has the brain power. We have two full years to go so a lot can happen. Especially in the Middle East. At this point I would not even venture a guess as to how the Middle East problems will turn out. I fully expect the Islamist will still wish all Israelis dead and Isreal will be fully prepared to respond to attack.

Many think Hillary Clinton is the front runner for the Republicans, IMHO I do not think she will get the nomination as she is a very polarizing figure. People either love her or hate her. There is no in between. Gore has said he will not run. The Democrats would be wise to pick someone who is at least moderate and Hillary has been trying to position herself in that manner. She is even moderate on the issue of Iraq and has not called for a deadline to pull out or even pull out. She was in Little Rock over the weekend and spent the night at the Clinton Library. Does she and Bill ever stay in the same house anymore? I really do not understand their relationship if there is or is not one.

Polls still look much like they usually do and that is Republicans are strong on defense and Democrats are strong os social issues. The Democrats should make inroads in the House and Senate and could gain control but not by enough to get much done. I think this Novembers elections will be close as to who controls the House. These elections are mostly local and as always very few of the old timers in the House will be voted out and there will be only a few seats up for real contention. Our state is a very Conservative state but we continually send Democrats to Washington just because they are Democrats. This dates back to the Civil War. Talk to the average voter and you would be sure you were talking to a Republican about issues. The voter and his father and grandfather, and great grandfather,etc have always voted Democratic and always will. In Arkansas Bill Clinton is still loved or hated. No in between on him as with Hillary. The one election he lost here was for Governor and he was kicked out when all the Cuban Boat People were sent here to an Army Base near Ft. Smith and brought a lot of crime with them. He was re elected next time around.

Result number: 132

Message Number 204663

Re: Your president on geography and world affairs View Thread
Posted by john h on 7/19/06 at 11:12

Marie: The current thinking is that the front runner for the Republican nomination is McCain. Condolece Rice is often talked about as a possible VP. She certainly has the brain power. We have two full years to go so a lot can happen. Especially in the Middle East. At this point I would not even venture a guess as to how the Middle East problems will turn out. I fully expect the Islamist will still wish all Israelis dead and Isreal will be fully prepared to respond to attack.

Many think Hillary Clinton is the front runner for the Republicans, IMHO I do not think she will get the nomination as she is a very polarizing figure. People either love her or hate her. There is no in between. Gore has said he will not run. The Democrats would be wise to pick someone who is at least moderate and Hillary has been trying to position herself in that manner. She is even moderate on the issue of Iraq and has not called for a deadline to pull out or even pull out. She was in Little Rock over the weekend and spent the night at the Clinton Library. Does she and Bill ever stay in the same house anymore? I really do not understand their relationship if there is or is not one.

Polls still look much like they usually do and that is Republicans are strong on defense and Democrats are strong os social issues. The Democrats should make inroads in the House and Senate and could gain control but not by enough to get much done. I think this Novembers elections will be close as to who controls the House. These elections are mostly local and as always very few of the old timers in the House will be voted out and there will be only a few seats up for real contention. Our state is a very Conservative state but we continually send Democrats to Washington just because they are Democrats. This dates back to the Civil War. Talk to the average voter and you would be sure you were talking to a Republican about issues. The voter and his father and grandfather, and great grandfather,etc have always voted Democratic and always will. In Arkansas Bill Clinton is still loved or hated. No in between on him as with Hillary. The one election he lost here was for Governor and he was kicked out when all the Cuban Boat People were sent here to an Army Base near Ft. Smith and brought a lot of crime with them. He was re elected next time around.

Result number: 133

Message Number 203665

Where's Todd? View Thread
Posted by vsmith on 7/11/06 at 08:32

Todd, how are you doing? Last we heard you were contacting Dr. Nordyke regarding cryo for yuor neuroma. Any news?

Result number: 134

Message Number 202202

Re: DRX9000 View Thread
Posted by Dr Mike G on 6/26/06 at 16:01

John,
The sad fact is that many doctors out there have not been taught business at all. They rely on these "guru's" to help them make their business profitable. I don't know what other offices do, but we have no sales pitch. I supply patients with options and leave it to them to make up their mind on what they would like to proceed with. I have collegues who are neurologists and orhtopedists who medicate and cut to help, we just do it a different way.

I brought the equipment into the office after sending 3 patient to back surgery last year. Had I had this, I may not have had to do so. So after investigating it I decided to bring it in.

As far as research, I did a lot on my own because I am a doubting Thomas.

Alot of information is there, you just need to know where to look. There is an oral presentation from Norman Shealy, MD on decompression therapy from 11/12/05 Southern Medical Association. Americvan Journal Of Physiological Therapeutics, Vol.15 No.3 July 2005 also by Shealy. Orthopedic Thechnology Review Vol7 No4 May/June 2005 by Rich Smith. Practical pain Management vol 5 no 3 april 2005. Orthopedic Technology review vol5 no 6 nov/dec 2003 Thomas Gionis MD. Practical Pain management Mar/april 2003, Alan E Ottenstein MD. MTG Newsletter Oct 1998/ vol5 no3 info on drs system. Journal of Neoroimaging vol8/ no 2 april 1998. AJPM vol7, No2 april 1997 Shealy MD. Annals of Medicine (date unknown) Jerome Groopman. Pain Management- a practical guide for Clinicians, fifth edition, chapter 20: new concepts in back pain management: decompression, reduction and stabilization Shealy, MD.

As you can see Dr. Shealy is on the forefront of this research. Dr. Shealy's work gave way to all of these decompression systems.

The problem is that this does not follow the Allopathic model of 1 surgery or take this prescription.

I have seen this technique work and work well. For the cost, it is very well worth it. Especially if it saves surgery. You can always cut, but you can never go back.

I hope this all helps.

By the way, where are all of you hearing about decompression?
I want to get the word out to people without sounding like I am selling anything. Like I said before, It works and we just want to help more people.

Result number: 135

Message Number 201548

Re: New Balance View Thread
Posted by john h on 6/19/06 at 12:13

Live in Little Rock, Arkansas. Lived in Falmouth on Cape Cod for a couple of years and Mt Holly, New Jersey for 3 three years. In my younger days I used to run the girls a Smith and Wellsley.

Result number: 136

Message Number 201057

Re: Cryoanalgesia: Outcomes for heel pain & Morton's Neuroma View Thread
Posted by Ralph on 6/13/06 at 16:49

Dr. Goldstein,
Podiatry students realize and are asking for Science Based
Medicine Studies. Jon Goldsmith argues for more research in the profession. A 4th year student at the time of writing this article. I hope you can open the link.

This young man hit the nail on the head about retrospective case studies. The type you are doing. He says " Podiatry lags behind in the area of academic commitment. Although there are podiatric medical journals in print, the research being performed primarily revolves around case studies. Retrospective case studies conclude by stating a hypothesis. A more compelling goal would be strong prospective studies that prove or disprove a hypothyesis. Clearly prspective studies are more agressive and productive."

A link to his entire paper:

http://www.podiatrym.com/pmarticle.cfm?id=56

Result number: 137
Searching file 19

Message Number 195132

Re: Help with sump neuroma View Thread
Posted by Dr. David S. Wander on 3/08/06 at 14:48

This post is directed toward Dr. Goldstein. I have no idea what point you were attempting to make. You plant the seed stating that the 5-7 sclerosing injections pay more than surgery, then qualify that statement by saying that you're not making any ethical judgement calls regarding Todd's podiatrist. Then what was your point? Why even bring it up? The only purpose it could possibly serve was to discredit Todd's doctor or any doctor performing this procedure, which I believe was completely out of line. The fact remains that sclerosing alcohol injections are an extremely useful modality in the treatment of painful neuroma's, and the protocol is a minimum of 3 and a maximum of 7 injections, REGARDLESS of the reimbursement. Just because you're on your soapbox performing cryosurgery on everyone doesn't mean we all have financial gain as our motives. I perform this procedure on capitated HMO patients, even when I receive NO additional reimbursement. I treat patients, not insurance companies and I resent ANY inference that I would perform ANY procedure on a patient simply because it's reimbursement is better than another procedure. That may be the way YOU think. The reason insurance companies stopped paying for multiple injections is because the code that was being used was the WRONG code. The code was for a chemical neurolysis of a nerve, which meant that it was a ONE TIME deal, and once the nerve was chemically neurolysed, it was finished, and that's why it paid so well. It is a code that never was supposed to be billed 3-7 times. When the insurance companies looked into it, they realized that the procedure that was being performed did not truly match the code being used. Therefore, all the coding "experts" such as Harry Goldsmith and Ken Malkin began changing their tunes and recommending that the chemical neurolysis of a nerve NOT be used anymore. Therefore, simple injection codes were more appropriate and reimbursements decreased significantly.

Your inference that doctors were/are performing sclerosing injections due to the high reimbursement was completely inappropriate and served no purpose. It is no better than people accusing you of purchasing a cryosurgical unit simply so you can perform your procedure to receive reimbursement without having to spend the time and energy taking the patient to the OR, etc., etc. There are some comments that simply don't need to be stated and serve no purpose. I agree 110% with Dr. Zuckerman on this one.

Result number: 138

Message Number 194894

Re: Superfeet trained????? View Thread
Posted by Jeremy L on 3/05/06 at 08:56

In simplest terms, there are retailers (mostly Superfeet dealers) who are trained in the benefits of Superfeet branded inserts. Although they are a trusted brand with over thirty year's industry experience, (like most OTS inserts) Superfeet is not an product suited for everyone.

Now for the realy good news. Dr. Smith and his staff are some of the leaders in research for foot biomechanics. They are also helping build pedorthic educational facilities with the Robert Palmer Institute in Indiana. Their research has helped both modernize understanding of foot dynamics and confirmed studies done by others. Of most interest is their findings on the importance of support/activation of the talo-navicular joint in order to encourage the plantarflexion of the first ray.

Okay, now without the textbook jargon .... all this not only allows the foot to be properly supported, but also shortens the medial side of the fascia. Added together, for most people it is extremely effective in reducing or eliminating long-term PF symptoms.

So, long description made concise .... those retailers having gone through Superfeet training should have a much greater understanding in the mechanics of the foot, as well as effective rudimentary means in helping relieve foot pain. It's even better if those retailers go beyond the Superfeet propaganda to recognize other products which provide similar construction and relief (i.e. Down Unders, Powerstep).

Result number: 139

Message Number 194892

Re: Superfeet trained????? View Thread
Posted by Jeremy L on 3/05/06 at 08:54

In simplest terms, there are retailers (mostly Superfeet dealers) who are trained in the benefits of Superfeet branded inserts. Although they are a trusted brand with over thirty year's industry experience, (like most OTS inserts) Superfeet is not an product suited for everyone.

Now for the realy good news. Dr. Smith and his staff are some of the leaders in research for foot biomechanics. They are also helping build pedorthic educational facilities with the Robert Palmer Institute in Indiana. Their research has helped both modernize understanding of foot dynamics and confirmed studies done by others. Of most interest is their findings on the importance of support/activation of the talo-navicular joint in order to encourage the plantarflexion of the first ray.

Okay, now without the textbook jargon .... all this not only allows the foot to be properly supported, but also shortens the medial side of the fascia. Added together, for most people it is extremely effective in reducing or eliminating long-term PF symptoms.

So, long description made concise .... those retailers having gone through Superfeet training should have a much greater understanding in the mechanics of the foot, as well as effective rudimentary means in helping relieve foot pain. It's even better if those retailers go beyond the Superfeet propaganda to recognize other products which provide similar construction and relief (i.e. Down Unders, Powerstep).

Result number: 140

Message Number 192147

More movies View Thread
Posted by Dorothy on 1/25/06 at 20:38

Just because I say, parenthetically, "I love this movie" doesn't mean anything special. I love all these and the previously listed movies, and even more than that; I just especially love some.
More movies:
Babette’s Feast (wonderful, wonderful)
Driving Miss Daisy
Jean de Florette
Manon of the Spring
Princess Bride
Airplane!
Chinatown
A Man for All Seasons (I love this movie)
North by Northwest
Bridge on the River Kwai
The Russians Are Coming! The Russians Are Coming!
It’s a Mad, Mad, Mad, Mad World
Friendly Persuasion (I love this movie)
A Streetcar Named Desire
All the King’s Men (the book is better though)
The Third Man
I Remember Mama
The Treasure of the Sierra Madre (we don’t need no stinkin’ badges!)
To Be or Not To Be (very funny; remade by Mel Brooks as Springtime for Hitler; the original was funnier, IMO – Jack Benny, Carole Lombard – great satiric humor)
Mr. Smith Goes to Washington
My Man Godfrey
Harvey

Result number: 141

Message Number 191936

Re: Speaking of Movies..... View Thread
Posted by JudyS on 1/23/06 at 09:45

Recovery is going well Dorothy - thankyou for asking. Although I do have sort of a silly concern; when my Dr proposed inserting a screw through the joint of my left middle finger I asked him, and his attending asst., if I would still have use of it because I'm left-handed and I play a lot of ball, use a computer, etc. etc. He and she assured me I would. But I can't for the life of me figure out how I'll be able to wrap that finger around a bat. I don't think that joint will be able to bend at all with a screw through it.

On the other hand (so to speak!) I'm not much of a batter anyway so it won't make much difference!

About Mr. & Mrs. Smith. The premise was an interestig one but it was plotted out poorly. It seemed like the plot was a thin shell wrapped around a thick wad of violent scenes. Poor acting. Violent and lengthy car chases. Most of all, a lenghthy scene of the two married characters trying to kill eachother in their home with guns, knives and beatings. It was way overdone.

Result number: 142

Message Number 191920

Re: Speaking of Movies..... View Thread
Posted by JudyS on 1/22/06 at 22:30

I rented Mr. & Mrs. Smith the other day. It now ranks among the five worst movies I've ever seen!

Result number: 143

Message Number 191060

Re: 94% I don't think so View Thread
Posted by non-believer on 1/08/06 at 15:39

You can ask me any ?'s that don't involve personal infomation. I won't discuss my personal health, who my doctors are, where I live, etc.

Besides if I told you my name was Joe Smith, I lived in Pork Belly Ak, my dpm was Dr. Bubba Blutto, I worked for the Pork Belly Ak road dept and I had 3 flat feet- would that solve the problem about asking me ?'s??

Result number: 144
Searching file 18

Message Number 187445

Re: United Shockwave Therapies, LLC View Thread
Posted by Ralph on 11/15/05 at 11:36

It's not been that long Dr. Z. I just paged back and found these earlier discussions. Apparently the questioning about United's billing practice started up again by the post that I recopied below from Lynn in Oct.'05. Many others entered into the discussion, John, Elvis, Vince, you, me, Ed. Steve etc.

While you may feel it strange that Mr. Cohen came to heelspurs now looking back at this long thread one could be suspicious about the original post by Lynn.

I remember commenting about "ALL" the Lynn's that suddenly appeared on the board at that time. Remember there was Lynn, Lynn D, Lynn F, Lynn S. and Lynn M.

I'm not a sluth but maybe to solve Mr. Cohen's timing one has to go back to Lynn's original post and ask is that post real considering the facts that there were sooo many other Lynn's posting at the same time.

What ever the reason Mr. Cohen posted now may only be known to him, but I'm still glad that we got to hear from someone so high up in the company.
I think since United Shockwave has been the topic of discussion several times it's good to have a name and phone number that we can refer posters to.

These are some of the posts in that long thread.

Any one that paid out of pocket in New Jersey for ESWT View Thread
Posted by Lynn F. on 10/15/05 at 15:12

Hi Dr. Z. - When I had ESWT one year ago, both my Dr. and United Shockwave assured me that (despite my insurance company - Aetna's refusal to cover ESWT) my ONLY responsibility was a $500 fee to the dr. which I paid the day of my treatment. Yesterday, out of the blue, I rec'd a letter from United Shockwave telling me how outrageous it was that Aetna is leaving me responsible for the balance ($6800!). I was beside myself. They want me to complete a form (so they can appeal to a 3rd party) and if I don't, I could be responsible for the balance. Being a weekend I could not reach my dr. or United S/W to find out what is happening. I don't know if this is the same thing you are asking, but I came here to see if anyone else had experienced this. Thanks.


Re: Unitedshock wave cases view thread
Posted by vince on 10/23/05 at 08:16

Careful Dr. Z. Your postings seem to me to be geting very close to accusations of illegal activity. It reads like you are claiming that United Shockwave is guilty of insurance fraud, engaging in kick-backs,and overcharging. Do you have any hard evidence that these activities have taken place? I was under the impression that co-payments or deductables can be ignored by a medical provider if they are billing out of network. Isn't that why doctors have associates on staff who are not contracted with partticular insurans co's so that they can bill out of network and collect higher payments? Do you have any podiatrist associates in you practice who do this? Does Mr. Smith, who has a wart, come into your office and get sent to see Dr. Jones who is not contracted with her insurance company instead of Dr. Brown who is? Are you sure that your practice will pass the "smell" test Dr. Z?
I think that you, Dr. Z, are trying to stir up trouble against a very good company because they are beating you up in the ESWT business. I know that they are honest. I know that what they say is true. They provided my ESWT treatment. What they told me concening billing was 100% accurate. My podiatrist continues to use them. He told me( second hand statement so you can discount it if you wish)that every patient he has treated with them has been told billing information that has proven to be 100% the truth. To his knowledge no patient account has ever been sent to collection. My insurnce company denied payment and I was never threatened.I asked my podiatrist if he paid United any fee or received any payment from them and he told me emphatically NO. I asked him if any other company who does ESWT writes a check to a podiatrist and he said YES but refused to tell me who they were. I mad some calls to podiatrist offices pretnding to be patient who needs ESWT. I asked about how they bill for the procedure and you can just guess which small ESWT provider, based on the East coast, bills the patients insurance company and then cuts a check to the doctor. Actually there were 2 of them. Now that sounds like a kick back scheme to me.

Posted to Category: ESWT
Reply to Message # 185471

Re: Unitedshock wave cases view thread
Posted by Dr. Z on 10/22/05 at 22:13

Ralph, etc
Maybe others are talking about their collection tactics. I am not. I am talking knickback, no collection of co-payment/deductible, insurance fraud, all which cause lack of ESWT coverage due to over charging by doctors and equipment companies. This is completely different then collection tactics.
This will come to a head in the next year so to discuss this now is a waste of energy and time.
I do recommend that all patients can their fee in writing and a description of the service provided

Posted to Category: ESWT
Reply to Message # 185452

Re: Unitedshock wave cases view thread
Posted by Ralph on 10/22/05 at 19:52

Your probably correct. People just have to read what they are signing very carefully and if they don't understand it let an attorney help them.
They shouldn't sign their life away. You've got a note in writing so thats probably the only amount that you owe.

After reading your post it sounds like United which is apparently a very big player in ESWT is just trying to collect from appeals with the help of patients who had the treatment. You can't fault them for that and if that is the case then the other picture that is being painted of their "collection" tactic is untrue and shouldn't be continually posted as being true.

If they are hauling people into court for collection then we should know about that.

Posted to Category: ESWT
Reply to Message # 185447

Re: Unitedshock wave cases view thread
Posted by SteveG on 10/22/05 at 19:14

Ralph - I don't know that they have been - resolved, that is. I, too, got a note similiar to Lynn's several months ago. I think they are just trying to get you to sign the appeal form. However, I also have a note in writing that I got prior to the procedure stating that they would not charge for the treatment. So, if they did come back for money, it would get pretty complicated. There must be 100s of us that got treated under the 500 dollar agreement. If they started coming back demanding money from all of us, this board would be loaded with ranting and raving.

Posted to Category: ESWT
Reply to Message # 185443

Result number: 145

Message Number 187207

Re: How is Todd doing? View Thread
Posted by Todd on 11/12/05 at 13:15

Hello Brian...
I guess you neeed to find out ASAP if you do have RSD. My understanding is you need to treat that right away.

I have some questions for you.
What type of surgery did they do? Neurectomy? Ligament release? When were they done? What is the source of your pain now? I posted on the Ask the Doctor board about "failed or semi failed" neuroma surgery. I don't understand how the pain can still be present if the neuroma has been removed. The only thing I can think of is a stump neuroma.

What type of treatments did you have before surgery?

Can you give some background information on your ordeal with your neuromas?

What type of pain are you in now? Sharp shooting pain? Burning? Where is the pain located at? Ball of the foot? What helps? Icing?

Sorry for the loads of questions, but I've got 3 neuromas. Cortisone only worked few a few days. My left foot doesn't bother me much, but the right hurts when I walk around, so I have to ice it which helps a lot, but only for a few hours. I can't stretch my feet for my facsiitis because that makes the neuromas hurt like hell. So I'm trying to treat the neuromas first.

I want to try alcohol next, than if that doesnt' work, perhaps wait a few months and try it again...and then to cryosurgery and than perhaps surgery.

I'd also like to get the other podiatrist opinions on this board...But I know they're also busy.


Can you email me at smith_bp101 at hotmail.com so I don't loss contact with you? Thanks Brian!

Result number: 146

Message Number 186463

Re: NEw CPT Code View Thread
Posted by Dr. Z on 11/01/05 at 18:36

Steve,
I was told a few years ago by Dr. Smith from the APMA that the the posterior and sural area are regional blocks. They are field blocks and not local blocks.
It is my understanding that the posterior tib and sural blocks are standard regional blocks.
It is possible that someone in the medical director's department could TRY to make this into a local block instead of regional block.
What would I do. I would do nothing at this stage. If you are trying to make sure all of your I's are dotted you can do a search on the internet and find the definitions.
I just pick up from my medical collection, a CD entitled Regional Anesthetic nerve block of the foot. IT shows the posterior tib and sural as a regional block. I reallly am not that concerned. The CD is by Dr. Ruch one of Dr.McGlamory partners from Atlanta Georgia. Very respected podiatric teacher and physician

If you want a copy of the CD just let me know and I will burn and mail you a copy. Very good teaching device for regional blocks.

Result number: 147

Message Number 186198

Re: antibiotic (quinolone) and tendons View Thread
Posted by d fuller on 10/30/05 at 01:19

This is a list of citations begining in 1965 to date that deal with this "rare" adverse event. I present this not as an argumentative rebuttal but as proofs regarding my previous post. One would think if indeed this was a rare occurence we would not read medical journal articles concerning it each and every year for forty years. Nor does this list inlcude all such citations, only those readily available to the average person. Of special interest is the statements made at the 62 Meeting of the Anti-Infective Drugs Advisory Committee (circa 1994)where quinolone induced joint destruction (requiring complete joint replacement) is discussed as well as irreversible tendon and ligament damage. You will find that towards the end of this response. We find the same documentation when it comes to peripherial neuropathy as well which was first reported in association with Nalidixic Acid in the mid sixties.

1965

1. DE VRIES AC.
[SPONTANEOUS RUPTURE OF THE ACHILLES TENDON]
Ned Tijdschr Geneeskd. 1965 Jan 2;109:59-60. Dutch. No abstract available.
PMID: 14284979 [PubMed - OLDMEDLINE for Pre1966]

2. CROZZOLI NR, MANCA M.
[SUBCUTANEOUS RUPTURE OF THE ACHILLES TENDON. CONSIDERATIONS ON OUR CASE
HISTORIES]
Minerva Ortop. 1965 Jan-Feb;16:21-9. Italian. No abstract available.
PMID: 14303636 [PubMed - OLDMEDLINE for Pre1966]

3. VON GRAFFENRIED, ENGELER V, HEIM U.
[SUBCUTANEOUS RUPTURE OF THE ACHILLES TENDON]
Helv Chir Acta. 1965 Jan;32:253-6. German. No abstract available.
PMID: 14290218 [PubMed - OLDMEDLINE for Pre1966]


1969

1. Rosolleck H.
[Subcutaneous achilles tendon rupture]
Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed. 1969 Dec;72(12):544-7.
German. No abstract available.
PMID: 4248859 [PubMed - indexed for MEDLINE]


1971

1. Auquier L, Siaud JR.
[Nodular tendinitis of the Achilles tendon]
Rev Rhum Mal Osteoartic. 1971 May;38(5):373-81. French. No abstract available.
PMID: 5092370 [PubMed - indexed for MEDLINE]

2. Krahl H, Langhoff J.
[Degenerative tendon changes following local application of corticoids]
Z Orthop Ihre Grenzgeb. 1971 Jul;109(3):501-11. German. No abstract available.
PMID: 4254811 [PubMed - indexed for MEDLINE]


1972

1. Nalidixic Acid arthralgia
Bailey et al (CMA Journal 1972; 107 601-605)

2. Dupuis PR, Uhthoff HK.
In vivo study of the effects of a synthetic steroid, betamethasone (16B methyl-9X fluoroprednisolone) on the calcaneal tendon in rabbits Union Med Can. 1972 Sep;101(9):1763-7. French. No abstract available.
PMID: 5075006 [PubMed - indexed for MEDLINE]


1976

1. Jouirland JP Les ruptures tendineusues. Le tendon normal et patholoqique
Seminar de Monte Carlo 13-14 February 1976


1980

1. Mason JO, Meagher DJ, Sheehan B, O'Doherty CK.
The management of supraspinatus tendinitis in general practice.
Ir Med J. 1980 Jan;73(1):23-40. No abstract available.
PMID: 7380640 [PubMed - indexed for MEDLINE]


1981

1. Jensen KE.
[Bilateral rupture of the Achilles tendon]
Ugeskr Laeger. 1981 Jul 6;143(28):1768. Danish. No abstract available.
PMID: 7292758 [PubMed - indexed for MEDLINE]


1982

1. Fink RJ, Corn RC.
Fracture of an ossified Achilles tendon.
Clin Orthop. 1982 Sep;(169):148-50. No abstract available.
PMID: 6809391 [PubMed - indexed for MEDLINE]

2. Cetti R, Christensen SE.
[Rupture of the Achilles tendon after local steroid injection]
Ugeskr Laeger. 1982 May 10;144(19):1392. Danish. No abstract available.
PMID: 7135524 [PubMed - indexed for MEDLINE]

3. Chechick A, Amit Y, Israeli A, Horoszowski H.
Recurrent rupture of the achilles tendon induced by corticosteroid injection.
Br J Sports Med. 1982 Jun;16(2):89-90. No abstract available.
PMID: 7104562 [PubMed - indexed for MEDLINE]

4. Newmark H 3rd, Olken SM, Mellon WS Jr, Malhotra AK, Halls J
A new finding in the radiographic diagnosis of achilles tendon rupture.
Skeletal Radiol. 1982;8(3):223-4. No abstract available.
PMID: 7112151 [PubMed - indexed for MEDLINE]


1983

1. Norfloxacin induced rheumatic disease
Bailey et al (NZ Med J 1983; 96; 590)

2. Kleinman M, Gross AE.
Achilles tendon rupture following steroid injection. Report of three cases.
J Bone Joint Surg Am. 1983 Dec;65(9):1345-7. No abstract available.
PMID: 6197416 [PubMed - indexed for MEDLINE]


1984

1. Chamot AM, Gobelet C.
[Achilles tendinitis: a pathology of confines]
Rev Med Suisse Romande. 1984 Oct;104(10):783-7. French. No abstract available.
PMID: 6515224 [PubMed - indexed for MEDLINE]


1985

1. Between 1985 and July 1992 100 cases of tendon disorders had been identified in France
Kessler et al (HRG Publication 1399, August 1. 1996)

2. Jones JG.
Achilles tendon rupture following steroid injection.
J Bone Joint Surg Am. 1985 Jan;67(1):170. No abstract available.
PMID: 3968099 [PubMed - indexed for MEDLINE]

3. 100 reported tendinopathies 1985-1992 France
In France, between 1985 and 1992, 100 patients who were being managed with fluoroquinolones had tendon disorders, which included thirty-one ruptures (Royer, R. J.; Pierfitte, C.; and Netter, P.: Features of tendon disorders with fluoroquinolones. Therapie, 49: 75-76, 1994.)
http://www.studiomedico.it/allegati/achille.pdf


1987

1. Ciprofloxacin an update on clinical experience
Areieri et al (Am J of Med 1987 82 381-386)

2. 93 ruptures, 103 tendinopathies, 20 tenasynovitis, 1987-1997
Source: http://www.sma.org/smj1999/junesmj99/harrell.pdf


1988

1. McEwan SR, Davey PG. Ciprofloxacin and tenosynovitis. Lancet 1988; 2: 900.

2. Adverse effects of fluoroquinolones
Halkin et al (Rev Infect Dis 1988 10 258-261)

3. Ciprofloxacin and tenosynovitis
McEwan et al ( Lancet 1988 15 900)

4. Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages


1989

1. Adverse reactions during clinical trials and post marketing surveillance
Janknegt et al (Pharm Weekbl Sci 1989 11(4) 124-127)

2. Arthritis induced by norfloxacin
Jeandel et al (J Rheumatol 1989 16 560-561)

3. Schumacher HR Jr, Michaels R.
Recurrent tendinitis and achilles tendon nodule with positively birefringent crystals in a patient with hyperlipoproteinemia.
J Rheumatol. 1989 Oct;16(10):1387-9.
PMID: 2810266 [PubMed - indexed for MEDLINE]


1990

1. Histologic and Histochemical Changes in Articular Cartilages of Immature Beagle Dogs Dosed with Difloxacin, a Fluoroquinolone
J.E. Kurkhardt et al (Vet Pathol 27;162-170, 1990)


1991

1. Rheumatolgical side effects of quinolones
Ribard et al (Baillere’s Clin Rheumatol 1991 5 175-191)

2. Perrot S, Ziza JM, De Bourran-Cauet G, Desplaces N, Lachand AT.
[A new complication related to quinolones: rupture of Achilles tendon]
Presse Med. 1991 Jul 6-13;20(26):1234. French. No abstract available.
PMID: 1831902 [PubMed - indexed for MEDLINE]


1992

1. Seven Achilles tendinitis including three complicated by rupture during fluoroquinolone therapy
Ribard et al (J Rheumatol 1992; 19; 1479-1481)

2. 704 achilles tendinitis, 38 ruptures 1992-1998 Netherlands
Fluoroquinolone use and the change in incidence of tendon rupture in the Netherlands
Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)
The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture
source: http://bmj.com/cgi/content/full/324/7349/1306

3. 100 reported tendinopathies 1985-1992 France
In France, between 1985 and 1992, 100 patients who were being managed with fluoroquinolones had tendon disorders, which included thirty-one ruptures (Royer, R. J.; Pierfitte, C.; and Netter, P.: Features of tendon disorders with fluoroquinolones. Therapie, 49: 75-76, 1994.)
http://www.studiomedico.it/allegati/achille.pdf

4. Ribard P, Audisio F, Kahn MF, De Bandt M, Jorgensen C, Hayem G, Meyer O, Palazzo E.
Seven Achilles tendinitis including 3 complicated by rupture during fluoroquinolone therapy.
J Rheumatol. 1992 Sep;19(9):1479-81.
PMID: 1433021 [PubMed - indexed for MEDLINE]

5. Perrot S, Kaplan G, Ziza JM.
[3 cases of Achilles tendinitis caused by pefloxacin, 2 of them with tendon rupture]
Rev Rhum Mal Osteoartic. 1992 Feb;59(2):162. French. No abstract available.
PMID: 1604233 [PubMed - indexed for MEDLINE]

6. Lee WT, Collins JF.
Ciprofloxacin associated bilateral achilles tendon rupture.
Aust N Z J Med. 1992 Oct;22(5):500. No abstract available.
PMID: 1445042 [PubMed - indexed for MEDLINE]

7. Blanche P, Sereni D, Sicard D, Christoforov B.
[Achilles tendinitis induced by pefloxacin. Apropos of 2 cases]
Ann Med Interne (Paris). 1992;143(5):348. French. No abstract available.
PMID: 1482040 [PubMed - indexed for MEDLINE]

8. Olivieri I, Padula A, Lisanti ME, Braccini G.
Longstanding HLA-B27 associated Achilles tendinitis.
Ann Rheum Dis. 1992 Nov;51(11):1265. No abstract available.
PMID: 1466609 [PubMed - indexed for MEDLINE]


1993

1. Spontaneous bilateral rupture of the Achille’s tendon in a renal transplant recipient
Mainard et al (Nephron 1993;65- 491-492)

2. Boulay I, Farge D, Haddad A, Bourrier P, Chanu B, Rouffy J
[Tendinopathy caused by ciprofloxacin with possible partial rupture of Achilles tendon]
Ann Med Interne (Paris). 1993;144(7):493-4. French. No abstract available.
PMID: 8141519 [PubMed - indexed for MEDLINE]


1994

1. Royer RJ, Pierfitte C, Netter P.
Features of tendon disorders with fluoroquinolones.
Therapie. 1994 Jan-Feb;49(1):75-6. No abstract available.
PMID: 8091374 [PubMed - indexed for MEDLINE]

2. Armengol S, Moreno JA, Xirgu J, Torrabadella P, Tomas R.
[Ciprofloxacin as a cause of a behavior disorder in a patient admitted into intensive care]
Enferm Infecc Microbiol Clin. 1994 May;12(5):271-2. Spanish. No abstract available.
PMID: 8049295 [PubMed - indexed for MEDLINE]

3. Donck JB, Segaert MF, Vanrenterghem YF.
Fluoroquinolones and Achilles tendinopathy in renal transplant recipients.
Transplantation. 1994 Sep 27;58(6):736-7. No abstract available.
PMID: 7940700 [PubMed - indexed for MEDLINE]

4. Onieal ME.
Achilles injuries.
J Am Acad Nurse Pract. 1994 Mar;6(3):125-6. No abstract available.
PMID: 8003362 [PubMed - indexed for MEDLINE]

5. Scioli MW.
Achilles tendinitis.
Orthop Clin North Am. 1994 Jan;25(1):177-82. Review.
PMID: 8290227 [PubMed - indexed for MEDLINE]

6. Hernandez MV, Peris P, Sierra J, Collado A, Munoz-Gomez J.
[Tendinitis due to fluoroquinolones. Description of 2 cases]
Med Clin (Barc). 1994 Sep 10;103(7):264-6. Review. Spanish.
PMID: 7934295 [PubMed - indexed for MEDLINE]

7. Achilles tenditinis and tendon rupture due to fluoroquinolone therapy
Huston et al (New England Journal of Medicene 1994 331 748)

8. Royer, R. J.; Pierfitte, C.; and Netter, P.: Features of tendon disorders with fluoroquinolones. Therapie, 49: 75-76, 1994.)

9. Dekens-Konter JA, Knol A, Olsson S, Meyboom RH, de Koning GH.
[Tendinitis of the Achilles tendon caused by pefloxacin and other
fluoroquinolone derivatives]
Ned Tijdschr Geneeskd. 1994 Mar 5;138(10):528-31. Dutch.
PMID: 8139714 [PubMed - indexed for MEDLINE]

10. Prantera C, Kohn A, Zannoni F, Spimpolo N, Bonfa M.
Metronidazole plus ciprofloxacin in the treatment of active, refractory Crohn's disease: results of an open study.
J Clin Gastroenterol. 1994 Jul;19(1):79-80. No abstract available.
PMID: 7930441 [PubMed - indexed for MEDLINE]

11. Van Linthoudt D, D'Oro A, Ott H.
[What is your diagnosis? Bilateral Achilles tendinitis associated with
quinolone treatment]
Schweiz Rundsch Med Prax. 1994 Feb 22;83(8):201-2. German. No abstract available.
PMID: 8134743 [PubMed - indexed for MEDLINE]

12. Kawada A, Hiruma M, Morimoto K, Ishibashi A, Banba H.
Fixed drug eruption induced by ciprofloxacin followed by ofloxacin.
Contact Dermatitis. 1994 Sep;31(3):182-3. No abstract available.
PMID: 7821014 [PubMed - indexed for MEDLINE]

13. Guharoy SR.
Serum sickness secondary to ciprofloxacin use.
Vet Hum Toxicol. 1994 Dec;36(6):540-1.
PMID: 7900274 [PubMed - indexed for MEDLINE]


1995

1. Hernandez Rodriguez I, Allegue F.
Achilles and suprapatellar tendinitis due to isotretinoin.
J Rheumatol. 1995 Oct;22(10):2009-10. No abstract available.
PMID: 8992016 [PubMed - indexed for MEDLINE]

2. Szarfman A, Chen M, Blum MD. More on fluoroquinolone antibiotics and tendon rupture. N Engl J Med 1995; 332: 193[Free Full Text].

3. Magnesium Deficiency Induces Joint Cartilage Lesions in Juvenile Rats which are Identical to Quinolone Induced Arthropathy
Stahlmann et al (Antimicrobial Agents and Chemotherapy, Sept., 1995 pg 2013-2018)

4. Crowder SW, Jaffey LH.
Sarcoidosis presenting as Achilles tendinitis.
J R Soc Med. 1995 Jun;88(6):335-6.
PMID: 7629765 [PubMed - indexed for MEDLINE]

5. Pierfitte C, Gillet P, Royer RJ
More on fluoroquinolone antibiotics and tendon rupture.
N Engl J Med. 1995 Jan 19;332(3):193. No abstract available.
PMID: 7800022 [PubMed - indexed for MEDLINE]

6. Szarfman A, Chen M, Blum MD.
More on fluoroquinolone antibiotics and tendon rupture.
N Engl J Med. 1995 Jan 19;332(3):193. No abstract available.
PMID: 7800023 [PubMed - indexed for MEDLINE]

7. Norfloxacin induced arthalgia
Terry et al ( J Rheumatol 1995 22 793-794)

8. Fluoroquinolone Induced Tenosynovitis of the Wrist mimicking de Quervain’s Disease
Gillet et al (British Journal of Rheumatology vol 34 no 6 pg 583-584, Feb 1995)

9. Mirovsky Y, Pollack L, Arlazoroff A, Halperin N.
[Ciprofloxacin-associated bilateral acute achilles tendinitis]
Harefuah. 1995 Dec 1;129(11):470-2, 535. Hebrew.
PMID: 8846955 [PubMed - indexed for MEDLINE]



1996

1. McGarvey WC, Singh D, Trevino SG. Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review. Foot Ankle Int 1996; 17: 496-498[ISI][Medline].

2. Pierfitte C, Royer RJ.
Tendon disorders with fluoroquinolones.
Therapie. 1996 Jul-Aug;51(4):419-20. No abstract available.
PMID: 8953821 [PubMed - indexed for MEDLINE]

3. Hugo-Persson M.
[Rupture of the Achilles tendon after ciproxine therapy]
Lakartidningen. 1996 Apr 17;93(16):1520. Swedish. No abstract available.
PMID: 8667750 [PubMed - indexed for MEDLINE]

4. Therapie 1996; 51: 419-420 Tendon disorders with fluoroquinolones 421 cases have been collected by the Centre de Pharmacovigilance, 340 of tendinitis and 81 cases of tendon rupture.

5. McGarvey WC, Singh D, Trevino SG.
Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a
case report and literature review.
Foot Ankle Int. 1996 Aug;17(8):496-8. Review.
PMID: 8863030 [PubMed - indexed for MEDLINE]

6. Skovgaard D, Feldt-Rasmussen BF, Nimb L, Hede A, Kjaer M.
[Bilateral Achilles tendon rupture in individuals with renal transplantation]
Ugeskr Laeger. 1996 Dec 30;159(1):57-8. Danish.
PMID: 9012076 [PubMed - indexed for MEDLINE]

7. Jagose JT, McGregor DR, Nind GR, Bailey RR.
Achilles tendon rupture due to ciprofloxacin.
N Z Med J. 1996 Dec 13;109(1035):471-2. No abstract available.
PMID: 9006634 [PubMed - indexed for MEDLINE]

8, Ottosson L.
[An unexpected verdict by the HSAN in a case of Achilles tendon rupture]
Lakartidningen. 1996 Dec 18;93(51-52):4712, 4715. Swedish. No abstract available.
PMID: 9011717 [PubMed - indexed for MEDLINE]

9. Castagnola C, Suhler A.
[Tendinopathy and fluoroquinolones]
Ann Urol (Paris). 1996;30(3):129-30. French.
PMID: 8766149 [PubMed - indexed for MEDLINE]

10. Foot Ankle Int. 1996 Aug;17(8):496-8.
Partial Achilles tendon ruptures associated with fluoroquinolone antibiotics: a case report and literature review.

11. Fluoroquinolone induced arthralgia and Magnetic Resonance Imaging
Loeuille et al (The Journal of Rheumatology volume 23 no 7 , July 1996)

12. Fluoroquinolone Induced Tendinopathy; Report of Six Cases
Zabraniedkl et al (The Journal of Rhuematology 1996; 23; 3)

13. Quinolone induced cartilage lesions are not reversible in rats
Forster et al (Arch Toxicol (1996) 70; 474-481)

14. Maki T, Heinasmaki T, Riutta J, Tikkanen T, Laasonen L, Eklund K.
[Bilateral Achilles tendon rupture caused by oral fluoroquinolones]
Duodecim. 1996;112(19):1818-20. Finnish. No abstract available.
PMID: 10596182 [PubMed - indexed for MEDLINE

15. ENGLAND
130 reported tendon inflammation or rupture (England, France and Belgium, 1996)
The group cited 130 reports of tendon inflammation or rupture in people who used the prescription drug in England, France and Belgium. The FDA has received at least 52 reports of patients in the U.S. who have suffered tendon damage
(from public citizens 1996 petition)
Szarfman et al. recommended that the labeling on packaging for fluoroquinolone be up-dated to include a warning about the possibility of tendon rupture. In its recommendations on the use of
this class of antibiotics, the British National Formulary
suggested that "at the first sign of pain or inflammation, patients should discontinue the treatment and rest the affected limb until the tendon symptoms have resolved."
British National Formulary. No. 32, p. 259. London, British Medical Association, Royal Pharmaceutical Society of Great Britain, 1996.
{Notice how this labeling change has not be altered since 1996 and appears to have been copied word for word in every monograph.}

16. FRANCE
921 reported tendon disorders France
340 reported tendonitis, 81 tendon ruptures 1996, WHO
Adverse drug reactions with fluoroquinolones The French system of drug surveillance has analyzed the reports of adverse drug reactions (ADRs) to fluoroquinolones since they were launched. The frequency of reactions ranges from 1/15000 to 1/208000 case per days of treatment. Cutaneous disorders and tendon disorders dominate in France, whereas cutaneous effects and neuropsychiatric disorders are predominant in the UK; tendon disorders take up only the 5th position. Among the most unexpected ADRs are the following: 1- Shock 2- Acure renal failure Tendon ruptures represent 81 cases for 921 reports of tendon disorders which are related in decreasing order to pefloxacin 1/23130 case per days of treatment, ofloxin, norfloxacin and ciprofloxacin 1/779600 case per days of treatment. Age and corticosteroids increase the risk of tendon rupture. Therapie 1996; 51; 419-420 Tendon disorders with fluoroquinolones 421 cases have been collected by the Centre de Pharmacovigilance: 340 of tendinitis and 81 of tendon rupture. These cases were attributed to Peflacine, Oflocet, Noroxine, Ciflox. Tendinitis was characterized by a bilateral malleolar oedema associated with a sudden pain. Sometimes this oedema evoked phlebitis. The tendon rupture was generally preceded by a tendinitis but in half of the cases it occurred without warning.
Source: http://www.who-umc.org/newsletter/newsltr97_1.html (sic)


1997

1. Australia. The Adverse Drug Reactions Advisory Committee first reported tendinitis in association with fluoroquinolone antibiotics in 1997. The Committee has continued to monitor this adverse reaction, and has now received 60 reports of tendinitis, tensosynovitis and/or tendon rupture in association with these drugs. Ciprofloxacin was most frequently cited (55 reports), as well as norfloxacin (4) and enoxacin (1).
Forty-five reports described tendinitis alone, one report described tensosynovitis, and 14 reports documented tendon tear or rupture. Fifty-five of the 60 reports specified the Achilles tendon, including 20 which described bilateral Achilles tendon damage. All 14 reports of tendon rupture involved the Achilles tendon. The 58 patients ranged in age from 38 to 91 years (median: 69), with no significant difference between those with tendinitis and those with tendon rupture.
The daily doses of ciprofloxacin ranged from 500 mg to 2250 mg, with 46% of patients taking 1500 mg and 46% of patients taking 1000 mg daily. For those who developed tendon rupture, 57% were taking 1500 mg daily. Time to onset varied from within 24 hours after the drug was commenced to 3 months after starting, but the majority of cases of tendinitis occurred within the first week. Time to rupture was longer with a median time of 2-3 weeks. Known risk factors for these reactions include old age, renal dysfunction and concomitant corticosteroid therapy. In the cases reported to the ADRAC, 29 reports documented concomitant corticosteroid use, and in 21 of the other 31 reports the patients were aged 69 years or older. In the reports of tendon rupture, 12 of the 14 described either concomitant steroid use (9) or old age (9).
Prescribers are reminded to be alert for this reaction and to withdraw the fluoroquinolone immediately when symptoms of tendinitis appear in order to reduce the risk of tendon rupture.
[See also Pharmaceuticals Newsletter Nos. 7&8, July&August 1997.]
Tendinitis associated with Fluoroquinolone therapy
(Pharmaceuticals Newsletters Nos 7&8 July & August 1997)
Australia

2. 93 ruptures, 103 tendinopathies, 20 tenasynovitis, 1987-1997
Source: http://www.sma.org/smj1999/junesmj99/harrell.pdf

3. Danesh-Meyer MJ.
Complicated management of a patient with rapidly progressive periodontitis: a case report.
J N Z Soc Periodontol. 1997;(82):25-9. No abstract available.
PMID: 10483437 [PubMed - indexed for MEDLINE]

4. Poon CC, Sundaram NA.
Spontaneous bilateral Achilles tendon rupture associated with ciprofloxacin.
Med J Aust. 1997 Jun 16;166(12):665. No abstract available.
PMID: 9216589 [PubMed - indexed for MEDLINE]

5. Shinohara YT, Tasker SA, Wallace MR, Couch KE, Olson PE.
What is the risk of Achilles tendon rupture with ciprofloxacin?
J Rheumatol. 1997 Jan;24(1):238-9. No abstract available.
PMID: 9002057 [PubMed - indexed for MEDLINE]

6. Movin T, Gad A, Guntner P, Foldhazy Z, Rolf C.
Pathology of the Achilles tendon in association with ciprofloxacin treatment.
Foot Ankle Int. 1997 May;18(5):297-9.
PMID: 9167931 [PubMed - indexed for MEDLINE]

7. Tendons and Fluoroquinolones; Unresolved issues
Kahn et al (Rev Rhum [Engl. Ed.] 1997 64(7-9) 437-439)
(Rev Rhum [Ed. Fr.] 1997 64(7-9) 511-513

8. Fluoroquinolones tendinitis update Australia
Tendinitis associated with Fluoroquinolone therapy
(Pharmaceuticals Newsletters Nos 7&8 July & August 1997)

9. Toxic effects of quinolone antibacterial agents on the musculoskeletal system in juvenile rats
Yoko Kashida et al (Toxicologic Pathology vol 25 number 6 pages 635-643 1997)

10. Tendinitis and tendon rupture with fluoroquinolones
ADRAC (The Achilles heel of fluoroquinolones Aust Adv Drug React Bull 1997;16;7, Szarfman et al)

11. Effects of Ciprofloxacin and Ofloxacin on adult human cartilage in vitro
(Antimicrob Agents Chemother 1997, Vol 41; issue 11; pages 2562-2565)

12. Repeated rupture of the extensor tendons of the hand due to fluoroquinolones, Apropos of a case
Levadoux et al (Ann Chir Main Memb Super 1997, vol 16, issue 2, pgs 130-133)

13. Benizeau I, Cambon-Michot C, Daragon A, Voisin L, Mejjad O, Thomine JM, Le Loet X.
Tendinitis of the tibialis anterior with histologic documentation in a patient under fluoroquinolone therapy.
Rev Rhum Engl Ed. 1997 Jun;64(6):432-3. No abstract available.
PMID: 9513620 [PubMed - indexed for MEDLINE]


1998

1. Khan KM, Cook JL, Bonar SF, Harcourt PR.
Subcutaneous rupture of the Achilles tendon.
Br J Sports Med. 1998 Jun;32(2):184-5. No abstract available.
PMID: 9631234 [PubMed - indexed for MEDLINE]

2. Stafford L, Bertouch J.
Reactive arthritis and ruptured Achilles tendon.
Ann Rheum Dis. 1998 Jan;57(1):61. No abstract available.
PMID: 9536827 [PubMed - indexed for MEDLINE]

3. Kahn MF.
Achilles tendinitis and ruptures.
Br J Sports Med. 1998 Sep;32(3):266. No abstract available.
PMID: 9773187 [PubMed - indexed for MEDLINE]

4. van der Linden PD, van Puijenbroek EP, Feenstra J, Veld BA, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH.
Tendon disorders attributed to fluoroquinolones: a study on 42 spontaneous reports in the period 1988 to 1998. Arthritis Rheum. 2001 Jun;45(3):235-9.
PMID: 11409663 [PubMed - indexed for MEDLINE]

5. Blanco Andres C, Bravo Toledo R.
[Bilateral tendinitis caused by ciprofloxacin]
Aten Primaria. 1998 Feb 28;21(3):184-5. Spanish. No abstract available.
PMID: 9607242 [PubMed - indexed for MEDLINE]

6. Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages 235-239)

7. Petersen W, Laprell H
[Insidious rupture of the Achilles tendon after ciprofloxacin-induced tendopathy. A case report]
Unfallchirurg. 1998 Sep;101(9):731-4. German.
PMID: 9816984 [PubMed - indexed for MEDLINE]

8. Voorn R.
Case report: can sacroiliac joint dysfunction cause chronic Achilles
tendinitis?
J Orthop Sports Phys Ther. 1998 Jun;27(6):436-43.
PMID: 9617730 [PubMed - indexed for MEDLINE]

9. West MB, Gow P.
Ciprofloxacin, bilateral Achilles tendonitis and unilateral tendon rupture--a case report.
N Z Med J. 1998 Jan 23;111(1058):18-9. No abstract available.
PMID: 9484431 [PubMed - indexed for MEDLINE]

10. Gabutti L, Stoller R, Marti HP.
[Fluoroquinolones as etiology of tendinopathy]
Ther Umsch. 1998 Sep;55(9):558-61. German.
PMID: 9789471 [PubMed - indexed for MEDLINE]

11. NETHERLANDS
704 achilles tendinitis, 38 ruptures 1992-1998 Netherlands
Fluoroquinolone use and the change in incidence of tendon rupture in the Netherlands
Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)
The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture
source: http://bmj.com/cgi/content/full/324/7349/1306

12. 42 spontaneous reports 1988-1998
Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages 235-239) June 2001
http://www.rheumatology.org/arhp/acnr/2001/0106.html


1999

1. Eriksson E.
In vivo microdialysis of painful achilles tendinosis.
Knee Surg Sports Traumatol Arthrosc. 1999;7(6):339. No abstract available.
PMID: 10639649 [PubMed - indexed for MEDLINE]

2. Mousa A, Jones S, Toft A, Perros P.
Spontaneous rupture of Achilles tendon: missed presentation of Cushing's syndrome.
BMJ. 1999 Aug 28;319(7209):560-1. No abstract available.
PMID: 10463901 [PubMed - indexed for MEDLINE]

3. Harrell RM.
Fluoroquinolone-induced tendinopathy: what do we know?
South Med J. 1999 Jun;92(6):622-5. Review.
PMID: 10372859 [PubMed - indexed for MEDLINE]

4. Gibbon WW, Cooper JR, Radcliffe GS.
Sonographic incidence of tendon microtears in athletes with chronic Achilles tendinosis.
Br J Sports Med. 1999 Apr;33(2):129-30.
PMID: 10205697 [PubMed - indexed for MEDLINE]

5. Lewis JR, Gums JG, Dickensheets DL.
Levofloxacin-induced bilateral Achilles tendonitis.
Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
PMID: 10466906 [PubMed - indexed for MEDLINE]

6. Zambanini A, Padley S, Cox A, Feher M.
Achilles tendonitis: an unusual complication of amlodipine therapy.
J Hum Hypertens. 1999 Aug;13(8):565-6. No abstract available.
PMID: 10455480 [PubMed - indexed for MEDLINE]

7. van der Linden PD, van de Lei J, Nab HW, Knol A, Stricker BH.
Achilles tendinitis associated with fluoroquinolones.
Br J Clin Pharmacol. 1999 Sep;48(3):433-7.
PMID: 10510157 [PubMed - indexed for MEDLINE]

8. Van der Linden PD, van de Lei J, Nab HW, Knol A, Stricker BHCh. Achilles tendinitis associated with fluoroquinolones. Br J Clin Pharmacol 1999; 48: 433-437[CrossRef][ISI][Medline].

9. 60 reported tendonitis August 1999
Fluoroquinolones tendinitis update Australia
Tendinitis associated with Fluoroquinolone therapy
(Pharmaceuticals Newsletters Nos 7&8 July & August 1997)
Australia
ADRAC Bulletin, vol 18, No 3, August 1999
Tendinitis and tendon rupture with
fluoroquinolones
The Adverse Drug Reactions Advisory Committee (ADRAC) first reported tendinitis in association with the fluoroquinolone antibiotics in 1997. The Committee has continued to monitor this adverse
reaction, and has now received 60 reports of tendinitis, tenosynovitis and/or tendon rupture in association with these drugs. Most involved was ciprofloxacin (55), but there were also reports with norfloxacin (4) and enoxacin (1). Fortyfive reports described tendinitis alone, one report described tenosynovitis, and 14 reports documented tendon tear or rupture. Fifty five of the 60 reports specified the Achilles tendon, including 20 which described bilateral
Achilles tendon damage. All 14 reports of tendon rupture
involved the Achilles tendon.
Source: http://www.who.int/medicines/library/pnewslet/pndec99.html

10. 421 reported tendon disorders and 81 tendon ruptures 1999
Therapie 1996; 51: 419-420 Tendon disorders with fluoroquinolones 421 cases have been collected by the Centre de Pharmacovigilance, 340 of tendinitis and 81 cases of tendon rupture.

11. Rev Rhum Engl Ed. 1999 Jul-Sep;66(7-9):419-21.
Suspected role of ofloxacin in a case of arthalgia, myalgia, and multiple tendinopathy.

12. Levofloxacin-induced bilateral Achilles tendonitis
Lewis JR, JG Gums, and DL Dickensheets 1999

13. Inhibition of fibroblast metabolism by a fluoroquinolone antibiotic
Williams et al (American Academy of Orthopedic Surgeons, 1999 Annual meeting, paper number 118, Geb 5, 1999)

14. Levofloxacin induced bilateral achilles tendinitis
Lewis et al (The Annals of Pharmacotherapy 1999 July/August, volume 33 pages 792-795)

15. Fluoroquinolone induced tendinopathy; what do we know?
Harrell et al (South Med J 92(6) 622-625 1999)

16. Ann Pharmacother. 1999 Jul-Aug;33(7-8):792-5.
Levofloxacin-induced bilateral Achilles tendonitis.

17. Schwald N, Debray-Meignan S.
Suspected role of ofloxacin in a case of arthalgia, myalgia, and multiple tendinopathy.
Rev Rhum Engl Ed. 1999 Jul-Sep;66(7-9):419-21.
PMID: 10526383 [PubMed - indexed for MEDLINE]


2000

1. Fluoroquinolone induced tendinopathy; also occurring with levofloxacin
Fleisch et al (Infection 28 2000 no 4 pages 256-257)

2. Infection. 2000 Jul-Aug;28(4):256-7.
Fluoroquinolone-induced tendinopathy: also occurring with levofloxacin.

3. Quinolone and Tendon Ruptures
Casperian et al (Southern Medical Journal May 2000 vol 93 no 5 pages 488-491)

4. Evaluation of toxicokinetic variables and arthropathic changes in juvenile rabbits after oral administration of an ivestigational fluoroquinolone, pd 117596
Johnson et al (AJVR vol 61 no 11, pages, 1396-1402, November 2000)

5. Rupture of the patellar ligament one month after treatment with fluoroquinolone
Rev Chir Orthop Reparatrice Appar Mot. 2000 Sep;86(5):495-7.

6. FINLAND
42 reported tendinopathies 2000
Finland:
Register of adverse drug reactions in 2000

7. The majority of ADR reports received among antibacterials concerned levofloxacin, which is a fluoroquinolone antibiotic. Fourteen of the reports were on tendinitis or rupture of the Achilles tendon. Tendinitis caused by fluoroquinolones was discussed in TABU for the first time in 1996. Since then the ADR register has received a total of 42 reports on tendinopathies caused by
fluoroquinolones, over a third of which were ruptures of the tendon.
The use of fluoroquinolones has in-creased by about 75% since 1996. Levofloxacin is responsible for the major part of this increase. It has been marketed in Finland since mid 1998.
source: www.nam.fi/uploads/english/Publications/Tabu/tabu22001_eng.pdf

8. Casado Burgos E, Vinas Ponce G, Lauzurica Valdemoros R, Olive Marques A.
[Levofloxacin-induced tendinitis]
Med Clin (Barc). 2000 Mar 4;114(8):319. Spanish. No abstract available.
PMID: 10774524 [PubMed - indexed for MEDLINE]

9. Casparian JM, Luchi M, Moffat RE, Hinthorn D.
Quinolones and tendon ruptures.
South Med J. 2000 May;93(5):488-91. Review.
PMID: 10832946 [PubMed - indexed for MEDLINE]

10. Gravlee JR, Hatch RL, Galea AM.
Achilles tendon rupture: a challenging diagnosis.
J Am Board Fam Pract. 2000 Sep-Oct;13(5):371-3. No abstract available.
PMID: 11001009 [PubMed - indexed for MEDLINE]

11. Kouvalchouk JF, Hassan E
[Achilles tendon disorders]
Tunis Med. 2000 Jun-Jul;78(6-7):462-7. Review. French. No abstract available.
PMID: 11043038 [PubMed - indexed for MEDLINE]

12. Ortiz V, Holgado S, Olive A, Fite E.
Ach illes tendinitis as the presentation form of Lofgren's syndrome.
Clin Rheumatol. 2000;19(2):169-70.
PMID: 10791635 [PubMed - indexed for MEDLINE]

13. Vavra-Hadziahmetovic N, Hadziahmetovic Z, Smajlovic F.
Phy sical therapy in conservative (functional) treatment of acute achilles tendon rupture.
Med Arh. 2000;54(2):121-2.
PMID: 10934845 [PubMed - indexed for MEDLINE]

14. Martinelli B.
Rupture of the Achilles tendon.
J Bone Joint Surg Am. 2000 Dec;82-A(12):1804. No abstract available.
PMID: 11130653 [PubMed - indexed for MEDLINE]


2001

1. Rev Clin Esp. 2001 Sep;201(9):539-40.
Achilles pain and functional impotence in a patient with chronic obstructive pulmonary disease with pneumonia. Tendon rupture caused by levofloxacin

2. Pharm World Sci. 2001 Jun;23(3):89-92.
Fluoroquinolone use and the change in incidence of tendon ruptures in the Netherlands.
van der Linden PD, Nab HW, Simonian S, Stricker BH, Leufkens HG, Herings RM.

3. Mennecier D, Thiolet C, Bredin C, Potier V, Vergeau B, Farret O.
[Acute pancreatitis after treatment by levofloxacin and methylprednisolone]
Gastroenterol Clin Biol. 2001 Oct;25(10):921-2. French. No abstract available.
PMID: 11852403 [PubMed - indexed for MEDLINE]

4. Csizy M, Hintermann B.
[Rupture of the Achilles tendon after local steroid injection. Case reports and consequences for treatment]
Swiss Surg. 2001;7(4):184-9. German.
PMID: 11515194 [PubMed - indexed for MEDLINE]

5. Adverse reactions to fluoroquinolones an overview on mechanistic aspects
De Sarro et al (Current Medicinal Chemistry 2001, 8, 371-384)

6. Fluoroquinolone use and the change in incidence of tendon rupture in the Netherlands
Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)

7. Tendon disorders attributed to fluoroquinolones; a study on 42 spontaneous reports in the period 1988-1998
Van Der Linden et al (American College of Rheumatology; Arthritis Care and Research 45; 2001 pages 235-239)

8. 1847 reported tendinopathies December 2001
Tabelle 7
Pharmacovigilance: Meldungen von Tendinopathien im Vergleich zu allen gemeldeten unerwünschten Arzneimittelwirkungen (UAW), Stand 17. Dezember 2001.

9. Meldungen Schweiz (IKS-Datenbank) Welt (WHO-Datenbank)
Tendinopathie alle UAW Tendinopathie alle UAW
Ciprofloxacin 8 (5%) 155 649(2,2%) 29 090
Fleroxacin 9 (1,2 %) 754
Norfloxacin 1 (1%) 91 163 (2,1%) 7536
Ofloxacin 2 (6%) 34 432 (1,8%) 23 990
Levofloxacin 32 (41%) 79 576 (7,8%) 7432
Moxifloxacin 18 (4,5 %) 4030
Source: http://www.saez.ch/pdf/2003/2003-02/2003-02-694.PDF
http://www.saez.ch/pdf/2003/2003-02/2003-02-694.PDF

10. U.S. ARMED FORCES
Spontaneous Ruptures of the Achilles Tendon, US Armed Forces, 1998-2001
Methods. The Defense Medical Surveillance System was searched to identify all incident ambulatory visits of active duty servicemembers with a primary diagnosis of non-traumatic rupture of the achilles tendon (ICD-9- CM code 727.67) and other tendon ruptures (ICD-9- CM codes 727.60-727.66, 727.68-727.69) between January 1998 and May 2001.
The most striking finding of this analysis is the sudden and significant increase in rates of achilles tendon ruptures beginning in calendar year 2000. The increase was manifested across all Services and in most demographic subgroups (table 1). Rates
of non-traumatic ruptures of several other tendons also increased during the period; and increases in ruptures of the rotator cuff were comparable to those of the achilles tendon.
Source: http://amsa.army.mil/1Msmr/2002/v08_n01.pdf

11. Nuno Mateo FJ, Noval Menendez J, Suarez M, Guinea O.
[Achilles pain and functional impotence in a patient with chronic obstructive pulmonary disease with pneumonia. Tendon rupture caused by levofloxacin]
Rev Clin Esp. 2001 Sep;201(9):539-40. Spanish. No abstract available.
PMID: 11692412 [PubMed - indexed for MEDLINE]

12. Malaguti M, Triolo L, Biagini M.
Ciprofloxacin-associated Achilles tendon rupture in a hemodialysis patient.
J Nephrol. 2001 Sep-Oct;14(5):431-2. No abstract available.
PMID: 11730281 [PubMed - indexed for MEDLINE]

13. Butler MW, Griffin JF, Quinlan WR, McDonnell TJ.
Quinolone-associated tendonitis: a potential problem in COPD?
Ir J Med Sci. 2001 Jul-Sep;170(3):198-9.
PMID: 12120977 [PubMed - indexed for MEDLINE]

14. Bharani A, Kumar H.
Drug points: Diabetes inspidus induced by ofloxacin.
BMJ. 2001 Sep 8;323(7312):547. No abstract available.
PMID: 11546701 [PubMed - indexed for MEDLINE]

15. Toverud EL, Landaas S, Hellebostad M.
Repeated achilles tendinitis after high dose methotrexate.
Med Pediatr Oncol. 2001 Aug;37(2):156. No abstract available.
PMID: 11496361 [PubMed - indexed for MEDLINE]

16. Oatridge A, Herlihy AH, Thomas RW, Wallace AL, Curati WL, Hajnal JV, Bydder GM.
Magnetic resonance: magic angle imaging of the Achilles tendon.
Lancet. 2001 Nov 10;358(9293):1610-1.
PMID: 11716890 [PubMed - indexed for MEDLINE]

17. Fletcher MD, Warren PJ.
Sural nerve injury associated with neglected tendo Achilles ruptures.
Br J Sports Med. 2001 Apr;35(2):131-2.
PMID: 11273977 [PubMed - indexed for MEDLINE]

18. Humble RN, Nugent LL.
Achilles' tendonitis. An overview and reconditioning model.
Clin Podiatr Med Surg. 2001 Apr;18(2):233-54. Review.
PMID: 11417153 [PubMed - indexed for MEDLINE]

19. Eriksson E.
Achilles tendon surgery and wound healing.
Knee Surg Sports Traumatol Arthrosc. 2001 Jul;9(4):193. No abstract available.
PMID: 11522072 [PubMed - indexed for MEDLINE]

20. Speed CA.
Fortnightly review: Corticosteroid injections in tendon lesions.
BMJ. 2001 Aug 18;323(7309):382-6. No abstract available.
PMID: 11509432 [PubMed - indexed for MEDLINE]

21. Van der Linden et al (Pharmacy World and Science vol 23 no 3 2001 pg 89-92)
The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture
source: http://bmj.com/cgi/content/full/324/7349/1306


2002

1. Ulreich N, Kainberger F, Huber W, Nehrer S.
[Achilles tendon and sports]
Radiologe. 2002 Oct;42(10):811-7. German.
PMID: 12402109 [PubMed - indexed for MEDLINE]

2. Doral MN, Tetik O, Atay OA, Leblebicioglu G, Oznur A.
[Achilles tendon diseases and its management]
Acta Orthop Traumatol Turc. 2002;36 Suppl 1:42-6. Review. Turkish. No abstract available.
PMID: 12510123 [PubMed - indexed for MEDLINE]

3. Hersh BL, Heath NS.
Achilles tendon rupture as a result of oral steroid therapy.
J Am Podiatr Med Assoc. 2002 Jun;92(6):355-8.
PMID: 12070236 [PubMed - indexed for MEDLINE]

4. [No authors listed]
Side effects of levofloxacin.
Prescrire Int. 2002 Aug;11(60):116-7. No abstract available.
PMID: 12199267 [PubMed - indexed for MEDLINE]

5. Hatori M, Matsuda M, Kokubun S.
Ossification of Achilles tendon--report of three cases.
Arch Orthop Trauma Surg. 2002 Sep;122(7):414-7. Epub 2002 May 03.
PMID: 12228804 [PubMed - indexed for MEDLINE]

6. Pouzaud F, Rat P, Cambourieu C, Nourry H, Warnet JM.
[Tenotoxic potential of fluoroquinolones in the choice of surgical antibiotic prophylaxis in ophthalmology]
J Fr Ophtalmol. 2002 Nov;25(9):921-6. French.
PMID: 12515937 [PubMed - indexed for MEDLINE]

7. Sobel E, Giorgini R, Hilfer J, Rostkowski T.
Ossification of a ruptured achilles tendon: a case report in a diabetic patient.
J Foot Ankle Surg. 2002 Sep-Oct;41(5):330-4.
PMID: 12400718 [PubMed - indexed for MEDLINE]

8. Lohrer H, Scholl J, Arentz S.
[Achilles tendinopathy and patellar tendinopathy. Results of radial shockwave therapy in patients with unsuccessfully treated tendinoses] Sportverletz Sportschaden. 2002 Sep;16(3):108-14. German. No abstract available.
PMID: 12382183 [PubMed - indexed for MEDLINE]

9. Eriksen HA, Pajala A, Leppilahti J, Risteli J.
Increased content of type III collagen at the rupture site of human Achilles tendon.
J Orthop Res. 2002 Nov;20(6):1352-7.
PMID: 12472252 [PubMed - indexed for MEDLINE]

10. Kannus P, Paavola M, Paakkala T, Parkkari J, Jarvinen T, Jarvinen M.
[Pathophysiology of overuse tendon injury]
Radiologe. 2002 Oct;42(10):766-70. German.
PMID: 12402104 [PubMed - indexed for MEDLINE]

11. Summers JB.
Importance of an accurate diagnosis for Achilles rupture.
Am Fam Physician. 2002 Nov 15;66(10):1836. No abstract available.
PMID: 12469956 [PubMed - indexed for MEDLINE]

12. Ulreich N, Huber W, Nehrer S, Kainberger F.
[High resolution magnetic resonance tomography and ultrasound imaging of the Achilles tendon]
Wien Med Wochenschr Suppl. 2002;(113):39-40. German.
PMID: 12621837 [PubMed - indexed for MEDLINE]

13. Dwornik L, Lomasney LM, Demos TC, Lavery LA.
Radiologic case study. Acute Achilles tendon rupture.
Orthopedics. 2002 Nov;25(11):1239, 1318-20. No abstract available.
PMID: 12452339 [PubMed - indexed for MEDLINE]

14. Wood ML, Schlessinger S.
Levaquin induced acute tubulointerstitial nephritis--two case reports.
J Miss State Med Assoc. 2002 Apr;43(4):116-7. No abstract available.
PMID: 11989200 [PubMed - indexed for MEDLINE]

15. McClelland D, Maffulli N.
Percutaneous repair of ruptured Achilles tendon.
J R Coll Surg Edinb. 2002 Aug;47(4):613-8. Review.
PMID: 12363186 [PubMed - indexed for MEDLINE]

16. Eriksson E.
Tendinosis of the patellar and achilles tendon.
Knee Surg Sports Traumatol Arthrosc. 2002 Jan;10(1):1. Epub 2001 Dec 18. No abstract available.
PMID: 11819012 [PubMed - indexed for MEDLINE]

17. Bleakney RR, Tallon C, Wong JK, Lim KP, Maffulli N.
Long-term ultrasonographic features of the Achilles tendon after rupture.
Clin J Sport Med. 2002 Sep;12(5):273-8.
PMID: 12394198 [PubMed - indexed for MEDLINE]

18. Majewski M, Widmer KH, Steinbruck K.
[Achilles tendon ruptures: 25 year's experience in sport-orthopedic treatment]
Sportverletz Sportschaden. 2002 Dec;16(4):167-73. German.
PMID: 12563559 [PubMed - indexed for MEDLINE]

19. Cook JL, Khan KM, Purdam C.
Achilles tendinopathy.
Man Ther. 2002 Aug;7(3):121-30. Review.
PMID: 12372309 [PubMed - indexed for MEDLINE]

20. Shukla DD.
Bilateral spontaneous rupture of achilles tendon secondary to limb ischemia: a case report.
J Foot Ankle Surg. 2002 Sep-Oct;41(5):328-9.
PMID: 12400717 [PubMed - indexed for MEDLINE]

21. Grechenig W, Clement H, Bratschitsch G, Fankhauser F, Peicha G.
[Ultrasound diagnosis of the Achilles tendon]
Orthopade. 2002 Mar;31(3):319-25. German.
PMID: 12017866 [PubMed - indexed for MEDLINE]

22. Mazzone MF, McCue T.
Common conditions of the achilles tendon.
Am Fam Physician. 2002 May 1;65(9):1805-10. Review.
PMID: 12018803 [PubMed - indexed for MEDLINE]

23. Schepsis AA, Jones H, Haas AL.
Achilles tendon disorders in athletes.
Am J Sports Med. 2002 Mar-Apr;30(2):287-305. Review.
PMID: 11912103 [PubMed - indexed for MEDLINE]

24. Fluoroquinolones and risk of Achilles tendon disorders: case-control study BMJ 2002;324:1306-1307 ( 1 June ) P D van der Linden, researcher a, M C J M Sturkenboom, assistant professor a, R M C Herings, associate professor b, H G M Leufkens, professor b, B H Ch Stricker, professor a.
a Pharmaco-epidemiology Unit, Department of Epidemiology & Biostatistics and Internal Medicine, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands, b Department of Pharmaco-epidemiology and Pharmacotherapy, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands

25. Pai VS, Patel N.
Atypical coronal or sagittal Z ruptures of the achilles tendon: a report of four cases.
J Foot Ankle Surg. 2002 May-Jun;41(3):183-5.
PMID: 12075907 [PubMed - indexed for MEDLINE]

26. van der Linden PD, Sturkenboom MC, Herings RM, Leufkens HG, Stricker BH.
Fluoroquinolones and risk of Achilles tendon disorders: case-control study.
BMJ. 2002 Jun 1;324(7349):1306-7. No abstract available.
PMID: 12039823 [PubMed - indexed for MEDLINE]

27. Tiling T.
[Is an Achilles tendon rupture without degeneration possible?]
Dtsch Med Wochenschr. 2002 Jun 21;127(25-26):1401. German. No abstract available.
PMID: 12075502 [PubMed - indexed for MEDLINE]

28. Med Clin (Barc). 2003 Jan 25;120(2):78-9.
Comment on: Med Clin (Barc). 2002 Jun 8;119(1):38-9.
Levofloxacin and bilateral spontaneous Achilles tendon rupture

29. 4 cases of levaquin induced tendintis (orign spansih)
Mica magazine of Chile Issn0034-9887 versi printed
Rev. m. Chilev.130n.11Santiagonov.2002
Rev Méd Chile 2002; 130: 1277-1281
Associated aquiliana Tendinitis to the levofloxacino use:
communication of four cases
Claudius Hoops And, Claudius Flowers W, Sergio Mezzano A.
Levofloxacin associated Achilles

29. Pedros A, Emilio Gomez J, Angel Navarro L, Tomas A.
[Levofloxacin and acute confusional syndrome]
Med Clin (Barc). 2002 Jun 8;119(1):38-9. Spanish. No abstract available.
PMID: 12062009 [PubMed - indexed for MEDLINE]

30. Maffulli N, Kader D.
Tendinopathy of tendo achillis.
J Bone Joint Surg Br. 2002 Jan;84(1):1-8. Review. No abstract available.
PMID: 11837811 [PubMed - indexed for MEDLINE]

31. Sidorenko SV, Krivitskaia NS
[Use of ciprofloxacin in sequential antibiotic therapy]
Antibiot Khimioter. 2002;47(7):25-30. Review. Russian. No abstract available.
PMID: 12516193 [PubMed - indexed for MEDLINE]

32. Paavola M, Kannus P, Jarvinen TA, Khan K, Jozsa L, Jarvinen M.
Achilles tendinopathy.
J Bone Joint Surg Am. 2002 Nov;84-A(11):2062-76. Review. No abstract available.
PMID: 12429771 [PubMed - indexed for MEDLINE]

33. Roberts C, Deliss L.:
Acute rupture of tendo Achillis.
J Bone Joint Surg Br. 2002 May;84(4):620; author reply 620. No abstract available.
PMID: 12043793 [PubMed - indexed for MEDLINE]

34. Tumia N, Kader D, Arena B, Maffulli N
Achilles tendinopathy during pregnancy.
Clin J Sport Med. 2002 Jan;12(1):43-5. No abstract available.
PMID: 11854590 [PubMed - indexed for MEDLINE]

35. Paffey MD, Faraj AA.
Acute rupture of tendo Achillis.
J Bone Joint Surg Br. 2002 May;84(4):620-1; author reply 621. No abstract available.
PMID: 12043792 [PubMed - indexed for MEDLINE]

36. Chhajed PN, Plit ML, Hopkins PM, Malouf MA, Glanville AR.
Achilles tendon disease in lung transplant recipients: association with ciprofloxacin.
Eur Respir J. 2002 Mar;19(3):469-71.
PMID: 11936524 [PubMed - indexed for MEDLINE]

37. Greene BL.Physical therapist management of fluoroquinolone-induced Achilles tendinopathy.
Phys Ther. 2002 Dec;82(12):1224-31.
PMID: 12444881 [PubMed - indexed for MEDLINE]

38. Breck RW.
"Ciprofloxacin: a warning for clinicians".
Conn Med. 2002 Oct;66(10):635. No abstract available.
PMID: 12448217 [PubMed - indexed for MEDLINE]

39. Hufner T, Wohifarth K, Fink M, Thermann H, Rollnik JD.
EMG monitoring during functional non-surgical therapy of Achilles tendon rupture.
Foot Ankle Int. 2002 Jul;23(7):614-8.
PMID: 12146771 [PubMed - indexed for MEDLINE]

40. Khurana R, Torzillo PJ, Horsley M, Mahoney J.
Spontaneous bilateral rupture of the Achilles tendon in a patient with chronic obstructive pulmonary disease.
Respirology. 2002 Jun;7(2):161-3.
PMID: 11985741 [PubMed - indexed for MEDLINE]

41. Mert G.
Rupture of the Achilles tendon in athletes: do synthetic grass fields play a part?
J Bone Joint Surg Am. 2002 Feb;84-A(2):320-1. No abstract available.
PMID: 11861742 [PubMed - indexed for MEDLINE]

42. Lynch RM
Management of Achilles tendon ruptures.
Am J Sports Med. 2002 Nov-Dec;30(6):917; author reply 917-8. No abstract
available.
PMID: 12435663 [PubMed - indexed for MEDLINE]

43. Amendola N.
Surgical treatment of acute rupture of the tendo Achillis led to fewer
reruptures and better patient-generated ratings than did nonsurgical treatment.
J Bone Joint Surg Am. 2002 Feb;84-A(2):324. No abstract available.
PMID: 11861747 [PubMed - indexed for MEDLINE]

44. Zwar RB.
Utility of musculoskeletal ultrasound.
Aust Fam Physician. 2002 Jun;31(6):559, 561.
PMID: 12154604 [PubMed - indexed for MEDLINE]

45. Cottrell WC, Pearsall AW 4th, Hollis MJ.
Simultaneous tears of the Achilles tendon and medial head of the gastrocnemius muscle.
Orthopedics. 2002 Jun;25(6):685-7. No abstract available.
PMID: 12083581 [PubMed - indexed for MEDLINE]


2003

1. Journal of Antimicrobial Chemotherapy (2003) 51, 747–748
DOI: 10.1093/jac/dkg081
Advance Access publication 28 January 2003
Correspondence
Spontaneous Achilles tendon rupture in patients
treated with levofloxacin
L. J. Haddow, M. Chandra Sekhar, V. Hajela and
G. Gopal Rao

2. Manoj Kumar RV, Rajasekaran S.
Spontaneous tendon ruptures in alkaptonuria.
J Bone Joint Surg Br. 2003 Aug;85(6):883-6.
PMID: 12931812 [PubMed - indexed for MEDLINE]

3. Harris RD, Nindl G, Balcavage WX, Weiner W, Johnson MT.
Use of proteomics methodology to evaluate inflammatory protein expression in tendinitis.
Biomed Sci Instrum. 2003;39:493-9.
PMID: 12724941 [PubMed - indexed for MEDLINE]

4. Milgrom C, Finestone A, Zin D, Mandel D, Novack V.
Cold weather training: a risk factor for Achilles paratendinitis among
recruits.
Foot Ankle Int. 2003 May;24(5):398-401.
PMID: 12801195 [PubMed - indexed for MEDLINE]

5. Schwalm JD, Lee CH.
Acute hepatitis associated with oral levofloxacin therapy in a hemodialysis patient.
CMAJ. 2003 Apr 1;168(7):847-8.
PMID: 12668542 [PubMed - indexed for MEDLINE]

6. Oh YR, Carr-Lopez SM, Probasco JM, Crawley PG.
Levofloxacin-induced autoimmune hemolytic anemia.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1010-3.
PMID: 12841809 [PubMed - indexed for MEDLINE]

7. Bardin L.
Comments on 'Achilles tendinopathy'.
Man Ther. 2003 Aug;8(3):189; author reply 190-1. No abstract available.
PMID: 12909446 [PubMed - indexed for MEDLINE]

8. Ackermann PW, Li J, Lundeberg T, Kreicbergs A.
Neuronal plasticity in relation to nociception and healing of rat achilles tendon.
J Orthop Res. 2003 May;21(3):432-41.
PMID: 12706015 [PubMed - indexed for MEDLINE]

9. Gotoh M, Higuchi F, Suzuki R, Yamanaka K.
Progression from calcifying tendinitis to rotator cuff tear.
Skeletal Radiol. 2003 Feb;32(2):86-9. Epub 2002 Apr 05.
PMID: 12589487 [PubMed - indexed for MEDLINE]

10. Dalal RB, Zenios M.
The flexor hallucis longus tendon transfer for chronic tendo-achilles ruptures revisited. Ann R Coll Surg Engl. 2003 Jul;85(4):283. No abstract available.
PMID: 12908473 [PubMed - indexed for MEDLINE]

11. Joseph TA, Defranco MJ, Weiker GG.
Delayed repair of a pectoralis major tendon rupture with allograft: A case report.
J Shoulder Elbow Surg. 2003 Jan-Feb;12(1):101-4. No abstract available.
PMID: 12610495 [PubMed - indexed for MEDLINE]

12. [No authors listed]
Tendon abnormalities and hypersensitivity of levofloxacin.
Prescrire Int. 2003 Feb;12(63):20. No abstract available.
PMID: 12602391 [PubMed - indexed for MEDLINE]

13. Magnusson SP, Beyer N, Abrahamsen H, Aagaard P, Neergaard K, Kjaer M.
Increased cross-sectional area and reduced tensile stress of the Achilles tendon in elderly compared with young women.
J Gerontol A Biol Sci Med Sci. 2003 Feb;58(2):123-7.
PMID: 12586849 [PubMed - indexed for MEDLINE]

14. Khan KM, Forster BB, Robinson J, Cheong Y, Louis L, Maclean L, Taunton JE.
Are ultrasound and magnetic resonance imaging of value in assessment of Achilles tendon disorders? A two year prospective study.
Br J Sports Med. 2003 Apr;37(2):149-53.
PMID: 12663358 [PubMed - indexed for MEDLINE]

15. DY, Song JC, Wang CC.
Anaphylactoid reaction to ciprofloxacin.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1018-23.
PMID: 12841811 [PubMed - indexed for MEDLINE]

16. Ying M, Yeung E, Li B, Li W, Lui M, Tsoi CW.
Sonographic evaluation of the size of Achilles tendon: the effect of exercise and dominance of the ankle.
Ultrasound Med Biol. 2003 May;29(5):637-42.
PMID: 12754062 [PubMed - indexed for MEDLINE]

17. Cook J, Khan K.
The treatment of resistant, painful tendinopathies results in frustration for athletes and health professionals alike.
Am J Sports Med. 2003 Mar-Apr;31(2):327-8; author reply 328. No abstract available.
PMID: 12642274 [PubMed - indexed for MEDLINE]

18. [No authors listed]
Fluoroquinolones in ambulatory ENT and respiratory tract infections: rarely appropriate.
Prescrire Int. 2003 Feb;12(63):26-7.
PMID: 12602405 [PubMed - indexed for MEDLINE]

19. Matsumoto F, Trudel G, Uhthoff HK, Backman DS.
Mechanical effects of immobilization on the Achilles' tendon.
Arch Phys Med Rehabil. 2003 May;84(5):662-7.
PMID: 12736878 [PubMed - indexed for MEDLINE]

20. Maffulli N, Kenward MG, Testa V, Capasso G, Regine R, King JB.
Clinical diagnosis of Achilles tendinopathy with tendinosis.
Clin J Sport Med. 2003 Jan;13(1):11-5.
PMID: 12544158 [PubMed - indexed for MEDLINE]

21. Forslund C.
BMP treatment for improving tendon repair. Studies on rat and rabbit Achilles tendons.
Acta Orthop Scand Suppl. 2003 Feb;74(308):I, 1-30. No abstract available.
PMID: 12640969 [PubMed - indexed for MEDLINE]

22. Cetti R, Junge J, Vyberg M.
Spontaneous rupture of the Achilles tendon is preceded by widespread and bilateral tendon damage and ipsilateral inflammation: a clinical and histopathologic study of 60 patients.
Acta Orthop Scand. 2003 Feb;74(1):78-84.
PMID: 12635798 [PubMed - indexed for MEDLINE]

23. Mulvaney S.
Calf muscle therapy for Achilles tendinosis.
Am Fam Physician. 2003 Mar 1;67(5):939; author reply 939-40. No abstract available.
PMID: 12643353 [PubMed - indexed for MEDLINE]

24. Khaliq Y, Zhanel GG.
Fluoroquinolone-associated tendinopathy: a critical review of the literature.
Clin Infect Dis. 2003 Jun 1;36(11):1404-10. Epub 2003 May 20. Review.
PMID: 12766835 [PubMed - indexed for MEDLINE]

25. Prasad S, Lee A, Clarnette R, Faull R.
Spontaneous, bilateral patellar tendon rupture in a woman with previous Achilles tendon rupture and systemic lupus erythematosus.
Rheumatology (Oxford). 2003 Jul;42(7):905-6. No abstract available.
PMID: 12826711 [PubMed - indexed for MEDLINE]

26. Gold L, Igra H.
Levofloxacin-induced tendon rupture: a case report and review of the literature.
J Am Board Fam Pract. 2003 Sep-Oct;16(5):458-60. Review. No abstract available.
PMID: 14645337 [PubMed - indexed for MEDLINE]

27. Schindler C, Pittrow D, Kirch W.
Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?
Chemotherapy. 2003 May;49(1-2):90-1. No abstract available.
PMID: 12756981 [PubMed - indexed for MEDLINE]

28. de La Red G, Mejia JC, Cervera R, Llado A, Mensa J, Font J.
Bilateral Achilles tendinitis with spontaneous rupture induced by levofloxacin in a patient with systemic sclerosis.
Clin Rheumatol. 2003 Oct;22(4-5):367-8. No abstract available.
PMID: 14579169 [PubMed - indexed for MEDLINE]

29. Tomas ME, Perez Carreras M, Morillasa JD, Castellano G, Solis JA.
[Rupture of the Achilles' tendon secondary to levofloxacin]
Gastroenterol Hepatol. 2003 Jan;26(1):53-4. Spanish. No abstract available.
PMID: 12525331 [PubMed - indexed for MEDLINE]

30. Mathis AS, Chan V, Gryszkiewicz M, Adamson RT, Friedman GS.
Levofloxacin-associated Achilles tendon rupture.
Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
PMID: 12841810 [PubMed - indexed for MEDLINE]

31. Aros C, Flores C, Mezzano S.[Achilles tendinitis associated to levofloxacin: report of 4 cases]
Rev Med Chil. 2002 Nov;130(11):1277-81. Spanish.
PMID: 12587511 [PubMed - indexed for MEDLINE]

32. Shah P.[Do tendon lesions occur during quinolone administration?]
Dtsch Med Wochenschr. 2003 Oct 17;128(42):2214. German. No abstract available.
PMID: 14562223 [PubMed - indexed for MEDLINE]

33. Melhus A, Apelqvist J, Larsson J, Eneroth M.
Levofloxacin-associated Achilles tendon rupture and tendinopathy.
Scand J Infect Dis. 2003;35(10):768-70.
PMID: 14606622 [PubMed - indexed for MEDLINE]

34. Cebrian P, Manjon P, Caba P.
Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to
levofloxacin.
Foot Ankle Int. 2003 Feb;24(2):122-4.
PMID: 12627618 [PubMed - indexed for MEDLINE]

35. Bernacer L, Artigues A, Serrano A.
[Levofloxacin and bilateral spontaneous Achilles tendon rupture]
Med Clin (Barc). 2003 Jan 25;120(2):78-9. Spanish. No abstract available.
PMID: 12570920 [PubMed - indexed for MEDLINE]

36. Haddow LJ, Chandra Sekhar M, Hajela V, Gopal Rao G.
Spontaneous Achilles tendon rupture in patients treated with levofloxacin.
J Antimicrob Chemother. 2003 Mar;51(3):747-8. No abstract available.
PMID: 12615887 [PubMed - indexed for MEDLINE]

37. Othmani S, Battikh R, Ben Abdallah N.
[The myo-tendinopathy caused by levofloxacin]
Therapie. 2003 Sep-Oct;58(5):463-5. French. No abstract available.
PMID: 14682197 [PubMed - indexed for MEDLINE]

38. Gutierrez E, Morales E, Garcia Rubiales MA, Valentin MO.
[Levofloxacin and Achilles tendon involvement in hemodialysis patients]
Nefrologia. 2003 Nov-Dec;23(6):558-9. Spanish. No abstract available.
PMID: 15002793 [PubMed - indexed for MEDLINE]

40. Spontaneous Achilles tendon rupture in patients treated with levofloxacin
L. J. Haddow, M. Chandra Sekhar, V. Hajela and G. Gopal Rao*
Department of Microbiology, University Hospital Lewisham, Lewisham High Street, London SE13 6LH, UK 2003 The British Society for Antimicrobial Chemotherapy

41. Clinical Infectious Diseases 2003;36:1404-1410
2003 by the Infectious Diseases Society of America. All rights reserved.
Fluoroquinolone-Associated Tendinopathy: A Critical Review of the Literature
Yasmin Khaliq1 and George G. Zhanel2

42. J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):333-5.
Fluoroquinolone therapy and Achilles tendon rupture.
Vanek D, Saxena A, Boggs JM.

43. Clin Rheumatol. 2003 Dec;22(6):500-1. Epub 2003 Oct 18.
Ciprofloxacin and Achilles' tendon rupture: a causal relationship.

44. Aten Primaria. 2003 Sep 15;32(4):256
Bilateral Achilles tendinitis as adverse reaction to levofloxacine.

45. Therapie. 2003 Sep-Oct;58(5):463-5.
The myo-tendinopathy caused by levofloxacin

46. Reumatismo. 2003 Oct-Dec;55(4):267-9.
Levofloxacin-induced bilateral rupture of the Achilles tendon: clinical and sonographic findings

47. Gastroenterol Hepatol. 2003 Jan;26(1):53-4.
Rupture of the Achilles' tendon secondary to levofloxacin

48. J Antimicrob Chemother. 2003 Mar;51(3):747-8.
Spontaneous Achilles tendon rupture in patients treated with levofloxacin.

49. Foot Ankle Int. 2003 Feb;24(2):122-4.
Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin.

50. Chemotherapy. 2003 May;49(1-2):90-1.
Reoccurrence of levofloxacin-induced tendinitis by phenoxymethylpenicillin therapy after 6 months: a rare complication of fluoroquinolone therapy?

51. rupture of the Achilles tendon: clinical and sonographic findings]
Reumatismo. 2003 Oct-Dec;55(4):267-9. Italian.
PMID: 14872227 [PubMed - indexed for MEDLINE]

52. Ann Pharmacother. 2003 Jul-Aug;37(7-8):1014-7.
Levofloxacin-associated Achilles tendon rupture.

53. Clin Rheumatol. 2003 Oct;22(4-5):367-8.
Bilateral Achilles tendinitis with spontaneous rupture induced by levofloxacin in a patient with systemic sclerosis.

54. Scand J Infect Dis. 2003;35(10):768-70.
Levofloxacin-associated Achilles tendon rupture and tendinopathy.

55. Levofloxacin-associated Achilles tendon rupture and tendinopathy. Scand J Infect Dis 2003;35(10):768-70 (ISSN: 0036-5548) Melhus A; Apelqvist J; Larsson J; Eneroth M Department of Medical Microbiology, Malmo University Hospital, Malmo, Sweden. asa.melhus at mikrobiol.mas.lu.se.

56. Levofloxacin and trovafloxacin inhibition of experimental fracture-healing. Clin Orthop 2003 Sep;(414):95-100 (ISSN: 0009-921X) Perry AC; Prpa B; Rouse MS; Piper KE; Hanssen AD; Steckelberg JM; Patel R Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.

57. Levofloxacin-associated Achilles tendon rupture. Ann Pharmacother 2003 Jul-Aug;37(7-8):1014-7 (ISSN: 1060-0280) Mathis AS; Chan V; Gryszkiewicz M; Adamson RT; Friedman GS Department of Pharmacy Practice and Administration, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ, USA. smathis at sbhcs.com.

58. Richardson LC, Reitman R, Wilson M.
Achilles tendon ruptures: functional outcome of surgical repair with a "pull-out" wire.
Foot Ankle Int. 2003 May;24(5):439-43.
PMID: 12801203 [PubMed - indexed for MEDLINE]

59. Ultrasonography of non-traumatic rupture of the Achilles tendon secondary to levofloxacin. Foot Ankle Int 2003 Feb;24(2):122-4 (ISSN: 1071-1007) Cebrian P; Manjon P; Caba P Departamento de Radiodiagnostico, Hospital Universitario 12 de Octubre, Madrid, Spain. pcvbb at yahoo.es.

60. J Am Board Fam Pract. 2003 Sep-Oct;16(5):458-60.
Levofloxacin-induced tendon rupture: a case report and review of the literature.


2004

1. Mehra A, Maheshwari R, Case R, Croucher C.
Bilateral simultaneous spontaneous rupture of the Achilles tendon.
Hosp Med. 2004 May;65(5):308-9. No abstract available.
PMID: 15176150 [PubMed - indexed for MEDLINE]

2. Vergara Fernandez I.
[Muscle and tendon problems as a side-effect of levofloxacine: review of a case]
Aten Primaria. 2004 Mar 15;33(4):214. Spanish. No abstract available.
PMID: 15023326 [PubMed - indexed for MEDLINE]

3. McKinley BT, Oglesby RJ.
A 57-year-old male retired colonel with acute ankle swelling.
Mil Med. 2004 Mar;169(3):254-6. No abstract available.
PMID: 15080249 [PubMed - indexed for MEDLINE]

4. Fama U, Irace S, Frati R, de Gado F, Scuderi N.
Is it a real risk to take ciprofloxacin?
Plast Reconstr Surg. 2004 Jul;114(1):267. No abstract available.
PMID: 15220615 [PubMed - indexed for MEDLINE]

5. Kahn F, Christensson B.
[A rapid development of Achilles tendon rupture following quinolone treatment]
Lakartidningen. 2004 Jan 15;101(3):190-1. Swedish. No abstract available.
PMID: 14763088 [PubMed - indexed for MEDLINE]

6. Long term outcome after Fluoroquinolones tendinopathies
13/01/2004 14:11:07 P-0077
C Guy (1); Y Murat (1); MN Beyens (1); M Ratrema (1); G Mounier (1); M Ollagnier (1); (1) Centre de Pharmacovigilance, Hôpital Bellevue - CHU St-Etienne, Sant-Etienne

7. Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature. J Orthop Sci 2004;9(2):186-90 (ISSN: 0949-2658) Kowatari K; Nakashima K; Ono A; Yoshihara M; Amano M; Toh S Department of Orthopaedic Surgery, Aomori Rosai Hospital, 1 Minamigaoka, Shirogane-machi, Hachinohe 031-8551, Japan.

8. Pharmacol Exp Ther. 2004 Jan;308(1):394-402. Epub 2003 Oct 20. In vitro discrimination of fluoroquinolones toxicity on tendon cells: involvement of oxidative stress.

9. Hosp Med. 2004 May;65(5):308-9.
Bilateral simultaneous spontaneous rupture of the Achilles tendon.
Mehra A, Maheshwari R, Case R, Croucher C.

10. Therapie. 2004 Nov-Dec;59(6):653-5.
Ofloxacin-induced achilles tendinitis in the absence of a predisposition

11. An Med Interna. 2004 Mar;21(3):154.
Achilles bilateral tendonitis and levofloxacin

12. J Orthop Sci. 2004;9(2):186-90.
Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.

13. Scand J Infect Dis. 2004;36(4):315-6.
Recurrent tendinitis after treatment with two different fluoroquinolones.

14. Joint Bone Spine. 2004 Nov;71(6):586-7. Related Articles, Links
Rupture of multiple tendons after levofloxacin therapy.
Braun D, Petitpain N, Cosserat F, Loeuille D, Bitar S, Gillet P, Trechot P.
Pneumology Department, Maillot Hospital, 54150 Briey, France.

15. Aten Primaria. 2004 Mar 15;33(4):214.
Muscle and tendon problems as a side-effect of levofloxacine: review of a case

16. Kowatari K, Nakashima K, Ono A, Yoshihara M, Amano M, Toh S.
Levofloxacin-induced bilateral Achilles tendon rupture: a case report and review of the literature.
J Orthop Sci. 2004;9(2):186-90. Review.
PMID: 15045551 [PubMed - indexed for MEDLINE]

17. Gomez Rodriguez N, Ibanez Ruan J, Gonzalez Perez M.
[Achilles bilateral tendonitis and levofloxacin]
An Med Interna. 2004 Mar;21(3):154. Spanish. No abstract available.
PMID: 15043504 [PubMed - indexed for MEDLINE]

18. Filippucci E, Farina A, Bartolucci F, Spallacci C, Busilacchi P, Grassi W.[Levofloxacin-induced bilateral

19. Burkhardt O, Kohnlein T, Pap T, Welte T.
Recurrent tendinitis after treatment with two different fluoroquinolones.
Scand J Infect Dis. 2004;36(4):315-6.
PMID: 15198194 [PubMed - indexed for MEDLINE]


2005

1. Toxicology. 2005 May 9
Fluoroquinolones cause changes in extracellular matrix, signalling proteins, metalloproteinases and caspase-3 in cultured human tendon cells.
Sendzik J, Shakibaei M, Schafer-Korting M, Stahlmann R.

2. Arch Orthop Trauma Surg. 2005 Mar;125(2):124-6. Epub 2005 Jan 12.
Missed Achilles tendon rupture due to oral levofloxacin: surgical treatment and result.

3. An Med Interna. 2005 Jan;22(1):28-30.
Partial bilateral rupture of the Achilles tendon associated to levofloxacin

4. Expert Opin Drug Saf. 2005 Mar;4(2):299-309.
Fluoroquinolones and tendon disorders.
Melhus A.

5. Toxicology. 2005 May 9
Fluoroquinolones cause changes in extracellular matrix, signalling proteins, metalloproteinases and caspase-3 in cultured human tendon cells.
Sendzik J, Shakibaei M, Schafer-Korting M, Stahlmann R.
Institute of Clinical Pharmacology and Toxicology, Department of Toxicology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Garystr. 5, 14195 Berlin, Germany; Institute of Anatomy, Department of Cell and Neurobiology, Charite-Universitatsmedizin Berlin, Campus Benjamin Franklin, Konigin-Luise-Str. 15, 14195 Berlin, Germany; Musculoskeletal Research Group, Institute of Anatomy, Ludwig-Maximilian-Universitat Munich, Pettenkoferstr. 11, 80336 Munich, Germany.

Additional references:

AUSTRALIA
THE ACHILLES HEEL OF FLUOROQUINOLONES
One of the more unusual adverse reactions known to be associated with the fluoroquinolone antibiotics is the occurrence of tendinitis. This is a serious effect since it may progress to tendon rupture with many weeks of disability as a result. Over 200 cases have been reported in the literature with the majority from France. Most members of the class including ciprofloxacin, enoxacin, ofloxacin, and norfloxacin have been implicated. The Achilles tendon is most often involved.
In Australia, there have been 25 reports of tendinitis in association with fluoroquinolones. Most (22) have been with ciprofloxacin and the other three with norfloxacin. The majority of the patients involved were elderly, ranging in age from 46 to 91 (median 69) years and the sex distribution was equal. For ciprofloxacin, daily dosages ranged from 750 mg to 2250 mg although most (13) patients were taking 1000 mg daily. For norfloxacin, all three patients were taking the usual dose of 800 mg daily. Time to onset ranged from the same day that the drug was commenced (in two patients) to two months although in 13 of the 24 reports which provided the information, the reaction occurred within the first week. Almost all (23) of the reports specified the Achilles tendon as the site of the tendinitis. Tendinitis was described as bilateral in 11 cases. Only 8 patients had recovered at the time the report was submitted and the other patients were being treated with rest and/or physiotherapy. There have been no reports of tendon rupture in Australia although in one severe case, the patient required a plaster cast up to the mid thigh.
A number of risk factors have been identified with regard to this adverse reaction. These include old age, renal dysfunction, and concomitant corticosteroid therapy. Of the patients reported to ADRAC, 72% were older than 60 years. Nine of these patients were taking corticosteroids as were three of the younger patients.
Prescribers are reminded that tendinitis, especially involving the Achilles tendon, is a rare adverse effect of the fluoroquinolones. It is more likely to occur in association with the risk factors referred to above. The antibiotic should be withdrawn immediately to reduce the risk of tendon rupture.


DUTCH
Fluoroquinolones have been associated with tendon disorders, usually during the first month of treatment,1-5 but the epidemiological evidence is scanty. We did a nested case-control study among users of fluoroquinolones in a large UK general practice database to study the association with Achilles tendon disorders.

Participants, methods, and results

We obtained data from the IMS Health database (UK MediPlus), which contains data from general practice on consultations, morbidity, prescriptions, and other interventions in a source population of 1-2 million inhabitants. The base cohort consisted of all patients aged 18 years or over who had received a fluoroquinolone. We excluded people with a history of Achilles tendon disorders, cancer, AIDS, illicit drug use, or alcohol misuse. We identified potential cases by reviewing patient profiles and clinical data and excluded tendon disorders due to direct trauma. We randomly sampled a group of 10 000 control patients from the study cohort.

We defined four categories of exposure to fluoroquinolones: current use, recent use, past use, and no use. We defined current use as when the tendon disorder occurred in the period between the start of the fluoroquinolone treatment and the calculated end date plus 30 days, recent use as when the calculated end date was between 30 and 90 days before the occurrence of the disorder, and past use as when the calculated end date was more than 90 days before the occurrence of the disorder. We used unconditional logistic regression analysis to calculate adjusted relative risks and 95% confidence intervals for Achilles tendon disorders, using the no use group as the reference. We adjusted for age, sex, number of visits to the general practitioner, use of corticosteroid, calendar year, obesity, and history of musculoskeletal disorders.

The cohort included 46 776 users of fluoroquinolones between 1 July 1992 and 30 June 30 1998, of whom 704 had Achilles tendinitis and 38 had Achilles tendon rupture. Four hundred and fifty three (61%) of the cases were women, and the mean age was 56 years. Cases visited the general practitioner significantly more often than did controls (mean 20 v 17). Cases and controls were similar with respect to indications for use of fluoroquinolone. Age, number of visits to the general practitioner in the previous 18 months, gout, obesity, and use of corticosteroid were determinants of Achilles tendon disorders. The adjusted relative risk of Achilles tendon disorders with current use of fluoroquinolones was 1.9 (95% confidence interval 1.3 to 2.6). The risk for recent and past use was similar to that for no use. The relative risk with current use was 3.2 (2.1 to 4.9) among patients aged 60 and over and 0.9 (0.5 to 1.6) among patients aged under 60 (table). In patients aged 60 or over, concurrent use of corticosteroids and fluoroquinolones increased the risk to 6.2 (3.0 to 12.8).

Relative risk of Achilles tendon disorders associated with use of fluoroquinolones according to age
Current exposure to fluoroquinolones increases the risk of Achilles tendon disorders. This finding is in agreement with a smaller study, in which we found an association between tendinitis and fluoroquinolones.5 Our results indicate that this adverse effect is relatively rare, with an overall excess risk of 3.2 cases per 1000 patient years. The effect seems to be restricted to people aged 60 or over, and within this group concomitant use of corticosteroids increased the risk substantially. The proportion of Achilles tendon disorders among patients with both risk factors that is attributable to their interaction was 87%. Although the mechanism is unknown, the sudden onset of some tendinopathies, occasionally after a single dose of a fluoroquinolone, suggests a direct toxic effect on collagen fibres. Prescribers should be aware of this risk, especially in elderly people taking corticosteroids.

Acknowledgments
We acknowledge the cooperation of IMS Health United Kingdom.
Contributors: PDvdL, MCJMS, and BHChS formulated the design of the study. PDvdL carried out the analyses. PDvdL, MCJMS, and BHChS wrote the paper, and RMCH and HGML edited it. BHChS and HGML are guarantors for the paper.

Funding:
Dutch Inspectorate for Health Care.

Competing interests:
MCJMS is a consultant for Lundbeck (France) and Beaufour (UK) and has previously been a consultant for Pfizer (USA), Roche (Switzerland), and Novartis Consumerhealth (Switzerland). MCJMS is responsible for research conducted with the integrated primary care information database in the Netherlands, which is supported by project specific grants from GlaxoSmithKline, AstraZeneca, Merck Sharp & Dohme, Pharmacia & Upjohn, Bristol-Myers Squibb, Eli Lilly, Wyeth, and Yamanouchi. MCJMS has conducted research projects on use of antibiotics for Merck & Co (USA) and Bayer (Italy).

This is far from being an all inclusive list of such medical journal entries and other such main stream documentation. Starting in 1965 and ending in 2005, almost forty years worth of such reports and the treating physician as well as the patient have no prior knowledge concerning such events. This defies logic but sadly enough this is the true state of affairs. In spite of the overwhelming evidence presented at that 62 Meeting of the Anti-Infective Drugs Advisory Committee that the fluoroquinolones cause irreversible joint damage in the pediatric population the FDA has recently added the use of Ciprofloxacin in the pediatric population, treating children as young as one years of age.

Numerous studies have indicated that such use in a pediatric patient runs the risk of crippling the child for life. Yet additional clinical trials continue aided and abetted by the FDA, for other drugs in this class other than Ciprofloxacin. A disaster that is detailed within the 62nd meeting of the Anti-Infective Drugs Advisory Committee where it was so eloquently stated:

"…when we talk about the issue of arthropathy that potentially includes a number of things, ranging from simple effusion, for instance, of a knee joint, which might rapidly resolve after the conclusion of therapy, to a more permanent disability. .." (sic)

"…in September of 1997 there is now a ciprofloxacin suspension which is available, and although it continues to have the same warning statements about arthropathy in juvenile animals and the potential concern in pediatric populations, obviously, the issue of off label use will extend over to pediatric populations in this formulation…."(sic)

"…An important safety question is, what adverse events should be monitored, and Doctor Goldberger alluded to this earlier. This is some of the examples I present. One is permanent lameness, reversible lameness, joint effusion, joint pain, and even latent articular disease or damage that may occur months or years following drug exposure, and there may be others…."(sic)

"…And, data submitted to the Agency, as well as data from the scientific literature, indicate that these lesions don't appear to be reversible…"(sic)

"…Doctor Stahlmann in Berlin is working on an idea that it may be an effect between the endocrines, the magnesium and the matrix and the quinolone. And that data is just coming out now. But as to the exact mechanism, I think you're right. I don't think we have a handle, as far as I know, on the exact mechanism. If there's anybody else that does, I'd sure like to hear it…"(sic)

"… Relating your personal experience, I was wondering about the potential for a delayed effect that in fact one might have a patient who had some histologic changes that would not be manifest clinically for many years. Is that a potential?" (sic)

"… I think it is a potential…"(sic)

"… In trying to assess toxicity with a very sensitive assay, obviously you've got tissue that you can look at in your animal models. There is some human data that were collected by Doctor Urs Schaad using MRI scanning in children and I'm wondering if you can correlate some of your histopathologic findings with MR in the animal model to give us an idea of how sensitive it would be sort of as a follow-up to Doctor Klein's question is the MR something that will be able to predict long-term outcomes, even if there are no clinical symptoms during therapy…."(sic)

"… That I don't know. I'll just be perfectly frank. I don't know. But on the slides I've seen from the animals from the chronic study, the repaired articular cartilage that is there is principally fibrocartilage yet it will provide the same joint margin and it has a calcified base and when we stain it with safrain O screen there's no proteoglycans there so it's going to make it an extremely chondromalaistic area and beyond the one year I can't tell you what the results will be…"(sic)

"…Anyway, it was by a group in Vienna where they looked at the articular cartilage of postmortem specimens of articular cartilage from kids with cystic fibrosis that had been on quinolones for a period of time and they found that there was damage in the chondrocytes…."(sic)

"…There were no deaths reported in U.S. pediatric zero to 18 year old cases where a flouroquinolone was reported as the suspect drug. However, there are eight deaths in the whole cohort of suspect and concomitant flouroquinolone drug reports in the system. Five of these deaths reported ciprofloxacin as a concomitant drug and not the suspect drug. These five were U.S. cases with ages ranging from seven months to six years. The remaining three deaths were all foreign, all 18 year old patients with either ofloxacin or norfloxacin reported as the suspect drug…."(sic)

"…There are 14 reports of arthropathy or arthralgia in the pediatric zero to 18 year old flouroquinolone reports. One report of a 14 year old girl had both ofloxacin and lomefloxacin as the suspect drug so there is an extra count because of the two flouroquinolones on this one report. This particular report indicates that a pediatric orthopedic surgeon diagnosed femoral anteversion as the cause for the girl's arthralgia, therefore you see it listed twice, and not the flouroquinolones. Most of the reports indicated that either an involved knee or elbow with or without other joints was involved…."(sic)

"…One interesting case which is not included on this slide for arthralgias was a 15 year old boy who received ofloxacin IV for an emergency appendectomy and had not grown more than his 70 inches in height over the last year. The 15th percentile for height for a 15 year old boy however is 66.5 inches and the expected growth rate is about two inches per year…"(sic)

"…Three patients had their seizure after the first dose of flouroquinolone, one on ciprofloxacin and the other two on ofloxacin, one of which had received ofloxacin several months earlier…"(sic)

"…The 15 psychiatric reports are a loose grouping of reports which include events ranging from euphoria to psychosis. The ages range from five to 18 years with the median at 15 years. There were two suicide attempts, one on ofloxacin and the other on norfloxacin, three reports of hallucination, one each on ciprofloxacin, ofloxacin and norfloxacin, and one report of aggressive behavior with confusion in a patient who had a psychiatric history and was on norfloxacin. The seven cases of photosensitivity were reported with lomefloxacin with one case on ciprofloxacin and two cases on ofloxacin. …"(sic)

"…I will mention that there were 152 U.S. cases aged zero to 18 years in the U.S. AERS system suspect flouroquinolones in the WHO line listing. The country with the most pediatric reports in the WHO foreign reports is the United Kingdom with 177 reports followed by Germany with 72 and France with 71. The rest of the countries had 20 or fewer reports…."(sic)

"…And with regards to muscular-skeletal events, 21 percent of the patients had an event in ciprofloxacin…"(sic)

"…We have focused our analysis on joint disorders and pefloxacin. 79 cases were reported and consist mainly of arthralgia. I don't know the pronunciation of hydrarthrosis -- 49 persons. It involved the knee in 52 cases, the wrist in 20 cases, the elbow in 20 cases, the shoulder in 6 cases, the ankle in 5 cases, and the hip once. It is associated with a functional discomfort in all cases, and when the duration of this discomfort is known, it can persist more than one month in 61 percent of these cases. But the outcome was favorable in 58 cases without discontinuation in two cases. …"(sic)

"…There have been sequelae in three cases with knee effusions persisting one year later in one case with discomfort following 8 months later in the second case. The third case is articular. It is a 17-year-old patient who experienced arthropathy and the drug was not suspected and the treatment was continued two following months. It leads to destructive arthropathy of the knees and the hip and prothesis was performed three years later. He was treated for a cerebral abscess. The outcome was unknown in 18 cases. In 9 cases, there was no follow-up. In the 9 last cases, we had a follow-up three months later and patients were not -- were still with disabilities and after we have no evolution…." (sic)

"… It is my understanding that one of the children had a joint replacement, is that correct?"

" Pardon me?"

" One of the children with the complications had an artificial joint replacement?"

"Yes."

"…If an irreversible cartilaginous lesion can occur, it is very likely that is going to cause problems down the line and we can't even anticipate what they are like…" (sic)


Again I state that this is for your reference & review and being made in support of my oppossing opinion that such occurences are not rare. I also take exception to the statement made that there is some kind of obligation to report such events. There is not. Such reports are done strictly on a voluntary basis and no law mandates that this be done by the treating physician. The medwatch program is voluntary and less that 3% of such events are ever reported to the FDA. A full 97% of such events never make it to the FDA. When reviewing the medwatch data base for the fluoroquinolones, joint, tendon and cartilage damage are all the top three events being reported, more so than any other adr.

In addition when a physician fails to recognize such an event it is doubtful that it would be reported. The NUMBER ONE complaint of those who have suffered such an event is the fact that the treating physician DENIES that it could possibly be the result of fluoroquinolone therapy. Any number of the tens of thousands of such victims I have discussed this issue with have reported that their physician REFUSED to make such a report, REFUSED to review the citations brought to them by their patients, and instructed their patients to stay off the internet. Even when such documentation was presented to the drug reps via pharmacafe those posting such information were ridiculed and harassed. This is not a situation I find condusive to accurate reporting of such events. It is a situation that results in false and misleading information being available to both the patient and the physician, while the true state of affairs is swept under the carpet.

Result number: 148

Message Number 185471

Re: Unitedshock wave cases View Thread
Posted by vince on 10/23/05 at 08:16

Careful Dr. Z. Your postings seem to me to be geting very close to accusations of illegal activity. It reads like you are claiming that United Shockwave is guilty of insurance fraud, engaging in kick-backs,and overcharging. Do you have any hard evidence that these activities have taken place? I was under the impression that co-payments or deductables can be ignored by a medical provider if they are billing out of network. Isn't that why doctors have associates on staff who are not contracted with partticular insurans co's so that they can bill out of network and collect higher payments? Do you have any podiatrist associates in you practice who do this? Does Mr. Smith, who has a wart, come into your office and get sent to see Dr. Jones who is not contracted with her insurance company instead of Dr. Brown who is? Are you sure that your practice will pass the "smell" test Dr. Z?
I think that you, Dr. Z, are trying to stir up trouble against a very good company because they are beating you up in the ESWT business. I know that they are honest. I know that what they say is true. They provided my ESWT treatment. What they told me concening billing was 100% accurate. My podiatrist continues to use them. He told me( second hand statement so you can discount it if you wish)that every patient he has treated with them has been told billing information that has proven to be 100% the truth. To his knowledge no patient account has ever been sent to collection. My insurnce company denied payment and I was never threatened.I asked my podiatrist if he paid United any fee or received any payment from them and he told me emphatically NO. I asked him if any other company who does ESWT writes a check to a podiatrist and he said YES but refused to tell me who they were. I mad some calls to podiatrist offices pretnding to be patient who needs ESWT. I asked about how they bill for the procedure and you can just guess which small ESWT provider, based on the East coast, bills the patients insurance company and then cuts a check to the doctor. Actually there were 2 of them. Now that sounds like a kick back scheme to me.

Result number: 149

Message Number 184108

Re: Naming babies View Thread
Posted by john h on 10/04/05 at 17:32

Obviously I made a grave mistake and gave out much to much information Dorothy. I wonder how and if my life would have been different if my name had bee Ivan rather than John?

In the 50's I obtained a Top Secret Clearance and they had people going to ever placed I had lived inquiring about me. Included teachers,friends, etc. Now if I had been Ivan Holt I think they might have looked a little farther as the Russians and the U.S. were not on friendly terms. Perhaps my wife would not have wanted to marry a guy named Ivan. Maybe I would have married a girl named Sonia. Simple things like a name can lead you down the road less traveled. What if Dr. Zuckerman was Dr. Joe Smith he might not attract as much attention. What if Dorothy was named Bambi? Ouch-Wow!

Result number: 150

Message Number 183909

Re: winner View Thread
Posted by vince on 10/01/05 at 17:49

win·ner
Pronunciation: 'wi-n&r
WINNER Function: noun
: one that wins: a : one that is successful especially through praiseworthy ability and hard work b : a victor especially in games and sports c : one that wins admiration d : a shot in a court game that is not returned and that scores for the player making it

Strange- nothing in this definition points to anyone who is a watcher being a winner- it seems that winners can only come from participation in the activity. Key words--praiseworth ability, hard work, victor in a game- Hard work is not opening beer bottles and keeping from falling down drunk, sitting in a bar screaming, or standing in 20 degree weather, bare chested, and with your body painted a garish color. You may be able to stand in a stadium parking lot and burn your food better than some other guy but that doesn't make you a winner unless it's a burnt food contest. And burning food and getting stupid drunk does not take praiseworth ability. Does pouring your beer on someone who wants the other team to be WINNERS make you a winner? Nope- makes you a fool!!
Does screaming obsceneties at the particpants you want to come out second best make you a winner? Wrong again- more evidence that you a no life fool.
Watchers make particpants winners by praising their ability and buying tickets to the games. Key phrase is- "I WATCHED JOE SMITH THROW THE BALL SO EXPERTLY TODAY THAT HIS TEAM WON THE GAME AND I ADMIRED HIS ABILITY. He was the winner not me.

Result number: 151

Message Number 183246

Evacuees Arriving in Arkansas From Houston View Thread
Posted by John H on 9/21/05 at 09:19

Approximately 3000 evacuees are beginning to arrive in Ft Smith, Arkansas from Houston. Houston is clearing out some of its space for the expected evacuees from hurricane Rita.

The last three days in Little Rock we have set heat records for each day with temperature going over 100 degrees. More expected today and tomorrow. We have been in drought conditions however it appears that over the weekend we will begin to feel the effects of Rita with heavy rain as it moves inland.

Result number: 152

Message Number 182762

Recognizing The Right's Efforts on Katrina View Thread
Posted by marie on 9/12/05 at 10:49

I wanted to take a minute and reflect on the good hearts of America. I think many folks have come together and have done their best for the victims of Katrina. We can worry about the political aspect later and on another message board. Kuodos to all that have spoken out and rolled up their sleeves to assist. It seems that sometimes conservatives are misrepreseted as being cold hearted and maybe a few are but not everyone....Thanks to all.

Free Republic (Conservative Message Board) has maintained this thread to share support links with their readers. Thank you Freepers....I say that with endearment and to those who donated to the Salvation Army. My fav.
http://www.freerepublic.com/focus/f-news/1473520/posts

This Republican at a town hall meeting in Texas stood up and stated to Rep. Smith his outrage about the Relief effort.

"Representative Smith," he said firmly, "I have been a Republican since the early 1960's." Oh, no, I thought, here it comes - shill time. This guy had to be part of the crowd called in by the Travis County Republican Party this morning to give Smith some cover.

"I pay a lot for taxes," he continued, "and I consider it a social investment. I am outraged! When this catastrophe hit, the president's response was that we should 'give to private charity.' I am outraged that this party can't support our country. We can't deal with our own self-defense. You need to fire Chertoff and these FEMA clowns. What are you doing with our tax dollars?!"

At this point, the audience broke into applause. Smith, sticking to message, said it will be investigated: "We don't care who's responsible, we just want to find out who's responsible."

We will pull America together to help rebuild the south affected by katrina. I hold southerners dear to my heart as half my family.....and it's a BIG family......live throughout the south and in the affected areas.

Thanks conservatives!

Result number: 153

Message Number 182394

Re: Finally! A voice of reason! View Thread
Posted by marie on 9/08/05 at 19:12

I like Leiberman too. However, I prefer my state Senator Bayh over Leiberman any day. Overall, as I said earlier there are three main areas of fault and I'm not going to excuse one to favor another. That is the that behavior is inexcusable.

All America PAC Timeline and it includes Nagin and Blanco. Thank you Smithers, as always you kick.

http://www.allamericapac.com/blog/?p=135

Result number: 154

Message Number 182366

As far as I can tell their were 3 areas of failure. View Thread
Posted by marie on 9/08/05 at 15:52

I liked the the one were conservatives were trying to make folks think liberals were blaming Bush for the hurricane. Duhhh! That is the dumbest spin I have ever heard in my life. How stupid do they think the average American is? Can you guys believe these people are from our country?

Keith Olberman's Time Line: http://movies.crooksandliars.com/Countdown-Timeline-Katrina.wmv

Daily Show: "Meet The F***kers"
http://www.comedycentral.com/shows/the_daily_show/videos/headlines/index.jhtml

NOLA should have moved all modes of transportation to higher ground before Katrina hit. Now it would have been a little difficult finding that many bus drivers on a weekend after people had been told to leave the city but I have to wonder if they tried.

Blanco should have made more timely decisions.

Bush should have got off his duff and gone to work. Actually his behavior doesn't stun me a bit. he has been a walking blunder since he took office.Below is the timeline complete with functioning links.
They cried for help but no one came.

Friday, August 26

GOV. KATHLEEN BLANCO DECLARES STATE OF EMERGENCY IN LOUISIANA: [Office of the Governor]

GULF COAST STATES REQUEST TROOP ASSISTANCE FROM PENTAGON: At a 9/1 press conference, Lt. Gen. Russel Honore, commander, Joint Task Force Katrina, said that the Gulf States began the process of requesting additional forces on Friday, 8/26. [DOD]

Saturday, August 27

5AM KATRINA UPGRADED TO CATEGORY 3 HURRICANE [CNN]

GOV. BLANCO ASKS BUSH TO DECLARE FEDERAL STATE OF EMERGENCY IN LOUISIANA: I have determined that this incident is of such severity and magnitude that effective response is beyond the capabilities of the State and affected local governments, and that supplementary Federal assistance is necessary to save lives, protect property, public health, and safety, or to lessen or avert the threat of a disaster. [Office of the Governor]

FEDERAL EMERGENCY DECLARED, DHS AND FEMA GIVEN FULL AUTHORITY TO RESPOND TO KATRINA: Specifically, FEMA is authorized to identify, mobilize, and provide at its discretion, equipment and resources necessary to alleviate the impacts of the emergency. [White House]

Sunday, August 28

2AM KATRINA UPGRADED TO CATEGORY 4 HURRICANE [CNN]

7AM KATRINA UPGRADED TO CATEGORY 5 HURRICANE [CNN]

MORNING LOUISIANA NEWSPAPER SIGNALS LEVEES MAY GIVE: Forecasters Fear Levees Will Not Hold Katrina: Forecasters feared Sunday afternoon that storm driven waters will lap over the New Orleans levees when monster Hurricane Katrina pushes past the Crescent City tomorrow. [Lafayette Daily Advertiser]

9:30 AM MAYOR NAGIN ISSUES FIRST EVER MANDATORY EVACUATION OF NEW ORLEANS: We are facing the storm most of us have feared, said Nagin. This is going to be an unprecedented event. [Times-Picayune]

4PM NATIONAL WEATHER SERVICE ISSUES SPECIAL HURRICANE WARNING: In the event of a category 4 or 5 hit, Most of the area will be uninhabitable for weeks, perhaps longer. At least one-half of well-constructed homes will have roof and wall failure. All gabled roofs will fail, leaving those homes severely damaged or destroyed. Power outages will last for weeks. Water shortages will make human suffering incredible by modern standards. [National Weather Service]

AFTERNOON BUSH, BROWN, CHERTOFF WARNED OF LEVEE FAILURE BY NATIONAL HURRICANE CENTER DIRECTOR: Dr. Max Mayfield, director of the National Hurricane Center: We were briefing them way before landfall. It is not like this was a surprise. We had in the advisories that the levee could be topped. [Times-Picayune; St. Petersburg Times]

LATE PM REPORTS OF WATER TOPPLING OVER LEVEE: Waves crashed atop the exercise path on the Lake Pontchartrain levee in Kenner early Monday as Katrina churned closer. [Times-Picayune]

APPROXIMATELY 30,000 EVACUEES GATHER AT SUPERDOME WITH ROUGHLY 36 HOURS WORTH OF FOOD [Times-Picayune]

Monday, August 29

7AM KATRINA MAKES LANDFALL AS A CATEGORY 4 HURRICANE [CNN]

8AM MAYOR NAGIN REPORTS THAT WATER IS FLOWING OVER LEVEE: I have gotten reports this morning that there is already water coming over some of the levee systems. In the lower ninth ward, we have had one of our pumping stations to stop operating, so we will have significant flooding, it is just a matter of how much. [NBC’s Today Show]

MORNING BUSH CALLS SECRETARY CHERTOFF TO DISCUSS IMMIGRATION: I spoke to Mike Chertoff today he is the head of the Department of Homeland Security. I knew people would want me to discuss this issue [immigration], so we got us an airplane on a telephone on Air Force One, so I called him. I said, are you working with the governor? He said, you bet we are. [White House]

MORNING BUSH SHARES BIRTHDAY CAKE PHOTO OP WITH SEN. JOHN MCCAIN [White House]

11AM BUSH VISITS ARIZONA RESORT TO PROMOTE MEDICARE DRUG BENEFIT: This new bill I signed says, if you are a senior and you like the way things are today, you are in good shape, do not change. But, by the way, there is a lot of different options for you. And we are here to talk about what that means to our seniors. [White House]

LATE MORNING LEVEE BREACHED: A large section of the vital 17th Street Canal levee, where it connects to the brand new hurricane proof Old Hammond Highway bridge, gave way late Monday morning in Bucktown after Katrina s fiercest winds were well north. [Times-Picayune]

11:30AM MICHAEL BROWN FINALLY REQUESTS THAT DHS DISPATCH 1,000 EMPLOYEES TO REGION, GIVES THEM TWO DAYS TO ARRIVE: Brown s memo to Chertoff described Katrina as this near catastrophic event but otherwise lacked any urgent language. The memo politely ended, Thank you for your consideration in helping us to meet our responsibilities. [AP]

2PM BUSH TRAVELS TO CALIFORNIA SENIOR CENTER TO DISCUSS MEDICARE DRUG BENEFIT: We have got some folks up here who are concerned about their Social Security or Medicare. Joan Geist is with us. I could tell she was looking at me when I first walked in the room to meet her, she was wondering whether or not old George W. is going to take away her Social Security check. [White House]

9PM RUMSFELD ATTENDS SAN DIEGO PADRES BASEBALL GAME: Rumsfeld joined Padres President John Moores in the owner s box at Petco Park. [Editor & Publisher]

Tuesday, August 30

9AM BUSH SPEAKS ON IRAQ AT NAVAL BASE CORONADO [White House]

MIDDAY CHERTOFF FINALLY BECOMES AWARE THAT LEVEE HAS FAILED: It was on Tuesday that the levee may have been overnight Monday to Tuesday that the levee started to break. And it was midday Tuesday that I became aware of the fact that there was no possibility of plugging the gap and that essentially the lake was going to start to drain into the city. [Meet the Press, 9/4/05]

PENTAGON CLAIMS THERE ARE ENOUGH NATIONAL GUARD TROOPS IN REGION: Pentagon spokesman Lawrence Di Rita said the states have adequate National Guard units to handle the hurricane needs. [WWL-TV]

MASS LOOTING REPORTED, SECURITY SHORTAGE CITED: The looting is out of control. The French Quarter has been attacked, Councilwoman Jackie Clarkson said. We are using exhausted, scarce police to control looting when they should be used for search and rescue while we still have people on rooftops. [AP]

U.S.S. BATAAN SITS OFF SHORE, VIRTUALLY UNUSED: The USS Bataan, a 844-foot ship designed to dispatch Marines in amphibious assaults, has helicopters, doctors, hospital beds, food and water. It also can make its own water, up to 100,000 gallons a day. And it just happened to be in the Gulf of Mexico when Katrina came roaring ashore. The Bataan rode out the storm and then followed it toward shore, awaiting relief orders. Helicopter pilots flying from its deck were some of the first to begin plucking stranded New Orleans residents. But now the Bataan s hospital facilities, including six operating rooms and beds for 600 patients, are empty. [Chicago Tribune]

3PM PRESIDENT BUSH PLAYS GUITAR WITH COUNTRY SINGER MARK WILLIS [AP]

BUSH RETURNS TO CRAWFORD FOR FINAL NIGHT OF VACATION [AP]

Wednesday, August 31

TENS OF THOUSANDS TRAPPED IN SUPERDOME; CONDITIONS DETERIORATE: A 2 year old girl slept in a pool of urine. Crack vials littered a restroom. Blood stained the walls next to vending machines smashed by teenagers. We pee on the floor. We are like animals, said Taffany Smith, 25, as she cradled her 3 week-old son, Terry. By Wednesday, it had degenerated into horror. At least two people, including a child, have been raped. At least three people have died, including one man who jumped 50 feet to his death, saying he had nothing left to live for. There is no sanitation. The stench is overwhelming. [Los Angeles Times, 9/1/05]

PRESIDENT BUSH FINALLY ORGANIZES TASK FORCE TO COORDINATE FEDERAL RESPONSE: Bush says on Tuesday he will fly to Washington to begin work with a task force that will coordinate the work of 14 federal agencies involved in the relief effort. [New York Times, 8/31/05]

JEFFERSON PARISH EMERGENCY DIRECTOR SAYS FOOD AND WATER SUPPLY GONE: Director Walter Maestri: FEMA and national agencies not delivering the help nearly as fast as it is needed. [WWL-TV]

80,000 BELIEVED STRANDED IN NEW ORLEANS: Former Mayor Sidney Barthelemy estimated 80,000 were trapped in the flooded city and urged President Bush to send more troops. [Reuters]

3,000 STRANDED AT CONVENTION CENTER WITHOUT FOOD OR WATER: With 3,000 or more evacuees stranded at the convention center and with no apparent contingency plan or authority to deal with them collecting a body was no one s priority. Some had been at the convention center since Tuesday morning but had received no food, water or instructions. [Times-Picayune]

5PM BUSH GIVES FIRST MAJOR ADDRESS ON KATRINA: Nothing about the president s demeanor which seemed casual to the point of carelessness suggested that he understood the depth of the current crisis. [New York Times]

8:00PM CONDOLEEZZA RICE TAKES IN A BROADWAY SHOW: On Wednesday night, Secretary Rice was booed by some audience members at Spamalot!, the Monty Python musical at the Shubert, when the lights went up after the performance.[New York Post, 9/2/05]

9PM FEMA DIRECTOR BROWN CLAIMS SURPRISE OVER SIZE OF STORM: I must say, this storm is much much bigger than anyone expected. [CNN]

Thursday, September 1

8AM BUSH CLAIMS NO ONE EXPECTED LEVEES TO BREAK: I do not think anybody anticipated the breach of the levees. [Washington Post]

CONDOLEEZZA RICE VISITS U.S. OPEN: Rice, [in New York] on three days vacation to shop and see the U.S. Open, hitting some balls with retired champ Monica Seles at the Indoor Tennis Club at Grand Central. [New York Post]

STILL NO COMMAND AND CONTROL ESTABLISHED: Terry Ebbert, New Orleans Homeland Security Director: This is a national emergency. This is a national disgrace. FEMA has been here three days, yet there is no command and control. We can send massive amounts of aid to tsunami victims, but we can’t bail out the city of New Orleans. [Fox News]

2PM MAYOR NAGIN ISSUES DESPERATE SOS TO FEDERAL GOVERNMENT: This is a desperate SOS. Right now we are out of resources at the convention centre and do not anticipate enough buses. We need buses. Currently the convention centre is unsanitary and unsafe and we are running out of supplies. [Guardian, 9/2/05]

2PM MICHAEL BROWN CLAIMS NOT TO HAVE HEARD OF REPORTS OF VIOLENCE: I have had no reports of unrest, if the connotation of the word unrest means that people are beginning to riot, or you know, they are banging on walls and screaming and hollering or burning tires or whatever. I have had no reports of that. [CNN]

NEW ORLEANS DESCEND[S] INTO ANARCHY: Storm victims were raped and beaten, fights and fires broke out, corpses lay out in the open, and rescue helicopters and law enforcement officers were shot at as flooded-out New Orleans descended into anarchy Thursday. This is a desperate SOS, the mayor said. [AP]

CONDOLEEZZA RICE GOES SHOE SHOPPING: Just moments ago at the Ferragamo on 5th Avenue, Condoleeza Rice was seen spending several thousands of dollars on some nice, new shoes (we have confirmed this, so her new heels will surely get coverage from the WaPos Robin Givhan A fellow shopper), unable to fathom the absurdity of Rice s timing, went up to the Secretary and reportedly shouted, How dare you shop for shoes while thousands are dying and homeless! [Gawker]

MICHAEL BROWN FINALLY LEARNS OF EVACUEES IN CONVENTION CENTER: We learned about that (Thursday), so I have directed that we have all available resources to get that convention center to make sure that they have the food and water and medical care that they need. [CNN]

Friday, September 2

ROVE-LED CAMPAIGN TO BLAME LOCAL OFFICIALS BEGINS: Under the command of President Bush s two senior political advisers, the White House rolled out a plan to contain the political damage from the administration s response to Hurricane Katrina. President Bush s comments from the Rose Garden Friday morning formed the start of this campaign. [New York Times, 9/5/05]

9:35AM BUSH PRAISES MICHAEL BROWN: Brownie, you are doing a heck of a job. [White House, 9/2/05]

10 AM PRESIDENT BUSH STAGES PHOTO-OP BRIEFING: Coast Guard helicopters and crew diverted to act as backdrop for President Bush s photo-op.

BUSH VISIT GROUNDS FOOD AID: Three tons of food ready for delivery by air to refugees in St. Bernard Parish and on Algiers Point sat on the Crescent City Connection bridge Friday afternoon as air traffic was halted because of President Bush s visit to New Orleans, officials said. [Times-Picayune]

LEVEE REPAIR WORK ORCHESTRATED FOR PRESIDENT S VISIT: Sen. Mary Landrieu, 9/3: Touring this critical site yesterday with the President, I saw what I believed to be a real and significant effort to get a handle on a major cause of this catastrophe. Flying over this critical spot again this morning, less than 24 hours later, it became apparent that yesterday we witnessed a hastily prepared stage set for a Presidential photo opportunity; and the desperately needed resources we saw were this morning reduced to a single, lonely piece of equipment. [Sen. Mary Landrieu]

BUSH USES 50 FIREFIGHTERS AS PROPS IN DISASTER AREA PHOTO-OP: A group of 1,000 firefighters convened in Atlanta to volunteer with the Katrina relief efforts. Of those, a team of 50 Monday morning quickly was ushered onto a flight headed for Louisiana. The crew s first assignment: to stand beside President Bush as he tours devastated areas.[Salt Lake Tribune; Reuters]

3PM BUSH SATISFIED WITH THE RESPONSE: I am satisfied with the response. I am not satisfied with all the results. [AP]

Saturday, September 3

SENIOR BUSH ADMINISTRATION OFFICIAL LIES TO WASHINGTON POST, CLAIMS GOV. BLANCO NEVER DECLARED STATE OF EMERGENCY: The Post reported in their Sunday edition As of Saturday, Blanco still had not declared a state of emergency, the senior Bush official said. They were forced to issue a correction hours later. [Washington Post, 9/4/05]

9AM BUSH BLAMES STATE AND LOCAL OFFICIALS: [T]he magnitude of responding to a crisis over a disaster area that is larger than the size of Great Britain has created tremendous problems that have strained state and local capabilities. The result is that many of our citizens simply are not getting the help they need. [White House, 9/3


Those who blindly defend the lack of RESPONSE (key word) by the federal government will carry the burdon of the lost souls with them to the next world. Those who were up in arms about Terry Shciavo but not about the lack of RESPONSE by the federal government to Katrina will carry well over 20,000 souls the like of Terry Schiavo to the next life. What ugly monster has crawled into their hearts to refrain from holding all parties responisble accept their beloved Republicans?

Result number: 155

Message Number 182319

Re: Can't blame Bush View Thread
Posted by John H on 9/08/05 at 10:23

Dorothy it was clearly the Governor and her FEMA Director. Federal FEMA cannot come in unless invited by the state. FEMA is not a sort of boots on the ground organization. They coordinate and direct. There are not truck loads of FEMA workers. They should see to it that the Red Cross and other agencies are coordinated. There is enough paper work that this will all come out as the investigation gets going. The news that I posted from a Florida reporter confounds me. NOAH calls the Governor/Mayor pleading with her/him to evacuate the city when a buoy 250 miles in the gulf records 68' waves and is destroyed. Her response is "we will take it into consideration". All this type stuff will not be just conjecture but is documented, be on tape, phone calls, etc. The people who made mistakes will not be able to run from them. As a Commander of troops in battlefield conditions I ALWAYS listened to my staff and made decision as quickly as possible to accomplish the mission (get the people out of NOLA) in the fastest safest way possible. I would have cared less if it would get me promoted or demoted. Many politicians often are weighing the political consequences of any decision they make which leads to indecision, wrong decisions, and loss of control. The Governors refusal to Nationalize the Guard when offered by the President was purely a political decision. It appears more and more to me the biggest culprit in this will be the State officials of LA. Not just the current ones but dating back many years. It is being reported that Federal funds for the levees were often diverted to the casino business in NOLA. I was talking to an official in Hot Springs who is directing help for many NOLA people who have moved in some local convention centers. He represented some large church groups. He said his funds were coming from FEMA. He is working side by side with the Red Cross and was really down on the Red Cross. He said when he told them he was with a Church and sponsored by FEMA they refused to work with him in any way even though they were just 10' away across an aisle in a convention center. juristriction issues even in towns and cites far removed from NOLA often arise. Of course I have no idea who is right or wrong in this one case. Some criminals have been bused in unknowingly to some of our towns forcing local law enforcement to do background checks on those arriving. This state still remembers the Cuban Boat Lift when around 20,000 were housed in Ft Smith, AR. Many or even most of these were criminals or mentally ill causing a terrible situation in this small town of around 50,000, Crime skyrocketed.

Result number: 156

Message Number 182218

Re: The line of responsibility View Thread
Posted by john h on 9/07/05 at 14:59

Well put Dorothy. Sending the Police to Vegas on a paid vacation seems way over the top. Actually sort of stupid since 500 NOLA Police Officers have quit or disappeared. Our troops and remaining Police are not exactly living in luxury. Our helicopter pilots are flying 24/7 and in many cases sleeping on the runways. Yes many of the low lifes are being dispersed around the country along with the good people. When Casto uleashed the Cuban boat people on us he emptied all the criminals from his prisons and mentally ill from his hospitals and they arrived here. We had around 20,000 in Ft Smith, AR at a military base. The crime rate soared and the citizens became outraged. I believe that is what caused then Governor Clinton to lose his one and only political race. It is going to take many months to sort this all out and there will be many unintended consequences. I am sick of all the politicians and Hollywood types showing up for mostly photo ops. Yes I recognize some of them are giving big bucks. The hurricane is a disaster, the break in the levees is a disaster but another disaster is in the works. I am now reading some people are already talking about Mardi Gras next year. This is surreal.

Result number: 157

Message Number 180694

Re: San Diego Update View Thread
Posted by elvis on 8/18/05 at 10:15

Well, thanx for having my interests in mind. Number one, the doctor did not have the time to show me the calculation so he has not miscalculated the total energy. He told me that he administers the same or more energy than Ossatron. He taught and used the Ossatron. He knows what he is talking about. I believe what he says and don't worry I will verify the total energy when the time comes for me to have ESWT. I think only an idiot would undergo Ossatron with general anesthsia when other ESWT treatments are available without a general. See what happened to Olivia Goldsmith and countless others who unexpectedly run into a complication from general anesthesia......and in Olivia's case all to get a stupid wrinkle removed from her chin!! How sad!:

http://www.foxnews.com/story/0,2933,108680,00.html

Also, I have read on this board that administering a local nerve block also has risks. Since you're so concerned about me let me tell you that my goal is to treat my chronic PF in a manner that inovles the lowest amount of risk of getting screwed with other problems as so many on this board have testified to. And you know why they got screwed? Because they went to a doctor for an "FDA approved" treatment and blindly accepted that FDA approved treatment and not an "experimental treatment." Be my guest and go under a general for an Ossatron treatment. Good luck as you may need it.

Just because the the protocol my doctor uses isn't blessed by the FDA doesn't mean it's experimental. To the contrary. His explanation is very sound scientifically from what I can gather. He has his own data to back up his results which are "outcome equal to Ossatron without the risks of anesthesia" plus the benefit of patient biofeedback throughout the procedure. Of all of the doctors I've been to for this (2 podiatrists, 2 orhtopeduc surgeons and a chiropractor) the current doctor is by far the best with respect to knowledge of what's going on with my foot and treatment options.

I specifically went to this guy to get ESWT and he put the brakes on that and wanted to see if he could cure my pf with more conservative treamtents. So far he's doing a great job. And you call it "his human experiment with ESWT"?? Get your head out of the sand. And start using your brain!! I see you accept FDA approval as some kind of a guarantee. I'd say that's a slap in the face to all of the poor SOBs who post here who have had complications from their "FDA approved" procedures. You are clueless!!

Result number: 158
Searching file 17

Message Number 178274

Re: Complete list of ESWT research- the rest View Thread
Posted by Ed Davis, DPM on 7/12/05 at 20:45

List of publications from ismst.com website, July, 2005
Author Title Year Publisher
Ackaert KS, Schröder FH Effects of extracorporeal shock wave lithotripsy (ESWL) on renal tissue. 1989 Urological Research, 17: 3-7
Alvarez R. Preliminary results on the safety and efficacy of the OssaTron for treatment of plantar fasciitis. 2002 Foot Ankle Int 2002;23:197-203
Amelio E, Cugola L Acute and chronic tendon pathology in athlete 2000 3rd Congress of the ISMST - Naples, Abstracts:81
Amini A, Hafez M, Zhou S, Garcia E, Coombs R Shockwave Treatment for Chronic Non-union 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 159-164
Ammendolia A, Perticone L, Milano C Chronic shoulder articular pain: treatment by extracorporeal shockwaves 2000 3rd Congress of the ISMST - Naples, Abstracts:19
Ape A, Bosco V, Buselli P, Coco V, Gerardi A, Saggini R A retrospective, multi-centre experience report of shock wave therapy on epicondylitis 2000 3rd Congress of the ISMST - Naples, Abstracts:35-36
Apfel RE Acoustic cavitation. 1981 Methods of experimental physics, vol. 19, P. Edmonds ed., Academic Press New York: 355-411
Arbeitsgruppe "Orthopädische Stosswellenbehandlungen" Standortbestimmung 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 137-142
Arbeitsgruppe "Technische Entwicklungen" Standortbestimmung 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 15-20
Assenza, Buselli P, Chiacchio C, Pozzolini M, Scrocca M, Saggini R A retrospective, multi-centre experience report of shock wave therapy on rotator cuff tendonitis with calcific deposit 2000 3rd Congress of the ISMST - Naples, Abstracts:25
Auersperg V, Labek G, Böhler N Correlations Between Length of History and Outcome 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 37-42
Augat P, Claes L, Suger G In vivo effects of shock waves on the healing of fractured bone. 1995 Clin. Biomechan., 10: 374-378
Baloglu I, Aydinok H, Lök V Our results of the ossatherapy for treatment of pseudoathrosis 2000 3rd Congress of the ISMST - Naples, Abstracts:56
Baloglu I, Lök V Shockwave Therapy for Plantar Fasciitis 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 51-52
Bao S, Thrall BD, Miller DL Transfection of a reporter plasmid into cultured cells by sonoporation in vitro. 1997 Ultrasound in Medicine & Biology, 23: 953-959
Baumann J, Baumann J Treatment of neuromuscular dysfunction in children with spastic cerebral palsy by extracorporeal unfocused shock waves. 1997 Siebert W, Buch M (Hrsg), Extracorporal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 231-239
Beg M, Melikyan E, Yang X, Bainbridge L Shockwave Treatment for Intractable Tennis Elbow 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 81-90
Begg C, Cho M, Eastwood S Improving the quality of reporting of randomized controlled trials: the CONSORT statement. 1996 JAMA 1996; 276:637-639
Benson K, Hartz AJ A comparison of observational studies and randomized, controlled trials. 2000 N Engl J Med 2000; 342: 1878-1886
Betz U, Heine J, Riedel C, Rompe J D, Schöllner C The value of Cervical Spinal Manipulative Therapy Combined with Low Energy Shockwaves for Chronic Tennis Elbow 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 123-130
Boxberg W, Perlick L, Giebel G Stosswellenbehandlung bei therapieresistenten Weichteilschmerzen. 1996 Chirurg, 67: 1174-1178
Boyer MI, Hastings H Lateral tennis elbow: Is there any science out there? 1999 J Shoulder Elbow Surg 1999; 8:481-491
Braun W, Claes L, Rüter A, Paschke D Untersuchung zur Wirksamkeit von Stosswellen auf die Festigkeit des Verbundes von Knochen und Polymethylmetacrylat. 1991 Experimentelle Orthopädie, 130: 236
Braun W, Claes L, Rüter A, Paschke D Effects of extracorporeal shock waves on the stability of the interface between bone and polymethylmethacrylate: an in vitro study on human femoral segments. 1992 Clin. Biomechan., 7: 47-54
Braun W, Rüter A Frakturheilung: Morphologische und physiologische Gesichtspunkte. 1996 Unfallchirurg, 99: 59-67
Brendel W, Delius M, Goetz A Effect of shock waves on the microvasculature. 1987 Prog. Appl. Microcirculation, 12: 41-50
Brocai DRC, Lukoschek M, Hartmann M, Loew M Biometrische Planung klinisch-orthopadischer Studien. Der optimale Stichprobenumfang. 1998 Orthopäde 1998; 27:301-304
Brunner W, Thüringer R, Ascher G, Maluche C, Kellner F, Neuking A, Solleder A, Schmidt-Hoensdorf F, Vetter K High energy shock waves for pain management in orthopedics - a two year foolow-up in 899 cases 2000 3rd Congress of the ISMST - Naples, Abstracts:75
Brunner W, Thüringer R, Ascher G, Neuking A, Flesch A, Solleder A, Schmidt-Höhnsdorff F, Bärtel B Die extrakorporelle Stosswellentherapie in der Orthopädie - Drei-Monats-Ergebnisse in 443 Fällen. 1997 Orthopädische Praxis, 7: 461-464
Brümmer F, Brenner J, Bräuner T, Hülser D Effect of shock waves on suspended and immobilized L1210 cells. 1989 Ultrasound in Medicine & Biology, 15: 229-239
Brümmer F, Bräuner T, Hülser D Biological effects of shock waves. 1990 World Journal of Urology, 8: 224-232
Brümmer F, Suhr D, Hülser D Sensitivity of normal and malignant cells to shock waves. 1992 Stone Disease, 4: 243-248
Bräuner T, Brümmer F, Hülser DF Histopathology of shock wave treated tumor cells suspensions and multicell tumor spheroids. 1989 Ultrasound in Medicine & Biology, 15: 451-460
Buch M Shock wave therapy of heel spur. 1997 Orthopaedic Product News, July/Aug./Sep.: 28-30
Buch M Prospektiver Vergleich der hochenergetischen Stoßwellentherapie sowie des Needling bei der Tendinosis calcarea der Schulter 2001 Siebert W, Buch M (Hrsg), Extrakorporale Stoßwellentherapie in der Orthopädie - Grundlagen und Anwendung, Ecomed Verlagsgesellschaft, Germany: 127-136
Buch M, Fleming L, Theodore G, Amendola A, Bachmann C, Zingas C. Resultate einer prospektiven placebokontrollierten randomisierten doppelblinden Multicenterstudie zur Evaluation der Effektivität und Sicherheit der Stoßwellentherapie bei plantarer Fasciitis. 2001 Vortrag, Symposium Muskuloskeletale Stoßwellentherapie, Mainz
Buch M, Knorr U, Fleming L, Theodore G, Amendola A, Bachmann C et al Extracorporeal shock wave therapy in plantar fasciitis: a review. 2002 Orthopaede 2002;31:637-644
Buch M, Knorr U, Siebert W E Chronic plantar fasciitis treated by ESWT 2000 Minimally Invasive Therapy & Allied Technologies, Isis Medical Media, Volume 9, Number 3/4 August 2000: 310 (Abstract 7)
Buch M, Schlangmann B, Träger D, Siebert W Prospektiver Vergleich der niedrig- und hochenergetischen Stosswellentherapie und Needling bei der Behandlung der Tendinosis calcarea der Schulter. 1997 45. Jahrestagung der Vereinigung Süddeutscher Orthopäden, Abstractband: 101-102
Buch M, Siebert W Shockwave Treatment for Heel Pain Syndrome - a Prospective Investigation 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 73-77
Burger C, Tsironis K, Helling HJ, Prokop A, Rehm KE Die extrakorporale Stosswellentherapie bei Ansatztendopathien der Schulter, des Ellenbogens und der Ferse - vorläufige Ergebnisse einer prospektiven Kölner Studie. 1996 45. Jahrestagung der Deutschen Orthopädenvereinigung e.V. User Meeting Ossatron, Wiesbaden
Buselli P, Saggini R ESWT in ossificans myositis 2000 3rd Congress of the ISMST - Naples, Abstracts:83
Bürger R, Witzsch U, Haist J, Grebe P, Hohenfellner R Die extrakorporale Stosswellentherapie (ESWT) - eine neue Möglichkeit der Behandlung von Pseudarthrosen. 1993 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Stosswellenlithotripsie - Aspekte und Prognosen, Attempto Verlag, Tübingen: 127-130
Bürger R, Witzsch U, Haist J, Karnofsky V Extrakorporale Stosswellenbehandlung bei Pseudarthrose und aseptischer Knochennekrose. 1991 Urologe A, 30: 48
Bürger R, Witzsch U, Haist J, Karnofsky V, Hohenfellner R Extracorporeal shock wave therapy of pseudo-arthrosis and aseptic osteonecrosis. 1991 Endourology, 5, Suppl. 1: 48
Bürger R, Witzsch U, Haist J, Karnovsky V, Ahlers J, Hohenfellner R Extracorporeal shock wave therapy of pseudo-arthrosis. 1992 Urology, 147: 48 ff
Bödekker I, Haake M Die extrakorporale Stosswellentherapie zur Behandlung der Epicondylitis humeri radialis. Ein aktueller Überblick. 2000 Orthopäde 2000; 29:463-469
Bödekker R, Schafer H, Haake M Extracorporeal shock wave therapy in the treatment of plantar fasciitis – a biometrical review. 2001 Clin Rheumatol 2001; 20:324-330
Chaussy C, Eisenberger F, Wanner K, Forssmann F, Hepp W, Schmiedt E, Brendel W The use of shock waves for the destruction of renal calculi without direct contact. 1976 Urol Res 1976; 4:181-188
Chen H, Chen L, Huang T Treatment of painfull heel syndrome with shock waves 2001 Clinical Orthopaedics and Related Research, 387: 41-46
Chen H, Chen L, Huang T Treatment of painful heel syndrome with shock waves 2001 Clin Orthop 2001; 387: 41-46
Child SZ, Hartman C, Schery LA, Carstensen EL Lung damage from exposure to pulsed ultrasound. 1990 Ultrasound in Medicine & Biology, 16: 817-825
Church C A theoretical study of cavitation generated by an extracorporeal shock wave lithotripter. 1989 Acoustic Society of America, 86: 215-227
Coleman AJ, Saunders JE A review of the physical properties and biological effects of the high amplitude acoustic fields usedr in extracorporeal lithotripsy. 1993 Ultrasonics, 31: 75-89
Coleman AJ, Saunders JE A survey of the acoustic output of commercial extracorporeal shock wave lithotripters. 1989 Ultrasound in Medicine & Biology, 15: 213-227
Coleman AJ, Saunders JE, Crum LA, Dyson M Acoustic cavitation generated by an extracorporeal shock wave lithotripter. 1987 Ultrasound in Medicine & Biology, 13: 69 ff
Concato J, Shah N, Jorwitz RI Randomized, controlled trials, observational studies, and the hierarchy of research. 2000 N Engl J Med 2000; 342: 1887-189
Corrado B, Russo S, Gigliotti S, De Durante C, Canero R Shockwave Treatment for Non-unions of the Carpal Scaphoid 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 187-194
Cosentino R, de Stefano R, Frati E, Manca S, Tofi C, Falsetti P, Linari S, Morfini M, Rossi-Ferrini P, Marcolongo R Safety and efficacy of extracorporeal shock wave therapy in the treatment of painful non articular rheumatism of patients with hemophilia 2000 3rd Congress of the ISMST - Naples, Abstracts:86
Cozzolino F, Corrado B, Izzo M, Borrelli M, Russo S, Gigliotti S, de Durante C Axial external fixation plus high energy shock waves in the treatment of unstable leg non union 2000 3rd Congress of the ISMST - Naples, Abstracts:61
Crawford F, Atkins D, Edward J Interventions for treating plantar heel pain (Cochrane Review) 2000 Cochrane Library, Issue 3. Oxford: Update Software, 2000
Crowther M. A prospective randomised study comparing shockwave therapy and steroid injection in the treatment of 'tennis elbow' 2000 3rd Congress of the ISMST - Naples, Abstracts:34
Crum L Tensile strength of water. 1979 Nature, 278: 148-149
Crum L Acoustic cavitation. 1982 Proceedings of the 1982 IEEE ultrasonics Symposium, IEEE, New York: 1-11
Cugola L, Amelio E Long bone non-union: treatment by extracorporeal shock wave (ESW) 2000 3rd Congress of the ISMST - Naples, Abstracts:59Dahm K Stosswellentherapie bei schmerzhaftem Fersensporn: Nachuntersuchungen bei 362 Patienten. 1997 2. Radevormwalder ESWT-Symosium, Radevormwald: 8-9
Dahmen GP, Franke R, Gonchars V, Poppe K, Lentrodt S, Lichtenberger S, Jost S, Montigel J, Nam VC, Dahmen G Die Behandlung knochennaher Weichteilschmerzen mit extrakorporaler Stosswellentherapie (ESWT) - Indikation, Technik und bisherige Ergebnisse. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 175-186
Dahmen GP, Meiss L, Nam VC, Skruodies B Extrakorporale Stoßwellentherapie (ESWT) im knochennahen Weichteilbereich an der Schulter 1992 Extracta Orthopaedica 1992; 15:25-28
Dahmen GP, Nam VC, Meiss L Extrakorporale Stosswellentherapie zur Behandlung von knochennahen Weichteilschmerzen: Indikation, Technik und vorläufige Ergebnisse. 1993 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Stosswellenlithotripsie - Aspekte und Prognosen, Attempto Verlag, Tübingen: 143-148
Davis PF, Severud E, Baxter DE Painful heel syndrome: results of nonoperative treatment. 1994 Foot Ankle Int 1994;15:531-5
de Durante C, Russo S, Gigliotti S, Corrado B The Treatment of Shoulder Periarticular Calcification 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 143-144
de Durante C, Russo S, Gigliotti S, Pecoraro C The treatment of shoulder periarticular calcifications by shock waves 2000 3rd Congress of the ISMST - Naples, Abstracts:23
de Maio M, Paine R, Mangine RE, Drez D Plantar fasciitis. 1993 Orthopedics 1993;16: 1153-63
de Oya R, Sanchez Benitez Soto J, Garcia Munilla M Extracorporeal shock waves in the treatment of tendinitis of shoulder 2000 3rd Congress of the ISMST - Naples, Abstracts:13
de Pretto M, Dalla Valle I, Ferrari G, Pacetti A Follow-up and evaluation of heterotopic ossifications treated with shockwave therapy 2000 3rd Congress of the ISMST - Naples, Abstracts:85
de Pretto M, Guerra L, Pozzolini M, Zucchetti R, Saggini R A retrospective multi-centre experience report of shock wave therapy on achilles tendonitis 2000 3rd Congress of the ISMST - Naples, Abstracts:45-46
Delius M Minimal static excess pressure minimizes the effect of extracorporeal shock waves on cells and reduces it on gallstones. 1997 Ultrasound in Medicine & Biology, 23: 611-617
Delius M Experimentelle Stosswellenlithotripsie - aktuelle Entwicklungen. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 3-9
Delius M Biologische Wirkung von Stosswellen - mehr als "nur" Steinzertrümmerung? 1995 Zentralblatt Chirurgie, 120: 259-273
Delius M Medical applications and bioeffects of extracorporal shock waves. 1994 Shock waves, 4: 55-72
Delius M Bioeffects of shock waves: in vivo and in vitro actions 2000 3rd Congress of the ISMST - Naples, Abstracts:9
Delius M, Denk R, Berding C, Liebich H, Jordan M, Brendel W Biological effects of shock waves: cavitation by shock waves in piglet liver. 1990 Ultrasound in Medicine & Biology, 16: 467-472
Delius M, Draenert K Einfluß hochenergetischer Stosswellen auf Knochen, Wirkung von Stosswellen auf Knochen. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg: 10-11
Delius M, Draenert K, Al Diek Y, Draenert Y Biological effect of shock waves: in vivo effect of high energy pulses on rabbit bone. 1995 Ultrasound in Medicine & Biology, 21: 1219-1225
Delius M, Draenert K, Draenert Y, Börner M Effects of extracorporeal shock waves on bone: a review of shock wave expiriments and the mechanism of shock wave action. 1997 Siebert W, Buch M (Hrsg), Extracorporeal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 91-107
Delius M, Enders G, Heine G, Stark J, Remberger K, Brendel W Biological effects of shock waves: lung hemorrhage by shock waves in dogs - pressure dependence. 1987 Ultrasound in Medicine & Biology, 13: 61-67
Delius M, Enders G, Xuan Z, Liebich H, Brendel B Biological effects of shock waves: kidney damage by shock waves in dogs - dose dependence. 1988 Ultrasound in Medicine & Biology, 14: 117-122
Delius M, Hoffmann E, Steinbeck G, Conzen P Biological effects of shock waves: induction of arrhythmia in piglet hearts. 1994 Ultrasound in Medicine & Biology, 20: 279-285
Delius M, Jordan M, Eizenhoefer H, Marlinghaus E, Heine G, Liebich H, Brendel W Biological effects of shock waves: kidney hemorrhage by shock waves in dogs - administration rate dependence. 1988 Ultrasound in Medicine & Biology, 14: 689-694
Delius M, Jordan M, Liebich H, Brendel W Biological effects of shock waves: effect of shock waves on the liver and gallbladder wall of dogs - administration rate dependence. 1990 Ultrasound in Medicine & Biology, 16: 459-466
Delius M, Weiss N, Gambihler S, Goetz A, Brendel W Tumor therapy with shock waves requires modified lithotripter shock waves 1989 Naturwissenschaften, 76: 573-574
Delius M, Überle F, Eisenmenger W Extracorporeal shock waves act by shock wave gas bubble interaction. 1998 Ultrasound in Medicine & Biology, 24: 1055-1059
Dellian M, Walenta S, Gamarra F, Kuhnle G, Mueller-Klieser W, Goetz A Ischemia and loss of ATP in tumors following treatment with focused high energy shock waves. 1993 British Journal of Cancer, 68: 26-31
di Silverio F, Galluci M, Gambardella P, Alp G, Benedetti R, La Mancusa R, Pulcinelli FM, Romiti R, Gazzangia PP Blood cellolar and biochemical changes after extracorporeal shock wave in lithotripsy. 1990 Urological Research, 18: 49 ff
Dieppe P, Chard J, Tallon D, Egger M Funding clinical research. 1999 Lancet 1999; 353:1626-1629
Diesch R, Haupt G Anwendung der hochenergetischen extrakorporalen Stosswellentherapie bei Pseudarthrosen. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg: 63-64
Diesch R, Haupt G Use of extracorporeal shock waves in the treatment of pseudarthrosis. 1991 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), High energey shock waves in medicine, Thieme Verlag, Stuttgart: 136-139
Diesch R, Haupt G Extracorporeal shock wave treatment of pseudarthrosis, tendinosis calcarea of the shoulder and calcaneal spur. 1997 Siebert W, Buch M (Hrsg), Extracorporeal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 131-135
Diesch R, Straub T, Penninger E, Frolich T, Scholl J Conventional Versus Ballistic Shockwave Treatment for Calcaneal Spur 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 71-72
Duarte LR The stimulation of bone growth by ultrasound. 1983 Archives of Orthopaedic and Trauma Surgery, 101: 153 ff
Dyson M, Brookes M Stimulation of bone repair by ultrasound. 1983 Ultrasound in Medicine & Biology, Suppl 2: 61 ff
Eichenblat M Experience with two different types of shockwave therapy for chronic calcifying tendinitis of the shoulder and chronic heel syndrome 2000 3rd Congress of the ISMST - Naples, Abstracts:71
Eisenmenger W Experimentelle Bestimmung der Stossfrontdicke aus dem akustischen Frequenzspektrum elektromagnetisch erzeugter Stosswellen in Flüssigkeiten bei einem Stossdruckbereich von 10 atm bis 10 atm. 1964 Acustica, 14: 188-204
Ekkernkamp A Extrakorporale Stosswellen. 1998 Deutsches Ärzteblatt, 95: B-1403
Ekkernkamp A Die Wirkung extrakorporaler Stosswellen auf die Frakturheilung. 1992 Habilitationsschrift, Ruhr-Universität, Bochum
Ekkernkamp A, Bosse A, Haupt G, Pommer A Der Einfluß der extrakorporalen Stosswellen auf die standardisierte Tibiafraktur am Schaf. 1992 Ittel TH, Sieberth HG, Matthiaß HH (Hrsg), Aktuelle Aspekte der Osteologie, Springer Verlag, Berlin Heidelberg New York: 307-310
Ekkernkamp A, Haupt G, Knopf HJ, Püllenberg P, Muhr, Senge T Effects of extracorporeal shock waves on standardized fractures in sheeps. 1991 Urology, 145: 257 ff
Feigl T, Schneider T, Riedlinger R, Löhr M, Hahn EG, Ell C Beschallung von humanen Pankreaskarzinomzellen mit hochenergetischem gepulsten Ultraschall. 1992 Med. Tech., 3: 139-143
Ferrari G, lo Prete F, de Pretto M, Pacetti A Use of imaging for heterotopic ossifications evaluation 2000 3rd Congress of the ISMST - Naples, Abstracts:84
Folberth W, Krause H, Reuner T Stosswellenmesstechnik in der Lithotripsie: Historie und Ausblick. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 45-50
Forriol F, Solchaga L, Moreno JL, Canadell J The effects os shock waves on mature and healing cortical bone. 1994 International Orthopaedics, 18: 325-329
Fritze J Extrakorporale Stoßwellentherapie in orthopädischer Indikation: Eine ausgewählte Übersicht. 1998 Versicherungsmedizin 1998; 50: 180-183
Fukada E, Yasuda I On the piezoelectric effect of bone. 1957 Phys. Soc. Japan, 12: 1158-1162
Fuson RL, Sherman M, Van Fleet J, Wendt, T The conduct of orthopaedic clinical trials. 1997 J Bone Joint Surg 1997; 79-A: 1089-1098



Feigl T, Schneider T, Riedlinger R, Löhr M, Hahn EG, Ell C Beschallung von humanen Pankreaskarzinomzellen mit hochenergetischem gepulsten Ultraschall. 1992 Med. Tech., 3: 139-143
Ferrari G, lo Prete F, de Pretto M, Pacetti A Use of imaging for heterotopic ossifications evaluation 2000 3rd Congress of the ISMST - Naples, Abstracts:84
Folberth W, Krause H, Reuner T Stosswellenmesstechnik in der Lithotripsie: Historie und Ausblick. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 45-50
Forriol F, Solchaga L, Moreno JL, Canadell J The effects os shock waves on mature and healing cortical bone. 1994 International Orthopaedics, 18: 325-329
Fritze J Extrakorporale Stoßwellentherapie in orthopädischer Indikation: Eine ausgewählte Übersicht. 1998 Versicherungsmedizin 1998; 50: 180-183
Fukada E, Yasuda I On the piezoelectric effect of bone. 1957 Phys. Soc. Japan, 12: 1158-1162
Fuson RL, Sherman M, Van Fleet J, Wendt, T The conduct of orthopaedic clinical trials. 1997 J Bone Joint Surg 1997; 79-A: 1089-1098


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Galasso O, de Durante C, Russo S, Gigliotti S, Corrado B Chronic achilloynia. Treatment with extracorporeal shock waves 2000 3rd Congress of the ISMST - Naples, Abstracts:43
Gambihler S, Delius M In vitro interaction of lithotripter shock waves and cytotoxic drugs. 1992 British Journal of Cancer, 66: 69-73
Gambihler S, Delius M, Ellwart JW Permeabilization of the plasma membrane of L1210 mouse leukemia cells using lithotripter shock waves. 1994 Membr. Biol., 141: 267-275
Gambihler S, Delius M, Ellwart JW Transient increase in membrane permeability of L1210 cells upon exposure to lithotripter shock waves in vitro. 1992 Naturwissenschaften, 79: 328-329
Gebhart C, Widhalm R The Biological Effects of Shockwave Treatment 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 11-12
Gerdesmeyer L ESWT bei Tendinosis calcarea – Ergebnisse der prospektiven placebokontrollierten Multicenterstudie der DGOOC. 2001 Vortrag, Arbeitskreis Stoßwellentherapie, Berlin, 2001
Gerdesmeyer L, Bachfischer K, Hauschild M Overview of Calcifying Tendonitis of the Shoulder Treated with Shockwave Treatment 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 151-156
Gerdesmeyer L, Hasse A, Engel A, Bachfischer K, Rechl H Der Einfluß extrakorporaler Stoßwellen auf die Osteoinduktion nach Radiatio 2001 Siebert W, Buch M (Hrsg), Extrakorporale Stoßwellentherapie in der Orthopädie - Grundlagen und Anwendung, Ecomed Verlagsgesellschaft, Germany: 13-22
Gerdesmeyer L, Hauschild M, Bachfischer K The change of clinical outcome of tendinitis calcarea after ESWT in course of time 2000 3rd Congress of the ISMST - Naples, Abstracts:28
Gerdesmeyer L, Russlies M, Peters P, Gradinger R Die hochenergetische ESWT zur Behandlung der Tendinosis calcarea. 1997 46. Jahrestagung Norddeutsche Orthopädenvereinigung, Kurzreferate: 14
Galasso O, de Durante C, Russo S, Gigliotti S, Corrado B Chronic achilloynia. Treatment with extracorporeal shock waves 2000 3rd Congress of the ISMST - Naples, Abstracts:43
Gambihler S, Delius M In vitro interaction of lithotripter shock waves and cytotoxic drugs. 1992 British Journal of Cancer, 66: 69-73
Gambihler S, Delius M, Ellwart JW Permeabilization of the plasma membrane of L1210 mouse leukemia cells using lithotripter shock waves. 1994 Membr. Biol., 141: 267-275
Gambihler S, Delius M, Ellwart JW Transient increase in membrane permeability of L1210 cells upon exposure to lithotripter shock waves in vitro. 1992 Naturwissenschaften, 79: 328-329
Gebhart C, Widhalm R The Biological Effects of Shockwave Treatment 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 11-12
Gerdesmeyer L ESWT bei Tendinosis calcarea – Ergebnisse der prospektiven placebokontrollierten Multicenterstudie der DGOOC. 2001 Vortrag, Arbeitskreis Stoßwellentherapie, Berlin, 2001
Gerdesmeyer L, Bachfischer K, Hauschild M Overview of Calcifying Tendonitis of the Shoulder Treated with Shockwave Treatment 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 151-156
Gerdesmeyer L, Hasse A, Engel A, Bachfischer K, Rechl H Der Einfluß extrakorporaler Stoßwellen auf die Osteoinduktion nach Radiatio 2001 Siebert W, Buch M (Hrsg), Extrakorporale Stoßwellentherapie in der Orthopädie - Grundlagen und Anwendung, Ecomed Verlagsgesellschaft, Germany: 13-22
Gerdesmeyer L, Hauschild M, Bachfischer K The change of clinical outcome of tendinitis calcarea after ESWT in course of time 2000 3rd Congress of the ISMST - Naples, Abstracts:28
Gerdesmeyer L, Russlies M, Peters P, Gradinger R Die hochenergetische ESWT zur Behandlung der Tendinosis calcarea. 1997 46. Jahrestagung Norddeutsche Orthopädenvereinigung, Kurzreferate: 14
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Haake M, Böddeker IR, Decker T, Buch M, Vogel M, Labek G, Maier M, Loew M, Maier-Boerries O, Fischer J, Betthäuser A, Rehack HC, Kanovsky W, Müller I, Gerdesmeyer L, Rompe JD Efficacy of Extracorporal Shockwave Therapy (ESWT) in patients with lateral epicondylitis - A placebo controlled multicenter trial. 2001 4th International Congress of the ISMST, Berlin, 2001
Haake M, Böddeker IR, Decker T, Buch M, Vogel M, Labek G, Maier M, Loew M, Maier-Boerries OM, Fischer J, Betthäuser A, Rehack HC, Kanovsky W, Müller I, Gerdesmeyer L, Rompe JD Side effects of Extracorporeal Shock Wave Therapy (ESWT) in the treatment of tennis elbow. 2002 Arch Orthop Traum Surg 2002
Haake M, Deike B, Thon A, Schmitt J Exact focusing of extracorporeal Shock Wave Therapy for calcifying tendinopathy. 2002 Clin Orthop 2002
Haake M, Deike B, Thon A, Schmitt J. Importance of accurately focussing of extracorporeal shock waves (ESWT) in the treatment of calcifying tendinitis - A prospective randomised study. 2001 Biomed Tech 2001; 45: 69-74
Haake M, Jensen K, Prinz H, Willenberg T Design einer Multizenterstudie zum Wirksamkeitsnachweis der Extrakorporalen Stosswellentherapie (ESTW) bei Epicondylitis humeri radialis. 2000 Z Orthop Ihre Grenzgeb 2000; 138:99-103
Haake M, Rautmann M, Griss P Therapieergebnisse und Kostenanalyse der Extrakorporalen Stoßwellentherapie bei Tendinitis calcarea und Supraspinatussehnensyndrom. 1998 Orthop Praxis 1998;34: 110-113
Haake M, Rautmann M, Wirth T Assessment of treatment costs of Extracorporeal Shock Wave Therapy (ESWT) - Comparison of ESWT and surgical treatment in shoulder diseases 2001 Int J Tech Ass Health Care 2001; 17: 612-617
Haake M, Rautmann M, Wirth T Extracorporeal Shock Wave Therapy versus surgical treatment in calcifying ttttrendinitis and non calcifying tendinitis of the supraspinatus muscle. 2001 Eur J Orthop Surg Traumatol 2001; 11: 21-24
Haake M, Sattler A, Gross MW, Schmitt J, Hildebrandt R, Müller HH Vergleich der Extrakorporalen Stoßwellentherapie mit der Röntgenreizbestrahlung beim Supraspinatussehnensyndrom – ein prospektiver randomisierter einfachblinder Parallelgruppenvergleich 2001 Z Orthop Ihre Grenzgeb 2001; 139: 397-402
Haist J Die Osteorestauration via Stosswellen-Anwendung. Eine neue Möglichkeit zur Therapie der gestörten knöchernen Konsolidierung. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 157-161 Haist J Osteorestoration via shock wave application. A new possibility of treating disturbed bone union. 1997 Siebert W, Buch M (Hrsg), Extracorporeal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 119-129
Haist J Einsatzmöglichkeiten der analgetisch wirksamen extrakorporalen Stosswellentherapie an der Schulter. 1995 Orthopädische Praxis, 9: 591-593
Haist J Shockwave Treatment for Radial and Ulnar Epicondylitis 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 115-113
Haist J Shockwave Therapy for Pseudarthroses 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 195-196
Haist J Shockwave Treatment of Dupuytren's Contracture and Ledderhose's Contraction 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 253-254
Haist J, Reichel W, Bürger R, Witzsch U Einsatz der extrakorporalen Stosswelle bei der osteosynthetisch versorgten Pseudarthrose - eine experimentelle Studie. 1993 Orthopädische Praxis, 5: 345-346
Haist J, Reichel W, Witzsch U, Bürger R Die extrakorporale Stosswellenbehandlung der gestörten Frakturheilung - eine Alternative zu operativen Verfahren ? 1993 Orthopädische Praxis, 29: 842-844
Haist J, Steeger von Keitz D Die Stosswellentherapie (ESWT) der Epicondylopathia radialis et ulnaris. Ein neues Behandlungskonzept knochennaher Weichteilschmerzen. 1994 Orthopädie Mitteilungen, 173
Haist J, Steeger von Keitz D Stosswellentherapie knochennaher Weichteilschmerzen - ein neues Behandlungskonzept. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 162-165
Haist J, Steeger von Keitz D, Mohr G, Schulze G, Weber F The orthopaedic shock wave therapy in the treatment of chronic insertion tendopathy and tendinosis calcarea. 1997 Siebert W, Buch M (Hrsg), Extracorporeal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 159-163
Haist J, Steeger von Keitz D, Witzsch U, Bürger R, Haist U The extracorporeal shockwave therapy in the treatment of disturbed bone union. 1992 7th International Conference on Biomedical Engineering, December 2.- 4.1992, Singapore: 222-224
Haist J, Steeger von Keitzr D Shock wave therapy in the treatment of near to bone soft tissue pain in sportsmen. 1996 International Journal of Sports Medicine, 17: 79-81
Hammer DS, Rupp S, Ensslin S, Kohn D, Seil R Extracorporal shock wave therapy in patients with tennis elbow and painful heel. 2000 Arch Orthop Trauma Surg 2000; 120:304-7
Hammer DS, Rupp S, Kreutz A, Pape D, Kohn D, Seil R Extracorporeal shockwave therapy (ESWT) in patients with chronic proximal plantar fasciitis. 2002 Foot Ankle Int 2002;23:309-13
Hasegawa S, Kato K, Takashi M, Zhu Y, Obata K, Miyake K S100a0 protein as a marker for tissue damage related to extracorporeal shock wave lithotripsy. 1993 Eur. Urology, 24: 393-396
Haupt G Stosswellen in der Orthopädie. 1997 Urologe A, 36, Nr.3: 233-238
Haupt G Use of extracorporeal shock waves in the treatment of pseudarthrosis, tendopathy and other orthopaedic diseases. 1997 Urology, 158: 4-11
Haupt G, Diesch R, Straub T, Penninger E, Fröhlich T, Scholl J, Löhrer H, Senge T Ballistic Shockwave Treatment 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 271-272
Haupt G, Ekkernkamp A, Püllenberg A, Senge T Einfluß extrakorporal erzeugter Stosswellen auf standardisierte Tibiafrakturen im Schafmodell. 1992 Urologe A, 31: A 43ff
Haupt G, Haupt A, Ekkernkamp A, Gerety B, Chvapil M Influence of shock waves on fracture healing. 1992 Urology, 39: 529-532
Haist J, Steeger von Keitz D, Witzsch U, Bürger R, Haist U The extracorporeal shockwave therapy in the treatment of disturbed bone union. 1992 7th International Conference on Biomedical Engineering, December 2.- 4.1992, Singapore: 222-224
Haist J, Steeger von Keitzr D Shock wave therapy in the treatment of near to bone soft tissue pain in sportsmen. 1996 International Journal of Sports Medicine, 17: 79-81
Hammer DS, Rupp S, Ensslin S, Kohn D, Seil R Extracorporal shock wave therapy in patients with tennis elbow and painful heel. 2000 Arch Orthop Trauma Surg 2000; 120:304-7
Hammer DS, Rupp S, Kreutz A, Pape D, Kohn D, Seil R Extracorporeal shockwave therapy (ESWT) in patients with chronic proximal plantar fasciitis. 2002 Foot Ankle Int 2002;23:309-13
Hasegawa S, Kato K, Takashi M, Zhu Y, Obata K, Miyake K S100a0 protein as a marker for tissue damage related to extracorporeal shock wave lithotripsy. 1993 Eur. Urology, 24: 393-396
Haupt G Stosswellen in der Orthopädie. 1997 Urologe A, 36, Nr.3: 233-238
Haupt G Use of extracorporeal shock waves in the treatment of pseudarthrosis, tendopathy and other orthopaedic diseases. 1997 Urology, 158: 4-11
Haupt G, Diesch R, Straub T, Penninger E, Fröhlich T, Scholl J, Löhrer H, Senge T Ballistic Shockwave Treatment 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 271-272
Haupt G, Ekkernkamp A, Püllenberg A, Senge T Einfluß extrakorporal erzeugter Stosswellen auf standardisierte Tibiafrakturen im Schafmodell. 1992 Urologe A, 31: A 43ff
Haupt G, Haupt A, Ekkernkamp A, Gerety B, Chvapil M Influence of shock waves on fracture healing. 1992 Urology, 39: 529-532
Haupt G, Haupt A, Gerety B, Chvapil M Enhancement of fracture healing with extracorporeal shock waves. 1990 AUA Annual Meeting, New Orleans 1990
Haupt G, Haupt A, Senge T Die Behandlung von Knochen mit extrakorporalen Stosswellen - Entwicklung einer neuen Therapie. 1993 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Stosswellenlithotripsie - Aspekte und Prognosen, Attempto Verlag, Tübingen: 120-126
Haupt G, Katzmeier P Anwendung der hochenergetischen Stosswellen-therapie bei Pseudarthrosen, Tendinosis calcarea der Schulter und Ansatztendinosen (Fersensporn, Epiconylitis). 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 143-146
Hearnden A, Flannary MC A prospective, blinded randomised control trial assessing the use of different energy extracorporeal shock wave therapy for calcifying tendonitis 2000 3rd Congress of the ISMST - Naples, Abstracts:16
Heckman JD, Ryaby JP, McCabe J, Frey JJ, Kilcoyne RF Accleration of tibial fracture-healing by non-invasive low-intensity pulsed ultrasound. 1994 Bone Joint Surgery (Am), 76: 26-34
Heidersdorf S, Lauber S, Lauber H, Hötzinger H, Ludwig J, Dreisliker U Rädel R Osteochondritis Dissecans 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 255-264
Heinrichs W, Witzsch U, Bürger R Extrakorporale Stosswellentherapie (ESWT) von Pseudarthrosen. 1993 Anaesthesist, 42: 361-364
Helbig K, Herbert C, Schostok T, Brown M, Thiele R Correlations between the duration of pain and the success of shock wave therapy 2001 Clinical Orthopaedics and Related Research, 387: 68-71
Helbig K, Schostok T, Brown M, Herbert C, Thiele R Correlations Between Duration of Pain and Success 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 43-48
Heller KD, Niethard FU Der Einsatz der extrakorporalen Stoßwellentherapie in der Orthopädie – eine Metaanalyse 1998 Orthop Ihre Grenzgeb 1998; 136:390-401
Herbert C, Thiele R, Hartmann T, Helbig K Musculoskeletal shock wave therapy for the treatment of tendinosis calcarea, follow-up of 1483 patients between 1995 and 1998 (4 years) 2000 Minimally Invasive Therapy & Allied Technologies, Isis Medical Media, Volume 9, Number 3/4 August 2000: 322 (Abstract 28)
Herbert C, Thiele R, Helbig K, Hartmann T, Mälzer H Pseudarthrosentherapie mit der Stosswelle in der Praxis. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg:
Herken K, Bernhardt F, Lenz G Die extracorporale Stosswellenbehandlung bei der chronischen, therapieresistenten Tendinosis calcarea der Schulter. 1996 45. Jahrestagung Norddeutsche Orthopädenvereinigung e.V.: 124-125
Holmes RP, Yeaman LD, Taylor RG, McCullough DL Altered neutrophil permeability following shock wave exposure in vitro. 1992 Urology, 147: 733-737
Hötzinger H, Rädel R, Lauber S, Lauber H, Platzek P, Ludwig J MRI-Guided Shockwaves for Multiple Stress Fractures of the Tibia 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 165-168
Jakobeit C, Welp L, Winiarski B, Schuhmacher R, Osenberg T, Splittgerber T, Spelsberg G, Buntrock W, Missulis U, Kroll U, Schmeiser A, Beer M, Watzlawik A, Olschner G, Winarski B Ultrasound-guided extracorporeal shock wave therapy of tendinosis calcarea of the shoulder, of symptomatic plantar calcaneal spur (heel spur) and of epicondylopathia radialis and ulnaris. 1997 Siebert W, Buch M (Hrsg), Extracorporeal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 165-180
Johannes EJ, Sukul Kaulesar DMKS, Mature E, Schutte HE High energy shock waves for the treatment of nonunions - experiments in dog. 1994 Surg. Research, 57: 246-252
Jurgowski W, Loew M, Cotta H, Staehler G Extracorporeal shock wave treatment of calcareous tendinitis of the shoulder. 1993 Endourology, 7, Suppl. 1: 193
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Karpman R, Magee F, Gruen T, Mobley M The Lithotriptor and its potential use in the revision of total hip arthroplasty 2001 Clinical Orthopaedics and Related Research, 387: 4-7
Kawahara K, Koba M The effect of extracorporeal shock wave therapy (ESWT) for carpal tunnel syndrome (CTS) in chronic hemodialysis patients 2000 3rd Congress of the ISMST - Naples, Abstracts:93
Ko J, Chen H, Chen L Treatment of lateral epicondylitis of the elbow with shock waves 2001 Clinical Orthopaedics and Related Research, 387: 60-67
Koeweiden E, Chin A Paw E Promising results of ESWT for tennis elbow 2000 3rd Congress of the ISMST - Naples, Abstracts:33
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Krischek O, Hopf C, Nafe B, Rompe JD Shock-wave therapy for tennis and golfer`s elbow. 1999 Arch Orthop Trauma Surg 1999; 119: 62-66
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Krischek O, Rompe JD, Hopf C, Stratmann M, Vogel J, Nafe B Ist die extrakorporelle Stosswellentherapie bei Epicondylitis humeri ulnaris indiziert? Kurzfristige Ergebnisse einer vergleichenden, prospektiven Studie. 1997 Orthopädische Praxis, 7: 465-469
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Kuderna H, Schaden W, Sailler A, Fischer A, Kölpl C, Hagmüller V Comparison of 30 tibial non-unions: costs of surgical treatment versus costs of extracorporeal shockwave therapy 2000 3rd Congress of the ISMST - Naples, Abstracts:65-66
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Lauber S, Ludwig J, Hötzinger H, Dreisilker U, Rädel R, Platzek P MRI after Shockwave Treatment for Osteonecrosis of the Femoral Head 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 241-247
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Levitt R, Ogden JA, Selesnick H FDA study for chronic lateral epicondylitis 2000 3rd Congress of the ISMST - Naples, Abstracts:39
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Loew M Die Wirkung extrakorporal erzeugter hoch-energetischer Stosswellen auf den klinischen, röntgenologischen und histologischen Verlauf der Tendinosis calcarea der Schulter - eine klinische und experimentelle Studie. 1994 Habilitationsschrift, Ruprecht-Karls-Universität Heidelberg
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Loew M, Jurgowski W, Thomsen M, Cotta H Extracorporale Stosswellenbehandlung bei chronischer Tendinitis calcarea der Schulter 1994 Orthopädie Mitteilungen
Loew M, Nitschmann R Shock wave application in heel spur syndrome. 1995 3. Münchener Symposium für Fußchirurgie, München


Loew M, Rompe JD Stosswellenbehandlung bei orthopädischen Erkrankungen. 1998 Grifka J (Hrsg), Bücherei des Orthopäden, Band 71, Enke, Stuttgart
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Lohse-Busch H, Kraemer M, Reime U Pilotuntersuchung zur Wirkung von niederenergetischen, extrakorporalen Stosswellen auf Muskelfunktionsstörungen bei spastischen Bewegungsstörungen von Kindern. 1997 Schmerz, 11, Nr. 2: 108-112
Ludwig J, Hötzinger H, Lauber S, Trenkel I Pre- and post shockwave therapy (SWT) MRI evaluation of artificial calcifications of the supraspinate tendon in pig shoulders 2000 3rd Congress of the ISMST - Naples, Abstracts:94
Ludwig J, Lauber S, Lauber H, Dreisilker U, Rädel R, Hötzinger H High-energy shock wave treatment of femoral head necrosis in adults 2001 Clinical Orthopaedics and Related Research, 387: 119-126
Lüssenhop S, Hahn M, Seemann S, Meiss L Einfluß der Stosswelle auf Epiphysenfugen. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg: 12-13
Lüssenhop S, Seemann D, Hahn M, Meiss L The influence of shock waves on epiphysal growth plates: first results of an in-vivo study with rabbits. 1997 Siebert W, Buch M (Hrsg), Extracorporeal shock waves in orthopaedics, Springer Verlag, Berlin Heidelberg New York: 109-118
Lök V, Baloglu I, Aydinok H Experience of Shockwaves for Non-unions in Izmir 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 185-186


Maier M Gibt es magnetresonanztomographische Veränderungen nach Stosswellenbehandlung bei Tendinitis calcarea ? 1997 Orthopädie, 2: 20-21
Maier M, Dürr HR, Kohler S, Staupendahl D, Pfahler M, Refior HJ, Meier M Analgetische Wirkung niederenergetischer extrakorporaler Stosswellen bei Tendinosis calcarea, Epikondylitis humeri radialis und Plantarfasziitis. 2000 Orthop Ihre Grenzgeb 2000; 138:34-8
Maier M, Dürr HR, Staupendahl D, Refior HJ Einfluß des Koppelmediums auf den Applikationsschmerz bei der ESWT des Stütz- und Bewegungsapparates 2001 Siebert W, Buch M (Hrsg), Extrakorporale Stoßwellentherapie in der Orthopädie - Grundlagen und Anwendung, Ecomed Verlagsgesellschaft, Germany: 227-234
Maier M, Schnarkowski P, Pfahler M, Refior H Kernspintomographische Veränderungen der Schulterregion nach Stosswellentherapie bei Tendinosis calcarea. 1997 45. Jahrestagung der Vereinigung Süddeutscher Orthopäden, Abstractband: 101
Maier M, Stabler A, Lienemann A, Kohler S, Feitenhansl A, Dürr HR, Pfahler M, Refior HJ Shockwave application in calcifying tendinitis of the shoulder - prediction of outcome by imaging. 2000 Arch Orthop Trauma Surg 2000; 120:493-8
Maier M, Steinborn M, Staebler A, Koehler S, Pfahler M, Dürr HR, Refior HJ Extracorporeal shock wave application for chronic plantar fasciitis – prediction of outcome by imaging? 2000 Rheumatol 2000; 27:2455-246
Marchetti I, Carnevali R, Russo N Our experience with ESW: first review of the cases 2000 3rd Congress of the ISMST - Naples, Abstracts:73
May TC, Krause WR, Preslar AJ, Smith MJV, Beaudoin AJ Use of high energy shock waves for bone cement removal. 1990 Arthroplasty, 01: 19-27
McCullough DL, Yeaman LD, Bo WJ, Assimos DG, Kroovant RL, Griffin AS, Furr EG Effects of shock waves on the rat ovary. 1989 Urology, 141: 666-669
Melegati G, Tornese D, Bandi M, Cappadonia C L'utilizzo della terapia con onde d'urto extracorporee nella sindrome da conflitto acromion-omerale: studio prospettico controllato 2000 3rd Congress of the ISMST - Naples, Abstracts:17-18
Neuland HG The treatment of complaints caused py playing golf using ESWT 2000 3rd Congress of the ISMST - Naples, Abstracts:78
Niethard FU Wissenschaftlichkeit und Wirtschaftlichkeit in Orthopädie und Physiotherapie - Editorial. 1997 Orthopädie, 135:1-2
Niethard FU Qualitätssicherung - Editorial 1997 Orthopädie, 135: 93-94
Nigrisoli M, Bosco V Non-unions-treatment and results 2000 3rd Congress of the ISMST - Naples, Abstracts:57
Nigrisoli M, Bosco V, Sisca G Shockwave Treatment for Knee and Achilles Tendinopathies 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 249-251
O'Brien WD, Zachary JF Rabbit and pig lung damage comparison from exposure to continuous wave 30 kHz ultrasound. 1996 Ultrasound in Medicine & Biology, 22: 345-354
Ogden JA, Alvarez R, Levitt R, Cross GL Chronic heel pain: results of FDA shockwave study 2000 3rd Congress of the ISMST - Naples, Abstracts:51
Ogden JA, Alvarez R, Levitt R, Cross GL, Marlow M Shock wave therapy for chronic proximal plantar fasciitis 2001 Clinical Orthopaedics and Related Research, 387: 47-59
Ogden JA, Alvarez R, Levitt R, Marlow M Shock Wave Therapy (Orthotripsy®) in Musculoskeletal Disorders 2001 Clinical Orthopaedics and Related Research, 387: 22-40
Ogden JA, Tóth-Kischkat A, Schultheiss R Principles of Shock Wave Therapy 2001 Clinical Orthopaedics and Related Research, 387: 8-17
Oosterhof G, Cornel EB, Smits GA, Debruyne F, Schalken J The influence of high energy shock waves on the development of metastases. 1996 Ultrasound in Medicine & Biology, 22: 339-344
Oosterhof G, Smits G, de Ruyter A, Schalken J, Debruyne F Effects of high energy shock waves combined with biological response modifiers in different human kidney cancer xenografts. 1991 Ultrasound in Medicine & Biology, 17: 391-399


Peers K, Onkelinx L, Brys P, Lysens R ESWT for calcific tendinopathy of the rotator cuff: one year foolow-up and outcome comparison with surgery 2000 3rd Congress of the ISMST - Naples, Abstracts:15
Peers K, van den Eeede E, Brys P, Bellemans J, Lysens R Cross sectional functional outcome comparison of ESWT versus surgery for chronic patellar tendinopathy 2000 3rd Congress of the ISMST - Naples, Abstracts:42
Perlick L, Boxberg W, Giebel G Hochenergetische Stosswellenbehandlung des schmerzhaften Fersensporns. 1998 Unfallchirurg 1998; 101:914-918
Perlick L, Gassel F, Zander D, Schmitt O, Wallny T. Vergleich der Ergebnisse der mittelenergetischen ESWT und der operativen Therapie in der Technik nach Mittelmeier bei der therapieresistenten Epicondylitis humeri radialis 1999 Orthop Ihre Grenzgeb 1999; 137: 316-321
Perlick L, Wallny T Die ESWT der Tendinosis calcarea. Untersuchungen zur Desintegrationswirkung von Stoßwellen auf ein standardisiertes Kalkdepot im Tiermodell 2001 Siebert W, Buch M (Hrsg), Extrakorporale Stoßwellentherapie in der Orthopädie - Grundlagen und Anwendung, Ecomed Verlagsgesellschaft, Germany: 149-160
Perren SM Aktivierung der Knochenbildung durch Stosswellentherapie in der Frakturbehandlung. 1993 AO Forschungsinstitut, Davos
Philipp A, Delius M, Scheffzyk C, Vogel A, Lauterborn W Interaction of lithotripter-generated shock waves with air bubbles. 1993 Acoustic Society of America, 93: 2496-2509
Pigozzi F, Giombini A, Parisis A, Casciello G, Di Salvo V, Santori N, Mariani PP The application of shock wave therapy in the treatment of resistant chronic painful shoulder. 2000 Sports Med Phys Fitness 2000; 40:356-361
Polak HJ Ergebnis der Literaturrecherche der MDK-Gemeinschaft zur ESWT mit orthopädischen Indikationen. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg: 66-68
Prat F, Sibille A, Luccioni C, Pansu D, Chapelon J, Beaumatin J, Ponchon T, Cathignol D Increased chemocytotoxicity to colon cancer cells by shock wave induced cavitation. 1994 Gastroenterology, 106: 937-944


Randazzo RF, Chaussy C, Fuchs GJ, Lovrekovich H, de Kernion JB The in vitro and in vivo effects of extracorporeal shock waves on malignant cells. 1988 Urological Research, 16: 419-426
Richter D, Ekkernkamp A Klinischer Einsatz der Stosswellentherapie in der Unfallchirurgie. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg: 12-13
Richter D, Ekkernkamp A, Muhr G Die extrakorporale Stosswellentherapie - ein alternatives Konzept zur Behandlung der Epicondylitis humeri radialis ? 1995 Orthopäde, 24: 303-306
Rodríguez de Oya R, Sánchez Benitez de Soto J, Garcia Munilla M Shockwave Treatment for Chronic Non-unions 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 169-172
Roles NC, Maudsley RH Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. 1972 Bone Joint Surg [Br] 1972;54:499-508
Rompe JD Tierexperimentelle und klinische Ergebnisse der Stosswellentherapie am Knochen. 1997 Siebert W, Buch M (Hrsg), Stosswellenanwendung am Knochen - Klinische und experimentelle Erfahrungen, Dr. Kovac, Hamburg: 38-39
Rompe JD Extrakorporale Stosswellentherapie - Grundlagen, Indikation, Anwendung. 1997 Chapman & Hall GmbH, London Glasgow Weinheim New York Tokio Melbourne Madras
Rompe JD Stosswellentherapie: therapeutische Wirkung bei spekulativem Mechanismus. 1996 Orthopädie, 134: 13-19
Rompe JD Die Auswirkung extrakorporaler Stosswellen unterschiedlicher Energiedichten auf knochennahes Sehnengewebe - tierexperimentelle und klinische Studien. 1996 Habilitationsschrift, Johannes Gutenberg-Universität Mainz
Rompe JD Overview of Tennis Elbow Treated with Shockwaves 2000 Coombs R, Schaden W, Zhou S (eds), Musculoskeletal Shockwave Therapy, Greenwich Medical Media Ltd, London: 131-135


Rompe JD, Bohl J, Riehle HM, Schwitalle M, Krischek O Überprüfung der Läsionsgefahr des Nervus ischiadicus des Kaninchens durch die Applikation niedrig- und mittelenergetischer extrakorporaler Stosswellen. 1998 Zeitschrift für Orthopädie, 136: 407-411
Rompe JD, Burger R, Hopf C, Eysel P. Shoulder function after extracorporeal shock wave therapy for calcific tendinitis. 1998 Shoulder Elbow Surg 1998; 7: 505-509
Rompe JD, Decking J, Schoellner C, Nafe B Shock wave application for chronic plantar fasciitis in running athletes – a prospective, randomized, placebo-controlled trial. 2001 Persönliche Mitteilung, 2001
Rompe JD, Eysel P, Hopf C, Vogel J, Küllmer K Extrakorporale Stosswellenapplikation bei gestörter Knochenheilung - eine kritische Bestandsaufnahme. 1997 Unfallchirurg, 100: 845-849
Rompe JD, Eysel P, Küllmer K, Vogel J, Kirkpatrick CJ, Bürger R, Nafe B, Heine J Extrakorporale Stosswellentherapie in der Orthopädie - aktueller Stand. 1996 Orthopädische Praxis, 8: 558-561
Rompe JD, Hopf C, Eysel P, Heine J, Witzsch U, Nafe B Extrakorporale Stosswellentherapie des therapieresistenten Tennisellenbogens - erste Ergebnisse von 150 Patienten. 1995 Chaussy C, Eisenberger F, Jocham D, Wilbert D (Hrsg), Die Stosswelle - Forschung und Klinik, Attempto Verlag, Tübingen: 147-152
Rompe JD, Hopf C, Küllmer K, Heine J, Bürger R Analgesic effect of extracorporeal shock-wave therapy on chronic tennis elbow. 1996 Bone Joint Surgery, 78 B: 233-237
Rompe JD, Hopf C, Küllmer K, Heine J, Bürger R, Nafe B Low-energy extracorporeal shock wave therapy for persistent tennis elbow. 1996 International Orthopaedics, 20: 23-27
Rompe JD, Hopf C, Küllmer K, Witzsch U, Nafe B Extrakorporale Stosswellentherapie der Epicondylopathia humeri radialis - ein alternatives Behandlungskonzept. 1996 Orthopädie, 134: 63-66
Rompe JD, Hopf C, Nafe B, Bürger R Low-energy extracorporeal shock wave therapy for painfull heel: a prospektiv controled single-blind study. 1996 Archives of Orthopaedic and Trauma Surgery, 115: 75-79


Rompe JD, Hopf C, Rumler F 2 Jahre extrakorporelle Stosswellentherapie (ESWT) in der Orthopädie - Indikationen und Resultate ? 1994 Orthopädie Mitteilungen, 173
Rompe JD, Kirkpatrick CJ, Küllmer K, Schwitalle M, Krischek O Dose-related effects of shock waves on rabbit tendo Achillis. 1998 Bone Joint Surgery 80 B: 546-552
Rompe JD, Küllmer K, Eysel P, Riehle HM, Bürger R, Nafe B Niedrigenergetische extrakorporale Stosswellentherapie beim plantaren Fersensporn. 1996 Orthopädische Praxis, 4: 271-275
Rompe JD, Küllmer K, Riehle HM, Herbsthofer B, Eckardt A, Bürger R, Nafe B, Eysel P Effektiveness of low-energy extracorporeal shock waves for chronic plantar fasciitis. 1996 Foot Ankle Surgery, 2 : 215-221
Rompe JD, Küllmer K, Vogel J, Eckardt A, Wahlmann U, Eysel P, Hopf C, Kirkpatrick CJ, Bürger R, Nafe B Extrakorporale Stosswellentherapie - experimentelle Grundlagen, klinischer Einsatz. 1997 Orthopäde, 26: 215-228
Rompe JD, Riedel C, Betz U, Fink C Chronic lateral epicondylitis of the elbow (tennis elbow) – Prospective comparison of low-energy shock wave therapy with low-energy shock wave therapy plus manual therapy of the cervical spine. 2001 Arch Phys Med Rehabil 2001; 82: 578-582
Rompe JD, Rosendahl T, Schöllner C, Theis C High-energy extracorporeal shock wave treatment of nonunions 2001 Clinical Orthopaedics and Related Research, 387: 102-111
Rompe JD, Rumler F, Hopf C, Eysler P Shoulder function after extracorporeal shock wave therapy (ESWT) for calcifying tendinitis. 1997 Shoulder and Elbow Surgery
Rompe JD, Rumler F, Hopf C, Nafe B, Heine J Extracorporeal shock wave therapy for calcifying tendinitis of the shoulder. 1995 Clinical Orthopaedics and Related Research, 321: 196-201
Rompe JD, Schoellner C, Nafe B Evaluation of low-energy extracorporeal shock-wave application for treatment of chronic plantar fasciitis 2002 Bone Joint Surg [Am] 2002;84:335-41

Result number: 159

Message Number 177633

Re: Any good books for the summer? View Thread
Posted by Linda V on 7/01/05 at 08:49

Sometimes the old classics are the best. If you have never read "A Tree Grows in Brooklyn" by Betty Smith, I recommend it. Its usually available in a larger bookstore, but I always use the library. Next to Gone with the Wind and The Thorn Birds...its my favorite.

Result number: 160

Message Number 175625

nerve entrapment? View Thread
Posted by goose on 5/24/05 at 11:07

Thanks guys.

One female pod (who is very warm and nice) thinks it might be Baxter's nerve entrapment. She shot the nerve with Novocain and it allowed me to walk for several hours without pain. A lot of my foot was numb at first but that wore off and pain spot was still okay all day. She said there is a surgery to remove part of that Baxter's nerve (first branch of the lateral plantar nerve treatment) which has very good results. She comforted me that I will not be in wheelchair forever...

One pod (who is cockier but does way more surgeries, top 3 in state he says) thinks it is TTS and recommends decompression surgery. He does not really believe in Baxter's nerve and said the surgery is the same anyway? He kind of thought I was overreacting (which I may be) and said he has done lots of these with good results (80% success). By the way, both feet are bad, right is worse. He told me I don't need to use the wheelchair but he is wrong, the feet would kill me if I walked. He gave me the name of his "mentor" for a second opinion.

I have heard such bad things about surgery that I am literally sick to my stomach with fear. As I said, I am trying to see a Sport Med Specialist at Mayo ASAP, Dr. Jay Smith. I am young and so afraid my life is going to be full of pain. My family is urging me to trust the docs but I am having a very hard time. I am going to get on an anti-depressant today to help me cope and make the correct choice. Because I can not walk already, I am know it will be surgery but I just need to pick the right surgeon for the right cause. 4 weeks of waiting and not walking is very difficult, but I am afraid it will not be over anytime soon. Sorry to be so down right now...


Any positive stories would be welcome. Any other treatments anyone knows of? Thank you!

goose

Result number: 161

Message Number 174948

Re: Dr. Ed View Thread
Posted by Ralph on 5/13/05 at 16:17

Hey maybe this is the correct doctor. I just typed his name in yahoo and this came up. I wonder how many Chirpractor Dr. San Filippo's there could be in the U.S. It's not a name like Smith.

San Filippo, Emanuel DC
Address: 4802 Neshaminy Blvd, Bensalem, PA 19020
Phone: (215) 741-5500

Result number: 162

Message Number 174623

GOOD NEWS FOR PATIENTS WITH ARTHRITIC ANKLES View Thread
Posted by Ed Davis, DPM on 5/09/05 at 22:24

good news for patients with arthritic ankles

Good news for patients with arthritic ankles
Posted by Ed Davis, DPM on 5/09/05 at 22:14 View Thread
Patents with arthritic knees have had, for some time, the option of injections with sodium hyaluronate (Synvisc or Hyalgan) which is basically a synthetic joint fluid. For some reason, when the effect of the hydraulic pressure created by the injection wears off, the body is somehow stimulated to create nw joint fluid on its own. this has been a means of stalling or preventing knee joint replacement surgery for years.

Several years ago, a group of podiatrists including myself started injecting Hyalgan into arthritic ankles as an off label treatment. The dilemna was that since the Hyalgan was "off label" no insurance company would pay for it. Patients had to pay out of pocket for the injection. It involved a series of 3 injections of 20 mg. of Hyalgan, one per week for 3 weeks per ankle. The results have been excellent. John Marty, DPM of Pittsburgh, PA is in the process of writing up a research project for this in order to try to get FDA approval.

The good news is that a third player has just entered the market, Supartz brand sodium hyaluronate, manufacutred by Smith and Nephew and presumably equal in chemical composition to Hyalgan. Supartz is considerably less expensive than Hyalgan which is less expensive than Synviisc.

The introduction of Supartz should make treatment of arthritic ankles more available to patients and offer good relief and as probable surgery prevention in many cases. This took a bit of investigating because Smith and Nephew cannot detail Supartz for ankles due to FDA restrictions.
Ed

Result number: 163

Message Number 174622

good news for patients with arthritic ankles View Thread
Posted by Ed Davis, DPM on 5/09/05 at 22:20

Good news for patients with arthritic ankles
Posted by Ed Davis, DPM on 5/09/05 at 22:14 View Thread
Paitent with arthritic knees have had, for some time, the otion of injections with sodium hyaluronate (Synvisc or Hyalgan) which is basically a synthetic joint fluid. For some reason, when the effect of the hydraulic pressure created by the injection wears off, the body is somehow stimulated to create nw joint fluid on its own. this has been a means of stalling or preventing knee joint replacement surgery for years.

Several years ago, a group of podiatrists including myself started injecting Hyalgan into arthritic ankles as an off label treatment. The dilemna was that since the Hyalgan was "off label" no insurance company would pay for it. Patients had to pay out of pocket for the injection. It involved a series of 3 injections of 20 mg. of Hyalgan, one per week for 3 weeks per ankle. The results have been excellent. John Marty, DPM of Pittsburgh, PA is in the process of writing up a research project for this in order to try to get FDA approval.

The good news is that a third player has just entered the market, Supartz brand sodium hyaluronate, manufacutred by Smith and Nephew and presumably equal in chemical composition to Hyalgan. Supartz is considerably less expensive than Hyalgan which is less expensive than Synviisc.

The introduction of Supartz should make treatment of arthritic ankles more available to patients and offer good relief and as probable surgery prevention in mamy cases. This took a bit of investigating because Smith and Nephew cannot detail Supartz for ankles due to FDA restrictions.
Ed

Result number: 164

Message Number 174621

Good news for patients with arthritic ankles View Thread
Posted by Ed Davis, DPM on 5/09/05 at 22:14

Paitent with arthritic knees have had, for some time, the otion of injections with sodium hyaluronate (Synvisc or Hyalgan) which is basically a synthetic joint fluid. For some reason, when the effect of the hydraulic pressure created by the injection wears off, the body is somehow stimulated to create nw joint fluid on its own. this has been a means of stalling or preventing knee joint replacement surgery for years.

Several years ago, a group of podiatrists including myself started injecting Hyalgan into arthritic ankles as an off label treatment. The dilemna was that since the Hyalgan was "off label" no insurance company would pay for it. Patients had to pay out of pocket for the injection. It invilved a series of 3 injections of 20 mg. of Hyalgan, one per week for 3 weeks per ankle. The results have been excellent. John Marty, DPM of Pittsburh, PA is in the process of writing up a research project for this in order to try to get FDA approval.

The good news is that a third player has just entered the market, Supartz brand sodium hyaluronate, manufacutred by Smith and Nephew and presumably equal in chemical composition to Hyalgan. Supartz is considerably less expensive than Hyalgan which is less expensive than Synviisc.

The introduction of Supartz should make treatment of arthritic ankles more available to patients and offer good relief and was as probable surgery prevention in amny cases. This took a bit of investigating because Smith and Nephew cannot detail Supartz for ankles due to FDA restrictions.
Ed

Result number: 165

Message Number 174613

Re: hole in foot View Thread
Posted by Ed Davis, DPM on 5/09/05 at 20:06

Yes, it is very common but, again, one must weigh the relative risks, look at his overall health, blood sugar control, circulation and most importantly have the RIGHT surgeon. What I mean by "right" surgeon is someone sho has done a lot of such procedures with a good success rate. If such an individual has a good success rate that implies that that surgeon is in close contact with a vascular specialist who can check his circulatory status and his diabetologist/endocrinologist, the doctor controlling his blood sugar. That also means that the surgeon is doing excellent follow to make sure the area does not get infected and heals properly. The surgeon should be ready and competent to deal with issues of delayed healing and have a plan of action should that occur.

Medicare, for example, one of the tougher evaluators of new modalities, will often pay for low intensity pulsed ultrasound for the treatment of surgical osteotomies (bone cuts) if the patient is a diabetic. Low intensity pulsed ultrasound is a means of accelerating the healing of bone. Smith and Nephew is the manufacturer of the Exogen bone growth stimulator. For years, bone growth stimulators could only be used if a fracture of surgical bone cut did not heal in 90 days. More recently, Medicare realized that surgeons could often predict which patients are at high risk for delayed healing and has allowed their use on day one after the surgery. This sounds like cutting edge stuff but is the type of knowledge that I would expect from a surgeon doing this type of procedure.
Keep in mind that not all insurance companies have followed the lead of Medicare.

Ed

Result number: 166

Message Number 173157

Re: TTS in BOTH feet View Thread
Posted by messed up foot on 4/14/05 at 07:57

You might find that when you take control of your own destiny, you will feel emotionally stronger. None of the doctors know you and your body better than you know yourself! It is perfectly OK to get assertive and tell them what you need. All of us with TTS have been in this boat and it is really important to remember that 50% of doctors graduated in the bottom half of their class :-)

Depending on where you live, there are public programs of health insurance or community clinics that see patients on a sliding fee scale. You can get health care, but you will spend a lot of time in waiting rooms. See a lawyer but remember that it will take a LOT of time to resolve a lawsuit.

Neurontin helps nerve pain for some of us. There are other medications besides Tylenol #3 for pain and they work! Last night I saw "Jobst" stockings in either TravelSmith or Solutions (mags with websites) for only $12 - 20-30 compression! Much more affordable than through a medical supply house. Don't give up on yourself!

Result number: 167

Message Number 170231

Re: foot/knee/hip/back pain View Thread
Posted by Julia M on 3/01/05 at 17:30

Hi there,

Thanks Julie, for answering Dorothy's question. Yes, I'm in the US, and there are naprapaths in a lot of the major cities. One of the two accredited colleges of naprapathy, the Chicago National College of Naprapathy, is located here in Chicago, so there are quite a few of naprapaths practicing here.

Here's a link to a directory of naprapaths: http://www.naprapathy.org/FindANaprapath.asp

And here's a link to a description of what a naprapath does:
http://www.wholehealthmd.com/refshelf/substances_view/1,1525,10133,00.html

"Today, naprapathy is used to treat a wide array of ailments. Most common are back, neck, and hip problems, which in turn may produce systemic complaints such as low energy, tension headaches, digestive disorders, or unexplained depression, for example. During treatment, the spine is at times manipulated, but only to use the vertebrae as "levers" for stretching the soft tissue, not to alter their position (as in chiropractic subluxation).

Because Smith's teachings emphasized specific stretching or "mobilization" of soft tissues, naprapathic manipulation is not highly forceful. After locating areas of pain or rigidity (called "ligatites"), a naprapath will gently manipulate the tissues, stretch and massage constricted areas, and apply pressure to specific places (called trigger points) until the muscle, tendon, or ligament loosens.

The goal of this therapy is to restore natural flexibility and release tension, leaving the connective tissues pliable and in balance. This not only relieves pain and improves mobility, but enhances blood flow, nerve conduction, and the body's own healing energy. Like chiropractors, naprapaths will employ nutritional supplements and herbs to facilitate the body's ability to heal itself."

Result number: 168
Searching file 16

Message Number 167395

Re: John View Thread
Posted by John H on 1/17/05 at 12:14

Park Ridge it is Dorothy. Our high school, Highland Park, played in the suburban league and I think Park Ridge may have been to small at my time to be in the league. Evanston can hardly be separated from Chicago anymore as it is just one big blob. When I was young as you drove from Highland Park to Chicago you went from one small village to another but now you cannot tell where one ends and another begins. I attended all the Northwestern games when I was in high school. When I was stationed on Cape Cod my first assignment I went to Smith, Wellesley to date some of my former high school classmates. Bill Clinton really did come from humble beginings and never quiet escaped them. You could always find his mother at Oaklawn race track during the season. I think she must have gone every day.

Result number: 169

Message Number 167220

Re: Sciatica View Thread
Posted by Julie on 1/15/05 at 00:17

Wendy, I haven't had sciatica (except that it was thought by me and my podiatrist that my PF was triggered by compression of the sciatic nerve) but what you describe certainly does sounds like sciatica. Sciatic pain presents in different ways and in different places, because the nerve is so long and so complex, with so many branches. There is a good description of the sciatic nerve and sciatica on the excellent spine health website:

http://www.spine-health.com/topics/cd/d_sciatica/sc01.html

and another at

http://www.back.com/symptoms-sciatica.html

And here are pictures of the nerve and its branches:

http://www.nlm.nih.gov/medlineplus/ency/imagepages/19503.htm

http://images.google.co.uk/imgres?imgurl=http://jonesandsmith.net/images_evidence/Sciatic_nerve_injury.jpg&imgrefurl (not sure this one will work, but if it doesn't, go to google, search for Sciatic nerve: images, and you'll find it in the third row down).

Small branches of the posterior tibial nerve, itself a branch of the SN, end in the instep, which could explain the new pain in the top of your foot.

The pain in the front of your leg that you describe as part of your "usual" clutch of symptoms could be due to compression of another nerve (possibly the femoral nerve if the pain is in the front of the thigh).

Whatever you've got, I hope it gets better soon! And your cold!
.

Result number: 170

Message Number 166673

Why I think you shouldn't shop at Home Depot View Thread
Posted by Kathy G on 1/07/05 at 19:32

Seven years ago, we had our furnace and hot water heater replaced. At the time, the local gas company was offering a $450 rebate if you replaced both and our furnace wasn't that efficient. Our hot water heater worked fine but we figured we should get one that was a bit more efficient and get the rebate.

A friend, who worked at the gas company, said not to buy the hot water heater they were offering because they offered only two models; one was more than the average family needed and the other was poorly made. He told us to go to Home Depot and get a Reliance hot water heater, which is what we did. It cost $264.

During the last couple of days, our hot water has been erratic and this morning I called the plumber and found out that we needed a new gas control valve. He said the part often needs replacement. Since we are only seven years into a ten year guarantee, he said to call Reliance and have them send one out. He then showed me how to replace it so I would save myself another plumber's charge.

When I called Reliance this morning, they told me that they don't sell to Home Depot anymore and I should call Home Depot about my warranty. I called Home Depot and spoke to four people (two managers) and spent all day at home, awaiting phone calls. Bottom line, the best deal they could offer me, around 4PM today, was to buy a new GE hot water heater from them (350) and they'd give me credit for the heater I bought seven years ago ($274) but that I'd have to pay for the installation of the heater (219) and any retrofitting necessary.

I thought about it for a while and called the manager of the store and pointed out that I would be spending $295 when I had a warrantied item and it should have been costing me nothing since the part could be put in by me. He wouldn't budge. I even asked if I could take advantage of the current 6 months, no interest deal on orders over $299 because I would be only $4 under and he said NO! That was the straw that broke the camel's back.

I called back Reliance at 7PM (my time; they're in Tennessee.) and asked them if I could personally purchase the part from them because I was furious at Home Depot and I was never going to buy anything there again. Would you believe that they are going to ship me the part, free of charge, on Monday? They're overnighting it to me so I'll have it on Tuesday. Come to find out, the reason they no longer deal with Home Depot is because Home Depot's contract with them stated that Home Depot would honor the company's warranty and they have never done it.

I called the manager at Home Depot back and told him that he had lost a customer. I was nice to him because I know that it's tough to be in middle management. I simply told him that he should relay the story to his DM and point out that they had lost a customer. Actually, I will write a letter but it probably won't do any good.

So, if you need a hot water heater, Reliance makes Maytag, Reliance, Sears,
State and AO Smith brand heaters and I can attest that they stand behind their warranties!

Ralph Nader and my mother, an early consumer advocate, would be proud of me! :)

Result number: 171

Message Number 166103

Re: Conservative treatmnets tried View Thread
Posted by LJ Smith on 12/25/04 at 06:38

Darlene,


I am confused . What do theyh mean by heel eversion? Is this meaning the higher the heel the more pressure on the tarsal tunnel area? I tend to notice an increaee in pain when i wear my mens dress shoes with a elevated heel, as to when i wear my new balance sneakers which are flat.

Thanks for the info.

Result number: 172

Message Number 166102

Wait a Minute!!!!!!! View Thread
Posted by LJ Smith on 12/25/04 at 06:29

Heh Guys,

Lets not look to far ahead to the big game. There is a team down in HOTLANTA that is playing good football and I think the Philly Defense would have a hard time containing VICK. It might be the same ol story of the Eagles chocking in the NFC title game. This was indeed a huge blow losing T.O.


I mean come on who's going to step up for them at wideout? Todd Stinkston? This guy has to be the biggest pussy to play Pro Football. I seen the bail out play he had in a sunday night game against the redskins.
Westbrook may have to be even more productive than he already is and Freddie mithchell is really underated as I see it. This guy should be the #2 wideout instead of stinkston. Mcnabb cannot do it all by himself he needs help. I envision another choke in the NFC title game because psychologically this is going to wear on them because T.O. was the man.


Also why did T. Owens go to Dr mywerson is he the best? or does philly have him as their team doctor? Are players allowed to have surgery done outside the componds of their team physicians?

Merry XMAS

Result number: 173

Message Number 165828

Time for a funny - Long post-but funny View Thread
Posted by Richard,C.Ped on 12/18/04 at 08:19

Top 249 Ways to
Annoy People!

0. Post a 20 page post

1. Specify that your drive-thru order is "to go."

2. If you have a glass eye, tap on it occasionally with your pen while talking to others.

3. Start each meal by conspicuously licking all your food, and announce that this is so no one will "swipe your grub."

4. Name your dog "Dog."

5. Insist on keeping your car windshield wipers running in all weather conditions "to keep them tuned up."

6. Reply to everything someone says with "that's what you think."

7. Claim that you must always wear a bicycle helmet as part of your "astronaut training."

8. Follow a few paces behind someone, spraying everything they touch with a can of Lysol.

9. Make beeping noises when a large person backs up.

10. Do not add any inflection to the end of your sentences, producing awkward silences with the impression that you'll be saying more any moment.

11. Adjust the tint on your TV so that all the people are green, and insist to others that you "like it that way."

12. Tell 1-800 operators they sound gay and ask for a date.

13. Sew anti-theft detector strips into people's backpacks.

14. Hide dairy products in inaccessible places.

15. Order a side of pork rinds with your fillet mignon.

16. Change channels five minutes before the end of every show.

17. Tape pieces of "Sweating to the Oldies" over climatic parts of rental movies.

18. Decline to be seated at a restaurant, and simply eat their complimentary mints by the cash register.

19. Buy a large quantity of orange traffic cones and reroute whole streets.

20. Repeat everything someone says as a question.

21. Write "X - BURIED TREASURE" in random spots on all of someone's road maps.

22. Inform everyone you meet of your personal Kennedy assassination, UFO, and OJ Simpson conspiracy theories.

23. Repeat the following conversation a dozen times: "Do you hear that?", "What?", "Never mind, it's gone now."

24. Light road flares on a birthday cake.

25. Wander around a restaurant, asking other diners for their parsley.

26. At the Laundromat, use one dryer for each of your socks.

27. Stand over someone's shoulder, mumbling as they read.

28. Ask people what gender they are.

29. Lick the filling out of all the Oreos, and place the cookie parts back in the tray.

30. While making presentations, occasionally bob your head like a parakeet.

31. Lie obviously about trivial things such as the time of day.

32. Leave your Christmas lights up and lit until September.

33. Change your name to "John Aaaaasmith" for the great glory of being first in the phone book. Claim it's a Hawaiian name, and demand that people pronounce each "a."

34. Sit in your front yard pointing a hair dryer at passing cars to see if they slow down.

35. Chew on pens that you've borrowed.

36. Wear a lot of cologne.

37. Listen to 33RPM records at 45RPM speed, and claim the faster speed is necessary because of your "superior mental processing."

38. Sing along at the opera.

39. Mow your lawn with scissors.

40. At a golf tournament, chant "swing-batabatabata-suhwing-batter!"

41. Ask the waitress for an extra seat for your "imaginary friend."

42. Go to a poetry recital and ask why each poem doesn't rhyme.

43. Ask your co-workers mysterious questions and then scribble their answers in a notebook. Mutter something about "psychological profiles."

44. Select the same song on the jukebox fifty times.

45. Construct elaborate "crop circles" in your front lawn.

46. Make appointments for the 31st of September.

47. Invite lots of people to other people's parties.

48. Leave the copy machine set to reduce 200%, extra dark, 17 inch paper, 99 copies.

49. In the memo field of all your checks, write "for sensual massage."

50. Stomp on little plastic ketchup packets.

51. Practice making fax and modem noises.

52. Highlight irrelevant information in scientific papers and "cc." them to your boss.

53. Finish all your sentences with the words "in accordance with prophecy."

54. Signal that a conversation is over by clamping your hands over your ears.

55. Disassemble your pen and "accidentally" flip the ink cartridge across the room.

56. Holler random numbers while someone is counting.

57. Staple papers in the middle of the page.

58. Publicly investigate just how slowly you can make a "croaking" noise.

59. Honk and wave to strangers.

60. TYPE ONLY IN UPPERCASE.

61. type only in lowercase.

62. dont use any punctuation either

63. As much as possible, skip rather than walk.

64. Try playing the William Tell Overture by tapping on the bottom of your chin. When nearly done, announce "No, wait, I messed it up," and repeat.

65. Sing the theme to the Batman television show as loudly as you can, over and over and over..

66. Tell people their accent isn't fooling anyone.

67. Drum on every available surface.

68. Write the surprise ending to a novel on its first page.

69. Set alarms for random times.

70. Learn Morse code and have conversations with friends in public consisting of "Beeeep bip bip beeeep bip.."

71. Buy large quantities of mint dental floss just to lick the flavor off.

72. Leave your Nine Inch Nails tape in Great Uncle Ed's stereo, with the volume properly adjusted.

73. Dress only in clothes colored Hunter's Orange.

74. Wear your pants backwards.

75. Begin all your sentences with "Ohh la la!"

76. Rouse your roommates from slumber each morning with Lou Reed's "Metal Machine Music."

77. Leave someone's printer in compressed-italic-landscape mode.

78. Pay for your dinner with pennies.

79. Tie jingle bells to all your clothes.

80. Repeat everything someone says, as a question.

81. Leave tips in Bolivian currency.

82. Demand that everyone address you as "Conquistador."

83. Push all the flat Lego pieces together tightly.

84. When Christmas caroling, sing "Jingle bells, Batman smells" until physically restrained.

85. Wear a cape that says "Magnificent One."

86. Finish the 99 bottles of beer song.

87. Sing the "This is the song that never ends" song from Lampchop's Play-Along.

88. Leave your turn signal on for fifty miles.

89. Pretend your mouse is a CB radio, and talk into it.

90. Drive half a block.

91. Inform others that they exist only in your imagination.

92. Cultivate a Norwegian accent. If Norwegian, affect a southern drawl.

93. "Forget" the punch line to a long joke, but assure the listener it was a "real hoot."

94. Routinely handcuff yourself to furniture, informing the curious that you don't want to fall off "in case the big one comes."

95. Deliberately hum songs that will remain lodged in co-workers' brains, such as "Feliz Navidad," the Archies' "Sugar," or the Mr. Rogers theme song.

96. Invent nonsense computer jargon in conversations, and see if people play along to avoid the appearance of ignorance.

97. Ask to "interface" with someone.

98. Incessantly recite annoying phrases, such as "sticky wicket isn't cricket."

99. Stare at static on the TV and claim you can see a "magic picture."

100. Scuff your feet on a dry, shaggy carpet and seek out victims.

101. Never make eye contact.

102. Never break eye contact.

103. Construct your own pretend "tricorder," and "scan" people with it, pronouncing the results.

104. Give a play-by-play account of a person's every action in a nasal Howard Cossell voice.

105. Occasionally bark in a high-pitched voice.

106. Say "okay, you're gay" to anything someone says.

107. As people talk, smell their shoulders.

108. When in a conversation, look out the window, then say "Wait, start over. I wasn't paying attention."

109. Say to people, "Did you wear deodorant today?"

110. Place your shoes on the table.

111. When talking to someone, look at a spot about two inches to their right.

112. When standing near a "high-class person," ask them, "Excuse me, but do I have a booger hanging on my nose? I thought I picked it off."

113. Switch your neighbor's lawn furniture with someone else's.

114. Call into work and tell them you have something better to do today.

115. Buy goldfish and ask the clerk if they come with chips.

116. Sample every flavor of ice cream and tell the clerk what you don't like about each one.

117. Pick your ear wax and ask if you could use their sleeve to wipe it off.

118. Insist completely ridiculous things are true - like Bush is still President.

119. Speak in a strong Welsh accent.

120. Wear odd shoes.

121. Learn "Ice Ice Baby" by heart and recite it endlessly.

122. Disagree strongly with everything anybody says.

123. Throw stones at people walking past your house.

124. Keep changing the TV channel every two seconds.

125. Insist that Celine Dion is better than the Beatles.

126. Whenever anyone says something, laugh loudly as if they have just told and extremely funny joke.

127. Phone McDonald's and try to make a reservation for that evening.

128. Spend an entire weekend pretending you are R2-D2.

129. Phone random numbers and tell them you are holding their daughter hostage.

130. Recite the first 4,000 decimal places of Pi. Then ask if people want to hear it in binary, too.
131. Pretend you have gone completely deaf.

132. .sdrawkcab etirW

133. Walk into people's houses, go straight to the fridge without saying hello, and help yourself to their food.

134. Speak so quietly that people always have to get you to repeat it.

135. Loudly recite people's most embarrassing secrets in restaurants.

136. Play the electric guitar very loudly and badly, then when the neighbors ask you to turn it down, play even louder. When they come round to complain again, say, "Oh, I'm sorry. I thought you asked me to turn it up!

137. Try to fit the word "cornucopia" into every sentence you say.

138. Drive on the wrong side of the road.

139. Secretly learn to play the piano, then go to a friend's house who has a piano. Claim you've never played before then play Jesu Joy of Man's Desiring perfectly the first time. Then say, "I guess I must kinda be a natural."

140. Go canoeing and sing the Hawaii Five-0 theme.

141. Claim that until recently, you thought Michael Jackson was a woman.

142. Wear your cap backwards and say "Yo, wazzup?" a lot.

143. Go to a Metallica concert wearing a Michael Bolton T-Shirt.

144. Tell everyone you are Bill Clinton's cousin.

145. Take photos of people walking down the street and then run away.

146. Dedicate your life to politics, become president of the United States, then raise all taxes to 90%.

147. Down a can of Coke in one drink and then burp loudly.

148. Insist that it was Bobby who shot J.R.

149. Bark like a dog whenever anyone says the word "the."

150. Wire up people's cars so the horn comes on as soon as their car is started.

151. Ride a unicycle to work.

152. E-mail Microsoft to tell them about bugs in Windows XP that aren't actually there.

153. Stare at people for about five minutes, making sure they know you're staring at them. Then, slowly sneak up to them while humming the Mission: Impossible theme. Sniff their head, then run away. Repeat.

154. Continuously mumble during a conversation.

155. Take off the eraser to every pencil in your house, or better yet, someone else's house.

156. When in a chat room, spell everything incorrectly.

157. Insist on "Weird Al" sing-a-longs.

158. On a hot summer day, ride up and down the road and drench pedestrians with squirt guns.

159. When walking down a main road, act like a drunk.

160. Wear nothing but white and go mud wrestling.

161. Walk up to someone eating. Lean over and stare at them intently until they notice. Continue to do so until they ask what you're doing. Reply, "I've been watching you eat for the last 30 seconds.. You're weird!" Leave the restaurant.

162. When walking, talk to yourself constantly.

163. Move people's bookmarks ahead three pages when they aren't looking.

164. Call the operator. When asked, "Can I help you?" reply, "No thanks, just browsing."

165. Go to a gumball machine insert coins until you have a matching pair of fake eyeballs. After attaining these, record the theme song of The Twilight Zone over and over again. Drive down the street wearing the eyeballs and playing The Twilight Zone theme very loud. When you get pulled over, leap into the passenger's seat and claim, "He was here a minute ago, officer!"

166. On a night other than Halloween, get a few friends together and dress like Jason from Friday the 13th. Have each of you stand a mile apart on a highway.

167. After visiting the local donut shop, sit on the floor cross-legged and insist in a childish voice that you haven't received enough chocolate sprinkles.

168. Push a raisin into someone's cream-filled donut. (I don't get this one.)

169. Spread fertilizer on half your neighbor's lawn.

170. Add A535 (liquid heat) to that little hole down the center of someone's anti-perspirant.

171.

172.

173. Add blank entries to lists, to make it look like it's longer.

174. Call every pager number you know and leave the number for your local McDonald's.

175. Wash and scrub the trees in your front lawn.

176. Throw newspapers back at paperboys.

177. Tell people their fly is down when they're wearing sweat pants.

178. Stand on a busy corner. Gasp, look and point up. See how many people look.

179. At random times in a conversation, say "Hi," "Hello Sir, how are you?" or "Have a good day, thank you."

180. Put electrical tape over the headlights of someone's car.

181. Walk up to random strangers insisting you are family.

182. Dress like a "High-class rich person" and wash windows at random street corners. Demand a dollar in a British accent.

183. When a cop pulls you over, when they step up to your car, drive forward slowly and make them walk. Especially if it's raining.

184. In an office, lock all the doors behind you.

185. Face the back when standing in an elevator.

186. Grin so wide it hurts your cheeks at every salesperson in town.

187. When at an ATM, try to have a conversation with it, or pretend it stole your card. (This works best if there's a line.)

188. Unbend all the paperclips you can find, then replace every eraser you can find with a rubber band.
189. Ask people to prove everything they say. (e.g. "I'm Bob, nice to meet you..." "PROVE IT!")

190. Sharpen All your pencils to the same size EXACTLY.

191. Answer every question with another question. As soon as one of you says a statement instead of a question, shout "I win!".

192. Pose as a client at a bank or other professional institution, and when you are seated in front of their desk, keep rearranging the items on top into different patterns and tell them you are "just reorganizing things."

193. Instead of singing 99 bottles of beer on the wall, sing 999,999,999 bottles of beer on the wall!

194. Call every girl you know "dude".

195. Recite every song from the Playstation games PaRappa the Rapper and Um Jammer Lammy.

196. Bring a portable CD player to a concert and listen the CD because you insist that it is "Just better quality"

197. Press the "power" button on on someone's computer or keyboard when they're almost finished typing up a long essay, story etc. Apologize sincerely, claiming that you thought it was the focus adjustment.

198. Call 911 and breathe heavily.

199. Take a shower. Feel guilty. Give it back.

200. Mow your carpet. (Or preferably somebody else's)

201. Vacuum your lawn. (See note on 200)

202. Recite shakespearian poetry to everyone you meet.

203. Go to McDonalds and ask for a BK Whopper.

204. Order a pizza and ask them if they can "please put the crust on top this time" in an exasperated voice.

205. Every time someone asks you to do something or says something to you ask "Is that a threat?"

206. When in an elevator, in different voices, shout out random floors, and then watch as you get there, no one gets off.

207. Also, when riding up an elevator with a stranger, start singing a song that everyone knows, then expect them to start singing too. If they do not start singing, insist, "Everyone knows that song. Are you stupid?"

208. While walking make car noises loudly (Such as changing gears).

209. Whenever somebody says something, ask what the simplest word they said means. When they explain, ask what the simplest word in their explanation means. Repeat this for the entire conversation.

210. Go up to a someone and say, "Are you annoyed by irrelevant questions?" And then walk away very quickly.

211. Finish each sentence with "Monkey See, Monkey Do".

212. Click your mechanical pencils or your pens during a test in school.

213. Pretend you are invisible.

214. Convince people you are deaf and talk in an incredibly phony sign language.

215. Spend all day at a fast food restaurant and see how long it takes before you have to pay for your "free" refills.

216. Continuously open your briefcase or bag and say into it, "Have you got enough air in there?"

217. While going down in an elevator scream, "AAAAAGGGGGHHHHH!!!! WE'RE GONNA DIE!!!" for no apparent reason.

218. Call everyone a communist.

219. Explain "the little green men" in detail to someone, and when they don't believe you, accuse them of being one in disguise.

220.. Call your neighbors collect.

221. Whenever someone finishes a sentence say, "And then what happened?"

222. Page yourself over an intercom, but don't disguise your voice.

223. Send people annoying chain forwards with outrageous consequences like "If you don't send this to 300 people in 4 seconds you will die instantly" and then insist that it is true and it happened to your uncle.

224. When walking push an invisible cart and make loud squeaky noises.

225. Walk up to random people and ask them, very seriously, "Do you know the muffin man?"

226. Clear your throat every three or four words while speaking.

227. Look at your hand in amazement and say, "Whoa, I never knew I had this!"

228. While driving if you see a "How am I driving" bumper sticker, call the number and inform the operator that the driver is doing a great job.

229. When driving with companions in the car, every few seconds slam on the brakes and insist that a squirrel ran in front of you.

230. When driving with companions in the car, every few seconds slam on the brakes and insist that a squirrel ran in front of you.

231. Whenever anybody says anything to you. Respond by saying, "I know."

232. Sending this list to all of your friends through email. :-)

233. Continue to ask someone, "Is this annoying? Is this annoying?" over and over and over.

234. Tap someone on the shoulder repeatedly.

235. Begin every sentence with, "By the Gods!"

236. When you're in an argument, no matter what it's about, keep yelling "I don't see your name on it!".

237. When in public, pretend you are selling something in an infomercial.

238. At a restaurant, repeatedly send your food back for changes and after awhile insist that, "This isn't what I ordered!"

239. Go to a shoe store and try on every shoe, then say that you aren't interested in buying shoes and leave.

240. Put powdered sugar in your hair, sit down next to a stranger, and scratch your head a lot.

241. Turn on the Talk Radio Stations in your car, roll down your windows, and headbang.

242. Walk around with a plastic sword and shield and tell strangers "I must avenge the death of my father."

243. Scotch tape your door as an Anti-theft Device.

244. Super Glue quarters to floors.

245. Put the wrong date and year on the papers you hand in to your teachers.

246. Call random numbers and say "Hi, this is Julie from Basken Robins. If you can name 31 flavors in 31 seconds you get a free scoop."

247. WRIGHT N AL CAPITOL LETERS AND MISSSSSPEL EVRYTHIND!!!

248. Get two cell phones and talk to yourself on them in front of other people

Result number: 174

Message Number 163370

Re: To John and Wendy View Thread
Posted by Julie on 11/09/04 at 16:27


When John said he had gone off with Wendy to Bora Bora I thought he meant TORA Bora, that godforsaken place in Afghanistan that was bombed to smithereens but where they didn't find Osama Bin Laden. And I thought - poor Wendy! And I wondered what on earth had got into John.

But now that I know that John and Wendy are lolling about on a beautiful South Pacific island, I am happy!

Cheers!
.

Result number: 175

Message Number 162059

Heel spurs/ Using Methadone View Thread
Posted by PATRICIA HAWK SMITH on 10/24/04 at 13:00

Hi, I am 51 years old, and am on SSI and Social Security because of chronic low back pain, an on the job work injury. I recently went to the pain Management clinic at UCSF in San Francisco for a consultation. I injured my back in 1999. My diagnosis in Lumbar Disk Disease, (Herniated l4-5), possible facet joint disease, and SI disease. I have tryed almost all the treatments. Physical therapy, pool therapy, epidural steroid injections, Tens unit, lidocaine patches, Neurontin, I now take 90 mg daily of Methadone, 300 mg of Neurontin, Lortab, 7.5/500 mg, t.i.d, Elavil, 50 mg. at bed, Viox 12;5 mg day, changed to Bextra 20 mg. day, Prilosec 20 mg a day ,and all these are maintence doses for my lumbar pain, and also now I am having left sided hip pain.
In 1998 I had a bunionectiomy and hammertoe correction on my left foot. I have always had jobs where I spend most of my time on my feet,and I don't drive and always have walked long distances. In 2001 while riding my bike I was hit by a car and suffered a comminuated fracture of my right foot. This was in June 2001, I was in a walking cast with crutches and my foot took an extremely long time to heal. I still had lucency without bony bridging in October 2001, had a bone scan which showed in Nov.2001 that I had Osteopenia and was put on Fosamax. January 2002, an Xray showed that my foot was almost healed. ( also told I had a JOnes fracture) Xray showed that I had a small calceanal spur on my right foot at that time. All this brings me to the past 2-3 months where I have been experiencing severe left heel pain when I first get up in the morning. It hurts to touch or press on the bottom of my left heel, and it is almost impossible to walk on it, until an hour or so after I have Had my Methadone. My Workmans comp doctor thinks I have Pf and should be seen by a podiatrist. My question is do you think I am hurting my foot by continuing to walk on it, even though the Methadone makes it tolerable. (Am I masking the pain?) I have a pair of orthotic inserts that were made after my foot surgery. I am not sure what else I should do, I have severe back pain, and this new heel pain is even more debilating. What do you reccomend, and is Methadone a good pain reliever for this or do I need something topical or local? Sincere thanks,
Patricia Hawk-Smith

Result number: 176
Searching file 15

Message Number 159448

Full report View Thread
Posted by Ed Davis,DPM on 9/06/04 at 20:00


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Articles by Ward, E. D.
Articles by Phillips, R. D.

Journal of the American Podiatric Medical Association
Volume 93 Number 6 429-442 2003
Copyright © 2003 American Podiatric Medical Association

In Vivo Forces in the Plantar Fascia During the Stance Phase of Gait
Sequential Release of the Plantar Fascia
Erin D. Ward, DPM *, Kevin M. Smith, DPM , Jay R. Cocheba, DPM , Patrick E. Patterson, PhD and Robert D. Phillips, DPM (PIPE)(PIPE)
* Central Iowa Foot Clinic, PC, Perry.
Department of Podiatric Medicine, College of Podiatric Medicine, Des Moines University, Des Moines, IA.
Broadlawns Medical Center, Des Moines, IA.
Department of Industrial and Biomedical Engineering, Black Engineering, Iowa State University, Ames.
(PIPE)(PIPE) Podiatry Section, Veterans Affairs Medical Center, Coatesville, PA.

Corresponding author: Erin D. Ward, DPM, Central Iowa Foot Clinic, PC, 1302 Warford St, Perry, IA 50220.

Abstract

Plantar fasciotomies have become commonplace in podiatric and orthopedic medicine for the treatment of plantar fasciitis. However, several complications have been associated with plantar fascial release. It has been speculated that the cause of these complications is excessive release of the plantar fascia. The aim of this project was to determine whether the amount of fascia released, from medial to lateral, causes a significant increase in force in the remaining fascia. A dynamic loading system was developed that allowed a cadaveric specimen to replicate the stance phase of gait. The system was capable of applying appropriate muscle forces to the extrinsic tendons on the foot and replicating the in vivo timing of the muscle activity while applying force to the tibia and fibula from heel strike to toe-off. As the plantar fascia was sequentially released from medial to lateral, from intact to 33% released to 66% released, the real-time force and the duration of force in the remaining fascia increased significantly, and the force was shifted later in propulsion. In addition, the subtalar joint was unable to resupinate as the amount of fascia release increased, indicating a direct relationship between the medial band of the plantar fascia and resupination of the subtalar joint during late midstance and propulsion. (J Am Podiatr Med Assoc 93(6): 429-442, 2003)



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Background
Anatomy

The plantar surface of the calcaneus is triangular, with its most posterior aspect containing two ridges beside a depression. These two ridges have become known as the medial and lateral tubercles. The lateral tubercle is smaller than the medial tubercle, and it allows for partial attachment of the abductor digiti minimi and the long plantar ligament. The larger and broader medial calcaneal tubercle allows for attachment of the abductor hallucis, the flexor digitorum brevis, the medial head of the quadratus plantae, and the abductor digiti minimi muscles, along with the long plantar ligament. Cancellous bone sectioning and neutron diffraction studies indicate that the calcaneus contains both compression and tension lamellae.1 Compression lamellae surround the articular surfaces and the posterior plantar aspect of the calcaneus. Tension lamellae are observed at the attachment of the Achilles tendon and the plantar fascia, indicating that the plantar fascia produces a significant amount of tension on the plantar calcaneus.2, 3

The plantar fascia is composed of three strong bands (medial, central, and lateral) formed by collagen fiber matrices.4 The medial calcaneal tubercle functions as a partial attachment site for the medial and lateral bands and as a total attachment site for the central band. Barrett et al5 found the mean width of the medial band to be 13.48 mm, the central band to be 4.54 mm, and the lateral band to be 10.77 mm, for a total mean width of 28.78 mm. They found the mean thickness of the medial band to be 4.45 mm, the central band to be 1.57 mm, and the lateral band to be 2.54 mm. Hawkins et al6 conducted a cadaveric study of plantar fascial release in which the average width and thickness of the fascia were 17.4 mm and 3.5 mm, respectively; the average percentage of fascia cut was 82%. These three bands divide into five bands as they proceed distally. At the metatarsal heads, the five bands attach to the metatarsals via the superficial transverse metatarsal ligament. Smaller slips of plantar fascia cross the metatarsophalangeal joints and attach to the proximal phalanges, allowing the "windlass effect" described by Hicks7 to occur when the metatarsophalangeal joints are extended.

Plantar Fascia Biomechanics

Plantar fascial function and its relationship to the function of the foot has been a point of investigation for many years. In 1943, Lapidus8 concluded that the foot could not be considered an arch, or at least not an arch in architectural terms, because the bones of the foot cannot stand alone without soft-tissue structures. He believed the foot to be a truss, with the bones of the foot being in compression and the plantar fascia being in tension. Twenty years later, in 1963, Lapidus9 published a second article concerning whether the foot is an arch or a truss. He again concluded that the foot should be considered a truss, with the bones of the foot being in compression and, this time, not only the plantar fascia but also the plantar ligaments being in tension.

Hicks7 was the first to publish data on the mechanics of the plantar fascia. He noted that upon extension of the metatarsophalangeal joints, the height of the longitudinal arch of the foot increased. He went on to hypothesize that the plantar fascia must increase in tension for the windlass effect to occur during propulsion. Hicks10 proposed a formula by which the tension in the plantar fascia can be determined. Wright and Rennels11 revised Hicks’ equation and applied it to lateral foot radiographs. With their equation, Wright and Rennels indicated that the tension on the fascia should be approximately 47% of the tibial load. However, neither equation accounts for the three-dimensionality of the plantar fascia or for the three separate fascial bands. MacConaill12 and Sarrafian,13 on the other hand, view the foot as a twisted plate. As a twisted plate, the plantar fascia is tensed when the talotibial complex is internally rotated, the rearfoot and midfoot are pronated, and the forefoot is supinated.

The integrity of the plantar fascia has become synonymous with proper foot function. Therefore, the material properties of the plantar fascia are important in determining the role that the plantar fascia plays in the integrity of the foot during stance as well as propulsion. Wright and Rennels11 noted that the modulus of elasticity of the plantar fascia increased as the load on the fascia increased, reaching a maximum of 0.12 x 106 pounds per square inch. A load of 2,500 pounds was placed on the plantar fascia, at which time the plantar fascia underwent elastic deformation, followed by elastic recovery when unloaded. Wright and Rennels surmised that at 200 pounds of tibial load, the plantar fascia underwent elongation of only 1.68%. A more recent study conducted by Kitaoka et al14 determined that the mean ± SD force at which the plantar fascia ruptured was 1,540 ± 246 N in men and 1,002 ± 101 N in women.

Ker et al15 and McMahon16 established that upon flattening of the arch, the foot stored the energy produced by the compression and then released the stored energy in the form of elastic recoil. Ker et al believed the energy to be stored in both the plantar fascia and the plantar ligaments. Simkin and Leichter17 constructed a formula that they believed correlated the calcaneal inclination angle with the amount of energy created when the medial longitudinal arch flattened. Kitaoka et al14 determined the failure rate of the plantar fascia to be 111.2 N/sec. At 11.1 N/sec, they found the mean ± SD stiffness of the plantar fascia to be 203.7 ± 50.5 N/mm and the average force at which failure occurred to be 1,189 N. Kim and Voloshin18 created a mathematical model of the foot for determining the role of the plantar fascia in the integrity of the foot. Their data indicated that the fascia carried approximately 14% of the total load applied to the foot. They also found that the fascia was important for shock absorption. A biomechanical model created by Arangio et al19 demonstrated a significant increase in vertical displacement and horizontal length of the model with the plantar fascia released.

Cadaveric Plantar Fascia Research

With the increasing acceptance that the inferior calcaneal exostosis is not involved in plantar fasciitis, plantar fascial release alone has become the primary target of surgical relief of plantar fasciitis. This concept was first introduced by Spitzy20 in 1937. However, several studies indicate that the plantar fascia is an integral component of foot function, especially the stability of the longitudinal arch and midtarsal joint. Huang et al21 examined longitudinal arch stability through serial sectioning of the plantar fascia and the long plantar, short plantar, and spring ligaments. This study indicated that the plantar fascia was the structure most important to the integrity of the medial longitudinal arch. Kitaoka et al22 noted that with the application of increasing loads to the tibia, the height of the medial longitudinal arch decreased.

Thordarson et al23 evaluated the role of the plantar fascia in foot function through serial sectioning of one-quarter, one-half, three-quarters, and full release of the fascia. They noted a decrease in arch height and an increase in foot length once half of the fascia was sectioned. A cadaveric study conducted by Kitaoka et al24 in 1997 demonstrated a significant decrease in sagittal plane height of the talotibial joint, the talometatarsal joint, and the talocalcaneal joint upon complete plantar fascial release. In a study conducted by Murphy et al,25 an equinus rotation of the calcaneus and a drop in the cuboid occurred when the entire plantar fascia was cut, but this was not observed when only one-third of the fascia was transected.

Thordarson et al26 found the plantar fascia to be significantly involved in the development of flatfoot deformity. Cadaveric studies undertaken by Sharkey et al27, 28 indicate that plantar fascial release disrupts the configuration of the medial longitudinal arch and significantly decreases the transfer of load to the forefoot during propulsion. Carlson et al29 found a direct relationship among the increasing force in the Achilles tendon, the increasing dorsiflexion of the metatarsophalangeal joint, and the increasing tension in the plantar fascia. A study conducted by Anderson et al30 indicated that as the plantar fascia is sequentially released, the inferior sinus tarsi joint space increases, the lateral band of the plantar fascia length increases, and the medial longitudinal arch height decreases. Hamel et al31 discovered that when the plantar fascia was totally released, the contact pressure under the digits decreased, the pressure under the metatarsal heads increased, and the forefoot pressure underwent a posterolateral shift during simulated propulsion.

In Vivo Plantar Fascia Research

Several postoperative studies have been undertaken to assess complications following plantar fasciotomy. Daly et al32 investigated the biomechanical significance of dividing the central band of the plantar fascia. They found a significant decrease in arch height postoperatively. The study also indicated that fasciotomy patients proceeded through the stance phase more rapidly and applied much less vertical force than controls, and thus had a less efficient gait. Gormley and Kuwada33 noted that of nine patients in whom 0.5 cm of plantar fascia was resected, all experienced complete relief of their symptoms. Barrett and Day,34 in an initial study of endoscopic plantar fascial releases, noted the occurrence rate of midtarsal pain postoperatively to be 9.6%. White35 noted that upon release of the plantar fascia and plantar musculature at the area of the medial calcaneal exostosis in 30 feet, 27 feet exhibited metatarsalgia or lateral column pain at a minimum of 4 weeks. A more recent analysis of endoscopic plantar fascial release by Barrett et al36 indicated that lateral column pathology, similar in clinical presentation to cuboid syndrome, occurred at a rate of at least 4.25%. In a follow-up study of 652 plantar fasciotomies, Barrett et al37 found 62 complications postoperatively. Of the 62 complications, 25 were associated with the calcaneocuboid joint. They believed this to be due to disproportionate excision of the medial and central bands of the plantar fascia, causing an increase in tension in the lateral fascial band and a change in force at the calcaneocuboid joint. In a follow-up study of endoscopic plantar fasciotomies, Stone and Davies38 found a significant decrease in calcaneocuboid pain when a cast was applied postoperatively.

Materials and Methods

A specially designed dynamic gait–replicating loading system known as the Dynamic Gait Replicator was developed for this study. The Dynamic Gait Replicator is composed of a platform on a rail, with a variable motor and cable attached to the platform capable of pulling the platform linearly (Fig. 1). Nine motors with controllers and gear reducers are attached to the platform, with an encased cable attached to each gear reducer. Each of these cables extends from the platform and is attached to a strain gauge. A pneumatic cylinder capable of applying 1,112.5 N of force is also attached to the platform. A manufactured functional knee joint is attached to the cylinder ram. Four fresh-frozen specimens that were severed 11 cm proximal to the tibial plafond were obtained for this study. Skin and subcutaneous tissue were removed to 5 cm proximal to the tibial plafond to show the individual extrinsic muscles of the foot and yet leave the retinacula intact. Two Kirschner wires with markers were driven into the posterior tibia, and two were driven into the posterior calcaneus of each specimen for obtaining kinematic data (Fig. 2). Each extrinsic tendon was transected at its musculotendinous junction. A braided line capable of withstanding 667.5 N of force was knotted to each tendon. A steel rod was driven into the intermedullary canal of the tibia of each specimen, with a second rod fixed to the fibula, and both were attached to the distal portion of the manufactured knee joint. Each braided line from the individual extrinsic tendons was then attached to the opposite end of the strain gauge from the encased cable (Fig. 3).





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Figure 1. Top view of platform. 1, Pneumatic cylinder; 2, motor controller; 3, motor; 4, gear reducer.







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Figure 2. Rearfoot, with arrows indicating markers on the posterior leg and calcaneus.







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Figure 3. Medial aspect of specimen. 1, Tibial rod; 2, cable from motor; 3, strain gauge; 4, braided line.




A controller board (Fig. 4), created from electromyographic data, was placed below the platform so that as the platform moved over the controller board, each motor (ie, muscle) was triggered to activate and release as in vivo. The force applied by each motor from heel strike to toe-off was derived from feedback through each strain gauge using LabVIEW software (National Instruments Corp, Austin, Texas), and the force was adjusted using the motor controller to replicate theoretical in vivo muscle forces as indicated by Dul et al,39 Brand et al,40 and Perry41 (Fig. 5). A 2-cm incision was made on the medial aspect of the foot to visualize and measure the medial band of the plantar fascia, and a 2-cm incision was made on the lateral aspect of the foot to visualize and measure the lateral band of the plantar fascia. A microstrain gauge (MicroStrain, Inc, Williston, Vermont) was implanted in the medial band of the plantar fascia, and a microstrain gauge was implanted in the lateral band of the plantar fascia (Fig. 6). The real-time forces being applied to each microstrain gauge were read using LabVIEW throughout the stance phase of gait.




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Figure 4. Muscle activity controller board.







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Figure 5. LabVIEW screen, with each curve demonstrating muscle activity for each extrinsic tendon.







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Figure 6. Microstrain gauge.




Each foot was then walked from heel strike to toe-off for three trials with the plantar fascia intact (Fig. 7). The muscle forces and timing as well as the forces in the plantar fascia were collected from LabVIEW for each trial. The plantar fascia was then released sequentially, from medial to lateral, 33%, then 66%, and finally 100%, with data collected at each stage. The maximal force and the impulse (area under the force–time curve) within the medial and lateral bands of the plantar fascia were ascertained using ImageJ (National Institutes of Health, Bethesda, Maryland). A digital camera was placed behind the specimen, and each trial was videotaped to capture movements of markers for frontal plane subtalar motion. Each video was segmented frame by frame and each marker was hand-digitized using VirtualDub (National Institutes of Health). Angular changes between the markers were measured using Scion (National Institutes of Health) at heel strike, forefoot loading, and heel-off and just before toe-off.




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Figure 7. Specimen walking in real time from heel strike to just before toe-off. The images should be viewed from top to bottom, column by column.




Results
Validation of Dynamic System

To validate the plantar fascia force data, we determined that the cadaveric specimen had to replicate the in vivo foot mechanically during the stance phase of gait in real time. Two systems were used: first was plantar force data from heel strike to just before toe-off using the F-Scan force-measuring system (Tekscan, Boston, Massachusetts) (Fig. 8) and the second was rearfoot kinematics throughout stance (Fig. 9). Data from kinematics as well as plantar pressures were found to be essentially identical to in vivo data, indicating that the Dynamic Gait Replicator did indeed produce cadaveric dynamic gait similar to in vivo gait.





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Figure 8. F-Scan data from heel strike to just before toe-off with the plantar fascia intact.







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Figure 9. Frontal plane subtalar joint motion with the plantar fascia intact from heel strike to just before toe-off. HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.




Plantar Fascia Force Data with Sequential Release of the Plantar Fascia
This study demonstrated that real-time forces in the cadaveric plantar fascia could be obtained in a dynamic cadaveric scenario (Table 1). With the entire fascia intact, the force in the medial band began just after heel strike and had two peaks: a lower first peak during midstance and a second larger peak during early propulsion. Force in the lateral band of the plantar fascia also began just after heel strike and peaked at early midstance and then peaked a second time during early propulsion. Unlike in the medial band, the second lateral band peak is smaller than the first (Fig. 10).




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Table 1. Impulse in the Lateral Band of the Plantar Fascia in a Dynamic Cadaveric Scenario







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Figure 10. A, Impulse in the medial and lateral bands of the plantar fascia with the entire fascia intact; B, impulse in the lateral band of the plantar fascia with 33% of the plantar fascia released; C, impulse in the lateral band of the plantar fascia with 66% of the plantar fascia released.




The impulse in the lateral band of the plantar fascia increased significantly throughout stance in all specimens tested from intact to 33% of the plantar fascia released. When 66% of the fascia was released, the impulse in the lateral band also increased significantly from that observed with 33% released in all but one specimen (Fig. 11). This increased force also occurred earlier in stance and peaked during propulsion (Fig. 12).




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Figure 11. Impulse in the lateral band of the plantar fascia of all four specimens during the stance phase of gait with the plantar fascia intact, 33% released, and 66% released.







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Figure 12. Impulse in the lateral band of the plantar fascia throughout the stance phase of gait during plantar fascial release in Specimen 10602 (A), Specimen 11202 (B), Specimen 12002 (C), and Specimen 12702 (D). HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.




Rearfoot Kinematic Data with Sequential Release of the Plantar Fascia
With the plantar fascia intact, the subtalar joint was noted to be supinated prior to heel strike and to progressively pronate until midstance, at which time the subtalar joint began to resupinate. Supination continued until heel-off, at which time the subtalar joint returned to neutral and continued to supinate. When 33% of the plantar fascia was released, there was not a significant increase in subtalar joint pronation during contact and early midstance. During the latter half of midstance, the subtalar joint began to resupinate, but it was unable to continue resupinating after heel-off. When 66% of the plantar fascia was released, the subtalar joint pronated normally in contact; however, it remained pronated and was unable to resupinate to neutral before heel-off. When the plantar fascia was completely released, the results were similar to when 66% of the fascia was released: the subtalar joint remained pronated from just after heel strike throughout the remainder of stance and was unable to resupinate before heel-off. Interestingly, in two specimens, the subtalar joint resupinated more when the plantar fascia was completely released than when only 66% of the fascia was released (Fig. 13). Also, a direct relationship was found between the increasing force in the lateral band of the plantar fascia from intact to 33% and 66% released and increased subtalar pronation (Figs. 14 –17).





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Figure 13. Frontal plane subtalar joint motion with the plantar fascia intact, 33% released, 66% released, and 100% released in Specimen 10602 (A), Specimen 11202 (B), Specimen 12002 (C), and Specimen 12702 (D). HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.







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Figure 14. Impulse in the lateral band of the plantar fascia compared with frontal plane subtalar joint motion with the plantar fascia intact (A), 33% released (B), and 66% released (C) in Specimen 10602. HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.







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Figure 15. Impulse in the lateral band of the plantar fascia compared with frontal plane subtalar joint motion with the plantar fascia intact (A), 33% released (B), and 66% released (C) in Specimen 11202. HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.







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Figure 16. Impulse in the lateral band of the plantar fascia compared with frontal plane subtalar joint motion with the plantar fascia intact (A), 33% released (B), and 66% released (C) in Specimen 12002. HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.







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Figure 17. Impulse in the lateral band of the plantar fascia compared with frontal plane subtalar joint motion with the plantar fascia intact (A), 33% released (B), and 66% released (C) in Specimen 12702. HS, Heel strike; FFL, forefoot loading; HO, heel-off; Pre-TO, before toe-off.




Discussion
The etiology of plantar fasciitis and the etiology of complications associated with partial and complete release of the plantar fascia have spawned many investigations. Although they added some insight into the potential causes of these phenomena, the previous studies have been constrained either by mathematical modeling or by static or quasi-dynamic cadaveric modeling.

We believe that the system we developed overcomes most of these constraints by providing a model capable of replicating gait. The model was validated through the use of kinematics and ground reaction force data. Heel strike to just before toe-off occurred in approximately 0.6 to 0.8 sec for each specimen, with muscle force curves read by LabVIEW in close agreement with attenuation and length of activity with electromyographic data presented by Perry.41 We realize that the model did not apply force to any of the intrinsic musculature of the foot that may also play a role in stabilizing the foot during gait. We believe that the strain gauges implanted in the plantar fascia provided the closest determination of real-time forces in the medial and lateral bands throughout the stance phase of gait.

As the plantar fascia was transected from medial to lateral at 33% and 66%, the impulse significantly increased in the lateral band of the fascia. The observed loss of resupination of the subtalar joint when the medial band of the plantar fascia was released seems to be a significant finding, as no other changes were made in the foot structure or function except release of the medial band of the plantar fascia. It seems that the extrinsic supinatory muscles were adequate to provide enough force to keep the initial subtalar joint velocity under control and prevent the subtalar joint from pronating excessively during the contact period. However, it seems that tension in the medial band of the plantar fascia provided the necessary force on the subtalar joint during late midstance and propulsion to create resupination of the subtalar joint. This may explain the postoperative foot instability observed in 4.25% to 9.6% of plantar fasciotomy patients and may be one of the etiologic factors involved in plantar fasciitis. Therefore, any device that would assist in resupinating the subtalar joint from its normal pronation during contact would alleviate the pain associated with plantar fasciitis. We realize that it can be argued that as the released plantar fascia in vivo heals, the fascia may become reattached to the calcaneus through fibrous tissue. However, whether the healed plantar fascia will be able to produce resupination of the subtalar joint has not been studied.

Conclusion

Although plantar fasciotomies continue to be used to relieve the heel pain associated with plantar fasciitis, there are no criteria as to the amount of fascia release required to relieve symptoms while maintaining the integrity of foot function. This study demonstrated that it is conceivable for a device to be fabricated to allow the cadaveric foot to replicate the in vivo foot during the stance phase of gait. The study demonstrated that partially releasing the plantar fascia imparts forces to the remaining fascia that are not usually observed with the fascia intact. Not only did the impulse increase, but a shift was noted in where the maximal force occurred during gait. When the plantar fascia was released, the subtalar joint was unable to resupinate in late midstance and propulsion, and there seems to be a direct correlation between the amount of fascia transected and the subtalar joint’s inability to resupinate. Although the exact nature of this relationship was not ascertained from the study, resection of the medial band of the plantar fascia was the only variable changed with the lack of resupination. More research is needed to determine more precisely the amount of plantar fascia that can be released before significant increases in forces in the remaining fascia are observed and before loss of the subtalar joint’s ability to resupinate during late stance and propulsion. From this initial study, it seems that less than 66% of the fascia should be released to maintain foot stability, which is in agreement with in vivo research on lateral column symptoms following plantar fascial release.42



















Acknowledgments

The Iowa Osteopathic Education Foundation and the Central Iowa Foot Clinic, PC, for funding this project; the University of California, San Diego, for specimens; the IE 386 class at Iowa State University and Greg Leuke, PhD, of Iowa State University for aiding in development of the loading system; MicroStrain, Inc, for supplying the microstrain gauges and the amplifier for determining the forces in the plantar fascia; and Kevin A. Kirby, DPM, and Christopher J. Nester, PhD, for technical assistance with validating the loading system.

References


YETTRAM AL, CAMILLERI NN: The forces acting on the human calcaneus. J Biomed Eng 15: 46, 1993.[Medline]

HARTY M: Anatomic considerations in injuries of the calcaneus. Orthop Clin North Am 4: 179, 1973.[Medline]

SARRAFIAN SK: Anatomy of the Foot and Ankle, 2nd Ed, JB Lippincott, Philadelphia, 1983.

BOJSEN-MøLLER F, FLAGSTAD KE: Plantar aponeurosis and internal architecture of the ball of the foot. J Anat 121: 599, 1976.[Medline]

BARRETT SL, DAY SV, PIGNETTI TT, ET AL: Endoscopic heel anatomy: analysis of 200 fresh frozen specimens. J Foot Ankle Surg 34: 51, 1995.[Medline]

HAWKINS BJ, LANGERMEN RJ, GIBBONS TG, ET AL: An anatomical analysis of endoscopic plantar fascia release. Foot Ankle Int 16: 552, 1995.[Medline]

HICKS JH: The mechanics of the foot: part II. The plantar fascia and the arch. J Anat 88: 25, 1954.

LAPIDUS PW: Misconceptions about the springiness of the longitudinal arch of the foot. Arch Surg 46: 410, 1943.

LAPIDUS PW: Kinesiology and mechanical anatomy of the tarsal joints. Clin Orthop 30: 20, 1963.[Medline]

HICKS JH: The foot as support. Acta Anat (Basel) 25: 34, 1955.[Medline]

WRIGHT DG, RENNELS DC: A study of the elastic properties of plantar fascia. J Bone Joint Surg Am 46: 482, 1964.[Medline]

MACCONAILL MA: The postural mechanism of the human foot. Proc Royal Ir Acad 1: 265, 1945.

SARRAFIAN SK: Functional characteristics of the foot and plantar aponeurosis under tibiotalar loading. Foot Ankle 8: 4, 1987.[Medline]

KITAOKA HB, LUO ZP, GROWNEY ES, ET AL: Material properties of the plantar aponeurosis. Foot Ankle 15: 557, 1994.[Medline]

KER RF, BENNETT MB, BIBBY SR, ET AL: The spring in the arch of the human foot. Nature 325: 147, 1987.[Medline]

MCMAHON TA: The spring in the human foot. Nature 325: 108, 1987.[Medline]

SIMKIN A, LEICHTER I: Role of the calcaneal inclination in the energy storage capacity of the human foot: a biomechanical model. Med Biol Eng Comput 28: 149, 1990.[Medline]

KIM W, VOLOSHIN AS: Role of plantar fascia in load bearing capacity of the human foot. J Biomech 28: 1025, 1995.[Medline]

ARANGIO GA, CHEN C, KIM W: Effect of cutting the plantar fascia on mechanical properties of the foot. Clin Orthop 339: 227, 1997.[Medline]

SPITZY H: Surgical treatment of painful calcaneal spurs. Munch Med Wschr 84: 807, 1937.

HUANG C, KITAOKA HB, AN KN, ET AL: Biomechanical evaluation of longitudinal arch stability. Foot Ankle 14: 353, 1993.[Medline]

KITAOKA HB, LUNDBERG A, LOU ZP, ET AL: Kinematics of the normal arch of the foot and ankle under physiologic loading. Foot Ankle Int 16: 492, 1995.[Medline]

THORDARSON DB, KUMAR PJ, HEDMAN TP, ET AL: Effect of partial versus complete plantar fasciotomy on the windlass mechanism. Foot Ankle Int 18: 16, 1997.[Medline]

KITAOKA HB, LUO ZP, AN KN: Mechanical behavior of the foot and ankle after plantar fascia release in the unstable foot. Foot Ankle Int 18: 8, 1997.[Medline]

MURPHY GA, PNEUMATICOS SG, KAMARIC E, ET AL: Biomechanical consequences of sequential plantar fascia release. Foot Ankle Int 19: 149, 1998.[Medline]

THORDARSON DB, HEDMAN T, LUNDQUIST D, ET AL: Effect of calcaneal osteotomy and plantar fasciotomy on arch configuration in a flatfoot model. Foot Ankle Int 19: 374, 1998.[Medline]

SHARKEY NA, FERRIS L, DONAHUE SW: Biomechanical consequences of plantar fascial release or rupture during gait: part I. Disruptions in longitudinal arch conformation. Foot Ankle Int 19: 812, 1998.[Medline]

SHARKEY NA, FERRIS L, DONAHUE SW: Biomechanical consequences of plantar fascial release or rupture during gait: part II. Alterations in forefoot loading. Foot Ankle Int 20: 86, 1999.[Medline]

CARLSON RE, FLEMING LL, HUTTON WC: The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot Ankle Int 21: 18, 2000.[Medline]

ANDERSON DJ, FALLAT LM, SAVOY-MOORE T: Computer-assisted assessment of lateral column movement following plantar fascial release: a cadaveric study. J Foot Ankle Surg 40: 62, 2001.[Medline]

HAMEL AJ, DONAHUE SW, SHARKEY NA: Contributions of active and passive toe flexion to forefoot loading. Clin Orthop 393: 326, 2001.[Medline]

DALY PJ, KITAOKA HB, CHAO EYS: Plantar fasciotomy for intractable plantar fasciitis: clinical results and biomechanical evaluation. Foot Ankle 13: 188, 1992.[Medline]

GORMLEY J, KUWADA GT: Retrospective analysis of calcaneal spur removal and complete fascial release for the treatment of chronic heel pain. J Foot Surg 31: 166, 1992.[Medline]

BARRETT SL, DAY SV: Endoscopic plantar fasciotomy: two portal endoscopic surgical techniques: clinical results of 65 procedures. J Foot Ankle Surg 32: 248, 1993.[Medline]

WHITE DL: Plantar fascial release. JAPMA 84: 607, 1994.[Abstract]

BARRETT SL, DAY SV, PIGNETTI TT, ET AL: Endoscopic heel anatomy: analysis of 200 fresh frozen specimens. J Foot Ankle Surg 34: 51, 1995.[Medline]

BARRETT SL, DAY SV, PIGNETTI TT, ET AL: Endoscopic plantar fasciotomy: a multi-surgeon prospective analysis of 652 cases. J Foot Ankle Surg 34: 400, 1995.[Medline]

STONE PA, DAVIES JL: Retrospective review of endoscopic plantar fasciotomy: 1992 through 1994. JAPMA 86: 414, 1996.[Abstract]

DUL J, SHIAVI R, GREEN NE: Simulation of tendon transfer surgery. Eng Med 14: 31, 1985.[Medline]

BRAND RA, PEDERSEN DR, FRIEDRICH JA: The sensitivity of muscle force predictions to changes in physiological cross-sectional area. J Biomech 19: 589, 1986.[Medline]

PERRY J: "Ankle Foot Complex," in Gait Analysis: Normal and Pathological Function, p 51, McGraw-Hill, New York, 1992.

BRUGH AM, FALLAT LM, SAVOY-MOORE RT: Lateral column symptomatology following plantar fascial release: a prospective study. J Foot Ankle Surg 41: 365, 2002.[Medline]





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Result number: 177

Message Number 157895

Survey Finds Orthopedic Residencies lacking in Foot-Ankle Care View Thread
Posted by Ed Davis, DPM on 8/14/04 at 19:45

From a recent article in APMA News:

"An article published in the July 2003 issue of "Foot and Ankle International," the clinical journal of the American Orthopedic Foot and Ankle Society, reveals that foot and ankle residency training among orthopaedic residents is 'vague' and does not 'require experience or proficiency in this discipline.'"

"Lead author of the article, Michael S. Pinzur, MD, of the Department of Orhtopaedic Surgery and Rehabilitation at Loyola University Medical Center, utilized a survery form sent to the chairs of 148 accredited residency programs in orthopedic surgery in the United States. The response rate was 100%."

"Results showed that 80 programs (54.1 percent) had just one faculty member, while 21 programs (14.2 percent) had no faculty member with a dedicated interest in foot and ankle orthopedics. Fifteen programs (10.1%) did not have a committed faculty member, nor did their residents have a clinical rotation dedicated to foot and ankle care."

"Ninety-six percent of the programs had a dedicated clinical foot and ankle experience, while 33 assigned their residents to clinical foot and ankle rotations at multiple times during their training. Overall, the total duration of their foot and ankle clinical training ranged from as little as 6 weeks, to as much as 24 weeks, out of a possible 260 weeks of residency training."

"The authors state the survery results show the disparity of commitment to foot and ankle orthopodaedics in American graduate medical education in orthopaedic surgery. The article concludes by stating, 'While most programs are in compliance with the guidlines published by the Accreditation Council for Graduate medical Education, many programs offer virtually no exposure to this important discipline.'"

"In stark contrast is the training of podiatrists," said APMA President LLoyd S. Smith, DPM. 'Our students currently recieve six to seven years of formalized training in the foot, ankle and related structures during their educational experiences. Their initial years are of a general nature quite similar to medical school students. Many of those classes are now held jointly at helath science centers where the medical and podiatry students are integrated into the same classrooms.'"

"During the second and third years, the future podiatrists begin to focus on the lower extremity issues. Ultimately the fourth year in school and the subsequent years as a resident allow the podiatrist to recieve vastly more training nad experience in lower extremity pathology than any other health care professional in the United States."

Ed Davis, DPM

Result number: 178

Message Number 157504

Re: 'Twas the night before... View Thread
Posted by john h on 8/11/04 at 09:52

Kathy say hello to Falmouth on the Cape as I once lived there as a young 21 year old bachelor. It was a bachelor heaven as a new group of girls arrived every two weeks from N.Y and Boston. In the winter I milled around Smith and Wellsley..

Result number: 179

Message Number 156950

Re: 'Twas the night before... View Thread
Posted by Susan S on 8/04/04 at 20:14

I spent first grade standing in the corner. My 4th grade teacher Miss Moss told us she had never missed a day of teaching in over 30 years except for when she was quarantined. In the 10th grade I had a young hippie English teacher, Rod Smith. We wrote poetry and meditated. When he got paged over the intercom he would turn on meditation music and not answer.

Result number: 180

Message Number 155671

The Red Hat Club View Thread
Posted by Kathy G on 7/17/04 at 08:09


A while back, I read a book by Haywood Smith called the Red Hat Club. It was very funny and when I posted about it here, many of you were familiar with the group.

Since then, I've noticed a couple of gift shops that have whole sections dedicated to the groups.

I like the idea that women now celebrate aging. My mother used to tell people her age and my aunt, who lied about her age, used to have a fit. People knew my aunt was the eldest and she was afraid that they'd figure out how old she was. My mother pointed out that at the rate she was going, pretty soon my aunt was going to have a son older than she was!

Given the alternative, I'll take aging any day!:D

Have a nice weekend, everyone!

Result number: 181

Message Number 151740

Article that would not work with the link I posted View Thread
Posted by Pauline on 6/01/04 at 19:30

Knock, Knock. Who's There? Mobile ESWT!

Extracorporeal Shockwave Therapy (ESWT) is rapidly becoming a standard of care for the treatment of pain associated with plantar fasciitis (heel spurs) and Achilles tendonitis. But it is not necessarily cost effective to purchase a high-intensity ESWT machine (about $500,000) and train an ultrasound technician to use it.

Podiatrists can refer patients who would benefit from ESWT to a surgi-center; but now there is another option that brings this technology directly to the podiatrist's office – and to patients in need.

What is ESWT?

Extracorporeal shock wave therapy (ESWT) is a non-invasive method of treating localized musculoskeletal pain, including plantar fasciitis and Achilles tendonitis. Shock waves administered through the skin stimulate the body's own repair mechanisms along with relieving pain. The treatment takes approximately 30 minutes under local anesthetic. Conducting gel is applied to the area to be treated. A therapy head, which houses the shock wave source, is placed on the treatment area. Using a hand-held monitor, a podiatrist administers shock waves by pushing a button on a control panel. The most common patient complaints during and after ESWT are pain and discomfort. Other side effects may include minor skin bruising, reddening and/or swelling for a brief period of time.

How It Works

Mobile ESWT programs are springing up all over the United States. One of the standouts is Shared Medical Therapies, Inc., the company that pioneered the mobile MRI service. Under its mobile ESWT program, a podiatrist can contract to have a Dornier high-intensity ultrasound machine brought to his or her practice for a half or full day at a time. The machine arrives by van and is wheeled by an ultrasound tech directly into a standard podiatry exam room. The ultrasound tech gets the machine ready while the podiatrist greets patients and prepares them for the therapy by administering a local anesthetic to the treatment area. When the anesthetic takes effect, the ultrasound tech assists the podiatrist with the procedure, which takes about 30 minutes per patient.

Unlike low-intensity ESWT machines commonly available in surgi-centers, the Dornier Epos Ultra required that patients undergo only one treatment, and pain relief can result as quickly as the first 24 hours following treatment. Healing continues for up to one year, according to Shared Medical Therapies' President Jeff Bergman, who reports that upwards of 75 percent of patients notice significant pain reduction after treating their pain with ESWT.

Reimbursement

ESWT currently is not covered by Medicare, but it is generally paid for by private insurers, according to Bergman. Rates average about $2,000 to $2,500 but can go as high as $9,500, of which Shared Medical Therapies receives 75 percent. The balance ($625 on an average payment of $2,500) can net the podiatrist more than $3,000 for a half-day of ESWT therapy. Costs to the podiatrist include his/her time, administration of the anesthetic and the use of the exam room. There are no start-up costs.

Shared Medical Therapies pre-certifies all of its patients, ensuring that the therapy is medically necessary and will be covered by the patient's insurance. The company will not perform the therapy on patients who are not pre-qualified or pre-pay out-of-pocket. Shared Medical Therapies does all the billing for the ESWT and typically turns around payment to podiatrists within 60 to 120 days.

Decisions, Decisions

How do you know if a mobile ESWT program is right for your practice?

First, determine if you see an adequate number of patients who can benefit from this therapy. Shared Medical Therapies requires a five patient minimum per visit, all of whom must be scheduled consecutively in a morning or afternoon.

“If a podiatrist has two to three locations, he or she usually has enough patients for this program, said Shared Medical Therapies' marketing rep Robert Smith.

Bergman said that about 50 percent of plantar fasciitis patients are candidates for ESWT, so a podiatrist who sees 20-25 of these patients per month likely could benefit from the mobile ESWT service two to three times per month.

When choosing a mobile ESWT provider, look for a company with a solid reputation for service delivery. Make sure that the ultrasound equipment is high-quality and is serviced by the manufacturer. Bergman is partial to the Dornier Epos Ultra, which he called the “gold standard, but he said other brands are also reliable and effective. Finally, make sure that the people operating the machine are qualified ultrasound technicians. The success of ESWT, like most therapies, depends as much on the precision with which it is performed as on the technology itself.


For more information:

Shared Medical Therapies, Inc.

6400 Brooktree Court, Suite 360

Wexford, PA 15090

866-627-3900

724-933-3900

724-933-3211 (fax)

Result number: 182

Message Number 151503

Interesting fact to help resolve this issue View Thread
Posted by Dr. Z on 5/28/04 at 16:20

eNEWS
Friday, May 28, 2004 (No. 1,621)

An article published in the July 2003 issue of Foot and Ankle International, the clinical journal of the American Orthopaedic Foot and Ankle Society, reveals that foot and ankle residency training among orthopaedic residents is "vague" and does not "require specific experience or proficiency in this discipline."

Lead author of the article, Michael S. Pinzur, MD, of the Department of Orthopaedic Surgery and Rehabilitation at Loyola University Medical Center, utilized a survey form sent to the chairs of 148 accredited residency programs in orthopaedic surgery in the United States. The response rate was 100 percent.

Results showed that 80 programs (54.1 percent) had just one faculty member, while 21 programs (14.2 percent) had no faculty member with a dedicated interest in foot and ankle orthopedics. Fifteen programs (10.1 percent) did not have a committed faculty member, nor did their residents have a clinical rotation dedicated to foot and ankle care.

Ninety-six of the programs had a dedicated clinical foot and ankle experience, while 33 assigned their residents to clinical foot and ankle rotations at multiple times during their training. Overall, the total duration of their foot and ankle clinical training ranged from as little as six weeks, to as much as 24 weeks, out of a possible 260 weeks of residency training.

The authors state the survey results show the disparity of commitment to foot and ankle orthopaedics in American graduate medical education in orthopaedic surgery. The article concludes by stating, "While most programs are in compliance with the spirit of the guidelines published by the Accreditation Council for Graduate Medical Education, many programs offer virtually no exposure to this important discipline."

"In stark contrast is the training of podiatrists," said APMA President Lloyd S. Smith, DPM. "Our students currently receive six to seven years of formalized training in the foot, ankle, and related structures during their educational experiences. Their initial years are of a general nature quite similar to medical school students. Many of those classes are now held jointly at health science centers where the medical and podiatry students are integrated into the same classrooms.

"During the second and third years, the future podiatrists begin to focus on the lower extremity issues. Ultimately the fourth year in school and the subsequent years as a resident allow the podiatrist to receive vastly more training and experience in lower extremity pathology than any other health care professional in the United States."


Information in APMA Daily eNews is intended for APMA members and is not a substitute for professional legal, financial, or medical advice -- coding rules and payment policies in particular can vary from carrier to carrier. If you do not wish to receive APMA Daily eNews, please inform the Association by replying to this message. For a free subscription or to change your e-mail address in APMA's database, please write to sariley@apma.org. Previous editions of APMA Daily eNews are available under "Publications" at http://www.apma-online.org (members may log in by using APMA member number as ID, and case sensitive last name for password).

Result number: 183

Message Number 151502

Interesting fact to help resolve this issue View Thread
Posted by Dr. Z on 5/28/04 at 16:20

eNEWS
Friday, May 28, 2004 (No. 1,621)

An article published in the July 2003 issue of Foot and Ankle International, the clinical journal of the American Orthopaedic Foot and Ankle Society, reveals that foot and ankle residency training among orthopaedic residents is "vague" and does not "require specific experience or proficiency in this discipline."

Lead author of the article, Michael S. Pinzur, MD, of the Department of Orthopaedic Surgery and Rehabilitation at Loyola University Medical Center, utilized a survey form sent to the chairs of 148 accredited residency programs in orthopaedic surgery in the United States. The response rate was 100 percent.

Results showed that 80 programs (54.1 percent) had just one faculty member, while 21 programs (14.2 percent) had no faculty member with a dedicated interest in foot and ankle orthopedics. Fifteen programs (10.1 percent) did not have a committed faculty member, nor did their residents have a clinical rotation dedicated to foot and ankle care.

Ninety-six of the programs had a dedicated clinical foot and ankle experience, while 33 assigned their residents to clinical foot and ankle rotations at multiple times during their training. Overall, the total duration of their foot and ankle clinical training ranged from as little as six weeks, to as much as 24 weeks, out of a possible 260 weeks of residency training.

The authors state the survey results show the disparity of commitment to foot and ankle orthopaedics in American graduate medical education in orthopaedic surgery. The article concludes by stating, "While most programs are in compliance with the spirit of the guidelines published by the Accreditation Council for Graduate Medical Education, many programs offer virtually no exposure to this important discipline."

"In stark contrast is the training of podiatrists," said APMA President Lloyd S. Smith, DPM. "Our students currently receive six to seven years of formalized training in the foot, ankle, and related structures during their educational experiences. Their initial years are of a general nature quite similar to medical school students. Many of those classes are now held jointly at health science centers where the medical and podiatry students are integrated into the same classrooms.

"During the second and third years, the future podiatrists begin to focus on the lower extremity issues. Ultimately the fourth year in school and the subsequent years as a resident allow the podiatrist to receive vastly more training and experience in lower extremity pathology than any other health care professional in the United States."


Information in APMA Daily eNews is intended for APMA members and is not a substitute for professional legal, financial, or medical advice -- coding rules and payment policies in particular can vary from carrier to carrier. If you do not wish to receive APMA Daily eNews, please inform the Association by replying to this message. For a free subscription or to change your e-mail address in APMA's database, please write to sariley@apma.org. Previous editions of APMA Daily eNews are available under "Publications" at http://www.apma-online.org (members may log in by using APMA member number as ID, and case sensitive last name for password).

Result number: 184

Message Number 151429

ScottR -- I hope this is okay with you, placing the article here... View Thread
Posted by Ed Davis, DPM on 5/27/04 at 21:16




Previous Volume 350:2159-2166 May 20, 2004 Number 21
Next



Plantar Fasciitis

Rachelle Buchbinder, M.B., B.S., F.R.A.C.P.





This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 55-year-old overweight woman presents with a three-month history of pain in her right inferior heel. The pain is worse on taking her first steps in the morning. The physical examination is normal except for nonspecific tenderness in the region of the medial calcaneal tubercle. How should the patient be evaluated and treated?

The Clinical Problem

Epidemiologic Features

Plantar fasciitis, reportedly the most common cause of pain in the inferior heel, is estimated to account for 11 to 15 percent of all foot symptoms requiring professional care among adults.1,2 Reliable population-based incidence data are lacking, although plantar fasciitis has been reported to account for about 10 percent of injuries that occur in connection with running3,4,5 and is common among military personnel.6 The incidence reportedly peaks in people between the ages of 40 and 60 years in the general population and in younger people among runners.7,8,9 The predominance of the condition according to sex varies from one study to another.5,8,10 The condition is bilateral in up to a third of cases.6,7,8,10

Pathological Features

The site of abnormality is typically near the site of origin of the plantar fascia at the medial tuberosity of the calcaneus (Figure 1). Histologic examination of biopsy specimens from patients undergoing plantar fascia–release surgery for chronic symptoms has shown degenerative changes in the plantar fascia, with or without fibroblastic proliferation, and chronic inflammatory changes.11,12,13


View larger version (88K):
[in this window]
[in a new window]
Figure 1. Plantar and Medial Views of the Foot Demonstrating the Origin and Insertion of the Plantar Fascia and the Location of Nerves in Proximity to the Heel.
The windlass mechanism, or bowstring effect, of the plantar fascia refers to its function in raising the arch of the foot during the push-off phase of walking.




Risk Factors

The cause of plantar fasciitis is poorly understood and is probably multifactorial. Limited data from case–control studies have identified such risk factors as obesity, occupations that require prolonged standing, pes planus (excessive pronation of the foot), reduced ankle dorsiflexion, and inferior calcaneal exostoses (or heel spurs).6,9,14,15,16,17,18

Because of its high incidence among runners, plantar fasciitis is commonly assumed to be caused by repetitive microtrauma.3 Proposed risk factors include running excessively (or suddenly increasing the distance run), wearing faulty running shoes, running on unyielding surfaces, and having a cavus (high-arched) foot or a shortened Achilles tendon, but evidence for most of these factors is limited or absent.19

Clinical Course

On the basis of long-term follow-up data in large case series that predominantly involved patients seen in orthopedic practices, the clinical course for most patients with plantar fasciitis is favorable, with resolution of symptoms in more than 80 percent of patients within 12 months.8,20,21,22 Up to 5 percent of patients in reported case series are treated surgically,3,7,8,22 although reliable data on surgical rates in unselected patients are lacking.

Strategies and Evidence

Clinical Diagnosis

The diagnosis of plantar fasciitis can be made with reasonable certainty on the basis of clinical assessment alone. Patients typically report a gradual onset of pain in the inferior heel that is usually worse with their first steps in the morning or after a period of inactivity. Patients may describe limping with the heel off the ground. The pain tends to lessen with gradually increased activity but worsens toward the end of the day with increased duration of weight-bearing activity. Associated paresthesias are uncommon. Patients may report that before the onset of their symptoms, they increased the amount or intensity of their regular walking or running regimen, changed footwear, or exercised on a different surface. There is often a localized area of maximal tenderness over the anteromedial aspect of the inferior heel. Limitation of ankle dorsiflexion due to tightness of the Achilles tendon may be present. Other causes of pain in the inferior heel are usually distinguishable on the basis of history and physical examination (Table 1).23,24

View this table:
[in this window]
[in a new window]
Table 1. Differential Diagnosis of Pain in the Inferior Heel.



Imaging

Imaging plays a limited role in routine clinical practice, although it may be useful in selected cases to rule out other causes of heel pain or to establish the diagnosis of plantar fasciitis when it is in doubt. Occasionally, it may be difficult to differentiate plantar fasciitis from calcaneal stress fracture on clinical grounds. Plain radiographs may rule out calcaneal stress fracture and other rare bony lesions. Although the detection of heel spurs is of no value in either confirming the diagnosis of plantar fasciitis or ruling it out, a "fluffy periostitis" with ill-defined borders may suggest an underlying spondyloarthropathy.

When plain radiographs are normal, bone scans are useful for distinguishing plantar fasciitis from calcaneal stress fracture. Positive findings on bone scanning for plantar fasciitis have been reported in 60 to 98 percent of cases,25 although the false positive rate is unknown. Typical findings in the early images include increased blood flow and blood pooling; in the delayed images, findings often include a focal increase in activity at the plantar fascial insertion site in the calcaneus. By contrast, a linear fracture line or more diffuse calcaneal uptake on delayed images is consistent with calcaneal stress fractures.

Ultrasonography may be diagnostically useful, although, like other imaging techniques, it is not routinely used. The plantar fascia can be easily distinguished from the hyperechoic superficial heel pad of fat and the underlying calcaneus and is normally 2 to 4 mm thick.26 Many studies have found a marked increase in the thickness of the plantar fascia in plantar fasciitis (to a total of approximately 5 to 7 mm) and have variably demonstrated local or diffuse hypoechogenicity at the calcaneal insertion of the plantar fascia, loss of definition at the interface between the plantar fascia and the surrounding tissue, and peri-insertion edema.25,26

Magnetic resonance imaging can also be used to visualize the plantar fascia, with sagittal and coronal images.27 Normally, the plantar fascia is characterized by homogeneous low signal intensity on all pulse sequences. In plantar fasciitis, a marked increase in plantar fascial thickness can be detected, together with variable features of moderately increased signal density in the substance of the fascia on T2-weighted and short tau inversion-recovery pulse sequences (consistent with edema and intrasubstance microtears) and abnormally increased signal intensity in adjacent subcutaneous tissue and in the calcaneus at the plantar fascial insertion site. Markedly increased signal intensity in the calcaneus may be suggestive of plantar fasciitis associated with an underlying spondyloarthropathy.28

Treatment

A variety of therapies are used for plantar fasciitis; however, there are few data from high-quality, randomized, controlled trials that support the efficacy of these therapies.29 Initiation of conservative treatment within six weeks after the onset of symptoms is commonly believed to hasten recovery from plantar fasciitis,23,24 but this is also unproved. The role of various management strategies should be considered in the light of the self-limiting nature of the condition.

Physical Therapy

Many types of physical therapy have been proposed as treatments for plantar fasciitis.24 Support for the use of ice, heat, and massage and for strengthening of the intrinsic muscles of the foot comes predominantly from anecdotal data. Stretching of the calf muscles and plantar fascia and taping or strapping of the foot are commonly recommended, but these therapies have generally been assessed in combination with other interventions, making it difficult to interpret the results of any individual intervention. A recent trial involving 101 participants showed that heel pain was either eliminated or much improved at eight weeks in 24 of 46 patients (52 percent) who were treated with an exercise program to stretch the plantar fascia, as compared with 8 of 36 patients (22 percent) who reported such results after participating in a program to stretch the Achilles tendon.30 However, the study was not blinded, there was a large difference in the dropout rate between the groups (28 percent in the group in which patients stretched the Achilles tendon and 10 percent in the group in which patients stretched the plantar fascia), and only those who completed the trial were included in the analysis. Two randomized, placebo-controlled trials31,32 did not demonstrate a benefit of using magnetic insoles, and small randomized, placebo-controlled trials29 found no significant benefit of ultrasonography, laser treatment, iontophoresis, or exposure to an electron-generating device.

Orthotic Devices

A wide variety of prefabricated and custom-made orthoses, including heel pads and cups that are variously designed to elevate and cushion the heel, provide medial arch support, or both, are used to treat plantar fasciitis. There are no data on the efficacy of these devices as compared with placebo or no treatment, and the available data on their efficacy in comparison with that of other interventions are conflicting or limited. One study, involving 103 patients, compared mechanical treatment (taping and orthoses) with the use of a heel cup or antiinflammatory treatment (three corticosteroid injections administered at weekly intervals, plus nonsteroidal therapy). Among the 77 patients who completed the trial, mechanical treatment was more effective in achieving an outcome rated as "excellent" or "fair" at three months (reported for 19 of 27 patients, or 70 percent) than was use of the heel cup (7 of 23 patients, or 30 percent) or antiinflammatory treatment (9 of 27 patients, or 33 percent).33 In a trial involving 236 participants, prefabricated shoe inserts (a silicone cone, felt pad, or rubber heel cup) were found to be superior both to using custom-made orthotic devices and to stretching alone. (The percentages of patients whose condition had improved at eight weeks were 95 percent for a silicone-cone insert, 88 percent for a felt pad, 81 percent for a rubber heel cup, 68 percent for custom-made orthotic devices, and 72 percent for stretching alone.2 )

Splinting and Walking Casts

The use of night splints, designed to keep the ankle in a neutral position with or without dorsiflexion of the metatarsophalangeal joints during sleep, has been evaluated in two randomized, controlled trials, with conflicting results.34,35 One trial involving 116 participants showed no benefit of a night splint worn for three months as compared with no treatment.35 In contrast, a crossover trial involving 37 participants suggested a benefit of a night splint worn for one month as compared with no treatment.34 However, a crossover design may not be a valid method for studying interventions for treatment of a self-limiting condition. A third trial involving 255 participants showed no benefit of a posterior tension splint used at night as compared with either custom-made orthoses or over-the-counter arch supports.36 There are no published data from controlled trials of immobilization with casts or other devices. A retrospective review reported a recurrence of pain, usually within a month after cessation of the use of a plaster cast, in 11 of 24 patients (46 percent) for whom follow-up data were available.37

Antiinflammatory Agents

Nonsteroidal antiinflammatory drugs are often used in practice, but randomized trials have not been conducted to assess their benefit. The injection of corticosteroids, usually mixed with local anesthetic and injected with the use of a medial approach, is another common treatment for heel pain.29 Limited data suggest that this treatment provides only short-term pain relief. One trial, involving 91 participants, showed that 1 ml of prednisolone acetate (25 mg) with 1 ml of local anesthetic, injected with the use of a medial approach, resulted in significantly greater improvement in pain at one month than did injection of local anesthetic alone; the mean (±SD) changes in the pain score, measured on a 10-cm visual-analogue scale, were 2.0±2.9 and 0.06±3.0, respectively.29 At three and six months, there were no differences between the groups in pain measures, but a high rate of loss to follow-up precluded the drawing of conclusions. A tibial-nerve block given before injection did not appear to reduce the discomfort of the injection. One concern is that corticosteroid injections may be associated with an increased risk of rupture of the plantar fascia,38,39 although data to support this association are limited and inconclusive.13,38

Extracorporeal Shock-Wave Therapy

Extracorporeal shock-wave therapy has been proposed as an alternative approach on the grounds that it may stimulate healing of soft tissue and inhibit pain receptors.40 However, the available data do not provide substantive support for its use. Of six randomized, double-blind, placebo-controlled trials assessing the efficacy of extracorporeal shock-wave therapy,40,41,42,43,44,45 three studies (involving 166, 272, and 88 participants) showed no benefit,40,43,44 and two studies (involving 150 and 302 participants) reported small benefits that were of questionable clinical importance.41,42 A sixth trial, involving 45 runners, showed that extracorporeal shock-wave therapy, as compared with placebo, resulted in a significant reduction in the score for pain on first walking in the morning (a mean reduction of 2.6 on a 10-cm visual-analogue scale) at six months.45

Surgery

Surgery may be considered for a small subgroup of carefully selected patients who have persistent, severe symptoms despite nonsurgical intervention for at least 6 to 12 months. The surgical procedures used for plantar fasciitis include variations of open or closed partial or complete plantar fascia release with or without calcaneal spur resection, excision of abnormal tissue, and nerve decompression.46,47 In case series, favorable outcomes were reported in more than 75 percent of patients who underwent surgery, although the recovery times varied and were sometimes months,48 and persistent pain occurred in up to a quarter of patients who were followed for an average of two or more years.48,49 Potential complications include transient swelling of the heel pad, calcaneal fracture, injury of the posterior tibial nerve or its branches, and flattening of the longitudinal arch with resultant midtarsal pain. As compared with open release surgery, closed procedures may allow for more rapid recovery and resumption of usual activities,47,50 although the risk of nerve injury may be higher with endoscopic release and other closed procedures than with other approaches.51 Controlled trials are required to verify these findings.

Prevention

The efficacy of preventive strategies such as stretching exercises and control of the intensity of running (e.g., limiting distance, frequency, and duration) is not known.52 A randomized trial that involved 390 male infantry recruits showed that improved shock absorption, obtained with the use of basketball shoes rather than standard infantry boots, during 14 weeks of training resulted in a significantly lower incidence of foot-overuse injuries (including heel pain, arch pain, and metatarsalgia but not metatarsal stress fracture). Overuse injuries occurred in 15.5 percent of the men who wore basketball shoes, as compared with 29.1 percent of those who wore standard infantry boots (relative risk, 0.53; 95 percent confidence interval, 0.36 to 0.80).53

Areas of Uncertainty

The cause or causes of plantar fasciitis remain uncertain. The potential role, if any, of imaging studies in guiding treatment, monitoring the course of the disorder, or both has yet to be clarified; currently, imaging techniques have little role in routine clinical practice. One study showed that ultrasound-guided corticosteroid injections had the same outcome as injections administered without such guidance.54 Randomized clinical trials are needed to assess whether the commonly used treatments are beneficial in modifying the natural history of plantar fasciitis.

Guidelines

The American College of Foot and Ankle Surgeons issued a practice guideline in 2001 that is based on expert opinion.55 The recommendations generally reflect current clinical practice, but most of them are of unproven benefit. Initial treatment options include administering nonsteroidal antiinflammatory drugs, padding and strapping the foot, injecting corticosteroids, regularly stretching the calf muscles, avoiding the use of flat shoes and walking barefoot, applying ice to the affected area, using over-the-counter arch supports and heel cushions, and limiting activities. Second-line options for those patients who have not had any improvement after six weeks include the use of custom orthotic devices, night splints, and immobilization of the foot with casts and other devices during activity for four to six weeks. Plantar fasciotomy is reserved for patients in whom conservative measures have failed; removal of the plantar spur is not believed to add to the success of surgery.

A position statement regarding endoscopic and open heel surgery that was issued by the American Orthopaedic Foot and Ankle Society recommends that endoscopic plantar fascia release not be performed if there is nerve compression.51 This recommendation is based on suggestions that the risk of nerve injury may be higher with endoscopic procedures than with open procedures.

Conclusions and Recommendations

Patients, such as the woman in the introductory vignette, who have symptoms and signs consistent with plantar fasciitis — including heel pain that worsens on first walking in the morning and tenderness over the anteromedial aspect of the inferior heel — should be informed that the condition is self-limiting and that in more than 80 percent of patients, the symptoms will resolve within a year, regardless of therapy. Since there is limited evidence about the value of treatments for plantar fasciitis, a reasonable approach to intervention is to start with patient-directed, low-risk, minimal-cost interventions, such as regularly stretching the calf muscles and the plantar fascia, avoiding flat shoes and walking barefoot, using over-the-counter arch supports and heel cushions, and limiting extended physical activities. A trial of nonsteroidal antiinflammatory drugs may be reasonable. Corticosteroid injections may provide a short-term benefit.

More costly treatments — such as the use of custom-made orthotic devices, night splints, and immobilization with casts or other devices — may be options for patients in whom the condition does not improve, although the value of these treatments is currently uncertain. Surgery should be reserved for those patients whom conservative therapy has not helped after 6 to 12 months. In the absence of data to guide the surgical approach, referral to a surgeon with expertise in treating patients with plantar fasciitis is recommended.




I am indebted to Daniel Riddle, Stephen Hall, and Peter Lowthian for their insightful comments.


Source Information

From the Department of Clinical Epidemiology, Cabrini Hospital; and the Department of Epidemiology and Preventive Medicine, Monash University — both in Melbourne, Vic., Australia.

Address reprint requests to Dr. Buchbinder at Cabrini Medical Centre, Suite 41, 183 Wattletree Rd., Malvern, VIC 3144, Australia, or at rachelle.buchbinder@med.monash.edu.au.

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Result number: 185
Searching file 14

Message Number 148169

Re: Should i do the surgery for tts? View Thread
Posted by William on 3/31/04 at 06:37

Mailman,

Your post is greatly appreciated as I see your knowledge of USPS dealings. Have you had TTS surgery? I personally have been a mail carrier for 10 years and have walked all my career, except maybe as a PTF where I would get a mounted route maybe 1 month out of the year if lucky. I am scheduled for an NCV/EMG next week as I am still using my sick leave and my Foot and ankle orthopedic doctor will support me as it being a overuse injury.

A few questions I hope you can answer regarding CA2.

1) I have seen 2 podiatrists previously who would not support me as it being work related, yet now I swithced to a Foot & Ankle Orthopedic Surgeon, which has more schooling, so my question is will this be a problem if it says on page 2 of the CA2 of the first treating physician was the poditrsit who did not want to help me? Should i still put his name down, actaully the supv has to fill this out but i do not want to conceal any info.

2) I have already prepared my EMPLOYEE STATEMENT regarding job conditions such as waklking 6 miles a day 5.5 hours on uneven ground, porches steps, through snow as i used these factors for my argument. The CA2 staes that i must provide a detailed history in my narrative, i included the names of the 2 poditrsts i have previously seen even thoiugh they wanted nothing to do with OWCP or the USPS. My narrartive reads " On 7/15/03 i developed inner ankle pain as it came on as i was walking my mail route. I did not think much of it but it progessivly got worse as i repotred to work daily. I made an appointment with dr evans, then later dr smith because i was not getting better i decided to see dr willie wonka a foot and ankle ortho." is this okay to include the 2 other monkeys as i included them in the detailed history because they did in fact treat me.

3) Finally, Should i give my CA2, employee narrative, and medical narrative to my supervisor or send them to injury comp of the USPS myself? I don't know if i really trust my supervisor to not read my information and submit it in a timely fashion.

4) 1 more question,sorry but i'm new at his and the union has not been much help. If my CA2 is approved will i be notified by mail of this and how soon does the post office have to offer me a job on limited duty? Will they drag there feet? After it is approved do i give my doctor a CA17 duty status report and does he have to send this to owcp? I am ondering on this because i do not have much sick leave and cant afford to waste time. Currently i been ouot of work for 4 months on s/l and finally ffound a doctor that wants to support me. He wanted me to go on light duty for basically sitting, but USPS denied me this as i requested it to postmaster. Now 4 weeks later my doc says attempt to try mountwed delivery only, but i'm not sure this will be that easy. Will it look bad if i'm able to do mounted and I'm filing a CA2? I need money, i eeven had to tap my TSP as a medical hardship. Thnkas for your advice.

Result number: 186

Message Number 143181

Re: girls respecting themselves... View Thread
Posted by john h on 1/29/04 at 11:38

The girls I dated in high school were very smart. Sure a lot smarter than me. Most ended up going to Smith,Radcliffe or some of the snooty colleges in the east.When I was stationed on Cape Cod I would vist some of my high schoold friends at Smith and Wellsley. It was sure fun to be a young Lt bachelor on these campus. Are these schools co-ed now??? I think I found out even in high school that the smart girls were not just smart but fun to be with. I do not think I could ever put a tie in between being smart and pretty or smart and not so pretty. It could go either way. I spent to much time playing sports without a doubt.

Result number: 187

Message Number 141612

A new type of pain med, from snails !! View Thread
Posted by BrianG on 1/08/04 at 08:03

I read this article, and found it interesting. Although it's not for everyone, I am happy to see that doctors / scientists are still looking for more / better methods of pain control. This one looks like it may be good for TTS, which can sometimes be hard to treat with regular opiates.

Regards
BrianG

PS: "1,000 times more potent than morphine, without the problems of addiction or withdrawal" !!!!!!!!

Cut & Pasted from the Net:


Drug From Snail Venom Relieves Pain

A study finds ziconotide is effective and non-addictive, but it's not for everyone.
By Steven Reinberg

HealthDay Reporter TUESDAY, Jan. 6 (HealthDayNews) -- A novel, non-addictive drug derived from the venom of a marine snail provides significant relief for cancer and AIDS patients who suffer from intractable pain.
Results of a new study indicate that more than half of these patients who don't respond to other painkillers found relief when they were given the drug, called ziconotide.
Ziconotide is made of venom from the cone snail, which uses the toxin to immobilize both predators and prey. Scientists have warned the cone snail is fast becoming a threatened species because of pollution, overfishing, development and the exploitation of its beautiful shells. They fear the species could disappear before biomedical research can take full advantage of the analgesic properties of the venom.
Ziconotide is an entirely new, non-narcotic pain medication that is 1,000 times more potent than morphine without the problems of addiction or withdrawal. It works by blocking the N-type, neuron-specific, voltage-sensitive calcium channels, which are found at presynaptic nerve terminals.
A team led by Dr. Michael G. Byas-Smith, an assistant professor of anesthesiology at Emory University Medical School, treated 111 patients with cancer or AIDS who had failed to find relief with other pain medications. The patients were randomly assigned to receive ziconotide or a placebo. Most of the patients were taking morphine at the start of the study. Ziconotide was given continuously through a pump that delivers a measured dose.

The researchers found 53 percent of the patients receiving ziconotide had moderate to complete pain relief, compared with 17.5 percent of the patients receiving the placebo. In addition, five of the patients in the ziconotide group had complete relief from pain. The findings appear in the Jan. 7 issue of the Journal of the American Medical Association.
The drawbacks to ziconotide are the side effects, which occur when high doses are given, Byas-Smith says. The most common was an altered mental state, but other side effects include low blood pressure and dizziness.
Patients who have severe pain from AIDS or cancer, and who do not get good relief with morphine, can use ziconotide alone or in combination with morphine and achieve better pain management, he adds.

Ziconotide, Byas-Smith notes, seems to be most effective in relieving neuropathic pain, which does not respond well to morphine. "Typically, you have to use an opiate and ziconotide to get the best pain relief," he says.
"We have another weapon to control pain. But it remains an ongoing process to figure out who is going to respond best to this treatment," Byas-Smith says.
Dr. Michel Y. Dubois, a professor of anesthesiology at New York University School of Medicine and director of the NYU Pain Center, says ziconotide "is not the magic bullet."
Dubois notes that in his study with patients who had pain from other nonmalignant problems, the results were similar, with about half responding, and no one knows why. "When it works, the relief does last," he adds.
"Unfortunately, it's not as spectacular as we expected it to be. However, ziconotide does have a place in some patients who have uncontrolled pain from cancer and AIDS," Dubois says. "But it is not going to revolutionize pain management."
Dr. Michael S. Leong, an assistant professor of anesthesia at Stanford University Medical Center, adds that his experience indicates that ziconotide can provide significant benefit for all types of intractable pain, including back pain, neck pain and other neuropathic pain.
In some cases, ziconotide may be more effective then morphine, he adds. However, ziconotide is expensive and difficult to administer and monitor, so its use will probably be limited.
Leong notes that trials using a combination of ziconotide and morphine are almost complete. He believes that when these drugs are used in combination, more patients will respond. Also, lower doses of each drug will be needed, thus reducing side effects.
Physicians are still learning how best to use ziconotide, he says.

More information
To learn more about pain management, visit the National Foundation for the Treatment of Pain or the American Pain Foundation.
SOURCES: Michael G. Byas-Smith, M.D., assistant professor, anesthesiology, Emory University Medical School, Atlanta; Michel Y. Dubois, M.D., professor, anesthesiology, New York University School of Medicine, and director, NYU Pain Center, New York City; Michael S. Leong, M.D., assistant professor, anesthesia, Stanford University Medical Center, Palo Alto, Calif.; Jan. 7, 2004, Journal of the American Medical Association

Result number: 188
Searching file 13

Message Number 139740

A book for you middle-aged ladies ! View Thread
Posted by Kathy G on 12/10/03 at 11:19

Okay, I know that I bore you all with my recommendations on books but given the general age of many of us ladies here and also given that many of you are Southern, I highly recommend a really funny novel called The Red Hat Club by Hawyood Smith. It's about a group of fifty-year old women but it would appeal to women in their forties, too. It's really very funny. I'm nursing it along because I don't want it to end!

Even if you folks don't read, it would make a nice gift for someone on your Christmas list who does.

Can't help it. When I read a really good book, I just want everyone to have a chance to enjoy it!

Result number: 189

Message Number 139469

More stories about Mrs. Smith View Thread
Posted by Carole C in NOLA on 12/06/03 at 08:22

I had Mrs. Smith in fifth grade, though my Mrs. Smith was about 140 years old and pulled out of retirement to fill in when our original fifth grade teacher got pregnant and quit. My Mrs. Smith had carrot colored hair but anyone could tell it was white and she had dyed it.

Mrs. Smith hated children. She was a horrid old witch and literally had me in tears every single day, both at school and at home. I even pleaded with my mother to allow me to skip a grade like my big brother, just so that I could get away from Mrs. Smith. That didn't work. I began to dread school and play sick a lot. Life was miserable.

However, things improved once I discovered how to get around Mrs Smith. She liked to pick on someone in front of the whole class for not having their homework, and that someone was usually me since I had the highest grades. So, I figured out when she'd be focusing on homework humiliation and just beforehand I'd ask to go to the bathroom. I'd cower in the bathroom until after she'd moved on to the next part of the lesson. She never seemed to notice.

Nobody was ever more glad to advance to sixth grade than me!

Carole C

Result number: 190

Message Number 139417

Re: Something unusual happened to me tonight... View Thread
Posted by JudyS on 12/05/03 at 14:11

No Rick, you're wrong. Mrs. Smith was rotund and blond - I had her in third grade! :)

Result number: 191

Message Number 139336

Re: Something unusual happened to me tonight... View Thread
Posted by nancy s. on 12/04/03 at 11:25

a babe, eh? ok, wrong mrs. smith, although my mrs.smith once came to class having dyed her dark hair totally blond while her husband was out of town, to surprise him. it looked really bad, though, and she was mortified, and by the next day she'd covered it maybe two-thirds successfully with something close to her normal hair color.

grass clippings in fresh paint! now there's an idea. . . .

i guess you actually owe the unsupervised little jerk a great debt, since he inadvertently got your released from your grounding. there's a lesson in there somewhere, isn't there? i wonder if it's one we should be learning, though!

nancy
.

Result number: 192

Message Number 139327

Re: Something unusual happened to me tonight... View Thread
Posted by Rick R on 12/04/03 at 07:40

Nancy,

My Mrs Smith was a little red head and a babe as I recall. ALthough, not exactly in the category of my 6th grade teacher who was a former playboy bunny but I digress. I believe Mrs. Smith returned to her home town area in Eastern Iowa after she left the Chicago area where indeed I misspent my youth. Love the soap story.

I was similarly busted when I confessed to vandalizing the park district garage. The workers were mean SOB's that did stuff to kids that get your but sued these days. Back then just got you on the little devil @#$% list. Mom made me march over and tell them I threw the grass clippings in the fresh paint. I had to repaint the garage and was restricted to the house and our yard. While serving my sentance one of the little unsupervided jerks in the hood decided to mess with me by throwing rocks at me and taunting knowing I wouldn't leave the prison yard. When I had enough I chased him down and beat the hell out of him right in front of his mother. I hadn't a clue, but my Mom was watching the whole episode unfold and was well prepared for the phone call. She told the other Mom how proud of me she was for showing restraint for so long and standing up to the sphincter boy with the courage not to be intimidated by the presence of his mother. She let me off the hook and I was free at last.

Rick

Result number: 193

Message Number 139317

Re: Something unusual happened to me tonight... View Thread
Posted by nancy s. on 12/04/03 at 02:34

say, rick, i had mrs. smith in fourth grade too. she was magnificent! were you in chicago then? i wasn't. but i DID have mrs. smith in fourth grade. where were you? of course, smith is quite the common name, but still. were you, by any chance, in upstate new york?

suzanne, i loved how the mother treated the situation and how you treated the situation. you were both terrific.

when my sister and i were about 7 and 8, respectively, she stole a big bar of ivory soap from the Grand Union grocery store. she slipped it inside her coat, and then pulled it out and waved it like a trophy in front of my mother as we were getting into the car, as if she deserved a medal or something. my mother marched her right back into the store, made her confess what she'd done, and of course give the soap back. and you see? kids do remember lessons like that -- i remember it like it was yesterday.

what i never could figure out was why, of all the great stuff in the Grand Union, she'd pick a bar of soap to steal. wouldn't most kids take candy or gum or something? i guess her priorities were messed up in two ways.

nancy
.

Result number: 194

Message Number 139245

Re: Something unusual happened to me tonight... View Thread
Posted by Rick R on 12/03/03 at 07:22

Suzanne,

Where were the sweet and wise folks like you when I was in grade school? Eccept of course for 4th grade Mrs. Smith was first rate.

Rick

Result number: 195

Message Number 134661

picture of actual nerves in foot View Thread
Posted by Scott R on 10/19/03 at 09:59


http://heelspurs.com/nerves.jpg

i took a picture while at the Smithsonian......these are actual nerves extracted from a human foot.

Result number: 196

Message Number 134334

Re: defining spam- opinion on some posts? View Thread
Posted by john h on 10/17/03 at 12:19

At last I now see that you are a moderator Ed. Did not know until this moment. I do not know but I think an owner of a website would have to be extremely careful in publishing any IP address. Personally I would not chance a lawsuit.

From USA Today: Under the new Privacy Act Laws there are so many rules and regulations that Doctors,Hospitals,and all who are involved are having a lot of problems interpreting the rules. Recently in one of the midwest states in a small town of 9500 a man had a heart attack in his back yard. In this farm community people generally give directions by saying such things as Joe lives next to the Smith farm. When 911 received the call they would only give the ambulance operator the actuall numbered address and would not give the driver any further help because of the Privacy Act. The woman with the heart attack victim saw the ambulance stop at various houses trying to find the numbered address. The 911 operator still refused to give the driver such as he lives next to the Smiths. When they arrived he had died. Some hospitals still will not even tell a spouse the condition of her husband/wife because of misinterpretation. Doctors are not communicating with each other by email as much about a patient who both may be treating. One hospital called another hospital to ask about a blood virus a patient had that had just been tranferred and was about to receive a transplant. The hospital refused to divulge the virus so the treating hospital had to give multi antibiotics. The person most responsib le for this new law recently had a family member enter a hospital with a serious illness. The hospital would not give her any information and all her relatives were calling her to find out what was happening. The senate and house were afraid to write this law so they passed it on to the Dept of Health & Welfare & Human Services who wrote a monster open to many interpretations. The original idea of Privacy was well intenioned but as usual when government gets overly involved bad things happen. It is expected to cost over $45 billion dollars for all the hospitals,doctors,etc to comply.

Result number: 197

Message Number 132281

Re: Anybody want to trade feet? -- and a momentary cure for the blues View Thread
Posted by nancy s. on 10/05/03 at 05:51

what a treat to see bob g! you're a helluva human bean, bob.

gee, wendy, i don't know if i want your feet or not. are they at 75%? my feet weren't too great yesterday either. and on friday i had a follow-up with my sports med doc, which hadn't happened for a year. after careful examination, he announced (and i agreed) that i still have pf in the left foot, but that both feet's (yah, that's wrong) achilles, post tib, and peroneal tendonitis is, while not completely gone, vastly iimproved. i've been saying for two years that i'd put my recovery at 75%, and the doc's exam seems to support that nicely (if still having pf can be nice).

it sure beats the preceding 2+ years, though, and i'll take it. most days.

now, on to my latest cure for the blues: did anyone see the pbs special series on the blues (as in music) last week? as most blues performers, buggs, and lovers say, nothing cures the blues like singing or playing them out.

having played classical piano all my life, last week i found a boogie-woogie piano book in a stack of old music i bought from some lady for my shop. in two days, i've almost learned the first piece in it. and i'm here to tell you that it is impossible to be unhappy while playing boogie-woogie piano. i feel like pine-top smith. and my husband, who has always loved this stuff and wished i'd play it, is flying high.

nancy
.

Result number: 198
Searching file 12

Message Number 129831

Sorry this isn't about politics, but... View Thread
Posted by Sharon W on 9/13/03 at 09:08

Sorry to post something not specifically about politics -- although it certainly might be seen as controversial, and it even portrays the administration in a bad light! -- but this subject interests me enough to do something I never do: I am cutting-and-pasting this Web MD article in its entirety:

http://my.webmd.com/content/Article/73/81986.htm

Sharon

---------------------

Medical Marijuana Slowly Gains Ground

Clinical Studies Begin to Replace Emotion with Evidence

By Daniel DeNoon
WebMD Medical News Reviewed By Michael Smith, MD
on Friday, August 29, 2003


> Email to a friend > Printer-friendly version

August 29, 2003 -- A sea change in science is slowly turning the tide of the medical marijuana debate.


For hundreds of years, marijuana has been used to treat a wide variety of illnesses. But the herb has been illegal throughout the modern era of scientific medical research. Patients swear the drug works to relieve pain, prevent seizures, and counteract the nausea-inducing effects of cancer chemotherapy. But by today's standards, there's no definitive proof that this is so.


Why not? Nearly all U.S.-funded marijuana research has looked for harmful effects from using marijuana as a recreational drug. Meanwhile, there's been little money -- and huge regulatory hurdles -- for studies of marijuana's benefits. That's now changing despite the fact that marijuana remains classed as a Schedule I drug -- a dangerous compound with no medical uses.


Why now? Evidence is beginning to break down the wall of emotion preventing medical marijuana research.


Expert Panels, Breakthrough Findings


It was never clear exactly how marijuana -- which scientists call cannabis -- exerted its euphoria-inducing effects on the brain. Then, in the 1980s, a series of breakthrough studies showed that the body actually makes its own cannabis-like compounds -- cannabinoids.


Why are they there? That question led to the discovery that the body has an entire system based on cannabinoid signals. The signals seem to calm down overexcited nerve cells, says Igor Grant, MD, professor of psychiatry and director of the Center for Medicinal Cannabis Research (CMCR) at the University of California, San Diego.


"It may be the cannabinoid systems -- this is a crude example -- but I think of them as our internal shock absorbers," Grant tells WebMD. "They are circuits that prevent overexcitability, kind of dampers. If that's correct, there are going to be a number of medical applications. For example, I wouldn't be surprised if there were applications for epilepsy and other types of seizures."


Grant isn't the only scientist excited by these possibilities.


In 1997, a National Institutes of Health expert panel concluded that more needs to be known about possible marijuana benefits. In 1999, the Institute of Medicine agreed. It pointed to several areas crying out for clinical marijuana research, notes CMCR co-director Andrew Mattison, PhD.


"There are cannabinoid receptor systems in the brain areas that regulate motion -- and, in retrospect, we know that people with multiple sclerosis and difficulty with spasticity sometimes use medicinal cannabis. That is one of the Institute of Medicine indications for clinical trials," Mattison tells WebMD.


"There is a cannabinoid receptor for pain, another site that modulates appetite -- there's going to be a wealth of basic science research that will hopefully have clinical and practical applications to many different medical indications."

Early Clinical Findings Support More Research


Although funded through 2003 and only at various University of California locations by the California state legislature, the CMCR has, by default, become the national clearinghouse for marijuana research.


The CMCR works closely with state and federal regulators - including the FDA, the Drug Enforcement Administration, and the National Institute on Drug Abuse (the only legal source of marijuana in the U.S.). CMCR provides funds for clinical trials of marijuana. It's won national praise for holding its investigators to the highest scientific standards.


Even before the CMCR was up and running, one stubborn researcher managed to launch a marijuana clinical trial. Donald Abrams, MD, now chief of hematology/oncology at San Francisco General Hospital, is best known for being one of the first doctors to recognize and treat the illness that came to be known as AIDS. AIDS patients have long used marijuana to fight the terrible wasting the disease causes. It's also been said to help an extremely painful condition known as peripheral neuropathy -- a painful nerve disease that has few effective treatments.


Abrams wanted to get federal approval to see whether marijuana really works for this condition. But years of effort proved futile in the face of opposition by federal agencies. Finally, Abrams had a brainstorm. Marijuana affects the immune system. It was just possible that the drug was making patients worse, not better. He submitted a research proposal to look for a harmful effect of marijuana -- and finally won the approval he sought.


The results of that trial appear in the August 19 issue of Annals of Internal Medicine. And they contradict previous studies done in the test tube and with lab animals.


"Much of the published work on marijuana and the immune system is focused on animals and in vitro studies," Abrams tells WebMD. "And, well, if you flood a lot of petri dishes with THC [the active ingredient in marijuana], the immune-cell cultures are going to do poorly.


"In our clinical trial we really didn't see any detriment to the immune system from smoking cannabis. Basically we saw no perturbation of HIV viral load, no detriment to the immune system, and no significant interaction with anti-HIV drugs."


With CMCR funds, Abrams is now doing his peripheral neuropathy study. And he's well on the way to launching a study to see whether adding marijuana to other pain drugs can give relief to dying cancer patients. Overall, the CMCR now has five full-fledged clinical trials under way, which will enroll some 450 patients.


Doctors' Shifting Attitudes on Medical Marijuana


In the last week of July 2003, Medscape -- WebMD's web site for medical professionals -- asked its members what they thought about medical marijuana. It wasn't a scientific poll, although a member's vote is counted only once. Still, the results were surprising. There was a huge response. Three out of four doctors -- and nine out of 10 nurses -- said they favored decriminalization of marijuana for medical uses.


Is it a real trend? Abrams thinks so, but warns that long-held attitudes are slow to change.


"I was pretty much the Lone Ranger of medical marijuana research a few years ago. But not now," he says. "Still, researchers are wary of marijuana research. They feel their reputation may be tainted. And they may be right. For several years I've been invited to do grand rounds at a local hospital in the Bay area. Last year they disinvited me, and I hear it was because of my marijuana research. I've been disinvited from other speaking engagements, too."


"I think these attitudes will change over time -- but it will be slow-going," Mattison says. "Dr. Abrams' comment is typical. People in the medical profession may chuckle at marijuana research and think it is not a bona fide area for scientific investigation. But that will change as the science becomes more clear and more understandable and there are, at some point, some practical applications."

One surprising source of support is moral encouragement from conservative politicians.


"We get a number of stories from elected officials who say, 'Look, I am not for legalization of marijuana. But my sick mother, relative, son, is using it and doing so much better, -- there must be something in it,'" Mattison says.


"A number of people have friends where medical therapies aren't working, and cannabis provided relief from spasticity, pain, nausea, or vomiting. That is turning some opinions and helping people let go of the stereotypical notion that medical marijuana is for potheads."


The CMCR has put aside enough money to complete all its currently approved clinical trials. But the California budget crisis means no more money this year -- at least. Does this mean that clinical research into medical marijuana is over? Grant doesn't think so.


"I think that even if our center runs on hard times, the ball has started rolling," he says. "Clinicians and neuroscientists have an interest in this. There is gong to be more research, and more clinical work, whether we do it or not. Eventually, I foresee NIH [National Institutes of Health] clinical trials. That's my hunch."


A Final Warning


What's changing is the attitude toward investigating possible marijuana benefits. This means more and more doctors are keeping an open mind -- not jumping to the conclusion that the drug will be all things to all people.


"I don't know what the answers will be," Grant says. "The data that are out there suggest there will be some positive applications for marijuana. If I had to bet, I'd say there will be some applications useful for patients in the future."


But, he warns, the opposite could easily be true. The one sure thing about medical research is that it doesn't always provide the answers people expect.


"The caution is that, in the movement toward making marijuana available to patients with no other treatment options, there is the assumption that it is in fact useful. We have to be careful about that," Grant says. "It may be useful for some things, but not useful for others. And if patients take things that are not useful, they may be harming themselves. I urge them to be cautious instead of jumping on the bandwagon and maybe hurting themselves."
:)

Result number: 199

Message Number 129686

Some times people must stand up for their rights and fight... View Thread
Posted by Ed Davis, DPM on 9/11/03 at 23:00


There Is Only A Military Solution
by Ariel Natan Pasko
Sep 10, '03 / 13 Elul 5763


E-mail This Print Homepage


One only has to look as far east as Iraq, to see that force of arms can change a regime and impose a solution.

The Problem: One nation, spiritually and historically attached to its ancient homeland, is being constantly attacked militarily, both directly and through terrorist actions against its civilian population, from the adjoining contiguous territory - there are no natural borders - which is also part of its ancient homeland, now occupied by an enemy population who has invaded it over time.

The Military Solution, which can be imposed, offers several choices.

1. Declare a total, all-out war against the enemy, hit all targets, military, political, economic, and destroy their infrastructure. Maximize enemy casualties - including civilian - with the express purpose of reducing the enemy population drastically and facilitating the elimination of it from your homeland. Guarantee peace by eliminating the enemy's ability to wage war, and greatly reducing the enemies will to wage war. Reunite your ancient homeland under your exclusive control, declare victory, peace, and praise G-d.

2. Declare a total, all-out war against the enemy's military, hit all targets, including their political and military command-and-control centers, and military leaders’ residences. Eliminate enemy military actions against your population and facilitate the evacuation of the enemy’s occupying population from your homeland. Reunite your ancient homeland under your exclusive control, declare victory, peace, and praise G-d.

3. Declare a total, all-out war against the enemy's leadership. Eliminate them wherever they can be found. Destroy the enemy's military infrastructure and reduce the occupying enemy to a servile population. Facilitate the evacuation of most of the enemy population and incorporate the rest into your population. Reunite your ancient homeland under your exclusive control, declare victory, peace, and praise G-d.

If you stop and think for a moment, there are those who are attempting to implement a combination of these choices, as we speak. No, not Kahanist elements, the Jewish settler movement, and the far-right fringe in Israel; but Hamas, Islamic Jihad, Fatah - such as their Tanzim and al-Aqsa Brigades - and others. They see a military solution to the conflict. Just listen to what Hamas leader Abdel Aziz Rantisi recently said, "We will continue with our holy war and resistance until every last criminal Zionist is evicted from this land. By G-d, we will not leave one Jew alive in Palestine. We will fight them with all the strength we have. This is our land, not the Jews."

And they're working to implement their vision. Their suicide murderers roam around looking for more victims. Jerusalem: August 19th, 22 people murdered, including seven children, and over 130 were injured, including 40 children, in a bus bombing, returning from evening prayers at the Western Wall of the Temple Mount. Rishon L'Tzion area: September 9th, seven people murdered and over 30 injured near the Tzrifin military base, in a bombing that some believe was originally intended for the nearby Assaf HaRofeh Hospital itself. It seems that heightened security at the hospital caused the killers to pick an easier target, soldiers standing at a bus stop. Jerusalem: the same day, September 9th, another seven people murdered and over 50 injured when a bomber tries to enter a cafe, then explodes himself and his victims.

If you think that these are just extremist elements in Palestinian society, think again. According to a May 2003 Pew Global Attitudes Project opinion poll, 80% of Palestinians agreed with the statement: "The rights and needs of the Palestinian people cannot be taken care of as long as the State of Israel exists." They clearly want to destroy the Jewish state.

This is most clearly reflected in the attitudes of Palestinians regarding the so-called refugee problem. On the Official Palestinian Authority website, they posted the results of a Poll from May 2003, conducted by Human Rights International Solidarity Institute (HRISI) about the Palestinian refugee 'right of return', surveying Arabs in northern 'refugee camps' in the West Bank, 84% of respondents expressed their hope to return to their homes in pre-1967 Israel. In regard to the proposal to live in the Jewish settlements instead of returning to their homes that they left in 1948, 87% of the respondents opposed this solution. So one can clearly see a desire to establish an independent Palestinian State in Judea and Samaria - the West Bank - and flood Israel with refugees, creating a bi-national state. How long will it take for irredentists to begin fighting the then-Jewish-minority in Israel, agitating to merge with Palestine, and effectively killing the State of Israel?

And killing Jews, Israelis, and the State of Israel isn't just for Rantisi or Hamas. Monthly public opinion polls by the Jerusalem Media & Communication Centre, from December 2002 to April 2003, have consistently shown that around 75% of Palestinians, "strongly or somewhat support the continuation of the al-Aqsa Intifada," meaning "continued military operations inside Israel and/or inside the 'occupied' territories." When asked in April 2003 about suicide bombing operations against Israeli civilians, 59.9% of Palestinians, "strongly or somewhat support them." Support for suicide bombings has consistently been between the high 50s and 80% for several years now.

In a poll carried out between August 21-28, 2003 for Yasser Arafat's Gaza-based "Office of Palestinian Information" - of Palestinians in the West Bank and Gaza Strip - they found that 60.2% continue to support attacks on Jews and 88.8% oppose the detention of members of Hamas and Islamic Jihad by the Palestinian Authority. Besides the fact that the above results do not correspond with the commonly held working assumptions of the Bush and Sharon Administrations, that the Palestinian public actually opposes terror and would support Palestinian compliance with the Roadmap, the poll found that 56% believe attacks serve Palestinian national interests and 79.7% oppose the PA's decision to freeze contacts with Hamas and Islamic Jihad. A clear majority wants to continue warfare against Israeli soldiers and civilians, including suicide bombings. This certainly isn't just a fanatical fringe, but Palestinian society's wishes. They are an enemy to the Jewish People. They are in an all-out war until the end.

What we see from all this is that not only the "military" - i.e. terror - organizations, but the rank and file on the Palestinian street desire a military victory, the collapse of the Jewish state -Israel - and its replacement with an Arab state - Palestine - from the "river to the sea". If the Palestinian Authority ever agrees to a negotiated settlement bringing an end to the conflict, it is far from clear that Palestinian society will accept it. A more likely prognosis would be continued warfare, a possible take-over by Hamas and others of the PA, and continued terror, with the goal of Israel's destruction.

So, how does a state defend its citizens under such circumstances?

For a long time now we've been hearing the mind-numbing mantra of the Left, "There is no military solution to the conflict," with its let's-throw-our-hands-up-and-surrender-already corollary, "There is only a political solution." But one must understand, there can only be a political solution to a conflict if the parties involved want to accept a political solution. If one side insists on total and absolute victory, even to the point of exterminating its enemy, and the other side pursues a political solution, then you have a prescription for disaster.

You can throw water on a normal fire to put it out, but throw water on an electrical fire and all you do is spread the area of danger. Not only is there danger from the fire, but now from electrocution as well. Such one-sided behavior on the part of Israeli leaders, attempting to achieve "peace" with a society that wants to exterminate it, has spread the danger.

Although Israeli society seems to be confused as to how to respond to this existential threat, one issue has been consistently clear in the minds of an overwhelming majority of Israelis for several years already, they don't want a Palestinian state to come into existence. A Poll by the Hanoch Smith Institute (HSI) in November 2001 found 68% of Israeli Jews believe that "regardless of the size or strength of a Palestinian state, if one is established it will constitute a threat to the State of Israel." A later poll done by HSI in June 2002 found 80% of Israeli Jews oppose the proposal that Israel withdraw to the 1967 borders and create a Palestinian Arab state in the vacated territories.

The Geocartography Institute carried out a poll on February 25, 2003 for the Ariel Center for Policy Research. They asked: "In light of the experience that has accumulated since the Oslo agreements, do you support or oppose a Palestinian state?" 61% said they oppose creating such a state; only 31% said they support it.

And after the crowning of Mahmoud Abbas - Abu Mazen - PA Prime Minister, Dahaf carried out a poll of Israelis (including Israeli Arabs) the week of May 2, 2003, that asked: Will the election [he wasn't elected, but appointed] of Abu Mazen affect Palestinian terror? 68% answered that there would be no change or there would be an increase. Clearly, Israelis hold out no hope that so-called Palestinian political reforms will bring an end to the violent struggle the Palestinians have been carrying out. It seems that Jews in Israel understand just how extreme the Arabs are in their Palestinian visions of mass annihilation of the Jews. Hamas leader Rantisi's murderous statements just express those visions more openly than most.

But Abbas didn't last too long as prime minister. Some have blamed Yasser Arafat for interfering with Abbas's job, but an honest look reveals otherwise. Abbas himself was unwilling to implement the Roadmap commitment to criminalize terror organizations and dismantle their infrastructure; he resigned on September 6th, 2003.

And who has replaced him?

Ahmed Qureia - known by his underground name, Abu Ala - speaker of the Palestinian legislative Council. He's been touted as a moderate - as Mahmoud Abbas was - due to his early involvement in the Oslo process. But don't forget, he's been appointed by Arafat and has no political base of his own, just like Abbas.

"Moderate" PA Prime Minister-elect Ahmed Qureia said, in a December 1997 interview, that there would be "no compromise for one centimeter of the West Bank, including Jerusalem," not even on such integral parts of Jerusalem as French Hill or Ramat Eshkol. "Nothing," Abu Ala said, "not settlements or settlers either. [French Hill and Ramat Eshkol are] occupied territory from 1967. [Those who live there] are welcome to apply for citizenship under Palestinian law."

In December 1998 - after the Wye summit - Qureia published an article in the PA daily al-Hayyat al-Jadida stating that the borders of the future independent Palestinian State, that would be declared in May 1999, are the boundaries set by the 1947 Partition Resolution. That doesn't even give Israel Beersheva.

And in a September 1999 visit to China - according to the newspaper al-Ayyam -Abu Ala demanded the so-called "right of return" as a basic condition for peace: "Either [we achieve] a just peace that will guarantee the legitimate national rights of the Palestinian people, including [the] Return, self determination, and the establishment of an independent state with Jerusalem as its capital, or there will be no peace, but a return to the struggle in all its forms." Very "moderate", indeed!

After the Jerusalem bus bombing of August 19th, the Israeli government declared an all-out war against Hamas and the other terror groups. Within 36 hours, Israel picked-off one of Hamas' top leaders, Ismail Abu Shanab. Hamas quickly threatened that Israeli Prime Minister Sharon and other government leaders were now targets. Several days later, Hamas leaders were holding a meeting at the home of senior Hamas official and Islamic University lecturer, Dr. Marwan Abu Ras when Israeli F-16s struck, unsuccessfully. At the meeting were high-ranking officials Mohammed Deff and Adnan al-Rul, as well as Abdel Aziz Rantisi, the target of an unsuccessful Israeli Air Force missile strike in June. Israeli security sources confirmed that Hamas "spiritual" leader Sheikh AhmedYassin and other senior officials in the organization were the targets of the attack, as they were meeting "to plan future terror attacks against Israelis." The Israeli Army vowed to continue waging "relentless war against Hamas."

Speaking recently at the Herzliya Interdisciplinary Center's annual counterterrorism conference, IDF Chief of Staff Gen. Moshe Ya'alon hinted Israel could start targeting terrorist leaders in places from Syria to Lebanon to Iran who support Palestinian terror cells, saying "all leaderships should be held accountable."

Eight such Israeli missile strikes since the Jerusalem bus bombing have killed 12 terrorist operatives. Out of seven prominent Hamas leaders in the Gaza Strip, three (Salah Shahada, Dr. Ibrahim Maqadmeh and Ismail Abu Shanab) have been killed since July 2002; two were lightly hurt in assassination strikes (Sheikh Yassin and Dr. Abdel Aziz Rantisi in June); one escaped injury in an attack (Ismail Haniya) and only one, Dr. Mahmoud a-Zahar, has not yet been targeted in an attack [a-Zahar was targeted mere hours after this article was submitted - ed.].

A war of words has begun. After the attempt on Sheikh Yassin, the Hamas military wing, Iz a-Din al-Kassam announced, "Each Zionist who occupies our land is a target for us, but we did not select a specific target and we leave this to the judgment of our fighters and their ability to reach targets. Our response to the attempted killing of the head of the Hamas organization pyramid will be of the type that Israel has never seen before. We call on all organization cells in various cities to heighten the state of alert and prepare for an especially harsh response against the enemy."

One Hamas supporter shouted through a loudspeaker as Yassin was treated in a hospital right after the attack: "Sharon, your head is now wanted." Others chanted: "Bomb Tel-Aviv." Later, Yassin, after praying at a mosque, told a crowd of angry supporters, "You will pay the price for this crime," aiming his comments at Prime Minister Ariel Sharon. "The Israeli people will pay a dear price for this crime... Our people will not raise the white flag. The [Israeli] entity will be removed." Supporters outside the mosque waved Hamas flags, chanting, "We will sacrifice our blood for Yassin!"

Former PA Prime Minister Abbas, it was reported at the time, telephoned Hamas "spiritual" leader Sheikh Yassin to express his condolences over the death of Abu Shanab. The Palestine Media Center - an official arm of the PA - reported that about 150,000 people in Gaza attended Abu Shanab's funeral. Earlier, it had been reported that fireworks celebrations were set off over the Arab part of Hebron and Palestinian radio stations began broadcasting upbeat, happy music when news of the August 19th bus bombing reached them. Celebrations were also reported in Gaza after the news of the September 9th bombings as well, with shooting in the air and the handing out of candies. Who said that Hamas and Islamic Jihad terror against Jews doesn't have popular support amongst the Palestinians?

Sharon's response after the recent assassination attempt on Hamas "spiritual" leader Sheikh Ahmed Yassin and others was, "It's us or them. They are dead men. We won't give them any rest since they have just one goal, our destruction."

"We intend to liquidate all of Hamas, without any distinction between the political and military branches of this terrorist organization," an unnamed Israeli official was quoted as saying.

It's nice to see that PM Sharon realizes that "...they have just one goal, our destruction." But this "limited war" against Hamas terrorists obfuscates the real problem - all of Palestinian society is at war with Israel. When Israeli leaders admit this, when they begin to internalize that "peace" is not possible with a society that wants to replace Israel, then they can begin to see that there is only a military solution.

Now, go back to the top, and pick - 1, 2 or 3....

(c) 2003/5763 Pasko



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Readers' comments
9 comments have been published to this story.
1. "praise G-d"
John Liebman (21:52, Sep-10, 03)

2. If only the Israeli leadership understand
Mick_in_China, Beijing, China (22:03, Sep-10, 03)

3. Drive them out
Scott P. Aarons, MD, Baytown, Texas (01:12, Sep-11, 03)

4. GENOCIDE BOMBERS
(18:03, Sep-11, 03)

5. Outrage to continued terror attacks
M Cohen (19:02, Sep-11, 03)

6. Solution
Robert Rijsdijk, Paramaribo, Suriname (19:54, Sep-11, 03)

7. to John Liebman (#1)
Sergey, Los Angeles (22:39, Sep-11, 03)

8. War is the ONLY solution
Mark Walker, Chesapeake, Virginia USA (00:21, Sep-12, 03)

9. Mr. Pasko - Great Commentary!
Yitzchak Ze'ev ben Ari HaCohain, Des Plaines, Il., U.S.A. (00:43, Sep-12, 03)





Ariel Natan Pasko

Ariel Natan Pasko, an independent analyst and consultant, has a Master's Degree in International Relations & Policy Analysis. His articles appear regularly on numerous news/views and think-tank websites and in newspapers.


Author's Website


Recent by Ariel Natan Pasko:

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Result number: 200

Message Number 129117

Re: Excerpts from article on local Republican demanding sex acts to be performed on him in exchange for public assistance. View Thread
Posted by marie on 9/08/03 at 10:35

On Thursday, according to court records, the woman called Clark and he arrived at her home. The two had a conversation about the woman’s vouchers issued by the trustee’s office.
Because his son is a good friend that is going through a difficult divorce I feel some guilt in posting but here is the story.


"Clark sat on a couch in the woman’s home and she eventually joined him. Court records said Clark hugged and kissed the woman and touched her in several areas, including her hands, legs and back.

The woman said none of the contact was welcomed, court records said.

“At this point, (I) felt that the victim had been through enough and signaled trooper Bart Hensley to go downstairs,” master trooper Kevin Smith said in charging documents on file with Steuben Circuit Court. “Trooper Hensley confronted Donald Ross Clark and identified himself as a law enforcement officer. (I) observed that as Donald Ross Clark stood up from the couch his pants fell to the floor.”

marie

Result number: 201

Over 100 records returned. Search was stopped

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