Why Minimally Invasive Surgery Is An Art Even If It May Not Look Like It

Stephen Barrett DPM FACFAS
4/10/14 | 4953 reads | 1 comments
Seven years ago, I couldn’t believe I had just paid $250 to stand there in a New York art gallery staring at a single red dot in the middle of a large, all-black canvas. “It’s phenomenal, isn’t it?” a cultured voice whispered reverently near my ear. Since I was locked in a mental gymnastics event trying to decide why I had agreed to come to this affair in the first place, I did not hear her. “Excuse me,” the voice whispered more urgently, “it’s phenomenal, isn’t it?” Read More.

How Did Heel Spurs Become Public Enemy Number One?

Stephen Barrett DPM FACFAS
3/5/14 | 1446 reads | 0 comments
The cool, dark west Texas night sky was nearly silent. It was almost like I had been placed into some type of surreal soundproof chamber. There was a big silence, except for the occasional coyote howl, and of course the regular cracking and popping of the roaring campfire. But that was like white noise. You never heard it unless you really concentrated. There is nothing like being out on a roundup, resting by the flickering fingers of the orange and yellow flames of the fire, being bone aching tired from herding cows all day. Then the silence ended. Read More.

Coming In From The Cold To Recognize Essential Elements For Business Survival

Stephen Barrett DPM FACFAS
2/6/14 | 3524 reads | 1 comments
His words were accentuated by the visible condensate with each exhale. An accretion of ice was already present on his thick, walrus-like mustache and building. It was cold. Damn cold. Chicago is cold in the winter and this one was a real molecule stopper. It was so cold in fact that it was hard for me to concentrate on what he was asking me. I kept thinking this “laboratory” must be very special and worth seeing since I had left sunny, warm Arizona for a full body dip in this virtual deep freeze. Read More.

How Urinalysis Can Filter Out Illegitimate Requests For Pain Meds

Stephen Barrett DPM FACFAS
1/14/14 | 2342 reads | 1 comments
It is yellow in color, usually clear, has a specific gravity ranging from 1.001 to 1.035 and a pH of 4.6 to 8.0. It doesn’t look (or smell) like anything special (most of the time), but it has the power to give us great insight. This yellow fluid cannot lie. Granted, its vessel can damn sure play some games, even buying fake fluid on the Internet in an attempt to mask other deceptions. However, this yellow fluid is what it is and it is what they have ingested, smoked, snorted and ultimately metabolized. Read More.

Combating The Dogma On Plantar Fasciopathy With The Gift Of Truth

Stephen Barrett DPM FACFAS
12/18/13 | 1390 reads | 1 comments
You know that feeling you get when, after countless hours of the endless drudgery of searching, you finally find that perfect thing and all of the frustration and tiredness suddenly melt away, almost like they never happened? Read More.

Is It Time To Switch The Dial On Insurance Networks?

Stephen Barrett DPM FACFAS
11/13/13 | 1961 reads | 2 comments
I know this may “date me” a bit but I remember when network TV was the pinnacle of entertainment. Networks delivered high quality products that were substantive and complete. We were happy with it. There were few channels but great programming. Even as new channels were introduced, network TV was still the place to be. After all, billions of dollars in advertising money can’t be wrong, right? Read More.

Why Surgery Is A Bad Wager For Some Patients

Stephen Barrett DPM FACFAS
10/16/13 | 2463 reads | 0 comments
Slowly swirling the amber liquid in the crystal glass, with the nearly non-viscous fluid gracing the edges, I found myself turning inward, becoming increasing contemplative. As the liquid, provided “free” while I sat at the roulette wheel, enveloped the melting ice, I found myself wondering why we as surgeons have not been able to figure out how to game the odds like those savvy dudes who run the place where I happened to be being gamed myself — Vegas. Really, those Vegas cats know how to manipulate outcomes so they always come out on top. Read More.

Are You On Board With High-Resolution Diagnostic Ultrasound?

Stephen Barrett DPM FACFAS
9/12/13 | 8345 reads | 0 comments
The dawn of Man, as illustrated by the genius film director Stanley Kubrick in his 1968 film, 2001: A Space Odyssey, shows a tribal ape picking up a large animal femur from a bony carcass and staring at it inquisitively. Almost serendipitously, the primate smashes the bone to the ground, pulverizing the remainder of the animal skeleton. With the shrapnel of bony particles exploding in every direction, it suddenly occurs to the ape that he has discovered a very powerful tool: the club. Read More.

Avoiding Crippling Cases Of Drop Foot With Early Diagnosis

Stephen Barrett DPM FACFAS
8/13/13 | 3643 reads | 2 comments
“Inspector,” I said, peering down at the drooping appendage, “who did this?” The professorial detective looked up at me, shaking his head in utter disgust. Slowly turning away from the gory sight of the dangling drop foot, he cleared his throat with a loud, guttural noise. “You ask the wrong question, sir,” he snapped. “’Who’ is less important than ‘What’ in this case. Ignorance is to blame. Ignorance and its insidious cousin, Super Ego.” Read More.