Why Surgery Is A Bad Wager For Some Patients

Stephen Barrett DPM FACFAS
10/16/13 | 2666 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 | 8503 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 | 4629 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.

A Closer Look At The Relationship Between Sleep Disturbances And Chronic Pain

Stephen Barrett DPM FACFAS
7/10/13 | 2337 reads | 1 comments
It was unusual for the Midwestern summer to have an afternoon with such cool breezes as the winds rippled the wheat fields of the surrounding farms. I was stretched out on the bench seat of my uncle’s red 1964 Ford Fairlane. I had just finished one of those midday naps, which probably indicate some disturbance in my “sleep architecture” (that’s what the sleep experts call it). Read More.

Peering Into The Crystal Ball: When Will The Podiatry Profession Shake Free Of Dogma When It Comes To Nerves?

Stephen Barrett DPM FACFAS
6/14/13 | 3570 reads | 0 comments
I will admit I was a little spooked when I entered this place. With the parting of the heavy hanging beads bejeweling the doorway of the fortune-teller’s “office,” the hairs on the back of my neck had reached full piloerection. Read More.

Emerging Concepts For Reducing Post-Op Pain

Stephen Barrett DPM FACFAS
5/14/13 | 3013 reads | 0 comments
I don’t know about you but I hate pain. I hate it for my patients and I hate it when it affects me. Truthfully, I hate it more when my patients have pain as it causes me pain internally as well. We both end up in a painful state. Patients do not realize how much we really suffer as surgeons when our patients are having a complication or more pain than is expected. At least when I have pain, I know for the most part that I can modulate it in some way or understand it to a greater extent than my patient can. Read More.

Why It’s A Crime That Not All Residents Have Found A Matching Program

Stephen Barrett DPM FACFAS
4/10/13 | 2269 reads | 0 comments
There is not enough crime scene yellow tape at the national CSI headquarters to outline the prostrate victims of this incredible, all time crime of our profession. The blogs are a fury, screaming with brash and ridiculous statements like: “… The primary culprits are the administrators at each of the podiatry schools. They knew, or should have known, that they enrolled more students than the number of residency programs available. They operate in their ivory towers, receiving huge salaries, with little regard of the postgraduate reality.” Read More.

Does Diabetic Peripheral Neuropathy Really Have A Stocking Distribution?

Stephen Barrett DPM FACFAS
3/14/13 | 3246 reads | 1 comments
Tossing and turning, trying to decide if I was dreaming or truly awake in a seemingly restless, endless fog, I knew, or at least I thought, that I was watching a trial of some sort on the TV. It was not ESPN, but DSPN, the new network that had just hit the airwaves. Read More.

What A Rorschach Test Reveals About Patient Pathology, Brand Reliance And Plantar Plate Injuries

Stephen Barrett DPM FACFAS
2/18/13 | 3293 reads | 0 comments
Sitting in the Rorschach Café, tucked deep in the dark narrow streets of the Music Capital of the World (you should be thinking Vienna and not Nashville), Dr. Hermann asked me what I wanted for the entrée. Looking down at the stained and torn café menu, one offering jumped out at me like a mugger in a dark alleyway. It was written in German, of course, but without really needing confirmation of my translation, I asked my schizophrenic colleague anyway for the literal English translation for “Fuß Platte.” Read More.