Does Diabetic Peripheral Neuropathy Really Have A Stocking Distribution?

Stephen Barrett DPM FACFAS
3/14/13 | 3335 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 | 3381 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.

Getting Answers On The Peripheral Nervous System At The Upcoming AENS Meeting

Stephen Barrett DPM FACFAS
1/9/13 | 3708 reads | 0 comments
Resolutions are bandying about in our heads, the idiot box, the radio and virtually every other medium known to man now that we have slipped so quickly over the cliff into 2013. In speaking with some of my colleagues while facing the mysterious and unknown precipice of the new year, we discussed upcoming resolutions that we had professionally. Sure, we all wanted to lose some of those pounds packed on at the numerous Christmas parties but I wanted to know what they had in mind from a practice standpoint. Read More.

When It Comes To Incisions, Less Is More

Stephen Barrett DPM FACFAS
12/13/12 | 2583 reads | 1 comments
"Outlined against a blue-gray October sky, the Four Horsemen rode again. In dramatic lore, they are known as Famine, Pestilence, Destruction and Death. These are only aliases.” However, the four that I know are different from those in Grantland Rice’s 1924 New York Herald Tribune article. Those horsemen haunting me are Bias, Ms. Perception, Dogma and Evidenced Based (EB). These four evildoers of lore are opposite in spirit of the original four horsemen but just as passionate — and they are not aliases. Read More.

Praising The Importance Of ‘Heretics’ In Challenging Podiatric Dogma

Stephen Barrett DPM FACFAS
11/13/12 | 2740 reads | 0 comments
I love heretics. Give them to me small or large, morphous or amorphous, solo or in packs. I just love them, even when I disagree with them vehemently. Read More.

Why Podiatrists Should Be Attending PAINweek

Stephen Barrett DPM FACFAS
10/11/12 | 2741 reads | 0 comments
A few weeks ago, I went to a huge frat party, the Kappa Mu Delta* to be exact, and it was in Las Vegas. Now I know what happens in Vegas is supposed to stay in Vegas but I’m going to kiss and tell, so to speak. Read More.

Pain Management: Is It Time To Start Looking At The Patient's Genes?

Stephen Barrett DPM FACFAS
9/12/12 | 4623 reads | 0 comments
Genomics. Now that is a word that has some real catchiness to it, a virtual aphrodisiac for even the most adroit etymologist. I just like to say "genomics.” It conjures up the great line ("Plastics?") Dustin Hoffman repeated in The Graduate. “Mrs. Robinson (another reference from The Graduate), we’re into ‘genomics’ now and we need to take a look at your genomes so I can provide you with the best perioperative care for your upcoming reconstructive foot surgery.” “Really?” she replies. “Is there a test for that and will it hurt?” Read More.

Searching For Answers In The Measurement And Treatment Of Pain

Stephen Barrett DPM FACFAS
8/10/12 | 2650 reads | 0 comments
I was so excited the other day when the package finally arrived at my doorstep. I had ordered it months ago and was expecting a really large box filled with the latest in fantastic gadgetry. I love gadgets probably like no other person but when they can give me a leg up on clinical management, this love escalates to a level that would render most folks to sedatives and restraints. Read More.

Slicing A Patient's Complaints Down One Layer At A Time

Stephen Barrett DPM FACFAS
7/10/12 | 3142 reads | 5 comments
The “onion” is more common than rare and every practice is filled with them. Onions are easy to identify most of the time as Ms. Tuber, our fictitious representative of the onion phyla, always presents with a list of multiple complaints. (By definition, a patient can still be an onion with only one chief complaint. We will get to that later.) Read More.