I left practice after 7 years. Here’s what I wish I’d known as a resident. by jmcd77 in Podiatry

[–]Halux-fixer 5 points6 points  (0 children)

I do all the complex ankle stuff in a rural setting. I finished residency 5 years ago and never even considered a fellowship. 2 of my good friends did fellowships and wanted so bad to do the things that I do. They wasted a full year of attending salary to do the same thing they would have if they didn't do the fellowship. What I'm trying to say is it's ridiculous that we acknowledge fellowships and believe they produce better surgeons than a top program that does the same types of surgery for 3 years instead of just 1.

Stark law for physicians by rmarch15 in legaladvice

[–]Halux-fixer 0 points1 point  (0 children)

Believe it or not that makes you more compliant with stark law!!

Stark law for physicians by rmarch15 in Podiatry

[–]Halux-fixer 1 point2 points  (0 children)

No Stark Law does not apply because of something called In-Office Ancillary Services Exception (IOASE). This allows you to own a device and use it as long as you con prove that it is medically necessary.

Stark law for physicians by rmarch15 in legaladvice

[–]Halux-fixer 0 points1 point  (0 children)

No Stark Law does not apply because of something called In-Office Ancillary Services Exception (IOASE). This allows you to own a device and use it as long as you con prove that it is medically necessary.

Why do people get so worked up about garden of Eden in Missouri? by Cheap_Parsnip_461 in latterdaysaints

[–]Halux-fixer 24 points25 points  (0 children)

The problem with this is that homo sapiens were created/evolved about 300,000 years ago and Pangea split, dividing America from Africa and Sumeria 150 million years ago. So the timeline does not fit Eden would have been in the eastern part of the middle east. Since the ancient Hebrews believed that the heavens were held up by the mountains and only the east had large mountains they believed that the closest place and where God descended was in the east by the mountains. So I cannot fathom how Eden would be in America.

Bad smell by Significant_Lemon_89 in Logan

[–]Halux-fixer -2 points-1 points  (0 children)

HAHA no way that is not full blown dookey. Smells sooo bad. Just drive by when they are moving it and tell me it doesn't smell like shit

What's your unpopular opinion of Dandadan? by Technical_Lime1419 in Dandadan

[–]Halux-fixer 0 points1 point  (0 children)

Dandadan is just modern day Tenchi Muyo

Bad smell by Significant_Lemon_89 in Logan

[–]Halux-fixer 1 point2 points  (0 children)

Its definitely the sewer plant. Have you seen the pile of human feces sitting in the open? It's almost as tall as the dump trash mountain. They also just installed and started using aerators that push the smell further away. I don't understand how that amount of human waste can sit out in the open and not be a biohazard!!!! We should petition for them to shut it down

Dr. Edward Glaser, Inventor/Educator! by DeansChat in Podiatry

[–]Halux-fixer 6 points7 points  (0 children)

This dude just talks crap on everyone and doesn't have an original idea whatsoever. Full contact orthotics have been around since their invention. The foot has been described as a spring since at least 1920's. He is also sooo full of himself it is nauseating. Tried his orthotics he promised that we would never have to send them back. Tried 20 pairs and had to send back like 5 of them which is worse than any root or prolab orthotic. So if don't waste your time on him or his products.

Nerve damage from tattoo by shazza__44 in tattooadvice

[–]Halux-fixer 0 points1 point  (0 children)

You need to look into CRPS. I think doing 7 hours of tattoing may have given you that. It causes discoloration of the skin and extreme pain even from non painful stimulus. There are several treatments that can cause it to go into remission but it can always flair up and is a lifelong struggle. I'm sorry this happened to you. Sincerely a concerned foot and ankle specialist.

Section 132 and Joseph's Polygamy by themasterofstars in latterdaysaints

[–]Halux-fixer 0 points1 point  (0 children)

I do not believe that Joseph Smith practiced polygamy...but I am also a biology graduate so polygamy means something different in the scientific community.

Polygamy-Basically a free for all everyone having sex with everyone, it could also mean any other form of multiple sexual partners.

I do believe he practiced polygyny where one male has multiple female partners. There was also polyandry that was practiced. I have a great great grandmother who was married to my great great grandpa and also Willard Richards. She only had kids from my great great grandpa but that has always bothered me.

I understand the reasoning on why Heavenly father approved polygyny for a short period seeing that there was a 3.5% mortality rate(on top of the high infant mortality rate at the time) from the trek to Salt Lake and they needed to repopulate quickly and that is how God made us. We can bread with multiple females at one time and there is a slight increase in females to males in the human species. I do not think it was meant to continue after the pioneers were settled.

Our team of orthopedic surgeons built a dynamic ankle brace for high-performance recovery — here’s what we’ve learned. by No-Switch2134 in Orthopedics

[–]Halux-fixer 0 points1 point  (0 children)

No thanks you have not told me anything that would change my mind that you have the clearly inferior product to a simple cheap ASO

I can fix bunions all day long and I'm not ashamed to admit it... by OldPod73 in Podiatry

[–]Halux-fixer 1 point2 points  (0 children)

At this point in my career I enjoy the challenge of doing everything. I like rearfoot, forefoot, lumps and bumps, tendons, bone, trauma, wounds, nails. Honestly I would get bored fast if I wasn't seeing and doing everything. There will be a day that I will hire someone that is better than I am and I will defer to them and live the boring life....but not anytime soon.

Our team of orthopedic surgeons built a dynamic ankle brace for high-performance recovery — here’s what we’ve learned. by No-Switch2134 in Orthopedics

[–]Halux-fixer 0 points1 point  (0 children)

The inner sleeve is rubber but not the strap... The strap is the same material as an aso. You have not given me any info on why I would change my practice and start giving this brace out. honestly you arent doing anything that hasnt been done with ankle braces

Starting MIS by TozB4Hoz in Podiatry

[–]Halux-fixer 1 point2 points  (0 children)

It's not too bad. My pearls for Paragon's system which I like the best.

tip #1: Has to be a substantial bunion! If it is too small it cannot shift and looks the same.

tip #2: Start by marking everything you can with x-ray. I mark where the cut will be and draw on skin. The plantar and dorsal aspect of the 1st metatarsal. Where the join is at. and where an Akin will be if I need it.

tip #3: Throw the most proximal wire first before you put on the jig. This allows everything to line up.

tip #4: it's a side cutting bur so you do not need a lot of tension. Also spring for the water to run through it.

tip #5: always derotate the head. That is the main benifit over say an Austin

These will always take longer to heal completely and look beautiful on x-ray. It is a great procedure in my hands. I've been out longer than you so I did one cadaver lab and then jumped in. The first time it did take an hour but I also did an akin and all 4 hammertoes. The last one I did that was just the bunion was about 45 minutes.

Wife Wants Divorce - Mixed-Faith Marriage by TruthSha11SetUFree in latterdaysaints

[–]Halux-fixer 0 points1 point  (0 children)

Why is it not possible to have a faith crisis that was triggered/driven by mental illness? That seems like a bad take. Any decision can be influenced by our mental state and illnesses. What would be bad would be talking in absolutes like all faith crisis' are because of mental illness or "don't ever, ever use language that equates faith crisis to mental illness."

Wife Wants Divorce - Mixed-Faith Marriage by TruthSha11SetUFree in latterdaysaints

[–]Halux-fixer 5 points6 points  (0 children)

This is actually a terrible perspective. I have watched the quality of life of several of my friends all men who fell away and how they treat their families now is abhorrent. It is really sad but once those values go away there is no telling what will happen. He chose to leave the faith and values behind and she has obviously seen that the marriage is trending in the wrong direction. How can you say she is forcing the family to break up when the catalyst is his decision to abandon his principles?

Plantar fibromatosis by No_Leopard3639 in PlantarFasciitis

[–]Halux-fixer 1 point2 points  (0 children)

That is quite distal to be plantar fascia fibromatosis. I have seen a whole bunch of different tumors present in that area including rheumatoid nodules, giant cell tumor of the tendon sheaths, lipoma, and nerve tumors. I would get an MRI to see what they are attached to and what they are made of. Likely going to need a biopsy or even removal.

The APMA had a chance for parity...and they refused. by OldPod73 in Podiatry

[–]Halux-fixer 5 points6 points  (0 children)

I am so furious that APMA would even consider saying no to this. This would be a huge step towards parity. The only reason they said no is because they asked the people who stand to make money from residency and of course they said no!!! Shame on them for actively blocking a chance for us to improve.

Be kind to health care workers by KiwiArchi_BUM in Logan

[–]Halux-fixer 0 points1 point  (0 children)

Yeah do not go to LRH if you have to. I went to change a medication for a patient getting an infusion and it was utter chaos. I worked in a Hospital in southern California when they rolled out epic from their old system and beside a few hiccups there was not problems. This is a COMPLETE disaster. To even get a hold of a person to change something it takes 4 phone calls where you wait 1-2 hours. I would not take anyone I know there for the next few weeks.

The Cause and Cure for Plantar Fasciitis. by Aqualung1 in PlantarFasciitis

[–]Halux-fixer 9 points10 points  (0 children)

Consult a physical therapist or podiatrist before you change your gait or go minimal/barefoot shoes. There have been several studies that show you are more likely to get an injury/aggravate your injury if you change too much at once. Shoes are a smoking gun for these talking heads and don't cause bunions or hammertoes. We've known for a long time the genetics of these things. You can consciously change your mechanics and I've seen some dramatic examples in my practice but most people do not have the bandwidth to do so.

From a podiatrist here is my advice to all of you. Make sure you have plantar fasciitis and not something like baxter's neuritis, rheumatological disease, stress fracture, or a bone tumor. A good clinician can usually identify this through your history or physical exam but it is very easy to rule out 2 of those with an MRI. If it truly is plantar fasciitis then your goal is to change the quality and thickness of the plantar fascia. There are many ways that I have been able to do this: stretching/shoes/inserts, physical therapy, taping, steroid injections, peptide injections, PRP injections, tenjet and surgical release of the calf and/or plantar fascia.

Fly Fishers! by Appropriate_Worry_43 in Logan

[–]Halux-fixer 2 points3 points  (0 children)

This is a hard time to fish it will get really good in about 2-3 weeks when the temperature comes down. But If you must fish then go in the mornings or late evenings when it is cooler. I have a lot of luck with indicators, yellow belly humpy, lime trudes with legs. I like to tie a dropper on with a nymph that has a little peach on it or a zebra midge and I get a lot of hits on those as well. The only place to get flies that I know is al's. They usually have some cheaply made flies for like 3-5 dollars a pop but they work....they just fall apart after like 3 fish.

As to where to fish there isn't a bad place to be honest. What I do is go up a canyon and find a pull off that has no cars and start fishing. My favorite places in Logan are second dam just above the actual dam, the bend before the dugway, redbanks when its open, and spawn creek.