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  1. Nat
    Post

    Do people do nail surgery single handed?

    I haven't seen any physiologic reactions to local anesthesia. I've seen some emotional reactions though... Early in practice I had one patient...
    Post by: Nat, Mar 15, 2014 in forum: United Kingdom
  2. Nat
    Post

    Do people do nail surgery single handed?

    I've done it solo enough times that I really am quite comfortable not having an assistant standing there with me for a toenail procedure. I would...
    Post by: Nat, Mar 15, 2014 in forum: United Kingdom
  3. Nat
    Post

    Do people do nail surgery single handed?

    I do it solo. I lay out everything I might need before I start, all within arm's reach.
    Post by: Nat, Mar 15, 2014 in forum: United Kingdom
  4. Nat
    Post

    Eccentric vs. Concentric and achilles tendinopathy

    I do not.
    Post by: Nat, Oct 1, 2012 in forum: Biomechanics, Sports and Foot orthoses
  5. Nat
    Post

    Eccentric vs. Concentric and achilles tendinopathy

    Your finding matches my observations too.
    Post by: Nat, Oct 1, 2012 in forum: Biomechanics, Sports and Foot orthoses
  6. Nat
    Post

    How to make podiatry rooms nice

    Grass inside the building?
    Post by: Nat, Aug 31, 2012 in forum: General Issues and Discussion Forum
  7. Nat
    Post

    How to make podiatry rooms nice

    Beautiful room, Robin. It looks very hygienic and comfortable. We thought about using sofas in the waiting area but decided against it as we...
    Post by: Nat, Jun 19, 2012 in forum: General Issues and Discussion Forum
  8. Nat
    Post

    How to make podiatry rooms nice

    My treatment room has plants, custom cabinetry, and large, framed/matted photos of my family out enjoying our local geography (skiing, camping,...
    Post by: Nat, Jun 19, 2012 in forum: General Issues and Discussion Forum
  9. Nat
    Post

    Papers on Minimalist Shoe/Barefoot Running Injuries

    Recent: http://www.newslettersonline.com/user/user.fas/s=563/fp=20/tp=37?T=open_summary,50061538&P=summary
    Post by: Nat, May 19, 2012 in forum: Biomechanics, Sports and Foot orthoses
  10. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    I understand the 1-2 screw has been tried before with less than stellar results.
    Post by: Nat, Sep 29, 2011 in forum: Foot Surgery
  11. Nat
    Post

    Fainter.... advice

    Have her wear a motorcycle helmet? Kidding. Can you prescribe an anxiolytic to take before coming in? Place her in Trendelenburg to begin...
    Post by: Nat, Jun 28, 2011 in forum: General Issues and Discussion Forum
  12. Nat
    Post

    Any Advice on Neurolysis for Morton's Neuroma ?

    Make sure you let the patient know that increased pain is common post-injection, particularly after the first injection, and it persists several...
    Post by: Nat, Mar 9, 2011 in forum: Foot Surgery
  13. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    Until a procedure is "perfect" (i.e., completely painless, immediate recovery, without complications, long-lasting, etc.) then there is room for...
    Post by: Nat, Mar 2, 2011 in forum: Foot Surgery
  14. Nat
    Post

    Resistant K-Wire

    Back in residency I had a couple of Attendings who used the threaded K-wire technique. I think part of it was HMO-fueled cost-containment.
    Post by: Nat, Mar 2, 2011 in forum: General Issues and Discussion Forum
  15. Nat
    Post

    Resistant K-Wire

    I sometimes will do a deep hardware removal in the office if and only if the patient seems emotionally and constitutionally able to tolerate a...
    Post by: Nat, Mar 2, 2011 in forum: General Issues and Discussion Forum
  16. Nat
    Post

    Resistant K-Wire

    Can't you just stick a Jürgen ball on the end of it and suture it up? J/K. Good work drilling out around the pin. Fortunately I have not needed...
    Post by: Nat, Mar 2, 2011 in forum: General Issues and Discussion Forum
  17. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    I have done several with a 3-hole plate. The lateral (round) button fits into the plate hole nicely so you wouldn't have to replace it. You just...
    Post by: Nat, Feb 26, 2011 in forum: Foot Surgery
  18. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    Barbara, I count 28 replies in this thread. Was there something further you wish to ask? Edit: Make that 29 prior to yours.
    Post by: Nat, Apr 26, 2010 in forum: Foot Surgery
  19. Nat
    Post

    Vibram Five Fingers

    That's what I read in Born To Run anyway.
    Post by: Nat, Mar 11, 2010 in forum: Biomechanics, Sports and Foot orthoses
  20. Nat
    Post

    Vibram Five Fingers

    Wasn't that their original purpose, before the barefoot runners-who-didn't-really-want-to-run-barefoot discovered them?
    Post by: Nat, Mar 11, 2010 in forum: Biomechanics, Sports and Foot orthoses
  21. Nat
    Post

    Vibram Five Fingers

    In America, maybe not. All you need is an opportunistic complainant and opportunistic lawyer. Land of opportunity, you know... I've tried on...
    Post by: Nat, Mar 11, 2010 in forum: Biomechanics, Sports and Foot orthoses
  22. Nat
    Post

    Anyone heard of the syndesmosis bunion surgery?

    It certainly sounds in concept like the mini tight rope procedure. I wonder what he is using to affect the syndesmosis? In the long postoperative...
    Post by: Nat, Mar 4, 2010 in forum: Foot Surgery
  23. Nat
    Post

    Displaced implant

    Well done, Dr. Arbes.
    Post by: Nat, Jan 6, 2010 in forum: Foot Surgery
  24. Nat
    Post

    Displaced implant

    Thanks for the follow up. I was wondering how this case turned out. How much difficulty did you encounter removing the distal half of the...
    Post by: Nat, Jan 4, 2010 in forum: Foot Surgery
  25. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    Check your private messages.
    Post by: Nat, Sep 29, 2009 in forum: Foot Surgery
  26. Nat
    Post

    Use of Xylocaine when breast feeding?

    If the mother/patient had a badly infected ingrown nail that needed to be avulsed, then I would do it since the risk to the nursing child from...
    Post by: Nat, Sep 24, 2009 in forum: General Issues and Discussion Forum
  27. Nat
    Post

    Forefoot pain s/p bunion sx

    Can you re-state your question? I still can't decipher where exactly the patient's pain is based on your original post.
    Post by: Nat, Jul 15, 2009 in forum: General Issues and Discussion Forum
  28. Nat
    Post

    Displaced implant

    Thread bump, hoping Dr. Steve will follow up!
    Post by: Nat, Jun 19, 2009 in forum: Foot Surgery
  29. Nat
    Post

    Displaced implant

    Wow...it seems as if being able to access the health information could be helpful. But you're not permitted???
    Post by: Nat, Jun 13, 2009 in forum: Foot Surgery
  30. Nat
    Post

    Displaced implant

    What was the "adapted" portion of the Keller? Do you know what the modification was?
    Post by: Nat, Jun 12, 2009 in forum: Foot Surgery
  31. Nat
    Post

    Displaced implant

    Is it necessary to remove the distal half of the implant? It seems as if that removal would make the proximal phalanx lose all structure. The...
    Post by: Nat, Jun 11, 2009 in forum: Foot Surgery
  32. Nat
    Post

    Displaced implant

    Whoa! I've never seen such a thing! My initial thoughts would be to do a fusion with bone graft but it looks as if you'd have to pretty much...
    Post by: Nat, Jun 11, 2009 in forum: Foot Surgery
  33. Nat
    Post

    Forefoot pain s/p bunion sx

    What does the bolded part mean?
    Post by: Nat, Jun 11, 2009 in forum: General Issues and Discussion Forum
  34. Nat
    Post

    Whats your Gold Standard for onychomycosis?

    FYI, generic terbinafine is now available. Costco charges $22 for a 30-day supply. Bi-Mart, Fred Meyer, and Rite-Aid charge $4 for a 30-day...
    Post by: Nat, Jan 5, 2009 in forum: General Issues and Discussion Forum
  35. Nat
    Post

    Swiss Compression Technique for Bunions

    I believe the Swiss Technique involves drilling the bone full of multiple holes before you finally decide into which one the screw should go....
    Post by: Nat, Dec 24, 2008 in forum: Foot Surgery
  36. Nat
    Post

    Hallux Limitus/Rigidus surgery

    I've been doing joint resurfacing with the Arthosurface HemiCAP a bit lately. So far my patients love the results. You may want to find someone...
    Post by: Nat, Dec 10, 2008 in forum: Foot Surgery
  37. Nat
    Post

    Eponymous terms of the foot and ankle

    Ha ha!
    Post by: Nat, Sep 16, 2008 in forum: General Issues and Discussion Forum
  38. Nat
    Post

    Eponymous terms of the foot and ankle

    Lister's corn Jones fracture
    Post by: Nat, Sep 13, 2008 in forum: General Issues and Discussion Forum
  39. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    Are you serious?!?! When I talked to someone representing ABPS he discounted the Mini-TR, saying it was more-or-less invalid. Now they're...
    Post by: Nat, Feb 20, 2008 in forum: Foot Surgery
  40. Nat
    Post

    Anyone using the mini-tight rope/bunionectomy procedure?

    Sent to your PM inbox.
    Post by: Nat, Feb 20, 2008 in forum: Foot Surgery
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