Podcasts about afos

In this episode, I sit down with Dr. Patrick DeHeer, who shares his incredible 33-year journey in podiatry, from treating NBA players with the Indiana Pacers to performing life-changing surgeries in Haiti and the Philippines. We talk about innovation in podiatry, global medical missions, and why teaching the next generation keeps him inspired. We also explore leadership, international outreach, his invention of the Aquinas Brace, and why he's more excited than ever to lead the profession forward. If you're a podiatrist or healthcare professional looking for a dose of purpose, passion, and perspective, this one's a must-listen. “My goal is to leave the profession better than I found it.” If you're enjoying the Podiatry Legends Podcast, please tell your podiatry friend and consider subscribing.  If you're looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. 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On-Site TEAM Training Days around communication, leadership and marketing.   But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club  Have you grabbed a copy of one of my books yet?  2014 – It's No Secret There's Money in Podiatry  2017 – It's No Secret There's Money in Small Business     (Un-Edited Podcast Transcript) Tyson E Franklin: [00:00:00] Hi, I am Tyson Franklin and welcome to this week's episode of the Podiatry Legends Podcast. With me today is Dr. Patrick Deheer, DPM from Indianapolis, Indiana. Now, if you recognise the name, 'cause it wasn't that many episodes ago, episode 373 when Patrick was on here with Ben Pearl, and Patrick Agnew. We were talking about Podiatry, student recruitment, research, and unity. So if you missed that episode. You need to go back and listen to it. But I picked up pretty early, , when I was talking to Patrick that he's had a pretty amazing Podiatrist career, which is why I wanted to get him back on the podcast. And when I looked through his bio and I saw how much you have actually done, I started to question how many podiatry lifetimes have you actually had? It's I'm looking through your BIO and I've gone. Where, how, where did you find the time to do all this? It's amazing. Patrick Deheer: Thank you. I get asked that question a lot, but I think it's just, I really love what I do and I have a hard time saying no. Tyson E Franklin: It has [00:01:00] to be because I picked that up when we were, did the other episode and you said that towards the end you said, I just love being a Podiatrist. Mm-hmm. And it was actually refreshing to hear someone say that, especially. How many years have you been a Podiatrist for now? Patrick Deheer: So I graduated from Podiatrist school at the Shoal College in 1990. I did a one year residency back then I'm from Indiana. I wanted to come back. All the residencies in Indiana were just one year. And then I did a fellowship with, which there weren't even fellowships after at that point, but I did a fellowship for a year after that. So I had two years of training and so I've been in practice for 33 years in total. Tyson E Franklin: Okay. I've gotta ask a question. Why Podiatrist? How did you get into Podiatrist in the first place? Patrick Deheer: Yeah, that's interesting. I went to Indiana University and I went to school as a pre-dental major and I was gonna be a dentist. And somewhere in my second year, I visited my dentist and I realised that was not a good choice [00:02:00] and, there were several things that didn't resonate with me, and at that point I wasn't sure what I wanted to do. So I was considering marine biology and some other things, and my counselor at IU actually recommended Podiatrist and I didn't know anything about it. And I was, had a, I was talking on the phone with my dad who played golf with a Podiatrist, and he said, well, I know Dr. Ralph Gibney, and he would, I'm sure you could visit him. I did and he loved his job. His patients loved him. He did surgery, had a normal lifestyle. I saw patients leave his office happy, like immediately feeling better. Yeah. He was very successful, just kind and generous and I was like, I can do, I could do that. That looks like a great career and I think. Being really involved with student recruitment, the secret sauce for sure is when a prospective student visits a Podiatrist, just like my experience was so many years ago. They see people who are happy, who love what they do, whose patients appreciate them, who they can help immediately. Feel better. And then, you have the [00:03:00] whole gamut of things you can do within Podiatrist, from diabetic limb salvage to sports medicine to pediatrics to total ankle replacements. So it really gives you a wide range of subspecialties within the profession. So you said you Tyson E Franklin: went Patrick Deheer: to Indiana University, is that right? Yes. Okay. Did you play basketball there as well? I didn't, my dad did. My dad was a very well known basketball player. I love basketball and I'm six foot five, but he was six foot 10 and oh geez, I'm not, I'm not as athletic as he was, but I love basketball. Basketball's been a big part of my life. And that's one of the reasons I was really excited to work with Indiana Pacers, which I was there team podiatrist for 30 years. Tyson E Franklin: I saw that. So you finished in 1990 and from 92 to 2022. You were the Podiatrist for the Indiana Pacers. Yes. How did you score that gig? Patrick Deheer: Well, there's a couple things that happened that led to that. One my mentor was Rick Lde, who was a really big name in [00:04:00] Podiatrist at that point in time nationally and internationally for that fact. He brought arthroscopy into Podiatrist. He was doing it unofficially. And then my dad, like I mentioned, was a big time basketball player. He was actually drafted by the Indiana Pacers in the late 1960s. Oh. And so they knew the name and they worked with Rick Lde and they wanted somebody in more of an official capacity than he had been doing it. And I was in the right place at the right time and I got along really well with the trainer, David Craig. And it just was a great relationship for 30 years. And I take it, you still go to the games? Occasionally. So, they made a change on the orthopedic whole team back in 2022 and they're like, well, we're gonna change everything. And I was like, okay, that's fine. I've done it for 30 years. That was enough. And they had a really nice on the court celebration for me where they recognised me before a game and gave me, I have a couple different jerseys that they've given me, but they gave me one with the number 30 on it to celebrate my 30 years. Oh, that's cool. It was really cool and [00:05:00] it was really fun working with professional athletes. There's a whole sort of nuance to that that I, a lot of people unfortunately don't get experience, but it is it can be challenging. It can be very hectic at times. There's, there can be a lot of pressure involved with it also but it's also incredibly rewarding. Tyson E Franklin: So as, as the Podiatrist for like. Uh, a basketball team at that level. What was it? Was it a a, a daily contact you had with them or was it something once a week you caught up with the players or they only came into your clinic when there was an issue? Patrick Deheer: More the latter, I would say, but I usually would see them at the beginning of the season, help with our orthotic prescriptions and evaluate them, and then as needed. Oftentimes the trainer would call me and ask me to either come to a game or practice and then occasionally they'd have the players would need something more urgent and they would come to my office. But it varied from year to year quite a bit on how much I did on just based on how much they needed me. Tyson E Franklin: Did you go along to the games when you [00:06:00] were the team Podiatrist at the time? Patrick Deheer: Yeah. Not all of them, but definitely some of them. And, they would, the Pacers are such a great organization. They actually had. Every medical specialty as part of their healthcare team and including like, pediatrics for the players kids. And so at the beginning of every year, they would have a a sort of a team doctor reception dinner, and then we would, they'd have a lottery for tickets for us for the games. They would have usually the general managers there and the coach and a player too. And we gotta interact with them and talk with 'em and hang out with 'em. It was just always really fun and the Pacers are just a first class organization and they were great to work with. Tyson E Franklin: What made you decide it was time to. Hang up the boots and not do that. Honestly, Patrick Deheer: it wasn't my decision. It was theirs. They were changing the whole orthopedic team, and yeah, and that's, that happens in sports and especially high levels like that. And initially I was a little bit caught off guard. I can't lie about that, but once I came to terms like, I've done this for a long time Tyson E Franklin: it's okay. [00:07:00] Yeah, I know because we have the Cairns Taipans where I live in the National Basketball League, and it was interesting when they first kicked off 20 something years ago, I was the Podiatrist for the team. Did that first two years. Then all of a sudden there was a change of coach. And they dropped us and just went with another. Podiatrist and we went, well, what the, and we're talking to the team doctor go, what happened there? He goes, oh, I had no control over it. This person knew this person and they've made that decision. I went, oh, okay. Anyway, it only lasted about five months, I think, with the other person. The next minute the coach was ringing up saying, please, we need you to come back. And I'm like, ah, I don't wanna do it now. And they're going, please. So we did, and we did it for the next 15 years. It was a long period of time, but we had a really good arrangement with them. Same thing, doing screens at the beginning of the year and we end up having a, like a corporate box at the game. So we were at every home game and we did a bit of a deal with them to actually get that, [00:08:00] which would be a lot cheaper in the NBL than in the NBAI bet. Yeah. Their budget would be a lot, a lot smaller too in the NBL over here than the NBA. It's crazy sports money over there. Yes it is. Had you worked with other sporting teams as well, or basketball was Patrick Deheer: the main sport you were involved in? Basketball? I worked with the women's. We have A-A-W-N-B-A team also, so I worked with them for a few years, not nearly as long as the Pacers but I worked with them. And then we have a college in Indianapolis called Butler University. I worked with 'em for a few years, but it was again, the basketball team. But I will say. Because of working with professional athletes, I do tend to get athletes from all different types of sports coming to my private office but now official capacity with another team. Tyson E Franklin: So with your career after you graduated and then you did your residency, which was one year back when you did it and you decided you were gonna stay in Indiana, what was the next stage of your career? Patrick Deheer: I've had a [00:09:00] interesting employment history. I worked, went to work for a large group where Rick Lundine, who was my mentor, was one of the owners, and then he left the group after about three years and then went to work for a hospital. So then I followed him and went to work for a hospital for a few years, and then we formed a multi-specialty group. Then I worked in that for a few years and I was like, I think I can do better on my own. So then I was out in practice private practice by myself for several years. And then about four and a half years ago or so the private equity involvement in medicine in the United States has really taken off. And it started in other specialties in medicine, but it hit, it was ha happening in Podiatrist then and still is for that matter. And I was approached by three or four different private equity firms that wanted to buy my practice and have me be involved with their company. And I enjoy, I sold my practice to Upper Line Health back then, and I've been part of that group since. Tyson E Franklin: With um, that transition into private practice, did you, did your practice cover all aspects of [00:10:00] Podiatrist or did you specialize in particular area? Patrick Deheer: I've done everything and I really enjoy all components of Podiatrist. My the things that I'm probably most known for. I'm a big reconstructive surgeon, so I do a lot of reconstructive surgery and I do a lot of pediatrics. Those are probably the two biggest things that I'm most, known for I'm also a residency director in at Ascension St. Vincent's, Indianapolis. And, but I've worked with residents my whole career. I've been a residency director for about six or seven years now. And but I've enjoyed teaching residents for, 33 years basically. And also you go to Haiti and do reconstructive surgery there. So, international medicine has been a big part of my career. I've been on 30 trips total around the world. I've been to several countries. The first one was in 2002. I went to Honduras. One of my former residents that I became really close to he was practicing in Little Rock, Arkansas in a large group there, asked him to go with them and he asked me if I [00:11:00] would join him. And so we went to Trujillo and which is on the eastern coast of Honduras. And, that was in 2002. It was a really kind of small hospital. There was about a hundred people on the, in the group that went there. Not all medical, but most medical we would actually take over the whole hospital. And it was something that just like, I just knew that was like me, like that was so, I just loved it so much and I had such an amazing experience that. I went back there twice and the third time I went, I actually brought with my daughter is my oldest child. She was in high school at the time and watching her go through that experience was probably one of my most favorite international trips. She worked in the eye clinic and just seeing her, see her experience and doing international medicine was really rewarding. Then I wanted to start to go to some other places, and then I stumbled on Haiti. And I really got involved with Haiti. I've been there by far the most, and started working in Haiti, [00:12:00] primarily doing Clubfoot. And in Haiti. I met Kay Wilkins, who was a pediatric orthopedic surgeon from Texas, San Antonio. We started working together on the Haitian Clubfoot project. I also, through my experience in Haiti, my first trip with one particular young man who I did surgery on. Who had a really difficult postoperative course. He was about a 12, 13, or 12-year-old boy who I did clubfoot surgery on. And after that first trip when I came back home, about a week later, I called down to the orthopedic surgeon who was covering our cases and taking care of the patients postoperatively. And we did several cases. I had my good friend Mike Baker, who's a Podiatrist residency director in Indianapolis also. And then we had an anesthesiologist from the. Hospital and Steve Offit, who's a Podiatrist who was a resident at the time, we went down together. So I called and asked how everybody was doing. We did maybe 30 surgeries or something, and they said Everybody's fine except for the kid. He had a really bad wound, dehiscence and infection we're gonna have to amputate his leg. And I said, well, [00:13:00] how long can you wait? And yeah, they said Could maybe wait a week or so. This young man, his name is Wilkin. He lived in the middle of Haiti and he had no paperwork, nothing. I was fortunate. I was in a fraternity at Indiana University and two of my fraternity brothers, their dad was our state senator, one of our state senators, and working through his office. In the Haitian embassy in the US we were able to get him a passport and visa. Within a week. There happened to be a group called the Timmy Foundation from Indianapolis and Porter Prince. They brought him up to Indianapolis. I got the hospital where I worked at that time to admit him. And I got a whole team of doctors involved, pediatricians, infectious disease, plastic surgeons, and we got his wound stabilized. Then one night we were going to do this big massive surgery on him and I fixed his other foot and then the plastic surgeons came in and they did a rectus abdominis flap from his stomach and connected it to fill in. He had a big [00:14:00] wound on his medial sort of heel area, and then they did a split thickness skin graft over that. We had to wait until all the regular surgeries were done 'cause everybody was doing it for and then he stayed in the hospital for about a month after that. And then there were some other people from a church who went with us too here. And one of them brought him into his home with his family and they took care of him for about three months while he rehab. And he was on the news, the story was on the news and in the newspaper. And then he some he became a little celebrity and, then some local people helped put him through a private school in Port-au-Prince, and he ended up healing both feet really well and moving on and living his life. And it was a long journey, but through that I really thought there has to be a better way of dealing with Clubfoot. So I started going to the University of Iowa and met Dr. Ponseti and I went out there several times and I got to know Dr. Ponseti pretty well. And I just loved working with him and learning from him. And he was the kind most kind, gentle man I've ever met [00:15:00] in my life. He was in his like 92, 93, somewhere early nineties. Oh, right. At that time, seeing patients and. A quick story. One of the most surreal nights of my life, the last time I was there, he invited me to his house for dinner, and his wife was equally famous in her profession. She, they were from Spain and she was a Spanish literature teacher, a professor. And so I go to their house and I'm having beer and pizza with these two 90 year olds who are incredibly famous respective professions. And it was just, I was just like, I cannot believe this. And then he asked me if I wanted to go up to his office and look at his original Deco Dega paintings. I'm like. Yes, let's go do that. That's, I mean, I still kind of get goosebumps thinking about that because , he is the biggest name in pediatric orthopedics, and being able to learn from him and spend as much time as I did with him was really influential in my career. And to still be performing at that age is incredible. That is incredible. Yeah. [00:16:00] His hands were arthritic at that point, but they were almost in the shape of the way he would mold the cast, the clubfoot cast on children. Yeah. 'cause he had done, the thing I loved about him is, he started. His technique in the fifties and everybody thought he was crazy and nobody understood it, and he just kept putting out research and research. In the sixties it was kites method. In the seventies it was posterior release in the eighties. Everybody's like, we don't know what to do now because none of this stuff works. Maybe we should look at that guy in Iowa. And they started looking at it as research. He just kept putting out research and they're like, this may be the answer. And now it's the standard of care according to the World Health Organization. And his story is just really amazing. I have other colleagues here in the US who spent time with him, like Mitzi Williams and learned from him. He didn't care about the initials after your name, if he wanted to help children and put in the effort to learn his technique and he wanted to teach you. And, he was such a kind gentleman. Like I mentioned before, I've never seen a [00:17:00] 90-year-old man get kissed by so many women in my life. People would just be so, I mean, these moms would be just overwhelmed with their appreciation for him and what he did for so many kids. So Tyson E Franklin: the young boy you were talking about before, who went through all that surgery and eventually you saved his limbs, did you ever catch up with him Patrick Deheer: later years? Yeah. I did. I went back several times and to the school he was at, and then the earthquake happened in 20 10 I think it was. I was, uh, I was signed up for this international mission board and I got called about a week after the earthquake in Porter Prince. And they said, you have to be at the airport and you have to bring your own food, your own water and clothes, and we don't know how long you're gonna be here. And so I had my family meet me at the airport and brought as much to as I could, and I flew from Indianapolis to Fort Lauderdale. And then I was in a small airport in Fort Lauderdale and I got on a private plane with two NBA basketball players in a famous football player [00:18:00] who were going down for the earthquake literally a week after. Desmond Howard Alonzo Morning in Samuel Dallen Bear. And so we went, we were on the same flight together and got into Porter Prince and the, there is like a filled hospital at the UN and a big tent. And I get there and they ask me what I do and I say, I'm a Podiatrist, foot and ankle surgeon. And they're like, what else can you do? And I'm like. I go, I can do wound care. And they're like, okay, you're in charge of wound care for the whole hospital. And so, and they're like, and these guys are gonna help you. And they had these Portuguese EMS guys who were there, there were people from all over the world there helping, and everybody was staying in the airport property, which was adjacent to where the UN was. And, they didn't speak any English. I didn't speak Portuguese. And but we would every day go around and premedicate all the patients in the hospital because they had really the, painful wounds, severe crush injuries, massive wounds all over. And then we'd go back through and I would do [00:19:00] wound debridement and do their dressing changes. And these guys helped me. We developed our own sort of way to communicate with each other. And I ended up being there for about eight days and sleeping on a cot with, no bathrooms available that, we just had to makeshift and eventually they got things set up for all the volunteers. And then I went home and through that I met, and one of my other heroes in medicine was John McDonald and he was. Down really the day after the earthquake from Florida. He was a retired cardiothoracic surgeon who got into wound care and he set up the wound care clinic that I took over. And then after I got back, John asked me if I would work in the wound care clinic that he was starting in Porter Prince and if I'd be in charge of the diabetic limb salvage part. And I said that, I said I would. So then I started working with him in Porter Prince at this Bernard Mes Hospital wound care center. So. Tyson E Franklin: Doing this overseas aid work, you must get a lot of enjoyment outta doing it. Patrick Deheer: I love it. I love it. It's not easy. My last trip last late fall was to the Philippines [00:20:00] and I had some travel issues. My total travel time to get to Manila was about 32 hours or so. And but you know, it made it worth it. The it was such a great experience Tyson E Franklin: do you normally go with a team of podiatrists when you. Go and visit Haiti. Do you have a group of podiatrists you go down with? Patrick Deheer: It varies from trip to trip. The more recent trips I've been on to Kenya and to the Philippines, I've gone with steps to walk, which Mark Myerson, who's a orthopedic foot and ankle surgeon, I've gotten to know real well from lecturing together and teaching together. And he started this nonprofit. And I think there, there aren't many podiatrists that are involved with it. There are a few. But he and I have really bonded and gotten to know each other and he asked me if I'd participate in, I really love how they set up their program 'cause it's very much educational based. And one of the things I learned from Kay Wilkins who I went to Haiti with is it's more about. Teaching and sharing your knowledge and experience instead of just what I call parachute medicine, where you go [00:21:00] in and you do 20 or 30 surgeries. It's really about teaching the teachers, especially if you can teach the teachers. Then it's gonna have a mushrooming effect. So you're gonna help, thousands of people instead of 10 or 20 people. Tyson E Franklin: So you are teaching other surgeons down there how to perform these procedures the right way, or? Patrick Deheer: Yes. Well, just, it's not so much that it's my experience in a lot of developing countries is. So for like, reconstructive type stuff, it's gonna be orthopedic surgeons. If it's more wound stuff, it'll be general surgeons. But it's, they just don't get the specialized training that we have. And so that's one of the things that we can bring is we have this knowledge base that they just haven't been exposed to. There are great, like orthopedic surgeons and do a lot of trauma for example, but they maybe don't do a lot of reconstructive flatfoot surgery or Yeah. Or any, yeah. Sarco or something like that where we can give them the, our share, our experience and knowledge and with steps to walk. I really love it [00:22:00] because there's usually five or so faculty and it's mostly foot and ankle orthopedic surgeons, and then myself and from all over the world. And the first day is. And it's all the orthopedic surgeons and residents from pretty much the whole country come in for this program. And so the first day there's a conference where we as faculty present the next day, they line up these patients for us to evaluate. So we evaluate them. They're actually interviewing us. Why we're evaluating, we're telling them what we think and what we would recommend, and then. The so that's on Tuesday. Then Wednesday and Thursday there are surgeries. And then Friday it's either like a cadaver lab or review the surgeries and it's just really great there for the surgeries, there's two faculty nurse, there's a lead surgeon and an assistant surgeon, and then usually two of the orthopedic residents are also on the case too. So there's usually four people on the case. It's really interesting since I have a strong background in pediatrics this year when we were in Manila, there were a lot of pediatric cases. More than half the cases were pediatrics. And the foot and [00:23:00] ankle orthopedic surgeons really don't do a lot of pediatric stuff. They're usually adults. They, usually it's the pediatric orthopedic surgeons who are doing the kids. And so they made meet the lead surgeon on all those cases which was really interesting. Tyson E Franklin: So are they different groups and organizations reaching out to you or are you searching for areas that you feel may need help? When Patrick Deheer: I first started, I was more me searching and trying to find opportunities. Now that I, my name is known people will approach me. For example, I've been working with a colleague in Barbados. She's a she graduated from Podiatrist school in England, and there are seven podiatrists in Barbados who are all non-surgical. And the country actually has a really high amputation rate. And one of the things that they determined, despite everything else that they're doing to try to help reduce that amputation rate, they just needed surgical Podiatrist to be part of it. And we talked at one of the APMA national meetings a couple years ago, and she asked me if I would come down to Barbados. And so I took two of my residents down a CO about. That was [00:24:00] about a year and a half ago and met with her and went to the hospital and I, I was like, yeah, we could definitely help here. There this things like, if a patient has a bunion, a diabetic patient has a bunion that nobody is fixing that, that then leads to an ulcer because it's such a bad bunion that could have been prevented. And. The problem, and this is pretty common in a lot of countries, is they really don't recognise surgical Podiatrist from a credentialing standpoint. And much so in countries like that, were under the English system, they have to change the law. So the government has to change the laws and a force in of nature. Simone McConney is her name, and she's been working with the government to try to give me an exemption so I can start coming down and demonstrating that we can influence the amputation rate and hopefully reduce that significantly. On that Tyson E Franklin: first trip that you just did, was that more of a reconnaissance trip? It was more to go down there and evaluate the area and what is [00:25:00] actually needed. You couldn't actually go down there and perform surgery. Patrick Deheer: Correct. We did see some, we did see patients at a diabetic center and did some minor things like some and things like that. But yeah, it was more, it's more about, and one of the things I've learned is and people ask me about international medicine all the time. It's not going down and saying, here's what I can do. It's about going somewhere and saying, how can I help? What do you need? And then if you can help fulfill the need. Then great. And really, and especially if that can be centered around teaching the local doctors and working with them. And again, it's not that I know anything that I'm a better surgeon than anybody there. It's just I have this really super sub-specialized training that they haven't been exposed to. And then I can share that with them. Tyson E Franklin: Yeah. I've had a few Podiatrist on the podcast who have done some overseas work and there was one Australian Podiatrist and he's been traveling through South America for the last couple of years. Not doing surgery, but just making up inserts or whatever he can get his hands on. And just [00:26:00] doing general routine foot care on people. Mm-hmm. And educating 'em about footwear and protecting their feet. And he's been doing it for a couple of years now and absolutely loves it. Patrick Deheer: I I mean, I've made some maybe not the best decisions. Like I went to Iraq twice in the middle of the Gulf War, for example. Not this. Up in the world. But and Haiti, I've been in Haiti at times when Haiti was in total civil unrest. But I love it so much that the risk is worth it for me to be able to make a difference in people's lives, but also to share the knowledge and experience that I have accumulated over my 35 years and to pay it forward. Tyson E Franklin: So over this period of time you've done a lot of work overseas and, but you've been on a number of different boards and associations. How important is it is it for you to actually be involved in the profession in that way? Patrick Deheer: Well, when I [00:27:00] finished my residency I was at our state meeting and I was complaining about the quality of the meeting and they were like, okay, that's fine. You can be on the CE committee now, the continuing education committee. I'm like, okay, I'll do that. But don't ask me to get involved in politics 'cause I'm never gonna be doing that. I'm gonna be more in the educational stuff. Look at me now. I'm President elective, at APMA and I've had several board positions and i've been on a million committees. And I will o once I got on the board for our state association and went through all those stages or positions on the state board I really started to enjoy the leadership part of that. I liked trying to help direct where the profession is going and in. My whole thing is to leave it better than I found it. My father-in-law was also a Podiatrist and he passed away about a year and a half ago and is mid eighties. He worked in my office until he is like 82 or 83 and I loved Podiatrist, but he really loved Podiatrist and people like [00:28:00] him. My mentor, Rick Lde. I can, Teddy Clark, who was the a president of APMA from Indiana. He was the first African American president of APMA Earl Kaplan, Dalton Glary, who just recently passed away. All those people paved the way for us who are practicing now, and it's our responsibility to pay for pave the way for those people following us and to continue to advance the profession. And I can really do that at a high level. Being involved in a national organization like APMA. Tyson E Franklin: With the national board in the United States, do you connect with associations in other countries a lot or you don't have much to do with them? Patrick Deheer: N not a lot, somewhat, but I do think there's opportunity. It's been interesting to lecture internationally, like at the International Federation for Podiatrist meetings the global health or the global Podiatrist meetings. Yeah, I'm gonna be the speaker next year for it. And, seeing Podiatrist [00:29:00] grow all throughout the world in the different stages that it's in, in different countries is really encouraging. But I think that we need to first work on the lexicon so everybody's usually in the same. Terminology and then start to, to set some like qualifications to what those things mean. I really think they're, the two terms that need to be used, especially on the international platform, are podiatrists and podiatric surgeons, because yeah they're totally different. And you know what the qualifications are for those, I have my own opinions about, but I think the standards need to be set. And then all the countries who want to see Podiatrist flourish within their country need to figure out a way to meet those standards that have been set. Uh, Feel free to share your opinion, tell us what, what, how you think it should be. Yeah, I mean, I think that to be a Podiatrist, it should be a graduate degree, not my, not an undergraduate degree. And then I think to be a pediatric surgeon, you should have a postgraduate medical educational experience, like a residency program. [00:30:00] And I think those are the two qualifiers. I think board certification should be part of that too to be a pediatric surgeon. But the word, podology is used a lot. Chiropodist has still used some in some places. Yeah. And some of 'em are just like almost a technical degree versus a graduate degree. So I think if everybody could start to agree on some standards and some terminology, then everybody can work towards a common goal and help each other. Tyson E Franklin: , Some part of that I agree. And other parts I can see how other people be going. It's gonna be so confusing to try and get it standardised everywhere. Yeah. It's even the UK system they've started introducing. And if there's anyone from the UK listening this, and if I'm wrong please let me know. But they've introduced like apprenticeships where you don't have to be at the university for the whole four years. You can be doing a lot of your education in the clinic itself, and you go to university at different times and they're calling it like an apprenticeship program. Which [00:31:00] is a completely different pathway again. Patrick Deheer: Right. And in, I think in Canada it's more like an undergraduate degree too. I don't know the speci remember the specifics, but I've lectured in Canada and I've talked to a lot of Canadian podiatrists over the years. But again, not a lot of Canadian podiatrists are doing surgery. Kind of varies from province to Tyson E Franklin: province. Well, in Australia we pretty much finish high school and it's an undergraduate degree. We just go straight in, do Podiatrist. Four years later you come out and you start working. Patrick Deheer: Yeah and may maybe that some sort of hybrid model of that would be great. I just think that. It's an evolving profession and it's such an impactful profession on the healthcare system for all these countries that can improve patients' quality of life, keep people walking, keep people active and healthy dealing with problems like. Diabetes and obesity that are gonna lead to foot problems and reducing the complications associated with those [00:32:00] systemic diseases can really impact the overall healthcare system for countries. So I think it's so important for Podiatrist to be part of that equation, but we, we need to establish what the standards are to really have an impact in those healthcare systems. Tyson E Franklin: Yeah, and even if everybody got together, had a big meeting and you're all agreed, it would still be. Generations for, yeah, for it to roll out completely, because you'd have people that are just graduating now, so they've got a 30, 40 year career ahead of them. Patrick Deheer: For sure. And I think the US has set the standard and I think that, people, something along that line with Australia and England and what you've done and Spain now too, looking at all those models and trying to find something that is everybody can say, okay, this is what it means to be a Podiatrist and this is mean, what it means to be a pediatric surgeon. And then. Work with the support the country's podiatric associations to try to work with their [00:33:00] government to, to make that happen. Tyson E Franklin: This is what I found interesting doing the podcast and what I've enjoyed a lot is where I've had Podiatrist from India, from the UEA, from Mauritius, uk, Canada, South Africa, so many different parts of the world. When you talk to 'em and you go through the processes, everyone goes through. There's a lot of similarities between a lot of countries and then, America is on its own in the way that they actually do things. Patrick Deheer: For sure. I mentioned I graduated from Podiatrist school in 1990. To see the evolution of Podiatrist in the United States, even during my career is really amazing. I'm really proud of where we've. Gotten to, we still have things ways to go to really get to where the profession should be, but I'm really proud of the progress our profession has made during my career. Tyson E Franklin: What would you say has been the biggest change you've seen over your 30 years? Patrick Deheer: I really think [00:34:00] that the diabetic limb salvage has integrated Podiatrist into hospital healthcare systems. And then that has expanded, into things like trauma and into reconstructive surgery. Even more so, I think like in the 1970s here in Indiana, there was only one hospital in the whole state that would let podiatrists operate in the hospital. And that was here in Indianapolis. And now to think that, we can admit our own patients and do total ankle replacements or take trauma call or I'm doing pediatric surgery it's just an amazing how far it's come and, to see that progress. I think a lot of it was led by the diabetic limb salvage component of the profession and integrating that, and that helped to integrate Podiatrist into just the healthcare system and it became a key player and amputation prevention. Tyson E Franklin: So it wasn't one significant moment in time where things changed. It was progression over that period of time. [00:35:00] Patrick Deheer: I think guys like Larry Harless David Armstrong, Larry Lavery Robert Feinberg, Lee Rogers. Those people have really help from a diabetic limb salvage part, integrate the whole profession, I think. Tyson E Franklin: I wanna move ahead a little bit. You invented a thing called the Aquinas Brace. Patrick Deheer: Yeah. So I was running to try to lose weight and I got poster tibial tendonitis and I didn't wanna stop running. And I was wearing orthotics. I was taking some steroid pills but it still was really hurting. And so I realised I had Aquinas like everybody. I needed to stretch, so I was wearing a night splint at night to try to stretch out my calf, and I woke up at two in the morning because they're uncomfortable to sleep in. I looked down, I'm sleeping on my side with my knee bent, and I'm like, this is a complete waste of time. Has to go above your knee, or this is doing nothing. And so that was the genesis of it. I realised the brace needed to go above the knee, and then I also realised the foot position mattered too, that you need to have the foot [00:36:00] supinated so that you can lock them in tarsal joint. And then all the force is gonna be in the hind foot. But also when you supinate the foot, you externally rotate the tibia, which locks the knee. You can't lock your knee into full extension unless your tibia externally rotates via the screw home mechanism. So, that's where the idea came from. I had a friend who was a sales rep. I told him about it and he goes, I know the guy that can help us make this come to reality. So the three of us formed a company called IQ Medical Ricky Heath and John Moore. And I. And then we got brought the brace to market. It was really a learning experience for all three of us. It, like anything took much longer than we thought and cost a lot more money than we thought it would, but it's pretty amazing to see something that you dreamed up in your head, come to life into a real thing. Did you use it on yourself and did you get back running? So this was, it took us about five years from, it really took about five years to get it actually in production. I kept [00:37:00] running though. So Tyson E Franklin: did you end up, being one of your own patients testing this out on yourself. Patrick Deheer: Oh, yeah, I was testing all the sort of different versions of it coming up on myself for sure. I have a size 14 shoe, so it's really pushing the limits on the size of the brace, but I was able to try 'em out as we were going through different ideations of it. Tyson E Franklin: And this is what I was talking about when I did the introduction with you. Where you've had a very successful Podiatrist career. You've been on so many boards and associations and held so many different positions. You're gonna be the next president of the APMA. You've done all this volunteer work overseas, you've invented the Aquinas Brace . with all that going on, what's next? You must have other things in the pipeline you're going, I'm gonna do. I've got more to do. Yeah. Patrick Deheer: I, my favorite thing that I do in Podiatrist is being a residency director. I love it. Okay. I have we have [00:38:00] 12 residents at our program, so we have four per year, or it's a three year residency, and I've become really close to the residents. We have a great program and I just love teaching. I, I love watching the residents develop. We just had a new group start a week ago. So watching 'em develop from July 1st when they start over three years to the June 30th of their third year when they graduate, and I've seen them out. We always have our graduation party in kind of mid-June and it's a kind of a running joke at our residency program that. I cannot get through my speech at their graduation party without getting very emotional because they become like my kids. And yeah I'm so close to them and I'm so proud of them, and I can see what they have to offer to not only their patients but the professional also going forward. And just, it really, it's really something that I love doing and I feel honored to be able to teach them. Tyson E Franklin: So when somebody does Podiatrist in United States, they go to Podiatrist [00:39:00] school, they finish? They get their degree. They've done an undergraduate degree beforehand, haven't they? Then they, yeah. Go to Podiatrist school. If somebody doesn't do residency, they can't work as a Podiatrist. Patrick Deheer: Right. They can't get licensed in the Tyson E Franklin: states Patrick Deheer: any longer Tyson E Franklin: without doing a residency. Yeah. So they do the Podiatrist school. Are there enough positions around the country residencies for everybody who graduates? Patrick Deheer: Yes. There are actually more residency spots now than students. Okay. That's good. Because I'd Tyson E Franklin: heard years ago that sometimes it was a struggle. People would finish and then it was difficult to try and find a residency. I mean, when I was going through it, that was the case. Yeah. And I take it all residencies are not equal. Some are better Patrick Deheer: reputation. Tyson E Franklin: Well, Patrick Deheer: they're all standardised. They're all three year residencies and they're all hold all accountable to the same standards by our governing organization, the Council in Podiatric Medical Education. With that being said, yes, there are some residency [00:40:00] programs that are the leading residency programs for sure. So you Tyson E Franklin: have 12 residencies spots in your program. So there'd be a lot of podiatrists if they really wanted to work with you. Do they contact you while they're in Podiatrist school and start reaching out that way? How do you actually select. He does nce. Yeah. So in, Patrick Deheer: in the US the, and the students during their fourth year rotate through different hospitals. Some, most of the time they're for one month rotations, some are for three month rotations. And it's a little bit of a getting to know each other. It's also part of their educational experience. So they're getting that practical experience and getting out of just the book experience from learning. So we have probably, around 50 to 60 students through the year coming through our residency program as externs. Somewhere between four and or so a month. And then the interviews for residency are always in January, mid-January. And then you rank the students how you like them and they rank the residency programs, how they like them. [00:41:00] And then there's a match that comes out in mid-May and then you find out who you match with. Tyson E Franklin: Okay, so it's not your decision on who actually gets the position. So it doesn't come down to anyone's personal preference that it's an external body that puts them all together. Patrick Deheer: Well, it's not so much an external body it's just you rank your top students and the students rank their top programs. If you pick student, a number one and student a picture, residency, number one, then you're gonna match and they're gonna be one of your residents. Tyson E Franklin: I get It's good to get some insight on how that process actually works, and it's also good knowing there's more residency spots than there are students Patrick Deheer: graduating. Yeah. And while they're here for a month, we get to know them, they get to know us. And then the interviews are part of the mix too. But really, while they're rotating is probably the most important part of it. Because I've had students who were number one in their class who wanted to do our residency, but. It wasn't necessarily a good fit from a culture [00:42:00] standpoint. We are very protective of our culture and sometimes maybe the, top students aren't the be the best fit. I've also had students who were number one in their class who are a great fit, who have been residents at our program too. But we are very protective over the culture. So we wanna look at the the perspective resident global, from a global standpoint and looking at them in the entirety of how they fit in the program. Tyson E Franklin: I think there's a fantastic point that anyone listening to this, even when you were just employing a team member, is you've gotta make sure they fit the culture of your business. Doesn't matter how qualified they are, doesn't matter how many other boxes they tick if they don't fit. It's always gonna be difficult, long term to make it work. Patrick Deheer: Absolutely. I talk to other residency directors and they talk about their challenges with certain, with residents. I never really have any issues with our residents. I think. Part of that is the culture we've established. And part of it is I have two chief residents that are in their third year. The third year residents, two of 'em are [00:43:00] chiefs. I rely really heavily on them. We work very closely. And then I have a program coordinator her name's Carrie and the four of us run the program together. And we all work together. And but everybody is part of it though. We're all, all, so. It would be 12 plus the program coordinator plus me, and we have a clinic, a Podiatrist who runs a clinic. So the 15 of us are all working together, plus we have about 50 podiatrists who are attending surgeons, who our residents work with. So we have a really. Big group of people that we work with, but our residents I, nothing really ever escalates to my level where I've gotta intervene. They just, they all work hard. They all come as willing, eager learners, and I always ask the new residents the same thing to leave the residency program better than they found it. Tyson E Franklin: Have you had anyone that's done the residency that it, they've got halfway through it and just went, this is not working out. We made a mistake. You're not the right fit. Patrick Deheer: Nope. [00:44:00] I, it's interesting I'm known for not being a big fan of fellowships. I think fellowships in the United States have needs to be reigned in. That's another year after training, after residency program are doing, and I think unfortunately, a lot of 'em have become, almost like a fourth year of residency. And fellowships really should be for really specific specialized training. Like if you wanna do diabetic limb salvage or you want to do pediatrics or whatever. But I tell our residents, if you think you need a fellowship because you didn't get adequate surgical training while you were at our residency program, that is my fault. I failed you. And so, in the case that you brought up, that would've been my responsibility. Not the problem of the resident. Tyson E Franklin: So before we wrap up, is there anything else you would like to talk about ? Patrick Deheer: Well, I think one of the other things you asked me about, what excites me now is I started, I invented a surgical a kit for Aquinas surgery for the bowel and gut. And I started a company with three of my sons. [00:45:00] So that's been really fun working with my sons. One of my sons also has a brace company where he sells AFOs and sells the Aquinas brace that I invented. But starting this company with my sons and working with family has been really fun. It some of my most cherished memories were working with my father-in-law when he was still alive and practicing. Even if he was just doing routine care, just hanging out in the office with him and talking shop over dinner and was fun. But I just, i'm really excited about the profession. It's been really great to me and that's why I feel a responsibility to pay it forward and to try to see that it's in a better place than when I entered it. And so that's why I put so much effort into it. I've been in charge of the student recruitment, which we talked about last time, which is another big, yeah. I'm working on right now and I'm really excited about that. And we're looking at expanding that into a branding campaign for the entire profession and getting all the key stakeholders in Podiatrist in the United States involved in that. And it's interesting 'cause osteopathic [00:46:00] medicine to that about. 15 years ago, and it had a really significant impact on osteopathic medicine. I think we can have the same impact on Podiatrist with a national branding campaign where we just elevate the awareness of Podiatrist so people understand what we do and understand that as a potential career for people who are in high school or undergraduate trying to figure out what they want to get into. And it's interesting, we work at a big, our residency's at a big teaching hospital and still their residents in general surgery or neurosurgery who don't really understand what we as podiatrists do, and our residents are interacting with them and say, yeah, oh yeah, we can work on that. And trying to save that limb from being amputated. And they're like, wow, you guys really do that? Tyson E Franklin: And that doesn't surprise me. 'cause nearly anyone I ever talk to when I tell 'em I was a podiatrist and you just explain. What you do, and they go, well, I didn't know you did that. That sounds really interesting. Patrick Deheer: Sure. And I do all parts of Podiatrist and I like all of it. I'm [00:47:00] not above trimming a 90-year-old lady's toenails. I mean, if I can trim a 90-year-old lady's toenails in a corn on her little toe and she walks outta my office and feels immediately better that's an honor for me to be able to help somebody like that. And I take that very seriously. Tyson E Franklin: Okay. Well, on that note, Patrick, I wanna thank you for coming back on the Podiatry Legends Podcast. Sharing part, Oh geez. You sharing part of your story. It's gonna be a smidgen of what you've done. You have done so much. This has been it's been a pleasure having you on here, so thank you very much. Patrick Deheer: It's been awesome having a conversation with You're such a great interviewer. Thank you for having me on. Well, thank you. I'm gonna take that, I'm gonna take, that's a big compliment. Thank you very much. You're really good.

Taking the Next Step With Confidence: Navigating Foot Drop and Mobility with MS - Episode 187 - Transcript In this episode, we are joined by physical therapist Samantha Balistreri and orthotist Spencer Van Wagenen to break down what foot drop is, what devices like AFOs and FES can do for you. Then we will deep dive into how PTs and orthotists work together to find the right support—without sacrificing style or independence. From early signs to energy-saving tips, supportive shoes and where to get them, this episode is full of practical guidance, encouragement to advocate for your mobility and explaining that using a support is not giving up. Link from episode:  Equipment Distribution Program Disclaimer: This podcast provides general educational information. Can Do MS does not endorse, promote, or recommend any product, service, or diet associated with the content of this program.

Most AFOs don't fit your life or your recovery. Here's how to take back control, walk stronger, and feel seen again in your healing journey. The post Rebuilding Life, One Step at a Time: A Survivor's Guide to AFOs That Work appeared first on Recovery After Stroke.

In October 2022 at the age of 20, Laura McEvoy from Northern Ireland was involved in a devastating car accident that changed her life forever, leaving her with a spinal cord injury at L1, fractured vertebrae in her neck, and a cracked skull. Told she might never walk again, Laura refused to accept defeat. Through sheer determination and the unwavering support of her family and friends, she defied the odds rebuilding her life step by step facing life's toughest challenges with remarkable resilience and passion.  A former competitive Irish dancer and outdoor enthusiast, Laura found her way back to the activities she loved and discovered new passions along the way. From learning to walk again with crutches and AFOs to abseiling and climbing the iconic Rathlin Wall at Fairhead, she has redefined what it means to overcome adversity. Today, Laura is a passionate advocate for accessible outdoor adventure, working with organisations including; Mountaineering Ireland, Tollymore, and Accessible Adventures Ireland to create inclusive opportunities in climbing, paddle sports and hiking. She's raised thousands for The Outdoor Partnership, earned multiple climbing qualifications, and is now leading the way in organising major inclusive and adaptive expeditions, this past weekend she was part of a paddling and camping adventure on Lough Erne.  As if that wasn't enough, Laura is also making her mark on the court as a wheelchair basketball athlete for Northern Ireland, with her sights set firmly on the Commonwealth Games in 2026. Her motto, "Say yes to everything," captures the spirit of a woman who isn't just surviving trauma she's thriving and inspiring others to believe that their limits are only the starting point.

Thanks for joining today for another episode of Pushing Pediatrics. Today Sara and Sheila will be reviewing an article you can find below in the show notes on the effectiveness of serial casting and ankle foot orthosis for toe walking children with Autism Spectrum Disorder. We will be discussing the methodology, results, and implications for practice as Pediatric Physical Therapists. Our intent for this review is to provide some actionable insights for practicing PTs but also to cover some board exam prep as this is a newer article that could be testable material. We hope you find today's episode helpful!  “Barkocy M, Schilz J, Heimerl S, Chee M, Valdez M, Redmond K. The Effectiveness of Serial Casting and Ankle Foot Orthoses in Treating Toe Walking in Children With Autism Spectrum Disorder. Pediatric Physical Therapy. 2021;33(2):83-90. doi:10.1097/PEP.0000000000000784” Resources discussed in today's episode can be found on our website Use code PUSHINGPEDS for $150 off your Medbridge subscription!  Check out our website, and subscribe for our subscription only episodes Follow us on InstagramThis episode was brought to you by the Pivot Ball Change Network.

In this episode the Slow Road to Better crew talks about NOT wearing shoes and AFOs. No members were hurt in the making of this podcast...except Tom...and he's mostly better now. An honest look at recovery and life.

Jamie Haines, champion for knowledge translation, talks with J.J. Mowder-Tinney about the Academy of Neurologic Physical Therapy's clinical practice guideline on poststroke AFO and FES use, breaking down how to apply the information toward patient care without getting overwhelmed. J.J. gets excited about the specific guidance for when and what treatment to use for walkers of all speeds. Learning Objectives Interpret the evidence around the use of AFO and FES Apply evidence-based, practical strategies to actionably address implementation of AFO and FES to facilitate participation in functional mobility and daily activities Solve patient case scenarios involving the use of AFO and FES Timestamps (00:00:00) Welcome (00:01:06) Introduction to guest (00:03:30) The role of the Academy of Neurologic Physical Therapy (00:11:00) Clinical pearls from the clinical practice guideline (00:31:49) Buy-in and carryover (00:41:13) Actionable takeaways Resources mentioned in this episode Clinical Practice Guideline for the Use of Ankle Foot Orthoses and Functional Electrical Stimulation Post Stroke Neuro Navigators is brought to you by MedBridge. If you'd like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your MedBridge account and navigate to the course where you'll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on MedBridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Navigators, visit https://www.medbridge.com/neuro-navigators If you'd like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

Fasten your virtual seatbelts as we zoom with our guest, Lee Dockstader.  Lee navigates us through the transformative landscape of 3D printing, from its revolutionary impact on Formula 1 racing to its impressive scale in producing Invisalign parts. We'll also tackle the intriguing subject of 3D printing in the hearing aid industry, and the powerful role of automation in manufacturing medical products like foot orthoses, helmets, AFOs, and prosthetics.The road gets a bit bumpier as we examine the challenges and opportunities in the orthotics and prosthetics market. From the success of trailblazers like UNYQ and Prosfit, to the potential for premium products serving our aging population - it's evident that ingenuity and innovation are the fuels driving this industry. But don't just take our word for it, Lee shares his invaluable insights on scaling 3D printing and the crucial role of 3D geometry in successful manufacturing. We'll get a sneak peek into the future of 3D printing in the medical field. Is there potential for prescription orthoses in your local Walgreens? Will custom earbuds and prescription glasses join the ranks of 3D printed items?. Trust us, you don't want to miss this ride!Special thanks to our sponsor: Vorum

Walking difficulties can lead to dangerous falls and limit mobility for people with many different conditions. While devices like ankle foot orthoses (AFOs), complex robotics, and walking aids like canes or walkers can help, they have their downsides. Usually, they're not made with aesthetics in mind, often cost too much, and they can attract unwanted stares and questions from strangers.    In this episode, you'll hear from Dr. Tyler Susko, Founder and CTO of Cadense, Inc., a company that aims to revolutionize the way people with walking difficulties experience movement. Tyler shares the story of multiple innovations, including the development of their Cadense shoes — stylish footwear made with variable friction technology for people who have difficulty swinging their foot forward during walking. They've created shoes to allow a person's foot to discreetly slide over obstacles to prevent tripping.

PT, PTA – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.   When considering an AFO, do you feel confident in which type to choose? Or do you ever wonder why the AFO you chose did not fix the problem? In this episode, we talk with Dr. Andrea Ecsedy, who busts the common myths held about AFOs and gets practical with how to integrate the AFO Clinical Practice Guidelines into your clinical decision-making.   (01:38) Overview of Today's Topic  (02:39) The Importance of Closed Chain Biomechanics  (05:38) Review of the Plumb Line  (07:50) Myth #1 and #2: An AFO Alone Will Fix Foot Drag  (09:45) Recommended Resources for Gait Analysis  (11:19) Patients with Low Back Injury and Footdrop  (12:09) Patients with Neurological Conditions: Case Example  (15:56) How to Manage a Relationship with a Referring Provider  (18:24) Myth #3: Crouched Gait Indicates Weak Quads  (23:25) Case Example: Spinal Cord Tethering Release Surgery  (25:40) The Gait Cycle: A Circular Sequence  (29:24) Gait Cycle Reenactment: Stand Up and Try It  (31:59) Introduction to the Clinical Practice Guideline  (36:01) When Should You Provide an AFO Based on Strong Evidence?  (37:18) Do AFOs Contribute to Weakness?  (40:46) Categories of AFOs: Overview  (41:50) Rigid AFOs  (44:13) Posterior Leaf Spring Orthosis (PLSOs) (45:30) Open Dorsiflexion AFOs  (46:29) Off-the-Shelf AFOs  (47:27) Double Adjustable AFOs  (49:10) Where Do You Start?  (51:33) Summary (53:17) Conclusion  The content for this course was created by Andrea Ecsedy, PT, DPT, NCS. The content for this course was created by Tiffany Shubert, PT, PhD. Here is how Relias can help you earn continuing education credits:  Access your Relias Library offered by your employer to see course certificate information and exam;   or   Access the continuing education library for clinicians at Relias Academy. Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.  Learn more about Relias at www.relias.com.    Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.  Resources  Clinical Practice Guideline for the Use of Ankle-Foot Orthoses Post Stroke: https://journals.lww.com/jnpt/pages/articleviewer.aspx?year=2021&issue=04000&article=00006&type=Fulltext   Academy of Neurologic Physical Therapy: https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Stefania Fatone, PhD, BPO, and Kristie Bjornson PT, PhD, about their research comparing sagittal plane stiffness of nonarticulated pediatric ankle-foot orthoses. The three discuss the motivation and experimental protocol behind the research, primary findings, unanticipated surprises, and clinical takeaways.   Show Notes JPO article: Comparison of Sagittal Plane Stiffness of Nonarticulated Pediatric Ankle-Foot Orthoses Designed to be Rigid Co-Authors: Fatone, Stefania PhD, BPO(Hons); Owen, Elaine MBE, MSc, SRP, MCSP; Gao, Fan PhD; Shippen, Garth CO/LO; Orendurff, Michael S. PhD; Bjornson, Kristie PT, PhD

1. A Victory Of Love - Alphaville2. Save Our Love (Razormaid! Mix) - Escape From N.Y.3. Hang On Now (Extended Mix) - Kajagoogoo4. Precious Little Diamond - Fox The Fox5. It's Alright (Remix) - Pet Shot Boys6. Snappy (The Spice Has Risen Mix) - Erasure7. Lucky Bag - Electronic8. Regret (Fire Island Mix) - New Order9. Lose Him (Razormaid! Mix) - I Start Counting10. Pretty Boys And Pretty Girls (Extended Mix) - Book Of Love11. I Don't Know Why - Red Flag12. Flexible (Remixed Extended) - Depeche Mode13. I Dream Myself Alive - a-ha14. Too Pieces - Yaz15. Space Age Love Song - A Flock Of SeagullsNotes and Other Random Things: Greetings, everyone! Back with another retro episode. Lots to like in this one with a few ultra-familiar ditties like "Space Age Love Song" by AFOS and "Regret" by New Order, some lesser-known, but great tracks from some brilliant albums like "Too Pieces" by Yaz and "I Dream Myself Alive" by a-ha, and one or two that you may not be familiar with like "Save Our Love" by Escape From N.Y. I've been really horrible about providing notes about the songs lately, but I'm doing what I can just to get new episodes up, which is really the point when all is said and done. Hope you like it! Happy Listening!

William Evans, who is a wounded warrior, & his wife, Melanie, had nine children when Ryder, a.k.a. Beanie, came into their lives. This little boy, who was homeless the first eight weeks of his life on the streets of California, had tremors from fetal alcohol, ADHD, and autism, desperately needed a loving home. When Ryder's birth parents proved they could not offer Ryder that type of home, William & Melanie gave Ryder a forever home, making him the 10th kid in the Evans family! On tomorrow's show, you will hear more of Ryder's story and how you can help this family as they work to offer a loving home and improve his life! The show will be available right here via Facebook Podcasts just after 9 p.m. CST/10 p.m. EST. You can also subscribe to TMWS via TuneIn Radio, Apple iTunes, SoundCloud, Audioboom, Spotify, Stitcher, Blubrry, Google Podcasts, & iHeart Radio. All shows are archived at TheMarkWhiteShow.com. Please share. Donate: gofundme.com/beanies-custom-speciality-afos-braces

The 48th Academy Annual Meeting and Scientific Symposium is just around the corner, and who better to discuss this event than Academy Chair Brian Kaluf, BSE, CP, FAAOP? Learn more about #AAOP2022.  Many thanks to our sponsor, Thuasne USA! Click here to view the SpryStep range of off-the-shelf AFOs.  O&P in the news: CY 2021 Physician Fee Schedule Update | CMS.govVisit spsco.com The O&P Check-in is a bi-monthly podcast featuring the latest orthotics and prosthetics news, trends, best practices, regulations and policies. Designed for O&P professionals, join Brendan Erickson and Jacki Green as they interview guests and share the latest advancements in the industry. 

How do we bridge the gap between the Neurological and Orthopedic world of Physical Therapy? Today we have a special guest: Jordan Birdsong, PT, DPT, NCS, to discuss with us how to best take care of patients with neurological deficits that end up in an orthopedic setting.Here are the questions we answer in this episode:What are some factors that effect whether a patient with neurological deficits goes to a neurological facility or orthopedic facility?What parameters should we use when loading our patients with neurological impairments?How can we best promote nerve healing in our practice?When can we expect maximum nerve recovery?How do we balance maximizing recovery with adapting with compensatory movements?How can we utilize AFOs in an orthopedic setting?What role does functional electrical stimulation play in neurological recovery?How do we manage tone and spasticity?Where can you go to find more information for your patients with these conditions?The purpose of this podcast is to provide useful, condensed information for exhausted, time-crunched Physical Therapists and Student Physical Therapists who looking to build confidence in their foundational knowledge base and still have time to focus on other important aspects of life.  Hit follow to make sure you never miss an episode. Have questions? Want to connect? Contact me at ptsnackspodcast@gmail.com or check out more at ptsnackspodcast.com. On Instagram? Check out the unique content on @ptsnackspodcast! Need CEUs but low on time and resources? Go to https://www.medbridgeeducation.com/pt-snacks-podcast for $175 off a year subscription. Use the promo code PTSNACKSPODCAST. This is an affiliate link, but I wouldn't recommend MedBridge if I didn't think they offered value. Willing to support monetarily? Follow the link below to help me continue to create free content. You can also support the show by sharing the word about this show with someone you think would benefit from it.Support the show (https://buymeacoffee.com/Ptsnackspodcast)

In this episode we chat with Kate Carroll, a physiotherapist, about the importance of calf length management in children with Duchenne Muscular Dystrophy (DMD). We discuss how to measure calf range and the management of this including stretches and night ankle foot orthosis (AFOs).

Being dominant in a market full of alternatives requires entrepreneurs who'll go above and beyond to meet their customers' needs. Companies that thrive in such environments leverage their passion to understand and solve problems faced by their products' end users.Today, I'm speaking to Kelly McGee, the co-founder and current engineering and design VP of Elevate Dynamics, a healthcare product company that builds ankle-foot orthoses (AFOs) to help people suffering from foot drop. In today's episode, you'll learn about their AFO product and the problem it solves for its users. We'll dive into the challenges that are faced by startups and how to overcome some of them. You'll also hear more about the importance of market research and the role that data plays in product development. Join us as we discuss how Elevate Dynamics successfully combined hard work and passion to build a successful product.Some Questions I Ask:What is AFO and what's its history? (5:59)How did Elevate end up working on AFO? (11:07)What led to Elevate's partnership with SPS? (17:51)How did COVID impact Elevate? (21:44)Why did Elevate choose Siemens CAD software? (22:49)What are Elevate's future plans? (24:17)What You'll Learn in This Episode:The purpose of an AFO (5:59)The prevalence and causes of drop foot (7:56)How to conduct meaningful market research (15:24)The importance of trust while building a brand (19:31)The benefits that Siemens CAD offers to startups (22:49)The importance of focus for startups (26:46)Resources:ElevateMovementSiemens Startups SoftwareConnect with Kelly McGee:LinkedInConnect with Paul Musto:LinkedIn See acast.com/privacy for privacy and opt-out information.

  Click here for a machine-generated transcript   AFOs (Ankle-Foot Orthotics) offer many stroke survivors freedom by letting us safely walk. They lift our affected feet as we take our steps so our toes don't drag on the ground and trip us. They give us the mobility that foot drop threatens to take. But they're not usually very attractive. And finding shoes that work with them is a challenge because they need to be bigger and wider so we can squeeze a weak foot and brace into the show. A common question I hear from survivors is, "Where can I get shoes that aren't so ugly?" Well, I don't always have great answers to that, but Lainie Ishbia does. Laine runs the Trend-Able blog and is one half of the emBRACE IT podcast. She's an expert on finding and making accessible fashion, and she joins us this week to share her story. Bio Lainie Ishbia is a blogger and podcaster helping people with invisible and visible disabilities look good and feel good. Her website at Trend-Able.com offers tips and strategies for literally and metaphorically  balancing fashion and physical needs. She develops tips for find accessible clothing options. If you can't find it, she offers tips on modifying clothes to make them work. Lainie lives with Charcot-Marie-Tooth disease. It's a hereditary, degenerative nerve condition that today impacts her hands and feet. She began wearing AFOs on each foot at age 30 and mourned the loss of sleek heels at the time. Since then, she's turned around her perspective, leveraged skills acquired through a career in social work and now helps folks with disabilities live their best lives with confidence, self esteem, and passion. You can find more details of Lainie's story here. Disability and Lifestyle Living with disability (visible or not) is a lifestyle. It shapes what we wear, the careers we pursue if able, and the social activities we pursue. And we learn so much along the way. I often say I now know way more about neurology and neuroplasticity than any marketing guy should ever know. And now I know the foot bed in a shoe may be removal. And I know there is a thing in a shoe called a foot bed. Lainie's fashion blog goes well beyond just the particulars of clothing and includes tips and strategies on how to navigate the world, like 5 Cocktail Survival Tips for Unsteady Girls or A Girlfriend's Guide to Dating with an Invisible Disability. Disability Pride Month July is Disability Pride Month. I'm a little fuzzy on the origins and scope of the celebration, but my understanding is it started in 2015 in New York City to recognize the importance of the Americans with Disabilities Act. How ought we celebrate it in 2021? It will depend largely on your personal comfort level. Don't let anyone tell you you're doing it wrong. The first thing is to recognize, accept, and believe with all your heart (original, mechanical, acquired from someone else, etc.) that there is no shame in being disabled. Say it out loud if you can. There is no shame in disability. We are people with lives to live. Sure, those lives may be different from the lives of the temporarily abled, but they are no less valuable. Second, you can celebrate disability pride by simply being visible. By being a part of the world, participating in it and taking up space in it just like any temporarily-abled person. Don't let people pretend we don't exist. Don't hide from people just because our presence makes them uncomfortable. Third, when someone talks about diversity and inclusion, make sure they are talking about disability in that, too. A diverse organization with no disabled people is not a diverse organization. Fourth, share your story with folks. You don't have to share it with the world in a podcast, blog or YouTube channel if you don't want to. But you can share it with people in your community and family.  The woman who hosted the graduation party Lainie talked about in our interview (probably) wasn't trying to keep disabled people from having a good time at the party. It's likely the challenges Lainie faced never even occurred to her. The more we tell our stories, the more people will think about accessibility. That's just a few ideas to consider. Ultimately, you can celebrate in the manner that feels most comfortable to you. If that means you walk, roll, or hobble down the street in a parade or protest, great. If it means all you can do is remind yourself there is no shame in disability, that's great, too. Disabled is not a bad word. There is no shame in it. Have a fantastic Disability Pride Month! Hack of the Week. Lainie suggests picking up (no pun intended) mini-lint-rollers, like these.* These have sticky sheets used for getting lint or pet hair off your clothes. If you struggle with manual dexterity, though, they can also be great for picking up change at a store counter. They can also be a nice solution when that pill box spills on the floor and Plaxix and Lisinopril go everywhere! "But, Bill, why wouldn't I just pick things up with my unaffected hand?" There are a few reasons. First, a toned or spastic hand can probably still hold a lint roller, and if you have some shoulder control, you can move it. One of the most important tools in recovery is to use your affected limb as much as possible in practical way. Just because it's no longer fully connected to your brain is no reason not to make it work. Second, especially when I need to get something on the floor, I often need to use my unaffected arm to balance or stabilize myself. If I get in an awkward position and my unaffected hand is busy, it's much more difficult to not fall. Everything in life can be therapy! Links Where do we go from here? Check out the Trend-Able website here and the emBRACE It podcast in your favorite podcast app. The first issue of the Strokecast Newsletter goes out this week. If you haven't already signed up you can do so at http://Strokecast.com/news Share this episode with an Occupational Therapist or someone else you care about by giving them the link http://Strokecast.com/Trends Don't get best…get better.

While visiting Cool Beans...I found a delightful piece of art I had to give my sister. It was painted by Art From Outerspace, who became an artist whose work I was drawn to. I own several pieces and stickers and decided to ask her to come on to Randomly!  She accepted and I am so excited to share some of her art, passion, Stephen King, serial killers, and other things!  I hope you love AFOS as much as I do!  As always, thank you to my fav spot Cool Beans AND AFOS!  You can purchase her art at: https://www.artfromouterspace.com/ IG: art.from.outerspace Facebook: Art From Outerspace Follow Randomly!  IG: RandomlyThePodcast Facebook: Randomly: The Podcast email: randomlypodcast@gmail.com Twitter: Randomlypodcas1   --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/randomly-the-podcast/support

A ROUNDTABLE DISCUSSION WITH RESEARCHERS AND CLINICIANSA special Q and A - in conjunction with families and parentsThis is a unique podcast as we hit pause on our usual program to answer questions that families have been sending us. On the pod this week, we have Marissa Smith (Physiotherapist), Georgia Hoffman (Physiotherapist), Loren West (Occupational Therapist) and Dr Dayna Pool (Physiotherapist).How we actually put all the knowledge into practice is a big and important question. Even if we have all the knowledge available, unless we know how we can implement research findings and recommendations into real life settings, the knowledge isn't particularly useful!Parents and children have great questions because ultimately, they want to be able to make informed decisions that enable the best possible outcome. This podcast is so important as we answer the most common questions that have been sent to us. Clearly, these questions are meaningful to families and this round table discussion of experienced health professionals provides the thought processes involved in making decisions that optimise outcomes by using the best available evidence. The key is that individualised care is at the core - each person is different, with a different set of circumstances and goals. Making decisions should always be based on the best available evidence and as you'll hear from our conversation - there is no such thing as a one size fits all but, there are some very clear considerations in developing the best possible therapy program and recommendations for care. If we are evidence based, we are ultimately fulfilling our ethical obligations as health professionals in optimising care and minimising harm. This was made so incredibly clear in Professor Iona Novak and Professor Andrew Whitehouse's podcast earlier in the season. So we hope you enjoy this special episode as the panel discusses the clinical decision making process within the best available evidence for the following questions:When do you wear AFOs and is it ok to take them off?What surgeries to  muscles would you expect children with cerebral palsy would need?I have a wheelchair and walking frame but I can't bring them around everywhere. So sometimes the wheelchair is at home, a walker at school but he likes to crawl around at home. How do I strike the right balance?There are so many walkers out there. How do I choose a walker that is right for my child?How do I know what therapies to pick?

Seventeen-year- old Holly was diagnosed with diplegic cerebral palsy as a toddler. She speaks to Kate and Mandy about growing up in the rural Victorian town of Mildura, experiencing the support and care of a small community of friends, family, integration aides, therapeas and peafessionals, while also experiencing a very different world to her peers at the same time. Holly’s CP affects her legs, hands and speech and she’s undergone plenty of therapies such as botox and AFOs. She’s putting in an NDIS application for a scooter, and Kate and Mandy are willing to stage a pea-test if she doesn’t get it! When she reached grade 6, Holly and her mum experienced some very hurtful rectum behaviour from her school. Schools, we invite you to listen closely to Holly to understand how important it is to offer sensitivity and solutions, not just criticisms. Holly is doing VCE subjects English, Maths Methods, Chemistry, Biology and Health and Human Development and is aiming to studying paediatric physiotherapy or OT at university next year, so she can support kids and teenagers who are going through similar challenges. Holly’s learned that it can be hard to understand what other people are going through when you’re going through so much yourself, especially when you’re still a teenager. Holly also works as a check out chick at the local Coles, loves chocolate, girl guides and camping! Kate and Mandy hear some wise words from Holly about how they can be the best mums they can be to their peashoots. She also offers some powerful advice for all doctors, teachers, family and friends that leaves Kate and Mandy speechless – possibly for the first time ever! Absolutely do not miss listening to Holly! Other Pea Business: Make sure you book your tickets to the live shows!Book tickets for Sat 8 May at The Yarraville ClubBook tickets for Sat 15 May at the Karralyka in Ringwood EastAlso, pre-order our forthcoming book The Invisible Life Of Us !Forecast for Melbourne on Thursday 15 April – 20 degrees. Showers developing. Windy.Order cool personalised handmade products from Etch41 Contact us here:Website: www.toopeasinapodcast.com.auEmail: toopeaspodcast@gmail.comDon't forget to rate and review too! Support this show http://supporter.acast.com/too-peas-in-a-podcast. See acast.com/privacy for privacy and opt-out information.

No podcast de hoje tenho, um grande convidado se trata do Igor Pinéu, licenciado em ortoprotesia na escola superior de tecnogia da saude de Lisboa.Atualmente reside e trabalha na Suécia, neste episódio conversamos de varios asuntos, entre eles posso destacar alinhação dos AFOS, que quase sempre por norma general, a alinhação acaba sendo feita a 90°....Imail do podcast: ortoprocast@gmail.comMeu Instagram : https://www.instagram.com/andrebresp

Joseph and Sarah discuss: The why behind starting Friendly ShoesSafety and aesthetics of adaptive shoesThe deeper meaning behind shoesSneakerheadsWhy you can’t just go bigger to fit AFOs in showsThe OT brain in shoe developmentImportance of making mistakesTaking the first step to starting a businessWhy Friendly?Bringing occupational therapy to the forefrontCoupon Code for 25% off Friendly Shoes for Lyfers: OTRULESConnect with Joseph:Email: Joseph@friendlyshoes.comWebsite: www.friendlyshoes.comInstagram: https://instagram.com/befriendlyshoesFacebook: https://facebook.com/befriendlyshoesTwitter: https://twitter.com/befriendlyshoes

So I had the back surgery. My feet are numb. Can't move my ankles without AFOs. What do I have to look forward too? It's all negative thoughts while fronting for the outside world. So, I ask myself "Now What?!" This is the third episode of my seven straight episodes in a week. Where I open up to you and you learn about the guy talking in the podcast. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/memyselfanddj/support

This mix starts with a nice handshake from some modern post-punk and classic new wave, but it quickly escalates into some electro/EBM hand-to-hand combat. Bring your gloves. Undertheskin — “Burn”. Perhaps one of the most underrated post-punk bands in the business, every track is a death-grip of guitars and drums that leaves you beaten and exhausted like a car crash. A Transition — “Cold”. The instrumental post-punk jam is a beast we see too infrequently. This choreographed dance of evocative guitar and head-nodding riffs doesn’t need a single lyric to convey feelings of searching, finding and regretting.A Flock of Seagulls — “I Ran”. Their aesthetic became a punchline and was a distraction to near peerless songwriting, musicianship and production. I mean, that guitar. What new wave act burned brighter than AFOS in their ’82-’83 run?Billy Idol — “White Wedding”. Every Billy Idol song lives and dies by his vocal delivery. This song, when his discography is fully stacked and tallied, is what everyone hears when they see his sneer. It is the ultimate conviction through performance.Killing Joke — “Follow the Leader”. It’s tribal, but not JUST because of the drums. Youth’s bass and Jaz’s vocals create a gravity well for conscious thought, and the track becomes less about listening than it does about experiencing. It’s only natural state is “loud”.Empirion — “Red Noise (Rotersand Rework)”. After a hiatus of a million years, these electronauts from the 90s return with an LP that aims for the dancefloor with the subtlety of a napalm drop. Recommended if you have a heartbeat.Street Fever — “In Your Lungs”. This song has a whole new inflection in our COVID-19 crisis, but at least we can dance our way toward physical distancing. I mean, how depraved is that synth stab?Kanga — “Viciousness”. This one-woman sonic armada delivers a tour de force of beats, bass and brio, and few electro-industrial-dance artists have delivered a first LP so fully realized. We’re living in Kanga’s world and better off for it.Boy Harsher — “Tears”. Listen to the bass drop at 1:58. Let it patiently morph into a deceptive bridge before it drops again at 2:51. That’s all you need to understand why Boy Harsher is bigger than Jesus.Noise Unit — “Deceit”. This is North American EBM cut so pure it’s amazing it wasn’t banned during Bush’s anti-drug crusades.Armageddon Dildos — “East West”. Let’s talk about 80s geo-politics with a song about, um, fucking in the park. Wait, what? Exactly. Ministry — “So What”. The best song from their best album? Fight me. (RIP Rieflin. God created the kick drum for him like he created the guitar for Prince. Proof.)Front Line Assembly — “Iceolate”. Remember when electro-industrial fetishized the near-future dystopian technostate? It was a lot more fun when we weren’t actually living in it. But this shit still spanks hard, so bend over.Dusty Springfield — “Spooky”. What we’re all secretly singing to ourselves when we’re getting dolled for da club.

In this episode, Binty, a former pharmacist and mother of two, describes her long road to diagnosis, her discovery of The MS Gym and the subsequent victories that are helping her continue to thrive despite physical setbacks. EPISODE NOTES: - The long road to an MS diagnosis and the clear path to The MS Gym - Trekking poles, AFOs and assistive devices - The symptoms that affect her most -  Which MS Gym movement plans she relies on for relief - Use it or lose it - Visible victories - Cooking is a luxury - Once and done is not the ticket - Approaching her children about her diagnosis - CBD oil for sleep and spasticity - Mindset is everything - How she handles an MSy day - Using Trevor's motivational speeches for a boost of inspection - Remaining active despite MS - Seeking out social activities customized for your condition - The power of meditation - Prioritizing to preserve energy - Don't be afraid to say "not today" LINKS: The MS Gym Brooke Slick

The 9 Essentials of NeuroMovement® offer you powerful, concrete ways to wake up the brain and tap into its enormous potential. Start applying the Essentials in your child’s and your life to experience the incredible power of the brain to change for the better. In this podcast, Anat Baniel and Neil Sharp address:questions about the first 6 Essentials—movement with attention, slow, variation, subtlety, enthusiasm, and flexible goals;whether or not to use orthotics: consider why AFO’s are being used and how the AFO’s are designed; the best approach for helping children with special needs learn how to balance and stand;how to interest a blind child in new activities by using sound, touch, and the Essentials;getting private lessons for your child from a certified ABM NeuroMovement Practitioner can often help with difficult challenges.

Four women with different physical abilities talk about what fashion means to them and how they deal with fashion challenges. Cheryl and Lainie both have Charcot Marie Tooth (CMT) and wear AFO leg braces. Lainie explores fashion hacks and DIY solutions in her blog, Trend-Able. Keisha has Limb Girdle Muscular Dystrophy, studied fashion, and launched her company, Girls Chronically Rock. Kirsten Passmore has Cerebral Palsy and has been enjoying CosPlay for the past five years. Learn more about her organization, CosAbility, and see which conventions they'll attend by liking their Facebook page.

Going on a trip, be it on a cruise ship, train or an airplane, can be a daunting task for someone who has MS. You have to worry about mobility issues, access to bathrooms, restaurants and hotel rooms and access to medical care. Tarita Davenock loves traveling and exploring the world, and was diagnosed with multiple sclerosis during the prime years of her life. As her MS progressed, she started traveling with a wheelchair and saw a certain need in the market for people like her and filled it with “Travel for All”! Tarita is the owner and founder of Travel for All, a travel agency specializing in accessible travel and helping people who are physically challenged and need special care and services. In this episode, she shares with us all the possibilities that exist to still go to different places and experience different things despite MS. As this episode ends, Tarita encourages us to spread our wings as we explore the beautiful places on this earth. Yes, you have MS but it shouldn’t hinder you as there are people like Tarita who want to help others with disabilities to travel. In this episode we discuss: The deciding factor that made her start her own company. What makes her travel agency different and stand out from other travel agencies. The convenience of having something or someone to look out for everything when you travel. What to do when you opt to travel alone or when you encounter unforeseen problems or emergencies in every possible scenario We have to realize and accept the fact that we have limitations, but it doesn’t mean we can’t do it. Tips when traveling: Don’t be afraid to ask someone for help! They’d be more than willing to lend a hand. Her life-changing trip to India. Travel destination recommendations for FUMS travelers. Having a disease should not stop you from doing what you want. “Travel should be inclusive – not exclusive.” Resources mentioned in this episode (clickable links): www.travel-for-all.com Where to find Tarita Davenock Travel for All Facebook 1-888-993-9295 **Today’s episode of the FUMS Podcast Show is brought to you by the Tayco External Ankle Brace. Trusted by thousands of patients and physicians, the TayCo External Ankle Brace is the only lightweight, functional alternative to the walking boot and Ankle Foot Orthosis (AFO’s) and has been prescribed to successfully treat, chronic instability, and neurological disorders, like MS, returning patients to normal daily function up to 4 times faster than walking boots and with better results than AFOs. For more information, please visit taycobrace.com. **Don’t forget to join us on the FUMS Facebook Page and on Twitter at FUMS. Have an idea for a topic or someone to interview? Perhaps YOU?? Send me an email at Kathy@FUMSnow.com. And remember to speak to this stupid disease as it deserves: tell it FUMS every day!!

Dr. Brandon Smith and I had an interesting discussion about his experience as a physical therapist. Though Brandon's background is mostly in orthopedic manual therapy and therapeutic exercise at the elite levels, it also consist of public health, strength and nutrition certifications, time spent in Surgical ICU wound care, Cardiac ICU, Neurological ICU, Critical Care ICU, and has recently led him into geriatrics (all affiliated settings) and home care. He uses his eclectic background to provide a comprehensive and tailored approach to each patient/client. Whether that's in the home, telehealth, or remote performance and nutrition coaching. What's really interesting is that he got into PT to work with high-performance athletes and then discovered the work wasn't fulfilling enough. He made the switch to neuro patients and found the work much more rewarding. To help teach more people outside the PT world about things happening within the PT world, he partnered with colleague and former class mate Yong Kim to launch the Physical Therapy Unleashed Podcast. Facebook Strokecast is on Facebook. I use that page for less formal thoughts on stroke and recovery. I also post videos of demos and other topics. Just recently, I created a video talking about my experience with different AFOs. Head on over to Facebook.com/strokecast to like the page and check out the videos. Hack of the Week Being a stroke survivor is complex. We have physical, medical, and daily living needs. There can also be special nutritional, social, or spiritual needs. Regardless of the need, we don't have to do it alone. There are professionals who can help. If you have needs, or think you might, ask your doctor or other member of your medical team to point you in the direction of the appropriate professional. They're out there. Links Physical Therapy Unleashed Podcast https://itunes.apple.com/us/podcast/physical-therapy-unleashed-podcast/id1275938491 Physical Therapy Unleashed on Facebook https://www.facebook.com/PTUnleashedPodcast/ Dr. Brandon Smith on Twitter https://twitter.com/drsmithdptmph Dr. Brandon Smith on LinkedIn https://www.linkedin.com/in/bsmithmph/ Dr. Brandon Smith on Facebook https://www.facebook.com/drsmithdpt/ Dr. Brandon Smith Consulting http://drsmithdpt.com/ Yong Kim Wellness https://yongkimdpt.wordpress.com/ Where do we go from here? What do you think of Brandon's story? Let us know in the comments below. Ask you physical therapist what their thoughts on Brandon's perspective are. Give them the link strokecast.com/brandon Strokecast is on Facebook. Visit Facebook.com/strokecast to like the page and check out the videos Seek out the appropriate professionals for your needs Don't get best…get better

Caroline Craven’s road to natural and holistic MS treatments is pretty fascinating. In 2001, she lost the ability to see and walk unassisted while traveling across Guatemala. Upon her return to the US, she was only given a probable diagnosis, but then started to progress rapidly. She was then placed in a three-year double blind study at USC for the t-cell vaccine. During which, she did a deep-dive into holistic nutrition, Ayurvedic medicine, Chinese medicine, and healthy eating. Now, Caroline promotes healthier living for MS patients through stress management, healthy eating, and having a positive attitude through her blog The Girl with MS. In this episode, we talk about various natural treatments for MS: Medical Marijuana Helped Caroline in the onset with her gag reflex and helped her to eat normally. Magnetic Pulsing Static Electromagnetic Field They are not proven, but are more of a holistic approach that might work such as bracelets and things that have certain magnetic fields. Pulse Electromagnetic Field Currently being studied to see how it can help reduce the damage of stress, reduce pain, and reduce inflammation. The Fisher Wallace Company provides a magnetic pulse kit at home to help slow down before going to bed and sleep better. Swannies These are yellow lens glasses by a company called Swanwick designed to filter blue light that messes up your circadian rhythm. After use, the body goes back into a more natural state, makes it easier to fall asleep at night, and puts you in a happier mood. Learn more by following this link. Nrf2 Activator Protandim A plant based supplement that reduces inflammation and oxidative stress in the body, which helps with MS symptoms. Learn more by following this link. High-dose Biotin and Myetin Vitamin B derived supplement that incredibly increases energy and helps with hair loss. Learn more by following this link. Visbiome Probiotic It is important for everyone, especially MS patients, to keep our gut as healthy as possible. Taking probiotic supplements with live cultures will help improve gut health. Learn more by following this link. uBiome A gut health test that shows exactly how healthy your gut is and tells you what bacteria could help you and which foods could provide those beneficial bacteria. Bulletproof Coffee Premium grade coffee blended with MCT oil, and grass-fed organic butter. Helps with the cog fog and increases energy. These are just a few from Caroline’s extensive list of natural treatments. We will be hearing more from Caroline as she will be a regular guest contributor to the FUMS podcast! Resources mentioned in this episode (clickable links): The Girl with MS Website The Fisher Wallace Company Swannies Nrf2 Activator Protandim Myetin Visbiome Probiotic uBiome Where to find Caroline Craven: The Girl with MS Website thegirlwithms@gmail.com 818-585-5660 Facebook Instagram Twitter **Today’s episode of the FUMS Podcast Show is brought to you by the Tayco External Ankle Brace. Trusted by thousands of patients and physicians, the TayCo External Ankle Brace is the only lightweight, functional alternative to the walking boot and Ankle Foot Orthosis (AFO’s) and has been prescribed to successfully treat, chronic instability, and neurological disorders, like MS, returning patients to normal daily function up to 4 times faster than walking boots and with better results than AFOs. For more information, please visit taycobrace.com. **Don’t forget to join us on the FUMS Facebook Page and on Twitter at FUMS. Have an idea for a topic or someone to interview? Perhaps YOU?? Send me an email at Kathy@FUMSnow.com. And remember to speak to this stupid disease as it deserves: tell it FUMS every day!!

1. Heartbeat City - The Cars 2. All Roads Lead To Rome - The Stranglers 3. I Die: You Die - Gary Numan 4. Auto Music (Razormaid! Mix) - Our Daughter's Wedding 5. To Cut A Long Story Short (12" Version) - Spandau Ballet 6. Fun City (12" Mix) - Soft Cell 7. 8:15 To Nowhere - Vicious Pink 8. Telecommunication - A Flock Of Seagulls 9. New Life (Remix) - Depeche Mode 10. Devil Inside (12" Remix) - INXS 11. Still Angry - Book Of Love 12. Today (Extended Version) - Talk Talk 13. A Forest (Tree Mix) - The Cure 14. The Metro (Extended Version) - Berlin 15. Take On Me (Tony Mansfield 12" Version) - A-ha Notes and other random things: So, hello again! Nice to make your acquaintance. Good to finally carve out an evening to record another podcast. I swear, these days I blink and three or four months go by. I suppose, relatively speaking, the same could be said for this episode as it is officially the shortest podcast in CRC history, clocking in at just under one hour. "So, Mr. DJ Tintin," I'm sure you're saying to yourself, "for all my patience waiting for you to give me some new tunes you reward me with LESS music???" It seems that way. You still get the requisite 15 songs, but many of these were single or album versions as opposed to remixes. That's the only defense I have. BUT, look at this artist and track list! Those of you looking for some stuff you haven't heard before may have just hit the mother lode. The Stranglers? Our Daughter's Wedding? Not exactly household names. "Fun City", "Heartbeat City", "Still Angry"? Not exactly the songs anyone would recall off the top of their heads by Soft Cell, The Cars or Book Of Love, respectively. But enough justification. On to the bands ... So, why were the 80s so great? A loaded question to be sure. But ask yourself how many bands in recent memory could have a member, who owned a hair salon, rent out a space above said hair salon, form a band, get discovered by Bill Nelson of Be Bop Deluxe fame, decide upon wearing women's clothes for a video shot in three days on a shoestring budget and become superstars thanks in some part to a fledgling music network called MTV and a now-famous hairstyle? Such was the fate of A Flock of Seagulls, a band that certainly helped alter my musical trajectory and, with the song I Ran (So Far Away), created one of the most iconic and lasting songs of the decade. THAT is the greatness of the 80s - the fact that music was not yet paint-by-number. There was room for experimentation. Sure, you had to be marketable, but the definition of marketable was fluid. And the rules were fluid. As long as someone in the know heard something they liked or saw a creative spark it was sometimes enough for a label to take a chance on you. Spoken like someone who thinks the music they grew up with is the best, I know. But I ask again: could that backstory exist today? Perhaps, but I just don't see it. As for the song in this podcast, "Telecommunication", it is sort of a cult hit at this point and probably an accidental one at that. "(It's Not Me) Talking" was the first single release by AFOS in 1981, but it was the futuristic lyrics and "wall of sound" energy, later praised by uber-producer Phil Spector, that propelled "Telecommunication" into the clubs and into hearts of new wavers. The tune still sounds cool and futuristic even today and reminds me of a moment in time when musical possibilities were still limitless. "No sequencers were used" reads the liner notes of Our Daughters Wedding's first EP, "Digital Cowboy". Layne Rico (electronic percussion / synth), Keith Silva (vocals / synth) and Scott Simon (synth / saxophone) wanted everyone to know that their electronic wizardry and sleight of hand was due entirely to coordination and skill and not programming and triggers like many of their contemporaries such as Depeche Mode and OMD, two groups to which ODW was often compared after their switch over from punk rock and guitars to new wave and synths. And while the group, who sang about lawnchairs and made frequent appearances on MTV with Martha Quinn in the early days of the network, somewhat ironically dismissed DM and OMD as being too "gimmicky", the group did score opening slots for some of the giants of the day including Duran Duran, Talk Talk, Iggy Pop, The Psychedelic Furs and U2. They even worked with famed producer Colin Thurston to record the aforementioned EP. Not bad for a US-based band who suffered the slings and arrows and broken beer bottles of misfortune hurled at them for using electronics on stage at a time when punk was still king. But even skill and deigning to employ sequencers could not save the group from a dust up with their label, EMI. According to Scott Simon, the LA office killed the momentum of their full-length album, Moving Windows, which was released in 1982, because a label exec had a personal issue with one of the band's representatives. The track here, Auto Music, is a Razormaid! mix of the lead track to that first and only full-length. The sweet electronic bass line you hear came about from Simon and David Spradley, the producer for Moving Windows, "jamming one morning in our Union Square loft." To cut a long story short, Spandau Ballet are good. Go buy their records. Seriously, though, Spandau Ballet seems like a perfect name for a slick and sophisticated band who helped spearhead the New Romantic movement, an era of glossy images and high fashion that gave rise to groups like Duran Duran and Visage and others. That is until you remember that, like other groups, SB had their roots in the punk scene and that their name was Allied trench warfare slang for corpses whose bullet-riddled bodies twisted and danced on barbed wire as they were hit by German gunfire. Perhaps they would have been better off going with The Cut or The Makers, both previous band names. But, the name Spandau Ballet stuck as did the amazing voice of Tony Hadley, the Kemp brother's guitar prowess (Martin and Gary), Steve Norman's saxophone riffs and John Keeble's percussive underpinnings. That classic lineup produced a string of Top 10 hits (10 to be precise) including "Gold", "Only When You Leave", "True", "Chant No. 1" and the song in this podcast, "To Cut A Long Story Short", the groups' debut single, which reached #5 in the UK. Speculation surrounding the song is that it pertains to a veteran suffering from post-traumatic stress disorder after being drafted, but getting no explanation why he must join the war. This song apparently inspired Vince Clarke (Depeche Mode, Yaz, The Assembly) to write DM's third single, "Just Can't Get Enough" which, as a side note, is currently being used in a Wal-Mart advertisement. I did NOT see that coming! What more can be said about Gary Numan that hasn't already been said over the course of four decades by the music press? Probably nothing, so I'm not even going to try to break new ground. But, in case you missed it, Gary did just drop his 18th solo album, Savage (Songs From A Broken World), this past September and it instantly shot all the way up the album charts to #2 in the UK and #1 on the UK Indie charts. Call it a love of the man and his music or an indictment of the current music scene, but for a guy who goes down in history as the first artist to secure a #1 song using an all-electronic approach with the highly-coveted and frequently-covered "Are Friends Electric?" way back in 1979, the fact that Gary is still making music that questions, challenges, lifts, destroys and defies convention is impressive. Despite the lofty charting position of the new album and its predominant use of electronics, it failed to register on the Billboard Electronic charts because, according to a Billboard executive, “Sonically, the Numan album just does not fit in" with Billboard's perception of electronic dance music. Seems a bit ridiculous, but Numan is no stranger to such disinterest or indifference on the part of the music cabal. In fact, even during his heyday, "Are Friends Electric?" was perched atop the British charts for three weeks before any radio station would add it to their playlists. The song in this podcast, "I Die: You Die", which appeared in 1980 on the Telekon album a mere two years after his Tubeway Army signing with Beggars Banquet, is his rebuke of the music press and their God complex, star-maker/star-breaker tendencies. The track eventually reached #6 on the UK singles chart. And finally, speaking of the music press, the last band I'd like to mention here had them completely baffled and befuddled for the bulk of their career, or at least until 1990 when Hugh Cornwall left the group. The Stranglers, originally known as the Guildford Stranglers when they embarked as a band in 1974, were comprised of guitarist/keyboardist Hugh Cornwall, bassist/vocalist Jen-Jacques Burnel, keyboardist Dave Greenfield and drummer Brian Duffy (aka Jet Black). Though not one member hailed from Guildford, they were "tweeners" in every sense of the word, dabbling in numerous styles from electropop to soul during the course of their long and storied career. And while many of their successes came during their early punk days, they never quite fit into the punk scene. Ostracized for their relative age, their humorous, often self-deprecating lyrical style contrasted with their often anti-politically correct stage antics, their stunningly fast musical growth and development, and their hit-making skill, which generated 21 Top-40 singles, The Stranglers set themselves apart from their punk contemporaries and gave the press fits as they did not know how to put square pegs into round holes. The track here, "All Roads Lead To Rome" was from their seventh album, Feline. As you can hear, it has distinct new wave overtones, which makes total sense having been released in 1982, but it is certainly a brave departure from their earlier work. And while this track did not chart, it still stands as one of the high points from the Feline album and provides a glimpse into a chameleon-like band that was firmly in transition. Another episode in the books. Thanks for reading/listening. Enjoy the music!

  Noah St. John is the creator of the 6-Figure Business Machine, a self-paced mentoring program that allows any entrepreneur or professional to automate profits, increase sales, and work a lot fewer hours each week. Noah specializes in turning AFOS (average frustrated opportunity seekers) into HSBOs (highly successful business owners). Noah’s popular Mastermind group for small business owners requires a 5-figure admissions fee, if you’re lucky enough to grab an open slot. But this week on Monday Morning Radio, Noah shares many of his best insights and recommendations – as encapsulated in his 6-Figure Business Machine program – for FREE. Beginning this week, Monday Morning Radio welcome Noah and 6-Figure Business Machine as official sponsors of our program. To learn more about the 6-Figure Business Machine, and evaluate whether Noah’s approach is right for you and your business, visit http://tinyurl.com/mmrns01. Noah offers Monday Morning Radio listeners a variety of business tools, including an eBook and helpful videos, without cost or obligation. Photo: Noah St. John, 6-Figure Business Machine Posted: August 8, 2016 Monday Morning Run Time: 39 minutes 39 seconds

Featured are 6 authors of papers appearing in this issue of Pediatric Physical Therapy. Maggie O’Neil discusses recommendations regarding the role of pediatric PTs in promoting health and fitness for youth with disabilities; Elise Townsend comments on her research on AFOs for boys with Duchene Muscular Dystrophy; Susan Harris shares experiences providing intervention for babies with medical complexities as a result of Congenital Heart Disease; Kyra Kane presents her survey of therapists’ use of orthoses for flexible flat foot; Ashley Thompson introduces CIMT camp for children with CP; and Linda Bamonte describes care for a child with 16p11.2 Deletion Syndrome.

Last episode, I mentioned collapsing 210 Local Music RADIO into your usual 210 Local Music Podcast episodes. Well, that starts today. When we have a new sponsorship and more time, we will definitely bring the RADIO podcast back. Until then, here is our first mixed tape episode. First off, we've got AFOS with Young and Wreckless (Interlude). Next, we've got Bekah Kelso's A Thousand Little Words. Bite Lip Bleed with He Said She Said. Black Market Club's Castles. Hydramelody's Oceans. Laura Marie with Dark Horse. March Divide's Jose Cuervo. Matt Adler's Passenger. with Circuits. Endgame. Othello with DNA (Acoustic). Phonolux with Hurricane. Secrets & Irises' Clouds with Sharp Corners. Slowlikefire's En Vacio. Tera Ferna's I Fell Off A Mountain. Wings of Valkyrie with Low. In addition to this development, I will be attending the San Antonio RAWawards show at Backstage Live tonight! I look forward to getting more involved in the community and thought that this would be the perfect opportunity. Thanks to RAW for this experience! With the temporary yet indefinite hiatus of 210 Local Music RADIO, we can't really call ourselves a podcast network. With that being said, we're currently looking to include more San Antonio podcasts and podcasters in the umbrella that is 210 Local Media. We believe that this will increase our ability to become a media force in San Antonio and change the way people consume local information and entertainment. If you're a podcaster, contact us today and we'll see what we can do to help each other. We're also very proud to say that we're currently working hard to host a Toys for Tots benefit concert at a local venue in mid/late December. An announcement had been made with details, so we could start filling the bill, but there's been a slight hiccup and we will get confirmation for the date, time, and acts very soon. One thing that has been worked out is that there will be a cover of $7 at the door, $5 with a (new-in-box) toy and free with multiple (new-in-box) toys. We're also working to get a poster out by local tattoo artist, and 210 Local Music Podcast alum, Tara Quinn! The proceeds of the sales of the posters will go to Toys for Tots as well. Stay tuned for more information on 210 for Tots on our Facebook, Twitter, and Instagram accounts. Thanks for listening! --- Send in a voice message: https://podcasters.spotify.com/pod/show/210localmedia0/message Support this podcast: https://podcasters.spotify.com/pod/show/210localmedia0/support

Episode 10! It's been a great ride so far and I hope it continues. This episode, I sat down with AFOS (Featured Artist in episode 3) and discussed his Party Rehab EP, Hip Hop, and his upcoming shows. This episodes featured artist is Rain on the Aftermath. Thanks for listening! --- Send in a voice message: https://podcasters.spotify.com/pod/show/210localmedia0/message Support this podcast: https://podcasters.spotify.com/pod/show/210localmedia0/support

In this episode, I sat down with local tour manager, Michelle Celeste. Most of you know her as the tour manager for Girl in a Coma and have seen her running the merch at their shows. This is the first in a three part series where we discuss what it takes to be a tour manager, the hardest parts about touring, and a huge project she's just started work on. The featured artist for this episode is AFOS, a San Antonio rapper who we'll have on in a future episode. His EP Party Rehab is available on iTunes and we've featured his single, Young and Wreckless. Thanks for tuning in and don't forget to rate, comment, subscribe, and follow us on Twitter, iTunes, and Facebook! Thanks for listening! --- Send in a voice message: https://podcasters.spotify.com/pod/show/210localmedia0/message Support this podcast: https://podcasters.spotify.com/pod/show/210localmedia0/support

In the Fall 2009 issue of Pediatric Physical Therapy: a comparison of AFOs for children with hemiplegia, the 30-second Walk Test expanded to children ages 5-17, factors associated with children's participation in a physically active video game, and more!