In a message dated 2/9/02 9:30:47 AM Eastern Standard Time, [log in to unmask] writes:
Understand, that at that time I was
still posting across All the metatarsal heads [I-V]. The severe reactions
[less than 5% of my case load, but still too high to be acceptable] was
one of the main reasons I had to rethink my approach [and challange my
understanding of forefoot mechanics].
Brian,
What, might I ask, is the current "severe reaction" rate using your modified orthotic?
In the Hippocratic oath, the promise is made to "above all, do no harm". How can you justify a 5% "severe reaction" rate in light of this pledge? You wrote "When I was using Postural Control Orthotics in the mid to late 1980s and early 1990s". Does this mean that for 4-6 years, you permitted 5% of your patients to undergo this reaction? Did you inform them of the potential hazzard prior to treatment?
I certainly don't help everyone I treat, but I have never hospitalized a single patient from orthotic management in 25 years of practice. Quite frankly Brian, I find this a very difficult problem to rectify when other methods exist which do not cause the "severe reactions" you describe.
Howard Dananberg
