Re: 90 Degree posterior stop

Re: 90 Degree posterior stop

Cobb James P SSgt 81 MSGS/SGCO

1/18/2001

There is really no need to get personal on this list serve.
I could be wrong, and have been before, but I felt this e-mail was to open
up this discussion to see variances in the field. You never know, some
tech. might learn something from us talking professionaly on this
informative lest serve.

Now it's time for me to contradict myself and get personal. It's
egotistical attitudes and personal remarks such as yours that hurts our
industry.
We all need to treat each other as Para-professionals v/s ranking, judging
or stereotyping. Why do O&P practitioners tear each other apart. All I
hear is, I went to this school, you only went to that one. I had a
residency and you didn't.
This is not elementary school, this is a medical profession in which we all
need to stick together. I've been reading this listing for a while now.
There are allot of ego's out there and absolutely zero tact behind them. I
wouldn't talk to a dog like some of the Practitioners talk about each other
here. Where is common human respect gone to? I get more professional
respect from Ortho-Pods and Neuro Docs than I get from some practitioners.
At a time when this market is extremely unstable and we all need to inform
and empower each other; negativity, animosity, and pessimisty has absoutley
no place in this industry. Yes, I do understand some have worked harder to
achieve their goals and attended many years of school nad alot that did not.
There are areas in our industry that need to be ironed out. However, it
will only get worse because we (as an industry) need to get our ducks in a
row. Patient care first, always, no exception. Secondly, self
preservation. We need to protect ourselves, our recourses, get clearer laws
and legislation (written by unbiased and informed individuals). There are
allot of young students and residents who look to us professionals for
mentoring and guidance. Practitioners need to act like professionals and
communicate like professionals, and make their personal problems private and
quit making our industry look like a bunch of whiny babies pointing fingers
at everything or everyone that doesn't put a pacifier in their mouth.

That is my two cents,
I can't wait to see all the negative responses I get!!!!

James Cobb
Staff Orthotist
Keesler Medical Center
Keesler Air Force Base Mississippi

-----Original Message-----
From: Chet X Burdette [mailto:<Email Address Redacted>]
Sent: Tuesday, January 16, 2001 11:06 PM
To: <Email Address Redacted>
Subject: Re: [OANDP-L] 90 Degree posterior stop


On Wed, 17 Jan 2001 23:20:14 EST <Email Address Redacted> writes:
> Dear colleagues and guests. I'm on a roll and this is the kind of
> stuff that
> seems more important than what I normally see on the listserve.
>
> 1. Give me ONE example (pathologies included) where an articulating
> 90 degree
> posterior stop plastic AFO is indicated and works well for walking.

You should know this if you passed your ABC exam. Where are you going
with this?

> 2. Tell
> me why a custom fabricated tweeked posterior leaf spring AFO
> (floor
> reaction or otherwise) would not do just as well, if not better.

By tweeked you mean what? Do you mean that you have tweeked a Prefab PLS
and now it's a custom molded floor reaction AFO?

This really doesn't answer the question but you need to hear it.
I don't think you know what a ground reaction AFO is. If you did know,
then you wouldn't suggest that a PLS could do the same job as you have
done in part 2 of your question.
>
> 3. Tell me what the advantages are to have a rigid anterior shell in
> a floor
> reaction AFO.

As opposed to what? A strap? A ground reaction AFO transmits force to
the knee and anterior proximal tibia. In order to distribute the force
evenly and in the correct places the anterior portion needs to be custom
molded and rigid.

>
> This ought to generate at least some discussion and thought.
>
> Thanks for your replies.
>
>