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I still see both Janet and Sharon as patients. The two have had dramatically different outcomes, one pulling out of the tailspin and the other crashing.

We're talking about our two patients, Janet and Sharon who are at a turning point in their lives. That turning point is called the tail spin. The tail spin is where they make poor health care choices that result in a loss of their vitality and health. Let's take a look at the similarities and differences between their cases.

After being in practice for thirty years you start to pick up on trends in your practice. You start to realize subsets of patients who have similar problems or challenges and share similar outcomes. Any good doctor is going to try to help these patients do better, be more and live a long and product lives. One of the most challenging subsets of patients that I see are a group of folks who come to me for foot pain, but the foot pain is just the tip of the iceberg.

The difference between chilblains and frostnip is the presence or absence of moisture. Chilblains occurs with chronic cold temperatures and in the presence of moisture (think damp, cold British castle). Chilblains does not require that tissue freezes but occurs in temperatures above freezing (35-45 degrees F).

Tarsal coalition surgery is challenging to obtain a successful outcome. This post discusses the pros and cons of tarsal coalition surgery.