Medial Plica Syndrome Unlikely Caused By Auto Accident ~by Dr. B.

I was recently asked if a young woman's medial plica syndrome was caused by an automobile accident. While the answer is "probably not," the explanation is perhaps more useful than the answer. The medial plica of the knee is a thin, well-vascularized intraarticular fold of the joint lining, or synovial tissue, over the medial (inner) aspect of the knee. Medial plica irritation of the knee is a common source of anterior knee pain; however, it is rarely associated with a single event of trauma. The inflammation in the vast majority of cases occurs because of chronic irritation to the medial plica either due to excessive exercise or chronic trauma.

Furthermore, while patients may complain of discomfort over the anteromedial portion of the knee with periodic popping or pseudo-locking, the individual usually maintains a high level of function in the joint. Such patients exhibit discomfort upon rolling the plica fold of the tissue over the anteromedial (front inside) portion of their knee. While patients often wish to blame the discomfort on a single bruising to the knee, the typical patient exhibits tight hamstrings and weak quadriceps. This chronic imbalance is the likely culprit of the continued irritation and inflammation. It is well known that chronic plica problems can develop when the medial plica is irritated by certain exercises that involve repeatedly bending and straightening the knee, such as aerobics, biking, using a stair machine, or jogging. As a result, the development of medial plica syndrome is more likely the result of chronic irritation caused by the muscle imbalance as opposed to a single bruising of the knee. In patients with multiple injuries, multiple surgeries or chronic irritation over the medial aspect of the knee, the medial synovial plica may become very thick and fibrotic causing it to catch over the medial aspect of the medial femoral condyle (thigh bone.) [ Links: *, **]. The catching over the medial aspect of the medial condyle typically explains the report of popping or crepitation.

All most all patients improve with physical therapy and/or a steroid injection. Arthroscopic surgery is extremely rare and should not be performed until all nonsurgical alternatives to treatment have been exhausted. Nonsurgical measures can remedy most cases of plica syndrome by reducing inflammation. Anti-inflammatory medications such as ibuprofen or aspirin typically help. Ice massage may also be beneficial. To restore muscle balance, a treating physician should insist on exercises to strengthen the thigh muscle (quadriceps) and stretch the hamstrings. Moreover, an arthroscopic resection of the medial plica should only be performed in the rare case that the plica is actually damaging the articular cartilage of the medial femoral condyle. This is not the typical case and therefore the option of surgery is rarely appropriate in the absence of concrete indications. For additional details read "Medial Plica Irritation: Diagnosis and Treatment by Chad J. Griffith and Robert F. LaPrade of the Department of Orthopedic Surgery University of Minnesota. LINK ***. Chad Griffith opines that 95 percent of people have a medial plica but only a small percentage of people will experience pain from their plica. Few will require surgery because almost everyone responds to a therapy program emphasizing hamstring stretching and quadriceps strengthening. Also consider:

Plica: Pathologic or Not? [J Am Acad Orthop Surg. 1993]

Medial plica and degeneration of the medial femoral condyle. [Arthroscopy. 2006]

Did Brenda Harding Expect Tristen Hagen To Take Their Relationship Ending Like A Man Even Though He Was Only 15?

Brenda Harding apparently made a huge mistake. Instead of protecting a friend's 15 year old step son from harm, the 30 year-old Harding apparently led the boy down an adult path which ultimately ended in the teen losing his life. Tristen Hagen, the 15 year old, apparently took his own life after the the Canon City, Colo. woman terminated a sexual relationship with him. The tragic ending is that Hagan is dead and Harding is sentenced to 90 days in jail and 10 years to life on probation. In addition, Harding is now on the official sex offender registry and is not to have unsupervised contact with anyone under the age of 18. This presents a bit of a problem since Harding has herself two under aged children. KRDO.
How does such a relationship all start? Tristen Hagen's stepmother was apparently a friend of Harding. Westword. Harding at some point agreed to be Tristen's caregiver. Somehow the relationship went a skew when Brenda allegedly began having sex with Tristen during a time in June of 2010 when Tristen was living in Brenda's care. When Tristen's father, Michael Hagen began to suspected an inappropriate relationship between his son and Harding, he asked her to stop. It is not clear when the sexual part of their relationship ended, but in April of 2011, Tristen Hagen apparently took his own life.
Tristen Hagen's autopsy revealed he had overdosed on a mix of painkillers and muscle relaxants. District Attorney Thom LeDoux told the court that the boy could not deal with the relationship ending and that is why such legal prohibitions exists. Perhaps this tragedy will make women think twice before they let a teen become infatuated based upon sexual pleasure which likely lasted but a few seconds.

Economic Woes Cause Men to Cheat? Oh Really! Take Moammar Kadafi As An Example... ~by Helen

• I refuse to sugar coat reality and I sure as hell don't advocate giving men more excuses for their irresponsible behavior. In the past I have clearly explained why women are entitled to alimony. For those who need Cliff Notes, it is because most men are scum. LINK. The evidence supports my conclusion that men cheat. INFIDELITY As a result, men get what they deserve. That is why it becomes so disappointing that money is being wasted to provide men with additional excuses for their lame behavior. Let's just all concede the fact that men will cheat for any reason, so direct your research toward something worth while like curing cancer.
  
• Why am I so worked up? Well, a new study claims that the recession (I am not talking about diminishing male hairlines) has increased men's sexual appetites -- at least when it comes to "sex with the other woman."The November issue of the Journal of Experimental Social Psychology, suggests that men are cheating at an alarming rate because of the economy libido boost . Stress Leading To more Sex?

Omri Gillath of the University of Kansas, rationalizes that when faced with a threatening environment, males can't help but seek short-term mating strategies to ensure their genes survive. (Now, I didn't really care much for Darwin, but his theory would advocate eradicating such neanderthal men through natural selection. If the theory really worked, we would not have the need for this article.) "We're biologically wired to reproduce, and the environment tells us the best strategy to use to make sure our genes are passed on... When the environment is secure and you have enough food and things are working the way you would like them to, people are more likely to invest in their existing kids and stay with their current partner or prefer long-term mating strategies... But if the environment is dangerous and your chances of survival are low -- if there is a famine or more enemies then people will adopt short-term strategies which allow them to reproduce more," said Gillath Short-term strategies to reproduce more.

Gilliath's conclusions are completely unreliable. (First it was performed on men whose very nature defines unreliability.) Second, the study was conducted by showing some cavemen images of death and then showing them sexual images. Gillath found that men's heart rates increased more when they were first presented with the idea of their own death before viewing sexual images. This is so intuitive that it should go unstated. Neanderthal men get excited with almost any stimulus including violence and dirty pictures. It all becomes very mathematical. Death plus dirty pictures is always greater than dirty pictures alone.

Third, how dare Gillath contradict the Dr. Drew Show. He recently had Simone Bienne author of "Men Going Through A Sex Recession," opine that the bad economy has cause male libido to decline. “Stress is the biggest libido zapper we know, and for a man, it's specifically cash flow and work-related issues that can bring his drive way down.” They are all wrong. A depressed economy doesn't reduce the frequency of men whoring around... it simply reduces the number of men who get caught cheating. The reason is that men become to cheap to take their mistress to expensive trendy res truants and women have less financial ability to hire detectives to nail their butts in the act of cheating.

Male sex drives has nothing to do with economic woes. Such financial woes become cited as lame excuses for failure to pay spousal maintenance and child support but it has nothing to do with the increase in men cheating. Furthermore statistics can be misleading. 3,000 survey responders to Shape and Men's Fitness magazines from 2009 concluded that 17% more women are having sex more often than the average man during the recession. women having sex 17 percent more. Perhaps that just means more women have realized that wasting money on men is useless and thus have come to prefer a partner of the same sex.

Based on my experience, increase in women's libidos is due to them conquering archaic sexual norms and alleviating stress and anxieties by sexual release. This may be telling their spouse what they need or finding fulfillment with a lover. But keep in mind, when a woman stays from a relationship, it is almost always the man's fault for failing to fulfill her emotional needs. When a man cheats, it is only to satisfy his desire for physical pleasure. Furthermore, when a woman has sex it is almost never to "spread her genes." Women understand the need for contraceptives and the natural selection process which could ultimately make scum bag men extinct... just like Moammar Kadafi who finally got what he deserved.

Moammar Gadhafi's 42-year tyranny ended when he was dragged wounded out of a drainage ditch and executed by his captors. While violence is never the answer, Gadhafi's death exemplifies the need to eradicate the lack of responsibility that has been allowed to breed contempt, hatred and further self-perpetuation.

Update 10-26-11: Andrea Syrtash actually advocates a form of "cheating" by females to save their marriages. LINK. Might it have saved Gadhafi's life? Doubt it.

One, Two, Three, Four... What Are We Protesting For?

Alarmingly, few actually demonstrating in New York know the reason for the protest. That is unfortunate when you realize that as a consequence of their reasonless protest more than 80 people have been arrested. Those arrested appear to articulate no particular reason for the protest with the exception of possibly the generic canned response, "corporate greed."

Furthermore, when you ask the protesters for a reason why two police officers were hurt ( one hospitalized for a head injury), again they are at a loss for explanations. Are the police over paid? Are they part of corporate greed? Give me a break. 42 people were arrested in Times Square after being warned repeatedly to disperse. Three others were arrested trying to take down police barriers. Two dozen people were arrested at a Citibank branch after they refused a manager's request to leave. (Was it Citibank that forced the protesters to spend money that they did not have? ) Five others were arrested for wearing masks. (If you have nothing to hide and are proud to be seen protesting, than why do you want to hide your identity?)

10 people were loaded into a police van from Manhattan park after police repeatedly told them the park closed at midnight. (In these times of recession, should the City really have to pay overtime to the police so they can protect protesters violating the law?)

And the movement of ignorance is spreading. On October 15, 2011, Occupy Vancouver protest boasted 2000 participants. When asked why they were protesting, some agreed, "America is greedy." Others shared the most common reason given by American Protesters, "I dunno."

Here is a little suggestion for protesters. If you want to end capitalism, have the guts to come out and state what you really want. If you want a socialistic society where everyone makes the same amount regardless of their job or the quality of the work, than say so. Vote your conscious. If you can't get the candidates you want elected, than either try again or move to a socialistic country that has the economic and political system you want. If that is too tough for you, than protest in such a fashion that the rest of the country doesn't have to pay for your little temper tantrum that you insist in exhibiting in public. And by the way, find some leaders who can articulate what the heck you are protesting for. Us veteran protesters from the Vietnam War days are embarrassed by your lack of goals, organization and ability to use the English language.

Update 10-19-11: “Don’t blame Wall Street. Don’t blame the big banks. If you don’t have a job and you’re not rich, blame yourself.” Herman Cain

Update 11-1-11: Former Marine Scott Olsen suffered a skull fracture after an Oakland protest turned violent the night of Oct. 25. More than 15 local public safety agencies were called in to assist the Oakland Police Department, including the San Francisco Sheriff’s Department. Activists claim to have identified at least three San Francisco deputies in video shot during the raid. Read more at the San Francisco Examiner: LINK.

Update 11-3-11: More violence in Oakland. A protest shut down the Port of Oakland in support of the Occupy Wall Street movement started off peaceful. However, after dark it became violent after several protestors broke into a vacant building. Police in riot gear arrested dozens of protesters after several downtown windows were broken and sprayed with graffiti. In addition several fires were set. At least four protesters were hospitalized. One protestor fought with a police officer. Several officers were also injured but there is no report of them needing medical attention.

Update 11-14-11: New York City Police raided Zuccotti Park around 1 a.m. Tuesday morning. They evicted protesters, cleared the park and arrest those that stood in their way. Police said that the 2-month-old camp must be temporarily emptied for cleaning, citing "health and fire safety" hazards.

Free Florida Breast Exams A Phoney Scheme To Fondle Women Or Just An Attempt at Philanthropy?

Phillip Winikoff may have always wanted to be a doctor. Or on the other hand, maybe he has just always been a pervert. In any event, it is hard to forget what he did in 2006 which resulted in him being charged with three counts of sexual battery, two counts of practicing medicine without a license, two counts of simple battery and one count of using the title of doctor without a license.

Back in 2006, the then 76 years old went door to door offering free breast exams. Winikoff definitely looked the part. Grey hair, black "doctor's bag" and a sympathetic ear. To make matter even better, he went door to door in an apartment complex. (A doctor who makes house-calls!) Apparently, Winikoff knocked on a 36-year-old woman's door. He said he was from the local hospital and was offering free breast exams. to residents of the Lauderdale Lakes apartment complex. The scheme may have worked had he planned a bit more carefully. Allegedly after Winikoff completed a thorough breast exam on the 36 year-old, he moved on to the genital exam without putting on a glove. (This is a dead give away for any woman who has ever received a pelvic exam!) The woman called police. Meanwhile, Winikoff moved on to his next patient (alleged victim.) Winikoff offered his services to a 33-year-old woman who also lived in the same apartment complex.

When police received a complaint, Winikoff was arrested for fondling two women's breasts and genitals while masquerading as a doctor. Mitigating circumstances apparently include that the exams were free. Ironically, now five years later the prosecutor and defense counsel have finally reached a plea agreement to recommend to Broward Circuit Judge Sandra Perlman. The Sun Sentinel . Broward County Sheriff's Office

Surprise! Surprise. It turns out that Winikoff was not licensed to practice medicine. Although he did have experience helping women in his role at a local automobile dealership as a shuttle driver, his job description did not involve breast or genital exams. In the absence of a plea agreement being accepted by the judge, Winikoff could face up to 55 years in jail. Winikoff Criminal Complaint

Herman Cain May Be A Little Smarter Than What You Think ~ by Blond Bombshell Update 11-11-11

Well, I finally heard it. "That Cain ain't exactly a rocket scientist." Well I hate to break it to you Einsteins, but he really is...

Here are some things you may not know about Herman Cain:

He’s not a career politician (in fact he has never held political office). He’s a pizza guy. But he is also a banker guy, a computer guy and a rocket scientist guy.

He has a bachelor’s degree in Mathematics.

He has a Master’s degree in Computer Science.

He worked as a mathematician for the Navy, where he worked on missile ballistics. (That actually makes him a rocket scientist). Mr. Cain has also served as a computer systems analyst for Coca-Cola and Vice President of f Corporate Data Systems and Services for Pillsbury. (This is a top job in the computer world!) Cain accomplished all of this before reaching the age of 35. After reaching the top of the information systems world, he changed careers by taking charge of 400 of Pillsbury’s poorly performing Burger King restaurants in the Philadelphia area. After nine months of learning the business from the ground up, cooking hamburger and cleaning toilets, he turned them into money makers for the company within three years.Cain was then asked by Pillsbury to take charge of their Godfather’s Pizza chain (which was on the verge of bankruptcy). Cain helped the franchise turn a profit in 14 months.

In 1988 Cain facilitated the purchase of the Godfather’s Pizza chain from Pillsbury. As the owner of the restaurant chain, Cain has risen to the top of the leadership hierarchy once again.. Cain has also served as chairman of the National Restaurant Association which interacts with government on behalf of the restaurant industry. Next Herman Cain went to work for the Federal Reserve Banking System advising them on how monetary policy changes would affect American businesses.

Cain has also served as the chairmanship of a regional Federal Reserve bank. This is only one step below the chairmanship of the entire Federal Reserve System (the top banking position in the country). This position allowed him to see how monetary policy is made from the inside, and understand the political forces that impact the monetary system.Cain is also a writer and a speaker. He has also hosted a radio show on WSB in Atlanta (the largest talk radio station in the country).

Herman Cain says stop complaining and start working your way up. He leads by example, his father was a chauffeur and his mother was a maid. Yet he has risen to the top of several different fields. When you add up his accomplishments in his life, it is hard not to be humbled by his qualifications for presidency. If elected, I have no doubts he will return America to the top.

Update 10-17-11: Herman Cain joked with crowds in Tennessee that part of his policy would be to build an electrified fence on the Mexican border that could potentially kill anyone trying to enter the country illegally. "That's a joke, David," he told NBC's David Gregory on "Meet The Press." "That's not a serious plan."

Update 10-19-11: “Don’t blame Wall Street. Don’t blame the big banks. If you don’t have a job and you’re not rich, blame yourself.” Herman Cain

Update 11-1-11: Do you know how one can tell that Herman Cain is now considered a serious threat to win? The attack has started. Cain is the subject of reports that female employees at a restaurant trade association accused him of sexual harassment in the 1990s. Twenty years ago, Supreme Court Justice Thomas, an African-American, was accused similar allegations but was nonetheless still confirmed. Cain, like Thomas, was the victim of a “high-tech lynching” due to his conservative beliefs. Back in May, Cain predicted that liberals and Democrats would find a way to attack him because of his conservative views. He even mentioned Justice Thomas at that time. Washington Examiner. Regardless of the claim, let's face it, it was over 15 years ago. Furthermore, settlements of such claims are common regardless of the merits do to the cost of defense. This is not new news, so why bring it up now?

It serves to distract Cain, who was just starting to raise the money to be a true rival to former Massachusetts governor Mitt Romney. Furthermore, Cain was gaining in the polls. The Des Moines Register Iowa Poll of the 2012 election was released late Saturday, and Cain lead at 23 percent, while Romney is in a statistical tie at 22 percent. Ron Paul was at 12 percent, Rep. Michele Bachmann at 8 percent, Texas Gov. Rick Perry and former House speaker Newt Gingrich at 7 percent, and former senator Rick Santorum at 5 percent.

So why now? It's obvious. Because his opponents are scared!

Update 11-3-11:  Who cares that some coworkers made claims of sexual
harassment over 12 years ago. Anyone can make claims. If they had
any real substance, they would have pursued maximum
compensation in court.  They didn't.  Move on.
According to an Indiana poll, likely Republican voters in Marion
County said  they would vote for Herman Cain if the party’s presidential
primary  election were held today according to the WISH-TV/Franklin
College Poll. NO matter what, Cain sounds
so much better than the other choices...
Update 11-11-11:  I was asked if the sexual harrassment 

allegations affect electablity.  Well, even if true, the 

allegations aren't really that bad.  Furthermore, it is 

finally refreshing to find a politician in Washington 

who prefers women to little boys!

Are Jeremy Irwin and Deborah Bradley Being Scrutinized With A Critical Eye? Update 10-26-11

The parents of Lisa, Jeremy Irwin and Deborah Bradley better read our story about Kate and Jerry McCann. Their daughter was allegedly snatched and authorities turned a critical eye toward the parents. LINK. The McCanns learned the hard way that the parents of a missing child are always "person's of interest." Lisa, the daughter of Irwin and Bradley, was apparently snatched from her crib late Monday night or early Tuesday morning. The couple claim that some one took their daughter and all three of their cell phones. Yesterday, there was a claim by Kansas City police spokesman Steve Young that Jeremy Irwin and Deborah Bradley "stopped cooperating" with authorities. The couple had been working with police since the disappearance.

The parents countered with a statement read by Irwin's sister, "we have never stopped cooperating with police... We've been cooperative from day one, and we continue to assist the police with the investigation." Police appear to be troubled with the parents claim that the perpetrator also stole their cell phones. Police say they have no suspects. But in this day and age when cell phones can be traced, one suspects police know more than what they are letting the public know.
During the parents' news conference Thursday, Irwin and Bradley said they frantically searched their home for any sign of their daughter. They said they found an open window, an unlocked front door, lights in the house on. Later they discovered that their three cellphones were missing.

Authorities believe they have done everything reasonable to locate the child. Police "will continue tracking leads as we get them or develop additional information." In the meantime, police may have a hunch about something...

Update 10-8-11: The Deffenbaugh Industries Johnson County landfill, located about 23 miles from the Irwins' home has been searched twice with no positive results.

Update 10-13-11: Firefighters were lowered into a receptacle designed to hold rainwater and other liquid at an abandoned home about 5 blocks from where Lisa disappeared. The receptacle was subsequently drained with no results. Kansas City police continue to deny the rumor that the baby's mother, Deborah Bradley, is preparing to be charged in connection with the child's disappearance.

The baby's aunt, Ashley Irwin, complained to ABC News that she thought that it was "inevitable" that Bradley would be arrested because police were spending too much time focused on the family. foxnews.com

Video has surfaced which appears to show Deborah Bradley and perhaps another man buying baby wipes and wine perhaps five hours before Lisa disappeared. NBC LINK.

CNN COPY OF Surveillance Video & Clerk Interview.

 

IN OUR VIEW, ALL PERSONS OF INTEREST ARE PRESUMED INNOCENT AND SHOULD BE TREATED AS SUCH.

Update 10-14-11: Sources suggest that the man in the store video could be Deborah's brother. The family has offered a reward of $100,000 for Lisa's return.

Update 10-17-11: Deborah put Lisa down around 6:40 p.m. She apparently checked on her and she was standing in her crib so she tucked her back in. Then Deborah and a next-door-neighbor mom apparently shared some wine and chatted outside on the front stoop. Bradley told PEOPLE that she may have had more than five glasses of wine. Her friend left about 10:30 p.m., and later said that she saw the lights in the house go dark. But Bradley doesn't remember if she turned off the lights.

In subsequent developments, a man found a backpack containing diapers and baby wipes near a vacant home near the Irwin's residence. Soiled diapers were also found in a wooded area across the street from the house. The National Guard searched a wooded area previously searched. So far, no real leads as to Lisa Irwin's whereabouts.

Update 10-24-11: Surveillance footage of a mystery man may support the parents claim. "Good Morning America," has video that shows a man dressed in white leaving a wooded area, at 2:30 a.m. There may also be one or more witnesses who saw a suspicious man that night perhaps carrying a baby. (THE IDENTITY OF THIS MAN IS NOT KNOWN.)

Update 10-26-11: All searches to date have failed to reveal any real evidence. The parents and the authorities are all apparently puzzled. In the mean time, a prayer vigil was held for Lisa Irwin on Sunday according to family attorney Cyndy Short.

Update 6-20-13: Not much has transpired on this case as there remains more questions than answers.  Irwin said on Nov. 6, 2011, just over a month after his daughter disappeared, a fraudulent charge for $69.04 appeared on his debit card. The charge was made to a British website that advertised name-changing services. The website subsequently directed visitors to a stationary website. Irwin and his attorney, Joe Tacopina, were seeking answers to whether any of this was related to the disappearance. “The cache, the page that we caught in November, when looking at this, when we found the credit card company, was a website that actually advertised ‘change your child’s name.’ I saw that myself...  Our investigators have seen it, we’ve turned it over to the FBI,” Tacopina said.

Two other transactions were attempted on Irwin’s card, but were denied. The transaction may be a coincidence – or they could be related. Unfortunately, few answers have been discovered despite the investigation of KCPD detectives and the FBI. Despite over 1,700 tips, numerous sightings of Lisa that appear to have been false, law enforcement still do not know what happened to Lisa.

Anthony Garcia Promotes High Protein Snack Or Just Another Pervert?

Talk about disgusting food ideas. A supermarket and its employee maybe in trouble for providing samples of what was referred to as high protein "Greek Yoghurt." Allegedly, Anthony Garcia, an employee of Sunflower Markets in New Mexico, was arrested for providing a female shopper a yogurt sample tainted with his semen. The 29 year old victim reported the taste as "gross and disgusting" and spit it out onto the floor. She also apparently told police that it "tasted like semen." It is expected that Garcia, age 32, will plead guilty to federal charges stemming from the incident. However, unless he does plead guilty on October 6, 2011 in U.S. District Court, Garcia is to be presumed innocent.

Garcia faces two-count felony indictment charging him with adulterating food and lying to federal investigators. He initially plead not guilty. He is currently in jail without bail. He could serve up to a maximum of five years in prison on the false statements count and a maximum of three years for the yogurt. Garcia is represented by John Van Butcher. Albuquerque Police Department.

In the meantime, things look bad for Garcia. Subsequent DNA tests apparently confirm semen. Furthermore, Garcia has a history of legal problems. He apparently exposed himself and masturbated in 2001 police believe Garcia outside an apartment complex and LBJ Middle School. In 2004, he was arrested and convicted of walking around Walmart near Interstate 40 for a half hour, with his penis hanging out of his pants. Last year a female jogger accused Garcia of exposing himself. Garcia claimed he was urinating. Garcia is also accused of child molestation before he was hired by Sunflower.

Consequently, the incident may also trigger civil liability. A supermarket manager allegedly told the 29 year old victim that the sample "was a Greek yoghurt. People love it has lot of protein on it.” So far three women, including the 29 year old victim have sued for damages arising out of them allegedly being provided with semen-tainted food samples at Sunflower Markets. Sunflower Markets is founded by Michael Gilliland. Keep in mind, at this point these are merely allegations and nothing is proven until a court hears the case or accepts a plea. In the civil cases, liability is expressly denied unless otherwise proven.

All suspects are Presumed innocent unless otherwise proven in a court of law.