European Stars And Stripes (Newspaper) - September 26, 1986, Darmstadt, Hesse                                Friday september 26, 1986 the stars and stripes Page 9 he Fries to get is off on the right foot sa5 Polo by to Acy Baker cup. Arthur Slu Debaker. Feel arc ols main form of locomotion Syjud Sarasohn medical writer Frankfurt army capt. Arthur study Baker acknowledges i Iii he tends to see the whole world As feet. But somebody has 10 toot oui for the fool Soldier. Study Baker is a podiatrist a specialist in the care and treatment of feet you can count the number of military podiatrists in Europe on one Well fool. There arc two army podiatrists study Baker is based at the Frankfurt army regional medical Cen Ter and capt. Kent Karl Cutter is at the Landsi Uhl army regional medical Center. The two air Force podiatrists arc at Wiesbaden regional medical Cen Ter and inc air Force Hospital at Raf Lakin Heath England. There Are none in the Navy in Europe. When a Soldier family member or defense department civilian does t have Access to a podiatrist he sometimes can take his foot problems to an Ortho Peist or other doctor. Often he problems Are Only suffered study Baker said. Many Guys think nothing can be done he said. Study Baker who also handles foot problems in Italy on a temporary duty basis believes the army could easily use at least 10 podiatrists in Europe. If you look at the feet. It s the soldiers main form of locomotion. We re not All going to be Riding in Abrams tanks study Baker said. I look at podiatry As a strategic resource for inc army. Fool problems really do greatly affect our  he said. If the balloon went up How Many people Are we carrying on paper. Who really could gel out there am keep moving for More than a Day Sluda Baker arrived at Frankfurt last summer about a month after his predecessor had left. The army Hospital in Nuernberg also lost its podiatrist position last year. There was a backlog of about 400 clinic patients and 150 surgeries. People could t get appointments for up to two and a half months. After what Hui called a grueling summer and fall session last year Slu Debaker now has wailing time Down to two to two and a half weeks. He performs two to Ihrck surgeries a week on the one Day he is scheduled for operating room Lime. His time comes out of the schedule for the orthopaedics department which includes podiatry. I m Lucky to have As much surgical Lime he said. Sluda Bacr s Calendar for foot surgeries is filled through dec. 10. His other Lime is taken up with clinic visits and temporary duty assignments to Nuernberg and Vincnza Italy on a regular basis and Berlin when possible. If anyone wanted their foot fird right now they d have to Wail until 14 january he said. While bunions and corns Are not among the Glam Orous medical problems they re serious to the people who i nip along with them. The surgical removal of a bunion requires four to six months of follow up care study Baker said. He also Straightens toes removes growths and cares for ingrown toenails. He does t have Lime generally for ankle problems which arc treated by other health care providers. Contrary to popular belief Flat feel Are not necessarily a painful ohs act to soldiering Slu Debaker said. A very High Arch can cause More problems than a very Low Arch he said. The foot is a unique thing. It has its own set of problems study Baker said. The Bones in your body that have the most pressure on them arc the fool Bones. They have the entire weight of the body on  doctors should report some drug abusers am a says new York a doctors who discover that their patients threaten pub Lic safety because of drug abuse or other problems should set aside doctor patient confidentiality and Tell authorities the american medical association says. A doctor otherwise could be held legally liable for any harm thai results said . And non Ama associate general counsel. The Pittsburgh press reported sunday that at least 23 airline Crew members including a Pilot near death from a co Caine overdose had been treated Al Pitts Burgh hospitals for medical crises related to drug abuse. Hospital officials said confidentiality Laws prevented them from reporting inc drug abuse. Anderson said that while chemical abuse programs that get Federal Money Are prohibited from revealing the names of participants the Legal ban docs not extend to medical treatment outside such programs. But Lou Cable spokesman for the Hospital association of Pennsylvania said a 1972 slate Law forbids such disclosure even outside formal rehabilitation programs. That puts medical people in a difficult spot in cases like those of inc airline workers he said. If they Don t disclose names there s a possibility for catastrophe. If they do Tell somebody they re liable to be sued or prosecuted he said. Some Way should be found to Lei med ical people report such cases without it coming Back and Biling them he said. Normally the Ama s Anderson said doctor have an ethical obligation 10 keep medical information about their patients confidential. But physicians recognize the moral obligation under certain circumstance to report because of the overriding consideration for Public safety Anderson said. Neither the Issue nor the problem of drug abuse in positions crucial for Public safety is new she said. The Ama s Council on ethical and judicial affairs has stated the obligation to safeguard patient Confidence is subject to certain exceptions which Are ethically and legally justified because of overriding social  Anderson said doctors who know about a patient problem thai could Lead to injury on the part of Large numbers of people like people who Fly in air planes could be held liable for resulting harm if they Don t Tell authorities or the airline about it. She cited a 1976 ruling by the califor Nia supreme court known As the Tara soft decision. The Case concerned a College student who told his Campus mental health therapist that he intended to kill his girl Friend whom he named. The school was later held liable when the Young Man killed her. Carol Levine of the Hastings Center in Hastings on Hudson n.y., which stud ies medical ethics said she believes Doc tors should try to gel patients to solve the problem voluntarily before reporting names to employers. I think that doctors have an Obliga Tion to talk to the patients she said. It s inc patient s responsibility first la do the things thai will protect  she said n doctor could recommend that a drug abusing Pilot gel off Active duty and enter treatment. But if thai does t work she said then i do think there is an exception to confidentiality that May come into play because other people s safely is at  the doctor could inform the medical department of the patient s complo or she said after having warned the patient that would happen if the patient does t act on his own. They should know they can t get away with this forever she said. Believed to be world s youngest week old infant receives heart transplant st. Louis up a week old infant became whal is believed to be the world s youngest heart trans Plant recipient wednesday in an operation thai lasted More than nine hours at Cardinal Glennon children s Hospital. The 7-Pound, 3-ounce baby was born to a st. Louis area couple sept. 17. The child whose identity and even be were withheld was full term but developed cardiac problems soon after birth Hospital spokesman Joe Constantino said. Doctors determined the infant had birth defects thai caused deterioration in its condition and a search was. Begun for a heart donor. It s one of the youngest transplant patients if not the youngest Constantino said. You can t gel much  a potential donor a j Nonell old who had suffered severe brain trauma was found tuesday in Knoxville Tenn. The boy Jeffrey Pobanz jr., was declared brain dead but his circulation and breathing were supported by artificial Means because his parents decided to offer his organs for transplant Constantino said. Jeffrey and Lois Pobanz accompanied their baby whom they called rider to is. Louts sitting next to his incubator during the two hour trip in a donated Pri vate Jel. We could t Bear the thought of sending him off by himself said Lois Pobanz 32. We wanted 10 come with him. He came into the world with me and j wanted to be there when he went out. Thai s nol rider s heart now. Its thai Little boys she added. Rider is  the Pobanz baby suffered a head injury when he was thrown from his child restrain seat in an Accident sunday near Newport Tenn. Lois Pobanz said her son s liver also was to be used for transplant into a Little girl in Minneapolis. The parents said they did nol meet the recipient s parents but someday they would like to. A team of surgeons from Cardinal Glennon and from the University Hospital which is affiliated with st. Louis University performed the heart transplant. The infant was listed in critical condition after the surgery As is common after transplants Constantino said. Hollie Roffey. 10 Days old from Kent England received the bean of a 3-Day-old dutch baby at Lon Don s National heart Hospital on july 30, 1984. She had a secondary operation two Days later for a Perfo rated Bowel and died aug. 17, 1984, after suffering breathing problems