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Ten Things You Need To Think About BEFORE  You Have Foot Surgery. 1. You need to exhaust conservative treatment before you decide...

Saturday, March 10, 2018

Dr. Marten's Rometty Boot for women - Podiatrist Recommended

Dr. Marten's Rometty Boot for Women

Podiatrist Recommended




The Dr. Marten's Rometty boot is a great choice for many people who are having foot pain, but they are not an appropriate choice for every foot type and condition. What makes this boot excellent is that it has a thick, rigid and non-flexible sole that protects the foot joints from excessive motion, which means there will be less strain and stress on painful joints. Less motion means less inflammation, less swelling, less damage and significantly less foot pain. A rigid sole will also help slow the progression of bunions, hammertoes and osteoarthritic joint changes. 

The concept is counterintuitive, but the flexible and flimsy soled shoes are actually the shoes that are responsible for many foot injuries and they significantly increase strain on the knees, hips and lower back. In fact, the best way to get a stress fracture is to walk barefoot or wear "minimalist" shoes.  

You can add a thin heat-molded insert or a dress orthotic to the Dr. Marten's boot for better arch support. I also like that the boot has plenty of room to add a heel lift to help correct for any limb length discrepancy. It also has a wide toe box and fantastic rearfoot control. 

I highly recommend you try on these shoes at the store if at all possible so that you can ensure a proper fit. 


Recommended for patients with:
*Hallux Rigidus (no motion through the 1st toe joint)
*Hallux Limitus (limited range of motion through the 1st toe joint)
*Functional Hallux Limitus (limited range of motion through the 1st toe joint with full weight bearing)
*Osteoarthritis
*Mild possibly Moderate Bunions
*Mild to Moderate Hammertoes
*Mild Tailor's Bunion
*Mild to possibly Moderate Achilles Tendonitis
*Peroneal Tendonitis
*Posterior Tibial Tendonitis
*History of Lisfranc's Injury
*Plantar Fasciitis (heel pain) 
*Metatarsalgia
*Morton's Neuroma
*Capsulitis
*Plantar Plate Injuries
*History of Stress Fractures
*Ingrown Toenails
*Corns & Calluses
*Hypermobility
*Ligament Laxity
*Over-Pronation
*Ankle Instability
*Mild to Moderate Haglund's Deformity 

Not recommended for patients with: 
*Diabetics with a history of foot ulcerations
*Peripheral Arterial Disease (poor circulation)
*Peripheral Neuropathy (nerve damage) 
*Charcot Foot 
*Muscle Weakness
*Drop Foot 
*The Elderly
*Severe Haglund's Deformity
*Exostosis or "bump" on the top of the midfoot  
*Severe Bunions (as toe box may be too small) 

Check with your Podiatrist if you have these conditions:
*Rheumatoid Arthritis 
*Diabetes 

For more information, check out these articles:

Podiatrist top 10 recommendations to alleviate foot pain

Shoe recommendations for patients recovering from Lisfranc injuries



I hope that this was helpful!

Cathleen A. McCarthy

:)



Monday, February 26, 2018

Nike Air Monarch - Podiatrist's Recommendation.

Nike Air Monarch 

Podiatrist's Recommendation for Men's Exercise Shoe

The Nike Air Monarch is an excellent choice for a men's exercise shoe because it meets the four criteria for what a shoe must have to be comfortable and keep your more active with less chance of injury to your feet and ankles. The Nike Air Monarch is not appropriate for hiking on trails as you will need a trail hiking shoe, but the Nike Air Monarch is a perfect go-to shoe for general activities, walking and the gym. 

The 4 criteria needed for a shoe to be excellent are:

1. Thick, rigid and non-flexible sole. Any shoe with a flexible sole will allow too much motion through joints that may be compromised by underlying biomechanical foot issues, previous injuries and arthritic joint damage. It is counterintuitive but all shoes need to have rigid and non-flexible soles so as to protect the joints of the foot, which will then translate into less pain and joint damage. A rigid sole will also prevent the formation of bunions, hammertoes, tendon strain and osteoarthritis. 

2. Wide toe box. A wider toe box means less pressure on the toes, which will slow the progression of bunions, hammertoes, corns, ingrown toenails and even toenail fungus. In my opinion, it is impossible to get rid of toenail fungus if you are wearing tight-fitting shoes because it is injury (even microtrauma) to the toenails that is what allows the fungal spores to set up house in the nail bed. 

3. Rearfoot Control. Shoes that do not have rearfoot control force you to grip down your toes to stay in the shoe, which then promotes hammertoes, tendon strain as well as more strain on the knees, hips and lower back. If you have rearfoot issues such as Achilles tendonitis, Posterior Tibial or Peroneal tendonitis, it is very important that your shoes have rearfoot control because less motion gives the tendons a chance to heal. 

4. It can accommodate a custom-molded orthotic or a good over the counter insert for more arch support. Arch support will decrease strain on the ankles, knees, hips and lower back. It will also help decrease arthritic changes to the Lisfranc's joint and help support the joint for anyone who has had a previous injury to the Lisfranc's joint. 

This shoe is recommended for patients with:
*Plantar Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Posterior Tibial Tendonitis
*Peroneal Tendonitis
*History of previous Lisfranc's Injury
*Hallux Rigidus 
*Hallux Limitus
*Functional Hallux Limitus
*Osteoarthritis
*Morton's Neuroma
*Metatarsalgia
*Capsulitis
*Plantar Plate Injuries
*Hammertoes
*Mild to Moderate Bunions 
*Tailor's Bunions
*Corns & Calluses 
*Ingrown Toenails
*Over-Pronation
*Hypermobility & Ligament Laxity
*Ankle Instability 

This shoe is not recommended for patients with: 
*Charcot Foot
*Lymphedema
*Excessive Swelling

Check with your podiatrist if you have: 
*Rheumatoid Arthritis
*Diabetes
*History of Ulcerations 
*Drop Foot (this shoe should be able to accommodate a drop-foot plate or AFO, which is a custom-molded brace) 
*Peripheral Neuropathy (nerve damage) 
*Peripheral Arterial Disease (poor circulation) 

For more information, check these articles:

Top 10 things to alleviate foot pain today. 

Shoe recommendations for patients recovering from Lisfranc's Injuries. 



I hope this was helpful! 

Dr. Cathleen A. McCarthy 

:)

Saturday, February 10, 2018

Crocs Neria Pro Graphic Clog - Podiatrist Recommended Shoes

Podiatrist Recommended Shoe



Croc's Neria Pro Graphic Clog 


The Neria Pro Graphic Clog is a slip-resistant shoe that is a great choice for anyone who has to work long hours on concrete floors such as retail, medical or restaurant environments. However, this shoe is not the ideal choice for anyone works on uneven, rocky terrains. 

What makes this clog excellent is that it meets the four criteria needed to make a shoe comfortable:

1. It has a thick, rigid and non-flexible sole. For a shoe to be comfortable it must have a thick, rigid sole with no flexibility. If you are wearing a shoe with a flexible sole then you are allowing excessive motion through joints that may be arthritic, dysfunctional or painful. Motion through these joints will increase pain, injury and promote arthritic joint changes, which then leads to compensating gait patterns which then further aggravates your knees, hips and lower back strain. Flexible-soled shoes speed up the progression of bunions, hammertoes and degenerative joint changes.  

2. Wide toe box. A tight-fitting toe box promotes hammertoes, bunions, corns, ingrown toenails and even toenail fungus. If you are trying to get rid of toenail fungus I can promise you that if you are in tight-fitting shoes with flexible soles that you will never get rid of it. For you to effectively treat fungal nails, it is crucial that you wear shoes with rigid soles, wide toe box and rearfoot control because it is the injury (even micro-trauma) to toenails that allows the fungus to get into the nail and nail bed which is what promotes the infection. Always try to find shoes with a wide and soft toe box that protects the toenails from injury.  

3. Rearfoot Control. If you are wearing shoes without rearfoot control (such as flip-flops or mules) then you are forced to grip down your toes which promotes hammertoes and bunions. It also allows more motion through the rearfoot area which can set you up for Achilles tendon injuries, plantar fasciitis (heel pain) as well as knee, hip and lower back strain. 

4. Arch support. It's ideal if you can find a shoe with a removable insole so that you can replace it with your custom-molded orthotics or an excellent over-the-counter insert such as a full-length Powerstep. Even if you think that you have a high arch and don't need arch support, I always tell patients that bridges have arches and engineers still put struts under the bridges to decrease mechanical strain. Arch support helps prevent midfoot (Lisfranc's Joint) arthritic changes, plantar fasciitis (heel pain) as well as decrease knee, hip and lower back pain.  

This shoe is recommended for patients with:
*Plantar  Fasciitis (heel pain)
*Mild Achilles Tendonitis
*Mild Peroneal Tendonitis
*Mild Posterior Tibial Tendonitis
*Over-Pronation
*Hypermobility / Ligament Laxity
*Hallux Limitus
*Functional Hallux Limitus
*Hallux Rigidus
*Osteoarthritis
*Rheumatoid Arthritis
*Morton's Neuroma
*Capsulitis
*Metatarsalgia
*Plantar Plate Injuries
*Knee, Hip & Lower Back Issues 
*Mild Bunions
*Mild Hammertoes
*Corns & Calluses
*Mild Tailor's Bunions 
*Mild Ankle Instability

This shoe is not recommended for patients with: 
*Charcot Foot
*History of Foot Ulcerations
*Geriatrics
*Foot Drop
*Charcot Marie Tooth Disease 
*Bone Spurs (Exostosis) on the top of the midfoot (Lisfranc's Joint). 
*C-Shaped feet 
*Skew-foot
*Anyone with large "bumps" on their feet 


Check with your podiatrist before wearing this shoe if you have:
*Diabetes
*Peripheral Arterial Disease (poor circulation)
*Peripheral Neuropathy (nerve damage) 

* * *

For more information, please refer to my articles: 

Shoe recommendations for patients recovering from Lisfranc's joint injuries. 


Top 10 things to do to alleviate foot pain. 


* * *


Thank you for reading the blog and have a wonderful day!

Dr. Cathleen A. McCarthy 

:)









Sunday, December 10, 2017

Podiatrist's Review of Hoka Bondi 5 & Tor Summit.


Hoka One One 
Two Excellent Podiatrist Recommended Shoes




Hoka One One Bondi 5 Running Shoe




Hoka One One Tor Summit Waterproof Hiking Shoe

These two Hoka One One shoes are an excellent choice for most patients with finicky feet. What makes these two shoes so good are that they both meet the 4 criteria that a shoe needs to be comfortable:

1. A thick, rigid sole with no motion or flexibility. Less motion through painful or sore joints means less inflammation, less swelling and less damage to the joints. All of this translates into less pain! 

2. A wide toebox, which puts less pressure on toes which stops or slows the progression of bunions, hammertoes, ingrown toenails, corns. 

3. Rearfoot control. If you are walking in shoes without rearfoot control you are scrunching down your toes to stay in the shoe and that promotes hammertoes, bunions, tired leg syndrome as well as knee, hip and lower back discomfort. 

4. Arch support. Both of these shoes can accommodate custom-molded orthotics or a good over-the-counter arch supports, which helps prevent knee, hip and lower back discomfort as well as to and slow the progression of bunions, hammertoes, and tendonitis.  

These shoes are recommended for patients with:
*Plantar Fasciitis (heel pain)
*Mild to moderate bunions
*Hammertoes
*Morton's Neuromas
*Metatarsalgia
*Capsulitis
*Sesamoiditis
*Hallux Limitus
*Functional Hallux Limitus
*Hallux Rigidus
*Osteoarthritis
*Peroneal Tendonitis (wear with orthotics or arch support) 
*PT Tendonitis (wear with orthotics or arch support) 
*Mild Achilles Tendonitis
*History of Lisfranc's Injuries (wear with orthotics or arch support) 
*Plantar Plate Issues   


These shoes are not recommended for patients with:
*Diabetes with history of Ulcerations
*Charcot Foot
*Drop Foot 
*Severe Achilles Tendonitis (you need a shoe with less cushion and more stability - like a New Balance 928 or 1540)
*Not for Geriatric patients with muscle weakness, instability or severe balance issues (they need a lighter shoe with more stability such as New Balance 813 with velcro strapping).


Check with your podiatrist to see if these shoes are appropriate for you if you have: 
*Rheumatoid Arthritis
*Diabetes


For more information, please refer to these other articles:

Shoe recommendations for patients recovering from Lisfranc's injuries



I hope this was helpful! 

Dr. Cathleen McCarthy

:)



Saturday, November 18, 2017

Top 7 Podiatrist Recommended Bedroom Slippers.


Podiatrist Recommended 
Bedroom Slippers


Specialist Crocs (with no vents)

The Crocs Specialist is my "go to" bedroom slippers and they work for 90% of patients - and myself! I recommend that you wear the strap to the back for more rearfoot control. If you are walking in the house barefoot or wearing only socks or are in flimsy bedroom slippers, if you switch to wearing these Crocs as a bedroom slipper in the house, then you will have 30% improvement in foot, knee, hip and lower back pain within 3 weeks. Don't get the Specialists with vents because the sole is too flimsy and they are not nearly as good. They don't work as well if you have extremely narrow feet. 


Fleece-Lined Crocs

These fleece-lined Crocs are wonderful for anyone who has cold feet, Raynaud's syndrome, peripheral arterial disease or you simply just need more cushioning. They also work great for older people who need something easy to slide into and need to keep their feet warm. 

Orthofeet Diabetic Slippers

The Orthofeet Diabetic Slippers are my recommendation for older patients or anyone with back pain because you can slip into them without having to bend down and adjust any straps. 



Orthofeet Relax Slipper

This is another great choice for older patients or anyone with chronic back problems. What makes this slipper so excellent is that it has a rigid sole with excellent arch support and lots of cushioning. 



Aligning Comfy Toe Slippers 

These weird-looking slippers are excellent for anyone who has flexible hammertoes. These slippers help to resist soft tissue contraction of the tendons that are pulling the toes into the hammertoe deformity, which helps to slow the progression of hammertoes. They are not going to fix the hammertoes, but they will help slow down the progression of the deformity.  


Uggs

For those of you can't deal with the aesthetics of the Crocs, this is a great alternative for bedroom slippers. Especially if you have teenagers with challenged feet that need to wear better slippers in the house, this is a great "starter drug" to better shoe gear. 


Birkenstock Sandals

The Birk sandals are an excellent choice for anyone who has hallux limitus, functional hallux limitus, arthritis of the 1st toe joint or the Lisfranc's joint. I recommend that you go to a Birkenstock dealership in your area and be properly fitted for them. I highly recommend that you get the Birks with the rearfoot strapping as helps to biomechanically control the rearfoot. Without rearfoot strapping, you are gripping down your toes to stay in the Birks, which can promote hammertoes and mechanical strain to the tendons and joints. 


For more information, please refer to my other articles: 

Podiatrists top 10 recommendations for alleviating foot pain. 


Shoe Recommendations for Patients Recovering from Lisfranc's Injuries. 




I hope this was helpful and have a great day!

Dr. Cathleen A. McCarthy

:)






Monday, July 31, 2017

Podiatrist's Top 10 Recommendations to Alleviating Foot Pain!


Podiatrist Top 10 Recommendations 
to Alleviate Foot Pain

The Basics


1. Stop Walking Barefoot. This is absolutely crucial! We are living longer and we are living on concrete floors. It's your feet versus the concrete and the concrete is going to win. Walking barefoot leads to arthritic joint changes, degenerative joint disease, stress fractures, tendonitis, and promotes knee, hip and lower back pain (to name a few). If you do not stop walking barefoot, the foot pain will never resolve.

2. Stop walking around the house wearing only socks. Socks offer only minimal cushioning and they offer zero protection for your joints against the ravages of time and concrete floors. Socks are great for sleeping in or wearing with excellent shoes, but not walking in. The best socks to get are microfiber socks or any man-made fiber socks, which are far superior to cotton socks. 

3. Stop wearing flip-flops. Wearing flip-flops is better than walking barefoot, but not much. Even the 'best' flip-flops aren't good enough for your feet as they do not have the added protection of having rearfoot strapping, which I will discuss later in this article. 

4. Stop wearing flimsy bedroom slippers. Flimsy is bad. Ninety percent of slippers are flimsy and they offer only minimal protection for your foot joints. The world is full of flimsy shoes and bedroom slippers because that is what sells and that is what people think they need, but what actually feels much more comfortable and is better for your foot is to have a solid, supportive shoe with a thick, rigid and non-flexible sole. Like a firm mattress that has a cushioned top cover for more comfort, the same idea works with shoes. You need a firm, rigid sole (for more protection and support for your foot) and then it needs a cushioned top. 

5. As a bedroom slipper, I've listed your best options below. The only time that you should be barefoot and standing is when you are in the shower. I would recommend that you get a cushioned shower mat to stand while in the shower. As soon as you get out of the shower (or bath), step onto a thick, cushioned rug and, right after you dry yourself, immediately put on your bedroom slippers. If you get up to go to the bathroom in the middle of the night, step down directly into your slippers and then stand up and go to the bathroom. At our office, we treat a great deal of injuries that are caused by people walking barefoot between the bed and the bathroom in the middle of the night. Wearing a good slipper will prevent injuries as well as prevent falls for geriatric patients. 



Crocs Specialist (with no vents)
Don't purchase the Specialist Crocs that have the vents as they aren't as good. Crocs don't work as well for patients who have narrow feet because they tend to be wide. If you order these online, you need to order the next size up as they only come in full sizes. For instance, if you wear a size 7.5, then order an 8. If you wear a size 8, then order a 9. If your toes are touching the end of the Croc, then they are too small. If they feel too big, then that is the correct size. Remember, you have to be able to slip into them without fussing with the rear foot strap because you are using them as a bedroom slipper. They are only meant to be worn to get you from the bed to the bathroom and while you are puttering around in the morning. Once you are ready for your day, put on better shoes, such as the New Balance choices listed below.

***




Fleece Crocs
The fleece Crocs are a great choice if you live in a cold environment or if your feet tend to be cold. If you have severe athlete's foot or sweaty feet, this may not be your best choice. 

***



Orthofeet Diabetic Slippers 
This is my favorite choice for geriatric patients because they can slip into it easily and it offers great stability. It only has minimal rearfoot control, but the sole is extremely supportive. If Crocs don't work for you, this is an excellent choice.  

***



Orthoheel Vionix Relax Slippers
This is another great choice for geriatric patients. It is easy to slip into and the sole is supportive and it has excellent arch support. 

***



Birkenstock Sandals
For patients who don't like to wear enclosed shoes, the Birkenstock sandal is a good choice. Also, if you have sweaty feet, hot feet or chronic athlete's foot infections, the Birkenstock sandals is an excellent choice.


6. Wear only excellent shoes! This doesn't mean that you have to spend a fortune on shoes. This only means that you have to know what you are looking for when shopping for new shoes. For a shoe to be good enough for your feet, they must meet these three criteria, which are listed below:

7. Only wear shoes that have a thick, rigid and non-flexible sole. This concept is counterintuitive, but extremely important. If you are wearing a shoe that is flimsy and flexible, then you are allowing too much motion through your foot joints, which causes joint damage such as osteoarthritis and degenerative joint changes as well as stress fractures, tendinitis, and mechanical strain. For example, if you are recovering from a Lisfranc's Injury and you have just gotten out of a below-the-knee walking boot, then the last thing you want to do is wear a flexible shoe that re-aggravates the injury. You have to continue to protect your foot with a thick, rigid sole that never allows motion through the injured joint. And, yes, that is for the rest of your life. 

8. Only wear shoes with a wide toe-box. Pointy-toed shoes cause constant pressure and irritation to the toes, which causes bunions, hammertoes, ingrown toenails, corns, Morton's Neuroma's, and joint damage. It is important that you wear shoes with a wide and preferably soft toe box.   

9. Only wear shoes with rearfoot control. The reason why flip-flops don't work for anyone is that, without rearfoot strapping, then you are forced to scrunch down your toes to stay in the flip-flop, which causes more mechanical strain on your tendons, ligaments, and joints. It also increases your risk of injury as well as strain to your knees, hips and lower back. 

10. Wear arch support. Even if you think that you don't need arch support, the analogy I use is that bridges have arches and engineers put struts under bridges to help decrease stress and strain. Unless you are one of the ten percent of people who cannot tolerate arch support, then I would recommend trying either custom-molded orthotics or at least an excellent over-the-counter insert. Talk to your podiatrist about getting orthotics. Also, most podiatrist offices carry excellent over-the-counter inserts that are much less expensive and quite effective. The over-the-counter insert I recommend is Powersteps, which I've listed below. 


Powerstep Inserts



Best Shoe Choices:


Women's New Balance 928
The NB 928 is an excellent choice for anyone with foot pain. I always recommend that you go to the New Balance store to try them on and get properly measured. Try to go shopping after 2pm when your foot is a little more swollen and ask the store personel to measure your feet. If there is any pressure on your toes, go up a half size or width. Before you purchase the shoe, double check and make sure that the forefoot sole is not bending or flexing! Ten percent of shoes can be defective, poorly made or broken. Do not buy any shoes that have a sole that is bending or flexing. It's a waste of time, money and it defeats the purpose.



Women's New Balance 1540
If the NB 928 is not to your liking, the NB 1540 is a great second choice. It's not as good as the NB 928, but it is still better than anything else that I've found in the stores.




Women's Hoka One One Stinson ATR
This is a great choice for anyone with plantar fasciitis as it has amazing extra cushioning for the foot. Be aware that the toe box tends to run narrow. 



Remember, if your foot hurts then follow up with your local podiatrist for x-rays and a full evaluation. Avoid surgery and pursue conservative treatment first. 

Have a great day!

Dr. Cathleen A. McCarthy 

:)








Saturday, June 17, 2017

Cole Haans ZeroGrand CrissCross - Podiatry Recommended Women's Sandal.

Cole Haan ZeroGrand Crisscross

Podiatry Recommended Women's Sandals


The Cole Haan ZeroGrand CrissCross is an excellent choice for many foot types. What makes the shoe so good is that it meets three of the four criteria for what you need in an excellent shoe. 

First, it has a thick, rigid and non-flexible sole, which helps to prevent the progression of bunions, hammertoes, osteoarthritis, and degenerative changes to joints and tendons. By wearing a rigid-soled shoe you are stopping motion through joints that would otherwise be painful. Less motion through foot joints means less pain, less inflammation, and less swelling. The concept is counterintuitive, but it works. 

Second, the sandal has a wide toebox that is crucial for prevention of bunions, hammertoes, corns, blisters and will even help to prevent ingrown toenails and toenail fungus. 

Third, the sandal has a strap for rearfoot control, which helps to prevent stress and strain on tendons, ligaments, and joints. When you wear flip flops or any shoes that don't have rearfoot control, you are forced to scrunch down your toes to stay in the shoe, which promotes hammertoes and also causes more strain on the knees, hips and lower back. 

The fourth thing required to have an excellent shoe is arch support. In my opinion, arch support is actually the least important part of a shoe. Don't get me wrong, having proper arch support is optimal, but it is more important to have a rigid-soled shoe, wide toebox and rearfoot control. 

This sandal is recommended for patients with:
*Hallux Limitus (limited motion through the 1st toe joint when you are not weight-bearing)
*Functional Hallux Limitus (limited range of motion through the 1st toe joint while you are weight-bearing) 
*Hallux Rigidus (no motion through the 1st toe joint)
*Mild Osteoarthritis 
*Mild to Moderate Bunions
*Hammertoes
*Ingrown Toenails
*Morton's Neuroma
*Plantar Plate Issues
*Metatarsalgia
*Tailor's Bunions
*Mild Tendonitis
*Plantar Fasciitis (Heel Pain)
*Mild Achilles Tendonitis
*Recovered from previous Mild Lisfranc's Injuries 
*Mild Over-Pronation
*Mild to Moderate Hypermobility (Ligament Laxity)

This sandal is not recommended for patients with:
*Moderate to Severe Rheumatoid Arthritis (you need more cushioning)
*Diabetes
*Peripheral Arterial Disease (Poor Circulation)
*Peripheral Neuropathy (Nerve Damage)
*Lymphedema
*Charcot Foot
*History of Foot Ulcerations
*Geriatrics
*Drop Foot

Check with you podiatrist if you have any of these conditions before you wear this sandal: 
*Moderate to Severe Osteoarthritis
*Rheumatoid Arthritis 
*Recovering from Moderate to Severe Lisfranc's Injuries
*Ankle Instability
*History of Posterior Tibial Tendonitis

For more information on proper shoe gear, please refer to my other articles on this blog:

Shoe recommendations for patients recovering from Lisfranc's Injuries.

My feet hurt! Top 10 things to do to alliviate foot pain today.



I hope that this was helpful!

Have a wonderful day,

Dr. Cathleen A. McCarthy

:)