Podcasts about diabetic foot care

With nearly 40 years of medical experience, I often encounter questions about sugar consumption. My consistent advice is to avoid sweets and focus on managing blood sugar levels, as poor glycemic control can weaken the overall immune system and may trigger infections & other chronic complications. Basal bolus therapy is the best insulin regimen, specially for type 1DM. It involves taking prandial insulin three times daily with meals and administering basal insulin once or twice daily, depending on individual needs. The dose is typically calculated based on body weight and blood glucose readings. Using Continuous Glucose Monitors (CGMs) helps track blood sugar fluctuations. Uncontrolled blood sugar can lead to serious complications affecting various organs, including the eyes, kidneys, heart, brain and nerves. Diabetic neuropathy, often referred to as "dry skin syndrome," can cause significant discomfort and pain, including symptoms like burning feet numbness, tingling, insensitive feet etc. Managing blood sugar is crucial in preventing neuropathy. Deficiencies of vitamins like D3 and B12 may experience symptoms of sensory neuropathy. Medications like pregabalin or gabapentin if prescribed by certified registered practitioner can provide relief for neuropathic pain. Recorded on: 13.09.2024 Recorded at: Akashwani Nagpur Anchor : Purva Kulkarni Speaker : Dr. Sunil Gupta

In this episode of LymphCast, we delve into the complexities of diabetic foot care with leading specialists. Join us as we explore effective treatments, the importance of early detection, and holistic approaches to managing diabetes-related complications. Don't forget to like, share, and subscribe for more health insights!

In this bonus episode of Dean's Chat, Dr. Jensen discusses the upcoming Global Podiatry Summit (GPS) in Reykjavik, Iceland with his guests, Dr. Pauline Wilson and Dr. Lee Rogers. They talk about the International Federation of Podiatrists, the host of the summit, and the importance of the event. Dr. Rogers shares his love for sci-fi and his unique robe from Star Trek. They also discuss their daily routines and the various tasks they handle as podiatrists. Tune in to hear all the details about this exciting summit! The Global Podiatry Summit (GPS) is March 3-6 and 20 continuing medical education credits are available! Dr. Wilson is a practicing podiatrist in Dublin, Ireland, and recently received her PhD in Wound Care and Diabetic Foot Care highlighting factors contributing to diabetic foot ulceration. She is also the Acting Secretary General for the International Federation of Podiatrists (IFP)  Dr. Rogers is the Treasurer for the International Federation of Podiatrists and played a significant role in planning the Global Podiatry Summit (GPS). Originally the Global Podiatry Summit was to take place in Jerusalem but the recent Middle East crisis necessitated relocation.  The Global Podiatry Summit is a valuable opportunity for podiatrists to learn from each other and understand different ways of thinking and practicing around the world. The summit brings together podiatrists from various countries, allowing them to share their knowledge and experiences in a collaborative environment. Podiatrists often work within their local areas or countries, which can lead to insularity in their practice. However, attending an event like the Global Podiatry Summit provides a chance to break out of this insularity and gain a broader perspective on podiatry. It allows podiatrists to learn from their colleagues around the world and discover different approaches to patient care. This episode emphasizes the importance of the global community of podiatrists and the value of learning from each other. They highlighted the concept of a "community of practice" in podiatry, where practitioners work towards a common goal of providing foot and ankle care but may have slightly different ways of working. By attending the summit, podiatrists can expand their knowledge and skills by learning from the diverse practices and experiences of their colleagues. The Global Podiatry Summit also offers opportunities for professional development and networking. It provides a platform for podiatrists to discuss and collaborate on research projects, as well as to explore new ways to advance the profession. The doctors mentioned the collaborative work they have done in the past, such as producing a document on global standards for diabetic foot disease, which was made possible through the connections and networks formed at international events like the summit. Additionally, the summit is not just limited to scientific knowledge and professional development. It also includes cultural activities and opportunities to explore the host country. In the case of the upcoming summit in Reykjavik, Iceland, participants can experience the unique Icelandic culture and natural wonders, such as the possibility of seeing the Northern Lights. Join us in Iceland – a country on everyone's Bucket List!   https://explorepodmed.org/ Dean's Chat Website Dean's Chat Episodes Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician  

Cass Health's new podiatry provider Dr. Michael Egertsen joins us to talk about diabetic foot care. A native of Laurens, Iowa, Dr. Egertsen shares with us his background, stories of his time at the VA in Baltimore, Maryland and Washington, D.C., and how Cass Health led him back to Iowa. Dr. Egertsen also talked with us about:Red flags for diabetic patients to watch out forThe importance of good gear like socks and shoesProper foot care practicesLots of tips and tricksand learn more about Dr. Egertsen too! 

Join us in this compelling episode of "Life of Flow" as we delve into the world of vascular medicine with renowned experts, Dr. Andrea Casini and Dr. Giacomo Clerici. In "7 Years of Italian Arterializations," you'll witness their groundbreaking work and learn about their innovative techniques, challenges, and the impact they've made on the field. Patient stories, the future of vascular medicine, and their inspiring journeys await in this illuminating discussion. Discover the transformational power of arterialization and their unwavering commitment to medical innovation. Follow Life of Flow on Instagram Follow Life of Flow on Twitter Follow Dr. Miguel Montero-Baker on TwitterAbout Dr. Andrea Casini: Dr. Andrea Casini graduated in Medicine and Surgery in 1996 from the University of Milan with a specialization in Vascular Surgery.  Formerly, he served as the Head of the Vascular Surgery Division at the Center for the Care of Diabetic Foot at the Humanitas Gavazzeni Hospital in Bergamo. Today, he is the Director of the Vascular Surgery Unit at the San Carlo Clinic in Paderno Dugnano. His primary areas of interest include Carotid Surgery, Abdominal Aortic Surgery, and the treatment of diabetic foot conditions. He also has experience in endovascular treatment of arterial diseases, aneurysms, and carotid stenoses. Currently, he is a member of the Administrative Council of the IRCCS Carlo Besta Neurological Institute in Milan and CERISMAS - the Center for Research and Studies in Healthcare Management for Innovation in Healthcare Management Systems. Dr. Andrea Casini is also very active in producing scientific articles and texts, with his work appearing in prestigious medical journals. He has made numerous contributions during international conferences, particularly on the topic of diabetic foot care. About Dr. Giacomo Clerici: Dr. Cerici is a Graduate in Medicine and Surgery from the University of Pavia, specializing in Internal Medicine, with specialized training in Diabetic Foot Care. He was formerly affiliated with the Italian Diabetes Associations, SID, AMD, and The European Diabetic Foot Study Group (DFS) of EASD and is an accomplished author with numerous publications, including papers and chapters in international journals and books dedicated to Diabetic Foot Problems.  Dr. Clerici is actively involved in organizing several international wound care and Diabetic Foot (DF) meetings, such as WOUNDS at VEITHsymposium in the United States (www.veitsymposium.org), the Multidisciplinary International Limb and Amputation Prevention Conference (MILAN) in Europe, and the WINTER/SUMMER school of Diabetic Foot Surgery in Milan. He previously served as a co-program director of iLegx (www.ilegx.com). Currently, he holds the position of coordinator for diabetic foot centers in Italy.

My guest has been practicing Podiatric Medicine with an emphasis on foot biomechanics for 30 years. He is a podiatrist in private practice in Hollywood, Florida.Affectionally known as Doc Rick, graduated from the New York College of Podiatric Medicine in 1986 and completed his surgical residency at the New York College of Podiatric Medicine and Affiliated Hospitals in 1987. His professional affiliations include the American Podiatric Medical Association, Florida Podiatric Medical Association, Broward County Podiatric Medical Association and The American Academy of Anti-Aging Medicine (A4M).”Doc Rick's practice incorporates a “holistic” model that emphasizes a more natural way to treat foot problems. This approach has fewer side effects for patients and enhanced benefits for the entire body. His philosophy and lifestyle protocol, “Start with Your Feet,” has been well received by his patients.https://www.startwithyourfeet.com/http://www.yourlotandparcel.org

Dean's Chat is providing bonus episodes interviewing students from the Schools and Colleges of Podiatric Medicine. This week we are joined by three students from the Arizona College of Podiatric Medicine (AZCPM); Stephen Facer, Elijah Goeglein, and Remi Drake. Stephen and Elijah are representing the Class of 2025, Remi is representing the Class of 2026. All represent the American Podiatric Medical Students Association (APMSA) within AZCPM. Join our discussion on the podiatric journey our students are embarking on at the various schools.  Students share their path on discovering podiatric medicine, to applying to what is now eleven schools and colleges of podiatric medicine, to the first and second year of didactics, Boards Part 1 and 2, and clinical experiences and opportunities. We discuss the research opportunities at the Arizona College of Podiatric Medicine, including the Student Initiated Research Scholarships in 1) Podiatric Surgery, 2) Biomechanics and Sports Medicine, 3) Innovations in Podiatric Medicine, 4) Diabetic Foot Care, and 5) Wound Care. Enjoy the discussion with future leaders in our great profession!  The students discuss how the first two years of the podiatry program at the Arizona College of Podiatric Medicine are challenging. However, they also mention that by getting involved and connecting with others, students will discover more enjoyable times and opportunities beyond these initial two years. The students emphasize the significance of building connections and meeting different people, as it can open doors and lead to opportunities in the field of podiatry.  Stephen shares his perspective on getting connected with classmates, finding study partners, and making friends to socialize with after class. He emphasizes the importance of involvement in the class and at the school, mentioning the amazing faculty and opportunities such as APMSA (American Podiatric Medical Students' Association) and various clubs. He believes that solely burying oneself in books and focusing solely on the curriculum for the first two years is not the best approach. Instead, he suggests that by engaging with others and getting involved, students will have a more enjoyable time, meet different people, and have doors open for them in terms of opportunities after the initial two years.  Eli, another student, echoes this sentiment, stating that students should be prepared to work hard as the curriculum is intense but also a lot of fun. He highlights the small class size in podiatry, which fosters a close-knit and supportive community.  Dr. Jensen and the students discuss the transformative opportunities that medicine can provide to make life-changing differences in people's lives. Dr. Jensen emphasizes that prospective students should carefully consider if this is the right field for them. He highlights the profound impact they can have on someone's life by diagnosing and helping them with their condition. Dr. Jensen stresses the importance of understanding the potential impact students can make and suggests that prospective students should thoroughly explore what medicine can offer in terms of positively impacting others. Overall, the episode emphasizes the transformative potential of medicine and encourages prospective students to consider if they have a genuine interest in making life-changing differences in people's lives. https://www.midwestern.edu/glendale-az-campus-catalog/arizona-college-of-podiatric-medicine Dean's Chat Website  Dean's Chat Episodes  Dean's Chat Blog Why Podiatric Medicine?  Become a Podiatric Physician

In this episode as Dr. Armstrong sheds light on the connections between diabetes, neuropathy, foot ulcers, and the critical risk factors for developing these conditions and how “knocking your socks off” can reduce the risk of foot amputations. Dr. Armstrong is Professor of Surgery at Keck School of Medicine of USC. He is the leading clinical researcher in the world of limb preservation. He and his team are dedicated to eliminating amputation in people with diabetes over the next generation. “Pain is the gift that no one wants.” In This Episode You Will Learn  Diabetes Relationship to Feet How Diabetes Cause Foot Problems Key Steps for Diabetics to Avoid Foot Problems How to Begin to Protect Your Feet Diabetic Complication Differences Between Men and Women  Connect with Yumlish: Website Instagram Twitter Facebook LinkedIn YouTube Connect with Dr. David Armstrong: Website Instagram Facebook  Twitter LinkedIn Wikipedia Page --- Send in a voice message: https://podcasters.spotify.com/pod/show/yumlish/message

Thank you, Connecting Polk County Land! Six months in, we've hit our twentieth episode! It's been quite a ride and a whole lot of fun! In episode, we chat with newcomer Mike Hanley with Alps Pharmacy in Springfield. Even though Mike is coming to us from Greene County, he and his pharmacy have formed a very important partnership with the Polk County Health Center and the Polk County Senior Tax Board to provide diabetic shoes to senior citizens! If you are a senior who suffers with diabetes or care for one, you aren't going to want to miss this very important episode! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/connectingpolkcounty/support

Caring for your feet seems pretty intuitive, right? BUT when you are diagnosed with diabetes you also develop the risk for diabetic neuropathy. This increases a patients risks for poor foot health and complications such as ulcers, ischemia, poor healing, and infections. We need to properly education patients on how to care for their feet, and I talk through ALL the education. Let's Review!

This is the uncut interview with Kellie Rodriguez of Parkland Health & Hospital system on taking care of your feet if you have diabetes. See acast.com/privacy for privacy and opt-out information.

What to expect after amputation surgery and useful tips to get on the road back to mobility with a new prosthesis. Series: "Orthopaedic Trauma Institute (OTI) Functional Limb Service Tutorial Video Series" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 34259]

What to expect after amputation surgery and useful tips to get on the road back to mobility with a new prosthesis. Series: "Orthopaedic Trauma Institute (OTI) Functional Limb Service Tutorial Video Series" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 34259]

What to expect after amputation surgery and useful tips to get on the road back to mobility with a new prosthesis. Series: "Orthopaedic Trauma Institute (OTI) Functional Limb Service Tutorial Video Series" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 34259]

What to expect after amputation surgery and useful tips to get on the road back to mobility with a new prosthesis. Series: "Orthopaedic Trauma Institute (OTI) Functional Limb Service Tutorial Video Series" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 34259]

What to expect after amputation surgery and useful tips to get on the road back to mobility with a new prosthesis. Series: "Orthopaedic Trauma Institute (OTI) Functional Limb Service Tutorial Video Series" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 34259]

What to expect after amputation surgery and useful tips to get on the road back to mobility with a new prosthesis. Series: "Orthopaedic Trauma Institute (OTI) Functional Limb Service Tutorial Video Series" [Health and Medicine] [Education] [Professional Medical Education] [Show ID: 34259]

Serious diabetic foot sores used to require major surgery, including amputation. Dr. Tammer Elmarsafi discusses how vacuum-assisted wound closure devices can help diabetes patients heal faster and avoid amputation.   TRANSCRIPT Intro: MedStar Washington Hospital Center presents Medical Intel where our healthcare team shares health and wellness insights and gives you the inside story on advances in medicine. Host: Thanks for joining us today. We’re talking to Dr. Tammer Elmarsafi, a podiatric surgeon at MedStar Washington Hospital Center. Welcome, Dr. Elmarsafi.   Dr. Elmarsafi: Thank you so much for having me. Host: Tell us a little bit about yourself. Why did you go into medicine and how did you come to practice at MedStar Washington Hospital Center? Dr. Elmarsafi: As far back as I can remember, I’m the quintessential geek. I always loved biology and chemistry, and then one day, when I was in high school, I joined my local first aid and rescue squad, and when I became an emergency medical technician I realized it wasn’t the sciences that I loved so much; it was the patient interaction, and that really sparked the whole trend for my future career. I knew that I was going to be a doctor and I did everything I can to get to where I am today. Host: Today, we’re talking about how negative pressure wound therapy can help heal diabetic foot ulcers. Dr. Elmarsafi, negative pressure wound therapy often is referred to as vacuum therapy. How does this treatment work and is it really like a vacuum? Dr. Elmarsafi: That’s a wonderful question, and it’s probably the most famous question that I get from patients. When I explain that, we’re going to put a dressing on that’s connected to a tube connected to a machine that acts like a vacuum, the first thing that they say is, “You’re putting a vacuum on me?”  And, ultimately, when you break it down it truly is a simple vacuum, but it’s much more complicated than that. It’s very sophisticated. The technology is not all that new. It’s been around for quite some time and it’s been robustly researched.  A negative pressure wound therapy is a medical device that is designed to clean wounds and at the same time provide some wounds that are very deep, allow the patient the opportunity to fill in their wounds with this vacuum. The vacuum allows the tissue to be stimulated in such a way that the patient can begin to, what we call, granulate in, and it works. It works very well.   Host: What do you mean by granulate in? Dr. Elmarsafi: That’s a term that we often use to describe new tissue growth. So, the patient has a big wound, and let’s say that it’s very deep, when we attempt to heal these wounds, the one thing that is very difficult to get is the depth to decrease. We want the wound to become more and more shallow so that the skin can grow over it, and then it becomes like a normal-looking site. Granulating in essentially means that the wound is filling in and is becoming more shallow, and negative pressure wound therapy is a device that essentially does that.      Host: What would be a reason that an individual would have a deep wound, or what are some of the most common causes of those wounds that you treat? Dr. Elmarsafi: For the lower extremity, by far, the number one thing that we see are diabetic foot infections. The complications of diabetes and peripheral arterial disease culminate in a long downstream effect of risk that results in ulcerations to the foot. Additionally, there are lots of other things that also lead to ulceration, like venous stasis ulcers, and then there are surgical wounds as well, patients that have had cancers removed from their extremities, and ultimately, they are left with these large deficits, these large wounds that now need to heal. Host: So, when you say ulcer, you’re not talking about the same type of ulcer that people probably have heard about in the intestines. You’re talking about a superficial, a wound on the skin. Dr. Elmarsafi: That’s right. An ulcer in the lower extremity is basically a break in the skin, but it goes much deeper than that, and it’s basically a crater in which can be very small. It can be on the tip of a toe, for example, but can be as large as a deficit that takes up the entire heel, and then we see much larger wounds as well.    Host: What is it about the nature of diabetes that causes individuals to develop these wounds on their feet? You wouldn’t necessarily associate the foot with the pancreas or other body parts associated with diabetes. Dr. Elmarsafi: It’s a very interesting disease. Diabetes, we don’t use the words epidemic and pandemic for chronic diseases, but it’s a disease process that’s very prevalent and is, despite a lot of emphasis on disease screening and prevention, and lots of research dollars being put into designing new therapies and genomics to understand our patient population better. Despite this, diabetes has a natural course. Patients that have diabetes, whether it’s type 1 or type 2, over the years, do develop lots of consequences. The most common that we identify are cardiovascular risks--increased risk for heart attack, increased risk for stroke, increased risk for kidney disease and blindness, but the reality is that it affects everything in the human body, and that also includes the vessels in the lower extremity and also includes the nerves. And, so a patient that does not have good sensation in their feet, if they were to step on a nail, for example, they would not know, they wouldn’t feel it, and therefore there would be a delay in care.  We call this neuropathy. Diabetic peripheral neuropathy is a big problem, and it’s the first downstream effect of diabetes that puts patients at risk.           Host: So, wound VAC therapy, or the negative pressure wound therapy, why is this such an effective treatment for diabetic foot ulcers? Dr. Elmarsafi:  The simple negative pressure wound therapy device that we described earlier has evolved, and the technology has grown over the years. And now, it’s not just able to provide suction to allow the tissue to granulate in as we described. Now, we’re also able to instill or put fluid into the wound, and so we’re able to essentially lavage or clean the wound, and we can use different solutions, so we can put different solutions that would clean the wound depending on the type of bacteria that’s growing, et cetera, and that’s really increased our ability to custom tailor our treatments specifically to each patient.             Host: So, an individual for whom you would recommend this device or this therapy, what should they expect during the implantation process, or how do they go about receiving this therapy?   Dr. Elmarsafi: Most of the patients that we see do require some surgical intervention. We really do need to clean out these wounds very well and get surgical biopsies, particularly if we also suspect that there’s bone infection. Once we apply, we usually apply it in the operating room, but then while they’re an inpatient, if they’re an inpatient, then dressing changes. They’re just changed at bedside and usually there isn’t any problem with that. There’s no pain and it’s a very simple process. But, if they require multiple surgeries, we’ll just divert that to be done in the OR and then the patient doesn’t feel anything. But, many times our patients only get one done in the operating room and then they require long-term therapy, at which point they get a small device, it’s a portable device, and it gets changed every several days and we follow up in clinic, and it’s not cumbersome in any way.    Host: Is this a device that people can go home with or is it always inpatient care? Dr. Elmarsafi:  There are many different versions of these devices. And some devices are designed specifically for in-hospital use, but there are devices that are designed to be very portable. Some devices are battery operated. Some devices are spring loaded and have no noise and no alarms, it’s very simple device.  And, some devices are designed specifically for wounds that have been closed, surgical incisions, to help promote quick healing for wounds that are at high risk for complications afterwards.     Host: What can patients do on their own, either before or after receiving this negative pressure therapy, to promote healing of those diabetic ulcers or to prevent them from the beginning? Dr. Elmarsafi: I love this question, and it’s something that a lot of people tend to not think about. It’s easy to control infection after surgical cleanout and giving antibiotics, and it’s easy to ask the vascular surgeon to improve circulation. Doing all those things is very important, but if you exclude nutrition and exclude really tight glycemic control and getting their sugars under control and exclude the idea of really good personal hygiene to the extremity, then we lose sight of long-term successes. All surgical patients in general require a little bit more in terms of their protein intake, but with the diabetic patient, in particular, you have to really balance this. You have to be careful, of course, with their calories, and you have to be careful if these patients also have cardiac disease and renal disease, and many of our patients have all three of these, and so a nutritional consult is something that we rely on very heavily, and almost all of our patients have an endocrinologist as well, and so we work as a team. Our methodology for treating our complex patients with complex wounds is a multidisciplinary approach. It’s about ensuring that all of the appropriate doctors are involved and integrated in the patient’s care to make sure that everything is addressed to provide them with the best care. The most important people that we have integrated into our team are the vascular surgeons, infectious disease, and, of course, physical therapy and occupational therapy. Rehabilitating our patients is very important for long-term outcomes, making sure that the patient has the right balance and the right coordination, and to prevent fall risk in our lower extremity patients is very vital, and they are very strong proponents of being part of our team, even before we take them to surgery.         Host: What would you say is a good estimate for an anticipated recovery time for an individual who undergoes the negative pressure wound therapy, and then for their wound to ultimately heal?   Dr. Elmarsafi: You know, that’s a very hard question, and I get this question all the time from family and patients, but everyone heals differently and every wound is very different. A wound on the bottom of the foot heals differently from a wound on the top of the foot. A wound on the ankle heals differently from a wound above the ankle. A wound in a patient who’s 90 years old is different from a wound in a patient who’s 20 years old. And, we assess risk and rates of healing at different intervals for different patients, and so we are constantly at every time I see a patient, I’m reevaluating what things need to be tweaked, what things need to be changed in order to change the rate of healing.  With negative pressure wound therapy, it offers the opportunity not just to readjust our management. Sometimes, negative pressure wound therapy, in the beginning, is a great modality, but later on you realize that the wound is now amenable to a different therapy, and that’s exactly what we’re looking for. It’s not a permanent therapy. It’s a different stage in the patient’s management, at which point you can switch from negative pressure wound therapy and move on to something more definitive.      Host: So, this procedure--it’s very aggressive and intensive, it sounds like. Is this kind of a last step before amputation, or what is the progression from there if it doesn’t work?   Dr. Elmarsafi: I view my job as being able to provide the patient with the longest ability to be mobile for as long as possible, as independently as possible, and that may mean sometimes an amputation. So sometimes an amputation is the best answer, but my job is also to prevent amputations, and negative pressure wound therapy is a great modality in most patients. There are patients, however, who are not candidates for wound therapy. Host: Who would be a good candidate and, likewise, who would not be a good candidate for negative pressure wound therapy? Dr. Elmarsafi: Most patients are great candidates for negative pressure wound therapy. The patient who comes in with a wound that’s heavily infected is not a good patient for wound therapy right away. Once we clean the wound, they become a good patient for wound therapy. A patient who’s had a carcinoma, for example, who may have remaining risk for recurrence, is not a good patient for wound therapy, but there are other modalities that are really good for that type of patient. And so, really to provide good care for complex wounds it has to be very custom tailored, and negative pressure wound therapy has a role in many different kinds of patients. I would say most patients are good candidates, but there are a select few patients that I would say probably would not benefit from negative pressure wound therapy, and that is an assessment that needs to be done on a 1 on 1 basis.  Host: Have you had a patient that came in with a diabetic ulcer that was just absolutely miserable, and then what was that progression story for them? What were they able to accomplish after they had this treatment? Dr. Elmarsafi: I recall one patient in particular who went to the operating room once, and after the operating room, just did not ever want to go back to the operating room after that, and, in retrospect, I realized that, you know, not every patient is a surgical patient. It was important for that patient to go, and probably would have benefited from multiple surgeries thereafter, but I was surprised at how well the patient responded with just negative pressure wound therapy alone, and it’s changed my practice ever since. For patients that are on the borderline of “I’m not sure I really want to go to surgery”, I know that there is another modality that I can rely on and give another opportunity for healing without surgical intervention. And negative pressure wound therapy, for some patients, is a great modality as long as other risks haven’t pushed the patient into the corner where they have to have surgery.            Host: It’s always about that patient choice. Dr. Elmarsafi: Yes. Host: What are some of the reasons why an individual should choose to come to MedStar Washington Hospital Center over another provider, you know, whether it’s in their neighborhood or if they’re traveling to come see you--what makes this, the experience, for them special here? Dr. Elmarsafi: MedStar Washington Hospital Center is comprised of a group of experts. Experts that are well trained, who are fellow trained, and specifically custom tailored to the patient’s well-being. I think that’s true of many places, but what I think our team offers that, I don’t want to say other places can’t offer, but our wound care is far superior than most. We get a lot of the complications from other places, and that’s not to say that other places have caused complications, but other places can only go so far with their abilities and their resources to provide care for patients, and then they reach a threshold where they can’t do anything more, and that’s when we get patients coming to Washington Hospital Center for further care.  I just had a referral from a patient who was told he needed below-knee amputation from two separate hospitals in the DC Metro area and came for his last opinion. And we were very, very fortunate to be able to save his limb and he is now approximately two months after his operation and he’s ready to go back to work. Host: Is there anything that caregivers should be aware of when their loved one comes home, either after this treatment or with a VAC device? Dr. Elmarsafi: Not necessarily. I think the number one thing to remember about negative pressure wound therapy is that the device itself makes noise, and sometimes that noise, although is not very loud, the noise can change as the wound is changing, as the position of the patient changes, and sometimes when the noise changes people become afraid that something is happening, the device is doing something it shouldn’t do, or something dangerous is happening, and that’s the number one thing that people complain about. And really, the machine is actually quite sophisticated. It is not just a vacuum. The device itself has very sophisticated sensors and computers. The change that you hear is that computer adjusting for all of the things it needs to do, and it does have alarms. So, if an alarm goes off, the patient will definitely know and the caregiver will be alerted that the device should be turned off and that a call needs to be made to the provider.    Host: Now, is this negative pressure wound therapy something that an individual can be somewhat mobile while using, or are they, you know, basically chair-ridden or bedridden, connected to an external machine?    Dr. Elmarsafi: For the most part, most patients can get around, and it really depends on the location of the wound, but even for patients that say have a negative pressure wound therapy device placed on the bottom of their foot, as long as they are able to get around say on crutches or with a walker or a knee scooter, that’s perfectly fine and mobility is very important for these patients as long as they are doing it in a safe manner.    Host: Thank you for joining us today, Dr. Elmarsafi. Dr. Elmarsafi: It’s been a pleasure. Thank you so much. Conclusion: Thanks for listening to Medical Intel with MedStar Washington Hospital Center. Find more podcasts from our healthcare team by visiting medstarwashington.org/podcast or subscribing in iTunes or iHeartRadio.

This is a tough topicbecause there is a culture of negligence among patients in our country. Often they fear that if they go to the doctor with a foot problem, it might lead to amputation. They fail to understand that delaying foot care, after an injury or after developing an ulcer is what leads to amputation.This show I would like to discuss some ways to knowledge of foot care for a diabetic, prevention and care. I will cover some tough topics that my get under your skin a little but these topics needs to be discussed as they may save your foot or life. I hope you will join me.   

Diabetes complications include limb disorders. Find out about preventative measures for diabetic foot care, and diabetic amputation. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32120]

Diabetes complications include limb disorders. Find out about preventative measures for diabetic foot care, and diabetic amputation. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32120]

Diabetes complications include limb disorders. Find out about preventative measures for diabetic foot care, and diabetic amputation. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32120]

Diabetes complications include limb disorders. Find out about preventative measures for diabetic foot care, and diabetic amputation. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 32120]

Host: Jennifer Caudle, DO In Family Medicine, treating foot conditions is common. Today's interview is focused on the diagnosis and treatment of 5 common foot diagnoses, including Onychomycosis, Ingrown Toenails, Bunions, Diabetic Foot Care and Plantar Fasciitis. In this segment, host Dr. Jen Caudle speaks with guest Dr. Maasi J. Smith, podiatric surgeon who received his Doctorate of Podiatric Medicine from Temple University's School of Podiatric Medicine in Philadelphia, Pennsylvania.

Chronic foot pain can impair your mobility, affect your ability to exercise, and may indicate other medical issues. In this episode, we talk to Dr. Roy Mathews, a podiatrist practicing in Vancouver and New Westminster. With his extensive background in Kinesiology, as well as in amateur and professional sports, Dr. Mathews focuses a large portion of his Podiatric practice on relieving the persistent foot pain of his patients. Dr. Mathews shares his wealth of experience and expertise widely, lecturing regularly to businesses and running clubs across the city, as well as to the Vancouver Sun Run clinics. Tune in to this episode if you have any questions or comments on any of the following foot ailments:- Chronic Lateral Foot Pain- Club Foot- Corns, Warts, or Bunions- Damage to Tendons- Diabetic Foot Pain- Fallen Arches- Flat Feet- Foot Fracture- Gout- Hammertoe -Heel Spurs- Intoeing- Ligament Sprains- Morton’s Neuroma- Plantar Fasciitis- Rheumatoid Arthritis- Stress Fractures- Turf Toe