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A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From @NealBarshes @BCM_Surgery – in 10 Languages

We can’t say enough about the great and good works of our SALSAmigo, Neil Barshes, the pride of Houston. On his github page, he has published what amounts to a soup-to-nuts owners manual for patients and their clinicians interested in limb preservation. Here it is, reprinted: As an academic vascular surgeon, I work to develop […]

Read More A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From @NealBarshes @BCM_Surgery – in 10 Languages
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SALSA’s Diabetic Foot Ulcer Flowchart to help #ActAgainstAmputation

We’ve had many people ask for our generalized flowchart for care. Here it is. As always, these are living documents that change over time. Feel free to improve and pay it forward! Assessment of the Diabetic Foot: Wound, Ischemia and Foot Infection (WIFI) Patient with Diabetic Foot Ulcer (A) Of the 435 million people with […]

Read More SALSA’s Diabetic Foot Ulcer Flowchart to help #ActAgainstAmputation
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How to build and certify a center of excellence for limb preservation @ALPSlimb @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGo

Here is the link for the global vascular guidelines. And listed below is section 12 by Rogers and Armstrong detailing methods of developing and certifying a limb preservation unit. We like to think of this as trauma centers for atraumatic wounds/ischemia/infection as described here. Additional information on German and Belgian efforts at limb preservation center […]

Read More How to build and certify a center of excellence for limb preservation @ALPSlimb @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGo

More specialties, fewer problems. How using “collaborative competencies” of Infectious Diseases, Podiatric Surgery and Pathology in teams improve care of diabetic foot osteomyelitis @japmafeettweets @idsainfo

Strong work from the superb team at the Beth Israel Deaconess in Boston. Look at the pre and post data on care of osteomyelitis! Bottom line: teamwork works, worldwide. Background: Diabetic Foot Osteomyelitis (DFO) is a common infection where treatment involves multiple services including Infectious Disease (ID), Podiatry, and Pathology. Despite its ubiquity in the hospital, […]

Read More More specialties, fewer problems. How using “collaborative competencies” of Infectious Diseases, Podiatric Surgery and Pathology in teams improve care of diabetic foot osteomyelitis @japmafeettweets @idsainfo

Motivational Interviewing for Podiatrists treating the Diabetic Foot

A compelling study from our Australian/Dutch colleagues Kaczmarek and coworkers showing the promise and problems with training in Motivational Interviewing (AKA MI) to reduce risk for diabetic foot complications. Background Self-care in diabetes related foot disease (DFD) is challenging and contributes to poor outcomes. Motivational Interviewing (MI) can engage people in self-care and modifying it […]

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The Role of Oxidative Stress and Antioxidants in Wound Healing @USC_Vascular @KeckMedUSC

This manuscript from our collaboration between Chongqing and USC Foot ulcers are one of the most common and severe complication of diabetes mellitus with significant resultant morbidity and mortality. Multiple factors impair wound healing include skin injury, diabetic neuropathy, ischemia, infection, inadequate glycemic control, poor nutritional status, and severe morbidity. It is currently believed that […]

Read More The Role of Oxidative Stress and Antioxidants in Wound Healing @USC_Vascular @KeckMedUSC

Health service organization impact on lower extremity amputations in people with type 2 diabetes with foot ulcers: systematic review and meta-analysis @DiabetologiaJnl @alpslimb

Excellent work from Meza-Torres and coworkers in Diabetologia. Bottom line: based on these data, half of all major lower extremity amputations may be prevented with adoption of multidisciplinary care pathways. Aims Despite the evidence available on the epidemiology of diabetic foot ulcers and associated complications, it is not clear how specific organizational aspects of health […]

Read More Health service organization impact on lower extremity amputations in people with type 2 diabetes with foot ulcers: systematic review and meta-analysis @DiabetologiaJnl @alpslimb

What is a specialty worth? The value of the modern vascular surgeon to the health care system @vascularsvs @usc_vascular @vascularcures @alpslimb

The value of the modern vascular surgeon to the health care system: A report from the Society for Vascular Surgery Valuation Work Group Vascular surgeons provide an important service to the health care system. They are capable of treating a wide range of disease processes that affect both the venous and arterial systems. Their presence […]

Read More What is a specialty worth? The value of the modern vascular surgeon to the health care system @vascularsvs @usc_vascular @vascularcures @alpslimb

Is osteomyelitis associated with greater risk for amputation in surgical management of diabetic foot infections? The answer may surprise you. #ActAgainstAmputation

Great work from Javi Aragon Sanchez and team– the pride of the Canary Islands. Compelling work that certainly fits with many people’s experience. It has been reported that patients with diabetes and foot ulcers complicated with osteomyelitis (OM) have a worse prognosis than those complicated with soft tissue infections (STI). Our study aimed to determine […]

Read More Is osteomyelitis associated with greater risk for amputation in surgical management of diabetic foot infections? The answer may surprise you. #ActAgainstAmputation

Does Normalizing Vitamin B12 Improve Signs and Symptoms of Neuropathy? Results of a One-Year Randomized Controlled Trial

Intriguing data from Thessaloniki, Tubingen and Sheffield seem to lend more credence to normalizing methylcobalamin (Vitamin B12) in people with diabetic neuropathy. Aim: To investigate the effect of normalizing vitamin B12 (B12) levels with oral B12 (methylcobalamin) 1000 μg/day for one year in patients with diabetic neuropathy (DN). Patients and methods: In this prospective, double-blind, placebo-controlled trial, […]

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Corneal confocal microscopy identifies small fibre damage and progression of diabetic neuropathy @SciReports @WCMQatar

Important work from our long-time SALSAmigo, Rayaz Malik and team. Corneal confocal microscopy identifies small fibre damage and progression of diabetic neuropathy published in Nature Scientific Reports. Corneal confocal microscopy identifies small fibre damage and progression of diabetic neuropathy Accurately quantifying the progression of diabetic peripheral neuropathy is key to identify individuals who will progress […]

Read More Corneal confocal microscopy identifies small fibre damage and progression of diabetic neuropathy @SciReports @WCMQatar

Design of a partially virtual diabetic service improves access to care and education and reduces amputation incidence @diabetesrc @ALPSlimb

Important work from the Devon NHS trust, UK. Service user and community clinician design of a partially virtual diabetic service improves access to care and education and reduces amputation incidence Significance of this study What is already known about this subject? ► Quality outcome framework, education and multi- disciplinary secondary care have improved services for […]

Read More Design of a partially virtual diabetic service improves access to care and education and reduces amputation incidence @diabetesrc @ALPSlimb