The Diabetic Foot was the recent feature of an interview given to KNST Radio's Healthwise Program, hosted by the Tucson Osteopathic Medical Association.
$20 Billion to Care For Wounds
* Please note, the sender's email address has not been verified. Wounds effect at least 5-7 million people per annum in the USA according to the Agency for Healthcare Quality (AHRQ), costing at least $20 Billion. Click the following to access the sent link:... Continue Reading →
Conceptualizing Amputation Prevention
While advancing technologies create different tools to use to prevent amputations in those with diabetes, the concepts of prevention are nearly constant. We know that 6 major steps are necessary to achieve limb salvage in the shortest possible time. These steps are:1. Infection recognition and management2. Vascular disease recognition and management3. Offloading pressure4. Debridement of... Continue Reading →
On Integration and Looking Forward
I just stumbled upon the obituary for Dr. Julius Gottlieb in the Washington Post. I was astonished by the work that this pioneering podiatrist did regionally, from being one of the first to fully integrate his waiting room (virtually unheard of in post-war D.C.) to treating members of the Eisenhower White House. It is exactly... Continue Reading →
Of Sisyphus and SALSA: The Value of Team In Amputation Prevention
As regards the posting on "toe and flow" of a few days ago, we are working on an editorial that we plan to submit that works to compare the work of pushing the patient up the perfusion/healing curve to the mythical Sisyphus-- all alone in Hades pushing a rock up the hill, only to have... Continue Reading →
Diabetes Causes More Amputations then Landmines: A Call To Arms to Save Limbs
Some years ago, we compared diabetes-related amputations to cancer in terms of 5 year mortality. Now, a no less compelling comparison has emerged. The scourge of unexploded ordinance-- particularly landimines-- has been evident since at least the end of WWII. Literally hundreds of non-governmental organizations and celebrities have rallied around this entirely preventable problem in... Continue Reading →
Marker for Heart Attack Risk May Also Predict Bone Infection in Diabetes: Researchers
The same test now frequently used to assess risk for heart disease may now help prevent amputations according to researchers at Rosalind Franklin University of Medicine and Science in Chicago and the University of Arizona. "The results of this study, led by Dr. Adam Fleischer, were somewhat surprising to us", noted David G. Armstrong, Professor... Continue Reading →
The Toe and Flow: Structure of an Effective Amputation Prevention Team
The core theme of our team at SALSA has been "team". What my friend and co-director Joe Mills and I have found in participating in and developing amputation prevention initiatives in North America and around the world is that the "irreducible minimum" to this team involves a "toe team" (someone taking care of the foot... Continue Reading →
MRSA, Superbugs and SALSA: Where do we go from here?
With the ever increasing rise in prevalence of "superbugs" and methicillin-resistant Staphylococcal species in hospitals, clinics and public/private places around the world, it seems that both clinicians and their patients have taken a significant interest in this area. Recently, we developed a series of lectures on this topic it is available here. Enjoy.
Now taking requests
In putting this blog together, we have surprisingly already been contacted with requests from clinicians and people with diabetes. To that end, we would formally announce that we are happy to expound on any issue related to diabetes, wound healing, and amputation prevention put out there. To that end, as per request, here is the... Continue Reading →