A Step Forward in Foot Care: Low-Cost Indigenous Offloading Sandal Matches Imported Devices in Healing Diabetic Ulcer #ActAgainstAmputation #Offloading #DFU #DiabeticFoot

Screenshot In an important pilot study from Chennai, India, Prof. Vijay Viswanathan and his team at the M.V. Hospital for Diabetes and Prof. M. Viswanathan Diabetes Research Centre have shown that a low-cost, indigenously developed offloading sandal is just as effective as a far more expensive imported counterpart in healing diabetic foot ulcers (DFUs) . The... Continue Reading →

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Leading The Global Charge In Diabetic Foot Education: The American Limb Preservation Society #Canada #USA #ActAgainstAmputation

Here's a Canadian-American collaboration that is profoundly interdisciplinary and positively life-affirming. Screenshot Screenshot For more about this initiative...see here!

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Celebrating 20 Years of CLEAR Vision and Impact @RFUniversity @ALPSLimb

The Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University just marked its 20th anniversary—a major milestone in advancing science, training, and care for people with lower extremity complications. Founded by Dr. David G. Armstrong in 2004, CLEAR has grown into one of the world’s most productive and influential programs of its kind.... Continue Reading →

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Every Clinic Counts: New Study Shows Individual Teams Can Change the Odds for Limb Preservation in US Veterans #ActAgainstAmputation #DiabeticFoot

A new national study published in JAMA Network Open offers a hopeful message for clinicians and care teams: where and how patients with diabetic foot ulcers (DFUs) are treated makes a measurable difference in whether they keep their limbs . Researchers led by Hiroyuki Suzuki, MD, MSCI, and including our long-time friend and colleague Prof. Jeff Robbins, VACO Podiatry... Continue Reading →

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A Smart Leap Forward: Continuous Wound Monitoring with iCares Smart bandage from Caltech and USC teams #EpidermalElectronics #ActAgainstAmputation @Caltech @Keckschool_USC @USC_Vascular

Chronic wounds represent one of the most persistent challenges in modern healthcare, often leading to prolonged suffering and substantial economic burden. Today, the management of these wounds still largely relies on intermittent clinical assessments and subjective classification systems, which can delay detection of infection or impaired healing. A new study, born out of a powerful... Continue Reading →

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Rethinking mildly infected diabetic foot ulcers: lessons from Gleason and cancer taxonomy #ActAgainstAmputation

Inspired by much recent discussion as well as a blog post from 13 years ago, here is a manuscript just published. After further discussion with Prof. Ben Lipsky, he raises the interesting idea of calling some of these "infection in situ" just like cancer in situ.

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Remember to Take Your Vitamins (and Sprinkle Them on Biofilm) 🧫 A Look at Vitamin C #ActAgainstAmputation

We’ve long been told to take our vitamins—but recent research suggests we might also want to “prescribe” them directly to our most persistent microbial adversaries. A striking 2025 study published in BMC Microbiology reveals that vitamin C (sodium ascorbate) may do more than bolster immune function: it can weaken drug-resistant bacterial biofilms and restore the efficacy of... Continue Reading →

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2027 and the Rise of Machines: A Future Foretold #AI2027

AI 2027: A Glimpse into Our Near Future In early April 2025, the AI Futures Project released a comprehensive scenario forecast titled AI 2027, projecting a transformative period in artificial intelligence development. The report anticipates that by 2027, AI systems will surpass human intelligence, leading to profound societal and geopolitical changes.  The Road to Superintelligence According... Continue Reading →

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A Legacy of Leadership and Limb Preservation — Dean’s Chat with the UT San Antonio Diabetic Foot “Fab Four” #ActAgainstAmputation

I recently had the privilege of joining a truly special episode of the Dean’s Chat podcast, hosted by the inimitable Dr. Jeffrey Jensen. This conversation was a reunion of sorts—an opportunity to reflect, reminisce, and reimagine the future of diabetic limb preservation with three close colleagues and friends: Dr. Lawrence Harkless, Dr. Lawrence Lavery, and Dr. John... Continue Reading →

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The Great Slowdown: A Century After Our Population Peak

After immersing myself in Henry Gee’s spectacular The Decline and Fall of the Human Empire, I found myself returning to a manuscript I’d read some time ago (no, not Gibbon) but now see with sharpened eyes—Vollset et al.’s landmark 2020 analysis in The Lancet, which forecasts population, fertility, mortality, and migration through the year 2100. The manuscript, part... Continue Reading →

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