Matinum

Taking Charge of Your Health


(determined music)>>The diabetic foot and
wound service started in 2012, in response to
the increasing number of diabetic patients
coming in with foot ulcers who are at risk for amputations. And basically when we
started this program, what we found was that we were able to take care of patients in the hospital, but once they were discharged and they needed follow-up, it was exceedingly difficult for the patients to see all the different providers
that were necessary. So what we did was we created one single multidisciplinary clinic and service that combines vascular surgery, surgical pediatry and endocrinology. That works on both the inpatient and the outpatient side. On the outpatient side, basically patients come and they see all three providers at a single visit. So they’re not going to one visit with the pediatrist, one visit with the vascular surgeon and one with the endocrinologist. They see us all at every single visit. At those visits we also
have a certified wound nurse as well as a PA who helps us in our clinic coordinating care on the outpatient side.>>On the inpatient side all patients are evaluated by all members of our team. They are provided a vascular assessment with revascularization of
their legs whenever needed. When patients have
blockages in their arteries we can help open them up to improve their wound healing and
help save their limbs. The surgical pediatrist
works with the patient to provide a wound care plan and wound bereavements whenever necessary. Our wound care nurse
sees the patients daily and helps with daily wound care changes. Our endocrinologist is
involved in blood sugar control and helps to get the patients
to a manageable level to improve their wound healing potential. Finally our infectious
decease doctors work with us to provide
antibiotic recommendations so that we can reduce infections and help save patients lives.>>The philosophy of care
is relatively simple. Patients with diabetic foot ulcers are a risk for losing their legs, or major amputation. And the idea is that, diabetic patients have multiple risk factors. They may have high glucose levels called hyperglycemia. They may have peripheral vascular decease, which is also blockages of the arteries, or they may have neuropathy of the feet, where they can’t feel their feet, and so they’re at risk
for developing ulcers. The idea is that if we
address each of these factors, that we’re more likely to help
a patient heal their wound, and prevent a major amputation.>>We provide many cutting edge treatments in our diabetic foot and wound service. As vascular surgeons,
we can treat patients using minimally invasive techniques or open surgery depending
on what is needed based on the patients anatomy. We used balloons, drug coated balloons and drug coated stents for
minimally invasive techniques. We also can do open CABG bypasses when that’s important or necessary. Our wound care nurse
and surgical pediatrist have cutting edge wound care treatments that are not used
elsewhere in the country. They’re constantly using different elements for wound care, and these have results in
excellent wound healing rates compared to other
programs across the country.>>What’s completely
different about our program compared to other places
around the country, is that we follow our outcomes. We do an extensive amount of research and we’ve published on this. you can see it on our website, that looks at major amputation rates, depending on what stage a patient comes in with their foot ulcer and their risk of amputation for that limb. And if you compare stage four patients across the country, we
have one of the lowest, if not the lowest major
amputation rate in the country.>>The most important
aspect of our research is the long term outcomes of the patients that we treat. We’ve been treating
patients with the diabetic foot and wound service since 2012, so we have more than five
years worth of outcomes. Majority of our patients
follow up with us long-term and we track their
outcomes including wound healing time, major
amputation and recurring ulcers over time. This allows us to tailor the patient’s individual care, as well as to learn about the treatments that we’ve
provided in the past and understand what treatments might be better in the future. (determined music)

8 thoughts on “Diabetic Foot Wounds Treatment | FAQ

  1. How about peripheral nerve surgery? See Dellon Institutes and peripheral nerve decompression for diabetic neuropathy

  2. I wish to God I could see all three at the same time. I have just a podiatrist and internist. Asked to be referred and they said no.

  3. Prednisone was applied to treat my pneumonia, however, the medicine also stimulated the increase of my blood glucose levels which resulted in diabetes. My A1C soared to 10.1 during that time. I read “Vαnοjο Fivu” (Google it) – which is basic and easy to comprehend. I have undergone a retesting Two months later and the final result implies that (my A1C had decreased to 6.8 simply .3 above normal)..

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