Questions That MUST Be Asked Before the Cut: 12 Questions to Ask Before Any Amputation

Questions That MUST Be Asked Before the Cut: 12 Questions to Ask Before Any Amputation

This episode explains why limb salvage is a philosophy, not just a procedure, and gives the essential questions patients and clinicians must ask before consenting to a lower-extremity or digital amputation.

Topics include global amputation rates and mortality, distinguishing infection from ischemia, the importance of vascular assessment and revascularization, diagnosing and treating osteomyelitis, proper offloading and advanced wound-care strategies, and assessing metabolic healing capacity.

The host also covers when amputation is lifesaving, alternatives to amputation, informed consent, and practical steps to ensure a thorough, multidisciplinary approach to preserving limbs when possible.

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Episoder(100)

S.A.V.E T.H.E. F.A.S.C.I.A: Rapid Recognition Protocol for Necrotizing Fasciitis

S.A.V.E T.H.E. F.A.S.C.I.A: Rapid Recognition Protocol for Necrotizing Fasciitis

In this episode we introduce "Save the Fascia," a clear, stepwise mnemonic to help clinicians recognize necrotizing fasciitis early and act urgently. It outlines warning signs, diagnostic steps, and t...

17 Mai 40min

Medically Stable? The Dangerous Misuse in Diabetic Foot Discharges

Medically Stable? The Dangerous Misuse in Diabetic Foot Discharges

Dr. G examines how the phrase "medically stable for discharge" is often misapplied to diabetic foot patients, sometimes with dangerous consequences. He explains why diabetic foot infections can be dec...

16 Mai 23min

Breath Is Healing: Preventing Post-Op Complications with Incentive Spirometry

Breath Is Healing: Preventing Post-Op Complications with Incentive Spirometry

Dr. G explains why the simple incentive spirometer is more than a bedside toy: it forces deep breaths, prevents atelectasis, improves oxygenation, and reduces post-operative pulmonary complications. T...

15 Mai 12min

Wound Intelligence Wednesday:Gustilo Classification & Contamination: Don’t Close a Dirty Wound

Wound Intelligence Wednesday:Gustilo Classification & Contamination: Don’t Close a Dirty Wound

In this episode of Diabetic Foot Files, Dr. G explores why seemingly small or clean-looking wounds—especially in diabetic patients—can hide severe underlying damage from retained plant matter and cont...

13 Mai 25min

Limb Watch Ep. 2 — Dr. Matthew G. Garoufalis, DPM, FASPS, DABPM, CWS, FFPM RCPS (Glasg) FRSM- Topical Oxygen- Game Changer in Limb Salvage

Limb Watch Ep. 2 — Dr. Matthew G. Garoufalis, DPM, FASPS, DABPM, CWS, FFPM RCPS (Glasg) FRSM- Topical Oxygen- Game Changer in Limb Salvage

In this episode of Diabetic Flip Files’ Limb Watch, host Dr. G interviews Dr. Matthew Garoufalis , a leader in podiatric medicine, wound care and limb salvage, about the evolution of wound care into l...

12 Mai 52min

Limb Watch Launch: Diabetic Limb Salvage with Dr. Haywan Chiu DPM, FACFAS

Limb Watch Launch: Diabetic Limb Salvage with Dr. Haywan Chiu DPM, FACFAS

In this episode Dr. G launches the Limb Watch movement and interviews Dr. Haywan Chiu, DPM, FACFAS. Board- certified in foot surgery and reconstructive rearfoot/ankle surgery. As a leading expert in d...

10 Mai 51min

Zombie Cells in the Wound: How Senescent Fibroblasts Sabotage Diabetic Ulcers

Zombie Cells in the Wound: How Senescent Fibroblasts Sabotage Diabetic Ulcers

Dr. G examines how normal fibroblasts drive tissue repair and how, in diabetic foot ulcers, they can become senescent “zombie” cells that stop dividing, secrete inflammatory SASP factors, and degrade ...

9 Mai 22min

Diabetic Foot Village: A Plan to Prevent Amputations

Diabetic Foot Village: A Plan to Prevent Amputations

This episode proposes the "Diabetic Foot Village" — a coordinated multi-sector surveillance and response model that shifts care from late-stage hospital interventions to early prevention and continuou...

8 Mai 16min

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