Thick Blood, Thin Margins: How Hemoconcentration Sabotages Diabetic Foot Healing

Thick Blood, Thin Margins: How Hemoconcentration Sabotages Diabetic Foot Healing

Dr. G explains hemoconcentration — when low plasma volume makes blood thicker — and why it matters for diabetic foot care. The episode covers how dehydration, diuretics, hyperglycemia, and immobility raise hematocrit and BUN/Cr ratio, reducing microvascular perfusion, slowing wound healing, increasing infection and clot risk, and sometimes causing pre-renal azotemia.

Learn how to recognize hemoconcentration (elevated hemoglobin/hematocrit, high BUN/Cr), prevent it with hydration, glucose control, and mobility, and why reversing it can restore perfusion and improve outcomes for non-healing diabetic ulcers.

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Episoder(100)

Myiasis Explained: How Flies Target Wounds and How to Prevent Infestation

Myiasis Explained: How Flies Target Wounds and How to Prevent Infestation

This episode explains myiasis (maggot infestation of wounds): how and why flies lay eggs in wounds, the lifecycle from egg to adult fly, risk factors (especially in diabetes), clinical signs, complica...

30 Jan 28min

When Skin Sends SOS: Understanding the Kennedy Terminal Ulcer

When Skin Sends SOS: Understanding the Kennedy Terminal Ulcer

This episode explains the Kennedy terminal ulcer: a sudden, rapidly progressing sacral wound often seen near end of life, and how it overlaps with pressure injury and skin failure concepts. Dr. G disc...

28 Jan 20min

Felt Padding 101: The Low-Tech Offload That Heals Diabetic Foot Ulcers

Felt Padding 101: The Low-Tech Offload That Heals Diabetic Foot Ulcers

In this practical episode Dr. G shows how felt padding — an adhesive-backed wool or synthetic material cut to create a pressure "donut" — can redistribute plantar pressure and promote healing of diabe...

28 Jan 13min

Fusidic Acid — The Quiet Staph Assassin

Fusidic Acid — The Quiet Staph Assassin

In this episode Dr. G explores fusidic acid — an antibiotic isolated from the Fusidium fungus — its unique mechanism blocking elongation factor G, and why it became a powerful tool against Staphylococ...

26 Jan 19min

Mupirocin Myths: When This Ointment Helps — and When It Hurts

Mupirocin Myths: When This Ointment Helps — and When It Hurts

Dr. G explains what mupirocin ointment actually treats, when it is appropriate for diabetic foot wounds, and why overuse can cause resistance. Learn its mechanism, limitations (no gram-negative, anaer...

26 Jan 18min

“The Soaking Myth/ Urban Legend “ No Soaking: Why Warm Water Can Ruin Diabetic & Ischemic Foot Wounds

“The Soaking Myth/ Urban Legend “ No Soaking: Why Warm Water Can Ruin Diabetic & Ischemic Foot Wounds

In this episode Dr. G, a podiatrist and limb-salvage advocate, debunks the common practice of soaking diabetic and ischemic foot wounds. She explains how warm water and salts cause maceration, strip t...

24 Jan 26min

Comfort Over Closure: Managing Wounds at End of Life

Comfort Over Closure: Managing Wounds at End of Life

Dr. G explains how wound care changes in hospice: the focus shifts from closure and aggressive treatments to comfort, pain relief, odor and exudate control, and preserving patient dignity. The episode...

23 Jan 13min

It’s Not A Miracle, It’s A Marathon- Limb Salvage Revolution: Consistency Over Miracles

It’s Not A Miracle, It’s A Marathon- Limb Salvage Revolution: Consistency Over Miracles

This episode reframes limb salvage as a marathon, not a miracle—arguing that persistent, team-based care prevents many unnecessary amputations and protects patients' lives, function, and dignity. Dr. ...

22 Jan 23min

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