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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Avsnitt(100)

Pink but Perilous: Why Color Doesn’t Mean Healing

Pink but Perilous: Why Color Doesn’t Mean Healing

In this episode, a clinician explains why a pink wound isn’t always healing and why exposed tendon makes a wound high-risk and potentially limb-threatening. Takeaways: wound size and depth predict out...

22 Jan 13min

Stop Leaving the Pinky Toe: Why Incomplete TMA Amputations Fail

Stop Leaving the Pinky Toe: Why Incomplete TMA Amputations Fail

Dr. G explains why leaving the fifth digit after other forefoot amputations creates biomechanical imbalance, increased lateral pressure, and recurrent ulcers. He reviews the muscle and tendon changes ...

20 Jan 24min

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 amput...

19 Jan 22min

Size Matters- Size Is King: How Accurate Wound Measurement Saves Limbs

Size Matters- Size Is King: How Accurate Wound Measurement Saves Limbs

This episode explains why precise wound sizing—length, width, depth, surface area, volume, undermining and tunneling—is the most important metric in wound care. Dr. G covers practical measurement tech...

18 Jan 28min

Auto Amputation and Demarcation- When the Body Cuts You Off: Understanding Auto-Amputation

Auto Amputation and Demarcation- When the Body Cuts You Off: Understanding Auto-Amputation

In this episode Dr. G explains auto-amputation — when severely ischemic tissue becomes irreversibly necrotic, the immune system walls it off (demarcation), and the dead segment desiccates and may spon...

18 Jan 22min

Wheelchair Wounds: How Sitting Can Cause Diabetic Foot Ulcers

Wheelchair Wounds: How Sitting Can Cause Diabetic Foot Ulcers

This episode explores why wheelchair-bound diabetic patients are at high risk for foot ulcers despite not walking. It explains how static pressure, neuropathy, contractures, and poor positioning conce...

17 Jan 27min

Talking Dirty With Me - Wound Care Edition- The Clinically Candid Wound-Care Language That Saves Limbs

Talking Dirty With Me - Wound Care Edition- The Clinically Candid Wound-Care Language That Saves Limbs

Dr. G breaks down essential wound-care terminology and explains why precise medical language matters for diagnosis, treatment, and communication with colleagues. The episode covers types of cell death...

17 Jan 33min

The Black Toe Manifesto -Black Toe, Big Stakes: How to Save Limbs — Ischemia vs Embolism vs Cholesterol Emboli

The Black Toe Manifesto -Black Toe, Big Stakes: How to Save Limbs — Ischemia vs Embolism vs Cholesterol Emboli

This episode explains why a "black toe" is usually a sign of systemic vascular failure and breaks down the three main causes—chronic digital ischemia, acute arterial embolism, and blue-toe (cholestero...

15 Jan 30min

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