Understanding Undermining- Unseen, unexpected and unforgiving : The Truth Behind “Doctor Made My Wound Bigger” — Understanding Undermining

Understanding Undermining- Unseen, unexpected and unforgiving : The Truth Behind “Doctor Made My Wound Bigger” — Understanding Undermining

This episode explains undermining in diabetic foot ulcers—how tissue destruction can extend beneath intact skin, why wounds may appear larger after debridement, and what that means for healing.

We cover the causes (pressure, neuropathy, ischemia, infection), clinical clues, why proper assessment and debridement matter, and practical prevention tips like offloading, vascular care, infection control, and good diabetes management.

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Avsnitt(363)

The Toe That Killed Jack Daniel: The Untold Medical Story

The Toe That Killed Jack Daniel: The Untold Medical Story

A man who built a global whiskey empire may have been felled not by drink or duel but by a small foot injury that turned infected. This episode examines the legend of Jack Daniel’s toe, the historical...

16 Aug 36min

Teeth in the Tide- When the Ocean Bites: Barracuda Strike and Diabetic Foot Danger

Teeth in the Tide- When the Ocean Bites: Barracuda Strike and Diabetic Foot Danger

In this episode Dr. G recounts a surprising barracuda bite that exposes the challenges of marine injuries, especially for people with diabetes. The episode explains how sharp lacerations, contaminatio...

15 Aug 22min

Forgotten Infection Friday- Madura Foot: The Silent, Years-Long Infection Hiding in Plain Sight

Forgotten Infection Friday- Madura Foot: The Silent, Years-Long Infection Hiding in Plain Sight

This episode reviews Madura foot (mycetoma), a chronic implantation infection characterized by long-standing swelling, multiple sinus tracts, and visible ‘‘grains.’p> There are two main types — eumyce...

15 Aug 33min

LIMBWatch Series: Dr. Andrew JM Boulton, MD, DSc (Hon), FACP, FICP, FRCP-The Man Who Changed Diabetic Foot Care Dr. Andrew Boulton on Neuropathy, Prevention & Saving Limbs Worldwide

LIMBWatch Series: Dr. Andrew JM Boulton, MD, DSc (Hon), FACP, FICP, FRCP-The Man Who Changed Diabetic Foot Care Dr. Andrew Boulton on Neuropathy, Prevention & Saving Limbs Worldwide

Welcome to LIMBWatch — the global movement dedicated to protecting limbs, preventing amputations, and transforming the future of diabetic foot care. In this landmark episode, we welcome one of the wor...

10 Aug 46min

Antimicrobial ≠ Antibiotic: Antimicrobial Doesn’t Mean Antibiotic

Antimicrobial ≠ Antibiotic: Antimicrobial Doesn’t Mean Antibiotic

This episode clarifies the difference between antimicrobials (agents that act against a range of microorganisms) and antibiotics (drugs that specifically target bacteria), and explains related terms l...

9 Aug 22min

Why Your Healed Wound Still Feels Tight — What Causes Tight Skin After Diabetic Foot Wounds

Why Your Healed Wound Still Feels Tight — What Causes Tight Skin After Diabetic Foot Wounds

This episode explains why healed wounds can feel tight, covering the stages of wound healing, the role of myofibroblasts and alpha-SMA in wound contraction, and how scar tissue differs from normal ski...

8 Aug 21min

Forgotten Infection Friday: Rhodococcus equi — The Macrophage‑Hiding Threat

Forgotten Infection Friday: Rhodococcus equi — The Macrophage‑Hiding Threat

This episode explores Rhodococcus equi — a pink, soil‑associated bacterium historically linked to horses that can survive inside macrophages and mimic tuberculosis in the lungs. Dr. G discusses its di...

7 Aug 19min

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