Rewind the Journey: The Preventability Index in Diabetic Limb Salvage

Rewind the Journey: The Preventability Index in Diabetic Limb Salvage

Dr. G explores the "Preventability Index," a framework for replaying a patients timeline to identify missed opportunities that could have prevented a diabetic foot ulcer or amputation. He explains the five domains of the index—structural deformity, skin integrity, infection burden, vascular reserve, and time to intervene—each scored 010; higher totals indicate greater preventability.

The episode emphasizes prevention through early detection, foot exams during routine visits, patient education, timely vascular and infection evaluation, and offloading. Dr. G stresses that the index is not for blame but for quality improvement and patient advocacy to reduce avoidable limb loss.

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Episoder(369)

LIMBWatch Series: Dr. Sukoff, Dr. Hanley & Dr. Warren -     LIMBWatch: From Chronic Wound to Limb Preservation — The Science Behind Lavior

LIMBWatch Series: Dr. Sukoff, Dr. Hanley & Dr. Warren - LIMBWatch: From Chronic Wound to Limb Preservation — The Science Behind Lavior

Episode Summary In this episode of LIMBWatch, we go beyond the wound itself to explore the science, clinical challenges, and innovations shaping the future of limb preservation. We are joined by the t...

24 Aug 41min

Copper: A  Surprising Possible Ally in Diabetic Foot Ulcer Healing

Copper: A Surprising Possible Ally in Diabetic Foot Ulcer Healing

In this episode of Diabetic Fit Files Dr. G explores how the trace element copper affects diabetic foot ulcers at the cellular and molecular level. Topics include copper's roles in angiogenesis, colla...

23 Aug 27min

Reflexes, Tuning Forks & Monofilaments: Inside the Diabetic Foot Exam

Reflexes, Tuning Forks & Monofilaments: Inside the Diabetic Foot Exam

This episode breaks down the neurological exam of the diabetic foot, explaining reflexes, vibration testing, monofilament assessment, proprioception, pinprick and temperature testing, and the autonomi...

22 Aug 27min

“I Have a Diabetic Foot Ulcer… But I Don’t Have Insurance. Now What?”

“I Have a Diabetic Foot Ulcer… But I Don’t Have Insurance. Now What?”

This episode explains what to do if you have a diabetic foot ulcer and no health insurance, stressing that you should not ignore the wound or try to self-treat. It covers signs of infection, the need ...

21 Aug 17min

SMAPs: Rethinking Antimicrobials for Diabetic Foot Care

SMAPs: Rethinking Antimicrobials for Diabetic Foot Care

This episode explores SMAPs — synthetic mimics of antimicrobial peptides — and how they use membrane-targeting chemistry to kill bacteria differently from conventional antibiotics. It covers the scien...

19 Aug 21min

LIMBWatch Series: Dr. Shilpa Rajan Mulki- Look at Your Feet Before You Sleep: Saving Limbs in Resource-Limited Settings

LIMBWatch Series: Dr. Shilpa Rajan Mulki- Look at Your Feet Before You Sleep: Saving Limbs in Resource-Limited Settings

🎙️ Diabetic Foot Files: Limb Watch with Dr. Shilpa Rajan Mulki What if some amputations could be prevented simply by recognizing the warning signs sooner? In this episode of Diabetic Foot Files: Limb...

17 Aug 48min

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

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 cov...

15 Aug 19min

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