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...
27 Jun 19min
Forgotten Infection Friday — Nocardia: The Weakly Acid‑Fast Impostor
A 62-year-old man with poorly controlled diabetes presented with weeks of cough, weight loss, night sweats, and cavitary lung lesions initially suspected to be tuberculosis or malignancy. Sputum TB te...
26 Jun 24min
The Hair Test One of the Simplest Clues in Limb Salvage
Imagine a patient with no complaints whose foot hair has vanished. This episode explains the "hair test"—how absent hair on the toes and feet can be an early bedside clue to poor circulation, peripher...
25 Jun 18min
Nystatin Uncovered: Why It Heals Some Foot Fungi and Fails Others
This episode of Diabetic Foot Files dives into nystatin: its history, how it kills Candida, and why it often works for moist, macerated toe-web infections but fails against dermatophyte-caused athlete...
24 Jun 20min
Zaynich: A New Weapon Against MDR Gram-Negatives
In this episode of Diabetic Foot Files, Dr. G explores Zaynich (cefepime + ZD-bactam), a newly FDA-approved IV antibiotic designed to overcome multi-drug resistant gram-negative infections. He explain...
23 Jun 17min
Sarcopenia & Diabetic Foot Ulcers: Why Muscle Matters
This episode explains sarcopenia—the progressive loss of skeletal muscle—and how diabetes accelerates it, increasing risk of poor mobility, delayed wound healing, and higher mortality in patients with...
21 Jun 20min
To Masquelet or Not to Masquelet? Masquelet Magic: How an Induced Membrane Saves Limbs
This episode explains the Masquelet (induced membrane) technique — a two-stage reconstructive approach where infected bone is removed, an antibiotic-loaded PMMA spacer is placed to control infection a...
20 Jun 23min
Forgotten Infection Friday: Ecthyma Gangrenosum — The Rapidly Deadly Black Lesion
This episode explains ecthyma gangrenosum: a rapidly evolving, black necrotic skin lesion most classically caused by Pseudomonas aeruginosa invading blood vessels. It covers the pathophysiology, stage...
19 Jun 27min
