Diabetic Foot Wounds Treatment | FAQ

The Johns Hopkins Multidisciplinary Diabetic Foot and Wound Service offers comprehensive, multidisciplinary inpatient and outpatient care aimed at healing recurrent foot wounds and decreasing the rate of major amputations in patients with diabetes. Vascular surgeons Christopher Abularrage and Caitlin Hicks discuss the team's philosophy of care, treatment options, research and outcomes.

Questions Answered:
0:01 Describe the diabetic foot and wound service at Johns Hopkins.
1:50 Describe the team's philosophy of care.
2:30 What cutting-edge diabetic foot wound treatments are available at Johns Hopkins?
3:08 What makes the Johns Hopkins diabetic foot and wound care service unique?
3:42 What diabetic foot wound research is performed at Johns Hopkins?

[humlocker]

My father is a 93 yr old and has been bed ridden for 3 years now but has developed a wounds on his left foot heel his skin is so sensitive it tears easily like paper so we have to be careful not to tape anything around his leg as he already have a tear on his foot we are taking care of due to his delicate skin. The heel wound is deep you can see his tendons and to the bone too, not enough blood flow to his legs is fast heal. The wound doctor told us to only apply wet cloth heavy with Iodine in directly in the open for now and apply Santyl ointment outside the wound at first. A week he was brought in this time the Dr perform some debride around the area. Dr recommendation this he was to be conservative and not make it any worst for him. So he sent us home with direction to apply a patch of collagen to help the skin built new skin and hopefully close the wound. Apply the Santyl directly in the wound this time. My dad is on anti biotics seem to prevent from any infection but is red around the wound. I also started to give him vitamins to support his immune system. We bring our dad every week by ambulance in a stretcher because can't walk his diagnose is rheumatoid arthritis and has take over his body which has been decline over the years. Family seeks 2nd opinion. Any advice from the Medical Community is welcome. We live in Texas. Thank You All.

[sozou]

‘Cutting edge’ is great, but the basics are often missed and drive the best outcomes. Good basic, early intervention, with focussed wound care debridement, and addressing risk factors practically, and effectively, can, when compared ‘head-to-head, outdo surgically motivated programs, but those conservative advanced wound care providers are really hard to find, and get access to; this program is a step in the right direction, especially having a ‘one stop’ almost ‘multi-disciplinary, option.

[MrEricleewan]

How about peripheral nerve surgery? See Dellon Institutes and peripheral nerve decompression for diabetic neuropathy

[RevanJJ]

I wish to God I could see all three at the same time. I have just a podiatrist and internist. Asked to be referred and they said no.

[kemifadeyi]

My mother have a diabetes for many years using metaformi but the most worst things now is that she have wound in her big toes .the doctor said he will cut off the toes away tmw bcs the toes is decay and can affect the whole leg or the other leg. Now my friend is in fear don't wanted to cut her toe bcs you believe that she will die.please doctor what can she do or medicine can she use to heal the toes without cutting it off? But she lives in Africa

[beccabean]

Fantastic model for multidisciplinary pt care.

[gonwaynehectorvoigt]

Why are the Clinical Pharmacists not part of the treatment team?

[kevinpoole]

Help what about indigent Care Availablility

[Melchizadech]

Hyperbaric oxygen treatment is a safe and very effective way to help wound healing and reduce risk of limb amputation.

[chaitalim]

My mother is suffering from wet gangrene and LVEF 20%, blocked artery and hypoglycemia.
Kindly advise suggestions

[governorhunter]

The doctors speak one tone esp vacular surgeon

[KhanKhan-tpch]

excercising on sunny day, a bit warm, my foot skin near thumb got swollen with water, i removed it by hand, after a month wound turned black with small/light pain.not healing.its diabetic wound cuz of its color.