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Diabetic Foot Files

Forme et santé

Dernier épisode

157 épisodes

When Skin Sends SOS: Understanding the Kennedy Terminal Ulcer
28/1/2026 | 20 min
This episode explains the Kennedy terminal ulcer: a sudden, rapidly progressing sacral wound often seen near end of life, and how it overlaps with pressure injury and skin failure concepts.

Dr. G discusses the underlying physiology (perfusion collapse, inflammation, microthrombi), the role diabetes plays in lowering tissue reserve, clinical recognition, management focused on comfort and dignity, and the importance of clear documentation and family communication.
Felt Padding 101: The Low-Tech Offload That Heals Diabetic Foot Ulcers
28/1/2026 | 13 min
In this practical episode Dr. G shows how felt padding — an adhesive-backed wool or synthetic material cut to create a pressure "donut" — can redistribute plantar pressure and promote healing of diabetic foot ulcers.

He covers why offloading matters, supplies and step-by-step application, clinical evidence, a real case demonstrating substantial pressure reduction and healing, and common pitfalls with troubleshooting tips.

Key takeaways: felt padding is affordable, customizable and effective when paired with proper footwear and monitoring; replace regularly and watch for skin breakdown or shifting.
Fusidic Acid — The Quiet Staph Assassin
26/1/2026 | 19 min
In this episode Dr. G explores fusidic acid — an antibiotic isolated from the Fusidium fungus — its unique mechanism blocking elongation factor G, and why it became a powerful tool against Staphylococcus aureus in skin and wound infections.

Dr. G covers clinical uses (topical creams, oral and IV when combined with rifampicin ), availability issues in the U.S., and why stewardship matters: short-term topical use only, culture-guided therapy, and avoidance of prolonged monotherapy to prevent rapid resistance.
Mupirocin Myths: When This Ointment Helps — and When It Hurts
26/1/2026 | 18 min
Dr. G explains what mupirocin ointment actually treats, when it is appropriate for diabetic foot wounds, and why overuse can cause resistance. Learn its mechanism, limitations (no gram-negative, anaerobic, biofilm, or deep-tissue activity), proper indications for superficial gram-positive infections, and common mistakes that delay effective care.
“The Soaking Myth/ Urban Legend “ No Soaking: Why Warm Water Can Ruin Diabetic & Ischemic Foot Wounds
24/1/2026 | 26 min
In this episode Dr. G, a podiatrist and limb-salvage advocate, debunks the common practice of soaking diabetic and ischemic foot wounds. She explains how warm water and salts cause maceration, strip the skin barrier, increase edema and bacterial growth, worsen tissue hypoxia, promote biofilms, and accelerate necrosis—especially dangerous in critical limb ischemia and neuropathic feet.

Dr. G outlines safer care: gentle cleansing with saline or wound cleanser, pat dry with sterile gauze, protect the peri-wound skin, and seek vascular and wound-care assessment rather than soaking.

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À propos de Diabetic Foot Files

Big news! 👟✨ We’ve teamed up with DARCO to bring you 25% off the POGO shoe? Want to keep walking strong and prevent ulcers before they start? Visit darcodirect.com/product/pogo/ and use our exclusive code FootFiles25 at checkout to save 25% off your pair. Welcome to the Diabetic Foot Files Podcast—the show where real stories, latest research, and essential tips to help prevent diabetic foot complications. I’m Dr. G / Dr WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson and as a podiatrist and wound care specialist . I’m here to educate, empower, and guide you through the world of diabetic foot care. From wound healing to amputation prevention, we’ll break down the facts, bust the myths, and share life-saving strategies. Whether you’re a patient, caregiver, or healthcare professional, this podcast is your go-to resource for healthier feet and a better quality of life. So let’s dive in—because take care of your feet, because the take care of you

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Forme et santé