Diabetic Foot Files podcast | Listen online for free

336 episodes

Positive vs. Negative Surgical Margins- Every Millimeter Matters: Surgical Margins in Diabetic Limb Salvage
07/02/2026 | 24 mins.
In this episode of Diabetic Foot Files Dr. G explains why surgical margins in diabetic foot surgery — especially with osteomyelitis — directly affect recurrence, healing, and the risk of further amputation.

She covers the difference between positive and negative margins, how pathology and imaging guide management, and how margin status influences antibiotics, reoperation, and prognosis.

Practical steps to improve margin status are discussed, including thorough debridement to bleeding bone, preoperative imaging and vascular assessment, offloading, and close coordination with infectious disease.

Key takeaway: achieving negative margins greatly increases healing odds, while residual infected bone significantly raises recurrence and higher-level amputation risk.
LIMBWatch Series: Dawn Franceschina PT, DPT, CWS on Wound Healing Awareness Month and ABWM Foundation
06/30/2026 | 43 mins.
Dr. G interviews Dr. Dawn Franceschina, a physical therapist and Vice Chair of the ABWM Foundation, about her 29-year career in wound care, advances in treatment, and the importance of Wound Healing Awareness Month.

The episode highlights the PT perspective, interdisciplinary limb-salvage teamwork, board certification, common barriers to healing, and practical steps for clinicians, patients, and industry to get involved.
Diabetes and Disability Series- Part 2- Will I Lose My Job? The Hidden Work Fears of Diabetic Foot Ulcers
06/29/2026 | 15 mins.
This episode explores how diabetic foot ulcers affect not just health but work and identity. Dr. G explains common patient fears about income, insurance, and being seen as unreliable, and how employers usually evaluate function, safety, and attendance rather than diagnosis alone.

Learn practical advice on medical documentation, workplace accommodations, timing of work restrictions, and the importance of clear communication to protect both the patient’s health and long-term employment.
Diabetes and Disability Series- Part 1 : Do I Qualify & How Long Will I Be Out of Work
06/28/2026 | 24 mins.
Dr. G dives into the complex reality of disability for people with diabetic foot ulcers — explaining why a diagnosis alone doesn’t determine disability, how occupation, ulcer characteristics, infection, blood flow, blood sugar, pressure, offloading, nutrition, and smoking affect healing, and why return-to-work decisions focus on function rather than timelines.

This episode emphasizes empathetic communication, accurate documentation, realistic expectations, and the difference between temporary and permanent disability, offering a clear view of why healing varies and how clinicians and patients can work together toward recovery.
Rewind the Journey: The Preventability Index in Diabetic Limb Salvage
06/27/2026 | 19 mins.
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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About Diabetic Foot Files

👟✨ We’ve teamed up with DARCO to bring you 25% off the POGO shoe! Want to stay active, reduce pressure, and help prevent ulcers before they begin? 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 and the LIMBWatch series — where diabetic foot surveillance, wound intelligence, prevention science, and limb preservation come together. I’m Dr. G / Dr. WoundPicasso aka Dr. Gabrielle Hutcheson Donaldson, podiatrist and wound care specialist, and I’m here to educate, empower, and guide you through the evolving world of diabetic foot care. From wound healing and pressure injuries to surveillance systems and amputation prevention, we break down the science, challenge the myths, and share strategies that help save limbs and improve lives. Whether you’re a patient, caregiver, clinician, or healthcare professional, this is your destination for diabetic foot education, prevention, and preservation. So let’s dive in — because when you take care of your feet, they take care of you.LIMBWatch: Surveillance Before Salvage.

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