PodcastsHealth & WellnessDiabetic Foot Files

Diabetic Foot Files

Diabetic Foot Files
Diabetic Foot Files
Latest episode

155 episodes

  • Diabetic Foot Files

    Fusidic Acid — The Quiet Staph Assassin

    1/26/2026 | 19 mins.
    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.
  • Diabetic Foot Files

    Mupirocin Myths: When This Ointment Helps — and When It Hurts

    1/26/2026 | 18 mins.
    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.
  • Diabetic Foot Files

    “The Soaking Myth/ Urban Legend “ No Soaking: Why Warm Water Can Ruin Diabetic & Ischemic Foot Wounds

    1/24/2026 | 26 mins.
    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.
  • Diabetic Foot Files

    Comfort Over Closure: Managing Wounds at End of Life

    1/23/2026 | 13 mins.
    Dr. G explains how wound care changes in hospice: the focus shifts from closure and aggressive treatments to comfort, pain relief, odor and exudate control, and preserving patient dignity.

    The episode reviews the physiology of dying skin, common hospice wounds (Kennedy terminal ulcers, unavoidable pressure injuries, ischemic/gangrenous wounds, and fungating tumors), and practical strategies like minimizing painful dressing changes and prioritizing symptom management.

    Dr. G emphasizes ethical care, family education, and the importance of treating patients with presence and compassion—honoring the body’s process while protecting comfort and dignity at the end of life.
  • Diabetic Foot Files

    It’s Not A Miracle, It’s A Marathon- Limb Salvage Revolution: Consistency Over Miracles

    1/22/2026 | 23 mins.
    This episode reframes limb salvage as a marathon, not a miracle—arguing that persistent, team-based care prevents many unnecessary amputations and protects patients' lives, function, and dignity.

    Dr. G explains the scale of the problem, why amputations are often a system failure, and the five pillars of successful limb salvage: persistence, consistency, knowledge, team-based care, and patient empowerment. Key principles include vascular assessment before amputation, offloading, infection control, and timely referrals.

    The episode calls for ethical decision-making, better access to modern wound care tools, and patient advocacy: slow, consistent medicine over rushed amputations, and second opinions when limb salvage options haven’t been explored.

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About 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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