Diabetic Foot Files podcast | Listen online for free

231 episodes

When a Skin Flap Fails: Spot the Early Signs Before It’s Too Late
05/20/2026 | 22 mins.
This episode explains how and why skin flaps die, focusing on the early warning signs, differences between arterial insufficiency and venous congestion, and the underlying microvascular physiology.

It covers common causes of flap failure—tension, hematoma, infection, diabetes-related microangiopathy, and poor offloading—how to assess a threatened flap (color, capillary refill, temperature, Doppler), and the step-by-step rescue measures clinicians use to improve perfusion.

Listen for practical timelines for salvage, prevention strategies before surgery (vascular testing, optimization, smoking cessation, nutrition), and the importance of rapid action and frequent monitoring to maximize flap survival and protect the limb.
S.A.V.E T.H.E. F.A.S.C.I.A: Rapid Recognition Protocol for Necrotizing Fasciitis
05/17/2026 | 40 mins.
In this episode we introduce "Save the Fascia," a clear, stepwise mnemonic to help clinicians recognize necrotizing fasciitis early and act urgently. It outlines warning signs, diagnostic steps, and the rapid escalation needed for a time-sensitive surgical emergency.

The episode emphasizes tracking progression, immediate wound management, broad-spectrum antibiotics, and early surgical consultation to improve limb salvage and survival.
Medically Stable? The Dangerous Misuse in Diabetic Foot Discharges
05/16/2026 | 23 mins.
Dr. G examines how the phrase "medically stable for discharge" is often misapplied to diabetic foot patients, sometimes with dangerous consequences. He explains why diabetic foot infections can be deceptively quiet, reviews warning signs like gas in tissue and abscesses, and outlines when discharge is and isn’t appropriate.

The episode stresses the need for specialist input, proper imaging, source control, clear outpatient plans, and patient advocacy to prevent missed limb‑threatening emergencies and improve outcomes.
Breath Is Healing: Preventing Post-Op Complications with Incentive Spirometry
05/15/2026 | 12 mins.
Dr. G explains why the simple incentive spirometer is more than a bedside toy: it forces deep breaths, prevents atelectasis, improves oxygenation, and reduces post-operative pulmonary complications.

The episode outlines the typical post-op timeline (0–24 hrs, 24–72 hrs, 3–5 days), how poor lung expansion harms wound healing—especially in diabetic foot patients—and how spirometry links breathing to overall recovery.
Wound Intelligence Wednesday:Gustilo Classification & Contamination: Don’t Close a Dirty Wound
05/13/2026 | 25 mins.
In this episode of Diabetic Foot Files, Dr. G explores why seemingly small or clean-looking wounds—especially in diabetic patients—can hide severe underlying damage from retained plant matter and contamination. Learn how organic debris promotes infection, why imaging may miss wooden or thorn fragments, and the importance of exploration, serial debridement, and appropriate antibiotics.

The episode reviews the Gustilo wound classification, practical management steps for different contamination levels, and imaging tips to avoid missing retained foreign bodies or necrotizing infections. Key takeaways: never primarily close contaminated wounds, antibiotics don’t replace debridement, and maintain high suspicion for gas-forming and rapidly progressive infections.

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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 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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