Diabetic Foot Files

• Levine vs Essen: The Right Way to Swab Diabetic Foot Ulcers

  Dr. D breaks down two standardized swab techniques—the Levine and the Essen rotary methods—and explains why proper wound cleansing and pressure-based sampling are critical to getting accurate cultures. Learn step-by-step instructions, common mistakes to avoid, and when to use each method for diabetic foot ulcers. This episode highlights evidence comparing each technique to deep tissue biopsy, real clinical case examples, and practical tips to reduce false negatives, detect anaerobes, and improve patient outcomes.

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  21:23

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• BKA Explained: Surgery, Choices, Rehab & What Comes Next

  In this episode of Diabetic Foot Files we walk through below‑knee amputation (BKA): why it’s performed, how surgeons select the level, and the step‑by‑step surgical technique including flap design, vascular and nerve management, and bone handling. We discuss risks of delaying surgery, post‑op care and staged rehabilitation, pain and phantom limb strategies, and the key questions patients and families should ask when facing a BKA. Clinically accurate, compassionate, and practical—this episode helps patients and caregivers understand when BKA can be life‑saving and how to prepare for recovery and return to function.

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  15:52

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  15:52
• The Business of Amputations -Follow the Money: Why Hospitals Profit from Amputations

  This episode explores how healthcare reimbursement incentives make amputations far more profitable than months of limb salvage and wound care for patients with diabetic foot disease. It explains the reimbursement differences, who benefits financially, why wound care programs struggle to stay open, and practical questions patients should ask to protect their limbs.

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  10:07

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  10:07
• When Can I Get My Foot Wet? Wounds, Pools & Hot Tubs Explained

  This episode of Diabetic Foot Files explains when and how it’s safe to expose dressings, incisions, ulcers or amputation sites to water — covering showers, baths, pools, beaches and hot tubs. Learn why uncontrolled moisture causes maceration, slower healing and infections (Pseudomonas, MRSA, Vibrio), and get practical prevention tips: use professional waterproof protectors or sponge baths, keep dressings dry, wait until sutures are out and there’s no drainage for 48–72 hours, and always get explicit clearance from your provider before swimming or bathing.

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  16:07

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  16:07
• Dating While Healing: Confidence, Intimacy with an active diabetic foot ulcer or post amputation

  This episode explores the human side of diabetic foot ulcers and how they affect dating, self‑image, and intimacy. Dr. G blends medical facts, psychology, practical tips (what to wear, safe positions, disclosure scripts), and patient stories to help listeners date confidently while healing. Topics include the science of wound odor and drainage, mobility and fashion hacks, timing and scripting disclosure, low‑mobility date ideas, safe intimacy practices, and rebuilding identity after amputation—aimed at empowering patients and partners.

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  25:28

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