CHARCOT: A DIABETIC NIGHTMARE 😢😢😢
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- เผยแพร่เมื่อ 26 พ.ย. 2019
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Dr. Wagner is the founder of JAWS podiatry & The MIFAS (minimally-invasive foot and ankle surgery) Institute, two state-of-the-art lower extremity facilities in Hollywood, where you will find South Florida’s top rated and highly acclaimed Doctors of Podiatric Medicine (DPM).
Call our office (954) 922-7333 or book an appointment online
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/ jawspodiatry
Join us in the thrilling world of foot & ankle medicine all the way from South Florida! You'll see a lot of serious work mixed in with a lot of fun.
Website: www.jawspodiatry.com
![เปิดบ้านสุดหรู "เเจ็ค the ghost" ลั่นถ้าป๋องกพลลำบากผมเลี้ยงเอง!! l [Nickynachat]](http://i.ytimg.com/vi/1xbW4vULqGc/mqdefault.jpg)
Thanks to the patient who was kind enough to be an example for education! Bless him! Bless the doctor who is a natural educator!
Wow. Thank you for your compelling presentation of Charcot, and the amazing passion you have for your work. I am a 73 year old woman, with a lot of time on my hands (retirement!) and I watch a lot of these podiatry posts. You are the best teacher of them all, and communicate the utter EMERGENCY that exists for many of your patients. If anybody can make us aware of the real situation they are in, it is you. My own feet are fine, with one problem.
When I was a young girl, I got a couple of plantar warts on my right foot. They were treated with radiation therapy, which mitigated the problem, but I was left with a sort of small callus that I file down every now and again. In my 30's, I ran 8 miles a day with no problem, and now have only a small amount of pain while walking.
You have inspired me to show this foot to my excellent primary care doctor. Thank you Dr. Jaws!
As a diabetic who's had Charcot incidents in the past, I greatly appreciate the fact that you tell it exactly like it is. Excellent advise...I hope the patient heeds it 100%.
Roger McKenzie transparency is the new currency. Our goal is simple. Education and prevention. It’s the only way! As always, a very genuine thank you. 🙏😁👣🦈🍁
lots of diabetes on both
parents side of families.
i knew it would get me
one day. i have had it
for 20 yrs now. I never
go barefoot or wear
shoes without socks.
i have depression ,sleep
apnea,acid reflux&
almost all the side
effects of diabetes.
i am 73 5'11"&185lbs.
i have worn same size
pants over 30yrs.
i check my feet every
nite &watch carbs 24-7
NEVER EAT DESERTS
or corn. real challenge but i don't want any
amputations. so many
times once they start
they never stop.
diabetes can KILL.
good luck
hello did you broken your leg?
I have a friend who developed Charcot foot related to adult onset diabetes. He was very sick because of it, and ultimately had two below-the-knee amputations.
@@marthawelsh7269 As you know all too well, Charcot is not to be taken lightly. Best of wishes to you and your friend.
As a diabetic this is FRIGHTENING, but so important to know. Thank you!!!
Thank you for being so direct here. I just had my 4th foot surgery in three years. Second partial 5th metatarsal amputation and it has saved my foot. Even with my A1C at 7 I had this problem. People take care of your sugars and your feet.
Your blood sugar is still out of control if your AIC is 7. You need to eat a low carb diet and bring your blood sugar down into the normal range.
In January 2020, my AIC was 7.3. By March April 2020, my AIC was 4.5. Over the past three years, the highest my highest A1C has been 5.0. Normally, my A1C is 4.9.
I encourage you to do more to lower your A1C. The effort will definitely be worth it.
I appreciate that you break everything down so that we can understand. But... I LOVE how excited you are to share your knowledge and sense of wonder for the human body. Thank you for taking the time and making the effort to share with us.
Da Moma Janet A very genuine thank you for all of the above mentioned. This is why education and prevention are so important. It’s true passion. As always, thank you 🙏🦈😁👣🍁
Great video. Love the frankness of your "If you walk on it, you'll lose your leg" comment. Was told something similar at my podiatrist's office ("Every step is a step toward a wheelchair and amputation" - with the added disclaimer that that also applied to AFTER the foot was stable, if not wearing appropriate footwear.) & while it was a shock to hear, it made me take it seriously.
I’m diabetic and I’ve never herd of this. I’m so thankful I found your Chanel because it has really made me realize the importance of taking care of my feet.
Dr. Wagner the talked you had with patient was spot on . He does need to listen .
My father has type 2 diabetes and unfortunately developed a huge foot ulcer from stepping on a piece of metal. He was non-compliant and still walking on it, so it continued to get worse. He developed osteomyelitis and was sent to a surgeon who said, "EITHER YOU GET OFF OF YOUR FOOT, OR I WILL TAKE YOUR FOOT OFF OF YOU! He wasn't given a high chance of keeping his foot but he finally followed instructions and eventually fully healed. Sometimes patients need the unvarnished truth to realise what damage they are doing to their bodies by not following a doctor's treatment plan. I hope that your patient heals as successfully as my father did.
Alexandra Theresa thank you for sharing that story. Well appreciated. This is why education and prevention are so important. As always, a very genuine thank you. 🙏🦈👣😁
This is shocking and amazing. Thank you for sharing. My father was a diabetic, started with a sore on the bottom of his foot which never healed... Eventually leading to a below the knee amputation.
Kym M you’re very welcome! So sorry to hear 😢😢😢 this is why education and prevention are so important. As always, thank you 🙏👣
This is so great! I learn so much from you. Again, love your passion and how you care for your patients.
Spendy Nana A very genuine thank you for all of the above mentioned. Glad to hear! As always, thank you 🙏👣😁🦈🍁
I applaud your capability of conveying such serious issues. As the patient said, "he's upset", and he's "under your care". Convey it wrongy and he will very quickly think that the issue is not his foor, it's you. Very subtle psychology. Ans rightfully so. No one wants his life changed for nothing, just because of one bad doctor.
Hipe this man got the care he needed.
Your passion for your patients, and the time you've taken in your career to obviously stay current with the journals is so refreshing. As an adult educator, one must truly understand theory to be able to explain things the way you do. Thank you❤
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Really informative Dr. Wagner, and thanks to your patient for letting us in on his consultation and learn. He is at the best place and can look forward to being helped immensly. I felt sad when he said he felt depressed. Until I began watching here I had never heard of Charcots, and I was a trained nurse in the late 60's and 70's(I'm old) It is yet another reason to be vigilant with your diabetic care, and for the rest of us, do what we can to not become diabetic and not have to face these terrible issues.
Ruth M glad to hear! This is why education and prevention are so important. As always, thank you 🙏🦈👣💪
Thank you ever so much. I am having a blast working through all the videos I’ve missed.
You’re certainly the top educational channel and I love the level of detailed information that the patients get. Too often patients are treated as incidentals in their treatment and are spoken to in an incredibly patronising manner (as I recently discovered still happens)
It’s amazing that the patient presented like this. I hope that the progression can be halted as it’s truly a catastrophic injury.
Bobbi Buttons first and foremost...how are you doing?
JAWS healthcare thank you so much for asking. I'm getting there, glad it's over. It's a strange perspective being on the other side.
I hope you all had a lovely Thanksgiving
I wished my podiatrist spoke to me like this eight years ago. I suffer from Charcot foot and it’s been hell to live with. If I knew then what I know now, I would be a lot better. But like he said “ don’t look at yesterday, look at now” I do everything I can to manage tha pain everyday. Thanks for sharing the video
Dear doc. I'm type 1 40 years. No one has ever discussed Charcot like this with me. Thank you. I'm shaping up. Good luck to yourpatient
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I’ve been dealing with this since Jan 2021. Bones healed after 4 months, 2 months later got a ulcer from the bony prominence, it got severely infected and had 2 major surgeries. This past May I had the bony prominence at the bottom removed, now I’m waiting for it to heal to be fitted with inserts and hopefully walk again, pay attention folks, it’s a life changer
You'd be a great professor. Very clear, and very engaging.
Passion is excellent in wanting the best outcome. Well done also with your honesty. I love it.
The depression can lead back to the bad habits...it's a vicious cycle.
Thank you for sharing this case. Incredible that he can still walk on that! Totally relate to what you said about fractures....I suffered a Jones Fracture last year and before I knew it was fractured I had to walk quite a bit just getting into the X-ray facility and my podiatrist office...it was painful. Your passion and excitement really grabbed my attention, I may have to go see google, would love to know more about Charcot.
Jeanette P you’re very welcome! Education is the key. Thank you for the above mentioned. Have a wonderful Thanksgiving 🙏😁👣🦈🍁
Thank you Dr Wagner- I've never progressed to Full Diabetes- still pre- diabetic with Reactive Hypoglycemia !
But nobody.told My Feet- they are aspiring to.become Full Charcot.
My Podiatrist and I still are piling up sandbags to stop the floodwaters of Charcot. Will it work? GOSH I HOPE SO!
Very good information. I admire the passion in this video. Dr. Wagner was lit about saving live. Thank you.
God bless you Dr. Wagner and your patient. I like a good Doctor who is feeling for his patient being honest, the strong desire to resolve the problems and the willingness to listen.
Dr. Wagner, thank you so much for sharing your knowledge with us! I’m a teacher and I always tell my students that knowledge is power!!
Be well and have a great Thanksgiving.
Nuno Silva you’re very welcome! You’re 100% right. As always, thank you and likewise. 🙏😁👣🦈🍁
As a being diagnosed with Type 1 since 11 .. I was diagnosed with charcot right foot age 29 and 10 months later the left foot flared up.. and personally this patient in the video no way he felt that maybe little bit but not much.. I'm all for spreading the word and awareness! Yes I am thankfully walking on my own 2 feet today thanks to my amazing care team and doctors
Extremely informative. Thank you.
Dr. Wagner, thank you so much for this video. I watched it and a few days later I had lunch with a friend, afterwards at my house I looked at her foot. I mentioned going to see a podiatrist. She was diagnosed with Charcot. Hopefully she will not face amputation.
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Dr. Wagner, I know that you explained this all so well for me (at least we are going to let me think it) because I asked you recently about Charcot (and of coursed misspelled it, sharko, in my comment on purpose) and only have your channel to educate me, so I can be the feet and ankle know-it-all in my family. All kidding aside Doc, thank you for another informative and educating video. Reaching 45 this year, having a husband who ignores his feet and health in general, aging parents and step-parents, and 4 kids who I want to keep from being burdened by us all as long as possible, make videos like these what I believe is crucial information.
Brandy Nicholson thank you for all of the above mentioned. This is why prevention and education are so important. We will continue to educate. As always, a very genuine thank you. 🙏😁👣🦈🍁
Extremely important video explained perfectly for the lay person. Serious topic, Charcot, no joke. Aggressive treatment is the plan. Thank you!!
Susan Peterson 🙏🦈👣😢💪
Thank you for explaining this to us. I want to listen and learn all I can.👂
Babyjohn you’re very welcome! Just trying to educate the entire world. As always, a very genuine thank you. 🙏👣🦈💪
Thank you for your attention and educating us about this terrible condition. What happens to the bone minerals that leave the foot? Arteries, veins, organs?
You are a great educator. You say what it's about, no sugarcoating. Sometimes a patient has to be shocked to get him to comply. I've looked in to Charcot and this is indeed a serious problem. I hope he will do as you say because he can indeed loose his leg.
Lilith Eden 🙏🦈👣😢💪
Thank you for this information.
Thank you for your service Dr
The sad thing is that most doctors have no idea what this is and won't take it seriously. I have to argue with the hospital everytime my mom has a flare up.
This is so good for so much great knowledge. Thank you.
Kelly Kulas you’re very welcome! As always, a very genuine thank you 🙏👣🦈😁
I’m speechless 😞😞😞😞😞😞 thank you for your honestly education and caring manner 🙏🙏🙏
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Im T2D and learned a new ‘term’ today! Thanks Doc!
Great video I have charcotfoot and ended up getting a bone infection and I dodged a bullet and now I'm going to have reconstructive surgery on my foot to stop it from happening again
An excellent informative warning! Thank you.
Pamela Rickers You’re very welcome! As always, a very genuine thank you. 🙏😁👣🦈
A lot of great information!
Sheila Smith glad to hear! As always, a very genuine thank you. 🙏👣😁🦈🍁
I have a family member with this and it’s been hell. He has had reconstructive surgery to rebuild the ankle, reattach the foot to the leg etc
Thank you!
Mary Anne you’re very welcome! 🙏😁👣🍁🦈
I have a severe case of Charcot Arthropathy. My two middle toes are not connected to the other bones of my foot. My bones have slipped down to the bottom of my foot. I am currently in a NWB boot and have to use a wheelchair.
This video was very informative, educational and improved my knowledge. I know more now and what to look for regarding Charcot......Wow powerful stuff Dr Wagner......How long will your patient need to be off the foot for?
Chezzy J glad to hear! until further notice!
EDUCATION 💪💪💪
That looks so painful. The neuropathy must dull it a lot. Wow so serious. I was impressed on how you let him know how bad it is. So many people just don't get it. Had a friend who was a little slow and even though I and my nurse friend tried to impress on him how serious it was he just did not believe because it did not hurt. He ended up loosing his leg below the knee. 😪😪
I have Charcot it's been getting extremely bad. I recently noticed my leg turning colors, doctor says there's no surgery to be done due to neuropathy, but never mentioned the hallow
Wow brilliant talk
yvonne hogg glad to hear! Just continuing to educate the world one toe at a time 🙏😁👣🦈🍁
Did the patient have diabetic neuropathy? Is pain detection or lack thereof the difference between chronic and acute Charcot deformity?
Thank You Danny .... Australia ..thank You God Bless
I am laid in bed watching this with my foot in a cast trying to reverse charcot foot and i am so frightened. I have been type 1 diabetic for over 40 years and never had problems. The problem is you have to move about a bit don't for obvious reasons.
Exceptional educational video --- thank you!
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Very interesting. Never heard of it before.
Wow! I had a stress fracture in my navicular bone and struggled to walk.
My foot looks terribly deformed and I can only stay at home because I can't stand for my job.
Dr. Wagner great plain
Good one, Dr. Wagner. Question: if the patient had better control of his diabetes, could the trauma have resulted in Charcot nonetheless? Asking for a friend.
Carrie DeBehnke excellent question! Unfortunately, it’s multifactorial. But I must say, if his HBA1C was under control, there’s a very high likelihood this would’ve never happened. As always, thank you 🙏👣🦈🍁
I had chariot surgery 5 years ago still can't walk they way I used to so much metal in my right foot ty for this
Hi doctor any advice for persons who diabetic to prevent reaching rhis stage
I would love to see the X-rays of this foot. Wow
Judith Shorey I will definitely show you guys the x-rays. Striking indeed 😳. As always, thank you 🙏👣🦈
I have Charcot Foot and I lived in Delano CA. Is there any location in case I can come in?
Meaningful video.
Pamela Kain A very genuine thank you. Well appreciated 🙏👣🦈
It happened to me too. Its been heck!
This man seems completely oblivious to his condition. "I have a very high pain tolerence"... No you don't, you have foot neuropathy! Your foot is destroyed and you can't feel it!
Depressed? Heck! Be glad you’ve got Dr Wagner! You’ll get the best!!
Thank you for your expert Passion :- CHARCOT, I will not forget this.
Dr. Wagoner I’m 50 year old male, type 2. Long history of gout. I have tried everything as far as diet. I’m convinced diet is NOT as big an effect on gout as it’s thought by the medical community. Stress, and lack of good solid sleep seem to be a huge trigger for gout. Incidentally, has a 13-year-old boy, I’d be walking in the mall or to school and my foot would get sore. Around the heel area not consistent with plantar fasciitis, however it felt like the beginning of plantar fasciitis. Similar to stepping on a round blunt rock barefoot. Age 31st full-blown gout attack. I have had extreme bouts with gout I have seen rheumatologist, podiatrist, orthopedic specialist and the list goes on. I recently had my 1st foot surgery. For four years almost 5 I had extreme burning pain on the right side or outside of my ankle, right foot, I work for the railroad and work on your regular surfaces all night every night. For 4 1/2 to 5 years after gout attack after going attack, I finally found a Doctor Who found out that I had ripped my peroneal tendon into pieces. It showed on the MRI is a partial thickness tear however When the surgeon opened me up he found a fall break. I have been walking like that for 4 to 5 years. The first metatarsal joint below my big toe has been a spot of Many gout attacks. The surgeon went in because the joint was just figured someone and he went in and cleaned up the joint also the big toe in the middle the joint had to be cleaned up. The surgeon told me I had gout in there however he does not elaborate and to be honest his bedside manner is very poor. I am very interested in that first metatarsal joint and the big toe as far as gout goes. I was wondering if you had any videos where you cleaned up the joint and not just tophi or the hard white gout but gout in the crystal stage and the causes of the gout on the joint? It is only my right foot but my ankle and my foot have really took a huge huge hit on my quality of life I’m always in pain with it, it’s weak, it feels like my ankle and foot is constantly sprained, and it has been like this for years and years as long as I can remember. I don’t know what to do I’ve seen so many doctors but I watch you on here and I just wish that you were close because I would be there in a flash. Your patients are very very very lucky to have such a skilled doctor but more importantly a good human being, a person who truly does care. I cannot express that enough. Your understanding, temperament, bedside manner is impeccable. Last but not least your parents i’ve got to be so proud of you not just because of your doctor status. Because of your heart. A wonderful person most likely a wonderful son, husband, and father, brother and the list goes on. I just want to say keep doing the videos are my favorite. Your an angel brother! I mean that. U help where just good doctors can’t! You have to be a great person with a great heart, to be a great Dr!
Jaws podiatry do you have any updates on this patient?? As a recent patient going thru the same process I’d like some insight!
What's aggressive treatmet?
I had charcot in my left foot in 2017 right after I had episode of charcot in my right foot....my tibia came loose and was trying to come out side of my ankle I had to have a foot fusion surgery and was bed bound for 4 months no weight bearing but I did pivot and turn on that good for the left foot and I think that maybe that's why it failed me a year later
I too am a diabetic and 3 yrs ago I fractured my navicular bone in left foot. 6 months in a cast and boot and it looked like it was fixed but when I went to buy some trainers the owner of the shop recognised that my foot wasn't right it was very swollen do I went to see the hospital podiatrist and she instantly knew it was Charcot as my foot was 6.5' hotter. The Charcot was in the outside of foot from ankle to baby toe and the next toe. Fast forward 2yrs and my foot was in a bowler walker (excuse spelling) but foot was very painful and bones kept moving so surgeon operated and pinned and plated my big toe and plated the next 2 toes as the left side now had no bone structure left. I healed really well but unfortunately it looks like it is back and in my ankle due to the physio I was having so now I am back in my aircast boot 24hrs a day and in constant pain.
I am one of the lucky ones as I never developed an ulcer on top of it all.
louise Bayliss so sorry to hear 😢😢😢
Thank you for sharing the above mentioned. Well appreciated 🙏🦈👣
hello,I'm also type1 diabetic and I broken my tibia bone today 21th day Dr put in leg screw and plate will I heal I'm very much scary. 46 years old
Does being insulin resistant also effect CMT?
Is Charcot related to Charcot Marie Tooth syndrome? Because I was diagnosed with CMT about 10 years ago and it was explained to me as a form of muscular dystrophy. My feet are a freaking mess. Lots of issues walking.
I have this also.....was never told to stay off my foot.....it is chronic now.......hurts like hell at times........wearing a Crow boot........can't walk without it.......now I've got a heel spur on the same foot......Diabetic also......lost 8 of 10 toes......if it gets any worse.........might think of getting rid of this foot.
Are these issues associated with type 1, type 2, or both types of diabetes patients?
Great question. We have seen This condition in both. As always, thank you 🙏😁👣🦈
Just letting you know, I’m fine, I was being over dramatic. I love your videos. They are very entertaining and helpful.
Pam Baars glad to hear! Just trying to educate the world. As always, a very genuine thank you. 🙏😁👣🦈
Please post the statistics on how many people get Charcot- are there other factors? Alcohol, etc.?
can you go over the pathophysiology
So true. But refer to John MacDougall, MD and the treatment of autoimmune disorders. Type1 diabetics have been much improved. Neal Barnard,MD also speaks to this.
Happy Thanksgiving.
Thank you...... Enough said.
Ok must go on diet immediately. You’ve scared the daylights out of me.
Pam Baars that is not the purpose of the video. The purpose of all of these videos is education. At the core, that is the key. As always, A very genuine thank you. 🙏😁👣🦈🍁
This is an extremely interesting video. I'm curious to know if the Charcot you are referencing is related to Charcot Marie-Tooth (CMT) disease. My daughter, new 23, has an extremely high arch, severe foot drop, and hammer toes. Testing twelve years ago were inconclusive, which is mind-boggling to me. Her fingers are a lot like her toes. She cannot straighten them or cup her hands without assistance. I'm concerned that she may have complications from her foot and toe shapes later in life. The trouble is, I cannot seem to locate the correct specialty for this. Would you recommend podiatry? Orthopedics was a bust, surprisingly. She had many issues just before and during her preteen growth spurt and we spent dozens of hours and several thousands of dollars at the children's hospital with no answers. (One side of her body was growing grossly faster than the other, and she was becoming deformed, yet no one in nearly a dozen specialties had a single answer. ) The other side finally and miraculously caught up a year and a half later. The worst thing that resulted from her skull and face sides growing at different times was that she needed and underwent a LaForte 1 Osteotomy, which was agonizing for both of us. That's difficult to see your child go through that.
Oh goodness! I digress! Back to my question, is Charcot related to CMT and would you recommend that she see a podiatrist?
trisia44 so sorry to hear 😢 definitely should see a specialist.
This is a different type of Charcot. This is Charcot neuroarthropathy. As always, thank you 🙏🦈👣
Thank you Dr Wagner for answering this. I wondered the same thing. And, Thank you for this question. I was diagnosed with CMT about 10 years ago. I had issues with walking and being clumsy my whole life. But never got an actual diagnosis until I had a seizure and had to see a neurologist. He ran tests and finally found the issue. My feet have extremely high arches, hammer toes, bunions, etc., and had to have a toe amputated. And a knee replaced. My hands are not as bad and are functional but weak. Some days are worse than others. But, tell your daughter to see a neurologist. Preferably one that specializes in muscular dystrophy. I hope this helps.
@@mildredwhite Thank you. She has actually been seeing a neurologist currently due to a sudden onset of recurring seizures. I will have him look at her feet. Thank you for the suggestion.
Me too, I’m depressed.
Pam Baars That was not the purpose of the video! Education, education, education. If you are feeling symptoms of depression, I would definitely seek help with your primary care physician. as always, thank you 🙏👣
I hope he listens this time. He must have been told what he was to do and not to do when he fractured his foot never mind when he got diabetes
patricia brown it’s extremely unfortunate. I will keep everyone afloat on this patient’s progress. As always, thank you 🙏👣🦈
It’s incredible he’s not in excruciating 😖 pain with the utter collapse of his foot 🦶. Emphasis excruciating.
I had surgery, 1 year ago and I am in more pain than before. 2 rods were inserted, but I was told there would be a plate and 2 pins. I Dr not a team and was released after being td atleast one night. It was a mid foot reconstruction. I'm at a loss for words, with my recovery. What can I do?
I was found to have Charcot Foot in my right foot...about a week after the amputation of my left foot. I thank you for what you're doing, for trying to educate all of us. I'm not in good shape, and my right foot is changing in new and grotesque ways, and I'm pretty much consigned to have it amputated. I'm broken in body, mind and spirit, and wish it weren't me. But it is.
This is me also and totally freaked out by all of it ie... amputation 4 years ago on right leg below the knee and have been in a rocker boot for the last 18 months . This guy just says it as it is and thank you so much for this information.
I had charcots in both feet, not fun, many problems
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It boggles the brain. How can a diabetic ignore all the warning signs, lose nerve sensation in the feet, knowingly walk on broken bones, be straight out told he will lose his entire leg and still not seem to 'get' it? 😕😕😟😦
Jude Wheeler it’s extremely unfortunate. as always, thank you 🙏👣🦈😢
I hope he changed his thinking..
I’m confused. The patient knew that he had several broken bones in his foot and he walked on his foot for a couple of months?
I DO HAVE CHARCOAT FOOT IM DIABETIC FEMALE 53 YRS OLD
With osteomyelitis, May loose the patient!!
Rather than “good” and “bad” foot, how about “involved” and “uninvolved” foot?
I have charcot in both feet. I'm not diabetic. They've both collapsed
Me too, what are your Dr’s saying is the cause? Neuropathy? Any other conditions you have? I have arthritis in both. Getting my right foot “rebuilt “ March 13? Jw what has caused this
Is consuming sugar the worst thing to do for diabetes & does it lead to this condition?
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Why is it we all f*** up our left foot?
PS-- I am in bloody agony, have been. Drs just treat you like you're a junkie looking to score. I'd go work 8-10hr shifts on ceramic tile, not allowed to sit down. I could barely walk to my car at the end of my shift. I'd lie in bed sobbing, snot and drool flying from my face until the pain made me black out. Since I couldn't find a Dr to actually LOOK at my foot (one Dr was insisting it was my knee since I had surgery a decade ago on it) I started drinking, that was all that I could get to ease the pain and keep me from blowing my brains out
Dr. Wagner diabetes is on the rise