Judge for yourself whether it was right we allowed the patient to have his foot. This is his 24th day with daily dressing of silver sulfadiazine impregnated in the gauze bandage, vascular dilators and oral antibiotics. The foot has regained its pinkish color. where it was whitish 24 days ago. Demarcations of good flesh are coming out on the edges of this pinkish area. Where there was soft subcutaneous tissue palpable, it was replaced with enduration and hardening of the area. The foot does not smell anymore. The toes are going back to their normal color except for the tips. I give him another 30 days to decide whether to amputate or not. His creatinine is going down from a high 400 to the present 370.
medicine is a changing art. Controversies in management of diseases arise not immediately addressed by the medical world. I am posting this for you to know which side you are on and decide which way to take.
Wednesday, July 11, 2012
DIABETIC FOOT GANGRENE 24DAYS
Judge for yourself whether it was right we allowed the patient to have his foot. This is his 24th day with daily dressing of silver sulfadiazine impregnated in the gauze bandage, vascular dilators and oral antibiotics. The foot has regained its pinkish color. where it was whitish 24 days ago. Demarcations of good flesh are coming out on the edges of this pinkish area. Where there was soft subcutaneous tissue palpable, it was replaced with enduration and hardening of the area. The foot does not smell anymore. The toes are going back to their normal color except for the tips. I give him another 30 days to decide whether to amputate or not. His creatinine is going down from a high 400 to the present 370.
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ReplyDeleteThis is why I respect you Dr. Cagape. You always try to assist the body to heal before proceding with invasive procedures. I am sure some patients do not realize how special a doctor you are. Keep Up The Work!
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