When To Be Suspicious Of Infective Endocarditis

Alison J. Garten DPM
9/18/14 | 164 reads | 0 comments
Recently, I performed an incision and drainage on a patient with gas gangrene. I consulted an infectious disease specialist who said the patient had developed infective endocarditis. Prior to this, I knew very little about the condition. Here is what I have learned from the physician and my research. Read More.

Should You Consider Maggot Debridement For Wounds?

Alison J. Garten DPM
8/21/14 | 579 reads | 2 comments
At our wound care center, we recently had a patient who presented with maggots in her wound. At first glance I thought it was worrisome but then I remembered that maggot therapy is still common for wounds that need debridement. I wanted to revisit maggot therapy to see if I should be considering this treatment as an additional option to heal my patients. Read More.

How Measuring Transcutaneous Oxygen Can Help Evaluate Wound Healing Potential

Alison J. Garten DPM
7/24/14 | 530 reads | 0 comments
I recently referred a patient who has a chronic ulceration for a vascular consult. Non-invasive testing included ankle/brachial index (ABI), toe/brachial index (TBI), pulse volume recordings (PVR), skin perfusion pressure (SPP) and transcutaneous oxygen (TCOM or TcPO2). Macrocirculation in the lower extremity occurs through the posterior tibialis artery, anterior tibial artery and the peroneal arteries, the three main arteries that supply the limb. The ABI, TBI and PVR studies evaluate macrocirculation. Read More.

Facilitating Insurance Coverage For Venous Ablation Procedures

Alison J. Garten DPM
6/26/14 | 864 reads | 2 comments
This is a follow up to my previous blog post regarding venous ablation procedures (see http://tinyurl.com/odulpd4 ). I recently had an eye-opening conversation with a vascular surgeon, Jane Lingelbach, MD, with whom I work closely at Healogics Wound Care Center. She recently expressed why there is a delay of treatment from the time of a requested consult to the time of a venous ablation procedure performed due to an ulceration in the presence of venous disease if indicated. Read More.

When Should You Refer Patients For Venous Ablation?

Alison J. Garten DPM
5/20/14 | 918 reads | 0 comments
I often have patients at the wound center who get referrals to me for care after a venous ablation procedure. I researched the procedure to explore what is involved and when we should be referring patients to a vein clinic or a vascular surgeon. Read More.

Remembering Nutritional Analysis In The Wound Care Patient

Alison J. Garten DPM
4/23/14 | 887 reads | 0 comments
While attending a conference a several weeks ago, I ran into a colleague whose passion and expertise, like mine, is wound care. Our conversation centered upon the topic of nutrition and how often as doctors, we omit the patient's dietary habits in our treatment strategies. We are so focused on healing the wound that we may overlook the basics that would assist the healing process. Read More.