In all walks of life, we see and encounter people with varying levels of ambition. Some folks strive to reach overarching goals and wind up taking on way more than they can handle in the pursuit of a greater good. They lead by example, they are always thinking of how to improve things and wind up investing a significant amount of time toward achieving fundamental changes. These folks are also not afraid to ruffle a few feathers along the way.

     You also see folks I like to call “political climbers.” They are also smart, driven people but tend to be

     Charcot’s arthropathy is a devastating complication of diabetes mellitus that frequently leads to permanent disability, ulceration and amputation. It is a rapidly progressive and severe form of arthritis. Researchers have equated the acute Charcot foot to a medical emergency since therapies are available that may alter its natural history.¹ Unfortunately, the pathophysiology and development are poorly understood. This is frequently complicated by a delay in diagnosis until bony destruction is visible on plain radiographs. This delay often leads to worse outcome