Not Every Patient Goes Home | Marian Footcare Podcast | Ep. 7

Not Every Patient Goes Home | Marian Footcare Podcast | Ep. 7

Not every day in the clinic ends with a win. In this episode, Dr. Marian Davis pulls back the curtain on what podiatric medicine actually looks like — the full-thickness wounds that respond to surgical intervention, and the patients whose living conditions make even basic wound care nearly impossible. Homeless patients, socioeconomic barriers, severe wounds with no reliable environment to heal in. Dr. Davis shares what a difficult day in the clinic really feels like — the cases that go right, and the ones that stay with you long after the appointment ends. This is podiatry without the highlight reel. For medical education purposes only. Content is not intended as a substitute for professional medical advice, diagnosis, or treatment.

Saving the Foot: Toe Amputation, MIS, and a Second Chance | Marian Footcare Podcast | Ep. 6

In this episode, Dr. Davis walks us through a compelling non-diabetic case where a history of Achilles tendon rupture permanently altered a patient's gait, and with the patients existing hammertoes caused repetitive toe-to-floor dragging that ultimately led to a 2nd toe amputation. Rather than stopping there, Dr. Davis takes a proactive approach, performing Minimally Invasive Surgery (MIS) on the remaining toes to correct the deformity and prevent further amputation down the line.

Transmetatarsal Amputation (TMA) Revision for a Non-Healing DFU | Marian Footcare Podcast | Ep. 5

In Episode 5 of the Marian Footcare Podcast, Dr. Imaze Marian Davis presents a complex limb salvage case involving revision of a prior transmetatarsal amputation (TMA) to address a diabetic foot ulcer (DFU) that failed to heal. Dr. Davis begins by reviewing the patient’s history, including the initial amputation performed elsewhere and the factors that contributed to delayed healing. She discusses the challenges commonly seen in post-amputation patients—such as pressure redistribution, soft tissue compromise, infection risk, and biomechanical imbalance. The episode then focuses on the decision-making process behind performing a TMA revision, with emphasis on achieving a more functional, stable, and durable residual limb. Dr. Davis explains the surgical approach, key considerations for wound closure, and strategies aimed at promoting healing while reducing the risk of further complications. This case highlights the importance of thoughtful surgical planning in limb salvage and the critical role podiatry plays in managing complex diabetic foot conditions. It offers valuable insight for both patients and clinicians into how advanced interventions can help close chronic wounds and preserve mobility.

Partial Nail Avulsion (Ingrown Toenail Removal) & Pyogenic Granuloma Excision | Marian Footcare Podcast | Ep. 4

In Episode 4 of the Marian Footcare Podcast, Dr. Imaze Marian Davis takes listeners inside the in-office surgical suite for a real-time look at a partial nail avulsion combined with excision of a pyogenic granuloma. This episode captures the procedure as it happens, providing a unique perspective on both the clinical decision-making and surgical technique involved in treating a painful ingrown toenail complicated by excessive granulation tissue. Dr. Davis explains what a pyogenic granuloma is, why it develops, and how it contributes to persistent pain and inflammation. She walks through each step of the procedure, from patient presentation and preparation to nail removal and soft tissue excision, while highlighting key considerations for achieving optimal outcomes and preventing recurrence. This episode is especially valuable for patients who want to better understand what to expect during in-office nail surgery, as well as clinicians interested in practical, real-world surgical insight.

Excision of a Ganglion Cyst | Marian Footcare Podcast | Ep. 3

In Episode 3 of the Marian Footcare Podcast, Dr. Imaze Marian Davis presents a detailed case review of a ganglion cyst located on the dorsal aspect of the foot. She begins by outlining the patient’s presentation, including symptoms, clinical findings, and how ganglion cysts develop. The episode explores common causes, typical locations, and when conservative management may be appropriate versus when surgical excision is indicated. Dr. Davis then walks through the surgical approach to mass excision, discussing key considerations such as anatomical structures, technique, and strategies to minimize recurrence. She also highlights what patients can expect before, during, and after the procedure. This episode offers valuable insight for both patients and clinicians, breaking down a common but often misunderstood condition while demonstrating how precise surgical management can relieve pain and restore function.