Forgotten Infection Friday : Chromoblastomycosis and the Diabetic Foot

LIMBWatch Series: Stephanie Stellini - Turner PAC, CWS- Inside Life-Saving Reconstructive Surgery with Stephanie Stellini Turner

In this episode of Diabetic Foot Files — Limb Watch Edition, Stephanie Stellini Turner, a surgical physician assistant at Christiana Care, discusses the realities of reconstructive and limb salvage care. She shares OR experiences, perioperative workflows, and the teamwork needed between vascular, plastics, and wound care teams. The conversation covers timing and techniques for reconstruction, managing complex diabetic and trauma wounds, patient optimization and prevention, and the emotional and practical challenges of guiding patients through recovery.

Sunshine Medicine: How Vitamin D Heals Diabetic Foot Ulcers

Dr.G explores how vitamin D — produced by sunlight and acting like a hormone — impacts diabetic foot healing. He covers its roles in immune regulation, antimicrobial peptide production, inflammation control, collagen synthesis, angiogenesis, bone health, and mood, plus why deficiency is common in people with diabetes. The episode reviews research linking low vitamin D to worse ulcers, the potential benefits and limits of supplementation, who should be screened, and why vitamin D is one piece of a multidisciplinary approach that includes vascular care, infection control, nutrition, offloading, and mental health support.

Why Your Wound VAC Hurts: The Hidden Pain Behind Healing

Dr. G explains why negative pressure wound therapy (wound VAC) can cause significant pain—covering foam adherence, nerve ingrowth, inflammation, and the four types of VAC-related pain. He highlights why pain may signal complications in diabetic wounds and why neuropathy does not always mean no pain. This episode offers practical solutions: premedication, topical anesthetics, saline soaking, silicone contact layers, continuous versus intermittent modes, regional blocks, and the role of communication and monitoring to reduce suffering while preserving limb salvage.

Wound Healing Awareness Month: Celebrating the Body’s Repair Crew

June is Wound Healing Awareness Month (WHAM)! Join us in raising awareness, advancing education, and improving outcomes for patients with wounds—because every wound deserves the chance to heal. Celebrate Wound Healing Awareness Month (WHAM) this June with the American Board of Wound Management (ABWM) [https://abwmcertified.org/?utm_source=chatgpt.com] and take the next step in your wound care career with 25% off your first certification application- https://abwmcertified.org/promo/ [https://abwmcertified.org/promo/]   Welcome to Wound Healing Awareness Month — a celebration of the body’s ability to repair itself and the people who make healing possible.Diabetic foot ulcers are complex and often reflect deeper issues like neuropathy, poor circulation, and immune dysfunction. Early care, proper offloading, and teamwork among podiatrists, vascular surgeons, nurses, and caregivers improve outcomes.Sharp debridement and personalized wound treatments can unlock rapid healing when applied correctly.Nutrition, blood sugar control, and smoking cessation are essential ingredients for successful wound repair. Prevention matters — daily foot checks, proper footwear, and early attention to calluses or blisters save limbs.Emerging innovations like cellular therapy, skin substitutes, negative pressure, and AI are transforming wound care.Healing is both medical and personal — patience, trust, and caregiver support make a real difference.  Every healed limb represents a team that refused to quit and a patient who kept showing up for care. If you have a wound, seek help early — every day counts toward saving a limb and restoring life.

Daptomycin: The Heavyweight Weapon Against Diabetic Foot MRSA

In this episode Dr. G explains daptomycin — a powerful cyclic lipopeptide antibiotic used for serious gram-positive infections like MRSA and VRE in diabetic foot disease. Learn how it works by depolarizing bacterial membranes, why it’s ineffective for pneumonia, and when it’s chosen over vancomycin. We cover clinical uses in osteomyelitis and limb salvage, the challenges of biofilms and resistance, key safety considerations (CPK monitoring, statin interactions, rare eosinophilic pneumonia), and why antibiotics must be paired with surgery, vascular care, and glycemic control for successful outcomes.