Diabetes is a disease that impacts people around the world. While we have great resources in the U.S., I commend the Canadian Diabetes Association for providing excellent information for those who want to know more about diabetes and how to live a better quality of life. I suggest you visit the Clinical Practical Guidelines portion of web site at:

http://guidelines.diabetes.ca/HealthCareProviderTools.aspx

The site contains a wealth of information on a large range of topics, including foot health, which can be accessed by:
1. Clicking on Self Management Education
2. Clicking on Framework, Tools and Resources
3. Clicking on the red box that says Monitor
4. Scroll down to section labeled Feet
5. Click on the topic to learn more

-Dr. Mark

This month, I traveled to Miami, Florida, for training on the transplantation of amniotic membrane and umbilical cord tissue for reconstructive foot and ankle surgery and chronic wound management. I am so excited about this promising technology because it has the potential to help physicians who specialize in foot care to heal wounds once considered un-healable and to save legs and lives.

At the center of this healing process is placenta, the vascular organ formed in the uterus during pregnancy, which provides oxygen and nutrients for the fetus. Collected following medical screening after healthy childbirth, the tissues are cryopreserved to maintain their amazing healing properties.

When someone has surgery or an injury, inflammation or infection, part of the body’s normal healing process involves tissues growing back together. This is a good thing, in that it limits the spread of infection. But, sometimes, the wrong tissues grow into each other and cause what is called adhesions, or scars, which complicate recovery and often cause pain and suffering.

So, if AMNIOX can provide us with restorative tissues– from the amniotic membrane and umbilical cord– that can suppress inflammation and limit adhesions or scarring, it follows that this treatment process will promote more rapid, regenerative healing.

I have used these grafts on wounds, securing it with a dressing, and watched it over a month as it is absorbed into the patient’s wound, and I believe it holds great promise.
Through scientific research, we will continue to learn more about the best way to use and apply this product, which has such wonderful potential.


From left to right John Thrasher, Product Specialist Amniox Medical, Dr. Mark, Dr. Scheffer C. G. Tseng, Adam Smith, CEO, Amniox Medical, Julie O’Connell Senior Director R&D, Amniox Medical

Tom Barton, Product Specialist, Amniox Medical and Dr. Mark

Dr. Molly Judge , Podiatrist from Port Clinton, Ohio, Board Certified in Reconstructive Surgery and Chief Podiatric Research Kaiser Medical Cleveland, Ohio and Dr. Mark

Dr. Mark and Carol Nall, Medical Education Manager, Amniox

Dr. Tseng Chief Scientific Officer of TissuTech, Inc. and Dr.Mark

Katy Schaffer, Product Specialist, Amniox Medical, Nicole Lay, Product Specialist Amniox Medical and Dr.Mark

 

When you have a health care issue, you want to be confident that the person treating you is among the most competent in their field and that he or she is using the most up-to-date procedures and equipment.

The gold standard for medical professionals is to be board certified. This achievement recognizes superior knowledge, competency and achievement in the physician’s area of specialization.

When I became a Podiatrist, I dedicated myself to being among the best in my profession, which meant to become board certified in Podiatric Medicine. To attain this goal it took an extraordinary commitment of both time and finances.

Achieving this prestigious recognition for excellence in foot surgery required submitting specified numbers and types of surgical cases to a review board. To accumulate the correct number and type of bone, soft tissue and nail cases took years. Many hours of study and preparation also went into preparing for both oral and written examinations, taking time away from home, family and my medical practice to travel to other cities to take these tests.

I reached my first goal of passing the National Board of Podiatry Examiners Test, (www.apmle.com) in 1976. In 1984, I became a Diplomat of the American Board of Podiatric Surgery (www.abps.org). And, in 1985, I achieved membership in the American College of Foot and Ankle Surgeons (www.acfas.org).

As my profession and the demands of the medical market changed, I realized that wound care was an area of specialization where I could make a significant difference, especially for my patients with diabetes. As a Podiatrist, I am the health care professional most knowledgeable about the human foot. That gave me a special advantage over all other medical practitioners who also treat foot wounds. I worked hard to achieve Diplomat Status in 2004 from the American Professional Wound Care Association. ( www.apwca.org).

Throughout my professional career, I have strived to learn the newest techniques of foot surgery and now wound care. Today, I have access to the most up-to-date tools for healing foot and lower leg wounds including ultrasonic healing by MIST Therapy (www.celleration.com), amniotic skin grafts (www.mimedx.com), pneumatic medicine (www.normatecusa.com) and specialized orthotics (www.sololabs.com) to offload my patient’s wounds.

If you have a foot or leg wound, find a Podiatrist who is board certified and learn more about the latest tools for foot care in the 21st century by going to the web sites listed above.

-Dr. Mark