#diabetic feet problems

[suratdiabeticfootcare]

Expert Fungal Infection Treatment in Surat: Your Path to Healthy Skin and Feet

Fungal infections, though common, can disrupt daily life, causing discomfort and sometimes leading to more severe complications. If left untreated, these infections can worsen and affect various areas of the body, including the skin and feet. For those particularly at risk, such as individuals with diabetes, timely and effective fungal infection treatment is crucial. At Surat Diabetic Foot & Ulcer Clinic, we specialise in treating fungus infections, offering comprehensive care tailored to your needs.

What Are Fungal Infections and How Do They Affect the Skin and Feet?

Fungal infections are caused by various types of fungi that thrive in warm, moist environments. These infections are highly contagious and can spread rapidly if not treated properly. Common types of fungal infections affecting the skin and feet include:

Athlete's Foot: Affects the toes and soles, leading to itching, redness, and peeling.

Ringworm: Causes circular, scaly patches on the skin.

Yeast Infections: Often found in skin folds or damp areas of the body.

Nail Fungal Infections: Leading to thickened, discoloured nails.

These infections can cause significant discomfort, especially in individuals with diabetic foot problems, as high blood sugar levels can weaken the immune system, making it easier for fungi to invade.

Fungal infection symptoms include redness, itching, and skin peeling. In severe cases, the infection may cause a foul odour, blisters, or thickened nails. Early diagnosis and prompt fungal infection treatment can help prevent these symptoms from becoming more severe.

Why You Should Seek Prompt Fungal Infection Treatment

Fungal infections might seem harmless, but if left untreated, they can lead to serious complications, especially in people with existing health issues like diabetes.

Complications from Untreated Fungal Infections

When not addressed early, fungal infections can spread to larger areas of the body, leading to severe skin damage, painful rashes, or even deeper infections. In severe cases, fungi can invade the bloodstream, leading to life-threatening conditions. Moreover, in diabetic patients, diabetic foot care is essential, as untreated fungal infections can result in ulcers, gangrene, or even amputation.

Advanced Fungal Infection Treatment at Surat Diabetic Foot & Ulcer Clinic

At Surat Diabetic Foot & Ulcer Clinic, we specialise in providing expert fungal infection treatment for individuals of all ages. Our approach combines state-of-the-art treatments and personalised care to effectively manage and treat infections.

Dr. Ashutosh Shah Surat’s Expert Care

Led by Dr. Ashutosh Shah Surat, our clinic offers specialised treatment for a wide range of fungus infections. Dr. Shah has years of experience in treating diabetic foot problems, providing expert solutions to prevent complications and improve overall foot health. He uses a combination of topical and oral medications to treat fungal infections, ensuring comprehensive care for every patient.

Treatment Methods We Use

Topical Antifungal Treatments: Creams, powders, and ointments to directly target and eliminate fungal growth on the skin.

Oral Medications: For more severe or widespread fungal infections, oral antifungal treatments are prescribed to address the infection internally.

Specialised Foot Care for Diabetic Patients: We provide tailored care to manage diabetic feet problems, preventing complications such as ulcers or fungal infections from spreading.

Follow-up care is essential to monitor progress and ensure the infection does not recur. Regular check-ups help keep your feet and skin healthy, free from infections.

Preventing Fungal Infections: Tips for Healthy Skin and Feet

Prevention is always better than treatment. Simple lifestyle changes and good hygiene practices can significantly reduce the risk of fungal infections.

Hygiene Tips for Healthy Skin

Keep skin dry and clean: Fungi thrive in damp environments, so make sure to dry areas such as your feet and underarms thoroughly after bathing or sweating.

Avoid sharing personal items: Items like socks, shoes, and towels can easily spread fungal infections.

Use antifungal powders or sprays: These can help protect your skin, especially if you are prone to foot fungus or other skin infections.

Lifestyle Tips for Foot Health

Wear breathable shoes and socks: Opt for footwear that allows air circulation to keep feet dry and free from moisture.

Change socks regularly: This helps prevent sweat buildup, which can lead to fungal growth.

Eat a balanced diet: A diet rich in vitamins and minerals can improve skin health and support your immune system.

Stay hydrated: Proper hydration keeps skin healthy and more resistant to infections.

Why Choose Surat Diabetic Foot & Ulcer Clinic for Fungal Infection Treatment?

At Surat Diabetic Foot & Ulcer Clinic, we understand the challenges posed by fungal infections and diabetic feet problems. Under the expert guidance of Dr. Ashutosh Shah Surat, our team provides comprehensive care, addressing both the causes and symptoms of infections. Whether you’re dealing with mild or severe fungus infections, we offer advanced treatments tailored to your needs.

With our emphasis on preventive care, fungal infection treatment, and specialised diabetic foot care, you can rest assured that your feet and skin will receive the best care possible.

Book your consultation today at Surat Diabetic Foot & Ulcer Clinic and take the first step toward healthy, infection-free feet.

[lilalilan]

Putting this in it's own post to not detract but like. There is no such thing as sugar addiction.

If you aren't eating carbs/sugars, your body craves those things because it needs them. Your body depends on sugar for energy, and if you aren't consuming enough you're going to crave it so that you eat and correct the deficiency, just like with anything else your body needs.

If you are eating carbs/sugars regularly, especially if it feels like you can never get enough of them and it feels like you're addicted, please get checked out for diabetes mellitus.

What diabetes mellitus boils down to is the body being unable to process sugar, either because it doesn't make insulin (type 1) or because it can't use the insulin it makes (type 2). Insulin is a hormone the body needs in order to use the sugar in your blood. This leads to high blood sugar levels, weight gain, being thirsty often/drinking a lot of water, and frequent urination, because the body can't get the sugar out of the bloodstream so either stores it as fat or gets rid of it in urine (and has you drink a lot of water to make that happen).

Diabetics don't crave sugar because they're addicts who can't get control of themselves, they crave sugar because their body desperately needs it but is struggling to use what they're giving it, because it's having issues with insulin.

Going in for a diabetes diagnosis can be scary and stressful, usually due to the stigma and fatphobia/fatshaming diabetes patients often have to deal with. A lot of people are uneducated about diabetes and see it as a punishment for eating unhealthily, and if you have or have had this view in the past it can be really upsetting and scary to think that you might be diabetic. Despite what the stigma may have led you to believe, diabetes is often in large part genetic, and people who are predisposed to it can have it triggered by anything from stress to covid to seemingly nothing at all. But even if you did cause your diabetes or make it worse by eating a lot of sugar/carbs, you deserve compassion and you deserve care, you deserve accurate information about how your body does/doesn't work, and you deserve treatment free from judgement and blame.

Diabetes is manageable, it is something you can live with. Diet and exercise can help, but in the long term even folks who've made lifestyle changes usually need medication, because lifestyle changes don't change the fact that your body is struggling to make/use insulin.

For something relatively common, diabetes isn't well understood by most people, and the actual symptoms of it are often overlooked because of that. Hunger even after eating, especially after eating carbs/sugar, and constantly craving carbs/sugars, was what led my doctor to assess me for diabetes, so if that's something you struggle with please consider looking into diabetes.

[leaving-fragments]

in recent history of my body existing, it has started to react to getting dizzy from being under-sugared by feeling sick, which is highly impractical because the solution to stopping the dizziness is eating something sugary, and feeling sick makes that an unattractive course of action. sometimes my body is like a stubborn child who is convinced she knows what's right when she's missing the point entirely

[aarthiganeshan]

Diabetes and Foot Problems: Prevention, Care, and Solutions with Dr. Durai

Your body is your home, so guess who enters as an unwelcomed guest? Diabetes! Living with diabetes demands a lot. Starting with lifestyle changes, medication, diet, restrictions, etc. It also includes watching every part of the body, including the feet. But what is the connection between diabetes and foot problems? Let’s explore how these problems start, why they are linked to diabetes, and how to keep them under control.

A surprising fact for starters:

Did you know that diabetes and your feet have a surprising relationship? Constantly increased blood sugar levels in your body can harm the blood vessels and nerves. This starts from your feet along with your hands and parts of your legs. This is an indication of diabetic neuropathy. This issue may affect your foot's sensation and make it more difficult to identify calluses, corns, or wounds in your feet. Diabetes affects blood circulation, which can slow the healing of wounds, even minor ones, increasing the risk of spreading infection.

Your feet are more prone to problems like dry skin, corns, calluses, and even ulcers. Therefore, anyone managing diabetes needs to understand this connection. You can protect your feet and prevent issues that may impact your mobility and general health with the correct care and attention by visiting a diabetes consultant. Let's talk about how to maintain happy, healthy feet!

Common Foot Issues with Diabetes:

Diabetes and foot issues are unavoidable after a particular point in time. Diabetes often brings along some unwanted guests like calluses, corns, cracked heels, dry skin, and foot burning problems while staying in your body. These problems may appear harmless at first, but they can worsen if they are not handled properly. Here is a list of the most common diabetes foot problems you must be aware of:

Calluses: The Silent Build-Up

Thickened areas in the skin are called calluses. They mainly develop due to constant pressure or friction in their skin. Calluses are more than just a skin issue for diabetics. These toughened areas may become thicker and more challenging due to high blood sugar levels reducing the skin's natural healing capacity. Untreated calluses have the potential to develop into ulcers or crack over time, causing more serious issues.

How to Manage Calluses:

Gently clean them with a pumice stone after a bath.

Keep the feet moisturized to prevent further hardening.

Wear well-fitted shoes to reduce the friction.

When is the Right Time to See a Doctor?

Check with a specialist if you notice the signs of calluses and if the callused areas start to hurt or show symptoms of infection. The symptoms may be redness around the area or pus formation. After researching the best doctor for diabetes and other foot-related problems, Dr. Durai stands out. Since he has hands-on expertise in the field with 10+ years of experience, he can help you better. Try booking a consultation for an initial review.

Corns: Painful Little Bumps

Although smaller, more specific, and frequently painful, corns look similar to calluses. They typically develop on the toes or the bottom of the feet. They may be caused by improper footwear fitting, untreated wounds, walking for a long time, or even due to a high physical workout. For diabetic patients, corns can quickly worsen because reduced circulation slows down the healing process.

How to Manage Corns:

Avoid self-removal methods like cutting or shaving, as these can lead to infections.

Use cushioned pads or customized footwear to reduce pressure.

Get proper treatment.

When is the Right Time to See a Doctor?If corn becomes inflamed, thickened, causes redness, sharp pain, or is infected, it’s essential to seek professional care. For this, along with the treatment plans, Dr. Durai offers customized footwear solutions tailored to your foot condition, ready in just 30 minutes, providing the comfort, safety, and style—an all-in-one solution you are looking for.

Cracked Heels: A Gateway to Infections

Cracked heels may start as a minor one you don’t care about. After a certain age, it is common in everyone, but for diabetic patients, it can become a major issue. Heel cracking is more common when there is dry skin due to high blood sugar levels. The risk of infection is meters high by open cracks that let bacteria in.

How to Manage Cracked Heels:

Apply a double layer of foot cream or moisturizer to prevent your heels from further drying.

A foot soak is recommended in warm water before giving them a light scrub. This softens the texture of the skin.

Avoid walking barefoot to prevent further damage.

When is the Right Time to See a Doctor? If the symptoms, like redness or signs of infection, are high or the cracks are getting worse every day, you should be appropriately examined by a diabetologist doctor. Dr. Durai is an experienced doctor who handles diabetes and foot-related concerns. With a minimal treatment plan, he guarantees that even the most severe cases are managed appropriately. Book your consultations today to find your cure.

Dry Skin: More Than a Simple Discomfort

People with diabetes often get affected by another common issue of dry skin. This is typically caused by the same problem of neuropathy, or damage to the nerves, another indication of diabetes. Dry skin may not seem like a big deal in the early stages, but it can lead to infections, cracking, and itching while days pass by.

How to Manage Dry Skin:

Apply a mild moisturizer after a proper wash. Make sure the cream does not have any scent added.

Do not use hot water on your skin since it may remove the skin's natural oils.

Drink lots of water to stay hydrated.

When to See a Doctor: If dry skin doesn’t cure or starts to crack, worsening the condition, it’s time to consult a diabetes doctor. Dr. Durai’s complete approach to diabetic foot care deals with the root of the problem and provides lasting relief.

Burning Feet: The Warning Sign

Foot burning problems again indicate the problem of diabetic neuropathy. From short or occasional discomfort to unbearable sharp pain, this symptom starts and worsens at night.

How to Manage Burning Foot:

Control blood sugar levels to stop additional nerve damage.

For short-term relief, apply topical creams or pain relievers.

Raise your feet to increase blood flow.

When to See a Doctor: Never ignore the treatment for burning feet. Visit a diabetes doctor if the burning problem keeps you up all night or gives you sharp pain while walking. Dr. Durai's individualized care plans are provided to reduce symptoms and avoid further complications. Book a consultation to ease your problems.

The Role of Customized Footwear

The role of footwear in treating foot conditions plays a major role. The correct footwear can provide your foot with the right additional support and protection. On the other hand, poorly fitting footwear may worsen the issues such as calluses, corns, and cracked heels.

Dr. Durai provides individualized footwear solutions based on the particular requirements of each patient. Patients can leave in 30 minutes wearing footwear that is made to ease pressure points, improve comfort, and help in the healing process. 1000+ patients have benefited from this easy and efficient way to manage their foot issues better.

Taking Charge of Foot Health and Making the Right Choice

Diabetes management requires careful attention to foot health. Preventing complications can be significantly helped by regular checkups, proper footwear, and good hygiene. However, taking immediate action is essential when issues like calluses, corns, cracked heels, dry skin, or foot burning occur.

Dr. Durai is a reputable doctor for diabetic foot care because of his extensive knowledge, having treated over 40,000 patients with foot issues. His minimal-treatment strategy promises successful treatment with fewer medications and operations.

You don't have to let diabetes or foot issues take control of your life. Instead, you can take charge of it by being conscious of how these problems develop and managing them in advance. With proper understanding and the right diabetes doctor guidance like Dr. Durai, it is possible to keep your feet healthy and pain-free. And when professional care is needed, Dr. Durai and his team immediately offer complete solutions that make a real difference.

Don't wait for minor issues to develop into bigger problems. Today, take your first step to better foot health. Every step can be pain-free, and you can be confident with the correct care!

[cuidadoscomocorpo]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Foot Symptoms - Healthy Feet!

In this video, we delve into what diabetic foot problems really look like and provide valuable insights on how diabetes can affect your feet. Learn about common foot issues that can arise from diabetes and discover essential tips for maintaining healthy feet. If you or someone you know is living with diabetes, this video is a must-watch to ensure proper foot care and overall well-being.

Share This Video: https://youtu.be/t2bze6P7vtY

diabeticfootproblems #diabeticfootissues #diabeticneuropathy

[andreiamat]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Foot Symptoms - Healthy Feet!

In this video, we delve into what diabetic foot problems really look like and provide valuable insights on how diabetes can affect your feet. Learn about common foot issues that can arise from diabetes and discover essential tips for maintaining healthy feet. If you or someone you know is living with diabetes, this video is a must-watch to ensure proper foot care and overall well-being.

[bemestaresucesso]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Foot Symptoms - Healthy Feet!

In this video, we delve into what diabetic foot problems really look like and provide valuable insights on how diabetes can affect your feet. Learn about common foot issues that can arise from diabetes and discover essential tips for maintaining healthy feet. If you or someone you know is living with diabetes, this video is a must-watch to ensure proper foot care and overall well-being.

[livewellandbetter]

How Diabetes Affects Your Feet (Diabetic Foot) - Identifying Diabetic Fo...

[theonlyladyt]

Watch Diabetes Skin Signs & Symptoms. I Believe A Causal Link with Reactive Hypoglycemia Here's The Tea!

Hello my lovelies wishing you all a peaceful Easter weekend.. I was watching this video to see if it contained any symptoms that is symptomatic in my case of Reactive Hypoglycemia or whether it is connected to my thyroid disease. As alot of my symptoms overlap. The only reason I know when certain symptoms occur is my RH is when I see my blood glucose results from my glucometer. When I experience…

[itsa-me-lily]

Hi hello, here’s a list of more Simon & Thimble playlist

And here's the Military Program Spouse AU list

This is based off of the suffering I’ve experienced at my own stupid choices.

Content warning;

Baby noises, idea of the supernatural, medical/disease discussion

Simon Riley, military lieutenant and member of the elite 141, had experienced the horrors of the world enough to fill at least half a dozen lifetimes. He knew what lurked in the shadows, waiting to snatch any form of life it could get its claws into. He knew what to expect from the world.

And yet he never expected to wake up in a fucking horror movie. Because why was he violently yanked from the edge of sleep by the sounds of a crying baby. As far as he was aware, there were no babies in this household, the…rodents not withstanding. But there it was, the sound of an infant crying rang through the house, so either you decided to partake in a late night kidnapping, or his new house was haunted. There was a possibility that the years of buried guilt and PTSD had finally caused Simon to lose his grip on reality, but he would always choose to disregard that possibility until he absolutely couldn’t.

So his brand new house was fucking haunted by an upset baby.

Simon didn’t know how to solve his brand new house being haunted by a god damn baby. Before he could debate his choices of an exorcist or simply ignoring the problem and hoping it chose to bother someone else, the sound was cut off mid cry. It was sudden and the muffled sounds of the pull out bed adjusting to a shift of weight filled the void the crying had left. Whatever was happening must not have been that frightening because a few squeaks followed what sounded like the shuffling of feet. Those not rats either had no sense of self preservation, or were the bravest god damn creatures on the planet.

Gettin up from bed he hovered by the closed bedroom door, slipping on his medical mask while trying to hear what was further going on. He heard you hush your pets, though what you were saying wasn’t discernible. There was more shuffling and grumblings, and he cracked the door open when the sound of a light switch clicked into the night. The living room was empty, the pull out showing all signs that you had been there once.

Sweeping his gaze he found you in the kitchen, hunched over the sink, the single overhead light there bathing you in the only ring of light in the darkness. You were fiddling with something in your hands, the only clues as to what the popping of a cap, a little robotic beep, and a click of something. He watched as you squeezed a finger and then tapped something against it. He was already through the living room and entering the kitchen when you stuck the offending finger into your mouth, staring down at the little device in your hand like it had personally affronted you.

In the daytime hours Simon would deny any satisfaction at seeing you jump upon realizing you weren’t alone in the kitchen. But it wasn’t daytime hours and Simon couldn’t help but feel a little smirk tug at his lips when your head had whipped up to look at him, he shouldn’t have to be the only one dealing with spooks in the night.

After what was, for all intents and purposes, a silent showdown, Simon nodded to your hands, his questions rumbling through his chest.

Diabetes.

You had explained that you were a diabetic, and the system you used to automatically monitor your glucose levels audibly alerted you if your levels decided to take a nose dive. Which would mean checking it manually. Okay that was fine. Another detail he would have known if he had actually chosen to read your file. He wouldn’t judge you for that. He would, however, judge you for choosing a baby crying as your alert noise. Sure it was affective at getting your attention, but he didn’t have to question the possible possession of ghost babies too.

He couldn’t help but glare up at the ceiling as he laid back in bed, pretty confident he wasn’t getting back to sleep anytime soon. Yes he knew staring at a screen was not helpful to falling asleep. Yes he was searching up facts about diabetes management. No he wasn’t worried about you or anything. He just liked being prepared.

He did have the fleeting thought about if he still had your file floating around somewhere on base though. Maybe taking a peek through it wasn’t the worst idea.

Edit

Listen the baby crying is very effective for getting your attention in the middle of the night, doesn’t mean it’s not disorienting as fuck. I hope you enjoy and as always feel free to send in an ask or something

[cosmicintro]

Astro observations: Health aspects from the 6th house 💫

6th house in Aries: Be mindful of strong reactions, impulses and emotions as these could trigger high blood pressure, stress or unwanted headaches. Possible problems associated with the adrenal glands if health is not good. The person could be nearsighted/farsighted. Teeth issues and sensitive gums are common with this placement. 

6th house in Taurus: Be careful with ‘burnout’ and try to keep a healthy work-life balance. The individual is prone to respiratory conditions, jaw and neck pain/problems, weight gain (associated with thyroid issues). Thyroid disease. Problems with your voice or throat. Take it easy and follow a rhythm that honors your needs. 

6th house in Gemini: Allergies, infections, asthma, cough, breathing issues. Arms, hands and fingers might be sensitive. Anxiety and nervousness caused by too many unorganized/unwanted thoughts. Be careful with hand, arm and/or shoulder injuries. 

6th house in Cancer: Sensitive breasts/chest area. Inflammation associated with water/fluid retention. Pay close attention to your salt and fat consumption. Intolerance to different ingredients. It is vital for individuals with this placement to express their emotions as this can feel like a detox process for a 6th house cancer.

6th house in Leo: Hear what your heart is telling you. Don’t let stress or anger take you 'over the edge'. Similar to Aries in this house, it is common for the native to suffer from high blood pressure if a balanced lifestyle is not followed; a healthy diet will help this native tremendously. Be careful with hernias and your spine. Back pain/injuries. Spend more time outside. 

6th house in Virgo: Food sensitivities. Problems with digestion. Pay attention to sugar, fats, starches and the way your body reacts to them. Pancreatitis. Bloating associated with food intolerances. Meditation is recommended to calm an active mind and a healthy relationship with food will help with digestive issues. 

6th house in Libra: Lumbar pain. Problems with the lower back. Sensitivity to salt. Kidney stones. Insulin resistance. Diabetes. Partnerships have a big influence in your life; stress or strong (negative) emotions resulting from these relationships can have a big impact in your health. 

6th house in Scorpio: Constipation. Bladder/Urinary tract infections. Issues with libido/sex hormones. Cystitis (inflammation of the bladder; can cause pain or/and a burning sensation when peeing). Problems with the colon and elimination systems. Let go of any guilt/shame around your sexuality and keep a healthy relationship with your needs. 

6th house in Sagittarius: Issues associated with the pituitary gland. Hip mobility problems, pain or injuries. Obesity. For optimal liver health, alcohol and stress levels need to be monitored and, if possible, reduced to a minimum. Yoga can help ease stiffness around the hips and thighs. 

6th house in Capricorn: Knee pain. Injuries/procedures can cause significant scarring. Hair loss or scalp issues. Arthritis and joint pain. If your body is telling you to slow down, honor it and rest. Movement in every way is beneficial for the native. Be careful with your bones. 

6th house in Aquarius: Varicose veins. Frequent cramps. Arteries and veins might need to be monitored closely, as the native is prone to circulation problems. Calf pain. Stress, nervousness, anxiety, insomnia. Be careful with addictions. Stay hydrated. 

6th house in Pisces: Problems with the lymphatic system. Feet pain, inflammation, discomfort, injuries. Plantar fasciitis. Be careful with falls. Sleep problems, nightmares. Sadness that can lead into deep depression. Time alone is necessary. Make sure you’re getting the hours of sleep that your body requires to work harmoniously. 

Stay tuned for more! :)

[scientia-rex]

Wound Care

Ok so, take this with a BIG grain of salt, because I may be a medical doctor BUT you need to know how much wound care training we get in medical school: none. Zip. Zilch. There may be medical schools where you do, but mine wasn't a bozo factory and there was NO wound care training. Everything I know I learned from one of several sources: an intensive 2-day wound care course I did in residency (highly recommend), the local Home Health wound care nurse (highly recommend), a completely batshit insane old white male doctor who started our learning sessions by yelling Vietnam War stories at me (do not recommend), a hospital wound care nurse (highly recommend), and experience (oh god do not recommend).

The first thing you need to know is that wound healing varies dramatically across the course of a lifespan. Kids? Kids will heal. If they don't, get their ass to a pediatrician because there's something genetic going on. Young adults will heal. Middle-aged adults will heal. You know who doesn't heal for shit? The elderly, and people with severe illnesses, and people with uncontrolled type II diabetes.

Your body needs several things in order to heal. It needs macronutrients, so you need to be able to EAT protein, fat, and carbs. If you are on total parenteral nutrition, aka TPN, aka IV nutrition, you are going to be worse at healing. If you are starving yourself, you are going to be worse at healing. If your body is desperately funneling all the calories you take in to surviving your COPD or cancer, you are going to be worse at healing.

It also needs micronutrients. If your diet sucks, you won't heal. Take a multivitamin once in a while.

There are two CRITICAL skin components to healing: collagen and elastin. Guess what we stop making as we age. Promoting collagen isn't just good for "anti-aging," it's good for NOT ripping your skin apart. Taking oral collagen is probably bullshit because your body is going to have to disassemble it to get it across the intestinal membranes to absorb, but it's also harmless, and if your diet REALLY sucks, who knows. Give it a try. Collagen is made of amino acids; think protein.

Another absolutely crucial component is blood flow. As people age, they start to develop cholesterol plaques lining arteries that eventually pick up calcium deposits. This makes blood vessels less elastic, which is a problem, but eventually also blocks them off, which is a much bigger problem. If someone has the major blood flow to their feet decreased by 90% by arterial stenosis, they are not going to heal for shit AND their foot's gonna hurt.

One component of blood flow I hadn't thought about before going into medicine is fluid retention. The way your body works, blood exits the heart at a very high velocity, but slows to a crawl by the time it gets into capillaries, the smallest blood vessels in the body. Water is a very small molecule and can leave the blood vessel, especially if there aren't big, negatively-charged molecules like proteins like albumin in the blood vessels to hold the water there. And we're built for this--some water is supposed to leak out of our blood vessels when it gets to real little vessels. It gets taken back up by the lymphatic system and eventually dumped back into the bloodstream at the inferior vena cava. But if you aren't making albumin--for instance, in liver failure--you may leak a LOT of fluid into the tissue, so much that your legs get swollen, tight, the skin feeling woody and strange. This isn't fixable by drainage because the fluid is everywhere, not in a single pocket we can drain. And because it puts so much pressure on the tissues of the skin, it often results in ulcers. Congestive heart failure, liver failure, kidney failure--these are all common causes of severe edema, aka swelling due to fluid in the tissues. And they're a real bitch when it comes to wound care, because we have such limited resources for getting the fluid back out, which is a necessary first step to healing.

Pressure is another common cause of wounds. Pressure forces blood out of those little capillaries, so you starve the cells normally fed by those capillaries, and they die. It's called pressure necrosis. Very sick people who can't turn themselves over--people in the ICU, people in nursing homes--are especially prone to these wounds, as are people with limited sensation; pressure wounds are common in wheelchair users who have lost some feeling in the parts of their bodies that rub against those surfaces, or diabetics who don't notice a rock in their shoe.

So, if you're trying to treat wounds, the questions to ask are these:

Why did this wound happen?

-Was it pressure? If it's pressure, you have to offload the source of the pressure or else that wound will not heal. End of story. You can put the tears of a unicorn on that thing, if you don't offload the pressure it won't heal.

-Was it fluid? If it's fluid, you have get the fluid out of the issues or else it won't heal. You can sometimes do that with diuretics, medications that cause the body to dump water through the kidneys, but that's always threading a needle because you have to get someone to a state where they still have juuuuust enough fluid inside their blood vessels to keep their organs happy, while maintaining a very slight state of dehydration so the blood vessels suck water back in from the tissues. You can use compression stockings to squeeze fluid back into the vessels, but if they have arterial insufficiency and not just venous insufficiency, you can accidentally then cause pressure injury. The safest option is using gravity: prop the feet up above the level of the heart, wherever the heart is at, at that moment, and gravity will pull fluid back down out of the legs. Super boring though. Patients hate it. Not as much as they hate compression stockings.

-Was it a skin tear because the skin is very fragile? This is extremely common in the elderly, because they're not making collagen and elastin, necessary to repairing skin. If this is the case, make sure they're actually getting enough nutrition--as people get into their 80s and 90s, their appetites often change and diminish, especially if they're struggling with dementia. And think about just wrapping them in bubble wrap. Remove things with sharp edges from their environments. I have seen the WORST skin tears from solid wood or metal furniture with sharp edges. Get rid of throw rugs and other tripping hazards. I had somebody last week who tried to a clear a baby gate and damn near destroyed their artificial hip.

The next critical question: why isn't it healing?

-Are you getting enough nutrients? Both macro and micro?

-Are you elderly?

-Are you ill?

-Do you have a genetic disorder of collagen formation?

Fix why it's not healing and almost anything will heal. If you're diabetic, find a medication regimen that improves your sugars and stick to it. If you're anorexic, get treatment for your eating disorder. If you have congestive heart failure, work with your doctor on your fluid balance. Wear the damn pressure stockings. Prop up your feet.

If, after those two unskippable questions are done, you want to do something to the wound--apply a dressing, do a treatment--that's a whole other kettle of fish. I'll write that later. The dryer just sang me its little song and I need to put away the laundry.

[reidsc0nverse]

pov: your instagram when dating spencer reid pt 2

TYSM FOR THE LOVE ON THE FIRST PART IM SO GRATEFUL 🫶🏼🫶🏼🫶🏼

Liked by jjareau, AaronHotchner and 232 others

(y/n) The phds are in idiocy

View all 31 comments

dr.taralewis hes surprisingly very light

-> spencerreid1 Or you're just incredibly strong.

-> (y/n) spence...let's not lie to ourselves now

-> emilyprenty weren't you literally called a pipe cleaner reid??

-> spencerreid1 That's besides the point.

AaronHotchner You guys know this isn't what the jet's used for correct?

-> (y/n) yes dad 🙄

-> dr.taralewis it was for scientific purposes i promise

-> AaronHotchner @/dr.taralewis that being?

-> spencerreid1 How much further up I could get when we're already 15,000 feet above ground.

Liked by emilyprenty, alexblake and 174 others

(y/n) date night was a success 🤍 (it took three hours to actually make it since spence kept throwing flour)

View all 28 comments

paparossi What the fuck is this abomination.

-> (y/n) pizza..?

-> paparossi Absolutely not, I'll be there in twenty, get ready to get schooled

-> emilyprenty LMAO you're in deep shit y/n

princesspennyg AWWW MY PRECIOUS BABIES I LOVE YOU SO MUCH @/derekm take notes

-> (y/n) love you garcia 🫶🏼

-> derekm Babygirl that pizza looks like shit

-> (y/n) @/derekm better than what you could make 🙄

Liked by emilyprenty, MattSimmons24 and 216 others

(y/n) He got a little wet

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spencerreid1 Why do you always bully me?

-> (y/n) it's out of love hun

-> emilyprenty because it's funny

-> (y/n) @/emilyprenty that too

jjareau Yet he still has a coffee in his hand

-> (y/n) you mean his cup of sugar and milk with a splash of coffee

-> princesspennyg i don't see a problem with that

-> (y/n) diabetes?

-> spencerreid1 That never stopped me before.

derekm pretty boy can swim????

-> (y/n) more like float and flop around

-> derekm Now ik what to add to the physicality test

-> spencerreid1 The world's just against me isn't it.

Liked by paparossi, Kristy_Simmons and 183 others

(y/n) Arrested for being too sexy 😩

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Will_LaMontagne That's my wife??

-> emilyprenty not for long

-> (y/n) um emily what abt us 🙄

-> jjareau 3-way?

-> emilyprenty yes

-> (y/n) yes

-> Will_LaMontagne What..?

-> spencerreid1 You get used to it.

thanks again for all the love on the first part i love y'all omg lmk what else you guys would want to see!!! 🤭🤭

[justinspoliticalcorner]

Jennifer Bendery at HuffPost:

WASHINGTON ― With literally minutes left in his presidency, Joe Biden on Monday granted clemency to Leonard Peltier, the ailing Native American rights activist whom the U.S. government put in prison nearly 50 years ago after a trial riddled with misconduct and lies. In a statement as President-elect Donald Trump’s inauguration was underway, Biden announced he is “commuting the life sentence imposed on Leonard Peltier so that he serves the remainder of his sentence in home confinement.” Peltier has been in prison ever since the federal government accused him of murdering two FBI agents in a 1975 shoot-out on Pine Ridge Reservation in South Dakota. There was never evidence that Peltier committed a crime, and the U.S. government never did figure out who shot those agents. But federal officials needed someone to take the fall. The FBI had just lost two agents, and Peltier’s co-defendants were all acquitted based on self-defense. So, Peltier became their guy. His trial was rife with misconduct. The FBI threatened and coerced witnesses into lying. Federal prosecutors hid evidence that exonerated Peltier. A juror acknowledged on the second day of the trial that she had “prejudice against Indians,” but she was kept on anyway.

The government’s case fell apart after these revelations, so it simply revised its charges against Peltier to “aiding and abetting” whoever did kill the agents ― based entirely on the fact that he was one of dozens of people present when the shoot-out took place. Peltier was convicted and sentenced to two consecutive life terms. Peltier, now 80, has maintained his innocence the entire time he’s been in prison, which has almost certainly led to him being denied parole. He’s mostly blind and uses a walker to get around. Due to frequent lockdowns at his maximum security prison in Florida, he’s spent most of his later years confined to inches of space in a cell. His serious health problems include diabetes, which sent him to the hospital in July with “open wounds and tissue death on his toes and feet,” per the Lakota Times. He was hospitalized again in October.

President Joe Biden (D), in one of his last acts, granted clemency to the unjustifiably imprisoned Leonard Peltier by commuting his life imprisonment to home confinement.

[association-of-ideas]

More Batfam as Things My Family Has Said/Done:

Tim: God is a redneck with a shotgun pointed at a fridge and we're all just pieces of broken fridge floating through space.

—

Dick, holding Damian under his armpits and gently swaying him sideways: Jiggle jiggle jiggle.

—

Damian: God has chosen a new favorite: me!

Also Damian: I am the Superior Child!

—

Steph, about Tim: You're the grossest rat in the sewers. You and your little rat hands.

—

Young Dick: We're all going to die at the ghetto Robinson Park.

Bruce: There's only one Robinson Park.

Young Dick: Okay? But am I wrong?

—

Alfred: May I ask what you're doing?

Jason, trying to remember what the English word for 'sweeping' is: I'm brooming.

—

Tim, bursting into Duke's room like a madman: Okay! So I found out the movie's not called Type 2 Diabetes! It's called Dementia!

Duke, just trying to finish his homework: O-kay?

—

Dick: He keeps bragging about how smarter he is than me—!

Barbara: How "smarter"?

—

Damian, laying on the floor: I wish I could take out my spine and straighten it like the straws that come with juice boxes. I feel like that'd fix a lot of my problems.

Dick, grimacing: Please stop.

—

Jason: I'm gonna punch him in his bitch ass chin!

—

Bruce, trying to say 'biscuits and gravy': B-beef. Beef.

Tim: Yes?

Bruce: Beef. Beef! BEEF! Fuck! Biscuits and gravy! Do you want any?!

Tim, wheezing: H-yes!

—

Dick: We're getting take-out. B wants to know what you want.

Tim: Okay, but we can't go to Chick-fil-A. I'm not allowed there.

Dick: What? Why not?

Tim: Because they're homophobic, Dick!

—

Tim: Bruce in Bath & Bodyworks is the grown-up equivalent of a kid in a candy store.

Bruce, carrying a full basket: Shh. That's none of your concern.

Tim: It's not a concern, it's a fact.

—

Steph, pointing at a billboard: Jay, look! Phentynal!

Jason, through gritted teeth from across the restaurant table: Don't do that! The people here don't understand that joke.

—

Dick: B said I better be getting a cut if your friend's selling pictures of my feet on FootFinder.

Jason: Fine.

—

Cass: Hello.

Bruce, who thought he was alone, walking back in from the garden at night: whAH—!

Cass, back turned, outlined only by the porch light, and standing on top of a bench like an eldritch scarecrow in the distance: ?

—

Dick: *blinks and falls down the stairs*

Barbara: Oh my God, are you okay?! What happened?!

Dick, dazed and probably concussed: Did I just teleport?

[cupsoupenjoyer003]

[New OC drop from "We Happy Few" Franchise. The basic of him are:

>Name Preston "Pavle" (read "Pawel") Sivak .

>Half Slovakian, half British. Has odd accent slight mix of both and can speak a bit wobbly or replace words to his liking.

>Lab partner of Sally Boyle. He's self educated bio-chem sientist working on improving effect od JOY. Brother-like figure to Sally.

>Can't consume joy frequently yet his natural charisma and theatrical skills fixes the most issues with his personal image.

>Slow on his feet due to knees disfunction. Uses crutches.

>Can distribute joy on the go and bribe others with it. Also has no problems cranking most of technology/chem based items.

>Serves as NPC and new easier way out of Wellington Wells. Can neutralize some of enemies including "Polizeiwolf" (<other OC of mine serving as concept of a boss)

I am sorry yall we needed more sientist characters and I generally delivered. I hoped to make someone to work as aid for us the players. Preston would help all choice of characters. With Arthur helping him out of the city (trashing him for hurting Sally feelings first). With Sally helping her with her baby so she may have more field of action while making her leave. And with Ollie being occasional aid in his diabetic issues so his own way he might have easier trip around! That's summary.]