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aphistis said:This entire post, and all its links, are focused completely on managing foot & ankle problems in the diabetic, which is something I never disputed in the first place. Once again, instead of trying to bait me into defending a position I never took, how about somebody actually responds to my original posts?
Now that you have actually admitted a point on a position in a concrete manner, I can prove my point. Last posts have been based on the fallacy of vaqueness.
You stated :
I'd like to meet some of these people. Failing that, I'd like to see some citations. I'm sure an assortment of nephrologists, endocrinologists, ophthalmologists, and others would all be quite interested in your thoughts on diabetes management.
I gave you examples of health professionals that do ask DPMs for their thoughts on management. Why would they need advice on the foot since they are trained to treat the whole body? Obviously they had studied it in their lifetime and are aware that the diabetic can have serious problems with the foot. I bet many of the mentioned also know a little bit about the other professions area of expertise also. Interprofessional healthcare is designed to utilize the knowledge of the entire team of health professionals but it is truly effective when all Doctors have a basic understanding of the disease process on the body. How can it affect the kidneys, pancreas, eyes, heart, skin, and other parts of the body.
If each doctor is fully observing and treating the patient as one control volume, then there will most likely be greater success in compliance. Podiatric Medical Students and Residents are trained to think of the patient as a person with a problem.
As I have stated in my past posts, there are many signs that can suggest autonomic neuropathy. This can be a very detrimental scenario for diabetics. Everyone should be looking and evaluating the patient for these signs.
N minds are better than n minds.
Now, quit making Vague comments to support your arguments. It is obvious that you do this so that you can try to shake off any rebuttals.
Podiatrist should be able to use the