HIs brother complains that the podiatrist is acting too slowly. His brother (actually another kind of doctor) wants him to get a second opinion with an eye toward more aggressive surgery, as the tip of his big toe has already fallen off from gangrene.
2007-02-26 10:27:30 · 16 answers · asked by nora22000 7 in Health ➔ Diseases & Conditions ➔ Diabetes
The person who suggested venous dopplers has the right concept, but not the details. Circulation to the legs is assessed by ABIs (ankle-brachial indicies). Venous dopplers in the legs are used to detect DVTs.
He does need an assessment of his lower extremity circulation ASAP. An amputation should be deferred (if possible) until the testing is done. If an amp is done and the circulation isn't good, the the site won't heal.
Hopefully, your friend will keep his foot. It sounds like the entire toe will have to (eventually) be removed.
Good luck.
2007-02-26 13:35:31 · answer #1 · answered by ckm1956 7 · 2⤊ 0⤋
1
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2016-05-20 07:22:49 · answer #3 · answered by Anonymous · 0⤊ 0⤋
He probably should get a venous doppler of BOTH legs...even if no gangrene shows physically in the other leg, the circulation in either leg could be poor (I have seen it happen to a patient who had a small 1/2" spot of gangrene on a toe and after they did a doppler on both legs, the docs said that the so-called "good" leg actually had WORSE circulation than the leg with gangrene on the toe and they wanted to amputate BOTH legs below the knee. ) She was about 80 with dementia, so the family just put her on morphine and hospice...said it would be too much surgical trauma pain for her and she wouldn't know how to deal with that much change of having no legs below the knee.
2007-02-26 10:39:37 · answer #4 · answered by Anonymous · 1⤊ 0⤋
I would go to another doctor and fast this is nothing to mess with this person could lose more than his toe. He could lose his foot or more since there is already infection. Also the infection could travel to the bloodstream and hurt him or worst.I would even consider the emergancy room soon. good luck.
2007-02-26 13:09:59 · answer #5 · answered by faithhopeclan2 2 · 1⤊ 0⤋
If gangrene has already set in then it needs to be removed now. Another Doctor should be called in today.
2007-02-27 01:25:28 · answer #6 · answered by BAR 4 · 0⤊ 0⤋
GO TO AN EMERGENCY ROOM RIGHT NOW!!!!
He/she needs antibiotics to fight the infection. Then follow up with your PCP or contact any Joslin Diabetes center for questions and advice
2007-02-26 10:50:30 · answer #7 · answered by Bubba 2 · 3⤊ 0⤋
He should be seeing a diabetes or wound specialist not a podiatrist immediately
2007-02-26 10:32:01 · answer #8 · answered by Anonymous · 1⤊ 0⤋
he shouldnt have it amputated, he should see a doctor that is not going to jerk around till something happens. tell him to go to the hospital if there is an infection. go to another dr instead of a peodiatrist.
2007-02-26 10:35:31 · answer #9 · answered by Anonymous · 0⤊ 1⤋
get rid of the infection, and then a doc can tell you, or at least predict. You need to hurry though.
2007-02-26 11:38:07 · answer #10 · answered by Bella 2 · 0⤊ 0⤋