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Welcome to PVD |
The whole problem is that I feel that every patient with PVD should have the opportunity to be referred to a vascular doctor especially in the hospital setting where such specialists should be available. |
In treating ulcerations, I believe every patient should have their shoegear evaluated to ensure that no biomechanical forces are impairing wound care healing. |
I believe that if a foot is swollen and PVD is present, think twice before elevating that foot too high. |
Foot elevation can possibly help swelling but this could possibly impair blood flow to the feet in an ischemic foot ( a foot lacking blood flow needed to survive. |
I feel it is possible for one day to see a toe ulcer and the next day not to see an ulcer on the toe. |
Sometimes one can have good pedal pulses and an ischemic foot due to small vascular disease of diabetes. Signs of this might be decreased hair growth, decreased thin skin texture, thickened toenails, color changes in the toes, temperature changes in the toes ( toes feel cold ), etc.... |
I believe the sub specialty of podiatric orthopedics and primary podiatric medicine is important. There are many patients who have poor circulation in the feet that would benefit from a podiatrist, vascular doctor and internist working as a team. |