1600_Jacobs.pdf

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1、NYEVS 2025CASE REVIEW:A STUDY OF DIABETIC FOOT INFECTION AND ALLEGATIONS OF SUBSTANDARD CARERESIDUAL OSTEOMYELITIS:I HAVE NO POTENTIAL OR REAL CONFLICTS OF INTEREST FOR THIS PRESENTATIONA MALPRACTICE STORYTHE STORY 2012-2014PINCH CALLUS+/-ULCERATION HEALED IN 2014-CONDYLECTOMY PROPOSED AND REJECTED

2、NO CARE FOR 1 YEAR RETURNS IN EARLY 2016 WITH RECURRENT ULCERATION HEALS:CONDYLECTOMY AGAIN PROPOSED AND REJECTED PROTRACTED ULCERATION THROUGH 2016 EVENTUAL ULCERATION AND X-RAY CHANGES IN 2017 AMPUTATION OF GREAT TOE AT MPJ PROXIMAL LATERAL CONDYLE REMAINED FOLLOWING SURGERYTHE STORY CONTINUES AMP

3、UTATION HEALS WELL,ANTIBIOTICS FOR 3.5 WEEKS FRACTURES SECOND TOE 6 MONTHS LATER FOREFOOT SWELLING ULCERATION SUB-METATARSAL 2,(8 MONTHS FOLLOWING AMPUTATION)AT 9 MONTHS WORSENING S/S-MRI REFERRED TO HOSPTAL WITH DX CHARCOT JOINT NEW ONSET ULCERATION SECOND METATARSAL OSTEOMYELITIS SOFT TISSUE INFEC

4、TIONTHE FINAL ACTTMAMRSA BUT NO“CLEAN MARGIN”CULTUREPATHOLOGY:OSTEOMYELITISCOMPLAINTFAILURE TO USE A TOTAL CONTACT CASTFAILURE TO CULTURE ULCERATIONFAILURE TO OBTAIN A“CLEAN MARGIN”CULTUREUSE OF BROAD SPECTRUM ANTIBIOTICSSTANDARD OF CARE?WHAT ARE WE DISCUSSINGSTANDARD CARESTANDARD OF CAREGOLD STANDARDGENTLEMEN,I HAVE A CONFESSION TO MAKE.HALF OF WHAT WE HAVE TAUGHT YOU IS IN ERROR,AND FURTHERMORE WE CANNOT TELL YOU WHICH HALF IT IS.NYEVS 2025CASE REVIEW:A STUDY OF DIABETIC FOOT INFECTION AND ALLEGATIONS OF SUBSTANDARD CARE