最高の Coding Rehab ポッドキャスト (2025)

1
BKA Explained: Surgery, Choices, Rehab & What Comes Next 15:52

5h ago15:52

15:52

In this episode of Diabetic Foot Files we walk through below‑knee amputation (BKA): why it’s performed, how surgeons select the level, and the step‑by‑step surgical technique including flap design, vascular and nerve management, and bone handling. We discuss risks of delaying surgery, post‑op care and staged rehabilitation, pain and phantom limb st…

1
The Business of Amputations -Follow the Money: Why Hospitals Profit from Amputations 10:07

6h ago10:07

10:07

This episode explores how healthcare reimbursement incentives make amputations far more profitable than months of limb salvage and wound care for patients with diabetic foot disease. It explains the reimbursement differences, who benefits financially, why wound care programs struggle to stay open, and practical questions patients should ask to prot…

1
When Can I Get My Foot Wet? Wounds, Pools & Hot Tubs Explained 16:07

5d ago16:07

16:07

This episode of Diabetic Foot Files explains when and how it’s safe to expose dressings, incisions, ulcers or amputation sites to water — covering showers, baths, pools, beaches and hot tubs. Learn why uncontrolled moisture causes maceration, slower healing and infections (Pseudomonas, MRSA, Vibrio), and get practical prevention tips: use professio…

1
Dating While Healing: Confidence, Intimacy with an active diabetic foot ulcer or post amputation 25:28

7d ago25:28

25:28

This episode explores the human side of diabetic foot ulcers and how they affect dating, self‑image, and intimacy. Dr. G blends medical facts, psychology, practical tips (what to wear, safe positions, disclosure scripts), and patient stories to help listeners date confidently while healing. Topics include the science of wound odor and drainage, mob…

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When Pets Meet Diabetic Wounds: Hidden Risks You Need to Know 17:07

13d ago17:07

17:07

In this episode of Diabetic Foot Files Dr. G explores how pets can contaminate diabetic wounds, the common zoonotic bacteria involved (Pasteurella, Capnocytophaga, Staphylococcus species, Pseudomonas, Bartonella, fungi), why dog licking is a medical emergency, and typical signs of infection to watch for. The episode also covers recommended antisept…

1
Vinegar to the Rescue: Acetic Acid Protocols for Stubborn Wound Infections 16:19

14d ago16:19

16:19

Dr. G examines acetic acid (medical vinegar) as a low-cost, evidence-based treatment for multi-drug-resistant Pseudomonas aeruginosa in diabetic foot ulcers. The episode explains the bacterium's virulence and biofilm behavior, how acetic acid works (pH lowering, membrane and biofilm disruption), recommended concentrations (0.25–1%), application met…

1
Elective Surgery & Diabetes: What Your Surgeon Isn't Telling You 18:29

14d ago18:29

18:29

Dr. Gabrielle Hutchinson-Donaldson explains when elective foot surgery is appropriate for people with diabetes, the key green and red flags to consider, and what must be included in valid informed consent. Learn how to prevent and manage post-operative wounds—what to do if an incision opens, steps for offloading, testing, imaging, pathology, and wh…

1
Blame the Patient: Why It’s Not Your Fault- And Why Doctor Must Do Better 30:20

15d ago30:20

30:20

In this episode of Diabetic Foot Files the host exposes why patients with diabetic wounds are often unfairly blamed and explains how system gaps, provider bias, and limited training cause poor outcomes. Learn what thorough wound investigation looks like, what patients can and cannot control, and how both clinicians and patients can advocate for bet…

1
Surgical Site Infections - Incision to Infection: The Truth About Diabetic Foot SSIs and How to Stop Them 17:18

15d ago17:18

17:18

Dr. G explains why people with diabetes are far more vulnerable to surgical site infections — covering neuropathy, poor blood flow, high blood sugars, immune dysfunction, and common pathogens that colonize incisions. The episode reviews high-risk foot procedures, signs of infection, and evidence-based prevention: preoperative optimization, vascular…

1
Holiday Heel: How Calcaneal Fractures Break Your Season 17:26

20d ago17:26

17:26

In this episode Dr. G explains “holiday heel” — calcaneal (heel) fractures that spike during the holidays from ladder falls, slips and carrying heavy decorations. Learn the common mechanisms, key exam findings (plantar bruising, Mulder’s sign, inability to bear weight), and why diabetics are at higher risk due to neuropathy, poor bone quality, and …

1
Thanksgiving Survival Guide for Diabetic Feet: Eat, Protect, Prevent 15:35

20d ago15:35

15:35

This episode offers a concise Thanksgiving survival plan for people with diabetes: which foods help or harm wound healing, how to manage blood sugar before and after the meal, and which holiday habits raise ulcer risk. Learn practical tips on protective footwear, offloading during long cooking or shopping days, burn and fall prevention, and when to…

1
Mercury Retrograde & The Reopened Ulcer: Unfinished Business, Cosmic Chaos, Biomechanics, and How to Stop the Cycle Before It Ends in Amputation 21:29

22d ago21:29

21:29

Dr. G uses the Mercury Retrograde analogy to explain why diabetic foot ulcers often recur, covering medical and mechanical causes like osteomyelitis, unresolved pressure, neuropathy, scar tissue, and poor footwear. He outlines common hotspot locations, signs of underlying bone infection, and why healed skin remains fragile. The episode emphasizes i…

1
Being in A Situationship with Your Diabetic Foot Ulcer: breaking the toxic cycle 14:01

22d ago14:01

14:01

Dr. G compares diabetic foot ulcers to a "situationship"—a pattern of ignoring early warning signs, inconsistent care, and delayed follow-up that lets small wounds become serious. This episode explains how ulcers can appear suddenly, linger, and then worsen if not treated promptly. Dr. G covers the red flags (swelling, drainage, odor, persistent ca…

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Cutting the Culprit: How Removing a Peroneus Brevis Saved a Leg 14:53

22d ago14:53

14:53

Dr. G returns with a real-world diabetic foot case about exposed tendons, focusing on the peroneus brevis. This episode explains why exposed tendons resist healing, when tendon excision is necessary (infection, necrosis, persistent biofilm, or lack of granulation), and the trade-offs between biomechanics and limb salvage. Practical tips covered inc…

1
Why I believe Winter Time is Gas Gangrene Season- Frost, Flesh and Fermentation: A Deep Dive into Cold Weather Clostridial Infections 26:54

22d ago26:54

26:54

Dr. G returns to Diabetic Foot Files to explain why winter can increase the risk of aggressive diabetic foot infections, including gas gangrene. She reviews how cold-induced vasoconstriction, reduced oxygen, cracked skin, and warm boot environments create anaerobic conditions that favor Clostridium species. The episode covers warning signs to watch…

1
Data Without Dogma: Rethinking Wearables, Workloads, and Return-to-Play 39:12

29d ago39:12

39:12

In this Cardio Talk episode of the Decoding Excellence Show, I break down how most coaches misuse wearable technology and workload monitoring — turning valuable data into noise instead of insight. Through a detailed return-to-play case study, I walk step-by-step through how I assess individual loading, bridge the gap back to team inclusion, and str…

1
Offload First: The Antidote to Neuropathic Plantar Ulcers 18:06

1M ago18:06

18:06

In this episode Dr. G explains why offloading — removing pressure from the ulcer site — is the single most important intervention for neuropathic plantar diabetic foot ulcers. He reviews evidence and guidelines that favor non-removable total contact casts, practical offloading options, and how to integrate offloading into a full treatment plan. Key…

1
Season First Tip, NordBord Testing Insights, Creatine Research, Carb Cycling, and OxeFit Integration 49:20

1M ago49:20

49:20

In this Cardio Talk episode of the Decoding Excellence Show, I unpack five conversations that bridge technology, nutrition, and training as we head into the start of the college basketball season. First, in this week’s Status Update, I share how we’re just three days away from tipping off the season and reflect on the journey that’s led us here. Fr…

1
Please Grow for Me: The Photosynthesis of Diabetic Wound Healing 18:36

1M ago18:36

18:36

Dr. G examines how growth factors act as fertilizers, and how oxygen and light therapies function like sunlight and air to revive chronic diabetic foot ulcers. He explains key molecules (EGF, PDGF, VEGF, FGF, TGF‑β), the problem of growth factor resistance in diabetes, and bedside treatments including PRP, topical/recombinant growth factors, topica…

1
Feed Me, Seymour: The Metabolic Appetite of Diabetic Wounds 18:01

1M ago18:01

18:01

Dr. G explores how wound healing is an active metabolic process — what wounds need (calories, protein, oxygen, vitamins and minerals), how hyperglycemia and malnutrition stall repair, and a case where nutritional repletion spurred granulation within 14 days. The episode emphasizes checking nutrition labs, optimizing protein and micronutrients, cont…

1
Diabetic Foot Abscesses: When Pus Hides Beneath the Skin 16:01

1M ago16:01

16:01

This episode of Diabetic Foot Files explains how abscesses form in diabetic feet, why they can develop quickly and silently, and the importance of identifying fluctuance, pain, odor, and signs of deeper infection. We cover pathophysiology, common pus types (including MRSA), recommended imaging, incision and drainage principles, antibiotic choices, …

1
Legacy, Load, and Lean Gains: Lessons on Coaching, Grit, and Growth 39:30

1M ago39:30

39:30

In this Cardio Talk episode of the Decoding Excellence Show, I unpack three powerful conversations shaping coaching, performance, and personal growth. First, I reflect on the passing of Coach Kurt Hester, a true icon in Strength and Conditioning. His career embodied grit, resilience, and authenticity—and his legacy challenges all of us to coach wit…

1
The Vampire's Cure: Why Bleeding Can Mean Healing 17:14

2M ago17:14

17:14

In this Halloween edition of Diabetic Foot Files, Dr. G blends vampire lore with wound-care science to show how blood can signal healing—not horror. The episode covers the history linking myths to medicine, the stages of hemostasis, and why controlled bleeding during debridement often means viable tissue and good perfusion. Practical tips include d…

1
Don't Stop Early: Why Finishing Antibiotics Saves Feet 12:59

2M ago12:59

12:59

Dr. Gabrielle Hutcheson -Donaldson explains why completing prescribed antibiotic courses is critical for diabetic foot infections: early symptom relief doesn’t mean the infection is gone, and stopping treatment can lead to resistant bacteria, osteomyelitis, sepsis, or even amputation. The episode also covers when to take antibiotics with or without…

1
Speak Wound Fluently: Foundations of Diabetic Foot Ulcer Terminology 20:55

2M ago20:55

20:55

Dr. G returns to the foundation of diabetic limb salvage, explaining essential ulcer terminology—erosion, partial/full-thickness ulcers, tunneling, undermining, exudate types, wound bed tissue, biofilm, and signs of infection—and how to measure and document them. Clear, accurate wound language improves diagnosis, care coordination, coding, and outc…

1
Vascular Insights with Dr. Giulia Baldazzi MD, vascular surgery fellow and PhD candidate from Italy 🇮🇹: Healing begins with circulation 33:34

2M ago33:34

33:34

Dr. Giulia Baldazzi, a vascular surgeon, fellow and phd candidate researcher, shares her journey from UCSF to Italy and explores advances in perfusion assessment, revascularization, and limb preservation for diabetic foot care. She discusses diagnostic innovations (PAT, MaxCORE, NIRS), the importance of early vascular referral and multidisciplinary…

1
Tiny Ring, Big Risk: Porokeratosis on the Diabetic Foot 20:26

2M ago20:26

20:26

Dr. G explains porokeratosis — a ring-like skin disorder that can masquerade as a callus or wart and cause pain, ulceration, and even malignant change on diabetic feet. The episode covers what porokeratosis looks like, why people with diabetes are at higher risk of complications, and when to biopsy. Practical advice includes daily foot checks, avoi…

1
Forgotten Feet: Diabetes Behind Bars/The Incarcerated 13:07

2M ago13:07

13:07

Dr. G (Woon Picasso) exposes the hidden crisis of diabetic foot disease in prisons: its prevalence, the resource and policy barriers that lead to missed checks and preventable amputations, and the moral and legal imperative to provide care. The episode outlines practical, low-cost prevention and treatment steps—intake screening, annual and monthly …

1
Silver Nitrate: The Secret Weapon Against Hypergranulation 12:17

2M ago12:17

12:17

Dr. G explains how silver nitrate works as a quick, low-cost chemical cautery for treating hypergranulation ("proud flesh") in diabetic and other chronic wounds, outlining the mechanism, application steps, and the expected gray discoloration. He summarizes benefits—rapid control of excess granulation, antimicrobial action, and minor hemostasis—alon…

1
How the 2025 Nobel Prize on T‑Regs Could Transform Diabetic Foot Care 13:03

2M ago13:03

13:03

Diabetic Foot Files による

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Shiny Red Leg? Understanding Erysipelas in Diabetes 24:11

2M ago24:11

24:11

Dr. G explains erysipelas — the classic shiny, well-demarcated red leg — covering its causes (mainly streptococcal), distinguishing it from cellulitis and other mimics, initial investigations, and outpatient vs inpatient treatment strategies. Special considerations for people with diabetes (imaging, admission thresholds, and limb salvage), preventi…

1
To Kling or To Kerlex, that is the question- Mastering Gauze Rolls in Diabetic Foot Ulcer Care 16:21

2M ago16:21

16:21

Dr. G explains the key differences between Kling (conforming) and Kerlex (bulky padding), when to use each, and how wrapping technique and tension can affect perfusion and healing in diabetic feet. Includes practical application steps, pressure checks to avoid ischemia, tips for moisture and allergy management, and clinical pearls for better wound …

1
Sparks of Healing: How Piezoelectricity Could Transform Diabetic Foot Care 11:53

2M ago11:53

11:53

This episode explains the piezoelectric effect—how mechanical stress creates tiny electrical signals—and how those signals guide cell migration, angiogenesis, collagen deposition, and epithelialization in wound healing. It describes how diabetes weakens natural bioelectrical cues through neuropathy, poor circulation, and collagen changes, and revie…

1
IV or Oral? Choosing the Right Antibiotic for Diabetic Foot Infections 24:32

3M ago24:32

24:32

Dr. G explains when to use IV versus oral antibiotics for diabetic foot infections, covering severity-based choices, common empirical regimens, and why wound cultures matter. The episode reviews pharmacokinetics, expected timelines for improvement (48–72 hours), typical durations for soft-tissue infection and osteomyelitis, and criteria to step dow…

1
Understanding Drop Foot: A Hidden Diabetic Danger 26:02

3M ago26:02

26:02

Dr. G explains drop foot — the inability to lift the front of the foot — and why people with diabetes are at special risk due to neuropathy, compression, and poor circulation. This episode covers how to recognize drop foot, key diagnostic steps (EMG, imaging, vascular testing), urgent red flags, and a step-by-step treatment plan including AFOs, FES…

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Global PAD Association with Emmy Award winning journalist, entrepreneur and advocate Kym McNicholas -Saving Limbs, Saving Lives: Inside the Fight Against PAD with Kim Nicholas 53:20

3M ago53:20

53:20

Dr. G interviews Emmy winning journalist Kym Nicholas, CEO and co‑founder of the Global PAD Association, about peripheral arterial disease (PAD), its strong link to diabetes, common misdiagnoses, and why early vascular evaluation can prevent unnecessary amputations. They discuss patient stories, systemic gaps in care, lifestyle interventions like s…

1
Building Stronger Women’s Basketball Athletes & Beating Travel Fatigue in College Hoops 35:28

3M ago35:28

35:28

In this raw and unfiltered Cardio Talk edition of the Decoding Excellence Show, I dive into two topics that are reshaping the way we think about performance in college athletics. First up: The Evolution of Women’s Basketball Training. The women’s game has grown more physical, more explosive, and more demanding than ever before. Yet too often, stren…

1
Second Chances: Repurposed Drugs Healing Diabetic Foot Ulcers 14:53

3M ago14:53

14:53

In this episode of Diabetic Foot Files, Dr. G explores how existing medications — from metformin and insulin to statins, fentanyl, sildenafil, doxycycline and nitric oxide donors — are being repurposed to help heal stubborn diabetic foot ulcers. We review the biology behind each drug, early clinical evidence, and why topical formulations may offer …

1
Semaglutide Steps In: New Hope for PAD Patients 11:26

3M ago11:26

11:26

This episode explores new randomized evidence that semaglutide, a GLP-1 receptor agonist used for diabetes and weight loss, can improve walking distance and quality of life for people with type 2 diabetes and symptomatic peripheral arterial disease (PAD). The landmark STRID trial showed median gains of about 26 meters (mean ~40 m) in walking distan…

1
The Dangerous Duo: PAD and Kidney Disease in Diabetes 13:49

3M ago13:49

13:49

In this episode of Diabetic Food Files we explain how peripheral arterial disease (PAD) and chronic kidney disease (CKD) interact in people with diabetes to worsen circulation, slow wound healing, and raise the risk of infection and limb loss. We outline the key symptoms to watch for, recommended screening tests (ABI/toe–brachial index, urine album…

1
From Hippocrates to Gene Therapy: The Journey of Diabetic Peripheral Arterial Disease 14:54

3M ago14:54

14:54

This episode of Diabetic Foot Files explores peripheral arterial disease (PAD) in people with diabetes — its history, how diabetes accelerates arterial damage, the biology behind impaired wound healing, and clinical clues to distinguish ischemic from neuropathic ulcers. We cover bedside tests (ABI, TBI, TcPO2), modern revascularization options, med…

1
How Nicotine Silences Healing: The Diabetic Foot Risk 25:07

3M ago25:07

25:07

Dr. G explains how nicotine — from cigarettes, vapes, pouches, and nicotine replacement products — reduces blood flow, disrupts immune and cellular repair, and slows or worsens healing in diabetic foot wounds. He summarizes the science, lists nicotine-containing products, and gives practical, evidence-based guidance for clinicians and patients on s…

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Pinky Toe Peril: Why Fifth Metatarsal Ulcers Threaten Limbs 16:18

3M ago16:18

16:18

A focused look at fifth metatarsal ulcers in diabetic patients — why they form, how the peroneus brevis and lateral biomechanics drive injury, and the clinical strategies to heal and prevent recurrence.Diabetic Foot Files による

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Mockingbird Sclerosis: The Silent Vascular Threat in Diabetic Feet 12:12

3M ago12:12

12:12

This episode explains Monckeberg ("Mockingbird") sclerosis—a medial arterial calcification common in diabetes and chronic kidney disease—how it stiffens arteries without narrowing the lumen, and why it can make ABI results falsely reassuring. Learn how to spot the classic railroad-track calcifications on x-ray, which vascular tests to use instead (…

1
Building Trust, Rethinking Recovery, and the Future of Tech in S&C 44:29

3M ago44:29

44:29

In this Cardio Talk edition of the Decoding Excellence Show, I hit on three big topics for strength & conditioning coaches: 1️⃣ Building Trust with Sport Coaches — How we can better align with head coaches by speaking their language, framing data around outcomes, and respecting practice priorities. 2️⃣ Rethinking Recovery in College Athletics — Why…

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Diabetic Foot Wound Culture- Amputation Isn’t Inevitable: Changing Diabetic Foot Care Culture 19:55

3M ago19:55

19:55

This episode explores how the current culture around diabetic foot ulcers drives unnecessary amputations and presents a practical, evidence-based roadmap to change it. Dr. G outlines the data supporting multidisciplinary care, step-by-step clinical checklists for rapid triage and management, system-level referral pathways, and patient engagement st…

1
Tiny Messengers, Big Hope: Can Exosomes Heal Diabetic Foot Ulcers? 15:24

3M ago15:24

15:24

Dr. G explores exosomes—small, cell‑derived vesicles—and how they may accelerate diabetic foot ulcer healing by modulating inflammation, promoting angiogenesis, boosting cell proliferation, and improving matrix remodeling. Strong and consistent animal data show faster closure and better vascularity, and early human trials are beginning. Yet importa…

1
The Blueprint, Preseason Training & Lessons from the Weight Room | Cardio Series 1:10:43

3M ago1:10:43

1:10:43

In this “Cardio Series” edition of the Decoding Excellence Show, I’m bringing you along on a 75-minute ruck walk to share a critical update: introducing The Blueprint—our forever FREE community on Instagram and AdamRingler.com. Inside The Blueprint, I’ll be sharing strength & conditioning tactics, performance insights, sport science strategies, and…

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Numbing the Pain: Essential Foot Blocks for Diabetic Debridement & Amputation 15:47

3M ago15:47

15:47

Episode walkthrough of local anesthesia for diabetic foot procedures: why blocks are essential even in neuropathic patients, how infection changes pain perception, and the physiology and practical reasons to use anesthesia. Concise techniques and tips for ankle, digital, posterior tibial, saphenous, sural, superficial and deep peroneal blocks, reco…

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When Dressings Attack: Allergic Reactions in Diabetic Foot Care 11:43

3M ago11:43

11:43

This episode explains how dressings can cause irritant or allergic contact dermatitis in diabetic foot ulcers, how to tell the difference from infection, and the red flags to watch for. Dr. G covers immediate management (remove the culprit, gentle cleansing, topical steroids, antihistamines), safer dressing alternatives (silicone-based, non-adhesiv…

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