One of the most crucial roles that a podiatrist takes on is to assess the vascular or blood circulation status to the feet and lower limb to figure out if patients are at risk or not to inadequate healing due to the blood flow. If a person was at high risk for complications for that reason, then steps need to be taken to lower that threat and safeguard the feet from damage, especially when they have diabetes. The regular talk show for Podiatrists, PodChatLive focused an entire episode to this problem. PodChatLive is a free continuing education stream which goes live on Facebook. The intended audience is podiatry practitioners doing work in clinical practice, though the actual target audience include a lot of other health care professionals as well. Through the stream there is lots of dialogue and comments on Facebook. Later on the recorded video version is uploaded to YouTube and the podcast version is put onto the standard places like Spotify and also iTunes.
In the show on vascular issues and examination of the feet the hosts chatted with Peta Tehan, a podiatrist, and an academic at the University of Newcastle, Australia and with Martin Fox who is also a podiatrist and also works in a CCG-commissioned, community-based National Health Service service in Manchester, UK where he provides early recognition, diagnosis and ideal clinical management of individuals with diagnosed peripheral vascular disease. In the episode there was many real and valuable vascular gems from Martin and Peta. They discussed what a vascular evaluation should look like in clinical practice, the importance of doppler use for a vascular evaluation (and common errors made), we listened to several doppler waveforms live (and recognize how depending upon our ears by itself is probably not perfect), and identified the importance of great history taking and testing in individuals with identified risk factors, notably given that 50% of those with peripheral arterial probalems have no symptoms.