{"podcast":{"title":"Diabetic Foot Files","slug":"diabetic-foot-files-7302870","podcast_index_feed_id":7302870,"rss_url":"https://feed.podbean.com/gdhutche/feed.xml","website_url":"https://gdhutche.podbean.com","image_url":"https://pbcdn1.podbean.com/imglogo/image-logo/20507692/son_halim8f236.jpg","author":"Diabetic Foot Files","episode_count":349,"summary":"Welcome to the Diabetic Foot Files Podcast—the show where we uncover the real stories, latest research, and essential tips to help prevent diabetic foot complications. I’m Dr. G aka Dr. Gabrielle Hutcheson Donaldson and as a podiatrist and wound care specialist . I’m here to educate, empower, and guide you through the world of diabetic foot care. From wound healing to amputation prevention, we’ll break down the facts, bust the myths, and share life-saving strategies. Whether you’re a patient, caregiver, or healthcare professional, this podcast is your go-to resource for healthier feet and a better quality of life. So let’s dive in—because when it comes to diabetes, every step matters!”","last_synced_at":"2026-07-28T00:18:44.165291+00:00","page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870"},"episode":{"title":"LIMBWatch Series: Dr. David Alper, DPM-Beyond the Operating Room: The Legislative Fight to Save Limbs","slug":"limbwatch-series-dr-david-alper-dpm-beyond-the-operating-room-the-legislative-fight-to-save-limbs","published_at":"2026-07-20T06:51:08+00:00","page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870/limbwatch-series-dr-david-alper-dpm-beyond-the-operating-room-the-legislative-fight-to-save-limbs","show_page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870","url":"https://gdhutche.podbean.com/e/stopping-amputations-before-they-start-dr-david-alper-s-playbook/","audio_url":"https://mcdn.podbean.com/mf/web/8ivsc75mgq52huh6/gr_LIMBWatch_Series__Dr__David_Alper_DPM_20260714_090214-ktxzcr-Optimized.mp3","summary":"LIMBWatch | Dr. David B. Alper &ndash; The Policy Behind Preventing Amputations Why are so many lower extremity amputations still happening when the majority could be prevented? In this powerful episode of LIMBWatch, Dr. Gabrielle Hutcheson sits down with nationally recognized limb preservation advocate Dr. David B. Alper, DPM, to explore the critical intersection of healthcare policy, reimbursement, advocacy, and limb salvage. Drawing on decades of clinical experience and legislative leadership, Dr. Alper explains why preventing amputations requires more than excellent medicine&mdash;it requires changing the healthcare system itself. Together, they discuss the barriers clinicians face in obtaining early diagnostic testing, advanced wound care therapies, diabetic footwear, vascular imaging, and emerging technologies that could dramatically reduce limb loss. Dr. Alper also shares ongoing legislative efforts to improve access to care, simplify insurance requirements, expand diabetic foot protection programs, and strengthen multidisciplinary collaboration. The conversation highlights the importance of early detection of peripheral artery disease (PAD) and chronic limb-threatening ischemia (CLTI), the role of advocacy organizations, and why clinicians, patients, and policymakers must work together to shift healthcare from reacting to amputations toward preventing them. In this episode, you'll learn: Why an estimated 85% of diabetic-related amputations may be preventable The policy barriers limiting early PAD and CLTI diagnosis How insurance reimbursement influences limb salvage decisions Why diabetic footwear, vascular imaging, and preventative screening remain underutilized The importance of multidisciplinary limb preservation teams How clinicians and patients can become…","meta_description":"LIMBWatch | Dr. David B. Alper – The Policy Behind Preventing Amputations Why are so many lower extremity amputations still happening when the major…","key_points":[],"chapters":[],"topics":[],"duration_seconds":2458,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/diabetic-foot-files-7302870/episodes/limbwatch-series-dr-david-alper-dpm-beyond-the-operating-room-the-legislative-fight-to-save-limbs/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/diabetic-foot-files-7302870/limbwatch-series-dr-david-alper-dpm-beyond-the-operating-room-the-legislative-fight-to-save-limbs.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}