{"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":"Positive vs. Negative Surgical Margins- Every Millimeter Matters: Surgical Margins in Diabetic Limb Salvage","slug":"positive-vs-negative-surgical-margins-every-millimeter-matters-surgical-margins-in-diabetic-limb-salvage","published_at":"2026-07-02T11:36:22+00:00","page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870/positive-vs-negative-surgical-margins-every-millimeter-matters-surgical-margins-in-diabetic-limb-salvage","show_page_url":"https://stenobird.com/podcast/diabetic-foot-files-7302870","url":"https://gdhutche.podbean.com/e/every-millimeter-matters-surgical-margins-in-diabetic-limb-salvage/","audio_url":"https://mcdn.podbean.com/mf/web/fa85bxb77arix8up/Surgical_Margins-_Postive_vs_Negative_-gbctet-Optimized.mp3","summary":"In this episode of Diabetic Foot Files Dr. G explains why surgical margins in diabetic foot surgery — especially with osteomyelitis — directly affect recurrence, healing, and the risk of further amputation. She covers the difference between positive and negative margins, how pathology and imaging guide management, and how margin status influences antibiotics, reoperation, and prognosis. Practical steps to improve margin status are discussed, including thorough debridement to bleeding bone, preoperative imaging and vascular assessment, offloading, and close coordination with infectious disease. Key takeaway: achieving negative margins greatly increases healing odds, while residual infected bone significantly raises recurrence and higher-level amputation risk.","meta_description":"In this episode of Diabetic Foot Files Dr. G explains why surgical margins in diabetic foot surgery — especially with osteomyelitis — directly…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1457,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/diabetic-foot-files-7302870/episodes/positive-vs-negative-surgical-margins-every-millimeter-matters-surgical-margins-in-diabetic-limb-salvage/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/positive-vs-negative-surgical-margins-every-millimeter-matters-surgical-margins-in-diabetic-limb-salvage.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}