പ്രമേഹ രോഗികൾ പാദ സംരക്ഷണത്തിന് കൂടുതൽ പ്രധാന്യം നൽകേണ്ടതുണ്ട്. പാദങ്ങളിൽ ചെറിയ മുറിവുകൾ ഉണ്ടായാൽ പോലും അവ രോഗിയുടെ ശ്രദ്ധയിൽ പെടാതെ പോകുന്നു. പ്രമേഹമുള്ളവർ പാദങ്ങളെ സംരക്ഷിക്കുന്നതിനായി ശ്രദ്ധിക്കേണ്ട കാര്യങ്ങളെ കുറിച്ച് കൊച്ചി വിപിഎസ് ലേക്ഷോർ ആശുപത്രിയിലെ ഫൂട്ട് എങ്കിൾ ആന്റ് പോടിയാട്രി വിഭാഗത്തിലെ ഡോക്ടർമാരായ ഡോ. രാജേഷ് സൈമണും ഡോ. ഡെന്നിസ് പി. ജോസും സംസാരിക്കുന്നു...
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NewsTranscript
00:00Hello everyone, I am going to talk to you about the best doctor.
00:14Today, I am going to talk to you about 10 patients.
00:18I am going to talk to you about the BPS Lecture Hospital in the Food Angle and Podiatric Hospital.
00:25I am going to talk to you about Dr. Rajesh Simon and Dr. Dennis P. Josam.
00:31Hello, Dr.
00:32Dr. Aadhan, we are going to talk to you about the Food Angle and Podiatric Department.
00:37This is the Department of the Food Angle and Podiatric Department.
00:42Foot Angle and Podiatric.
00:44This is the Department of the Food Angle and Podiatric Department.
00:54This is the Department of the Food Angle and Podiatric Department.
01:00This is the Department of the Food Angle and Podiatric Department.
01:01In Keralath, it is not a department.
01:06It is exclusively for many patients.
01:13This is the Department of the Food Angle and Podiatric Department.
01:18Dr. Rajesh Simon is the Department of the Food Angle and Podiatric Department.
01:23What was your response to the patients?
01:27If the patients had a response,
01:31this is the Department of the Food Angle and Podiatric Department.
01:36It is exclusively for foot and angle.
01:42However, I do not know about Kerala.
01:48In India, there are many patients.
01:53These are online, social media, etc.
01:58Now, there are many patients.
02:01The first thing is that we have a shark o'd foot in our own area.
02:07We have a exclusive center to the shark o'd foot.
02:11Dr, we mentioned in the pandemic that we have heard
02:14that we use the stomach to take the stomach and get the stomach.
02:19So, what about the symptoms of the stomach?
02:22In the past, we have had a problem with the symptoms that we have had a diabetic foot ulcer.
02:30There is a common goal of the people of life who are living in the life of the people of life, who are living in the life of life.
02:47It is a very important reason for the people of life, and it is a very important reason.
02:53What is the ulcer? There are many reasons.
02:56There are a few reasons. There are a few reasons.
02:58There are mechanical causes.
03:00Sometimes a bone protrudes, there are ulcer.
03:04Sometimes a neuropathy has a condition.
03:08There are some conditions.
03:10We have to take care of the ulcer.
03:14We are looking at the ulcer.
03:19As for our ulcer, we have an ulcer and we still have to take it.
03:26We find the ulcer and we have to take it to the scalp.
03:29We also have to take the hydrodebrate and water jet.
03:33While the ulcer remains a surgical time is to save these ulcer.
03:39We have no other advantages.
03:44Also, there are PRP injections, which are platelet-rich plasma.
03:56There are growth factors and wound healing.
04:01That is also stem cell therapy.
04:03There is a treatment modality in the diabetic foot ulcer.
04:11Do you have any questions about diabetic foot ulcer?
04:16Yes.
04:17That is, a diabetic foot, or diabetes,
04:24but we have a follow-up,
04:30that is, right from the diabetes diagnosis,
04:38that is, in our department,
04:41that is, we don't have to worry about awareness.
04:43That is, where there is a warning sign.
04:48That is, because of diabetic foot ulcer,
04:51there is a calocity in the body.
04:56We have to worry about diabetes.
04:57I think that is, because of diabetic foot ulcer,
05:01we have to worry about diabetes.
05:02If the patient is coming,
05:04we can do a regular procedure,
05:06with a regular procedure,
05:08with a blood pressure,
05:10and we can do that.
05:11That is, because of the complications.
05:16That's why an expert comes with it.
05:21Dr. Miki, is there a lot of lessons?
05:26How many questions are there?
05:28That's a lot of questions.
05:31One thing is that it's very important.
05:35Diabetic neuropathy.
05:38It doesn't matter if it's very important.
05:42That is why it is a problem for the next person.
05:50Pinnies have an ulcer.
05:56Pinnies have a serious condition for septicemia.
06:02Basic problem is that the diabetic patients have no pain.
06:08It is a neuropathy. It is not a problem.
06:11The pain is a protective factor.
06:14We have to use the pain because we have to use the pain.
06:19But there is no pain.
06:22There is an ulcer.
06:24There is no ulcer.
06:26There is no ulcer.
06:31Because there is no pain.
06:33There is no ulcer.
06:39Dr. Pramaharugia is a shark-coat disease.
06:43What is a shark-coat disease?
06:46How do we get rid of that?
06:48We are now in the diabetic population.
06:53We are probably the diabetic capital of the world.
06:57In China, almost 25-26 years old, we have to increase the diabetic population.
07:07We have to increase the diabetic population.
07:09If we have a diabetic population, or at least 7 to 10% of this shark-coat foot,
07:15it is an absolute problem.
07:18We have to increase the population in Scandinavian countries.
07:26So, you have to understand the enormity.
07:30The problem is that the shark-coat foot is not in the beginning stage.
07:35It is not in the beginning stage.
07:37It is not in the beginning of the patient.
07:39It is not in the beginning of the patient.
07:41There is no one case.
07:42It is also the infection.
07:44It has an antibiotic that has no one.
07:46All of them have to increase the diabetes.
07:49If you have some awareness,
07:52many of the treating physicians have had to do that.
07:57If you have diabetes or something,
08:00there is awareness of that.
08:02There is no one case.
08:04There is no other question.
08:06This is not in the beginning of the patient.
08:08This is a shark-coat foot.
08:20At that time, we have to be calm.
08:25That's not the case. That's actually a calm.
08:30In this stage, we can identify one.
08:36We can identify with a simple plaster.
08:40Unfortunately, we have to be aware of this.
08:46This is a severe stage.
08:49With multiple ulcers.
08:53Do you have a shark-coat?
08:56Do you have any questions?
08:59There is a stage.
09:02At that stage, we can take a plaster for 2-3 years.
09:06This is a slow treatment.
09:08It is not easy.
09:10At that stage, we can take a plaster for 2-3 years.
09:14The sugar control is over.
09:18At that stage, when you have an ulcer,
09:22or a major instability, or a lung-oating,
09:26you can take a lot of pain.
09:28You can take a lot of pain.
09:30You can take a lot of pain.
09:32You can take a lot of shape.
09:34You can take a lot of pain.
09:35If you have a rock or bottom foot,
09:37you can take a lot of pain.
09:39You can take a lot of pain.
09:40Sometimes there are multiple ulcers.
09:41Over the same time when you take a lot of pain,
09:46when you get the shape of the ulcer,
09:50you can take a lot of pain during the ulcer.
09:51You can take a lot of cancer and have an ulcer for nearly 7 to 10 months.
09:54It takes a long time and takes a long time.
09:57Dr. Pini, can you tell us about the diabetic food ulcer?
10:02Diabetic food ulcer is associated with the diabetic food ulcer.
10:12The most important factor in that is,
10:17is that diabetes is going to be controlled.
10:21Plus, we have a regular health checkup.
10:26That is why the diabetes is associated with the food ulcer.
10:31There are tests, biothesimetry, angle brachial index,
10:36temperature comparison.
10:39That is why the diabetes is detected in two days.
10:47We do not do health checkups.
10:50That is why the diabetes is detected in two days.
11:00Dr. Pini, can you tell us about the diabetic food ulcer?
11:04Dr. Pini, can you tell us about the minselling馬?
11:13Dr. Pini, are very informative.
11:17Dr. Pini is involved with the200 Monadies.
11:21Dip ulcer is anointed with diabetes children.
11:25Dr. Pini, can we take care of those other cancers over the entire nostrils?
11:28Dr. Pini is at source of dials.
11:29Dr. Pini, cancellation is ie right inside.
11:31It is not well received with diabetes outcomes.
11:33associated comorbidities.
11:36Now, we can help with an interventional cardiologist.
11:42Because we have peripheral angiograms at the time.
11:47At the time, we can improve the angiograms at the time.
11:52That's why we have angioplasty.
11:55That's why we have vascular team.
12:00We can help with a nephrologist.
12:04That's why we have questions.
12:06That's why we have patients.
12:09It is right from the doctor who treats.
12:12That's why the doctor has been plastered by the doctor.
12:18So, everyone has a...
12:21This is a multi-disciplinary team, MD team.
12:24World over, it is called as a multi-disciplinary team.
12:27A multi-disciplinary team is an endocrinologist, nephrologist, cardiologist, vascular person, microbiologist.
12:42That's why we have a photo and ankle.
12:46It's also a multi-disciplinary team.
12:48It's a multi-disciplinary team.
12:50It's a multi-disciplinary team.
12:52It's a multi-disciplinary team.
12:54Dr. Dr. in the last couple of questions,
12:56Take care of the premier unit,
12:57Where do you think about the basic information?
12:59What are the questions about it?
13:02The main thing is that the primary need is to control by the premier unit.
13:07Therefore, you can take control by the premier unit.
13:10Then, you will get to know about that.
13:12But, in the next few things,
13:13There is another power one.
13:14This is why all these tests have been done in the past.
13:22The most important thing is that we are going to be able to do anything else,
13:31but we are going to be able to do something else.
13:36What we do is have these patients to where very young age and various may have fungal infections.
13:47So we need a lot of help with them.
13:50We want them to get the same.
13:53The same is to get the same.
13:57We don't have the same to get the same because we see the same.
14:05I am saying that the callosity is a precursor for this also.
14:10If you don't know anything about it, what do you think about it?
14:16A diabetic person is a young lady in the sweet 16 year old.
14:27If you don't know anything about it, what do you think about it?
14:36If you don't know anything about it, what do you think about it?
14:42At least take a mirror and look around the feet, look between the toes.
14:48That is very important because in the early stage we have a wound and ulcer.
14:54We need to protect others.
14:57We need to protect others.
14:59Each well has importance.
15:01Each well has got its role.
15:07We should try to take a long time to take a long time.
15:16What do you think about the MIS technique?
15:20Minimally invasive surgeries.
15:22Minimally invasive surgeries, we use many things in foot and ankle.
15:29For example, we use sports injuries.
15:34In sports injuries, the joints and the ankle are hurting.
15:42If you don't do it, we use a minimally invasive surgery.
15:46That is not the case about the keyhole surgery.
15:48Like on the case, this is called minimal invasive surgery.
15:51Now that people have already brought a wrong time to take a long time to take a long time to take off.
15:54Especially for diabetes.
15:56That is all we've done with the minimally invasive surgery and the bar to take off.
16:01and take care of the body, and take care of the body, and take care of the body.
16:05What we have to do is we have to do keyhole surgeries for MIS surgeries,
16:12minimally invasive surgeries.
16:14As of now, we are the only center to be doing.
16:20For four years, we have to do MIS surgeries.
16:26It's a big game changer.
16:28It's a big game changer.
16:33We have to do cuts.
16:35Dr. Pum, you have to do MIS surgeries for MIS surgeries.
16:41How much is it?
16:43It's a microcellular rubber.
16:49I've added my skills to the full surgery.
16:50I've given you the Fort Worth.
16:51I've given you the full surgery.
16:52I've taken the full surgery.
16:53You can have it in a full surgery.
16:55I've taken this job.
16:57I've taken it for three years.
16:59I've taken it in full surgery.
17:00That's why I've taken the MIS surgeries.
17:02It's a footwear.
17:03I've taken it to orthopedics.
17:04I've taken it.
17:05But it's a good thing.
17:06But the MCR is very soft and very soft.
17:16What did we say about this footwear?
17:21The impression that we would like to take a look at the footwear.
17:31So, there is a grade for MCR, that is a short-hardness for sure.
17:38So, for MCR short-hardness, it is 15A. That is MCR's hardness.
17:45That is not the last part of it.
17:52It is not the case of a diabetic foot ulcer.
17:59That is the minute particles that can get into this ulcer.
18:03And further, it can cause the infection.
18:08That is why our healthcare professionals do MCR's advice.
18:14It is not the case of a diabetic footwear.
18:27It is available.
18:30MCR footwear is much, much easily available.
18:34So, that is the case of a diabetic footwear.
18:39It is not the case of a diabetic footwear.
18:45We will definitely go for EVO.
18:50In this case, we have a basic approach.
18:53We have to control the sugar.
19:01We have to control the good things.
19:08If you have a patient, you have to control the fat, your fat, your fat, your fat, your fat, your fat, your fat, your fat, your fat...
19:18That is the case of a diabetic footwear.
19:20If you have to do a regular foot assessment, you will have to do foot assessment tests in two weeks.
19:33So that we can prevent further.
19:35This is why our motor is to prevent amputation in the care of the diabetic.
19:39It may not be simple cellulitis.
19:50If you are using an antibiotic, you will be able to prevent the problem.
19:57So if you are using an x-ray, you will be surprised to find that a few bones are thin,
20:08and you will have a fracture.
20:10If you are using a patient, you will not have any pain.
20:16If you are using an x-ray, you will be using a x-ray.
20:20It could be a x-ray.
20:22Thank you very much.
20:24Thank you very much.
20:26Thank you very much.
20:32Thank you very much.
20:40Thank you very much.
20:42Thank you very much.
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