General Protocol for Treatment

To arrange for a consultation by the Diabetic Foot Clinic, please have your
primary physician schedule an appointment. At that time, we will request
referrals for Drs. Torre, Nasca, and Brass and a copy of all laboratory data,
radiologic reports and office notes with regards to your problem. Depending
on the wishes of your primary care physician, we can perform a consultation
only for your problem, or assist your physician in the care of the problem and
management of the diabetes until the problem is resolved.
  

1.

On the first visit, you will receive a comprehensive history and
examination by an:

endocrinologist (Dr. Joseph Torre),
a podiatrist (Dr. Paul Nasca) and
infectious diseases sub-specialist (Dr. Corstiaan Brass).

At the conclusion of the evaluation, a comprehensive plan for the
evaluation and treatment of your foot problems will be outlined, and,
if your primary physician so desires, we will implement this plan.
Should ancillary investigations be required, much of these can be
done on site at the clinic to facilitate fast and efficient evaluation
and implementation of therapy.

2.

The number of follow ups visits for an ulcer, depending upon the
severity of the problem, usually ranges from 3-6 visits at two week
intervals. Most of the care is rendered in an outpatient setting, but
hospitalization is occasionally required to aggressively manage the
infection or complicating features of the foot problem.

3.

You will be seen by all three physicians at each follow-up visit and
will be referred to a vascular surgeon, plastic surgeon or orthopedic
surgeon should the need arise.

4.

At all times during the course of the therapy and visits, letters to
your primary physician will be dictated to keep him or her updated on
your status. When the problem is resolved, your care will be turned
over to your primary physician with recommendations as to appropriate
follow up with podiatry and other sub-specialists, if indicated.

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