Re: Diabetic Neurophathy (was: I am really scared..)
From: Renee (anonymous@obgyn.net)
Thu, 17 Jan 2002 19:56:59 -0800
It sounds like your mom's in good hands.
Renee
Panacea wrote:
>
> My mom worked in nursing homes all her life and back when she started,
> they almost never called doctors in to do things like that. She also
> did in-home care, and things like that are part and parcel.
>
> I think that she has my sister to help her, and my sister is an
> excellent in-home care nurse and has specialized in caring for diabetics
> as well so I am not worried about that. She has helped save my mom's
> life several times as well.
>
> At Thu, 17 Jan 2002, Renee wrote:
> >
> >Panacea,
> >
> >I'm a stickler for terminology. ;-> To me, constriction is a muscular action
> >temporarily making the vessel walls smaller in diameter. Athersclerosis plugs
> >up the lumen "permanently" (except surgery, certain diets make the claim to
> >reverse, plaques may loosen and move on--bad news). And, it's not the
> >circulation loss itself causing the pain. It's the effect on the nerve of
> >long-term circulation loss.
> >
> >For someone who was a med tech for that long, it would depend on the person.
> >Are they flexible enough to reach the toes easily and see the entire work
> >area? Dextrous enough to control the hands precisely? With retinopathy, that
> >would be tough. Being a med tech may give experience in the area, it may not.
> > It would depend in what context the person worked. I don't believe med techs
> >do much with toenail trimming, though. Even RNs often won't do it because of
> >the risk involved. In nursing homes, for example, nurses are not allowed to
> >do it, even an RN. They have to have a podiatrist come in to do it. Only
> >nurses working with podiatrists, or those in nail or diabetes clinics do it.
> >It is up to the individual, though I can rarely recommend it. If you do do it
> >yourself, cut straight across, not curved. That reduces the risk of ingrown
> >nails and cutting yourself. Also, using an emery board is safer than scissors.
> >
> >I've seen too many patient with poorly healing wounds, and amputations,
> >because of home nail clipping (and home corn/callus removal) to recommend it
> >for anyone. Most insurances pay for it for diabetics, so why take the risk to
> >do it yourself? Leave it to a professional.
>
> --
> Panacea
>
--
Renee Cordrey, MSPT, MPH, CWS
---
Don't follow in the footsteps of the masters. Seek what they sought.
--Zen saying
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