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Hi all,

I have been asked to deliver a presentation on Diabetes to GP's and was wondering if anyone out there would be kind enough to forward on photo's that i could use as examples.

Im looking for

Neuropathic callus before and after debridement revealing ulcerations

Subungual Ulcerations

Ischaemic Ulcerations

Charcot foot ulcerations.

Motor Neuropathy feet

or anything else interesting anyone may have.

i would be very grateful if anyone out there would be kind enough to provide these.

I intend to promote the podiatry corner!! :)

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google images will have some

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

Thanks Peter, google was the first place i looked before asking for help and i have not seen specifically what i am after.

Maybe i didnt make myself clear.. i'm really after pre and post op. Things that will surprise the GPs

ie: onychauxic nails before debridement revealing subungual breakdown/ulceration

neuropathic callus before debridement revealing again breakdown..

Things that only a Podiatrist would notice and others would just say "oh that just callus" or "oh thats just a thick nail"

I want images that will show our skills.

However another kind Podiatrist advises me that consent may be an issue. So i guess ill just soldier on alone.

Pipped to the post. Written consent by the pt is now mandatory if you want to use photos as part of a case study or educational material.

You may find some useful pics here (registration is required, but FREE for Health Professionals). Galderma have copyright of the site, but they do state "You may download and retain on your disk or in a hard-copy single copy of material published on this site only for educational purposes - any material with an identified educational goal: medical presentations....etc."

Cheers,
Bel

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Just a rock `n roll refugee.

If...

Hi Bel,

Is that also the case if the photograph/image no pt identifiable data on it?

Kind Regards

__________________
“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

Hi Peter,

I`m afraid so. The ruling came into effect around 6 years ago, (I`ll see if I can dig out a link to the legislation later*) when I was completing my university portfolio/case studies and was instructed to remove all photos which did not have written consent for educational use. I understand that pod students are not allowed to take photos, even with pt consent now.

However, if the pics stay within your own practice/dept, for the purpose of monitoring pathology, you can still take photos.

Cheers,
Bel

*NB: In the meantime, you might find something here

__________________
Just a rock `n roll refugee.

If...

Hi Bel,

The indigenous diabetic foot program resources include a patient education book which has photos of before and after podiatry treatment. It includes things like OX nails, callous that have and have not broken down, neuropathic ulceration before and after debridement, as well as a charcot foot.
Jason Warnock was the author of the program, I have contacted him in the past to ask for permission to use his photos and it wasn't an issue. His website is "diabetic foot programs" or something like that I'm sure you can find it via google and contact him that way.

Otherwise I suggest contacting your local hospital podiatry dept as just about everywhere I have worked has an archive of photos that have patient consent, and therefore can be used in presentations and for education purposes.

Kind Regards,

Hi WApod,

Yep, the key is written consent. It wasn`t me asking BTW, but I`m sure toughspiders (cool name) will appreciate your comment.

Cheers,
Bel

__________________
Just a rock `n roll refugee.

If...

Thanks so much I know Jason so will ask thanks!