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Toward a Change in Syntax in Diabetic Foot Care

Prevention Equals Remission

David G. Armstrong DPM, MD, PhD1 and Joseph L. Mills MD1
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  • 1 Southern Arizona Limb Salvage Alliance (SALSA), Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.
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Because neuroischemic complications are associated with a high rate of recurrence, we propose a slight shift in the mechanism by which we counsel and communicate risk daily with our patients. If the epidemiology of this problem is comparable with that of cancer, and recurrences are common, then perhaps language commensurate with such risks should follow. After initial healing of an index wound, our unit now refers to patients not as being cured but rather as being “in remission.” This concept is easy for the patient and the rest of the team to understand. We believe that it powerfully connotes the necessity for frequent follow-up and rapid intervention for inevitable minor and sometimes major complications. (J Am Podiatr Med Assoc 103(2): 161–162, 2013)

Corresponding author: David G. Armstrong, DPM, MD, PhD, Southern Arizona Limb Salvage Alliance, Department of Surgery, University of Arizona College of Medicine, 1501 N Campbell Ave, Tucson, AZ 85724. (E-mail: armstrong@usa.net)