David G. Armstrong
@DGArmstrong
Followers
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Following
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Media
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Statuses
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Here's to helping people move through their world a little better. #ActAgainstAmputation #DiabeticFoot #WoundHealing #IoT #ToeandFlow @alpslimb
Los Angeles, California
Joined February 2008
Download: Comprehensive Diabetic Foot Exam (CDFE) Form and Pocket Chart
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Introducing the American Limb Preservation Society (ALPS). We're working to eliminate preventable amputation over the next generation. Join the family.
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Better diabetic foot disease care would save taxpayers billions
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The Most Expensive, Least Known Complication in Medicine or Surgery
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Having a wound doubles a person's chance of dying at 10 years.Let's move from open to closed to remission
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Veterans who receive prosthesis within 1 year are less likely to die at 3 years #diabeticfoot
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Oral Is the New IV. Challenging Decades of Blood and Bone Infection Dogma: A Systematic Review @bradspellberg @lacuscmedcenter @usc
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The "Renal Foot": Angiographic patterns that dramatically increase challenges of limb preservation #DiabeticFoot #ActAgainstAmputation @KeckMedUSC
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Meet Dr. Alexandria Armstrong, third-generation foot doctor ready to pay it forward! 👣👩⚕️ #ActAgainstAmputation
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Download the ADA's Diagnosis and Management of Diabetic Foot Complications @AmDiabetesAssn @APMA
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No one who relies on insulin should have to wonder whether they can afford it. Join the ADA's call to action.
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4 out of 5 diabetes-related amputations are preventable. Join us starting November 1 to raise awareness through our #SaveThe4 selfie campaign. #EndAmputations #EndDiabetes @WoundsCanada @ALPSlimb
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Cost Effectiveness of Preventing Diabetic Foot Ulcers
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Image guided debridment is here and getting better! This is me with one of our favorite patients- bacteria are illuminated by the head-mounted blacklight. #ActAgainstAmputation
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Functional outcomes of transmetatarsal amputation: 77% walking in community at 1 year
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Every 1.2 seconds someone develops a diabetic foot ulcer (DFU). Armstrong, Boulton, Bus, NEJM, 2017. Let's push back the clock. @apma #ActAgainstAmputation
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Prof. David G. Armstrong, @USC, Becomes First Podiatric Surgeon to Lecture at National Academy of Sciences Event #EnvironmentalHealth #PrecisionHealth #Wearables
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An algorithm for diabetic foot osteomyelitis from the IDSA
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1, 3 and 5 year survival after a diabetic foot ulcer is 80%, 69% and 29%
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There is no such thing as a "little" diabetes. Just like as is no such thing as a "little" cancer.
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Check out this informative article on the revascularization options for chronic limb-threatening ischemia in diabetes. It discusses the implications from two recent trials. 📚🔬 #DiabetesResearch #VascularHealth
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Interdisciplinary Team Publishes Cutting-Edge Guide To Understanding And Managing Diabetic Foot Ulcers In Journal Of The American Medical Association @USC @KeckMedUSC @ResearchAtUSC
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Welcome to the next chapter @KECKSchool_USC, @TzeWoeiTan @usc_vascular #ActAgainstAmputation @KeckMedUSC @ALPSlimb @VascularSVS
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Great Debate-- and it is great! Thou shalt prescribe IV antibiotics for Osteomyelitis in diabetes- moderated by Laura Shin, Featuring the inimitable @limbsandlungs and @BradSpellberg @DFCon #DFCONline
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Wound Healing + Amputation-Free Survival: Only 50% at 1 year for people with severe PAD
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Do you prescribe thermometry for your diabetic foot patients? Here's a printable foot map and daily diary for them. @KeckMedUSC #FightOn #ActAgainstAmputation
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Functional outcomes of transmetatarsal amputation: 77% walking in community at 1 year
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High Dose Statins Reduce Amputation by 33% and Improve Survival by 26% in Peripheral Artery Disease Patients @CircAHA
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These are the two key angiographic characteristics associated with the "renal foot" #DiabeticFoot #ActAgainstAmputation @KeckMedUSC
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Time is Tissue: The longer the delay before being seen by a team, the more likely that a wound will be severe
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What Everybody Ought to Know About The Diabetic Foot:
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Keep your eyes on your feet! 84% of recurrences of diabetic foot ulcers occur at a site other than the healed location. Nearly half of these are on the other foot. @KeckMedUSC @UMichMedicine
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Fellows wanted. Mentors available. The Lawrence B. Harkless Fellowship in Limb Preservation @USC is open for applicants
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@USCs Armstrong is First Podiatric Surgeon to Publish 500 Peer Reviewed Manuscripts, Reaching Landmark at 50 years old @KeckMedUSC @APMA
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Not only did @AeroMD co-chair a spectacular session, she gave a 10 minute tour de force on the state of play in PAD trials during #ToeandFlow Rounds at #VAM22 @VascularSVS @ALPSlimb
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New Data: Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer #DiabeticFoot @USC @KeckMedUSC @APMA @VascularSVS @UCSFVascular
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“Can we preserve this limb?” meets “Should we preserve this limb?” WIFI + Functional Score #ActAgainstAmputation #DiabeticFoot – DF Blog
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What an inspiration! Mr. AK - part of our patient family- is thrilled to share this vid. He doesn’t let diabetes, dialysis, PAD + a new neuropathic tib fib fracture (w/next-level repair by SALSA’s Laura Shin) keep him down. Just keep moving + #ActAgainstAmputation #DiabeticFoot
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1, 2 and 5 year survival after a diabetic foot ulcer is 80%, 69% and 29%
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How to do a 3 Minute Foot Exam - here’s a printable sheet
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Pretty good news at the end of a pretty rough year. To be funded on Christmas Day. Here's to working together to #ActAgainstAmputation #DiabeticFoot @bijan_najafi @NIDDKgov @APMA @usc_vascular @usc @uscprovost @RanchoResearchI @BCM_Surgery @KeckMedUSC
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Having a wound immediately doubles one's chances of dying at 10 years compared with someone without diabetes #diabeticfoot
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Visualizing and Using WIFI Everyday (Wound, Ischemia, Foot Infection): Three Dynamic Rings of Risk – DF Blog
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Amputation as a Measure of Health Systems Performance: Worldwide Data from the OECD
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Transcutaneous oxygen- not ABI or toe pressure- is a predictor for short-term survival in people with diabetic foot ulcers (study) | DF Blog
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Building a Scalable Limb Preservation Program: 4 Steps to Success @KeckMedUSC @APMA #DiabeticFoot #ActAgainstAmputation
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PROMISE kept? Transcatheter Arterialization of Deep Veins in Chronic Limb- Threatening Ischemia @NEJM #ActAgainstAmputation @ALPSlimb
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New England Journal of Medicine: Diabetic Foot Ulcers and their Recurrence
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Surgeon Armstrong Urges New Focus on Diabetic Foot Ulcers "in remission" in @NEJM and @AmDiabetesAssn studies
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An algorithm for diabetic foot osteomyelitis from the IDSA
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Download: The World Union of Wound Healing Society Position Statement on The Diabetic Foot- Healing and Remission
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Watch your bare feet-- whether or not it's hot outside! Whether from hot concrete or from a space heater, diabetes puts you at greater risk for burns and amputation.
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Now in press in @JVascSurg from @usc_vascular WIFI meets Function. "Can we preserve this limb?" meets "Should we preserve this limb?" #ActAgainstAmputation #ToeFlowandGo @USC @uscprovost
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Holy cow, @ProfNeilReeves . This was great. Completely unexpected. Here's to making a difference and paying it forward. #ActAgainstAmputation #DiabeticFoot @ALPSlimb @USC @USC_vascular @ResearchatUSC @KECKSchool_USC @DeanMeltzer @jmills1955 @APMA @KeckMedUSC.
Standing ovation for @DGArmstrong as he receives the Karel Bakker award for diabetic foot healthcare, research, education, advocacy ……and much more! @IntSympDF #isdf2023
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Lower Extremity Amputations 1990 to 2017 - where does your nation sit on the leaderboard? #ActAgainstAmputation #Diabeticfoot – DF Blog
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The Chronic Wound: A histologically hostile environment made more hospitable? Armstrong and Gurtner | Nature Reviews Endocrinology @USC @Stanford @APMA @WoundHeal @Nature @KeckMedUSC @RanchoResearchI
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Accuracy of the pedal acceleration time to diagnose limb ischemia in patients with and without diabetes using the WIfI classification #ActAgainstAmputation @ALPSlimb
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BASIL-2 points towards endovascular-first revascularisation strategy in CLTI patients @VascularNews
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Pooled mortality rates following below knee amputation were 33.7%, 51.5%, 53%, 64.4%, and 80% at 1-, 2-, 3-, 5- and 10-year follow-up, respectively
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Here's A 21-point scoring system to assess randomized controlled trials in the diabetic foot @ADA_Journals @USC @KeckMedUSC @USC_Research @APMA
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A pleasure to have @MassGeneral vascular surgeon @AnahitaDua @RanchoRehab today. Thanks to the @ALPSlimb visiting fellowship. The beginning of a great partnership to #ActAgainstAmputation @TzeWoeiTan Next stop: @KECKSchool_USC @LACUSCMedCenter
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