Conversation: The conversation between human and AI assistant.
[|Human|] My sister has charcot foot. She had surgery and was in a splint while in a nursing home . I found a ulcer on her heel that the nursing home was uunaware of. She fractured her fibia and tibia and had to go back to surgery. She was placed in a external fixator. Her foot has deformed again and tthe decubs Iis still not healed. I found the decub Iin June or July of last yearl. She is a brittle diabetic. She is seeing a wound doctor that Iis going to deride her ulcer and place her on a wound vac. I feel thiis is a good move. I feel if this does not work amputation is next and I fear her stump Will not heal like heal and the risk factors are high. Do you have any response or regarding this. We live in southern Indiana and can you recommend a specialist. She Iis a medicare/medicare patient. I watch the doctors and people are brought on the show where they offer help.
[|AI|]  Hi, your concerns are true, diabetic neuropathy foot do not respond well to wound if sugar is not under control, secondly amputations are good options in such cases if the primary healing is a concern. But it's again true that issues with the wound of stump can itself cause problems. I would recommend you to consult a diabetic foot specialist, as they are trained specially for these conditions, The other important considerations, keep limb clean and wash with detail Solon regularly and keep Chat Doctor.