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A Hospital-Type Environment with Hospital-Level Equipment, Without the Risks Of Being In the Hospital

Posts Tagged ‘Dr. Bruce Ruben’

A Hospital-Type Environment with Hospital-Level Equipment, Without the Risks Of Being In the Hospital

Posted on: October 11th, 2021 by Encompass Healthcare No Comments

Encompass HealthCare & Wound Medicine in West Bloomfield, Michigan is Metro Detroit’s only full-service wound healing & infection facility, offering patients everything possible for healing under one roof. Dr. Bruce Ruben launched Encompass HealthCare to offer patients a hospital-type environment with hospital-level equipment, without the risks of being in the hospital.

Wound Care News explains why it’s safer and overall better to visit a wound-care specialist like Dr. Bruce Ruben at Encompass HealthCare than going to a hospital. This is especially true during the current Covid-19 pandemic.

If you’re one of the 6.7 million Americans living with a chronic wound, you may well be referred to a wound care specialist for treatment. In this article, we’ll explore when you should see a wound care specialist, why proper wound care is so vitally important, and how specialist treatment can reduce the risk of complications and encourage a speedy recovery.

While most primary care physicians are qualified to treat a straightforward wound, resulting from a day-to-day injury, they may not be the right person to deal with a complex or non-healing wound. In addition to the usual medical training, wound care specialists undergo a rigorous three-year wound care program and written exam. They are, therefore, uniquely qualified in the most sophisticated treatments, techniques, and technologies to help patients recover more quickly from serious wounds.

To maintain their status, wound care specialists also have to secure continuing education credits and periodically requalify for certification. As a result, a qualified wound care professional will be up to date with the latest developments and research into wound care.

During your first visit, your wound care specialist will conduct a thorough diagnostic analysis of your wound, including the cause of the wound and any issues that might be obstructing your healing. You will then be given a customized treatment plan that takes into account your case history and the type of wound, your ability to comply with particular treatments (for instance, physical therapy), and any additional treatments you might require. You will then be scheduled for a series of visits with your wound care specialists, during which your healing will be evaluated, and your treatment modified.

Not every wound needs specialist treatment. In most cases, a simple wound that results from an injury can be treated by a primary healthcare provider. More serious wounds may require treatment in the hospital, followed by recovery at home. And, of course, if you see any signs that the wound is infected, such as redness, increased pain, a bad smell, fever, or swelling, you should call your doctor immediately.

However, certain kinds of wounds are more likely to need specialist treatment. For instance, complex wounds such as vascular ulcers, diabetic ulcers, radiation wounds, various types of traumatic injury, and some post-operative wounds may benefit from treatment in a wound care center.

There are also health conditions that may make it harder for your wound to heal. These include:

  • Diabetes

  • Congestive heart failure

  • Vascular disease

  • Incontinence

  • Severe obesity

  • Renal failure

  • Nerve damage

Certain lifestyle issues may also prevent wound healing. For instance, a poor diet, excessive alcohol intake, smoking, and being inactive may also impede your recovery from a wound.

In general, if your wound has not started to heal after 2 weeks, or has not healed completely within 6 weeks, then you should consider visiting a wound care specialist.

For many patients, treatment by a wound care specialist can have a dramatic positive impact on their recovery and quality of life. The key benefits of specialized wound care treatment include:

Unlike a regular clinician, a wound care specialist has the knowledge to develop an individualized treatment based on your specific wound, health issues, clinical history, and personal preferences. They will then develop a care plan using this information, to help speed your recovery and healing.

Because the plan has been designed specifically for you, you are more likely to be able and willing to follow it. For instance, a specialist wound care professional could recommend the kinds of dressings that you will be most comfortable with, or take your current mobility into consideration when making recommendations about physical therapy. By contrast, a non-specialist might recommend a more standardized approach that could be harder for you to comply with.

The incorrect treatment of a wound can be potentially catastrophic. For instance, diabetic foot ulcers are the most common cause of diabetes-related amputations—infected or non-healing ulcers can result in the patient losing a foot or the whole lower part of the leg.

Long-term non-healing wounds are particularly prone to infection. Infections such as MRSA can enter the bloodstream via the wound, resulting in serious illnesses. In the most severe cases, infections can lead to sepsis, a potentially fatal medical condition triggered by the body’s immune response.

Working with a wound specialist is the best way to make sure that your wound receives the most effective treatment. A customized wound care program will be designed to approach your wound healing from multiple angles, such as increasing your circulation, reducing pain, and creating the best environment to promote recovery.

Wound care centers have access to the latest wound care treatments and technologies that may not be available in a primary healthcare facility. Advanced treatments that may be helpful in treating non-healing or complex wounds include:

  • Wound Vac Therapy

Vacuum-assisted wound closure, also known as Wound Vac treatment, involves using a vacuum pump to create negative pressure to seal a foam bandage over an open wound. The pressure pulls the edges of the wound together, promoting healing by reducing swelling, stimulating tissue growth, and preventing infections.

  • Ultrasound

Ultrasound treatment uses sound waves to encourage healing, reduce inflammation and pain, and increase circulation and soft tissue mobility.

  • Growth Factor Therapy

Growth factors are chemicals naturally secreted in the body that encourage cell growth. Growth factor therapy involves applying growth factors directly to the wound to promote the growth of wound-healing cells.

In general, wound care specialists take a more proactive, aggressive approach to wound treatment, based on the latest medical findings. For non-healing wounds, frequent debridement (removal of dead tissue) and more active medical interventions may reduce the time to heal and improve the patient’s comfort level.

Perhaps one of the most important roles of the wound specialist is to educate both the patient and their family about how to care for the wound and manage the process of healing. For those with chronic or severe wounds, recovery can be a slow and grueling process. A wound care specialist can offer advice about managing the emotional aspects of recovery, making the best lifestyle choices to promote healing, understanding your wound and how to care for it as it heals, and transitioning safely and easily to self-care.

Above all, our staff treats everyone like family. That’s the Encompass difference!

Why Encompass HealthCare uses Mechanical Venous Ablation

Posted on: March 19th, 2021 by Encompass Healthcare No Comments

Biological ablation is defined as the removal of a biological structure or functionality. Venous ablation, in particular, is a procedure used by physicians to shut down poorly performing veins that leak blood and fluids into the soft tissues of legs. Such leaking is the primary cause of chronic swelling, redness, heaviness, and sores that won’t heal. Thus, ablation of just a few identified, culprit veins will reverse all of these symptoms and heal the long-standing sore.

The methods that are available today for providing ablation of these veins are all minimally invasive and are performed in the physician’s office; however, patients should be aware that the level of pain associated with the procedure varies. For example, the most painful ablation techniques use laser and radiofrequency, which “burns” the vein on the interior of the leg. In order to complete this specific technique, the introduction of multiple, separate injections of lidocaine-filled fluid around the vein is required. As a result, the vein is ablated and the surrounding soft tissues are prevented from burning. OUCH!

What’s worse, radiofrequency and laser procedures carry the risk of causing irreversible damage, and even accidental burning, to important sensory nerves; yet, with Clarivein, this is not a risk. In fact, we have seen that the benefits of the radiofrequency and laser procedures are present with Clarivein, but the risky outcomes are not. Therefore, a lack of medical awareness is the only reason one would choose radiofrequency or laser procedures over the much less painful and risky Clarivein.

At Encompass Healthcare we use Clarivein, a mechanical venous ablation procedure.

This procedure typically requires no more than a single needle inserted into the targeted leg vein under ultrasound guidance, much like a typical lab draw at your doctors’ office. Guided by ultrasound, a catheter is threaded along the length of the interior vein and withdrawn while simultaneously creating a painless, inner vein injury in order to cause vein contraction, and thus ablation.

In general, venous ablation is a procedure which is considered only after other conservative measures have failed. Bruce Ruben, M.D., our Medical Director will often try compression bandaging like unna boots, pneumatic compression pumps, or multi-layer compression wrapping first. These methods are more akin to wrapping a leaking pipe with duct tape; however, it may just be enough to heal a non-healing wound without resorting to the vein ablation procedure. At Encompass Healthcare, each patient is always given the full range of appropriate options.

So, you’re probably wondering what sorts of results we’ve seen with this venous ablation procedure, right? Great news! Patient outcomes after receiving a mechanical venous ablation with Dr. Ruben are very impressive. When treated for a non-healing, venous stasis leg wound, Dr. Ruben’s patients healed completely within 4 weeks!

If a patient or loved you know might be a candidate for venous ablation, give us a call. We can set up a consult in our comfortable and safe outpatient office and determine the best course of action for the patient’s healing process!

Infectious Disease and 2021

Posted on: February 5th, 2021 by Encompass Healthcare No Comments

Infectious Disease has become an even more interesting specialty over the past year. But although COVID-19 is still a large topic for us, there are other subjects and advancements to review as well!

Infectious Disease! Most of us probably haven’t really given those two words a thought in the past few years – that is until COVID-19 hit every news channel, radio station, and the population of almost every country in the world! Some of our young people, especially young children, may now think of COVID-19 as synonymous with Infectious Disease studies and medicine. Still, there are other facets of the Infectious Disease specialty that deserve recognition and attention – but today, we’re here to give some legitimate updates on the COVID-19 pandemic.

One thing we found important to note is that, according to the CDC, COVID-19 cases, hospitalizations, and deaths across the United States are still rising. This means that it isn’t yet safe to get back to our pre-2020 normal. Wearing a mask, distancing 6+ feet, and avoiding crowds are all great steps to help slow the spread of the disease. If we can slow the spread enough, we’ll all be able to help our amazing health care professionals and first responders to care for the sick and injured!

Next big ticket item… COVID-19 vaccines are now being administered! The CDC as well as your local health department will have information on where, when and how we all can get vaccinated! This is great news! With a working vaccine for COVID-19, we as a community may be able to return to a pre-pandemic normal much sooner. It also means that those who are vaccinated will have a much better chance of beating or fighting off the virus – should they be infected later on!

Now, although this vaccine is good news, we aren’t completely out of the woods just yet. Like we mentioned before, COVID-19 cases and deaths are still on the rise. So, there’s still reason for caution. Luckily, our medical director Dr. Bruce Ruben, along with our entire staff, have made a great effort to provide a safe and convenient place for patients to receive care, despite the pandemic and risk COVID-19 poses on us all. We have added to our sanitizing and social distancing routines here at the office, making sure to provide plenty of masks and hand sanitizers in the office for staff, patients, and visitors! We truly care about the safety of all parties in our office!
If you’re interested in learning more about these topics, we suggest you take a look at the source list we’ve provided. Below, you’ll find the website and articles we used to find factual information about the virus, pandemic, and the vaccine!

Our Sources:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
https://www.michigan.gov/coronavirus/
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/facts.html

What Will the Opioid Crisis Look Like in Five Years?

Posted on: November 20th, 2019 by Encompass Healthcare No Comments

As an Infectious Disease physician, Dr. Bruce E. Ruben is always learning more about how current issues affect his patients’ healthcare. This article by Jirka Taylor and Peter Reuter originally appeared in the Concord Monitor in New Hampshire last week. Dr. Ruben found this commentary on what the opioid crisis will look like in five years to be a fascinating look at this world-wide problem and thinks his patients should read it too.

Few people had ever heard of fentanyl five years ago. By 2018 this synthetic opioid was implicated in more than 30,000 fatal overdoses in the United States. The next stage of the fast-changing opioid crisis may well depend on how the illegal drug markets morph in the years to come.

In the corners of Europe that have been dealing with fentanyl as long or longer than the United States, each illegal market for opioids took distinct turns. In some, heroin disappeared. In others, opioid nasal sprays arrived. Online sales became the norm. Any of these things could happen here.

What Will the Opioid Crisis Look Like in Five Years?

It’s Estonia where heroin practically disappeared. In the early 2000s, the Taliban’s prohibition on growing poppies in Afghanistan had a ripple effect in Europe constricting the heroin supply. Fentanyl smuggled from or through Russia took its place. Today, tiny Estonia (population about 1.3 million) has the only “mature” fentanyl market in the world.

The replacement of heroin with fentanyl in its drug market was devastating: By 2012, Estonia had one of the highest per capita rates of fatal overdoses in the world. Two other observations, however, offer a bit more reassurance. First, fentanyl does not seem to attract new users: The number of opioid users in Estonia began declining in the 1990s and has continued on that trend. Second, although fentanyl is much cheaper than heroin to produce and ship, drug traffickers do not appear to have lowered street prices, also limiting its spread.

Nearby Latvia underwent a different shift, essentially skipping the fentanyl stage. Stronger variations of the fentanyl molecule, called analogs, started appearing in large quantities around 2014. Until very recently, the most common was carfentanil. One gram of pure carfentanil represents thousands of lethal doses for those without opioid tolerance.

Despite this dangerous potency, Latvian health statistics don’t show a substantial increase in overdose deaths. This suggests that Latvian users and dealers have found comparatively safer ways of consuming synthetic opioids and that overdose death levels don’t inevitably have to skyrocket like they did in Estonia. (Some certainly go unrecorded, but the undercount would have to be enormous for Latvia’s fatal overdose rate to approach Estonia’s.)

Sweden, unlike every other country, developed parallel opioid markets: one for heroin and another for fentanyl analogs. Around 2014, dealers started selling fentanyl analogs online, offering direct-mail delivery. After a period of experimentation, these online dealers settled on an analog nasal spray—a popular alternative for people who preferred not to inject drugs.

Some, though not all, of these facets—the disappearance of heroin, direct online sales, nasal sprays, potent analogs—have begun to pop up in distinct pockets of the United States. None have become widespread in North America yet—but there is no reason why they couldn’t.

Sweden, Latvia and Estonia are, to be sure, much smaller than the United States. But it is useful to think of them as equivalent to a city or small state with a comparatively concentrated supply chain. That also shows us regions just a few hundred miles apart might be affected by fentanyl in completely different ways. The areas of North America that have suffered the most in the opioid crisis—New England, the Midwest, Appalachia, British Columbia—are likely to confront fentanyl in localized ways as well. That will have ramifications for prevention, provision of treatment and other services, and law enforcement efforts.

Despite the variations, there is an overarching commonality to the European cases, too: Once a synthetic opioid like fentanyl becomes dominant, it stays that way. The United States should prepare for fentanyl and other synthetic opioids as a lasting phenomenon, and learning from other countries’ experiences is an important part of that effort.

Jirka Taylor is a policy analyst at the nonpartisan, nonprofit RAND Corporation. Peter Reuter is a professor in the School of Public Policy and Department of Criminology at the University of Maryland. Both are authors of “The Future of Fentanyl and Other Synthetic Opioids.”

 

Why Encompass HealthCare uses Mechanical Venous Ablation

Posted on: February 11th, 2019 by Encompass Healthcare No Comments

Biological ablation is defined as the removal of a biological structure or functionality. Venous ablation, in particular, is a procedure used by physicians to shut down poorly performing veins that leak blood and fluids into the soft tissues of the legs. Such leaking is the primary cause of chronic swelling, redness, heaviness, and sores that won’t heal. Thus, ablation of just a few identified, culprit veins will reverse all of these symptoms and heal the long-standing sore.

The methods that are available today for providing ablation of these veins are all minimally invasive and are performed in the physician’s office; however, patients should be aware that the level of pain associated with the procedure varies. For example, the most painful ablation techniques use laser and radiofrequency, which “burns” the vein on the interior of the leg. In order to complete this specific technique, the introduction of multiple, separate injections of lidocaine filled fluid around the vein is required. As a result, the vein is ablated and the surrounding soft tissues are prevented from burning. OUCH! What’s worse, radiofrequency and laser procedures carry the risk of causing irreversible damage, and even accidental burning, to important sensory nerves; yet, with Clarivein, this is not a risk. In fact, we have seen that the benefits of the radiofrequency and laser procedures are present with Clarivein, but the risky outcomes are not. Therefore, a lack of medical awareness is the only reason one would choose radiofrequency or laser procedures over the much less painful and risky Clarivein.

At Encompass Healthcare we use Clarivein, a mechanical venous ablation procedure.

This procedure typically requires no more than a single needle inserted into the targeted leg vein under ultrasound guidance, much like a typical lab draw at your doctors’ office. Guided by ultrasound, a catheter is threaded along the length of the interior vein and withdrawn while simultaneously creating a painless, inner vein injury in order to cause vein contraction, and thus ablation.

In general, venous ablation is a procedure that is considered only after other conservative measures have failed. Bruce Ruben, M.D., our Medical Director will often try compression bandaging like unna boots, pneumatic compression pumps, or multi-layer compression wrapping first. These methods are more akin to wrapping a leaking pipe with duct tape; however, it may just be enough to heal a non-healing wound without resorting to the vein ablation procedure. At Encompass Healthcare, each patient is always given the full range of appropriate options.

So, you’re probably wondering what sorts of results we’ve seen with this venous ablation procedure, right? Great news! Patient outcomes after receiving a mechanical venous ablation with Dr. Ruben are very impressive. When treated for a non-healing, venous stasis leg wound, Dr. Ruben’s patients healed completely within 4 weeks!

If a patient or loved one you know might be a candidate for venous ablation, give us a call. We can set up a consult in our comfortable and safe outpatient office and determine the best course of action for the patient’s healing process!

 

Topics covered by Dr. Bruce Ruben in this blog post:

•What is venous ablation
•How does mechanical venous ablation differ
•Why we use mechanical rather than other techniques
•What results have we seen from this procedure
•Call to action

Encompass Healthcare is Grateful For Our Patients and Caregivers

Posted on: December 12th, 2018 by Encompass Healthcare No Comments

It’s hard to believe that the year 2018 is almost over. It’s been a wonderful year for us at Encompass HealthCare and Wound Medicine and a time for reflection. While we have been helping men and women in pain for many years, we still think of our medical practice as a new endeavor — and as an alternative to big-business hospitals. Dr. Bruce Ruben and his health care team are constantly working to use innovative medicine for our patients. We see it as our mission to keep ourselves several steps ahead of the pace in the medical field.

 

 

Our treatments for pain care and wound management are constantly evolving to meet the needs of our patients. The recent Thanksgiving holiday gave us an opportunity to count our blessings. We are so very grateful for our many patients and caregivers, who put their trust in our medical team of professionals. We see ourselves as teammates and partners with you.

At Encompass, we take your health very seriously and take great pride in keeping apprised of the many recent changes in how to treat ailments such as diabetic neuropathy, skin infections, bone infections, wounds and different forms of infectious diseases. The gratitude we receive when a patient or caregiver is satisfied with the level of service, the quality of care and the hospitality at Encompass reminds us that what we do really makes a difference. It gives our patients and their caregivers peace of mind.

During the winter holiday season, we gave thanks for all the good that we have in our lives. All of us at Encompass are grateful for you — our partners. We wish you a joyous and blessed holiday season and a successful ending to 2018. Please do not hesitate to contact us with any questions regarding your health or the health of someone you love.

Learning from Our Patients

Posted on: November 19th, 2018 by Mindy Ruben No Comments

In the Digital Age, so many doctors and medical offices believe that patient testimonials are solely for the purpose of posting on a website so potential patients see how loved you are. At Encompass HealthCare and Wound Medicine, we appreciate when our patients write glowing testimonials and reviews about our medical facility, but we love them for other reasons as well. We learn from our patients’ words in their testimonials and reviews.

Unfortunately, many physicians have begun to fear online reviews by patients. Whether it’s HealthGrades, RateMDs or Vitals.com, doctors are scared that patients or their relatives will leave feedback that is anything less than a 5-star perfect review. Our goal at Encompass HealthCare is to learn from reviews. Dr. Bruce Ruben and his staff absolutely love helping our patients and that is our mission. We strive to make our patients feel comfortable, safe and cared for at Encompass. While Dr. Ruben and Encompass have won multiple awards and have been cited as one of Michigan’s top medical centers, we know that we can still improve. We are grateful for our patients who leave us feedback through online reviews and testimonials because it informs us of where we’re strong and where there is room to improve.

We pledge to take the time to listen to our patients’ feedback and to always have an open mind when it comes to new treatments we can offer you. Please visit our website, full of helpful information and health-related resources, to begin your path to better health with us.

Stasis Ulcer Information from Dr. Bruce Ruben

Posted on: October 7th, 2015 by Mindy Ruben No Comments

Overview of Venous Stasis Ulcers

A stasis ulcer is a breakdown of the skin (ulcer) caused by fluid build-up in the skin from poor vein function (venous insufficiency). Fluid leaks from the veins into skin tissue when the blood backs up rather than returning to the heart through the veins.

This wound is a result of venous insufficiency (venous stasis ulcer)--Encompass HealthCare and Wound Medicine, Michigan.

This wound is a result of venous insufficiency (venous stasis ulcer)–Encompass HealthCare and Wound Medicine, Michigan.

Who’s At Risk
Leg vein malfunction (venous insufficiency) affects 2–5% of Americans, and approximately half a million Americans have stasis ulcers. Women are more often affected by stasis ulcers than men.

Your risk for acquiring a stasis ulcer is greater if you:

  • Are overweight.
  • Have varicose veins.
  • Have had blood clots in your legs.
  • Had a leg injury (trauma) that might affect blood flow in your leg veins; even minor trauma may cause an ulcer.

Signs and Symptoms

Swelling of the leg, brown discoloration, or an itchy, red, rough area (stasis dermatitis) may appear before you notice an ulcer. This is often seen on the inner ankle area first, although any area on the lower leg may be affected. Varicose veins may be present. Sometimes there are hard, tender lumps under the skin near the ulcer.

The ulcer is a crater-like, irregular area of skin loss. It may be an open, easily bleeding, painful wound, or it might have a thick black scab. The level of pain varies.
Self-Care Guidelines
People with a leg ulcer should seek medical care if it is anything beyond a small scrape or cut on the surface of the skin.

If the ulcer appears minor:
Clean it with soap and water.
Apply a thin layer of petroleum jelly (Vaseline®) and a clean gauze bandage.
Avoid putting any tape or adhesive on the skin.
Avoid using topical antibiotics and other over-the-counter products, as people with leg ulcers often become allergic to these products.

When to Seek Medical Care

If you have pain, swelling, spreading red areas, fever, or any open wound that does not heal after a few days of self-care, seek medical advice.

Treatments Your Physician May Prescribe
In addition to a thorough exam, your physician may test to evaluate how well your veins are working.

Treatment may consist of:

  • Procedures to reduce leg swelling.
  • Medication for any dermatitis or infection that is present.
  • Special wound dressings.
  • Pentoxifylline to aid healing.
  • Surgery if other medical treatment fails.
  • Compression hose to prevent the ulcer from coming back.
  • Most ulcers heal within 1–4 months, but about 25% will still be present after a year.

Trusted Links
MedlinePlus: Leg Injuries and Disorders
MedlinePlus: Vascular Diseases

References

Bolognia, Jean L., ed. Dermatology, pp.1635. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick’s Dermatology in General Medicine. 6th ed. pp.21. New York: McGraw-Hill, 2003.

 

Source: SkinSight.com

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Inky and Pocket

Posted on: November 24th, 2014 by Mindy Ruben No Comments

Inky and Pocket, the WoundDogs at Encompass HealthCare, are members of the beloved staff at the outpatient wound care center. Here, they take time out from napping to tell us about their work and their life at Encompass.

INKY & POCKET: No? You sure? Seriously? Positive? Absolutely sure? Second chance? Once more? Not right now, but later? Maybe?

POCKET: No worries. We’ll keep an eye out in case you drop something.

INKY: It’s what we do. After all, we’re dogs, first.

POCKET: WoundDogs, that’s our family business. We’ve been doing wound care for ‘bout four years now.

INKY:  ‘Bout 28 years.

POCKET: ‘Bout 28 years in dog years.

(Inky is startled by a sound coming from the kitchen)

INKY:  Hey, I just heard the fridge door open. Be right back!

Inky taking a break.

Inky taking a break.

POCKET: Anyway, we’re quite critical to the operation here at Encompass HealthCare. See, Inky and I give the place atmosphere. We put the patients in a good space to heal, h-e-a-l, not the “heel” like “sit down.” It’s aesthetics. We add that “je ne sais quoi” that you won’t find in any other wound care facility.

INKY: False alarm. Doc was just putting his lunch in there.

POCKET: I was just going over what we do here.

INKY: You tell ‘em the French thing?

POCKET: Yes. We provide the “je ne sais quoi.”

A Blue Picardy Spaniel

A Blue Picardy Spaniel

INKY: That certain something. I’m a darn-near-perfect Blue Picardy Spaniel.

POCKET: And I’m a slightly non-traditional Cavalier King Charles Spaniel…

INKY:  …On account of he’s just black and white without the telltale classic brown accents.

POCKET & INKY: But we don’t judge.

INKY:  We’re not here to judge.

POCKET:  Basically, we’re here to look good…

INKY:  Not get in the way…

POCKET:  …and be cute…

INKY:  …Because if a patient seems a little down…

POCKET:  …Or they’re about to drop some food…

INKY:  …Then, we go into F.C.M.: Full-Cute Mode. I sit real pretty with a “you’re the most important person living” expression on my face.

Pocket always seems to be on break.

Pocket always seems to be on break.

POCKET:  And I generally roll onto my back, wag my tail and show you my goods.

INKY: And that’s it.

POCKET: And I can make myself look exactly like the Lady dog in The Lady and the Tramp.

INKY: Except that she’s brown and tan and you’re all black and white.

POCKET: Jeesh! Why can’t you ever let that go?

INKY: What?

POCKET: You never miss a chance to point out my non-traditional coloring. Am I cute?

This is what Pocket thinks he looks like.

This is what Pocket thinks he looks like.

INKY: You’re adorable.

POCKET: Then let’s leave it at that.

(The interview is interrupted by a sound in the kitchen)

INKY & POCKET: FRIDGE!!

(Both dogs high tail it to the kitchen. (Pun intended.)

POCKET:  We were so close.

INKY:  So close to that sliced turkey.

POCKET: But it wasn’t to be. But what is meant to be is that we are WoundDogs. Make no mistake about it. Our job is all about you. Our patients love us and we love them back.

INKY: Along with whatever they might happen to be eating.

POCKET: That’s a ditto.

INKY: So if you come to Encompass HealthCare and Wound Medicine, make sure you say, “hello.”

POCKET: Yeah, because we want to make you feel at home.

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Wound Care & Diabetes

Posted on: September 9th, 2014 by Mindy Ruben No Comments

THE INTERSECTION OF WOUND CARE & DIABETES

Robert Striks, Special Writer, Encompass HealthCare and Wound Medicine

I’m diabetic. I have type-2 diabetes. At 53, I’ve battled it for 22 years now. I’m typing this because I’m sorry to say that I’ve reached a dubious stage in this disease.

Learn more about the link between diabetes and wound care--Encompass Healthcare, Michigan

Learn more about the link between diabetes and wound care–Encompass Healthcare, Michigan

I’m where the disease is making its presence known at the farthest reaches of my body. The tips of my toes. The soles of my feet. Places beyond the larger arteries to the smallest capillaries. Diabetes lives there and loves “de-nerving” those extremities.

(more…)

 

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