
On a Tuesday morning some months ago, one of my long-term patients arrived with a bag of shoes in one hand, her quad walking cane over her other arm, and her caregiver trying to keep up with her. I really never saw her use the cane, and I had wondered if it might have been her idea of a self-defense weapon rather than an assistive device. As soon as I saw her face, her chart notes came to mind: “Seventy-five-year-old female, type II diabetic with a history of callusing and several occasions of wounds leading to a transmetatarsal amputation of the right foot.” As we caught up on what was new in her life and filled out the appropriate paperwork, she introduced me to her new caregiver. I asked the caregiver if she had anything to add regarding her patient’s health. She replied that she didn’t.
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