New Institute Provides Neglected Aspect in Treatment of Diabetes in Ontario



    HAMILTON, ON, June 5 /CNW/ - The new Mayer Institute has been created to
provide treatment for an important, but neglected, complication of diabetes in
Ontario. This clinic, dedicated to the treatment of diabetic foot disease, is
the first of its kind in the province. The Mayer Institute provides advanced
diabetic foot and wound care, complimented by aggressive, ongoing diabetic
education.
    With this unique approach they will attempt to reduce the diabetic
amputation rate in Hamilton by 50% by the year 2012.
    Diabetes is responsible for 75% of the non-traumatic lower limb
amputations performed yearly in Canada. After a diabetic, lower limb
amputation, 50% of patients will have their other limb amputated within 2
years. The 5-year mortality rate after limb amputation approaches 80%. This
death rate is second only to lung cancer (86%).
    "The really sad part of this is that the complications of diabetic foot
disease are completely preventable. Treatment of a diabetic foot ulcer is
simple - getting off the affected foot completely and surgically removing the
dead, devitalized or callused tissue around the wound. Unfortunately, this
typically does not happen. Instead, antibiotics are often prescribed for many
weeks under mistaken impression that the ulcer was caused by an infection.
This course usually ends in amputation," says Dr. Perry Mayer, MB, BCh, CCFP.
"Diabetic ulcers are pressure wounds and to treat them properly, you need to
take the pressure off the affected area. When the pressure is removed from the
ulcer site, the ulcerative process is stopped. Advanced wound dressings can
then be used to heal the wound. Any delay in the offloading and debridement
process simply accelerates the pathway to amputation."
    Dr. Mayer's aggressive approach to diabetic wound care saved the limb of
89-year-old John Mazur. After two medical opinions that he needed an
amputation, he was referred to Dr. Mayer.
    "Dr. Mayer was busy when I called but he said he wanted to see me right
now! After seeing my wound that day he called me at 9 that night and told me I
had an appointment the next morning for treatment," said John Mazur. "I
thought I was going to lose my leg. Dr. Mayer arranged therapy and I got my
leg healed up perfectly - not even a scar!"
    Dr. Mayer is working with the outstanding local medical community to
create a network that will increase access to advanced diabetic foot and wound
care in Hamilton and surrounding areas.





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THE MAYER INSTITUTE

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