DIABETIC FOOT CENTER OF SEATTLE
Dr. Hoy is a specialist in diabetic foot and wound care. (Click here to read a diabetic foot and ankle surgeon fact sheet and tips on diabetic foot care.) He works to prevent patients from losing their feet. He has worked extensively with at-risk patients (e.g. patients with diabetes, Hansen’s Disease, Buerger’s disease), and has a passion for this work. He has practiced in some of the hardest hit areas of the country, including:
• The Veterans Affairs Hospital in San Francisco, California, which performed the most diabetic foot surgery in the San Francisco Bay Area when Dr. Hoy was a resident physician.
• San Antonio, Texas, a world center of excellence for research on the diabetic foot.
• The Swedish Cherry Hill Wound Healing Center in Seattle, where Dr. Hoy worked as an attending podiatrist, supervising Foot and Ankle Surgery Residents.
“I had my first appointment with Dr. Hoy this week and was very satisfied with the experience. I’m dealing with several foot problems, some related to being diabetic and some not. He listened attentively to my concerns as I explained the problems that the current condition of my feet present to my active lifestyle. He was very good at not only taking immediate action to relieve some problems with current pain but also explaining what he was doing, why, what the source of my problem(s) are and his recommendations about how to go forward in addressing and, hopefully, alleviating or “curing” both recent problems and long term ones. It is my understanding that he specializes in diabetic foot and nail care and health. I would definitely recommend him to others with diabetes related concerns and problems with their feet.” -Gayle R., 10/18/2017
The Problem. At risk patients may have poor nerve sensation, called peripheral neuropathy, that makes them unable to feel sharp objects or sores in the feet, leading to infections. Patients may also have poor blood circulation to the feet, called peripheral vascular disease, which prevents nutrients and infection-fighting cells and antibiotics from getting to the feet. This may cause infections to spread quickly, or tissues to die, also called gangrene. Some common risks of the above include diabetes, smoking and alcohol abuse. People with diabetic foot wounds have a higher mortality rate than Hodgkin’s Disease, breast cancer and prostate cancer, so limb preservation is very important.
The Solution. One component of treatment is prevention. For at-risk patients Dr. Hoy performs regular examinations to limit their risk of limb loss. For example, making sure nails and calluses are trimmed back to a safe length and thickness to prevent sores from developing under or around them. Dr. Hoy also orders circulation testing and appropriate follow up if necessary. If there is a limb threatening infection or wound, Dr. Hoy is experienced in biomechanically-based wound care, hospitalization, consultation with other specialists, and surgery to clean out and remove infected parts of the foot, or to reconstruct the foot to prevent future wounds from occurring.