Podiatry Doc Talk
Regain your health with quick and ingenious tips & chats so you can be stronger and healthier. Podiatry DocTalk brings information to you in short, easy to understand podcasts. We also will provide links to the original journal articles whenever possible so that you can source the information directly. "I'm here making complex foot & ankle problems sensible and simple." Hosted by: Dr. Jenneffer Pulapaka, DPM
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Walk with a Doc June 16, 2025 - The Emerald Mile
06/16/2025
Walk with a Doc June 16, 2025 - The Emerald Mile
Welcome to today’s Walk with a Doc, where we honor the lives of three remarkable individuals—Ralph C. Unkefer, Walter Calvin Herm, and Charles Bacon Buhrman. From military service to lifelong dedication in education, public safety, and family, these men lived with integrity, love, and quiet strength. Join us as we listen to their stories, shared from beyond the grave, reminding us what it truly means to leave a legacy. 1. Walter Calvin Herm February 1929 - May 2018 2. Ralph C. Unkefer February 1935 - March 2018 3. Charles Bacon Buhrman September 1935- September 2017 4. George Warren Morse April 1847 - Sept 1929
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Walk with a Doc May 19, 2025 - Tom Lake: A Novel
05/10/2025
Walk with a Doc May 19, 2025 - Tom Lake: A Novel
"Monologue from the Grave," offers a unique and poignant glimpse into the lives of theses individual women laid to rest in DeLand, Florida. Each episode features a monologue, written from the perspective of the deceased, sharing personal stories, memories, and reflections on their lives. Through these intimate narratives, listeners gain insight into the rich tapestry of lives lived, complete with their joys, sorrows, passions, and contributions to their community. The WWAD podcast serves as a powerful reminder of the individual stories that shape the history of a place. Barbara Arlene Hickox: Beloved wife, mother, and Grammie. Born in MA, moved to DeLand. Devoted to family and active in community sports. Lived a life full of love and support. Alice Matters Pegram: Teacher, traveler, and woman of faith. Lived to 108, touching lives across continents. A lifelong learner and devoted mother. She kept going, kept giving, kept showing up. Dr. Hazel Christine “Chris” Brown: Medical missionary with a boundless heart. Served globally and cherished her many godchildren. Lived a life poured out in service and love. Kathlena Hall Patton (née Tuttle): A music woman of many names. Taught and performed piano, voice, and more. A mother and musician who filled lives with melody. Her music lingers.
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DEEP DIVE: Wound Care Without the Wait? Decoding the FDA's 361 Exemption
05/10/2025
DEEP DIVE: Wound Care Without the Wait? Decoding the FDA's 361 Exemption
Join me are we dive into a discussion on decoding the FDA's 361 Exemption - and what is mean for wound care providers. The FDA's 361 exemption rule, under the Public Health Service Act, offers a streamlined regulatory pathway for certain Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps), including some wound care products derived from human tissues. To qualify for this exemption, HCT/Ps must meet specific criteria, including being minimally manipulated, intended for homologous use (performing the same basic function in the recipient as in the donor), not combined with other articles (with limited exceptions), and either lacking systemic effects or meeting specific use case exceptions. This exemption means these products are not subject to the rigorous premarket review required for drugs, devices, or biological products regulated under Section 351 of the PHS Act and the FDCA, which necessitates demonstrating safety and efficacy before marketing. For manufacturers, the 361 exemption can lead to quicker market access and reduced regulatory burdens, but it also imposes limitations on marketing claims, which must be confined to the tissue's basic function as a cover or barrier in wound care. Consumers may benefit from faster availability of certain tissue-based treatments, but they also face concerns about the lack of premarket efficacy data. The FDA maintains oversight through registration, listing, and post-market surveillance, with increasing scrutiny and enforcement in recent years. Understanding the evolving regulatory landscape and the criteria for the 361 exemption is crucial for both manufacturers and healthcare providers in the wound care industry.
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Walk with a Doc April 21, 2025 - The Hidden Lives of Trees
04/21/2025
Walk with a Doc April 21, 2025 - The Hidden Lives of Trees
Lue Gim Gong: Born in China around 1860, Lue Gim Gong came to the US at a young age. He later settled in DeLand, becoming a renowned horticulturalist. Using his knowledge of pollination, he developed new fruit varieties, most notably the cold-hardy and juicy Lue Gim Gong orange. He also cultivated an early-ripening apple and clustered tomatoes. Inheriting land from his former teacher, Fannie Burlingame, he lived a somewhat solitary later life but was respected by the DeLand community. He passed away in 1925 and is remembered for his significant contributions to Florida's citrus industry. John Findley Nelson Sr.: Born in Vermont in 1908, John F. Nelson Sr. moved to DeLand and became a key figure in Florida's citrus industry. A founding member of Golden Gem Growers, he served as president and chairman. Nelson innovated citrus handling with the development of the citrus pallet box. He also established the importance of pounds solids yield for grower payment and recognized the different values of orange varieties. Active in his community, Nelson was involved in various organizations and spearheaded the Umatilla city swimming pool. He retired after 58 years in the industry and continued as a consultant, his legacy carried on by his son. Gerald Edwin “Jerry” Frierson Jr.: A lifelong resident of DeLand, born in 1938, Jerry Frierson Jr. was a self-employed appliance service owner and deeply involved in his community. He was a founding member and charter president of the DeLand Breakfast Rotary Club, where he initiated the "Rotary Trees for Tomorrow" project, leading to the "Gerald E. Frierson Jr. City Nursery." Frierson was also a dedicated volunteer for over 30 years at the DeLand Family YMCA and a lifetime member of Trinity United Methodist Church, serving in various roles. Remembered as a loving and selfless individual, he passed away in 2013. Genevieve Warren Tribble: Born in O’Brien, Florida in 1935, Genevieve Warren Tribble moved to DeLand and, with her husband Samuel, owned a local nursery. They were known for supplying Christmas poinsettias to area churches, becoming a part of many community celebrations. Genevieve was also a familiar face at local markets in DeLand, Flagler Beach, and Daytona Beach, selling their plants and building relationships. She attended Stetson Baptist Church in DeLand. Predeceased by her husband and son, Genevieve passed away in 2018, her legacy living on through the plants she cultivated and the beauty she brought to the community.
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Walk with a Doc March 17, 2025 - The Elephant of Belfast
03/17/2025
Walk with a Doc March 17, 2025 - The Elephant of Belfast
Fred C. Logan Sr. Walter B. Logan David Charles “Chuck” Harris David Clawson “Dave” Hoover 5th Welcome, everyone! Today, as we prepare for our Walk with a Doc, we're not just taking steps for our health, we're also taking a step into the rich history that surrounds us here in Oakdale Cemetery. And what better way to do that than by exploring the fascinating world of the circus, a world brought to life in our book club selection, 'The Elephant of Belfast' by S. Kirk Walsh. This moving novel takes us into the heart of a zoo during wartime, where an orphaned elephant becomes a symbol of hope and resilience. As we delve into this story, we'll also be connecting it to the lives of four remarkable individuals laid to rest here, each with their own unique ties to the circus—a connection that mirrors the themes of 'The Elephant of Belfast'. Think of it: the dedication, the strength, the deep bonds between humans and animals. This is a common thread that runs through our book and the stories etched in these tombstones. We have Walter B. Logan, who traded the roar of the circus for the rumble of a truck, but never forgot his time with the elephants. Then there's David Charles 'Chuck' Harris, who literally ran away to join the circus, living a life of adventure and camaraderie. David Clawson 'Dave' Hoover, the fearless wild animal trainer who stared down danger every day. And finally, Fred C. Logan Sr., a man who lived and breathed the circus from childhood, a master of elephants. Each of these men, like the characters in our book, lived lives filled with passion, risk, and a profound connection to the animal world. Their stories, like the story of 'The Elephant of Belfast,' remind us of the power of resilience, the beauty of connection, and the enduring spirit of adventure. So, as we walk today, let's reflect on these stories, both fictional and real, and appreciate the rich tapestry of lives that have shaped our community. Let's start with Fred Logan...
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Walk with a Doc February 17, 2025 - Ikigai
02/17/2025
Walk with a Doc February 17, 2025 - Ikigai
Welcome to "Walk With a Doc," where we combine the joys of walking with fascinating history and literary discussion. We're so glad you're joining us today, Monday, February 17th, 2025 – Happy President's Day! We're here again with a nippy cold evening, but ready for a very special kind of walk. Today, we're not just taking a stroll; we're embarking on a journey into the past. We're exploring a local cemetery, not with a sense of morbidity, but with curiosity and reverence. This isn't your average graveyard tour. We've curated a unique tombstone tour, highlighting specific historic markers, and weaving together the stories of four fascinating individuals whose lives have been… well, let's just say they've left their mark. And there's a special connection to our monthly Book Club. This month, we're diving into "Ikigai: The Japanese Secret to a Long and Happy Life" by H. García & F. Miralles. As we explore these past lives, we'll be reflecting on themes of purpose, longevity, and what truly makes a life well-lived – concepts so beautifully explored in "Ikigai." So, grab your walking shoes, maybe a bottle of water, and join me as we step through the gates and into the stories of lives past. Let's discover what secrets these tombstones hold, and how they connect to our own search for ikigai. Let the walk begin!
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Walk with a Doc- January 2025 - Devil in the Grove
01/18/2025
Walk with a Doc- January 2025 - Devil in the Grove
Walk with a Doc- January 2025 Walk: January 20, 2025 Book of the Month: Devil in the Grove Tombstones: Dr. Greg Sapp Dr. Charles E Tribble Sherriff Lee Booker Morris Roy Lewis Cook Sr.
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What are stress fractures?
06/19/2018
What are stress fractures?
Episode 10: What are stress fractures? A stress fracture is a tiny crack in a bone that usually happens from overuse. Putting repetitive strain on bones can break them down. Resting gives bones a chance to rebuild, the way muscles do. But when someone increases the amount of strain — as can happen when running farther or starting a new sport —sometimes the body can't keep up. The bones can't handle the added stress, and they start to develop tiny cracks called "microfractures." These can lead to stress fractures. SOME TREATMENTS: If noticed early and treated correctly, most stress fractures will heal by themselves in a matter of weeks. But if someone resumes activities too soon, tiny stress fractures can become larger and harder to heal. Re-injuring a stress fracture can also lead to a painful, long-lasting condition where the fracture might never fully heal. Stop doing activities that put stress on your legs, feet, spine, or other injured area. Rest is the most important part of treatment for a stress fracture. Stay off your feet as much as possible until you've been cleared by a doctor to go back to your normal activities. Use ice or a cold compress to reduce swelling. A typical regimen might involve icing the injury as needed every 3 hours for 15 minutes each time. Ask Dr. Pulapaka about which anti-inflammatory medicines to take. If you have a high-risk stress fracture, you might need a brace, walking cast, or splint to protect the fractured area and to keep it free from movement, and possibly crutches. In rare cases, some high-risk stress fractures may need surgery if other treatments don't work.
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The Big Four
10/01/2017
The Big Four
Episode 9: The Big Four Let’s talk about the association between The Big Four problems: Equinus Haglund’s deformity Insertional Achilles Tendonitis with bursitis Retro-Calcaneal bone spurs Haglund’s deformity is a bony enlargement on the back of the calcaneus/heel bone. There is soft tissue bursa surrounding the insertion of Achilles tendon; it can become irritated when area by the bony enlargement rubs against shoes. This often leads to painful bursitis. Long-term equinus and irritation at the insertion of the Achilles tendon and lead to small bone spurs which form at that back of the heel and have involvement with the Achilles tendon itself.
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When to Keep Wounds Moist or Dry?
09/26/2017
When to Keep Wounds Moist or Dry?
Episode 7: When to Keep Wounds Moist or Dry? When should you air out your wound? When wounds are kept exposed to the air they will dry and form a scab. The purpose of the scab is to protect the wound from environmental contamination. But, at the same time, scabbing has some disadvantages.A scab forms a barrier to the generation of new tissue. Exposed wounds run the risk of infection, which is complicated when patients have diabetes and vascular disease (PVD or PAD). Moist wound healing is considered the ideal environment for optimal wound healing. The development of a scab is no longer necessary, we use advanced wound care dressings that enhances the body’s natural defenses and healing processes to improve healing outcomes and contributes to improved patient comfort.
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Toenail Fungus
11/25/2016
Toenail Fungus
Episode 5: Toenail Fungus Nail Fungus: A fungus is an organism that lives in warm moist areas. Fungus of the toenails is a common problem that can affect people of all ages, although it most commonly affects individuals who are older. Treatment Options: The most common treatment for nail fungus is debridement or nail trimming. Topical antifungals need to be applied around the cuticles and skin. Oral antifungal treatments benefit from a daily clean routine. The most common medication is Lamisil. It is taken for 3 months once daily. Nail Care: Discontinue harsh nail products; switch to gentle or children’s nail polish. Make sure your nail instruments are sanitary. Consider buying your own. Purchase cheap emery board for the infected nail and use ½ of the board, and then throw away. Do not infect your other nails with a dirty file.
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Annual Foot Screen
06/25/2016
Annual Foot Screen
Episode 4: Annual Foot Screen What is ANNUAL FOOT SCREEN? Your annual foot screen is a comprehensive exam in which Dr. Pulapaka and her team update/overhaul your chart, check your Medicare compliance, and perform simple & basic tests to the lower extremity as part of her Lower Extremity Amputation Prevention (LEAP) program. Who might have an ANNUAL FOOT SCREEN? Foot Screens should be performed annually on patients with at least one of these factors: · every diabetic patient · every patient over 60 years old · current or former smokers over 50 years old · history of foot and/or leg ulcers · history of heart attack, stroke, TIAs, PAD · history of vascular surgery, angioplasty, open heart surgery · neuropathy, Hansen’s disease, spinal trauma, polio, etc. · motor loss to the legs, Why do it? It is simple. Our comprehensive program follows guidelines adopted by U.S. Department of Health and Human Services, to dramatically reduce lower extremity amputations in individuals with a loss of sensation or other diseases that can cause breakdown in the feet. Foot Screens also helps document qualifying criteria for medical necessity with Medicare in the treatment and maintenance of mycotic nails or callus care and diabetic shoes programs.
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Diabetic Foot Care
05/21/2016
Diabetic Foot Care
Episode 3: Diabetic Foot Care The importance of diabetic foot care and some Do’s & Don’ts. Washing your feet with warm or tepid water and soap every day keeps them clean and gives you a good chance to do that daily inspection. Applying a moisturizing lotion to your feet once or twice a day can also help keep your skin healthy and moist. Even with the best foot care, it would be hard to go through life without developing a callus or corn on your feet. The drugstore is a good place to pick up two first-aid essentials: antibiotic ointment and adhesive bandages (such as Band-Aids). If you see no appreciable improvement within 24 hours, call your doctor immediately. For many people, the regular toenail trimmers or clippers sold at the drugstore are safe for home use. Toenails should be cut straight across or following the natural curve of the toe. You can do a lot to keep your feet healthy. In addition to protecting the skin on your feet by making smart drugstore purchases, you can extend their life by maintaining blood glucose control, following a heart-healthy diet, getting regular exercise, and wearing properly fitted diabetic shoes.
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Heel pain - plantar fasciitis
04/24/2016
Heel pain - plantar fasciitis
Episode 2: PLANTAR FASCIITIS
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Antibiotic Resistance
04/10/2016
Antibiotic Resistance
This is dedicated to my Grandmother Evelyn Trache, she passed away a few years ago at the age of 95. Her life and spirit were inspiring for me, so this series is dedicated to her. So join in with the discussions.
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DocTalk Trailer
03/22/2016
DocTalk Trailer
Save the Date - April 10, 2016
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