Diabetic Limb Salvage Conference

Agenda

Thursday 18 September

8:30 - 11:30 AM	Georgetown University Hospital Center for Wound Healing Tours Buses depart at 8:30 & 9:30 AM from JW Marriott and return at 10:30 & 11:30 AM.
9:00 - 11:00 AM	PRE-CON EX-FIX WORKSHOP Effective Utilization of External Fixation in the Lower Extremity Paul S. Cooper, MD; Richard Derner, DPM; Francis McGuigan, MD; John M. Schuberth, DPM Grand Ballroom, Salon I • Ballroom Level
9:00 - 11:00 AM	Pre-Con Concurrent Workshops One hour in duration, repeating two times Vascular I: Proper Outpatient Assessment of Flow Richard F. Neville, MD; Mark Bates, RVT Debridement – Office Based Techniques Christopher E. Attinger, MD; Kimberly Trepanier, PT, CWS, CLT Dressings – Finding Synthesis in the Cacophony John S. Steinberg, DPM; Kara S. Couch, MS, CRNP, CWS Offloading – Devices, Assessment, and Practical Application Peter R. Cavanagh, PhD, DSc Motivation and Education of the Diabetic Patient Stephen C. Clement, MD; Christine Kessler, MN, CS, ANP; Penny Smith, NP, CDE
9:00 - 11:00 AM	Pre-Con Billing Workshop New Technologies in Limb Salvage: Clinical and Economic Realities William J. Ennis, DO, MBA; Kathleen D. Schaum, MS

11:15 – 12:15 PRE-CON LUNCH SYMPOSIUM
Details TBA

The Global Epidemic of Diabetes and Diabesity: How the Numbers Add Up and the Limbs Come Off
12:30 - 1:00 PM	Live Patient Testimonials and Video Presentation
1:00 - 1:25 PM	The Price Tag of Diabetes: Will We Be Able to Afford It? Peter Sheehan, MD
1:25 - 1:50 PM	The New Face of Diabetes and the Public Health Dilemma James R. Gavin III, MD, PhD
1:50 - 2:15 PM	The Reality of Diabetes 2008: Are We Going in the Right Direction? Stephen C. Clement, MD
2:15 - 2:40 PM	The Diabetic Foot: The Role of Microvascular Complications Andrew J. M. Boulton, MD, FRCP
2:40 - 3:40 PM	The TEAM Approach to Diabetic Limb Salvage Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM; Richard F. Neville, MD Panel: Mark R. Abbruzzese, MD; Stephen C. Clement, MD; Charles G. Crone, BS, CP; Paul S. Cooper, MD; Kara S. Couch, MS, CRNP, CWS; David H. Deaton, MD; Katherine Hubley, RN; Margaret Kugler, ANCP; Joseph Myers, MD; Amarin Sangkharat, MD; Kimberly Trepanier, PT, CWS, CLT
3:40 - 4:00	Capitol Refreshment Break

The Sense and Non-Sense of Treating Diabetic Peripheral Neuropathy
4:00 - 4:25 PM	A Medical Cure for Neuropathy? How, When and with What? Aaron I. Vinik, MD, PhD
4:25 - 4:50 PM	Double Crush Theory What Patients Should You Be Sending for Surgical Nerve Decompression? Ivica Ducic, MD, PhD
4:50 - 5:15 PM	The Biomechanical Effects of Peripheral Sensory and Motor Neuropathy Dealing With Much More Than Numb Feet Peter R. Cavanagh, PhD, DSc
5:15 - 5:40 PM	Achieving Patient Compliance: Bribery, Education, or Arm Twisting? Mark Peyrot, PhD
5:40 - 6:00 PM	Panel Discussion

6:00 - 7:45 Opening Alliance Reception / Exhibits

7:45 PM Capitol Steps Perform
A satirical comedy troop that puts the MOCK in democracy

Grand Ballroom, Salons I & II • Lower Level

This event is supported by a grant from Advanced Biohealing.

Friday 19 September

6:00 - 7:00 BREAKFAST SYMPOSIUM

Details TBA

7:00 – 8:00 Breakfast

Vascular Disease and Limb Salvage: State of the Science in 2008
7:30 - 7:55 AM	Diabetic Vascular Disease: Misconceptions and Future Implications Anton N. Sidawy, MD, MPH
7:55 – 8:20 AM	Proper Timing of Diagnosis and Therapy for the Patient with PAD, Ulcer and Infection: Is There Evidence to Help? Gary W. Gibbons, MD
8:20 - 8:45 AM	Matching the Revascularization Procedure to the Severity of the Ulceration: An Evidence-Based Approach George Andros, MD
8:45 – 9:15 AM	LIVE CASE Session I: Endovascular Therapy for Peripheral Occlusive Disease Surgeon: David H. Deaton, MD Moderator: Richard F. Neville, MD Panel: George Andros, MD; Daniel G. Clair, MD; Gary W. Gibbons, MD; Bruce H. Gray, DO; Anton N. Sidawy, MD, MPH
9:15 – 9:40 AM	Endovascular Techniques: Can They Really Heal the Wound? Bruce H. Gray, DO
9:40 – 10:05 AM	Treatment Algorithms for PAD What is the Evidence? Daniel G. Clair, MD
10:05 - 10:35 AM	Monument Break/Exhibits
10:35 – 11:00 AM	LIVE CASE Session II: Diabetic Foot Surgery Surgeon: John S. Steinberg, DPM Moderator: Christopher E. Attinger, MD
11:00 – 11:25 AM	The Problem Wound Observations from the Vascular Point of View Richard F. Neville, MD
11:25 - 11:50 AM	LIVE CASE Session III: Diabetic Foot Surgery Surgeon: John S. Steinberg, DPM Moderator: Christopher E. Attinger, MD LIVE CASE: Endovascular Update from Cath Lab Surgeon: David H. Deaton, MD Moderator: Richard F. Neville, MD
11:50 - 12:00 PM	Georgetown Distinguished Achievement Award in Diabetic Limb Salvage Honoree – Lawrence B. Harkless, DPM Presented by Dr. Joy Drass, President, Georgetown University Hospital
12:00 - 1:30 PM	Independence Lunch/Exhibits

12:15 - 1:15 LUNCH SYMPOSIUM

Offloading and Preventing the Diabetic Foot Wound:
New Data for A New Era
(That Starts When You Get Back to Work on Monday)
David G. Armstrong, DPM, PhD, MSc

Risk, Deformity, and Osteomyelitis: Can This Be a Winning Battle?
1:30 - 1:55 PM	Predicting Ulceration and Managing Risk Factors: Just How Much is Prevention Worth? Lawrence B. Harkless, DPM
1:55 – 2:15 PM	LIVE CASE Session IV: Diabetic Limb Salvage Surgeon: Christopher E. Attinger, MD Moderators: John S. Steinberg, DPM; Paul S. Cooper, MD
2:15 - 2:40 PM	The Orthopaedist’s Viewpoint on Treating Osteomyelitis in the Diabetic Foot Michael S. Pinzur, MD
2:40 - 3:00 PM	The Double-Edged Sword of External Fixation in the Treatment of Osteomyelitis John M. Schuberth, DPM
3:00 - 3:30 PM	LIVE CASE Session V: Open Revascularization Surgeon: Richard F. Neville, MD Moderator: Anton N. Sidawy, MD, MPH Panel: George Andros, MD; Daniel G. Clair, MD; David H. Deaton, MD; Gary W. Gibbons, MD; Bruce H. Gray, DO
3:30 - 4:00 PM	Washington Break/Exhibits
4:00 - 4:30 PM	LIVE CASE Session VI: Diabetic Limb Salvage Surgeon: Christopher E. Attinger, MD Moderators: John S. Steinberg, DPM; Paul S. Cooper, MD LIVE CASE: Open Bypass Update from OR Surgeon: Richard F. Neville, MD Moderator: Anton N. Sidawy, MD, MPH
4:30 – 4:50 PM	Video Demonstration of External Fixation for Diabetic Limb Salvage Paul S. Cooper, MD
4:50 - 5:10 PM	Surgical Management of Charcot Arthropathy Dane K. Wukich, MD
5:10 - 5:30 PM	Medical Management of Charcot Arthropathy: Are You with the Times in Your Treatment Planning? Michael Edmonds, MD, FRCP
5:30 – 6:00 PM	Economics and Logistics: Getting Your Hospital to Use the Team Approach for Diabetic Limb Salvage Moderators: Christopher E. Attinger, MD; John S. Steinberg, DPM Panel: Peter A. Blume, DPM; William J. Ennis, DO, MBA; Gary W. Gibbons, MD; Joyce Johnson, RN, PhD; Paul Warda; Linda F. Winger, MSc

Saturday 20 September

6:00 - 7:00 AM – BREAKFAST SYMPOSIUM

Evidence Based Selection of Limb Salvage Patients for HBO

Robert A.Warriner, III, MD

7:00 - 8:30 AM – Breakfast

Hands-On Workshops
7:30 - 10:30 AM	Concurrent workshops one hour in duration, repeating three times Debridement: Optimizing Use of New Tools Dressings: Finding Synthesis in the Cacophony Offloading, Shoes and Orthotics Motivation and Education of the Diabetic Patient Advanced Anastomotic Techniques in Distal Bypass Vascular II: Advanced Course in Diagnosis and Interpretation Bioengineered Alternative Tissue Compression Techniques VAC I: Instructional Course for New Users VAC II: Advanced Dressing Techniques Total Contact Casting Advanced Internal Fixation Major Leg Amputations and Prosthetics
10:30 - 11:00 AM	Jefferson Break/Exhibits

Managing The Complex Wound Environment
11:00 - 11:25 AM	The Hype of Wound Bed Preparation Are We Perfecting Palliation or Are We Actively Healing? William J. Ennis, DO, MBA
11:25 - 11:50 AM	Are Your Dressing Choices Evidence Based? A Clinical Case-Based Discussion Kara S. Couch, MS, CRNP, CWS
11:50 - 12:15 PM	The Pathophysiology of Edema and Its Direct Link to Non-Healing John M. Macdonald, MD
12:15 - 1:45 PM	Lincoln Lunch/Exhibits

12:15 - 1:15 PM – LUNCH SYMPOSIUM

Details TBA

When Complications Strike in Wound Care
1:45 – 2:15 PM	“So How is Your Blood Sugar Running?” Standards In Saving Lives through Tight Control of Diabetes Charles A. Reasner II, MD
2:15 – 2:40 PM	BioFilm, BioBurden, BioFailure Do You Really Know What is Going On at the Wound Surface? Randall D. Wolcott, MD, PA
2:40 - 3:10 PM	Infection at the Wound Surface Does Silver Cure Everything? Gary Sibbald, MD
3:10 – 3:40 PM	Bone Infection: What is the Evidence for Treating Diabetic Foot Osteomyelitis? Benjamin A. Lipsky, MD
3:40 - 4:05 PM	Antibiotics vs. Chemotherapy: Are We Killing More Than the Bacteria with Our Prescriptions?
4:05 - 4:35 PM	One Chance to Cure Will You Recommend an Amputation or a Salvage Procedure? Where Do the Economic Cards Fall? Michael S. Pinzur, MD
4:35 – 5:00 PM	Free Flap or VAC – You Choose Is Reconstructive Surgical Limb Salvage Being Replaced by New Wound Healing Technologies? Lawrence B. Colen, MD
5:00 – 5:10 PM	Closing Comments Christopher E. Attinger, MD; Richard F. Neville, MD; John S. Steinberg, DPM