Navigating Outpatient Care for Critical Limb Ischemia: A Conversation with Bret Weichmann and Fadi Saab

Life of Flow

In this episode of the Life of Flow podcast, Dr. Lucas Ferrer and Dr. Miguel Montero Baker are joined by guests Dr. Bret Wiechmann and Dr. Fadi Saab to delve into the complexities of patient care in critical limb ischemia (CLI) and the potential benefits of outpatient models of care. The conversation sheds light on the frustrations within the current hospital-centric approach, where the preference for amputation over revascularization persists despite evidence suggesting better outcomes with the latter. The participants advocate for decentralized care models, stressing the importance of standardized guidelines to ensure quality care for CLI patients while also acknowledging the challenges of balancing oversight with accessibility to care.

Amidst discussions about the importance of proper evaluation before major amputations and the role of organizations like the Outpatient Endovascular and Interventional Society (OEIS) in advocating for non-hospital-based care, the conversation emphasizes the significance of data collection in improving CLI patient outcomes. While exploring scenarios where amputation might be deemed appropriate, the participants underscore the need for individualized patient evaluation and care. Overall, the episode provides valuable insights into the challenges and solutions in CLI treatment, advocating for a patient-centric approach, standardized guidelines, and improved coordination among healthcare facilities to enhance outcomes and access to quality care.

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