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Are chilblains on the foot part of COVID-19?

The COVID-19 pandemic that is sweeping the world is throwing up some oddities in the clinical manifestations that seem to vary from person to person and in different regions. Different organ systems are affected differently in different amounts in different people. There have been numerous reports in the mass media and in the medical journals of a range of different skin conditions in those infected with coronavirus. One of the odd ones which has been given some attention in the mass media is just how many of those with COVID-19 are getting chilblains, especially children and those who would not normally get a chilblain. Chilblains are reasonably common anyway in the colder climates. The first reports of these chilblains in those with COVID-19 was during the winter in Spain and Italy, so you would expect a number of people to get chilblains anyway. Subsequent research focused on if these were just an incidental finding or if the infection was really causing the chilblains and they are art of the pathophysiological process of the condition. Its still not clear at this stage which on of these is the issue.

An episode of the podiatry related livestream, PodChatLive addressed this issue on chilblains in COVID-19 and the nature of the phenomenon. The hosts of the show discussed the issue with Nadia Dembsky, a podiatrist from South Africa who has a special interest in this topic and is planning on pursing a PhD on the topic. They did especially cover the issues as to if it the chilblains are a part of the pathophysiology of the COVID-19 or if they are just typical everyday chilblains that are just more common in the infected by the coronavirus. This episode of PodChatLive was broadcast live in Facebook and the edited version of the video is on YouTube, as well as an audio version on the usual podcast websites.

History taking in clinical practice

Having the capacity to take a excellent history is an important proficiency that all health care professionals require. It's an necessary part of the data collecting in the whole process of making a diagnosis about what could the clinical condition end up being and what affect this problem might be having on the client. All health professionals within their education should grow good communication skills to be able to do this properly. Important too is without a doubt those communication knowledge to educate the patient on the characteristics of the issue along with what they recommend as the best course of action to treat the condition. An episode on the podiatry livestream upon Facebook, PodChatLive was focused on the full issues of history getting and communication ability. The recording of this episode is also available on YouTube and there's an audio podcast edition made available.

In this livestream the hosts Ian Griffith and Craig Payne talked with the Physiotherapist Jarod Hall to speak about just what a decent history taking looks like and even more importantly the language that should be employed and the expressions and words that should best be avoided throughout the communication process. The chat also spent lots of time on the extremely complex subject of pain along with the great importance that should be added to instructing those clients sitting across from him in his clinic office. The particular use of the appropriate language when dealing with those who are experiencing pain is a crucial expertise to build up. Jarod Hall first went to and graduated from Texas A&M University in 2011 having a B.S. in Exercise Physiology and Theories of Motor Control. After graduating from Texas A&M he moved to Fort Worth to come to the UNT Health Science Center’s Doctor of Physical Therapy course. Then he accomplished his PhD in May of 2014 following being named the recipient of the Dean’s Award for Academic Excellence.

The benefits of interdisciplinary conferences

There are so many professional associations globally representing so many different specialities and expert individuals. One of these is a organization identified as i-Fab. This is the International Foot and Ankle Biomechanics community that is a multidisciplinary team of industry experts with an interest in foot and ankle biomechanics. They are comprised of academics, physicians, podiatry practitioners, orthopaedic specialists, engineers, physical therapists and other health professionals, footwear industry personal, insole/orthotic suppliers, surgical products manufacturers and related markets. They are a really assorted group. The organisation aims to deliver information about the global activities in connection with foot and ankle biomechanics. They link those who are employed in the foot and ankle biomechanics area irrespective of their location and discipline they may be from. Additionally they would like to facilitate discussion on major issues of interest for the worldwide community and build coordinated association wide activities. Most importantly they are endeavoring to produce a profile for an worldwide critical mass of research activities which are related to foot and ankle biomechanics.

As a result one of their main actions is an international convention that is held every 2 yrs. This convention moves worldwide and it has been held by a number of different countries. The 2018 iFab convention happened in New York in the USA. An episode of PodChatLive was devoted to a discourse on that conference. PodChatLive is a monthly live show for podiatrists and after the conference the hosts had a chat of some of the relevant and fascinating papers that were presented at the conference. This discussion was live on Facebook. It was later submitted to YouTube and made available as a podcast edition accessible form a lot of the podcast platforms. It was a unique approach taken by the hosts to analyze a meeting, since they typically have a different guest on each week to talk about a topic. It is not known if they will try and cover the 2020 conference.

The Role of Podiatrists in Preventing Falls in Older People

PodChatLive is the weekly live show for the ongoing education of Podiatrists and others that might be interested. The stream goes out live on Facebook and after that is later added to YouTube. Each livestream has a different person or number of guests to talk about a unique theme each time. Queries are responded to live by the hosts and guests throughout the livestream on Facebook. Additionally, there is a PodCast version of every single episode offered on iTunes and also Spotify and the other usual podcast sources. They have gained a large following that continues to grow. PodChatLive is viewed as one of the ways through which podiatrists can usually get free continuing education credits.

On popular episode was when the hosts talked with Annette Davis and discussed what the evidence tells us and doesn’t tell us about the role of footwear and falls in older people. Podiatrists play an important role in advising this patient population on the correct footwear that should be used to avoid falls or lower the risk for them happening. Annette explained that role of the Podiatrist in the screening for falls risk and how to communicate effectively to older people regarding this. She made a pretty solid case for all individuals of a certain age to be risk assessed regardless of why they are attending clinic to see a podiatrist, even for an unrelated issue. Annette also talked about the reasons why that older individuals choose certain shoes that are probably not appropriate and the challenges this can bring to the Podiatrist-patient interactions. Annette Davis is Podiatrist from Melbourne in Australia and is currently serving as a Project Manager at the Department of Health and Human Services in the state of Victoria working on the issue of falls. She is currently completely her PhD on footwear and falls at Monash University and hopes to finish that soon.