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The reviewing physician is invited to consider how he/she might have treated these patients.
Case Histories by Title
Case #1: Necrotizing Cellulitis and OsteomyelitisCase #2: Combined Disease: Heart, Venous, Cellulitis and Osteomyelitis with Fourteen Year Follow-upCase #3: Failed Bypasses, Gangrene of Foot and Heart FailureCase #4: Refractory Osteomyelitis Healed and "Dead" Toe RestoredCase #5: Rubor Mortis and Restoration of Blood Flow to Dead Tissue, 25 Legs with Cholesterol Emboli and Trash FeetCase #6: Inoperable ASO in Transplant PatientCase #7: Necrotic Toes and Cholesterol Emboli Successfully TreatedCase #8: Wagner 3 and then Wagner 5 Foot SalvagedCase #9: Pulseless Distal Feet Salvaged in Patient with Buerger's DiseaseCase #10: Failed Bypass and No Veins: Two Legs SalvagedCase #11: Arteriosclerosis and Primary Thrombocytosis with Purple ToesCase #12: Leg Cramps, Mononeuritis, Congestive Failure, Necrobiosis DiabeticorumCase #13: Ulcers, Necrobiosis Diabeticorum and TcPO2 Levels BenefitedCase #14: Both Legs Saved in Blind Diabetic Who Failed Hospital Therapies ElsewhereCase #15: Amputation Avoided and an Example of Vascular TestsCase #16: Salvage of Legs after Massive Thromboembolism and Aorto-Iliac SurgeryCase #17: Salvage of Both Legs Afflicted by Nonhealing Heel and Instep LesionsCase #18: Leg with Ischemic-Neuropathic Ulcer Saved and Renal Function Improved with Boot TherapyCase #19: Previous Inadequate Response to Bypass SurgeryCase #20: Expectant Care but Leg, Heart and Patient Do WellCase #21: Severe Ischemia, Multiple Episodes and Local Treatment of OsteomyelitisCase #22: Healing of Open Resection of 4th and 5th Rays, of Plantar Ulcer and of Autoamputations of 1st Three toes in an Ischemic FootCase #23: Resistant Combined Stasis and Ischemic Ulcers HealedCase #24: Early Treatments and Few Problems - Cardiac Output ImprovedCase #25: Reversal of Vascular Shock and Lactic AcidosisCase #26: An Acute Myocardial Infarction? You Did What?Case #27: Holding the Line in Patient with Severe Iliac DiseaseCase #28: Rechannelization and New Collaterals then Distal BypassCase #29: Osteomyelitis of First Metatarsal Head but Therapy Limited to Autoamputation of Distal First ToeCase #30: Last Leg Saved in Lady with Multiple LesionsCase #31: Both Legs Intact and Functional after 10 Years in Spite of Multiple Episodes of Osteomyelitis and Cellulitis Along with an Episode of FrostbiteCase #32: Case32: Case in Progress: Patient with End-Stage Kidney Disease Would Like to Avoid Dialysis by Booting. Both Legs Preserved in Spite of Serious Lesions.Case #33: Pathological Obesity, Degenerative Joint Disease, Congestive Heart Failure, Venous Stasis, Lymphedema and Cellulitis Spell Recurrent TroubleCase #34: Foot, Heart and Hand... and Long LifeCase #35: Rest Pain Relieved and Dependency ReducedCase #36: Vasodilatation with Cholinergic Agonists in Patient with Recurrent Neuropathic Ulcers and OsteomyelitisCase #37: Visualization of Previously Absent Arteries on Post-Boot ArteriogramCase #38: Outpatient Treatment of Persistent Osteomyelitis of the Big ToeCase #39: Salvaging Last Leg by Healing Lesions at Heel, Achilles Tendon and Big ToeCase #40: Oxygen Tension Raised, Cellulitic Toe Healed and Toes Preserved in Neuropathic FootCase #41: Successful Treatment of Congestive Heart Failure, Azotemia and Heel Ulcers in Patient with Diabetes and Severe Arteriosclerotic MyocardopathyCase #42:Successful Therapy of Osteomyelitis of the Os Calcis and Peripheral Ischemia in Stroke PatientCase #43: Californians Cannot Treat Osteomyelitis?Case #44: Boot Heals Transmetatarsal Dorsal FlapCase #45: Two Bad Legs Healed at Home Boot CenterCase #46: Resistant Leg Ulcer Heals with Outpatient BootingCase #47: Open Ray Amputations AvoidedCase #48: Multiple Large and Small Lesions of Both Legs Treated Successfully over Eight YearsCase #49: Leg Ulcers post Aortic Balloon and Ineffective Distal Bypass Successfully Treated with BootCase #50: Chronic Bunion Ulcer Improved, Lost to Treatment, Complicated by Cellulitis and Osteomyelitis and Then CuredCase #51: Neuropathic Ulcers and Osteomyelitis Benefited by Boot, Local Antibiotics and ? Cholinergic AgentsCase #52: Leg Saved in Patient with Buerger's Disease and History of Two Unsuccessful BypassesCase #53: Ischemic Cellulitic Foot with Bare Osteomyelitic Bone SavedCase #54: Boot Eliminates Rest Pain and Timely Injection Instantly Cures InfectionCase #55: Long-term Success in Treatment of Osteomyelitis and Neuropathic UlcersCase #56: Improved Leg Function and Relief of Pain in ToesCase #57: Family Request for Boot Overrides Surgeon's Decision and Leg SalvagedCase #58: Right Leg Cured in spite of Disease and Multiple Vascular Procedures and Left Leg Cured along the WayCase #59: Inpatient and Nursing Home Aggressive Booting Heal Plantar Ulcer and Salvage LegCase #60:Distal Ischemia Responds Nicely to Boot after Previous Inadequate Response to BypassCase #61: Progressive Foot Infection Checked and HealedCase #62: Sepsis, 15-Year Ulcer, Osteomyelitis, Claudication, Arteriosclerotic Heart Disease and Rest Pain in Opposite LegCase #63: Minimal Clinic Attendance Enough to Heal Resistant Ulcer at Amputation Site on Left Foot but Not Sufficient for Right Foot Which Needs More to HealCase #64: Mottled Foot Saved in Young WomenCase #65: Foot, Progressively Worsened after Debridements, Saved by BootCase #66: Two Legs Do Poorly with Bypass Surgery but Do Well with Boot Therapy Once It Is Aggressively AppliedCase #67: Both Legs Kept Functional over 8 Years in Spite of Arteriosclerosis, Neuropathy, Cellulitis, Osteomyelitis, Pernicious Anemia and DementiaCase #68: Salvage of Legs in Diabetic COPD Patient with Both Diffuse Arteriosclerosis Obliterans and Showers of Emboli after Surgery on Aortic AneurysmCase #69: Total Relief of Rest Pain with Boot Therapy after Unsuccessful Therapy with UrokinaseCase #70: Distal Small Vessel Disease and Infection Treated with Local Antibiotics and Mini-BootCase #71: Supportive Boot Therapy in Elderly Incapacitated Patient until DeathCase #72: Leg Amputation Avoided as Distal Small Vessel Disease and Infection Successfully Treated with Local Antibiotics and Mini-BootCase #73: Both Legs Salvaged in Blind Manic-Depressive Man with Poorly Controlled Diabetes, Failed Bypass, Extensive Leg Necrosis and OsteomyelitisCase #74: Effective and Economical Treatment of Osteomyelitis in Independent PatientCase #75: Stroke Patient with Large Leg Decubitus Eventually Dies but with an Intact LegCase #76: Toe Does Well and Remains Intact up to Follow-up 7 Years Later, an Easy CaseCase #77: Recurrent Stasis Ulcers in Retarded PatientCase #78: Treatment of Stasis Ulcers in Patient with Chronic Lymphatic Leukemia, Diabetes and Mental RetardationCase #79: Successful Treatment of Postoperative LymphedemaCase #80: Both Legs Do Well in Patient with Diffuse Arteriosclerosis ObliteransCase #81: Auto-Transmetatarsal Amputation of Left Foot and Revascularization of Right Leg in Alzheimer's PatientCase #82: Foreign Bodies and Infection in Ischemic Neuropathic FootCase #83: Both Legs Salvaged in Man with Diabetes, Severe Cardiovascular Disease and Osteomyelitis at Amputation SitesCase #84: Successful Treatment of Ischemia and its ComplicationsCase #85: Healing Toes and Improving ClaudicationCase #86: Stasis Disease and Traumatic Infected Ulcers Respond with Outpatient BootingCase #87: Florida Man with Peripheral Neuropathy and Arteriosclerosis, Multiple Foot Ulcers and Osteomyelitis Does Well with Mini-Boot Therapy and TenotomyCase #88: Foot Ulcer Heals and Claudication in Both Legs Does Well for Twelve YearsCase #89: Poorly Controlled Diabetic with Peripheral Neuropathy and Arteriosclerosis Obliterans Complicated by Cellulitis, Abscesses, Osteomyelitis and Ulcers Subsequent to a BurnCase #90: Yeast Cellulitis Claims Leg of Man with Diabetes and HMO InsuranceCase #91: Managed Care and Smoking Contribute to Loss of LimbCase #92: Managed Care: Woman with Bilateral Neuropathic Ulcers Denied Hospitalization, Discharged from Hospital before Healing but Provided Outpatient Care with Its HazardsCase #93: Managed Care: Noncompliant Diabetic with Multiple Successfully-Treated Episodes of Callus, Ulcers and Osteomyelitis Limited in Access to Boot and Comes to SurgeryCase #94: Managed Care: Outpatient Care Not Covered by Her HMO So Lady Pays Bills Herself and Heals Chronic UlcersCase #95: Managed Care: Insurance Denial Leads to Two Operations and Two HospitalizationsCase #96: Infected Ischemic Neuropathic Leg Escapes Amputation as Hospital Nurse Advises Patient Surreptitiously to Seek Boot TherapyCase #97: Osteomyelitic Calcaneous Heals and Remodels in Diabetic with Ischemic Neuropathic LegCase #98: Managed Care: Loss of Limb and Independence Attributed to HMOCase #99: Managed Care: In Absence of Managed Care, Painful, Infected, Ulcerated, Inoperable Ischemic Leg Saved by Outpatient Booting and Local AntibioticsCase #100: No Treatment Modality Other Than Boot for 18 Years and Both Legs PreservedCase #101: Infected Neuropathic Leg Saved from Amputation Case #102: Leg Amputation Averted in Elderly Diabetic Lady with Osteomyelitis of the First Metatarsal and Gangrene of Two Toes Case #103: Leg Successfully Treated for Necrotizing Cellulitis and Subsequent Gangrenous Toes Holds Up Well After Stroke While Control Leg Deteriorates Case #104: Ten-Toe Rest Pain Relieved and Patient Restored to Ambulatory State Case #105: Amputation Averted and Claudication Relieved in Both Legs Case #106: Sensation Improved and Paronychia CuredCase #107: Recurrence and Persistence of Foot Ulcers Lead Diabetic with Peripheral Neuropathy and Arteriosclerosis Obliterans to Chose Bypass Surgery in Another CityCase #108: Salvage of an Infected Hammer Toe with a NailCase #109: Outpatient Care of Osteomyelitis and Cellulitis in Man with Neuropathic Foot Case #110: Osteomyelitis Healed by Boot and Local Antibiotics and Surgery and Prolonged IV Therapies AvoidedCase #111: Natural Course of Ischemic Necrosis in Diabetic Depressed Woman with Severe Arteriosclerotic Cardiomyopathy Who Refused Local Care and Boot Therapy Case #112: Pain Relief and Stabilization of Ischemic Foot until Death in Elderly Man Case #113: Purple Toe - Tobacco - Hypertension and Treatment with Mini-BootCase #114: Patient Spared Toe Amputation and HMO Spared Hospital Costs and Pays NothingCase #115: First Leg Does Well for Seven Years While "Control" Leg Breaks Down and Requires Long Term Treatments Until DeathCase #116: Neuropathic Ulcer, Stasis Ulcer and Ischemic Hand Benefited by BootCase #117: Black lesions in Both Big Toes Respond Quickly to Mini-Boot Case #118: Recurrent Stasis Ulcers and Cellulitis Controlled by Home Circulator BootCase #119: Two Legs Salvaged from Necrotizing Cellulitis Case #120: Successful Treatment of Osteomyelitis and Arteriosclerosis Obliterans in a Recalcitrant SmokerCase #121: Necrotizing Cellulitis of Toes in Older Lady with Few Current Risk Factors Case #122: Postoperative Ischemia of Both Feet Successfully Treated in Lady with Multiple Risk FactorsCase #123: Long-Boot Saves Leg after Transmetatarsal Fails in Spite of Fem-Pop BypassCase #124: Cured by the Boot and the DentistCase #125: Treatment of Arm Lymphedema Associated with MastectomyCase #126: Treatment of Leg Ulcer Associated with Small Vessel DiseaseCase #127: Pulse Volume Tests Improve and Foot with Multiple Ulcers SalvagedCase #128: Potentially Dead Leg Made Functional for Seven Months until Cancer DeathCase #129: A Rise in Polarographic PO2 Determination after Booting and Healing of Resistant Neuropathic UlcerCase #130: Refractory Plantar Ulcer in Diabetic with Neuropathy and Arteriosclerosis Obliterans Healed and Legs Maintained for Life with Intermittent TherapyCase #131: Small Resistant Stasis Ulcer Helped over Seventeen DaysCase #132: Both Legs Benefit. Lesions in Left Leg Slow to Heal and Do Not Respond Elsewhere but Do Eventually Heal with Boot TherapyCase #133: Raynaud's Disease, Nicotine Addiction and Generalized Arteriosclerosis in Traveling WomanCase #134: An Example of Failure: Patient Discouraged by Lack of Benefit within a Few Weeks Submits to Beneath-the-Knee AmputationCase #135: Claudication, Acute Leg Occlusion, Angina, Cerebrovascular Insufficiency and Renal Failure and the Boot; a Case HistoryCase #136: Cold Painful Leg after Embolectomies, Heparin and Coumadin. No Benefit from 12th Hour Boot Therapy. AK-AmputationCase #137: Production of Runoff for Bypass and Restoration of Flow in Occluded GraftCase #138: Production of Collateral Flow. Dopplers and Arteriograms.Case #139: Patient Has Long-Lasting Relief from Chronic Lymphedema with Eight Outpatient Treatments.Case #140: Gangrenous Instep Healed and Leg Salvaged in Elderly lady: Those Good Old Pre-HMO Days!Case #141: Osteomyelitis and Extensive Cellulitis Cured and Foot Salvaged in Young ManCase #142: Painful Intractable Leg Ulcers Healed in Outpatient ClinicCase #143: Peripheral Neuritis and Retinopathy Following Rapid Control of Diabetes Treated Successfully with Boot?Case #144: Extensive Necrotizing Cellulitis, Distal Arteriosclerosis Obliterans and Osteomyelitis Cured by Local and Systemic Antibiotics and Mini-Boot over Two yearsCase #145: Boot Therapy Improves Vascular Tests and Prepares Way for Successful Bypass SurgeryCase #146: Boot and Bypass Salvage Leg and Ambulatory State until DeathCase #147: Acute Diabetic Papillopathy (?) Reversed in Association with Boot Therapy Twice Eight Years ApartCase #148: Leg Salvage in Patient with Occluded Graft and Failure to Respond to the SyncardonCase #149: Case in Progress: Osteomyelitis 5th Toe, Diabetic Neuritis Multiplex, Nephrosclerosis, Retinopathy and Congestive Heart Failure___ Diabetic Hypertensive AngiopathyCase #150: High Risk, Boot Therapy, Bypass Surgery and Death in the Hospital CorridorCase #151: Outpatient Healing of Difficult Ankle Ulcers in Diabetic with Arteriosclerosis Obliterans and Stasis DiseaseCase #152: Ulcers, Osteomyelitis, Peripheral Arteriosclerosis Obliterans and Neuropathy Benefited by Outpatient Booting and Antibiotics Given Only LocallyCase #153: Both Legs Preserved in Elderly Diabetic with Cerebral Atrophy and Bilateral IschemicCase #154: Rehabilitation of Both Legs in Buerger's Disease Patient Who Stops SmokingCase #155: Diabetic Foot: Failure Associated with Resistant Pseudomonas InfectionCase #156: Diabetic Foot: Osteomyelitis of Exposed First MP Joint and Extensive Plantar Cellulitis Treated without Distal Bypass or Major Incision and Drainage ProceduresCase #157: Diabetic Foot: Osteomyelitis, Peripheral Neuropathy, Peripheral Arteriosclerosis Obliterans, Sepsis and Still Both Legs after 15 Years.Case #158: Large Leg Ulcer Healed with Boot and Grafting in Bedridden Man Who Quickly Breaks Down Again. Was it worth It?Case #159: Diabetic Foot: Outpatient Treatment of Osteomyelitis with Boot a Success after Hospital Treatments Fail
Case #160: Diabetic Foot: Another Resistant Plantar Ulcer and Osteomyelitis Cured at Minimal Risk and Cost
Case #161: Diabetic Foot: Last Leg Saved and Independence Maintained
Case #162: 94 Year Old Escapes Bilateral Leg Amputations and Dependence on Nursing Home Staff for All of Her Needs
Case #163: Claudication and Foot Pain Following Cholesterol Emboli Cured
Case #164: Peripheral Arterial Insufficiency Relieved in Dialysis Patient
Case #165: Diabetic foot: Rest Pain, Claudication, Leg Ulcers, Foot Ulcer and Osteomyelitis
Case #166: Indolent Ulcer of Physician over Achilles Tendon Heals with Outpatient Boot Treatments
Case #167: Painful Resistant Stasis Ulcer Healed as Outpatient
Case #168: Outpatient Healing of Ulcer in a Foot with a TcPO2 of Zero
Case #169: Outpatient Healing of Plantar Neuropathic Ulcer
Case #170: Diabetic Foot: Leg Salvage in Lady Who Had Had Multiple Bypasses and a Non-Healing Big Toe Amputation
Case #171: Diabetic Foot: Treated Foot Does Well While Other Foot Becomes Infected in Feisty Independent Lady
Case #172: Diabetic Foot: HMO Does Not Cover Treatment of Patient with Painful Ulcerated Legs
Cases #173-177: Diabetic Foot: A Mini-Symposium Considering Cost and Effectiveness
Case #178: Eighteen Years of Boot Therapy for Multiple Foot Lesions, Claudication, Arteriosclerotic Heart Disease, Congestive Heart Failure and Chronic Renal Failure. Still Going at 81.
Case #179: Boot Therapy Contributes to the Cures of Osteomyelitis in Both Feet When Other Methods Prove Ineffective.
Case #180: Diabetic Foot: Ulcer Healed and Osteomyelitis Aborted with Boot Therapy.
Case #181: Therapy Restores Leg in Obese Lady with Recurrent Stasis Disease and Cellulitis.
Case #182: One Sick Man: Bad Heart, Bad Kidneys and Two Bad Legs... Survives Ten Good Years and Still Going.
Case #182a: A Brother Benefits from the Example of Case 182
Ischemic Heart Disease and Atrial Fibrillation Improved
Case #183: Circulator Boot Used with Thrombolytic Therapy to Salvage Leg with Acute Thrombosis of Femoral-Popliteal Graft and Distal Vessels, Used to Support Blood Flow to Heart, Head and Kidneys and Used to Avoid Fasciotomies Associated with Compartment Syndrome.
Case #184: Treatment of Osteomyelitis (1991), Leg Ulcers (1995) and Heart Failure and Chronic Renal Failure (1998)
Case #185: Boot Treatments Successful and Cheap over 7 Years Compared to the Cost and Complications of Standard Therapies the Last Six Months of Life.
Case #186: An Ulcerated-Abscessed-Ischemic-Neuropathic Foot Finally Healed after Release of Achilles Tendon.
Case #187: Case in Progress Followed 14 Years --- Neuropathic Ulcers, Osteomyelitis, Ischemia and Advanced Necrotizing Cellulitis in Patient Who Has Had Coronary Bypasses and Transplantations of Kidney and Pancreas.
Case #188: Lady Refuses Bypass Twice in Eight Years and Heals Osteomyelitis on Each Occasion with Booting.
Case #189: Postoperative Bilateral Foot Ischemia and Toe Necrosis Relieved with Boot Therapy
Case #190: No, No, A Ray Amputation Is Not Necessary Because of Osteomyelitis in a Metatarsal Head.
Case #191: Osteomyelitis, an Open Joint, Focal Necrosis of toe, Extensive Cellulitis of an Arteriosclerotic Neuropathic Foot... Healed in the Outpatient Clinic.
Case #192: Chronic Transverse Osteomyelitis of the Big Toe Cured and Amputation Averted with Outpatient Treatments.
Case #193: 17000 Mile Round Trip Twice to Salvage Leg with Necrotizing Cellulitis, Distal Arteriosclerosis Obliterans and Osteomyelitis of the Calcaneus.
Case #194: Dialysis Avoided, Congestive Heart Failure Improved and Legs Preserved with in Patient with Ischemic Neuropathic Foot Ulcers.
Case #195: Two Numb Ice-Cold Mottled Feet with No Capillary Refill and No Doppler Sounds Below the Low Calf.
Case #196: Diffuse Cardiovascular Disease, Possible Distal Emboli Following Heart Catherterization and Bilateral Leg Amputation Avoided with Boot Therapy.
Case #197: Improvement in Claudication and Penile Function... Study of Plasminogen Activator Inhibitor and Nitric Oxide Levels.
Case #198: Necrotizing Cellulitis, Osteomyelitis, Peripheral Neuropathy... Will Never Heal They All Said.
Case #199: The Second Leg Threatened by Ischemia, Cellulitis, Gangrene and Osteomyelitis
Case #200: An Example of Stabilizing a Difficult Situation and Comfort Care Along with Assorted Other Patients to End Our Series
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