KevinMD February 9, 2024
Maria (name changed to protect patient privacy) is a brilliant woman with a troubled health history. After a mental health diagnosis cut short her career as a high-level government official, Maria has struggled with diabetes, peripheral neuropathy, depression, and advanced kidney disease, leading to a series of toe amputations and a decade of disability.
She lives alone, about a half-hour from the nearest hospital, where she has been in and out of the complex wound clinic for more than eight years. After wounds in both of her heels took a bad turn, she spent time in the hospital followed by 30 days in a skilled nursing facility (SNF) — and 30 days only. Despite still needing significant care, being unable...
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