In this interview with video from KSAT news, Dr. Jacoby discusses the breakthrough procedure using amniotic fluid with extremity issues, preventing the need for amputations in diabetics and assisting in the return of sensation and use of limbs. Amniotic fluid from a pregnant donor is injected into or wrapped around the nerve during decompression surgery. The stem cells in the fluid stimulate the affected area, telling it to heal the wound.
As a doctor, what is it like to have to tell someone they’re going to have to get their foot amputated?
Dr. Jacoby: It’s devastating. It’s devastating to tell people who have diabetes, which is the main reason of amputation in the United States, but they have no pain at the end of this process. So, for them it’s not that bad because they don’t have any pain; they just have an infection. They usually become septic so they’re happy to have that leg amputated. The real question is why do they get to that state in the first place? Why didn’t they have early intervention? What we’ve been working on is trying to find out if there is an earlier detection system for people with diabetic neuropathy and diabetes itself.