The St. Joe's Experience Pampered Feet Diabetes pedicures help safeguard the health of your feet. Need Orthopedics Care? Come to St. Joe's Whether you've overdone it at your Sunday morning pickup game, exercised a little too hard, or broken a hip or had arthritic knees, you can count on St. Joseph Mercy Oakland's (SJMO) cutting- edge orthopedics program to restore your quality of life. Our board-certified and fellowship-trained orthopedic surgeons provide the highest quality care for everyone from infants to older adults. Not only do they treat broken bones and worn out joints, but also problems with ligaments, tendons, muscles, nerves, blood vessels and circulation, as well as spine and related disorders. St. Joe's world-renowned orthopedic specialists offer treatment of the foot, ankle, hand, shoulder and elbow and most sports-related injuries. SJMO's orthopedics program has been consistently recognized for excellence in orthopedic surgery and joint replacement, and received the honor of being named a Blue Distinction Center® for Knee and Hip Replacement by Blue Cross Blue Shield of Michigan and Blue Care Network. St. Joe's has repeatedly won top honors for patient safety and quality of care. In recent months, we were designated as one of the best 100 hospitals in the U.S. and a Community Value Five Star facility for the value you receive from the care we provide. We also have been recognized with a five-star/ excellence award for hip replacement, knee replacement and hip fracture care, and our patient satisfaction scores are in the top 10 percent in the nation. Our orthopedics program is the home of the Joint Care Center for joint replacement patients. It was the first in Michigan and one of the first in the U.S. The specialized joint replacement program benefits from our skilled, hand-picked nurses, therapists and home care teams, making it a national leader in orthopedic care. Our outcomes and low complication rates are unmatched. Our hospital was the first in Michigan to perform the custom-fit knee procedure, which results in reduced pain and blood loss and faster recovery. St. Joe's experienced medical staff also includes orthopedists who perform trauma-related procedures for hip, ankle, leg and arm injuries. In the area of outpatient treatment, our physicians diagnose and treat osteoarthritis, osteoporosis, strains and sprains. Physical, occupational and speech therapy also are among the many award-winning services you can receive at SJMO. As a public service, our orthopedics department offers quarterly free seminars here at St. Joe's where you can learn about the different treatments we offer for ankle ailments and hip, knee shoulder and back pain. Please see our website at stjoesoakland.org for dates and times of next year's series. When you come to St. Joseph Mercy Oakland for treatment for an orthopedics concern, you'll receive the safest, highest quality, compassionate care by the most skilled medical team around. Guaranteed. By Jack Weiner, President and CEO St. Joseph Mercy Oakland DISCOVER REMARKABLE ADVERTISEMENT 64 .ovember 29 • 2012 I Jackie Headapohl Managing Editor E levated blood sugar caused by diabetes can often cause nerve damage and poor cir- culation, meaning minor cuts, scrapes and bruises on the feet can quickly develop into life-and-limb-threatening infections without quick and proper treatments. Because of this, many spas and salons won't provide pedicures to diabetic clients, as a way to avoid liability in the case of an acci- dent, but Krystyna Ejsmont, propri- Krystyna etor of Krystyna's Ejsmont European Spa in Birmingham, felt that there was a way to deal with the special needs of dia- betic clients instead of depriving them of proper foot care. "Our feet are what carry us through life, quite literally:' she says. "It's unfair to these individuals to simply turn them away. Quality care, equipment and attention to detail are the only requirements to both sanitarily and attentively provide pedicures for those who need it most:' Ejsmont consulted with Dr. Peter E. Schaffer, a Birmingham podiatrist and DPM Diplomate of the American Board of Podiatric Surgery, about the feasibility of designing a pedicure for diabetes patients. Schaffer provided invaluable advice and educated her on the subtle sensitivities of the dis- ease, and how the condition could be attended to in a non-medical environ- ment. "Minor cuts and scrapes are never acceptable when receiving a pedicure, but for diabetic clients such accidents can lead to very serious complica- tions:' she says. Thus, she created the "diabetes pedicure designed to specifically con- trol for complications that can easily arise for diabetic clients. It debuted at Krystyna's European Spa in 2006 and has been helping clients ever since. The diabetes pedicure is a standard pedicure, but with heightened atten- tion to the specific needs of the diabet- ic foot. State-of-the-art pedicure chairs at Krystyna's involve a pipeless water system that provides a more sanitary environment by preventing water from stagnating within the machine, which can lead to bacterial growth. "This mechanical advantage, combined with rigorous cleaning in between clients, ensures that there is no risk of dirty water in our tubs:' she says. Also, the water temperature is set to accommodate diabetic feet. While usu- ally set to 105-110 degrees Fahrenheit, the water temperature for diabetic clients is dialed down to 90-95 degrees to protect more sensitive diabetic feet from potential scalding. Also, Krystyna's staff, as standard procedure, disinfects their stainless steel tools for every client. "Additionally, we do not, under any circumstance, use razors in our tools, which we see as simply an invitation for accidents:' Ejsmont says. "Instead of cutting away dead skin, we use foot files that gently buff off skin and are replaced for each client:' Nail technicians employ special techniques that minimize discomfort and potential damage as well. "This means they are very gentle, and do not apply lotion in between the toes, which can create a warm, damp environment where bacteria are likely to grow. They are also instructed not to clip away cuticles, but rather push them back, and to pay extra attention to the nail- clipping process:' she says. Finally, Krystyna's uses a line of products that cater to feet with spe- cific needs. In particular, Laufwunder Caring Balm is a cream designed specifically for the diabetic foot. Using gentle oils and disinfecting ingredi- ents, this product is specially formu- lated to strengthen and moisturize at-risk skin. Sarah Gottlieb of Birmingham is a longtime client. "I love the pedicures. It's a nice way to relax, and they treat you so well there she said. "There's nothing not to love about this spa:' ❑