PEP Talk

Ask an expert

Do you have a question about foot care for persons with diabetes?

Use the handy form below to contact Mariam and the team of experts: Janet, an ET nurse and Dr. Depatis, a vascular surgeon, who are members of the PEP Talk Team.

"Ask an expert" has been developed by the Canadian Association of Wound Care for information purposes only. It does not provide medical advice, diagnosis, treatment or care. If you have a health problem or a medical emergency, you should contact a physician or other qualified health care provider for consultation, diagnosis and/or treatment. Under no circumstances should you attempt to self-diagnose or to treat based on anything you have seen or read.

Our experts

Mariam Botros

Mariam Botros
Mariam Botros, Clinical Director of the Diabetes, Healthy Feet & You program

Mariam Botros is a chiropodist, clinical instructor at Women's College Hospital, Clinical Director of the Diabetes, Healthy Feet & You program as well as a faculty member of the International Interprofessional Wound Care Course (IIWCC) at the University of Toronto. She has lectured and worked on programs both nationally and internationally on the area of diabetic foot complication and amputation prevention. She has been involved in multiple researches and publications including the lead author of the Best Practice Recommendations for the Prevention, Diagnosis and Treatment of Diabetic Foot Ulcers for the Canadian association of Wound Care.

She worked at Baycrest Centre for Geriatric Care for several years, during which time she developed an interest in managing diabetic foot wounds. In 1999, she completed the IIWCC and began a two-year clinical fellowship at the Wound Healing Clinic at Women's College Hospital. After completing her training, she developed a high risk foot course for chiropody students. She worked at the Michener Institute for Applied Health Sciences (1999-2005), training chiropody students in managing the high risk foot both theoretically and clinically. She is currently teaching wound care courses as Faculty of The Wound Institute and the International Interdisciplinary Wound Care Course. Her most recent projects involves being the clinical Director of the National project Diabetes, Healthy Feet and You which is a joint collaboration between Public Health Agency of Canada and Canadian association of Wound care to prevent Foot Diabetic ulcer through patient education campaigns.

Janet Kuhnke

Janet Kuhnke
Janet Kuhnke, Enterostomal Therapist, an undergraduate nursing instructor, and a member of the CAWC L-Series team

Janet Kuhnke is an Enterostomal Therapist, and a baccalaureate faculty member. She worked on Vancouver Island for 20+ years in acute care in community hospitals, residential care, and home and community care programs as a Clinical Nurse Educator and Enterostomal Therapist. Janet is a member of the CAWC team that wrote "Best Practice Recommendations on Management of Open Surgical Wounds" and she worked as a team member with the Registered Nurses' Association of Ontario to complete "Best Practices on Prevention and Assessment of Pressure Ulcers".

Janet is passionate about empowering front line clinicians, nurses, practitioners, and personal support workers to safely deliver client-centred care following evidenced-based practices. She is completing her Ph.D. program at the University of Ottawa, Ontario with interest in chronic wounds, diabetes, Aboriginal health, preventing foot ulcers, and client engagement when working with persons with chronic diseases and wounds. In her most recent project with the CAWC, Janet is co-clinical director of the CAWC PEP Talk: Diabetes, Healthy Feet and You program a national peer-led education program on diabetic foot health that has been rolled out in 10 provinces across Canada.

Marc Despatis

Marc Despatis
Dr. Marc Despatis, vascular surgeon at the Centre Hospitalier Universitaire de Sherbrooke

Dr. Marc Despatis is a vascular surgeon at the Centre Hospitalier Universitaire de Sherbrooke where he is chief of the vascular surgery program and renal transplant program. He also teaches medicine at the undergraduate and graduate levels as an adjoint  professor at the University of Sherbrooke.

Marc graduated from the University of Montreal in 1999 and started his practice as a general and vascular surgeon in Nova Scotia at the Cape Breton Regional Healthcare Complex. He has developed an interest in wound care and over the last 10 years has published papers, articles, posters, and contributed to books, as well as making many presentations, on the subjects of diabetic ulcers, venous ulcers, arterial ulcers, and traumatic wounds.   Marc is also a mentor for the PEP Talk: Diabetes, Healthy Feet and you program which is a national peer-led community program on diabetic foot health; the program will be rolled out in 10 provinces across the Canada starting May 2012.