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Lucian M Feraru, DPM, FACFAS

@dr.feraru

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Surgeon. Researcher. Occasionally funny.
🏥 Foot & Ankle | 🌆 SoCal
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Fall sports are back. So are ankle sprains.

Kids do not always stop when they are hurt. Swelling, bruising, trouble bearing weight, or pain that is not starting to improve may need a closer look. In growing athletes, an injury that looks like a simple sprain can sometimes involve the growth plate.

Until they are evaluated, have them rest from play, use ice for short intervals, and keep the ankle elevated. Do not push through pain or rush back to practice.

If your child rolled an ankle at practice or during a game, call the office to schedule an appointment.

#PediatricFootCare #AnkleSprain #YouthSports #FallSports #FootAndAnkle by @dr.feraru

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18 days ago

A valid answer can still be wrong.

Jev returns structured decisions rather than free-form prose. That can be useful, but a guaranteed output format does not guarantee clinical accuracy.

Finding a vascular assessment in a referral packet is not the same as establishing adequate perfusion for healing. The date, side, missing studies, and changes since the examination matter.

I would not send PHI without confirming an appropriate signed BAA and security arrangements. I could not verify a public BAA commitment in the TypeSafe legal materials I reviewed.

Local alternatives are also worth testing. SemIf came close on a general decision benchmark, but that is not clinical validation. Local hosting does not automatically establish HIPAA compliance either.

Full article: lucianferaru.com/blog/jev-in-medicine.html

#MedicalAI #ClinicalAI #DigitalHealth #PatientSafety by @dr.feraru

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19 days ago

A model can pass a competency test and still fail in clinic.

The FDA's new proposal for generative-AI medical devices is a useful start. Safety also depends on what the clinician sees, where the output lands, how uncertainty is shown, and what changes after deployment.

A competent model inside a bad clinical system is still unsafe.

Full article: lucianferaru.com/blog.html

#MedicalAI #ClinicalAI #HealthTech by @dr.feraru

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a month ago

Claude can leave an invisible statistical signature in the text it helps create.

That sounds like an AI detector. It isn't.

A positive result may suggest that Claude generated, translated, or substantially edited a passage. It cannot identify the person behind it, prove the ideas were original, or tell us whether the final text is accurate.

Anthropic also uses C2PA credentials for supported images, but that provenance can disappear after a screenshot or file conversion.

I'm in favor of better provenance. But in medicine, research, and professional writing, it should support disclosure and accountability, not replace them.

I broke down what this watermark can actually tell us, where it falls short, and why the distinction matters.

Full article at the link in my bio.

#AITransparency #DigitalProvenance #ResponsibleAI #ClinicalAI #ClaudeAI by @dr.feraru

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2 months ago

Very happy to Share that our new editorial has been accepted in Burns and Trauma.

It started with a problem every wound clinician recognizes: an advanced product is applied, but the wound still does not move. Sometimes the answer is not another product. The wound bed needs a reset.

A chronic wound can become stuck in a biological boot loop. Sharp debridement acts like Control-Alt-Delete, removing tissue, biofilm, slough, and disordered matrix so the wound has another chance to return to a repair-competent state.

The sequence matters:

Optimize. Reboot. Verify. Run the app. Maintain.

Grateful to @d.g.Armstrong, @alexwantsmoreplants, and @devotion2050 for the collaboration.

Surgically Rebooting the Wound for a Healthier Operating System: Why the Apps Will Not Run Until You Reset the Wound Operating System

DOI: 10.1093/burnst/tkag053

#WoundCare #LimbPreservation #Debridement #DiabeticFoot #WoundHealing by @dr.feraru

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2 months ago

Most of my work comes back to the same question: will this help someone heal, walk, and get back to their life? That keeps the medicine practical. by @dr.feraru

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2 months ago

A good workshop gives you something useful to take back to the operating room. Technique improves when we compare approaches, ask questions, and practice together. by @dr.feraru

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2 months ago

Proud to have earned FACFAS. I'm grateful to the mentors, colleagues, and patients who helped shape the surgeon I am today. by @dr.feraru

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2 months ago

Every case starts with the person in front of me. I want to understand what is limiting them, make a clear plan, and choose treatment that holds up beyond the next visit. by @dr.feraru

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2 months ago

Limb preservation takes a coordinated team and a patient willing to stay in the fight. The best outcomes come when everyone communicates and keeps moving toward the same goal. by @dr.feraru

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2 months ago

Residents ask questions that keep you sharp. Teaching forces me to explain why I make a decision, not only how I perform the procedure. by @dr.feraru

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2 months ago

I enjoyed presenting the Pediatric Clubfoot Treatment Pathway at the Western Foot and Ankle Symposium. A lecture is worthwhile when someone can use part of it in clinic the next day. by @dr.feraru

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2 months ago