Peripheral Arterial Disease: Symptoms, Risks, and Treatments

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  • čas přidán 27. 08. 2024

Komentáře • 132

  • @fuhkerz
    @fuhkerz Před měsícem +32

    My dad had advanced PAD in both legs. The surgeon was originally going to do a stent in just one leg, but once the cardiologist said his heart was in good shape, that changed to what the surgeon thought was the better option - aortic bifemoral graft.
    That was supposed to essentially repair the large areas of blockage in both legs. So last month, I took him to the hospital for the surgery.
    Unfortunately, while the surgery was apparently technically successful in terms of placing the graft, he never woke up and died two days later. I believe the surgeon was a good doctor and I know he did everything he could to try to save my dad - he stayed late into the night the first night even though the surgery had started that morning.
    I don't know why I'm even typing this. I guess because they said at the end something about commenting experiences with PAD. I guess I just wanted to put those words out into the aether or something.

    • @tygerstripes3752
      @tygerstripes3752 Před měsícem +4

      I'm so sorry to hear of the loss of your father. Thank you for sharing this. It's genuinely helpful.

    • @DIABETESHEALTHS
      @DIABETESHEALTHS Před měsícem +2

      Sorry to hear that about your dad. May he rest in peace.

    • @ritabosnich9974
      @ritabosnich9974 Před měsícem +2

      Thanks for sharing your loss, it is now into the universe…. Healing has begun.

    • @newatthis50
      @newatthis50 Před měsícem +2

      That hurts so bad 😢
      Sorry
      Not that it helps but it seems some times it's just time.
      It just hurts.

    • @elizabethnylk2709
      @elizabethnylk2709 Před měsícem +1

      Thanks for sharing. It's good information for anyone contemplating that surgery.

  • @joesmith942
    @joesmith942 Před měsícem +40

    The way Dr. Chan looks at you two is hilarious. I just want to know what's going through her head.🤣🤣

  • @brucemcleod6395
    @brucemcleod6395 Před měsícem +4

    My issue was an aneurysm in a peripheral artery. The initial bypass surgery was successful, but a complication arose about three weeks later. Dr Chan welcomed me to the ER at 4:00 one morning in late February (she's not my surgeon). Four more surgeries seem to have the plumbing issues resolved, but now I'm waiting to have a consultation with an electrician. Long process but great staff at the hospital. Thanks for the great information.

  • @lindacoffin5110
    @lindacoffin5110 Před měsícem +9

    Thank You for helping us. I quit smoking and I am so grateful. It is a trap and it is a drug dependency. It is possible to get better.

  • @BoomVang
    @BoomVang Před měsícem +10

    Please place guest microphone higher, closer to throat or mouth. For volume and clarity.

  • @theresamorris1803
    @theresamorris1803 Před měsícem +6

    I've learned so much from you guys and I just love Dr. Chan. She's so full of life and always cheerful.

  • @Duhble07
    @Duhble07 Před měsícem +2

    In every episode I can sense that all day long as you deal with patients, YOU are constantly reminded of how important good nutrition and good lifestyle habits are to having a better body with less problems down the road. It’s never too late to start. Thanks for crafting these videos so we can learn really key stuff that will improve our lives.

  • @pauldean7690
    @pauldean7690 Před měsícem +10

    Thank You so much Doctors for providing valuable information

  • @barbarak8158
    @barbarak8158 Před měsícem +8

    Yay! Sunday evening with the Docs! 😘 I like this lady doc.

    • @dawnamay1222
      @dawnamay1222 Před měsícem

      I think she likes the docs. (Giggles lots). Then again, who wouldn't wanna work with these two? ;)

  • @richardbrewis436
    @richardbrewis436 Před měsícem +6

    Thanks again to the Talking With Docs channel. Another informative video from the medical profession! Respect to Dr.s, in all fields for the work you do! Always hungry for more info. about medicine and the medical practice. Long time fan of these vlogs.

  • @johnllewellyn5341
    @johnllewellyn5341 Před měsícem +4

    Thank you, I have just been diagnosed with PAD in the right leg. Waiting for a CT scan
    Wish my Vascular Surgeon was more informative about different out comes and procedures.

  • @davidjennings6937
    @davidjennings6937 Před měsícem +1

    I have PAD, both legs affected. 65% blood flow. I initially went to a 12 week program 3 times a week for a walking program. It worked and and gave me the ability walk with less discomfort. I walk 4k+ steps a day. Not non stop I need to rest occasionally. My doctor doesn't see any need for surgery unless I worsen.

  • @carolcline1177
    @carolcline1177 Před měsícem +1

    I find humor a great component of learning. Thank you, thank you, thank you!

  • @johnbayliss1098
    @johnbayliss1098 Před měsícem +4

    Awesome guys very very very very very good breakdown thank you for being there

  • @charlesclement383
    @charlesclement383 Před měsícem +4

    Thanks for the priceless advice.

  • @JaneMurray-di3gq
    @JaneMurray-di3gq Před měsícem +3

    When you figure that these diseases take time to develop,it makes sense that exercise would not heal this overnight. Bottom line is to take care of yourself before it gets to this stage. As you keep telling us we are in charge of our own life and it’s up to us to take care of ourselves.

  • @lbar9720
    @lbar9720 Před měsícem

    Thank you so much for everything that you both do on this channel to educate your viewers. It is very much appreciated.

  • @kurtschau5768
    @kurtschau5768 Před měsícem +2

    Another great video - thank you!! I've had PAD for twenty years. Had an angioplasty done early on. After that I walked a minimum of an hour a day until the pandemic and felt great. Then I stopped my walks. It didn't take long for the pain to reappear. Now I can't walk to the sidewalk without pain. I have my diabetes, cholesterol and blood pressure under control. I still do my best to get that hour of walking a day in even if it hurts to the point of tears. Not complaining though. Recently had another ankle-brachial test and am awaiting the results.
    While fattening, I'm curious if small intakes of olive oil are recommended.

  • @susansamora
    @susansamora Před měsícem +2

    You guys talked about improving nitric oxide. There is a 4 minute video exercise on CZcams by Zach Bush that, if done, improves nitric oxide.

    • @lbar9720
      @lbar9720 Před měsícem

      Thank you, I'll check that out.

  • @wmbrice
    @wmbrice Před měsícem +1

    Docs, thank you sooo much for doing these vids. Really useful info!

  • @lindathompson3109
    @lindathompson3109 Před měsícem +1

    Another great video hope to see more of your guest. Keep pushing life style!

  • @dawnamay1222
    @dawnamay1222 Před měsícem +4

    Do varicose veins make a person more likely to develop PAD?

  • @riverbender9898
    @riverbender9898 Před měsícem +1

    As usual, your advice is very valuable. Thank you.

  • @carole3995
    @carole3995 Před měsícem +2

    Thank you for this information

  • @Usepen
    @Usepen Před měsícem +1

    Your channel is so great!! 👍 thank you!!

  • @user-ul7ww7og9e
    @user-ul7ww7og9e Před měsícem

    My dad died from it, 10 years ago. When I was a kid, they offered him by-pass surgery but he refused. He was dead within 3 days after throwing a clot in his leg. The Vascular Surgeon ordered Contrast CT and it was discovered he was calcified pretty much up to his kidney area. Minimal blood flow. They offered amputation to the one affected eg, then the other occluded on our way to the OR. At 76, he wouldn't have made it off the OR table, it was that bad. It was one of the hardest decisions I had to make re DNR. Some things we can't control, but many we can. It's never too late to start something for the better.

  • @tygerstripes3752
    @tygerstripes3752 Před měsícem +1

    Oh bloody hell. I'm gonna have to start exercising. Thank you.

  • @DixieJensenBrown
    @DixieJensenBrown Před měsícem

    I was caregiver to an older man who suffered from peripheral arterial disease... with treatment late in game age 76, he live extra 13 years... but sadly lost both legs and with stage 4 congestive heart failure (going into treatment at age 76) it gradually got worse, heart could not pump blood to remaining leg then he died of infection from gangrene as he refused surgery to remove his 2nd leg until bacteria from gangrene had spread to his gut (then gangrene infection which the drugs could not take away slowly took his life, this took approximately 8 months for him to die) and he died at age of 89. This was heart breaking. Treatment early and blood flow monitoring every 6 months is a must to keep limbs as long as possible but also at late stage do not refuse any medical treatment as my friend. He could have lived infection free without his legs. I would rather had my friend here. It is a horrible way to die and it was horrible to see!!

  • @GreggBB
    @GreggBB Před měsícem +1

    Great information! I can't imaging how Dr's must feel when folks become their own worst enemy if they choose to not do the things in the life style arena that can make a big differrence

  • @LisaSmith-xz9jq
    @LisaSmith-xz9jq Před měsícem

    Nervous Laughter….still learned from this! Thank you! Subscribed!

  • @byrutesyvret890
    @byrutesyvret890 Před měsícem +2

    Canyou have periferal neurpathy and arterial at same time?

  • @user-zh6pk6kz7k
    @user-zh6pk6kz7k Před měsícem +1

    Thank you for all of the information you give on each topic you talk about. Do you know anything about Necirobiosis Lipoidica Diabeticorum? I am seeing a Dermatologist for this and she has been treating it with topical medications. This has been going on for about 3 years and I am just wondering if there are any other treatments for it. And, yes, I am a diabetic. Thank you.

  • @RichRich1955
    @RichRich1955 Před měsícem +2

    My friends a1c went pre-diabetic. She did drastic dietary changes so it should drop. When it does I'll say now it's time to quit cigarettes.

  • @dingdang3845
    @dingdang3845 Před 29 dny

    Literally, all you have to do is only eat single source, and organic as much as you can afford. Prep, prep, prep. Food prep is another key.

  • @dawnamay1222
    @dawnamay1222 Před měsícem +1

    Doctors: Difference between PAD and sciatica/? (I get calf pain described, no leg discolouration, dr. said it s sciatica) Your thoughts appreciated.

  • @marylockwood4400
    @marylockwood4400 Před měsícem +1

    What specialist should one go to for PAD?

  • @valerielock2374
    @valerielock2374 Před měsícem +2

    So am I exercising too much ? I do Tai chi zidong some are a little vigorous and I do no impact jumping jacks?

    • @dawnamay1222
      @dawnamay1222 Před měsícem +1

      Try water aerobics. Works for me!

  • @2WILDGEESE
    @2WILDGEESE Před měsícem +1

    Would you please comment on medications like Repatha. (evolocumab)

  • @kathleenwalker1398
    @kathleenwalker1398 Před měsícem

    My husband checked off all these risk boxes, refused to change his diet or move off the couch. He lost a leg a year ago & developed gangrene in his remaining foot. Sadly, he passed away in April.

  • @mlnags2829
    @mlnags2829 Před měsícem

    Sisters husband and brother both got Bergers disease. Both lost digits small then larger- then death-slow debilitating disease.

  • @paulcarlson4230
    @paulcarlson4230 Před měsícem +1

    How about no surgery and what are my chances if have plaque but feel no surgery

    • @fuhkerz
      @fuhkerz Před měsícem

      I feel ya on the no surgery thing. My dad just passed last month due to complications from the surgery meant to restore blood flow to his leg.
      It's rare, but it does happen. I know I wish that we had stuck with the original plan, which was the much less extereme stent placement.
      Anyway, I hope your condition improves and there's some option other than surgery that works for you.

  • @13coyote13
    @13coyote13 Před měsícem

    Where to begin, our family has a history of producing to much cholesterol, I've had double Carotid replacement surgery, lost one foot to cancer but have Edema in my other leg. For treatment I'm on Plavix, Perindopril, and mint Furosemide and wear a compression sock, my short leg has a sleeve for my prosthetic on it most of the time so there is next to no Edema present there. I would love to do more walking but I develop too much pain in my right hip and Glutes area to be able to walk anymore than a block without sitting for a while(may be Peripheral Arterial Disease that you mentioned). I quit smoking about 10 years ago and do pretty much a Keto diet as I am a borderline diabetic, leg issues I put down to smoking more than anything else. I'm waiting for my MRI results to see if I've developed the same cancer in my right foot as the left(Soft tissue FibroSarcoma in the Plantar Faciitis) which is strange as it is supposed to spread to the lungs so may have been dormant who knows. Best advice, stay active, eat healthy and don't smoke, it works, I'm 13 years past my best before date and so are my cousins as 4 out of 5 of my fathers family passed at 52.🙂

    • @jrstf
      @jrstf Před měsícem

      Did your change in diet and smoking happen before or after most of the damage was done? Your best advice sounds good of course, but would it have helped you with your genetics?

    • @13coyote13
      @13coyote13 Před měsícem +1

      @@jrstf Probably for the most part after, but recognizing I was getting older and almost dying in recovery after my first carotid surgery(mainly due to undiagnosed sleep apnea) which had my Anesthesiologist in a panic causing her to give me 5 hits on an inhaler to try and make sure my blood oxygen levels stayed up. I knew it was time for a change, my diet took an even bigger change in the last two years or so cutting out almost all carbs as I was hanging around borderline diabetic, still am but that's better than taking the drugs to reduce sugar levels, also did seem to increase my energy levels, the MRI didn't show anything but this cancer took almost two years to show itself the last time so we're keeping a close eye on things. As they say, "You only die once, but you live everyday".

  • @melissabrown6254
    @melissabrown6254 Před měsícem

    Great information but kind of scary. 😱 I have high blood pressure but take meds so hopefully that will prevent thiis from occuring.

  • @jimjones9100
    @jimjones9100 Před měsícem

    i have an "ache" on the side of calf (both) @night - i play hockey 5 days a week , walk 1/2 hr after games due to low blood pressure levels after the games - take high blood pressure & chlorestoral pills following stent insert 2020 - there has never been pain so severe that i had to quit exercise , also hydrate well - why the aches, my GP wants to add more pills but she cant tell me her thoughts on the aches, again not pain. no more pills until i get annswers - another great informative video well done Doctors!

  • @geofdaley8176
    @geofdaley8176 Před měsícem

    I recently had a CT scan with contrast because I had a cough for longer than three weeks and because I had been diagnosed with pleural plaques through working with asbestos years ago, the ct report came back that the plaques had calcified and I have SEVERE calcification of the Aorta artery and medium calcification of the Abdominal artery.I read the report online on my NHS page.. but I have had no instruction from the doctor that oredered the CT. Is that normal procedure.

  • @h-man2561
    @h-man2561 Před měsícem

    Talking about gang green & having coffee at the same time doesn't work well. 😊 How about a video on drop foot after being put in a coma from pneumonia & being diabetic. Will exercise help rebuild muscle & nerves while having a brace? I'm trying to help motivate a friend. Thanks! ❤

  • @jrstf
    @jrstf Před měsícem

    Is high blood pressure a risk for PAD, as said in the video, or is PAD a risk for high blood pressure? I should think that narrowing arteries would be the cause of high blood pressure, in which case the stated situation would be wrong.

  • @kevingallen1678
    @kevingallen1678 Před měsícem

    I wish you let Dr Chan speak!

  • @dottiecunningham2152
    @dottiecunningham2152 Před měsícem

    I have veinous insufficiency and RLS. My legs were dancing through this whole video. Very unpleasant. I take Ropinirole 1mg QID which usually helps. Aquacise helps. Will get more serious about the compression stockings. Thanks.

  • @RichRich1955
    @RichRich1955 Před měsícem +1

    My parents passed in the 1990s so I no longer have a family history?

    • @JaneMurray-di3gq
      @JaneMurray-di3gq Před měsícem

      Your family history means what is passed on through their genes to you.

  • @TorgerVedeler
    @TorgerVedeler Před měsícem

    Does this relate to the tight socks that were suggested in a previous video? Thanks!

  • @monicaearle7900
    @monicaearle7900 Před měsícem

    I was able to avoid a statin by switching to only Olive oil or canola oil. I eat oatmeal almost every day for breakfast. I generally don't do processed foods. Ie, instead of microwave popcorn, I pop popcorn kernals on the stove in canola oil. I like to top with finally shredded cheese

    • @barbarak8158
      @barbarak8158 Před měsícem

      Oh honey ... canola oil is bad! Use avocado oil instead!

    • @monicaearle7900
      @monicaearle7900 Před měsícem

      @@barbarak8158 I know Canola is GMO. I use it minimally

  • @jessiegarcia626
    @jessiegarcia626 Před 10 dny

    How about a stationery bike? I have charcot foot.

  • @Lilybet1316
    @Lilybet1316 Před měsícem +3

    Wow, she was not that helpful with tips for treatment without laughing. They all downplay how truly debilitating this illness can be in the lives of real people.

    • @beverlymarlin6837
      @beverlymarlin6837 Před měsícem +1

      I thought the same thing.

    • @clsmiles
      @clsmiles Před měsícem +1

      I think my family member who suffered leg ulcers and foot infections would not take this video well. She seemed to be making fun of her patients to me.

    • @rodmarlin4976
      @rodmarlin4976 Před měsícem

      @@clsmiles I felt she was not taking the disease serious enough and was insensitive to people who suffer from it. It's not a laughing matter.

    • @jrstf
      @jrstf Před měsícem +1

      I took it as she simply isn't comfortable making a video, the other two were facilitating the conversation.

  • @NikithaBeereddy
    @NikithaBeereddy Před měsícem

    Sir i have palpitations problem i want to show my ecg and holter report to uh sir age 21

  • @lamarcarter6699
    @lamarcarter6699 Před měsícem +3

    That’s bullshit ever since my toe surgery when they did the nerve block I’ve had trouble!

  • @joycemckeown789
    @joycemckeown789 Před měsícem +1

    Went to my doctor with burning feet ,hanging my feet out of the bed at night to cool them down. He said he didn't know what the problem was prescribed Gabapentin, I didn't pick that up. Don't trust that medication. What the heck do I do .

    • @fuhkerz
      @fuhkerz Před měsícem +1

      Was that just your family doctor/general practitioner?
      I guess it's possible that they didn't suspect PAD for whatever reason.
      You should definitely either seek out a vein & vascular specialist or at least ask your doctor if they think that's worthwhile.

    • @joycemckeown789
      @joycemckeown789 Před měsícem +1

      @fuhkerz yes I definitely will take it further. Maybe to a doctor who is more sympathetic, often doctors dismiss people over 65 ,here where I live.

    • @clsmiles
      @clsmiles Před měsícem

      I have this issue as well, burning feet. The doctor told me it's likely a pinched nerve in my lower back due to some degenerative disk issues and not neuropathy. However, I'm not sure if I buy that. (Did she refer me for PAD tests? No.) It's been going on for five years now. In my case (50+ female) it started in perimenopause and I wonder if it's hormonal.

    • @Crazycatsx
      @Crazycatsx Před měsícem

      Start a proper human diet. Stop all processed foods, seed oils and sugar. Lower your hormone insulin by eating real food not the manufactured crap a lot of people think is real food like cereals, juices,bread etc and get out walking and breathe some fresh air

  • @thomasanzalone1358
    @thomasanzalone1358 Před měsícem

    You are absolutely dead on and everything you said my wife lost her leg strictly from smoking after 8 operations to save it. The vascular surgeon here is dead on right and knows her medicine

  • @trilby5546
    @trilby5546 Před měsícem

    Will cayenne pepper help?⭐️👍

  • @Richard_Hudzik
    @Richard_Hudzik Před měsícem

    Why is the sound so bad? So low?

  • @ozzielinkin
    @ozzielinkin Před měsícem +2

    This lady doctor is such a trip . The way she keeps laughing is something .

  • @jaytetzlaff
    @jaytetzlaff Před měsícem

    They said you may need to take a statin and also said that diabetes can be a contributing factor,but I have heard that some statins can push you toward becoming diabetic.Is this not true?

    • @wayneessar7489
      @wayneessar7489 Před měsícem

      The instruction sheet for the Statins I use mention a side effect of elevating blood sugar because a statin works in the liver.
      It says it is not a given but important to monitor over time.

  • @fuhkerz
    @fuhkerz Před měsícem +1

    Now I'm curious, what's the deal with viewers of this channel and cholesterol/statins or whatever?
    They way he mentioned that made me want to break out some popcorn and head here to the comments.

  • @GregariousAntithesis
    @GregariousAntithesis Před měsícem +1

    Doctors should change their titles back to barbers. Cholesterol doesnt cause the damage does cholesterol cause tooth decay and gum disease Theodoric? Cholesterol is the repair mechanism sugar/starch loving bacteria get our of balance and attack the arteries just like with diabetics. Metabolic dysfunction from to much high glycemic and high fat together promote most disease. Do you see wild animals dying from CVD? No because they dont eat hybridized fruit, root vegetables and grain that are high glycemic low in fiber exactly opposite from what nature designed. Then add into it animal foods they just compound the problem. Isolated animal products do not promote disease its is a archaic junk hypothesis.

  • @Buzzinho-pn6rf
    @Buzzinho-pn6rf Před měsícem +1

    Why is this doctor laughing so much? This disease is no laughing matter!

  • @clsmiles
    @clsmiles Před měsícem

    I like your channel and watch most of your videos. I was glad to see this topic, because a family member recently had a bypass in his leg artery and I planned to send it to his spouse because you explain things so well. However, I found the guest doctor to be making fun of her patients who had advanced PAD. I like the levity you include, but the laughing when saying a patient has "worst case" and gangrene is insensitive. My family member had foot infections and had a toe removed. I don't know if he had gangrene, but I can't send his family this video, it's a bit mean spirited.

  • @MNP208
    @MNP208 Před měsícem +1

    I love how they show athletic, young runners grabbing their legs. These are not claudication legs. 😂😂😂

  • @allenbarrow4904
    @allenbarrow4904 Před měsícem

    It sad these doctors do recommend if the arteries are clear and patient don't have circulation in the feet or body parts. A recommendation of using Leeches is needed not drugs or pharmaceuticals.

    • @80sidd
      @80sidd Před měsícem

      Yes middle ages technology still holds good

  • @user-rob34
    @user-rob34 Před měsícem

    Are system in the UK is broken..nurses posing as nurses yes you heard rite!! Was in for an injury and my daughter came to visit. She said that nurse is not a nurse..she worked in her work as a cleaner.

  • @biker1958
    @biker1958 Před měsícem

    You guys answer more questions than her. You have to drag everything out of her.

  • @REDZ28won
    @REDZ28won Před měsícem +4

    Did you guys recommend the Covid vaccine?

  • @Sometimes-even-lyrical
    @Sometimes-even-lyrical Před měsícem +4

    Meat and exercise.

  • @constance4485
    @constance4485 Před měsícem

    Thank you doctors for this content and also for your willing spirit to help people to stay healthy....thank you very much. Did you know that the Bible tells us that one day people will no longer need your services? Yes, the Bible gives us that hope at Isaiah 33:24...
    And no resident will say: “I am sick.” The people dwelling in the land will be pardoned for their error.
    Our error which the scripture brings out is our sin...we get sick, grow old and we die. But God has promised and made a provision for obedient mankind to be released from sin which will do away with sickness, old age and death. That provision is the ransom sacrafice of His son Christ Jesus. John 3:16, John 17:3
    I know you both love your jobs and again we are thankful to you both but ask yourselves if you would prefer to keep your professions or would you like to see people healthy and happy all the time? The time is coming when the latter will be a reality.
    If you would like to know more about the prophecy found at Isaiah 33:24, please let me know or you can speak with one of Jehovah's Witnesses in your local area.

  • @ozzielinkin
    @ozzielinkin Před měsícem +1

    she ‘s funny

  • @gerardoruiz72
    @gerardoruiz72 Před měsícem

    cholesterol? still? really? unsubscribe.