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.
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.
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.
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.
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.
About three years ago my legs were so uncomfortable that I couldn’t stay still. I should have taken care of it but neglected and tried supplements instead which helped. I told my doctor she sent me to the cardiologist and after testing decided I needed stents in my femoral vein. Had it done three days ago. It probably saved my life.
Great information. Thank you so much. Off to walk my dog and then do a Pilates routine and then knee exercises for my arthritis. Geesh! Who knew getting old was so much work!
Thank you for explaining the symptoms, risks, and treatments of peripheral arterial disease so clearly! 🫀 It’s crucial to know what to look out for and how to take action early. 💡 This kind of knowledge can help save lives and improve quality of life. 🌟 Keep sharing these valuable insights-your content is truly empowering! 🙌😊
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.
You two are so informative but light hearted with it. Just one thing….”stop interrupting Dr Chan so she can explain”. Otherwise absolutely brilliant, thank you.
Over the last couple of months I'd noticed that all the hair from my legs had disappeared. I also noticed that my lower legs got darkly tanned this past summer and after the tan faded I had all these freckles on my lower legs. Eleven years ago when I broke my ankle and had surgery and plates installed, it took months for the tiny wound to completely close. Because I have diabetes on both side of my family, the doctors sent me for an ankle brachial test, which was fortunately fine. Just had my annual physical on Tuesday and now I'm headed for another ankle brachial test tomorrow Friday. So glad I quit smoking around the time I broke my ankle. I work really hard at eating healthily and exercising regularly, the later being difficult as I have terrible foot problems related to childhood injuries and a life spent mountain climbing and hiking. Cut out the sugar, cut out the beef/pork and cheese/ice cream, eat lots of fruits and veggies, and exercise at least four or five days a week. I'm in my late seventies and though my hiking days are over, I still love biking up and down the hills in the mountains where I live or getting on the exercise bike during the winter. Keep moving!
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.
@@AmeC-vy2bt I have avoided processed sugar for over a decade and natural sugars and processed foods I've kept at a minimum. My carb intake is very low. My A1c is normally around 6.1, which is fine by me. When my A1c goes below that I get very weak and faint. I'm guilty of the odd cheat, but those are the exception and not the norm. I appreciate your comment.
Congratulations on the walking, especially as it hurts. I wish I did as much as you. I (mostly) control my tendency to pre-diabetes by eating low carb, high fat. If you eat low enough carb you may be able to eat as much fat as you like. Eating this way might even help reduce your symptoms. I sometimes eat butter straight out of the packet. I fry in best olive oil. I also take O3 capsules, as I'm not so very keen on fish. Because I have a friend with PAD I researched it somewhat. I saw the recommendation to walk until it hurts, then rest until it doesn't, then continue until it hurts again etc. I don't know if this will make any sense to you. Perhaps walking hurts you from the first step? Good luck.
@@alexandrawhite7614 The walking advice you suggest is bang on. Exactly what I do, and it was what my vascular surgeon suggested. Stairs and walking on inclines means instant stabbing pains in the back of my legs - that's my biggest problem. I'm currently waiting on a date for an angiogram. Fingers crossed. I hope and pray you get a handle on your pre-diabetes. It sounds like you're trying, which is awesome. I know what you mean about fish, but I force myself to eat a lot of salmon. Best of luck to you.
@@kurtschau5768 Kurt, do let us know when you have a date for your angiogram, and the results when you get them. That is, if you don't mind sharing. The last two days I have been thinking of you to spur myself out to do my little bit of exercise. I think, "If Kurt can do it even though it hurts (a lot) then I can do it even though I feel tired." Are you from a German family? My stereotype is that Germans are very good at following rules, which is obviously standing you in good stead. Us Brits, not so much!
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!
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
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.
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.
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.
What's so sad is that I had these symptoms but instead exploring diagnostics they tried to through statins at me. I instinctively knew to use excersize, luckily 6 months later I felt the clot pop and I think it moved if not dissolved. Leg pain decreased about 80%
I just this done Friday I wasn’t put to sleep, and I felt pain. I hope I never have to go through this again, they put 5 stents and the hole procedure was painful!
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! ❤
Interesting, I got a patient with no arteries in its feet. Non (smoker, diabetes and cholesterol) With contrast CT it’s shows PT is missing arteries from their feet. PT complains: his/her feet hurts at night and when they exercise their calf hurts. Would you consider this as PAD?
Ive got pad unfortunately below knee amputation is the only remedy gangrene set in quickly on 2 toes so the bk amputation will save my life,im convinced smoking caused this
I was told the vein in my leg was destroyed and there was nothing they could do, I was supposed to have my left toe amputated, was put on Plavix. Toe healed up nobody has told me if it was because of the Plavix and if so am I supposed to take it forever!! Have been a runner for 48 years so I get plenty of exercise too
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.
Go all out on the exercise and if you are eating the SAD diet, STOP! Preferably start eating low card/keto. Watch UA-cam videos from Dr Eric Westman, Amy Berger, Dennis Pollock. Good luck! PS from what I have read, surgery should be the very last resort.
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.🙂
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?
@@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".
It was interesting when Dr Chan said to walk even if it hurts and if they don't want to walk you make them. Who in their right mind wants the problem of blocked arteries when you can walk it better. Awe sum vid.
I have an elderly friend with PAD. He refuses to exercise every day. I think he is in denial. He is an ex-smoker (only gave up in old age after a lifetime of cigarettes). He refuses to take any responsibility for his ailments. To him it is all just bad luck. That's the kind of mind-set which means the person would rather have their leg(s) cut off than stop being a helpless victim and take action.
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.
I have this problem. It has been diagnosed as lympoedema. No-one knows why sometimes lymph glands falter and fail. Compression stockings, very light massage in the direction of the heart (lymph glands are just under the skin) walking and ankle-pumping exercises all help, but don't cure. Good luck!
Plz help. I was just diagnosed with pad. I am insulin dependant since 1 year old. My A1C is 6.3s. I hurt my legs now I have a sore on both feet. I do have blockage in each artery. My bp is undercontrol I HAVE NEVER SMOKED I am 60 years old (I am so scared of losing my leg. I have no pain but my hip which was replaced. I AM SCARED. plz tell me signs of needing amputation as it is a nightmare for me. I just need to know what are signs of needing amputation. My initial injury has healed on both legs except the sores are still present
In a few days they're doing a Femoral Popliteal Bypass Graft on my left leg, like and old car going in for new belts and hoses, I just need a new hose.
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.
Excellent decision about the compression stockings. I have been wearing them for many years from getting up to going to bed. Once you find the right fit and the right strength of compression, they feel great and they really do make a difference. I know I ought to do aquacise, or at least swim, but I find the undressing and dressing a hassle and time-waster. Maybe I'll re-consider. Being in water must work rather like the stockings, but with exercise thrown in. BTW did you know you can get knee high stockings, or hip high, open toe or closed, white or black? Good luck!
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.
I imagine you are very sad and very angry at the same time. I have a friend who is insisting on acting like your husband so I know how frustrating it is to be helpless to stop someone self-harming. I do hope you are beginning to recover and live for YOU. Good luck!
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!!
I have diabetes and osteoporosis and high cholesterol I have a 50 percent blockage in lower limbs both legs and feet swell and can't feel them I have been dealing with this for five years of lower limbs pin and needles and pain no matter what
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.
what is my options, I had a triple by p0ass 2008, my legs hurt all the time, cannot walk with out a cane, they have put stints in my right leg they continue to plug up. No one here in tx can give a straight answer twice in a row.
The cane needn't hold you back. I walk with two long trekking poles. They are great for balance and to use my upper body to help my legs along. I don't know what you are eating, but improving your diet could help the stents to stay clear (assuming your diet is not perfect already!) Counter-intuitively, I don't recommend low fat, but low carb. You might find inspiration in UA-cam videos from Dr Eric Westman. Good luck!
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
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
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?
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.
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.
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 .
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.
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.
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
This is very serious. I don’t find it comical so I don’t understand why it’s so much laughter when we’re suffering over here. I don’t understand medical professionals. It’s not funny.
Hi Barbara. It is obviously serious but over the 8 years our viewers have come to appreciate the lighter side while getting useful information from our specialist guests. Maybe our channel just isn’t right for you. All the best
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.
@talkingwithdocs You 3 do not gel well together which makes this video difficult to follow along with. The doctor on the right òf the screen talks to fast and jumps in too quickly whilst the female doctor’s giggling is off putting and the doctor on the left speaks a bit too low. I almost felt like the 3 speakers needed to be closer to the microphone.
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.
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.
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.
I had routine checkup which included a procedure called a life scan, a machine with computer electrodes and blood pressure cuffs. I was just told the that I have PAD in my legs. Left ABI .89 Right ABI .81. I am mid fifties, I dont have high blood pressure, I dont smoke, MY A1c is normal/ no diabetes. I am average build I exercise regulary, I can run a couple miles. Now Followingup with PAD clinic.
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.
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.
I'm so sorry to hear of the loss of your father. Thank you for sharing this. It's genuinely helpful.
Sorry to hear that about your dad. May he rest in peace.
Thanks for sharing your loss, it is now into the universe…. Healing has begun.
That hurts so bad 😢
Sorry
Not that it helps but it seems some times it's just time.
It just hurts.
Thanks for sharing. It's good information for anyone contemplating that surgery.
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.
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.
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.
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.
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.
About three years ago my legs were so uncomfortable that I couldn’t stay still. I should have taken care of it but neglected and tried supplements instead which helped. I told my doctor she sent me to the cardiologist and after testing decided I needed stents in my femoral vein. Had it done three days ago. It probably saved my life.
Great information. Thank you so much. Off to walk my dog and then do a Pilates routine and then knee exercises for my arthritis. Geesh! Who knew getting old was so much work!
Thank You so much Doctors for providing valuable information
Thank you for explaining the symptoms, risks, and treatments of peripheral arterial disease so clearly! 🫀 It’s crucial to know what to look out for and how to take action early. 💡 This kind of knowledge can help save lives and improve quality of life. 🌟 Keep sharing these valuable insights-your content is truly empowering! 🙌😊
I find humor a great component of learning. Thank you, thank you, thank you!
Yay! Sunday evening with the Docs! 😘 I like this lady doc.
I think she likes the docs. (Giggles lots). Then again, who wouldn't wanna work with these two? ;)
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.
You two are so informative but light hearted with it. Just one thing….”stop interrupting Dr Chan so she can explain”. Otherwise absolutely brilliant, thank you.
Ha thanks Suzanne. We are excitable 😀
The way Dr. Chan looks at you two is hilarious. I just want to know what's going through her head.🤣🤣
Not good things😅
@@nopeno6514lol
Awesome guys very very very very very good breakdown thank you for being there
Thanks for the priceless advice.
Another great video hope to see more of your guest. Keep pushing life style!
As usual, your advice is very valuable. Thank you.
Please place guest microphone higher, closer to throat or mouth. For volume and clarity.
Over the last couple of months I'd noticed that all the hair from my legs had disappeared. I also noticed that my lower legs got darkly tanned this past summer and after the tan faded I had all these freckles on my lower legs. Eleven years ago when I broke my ankle and had surgery and plates installed, it took months for the tiny wound to completely close. Because I have diabetes on both side of my family, the doctors sent me for an ankle brachial test, which was fortunately fine. Just had my annual physical on Tuesday and now I'm headed for another ankle brachial test tomorrow Friday. So glad I quit smoking around the time I broke my ankle. I work really hard at eating healthily and exercising regularly, the later being difficult as I have terrible foot problems related to childhood injuries and a life spent mountain climbing and hiking. Cut out the sugar, cut out the beef/pork and cheese/ice cream, eat lots of fruits and veggies, and exercise at least four or five days a week. I'm in my late seventies and though my hiking days are over, I still love biking up and down the hills in the mountains where I live or getting on the exercise bike during the winter. Keep moving!
Docs, thank you sooo much for doing these vids. Really useful info!
Oh bloody hell. I'm gonna have to start exercising. Thank you.
Are you a Brit? No-one else says 'Bloody Hell', do they? 😊
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.
Have you looked into Keto diet or just cutting way back in carbs and quit sugar if possible?
@@AmeC-vy2bt I have avoided processed sugar for over a decade and natural sugars and processed foods I've kept at a minimum. My carb intake is very low. My A1c is normally around 6.1, which is fine by me. When my A1c goes below that I get very weak and faint. I'm guilty of the odd cheat, but those are the exception and not the norm. I appreciate your comment.
Congratulations on the walking, especially as it hurts. I wish I did as much as you. I (mostly) control my tendency to pre-diabetes by eating low carb, high fat. If you eat low enough carb you may be able to eat as much fat as you like. Eating this way might even help reduce your symptoms. I sometimes eat butter straight out of the packet. I fry in best olive oil. I also take O3 capsules, as I'm not so very keen on fish.
Because I have a friend with PAD I researched it somewhat. I saw the recommendation to walk until it hurts, then rest until it doesn't, then continue until it hurts again etc. I don't know if this will make any sense to you. Perhaps walking hurts you from the first step? Good luck.
@@alexandrawhite7614 The walking advice you suggest is bang on. Exactly what I do, and it was what my vascular surgeon suggested. Stairs and walking on inclines means instant stabbing pains in the back of my legs - that's my biggest problem. I'm currently waiting on a date for an angiogram. Fingers crossed. I hope and pray you get a handle on your pre-diabetes. It sounds like you're trying, which is awesome. I know what you mean about fish, but I force myself to eat a lot of salmon. Best of luck to you.
@@kurtschau5768 Kurt, do let us know when you have a date for your angiogram, and the results when you get them. That is, if you don't mind sharing. The last two days I have been thinking of you to spur myself out to do my little bit of exercise. I think, "If Kurt can do it even though it hurts (a lot) then I can do it even though I feel tired."
Are you from a German family? My stereotype is that Germans are very good at following rules, which is obviously standing you in good stead. Us Brits, not so much!
Your channel is so great!! 👍 thank you!!
Nervous Laughter….still learned from this! Thank you! Subscribed!
You guys talked about improving nitric oxide. There is a 4 minute video exercise on UA-cam by Zach Bush that, if done, improves nitric oxide.
Thank you for this information
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!
I've learned so much from you guys and I just love Dr. Chan. She's so full of life and always cheerful.
All I heard of her is yeah yeah yeah, awesome indeed
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
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.
Love your educational videos.
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.
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.
What's so sad is that I had these symptoms but instead exploring diagnostics they tried to through statins at me. I instinctively knew to use excersize, luckily 6 months later I felt the clot pop and I think it moved if not dissolved. Leg pain decreased about 80%
I just this done Friday I wasn’t put to sleep, and I felt pain. I hope I never have to go through this again, they put 5 stents and the hole procedure was painful!
Good information.
Great information but kind of scary. 😱 I have high blood pressure but take meds so hopefully that will prevent thiis from occuring.
I wish you let Dr Chan speak!
Canyou have periferal neurpathy and arterial at same time?
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! ❤
Interesting, I got a patient with no arteries in its feet.
Non (smoker, diabetes and cholesterol)
With contrast CT it’s shows PT is missing arteries from their feet.
PT complains: his/her feet hurts at night and when they exercise their calf hurts.
Would you consider this as PAD?
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.
Can you wear compression stocks with this disease
Yes
Do varicose veins make a person more likely to develop PAD?
Ive got pad unfortunately below knee amputation is the only remedy gangrene set in quickly on 2 toes so the bk amputation will save my life,im convinced smoking caused this
Yes smoking is a big part of the problem for sure
I was told the vein in my leg was destroyed and there was nothing they could do, I was supposed to have my left toe amputated, was put on Plavix. Toe healed up nobody has told me if it was because of the Plavix and if so am I supposed to take it forever!! Have been a runner for 48 years so I get plenty of exercise too
So am I exercising too much ? I do Tai chi zidong some are a little vigorous and I do no impact jumping jacks?
Try water aerobics. Works for me!
How about no surgery and what are my chances if have plaque but feel no surgery
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.
Go all out on the exercise and if you are eating the SAD diet, STOP! Preferably start eating low card/keto. Watch UA-cam videos from Dr Eric Westman, Amy Berger, Dennis Pollock.
Good luck!
PS from what I have read, surgery should be the very last resort.
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.🙂
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?
@@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".
It was interesting when Dr Chan said to walk even if it hurts and if they don't want to walk you make them. Who in their right mind wants the problem of blocked arteries when you can walk it better. Awe sum vid.
I have an elderly friend with PAD. He refuses to exercise every day. I think he is in denial. He is an ex-smoker (only gave up in old age after a lifetime of cigarettes). He refuses to take any responsibility for his ailments. To him it is all just bad luck. That's the kind of mind-set which means the person would rather have their leg(s) cut off than stop being a helpless victim and take action.
Does this relate to the tight socks that were suggested in a previous video? Thanks!
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.
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.
Sisters husband and brother both got Bergers disease. Both lost digits small then larger- then death-slow debilitating disease.
What specialist should one go to for PAD?
Vascular.
What would cause slight swelling in one ankle and foot, but not the other? Is this a vascular problem or heart issue?
I have this problem. It has been diagnosed as lympoedema. No-one knows why sometimes lymph glands falter and fail. Compression stockings, very light massage in the direction of the heart (lymph glands are just under the skin) walking and ankle-pumping exercises all help, but don't cure.
Good luck!
Plz help. I was just diagnosed with pad. I am insulin dependant since 1 year old. My A1C is 6.3s. I hurt my legs now I have a sore on both feet. I do have blockage in each artery. My bp is undercontrol I HAVE NEVER SMOKED I am 60 years old (I am so scared of losing my leg. I have no pain but my hip which was replaced.
I AM SCARED. plz tell me signs of needing amputation as it is a nightmare for me. I just need to know what are signs of needing amputation. My initial injury has healed on both legs except the sores are still present
Is it possible to have this in your late 20s. Especially if u have diabetes and high cholesterol
In a few days they're doing a Femoral Popliteal Bypass Graft on my left leg, like and old car going in for new belts and hoses, I just need a new hose.
Doctors: Difference between PAD and sciatica/? (I get calf pain described, no leg discolouration, dr. said it s sciatica) Your thoughts appreciated.
Will cayenne pepper help?⭐️👍
I use it daily, but just restarted about 1 week ago
my husband has it but no one has said things he can do do
Compression stockings are a good start
Do u wear the compression socks all night to bed when u sleep or just morning to bedtime or specifichours?@TalkingWithDocs
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.
Excellent decision about the compression stockings. I have been wearing them for many years from getting up to going to bed. Once you find the right fit and the right strength of compression, they feel great and they really do make a difference. I know I ought to do aquacise, or at least swim, but I find the undressing and dressing a hassle and time-waster. Maybe I'll re-consider. Being in water must work rather like the stockings, but with exercise thrown in. BTW did you know you can get knee high stockings, or hip high, open toe or closed, white or black?
Good luck!
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.
Sorry😢
I imagine you are very sad and very angry at the same time. I have a friend who is insisting on acting like your husband so I know how frustrating it is to be helpless to stop someone self-harming. I do hope you are beginning to recover and live for YOU.
Good luck!
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!!
So sad! I do sympathise with your sadness and frustration.
at 14:49, please tell me what all that wrapped up stuff on the person's head is about?😬
I have diabetes and osteoporosis and high cholesterol I have a 50 percent blockage in lower limbs both legs and feet swell and can't feel them I have been dealing with this for five years of lower limbs pin and needles and pain no matter what
What about Lumbrokinase?
Not sure about that
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.
Why is this doctor laughing so much? This disease is no laughing matter!
what is my options, I had a triple by p0ass 2008, my legs hurt all the time, cannot walk with out a cane, they have put stints in my right leg they continue to plug up. No one here in tx can give a straight answer twice in a row.
The cane needn't hold you back. I walk with two long trekking poles. They are great for balance and to use my upper body to help my legs along. I don't know what you are eating, but improving your diet could help the stents to stay clear (assuming your diet is not perfect already!) Counter-intuitively, I don't recommend low fat, but low carb. You might find inspiration in UA-cam videos from Dr Eric Westman.
Good luck!
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
I love how they show athletic, young runners grabbing their legs. These are not claudication legs. 😂😂😂
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
Oh honey ... canola oil is bad! Use avocado oil instead!
@@barbarak8158 I know Canola is GMO. I use it minimally
My parents passed in the 1990s so I no longer have a family history?
Your family history means what is passed on through their genes to you.
Sir i have palpitations problem i want to show my ecg and holter report to uh sir age 21
Would you please comment on medications like Repatha. (evolocumab)
Yes, whenever you’re exercising, you should breathe through your nose cause that puts the oxygen in your blood and it opens your blood vessels
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?
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.
Is Osteoarthritis a cause?
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.
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 .
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.
@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.
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.
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
How about a stationery bike? I have charcot foot.
This is very serious. I don’t find it comical so I don’t understand why it’s so much laughter when we’re suffering over here. I don’t understand medical professionals. It’s not funny.
Hi Barbara. It is obviously serious but over the 8 years our viewers have come to appreciate the lighter side while getting useful information from our specialist guests. Maybe our channel just isn’t right for you. All the best
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.
@talkingwithdocs
You 3 do not gel well together which makes this video difficult to follow along with. The doctor on the right òf the screen talks to fast and jumps in too quickly whilst the female doctor’s giggling is off putting and the doctor on the left speaks a bit too low.
I almost felt like the 3 speakers needed to be closer to the microphone.
Why is the sound so bad? So low?
This lady doctor is such a trip . The way she keeps laughing is something .
flirting, lol
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.
Yes middle ages technology still holds good
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.
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.
That’s bullshit ever since my toe surgery when they did the nerve block I’ve had trouble!
I had routine checkup which included a procedure called a life scan, a machine with computer electrodes and blood pressure cuffs. I was just told the that I have PAD in my legs. Left ABI .89 Right ABI .81. I am mid fifties, I dont have high blood pressure, I dont smoke, MY A1c is normal/ no diabetes. I am average build I exercise regulary, I can run a couple miles. Now Followingup with PAD clinic.
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.
Please do not joke!! Just go to the point!!
Sorry our viewers like the jokes. Maybe there is a different channel more suited to your needs. Sorry!
Meat and exercise.
Did you guys recommend the Covid vaccine?
forget about it!
😅
@@gosman949 Cant!
Go away.
This is not a channel for that. Find the ones that are.
she ‘s funny