14 күн бұрын
14 күн бұрын
Пікірлер
@SuperKeybored 3 күн бұрын
👌
@MarciaBurrCares 3 күн бұрын
I love that Dr. Madassery says, "Keep walking!"
@MikeStabler 4 күн бұрын
Cilostazol? www.ncbi.nlm.nih.gov/books/NBK544363/ "Patients with intermittent claudication develop pain when walking due to a lack of oxygen-containing blood reaching the operating leg muscles. Cilostazol decreases the pain of intermittent claudication by dilating these arteries, which improves blood flow and oxygen to the legs. Cilostazol is an effective therapy for improving walking distances in patients with intermittent claudication, and the artery disease guidelines of the American College of Cardiology/American Heart Association reference a therapeutic trial of cilostazol."
@marieloparco8376 6 күн бұрын
Thank you for clearly describing this huge problem! Beautifully stated.
@TheWayToMyHeart 5 күн бұрын
So happy it's impactful. We need to continue to get the word out about PAD and it's causes so we can improve the quality of life for all.
@stephenandrewsrealestatevi7138 12 күн бұрын
What about running?
@TheWayToMyHeart 11 күн бұрын
We have had runners still end up with PAD. I.m wondering if they pushed through cramping, if things might be different. Studies available are for walking thus far. Pushing through the cramping. A great blog to follow is inspirationalselfhelpbooks.com with PAD Ironman triathlete Kevin Morgan.
@ericthoman4069 14 күн бұрын
Not been a walker my whole life. Even when I was very young, 5 or 6 yrs old, walking caused my feet to hurt. And, I had lot's of "growing pains" in my legs at night -- so the doctors told me. Most of my life has been very sedentary. Now, I'm 63 years old with PAD and Claudication. My docs didn't really emphasize what a big deal this is. I didn't know I could lose my legs to gangrene. I kinda thought they'd just give me a stent or two with a coupon for a carton of Camels and send me out the door -- wait, wrong century. Strike that coupon remark. So, after trying Pletal,(Cilostazol) it looks like walking will be the best treatment. And, what about dietary changes. How important might diet be in repairing/growing new collateral vessels? Mediterranean diet ok with pasta and flour from Italy?
@TheWayToMyHeart 12 күн бұрын
Wow you have been through a lot! We actually have a free text based walking program to track the improvements in your claudication time if you'd like to sign-up. You can send your doctor your progress. The good news is pletal, when it works, REALLY works. If it doesn't work, side effects aren't fun. Easier to push through some of them if it's working to improve walking. As for diet, we have a book you are welcome to read that is a great resources! We also have a couple of great playlists on our youtube channel to check out. Each week we have doctors and clinicians who answer questions about treatment, diet, walking, and supplements if you ever want to join and ask questions. Email [email protected] - here is the book: simplebooklet.com/foodforthoughtpaddysplate
@stephenandrewsrealestatevi7138 18 күн бұрын
Question was not answered.. It was asked at least three times... Oy!
@user-td5ri1qi4m 18 күн бұрын
I think the answer to the question is really just that sometimes collaterals work really well & sometimes they don't, and nobody knows why.
@darleneschneck 18 күн бұрын
Same here. I’m blocked again in both thighs. Have built up good collaterals, but still-walking in the morning is vastly better than in the evening. And mornings can vary too. The treadmill is always easier than a road. A walking track is somewhere in between.
@user-td5ri1qi4m 17 күн бұрын
For me it's kind of random, except there's a slightly better than even chance that evening will be better than morning on any given day. But shld also say that over time & as my collaterals & strength have improved, good has become a lot more frequent than bad.
@thomasmillion3375 18 күн бұрын
How do ask a question?
@TheWayToMyHeart 17 күн бұрын
email [email protected] to get the in studio invite. You can also ask in the comment section during the live sessions.
@Rob46327 19 күн бұрын
Wish I had a proactive P.v.d. doctor like him,,..every doctor I've seen, seems scared and just keeps switching p.a.'s and i'm having to continually repeat my story of what happened and all my symptoms over and over and over,,and they just keep saying see you in 6 months, unless you have issues then go too the nearest E.R. because there proactive about nothing..ugh but sure it's because I already had a full graph bypass from the heart to each leg and everything in-between
@Dhspat 22 күн бұрын
Awesome video. Thanks. ☘️☘️☘️
@xLaurenMary 22 күн бұрын
Thanks so much!! Great wound app
@susanwilson4373 26 күн бұрын
My legs & feet hurt daily. Who can I ask to do a ct scan or doppler test on my legs?
@TheWayToMyHeart 26 күн бұрын
Call the global pad associations leg saver hotline tomorrow at 415-320-7138 or go to padhelp.org and go to our help page and we can help. You can also go to padtest.org
@marieloparco8376 26 күн бұрын
Thanks so much Kym and Dr. Herman! Wish I had caught this live. Would have liked to ask if Dr. Herman knows anything about the use of EECP Enhanced External Counterpulsation for PAD and why there isn't more interest in its use for patients wishing to build collaterals? It seems like it would be a useful and non invasive way of providing blood flow especially in the earlier stages of PAD.
@peggyletkeman 26 күн бұрын
Great ideas! I was watching another you tube blogger (walking with weights) they were talking about a weighted vest - quite interesting - Thanks for posting oh and no excuses now 😉
@desertbluesplaylist7550 26 күн бұрын
If you don't have the plates for your feet use two ziploc plastic bags...works quite well too
@vickisullivan847 7 күн бұрын
Good idea, but ziploc plastic bags are far more expensive than dollar store plastic plates. When you're on a fixed income, every dollar counts.
@lorrieknapp6656 27 күн бұрын
Thanks for the information!
@TheWayToMyHeart 28 күн бұрын
Make sure to like and subscribe to our channel to help raise awareness for PAD
@Mare-N-Bella 28 күн бұрын
Does swimming help
@pattidj4384 29 күн бұрын
I sure wish my Dr.'s would study and consider that I'm not a hopeless case. Yes, I exercise, I walk as far as I can (perhaps only 1/10 of a mile but I will continue to do this for several intervals daily. I'm under the impression that this should add smaller openings in the veins. I've been doing this for several months and I see no improvement.
@TheWayToMyHeart 28 күн бұрын
How about a second opinion? Sometimes the doctor simply may not know what he/she doesn't know, which is what I am thinking you are saying. You wish they would learn more. Maybe our team can help you find a second opinion when you are ready just to understand what other options may be available from someone who is on the cutting edge? Go to PADhelp.org for more info or contact our Leg Saver Hotline at 415 - 320 7138
@pattidj4384 28 күн бұрын
@@TheWayToMyHeart Thank you for this important and very welcomed information.
@flaneurable 29 күн бұрын
There must be some hacks. Give us a ray of hope without the balloons.
@TheWayToMyHeart 29 күн бұрын
No balloons if you walk walk walk through the cramping and try to trigger your body's collateral network of vessels. We have a video by anahita dua on our channel that explains how to walk effectively to build the natural bypasses. We've had great success with this process: kzbin.info/www/bejne/rYHWZp-oabCFm5Y Let me know what you think.
@kandiceblu1 Ай бұрын
There are a lot of symptoms ...that's incorrect I'm tired of these doctors saying that that their are No symptoms... wrong again.. you all sound alike you read from the same script you gotta think outside of the box
@TheWayToMyHeart Ай бұрын
I agree with you that there are symptoms that maybe not everyone acknowledges. Maybe you don't notice the additional fatigue. Maybe you brush off memory lapses as old age. Maybe you brush off the dizziness as dehydration. It's just like with an aortic aneurysm. Many say there are no symptoms. I think symptoms are brushed off as bad back or shortness of breath, high blood pressure, and eratic heart beat as due to the 'back issue,' belly ache due to constipation. Same thing with peripheral artery disease. Doctors say so many are asymptomatic until a patient is a toe stub away from amputation. I think many have neuropathy and numbness blamed on diabetes or spinal/sciatica issues. I think the leg fatigue is blamed on old age. Leg cramps are blamed on mineral deficiencies or dehydration. It's one thing when the patients don't acknowledge them - but it's up to the doctor to ask the right questions to determine if what a patient is experiencing is actually a symptom of arteries raising a red flag. Thank you for commenting and standing up for patients!
@kandiceblu1 Ай бұрын
@@TheWayToMyHeart Thank - you for the amazing response ...I was blown away ...it was really fantastic I ..really appreciate it also ...but every or many doctors on every channel has said the exact same thing and I know that something like this has symptoms ...I know personally speaking as well..
@kaysmith1964 Ай бұрын
Wasabi is very high in sodium so not suitable for patients with CKD. Just as Sweet corn and sweet peas are to be eaten with caution in diabetics.
@anaabendroth3460 Ай бұрын
Fact: Chocolate has troubling amounts of cadmium and lead!!
@TheWayToMyHeart Ай бұрын
You are correct in the cheaper chocolates. If you are sensitive to metals, best to talk to a dietitian about food that they should stay away from, which may include certain chocolates. Higher end chocolates carefully sourced have less of that. But you bring up an important point for all to consider. Everything in moderation.
@margotbergman1 Ай бұрын
I have moderate p.a.d. and I have been walking aggressively for 6 months. A few weeks ago I finished my 30 min walk/run, sat down with my hands on my lap. I was shocked that the knee of my affected leg was piping hot to my hands. Subjectively, my knee felt fine, normal. My n.p. was surprised. This knee felt quite warmer than the other knee. Could it be inflammation or have relation to improved circulation...?
@TheWayToMyHeart Ай бұрын
It doesn’t sound like PAD. But ask your doctor or NP about possible bursitis.
@margotbergman1 Ай бұрын
@@TheWayToMyHeart thanks for answering!
@margotbergman1 Ай бұрын
May I ask a question about my own leg?
@urdadshog Ай бұрын
babe u can chill they don’t amputate for fun
@TheWayToMyHeart Ай бұрын
85% of amputations for diabetes and pad patients are performed unnecessarily, including on Juanita here. So we will NOT chill. No one should chill. Amputations are an epidemic right now with diabetes being a huge risk factor. Did you know most of these amputations are being performed without even a proper vascular evaluation, let alone a doctor even making an attempt to try and open the arteries and restore blood flow? Did you know that African Americans are getting their legs chopped off at 3x that as their white counterparts? It’s bad.
@urdadshog Ай бұрын
@@TheWayToMyHeart african americans are more likely to get diabetes as well, don’t forget. it would make sense that you have more amputations.
@TheWayToMyHeart Ай бұрын
@@urdadshogamputations should NOT be happening at this high rate, however. They are preventable in most cases if only physicians would diagnose these patients sooner with pad, help them get diabetes under control, and actually offer to open up the small vessels in their calf and foot when they’re blocked and the patient is experiencing numbness, tingling, cramping, and/or a wound that won’t heal. But most don’t. They tell a patient they are just losing their limb to diabetes. According to the ADA, 85% of these amps could be prevented if only diagnosed early and treated. It’s so sad that so many of these patients never even know they have pad and that there are options to open up those arteries if only they would get a second opinion from a doctor known as a limb salvage specialist. It may have a vascular surgeon, interventional cardiologist, or interventional radiologist. But not all offer these advanced limb salvage options. And if they don’t, they’ll tell you it can’t be done or shouldn’t be done. It can be done and should be done for so many no matter what race. Always get a second opinion before amputation! Call our free hotline to find out if an advanced limb salvage specialist is near you. Limb and life may depend on it.
@MarciaBurrCares Ай бұрын
Very cool about the walnuts with water!
@TheWayToMyHeart Ай бұрын
Oh it's my new go-to! I misworded it - one cup walnuts to two cups water... and blend lots to texture you want. I also use it for coffee creamer and sauces.
@delimpiador Ай бұрын
Just wow
@TheWayToMyHeart Ай бұрын
So many people think they have normal cholesterol because the doctor only offers a basic lipid panel. But if you ask for an advanced lipid panel to look at the balance of LDL particles, that’s where so many discover they have a large number of small, dense LDL particles, that when they get oxidized by transfats and free radicals, they can eek into damaged areas of the arteries and push the wall out, restricting blood flow. We see this all the time when people come to us and say I don’t know why I have blocked arteries in my leg or my heart because my doctor says my cholesterol is normal….then we look deeper and low and behold, they have lots of little troublemakers running around. Now the key is not simply to take a statin, but to understand and fix what is damaging your arteries whether it’s a genetic mutation such as MTHFR, diabetes, etc that only requires dietary and supplemental changes, possible glucose control meds… or whatever. Gotta get to the source to prevent future artery damage to improve your prognosis even if you and your doctor decide a statin is right in your case. You should also check to see if you have a cholesterol reabsorption issue vs liver production issue because you might simply have a lot of cholesterol floating around because your body isn’t excreting it fast enough and you only need additional soluble fiber and supplements to better regulate yourself. That’s also worth a discussion with your doctor when deciding how to manage cholesterol if those particles are causing trouble for you.
@annehart1084 Ай бұрын
Vitamin K2-Mk7 often is used to help the calcium removed by vitamin D3 to go into bones and teeth instead of letting vitamin D3 alone move the calcium removed back into the arteries where it does not belong and should not be calcifying the arteries. You may wish to check out online what vitamin K2-MK7 actually does in the body when combined with vitamin D3. Some doctors ask patients to take vitamin D3 and vitamin K2-Mk7 at the same time. Check with a professional trained in how vitamins work in the body.
@TheWayToMyHeart Ай бұрын
Thank you for adding your insight!
@anthonypritchett2865 Ай бұрын
Excellent lecturer and lecture.
@TheWayToMyHeart Ай бұрын
Many thanks! She is going to do another one of these this summer with some new analogies. We challenged her to find new ways to motivate and she is meeting the challenge!
@James-o3w Ай бұрын
Than you so much for this information. Perfect timing!!!
@TheWayToMyHeart Ай бұрын
She is LIVE again next Wednesday if you want to tune in and ask questions.
@chenana429 Ай бұрын
Loved this
@TheWayToMyHeart Ай бұрын
She is on every Monday. It's amazing as she is fighting for your limbs as so many of our patients and she has committed to donating her time every Monday to teach Tai Chi to help others improve their circulation.
@speaktruth9313 Ай бұрын
Look up May Thurner syndrome for cause of clots..
@TheWayToMyHeart Ай бұрын
That is also a BIG underdiagnosed issue!
@Buy_YT_Views_516 Ай бұрын
Your enthusiasm is contagious, I'm now excited about this topic too.��
@tinasouza9670 Ай бұрын
i am starting with eclipse leg exerciser have pad
@g0989 Ай бұрын
Dr. Jain's statement that Medicare Advantage enrollees don't have to pay Medicare Part B premiums is FALSE. Medicare Advantage enrollees are still subject to Part B premiums, although in many cases, the Advantage plans themselves may not have a premium. He insinuates Advantage plans play by their own rules, but the truth is they must still at a minimum provide coverage for the same services original Medicare covers, although, with private insurance like that (Medicare or non-Medicare), the insurance company must approve many treatments. He also refers to Advantage plans as HMOs, which many are, but Advantage plans are also available as PPOs. PPOs do not require referrals, nor do they require care to be obtained from in-network providers. The Medicare Part C Act was passed by Congress in 1997 and signed into law by President Clinton. The 2003 legislation was passed to "enhance" Part C, when the name Advantage" was applied to Part C. One of the primary reasons someone will enroll in Advantage, is not so much the "extras", but to cap annual out-of-pocket cost exposure and have a Part D Drug Plan included, instead of having to pay extra for a Supplement and Part D to go with their Medicare. Agents and brokers make money enrolling people in Advantage plans, but they also make money (not as much in the initial enrollment year, at least) when they enroll someone who has original Medicare in a Supplement and Part D Drug Plan, which most will get if they don't get Advantage. I think doctors are the best source for medical advice, but not for insurance advice. If an insurance plan is problematic for a medical provider, they can simply refuse to accept patients with that plan, which is what some are doing now.
@shut0p Ай бұрын
I think about this man every day. Thanks for being the best coach ever. Never made it to 5 feet but ISSOK I
@MarciaBurrCares Ай бұрын
Thank you, Dr. Bonilla, for telling patients with PAD that amputation is NOT the first option! It was given to me and I'm so glad I found Kym McNicholas and another doctor! Now if I can just get my wound healed on my great right toe! I'm working on it, thanks to a referral from the doctor Kym referred! This is the kind of medical mindset we need to build around PAD. Cooperation and a mustidisciplinary medical approach, where ego is left at the door, is the mindset we need to build among patients and doctors.
@Plantbasebambi Ай бұрын
Maple syrup is the same as fructose? I don’t eat fructose so the body don’t know how the difference 😢
@MikeStabler Ай бұрын
I really, really appreciate your work. The PAD community you're building is wonderful. Thank you!
@DavesNotHome Ай бұрын
Statin don't do anything and she is not correct that the disease will continue in the main blood vessels. If you switch to carnivore diet you can reverse plaque build up and reduce inflammation.
@lanetteroth384 Ай бұрын
I have artery disease in my legs and it hurts terribly to walk but I also have spinal stenosis in my back that causes pain when I walk also..
@TheWayToMyHeart Ай бұрын
Yes, that's a double-whammy! I'm so sorry you are experiencing this! It helps to maintain your walking on a flat surface vs inclines to ease stress on your back. Have you sought a referral for a PT to help you learn how to walk effectively to build leg collaterals while mitigating stress on your back?
@anaabendroth3460 2 ай бұрын
At 74 I can't surf or swim or ride a bike. Peripheral neuropathy is impeding my ability to walk. What's left for me?
@anaabendroth3460 2 ай бұрын
I was taking Plavix after my leg angioplasty last year. Had to stop after one month due to extreme nausea, loss of weight, loss of appetite. The Dr kept saying Plavix wouldn't cause those effects. Well, he wasn't the person taking the Plavix!!!
@TheWayToMyHeart 2 ай бұрын
Some doctors may not be aware of all medicine side effects. They may also overlook the ones that aren't experienced by 'most' people, not considering that maybe one of their patients is one of those outliers. One idea is to have the discussion about drug side effects with your pharmacist and bring those learnings to your physician for a more productive conversation. Gastrointestinal upset is a side effect of plavix. Is it common, no. But is it listed, yes.
@kamysan8804 2 ай бұрын
Boosting this video!
@no_one_from_nowhere 2 ай бұрын
lol when you say “series” it’s setting off my Siri
@TheWayToMyHeart Ай бұрын
That is funny! I just put my phone near and did to me as well! LOL
@MikeStabler 2 ай бұрын
Thanks for the video.
@MarciaBurrCares 2 ай бұрын
I, too, was born in South Dakota, Dr. Teeslink!😊
@darleneschneck 2 ай бұрын
This is such a helpful and hopeful video!