peripheralarterialdisease

The most vulnerable populations suffering from poor circulation, known as Peripheral Artery Disease Who are at-risk of amputation, are those living in Medical Deserts. A "medical desert" describes a community lacking access to medical necessities, resulting in increased morbidity and mortality. For the PAD patient, that medical necessity is a vascular specialist. One-third of hospitals across the U.S have postings for vascular surgeons, and because of that patients are progressing to a limb-threatening stage of the, known as critical limb ischemia, where the threat of amputation is real without timely, effective, limb-saving care. If only there was a way for vascular specialists in other areas to help physicians in medical deserts better care for these patients? That's the Idea behind Zivian Health. Co-Founder Dr.Rafid Fadul, an Intensive Care Pulmonologist, shares how Zivian Health is striving to improve collaboration amongst physicians across the globe. By connecting physicians across geographical boundaries and leveraging technology-driven solutions like telemedicine, Zivian Health aims to Bridge the gap between medical deserts and areas with greater access to specialized care.

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Chronic illnesses can be classified under multiple umbrellas. But allergies are only official classified as an immune disorder. Should allergies be classified as a blood disorder as the histamine response occurs in the blood stream? Histamine is the chemical that is found in mast cells. When they leave the mast cells,histamines boost blood flow in the area of your body the allergen affected which can lead to certain symptoms depending on the part of the body where the histamine release occurs. For some it can lead to significant heart palpitations and anaphylactic shock, which can impact the circulatory system. In this episode Nurse Janara Iman-Thomas is going to talk about how pollens and foods get into the blood stream to cause allergies. She will share her passion for helping patients diagnose these allergies and prevent them from overburdening the immune system and reduce the inflammatory response in our bodies. ⦁    What are allergies. a histamine response in your blood.     - Once in blood stream – body knows what belongs there...     - Things that shouldn’t belong there... it has an immune response     - Body creates an antibody against those things....     - Sends out a little army of histamines and says attack.     - If it’s the first time... then your immune system handles ok.     - Then the next time it sees it – it is going to attack bigger.     - Building up a response to the point where you start having symptoms.     - It means your immune system is functioning, but overload.     - That’s where severe allergies happen. ⦁    How can allergies impact your cardiovascular system. Heart palpitations, high blood pressure, lack of oxygen in the blood ⦁    What are the different types of allergies - inhalants vs foods     - let's talk about how they each get into the bloodstream ⦁    How do allergies occur? how do they evolve over time.     - many want to know in detail how they go from a tree and mold or plant to food you eat ⦁    Advances in diagnosis ⦁    Advances in treatments

Cardiovascular diseases and allergic diseases occur commonly in developed countries. They lead to serious health complications and significantly impair the quality of life. Both types of diseases are characterized by excessive inflammatory processes. Recent studies suggest a link between allergy and an increased risk of cardiovascular disease, resulting from over activity of the immune system in allergic diseases and increased synthesis of pro-inflammatory mediators, which has been well documented in the pathogenesis of atherosclerosis.Data from the National Health Interview Survey demonstrated adults with a history of allergic disorders have an increased risk of high blood pressure and coronary heart disease, with the highest risk seen in Black male adults. The study is being presented at ACC Asia 2022 Together with the Korean Society of Cardiology Spring Conference on April 15-16, 2022."For patients with allergic disorders, routine evaluation of blood pressure and routine examination for coronary heart disease should be given by clinicians to ensure early treatments are given to those with hypertension or coronary heart disease," said Yang Guo, PhD, Department of Dermatology at the Institute of Dermatology at Peking University Shenzhen Hospital, Shenzhen Peking University-The Hong Kong University of Science and Technology Medical Center, and the study's lead author.

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Once a procedure is performed to improve blood flow in the legs for a circulation issue known as Peripheral Artery Disease (PAD), it starts the clock for the next one. PAD is a progressive disease in which the best treatment lay in patient compliance to appropriate medications and lifestyle modifications, including smoking cessation, diet, and diabetes management. That's why Interventional Cardiologists Dr. John Phillips and Dr. Ashish Gupta discuss the importance of ensuring all conservative options are exhausted prior to any attempt to restore blood flow manually using wires, balloons, and stents, or bypass. If conservative approaches aren't enough to relieve pain, cramping, or help heal a wound that has developed on the toe or foot, they say it's at that point guidelines indicate an intervention or bypass may be necessary. But it's important to have all risk factors mitigated prior to a procedure in order to extend its durability and time before another procedure may need to be performed again. This discussion comes on the heels of recent string of patients with moderate PAD presenting to patient advocacy organization The Way To My Heart with intervention and bypass surgery as frontline treatment prior to frontline treatment of medication and lifestyle modifications as per guidelines set forth by the Society for Vascular Surgery and American Heart Association.

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Getting diagnosed with a constriction or blockage in the arteries that supply blood to your brain can be quite daunting, as Nancy from South Carolina can confirm. She discovered she had carotid artery disease,which put her in danger of having a stroke. The carotid arteries, one on each side of the neck, are crucial blood vessels that provide blood to the brain, neck, and face. About one-third of all stroke cases are associated with diseased carotids. This disease arises when fatty residues, known as plaque, accumulate in these arteries. Alarmingly, in its initial stages, this disease often goes unnoticed due to a lack of symptoms. It only becomes noticeable when it becomes severe enough to deprive the brain of oxygen, resulting in a stroke or a transient ischemic attack (TIA). Lucky for Nancy, she discovered her condition early as she was under close observation following a heart attack. During a routine medical examination, a Physician Assistant detected a bruit, a turbulent flow in her neck arteries, using a stethoscope. In today's episode, Nancy shares her journey from diagnosis to receiving advanced treatment. Also joining us is the globally recognized Interventional Cardiologist Dr. Ehrin Armstrong, who discusses treatment guidelines and ongoing debates that could alter how and when doctors can offer more than just medication to enhance blood flow and avoid severe complications.

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Deidre Arms, a medical professional specializing in women's health, was an energetic 46-year-old who cycled up to 32 miles a day. Despite her family's medical history, she believed her medical knowledge,passion for nutritious diet and supplements, and commitment to exercise were adequate in reducing her chances of suffering a stroke or heart attack. However, her cycling endurance suddenly plummeted, leaving her feeling easily worn out and short of breath. Medical professionals dismissed her symptoms as possibly adult-onset asthma.Two years later she suffered a heart attack. It was then that she encountered Dr. John Phillips, an Interventional Cardiologist and co-host of The Heart of Innovation. He guided her onto a path that not only saved her life but also led her to find her true life's calling: to educate, treat, and inspire others to enhance their cardiac health. Deidre shares her astonishing two-year struggle to make her doctors understand her situation and how she used this ordeal as a catalyst to prevent similar experiences for others

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Deion Sanders courageously shared his struggles with a circulation issue that puts him at-risk of losing his foot in a video posted on social media. It may have been left on the editing room floor, but critical information about this circulation issue and treatment options to prevent amputation were not shared in the video or across other media covering this story. In this episode, hosts Emmy Award-winning Journalist Kym McNicholas and Interventional Cardiologist Dr. John Phillips are joined by specialists trained in advanced treatment of this circulation known as peripheral artery disease (PAD) and its advanced stage critical limb ischemia CLI), a circulation issue characterized by narrowed or blocked arteries due to plaque such as blood clots and/or calcium, which can cause leg pain, leg cramps, non-healing wounds, and more.Interventional Cardiologist Dr. Jihad Mustapha, and Vascular Surgeons Dr. James Antezana and Dr. William Shutze talk about what you need to know about this circulation issue, which is one of the most debilitating diseases most have never heard of, yet impacts 3-in-5 heart attack sufferers, 1-in-5 over age 60, and 1-in-3diabetics (Type 1 and Type 2 diabetics) over the age of 50. Importantly, they'll share advances in treatment and amputation prevention as well as the standards of care patients should expect from their physicians treating it.

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We have the Godfather of Interventional Cardiology Dr. John Simpson and world renowned Interventional Radiologist Dr. Lorenzo Patrone on to share the evolution of how physicians started using minimally invasive methods to unblock arteries in the legs and heart. You don't want to miss the incredible stories of how some of these physician-inventors used themselves as guinea pigs to further the science of saving life and limb.

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Every year, the Medicare Physician Fee Schedule (PFS) is updated to determine the reimbursement rates for physicians. The powers that be decide which areas require more funding and which areas need to see a decrease in reimbursement to maintain budget neutrality. However, the latest reimbursement cuts have hit the "limb savers" hard, including vascular surgeons, interventional cardiologists, and interventional radiologists, who provide amputation prevention services for patients, with a circulation issue known asperipheral artery disease (PAD), in community-based clinics known as office-based labs (OBLS). P.A.D. is a circulation issue that left untreated can lead to amputation. To prevent further amputations and disruptions in patient access to care, new bipartisan legislation has been introduced to stop ongoing cuts to office-based specialists for the next two years. The Cardiovascular Coalition's Dr. Paul Gagne and Dr. Daniel Nathanson, both vascular surgeons, talk about why this new legislation is critical to save life and limb.

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Thomas loves working with people and his job as a casino supervisor kept him on his feet his entire eight hour shift. But peripheral artery disease, which is plaque buildup in mainly the leg arteries, was slowing him down and putting his job in jeopardy. So, he trusted his vascular surgeons to perform whatever procedure was needed to keep him on his feet. But he didn't know the advances in treatment for PAD and that minimally invasive options were available until complications occurred following an invasive bypass procedure. He reached out to a PAD advocacy organization called, The Way To My Heart, and they informed him of innovative, minimally invasive options. But it was too late for those as the complication at that point from the previous invasive bypass procedure led to an infection of the bypass graft and incision site. His incision site blossomed like a flower and needed immediate care. Dr. David Allie, a cardio thoracic surgeon,who specializes in advanced PAD care, and has advanced wound care experience with his involvement with various breaking studies, offered new options to save his leg from amputation. Dr. Allie and Thomas share this incredible journey to get him back on his feet for good.Thomas loves working with people and his job as a casino supervisor kept him on his feet his entire eight hour shift. But peripheral artery disease, which is plaque buildup in mainly the leg arteries, was slowing him down and putting his job in jeopardy. So, he trusted his vascular surgeons to perform whatever procedure was needed to keep him on his feet. But he didn't know the advances in treatment for PAD and that minimally invasive options were available until complications occurred following an invasive bypass procedure. He reached out to a PAD advocacy organization called, The Way To My Heart, and they informed him of innovative, minimally invasive options. But it was too late for those as the complication at that point from the previous invasive bypass procedure led to an infection of the bypass graft and incision site. His incision site blossomed like a flower and needed immediate care. Dr. David Allie, a cardio thoracic surgeon,who specializes in advanced PAD care, and has advanced wound care experience with his involvement with various breaking studies, offered new options to save his leg from amputation. Dr. Allie and Thomas share this incredible journey to get him back on his feet for good.

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Many individuals who suffer from vascular diseases such as Peripheral Artery Disease and Chronic Venous Insufficiency are plagued with chronic pain. This ongoing pain can cause a sense of helplessness and frustration, as those affected struggle to regain control over their lives. Take Helen, for example, who finds herself buried under medical bills and unsure of where to turn for relief. She doesn't want to burden her family, but the prospect of managing her chronic pain seems overwhelming. In this episode, Helen shares her story about how she ended up determining that jail was her only option for medical care and pain relief.Kathryn Walker, Psychiatric Nurse Practitioner and CEO of Rivitalist, a wellness healthcare chain, helps Helen walk us through her story and what was going through her mind when she was arrested as she pretended to attempt to steal items from a Georgia Walmart. Christopher Stout, a vascular surgeon,contributes to the conversation by highlighting the challenges faced by patients with PAD and CVI, such as delayed care, insurance obstacles, and gaps between diagnosis and treatment. These issues can result in chronic pain that can significantly impact patients' daily lives and mental well-being.

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Serial Entrepreneur Jeff Stevens is not a doctor. He’s never worked in medicine in any capacity. But he is making the changes we all want to see in medicine as a computer scientist. He cut his teeth on healthcare innovation, combining what he learned about the physics of a microphone when he worked as a music engineer intern starting in college, with data analytics he practiced as a risk mitigatory and technology futurist on Wall Street. Listen to how Jeff’s life unfolds from a boy on a paper route, to learning computer programming languages, to capitalizing on those manipulating the stock markets, to music engineer, to technology futurist and evangelist, to developing a diagnostic tool for expecting Moms that caught the attention of NASA, to ultimately creating what could bridge the gap in healthcare, putting potentially life-saving medical grade diagnostics in your hands that can be remotely monitored by your healthcare team. Hosts Kym McNicholas and Dr. John Phillips get inside the heart and the mind of this self-proclaimed ‘dreamer.’

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