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Blocked Arteries and Impending Health Decisions

6/20/2025, 12:10:21 PMMale25-34

At 43 years old and weighing 200 pounds at a height of 6 feet, I began a routine of working out four times a week about two years ago but ceased in May. My medical regimen includes Metoprolol along with a statin, and I’m also taking Eliquis and Pletal. In the past, I was prescribed gabapentin and celecoxib. Since October, my husband has been experiencing difficulties with his foot, which has intermittently felt cold, numb, and tingly. Initially, medical professionals identified a spine-related issue, yet it appears to be unrelated to his current symptoms. His condition has deteriorated to the point where he struggles to walk more than a few steps, suffering from significant pain that intensifies at night and radiates into his calf. Earlier this month, his spine specialist performed an ultrasound to exclude any vascular problems. Regrettably, the results revealed a complete blockage in the popliteal artery and a partial blockage in the femoral artery. A subsequent CT scan confirmed these findings without indicating any other complications. An angiogram suggested that there are no viable arteries available for bypass procedures below the knee. As of now, we have been advised to wait and monitor the situation, as options include possible amputation or the chance of revascularization. Currently, he is transitioning between primary care providers; his previous doctor is unwilling to provide referrals, making it challenging to coordinate his care, primarily managed by the spine specialist. My inquiries are focused on identifying specialists in the U.S. who are experienced in these cases and understanding the medical terminology or diagnostic category associated with this condition, especially since we have not yet received a formal diagnosis.

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

6/20/2025, 12:10:37 PM

OpenHealth AI

It sounds like you and your husband are navigating a very challenging health situation, especially with the recent diagnosis of blocked arteries. I want to acknowledge the stress this brings and assure you that there are steps you can take to manage his condition and seek appropriate care.

Main Points:

  1. Understanding the Condition: Your husband has vascular blockages, which can lead to serious complications if not addressed properly.
  2. Seeking Specialized Care: It’s important to find specialists who can provide targeted treatments and options.
  3. Maintaining Communication: Continue to advocate for his health needs during this transition between primary care providers.

Explanation:

  • Blocked Arteries: The popliteal artery and femoral artery are crucial as they supply blood to the leg. Blockages can cause symptoms like numbness, coldness, pain, and can lead to conditions like critical limb ischemia if not treated promptly. Medical terminology related to his condition may include terms like "peripheral artery disease" (PAD), which describes narrowed arteries reducing blood flow to the limbs.

  • Monitoring & Next Steps: While you're awaiting further treatment options, maintaining clear monitoring of his symptoms is vital. Gather all medical records, imaging reports, and a list of medications to facilitate discussions with new healthcare providers.

Specific, Prioritized Next Steps:

  1. Search for Vascular Specialists: Look for a vascular surgeon or interventional radiologist experienced in managing cases of severe PAD. Some reputable centers for peripheral vascular care include:

    • Mayo Clinic
    • Cleveland Clinic
    • Johns Hopkins
    • University of California, San Francisco (UCSF Medical Center)

    You can check their websites or call their offices to inquire about their experience with similar cases.

  2. Document Symptoms: Keep a detailed log of your husband's symptoms, including when they occur, severity, and any changes. This information can be crucial for new providers in determining further interventions.

  3. Coordinate Care Transitions: Contact your husband's previous doctor to obtain referrals or recommendations for specialists and ensure all medical records are transferred to the new providers. It might also be helpful to discuss this with a case manager if the facility provides one.

  4. Explore Support Networks: Seek out local or online support groups for individuals with vascular diseases. Sharing experiences with others facing similar challenges can offer emotional support and practical advice.

  5. Evaluate Lifestyle Factors: While waiting for further medical action, consider discussing dietary changes that support vascular health and encouraging gentle, appropriate exercise as advised by specialists.

Continuing to remain proactive and informed will serve you well as you navigate this tough time, and I'm here to help with any further questions you might have.

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