Diabetes has a deadly secret. Even one extra sugar molecule floating around your blood can damage your arteries putting you at risk for heart attack, stroke, and amputation. ABC News Live Correspondent Steve Osunsami knows this all too well from watching his Dad suffer from Diabetes and one of its most prevalent and deadly complications, known as Peripheral Artery Disease, which is poor circulation mainly in the legs due to plaque build-up. In this episode, Steve talks to The Heart of Innovation's Kym McNicholas and Dr. John Phillips about his Dad's story and its influence on pitching his team to do a story to spread awareness of the diabetes epidemic and the serious repercussions of not getting it under control, and fast. Tune into this episode to hear the backstory of the new ABC News Live feature, "Severed," in which a dozen ABC team members who worked on it all were personally impacted by diabetes and/or related amputations.
This week on *The Heart of Innovation*, hosted by Interventional Cardiologist Dr. John Phillips and Emmy Award-winning journalist Kym McNicholas, the focus is on the relationship between leg pain and heart health. Since February is American Heart Month, we invited Interventional Cardiologist Dr. Jason Yoho, who practices in San Antonio and Corpus Christi, Texas, and his patient Douglas, to share a life-saving story. Douglas had what's called, Peripheral Artery Disease, which is poor circulation in mainly the leg arteries, and doctors didn't check his heart arteries until it was almost too late. Did you know that three-in-five people who suffer a heart attack have plaque in their leg arteries? If only a doctor would have checked their leg pulses regularly, life and limb might be saved. In this episode, we hope you learn from Douglas' story, including the critical tests and questions to discuss with your doctor.
Welcome to the first Episode of Save My Piggies on the Heart of Innovation in 2024!
Today Dr. John Phillips Leads the discussion with Dr. John Robert Coates a Primary Care Physician, from Ontario Canada, on a story talking about Hypercoaguability. It is a huge issue, as advanced blood work doesn't show a known risk factor for blood clots and yet his and other families have fallen victim in some form to them.
The story on today's show focuses on his sister Melissa. She was a model & wrestler. A very active person prior to this condition in Las Vegas. Unfortunately having to receive an amputation was devastating her career. The recovery was long and arduous with multiple casting for prosthetics. By June of the next year she died in her sleep. They claim she had cardiomyopathy.
Before she died she talked a lot about trying to help others with limb loss. So, that's what her brother John now is trying to do... is figure out ways to raise his sister's voice and help others.
This week on *The Heart of Innovation* Hosted by Interventional Cardiologist Dr. John Philips and Emmy Award Winning Journalist Kym McNicholas, The focus is on groundbreaking treatment for hard-to-treat blood pressure. The featured guest is Interventional Cardiologist Dr Eric Secemsky, Director of Vascular Intervention at BIDMC and Section head of Intervetional Cardiology and Vascular research at the Richard. A. and Susan F. Smith Center for Outcomes Research in Cardiology at BIDMC. Dr. Secemsky delves into the prevalence of high blood pressure, affecting nearly half of American adults, with many being unaware of their condition or facing challenges in consistently accessing or adhering to medications. Shockingly only one in four individuals with high blood pressure have it under control, underscoring the urgency of addressing this public health concern. The discussion highlights the subset of patients facing treatment resistant hypertension, where standard medication prove ineffective or intolerable, posing increased risks of heart of disease, stroke, and cardiovascular complications. Dr. Secemsky introduces the pioneering procedure of renal denervation (RDN), which involves permanently disrupting the nerves, controlling the kidneys' arteries. This innovative approach, developed, offers a potential solution for bringing treatment resistant hypertension back under control, offering hope for patients facing persistent challenges in managing their condition. The episode provides a comprehensive exploration of the groundbreaking RDN procedure, offering valuable insights into a first-of-its kind treatment for high blood pressure. Dr. Secemsky's expertise and the innovative advancements in cardiovascular care showcased in this episode underscore the ongoing pursuit of transformative solutions in the field of interventional cardiology. Tune into * The Heart Of Innovation* for an in-depth discussions on this breakthrough treatment for hypertension and its potential impact on reshaping the landscape of vascular care.
Fisayo Oluwadiya is a principal software engineer for a large organization, working remotely from Manhattan who's side hustle is developing a web application to help people with special dietary requirements find the best restaurants that meet their needs. This idea stemmed from her self-proclaimed obsession with food. While working as an engineer for big name organizations such as JP Morgan, Major League Baseball, and Nordstrom, she has always written restaurant reviews as a food blogger. It wasn't until she joined her current employer, a large entertainment organization, that she decided to turn her passion into something more impactful, combining it with her talents as a software engineer. During this episode, Fisayo Oluwadiya will discuss her new personalized eating out guide she's developed to help make it easier for people with special dietary preferences to find their best meal match.
While show co-host Kym McNicholas is on assignment in the Pacific exploring how Princess Cruise Lines adapts its service for vascular and cardiovascular patients, Dr. John Phillips takes the reigns and invites two other renowned vascular and cardiovascular specialists from Texas for a candid conversation about patient care. Vascular Surgeon Dr. Miguel Montero Baker and Interventional Cardiologist Dr. Lucas Ferrer discuss not only their draw to practicing medicine but also the frustrations in trying to care for patients that they didn’t expect to experience in their plight to save life and limb. They’ll also share details on their new podcast you’ll definitely want to subscribe to after hearing these two interact. Click on the link to listen to this not-to-miss insider conversation and learn what doctors talk about when patients aren’t in clinic. It's guaranteed to be a lively discussion.
Doctors don't always have the opportunity to hear about the impact they've had on their patients. So, Interventional Cardiologist Dr. John Phillips and Emmy Award-winning journalist/patient advocate Kym McNicholas talk to patients who have a disease that's deadlier than all cancers combined, except lung cancer, called Peripheral Artery Disease (PAD). PAD is a circulation issue in the legs that left untreated can lead to amputation, stroke, and heart attack. Patient Alan offers his thanks to Dr. Kumar Madassery at Rush Hospital as well as Dr. Jihad Mustapha at Advanced Cardiac and Vascular Centers in Michigan, along with his vascular surgeons in Indiana. Nancy thanks Dr. James Antezana, a vascular surgeon in Charlotte, North Carolina for his care. Charles shares his appreciation for Dr. Michael Siah, a vascular surgeon in Dallas for saving his limbs as well as TheWayToMyHeart.org for supporting his wife through the journey. And Douglas shares his appreciation for Dr. Mehrzad Zarghouni for not only saving his legs but also his life.
In this episode, host Kym McNicholas shares a personal story about her father's battle with blood clots. Joined by InterventionalCardiologist Dr. Jay Mathews and Pain Specialist Dr. Efrain Rivera, they delve into the challenges her father faced after a fall and subsequent sedentary recovery period. Initially misdiagnosed with back issues, they explore how the discovery of blood clots in his lungs and leg veins changed the treatment approach. Together, the medical experts provide guidance on available treatment options, offer valuable insights, and equip listeners with essential questions to ensure the best care for their loved ones. Tune in to gain a deeper understanding of blood clots and how to become a proactive advocate for your family's health.
Co-host Kym McNicholas is LIVE at the CLI-F Multidisciplinary limb salvage conference by The Limb Saver Society in El Paso, Texas. She is joined by conference co-founder Lorena Henderson to talk about its focus, which is on complex revascularization techniques, wound care, podiatry and infectious disease best practices for amputation prevention. Also joining Kym is Podiatrist Dr. Gary Grindstaff and Pain Specialist Dr. Efrain Rivera to talk about managing patients with vascular issues and chronic pain. They discuss medication and other modalities to try and bring some relief either temporary or long-term for these patients.
Show co-host Kym McNicholas surprises co-host Dr. John Phillips with a live thank you from a patient after saving her limb and her sister's life. You don't want to miss the story these two sisters share of their fight against genetics and the lessons both physicians and patients need to learn in order to prevent heart disease and peripheral artery disease from reaching advanced stages where heart attack, stroke, and amputation are imminent.
We were live ahead of the The African American Male Wellness Agency Walk in Los Angeles talking to their director Jhade Barnes to talk about the need to improve access and care for African American Men. Since 2004, The AAMW agency has produced a 5K Walk & Run (The Walk) in over 15 cities as an awareness campaign to spotlight the fact that Black Men get Peripheral Artery Disease and Diabetes related amputations at 4x that of their white counterparts and die on average 12 years earlier than their white counterparts. They have incredible partners such as Johnson & Johnson and The Janssen Pharmaceutical Companies of Johnson & Johnson that provide free testing and information to help Black men live longer from preventable diseases like PAD. This year The Way To My Heart, EZ Care Link, and Philips Healthcare had the opportunity to provide support for this wonderful mission! Celebrity fitness trainer Dion Jackson was also at the event to help inspire better health through exercise.
Salih Hendricks was diagnosed with diabetes as a teen and no one warned him of the potential for vascular complications that comes with an imbalance of sugar in the bloodstream. He shares his personal experience with diabetes, which includes facing challenges such as the rupture of blood vessels behind his eyes, which nearly caused him to lose his vision, as well as the amputation of his leg due to the accumulation of plaque in his leg arteries, restricting blood flow to his foot. Salih has transformed the lessons he learned along his journey into a life purpose, dedicated to assisting others who are also afflicted by diabetes and associated artery issues. His aim is to provide support and guidance to those who face similar struggles.
Individuals with Peripheral Artery Disease (PAD) describe the pain caused by artery blockages restricting blood flow to their feet as having a tourniquet wrapped tightly around their thigh and calf causing their muscles, tissues, and nerves below to scream for much needed oxygen and other nutrients. Timing is critical to diagnose and treat PAD whether with medication, lifestyle modifications, and/or interventional/surgical approaches because once tissue and nerves are damaged due to lack of blood flow,pain may be permanent. Few options are available to bring relief for that neuropathy pain and chiropractic and general wellness practices across the country are preying upon these individuals with band-aid options which come at a high price. But some physicians are working on clinical solutions that are much more effective and durable for these patients who have had their blood flow restored and still can’t get relief from PAD, diabetic neuropathy, or even phantom pain following amputation. Southern Vascular & Pain Management Center Interventional Radiologists Dr. Stephen Leschak and Dr. Thomas Hodgkiss join Emory University Vice Chair for imaging intervention and division director for interventional radiology Dr. David Prologo in talking about innovative approaches to managing pain and questions to ask your doctor to know if they’re right for you.
Charles Winters thought he could breathe a sigh of relief after the gift of a lifetime, a kidney transplant, saved his life. But after his fight for life, he found himself fighting for limb. Doctors hadn’t told him Chronic Kidney Disease (CKD) patients are at an increased risk of peripheral artery disease (PAD), blocked arteries
in mainly the leg arteries which restrict blood flow, and steps that could be taken such as with diet and exercise to prevent it. So, after he recovered from a kidney transplant and had just started getting his life back in order, he found himself back in the hospital fighting to avoid amputation. He talks to hosts Kym
McNicholas and Dr. John Phillips about his life and limb-saving journey that is certain to give others hope that it’s possible to live a longer, better quality of life, if only you stand up and advocate for what you feel is right for your care.
Individuals with Chronic Kidney Disease have an increased risk of developing limb-threatening plaque build-up in their leg arteries that restricts blood flow, a disorder known as peripheral artery disease (PAD). That’s why Terry Litchfield, who fought alongside her husband Bill who was a dialysis dependent CKD patient for more than 50 years, is sinking her teeth into prevention efforts and advances in treatment for those with advanced disease that tends to settle in the calf and foot arteries, which are tougher to tackle. She joins hosts Kym McNicholas and Dr. John Phillips in talking about gaps in care for CKD and PAD patients and innovative ways in which sees care evolving to help patients live a longer, healthier life. Terry has dedicated her life to advocacy, turning her passion into her profession as President of Access
Solutions, which offers patient Advocacy consulting services related to the renal dialysis field. She’s also an author and expert in patient engagement and satisfaction so you don’t want to miss highlights from her publications.
Blood clots are a common occurrence that can have fatal consequences. However, they can be prevented by understanding the risk factors, recognizing the signs, and seeking prompt medical attention. This is an important topic, especially with World Thrombosis Day taking place annually on October 13. The International Society on Thrombosis and Haemostasis (ISTH) organizes this global initiative to raise awareness about thrombosis, a condition that is often overlooked or misunderstood. Thrombosis occurs when blood clots form in veins or arteries, leading to serious health risks such as deep vein thrombosis(DVT), pulmonary embolism (PE), stroke, and heart attack. In this episode of The Heart of Innovation, hosts Kym McNicholas and Dr. John Phillips interview Dr. Thomas Tu, Chief Medical Officer for Inari Medical. Inari Medical has developed a groundbreaking device that offers a new approach to treating blood clots. The discussion focuses on how clots form, the reasons behind their formation, the individuals who are most vulnerable, the signs and symptoms to watch out for, and the various natural and medical options available to reduce the risk of fatal outcomes.
Interventional Cardiologist Barry Tedder has been advocating for months for one of his patients to undergo a potentially life-saving procedure that uses minimally invasive methods instead of surgery. Unfortunately, their insurance has denied coverage for it, causing frustration for Dr. Tedder and unimaginable suffering for his patient. This situation is not unique - insurance companies are consistently denying reimbursement requests from physicians for minimally invasive procedures that aim to open up the arteries of patients suffering from Peripheral Artery Disease (P.A.D.). P.A.D., a disease that is more prevalent and deadlier than all cancers combined (excluding lung cancer), causes severe leg pain during physical activity and can even disrupt sleep due to restricted blood flow caused by plaque buildup in the arteries. Vascular specialists are urging insurance companies to cover the necessary procedures to alleviate the suffering and prevent limb loss, but these requests are being consistently denied. To talk about these denials, Kym McNicholas and Dr. John Phillips are joined by Dr. Barry Tedder.
Get ready for the unscripted, candid stories of patients and their experiences along their journey with a disease more prevalent and deadlier than all cancers combined except for lung cancer. It's called Peripheral Artery Disease (PAD), which is poor circulation in mainly the leg arteries. Juanita talks about her experience that led her to amputation without a PAD Diagnosis. Without a PAD diagnosis, she didn't know that her arteries need to and could potentially be opened up by an advanced skilled doctor. She explains, that if it weren't for her daughter finding Dr. Jihad Mustapha at Advanced Cardiac and Vascular Centers in Michigan on Twitter, she would've lost more than her toes. When doctors wanted to remove her leg below-the-knee, she got in her car and drove to Michigan where Dr. Mustapha was able to maintain her legs in tact for the last seven years. She urges everyone, especially the African American Community which is up to four times likely to have their leg amputated than others, to always get a second opinion from a doctor who will fight alongside you to keep you walking on two feet. You don't want to miss her powerful message also to the the medical community to take a stand against amputation and treat patients as if they were family. Karen and her husband Axel join hosts Kym McNicholas and Dr. John Phillips, along with guest physician Dr. James Antezana, to drive home the importance of getting a second opinion as a title and white coat don't guarantee the best, most advanced limb salvage options. Karen was locked into an HMO in the San Francisco Bay Area with a Vascular Surgeon only a year out of fellowship who would only offer a surgical procedure known as an axillobifemoral bypass, which entails placing a tube from the shoulder to groin and splits off into both legs to bypass blockages in her aorta and iliac arteries. This procedure is rarely performed as frontline therapy and is considered palliative care in the UK because it has low durability and high mortality rate. A second opinion from her doctor's superior only affirmed the axillo bypass as the best strategy. A third opinion at a different facility within the HMO shed light on an even more dire issue, blocked renal arteries. But he declined to take over her care due to corporate politics. They found TheWayToMyHeart.org, which directed them to a known limb saver outside of the HMO, but the HMO decline coverage as
Karen's care team was confident in their care plan. They decided to pursue the consult on their own dime and discovered Karen was months away from dialysis with a narrowing in her renal arteries upwards of 90-percent. Her HMO vascular surgeons denied the need to address her renal arteries, brushing the one 'shriveled' up kidney as likely a birth defect. They took money out of their life savings to not only have Dr. James Joye open up her renal arteries but also her aorta and renal arteries in a minimally invasive way using wires, balloons, and stents. A year later and she is continuing to thrive. Axel says, "I have my wife back."
This show started out with a conversation about Peripheral Artery Disease (P.A.D.) Awareness Month where I shared my experience meeting and presenting alongside Congressman Henry Cuellar and Mission Heart & Vascular Interventional Cardiologist Dr. Pedro Mego MD FSCAI about this circulation issue that is more prevalent and deadlier than all cancers combined except for lung cancer. It was part of the South Texas CLI (Critical Limb Ischemia, advanced stage of P.A.D.) and Limb Salvage Club’s (501c3) meeting of community leaders and media. During their discussion, they educated Cuellar’s constituents about a piece of legislation he’s pushing, which is the Amputation Reduction and Compassion Act. The ARC Act, if passed, would require Medicare and group insurance to cover initial testing for P.A.D. and that hospitals and surgeons perform a vascular assessment in order to get reimbursed for any amputation. Interventional Cardiologist, Dr. Robert Coronado, who was filling in during this episode for Dr. John Phillips, affirmed the need for this legislation for the sake of the patients, with more than 51% of overall P.A.D.-related amputations being preventable if only patients were diagnosed sooner and physicians performed a vascular assessment prior to offering amputation. One of the biggest risk factors for P.A.D. is diabetes and Kym adds that time is of the essence for action, with P.A.D. soon to become an epidemic as the American Diabetes Association now reports 1 in 2 U.S. Adults are either pre-diabetic or diabetic and 85% of all diabetic-related amputations as being preventable if only, as Dr. Coronado suggests, early diagnosis and proper vascular assessments in a timely manner.
The discussion about Peripheral Artery Disease transitioned into a conversation about another vascular disorder that is prevalent and often overlooked and undertreated, which is venous vascular disease as a caller expressed concern about not getting a definitive diagnosis and treatment to bring her relief for what she explains as venous-related leg pain. But the overriding message between this caller and another raises concern over patients feeling unheard and left to suffer without answers to what ails them. In an article from 2017 published in the Harvard Business Review titled "Creating Time for Genuine Patient Listening," the writers assert that the true healing potential of modern medicine relies on a resource that is currently being depleted: the time and capacity to genuinely listen to patients, understand their narratives, and grasp not only what ails them but also what truly matters to them. However, this approach seems to be more of an exception than a rule within today's healthcare system. Factors such as staffing deficits, mounting workloads accompanied by additional documentation requirements, and constant pressure from healthcare administrators demanding doctors do more with less are all hindering their ability to engage in meaningful conversations with patients.
This episode features Ashley and Douglas sharing their recent experiences during medical appointments. Due to these limitations within the healthcare system, both patients leave these encounters uncertain about whether they will live another day or if walking will remain possible for them. Dr. Coronado offers additional support and inspiration for Ashley and Douglas as they navigate through their health challenges.
Ashley is a scientist with a PhD who was a former competitive athlete that now is in a wheelchair due to debilitating pain in her thighs when she stands up or begins to walk. Doctors acknowledge the potential for iliac vein compression in both legs but keep sending her away from consults without definitive answers and any hope for relief. Dr. Coronado validates Ashley's experience by explaining that venous vascular disease is not only the most prevalent vascular disorder worldwide but also frequently overlooked and misdiagnosed. He urges her to continue to get additional opinions until she finds the answers she deserves so she can get her life back.
In another case, Douglas recounts his encounter with a heart surgeon whom he traveled over three hours to see regarding test results indicating that his heart was functioning at only 50% capacity and the presence of an arterial blood clot in his heart. However, during their scheduled 20-minute consultation, the surgeon abruptly left to take a phone call and returned, merely allowing five minutes with Douglas where he hastily prescribed additional heart medications and schedule another test for one month later. As for Douglas, he shares his experience with a heart surgeon whom he drove more than three hours to see to discuss test results that indicated his heart was only pumping at 50% of what it should and the presence of a blood clot somewhere in his arteries. Within moments of beginning the scheduled 20-minute consult, the surgeon left to answer a call and when he came back in the room, only devoted five minutes to ordering some additional heart medications and scheduling another test for a month later. He wouldn't spend additional time with Douglas listening to, addressing, and easing concerns about dizziness that resulted in a fall earlier that day, 48 episodes reported in another heart monitor test, as well as continued tachycardia and frequent activation of his defibrillator each day - all leaving Douglas with an impending sense of mortality. Dr. Coronado assured Douglas that shouldn't be the normalcy of a physician, especially one that is addressing life-threatening coronary issues. He also suggested a trip to the emergency room for critical bloodwork and additional timely imaging if symptoms continue.
The moral of this episode is the critical importance of relationship-centered communication as critical to saving life and limb.
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.