Overall, the patient needs to take personal responsibility for the reason why they have P.A.D.   If you are a diabetic, smoker with high cholesterol and still continue such lifestyle after,  your foot / ankle is as good as gone.   One infectious doctor who is an avid hunter told a patient you might has well take a gun and shoot the other foot off, gross? insensitive?  Perhaps as doctors it does frustrate us when we see patients continue to harm themselves with things that only they can change, a pill or surgery can’t change it all for you.

Below is a clinical picture of dead toes just prior to scheduling amputation.   Symptoms are uncontrollable pain , cold feet and lack of warmth in the feet.
Patient lost 3/4 of his foot to smoking, diabetes, etc.  Patient requested amputation vs trying to save the foot utilizing hyberbaric oxygen treatment as an option.

Serving Southwest Florida Since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies. Home of the Lam Minimal Invasive No-Scar Bunion Surgery! Come Discover Why Patients Love Our 5-Star Foot & Ankle Care! Same Day Appointments! Easy Online Appointment Scheduling!