Mindset Strategies for Peripheral Arterial Disease

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By Jim Stocker, as told to Danny Bonvissuto

When I started smoking in high school, it was cool. Attractive women in grocery stores handed out little packs of four cigarettes, trying to get you to change your brand. When I was in the military, my C-rations had cigarettes in them and the thought was, “Smoke Ďem if youíve got Ďem.” I donít think anyone was concerned about health at the time.

Some smokers can tell you the minute, hour, and day they quit. I canít because I quit so many times.

I was in my early 60s, working in sales management, and smoking had become a social negative. Earlier in my career there were ashtrays in offices and conference rooms. Later there was a smoking area in the office. Finally we had to go outside and smoke in the parking lot. I primarily quit because other people could smell the smoke on me. It was as much a business necessity as it was a health issue at the time.

Iíd been retired for a year in 2006 when I had classic heart disease symptoms that led to a quintuple coronary bypass. After that, I went to coronary rehab for 16 weeks: I did the treadmill, resistance training, and learned relaxation techniques. When I got through with that, I was really fired up and exercised religiously for the next decade. Then it all went into the dumper.

Mysterious Pain

In December of 2016, right around the holidays, I woke up at 3 a.m. with horrible pain in my left leg. I couldnít put any weight on it, so I rolled out of bed and crawled to the bathroom. I thought about calling 911, then thought, well, letís see if this goes away.

It didnít.

Initially I thought it was a hip issue because the pain seemed to radiate down my legs from my hip. Iíd consulted with an orthopedist about some routine arthritis, and he thought surgery would help my leg pain but couldnít do it for 8 weeks. I was on crutches and in tremendous pain. After 4 days of waiting, I hobbled back into his office and asked if there was anything else they could do to help me.

I got a lidocaine injection in my left hip joint for some short-term relief, but nothing happened. I went to a back specialist and pain management specialist and had three epidurals. I was told they could implant a device in my upper glutes that would give me a remote control to control the pain.

At that point, I felt like they were guessing. I went back to my PCP and said,” Doc, Iím about to throw in the towel. Iím 79 and very active and still in pain. What about a chiropractor?” He said, ďItís your body. Go for it.Ē

After a 45-minute intake with a nurse practitioner at the chiropractorís office, she said, ďMr. Stocker, you really donít need to be here. I worked in a cath lab for 8 years and have seen your condition hundreds of times. You have a circulation issue.Ē

A ĎLeg Attackí

I saw a cardiologist who referred me to a vascular specialist. She diagnosed me with peripheral arterial disease (PAD) and found that I had about a 70% occlusion in my right leg and about 40% in my left. It was the accumulation of 40-plus years of smoking. She told me that the intense pain I felt that night in my leg was a leg attack in the same way other people have heart attacks.

I tried medication for 30 days: didnít work. Doubled the medication for another 30 days: didnít work. She referred me to a vascular surgeon who said he needed to stent the femoral artery on my left leg and open up the right one with a femoral endarterectomy. I had those surgeries in September and December of 2018, two years after my leg attack.

Back in the Flow

Leading up to my diagnosis, I would try to walk in my neighborhood and have to sit on the curb. My pain level during activity was an 8 or 9 and limited to both of my calves.

After my surgeries, my doctor said not to expect to bounce back quickly. My muscles had to relearn how to use the blood supply. Apparently your muscles atrophy where you get these occlusions. Mine were in my legs, and I think thatís common because theyíre the farthest from your heart.

Today Iím able to comfortably walk 20-30 minutes or longer. The difference is that now, when the pain arises, I know I can keep going and itíll drop back to a level thatís tolerable. I wonít be going to Disney any time soon, but I still maintain my own lawn with a push mower, and the hard work is good for my calves and legs.

I donít think Iím missing out on anything because of PAD, but Iím slowing down because of my age. You canít go 100 miles an hour forever; you have to adjust. I was lucky enough to get diagnosed and strong enough to understand what I had to do to stay healthy.

This isnít a life-threatening disease, but itís a life-altering one. If you let it put you in your recliner, it opens you up to other issues connected with aging. Iím 82 and donít feel 82. I wish I was able to move around a little better, but itís a thousand times better than it was.

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