The Crush

ALL I ASK IS THAT YOU BE RESPECTFUL

*the story* This is about my husband Ron *RdB1 He was diagnosed with Beurgers Disease...what is Beurgers Disease?[link] "CONTENT IS GRAPHIC<PARENTS CAUTIONED"
This is from smoking for 35 years. We noticed that his feet were turning black and daily it was taking longer every day for his toes to gain color. This was Christmas of 2011. He is now facing possible amputation of his left big toe. He must quit smoking, please go encourage him. He has cut back from two packs a day or 40 cigarettes to 10 cigarettes a day. I understand to all smokers. I smoked for over five years. When Ron was diagnosed I quit....cold turkey I have not smoked in almost 9 months.
I know its hard.....
When I told him my idea to help educate people he agreed for me to post this. He has been very strong, until Wednesday. 2-28-13. His Doc called and said that he also has possible mandible cancer. He has "Renal Artery Stenosis" or RAS. [link] This means that the artery that carries blood supply to his kidney is (in his case 80%) blocked. This is helped by putting in a stint. I will keep all posted on his progress!!!
Please Visit : The Gill Heart Institute-University of Kentucky [link] The American Heart Association [link]
The American Cancer Society [link]
Thank you to my friends and family, especially my Mom D.my sister A.my aunt C. For moms endless hours in The University of Kentucky Hospital, I think the shuttle drivers know our names for aunt C. for always knowing the benjamins for my sister a. for always knowing.


DEDICATED TO MY HUSBAND RON *RdB1 Go and say hello, he loves friends.
*The difference between perseverance and obstinacy is that one comes from a strong will; and the other from a strong won't.
Henry Ward Beecher (1813 - 1887)* I love you!!!

*the stock*
Photographer/Model
`mjranum-stock ~miss-mosh
[link]
The Background
=kuschelirmel-stock [link]
Background Textures,Brushes and Stock:
(CG-Textures) [link]
Brushes,Textures and Other Stock
~Axertion
*ISOStock
~missimoinsane-stock
~Athrian
*somadjinn
~Artress-Stock
~Lyotta
~fc


***:i WORKED ON THIS ABOUT 12-14 HOURS IN ADOBE CS2 AND WITH A MOUSE. NO KIDDING***

*how can you help* Please go to "The Mayo Clinic" [link]


Thromboangiitis obliterans is a rare disease in which blood vessels of the hands and feet become blocked.


Causes, incidence, and risk factors

Thromboangiitis obliterans (Buerger disease) is caused by small blood vessels that become inflamed and swollen. The blood vessels then narrow or become completely blocked by blood clots (thrombosis). Blood vessels of the hands and feet are especially affected. Arteries are more affected than veins. Average age when symptoms begin is around 35. Women and older adults are affected less often.

This condition mostly affects young men ages 20 - 40, who are heavy smokers or chew tobacco. Only 1 of 10 patients are women. Many patients also have very poor dental hygiene, likely due to tobacco use.

This disorder is very uncommon in children. It can occur in children with autoimmune diseases.


Symptoms
•
Fingers or toes can be pale, red, or bluish and feel cold

•
Pain in the hands and feet
◦
Acute, severe

◦
Burning or tingling

◦
Often occurring at rest

◦
May be worse with cold exposure or with emotional stress



•
Pain in the legs, ankles, or feet when walking (intermittent claudication), often located in the arch of the foot

•
Skin changes or small painful ulcers on fingers or toes

•
Usually two or more limbs are affected



Signs and tests

The following tests may show blockage of blood vessels in the affected hands or feet:
•
Special ultrasound of the extremity called plethysmographyy

•
Doppler ultrasound of the extremity


Blood tests for other causes of inflamed blood vessels (vasculitis) and blocked (occlusion of) blood vessels may be done. These causes include diabetes, scleroderma, and atherosclerosis. In rare cases when the diagnosis is unclear, a biopsy of the blood vessel is done.


Treatment

There is no cure for thromboangiitis obliterans. The goal of treatment is to control symptoms and to prevent the disease from getting worse.

The patient must stop using tobacco. It is also important to avoid cold temperatures and other conditions that reduce blood flow in the hands and feet.

Applying warmth and exercising gently can help increase circulation.

Aspirin and medications that open the blood vessels (vasodilators) may help. In severe cases, surgery to cut the nerves to the area (surgical sympathectomy) can helpcontrol pain.

If the area becomes so infected that tissue dies, it can be necessary to amputate the fingers or toes.


Expectations (prognosis)

Symptoms of thromboangiitis obliterans may disappear if the person stops tobacco use. Persons who continue to use tobacco may need repeated amputations of affected fingers or toes.


Complications
•
Tissue death (gangrene)

•
Amputation of fingers or toes

•
Loss of blood flow in the limb of the affected fingers or toes



Calling your health care provider

Call your health care provider if:
•
You have symptoms of thromboangiitis obliterans

•
You have thromboangiitis obliterans and symptoms get worse, even with treatment

•
You develop new symptoms



Prevention

Persons with a history of Raynaud disease or blue, painful fingers or toes, especially with ulcers, should not use any form of tobacco.


References
1.Dargon PT, Landry GJ. Buerger's disease. Ann Vasc Surg. 2012;26(6):871-80.
2.Olin JW. Other peripheral arterial diseases. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 80.


Review Date: 11/10/2012.

Reviewed by: Gordon A. Starkebaum, MD, Professor of Medicine, Division of Rheumatology, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
[link]