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    Medical Case 1:Two in ten of diabetes patients have to amputate the extremity?
    Manager Qian's career was getting better and better. Although he suffered from diabetes for ten years, he was busy all day, without any time to go to hospital for treatment, just simply taking some oral medicine. Last year, he felt that his feet was a little numb and tired easily, he thought that maybe he just lacked some exercises, and neglected it at first. He made an appointment with his good friends for a trip during the National Day. When climbing hills, he felt that his leg was very tired, but he gnashed his teeth to persist on so as to not to dash his friends' happiness. When he went home, he found that there was a big blister on his big toe, he burst the blister by himself. Several days later, his foot was too swollen to put on shoes, but it was not very painful. He took a little medicine. But he couldn't imagine that two or three days later he suffered from fever and ague, temperature was up to 39°C. He was immediately taken to hospital, and found that many parts of his feet had ulcers, skin became putrescence. Even after integrative treatment, the infection still could not be controlled. Doctors suggested that he should amputate both legs to maintain life. Mr. Qian disagreed with this suggestion, he turned to Periphery Vascular Surgery of Clifford Hospital, and finally saved his legs. 

    There are lots of people whose experience is similar to Manager Qian's. We are no stranger to diabetes, but we seldom have extremity amputation because of diabetes. Limb's gangrene is one of the most serious diseases caused by diabetes. There are over 40,000 persons whose limbs are amputated because of diabetes gangrene in America every year. There are 20% of diabetic patients who have limbs' pathological changes in China. Because the vascular pathological changes brings on a decrease of blood flow to the foot, which makes it easily infected, and even causes ulcers or putrescence. Especially for the elderly, if infection is serious, limb amputation is a good decision, otherwise the person will lose his life. Diabetes patient should pay attention to the following:

    1. Pay attention to the early symptom of limb's lack of blood.
     If the diabetes patient is treated in early stage, the catastrophe result of limb amputation can be avoided. Regular examinations should be made in order to discover limbs lacking blood in the early stage. Pay more attention to the early symptoms of limbs lacking blood, such as cold, numbness and easily tiredness etc. If you have one of the symptoms, you should be examined in vascular section. Early treatment is the key for curing. Do not miss the best treatment chance, or else you will regret all your life.

    2. Avoiding limb's trauma

    Diabetes patients may lose their limbs or even lives because of their uncomfortable shoes. Prevent any form of trauma even the smallest one.

    3. Treating diabetes actively to stabilize blood sugar 
    A lot of diabetes patients do not persist with hypoglycemic medicament. They take medications intermittently; and do not inspect their blood sugar level for a long time. This will cause earlier or serious complications at advance stage. When complications appear, the treatment would be more difficult. Therefore, it is very important for diabetes patients to control blood sugar, which is the basis to prevent related complications.

    Periphery Vascular Surgery of Clifford Hospital mainly adopts Chinese Traditional Medicine, together with integrated Chinese and Western medicine therapy, when necessary, medical ozone therapy, chelation and rejuvenation therapy are used for treating diabetic limb gangrene. By using such comprehensive treatments, many limbs with serious limb gangrene are saved.

    Medical Case 2 :Ulcer's recurrence is mostly because of vascular pathological changes

    One day Mr. Wang fell down unconscious, a small piece of foot skin was rubbed off. He did not mention it, thought that it would be well soon, but the ulcer became larger and larger. Treatments were useless for his wound. Later, he went to Periphery Vascular Surgery of our Hospital upon his friends' introduction. Examination showed that his wound was arteriosclerosis. Fortunately, his wound fully recovered after integrated treatments of Traditional Chinese Medicine and Western Medicine.

    Cases like Mr. Wang are seldom seen. Recurrent ulcers always happen on lower limbs, mainly because the vascular pathological changes. The vascular pathological changes can be divided into two types:

    One type is brought by insufficient blood supply, mainly seen among elderly people. The common diseases are arteriosclerosis and diabetes etc. Some are because of dilapidation caused by light trauma; some are because of skin burst caused by ringworm, mosquito or bug; some are because of blisters with no clear reason. This type of disease is called blood lacking ulcers. If it cannot be cured in time, some patient may lose their limbs. So this kind of disease should be treated in time. It will have better effect by using integrative treatments of Traditional Chinese Medicine and Western Medicine.

    The other case is caused by bad circulation of vein, mainly appeared on limbs with varicose veins or swelling. It is commonly called "old rotten leg". Herbalists usually call it "ecthyma". Those that happened on the inside of the leg are called inner ecthyma; those that happened on the outside of the leg are called outer ecthyma. People often say that: "Inboard limb and outboard limb, ten years and eight years." It can show the disease is so persistent and easy to relapse. This type is called congestive ulcer. Only by resolving the problem of bad blood circulation can this kind of disease be cured.


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