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May 15, 2009
We doctors seem to know a great deal about sickness and not so much about health. Certainly we seem to do well with treatment but have difficulty in convincing people to alter their lifestyles so as to lessen the risk of well-known diseases. Yet the key to success in the degenerative diseases and some cancers, where we know the causative factors, is to avoid them if we can.
Changing our diet and avoiding smoking would reduce the incidence of atheroma.
The diagnosis of intermittent claudication can be made on the history alone. When the doctor examines the legs, he may be unable to feel the pulses in the feet. This indicates obstruction to blood flow.
In the past, various drugs were used in an effort to dilate the narrowed arteries and improve the blood flow. Unfortunately, these have proved disappointing.
Because of the development of operations designed to bypass the obstructed vessel, accurate diagnosis of where the blockage lies is important to decide if operation is feasible.
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