By Aletha Tippett MD
This week I saw a patient with terminal peripheral vascular disease (PVD). Seeing him reminded me of how often the severity of this disease is misunderstood. He had had amputation of the toes on his right foot due to gangrene. The toes on his left foot had early gangrenous changes, similar to what had happened on his right. Of course, amputation of the toes did not solve his problem, it just moved the gangrene up further. He now has a gangrenous wound at the amputation site. Also, he has a new gangrenous round ulcer on his lateral foot. This came from tape which had been used to fasten a dressing to his foot.