Patient Stories

Dr. Alexander Reyzelman treats diabetes patient Michael Rubenstein. Photo by David Gorn/CALmattersThe word “amputation” threw a chill down Michael Rubenstein’s spine.The 67-year-old diabetic from San Mateo still winces at the thought. “They told me I’d need to cut it off right about here,” he said, sawing his hand across his left shin. Two months after that diagnosis, he’s on an exam table at the Center for Limb Preservation at UC San Francisco, his leg still whole, the threat of gangrene and amputation gone and his mood a lot less bleak and fearful. “Yeah, it turns out I didn’t need that,” he said.Many others are not so lucky. More than 12,000 Californians lost limbs or ...View Story

Bicknell Ramsay — a 74-year-old retired engineer who lives a fully active life — was concerned that a wound on his foot would not heal. Having volunteered for a clinical study on peripheral artery disease (PAD), he described the wound to the principal investigator, UCSF nurse practitioner Roberta Oka, R.N., DNSc. She referred Ramsay to Michael S. Conte, M.D., (pictured at right on left), Chief of Vascular and Endovascular Surgery at UCSF Medical Center. By then, the wound exceeded two centimeters and was enlarging. After an ankle-brachial index test found only 30 percent of normal perfusion in Ramsay's legs, Conte suspected limb-threatening ischemia — and worse. "He didn't have any of the traditional risk factors, but he was describing episodes ...View Story

In his 33-year career as a conceptual artist at Lawrence Livermore National Laboratory, John Maduell illustrated futuristic technologies few others could imagine. But he never envisioned the toll diabetes and vascular disease would take on his body—or that one day he might lose his legs because of these problems.  Maduell's troubles started two years ago when he developed a diabetic ulcer on his left foot. "Before I knew it, I was in the hospital, with three toes amputated," he says. Still, the wound didn't heal, and Maduell, who now lives and paints in Modesto, was told removing the entire leg was his only option.  Instead, he sought help at UCSF's Center for Limb Preservation, which brings together podiatrists ...View Story