A study released in 2019 in the Journal of the American Society of Nephrology states that 1 in 10 people with end-stage renal disease, which is those who have kidney disease and are on dialysis, undergo a major amputation of one of their legs in their last year of life. How does kidney disease lead to leg loss. That's the heart of this episode's discussion. If you've listened to this show for awhile, co-hosts Kym McNicholas and Dr. John Phillips talk a lot about Peripheral Artery Disease, which is plaque build-up in mainly the leg arteries, that restricts blood flow to the feet, leading to amputation. A new study by Interventional cardiologists at the University of Pennsylvania, that was presented at the Society of Interventional Radiology (SIR) Annual Scientific Meeting recently, reinforces conclusions of previous studies that people with end stage kidney disease are more likely to undergo lower extremity amputation. We have Dr. Rotimi Badero an Interventional CardioNephrologist - a very unique practice, who will talk about this serious issue, which impacts 10% of medicare fee for service spending.