 However, in my discussion with Dr. Z and his evaluation of Mr. A, it was felt that this may be an imprudent path to take given the lack of likelihood of reduction of his pain from his RST, his questionable healing of his wound given noninvasive studies that did reveal tenuous oxygenation of the right lower leg, and concerns of worsening of his RST symptoms on his left leg if he would have an amputation. 
However , in my discussion with Dr. Z and his evaluation of Mr. A , it was felt that this may be an imprudent path to take given the lack of likelihood of reduction of his pain from his RST , his questionable healing of his wound given noninvasive studies that did reveal tenuous oxygenation of the right lower leg , and concerns of worsening of his RST symptoms on his left leg if he would have an amputation .