“I came into IPPMC for chronic shoulder pain, back pain and lower extremity pain. On my first evaluation, Dr. Kowalkowski performed a comprehensive physical examination and requested I undergo further workup for my lower extremity symptoms. I discovered I had 100% occlusion of my bilateral femoral arteries and needed surgery. I did receive treatment for my bilateral shoulder pain that day. I returned almost one year later to have my shoulders retreated since the previous treatment had provided significant relief. I wanted to say thank you for your thoroughness in finding the occlusions in my lower extremities. I came for pain management and received much more.”