Thirty-one-year-old Brandon started smoking in his mid-teens, and by 18, he was diagnosed with Buerger’s disease, a disorder linked to tobacco use that causes blood vessels in the hands and feet to become blocked and can result in infection or gangrene. Nine years later, after losing both his legs and several fingertips to this terrible disease, he quit smoking for good. Smoke-free for 4 years now, Brandon hasn’t had any more amputations, but he still must manage the consequences of being a double amputee.