What is a typical healthcare journey for somebody with peripheral arterial disease?

The patient who thinks has developed peripheral tear disease needs to be assessed at the very beginning by the GP. The GP can offer some non-invasive tests which can really focus on the amount of peripheral tear disease. For example, the first examination is the very typical one, very simple, is the palpation of pulses. So there are three different pulses, the pulses at the level of the groin, if it's present or not, the pulse at the level of the publiteal artery, which is at the level of the knee joint, is it present or not, or the pulses at the level of the feet, especially the anterior tibial artery pulse or the posterior tibial artery pulse. So the GP can put his fingers and of course if there's an excellent pulse at the level, for example, of the posterior tibial artery just above the ankle, then the patient is very unlikely to have any kind of peripheral arterial disease or any kind of significant peripheral arterial disease. The second stage that can be done, again, many times at the level of the general practitioner, it's the ABI or a BPI. Essentially, it's the measurement of the blood pressure at the level of the arm at the level of the ankle and essentially the the ratio between the two of them can guide the GP in understanding better if the symptoms of the patient are referred to a pain which is which is caused by arterial blood supply which is not enough for the patient himself or herself. Of course after this everything goes to the hands of a specialist so essentially if the GP things that the patient has some vascular symptoms usually refers the patient to a center of excellence for this pathology where the patient can be assessed even in more invasive ways for example one is the Doppler of course Doppler is the the little scan with the ultrasound in order to understand if the vessels are occluded or not and how much the vessels are occluded because it's important for the specialist to treat the patients accordingly to his symptoms and the amount of the disease.