General Practitioners

• Primary Care
• Smoking Cessation
• Emergency Care
  About 7 million Americans seek emergency care for chest pain every year. By getting an evaluation and a diagnosis before your chest pain becomes severe, you don’t have to end up in an emergency room fearing for your life. At Vein & Cardiovascular Center: Ashish Pal, MD, in Orlando, Sebring, and Davenport, Florida, Dr. Pal offers comprehensive chest pain diagnosis and treatment in a comfortable outpatient setting. Call the office or book an appointment online today. request an appointment
• Electrocardiogram
  During a traditional treadmill stress test the patient walks on the treadmill as it gets faster and steeper. The blood pressure and electrocardiogram (EKG) are the only aspects of the cardiovascular system that are measured during this test.

Internists

• Internal Medicine
  Dr. Pal is a graduate of the University of Delhi in New Delhi, India. He completed a residency in internal medicine and cardiology at Maimonides Medical Center, affiliated with the State University of New York. He subsequently trained in interventional cardiology at the University of Alabama in Birmingham.

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Venous Reflux is what causes varicose veins and symptoms of venous insufficiency such as swelling. Veins carry blood towards the heart from the legs. When valves become floppy and non-functional, gravity pulls the blood towards the feet in the wrong direction. Abnormal valves and the resultant “reflux” can be detected with an ultrasound. This lets the vein specialist know what treatment to recommend. An ultrasound exam done by an experienced examiner is advised before any varicose vein procedure and in a patient with leg pain or swelling. request an appointment
• MRI
  Using MRI to look at blood vessels and the flow of blood is referred to as a Magnetic Resonance Angiography. A MRA evaluates many arteries in the body and can find problems within the arteries and veins such as stenosis (abnormal narrowing), occlusion and aneurysms.
• X-Rays
• Computed Tomography
  A CT Scan is a special X-ray test that produces images of your body using x-rays and a computer. The scan allows a physician to visualize internal structures in cross section rather than overlapping images.

Surgeons

• Gangrene
  More severe symptoms can include continuous pain or coldness/numbness in the legs, sores on the lower leg or heels and toes, atrophy/shrinking of muscles, and even gangrene in the most serious cases.
• Vascular Surgery
  “Chronic Venous Insufficiency.” Vascular Web. Society for Vascular Surgery, Jan. 2011. Web. 17 Aug. 2011. http://www.vascularweb.org/vascularhealth/Pages/chronic-venous-insufficiency.aspx.

Dermatologists

• Corns
  The person with P.A.D. may need assistance with foot care. It is important that toenails not be cut too short and they should be trimmed straight across the top. Any corns or calluses should not be treated with strong chemicals or adhesive products. Instead, a podiatrist should treat them. If a skin lesion or ulceration occurs in a person with diabetes and P.A.D., it should be treated immediately.
• Ulcer
  A leg ulcer is a long-lasting sore that takes over four weeks to heal. The ulcers typically develop just above the ankle on the inside of the leg. The symptoms of a venous ulcer include itching, pain, and swelling in the affected leg. You might also notice hardened or discolored skin around the ulcer and a foul-smelling discharge.
• Calluses
• Lesions
  Two additional non-invasive tests may be done to determine where an artery is occluded. The blood pressure can be tested in various locations along the limb (segmental pressures) and compared to help identify the location of a blockage. Similarly, the pulse volume can be measured and the contour and magnitude of the waves can be tracked. When performed together, these two tests are almost as accurate as an angiography. A Doppler probe can also be used to measure the velocity of blood flow which can be useful in detecting lesions that reduce blood flow or blood pressure. These tests are especially helpful in evaluating the arteries of persons with diabetes, since their arteries may not compress well enough to obtain accurate ABI of segmental pressure readings.

Podiatrists

• Calluses