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Big problem okay because then the next thing you know the toes are blue heels getting now bluish so you don't want to compress a patient with arterial disease so before you treat let's get non-invasive vascular studies it's a standard of care anyone care center I work in wound care center in Manhattan with you that I'm anybody with a patient with a lower extremity well and I'm highly recommended ends the ends the argumentative polishes and helps you to guide your treatment Air ankle brachial ind