Peripheral Arterial Disease (PAD)
Also known as bad circulation or poor blood flow, PAD often causes pain and stiffness while walking or wounds that won't heal. This is due to the narrowing or blockage of blood vessels called arteries.
It is estimated that 12%-20% of Americans age 60 and older suffer from peripheral arterial disease. Due to increased rates of smoking, diabetes, and obesity, PAD is hitting San Antonio harder than many places. The effects of PAD especially impact our Hispanic community.
Stroke Prevention
The arteries that carry blood through the neck to the brain are called carotid arteries. When these arteries narrow or become blocked, they can result in up to 33% of all strokes.
By closely monitoring patient with risk factors such as a history of smoking, high blood pressure, high cholesterol, diabetes, or heart disease, we can take the appropriate steps to minimize the risk of stroke.
Amputation Prevention
San Antonio has one of the highest rates in the nation for amputation due to diabetes and peripheral arterial disease. Many physicians are doing their best to treat patients and avoid this outcome, but the results are minimal.
Amputation prevention can only be accomplished through a coordinated, multi-specialty approach to patient-centered care. Wound care, podiatry, cardiology, internal medicine, primary care, and vascular surgeons, among others, all have a role TOGETHER to make a difference in our community.
Est. February 2018
Real. Personal. Medicine.
Our society is dominated by challenging lifestyle decisions every day. Do we eat fast food or a salad? Do we exercise or try to spend time with our kids? Over time, these decisions add up and can result in difficult health conditions. Diabetes, high blood pressure, and high cholesterol can easily creep up on us. These are the major risk factors for vascular disease.
Making matters worse, many people in our society, and in South Texas specifically, do not have ACCESS to healthy food options. The hardships of poverty and struggling socioeconomic situations make it very difficult to get back on track with a healthy lifestyle. We understand, and we will do everything we can to help.
It is our mission to provide quality care to the entire vascular patient by challenging every member of our organization to make a positive difference in the lives of our patients.

Patients and Family
Do you or someone you know have peripheral arterial disease? Would you like more information or to schedule an appointment? Use this secure form to contact us and we'll get back to you at your convenience.
Referring Physicians
Use our HIPAA-Compliant referral form to request an appointment for your patient. We'll confirm receipt and get back to you with a date and time for your records. New Patients and Urgent appointments can be seen as soon as the same day.
Happy National Nurses Week!
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Saturdayβs kickoff off of Fit Family Challenge - a 12 week summer program designed to get families active. With San Antonio Sports, Palo Alto College, San Antonio District 4 Councilwoman Adriana Rocha & Mayor Ron Nirenberg. Itβs never too late to view class schedules and register to join at FitFamilyChallenge.com ... See MoreSee Less
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The SAVE team helping to support active and healthy living with Earnabike and YMCA of Greater San Antonio. Over 100 kiddos and their families completed bike safety training. The kids left with a fitted helmet, lights and a brand new bike!
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Two days of beautiful weather and events! Fiesta de Amigos at SA Parks & Recβs Commanders House and Health Texas Farmers Market invited out community members to not only celebrate Fiesta but to act as a conduit to care and resources.
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Fiesta fun providing information and community support to seniors at The Salvation Army San Antonio Center for hope
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SAVE joined San Antonio Metro Health along side over 70 other community partners to showcase services, programs and health resources at Fiesta De Salude ππ #vivafiesta #togetherwecanmakeadifference ... See MoreSee Less
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Sending the Biggest and Best Birthday Wishes to Dr. Thomas Gianis! Your hard work and dedication are greatly appreciated throughout our patients and team members.
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Happy Birthday Dr. Gianis!!ππ
Happy Birthday Dr. G!