Dr. Adam Goldman
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Podcast Appearances
I mean, so we have a classification that we use based on symptoms, the amount of varicosities, if you've had any kind of ulcer or healed ulcer.
Oh, okay, yeah.
Damage to the skin.
So when we kind of classify, so for example, it goes two through six is the common, they're called CEAP classification.
So someone has just varicose veins, no swelling, no skin damage.
They're class two.
They have spider veins, they're class one.
If you have edema, now you're class three.
So as you worsen, and we give it a score based on symptoms, the amount of ericosity is
the size, and there's a calculation you do.
So we have a way of kind of grading it.
At the end of the day, insurance will not pay for class one.
It has to be class two or worse, class two with symptoms or something else.
I mean, you see all kinds of patterns.
You see patterns where people have a few and their whole life they never multiply.
You have people that we treat and then it keeps coming.
They have to come back every year or two years to have retreat because new veins come out.
Oh, wow.
I myself did my veins.
My father had varicose veins.