Dr. Adam Goldman

So like in our clinic, you've come in, you've been evaluated.

the ultrasound is done and we know what's going on and we will usually come in and give you the results right away.

And then let you know, you know, what the odds, depending on your insurance or the odds of being authorized, what is involved in the treatment.

So you have an idea what to expect.

So usually it's done at the point of initial evaluation.

So it depends on the insurance and the problem, but in general, you want to treat the larger veins first.

So if someone has insufficiency in the greater sapiens vein, the first step is to do an ablation.

So there are different ways to do that.

There's energy like radio frequency and laser.

And then there's a glue, which some insurances pay for, some don't, called angiocele, which can be used as well.

And there's different advantages and disadvantages to each one.

But basically, you want to close that vein.

So the vein is open.

And we don't clot off because it's a living organism.

There's a lining there that produces proteins and anticoagulants because the blood is very slow moving.

So you imagine you cut yourself and the blood's coming out.

Pretty much it clots fairly quickly.

That's because all those factors are basically not present outside the vein or artery system.

So in the vein, in order to make it close, so in the old days, they stripped them out.

They literally took out the vein.