Dr. Adam Goldman

And they have other evidence of problems.

So it's basically affecting the skin.

So you get swelling, edema.

You get ulcerations in very severe cases.

You get inflammation of the skin that doesn't go away unless you treat the underlying disorder and can lead to ulcers.

And then there's just symptoms.

So pain, cramping.

heaviness.

So as far as insurance is concerned, you have to have basically one of, say, three criteria.

So one, you have to have the correct anatomy.

So

When we evaluate a patient, obviously we're looking at the external to the physical exam.

And we're looking to see that they have swelling or they have significant varicose veins.

And then inside, there's an ultrasound we do to look at the feeding veins.

We can talk a little bit later about the pathology.

But we're basically looking to see that the anatomy is causing these veins.

So if you have those two problems...

Uh, then you can go on to the third, which is either symptoms or other complications of venous disease.

And that's the only way, uh, insurance will pay for it.

If you can either prove symptoms or, and that's obviously a, uh, subjective, uh, experience.