Dr. Adam Goldman

Right.

You'll have less complications, much easier to treat.

So the next step once, so depending if it's not that bad, we may have you come back the following week.

So if it's very bad, we may say we have to wait a month.

And then you want to either pull out those superficial veins or you want to inject them with Varathena, which is the polydorcanol.

So the injection is good because basically it gets into every nook and cranny.

So all the communications, everything,

All the veins that are under the surface that are part of the process will be closed with that injection.

The problem is that the injection afterwards, sometimes you can develop blood that has re-infiltrated in the vein.

And so if that happens, the iron is very caustic and inflammatory.

So first of all, you'll be uncomfortable.

Number two is it can cause discoloration of the skin.

So it's very important after the injection of the Varathena that you wear the stockings.

We actually use a two-layer compression.

We'll put a stocking on, and above that, we'll put an ACE bandage.

It actually compresses the veins even more to try and prevent that blood from getting in.

The other way, if it's very large veins, often that will not work well.

Or you have a lot of retained clot.

So in those cases, we will often pull out those superficial veins.

Oh, interesting.