Dr. Adam Goldman

You need to get a little needle.

Sometimes I use only the very,

end of the bevel because it's like a smaller than a hair yeah of course and so and you'll literally see when you're doing sclerotherapy you know you're doing a good job because you'll see the veins actually disappear oh interesting push the tumescent you know it's been the uh the cirrhosis has pushed the blood out of it so basically disappears then it comes back because now it's a hardened vein and the body removes it

um so you know it's more of an you know if you've ever had a tattoo it's kind of a similar kind of experience the worst yes yeah but you can we do sell a numbing cream that you can put on but you need to have it on for a good half hour before you do the injections right come real early it doesn't completely numb it and to be honest you know most people go through it without that you know necessary so but it is an option you can use a lidocaine cream

Yeah, yeah, they're a little more uncomfortable, yeah.

So that's...

Yeah, but there's parts of the body where it's obviously, so when you're treating the ankle, right around the knee.

But it's an emotional experience, too.

And like you said, you got accustomed to it.

You got over your fear.

Yeah, yeah, yeah.

Some people have a fear of heights.

Yeah.

They keep on climbing on a ladder.

Yeah, they get over it.

They become desensitized.

Yeah.

So basically, as I said before, the compression stockings need to be used.

Of course.

Yeah.