Dr. Adam Goldman

Yeah.

Um,

And then a large proportion of the problem is genetic.

So in general, if one parent has had venous disease, the chance that you will get it is about 50%.

If both parents have it, it's probably about 90%.

And then there's environmental.

So obviously obesity, lack of exercise.

uh you know a job or a vocation or a lifestyle where you're standing in place or sitting in place for long periods of time um so these are things that that will you know make it more likely to develop and then it's really a wear and tear problem so the reality is the

As people, we are standing upright, and gravity is always bringing things down.

So the blood is kind of pooling in the legs.

When you walk, it's being pumped up.

And basically, the problem with venous insufficiency is the –

valves that are preventing the water from going back down are incompetent, they're not working, and or just smaller venous pressure can cause these very small veins.

And really there's no specific treatment for those because it's not really one vein or a series of veins that are feeding it, but just a wear and tear and gravity problem.

So it's a combination of those factors basically that cause it.

Yeah, I mean, basically, we are trained as cardiovascular.

In fact, my job before I focused on veins, I was an interventional cardiologist.

So I did most of my work in the hospital doing cardiac catheterization, angioplasty.

I also treated peripheral vascular disease with the same kind of methods.

So basically, what changed in the last...