Dr. Adam Goldman

it wasn't really widespread.

And then after that, I started gaining traction.

So that was a big change.

No, because really the clot that occurs that's dangerous is in the deep system.

Most veins are really relative to the... Superficial.

And so what happens is, yeah, on a plane ride, you're more likely to swell, and obviously it's good to wear compression stockings, do cafes, other kind of movements that would keep the blood flowing.

Yeah.

And obviously...

The reason people usually who develop clots are usually people who have a underlying clotting disorder.

And so they go on a long plane ride, they're not aware of it, they've never been diagnosed, they've never had a complication, and they develop a clot on that plane ride, but it's not really applicable to people with superficial venous disease.

It's a different problem.

So symptoms, you know, are symptoms.

So if you can live with the symptoms, in fact, when you try to get it authorized, you have to document that the patient tried conservative measures and was unsuccessful to relieve their symptoms.

But it's not really dangerous.

Right.

The main problem occurs that over time, the venous pressure increases.

causes a destruction of the skin.

So it starts out with, you know, the swelling, then you have actually atrophy of the skin, where it becomes thin and sort of shiny.

You know, often there's hair loss associated with that, you know, and a woman doesn't matter, but a guy may notice that.

And then eventually it can lead to this kind of bad inflammation dermatitis where the skin gets very red and irritated.