Strictly Anonymous Confessions
1445 - Bulging Varicose & Spider Veins: Why You Have Them & How to Fix Them
02 May 2026
Transcript generated automatically by AI and may contain errors.
Chapter 1: What is the main topic discussed in this episode?
Welcome to the Strictly Anonymous Podcast. Strictly Anonymous Podcast. Conversations with online strangers.
We place ads online. The Craigslist is definitely like the gift that keeps on giving. Real people respond.
You go to Singapore or Thailand, you can't not do it. The temptation is just too much.
With Real Follow. Does your friend know that you're banging her or no? No, he has no idea. And anything goes.
Motto of the show, let your freak flag fly.
Probably the only good advice I'll ever give you is to re-hide your whips and chain.
Here is your host.
Hey, welcome to the Strictly Anonymous podcast with Kathy. If you want to follow the Strictly Anonymous podcast on Instagram or Twitter, follow me at Strict Anonymous. If you want to be on the show, it's called Strictly Anonymous because I change everybody's voices and everyone's name.
So if you have an interesting, naughty, secret life or even just regular, not so naughty life that you want to talk about, while remaining anonymous or not anonymous, if you're out and proud, that's cool too. You can be on the show. I also look for like health related stories. Now I have a sexual health Saturdays.
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Chapter 2: What are varicose veins and spider veins?
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That's, that's a kind of amazing. And that happened over like your lifetime, right? While you were in school and out of school and now doing it. And that's why, right. Or while you were doing it.
Well, actually, it was really out of school. I mean, I graduated my fellowship in 1998. Right. And really, there was very little information about varicose veins, even though it's something that's been, it's an ancient, it's actually described back in a papyrus in Egypt. Oh, you're kidding. No, no. And in fact... They lived long enough to have them? Yeah, yeah. No, no.
And then there was documentation that one of the emperors of Rome... had varicose vein procedure done on one of his legs, but it was before they had anesthesia. And it was written that he refused to do the other leg because the treatment was worse than the disease.
Oh, I can't imagine.
So, yeah. And then really the understanding of varicose veins goes way back. Yeah. But there wasn't much you did about it, and so people didn't really seek treatment. And there wasn't a lot of – it wasn't as widespread.
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Chapter 3: How does insurance coverage work for vein treatments?
Some people actually have another branch. So in my case, I did two major branches of the greater saphenous vein. I did the anterior accessory because that was leaking as well. So every anatomy is different. If you have probably one leg, it's probably only one vein. If there's one area that's being affected – It's probably just that one vein.
But often people come in, they've got a lot of veins coming out. Yeah, totally. Both legs.
And they do the ultrasound on the calves, right, of both legs? Is that where they go?
Uh, it's up to the thigh. So it's the groin down to the calf basically. And then on the, you know, it depends on where the veins are. Sometimes the backside, the lesser saphenous vein runs from the, let's say around the, just above the knee down to the ankle. Uh, so that's being evaluated that case. And the greater saphenous vein, we really don't, Treat with the ablation above the knee.
We do treat the lower part with what's called an injection called Varathena. So, you know, but we do evaluate more interested from the groin on to about the knees, the most important area to evaluate for the greater saphenous vein.
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Chapter 4: Why do some people get varicose veins?
Okay, cool. But that's in one time and then you go home?
So you go home and you're wearing an ACE bandage. So what we do in our clinic, we do an ACE bandage. And the next day, you take it off, shower, and put the compression stocking on. So you want to wear the compression stocking. We recommend at least three days. And if the leg feels absolutely fine after three days, you can take it off and leave it off for now.
If you're still feeling sore or still swollen... You want to wear that stocking for a few more days. So let's say you need four days, five days. And the larger the vein, the more superficial, the more likely it's going to be kind of achy and sore afterwards because you can imagine it's more inflamed and it's better to wear the stocking while that happens.
It feels better because it holds the vein in place so you're more comfortable with the stocking on as well as it's helping the healing process and making sure the vein doesn't reopen because that can happen. The blood can force its way back through. So you want to keep the pressure on it in the short term so that it stays closed.
Okay. So what happens next?
So then it depends on the insurance, on the patient. So if someone has a lot of superficial varicose veins, a lot of big, giant, bulging veins, often after we close the feeding vein, we will wait a couple of weeks before doing the second part. The reason being that by waiting and you wear the compression stock.
Also, if you have that problem, like, you know, that bad, we're trying to make, so if you can imagine, if you have this blood constantly flowing into these superficial veins, they're going to get bigger and bigger and bigger, and they're not going to go away.
So sometimes if it's not too far gone, after we close the feeding vein, because we eliminated the blood supply to those superficial veins, they will decrease in number and size, which makes the second part much easier. 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,
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