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Trini:WELCOME BACK TO
"LIVING 808."
IF YOU SUFFER FROM UNSIGHTLY
VARICOSE VEIN, VEIN CLINIC OF
HAWAI'I CAN HELP.
WE WELCOME OWNER DR. RANDALL
JULEFF.
THANK YOU FOR JOINING US.
THANK YOU.
Trini: WHAT IS VARICOSE
VEINS AND WHO TYPICALLY GETS IT?
WHO GETS VARICOSE VEIN AND
PROBLEMS, IT CAN BE ANYBODY.
AND IT'S A VERY, VERY COMMON
PROBLEM.
FOR INSTANCE, MOST ADULTS IN
THIS COUNTRY BY THE AGE OF 50,
OF THAT GROUP, 50% WILL HAVE
SOME FORM OF WHAT WE CALL VENUS
INSUFFICIENT SI.
IT'S A LITTLE BIT OF A
MISCONCEPTION THAT WOMEN
PRIMARILY GET VEIN PROBLEMS.
EVEN MEN ALSO.
35 TO 40% ARE ON THEM.
THE MOST SEVERE CASES OF
VARICOSE VEINS THAT I HAVE SEEN
IS YOUNG ADULT MAILS.
-- MALES.
WE'VE TREATED PEOPLE FROM 16 TO
EARLY 90s.
ANYBODY CAN HAVE THIS.
Trini: WHAT DOES IT MEAN IF
SOMEONE HAS VARICOSE VEINS.
VARICOSE VEIN AND SPIDER
VEINS ARE NOT THE PROBLEM
ITSELF.
THEY'RE USUALLY A SIGN OR A
SYMPTOM OF AN UNDERLYING PROBLEM
WITH THE FUNCTION OF THE LARGER
VEINS THAT ARE DEEPER IN THE LEG
THAT YOU DON'T SEE.
VEINS ARE THOSE BLOOD VESSELS
THAT CARRY BLOOD TO THE HEART.
VEINS IN THE LEGS HAVE DOUBLE
DUTY.
THEY HAVE HAVE TO BRING BLOOD
BACK TO THE HEART BUT HAVE TO
MOVE AGAINST GRAVITY.
THERE ARE HUNDREDS OF VALVES
INSIDE THE VEINS THAT KEEP THE
BLOOD MOVING UP.
THE THING THAT HAPPENS WHEN
VEINS FAIL IS THE VALVES ARE
FAILING.
USUALLY IT'Sñ= A GENETIC SORT OF
THING.
WHEN THOSE VALVES FAIL, THE
BLOOD SETTLES INTO THE LOWER LEG
AND CREATES THE SYMPTOMS.
SYMPTOMS OF ACHINESS, AND THIS
IS THE PROCESS THAT WE CALL
CHRONIC VENUS INSUFFIC IN-- ENSUE FISH
SI.
IT'S A PRODUCT OF CHRONIC VENUS
AESTHETIC PART THEY'RE CONCERNED
DEEPER ISSUE.
RIGHT.
A DEEPER MEDICAL PROBLEM.
AND THAT'S THE CHALLENGE THAT WE
HAVE ALL THE TIME.
AND THAT IS MANY, MANY PEOPLE
THINK THAT I'VE GOT VARICOSE
VEIN.
THAT'S A COSMETIC ISSUE.
I DON'T HAVE TO DEAL WITH IT.
CHRONIC VENUS INSUFFICIENCY.
SO TELL ME ABOUT TREATMENT.
I'VE READ THAT TREATMENT HAS
EVOLVED QUITE A BIT IN THE LAST
TEN YEARS.
IT HAS.
BEFORE TEN OR 15 YEARS AGO,
REALLY THE ONLY WAY THAT WE HAD
TO TREAT VENUS INSUFFICIENCY AND
VARICOSE VEINS IS BY DOING
SOMETHING CALLED SURGICAL VEIN
STRIPPING, AND A LOT OF PEOPLE
HEARD OF THAT.
THAT WAS A SURGICAL PROCEDURE.
PEOPLE WERE IN THE HOSPITAL FOR
TWO OR THREE DAYS.
A BUNCH O OF INCISIONS IN THEIR
LEGS.
IT WAS NOT A VERY PALATABLE
PROCEDURE FOR THE PATIENTS OR
DOCTORS.
BUT THAT HAS BEEN REPLACED BY
NEWER TECHNOLOGY.
THAT WE CALL ENDOVENUS OBLASIO
THIS.
IT CAN BE DONE WITH LASER FIBER,
SEVERAL OTHER THINGS.
THAT'S HOW WE TREAT THE PROCESS
OF VENUSES INSUFFICIENCY.
PEOPLE WERE IN THE HOSPITAL TWO
OR THREE DAYS.
CURRENTLY THE PROCEDURES ARE
PERFORMED IN THE OFFICE.
WE DON'T MAKE ANY INCISIONS.
EVERYTHING WE DO IS THROUGH
LITTLE NEEDLE PUNCTURE SITES.
AND PEOPLE HAVE THEIR PROCEDURE
AND LEAVE THE OFFICE AND GO ON
WITH THEIR DAY.
IT'S INCREDIBLY LESS TRAUMATIC
FOR THE PATIENT THAN IT USED TO
BE.
Trini: AND THAT SOUNDS SO
MUCH BETTER.
OH, YEAH.
VEINS DISAPPEAR?
THESE UNSIGHTLY VARICOSE VEINS?
THE MORE SUPERFICIAL --
THAT'S SORT OF THE SECOND STEP.
IN ADDITION TO TAKING CARE OF
THAT UNDERLYING PROBLEM, WHICH
IS THE OBLASION PROCEDURE, WE
HAVE TO GET RID OF THE
SUPERFICIAL.
IT'S DONE THROUGH LITTLE NEEDLE
PUNCTURE SITES.
WE'RE ABLE TO GET OUT THE BULGY
VEIN AND MAKES THE PERSON'S LEG
MUCH.
A LOT OF PEOPLE SUFFER FROM
THIS.
IT'S AN INTERESTING TOPIC.
YOU SAID A LOT OF BIG WORDS.
SO THE BEST WAY IS TO SEE YOU.
MAKE AN APPOINTMENT AND HAVE A
CONSULTATION.
WE'RE ON BERETANIA.
AND -- OR PLEASE VISIT VEIN