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VEIN CLINIC WHAT DI WE NEED

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DR. MOHAMMAD ALTWALAH

Published in: Health & Medicine
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VEIN CLINIC WHAT DI WE NEED

  1. 1. Vein Clinic: What do We Need? Mohammad Altwalah Riyadh Saudi Arabia
  2. 2. Impact on Health > 50 million americans 30 % of women 15 % of men not only cosmetic
  3. 3. Complications Pain Swelling Thrombophlebitis Hyperpigemtion eczema bleeding ulcer
  4. 4. Classification CEAP Clinical Etiologic Anatomic Pathophysiologic C0: No visible or palpable signs of venous disease C1: telangiectases or reticular veins C2: varicose veins C3: edema C4: skin changes ascribed to venous disease a. pigmentation or eczema b. lipodermatosclerosis or atrophie blanche C5: healed ulcer C6: active ulcer
  5. 5. Pathiophysiology Reflux
  6. 6. Anatmoy
  7. 7. Treatment Eliminate reflux
  8. 8. Be the local expert  Knowledge of superficial venous anatomy  Knowledge of pathology patterns  Answer all questions  Explain what to expect
  9. 9. How to start
  10. 10. Clinic decisions  In hospital ( no costs but limiting)  Separate clinic ( cost $$$) but can add other services
  11. 11. Ultrasound Doppler is needed
  12. 12. Sclerotherapy quick safe effective
  13. 13. Sclerotherapy agents
  14. 14. Foam scleroherapy > potency ? TIA
  15. 15. Microsclerotherapy
  16. 16. Magnification glasses
  17. 17. ULTRASOUNDED GUIDED
  18. 18. Mini phlebectomy
  19. 19. Treat it all
  20. 20. Veinlite
  21. 21. Endovenous laser or RF
  22. 22. Brochure Bye bye varicose veins
  23. 23. Website
  24. 24. Media & Youtube
  25. 25. Be the local expert
  26. 26. How to run a clinic  Get a good clinic manager  Marketing team  Insurance coverage…. A must
  27. 27. Conclusions  Varicose veins are a large health problem  IR is the best doctor who can treat them  Vein clinic are successful…. Need time & effort

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