Rosen Vein Lectures: Vein Treatments, Part 2

Rosen Vein Lectures: Vein Treatments, Part 2

  • endovenous laser ablation

Long before my career as a vein doc performing varicose and spider vein treatments in the North suburbs of Chicago began, I worked a series of jobs and volunteered for many organizations around Chicagoland before and during my undergrad years: Lifeguard, delivering meals-on-wheels for the elderly, crisis hotline counselor, keyboardist in a band, operating room assistant. A pretty diverse set of experiences. Each informed and impacted upon my decision of which route to take in terms of a career choice. Starting to post on this blog has forced me to reflect on a great many things. And, just like looking at a reflection in any mirror, we not only see the image as it is in front of us, but also as we would like it to appear. This dissonance is what compels us to grab a brush…start a diet…seize the day.  Looking through the retrospectoscope, I can’t say that I have always made the correct decisions…but I have always tried to operate on the premise that making the best decisions starts with having the best information at hand. In the medical world there is the concept of informed consent. This means that in order for patients to agree to procedures, they need to be informed of the risks and benefits involved. This is true for brain surgery as well as vein procedures. On the doctor side of the equation, I have to choose which treatment methods to add to my armamentarium by analyzing the evidence available from research as well as my experiences and those of my colleagues. Having sifted through the data, there is a clear winner to treat superficial venous insufficiency: endovenous ablation. But it’s not enough for me to be certain of the benefits. I need to present the information to you as clearly as I can…including the alternatives…in order for you to make an informed decision that you feel comfortable with [see my previous Vein Rant #1 blog post]. My previous treatment post described conservative treatment options. As you recall, all of them are practical, but none are definitive as they can’t fix the underlying problem of venous […]

Rosen Vein Rant #1: The Internet of Things Veiny

OK…so every once in a while I have to take a break from veinblogging to reflect on the Internet as a whole. Being a nerd…no, please…dont all jump up and disagree with me too hastily,thanks…I took a pretty early interest in the Internet back in the early 90’s. Back then it was a much more rough and tumble place…no pretty graphic interfaces to help you navigate around…and when search engines like Internet Explorer came around it took about 30 minutes to get your results…if things didn’t just crash after minute 29. So, yeah…these are heady times we live in where, in 3 seconds, we can get an answer to just about any question we have…using our phones…on an airplane But…what kind of answers are we getting? Is the info accurate? How do we know? Fer instance…on an egosurfing whim…I decided to search Google Images for “David Rosen MD  Chicago”.  Here’s a few of the things I came up with (no joke):                                                                                   So…what are we supposed to make of the info we find on the internet?! When I was growing up [I can hear the millenials groaning, awaiting a lecture about the “old days”]…in my home there were two sources of information: a MASSIVE Webster’s unabridged dictionary and a complete set (which I’m pretty sure had a publication date that was pre-lunar-landing) of The Encyclopaedia Britannica. As for the encyclopedia… as a kid in the ’70’s, I envisioned a room full of geniuses cloistered away in some pipe-smoke-filled, wood-panelled room somewhere in England. Toiling away, day and night like medieval monks amassing and disseminating the most up-to-date info on, well…EVERYTHING. I’m sure there were tons of inaccuracies…but I guess I would have to wait for the next edition to figure that out [we never did get that next edition]. Or I would schlep down to the local library branch…end up forgetting the original question […]

Rosen Vein Lectures: Treatment Options, part 1

  • Spider Vein & Varicose Vein Conservative treatment

As a Chicago native and a successful North Suburban transplant, I’m a vein doctor that has seen some pretty significant changes happen around Chicagoland over the years. But all of the political, socioeconomic and demographic changes pale by comparison to the significant technological breakthroughs that have rolled into town over the past decade. 

Rosen Vein Lectures Diagnosis, Part 3: Classification

  • Notice the relatively darker, thinner areas on both lower legs.

Pop Quiz: What do Chicago (and the Northern Suburbs) have in common with Antarctica? If you can’t answer the question then you are likely reading this on the veranda of your winter refuge someplace far away and warm. Yes, I still have sympathy for you and your vein issues…but perhaps just a bit less than those who are slugging it out here with me in that frozen wasteland we call Chicagoland.

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