laser vein treatment

Rosen Vein 104:Pathophysiology or “Veins Gone Wild!”,Part 1

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Venous Pathophysiology, Part 1: The North Suburbs of Chicago seems an idyllic place. Great schools. Lovely parks. The beautiful state-of-the-art Rosen Vein Care office in The Professional Plaza at Northbrook Court. But despite all the local trappings and amenities, we live in an imperfect world. The second year of med school deals with learning about medical imperfection; what happens when things go wrong. Here’s a little taste of 2nd year med school for you…a discussion of venous pathophysiology. Pathophysiology is why doctors exist. Rosen Vein Care exists to fix the pathophysiology of the superficial venous system. I live and breathe the stuff. The concept is pretty easy to grasp: remember the major players of the venous system in the lower extremities: veins, valves, and pump…then realize that what can go wrong often does go wrong. The final common pathway of all the problems is an increase in the venous pressure in the extremities (venous hypertension). Let’s consider the players one-by-one: 1. Calf Muscle Pump Failure:  Think of this as “congestive heart failure” of the “peripheral heart”. Decreased pump function→decreased “ejection fraction”(the amount of blood pumped out of the legs and back to the heart)→increased volume of blood remaining in the lower extremities→ INCREASED VENOUS HYPERTENSION. This can be caused by: –Neuromuscular diseases (can’t move muscles in pump) –Muscle wasting (used to pump better, now not so much) [Please resist the urge for a “that’s what she said”] –Deep fasciotomies…or surgical incisions made deep into the muscles that render them unable to be used effectively 2. Plumbing Issues: Once you start talking about vascular problems what you are really talking about are plumbing issues. Plumbing issues can be boiled down to either blockage/narrowing or leaking. If we used such simplistic terms doctors would never be taken as seriously as they expect to be taken. Therefore we’ve come up with fancy-shmancy ways of saying the same thing. We call blockage “obstruction”. We call the leakage “incompetence”. [If the plumber told us our toilets are obstructed and our faucets are incompetent he’d likely charge us double, G-d forbid] a) Obstruction: The pump is fine but […]

The Vein Blog That Cares

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Rosen Vein Care, one of the premier Chicagoland practices devoted solely to the field of Phlebology (the treatment of venous disease including varicose/spider veins) recently had a website rehab. In addition, it was high time to refresh the VeinBlog,too. My name is Dr. David Rosen and I am the founder and medical director of Rosen Vein Care. When I started my solo practice in Northbrook, I suppose I could have chosen any particular name for the practice…Vein Specialist blah….Vein Clinic blah…Institute of Venous Laser blah…American Laser Venous Institute in the USA Specialists…ad nauseum. But, as I do with most things, I put a lot of thought and care into what name I would want to represent not only my practice, but me. I wanted my practice to be a paragon of vein care. I wanted to create a practice where I would be comfortable sending my family and friends…and me. A place where people can trust that my prime directive is to serve as their advocate and give them the best advice that suits their particular needs and wishes. If you want a cold, clinical institute…you’re looking at the wrong place. My place isn’t owned by a publically-traded corporation: I don’t have a board of directors or stockholders to answer to regarding the “bottom line”. I didn’t intend to pop open cookie cutter places on every corner like a Starbucks…just a single destination and a single doc to deliver every aspect of your experience from your initial consultation to your final treatment. If it sounds simple, written by someone who cares a lot about what he does…that’s because it is. And THAT’s why it’s Rosen Vein Care. My training and background spans the breadth and depth of medical care and I am proud to say that the additional time I invested in training to become certified by the American Board of Venous & Lymphatic Medicine has been well worth it. In forthcoming posts, I plan to use this Blog as a forum for educating patients about the up-to-date evidence regarding the causes and treatment of superficial venous insufficiency, venous hypertension, varicose veins, […]