{"id":384,"date":"2024-02-14T06:58:45","date_gmt":"2024-02-14T06:58:45","guid":{"rendered":"https:\/\/rosenveincare.com\/?p=384"},"modified":"2025-10-26T22:44:37","modified_gmt":"2025-10-27T05:44:37","slug":"piensa-a-la-izquierda-del-boom-tratamiento-proactivo-versus-reactivo-de-las-venas","status":"publish","type":"post","link":"https:\/\/rosenveincare.com\/es\/blog\/think-left-of-boom-proactive-vs-reactive-vein-treatment\/","title":{"rendered":"Piense a la izquierda del boom: Tratamiento proactivo vs. reactivo de las venas"},"content":{"rendered":"\n

Mid age adult 50s age mature woman applying varicose prevention treatment cream massaging legs sitting on bathtub wearing white bathrobe. Feminine health care after menopause concept.<\/p>\n\n\n\n

The family and I are on vacation now and I have the great fortune of spending time in the company of a true hero\u2026West Point graduate\u2026veteran of 3 tours to the middle east where his job was to lead a group of men involved in dealing with things that go boom. If you\u2019ve ever seen the movie \u201cThe Hurt Locker\u201d, think that\u2026only more sophisticated and, well\u2026fact, not fiction.<\/p>\n\n\n\n

I\u2019ve been asking him questions about his experiences\u2026and, as much as my previous work in the ER was intense and stressful\u2026it doesn\u2019t even compare to a workplace where explosions are literal and not just emotional outbursts by frustrated suburbanites.<\/p>\n\n\n\n

While the stories are truly harrowing\u2026it\u2019s the philosophical approach his team took that was the most intriguing to me. My impression was\u2026cuz I watched lots of cop shows growing up\u2026that when the bomb squad finds a bomb they either diffuse it (sometimes whilst riding on a skateboard under a moving city bus driven by Sandra Bullock) or just blow it up.<\/p>\n\n\n\n

WRONG.<\/p>\n\n\n\n

That wouldn\u2019t really solve much of anything in the long run. The bomb is bad\u2026but the dude who will continue to make bombs and teach others to do so unless apprehended is WAY more dangerous. So the key is for the bomb squad to analyze the bomb as they diffuse it to figure out who made it so they can go after that psycho\u2026and THEN blow it up.<\/p>\n\n\n\n

The phrase that he told me which encapsulates this philosophy is \u201cThink Left of Boom\u201d. I couldnt visualize it at first but it looks kinda like this:<\/p>\n\n\n\n

I added the \u201cZone of Regret\u201d for poetic purposes. The point is, you don\u2019t want to be thinking of how to handle the problem after the fact.<\/p>\n\n\n\n

Since you\u2019ve been reading my blog posts for a while now (and if you haven\u2019t, it\u2019s never too late to start\u2026no worries I\u2019ll wait until you\u2019ve caught up before continuing\u2026\u2026[whistling nondescript tune]\u2026\u2026\u2026\u2026\u2026great!), you know that I\u2019m a sucker for a great metaphor\u2026mixed or otherwise.<\/p>\n\n\n\n

Thinking AT Boom is exactly how most aspects of modern healthcare have been operating for years. It\u2019s predicated on the assumption\u2026faith, really\u2026that if you get a disease, nerds like me will have figured out which pill for you to take to make it all better\u2026.rather than society thinking LEFT of the Boom\u2026being proactive\u2026using disease prevention\/health promotion as the best way to handle things.<\/p>\n\n\n\n

In the ER I saw plenty of BOOM. Heart attack\u2026boom. Stroke\u2026.boom. Hypertensive\/Diabetic crises\u2026BOOM. In the ER world, that stuff is called \u201cjob security\u201d\u2026but that\u2019s cynical and I\u2019m trying to scrub the callouses that built up over the years by using a pumice stone of positivity<\/em>.<\/p>\n\n\n\n

And metaphorical booms don\u2019t just happen in the ER world. Thinking Left of Boom (TLOB) is absolutely true when it comes to vein disease.

Superficial venous insufficiency, the underlying disorder that leads to chronic vein disease\u2026and for many patients\u2026symptomatic varicose and spider veins\u2026starts in your teens\u2026.like tuition debt.<\/p>\n\n\n\n

And, like tuition debt, accrues and gets more annoying and painful over time (hah!\u2026another metaphor!). For men, this unrelenting process may continue unabated for many years in a slow, unrelenting way. For women who embark on the adventure known as pregnancy\u2026things can get exponentially worse rapidly. No need for any more metaphors once you start bringing pregnancy into the picture. Nothing compares to it in life-altering complexity.<\/p>\n\n\n\n

The scenario I see most often is that most men & women come to see me close to the point of the Boom\u2026when things have gotten so aggravating symptom-wise and\/or so life-intrusive aesthetically that they can\u2019t take it anymore. Unfortunately, some patients finally come to see me AT THE BOOM: permanent skin changes like discoloration or scarring and even healed or active skin ulcers.<\/p>\n\n\n\n

Part of my mission that I\u2019ve chosen to accept\u2026and thus sitting inside during Disney vacay with napping daughter at my side and typing on my laptop\u2026is to get all y\u2019all to start Thinking LEFT of Boom.<\/p>\n\n\n\n

TLOB is absolutely the way to go when it comes to vein disease. Catching the problems early saves you a world of trouble. Plus\u2026you\u2019ve waited for the right time to deal with this issue: technology has caught up to your problem. I have an arsenal of minimally-invasive, maximally-comfortable procedures to handle whatever you throw at me. All of the procedures I offer share some pretty awesome qualities:<\/p>\n\n\n\n