No More Downtime :J. Gordon Wright, MD, FACS, Vascular Surgeon, Director, Midwest Vein Center, Located at Good Samaritan Hospital. No More Surgery No More Varicose Veins No More Downtime Know More:


J. Gordon Wright, MD, FACS :J. Gordon Wright, MD, FACS Founder and Medical Director of the Midwest Vein Centers Medical School & Residency: LUMC ’78-86 Vascular Surgery Fellowship: Boston University ’86-88 Full Time Faculty: The Ohio State University ’88-96 Director of OSU Non-Invasive Lab Director of OSU Vein Clinic Private Practice at GSH since 1996 Dr. Wright


Stephen P. Rivard, MD, FACEP :Stephen P. Rivard, MD, FACEP Medical Director of the Midwest Vein Center at Glenview Medical School: Loyola University Medical Center, 1974-1978 Residency: Butterworth Hospital, Grand Rapids, Michigan President of Tri-County Emergency Physicians at Advocate’s Good Shepherd Hospital, 1984-2005. Fellowship in Phlebology: MVC at Good Samaritan Hospital, 2005. Dr. Rivard


Barbara S. Zuniga, MD :Barbara S. Zuniga, MD Medical Director of the Midwest Vein Center in Orland Park Medical School: University of Oklahoma Medical Center, 1988-1992 Residency: Tulane University, Obstetrics & Gynecology, 1992-1996 Private Practice of Ob-Gyn from 1996 to 2000 in the South Suburbs of Chicago Fellowship in Phlebology: Midwest Vein Center, January-September 2007 Dr. Zuniga


The Midwest Vein Centers :The Midwest Vein Centers Three Locations: Downers Grove Glenview Orland Park


The Midwest Vein Centers :The Midwest Vein Centers Three Locations: Glenview Downers Grove Orland Park


The Midwest Vein Centers :The Midwest Vein Centers Three Locations: Orland Park Downers Grove Glenview


The Midwest Vein Centers :All Locations Have: Comfortable, spacious medical offices. State-of-The-Art Equipment. Friendly and Compassionate Clinical and Administrative Staff. EXTENSIVE experience with treatment of all forms of vein disease. The Midwest Vein Centers


The Midwest Vein Centers :All Locations Have: Comfortable, spacious medical offices. State-of-The-Art Equipment. Friendly and Compassionate Clinical and Administrative Staff. EXTENSIVE experience with treatment of all forms of vein disease. The Midwest Vein Centers


The Midwest Vein Centers :The Midwest Vein Centers Complete focus is on: High Tech, State-Of-The-Art Vein Care (Phlebology). Making your experience Comfortable, Pleasant, Enjoyable, and even FUN! Insurance Support, Interest Free Financing. FANTASTIC RESULTS!


Midwest Vein Centers: Leaders in the Art and Science of Vein Care :Midwest Vein Centers: Leaders in the Art and Science of Vein Care


Seminar Overview: Part I :Seminar Overview: Part I Introduction: Anatomy and Vein Valves What Causes Varicose and Spider Veins? What’s the Big Deal? Why Should I Care? The Spectrum of Venous Disease, from mild to fatal: Treatment Options: Two General Treatments appropriate for Everyone: Support Hose Therapeutic Diagnostic “Avoidance” Therapy


Seminar Overview: Part II :Seminar Overview: Part II Treatment Options (continued): Six Specific Treatments for Selected Individuals: Traditional Surgery (Vein Stripping) Trivex – A “new” (1999) slightly less invasive way to perform a surgical vein stripping. Endovenous Laser Vein Treatment (EVLT) – A new, minimally invasive way of removing the greater saphenous vein with a laser catheter. Ambulatory Phlebectomy Sclerotherapy for Varicose Veins or Spider Veins Lasers / Photoderm for spider veins


Seminar Overview: Part III :Seminar Overview: Part III Video Demonstrations Sclerotherapy Photoderm Endovenous Obliteration Before and After Pictures The Midwest Vein Center: Frequently Asked Questions Location and Hours Question and Answer Session


Anatomy of Leg Veins: :Anatomy of Leg Veins: There are 3 systems of veins: Superficial (right under the skin) Deep Perforators Note that the Superficial and Deep Systems Join at the top of the leg. There are one-way flutter valves in all three systems


Some Basics of Circulation: :Some Basics of Circulation: The Heart Pumps Blood To the Tissues thru Arteries The Blood Passively Returns to the Heart thru Veins Standing Walking Instead of being pumped by the Heart, Blood in Leg Veins is “Pumped” by the contraction of leg muscles, which squeeze the leg veins and thereby moves the blood along its course, through the leg, back to the heart. To do this properly requires one-way valves in the veins.


Anatomy of Vein Valves: :When muscles contract, they squeeze leg veins. If the valves in the veins are working properly, the blood will move in one direction only (towards the heart) and the valves prevent the blood from moving backwards (away from the heart). If the valves are NOT working properly, the blood goes both forward and backward, causing increased pressure and stagnation in the veins. Over time, the high pressure causes the veins to dilate, stretch, and become varicose veins. When the pressure in the veins becomes too high, the tissue in the vein wall actually rips and tears, causing the varicose veins to HURT! Anatomy of Vein Valves: Toes Heart Normally Functioning Valves Non- Functioning Valves Heart Toes


The Spectrum of Venous Disease: What’s the Big Deal? Why should I care? :The Spectrum of Venous Disease: What’s the Big Deal? Why should I care? Spider Veins Venules Reticular Veins Varicose Veins Phlebitis, Bleeding Venous Ulcers Blood Clots and Pulmonary Emboli Mild, Non-Progressive Potentially Fatal Serious Progressive


The Spectrum of Vein Disease: Spider Veins :The Spectrum of Vein Disease: Spider Veins Named for their appearance with web-like projections, spider veins are present in 80% of women over the age of 40.


The Spectrum of Vein Disease: Venules :The Spectrum of Vein Disease: Venules Venules are simply larger spider veins. The large horizontal spider vein in the lower part of this picture is being “fed” by a larger, deeper reticular vein.


The Spectrum of Vein Disease: Reticular Veins :The Spectrum of Vein Disease: Reticular Veins Reticular Veins are small Varicose Veins. They often function as “feeder” veins into spider veins, as can be seen here. Spiders Reticular Vein


The Spectrum of Vein Disease: Varicose Veins :Front View Side View The Spectrum of Vein Disease: Varicose Veins Varicose (L. Varix, a swollen vein) Veins are dilated, tortuous veins that can cause pain, dermatitis, phlebitis, and ulceration. These veins might be treated with sclerotherapy, or an ambulatory phlebectomy, or an endovenous laser, or a combination of these. An Ultrasound is required to decide on the treatment options.


The Spectrum of Vein Disease: Phlebitis :The Spectrum of Vein Disease: Phlebitis Red, Hot and TENDER, varicose veins are prone to develop phlebitis. Phlebitis is an inflammed vein. The inflammation is almost always caused by a blood clot in the vein. Superficial phlebitis is not dangerous unless it extends into a deep vein. Rx is usually off-loading and aspirin. Usually takes 2 to 6 weeks to resolve When recurrent or persistant, surgery might be the best way to resolve the problem quickly.


Leg Veins: Video Demonstrations of Some Treatment Options: :Leg Veins: Video Demonstrations of Some Treatment Options: Micro-Sclerotherapy Photoderm EVLT (Endovenous Laser Vein Treatment)


Video Demonstrations: the PhotoDerm System :Video Demonstrations: the PhotoDerm System The PhotoDerm machine consists of a computer, and A FlashLamp with a Crystal Probe. Just Prior to Treatment, a Cool Gel is put on the skin over the vein to be treated. The Gel Serves Two Purposes: It Cools The Skin It is a ‘Coupling Agent’ The Crystal Head is then placed over the Skin, And a button is depressed to activate the FlashLamp


Video Demonstrations: Microsclerotheraphy :Video Demonstrations: Microsclerotheraphy Several Spider Veins are seen on the side of the calf. A very tiny needle is put into a spider vein. A small amount of medicine is injected and the vein disappears immediately. About 15-20 seconds later, the vein becomes engorged with clotted blood, and is inflamed and red.


Video Demonstrations: EVLT Procedure :The laser Fiber is then inserted up the plastic tube, to the top of the leg The laser power is then turned on The laser fiber is then pulled out the GSV, heating it up along the way Causing it to contract and CLOSE DOWN. Video Demonstrations: EVLT Procedure After administration of local anesthetic, A very tiny IV needle is put into the GSV near the knee. A guidwire is then inserted up the GSV. Ultrasound is used to monitor the entire procedure. A thin plastic tube is inserted to use as a sheath for the laser fiber. The plastic tube is positioned at the top of the leg using ultrasound guidance.


The Midwest Vein Center: :The Midwest Vein Center: All Before and After Pictures Can Be Viewed At: www.MidwestVein.com


Facial Telagectasias :Facial Telagectasias Before After 3 Treatments Close Up of Before Close Up After


Facial Telagectasias :Facial Telagectasias Before After One Treatment


Reticular and Spider Veins :Reticular and Spider Veins After Sclerotherapy Before


Spider Veins on Inner Thigh :Spider Veins on Inner Thigh Before Six Weeks After The Last of Five Treatments


Spider Veins on Inner Thigh :Spider Veins on Inner Thigh Before Three Weeks After The Last of Three Treatments


Spider Veins on Back of Calf :Spider Veins on Back of Calf Before 3 Weeks After The Last of 3 Treatments


Spider Veins on Outer Calf :Spider Veins on Outer Calf Before Six Weeks After The Last of Three Treatments


Spider Veins on Front of Calf :Spider Veins on Front of Calf Before After 14 Sessions of ST and Photoderm


Spider Veins on Inside of Calf :Spider Veins on Inside of Calf Before After 14 Sessions of ST and Photoderm


Spider Veins on Both Legs :Spider Veins on Both Legs Before After 14 Sessions of ST and Photoderm


Spider Veins on Inner Thigh :Spider Veins on Inner Thigh Before Six Weeks After The Last of Three Treatments


Varicose Veins Treated with Compression Sclerotherapy: :Varicose Veins Treated with Compression Sclerotherapy: Before 6 Weeks after S.T.


Varicose Veins Treated with Compression Sclerotherapy: :Varicose Veins Treated with Compression Sclerotherapy: Before 6 Weeks after S.T.


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before 1 Week after EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before After EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before After EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before 1 Week after EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before After EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before After EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before After EVLT


Varicose Veins Treated by EVLT :Varicose Veins Treated by EVLT Before After EVLT


Varicose Veins Treated by EVLT(Lesser Saphenous Vein) :Varicose Veins Treated by EVLT(Lesser Saphenous Vein) Before After EVLT


Varicose Veins Treated by: Ambulatory Phlebectomy :Varicose Veins Treated by: Ambulatory Phlebectomy Before 1 Week After A.P.


Varicose Veins Treated by: Ambulatory Phlebectomy :Varicose Veins Treated by: Ambulatory Phlebectomy Before 1 Week After A.P.


Varicose Veins: EVLT and A.P. :Varicose Veins: EVLT and A.P. Before After EVLT + A.P.


Acute Phlebitis Treated by a Combination of EVLT and A.P. :Acute Phlebitis Treated by a Combination of EVLT and A.P. Before 1 Week after EVLT/A.P.


The Midwest Vein Center : FAQs :The Midwest Vein Center : FAQs What is involved with the Initial Evaluation and Consultation? It takes about one hour. Complete evaluation of your problem. If an Ultrasound is needed it is done at that time by the Dr. You know the results immediately. Recommendations for treatment. Estimate of costs, length of time. All Questions answered. The costs are billed to your insurance.


The Midwest Vein Center : FAQs :The Midwest Vein Center : FAQs What are Cosmetic Treatment Sessions? An single treatment session typically lasts about 30 minutes. Treatment is often a combination of PhotoDerm or Micro Sclerotherapy. The fee for a single treatment session is $250* Total number of treatments varies depending on the extent of the problem. We collect the fee at the time of service, we do not charge in advance. *Prices going up to $275 on January 1, 2008


The Midwest Vein Center : FAQs :The Midwest Vein Center : FAQs What are Therapeutic Treatments Sessions? Covered by Insurance 80% of the time. We typically write and request pre-approval by your insurance company, so you know if it will be covered. All treatments are always done in the office. Always done with the least invasive methods possible. Done in the Office with local anesthetic: EVLT Ambulatory Phlebectomy Done in the Office but do not require local anesthetics: Compression Sclerotherapy MicroSclerotherapy PhotoDerm


The Midwest Vein Center: FAQs :The Midwest Vein Center: FAQs The Most Frequently Asked Question is: Will my insurance company cover this? Initial Consultation: Always Ultrasound: Always Surgery: Covered about 80% of the time, but we always check for you first. Sclerotherapy for Varicose Veins: Sometimes Photoderm: Sometimes Microsclerotherapy for Spider Veins: Never


The Midwest Vein Center :The Midwest Vein Center The Staff of the Midwest Vein Center: BSN Nursing Degree from Creighton University. Practice has been Office-Based for over 15 years. Over 10 Years Experience with Sclerotherapy and other methods of treating Spider & Varicose Veins. Has been with MVC since 1998. Jeanine Costello, RN, BSN Nurse Administrator, Midwest Vein Center


The Midwest Vein Centers :The Midwest Vein Centers Located in Suite #100, off the Main Atrium of the Esplanade Building: 2001 Butterfield Road Suite #100 Downers Grove, IL, 60515 630-322-9126 also in Glenview and Orland Park


The Midwest Vein Centers :The Midwest Vein Centers Located at “The Glen” in Glenview: 2601 Compass Road Suite #110 Glenview, IL, 60026 847-724-4141 also in Downers Grove and Orland Park


The Midwest Vein Centers :The Midwest Vein Centers Located at The Crystal Tree Professional Building: 14315 S. 108th Avenue Suite #114 Orland Park, IL, 60467 708-590-7150 also in Downers Grove and Glenview


The Midwest Vein Center :Questions? The Midwest Vein Center (Lights up Please)


The Midwest Vein Center :The Midwest Vein Center Needs: Map showing all 3 locations Configure for OP presentation and print handouts Configure for DG presentation and print handouts Install on chosen platform and TEST. Zuniga needs: Sound System? What else?