Adult General Cardiology Clinical
management of heart conditions including, coronary artery disease,
heart failure, arrhythmias, valvular heart conditions, etc. Most
common diagnostic procedures are done in our office including:
electrocardiograms, nuclear stress testing, echocardiograms, Holter
monitors, vascular ultrasound test, etc.. Heart catheterizations,
transesophageal echocardiograms and electrical cardioversions are done
at William Beaumont Hospital in Royal Oak.
Vascular Diseases Comprehensive
evaluation and treatment of arterial and vein circulation problems
including PAD, claudication, venous insufficiency, varicose veins and
spiders.
Vein Disease Comprehensive evaluation and treatment of vein conditions including varicose veins, venous clots, leg swelling and pain. Several modalities of treatments available in-office including laser therapy, ambulatory phlebectomy and sclerotherapy.
Sclerotherapy
Procedure Description: Sclerotherapy
What To Expect: The
doctor, called a medical phlebologist, first takes a generalized health
history from the patient then performs a detailed examination of the
patient's venous system. Depending upon the degree of vein disease and
patient symptoms, special instruments (a duplex ultrasound machine
which makes images of the veins deep in the legs and groin) may be used
to help the phlebologist determine exactly what is causing varicose
veins and precisely where sclerotherapy injection should be placed to
obtain the best results. Then, once the examination is completed, the
physician makes a specific treatment plan of sclerotherapy injection
therapy, compression stockings, and sometimes combined therapy
involving endovenous laser treatment, sclerotherapy injections and a
minor operation called an ambulatory phlebotomy. The sclerotherapy
injection procedure is done as follows: the physician, usually under
magnification, systematically The sclerotherapy injection procedure is
done as follows: the physician, usually under magnif
Postprocedure: A
day or two following treatment, the patient is usually telephoned by a
medical assistant to check how things are going. Then, in about three
to four weeks Dr. Farhy will examine the treated areas to check the
effects of the sclerotherapy treatment. If things have gone as
expected, treated veins will have been sclerosed on the inside and will
begin dissolving. If additional treatments are necessary, remaining
veins are treated again, and so forth. Simple spider veins usually
require just one or two treatments, but deeper reticular veins and
larger varicose veins may be treated two, three or even more times
depending upon the patient's individual response to treatment, how well
the patient follows after treatment advice, and how bad the venous
disease is.
Endovenous Laser Treatment
Procedure Description:
What To Expect: EVLT
eliminates unsightly varicose veins with no hospital stay, no scarring
and no lengthy recovery or side effects. In less than an hour you can
be free from bulging, twisted varicose veins and back to enjoying your
everyday activities. EVLT is safe, fast, and effective. With EVLT you
can show off your legs again.
EVLT uses targeted laser energy to seal the vein shut and help you look and feel better fast. Treatment in less than an hour. It is performed in the doctor?s office. Up to 98% success rate. Immediate relief of symptoms. Return to normal activity immediately with little or no pain. No general anesthesia or hospitalization. No scars. Here is what to expect from the EVLT procedure: Your doctor uses ultrasound to map out your vein. Local anesthetic is applied. A thin laser fiber is inserted through a tiny entry point, usually near the knee. Laser energy is delivered to seal the faulty vein. Walking immediately after the procedure is encouraged.
Postprocedure: Normal
daily activity can be resumed; just avoid rigorous activities such as
gym workouts. You will need to wear compression stockings for 1-2
weeks. There may be minor soreness and bruising. Any discomfort
can be treated with over-the-counter, non-aspirin pain relievers as
necessary.
Care Philosophy
Our
practice is a state-of-the-art private practice dedicated to providing
the highest level of cardiac and vascular healthcare. From our
equipment to our administrative services, we incorporate the latest
technologies to provide for an improved patient experience.
Important Notification
Effective December 1st 2003, my new office is in Royal Oak.
Vein Treatments
Types of Veins We Treat Dr.
Farhy offers a full service, high-tech medical facility specializing in
the treatment of all types of varicose and spider veins. The types of
veins we treat include:
What are Varicose Veins? You've
probably been hearing a lot about them lately on television and radio.
They've made the news and they've hit the talk shows because of two
reasons... they are such a common problem and because there is now
something practical, inexpensive and very effective to do about them.
Varicose
veins are quite common. According to a recent estimate, over 60% of the
US population has some degree of varicose veins. As the population
ages, that percent is increasing! Varicose veins and spider veins
(telangiectasia) are twice as common in women than men; however, they
are increasing in frequency in both sexes. Besides being a cosmetic
nuisance, they can also be a medical problem.
Medicine
describes three types of abnormal veins which cause people trouble.
These are spider veins - (also known as telangiectasia), reticular
veins and true varicose veins (also known as varicosities).
Spider Veins
Spider
veins are especially common. You know spider veins - you probably have
some yourself. Spiders are those ugly, dark blue little veins that run
up and down the legs resembling lines on a road map. Sometimes spiders
group themselves into nasty little star burst patterns that pop out
where they are least wanted! Sometimes they fan out along the outside
of the thigh or the inner aspect of the lower leg. Often they gather
around the ankles or behind the knees.
Regardless of where they
occur, spider veins are downright ugly! In fact, a recent survey found
that American women are more concerned about spider veins on their legs
than with almost any other cosmetic problem.
Reticular Veins Reticular
veins are those deeper, darker veins that form bluish networks that
criss-cross over the thighs and lower legs. Reticulars are larger veins
than spiders and they are usually the source of spiders. Getting rid of
reticular veins will help get rid of spiders!
Varicosities Varicosities
are large varicose veins resembling ropes that twist up and down the
leg or behind the knee. These types of varicose veins are plain ugly;
they bulge, they may be painful, and they can spontaneously bleed. In
some instances blood clots may develop in these veins.
If You Have 'Em, Get Rid of 'Em! If
you, like millions of other Americans, have varicose veins and you
don't like them, you really should consider doing something about them.
If you have some of the symptoms above, or if you simply don't like to
wear shorts or swim wear because of your legs, do something about it.
Now
with the advances in conventional sclerotherapy, ultrasound guided
sclerotherapy, ambulatory surgery, and endovenous laser treatment you
can get rid of varicose veins.
