 Hi, I'm Dr. Nahas. I would like to introduce you today to my patient, Shelly Schultz, who actually is a nurse, works at the hospital and she's on her feet and she came to me complaining of fatigue in the legs and she has to sit down a lot at work. We examined her and she has varicose veins. We already did her right leg. Today we are going to do the left leg and maybe she has a couple words to say about her experience with the right leg before we start the left leg. So I had varicose veins and finally decided because I had suffered from pain and heaviness and itchiness for several years, finally decided to do something about it and I've had some treatment by Dr. Nahas on my right leg. I was amazed at how pain-free it was. I'd much rather do this than get a novocaine shot at the dentist. It was quick. I was able to go to work the next day. I was able to drive home. I think I took 200 milligrams of ibuprofen and that was it and I had been thrilled with the results. I wondered why I waited so long to get my veins taken care of. So today I'm having the left one done. So Shelly, would you recommend this to your colleagues because I know a lot of nurses have varicose veins and leg fatigue and pain. Would you recommend it? Absolutely. In fact, I have talked to a couple of my coworkers because we kind of share things back in the break room and I actually have one coworker who I believe has already had a procedure done by you and was very happy with her success and I have a couple others that I've said this is what you need to get done because I've been so happy with the results. Treating varicose vein right now is office-based, totally. You don't have to go to the hospital. You don't have to have any visits to any emergency rooms or ORs. We do all the testing before the procedure with ultrasound in the office. We do the procedure in the office and the patient comes in and goes the same day, actually the same minute we are done. As you heard from Shelly, she went back to driving the same day and worked the same day. So it's very minimally invasive. The vein stripping surgery by now should be obsolete. I still see some patients who actually still undergo those surgeries, come back with scars and the veins re-occur within five years and 50% of them. When they re-occur, they are really extensive and basically every scar that is left behind creates new veins like trees. So that has become my passion to treat veins in the office and majority of my patients are very happy with it. So Shelly's left leg has what we call tributaries or branches of the main veins. That's what you see on the skin. Those are the varicose veins that are known to us. So we will look with ultrasound first to see if they are deep or superficial. And on the monitor on the ultrasound I see few superficial ones and I don't see anything deeper than that. All right, here we go Lara. So what we'll do, we're going to inject them directly. So this is the medicine we use. We actually mix it with a little bit of air, become frothy like cappuccino. It's called STS and it is sclerotherapy agent that closes the vein. So we will start at the lowest part, poke. And we use a 27 gauge needle for this, which is tiny. Go blood flow. We inject slowly and a little amount at a time. You can see the vein disappearing as I inject. The green color is replaced with normal color of the skin. We'll let that flow. Then we will go a little higher now, poke. Surely you may feel a little bit of stinging when I inject, but should be very tolerable. So we inject in the vein. You can see a lot of veins disappearing all the way up. Now we're going to finish the big vein up here, poke. So the medicine flows with the blood. And that's why sclerotherapy is desirable in those cases because it covers a lot of veins as opposed to stripping them where you can strip only the big ones and the branches remain behind and come back. So you can see we cleared most of this vein so far. We still have a little bit to go here. Okay, poke. That's clear. Deal with this one here. Ready? That will clear this one. So you can see we did this whole thing in about five pokes. There's a little area here I want to do. It's cosmetic, but Shelley is my friend. I'm going to do it for her. You know, we always worry about treating the medical veins first and then the cosmetic ones second. And let's admit it. We all care about our appearance. We want to look good. So you can see this spider going away. You will still see the branches that are very red and angry right now with time the body absorbs them. And this whole thing took maybe five minutes or so. So you can see that her vein is gone and the body will absorb whatever is in the body left of it and took less than five minutes, a few pokes. And you can say goodbye to your vein, Shelley. Thank you. All right.