Choosing the right physician to
treat your varicose and spider veins
should not be taken lightly. Although
varicose and spider veins are almost
never life or limb threatening, incorrect
or poorly done surgery and other treatments
can do far more harm than good and
can leave behind permanent pain and
scars. Choice of surgeons should always
be viewed as a major decision and should
be made only after you have done your
‘homework'. Check out the physician
online. Check the state medical board
to verify his credentials. Ask
to speak with patients that have already
undergone the same treatment you need.
Most importantly of all: Ask questions!
1. Ask
your doctor where and when they were
trained and by whom.
2. How long have
they been doing these procedures and
how many have they done?
3. What
is their success rate?
4. What problems
have they seen with these treatments?
5. What
can you expect after treatment?
6. How
long will it take to see the desired
results?
7. What can
you expect in the future?
These and
other questions will go a long way
towards making you feel satisfied that
you have done your due diligence prior
to submitting to any medical or surgical
treatment. What are some mistakes to
avoid? A few important ones are listed
below.
Mistake #1 - Choosing a doctor
based solely on insurance coverage.
Most
insurance plans have panels of ‘participating'
physicians. These are doctors that have
signed a contract with certain insurance
companies to provide services to the
company's clients at fees that are set
by the insurance company. Frequently,
insurers demand that only certain procedures
be done by that physician regardless
of whether or not that is best for that
particular patient. So
the physician is forced to ‘pigeon hole'
the patient into a particular procedure
just because the insurance company pays
better for it than for an alternative
procedure that might be more costly to
the company but better for the patient.
A good example of this was when insurance
carriers specified that the Closure®
catheter procedure be done instead of
the laser catheter. The laser catheter
is faster, cheaper, and works better,
yet some insurers were only paying for
the Closure procedure... clearly not
in the best interest of the patient.
It
is also important to realize that just
because a physician is on the insurance
company's ‘panel' does not mean that
they are experts in vein treatment. In
fact, there are few if any true vein
specialists (phlebologists) on ANY insurance
panel. The insurance company wants you
to pick one of their panel doctors because
they don't have to pay them as much
as they might a ‘non participating'
physician. Picking
one of their docs is cheaper for THEM,
and therefore they think it's better
for YOU. What do you
think?
Mistake #2 - Picking a doctor based on ‘convenience.'
Doctors
are popping up all over the place wanting
to do your vein treatment. Vein disease
treatment is the hot new field in medicine,
and no wonder... millions of people
in the U.S. are afflicted with varicose
and spider veins. The
treatment for this is seen as fairly
lucrative compared with the sometimes
measly reimbursements paid to physicians
for routine primary care visits. Many
physicians are trying to attract patients
for vein treatments to supplement their
incomes from their regular medical
practices. These
‘fly by night' operators often have
little or no hands-on training, sparse
if any actual education in vein disease,
and pitifully little actual clinical
experience performing these delicate
and highly specialized vein treatment
procedures. Oftentimes
a physician interested in beginning
vein treatments will go to a weekend
seminar on ‘How to Treat Varicose and
Spider Veins'. A
medical device company with a sales
booth at the seminar will sell them
a device that treats veins and deliver
it to the physician's office right
away. The
company sales rep (not a physician)
even helps them do ‘a case or two'
and then the physician is on their
own. Just like
anything else in medicine, experience
counts. You don't
want to be among the first 10 cases
your doctor has done!
Picking a physician
because their office is ‘close to my
house' is a recipe for disaster. Not
all vein specialists are alike. The
most conveniently located doctor may
have only done a handful of patients
like you. Another
doctor across town might see 5 patients
a day just like you! Which
one do you think will do a better job?
If your child needed brain surgery,
would you pick the neurosurgeon just
around the corner that just got out
of training or the world renowned brain
surgeon 50 miles away? Now fixing varicose
veins isn't exactly ‘brain surgery'
(it's a lot less stressful) but it's
still important. You want it done right
the first time. Having to go see another
physician to fix the mess that the
first one made is never a pleasant experience.
Mistake
#3 - Picking
a physician based solely on price
The old saying ‘You
get what you pay for' also applies
to medical care. The person that price
shops for surgery will get exactly
what they are looking for: inferior
quality work done at the lowest possible
price. Those are
patients that we do not want at the Vein
Center of Charlotte. Your
body is not like a government contract…you
do not want to go with the lowest bidder.
The lowest bidder is the lowest for
good reason. Experience and skill are
never discounted. We
are well aware that vein treatment can
be costly. We will
work with you at every step of the way
to help you get the best possible care
for every dollar you spend. Remember
that poor work done elsewhere that
fails to correct the problem is not
worth the savings.
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