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		<title>Vasovagal Syncope</title>
		<link>https://ciccenters.com/vasovagal-syncope/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Thu, 02 Jul 2020 17:06:03 +0000</pubDate>
				<category><![CDATA[Cardiology Corner]]></category>
		<guid isPermaLink="false">http://www.ciccenters.com/?p=2268</guid>

					<description><![CDATA[<p>A 43-year-old male briefly loses consciousnesses while taking a long hot shower. A slight dizziness sensation and partial tunnel vision preceded the event and then lights out. He regains awareness as he feels a crushing sensation (and sound) in his face and nose. He is taken to the Emergency Room by some awesome EMS personal [&#8230;]</p>
<p>The post <a href="https://ciccenters.com/vasovagal-syncope/">Vasovagal Syncope</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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<p>A 43-year-old male briefly loses consciousnesses while taking a long hot shower. A slight dizziness sensation and partial tunnel vision preceded the event and then lights out. He regains awareness as he feels a crushing sensation (and sound) in his face and nose. He is taken to the Emergency Room by some awesome EMS personal and is diagnosed with an open fracture of three of his nasal bones. He undergoes emergency surgery for the fractures and has the laceration sutured.</p>



<p>I must have heard a similar story at least a dozen times; a person is taking a hot shower, feels lightheaded and wakes up in a pool of blood from a head injury. Fainting at the sight of blood being drawn, fainting on a hot day in church, a soldier faints during standing drills, a woman faints doing laundry. All, otherwise healthy individuals, passing out with very diverse provocative factors.</p>



<p>The Syndrome is called “Vasovagal Syncope” or “Neurocardiogenic Syncope” and is the most likely cause of syncope (fainting) in younger people.</p>



<p>I usually explain it as a miscommunication between the brain and the body&#8230;the heart and vascular system.</p>



<p>But the physiological reason is actually way more complex and is mediated mainly by a remarkable cranial nerve, The Vegas nerve! Sorry, the VAGUS nerve!</p>



<div class="wp-block-image"><figure class="alignright size-full"><img fetchpriority="high" fetchpriority="high" decoding="async" width="383" height="525" src="http://www.ciccenters.com/wp-content/uploads/2020/07/vagusnerver.jpg" alt="" class="wp-image-2271" srcset="https://ciccenters.com/wp-content/uploads/2020/07/vagusnerver.jpg 383w, https://ciccenters.com/wp-content/uploads/2020/07/vagusnerver-219x300.jpg 219w" sizes="(max-width: 383px) 100vw, 383px" /></figure></div>



<p>Much like Las Vegas, this nerve is responsible for a lot of organ function and dysfunction!</p>



<p>The nerve, which is the largest and most complex nerve in our body, exits the brain behind the ear and continues to innervate structures in our throat, through the chest(including heart, lungs and aorta) all the way down to our abdomen to our intestines.</p>



<p>It is a truly remarkable nerve which ingeniously connects otherwise unrelated organ system both to one another and to our perceived mental state. Oh, and allows speech to occur!</p>



<p>Its primary function is to synchronize and deliver parasympathetic impulses to counteract the sympathetic or “stress” impulses constantly bombarding our body and mind.</p>



<p>So, if a person feels scared, say by a political figure, our body’s response is to prepare for battle, the</p>



<p>so called “fight or flight” response. This involves increasing heart rate and blood pressure, narrowed vision (looking for exits), “skin crawling” or piloerection and sphincter constriction (so we don’t pee or poop ourselves).</p>



<p>So, the Vagus nerve steps in after (or during) the stressful event and undoes the above. Heart rate and blood pressure are lowered, skin is dilated, bowel function can resume and sphincters are released!</p>



<p>This process happens automatically but, I believe, when the underlying stress has been ignored for too long the response from the Vagal nerve becomes excessive. So rather than normalizing the elevated blood pressure, hypotension or excessively low blood pressure occurs. The same thing occurs with the heart rate becoming too low and, in both cases, or a combination of both syncope occurs&#8230;and the person collapses.</p>



<p>The typical scenario goes like this…Someone standing or sitting for a long time, stress has likely accumulated in the body and activates the Vagus nerve which overcompensates by lowering heart rate and drops blood pressure causing syncope. A hot shower is a common place as well because the heat has already caused a lot of the blood to be shifted to the superficial tissues (a mechanism the body uses to cool down). With less blood available in tank so to speak, even a slight dip in blood pressure can cause syncope.</p>



<p>The good news…</p>



<p>Vasovagal syncope is rarely a fatal or a deadly condition and usually can be avoided. Obviously, long hot showers should be skipped, lol. When the symptoms are noticed…The dizziness, tunnel vision, lightheadedness, one should try to sort themselves out as soon as they feel the symptoms. If they are a standing, they should try to sit and if it happens while sitting then they should lay down until the feeling passes and then get up slowly. Sometimes when a person who has low blood pressure at baseline, we prescribe a medication to elevate it so they can have a larger buffer to avoid syncope. In rare circumstances, if the patient is having a lot of low heart rate related syncopal episodes, a pacemaker may be indicated.</p>



<p>What is definitely indicated is a thorough analysis of ALL life stressors and daily meditation time period, especially when under enormous stress. The controlled and conscious breathing and dedicated stillness retrains the Vagus nerve, rehabilitating its parasympathetic outflow thereby consciously reducing stress and making it less likely to overcompensate. But don’t sit for too long.</p>



<p>This has been confirmed with studies…Brain scans showing less stress with meditation and less circulating stress hormones in blood studies.</p>



<p>Exercise also has a big role. When we move our body intentionally to make it do work, we not only get “cardio”, but we also re-establish our mind body connection. The brain thinks “hey I’m running now”, one FEELS the heart rate is appropriately going up, “feels good”, and now I’m finishing, and my heart rate is going down. Exercise is by far the best way to reacquaint your brain back to your body and to avoid further misunderstandings!</p>



<p>Hassan Makki, DO is an interventional cardiologist with more than fifteen years of experience. Dr. Makki specializes in treating cardiac and vascular conditions including heart failure, heart disease, P.A.D. , high cholesterol, stroke, heart attack, and blood clots.</p>
<p>The post <a href="https://ciccenters.com/vasovagal-syncope/">Vasovagal Syncope</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>Varicoceles: What They Are, What Causes Them, and When to See a Doctor</title>
		<link>https://ciccenters.com/varicoceles-what-they-are-what-causes-them-and-when-to-see-a-doctor/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 17 Apr 2020 19:53:28 +0000</pubDate>
				<category><![CDATA[Arterial Care]]></category>
		<guid isPermaLink="false">http://64.91.233.214/?p=1546</guid>

					<description><![CDATA[<p>The post <a href="https://ciccenters.com/varicoceles-what-they-are-what-causes-them-and-when-to-see-a-doctor/">Varicoceles: What They Are, What Causes Them, and When to See a Doctor</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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				<div class="et_pb_text_inner"><p><span>When varicoceles cause pain or contribute to infertility, they can be treated with a quick procedure, right in our facility where our specialists cut off blood flow to the problem vein and allow the varicocele to resolve on its own.</span></p>
<p><span>Varicoceles are varicose veins that develop in the scrotum, often appearing during adolescence and growing over time. They may cause pain or discomfort, and they have been linked to infertility. Over time, an untreated varicocele can lead to shrinkage of the testicle.</span></p>
<p><strong><span>Symptoms of a varicocele</span></strong></p>
<p><span>Varicoceles often develop on the left side of the scrotum. Not all varicoceles cause symptoms. You may have a varicocele if you experience:</span></p>
<ul>
<li><span> </span><span>A dull, aching pain that is worse when standing or at the end of the day. The discomfort may be relieved by lying down.</span></li>
<li><span> </span><span>Swelling of the scrotum.</span></li>
<li><span> </span><span>A mass in the scrotum that feels and/or looks like “a bag of worms.”</span></li>
<li><span> </span><span>The affected testicle is smaller than the other.</span></li>
<li><span> </span><span>Infertility, most likely due to a temperature increase from inflammation around the varicocele.</span><span> <br /></span></li>
</ul>
<p><strong><span>Treatment for Varicoceles</span></strong></p>
<p><span>At CiC, we offer an alternative to surgical stitching or clipping of a varicocele. Our procedure does not require general anesthesia and takes place right in our facility.</span></p>
<p><span>Your doctor will make a tiny nick in your upper thigh and insert a very thin tube into your blood vessel. Using real-time imaging, the doctor will guide the tube to the varicocele and deliver an agent into the vein that blocks the flow of blood. This is called embolization. With its blood flow cut off, the varicocele will shrink and eventually be re-absorbed by your body.</span></p>
<p><span>The procedure takes about an hour, and you’ll be able to return to normal activities in one to two days. You can resume exercise after about a week.</span><span> <br /></span></p>
<p><span>Varicoceles can be frustrating, but they are treatable. If you suspect the pain or infertility you are experiencing could be caused by a varicocele, call us for an appointment today.</span></p></div>
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<p>The post <a href="https://ciccenters.com/varicoceles-what-they-are-what-causes-them-and-when-to-see-a-doctor/">Varicoceles: What They Are, What Causes Them, and When to See a Doctor</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>BPH FAQs</title>
		<link>https://ciccenters.com/bph-faqs/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 17 Apr 2020 19:48:59 +0000</pubDate>
				<category><![CDATA[Prostate]]></category>
		<guid isPermaLink="false">http://64.91.233.214/?p=1540</guid>

					<description><![CDATA[<p>The post <a href="https://ciccenters.com/bph-faqs/">BPH FAQs</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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				<div class="et_pb_text_inner">All your life you have slept like a rock, but now there are nightly annoying trips to the bathroom. For most men the night time visits to the bathroom are the first sign of an enlarged prostate. Left untreated these bothersome symptoms edge into your day-time routine. Meetings and car trips that were once part of your life now need to be planned accordingly. Like crow’s feet, creaky joints and gray hair, prostate enlargement is a natural by-product of getting older.</p>
<p>You’re not alone, 70% of males between the ages 61 and 70 suffer from enlarged prostates and that percentage increases as you get older. The good news is that there is a new, minimally invasive treatment to address this condition that interferes with everyday living.</p>
<p><strong>What is BPH?</strong></p>
<p>Benign prostatic hyperplasia (BPH) occurs when the prostate gland increases in size. When the prostate gets larger, it presses against the urethra making it difficult for men to empty their bladder completely and can cause urinary tract or kidney problems.</p>
<p><strong>What are the symptoms?<img decoding="async" src="http://www.ciccenters.com/wp-content/uploads/2020/04/symptoms.png" alt="" class="wp-image-1536 alignright size-full" width="336" height="122" srcset="https://ciccenters.com/wp-content/uploads/2020/04/symptoms.png 336w, https://ciccenters.com/wp-content/uploads/2020/04/symptoms-300x109.png 300w" sizes="(max-width: 336px) 100vw, 336px" /></strong></p>
<p>Symptoms include weak, slow or interrupted urinary stream, frequency or urgency, difficulty starting or straining to urinate, and getting up frequently at night to go to the bathroom.</p>
<p>These symptoms should not be ignored or written off as just part of getting older. While in many cases it’s BPH, the same symptoms can be an indication of more serious conditions, including prostate cancer, which is why it’s important to be evaluated by your physician.</p>
<p><strong>How is it treated?</strong></p>
<p>Historically, first line therapy starts with medication which can be very effective in reducing the symptoms but there are potential side effects like sexual dysfunction, fatigue and male breasts. Surgery is also an option, but requires a hospital stay and have a difficult recovery period.</p>
<p><strong>What’s newest advancement in treatment?</strong></p>
<p>If you can’t tolerate the side effects or the medication isn’t adequately controlling your symptoms, or you don’t want surgery you may be a candidate for a new, minimally invasive procedure called prostate artery embolism (PAE).</p>
<p>PAE is one of the most exciting breakthroughs for treating enlarged prostates. While this is a new procedure, embolization is not a new technique. It has been used for years to treat other conditions in the body. Embolization reduces the blood flow in a targeted area, which causes the target, in this case the prostate, to shrink.</p>
<p>There is less risk, reduced pain, no hospital stay and a shorter recovery time than with traditional procedures. In many cases, patients begin to feel relief within a few weeks. PAE can reduce the prostate up to 40% which relieves pressure on the urethra and improves symptoms.</p>
<p><strong><img decoding="async" src="http://www.ciccenters.com/wp-content/uploads/2020/04/candidates.png" alt="" class="wp-image-1537 alignleft size-full" width="335" height="123" srcset="https://ciccenters.com/wp-content/uploads/2020/04/candidates.png 335w, https://ciccenters.com/wp-content/uploads/2020/04/candidates-300x110.png 300w" sizes="(max-width: 335px) 100vw, 335px" />Are you a candidate for PAE?</strong></p>
<p>This brief survey will help determine you are a candidate for PAE. A score in the moderate or severe range means this procedure could be right for you.</div>
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<p>The post <a href="https://ciccenters.com/bph-faqs/">BPH FAQs</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>What is Peripheral Vascular Disease?</title>
		<link>https://ciccenters.com/what-is-peripheral-vascular-disease-2/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 17 Apr 2020 19:23:23 +0000</pubDate>
				<category><![CDATA[Arterial Care]]></category>
		<guid isPermaLink="false">http://64.91.233.214/?p=1526</guid>

					<description><![CDATA[<p>The post <a href="https://ciccenters.com/what-is-peripheral-vascular-disease-2/">What is Peripheral Vascular Disease?</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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				<div class="et_pb_text_inner"><p><em><strong>Could it Be Causing my Symptoms?</strong></em></p>
<p>You know the signs, a few gray hairs here and there, little wrinkles around your mouth that you insist are smile lines or the twinge you feel when get up from the couch…It’s happening to all of us. We’re getting older. While these are familiar symptoms of aging we try to ignore, some of us may experience other changes that shouldn’t be ignored. If you notice that your legs are sore when you lay down at night, but feel better when you hang them over the edge of bed, if your feet ache, burn or feel cold, especially at night or if you have pain in both of your calves, hips or thighs when you exercise or rest, you may have peripheral vascular disease (PVD).</p>
<p>PVD is a broad term that refers to disease in your veins, arteries and lymphatic vessels in your arms and legs. Typically, PVD mostly affects your legs. Peripheral Arterial Disease (PAD), a form of PVD, refers specifically to the type of PVD that is caused by the buildup of fatty material inside the arteries. This build-up occurs gradually over time and hardens into plaque inside the artery, this condition is known as atherosclerosis. Sometimes, it’s called “hardening of the arteries”. No matter what you call it, this plaque causes a narrowing of the passageway, restricting the amount of blood that flows throughout the body. It most often occurs in the lower legs, feet and toes. Without an adequate blood supply, your body can’t get the oxygen and nutrients it needs to maintain healthy legs, feet and/or toes.</p>
<p>Chronic venous insufficiency (CVI) refers specifically to disease of the veins and is generally caused by heredity, weight gain, pregnancy, hormone changes or sedentary lifestyle. It refers to the body’s ability to return blood back to the heart during circulation; what often happens is the body sends the necessary blood supply to the extremities but can’t return the blood back into the body’s circulation. CVI can result in the development of bulging varicose veins, chronic venous ulcers (wounds that have a difficult time healing or won’t heal) , spontaneous rupture of varicose veins (which creates a bruise or an opening that won’t stop bleeding) , spider veins, leg swelling and inflammatory/chronic skin changes including darkening of the skin around the lower leg, ankles and feet.</p>
<p>Whatever type of PVD you have, whether it’s venous or arterial, the primary goal is to treat the condition before you experience damage to the vascular system that cannot be repaired. Symptoms from either PAD or CVI are a warning that there is a medical condition that needs to be addressed sooner rather than later. Both forms of the disease worsen over time unless you do something about it. That something can be significant lifestyle changes, proper treatment or both.</p>
<p><strong>Signs You Need Treatment for PVD</strong></p>
<p>People living with PVD often don’t realize how much the disease affects their daily activities and quality of life. You don’t want to dismiss the symptoms of PVD as signs of aging. It’s important to pay attention to the subtle signs of this condition. . . Most people experience the feeling of dull, cramping pain while others may experience a heaviness or tightness in their leg muscles and general leg fatigue.</p>
<p>Although symptoms related to PVD are not usually life threatening, they can contribute to a sedentary lifestyle. This may cause weight gain and in extreme cases may require surgical intervention or lead to loss of limb. Without appropriate treatment, symptoms and the disease can worsen and lead to serious conditions like critical limb ischemia and deep vein thrombosis (DVT). This puts you at higher risk for stroke and pulmonary embolism. Getting an accurate diagnosis and a proper treatment plan is critical.</p>
<p><strong>What Kind of Doctor Treats Peripheral Vascular Disease?</strong></p>
<p>Interventional radiologists and interventional cardiologists are specially trained to diagnose and treat PVD. Our team at CiC uses image-guided techniques to make a proper diagnosis based on your unique symptoms. From that diagnosis, they treat your condition with minimally-invasive or non-invasive procedures. What does this mean to you? It means less risk, less pain, less recovery time and better health outcomes as compared to traditional surgery. You don’t have to live with symptoms related to PVD.</p>
<p><span>Our CiC team includes venous specialists Dr. James McEown, Dr. Karen Garby and Dr. Jeff Braxton, along with arterial specialists Dr. Joel Rainwater, Dr. Kevin Duwe, Dr. Michael Switzer, Dr. Ryan O’Hara, Dr. Brian Evans, and vascular surgeon Dr. Grant Fankhauser. To learn more about venous or arterial treatment call Comprehensive Integrate Care at 480-374-7354 or visit us on line at </span><a href="http://www.ciccenters.com/" target="_blank" rel="noopener">www.ciccenters.com</a><span> to find a specialist near you. We offer leading edge prevention, diagnosis and intervention for varicose vein treatment and peripheral arterial disease.</span></p></div>
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<p>The post <a href="https://ciccenters.com/what-is-peripheral-vascular-disease-2/">What is Peripheral Vascular Disease?</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>5 Myths about Varicose Veins</title>
		<link>https://ciccenters.com/5-myths-about-varicose-veins/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 17 Apr 2020 19:02:09 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">http://64.91.233.214/?p=1516</guid>

					<description><![CDATA[<p>The post <a href="https://ciccenters.com/5-myths-about-varicose-veins/">5 Myths about Varicose Veins</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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				<div class="et_pb_text_inner"><p>Varicose veins affect more than 3 million people in the U.S. every year. Yet, 90 percent of those people don’t seek treatment because of the myths surrounding them. It’s important to know the facts and see a doctor about this condition.</p>
<ol>
<li><strong></strong><strong> Varicose veins are just a cosmetic concern</strong></li>
</ol>
<p>While you may be concerned about how they look, they may be a signal that something might be going on below the surface. They should be evaluated by a doctor so they don’t get worse. Left untreated, varicose veins have the chance to cause ulcers or potentially life-threatening blood clots.</p>
<p>If you notice varicose veins, don’t write them off as just another part of aging. Talk to a doctor about how your veins may affect your overall health.</p>
<ol start="2">
<li><strong> </strong><strong>Treating veins is painful</strong></li>
</ol>
<p>Treatments for veins have come a long way in the last couple of years. Today’s treatments are done in the office, with little to no pain or downtime.</p>
<p>Ask if VenaSeal&#x2122;, laser, or radiofrequency ablation is right for you.</p>
<ol start="3">
<li><strong></strong><strong></strong><strong>It’s okay to delay evaluation and treatment, there’s no need to hurry</strong></li>
</ol>
<p>It’s easy to put things off. The reality is, varicose veins won’t go away by themselves. Evaluation and treatment can help to avoid dangerous complications like sores that are difficult to heal and blood clots.</p>
<p>The sooner you seek care, the sooner you’ll see results and start to feel better.</p>
<ol start="4">
<li><strong> </strong><strong>The recovery is difficult and you’ll have to stay off your feet for a long time</strong></li>
</ol>
<p>Most patients are able to go to work the next day and are back to their normal activities in about a week. Within a few days after treatment they notice the aches, heaviness and previous discomfort lessen.</p>
<p>The best way to find out how it will impact your life, is to discuss your particular case with a doctor.</p>
<ol start="5">
<li><strong> </strong><strong>Insurance doesn’t cover treatment for varicose veins</strong></li>
</ol>
<p>Most insurance companies, including Medicare, cover vein treatment for symptomatic vein disease. Varicose veins often fall into this category. Our staff will work with you to figure out if your insurance pays for your specific condition.</p>
<p>If you suffer from bulging, aching varicose veins, schedule an appointment for a consultation.</p></div>
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<p>The post <a href="https://ciccenters.com/5-myths-about-varicose-veins/">5 Myths about Varicose Veins</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>What is DVT</title>
		<link>https://ciccenters.com/what-is-dvt/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 17 Apr 2020 18:54:30 +0000</pubDate>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Vein Disease]]></category>
		<guid isPermaLink="false">http://64.91.233.214/?p=1506</guid>

					<description><![CDATA[<p>The post <a href="https://ciccenters.com/what-is-dvt/">What is DVT</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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				<div class="et_pb_text_inner"><p>What do long plane rides, being trapped at your desk for hours on end and road trips all have in common? While not a place you want to be stuck with a screaming baby is correct, they also put you at risk for DVT. DVT is a deep vein thrombosis, or blood clot, and it’s more common than you may think. Over 200,000 cases are reported each year in the US. And, according to stoptheclot.org, more people die from blood clots every year than from AIDS, breast cancer and car crashes combined.</p>
<p>“DVT is a serious, life-threatening condition, so it’s important to know what puts you at risk,” says Dr. Jeffrey Braxton, Director of Venous Intervention at CiC Vein Center. One of the best things you can do to protect yourself from a life threatening blood clot is to know what can lead to a DVT. Sitting for long periods of time, major surgery or trauma, being overweight, taking birth control pills, having varicose veins, smoking and a family history of clots are some of the factors.</p>
<p>“Once you are aware of the causes, you can be proactive. For example, if you have varicose veins, those raised, dark blue veins on your legs, you should see a doctor. Treating varicose veins will help reduce your risk,” explains Dr. Braxton. “If you sit for long periods of time, and when you travel, get up and move every two to three hours. Stand up, stretch and walk around a bit to get your blood flowing.”</p>
<p>Leg cramps, warmth, redness, leg pain that gets worse when you bend your foot and blue or white color change of your skin are all signs to pay attention to. Dr. Braxton warns, “Don’t ignore calf pain or leg swelling especially if it’s only on one side. It could be a sign of DVT.”</p>
<p>DVT becomes life threatening when the clot breaks free and travels through your blood stream. When it reaches your pulmonary arteries it forms a pulmonary embolism (PE), preventing the blood from flowing properly through your lungs. This decreases the amount of oxygen absorbed and delivered to your body. “If you have any chest pain, sudden shortness of breath or are coughing up blood, go to the emergency room,” says Dr. Braxton. “It could be a PE.”</p>
<p>As soon as you notice any symptoms of DVT you should see a doctor. Blood clots are very treatable. First line therapy includes anticoagulation medication that reduces clotting. In some cases, a minimally invasive procedure called a thrombolysis can be done to break up the clot. “The important thing is to seek treatment right away,” advises Dr. Braxton. “Advanced vein management can address the problem.”</p>
<p>He recommends seeing a vein specialist if you have any signs of varicose veins or a history of DVT in your family. “Fixing the underlying problem that may cause a DVT can have a big impact on your life.”</p></div>
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<p>The post <a href="https://ciccenters.com/what-is-dvt/">What is DVT</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>Uterine Fibroid FAQs</title>
		<link>https://ciccenters.com/uterine-fibroid-faqs/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 17 Apr 2020 18:19:27 +0000</pubDate>
				<category><![CDATA[Women's Health]]></category>
		<guid isPermaLink="false">http://64.91.233.214/?p=1491</guid>

					<description><![CDATA[<p>The post <a href="https://ciccenters.com/uterine-fibroid-faqs/">Uterine Fibroid FAQs</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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				<div class="et_pb_text_inner"><p><!-- divi:paragraph --><strong>Uterine Fibroids FAQ</strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Every year, hundreds of thousands of women seek treatment for uterine fibroids. Many of them choose to have a hysterectomy.  While this is a reasonable option, the choice might be made because they don’t know alternative procedures that preserve the uterus exist, like uterine fibroid embolization (UFE).</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Uterine fibroids are one of the most common medical problems faced by women between the ages of 30 and 50 years old. While many will not have symptoms, for those who do, they will potentially greatly interfere with their normal routine.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph --><strong>What are uterine fibroids?</strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Uterine fibroids are muscular tumors that grow in the wall of the uterus. They vary in size and number, with some women having only one single tumor, while others have many. In almost all cases they are benign, which means they are not cancerous.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph --><strong>Why do people get fibroids?</strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->The cause of fibroids is unknown. Researchers believe that estrogen and progesterone levels can play a part in their development. They know when hormone levels are high, for example during pregnancy, fibroids can grow more rapidly. Alternatively, if someone is taking anti-hormone medication, or going through menopause, fibroids may stop growing or shrink. Family history is also thought to be one of the biggest factors in the development of fibroids.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph --><strong>What are the symptoms?</strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Symptoms vary depending on the size, number and location of the fibroids. They include:</p>
<p><!-- /divi:paragraph --></p>
<ul>
<li><!-- divi:paragraph -->Pelvic pain<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Heavy menstrual bleeding<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Bleeding between periods<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Frequent urination<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->A feeling of fullness<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Abdominal bloating<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Lower back pain<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Pain during intercourse<!-- /divi:paragraph --></li>
<li><!-- divi:paragraph -->Can they be treated without surgery?</li>
</ul>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Medication can be effective for those with mild symptoms. Doctors often prescribe ibuprofen, acetaminophen, iron supplements, or hormone therapy. However, the fibroids typically grow back when the medication is no longer taken.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph --><strong>Is surgery always necessary?</strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Hysterectomy remains the most common surgical option. However, this is a major surgery that involves removing the uterus. Recovery can take several weeks or even months, and there is a risk of significant complications. Some risks include hormonal changes, decrease in sexual drive, bladder dysfunction, and the need for hormone replacement therapy. These risks may be why some women choose not to have a hysterectomy and, instead, continue to suffer and alter their lifestyle.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph --><strong>Are there other treatment options?</strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->Yes. Uterine Fibroid Embolization is a minimally invasive procedure option for women who are not planning to have more children and who do not want a hysterectomy. It offers significant advantages over a hysterectomy from reducing risks to increasing patient satisfaction. UFE is often well tolerated, is less invasive, does not remove the uterus or ovaries, and has a short recovery time.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph --><strong><em>How does it work?</em></strong></p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->UFE involves blocking the blood supply to the fibroid, causing it to shrink. Our CiC interventional radiologist makes a small incision in the upper thigh and a tiny catheter (soft, plastic, flexible tube) is threaded into the vessels that supply the blood to the fibroid. Image-guidance is used from outside the body to help guide the catheter to the uterine arteries. Once the fibroid is located, the blood vessels that feed it are then blocked with tiny round particles that are injected through the catheter. These particles, which are about the size of a grain of sand, cut off the blood flow to the fibroid. This causes the fibroid to shrink and may go away over time.</p>
<p><!-- /divi:paragraph --><!-- divi:paragraph -->To see if this in-office, minimally invasive procedure is a possibility for you, call our office to schedule a consultation today.</p>
<p><!-- /divi:paragraph --></p></div>
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<p>The post <a href="https://ciccenters.com/uterine-fibroid-faqs/">Uterine Fibroid FAQs</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>Can Varicose Veins Be Cured? If the Answer is &#8216;Yes</title>
		<link>https://ciccenters.com/can-varicose-veins-be-cured-if-the-answer-is-yes/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Sun, 12 Apr 2020 17:20:39 +0000</pubDate>
				<category><![CDATA[CiC Education]]></category>
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					<description><![CDATA[<p>Jun 6, 2019 7:00:00 AM</p>
<p>The post <a href="https://ciccenters.com/can-varicose-veins-be-cured-if-the-answer-is-yes/">Can Varicose Veins Be Cured? If the Answer is &#8216;Yes</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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										<content:encoded><![CDATA[<p>Jun 6, 2019 7:00:00 AM</p>
<p>The post <a href="https://ciccenters.com/can-varicose-veins-be-cured-if-the-answer-is-yes/">Can Varicose Veins Be Cured? If the Answer is &#8216;Yes</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>Top Phoenix Vein Specialists: Improving Your Quality of Life Could Be As Simple As a 1-Hour Procedure</title>
		<link>https://ciccenters.com/top-phoenix-vein-specialists-improving-your-quality-of-life-could-be-as-simple-as-a-1-hour-procedure/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Mon, 12 Aug 2019 10:42:12 +0000</pubDate>
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		<guid isPermaLink="false">http://64.91.233.214/top-phoenix-vein-specialists-improving-your-quality-of-life-could-be-as-simple-as-a-1-hour-procedure/</guid>

					<description><![CDATA[<p>How would you react if someone told you that they can radically improve your overall quality of life? What if they could eliminate the chronic pain and tiredness in your legs? Sounds pretty unbelievable, doesn&#8217;t it? If you have varicose veins and you&#8217;ve been trying to &#8220;live with them&#8221; for some time, that&#8217;s exactly what [&#8230;]</p>
<p>The post <a href="https://ciccenters.com/top-phoenix-vein-specialists-improving-your-quality-of-life-could-be-as-simple-as-a-1-hour-procedure/">Top Phoenix Vein Specialists: Improving Your Quality of Life Could Be As Simple As a 1-Hour Procedure</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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										<content:encoded><![CDATA[<p><img decoding="async" src="https://cdn2.hubspot.net/hubfs/4634685/Top%20Phoenix%20Vein%20Specialists.jpg" alt="Top Phoenix Vein Specialists" width="300" style="width: 300px; float: left; margin: 0px 10px 10px 0px;">How would you react if someone told you that they can radically improve your overall quality of life? What if they could eliminate the chronic pain and tiredness in your legs?</p>
<p> <span id="more-309"></span> </p>
<p>Sounds pretty unbelievable, doesn&#8217;t it?</p>
<p>If you have <a href="/varicose-veins" rel="noopener noreferrer" target="_blank">varicose veins</a> and you&#8217;ve been trying to &#8220;live with them&#8221; for some time, that&#8217;s exactly what several of the top Phoenix vein specialists like <a href="/karen-garby-md-rphs" rel="noopener noreferrer" target="_blank">Dr. Karen Garby</a>, <a href="/jeffrey-m-braxton-md-facs" rel="noopener noreferrer" target="_blank">Dr. Jeff Braxton</a> and <a href="/hassan-makki-do-facc" rel="noopener noreferrer" target="_blank">Dr. Hassan Makki,</a> at Comprehensive Integrated Care can do with a comprehensive treatment plan. If you have reached the point where you&#8217;re tired of varicose veins ruining your quality of life and you want to be rid of them forever, we can help you accomplish that. Want to know how? Read this article.</p>
<p><strong>Varicose vein removal</strong><strong> really can improve your quality of life </strong></p>
<p>If you are like many of the patients we see at our vein clinics, one of the things that would most improve your quality of life would be seeing your reflection in the mirror after vein treatment. Or what about being able to walk your kids to school? You can&#8217;t comfortably do that now because your swollen achy legs make it hard to do anything but complain &#8220;My legs hurt!&#8221; Well, the purpose of this article is to tell you that these things are possible.</p>
<p>Perhaps you&#8217;ve been postponing seeking varicose vein treatment for some time. You’ve tried to ignore your varicose veins by wearing long pants and dark stockings and limiting your activities because your legs will hurt. Chances are you&#8217;ve begun to realize that this doesn&#8217;t work. Left untreated, <a href="/varicose-veins" rel="noopener noreferrer" target="_blank">varicose veins</a> don&#8217;t go away or get better on their own. They tend to get worse.</p>
<p>And &#8220;worse&#8221; tends to manifest in ways you never expected. If you&#8217;re like most people who&#8217;ve tried to ignore their swollen and discolored veins, you&#8217;ve begun to realize that they do affect your health.</p>
<p><strong>How varicose veins affect both your physical and mental health</strong></p>
<p>Have you noticed how tired and weak your legs feel? And that they feel that way, <strong>all the time</strong>? Have you noticed that you&#8217;ve become more inactive, and have started making excuses to avoid walking or dancing or playing sports? These are the physical side effects of having varicose veins.</p>
<p>There is also the cosmetic aspect of these swollen veins, and how that makes you feel mentally. Have you noticed that your first reaction when you look into the mirror every morning is to feel depressed about the way your varicose veins make you look? Having varicose veins has been identified as a major cause of low self-esteem. Being unable to comfortably wear shorts or bathing suits because you&#8217;re ashamed of how your legs look takes its toll over time. It can leave you with diminished self-confidence. Over time, this can sometimes escalate to feelings of isolation and depression.</p>
<p><strong>Wouldn&#8217;t it be great if you could eliminate the cause of all this?</strong></p>
<p>At CiC, we can make these symptoms go away, by eliminating the diseased veins that cause them. The minimally-invasive treatments we offer at our vein centers are performed on an outpatient basis. This means that the techniques are not surgeries.</p>
<p>Varicose vein removal at CiC vein centers involve no hospitals, no deep incisions, no general anesthesia (because none is needed). And if you have only a few varicose veins, the procedures may be completed in less than an hour.</p>
<p>Yes, it can take time before all signs of varicose veins disappear from the surface of your skin. But the relief from the side effects that these diseased veins have on your physical health can be life changing. Patients often report that their energy levels increase, and that the pain, discomfort, and tiredness they&#8217;ve been living with for months is now gone. Best of all, every time you look into your mirror you will see fewer and fewer traces of the old ugly veins. In a very short time you won&#8217;t see them at all – your legs will be restored to their youthful beauty.</p>
<p><strong>Think about this, and if it appeals to you, give us a call at 888-377-7122</strong></p>
<p>We understand that &#8220;We can change your life&#8221; sounds as if we&#8217;re talking about magic, but we&#8217;re not. We&#8217;re talking about the current state of modern varicose vein treatment.</p>
<p>So give the best vein doctors in Phoenix a call. We&#8217;ll be happy to explain our varicose vein treatment options to you and help you get started feeling better fast.</p>
<p>The post <a href="https://ciccenters.com/top-phoenix-vein-specialists-improving-your-quality-of-life-could-be-as-simple-as-a-1-hour-procedure/">Top Phoenix Vein Specialists: Improving Your Quality of Life Could Be As Simple As a 1-Hour Procedure</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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		<title>Ready to Seek Treatment for Your Vein Problems? Here&#8217;s How to Find the Best Varicose Vein Treatment Near You</title>
		<link>https://ciccenters.com/ready-to-seek-treatment-for-your-vein-problems-heres-how-to-find-the-best-varicose-vein-treatment-near-you/</link>
		
		<dc:creator><![CDATA[Matthew Klug]]></dc:creator>
		<pubDate>Fri, 09 Aug 2019 15:58:18 +0000</pubDate>
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					<description><![CDATA[<p>Congratulations! If you were attracted to the title of this article, chances are you have finally &#8220;had it up to here&#8221; with trying to &#8220;live with&#8221; your varicose veins. You are ready to do something about them. You have endured unattractive varicose veins and the side effects they cause, such as constantly swollen, painful, aching [&#8230;]</p>
<p>The post <a href="https://ciccenters.com/ready-to-seek-treatment-for-your-vein-problems-heres-how-to-find-the-best-varicose-vein-treatment-near-you/">Ready to Seek Treatment for Your Vein Problems? Here&#8217;s How to Find the Best Varicose Vein Treatment Near You</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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										<content:encoded><![CDATA[<p><img decoding="async" src="https://cdn2.hubspot.net/hubfs/4634685/Best%20Vein%20Specialist%20Arizona-6.png" alt="Best Vein Specialist Arizona-6" width="137" style="width: 137px; float: left; margin: 0px 10px 10px 0px;">Congratulations! If you were attracted to the title of this article, chances are you have finally &#8220;had it up to here&#8221; with trying to &#8220;live with&#8221; your varicose veins. You are ready to <strong>do something</strong> about them.</p>
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<p>You have endured unattractive varicose veins and the side effects they cause, such as constantly swollen, painful, aching legs. You&#8217;re tired of making excuses to avoid being seen in a bathing suit or shorts. And, you&#8217;re tired of feeling bad about yourself every time you look into the mirror. In the words of the movie <em>Network</em>, you&#8217;re &#8220;mad as hell and you&#8217;re not going to take it any more!&#8221; You&#8217;re ready to try to find the best varicose vein treatment near you.</p>
<p>Congratulations! As varicose vein treatment specialists, we applaud your decision to <strong>do something</strong> about your varicose veins. At CiC, we want to do everything we can to help you follow through on getting the treatment you need. In this article, we&#8217;ll start by suggesting what your next steps should be.</p>
<p><strong>Step 1: Get a venous health screening and get your facts straight</strong></p>
<p>If you haven&#8217;t really consulted a varicose vein specialist about your varicose veins, your first step should be to do so. Call the best vein doctors in the Valley and schedule an appointment for a venous health screening.</p>
<p>The venous health screening takes only about an hour, it is non-invasive and completely painless. A screening can tell you <em>exactly</em> how serious your varicose veins are. This is the first thing you need to know when considering how best to treat them. Mild cases, for example, can often be treated using conservative treatment to control symptoms such as exercise, compression stockings, and lifestyle changes. More serious cases – especially if your personal goal is to eliminate the ugly, swollen veins – may require more aggressive treatment.</p>
<p><strong>Step 2: Ask your CiC vein doctor to explain the treatment options</strong></p>
<p>Your goal in this step should be to learn about and consider ALL of the varicose vein treatment options available to you. You want to learn as much as you can about how varicose veins are treated these days.</p>
<p>For example, you may have heard from a friend or colleague who had their varicose veins treated with techniques such as <em><a href="http://www.ciccenters.com/venous-care-sclerotherapy">sclerotherapy</a></em>. Sclerotherapy is a wonderful technique, it is minimally-invasive and requires no hospitalization or anesthesia.</p>
<p>But don&#8217;t stop researching there. There may be <strong>other</strong> forms of treatment that might be more appropriate for you, given your overall health and the extent of your vein disease. For example, many clients at our CiC vein clinics with larger varicose veins have found that <em><a href="/venaseal" rel="noopener noreferrer" target="_blank">Venaseal</a></em>, <em><a href="/radiofrequency-ablation-treatment" rel="noopener noreferrer" target="_blank">radiofrequency ablation</a></em> or <em><a href="/laser-ablation-therapy" rel="noopener noreferrer" target="_blank">endovenous laser ablation</a></em> were more appropriate treatment options for them.</p>
<p>During the follow-up visits to your initial screening, you should ask your doctor about all of these options. If you want to learn more before then, visit the <a href="http://www.ciccenters.com/medical-services-venous-care">Vein Care</a> section of our website beforehand.</p>
<p><strong>Step 3: Decide which treatment is best, and follow through on your decision</strong></p>
<p>Consult with one of our CiC vein experts such as Dr. Jeff Braxton, Dr. Karen Garby, or Dr. Michael Makki to determine the best treatment approach, and work with your doctors to create a personalized treatment plan.</p>
<p>More than one appointment may be necessary. However, you can rest assured that each of these appointments will be comfortable and efficient. The techniques involve minimally invasive treatments of varicose veins. It might take some weeks before the last remaining traces of them are gone. However they <strong>will</strong> be gone, and once a varicose vein has been removed, it doesn&#8217;t return, although some people do develop new varicose veins in the future.</p>
<p>Step 1 is still the most important, however. You&#8217;ve made your decision…now act on it. Pick up your telephone and dial 888-377-7122 or <a href="/appointment-lp?hsCtaTracking=9cb2e5c8-2f52-45ad-93d9-450e21f68ab7%7Cd9e787be-659b-4d96-9e4e-49b741812bee" rel="noopener noreferrer" target="_blank">go online to schedule</a> a Venous Health Screening and take that first step towards becoming free from your varicose veins today!</p>
<p>The post <a href="https://ciccenters.com/ready-to-seek-treatment-for-your-vein-problems-heres-how-to-find-the-best-varicose-vein-treatment-near-you/">Ready to Seek Treatment for Your Vein Problems? Here&#8217;s How to Find the Best Varicose Vein Treatment Near You</a> appeared first on <a href="https://ciccenters.com">Comprehensive Integrated Care</a>.</p>
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