EVLT (Endovenous Laser Treatment) A new, minimally invasive laser treatment called the Endovenous Laser is being used instead of surgery at some clinics. EVLT can be performed as an outpatient procedure in 45 minutes under a local anaesthetic with less chance of scarring. Since it is a new treatment, however, it is not ideal for all candidates; it's not covered by provincial health coverage and can cost anywhere from $2000 to $4000 per treatment.
What you should know about your doctor:
1) What are the doctor's qualifications? Find out if the doctor is a family practitioner or a specialist, if he or she is a member of the Royal College of Physicians and Surgeons of Canada or a fellow of the American College, how long the clinic has been around, etc.
2) How many procedures has the doctor performed? In the case of surgery, the learning curve is around 50, says Dr. Malik. With sclerotherapy and laser, it's best to visit a variety of clinics before choosing one.
3) Will you get to see the doctor at each session? For a surgical procedure, you should always see the doctor. Though sclerotherapy and laser are often performed by an RN, they should be under the direction of a physician.
4) What are the staff members' qualifications? Are the RNs experienced in the procedure? Is it possible to speak to previous patients?
Lynn Moya and Dr. Brown, Yorkville Vein Clinic, 416-927-0533, www.yorkvilleveinclinic.com
Dr. A. Malik, Peel Laser & Vein Vascular Centre,
Nancy Luther, Sherlase Clinic, 905-201-8005, www.sherlaseclinic.com.
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