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Western Kentucky Surgical Associates

Dr. Robinson
Varicose Veins are an old problem – even the ancient Egyptians wrote about them! And for many seniors, they are an unfortunate rite of passage. Half of all Americans over 50, and two-thirds of women over 60, suffer from those big ropey veins. However, varicose veins are not only limited to the over 50’s. People younger than 20 can also suffer from varicose veins. The problem is far more than cosmetic – the pain, swelling and leg fatigue can really discourage an active lifestyle, and severe varicose veins can even cause chronic infections and skin ulcerations.
One breakthrough technology that Dr. Robinson uses is the VNUS ClosureFAST. This is truly a remarkable procedure that involves very little or no pain. Dr. Robinson has seen many patients with varicose veins who believed that their only hope was to undergo vein stripping. Prior to the 21st century, this was the only option and involved stripping out the saphenous vein which was a very painful and barbaric procedure that required a general anesthetic and weeks of recovery. Needless to say, most patients avoided that surgery if they could.
VNUS ClosureFAST is truly a breakthrough procedure in treating varicose veins. Basically under local anesthetic, a catheter about the thickness if a spaghetti noodle is threaded into the vein where it is heated from within and effectively sealed off. Using either radiofrequency (RF) energy or laser to heat the vein walls, it causes them to collapse inward on themselves. Once the vein is sealed, the body automatically re-routes blood flow through healthier vessels and normal circulation is restored. The symptoms associated with varicose veins quickly dissipate, and the sealed vein is eventually absorbed by the body.
Amazingly, VNUS ClosureFAST seals off a typical 14 inches of vein in three to five minutes. And the only discomfort the patient feels is a couple of needle sticks. The procedure is so simple it can be performed under local and the patient can be in and out in well under an hour.  Patients are encourages to get up and walk immediately after the procedure and can return to normal activity the very next day. The pain and fatigue disappear almost immediately, and the swollen veins begin to deflate in a week or two.
And here’s the best part! Because this procedure is considered a medical necessity, rather than cosmetic surgery, it is covered by Medicare and most insurers. Like women, more men than ever before are realizing that treating their varicose veins is not unmanly and so are also seeking the VNUS Closure FAST treatment and wearing shorts for the first time in many years!
So what are you waiting for? Take action now and get instant relief from your varicose veins. You’ll be delighted with the results!
Dr. Wells
Are you tied of being overweight and is it interfering with your daily life? If so, weight loss surgery may be an option for you. If you are willing to change your lifestyle for the rest of your life please come to one of their free informational seminars on the Lap-Band AP system. The seminars are held on the 4th Monday of each month at 6 PM in the Cotthoff Learning Center of the Doctor’s Pavilion.
Procedure offered
The LAP-BAND AP® System is an adjustable gastric band placed around the stomach and filled with saline, reducing food intake by forming a small gastric pouch and stoma. The band is placed using a laparoscopic procedure, designed to minimize the potential for complications. The procedure is minimally invasive with no stapling or dividing of native tissue.
-Age of patient 18-65
-Body mass index 40 or above
-Body mass index 35-39 with 2 co-morbidities for example, diabetes, sleep 
 apnea, high blood pressure and GERD (reflux disease)
Get Started
If you have decided to have Lap-Band surgery here are the steps to start with:
-Attend one of their free informational seminars
-Get a referral and letter of medical necessity from you primary care physician
-Call your insurance company to see if you have benefits for weight loss surgery
-Many insurance companies require the following: Psychological consult, Dietary consult, swallow study, and you may be required to be on a 6 month doctor supervised diet.
Gerame Wells, MD
General, Vascular, and Bariatric Surgery
1722 High Street
Hopkinsville, KY 42240
Phone: (270) 885-8505
Medical School: University of Louisville
Residency: University of Louisville
Board Certifications: Board Certification by the American Board of Surgery
Affiliations: JSMC
For more information call their Bariatric Nurse Coordinator at (270) 887-0100 ext. 4402.

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