AboutLauri Ordway Expertise I can answer your questions related to peripheral vacular disorders. This includes all arteries and veins except those inside the head and inside the heart. IE: neck (carotid), arms (carotid subclavian bypases to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wound treatments. Also, Raynauds, Buerger`s disease, Thoracic Outlet and other miscellaneous vascular disorders.
I CANNOT answer questions about your heart disease, blood pressure, brain aneurysm, although I can help with questions about the arteries that go to and from those organs.
Experience I am a nurse, I have worked for 14 years with two terrific peripheral vascular surgeons, one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage our clinic website and field questions from patients all over the world.
Expert: Lauri Ordway Date: 3/7/2005 Subject: DVT / Post Phlebetic Syndrom
Question Thank you Laurie. You had asked my location so that you might be able to refer me to another vascular doctor. I live in central New Jersey in the Princeton - Trenton area. Any referral you could make would be appreciated.
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Followup To
Question -
I am currently 48, in October 2002 I had a hernia repaired just above my right groin. I was walking and active immediately, back at work in 4 days and hiking and playing tennis in 2 weeks. I began to feel a heaviness in my right leg and just thought the hernia was healing and I over did the activity.
The leg got worse and worse till I had trouble bending my knee. At the end of November 2002 I went to the ER and was diagnosed with a serious DVT. I received the typical heparin and coumadin treatment and was sent home after 5 days in the hospital, and 3 ultrasounds to determine if I needed a Greenfield filter. I limped out of the hospital, and the pain was so intense I could not walk for 8 days.
I had seen several vascular doctors, worn compression stockings for a year and taken coumadin for 13 months. After 7 ultrasounds I still have a clot behind my knee in the popleteal vein, my leg swells and at times it feels like I have pencils in the veins of both legs.
I dreaded the coumadin since even being carefull I had an INR of 8.6 one time (no obvious bleeding). My vascular doctor starting talking to me about laser closure of the saphenous vein since it was enlarged. I sought a second opinion.
The new vascular doctor told me I had taken the coumadin far too long, I should only wear the stockings if they help and the laser closure procedure was for vericose veins and would not help me. He stated I had post-plebetic syndrome and the blot may or may not get better over time. He said no additional ultrasounds or visits were needed unless I feld something getting worse.
I am an active person and hike, ski, play tennis and roller blade. I went skiing this weekend for the first time since the DVT and although it didn't feel that bad, my right leg could barely be fit in my ski boot. I have taken to using Nattokinase in the hopes of finally dissolving my clot. It is now 16 months after my hernia and the area still hurts especially after sex. Could there be a continuing problem related to my hernia aggravating my veinous system? Can you give me any advice. Thank You.
Answer -
Kevin,
truly, I am an idiot when it comes to hernia, sorry. I do know tho that there are ways to remedy your venous problem, and that the veins from your leg drain into your groin, and that decreased circulation impairs everything in it's path.
I would respectfully disagree with the doc who thinks there is nothing to be done. While the saphenous vein may not be the culprit, there are things that can be done (from non-invasive to surgical) to change th4e course of postphlebetic syndrome...
I think you need STILL ANOTHER apinion and maybe even more after that, until you find a vascualr sureon who understands and treats deep vein disease.
If you tell me where you are, I may be able to help you with names of docs in your area.
Lauri
Answer Hi, try:
Bruce J. Brener M.D.
Institution Vascular Assoc of New Jersey
Email Send Message
Address 200 South Orange Ave
Livingston, NJ 07039
United States
Phone 973-322-7233
Fax 973-322-7499
Memberships
Society for Vascular Surgery
Society for Vascular Surgery
Eastern Vascular Society
Society for Clinical Vascular Surgery
Association of Program Directors in Vascular Surgery
