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A Hospital-Type Environment with Hospital-Level Equipment, Without the Risks Of Being In the Hospital

Posts Tagged ‘venous ablation’

A Hospital-Type Environment with Hospital-Level Equipment, Without the Risks Of Being In the Hospital

Posted on: October 11th, 2021 by Encompass Healthcare No Comments

Encompass HealthCare & Wound Medicine in West Bloomfield, Michigan is Metro Detroit’s only full-service wound healing & infection facility, offering patients everything possible for healing under one roof. Dr. Bruce Ruben launched Encompass HealthCare to offer patients a hospital-type environment with hospital-level equipment, without the risks of being in the hospital.

Wound Care News explains why it’s safer and overall better to visit a wound-care specialist like Dr. Bruce Ruben at Encompass HealthCare than going to a hospital. This is especially true during the current Covid-19 pandemic.

If you’re one of the 6.7 million Americans living with a chronic wound, you may well be referred to a wound care specialist for treatment. In this article, we’ll explore when you should see a wound care specialist, why proper wound care is so vitally important, and how specialist treatment can reduce the risk of complications and encourage a speedy recovery.

While most primary care physicians are qualified to treat a straightforward wound, resulting from a day-to-day injury, they may not be the right person to deal with a complex or non-healing wound. In addition to the usual medical training, wound care specialists undergo a rigorous three-year wound care program and written exam. They are, therefore, uniquely qualified in the most sophisticated treatments, techniques, and technologies to help patients recover more quickly from serious wounds.

To maintain their status, wound care specialists also have to secure continuing education credits and periodically requalify for certification. As a result, a qualified wound care professional will be up to date with the latest developments and research into wound care.

During your first visit, your wound care specialist will conduct a thorough diagnostic analysis of your wound, including the cause of the wound and any issues that might be obstructing your healing. You will then be given a customized treatment plan that takes into account your case history and the type of wound, your ability to comply with particular treatments (for instance, physical therapy), and any additional treatments you might require. You will then be scheduled for a series of visits with your wound care specialists, during which your healing will be evaluated, and your treatment modified.

Not every wound needs specialist treatment. In most cases, a simple wound that results from an injury can be treated by a primary healthcare provider. More serious wounds may require treatment in the hospital, followed by recovery at home. And, of course, if you see any signs that the wound is infected, such as redness, increased pain, a bad smell, fever, or swelling, you should call your doctor immediately.

However, certain kinds of wounds are more likely to need specialist treatment. For instance, complex wounds such as vascular ulcers, diabetic ulcers, radiation wounds, various types of traumatic injury, and some post-operative wounds may benefit from treatment in a wound care center.

There are also health conditions that may make it harder for your wound to heal. These include:

  • Diabetes

  • Congestive heart failure

  • Vascular disease

  • Incontinence

  • Severe obesity

  • Renal failure

  • Nerve damage

Certain lifestyle issues may also prevent wound healing. For instance, a poor diet, excessive alcohol intake, smoking, and being inactive may also impede your recovery from a wound.

In general, if your wound has not started to heal after 2 weeks, or has not healed completely within 6 weeks, then you should consider visiting a wound care specialist.

For many patients, treatment by a wound care specialist can have a dramatic positive impact on their recovery and quality of life. The key benefits of specialized wound care treatment include:

Unlike a regular clinician, a wound care specialist has the knowledge to develop an individualized treatment based on your specific wound, health issues, clinical history, and personal preferences. They will then develop a care plan using this information, to help speed your recovery and healing.

Because the plan has been designed specifically for you, you are more likely to be able and willing to follow it. For instance, a specialist wound care professional could recommend the kinds of dressings that you will be most comfortable with, or take your current mobility into consideration when making recommendations about physical therapy. By contrast, a non-specialist might recommend a more standardized approach that could be harder for you to comply with.

The incorrect treatment of a wound can be potentially catastrophic. For instance, diabetic foot ulcers are the most common cause of diabetes-related amputations—infected or non-healing ulcers can result in the patient losing a foot or the whole lower part of the leg.

Long-term non-healing wounds are particularly prone to infection. Infections such as MRSA can enter the bloodstream via the wound, resulting in serious illnesses. In the most severe cases, infections can lead to sepsis, a potentially fatal medical condition triggered by the body’s immune response.

Working with a wound specialist is the best way to make sure that your wound receives the most effective treatment. A customized wound care program will be designed to approach your wound healing from multiple angles, such as increasing your circulation, reducing pain, and creating the best environment to promote recovery.

Wound care centers have access to the latest wound care treatments and technologies that may not be available in a primary healthcare facility. Advanced treatments that may be helpful in treating non-healing or complex wounds include:

  • Wound Vac Therapy

Vacuum-assisted wound closure, also known as Wound Vac treatment, involves using a vacuum pump to create negative pressure to seal a foam bandage over an open wound. The pressure pulls the edges of the wound together, promoting healing by reducing swelling, stimulating tissue growth, and preventing infections.

  • Ultrasound

Ultrasound treatment uses sound waves to encourage healing, reduce inflammation and pain, and increase circulation and soft tissue mobility.

  • Growth Factor Therapy

Growth factors are chemicals naturally secreted in the body that encourage cell growth. Growth factor therapy involves applying growth factors directly to the wound to promote the growth of wound-healing cells.

In general, wound care specialists take a more proactive, aggressive approach to wound treatment, based on the latest medical findings. For non-healing wounds, frequent debridement (removal of dead tissue) and more active medical interventions may reduce the time to heal and improve the patient’s comfort level.

Perhaps one of the most important roles of the wound specialist is to educate both the patient and their family about how to care for the wound and manage the process of healing. For those with chronic or severe wounds, recovery can be a slow and grueling process. A wound care specialist can offer advice about managing the emotional aspects of recovery, making the best lifestyle choices to promote healing, understanding your wound and how to care for it as it heals, and transitioning safely and easily to self-care.

Above all, our staff treats everyone like family. That’s the Encompass difference!

Why Encompass HealthCare uses Mechanical Venous Ablation

Posted on: March 19th, 2021 by Encompass Healthcare No Comments

Biological ablation is defined as the removal of a biological structure or functionality. Venous ablation, in particular, is a procedure used by physicians to shut down poorly performing veins that leak blood and fluids into the soft tissues of legs. Such leaking is the primary cause of chronic swelling, redness, heaviness, and sores that won’t heal. Thus, ablation of just a few identified, culprit veins will reverse all of these symptoms and heal the long-standing sore.

The methods that are available today for providing ablation of these veins are all minimally invasive and are performed in the physician’s office; however, patients should be aware that the level of pain associated with the procedure varies. For example, the most painful ablation techniques use laser and radiofrequency, which “burns” the vein on the interior of the leg. In order to complete this specific technique, the introduction of multiple, separate injections of lidocaine-filled fluid around the vein is required. As a result, the vein is ablated and the surrounding soft tissues are prevented from burning. OUCH!

What’s worse, radiofrequency and laser procedures carry the risk of causing irreversible damage, and even accidental burning, to important sensory nerves; yet, with Clarivein, this is not a risk. In fact, we have seen that the benefits of the radiofrequency and laser procedures are present with Clarivein, but the risky outcomes are not. Therefore, a lack of medical awareness is the only reason one would choose radiofrequency or laser procedures over the much less painful and risky Clarivein.

At Encompass Healthcare we use Clarivein, a mechanical venous ablation procedure.

This procedure typically requires no more than a single needle inserted into the targeted leg vein under ultrasound guidance, much like a typical lab draw at your doctors’ office. Guided by ultrasound, a catheter is threaded along the length of the interior vein and withdrawn while simultaneously creating a painless, inner vein injury in order to cause vein contraction, and thus ablation.

In general, venous ablation is a procedure which is considered only after other conservative measures have failed. Bruce Ruben, M.D., our Medical Director will often try compression bandaging like unna boots, pneumatic compression pumps, or multi-layer compression wrapping first. These methods are more akin to wrapping a leaking pipe with duct tape; however, it may just be enough to heal a non-healing wound without resorting to the vein ablation procedure. At Encompass Healthcare, each patient is always given the full range of appropriate options.

So, you’re probably wondering what sorts of results we’ve seen with this venous ablation procedure, right? Great news! Patient outcomes after receiving a mechanical venous ablation with Dr. Ruben are very impressive. When treated for a non-healing, venous stasis leg wound, Dr. Ruben’s patients healed completely within 4 weeks!

If a patient or loved you know might be a candidate for venous ablation, give us a call. We can set up a consult in our comfortable and safe outpatient office and determine the best course of action for the patient’s healing process!

Why Encompass HealthCare uses Mechanical Venous Ablation

Posted on: February 11th, 2019 by Encompass Healthcare No Comments

Biological ablation is defined as the removal of a biological structure or functionality. Venous ablation, in particular, is a procedure used by physicians to shut down poorly performing veins that leak blood and fluids into the soft tissues of the legs. Such leaking is the primary cause of chronic swelling, redness, heaviness, and sores that won’t heal. Thus, ablation of just a few identified, culprit veins will reverse all of these symptoms and heal the long-standing sore.

The methods that are available today for providing ablation of these veins are all minimally invasive and are performed in the physician’s office; however, patients should be aware that the level of pain associated with the procedure varies. For example, the most painful ablation techniques use laser and radiofrequency, which “burns” the vein on the interior of the leg. In order to complete this specific technique, the introduction of multiple, separate injections of lidocaine filled fluid around the vein is required. As a result, the vein is ablated and the surrounding soft tissues are prevented from burning. OUCH! What’s worse, radiofrequency and laser procedures carry the risk of causing irreversible damage, and even accidental burning, to important sensory nerves; yet, with Clarivein, this is not a risk. In fact, we have seen that the benefits of the radiofrequency and laser procedures are present with Clarivein, but the risky outcomes are not. Therefore, a lack of medical awareness is the only reason one would choose radiofrequency or laser procedures over the much less painful and risky Clarivein.

At Encompass Healthcare we use Clarivein, a mechanical venous ablation procedure.

This procedure typically requires no more than a single needle inserted into the targeted leg vein under ultrasound guidance, much like a typical lab draw at your doctors’ office. Guided by ultrasound, a catheter is threaded along the length of the interior vein and withdrawn while simultaneously creating a painless, inner vein injury in order to cause vein contraction, and thus ablation.

In general, venous ablation is a procedure that is considered only after other conservative measures have failed. Bruce Ruben, M.D., our Medical Director will often try compression bandaging like unna boots, pneumatic compression pumps, or multi-layer compression wrapping first. These methods are more akin to wrapping a leaking pipe with duct tape; however, it may just be enough to heal a non-healing wound without resorting to the vein ablation procedure. At Encompass Healthcare, each patient is always given the full range of appropriate options.

So, you’re probably wondering what sorts of results we’ve seen with this venous ablation procedure, right? Great news! Patient outcomes after receiving a mechanical venous ablation with Dr. Ruben are very impressive. When treated for a non-healing, venous stasis leg wound, Dr. Ruben’s patients healed completely within 4 weeks!

If a patient or loved one you know might be a candidate for venous ablation, give us a call. We can set up a consult in our comfortable and safe outpatient office and determine the best course of action for the patient’s healing process!

 

Topics covered by Dr. Bruce Ruben in this blog post:

•What is venous ablation
•How does mechanical venous ablation differ
•Why we use mechanical rather than other techniques
•What results have we seen from this procedure
•Call to action

Dr. Ruben’s Venous Insufficiency Article

Posted on: December 15th, 2015 by Mindy Ruben No Comments

Dr. Ruben’s Venous Insufficiency Article explains this condition thoroughly in his Woundsource article here.

Venous Insufficiency: blood and other fluids can't travel up toward the heart because of faulty valves inside the vein. This is explained in Dr. Ruben's venous insufficiency article.

Venous Insufficiency: blood and other fluids can’t travel up toward the heart because of faulty valves inside the vein. This is explained in Dr. Ruben’s venous insufficiency article.

Chronic venous insufficiency (CVI) refers to a long-term condition where the veins inside the legs have lost their ability to move blood back up to the heart from the legs. This occurs because the vein walls have weakened to the point where the venous pumps are no longer sufficient enough to send blood back up, against gravity, to the heart. CVI also affects the tiny valves inside the leg veins. When these valves do not close sufficiently, blood seeps back down past the valves and pools in the lower legs.

Many treatments are available including our in-house venous ablation(more…)

Avoid Amputation At Encompass HealthCare & Watch Our Video

Posted on: December 8th, 2015 by Mindy Ruben No Comments

We avoid amputation by delivering the most sophisticated wound healing technology to our patients…all outside of a hospital, safely at our in-house wound treatment center.

At Encompass Healthcare, our patients have been able to avoid amputation because we have access to hospital-level technology without the hassles that hospitals present. Our sophisticated wound care technology includes treatments such as venous ablation, hyperbaric oxygen therapy, I.V. antibiotics, x-rays, special dressings and a home-like atmosphere that is anything but hospital-like!  (more…)

Treating Lymphedema Successfully

Posted on: May 29th, 2013 by Mindy Ruben No Comments

TREATING LYMPHEDEMA SUCCESSFULLY: A CASE STUDY

Treating lymphedema successfully in our outpatient setting has allowed patient M. Silver to begin to heal his bilateral, lower extremity swelling (photo above is not M. Silver, but rather an example of lower extremity lymphedema.)  M. Silver has venous insufficiency, swelling in his legs, and has developed an ulcer between his 1st and 2nd toe, resulting in a fungal infection.

Treatment began with compression therapy, applied by Julia, our certified, manual, lymphedemic physical therapist, an Unna Boot, an increase in his diruetics (medicine to reduce swelling,) an oral fungal pill called Lamisil, and a special powder called Nystatin (both used to treat the fungus.)

M.Silver has been here for only 1 week and he is already improving, estimating his full treatment at about 2-4 weeks total.  All in our outpatient setting, so M.Silver can get his treatment, get healed, and get on with his life.

Treating lymphedema successfully can be achieved if all of the underlying conditions causing lymphedema are addressed.

 

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