Vein Care of New Mexico Phillip A. Hertzman MD, FACP, FAAFP, FACPh
Dr. Phillip Hertzman is a Board Certified Phlebologist and Board Certified Family Physician with a special interest in Phlebology practicing in Los Alamos, Santa Fe, and Northern New Mexico for 30 years.
He is a graduate of Washington University School of Medicine in St. Louis, Missouri. He is a Clinical Associate Professor at the University of New Mexico School of Medicine. He is a Fellow of the American College of Physicians, the American College of Phlebology, and the American Academy of Family Physicians. He is also a member of the American College of Rheumatology and the American Venous Foru
Operating as usual
What is deep vein thrombosis?
Deep vein thrombosis (DVT) is a serious condition in which a blood clot forms in one or more of the deep veins.
Illustration deep vein thrombisis
The symptoms of a DVT can go unrecognised.
What causes DVT?
Deep vein thrombosis is usually caused by a combination of different underlying conditions:
Blood flow in the veins is slowed down because of restricted movement for a long period of time (illness, after surgery, long-distance traveling).
Blood clots form more easily than normal
The risk of getting DVT is increased with a condition that causes blood to clot (coagulate) more easily than normal. Some of these conditions include:
cancer and cancer treatments
heart disease and lung disease
thrombophilia, a genetic condition where the blood has an increased tendency to clot
Infections or inflammation
Infections or inflammation can promote thrombus formation by affecting the lining surface of the vein, e.g. through vessel wall damage and increased coagulability.
Damaged blood vessels
If the wall of a blood vessel is damaged, it may become narrowed or blocked, which can cause a blood clot to form. Blood vessels can be damaged by injuries such as broken bones or severe muscle damage.
DVTs are rare in pregnancy, although pregnant women are 3 to 4 times more likely to develop thrombosis than non-pregnant women of the same age. A clot can form at any stage of pregnancy and up to six weeks after giving birth.
In addition, several risk factors for the development of DVT exist.
What are some potential complications of DVT?
About one of every two to three patients with previous DVT will develop a long-term complication known as post-thrombotic syndrome (PTS), despite optimal anticoagulant treatment. PTS is a progressive disease and it can show up as chronic pain, swelling, and discoloration of the leg and, in late stages, as open leg ulcers.
The likelihood of another clot forming is high once you have had aDVT event. The effects of PTS are long lasting and can lessen your quality of life substantially.
Another complication of DVT is a condition known as pulmonary embolism (PE) which occurs when a blood clot breaks loose and travels through the vessel to the lungs. A pulmonary embolism can be fatal if the blood clot significantly blocks blood flow through the lungs.
What are the symptoms of a DVT?
Nearly 50% of all DVT cases have no noticeablesymptoms. If symptoms are present, they can include leg pain and tenderness, swelling in the calf muscle, ankle, foot, or thigh - usually in one leg only. At times, the skin feels warm and is reddened.
Am I at risk for developing a DVT?
Are you over 60? Are you traveling long distances, thereby sitting for prolonged time withrestricted mobility? Are you overweight and/or lead a sedentary lifestyle? If you answered yes to any of these questions, you may be at risk for developing DVT.
Other risk factors include:
Surgery (especially orthopedic) or major injury
High levels of estrogen, such as during pregnancy or when using birth control pills (hormonal contraception)
Prolonged bed rest or immobility, e.g. during hospitalization
How is DVT diagnosed?
Diagnosis of DVT can be made quickly with a simple ultrasound scan that is painless and risk-free. A specific blood test may be performed to measure the level of “D-dimers” which is a sign of recent clotting. Early diagnosis and treatment greatly reduce your risk of serious complications.
There are other tests that your physician may recommend depending on your medical history.
More than two million Americans are affected by blood clots every year.
Did you know?
74% of adults have little to no awareness of DVT.
A pregnant woman is 5 to 6 times more likely to develop a DVT than a non-pregnant woman.
40% of patients with an existing DVT will experience a further DVT within 1 to 2 years.
Wearing compression stockings or socks reduces the risk to develop DVT and associated complications.
Deep vein thrombosis (DVT) is classified as an acute venous disorder.
Basic medical knowledge on venous disorders
With the term Chronic Venous Disorder (CVD) we describe a long-standing condition involving impaired venous return.
If vein valves don’t close properly, a reflux results: the blood leaks downwards and stagnates in the vein, thereby leading to venous hypertension. This condition is known as chronic venous insufficiency (CVI) which may cause edema, skin change, and, in some cases, ulcerations.
If left untreated, chronic venous insufficiency can result in the formation of serious disorders, including phlebitis and pulmonary embolism. To distinguish the different manifestations of CVD, the CEAP classification system is used.
Acute venous disorders usually occur without pre-existing conditions, but they can also be triggered by chronic venous disorders. In any case, medical treatment is immediately required. Acute venous disorders include superficial thrombophlebitis, deep vein thrombosis (DVT), pulmonary embolism, post-thrombotic syndrome, and variceal bleeding.
DVT Awareness What Is DVT?
Deep vein thrombosis, also called DVT, occurs when a blood clot forms in your leg or calf and blocks the flow of blood. Symptoms of DVT may be swelling and redness in the affected leg, but sometimes it shows no signs at all. If left untreated, more severe health consequences may occur.
Blood Clots are a Significant and
Growing Public Health Problem
Serious and potentially deadly DVT affects as many as 900,000 Americans and leads to as many as 100,000 premature deaths as well as billions of dollars in healthcare costs each year. 1
Are You at Risk?
There are many reasons why a person might develop a blood clot. However, over half of all blood clots are directly related to a recent hospitalization or surgery and most of these do not occur until after discharge from the hospital. 1
Prevention is Key!
Compression products are graduated, so the compression is greatest at the ankle and gradually decreases up your leg to help improve blood flow.2 The upward motion of blood flow reduces swelling in your feet, ankles and legs and helps prevent DVT.2 Wearing graduated compression socks and hosiery daily also increases circulation
which may help:
• Revitalize legs
• Management of spider and varicose veins
• Reduce leg swelling
CDC Works 24/7 CDC works 24/7 saving lives and protecting people.
Severe and potentially deadly DVT affects as many as 900,000 Americans and leads to as many as 100,000 premature deaths. Despite these numbers, awareness about the condition is reportedly low. Learn more about DVT and the measures you can take to help prevent it: https://www.sigvaris.com/en-us/your-health/venous-disorders/dvt
Deep vein thrombosis: Prevention with compression socks DVT (deep vein thrombosis) is a serious condition in which a blood clot forms in the deep veins of the lower leg or calf and blocks blood flow. Compression therapy can help with its prevention.
Social distancing in Santa Fe
We are so lucky in Santa Fe to be able to walk out the door and safely discover our beautiful surroundings.
RISK OF DVT
According to the American Heart Association, up to 2 million Americans are affected annually by DVT, more commonly known as blood clots. Yet, most Americans (74 percent) have little or no awareness of DVT, according to a national survey sponsored by the American Public Health Association.
Wearing graduated compression while traveling will help reduce the risk of DVT and alleviate swelling and discomfort.
About half of all blood clots occur during or within 3 months of a hospital stay or surgery. Wearing compression will help reduce your risk of DVT and provide optimum blood flow.
I got mine!
All cosmetic procedures are currently on hold. If you are interested in scheduling sclerotherapy for spider veins please call our office and we can schedule a visit for sometime hopefully in mid June or July depending upon state guidelinesIf you are interested in scheduling sclerotherapy for spider veins please call our office and we can schedule a visit for sometime hopefully in mid June or July depending upon state guidelines
TESTING FOR Covid-19
Any patient who is scheduled for an office visit may request to have a Covid-19 PCR test done several days before the visit. If you would like to have one of these tests prior to visit please call our office and Marcia can arrange it for you.
Guidelines to begin immediately.
For all office visits we have instituted the following guidelines:
1. If the patient has any of the following appointments will be rescheduled:
‐ Travel to or from high-risk area within the last two weeks
‐ Known Covid-19 contact
‐ Cough, flu-like symptoms or SOB
Patients are asked to bring their own pen or pencil for filling out paperwork.
All patients and visitors will wash hands before checking in.
All patients must wear a mask.
Our staff is being extremely careful in cleaning between patients. All staff members will wear masks and gloves and gloves will be changed with handwashing between each patient.
Telemedicine consultations are now available with Dr. Hertzman. For new patients or for follow up consultations a telemedicine consultation with Dr. Hertzman using Facebook, Skype, or zoom is possible.
For new patients this will allow a Headstart and a follow up with an actual examination and ultrasound study can be scheduled. We hope that the in person examinations will be possible within 3 to 4 weeks.
COMMITTED TO OUTSTANDING COSMETIC RESULTS
Vein Care of New Mexico is happy to welcome Carolyn Robards RN back to practice in Santa Fe.
Carolyn is known by many in Santa Fe for her artistic
approach to cosmetic enhancement using fillers and Botox. She strives to create a “natural” appearance and is committed to the best outcomes possible.
For an appointment with Carolyn call us at 505-988-5900.
Vein Care of New Mexico's cover photo
Vein Care of New Mexico's cover photo
Ultrasound of access to vein during Laser ablation treatment
Do you have varicose veins that look like this?
Expert treatment at Vein Care of New Mexico.
Contact us at [email protected] or call 505-988-5900 for evaluation and treatment.
With appropriate treatment your legs can look and feel better
100 patients with severe leg ulcers in 2 days in Honduras June 2017 with Dr. Lindy McHutchison.
Compression socks apply pressure on your ankle and lower leg, helping to improve blood flow and minimize swelling. http://bit.ly/2jSHppm
Are compression socks an effective treatment method for your varicose veins? See for yourself! http://bit.ly/2gl6Yip
30 October, 2016
A letter to the Los Alamos community and to my patients and colleagues from Dr. Phillip Hertzman
After practicing medicine for more than 39 years at Los Alamos Medical Center I will be closing the Los Alamos office of Los Alamos Family Practice and Vein Care of New Mexico, on November 29.
I received an impersonal letter from a representative of ‘PHC-Los Alamos Inc d/b/a Los Alamos Medical Center” in Brentwood Tennessee threatening eviction from my current office 30 days after they purchase the property from Los Alamos National Bank. As of late October Los Alamos Medical Center was not the owner of this property.
It is astonishing that after having been a member of the Los Alamos Medical Center medical staff since 1977 no member of the hospital administration at Los Alamos Medical Center has had the decency nor courtesy to come directly to me to discuss their plans to evict me or to consider reasonable alternative options for my practice. The actual date of purchase and eviction is still not clear, but it is not realistic for me to continue a medical practice with the uncertainty related to not knowing when I will be forced to vacate, nor having been offered any alternatives.
The medical community in Los Alamos has always enjoyed an excellent reputation. A hospital, however is only as good as its medical providers. Over the years the hospital has discarded and / or alienated numerous fine physicians. I don't foresee that the corporation in Tennessee or LAMC which boldly advertises itself as a compassionate organization will change its behavior towards private physicians, especially those who may not be directly financially boosting the hospital’s bottom-line. Fortunately for the residents of Los Alamos many excellent physicians remain.
Although I am saddened and it is with great regret that I am compelled to close my Office in Los Alamos, I will continue to practice medicine and to collaborate with my medical colleagues in Los Alamos. I will be available in Santa Fe at 460 St. Michael’s Drive; Office Court; Suite 806. Our telephone 505-662-2900 will remain the same.
I hope to continue to see many of my long-time patients at my Santa Fe office however I completely understand if for reasons of convenience patients choose to seek alternate care in Los Alamos. My staff will be available to transfer medical records as necessary. Up-to-date information regarding my practice we’ll eventually be available at www.veinsnm.com.
Phillip A. Hertzman MD
veinsnm.com Vein Care of New Mexico in Santa Fe and Los Alamos is highly informed and educated on ways to evaluate and treat vein related problems.
[01/18/13] See new pages at veinsnm.com including images from humanitarian projects in Honduras and Russia; and views of posters presented at American College of Phlebology and American Venous Forum.
Advancing J wire in Tortuous Small Saphenous Vein with incompetent valve
This clip shows access to the small saphenous wein with a J-wire during endovenous laser treatment. There is a acute twist in the vessel associated with an incompetent valve which complicates the procedure. The j-wire is maneuvered through the difficult segment and advanced to the saphenopopliteal junction. Vein Care of New Mexico. Phillip A. Hertzman MD
Venous ulcer panel at the ACP meeting in November 2012. From left to right - Drs. Phillip Hertzman, Hugo Partsch, and Mark Forrestal
See new website
[01/05/13] New Vein Care of New Mexico Website is up an running at www.veinsnm.com
veindirectory.org Office hours: 8AM - 5PM daily at Los Alamos location in the Los Alamos Medical Center 8AM - 5PM Thursdays and alte
lapho.com Providing encouraging accessible, quality health care for all residents in Los Alamos and surrounding communities
rethinkvaricoseveins.com Varicose veins are not just a cosmetic issue. Find a vein specialist to learn more about varicose veins, risks and treatment options.
Sclerotherapy of reticular veins just below the surface using veinlight guidance.
Demonstration of sclerotherapy of small spider veins.
This video presents an introduction to concepts related to common vein problems and venous insufficiency.
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