FAQs

Venous insufficiency is one of the most common causes of poor circulation, particularly in the legs. The combination of time and lifestyle choices can cause the veins to widen, weakening the vein wall and negatively impacting your circulation. The result can be pain, cramping, charley horses, and more.

Venous insufficiency is diagnosed using an ultrasound. The procedure is absolutely non-invasive and painless. For most patients, the diagnostic ultrasound is completed in 20 minutes or less.

While compression garments can provide some relief for people suffering from venous insufficiency, lasting results can only be achieved via a minimally invasive surgical procedure. The procedure takes approximately 20 minutes to perform, and can be performed in an outpatient setting.

For 24 hours post-procedure, patients are asked to wear a compression wrap similar to an ACE bandage. Many patients are able to return to normal activity immediately after treatment.

Treatment results are permanent, meaning that the pain caused by venous insufficiency is eliminated for the rest of your life.

Dr. Arad performs Gastric Sleeve, Gastric Band, and Revision procedures for weight loss.

You qualify as a candidate for bariatric surgery (aka weight loss surgery) if:

• Your BMI (body mass index) is 40 or greater
• Your BMI is 35 or greater, and you suffer from one or more obesity-related health concerns such as heart disease, type 2 diabetes, or sleep apnea.

The Vertical Sleeve Gastrectomy, also referred to as the “Gastric Sleeve”, is a stomach surgery categorized as a restrictive procedure that does not involve an alteration of the intestines. This means that it does not have a malabsorptive component. This surgical procedure consists of altering the stomach by making it look like a long tube— or its namesake, a “sleeve”.

The Gastric Sleeve surgery permanently removes up to 85% of the stomach which provides for significantly smaller stomach capacity—resulting in quicker satiety (sense of fullness), and a decreased appetite. In addition, it also removes the portion of the stomach that contains ghrelin, the hormone that causes hunger, leading to a decrease in hunger. The “new” stomach restricts food intake by allowing only a small amount of food to be eaten at one time. After the separation of the stomach into a smaller tube, the remainder of the stomach is removed.

The Adjustable Gastric Band – often called the “lap band” – involves an inflatable band that is placed around the upper portion of the stomach, creating a small stomach pouch above the band, with the rest of the stomach sitting below the band.

The common explanation of how this device works is that with the smaller stomach pouch, eating just a small amount of food will satisfy hunger and promote a feeling of fullness. The feeling of fullness depends upon the size of the opening between the pouch and the remainder of the stomach created by the gastric band. The size of the stomach opening can be adjusted by filling the band with sterile saline, which is injected through a port placed under the skin. The Gastric Bands clinical function is to reduce hunger, which helps the patients to decrease the number of calories that are consumed.

Dr. Jonathan Arad, MD, FACS, is a compassionate, experienced bariatric surgeon who performs all Gastric Sleeve, Gastric Band, and Revision procedures here at Wellness and Surgery. To learn more about Dr. Arad’s training, experience, and treatment philosophy, click here

We work with most major insurance companies. Click to talk to one of our billing specialists who can help you determine what your options are.