How long will the appointment take?
Your initial consultation should take about 30-45 minutes. During your appointment you will meet with one of our physicians (Dr. Fox or Dr. Hardee) and they will discuss your current symptoms and health history with you. At this point, Dr. Fox or Dr. Hardee will determine if you require a diagnostic ultrasound of your legs.
The ultrasound appointment takes about an hour. One of our registered vascular technologists (RVT) will be performing the ultrasound exam. Dr. Fox or Dr. Hardee will discuss your results after the ultrasound is completed.
Will I see a physician?
Yes, you will see Dr. Fox if your appointment is at the Bellaire office and Dr. Hardee at the Katy office.
What should I bring to my consultation?
Please bring your insurance cards and your driver’s license. It is also helpful if you bring a list of your current medications, previous records and tests (if applicable).
How should I prepare for my ultrasound appointment?
There are no major preparations for the ultrasound. We recommend to drink plenty of fluids the night before the appointment. There are no restrictions prior to your appointment. You can continue to take your prescribed medications and you can eat and drink before the appointment.
What insurances do you take?
We accept most major insurance plans, including Medicare and Medicaid. Please call the office at 713-575-3686 with your insurance information and we will be happy to to see if your insurance plan covers vein treatments.
How much experience do the doctors have?
Dr. Hardee has been practiced radiology and interventional radiology in the Houston area for 13 years. Dr. Hardee graduated with honors from Louisiana State University and Baylor College of Medicine, where he was elected to the Alpha Omega Alpha Honor Society. He completed his internship and residency in radiology at the Naval Medical Center in San Diego, and was elected chief resident. After proudly completing his nine years of service as an officer in the United States Navy, Dr. Hardee received fellowship training in vascular and interventional radiology at the Dotter Interventional Institute at Oregon Health Sciences University.
Dr. Fox earned his medical degree at the University of Texas Medical Branch. After graduation, Dr. Fox relocated to Richmond, Virginia. Dr. Fox completed his internship, residency, and fellowship in vascular and interventional radiology at the prestigious Medical College of Virginia. Upon completion of his training, Dr. Fox was invited to join the faculty at the Medical College of Virginia as an assistant professor and director of resident and fellow education in the department of vascular and interventional radiology. During his tenure, Dr. Fox completed thousands of endovascular procedures with a concentration on advanced techniques in the treatment of arterial disease, uterine fibroid embolization, and venous insufficiency. He also cared for patients at VCU Vein Care, and served as one of the co-founders of the Baird Vascular Institute.
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What is an vascular interventional radiologist?
Vascular interventional radiologists are board-certified physicians who specialize in minimally invasive, targeted treatments. They offer the most in-depth knowledge of the least invasive treatments available coupled with diagnostic and clinical experience across all specialties. They use ultrasound, X-rays, MRI, CT scans and other imaging to advance a catheter in the body, usually in a vein or an artery, to treat at the source of the disease internally. Today many conditions that once required surgery can be treated less invasively by interventional radiologists. Interventional radiology treatments offer less risk, less pain, and less recovery time compared to open surgery.
Do you carry compression stockings?
We offer medical grade (20-30mmHg) knee high and thigh compression stockings in our offices. Our clinical staff with measure your legs to ensure a custom fit for the compression stockings.
Do I need a referral?
Most insurance plans do not require a referral to schedule a consultation. There are some insurance plans (mainly HMO) that require a referral from your primary care physician. Please call the office at 713-575-3686 to schedule your consultation and we will be able to help you.
What is venous reflux disease?
Healthy leg veins have valves that keep blood flowing to the heart. Venous reflux disease, also known as chronic venous disease, develops when the valves stop working properly and allow blood to flow backward (i.e., reflux) and pool in the lower leg veins. If venous reflux disease is left untreated, symptoms can worsen over time.
As a result, vein valves will not close properly, leading to symptoms such as:
- Varicose veins
- Leg pain, aching or cramping
- Leg or ankle swelling
- Leg heaviness and fatigue
- Skin changes or rashes
- Ulcers, open wounds or sores
How prevalent is venous reflux disease?
- Venous reflux disease, also known as chronic venous insufficiency, affects more than 30 million Americans.1,2
- Varicose veins, a common symptom of venous reflux disease, can affect up to 40 percent of adults.3
- Varicose veins are more common in those who are overweight, and in women who have had more than two pregnancies.3
- Women usually have multiple risk factors for the development of varicose veins. In fact, varicose veins are most common in women (75 percent of those diagnosed) than in men (25 percent of those diagnosed).14
- Up to 55 percent of American women may be affected by varicose veins in their lifetime.5
- It is common for varicose veins to become more prominent during pregnancy and worsen with successive pregnancies.5
How is venous reflux disease treated?
Venous reflux disease treatment aims to reduce or stop the backward flow of blood. Treating the diseased vein improves overall blood flow and relieves symptoms. For some patients, compression stockings alone may improve blood flow. For other patients, closing or removing the diseased vein may be necessary to improve blood flow. Closing or removing the diseased vein directs blood to nearby healthy veins.
- Gloviczki, P, Comerota, A, Dalsing, M, Eklof, B, Gillespie, D, Gloviczki, M, et al. The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011 May; 53 (5 Suppl): 2S-48S.
- US Markets for Varicose Vein Treatment Devices 2011, Millennium Research Group. 2011.
- Tisi, P. Varicose veins. Clin Evid (Online). 2011.http://www.ncbi.nlm.nih.gov/pubmed/21477400
- American College of Phlebology. Patient FAQs. http://www.phlebology.org/patientinfo/faq.html#varicoseveins
- American College of Phlebology. Treatment of varicose and spider veins. Phlebology.Org’s Varicose Vein Brochure