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Insurance & Cost Milford Vascular Institute accepts all major insurance carriers. Common Insurance Plans Milford Vascular accepts all major insurance plans. Below is a list of plans with which we most frequently participate. If you do not see your insurance carrier on the list, don't worry! Give the office a call to verify your plan is in-network. If you do not have insurance or your insurance company denies a treatment, Milford Vascular Institute has self pay options available for our patients. If you would like to learn more about self-pay pricing, please contact our office. (203)882-VEIN

Varicose Veins Milford Vascular Institute specializes in the diagnosis of venous insufficiency and treatment of varicose veins. What are varicose veins? Varicose veins are gnarled, bulging veins. These unsightly and often painful veins most commonly occur in your legs. What causes varicose veins? Varicose veins are typically a result of increased venous pressure. Patients can experience an increase in venous pressure for a variety of reasons. The main reason we see and treat for at Milford Vascular is caused by a disease called venous insufficiency . Venous pressure can also increase due to a decrease in cardiac output, renal failure, or arterial dilation which leads to venous obstruction. Chronic venous insufficiency is a disease which affects 60% of the American population. The vein's job is to bring blood back to the heart. Leg veins face an uphill battle - they are fighting against gravity. The way veins counteract this effect is by (203)882-VEIN having one-way valves in them. The valves close as the blood passes towards the heart and they do not allow blood to flow back towards the feet. In patients with venous insufficiency, these valves wear out over time. When the valves malfunction, there is nothing keeping gravity from pulling the blood back toward your feet. ​ Overtime, this leads to a buildup of pressure in the veins. This increased venous pressure causes a feeling of heaviness and tiredness in the legs. As the pressure increases, abnormal superficial veins begin to form. These can be larger bulging veins or smaller veins that look like spiderwebs. Who is at risk for developing varicose veins? Developing varicose veins is an abnormal process. Not everyone will get varicose veins. People who are at a higher risk for developing these unsightly veins include: ​ Professionals who sit or stand for long periods of time People with a family history of venous insufficiency People with a history of blood clots Smokers People with excessive weight Women who have been pregnant or had children Females are at a higher risk than men due to the female hormones that circulate in the blood stream How do we treat varicose veins? Before we address the visual varicose veins, we have to treat the underlying condition causing them. This is important because the larger vein feeds the bulging veins and spider veins. The common procedures we use to close off the feeder veins include: ​ Radiofrequency Ablation (RF) Varithena Endovenous Laser Therapy (EVLT) VenaSeal Closure System ​ After the feeder vein has been closed off, the underlying problem has been treated. However, some large varicose veins may remain. If these leftover veins are not addressed they may become inflamed and clotted. Treatments for these veins include: ​ Ambulatory Phlebectomy (AP): this procedure is typically performed to remove very large, bulging varicose veins. During this procedure, the provider makes a number of small incision in the patient's leg. They will then use a hook to grab the vein and then gently tease the vein out. Sclerotherapy : a treatment which uses a solution which is injected directly into the varicose vein to causes it to close off and disappear. Sclerotherapy can be performed on larger, tributary veins or tiny spider veins. ​ 8 Myths About Varicose Veins Blog If you have varicose veins, why should you have them treated? While varicose veins are often visually unattractive, there are many clinical reasons to have your varicose veins treated. The sooner you have your veins treated, the less likely you are to develop adverse complications. Having varicose veins puts you at greater risk for developing blood clots , infections, bleeding, and limb threatening ulcers . ​ Don't wait to have your varicose veins treated! Procedures to combat venous insufficiency are covered by most insurance plans. If you have varicose veins call the Vein Team at Milford Vascular Institute today!

Laser vein treatments Milford Vascular Institute specializes in the treatment of varicose veins using laser vein procedures. In this procedure, laser energy is used to close the vein. In the office, the leg is cleansed and prepped with Betadine solution. Lidocaine is used as a local anesthetic. The abnormal vein is identified with ultrasound and punctured with a small needle. The laser catheter is inserted into the vein and advanced under ultrasound guidance to the abnormal valve. The vein is anesthetized with a lidocaine and saline solution. The laser is activated and cauterizes the vein from the valve to the mid-thigh or knee. The catheter is then removed and a compression stocking is placed for 10-14 days to allow the vein to completely close. Follow-up ultrasound confirms successful closure. In time, the body will absorb the vein and it will appear on ultrasound as if the vein has been removed. Immediately following procedure: You may experience tingling/ pulling where the vein was closed down You may also see some bruising Elevate the leg when in a seated position Walk around every few hours One to two weeks following procedure ​: Immediately following you can resume low impact physical activities at the gym You can fly/ take long drives (make sure to wear stockings and hydrate) (203)882-VEIN What to do if you experience the above side-effects? Compression stockings Warm compresses on the area Vasculera, Ibuprofen, Motrin, Aleve Tylenol if you cannot take NSAIDs ​ Pain and discomfort are normal after a procedure, if there are any questions or concerns following the procedure please call the office. ​ ​ ​ ​

A member of Milford Medical & Aesthetic Care and Dr Paul Fischer's team needs our help. Linda Riso, Dr. Fischer's second in command for over 20 years, needs to be matched with a liver donor. MVI works very closely with this team and it breaks our heart to hear of the struggle Linda has endured over the last few years. If you or someone you know has ever considered being a living donor, please follow this link: LINDA NEEDS A LIVER DONOR. More About Live Liver Donation Liver transplantation has been accepted as a life-saving treatment and standard of care for many forms of end-stage liver disease since the early 1980s. Initially, all liver transplants used deceased donor livers. As the number of patients awaiting transplantation began to increase, the number of deceased donors could not meet the demand for livers across the United States. To meet these demands, living donor liver transplantation was developed. Technical advances in liver surgery, as well as the liver's tremendous ability to regenerate, have made this procedure a life-saving reality. Can I be a living donor? If a liver transplant candidate is eligible to receive from a living donor, then a family member, relative or close friend can be considered for donation. There are several requirements to becoming a living donor, which include: Donor must be in good physical and mental health Donor must be between the ages of 18 and 60 Donor must have a body mass index (BMI) that is less than 35 Donor must have a compatible blood type with the recipient Donor must be free from the following: Significant organ diseases (i.e., heart disease, kidney disease, etc.) Ongoing malignancy (cancer) Hepatitis Active or chronic infections Active substance abuse Living donors also need a strong support system to rely on for emotional and physical needs during recovery. SOURCE: https://www.hopkinsmedicine.org/transplant/programs/liver/living-donor-liver-transplant/

February is Heart Month! ❤️ According to the Center for Disease Control, 647,000 Americans die from heart disease each year. That's 2% of the population! It is the leading cause of death in the United States. What's even scarier is heart disease is considered a silent killer; most people don't know they have heart disease until it is too late. So, what is heart disease? Heart disease is used to describe a range of conditions which effect the heart. The most common forms of heart disease fall under three main subcategories; diseases which effect the blood vessels, the heart's beating, or congenital heart defects. The term heart disease is often used interchangeably with the term cardiovascular disease. However, cardiovascular disease more accurately refers to narrowed or blocked vessels. This form of heart disease is what most frequently leads to heart attack. Cardiovascular disease is an atherosclerotic disease. Atherosclerosis can occur in any artery in the body. Typically, when a patient has been diagnosed with atherosclerosis in one area of the body, the disease will also be elsewhere, undiagnosed. This is why anti-platelet therapies and life style modifications are so important for people who have been diagnosed with vascular disease. Watch this video below for Dr. Esposito's explanation of how intertwined heart and vascular health can be: If you're interested in being screened for vascular disease, call us today to schedule an appointment: (203)882-VEIN(8346). cdc.gov, mayoclinic.org

UPDATED 5/4/2020 - At Milford Vascular Institute, our top concern is providing the highest quality care for our patients. Our team is committed to being your trusted and reliable vascular treatment facility during this crucial time. With ongoing concerns surrounding the COVID-19 outbreak, the health and safety of our patients remain our top priority. We have been closely monitoring this evolving situation and putting precautionary measures in place to ensure the safety of our staff and facility, while keeping our services open and available for the patients in need of continuous treatments. We are truly committed to the safety and well-being of each of our patients and will make it our due diligence to ensure the absolute safest possible care is delivered. Our Precautionary Measures: - Effective May 4, 2020: we will return to normal office hours, 7:30 AM to 5:00 PM. - There will be a provider available in the office every weekday. - While we will be open normal office hours, we will be seeing a significantly decreased patient volume in accordance with social distancing guidelines. Patient appointments will be spaced apart to limit the number of patients in the office. - There will be only 4 chairs in our waiting room, spaced 6 feet apart. - Only one family member will be allowed to accompany a patient, unless there are extenuating circumstances. If your office is scheduling an appointment for your patient and you are aware of such circumstances, please discuss this when scheduling the appointment with our staff. - Adults and older children should arrive wearing a mask. - All employees and providers will be wearing masks at all times. - Taking all necessary precautions to protect the health and well-being of our patients and staff. - Ensuring medical equipment is cleaned and disinfected thoroughly before, during, and after each patient visit. - Pre-screening our patients prior to their appointments. - Conducting on-site wellness checkups to verify the health of each patient before treatment. A clinician may take the temperature of patients and their family members prior to their appointment. - Increasing precautions at our clinics located in areas in state of emergency. - Increasing sanitation of high-traffic areas. Steps You Can Take to Protect Yourself: - Wash your hands often with soap and water for at least 20 seconds. - If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. - Avoid touching your eyes, nose, and mouth with unwashed hands. - Avoid close contact with people who are sick. - Practice social distancing. Put distance between yourself and other people if COVID-19 is spreading in your community. Should you come in for your appointment? At this time, Milford Vascular Institute is discouraging patients with compromised immunity or over the age of 65 years old from keeping routine, follow-up visits. Due to the nature of vein and artery disease and the potential for the condition to become more complicated, we encourage our patients to continue with their current treatment plan to avoid developing any serious issues. As a surgical facility for all aspects of vascular and thoracic disease, we are continuing to see patients with an array of symptoms. If you are an existing patient seeing us for any of the below listed diagnoses and are experiencing any of the below outlined symptoms, please contact the office immediately to schedule an appointment. Milford Vascular Institute will continue to provide high level vascular care to our patients. If you or someone you know is suffering from any aspect of vascular disease, know we are making every effort to keep Milford Vascular Institute a safe environment for you to receive care. Call (203)882-VEIN (8346) if you have any further questions. Stay healthy and safe.