Change is Imminent...How Will You Respond
by Marlin W. Schul MD, MBA, RVT, FACPh
Letter from Our Medical Director Change is Imminent…How Will You Respond?
As health care changes, must we also change? We live in exciting technological times for managing small veins with benign touch of a dull needle, widespread availability of polidocanol, and innovative proprietary foam being introduced for managing saphenous veins and tributaries. In contrast to the stimulating elements of the specialty stand outrageous insurance carrier behaviors and threats of declining reimbursement under the auspices of a national healthcare system, details of which remain largely unknown. What we know for certain is that the majority of American’s have little understanding about the true costs of health care. They are shielded by benign co-pays and limited out-of-pocket exposure. Assuming that part of the change involves another shift in financial burden to patients, physicians must build value in the services they offer. Competitive forces are likely to play a larger role in
patient selection of providers for vein care. Is this an opportunity to enhance the services you offer? Are there efficiencies to be gained? Time to update the look of your office? We all know that changes are coming. How will you adjust your practice to keep pace with changes ahead?
Dr. Alessandro Frullini is a world renowned phlebologist and accomplished pioneer in venous medicine. He has published scores of articles and is a major contributor to the wealth of knowledge learned about microfoam sclerotherapy. In this issue, Dr. Frullini shares a practical understanding and approach to the art of sclerotherapy for reticular veins and telangiectasia, in addition to a brief glimpse into his ongoing research. Sclerotherapy is
undoubtedly the only procedure that every vein practice must possess. More important is the mastery of this procedure, enabling a provider to deliver durable outcomes for a variety of conditions. You will find interest
in Dr. Frullini’s sensible approach and useful tips for beginners.
Where might you find an expert to teach the skills required to be a successful phlebologist? Consider the preceptor program through the American College of Phlebology, and the fellow’s course sponsored by the American Venous Forum, among others. Visit the websites of phlebology organizations to learn more, and askthe scores of experts who attend phlebology meetings throughout the world.
Are there specific topics that you would like VEIN to cover in upcoming issues? We strive to keep VEIN both current and relevant to your practice. Send your ideas to our editor, or contribute editorial to our “Speak Out” column. Your voice and your suggestions are highly valued and always welcome.
Marlin W. Schul
MD, MBA, RVT, FACPh