NetWellness Vascular Surgery

What Causes Blanchable Erythema?

Jean Starr MD — Wed, 16 Nov 2011 16:11:00 EST

Question: The bottoms of both feet (including my toes) turn blood red when I walk, and hurt. (When I rest the soles of my feet get less red.) The rheumatologist said it was called "blanchable erythema," because when he presed on the redness, it turned white. Please explain what causes this and if it . . .

Answer: Thank you for visiting NetWellness. I would check with a podiatrist or a vascular medicine specialist if the rheumatologist is unable to answer your questions.

Ask an Expert: Jean Starr MD, Vascular Surgery

My Brother

Jean Starr MD — Thu, 03 Nov 2011 17:11:00 EST

Question: the hospice nurse come to draw blood from my brother his viens kept rolling and sometimes they cannot get any blood,what could be the problem? he has serouis liver, hep c,stage 4 liver. thank you

Answer: This is a function of the serious nature of his condition. He probably has had a lot of IVs and blood draws over time.

Ask an Expert: Jean Starr MD, Vascular Surgery

Palms Turn Red When Walking

Jean Starr MD — Mon, 31 Oct 2011 21:10:00 EST

Question: My palms turn red, (like a blushing color), when I walk, and my skin by my cuticles, (nailfolds), turns red also, when I walk. My hands throb slightly. If I raise my hands up, the redness goes away.

What type of specialist should I make an appointment with, and what kinds of tests will he do? < . . .

Answer: Thank you for visiting NetWellness. A vascular medicine specialist might be able to help (not a vascular surgeon).

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Ask an Expert: Jean Starr MD, Vascular Surgery

Blood Vessels

Jean Starr MD — Thu, 13 Oct 2011 20:10:00 EST

Question: MALE 50 YRS OLD RIGHT UPPER ARM KNOT IN BLOOD VESSEL WHAT CAUSE AND ANY TREATMENT

Answer: Thank you for visiting NetWellness. You should have your primary care physician examine this.

Ask an Expert: Jean Starr MD, Vascular Surgery

Vein Removal after DVT

Jean Starr MD — Sun, 03 Jul 2011 22:07:00 EST

Question: I had a DVT in my Rt lower calf 14 years ago. At the time, the physicians related it to birth control pills and an eight hour road trip with few stops to walk. I took six months of Coumadin. I am continuing to have pain and swelling in this leg. I wear pressure socks, exercise and have controlled HT . . .

Answer: I would recommend an evaluation by a vascular surgeon with an interest in vein therapies. There are many options. You may find a vascular surgeon at the Society for Vascular Surgery. Good luck!

Ask an Expert: Jean Starr MD, Vascular Surgery

Hard Vein Lump from IV

Jean Starr MD — Thu, 23 Jun 2011 15:06:00 EST

Question: A couple of months ago I had and IV on the back of my hand just below my wrist. There is a hard lump that appears to be on/in the vein at the IV site. Is this a very dangerous blood clot or just a side effect of IV? Should I have it taken care of?

Answer: This sometimes happens after an IV and usually is self-limited, but if it worsens, then you should seek a doctor's advice.

Ask an Expert: Jean Starr MD, Vascular Surgery

Hard and Tender Vein

Jean Starr MD — Sat, 04 Jun 2011 11:06:00 EST

Question: About a week ago I noticed a tender area on my rid cage. There is no sign of bruising or redness. It feels like a hard vein, and it feels bruised. Should I be concerned?

Answer: Thank you for visiting NetWellness. You should have your primary care physician examine this.

Ask an Expert: Jean Starr MD, Vascular Surgery

Pain and Tightness from Scar or Surgery

Jean Starr MD — Fri, 03 Jun 2011 16:06:00 EST

Question: Hi Dr Jean, Is there anyway I can get someone to save me? I have a daughter to bring up and this is torture. Everyday I have to live for her but my room for pain is limited. Obviously since this is so close to throat what are the options. 2nd I meant they retied my juggular vein. Where the pins are . . .

Answer: Your pain is quite unusual and requires the evaluation of a pain therapist, if a vascular surgeon has already ruled out a vascular problem. I would advise that you seek follow-up care from a local physician.

Best wishes.

Ask an Expert: Jean Starr MD, Vascular Surgery

Swelling following surgery

Jean Starr MD — Mon, 02 May 2011 20:05:00 EST

Question: How long does swelling of the legs normally last following VNUS closure?

Answer: Thank you for visiting NetWellness. It should be gone in less than a month.

Best wishes.

Ask an Expert: Jean Starr MD, Vascular Surgery

Dialysis Patient Needing Arm Surgery

Jean Starr MD — Wed, 20 Apr 2011 15:04:00 EST

Question:

My mother is a hemodialysis patient and has an AV fistula in her lower arm near her wrist. She also has severe carpel tunnel in both of her wrists.

She`s scheduled for carpel tunnel release surgery in a few days in her other wrist which is expected to stop the pain. However, can the . . .

Answer: I don't do carpal tunnel surgery, but to my knowledge, this should not affect the dialysis access unless a tourniquet is used which would occlude the fistula.

Ask an Expert: Jean Starr MD, Vascular Surgery