Dr. Cacovean Adrian

The preceding paragraph contains some of the questions arising from the general confusion caused by so many methods of treatment currently available for one and the same disease. The prophylactic treatment may delay the disease. The conservative treatment can slow the progression of the disease and reduces the frequency and severity of complications. The curative treatment, with the intention of eradication (cure) of the disease has variable results between disappointment and hope, and this is actually the subject of the article and further discussed.

Disappointment: it is a term that refers to the mental state produced by the difference between expectation and what actually happens in reality. An internet search for the terms varicose veins, varicose disease, surgical treatment of varicose disease, varicose vein operations, varicose veins laser therapy, radio frequency therapy of varicose veins, sclerotherapy, etc. leads to millions of results, some of which promote such methods of treatment, clinic, doctor (often general surgeon, but sometimes also plastic, vascular or cardiovascular surgeons), others lead to scientific articles on the subject, discussion forums, medicines used to treat varicose disease and many other results that do nothing but to confuse the understanding of the disease and choosing a method, a clinic (hospital), a certain approach (speciality) and finally the doctor to take care of the patient's varicose veins.

Disappointment in the treatment of varicose disease is given by the difference between results promised by the doctor and what the patient actually receives. Disappointment may arise from a fact used (I have operated and the varices reappeared or I am worse after surgery) or from a locked intention (I want to get surgery for varicose veins, but I heard that they reappear).

Hope: there is a term that refers to the mental state produced by a current predicament (presence of varicose disease in an individual patient) where there are prospects of solving the problem. Both disappointment and hope are concrete realities in the treatment of varicose disease, as experienced by patients and doctors.

Reality in the treatment of varicose disease:

1. For the patients:
a. there are patients prone to varicose veins,
b. some who have varicose disease and do not know it,
c. patients who know they have varicose veins and don’t get treatment,
d. patients who are treated conservatively,
e. operated patients, who still have varicose veins,
f. operated patients who no longer have varicose veins.

2. For the physicians:
a. General practitioners (family), which make a diagnosis and make first therapeutic recommendations to patients; the patients return to them cured by the surgeon and the family doctor has an opportunity to objectively assess the outcome of the surgical treatment;
b. General surgeons, operating varices;
c. Plastic surgeons, operating veins;
d. Specialists in vascular or cardiovascular surgery;
e. Physicians specializing in Phlebologie, which may come from any discipline (medical or surgical), which are specialized in over approximately 2 years (in Romania this discipline is not outlined).

How to make yet a systematization of requirements and offers of treatment?
What do patients want?
What do doctors offer?
What is the effect of drugs?
What effects have alternative methods of treatment?
What is a specialist in law for vascular pathology (arterial, venous and lymphatic)?

These are all possible titles for future articles.

---

Adauga: