2021 May-June,  Business,  TSWA

Talk Story with an Advertiser: Dr. Randall Juleff

Dr. Randall Juleff has a passion for educating people about venous insufficiency, meaning veins in the legs aren’t working properly.

Dr. Juleff explains, “Venous disease is tremendously undertreated, often because people don’t know they are having vein problems. Only one of the signs of venous insufficiency is varicose veins. Sometimes a patient’s only complaint may be chronic swelling, achiness, muscle cramping, skin problems, fatigue, heaviness, restless leg syndrome, numbness or tingling. In our offices we see nearly an even number of men and women.”

Dr. Juleff’s initial training was cardiovascular (open-heart) surgery. He decided to change specialties, reflecting, “10 years ago I saw this new technology in phlebology. Before that, we were doing surgical vein stripping, which required general anesthesia and a two-hour surgery, followed by in-patient care for several days. Now we accomplish the same thing with minimally invasive procedures in our office using numbing medication only. The patient remains awake, and the whole procedure takes 30 to 45 minutes. They leave Vein Clinics of Hawaii and can usually go on with their normal daily activities.”

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Dr. Juleff continues, “Veins in our legs should be carrying blood up to the heart. When they fail over time, they can create lots of aggravating symptoms. Left untreated, it can lead to advanced problems. If you ever notice people walking around with the skin on their lower legs having a brownish discoloration, it almost always means their veins are not working. That can progress to further abnormalities. With our treatments, 99% of the time our patients feel a significant difference in their energy level afterward and they look better, too.”

“Many of our older patients suffer from nighttime muscle cramping. Our treatments can lessen or even eliminate their cramping, which can improve their quality of life tremendously. For other people, the lower leg may be chronically swollen and the skin becomes fragile. Even a minor injury can lead to a major wound, a venous stasis ulcer, that doesn’t heal. Once we fix their venous insufficiency, their skin heals beautifully.”

Vein Clinics of Hawaii has recently opened their second Hawai‘i Island office in Hilo. Their Waimea office opened in 2010. In both offices, the staff is committed to quick, efficient evaluations and treatment. Medical insurance and Medicare cover treatments and most patients don’t need a referral from a primary physician.

Vein Clinics of Hawaii
Waimea: 65-1158 Mamalahoa Hwy. #16
Hilo: 670 Ponahawai St. #220
808.885.4401
veinclinicsofhawaii.com