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Varicose veins are swollen veins in the legs
The affected area will be painful and turn red
The risk for varicose veins is related to older age
Immobility, pregnancy or obesity and overweight
Varicose veins can cause an itchy rash or dermatitis
Inflammation of the varicose veins called phlebitis
Discolored skin in the area around the varicose vein
Due to the leakage of a blood dye called hemosiderin
Blood clot can occur in the vein due to inactivity
Medicine such as the Pill may increase coagulability
It may be a sign of deep vein thrombosis
A venogram will
…mehr

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Produktbeschreibung
Varicose veins are swollen veins in the legs
The affected area will be painful and turn red
The risk for varicose veins is related to older age
Immobility, pregnancy or obesity and overweight

Varicose veins can cause an itchy rash or dermatitis
Inflammation of the varicose veins called phlebitis
Discolored skin in the area around the varicose vein
Due to the leakage of a blood dye called hemosiderin

Blood clot can occur in the vein due to inactivity
Medicine such as the Pill may increase coagulability
It may be a sign of deep vein thrombosis
A venogram will confirm the diagnosis

Treatment is with compression stocking
With regular exercise and avoiding standing
Sclerosing of the varicose vein can be by injection
Surgical removal is done by stripping and vein ligation

-An original poem by Kenneth Kee

Varicose veins are quite common in Singapore women especially those who have to stand for long periods such as teachers, housewives, pregnant women and hawkers.

There are so many patients who have swollen large varicose veins in their legs, some not complaining, others with infected ulcers which are made worst by diabetes and poor blood circulation.

This patient is a 52 year old housewife who had 5 pregnancies each of which cause her varicose veins to be come worse.

She had varicose veins since 10 years ago.

Recently the veins become swollen and painful.

In spite of many treatments by other doctors both public and private, her varicose disorders did not improve.

After Chinese medicines cause ulcers in one varicose vein near the ankle of her varicose veins, her family brought her to see me.

To me the most important goal of treatment was to treat the ulcer before going on treat the varicose veins.

I had to do a complete debridement of her ulcers patiently cleaning it, applying antibiotic ointment and wrapping her whole leg from foot to knee with bandages to ensure proper flow of blood.

A compression stocking was used over the bandaging to ensure blood flow is good.

Fortunately she did not have any diabetes or any other illness which may affect the healing of her wound.

Hydrogen peroxide slightly diluted is one of the best cleaning solution for any wound because it provides oxygen and at the same time the bubbling oxygen will bring any debris to the surface.
I use it all the time for my patients.

She was told to return daily for cleaning and application of antibiotic ointment.

While at home she was to keep her affected foot raised while sitting at home or sleeping.

She was allowed to walk with her compression stocking.

Slowly the wound become smaller and smaller until it finally closed.
Once the ulcer closed I told her that I was going to treat the vein which leads to the ulcer first to ensure that there is no recurrence of the ulcer.

I used an insulin syringe to inject the sclerosing chemical (phenol in almond oil used in hemorrhoid injection) into the vein before the ulcer to kill off the blood vessel under local anesthetic.
The leg was bandaged with a compression stocking placed over her affected.

The patient was initially apprehensive but she accepted my decision.
After 1 week of treatment the vein was found to be flat and did not give any problems.

I then referred her to a microvascular surgeon to remove the remaining varicose veins.
She had no more problems with her varicose veins after surgery

TABLE OF CONTENT
Introduction
Chapter 1 Varicosity of Vein
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Peripheral Vascular Disease
Chapter 8 Venous Ulcers
Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...