Season 3 Episode 1 Transcript
[00:00:00]
[00:00:02] Aimee: Hello, hello and welcome back to the podcast. I am the show’s producer, Aimee Bowen, and we are back with an all new format and an all new name. This is Nice Legs with Dr. Kamran and we are so excited to welcome you to the new season, all of you longtime listeners, thanks so much for sticking around and for any new folks to the podcast we can’t wait to share what’s in store this season and what’s coming up with new guests. And again, an all new focus with nice legs.
[00:00:48] With me, of course, is the host of the show, Dr. Kamran Goudarzi. He’s a double board certified surgeon, world renowned physician, pioneer in the most advanced technology and treatment when it comes to [00:01:00] healthy legs. He’s the owner of Scarless Vein Care Clinic.
[00:01:08] Dr. Kamran, it’s so great to be back and it’s great to see you.
[00:01:11] Dr. Kamran: Well, thank you very much and thanks for all the compliments I’m not sure I deserve it, but thank you.
[00:01:16] Aimee: So if you’re a listener who’s been around for a long time, or maybe you’re a patient or a colleague of Dr. Kamran’s or maybe even a fellow physician familiar with this podcast we used to call it the Nice Living with Dr.
[00:01:27] Kamran podcast, we covered. Various topics related to healthy living,
[00:01:32] But we’re gonna be solely focused on legs now.
[00:01:34] You know, Dr. Kamran, as we were talking about the relaunch of the show, we were thinking in terms of just how much there is that goes into healthy legs. There’s the look, there’s the texture, there’s the shape,
[00:01:47] So can you give our listeners a glimpse of what they can expect in some of the upcoming shows?
[00:01:51] Dr. Kamran: Yeah, absolutely.
[00:01:53] So there are
[00:01:54] more and more podcasts out there and with nice living, uh, it was, it was great [00:02:00] because we were discussing all kind of health issues, but I noticed, you know, I’ve spent at least the last. 20 years just exclusively on the venous end, uh, you know vascular end, and before then, both in the arterial end of uh, leg issues.
[00:02:15] But there is not anything out there, uh, which would really discuss. Everything about the legs, uh, whether is the shape of the leg, whether it is what keeps the legs healthy, whether, uh, how do you manage to keep your legs fit? Or to the point of if you’re playing any sport, what you know, how do you avoid injury?
[00:02:41] All the way down to planter fasciitis, uh, you know, what kind of shoes to wear and what kind of a stocking to wear. I thought it would be literally wall to wall. Legs, anything you want to know about the legs? wanna stop shopping when it comes to getting knowledge [00:03:00] about about the leg health.
[00:03:03] Uh, so what. I’ve been so excited about, and you and I talked about it. We like to bring guests in. Obviously when it comes to the vascular end, I can talk about it, but I’m not an orthopedic doctor, so I’m not a plastic surgeon. all the way to personal trainers who can tell you what you can do to keep your legs healthy or Orthopods who can, uh, who are into a sport medicine, who can tell us how can you avoid injury when you’re doing sports, to people who understand about shoes and uh, who could.
[00:03:33] Explain to us, you know, what kind of shoes would be, uh, good for you whether you’re running or jogging or, or, or whatever. So I want to pretty much cover every question that one has about your leg health, i ncluding dermatology all the way from the skin to aesthetics, you know, how can you make your legs look prettier or how do you maintain the skin of your legs so it stays healthy.
[00:03:58] So we want to be able to [00:04:00] answer all those. And I thought, you know, over time hopefully for our audience, we could also set up live sessions where you can call in. And ask any questions you have to either to myself or our guest, and hopefully you could tell us what kind of guests you’d like us to have by reaching out to us and say, you know, could I have a plastic surgeon next time, or a chiropractor or a podiatrist so we can make this all available to you.
[00:04:29] So I’m very excited about this and you and I have been talking about this for a long time. I noticed there isn’t really much available out there to discuss purely, your leg health and, uh, so to be able to provide that, I thought it would be great.
[00:04:46] And I’m so thankful to you, Aimee. I know we went through, you know, a little bit of latency or hiatus during the COVID. But I’m so glad that you are back and we are back better than than you’ve ever been. We’ve got a [00:05:00] better sound quality, we’ve got a better, uh, studio, and it’s so much easier now to reach out through.
[00:05:07] Telemedicine, I call it what it really is. And to invite guests, we could invite guests from all over the country to get into this conversation.
[00:05:14] Aimee: Absolutely, and I know we’ll be bringing some patients into the fold as well to talk about their challenges with leg health and then how transformative it’s been, just addressing some of those vascular issues alone from improved quality of life, uh, activity levels returning, and then of course the aesthetic aspects as well.
[00:05:33] Really looking forward to it.
[00:05:34] Dr. Kamran: And, and, and the health issues which are associated with venous insufficiency. Most people, if they don’t think they have visible veins, they don’t have venous insufficiency. I was actually, I was on a trip and I was in Iceland, and the next thing I hear on television that the, the president has leg swelling and there was his, uh, health scare that was there something wrong with him? And, uh, was he going to survive? and come to find [00:06:00] out, uh, that he had venous insufficiency
[00:06:04] Venous insufficiency, for example, is, is kind of interesting because although it’s very common, not everybody gets affected or doesn’t deteriorate to the same extent. My argument in his case was, at his age he’s at venous insufficiency, I promise you, all his life. It just became obvious, especially during this term. We all know that the last six months he’s been crisscrossing the world in his aeroplane, a nd I’m sure he is not been wearing compression stocking because he didn’t know he had venous insufficiency. So although he was been brewing in the background being an aeroplane because of a negative pressure, he makes him much more prone to, for venous insufficiency to deteriorate.
[00:06:42] So although he was deteriorating at a very slow level, and he probably never would have any issues being an aeroplane standing without compression starting. All of a sudden, I call it, you know, hell broke loose at the last valve gave, and all of a sudden both legs swell up. Huge health [00:07:00] scare. And they did a very thorough workout by the way, they checked him out.
[00:07:03] He did not have a clot in his lungs. He did not have any clots in his legs. There was no acute clot. They did a blood test, it showed he didn’t have it. They checked his heart. Uh, his heart pumps very well. They checked his kidney. He’s functioning well. And so in the end, when you look at his legs, they find out long behold, he has severe venous insufficiency, which just got worse because of the amount of time he flys in in a plane.
[00:07:27] Now that’s just my impression because I have a lot of patients who are pilots, there are flight attendants, and the aeroplane is not always pressurized. And somebody told me,if you take a little soda bottle with you into aeroplane, uh, you find out what happens to it. Well, legs are the same thing, the negative pressure you know, the cabins are not pressurized till you get really high up there.
[00:07:49] So, if you want your legs to really deteriorate from venous point of view, get in an aeroplane. And now he is constantly on an aeroplane. He is standing. So something that [00:08:00] simple, you know, he has all these most amazing physicians around him and he checks himself every year, but nobody had any idea, he had venous insufficiency because it was brewing in the background.
[00:08:10] Aimee: Mm-hmm. Yes. And you know, Dr. Kamran hearing you talk about that a little bit more, I think it raises just such a critical spotlight that needs to be on leg health and vascular health in particular because you know, the president has access arguably to the top doctors in the world and if he’s not wearing compression stockings,
[00:08:29] that means those physicians might not even be aware of how important it’s to have those preventative measures in place, especially if people have risk factors and are doing things like frequent flights and things like that. So it sounds like there truly is still a gap there, even among practitioners, when it comes to leg health and vein health.
[00:08:48] Dr. Kamran: You, you’re absolutely right. And, this is really genetic predisposition. If you’ve got the, most of the patients have venous insufficiency when you really ask them a lot of questions, they tell you that they kind of, they have some issues. If you understand the [00:09:00] whole ortho medicine, you realize, oh, that was venous insufficiency, that they just didn’t know it.
[00:09:04] Uh, we as human beings, we always try to find some easy answer to our symptoms so we can push it aside and not worry about it. If you get the leg cramp, you think it’s because I’m dehydrated or I don’t have enough magnesium, I don’t have enough potassium. You never try to say, well. What if I’m wrong? You know, maybe I should go and have myself checked.
[00:09:26] And I think one of the commonest reason for cramps, especially at night, which wakes you up and you have to walk it off, is venous insufficiency. You don’t get dehydrated to, uh, two o’clock in the morning, uh, and you don’t become magnesium deficient or potassium deficient or sodium deficient if you have a healthy diet, and Lord knows America,
[00:09:47] we are so careful about making sure everything is fortified with minerals and vitamins. So, theres almost no reason for you to become magnesium deficient or potassium [00:10:00] deficient.
[00:10:00] So just to say, this is probably what’s going on. If I have enough electrolytes, I’ll be fine. You know, is, is not, is not the answer. So I, I think to your p oint, I think, uh, the health awareness is so important and, uh, you and I had discussed this before, venous insufficiency right now to the best of my knowledge still, if you Google it, you find out it is the, probably the most, if not one of the most commonly undiagnosed or underdiagnosed condition in earth on, on the face of the earth, which is, which is sad.
[00:10:35] You’ve got something which affects up to 40% of the population, and yet 0% of the doctors seem to know that it is a disease and it needs to be addressed, and it is preventable. And it is at least easily treatable if it was diagnosed. To me, I like to com talk about venous sufficiency a little bit. Like, uh, you have a damn, which has got some crack in it, and eventually the damn [00:11:00] breaks and hell breaks loose. And this is, this is a valve issue. Once that last valve in your vein gives up, you get you know, sudden swelling and then it’s scary situation.
[00:11:11] Thank God it is very easily treatable. Is, uh, very easy to maintain. Hopefully this will allow the world to realize there is such thing as venous insufficiency because people look at the leg if you didn’t have varicose veins, you did not have venous sufficiency.
[00:11:26] Which was, which was wrong. So this is one of the reasons why we are doing this podcast, is to make people aware of health issues, things which are brewing in the background. They say an ounce of prevention is better than a ton of cure. You know, as long as you know there’s some health issues, which are about to
[00:11:42] evolve and hurt you. Uh, my job as a physician is try to dig as hard as I can and find all these potential issues and bring it to our audience and let them know these potential issues exist and how can you do to diagnose it? What can you do to [00:12:00] prevent it from getting worse? What can you do to treat it if it does develop?
[00:12:03] And, uh, this is I think the main reason why we like this,new podcast to, evolve. And that’s the reason why we, you and I are switching the name from Nice Living to Nice Legs by Dr. Kamran, which would be really concentrating almost solely on, uh, leg Health. We are on YouTube. We have our own, Facebook and Instagram.
[00:12:26] We talk about veins all the time, and I like our audience to know this particular episode. This is what we are doing here. Nice Legs by Dr. Kamran,is going to be everything about the leg health and probably very little about venous insufficiency, b ut about all the other issues associated with vein health.
[00:12:46] I think maybe our first one or two episodes will probably bring some of our patients who, were either nurses or, or they were, runners or joggers too, you know, one or two episodes so they could explain t o us what, [00:13:00] what venous insufficiency is and what, how did they realize that what they were suffering was venous insufficiency
[00:13:08] and then how, how did they help maintain it and have it treated and what kind of results did they get. Since that’s my expertise, I think it’s very easy for me to discuss that. Uh, then going forward, I like to reassure and assure our audience that I’m not gonna be talking about veins every day is going to be about all the other issues.
[00:13:30] For example, Lipoedema is a very interesting situation. We didn’t even know it existed. So if you have a lot of fat inside of your thigh or around your ankles, it doesn’t mean you’re getting fat in your ankles. Uh, it is Lipoedema. It’s just fat deposits in the wrong area. How do you treat it?
[00:13:45] How do you take care of it? Who do you go to? Uh, and there are some plastic surgeons who are very available to take care of it. A lot of plastic surgeons are not quite familiar with it, so hopefully we can bring some experts on the subject who could come and talk to our patients about [00:14:00] that. So these are the issues, you know, I like to, to address, you know, going forward.
[00:14:04] Aimee: Absolutely. Well, again, to our listeners, as Dr. Kamran said, you can follow scarlessveincare.com on Facebook, on Instagram, and he’s putting a lot of incredible content out there, specifically leg vein focused. But again, with the new podcast, we’re gonna be talking leg health overall We’re gonna be posting clips on Facebook and Instagram as well.
[00:14:25] You can find the full podcast [email protected] and on YouTube and on your favorite listening platforms as well. Wherever you listen to your podcast, You’ll be able to find Nice Legs with Dr. Kamran. And we want you to be a part of the show too. So if you go to scarless vein care.com, you can find a spot to submit questions. You can also suggest topics if it has to do with healthy leg we wanna hear about it and we wanna help connect the dots on information.
[00:14:54] You need to have your best legs. Dr. Kamran, any final thoughts for our listeners today?
[00:14:59] Dr. Kamran: I think [00:15:00] we are on Amazon and Spotify, and ask Alexa to play our podcast and I think it’s very easily accessible. People might not know that, and we try to keep it short so you don’t get too bored.
[00:15:10] Aimee: well, Dr. Kamran, it’s always such a pleasure. Looking forward to the next episode and to you, our listeners, thanks so much for listening to the Nice Legs with Dr. Kamran podcast. Stay tuned.