678.833.1444

Feel and Look Better!


Vein disease is hereditary in nature and is passed along from parents to their children. Vein disease also affects both Men and Women and sometimes even Teens.
"The decision to treat spider veins and varicose veins is based on relieving symptoms, restoring health to the legs, improving circulation, and improving their appearance."
Dr. Paul Feldman

Location, Location, Location!


Are you ready to Feel and Look Your Best? Truffles Vein Specialists provides comprehensive medical and cosmetic vein treatments. Over 90% of treatments are covered by insurance. 

Dr. Paul Feldman is the best vein doctor in Fayetteville, Georgia and south Atlanta. Vein treatment should be minimally invasive and Truffles Vein Specialists is the premier vein treatment provider in Fayette County.

Why Truffles Vein Specialists?  We treat you as a individual, provide personalized vein treatment plans based on your symptoms and the results of our highly detailed diagnostic testing. 

Vein Specialist(s), we have a dedicated team of professionals who are experienced in vein treatment. We perform very detailed vascular exams, performed by a highly skilled experienced Sonographers to insure that "we get it right" the first time.

We diagnose and treat every level of vein disease.  


At Truffles Vein Specialists we are partners in your vein care. We have a vested interest in improving your health.  We want you to rave about us! We want you to wear that dress again. We want you to tell all of your friends how great your legs feel. We really want you to "Feel and Look Your Best!"

Genetic, long periods of standing, long periods of sitting, pregnancy, age, obesity are all causes of varicose vein disease.

Did you know that 20-30% of patients with vein disease have pelvic or abdominal vein disease?  Did you know that most vein centers don't have the experience or ability to accurately evaluate this disease.

The ability to evaluate all levels of vein disease is very important as this increases the effectiveness of treatments and patient satisfaction. We treat the entire vein....That sounds really simple, however many vascular surgeons only treat the top half or 2/3 of the vein and then tells the patient to give it 6 months, that it will get better with time. It doesn't get better! 

This is very poor advice and is one of the most frustrating trends in vein treatment.

 

At Truffles Vein Specialists we provide front line treatment such as VenaSeal and Radio-frequency ablation, as well as secondary treatments such as ultrasound guided sclerotherapy, microphlebectomy, foam sclerotherapy and LASER therapy.


Patient Reviews

My experience with the Truffles Vein center and Dr. Feldman was superior. I highly recommend everyone if you a want painless procedure and recovery. The vein sonographer, Brian, is awesome! He is very knowledgeable and takes time to thoroughly explain every step. Their care and expertise is beyond compare!

 

Miranda D. (Griffin, GA)

Vein Treatments:

VenaSeal

The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein. 

 

Endovenous Ablation

Radio-frequency ablation of the saphenous veins is the primary treatment for venous insufficiency because increased pressure in the venous system causes varicose veins.

 

Ultrasound Guided Sclerotherapy

Is performed as a secondary treatment to endovenous ablation in the treatment of varicose veins. Is a medical treatment with cosmetic results. 

 

Visible Sclerotherapy

Sclerotherapy for the small reticular or spider veins of the leg. Performed on its own or in conjunction with endovenous ablation for larger bulging varicose veins. 

 

Comprehensive Venous Evaluation and Treatment Plans

Utilizing the highest quality ultrasound machines, state of the art venous testing provides a comprehensive evaluation of the venous system to ensure proper diagnosis and treatment. 

 eVein Screening

Don't know if you have vein disease? Find out now or call for a Free Screening 678.833.1444


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Truffles Vein Specialists
Excellence in minimally invasive outpatient varicose vein treatment in metro Atlanta, Georgia. Dr. Paul Feldman and award winning vascular technologist Brian Sapp, RVT, RPhS have created a comprehensive vein center that addresses the medical and cosmetic needs of the vein patient. Varicose veins, spider veins, leg swelling, restless leg syndrome, pelvic varicosities all can be diagnosed with state of the art ultrasound and treated with little to no pain. Providing comprehensive vein treatment for Fayetteville, Peachtree City, Newnan, Griffin, Stockbridge, Mcdonough, Lagrange, Senoia, Brooks and Atlanta.
874 W. Lanier Avenue Suite 120A
Fayetteville
Georgia
30214
United States


Dr. Paul Feldman and Truffles Vein Specialists are proud members of Piedmont Clinic
Dr. Paul Feldman and Truffles Vein Specialists are proud members of Piedmont Clinic

Team

Vein treatment is performed as a team. 

Truffles has gathered a dedicated team of vein professionals at every level to assure the highest level of vein treatment. 

Best vein treatment in Atlanta, located in Fayetteville, Georgia. Truffles Vein Specialists is a premier vein center in Fayette County. Dr. Feldman was selected to perform one of the first VenaSeal cases in the Southeast.

Our Promise

Integrity. We promise to perform procedures the right way for the right reasons. Diagnostic testing that are performed to the highest standards. 

Dr. Paul Feldman performs the VenaSeal advanced vein procedure in his Fayetteville, Georgia office. Varicose vein treatment in Fayetteville, Georgia.

Our Philosophy

We treat every customer as if they are family.  We want you to leave truffles feeling like you have an extended family. We are proud to be your vein treatment choice. 

Vein treatment is a choice and we appreciate that you have chosen us to provide treatment. We are transparent in our pricing and provide accurate estimates when it comes to treatment times and processes.

Summer Is Almost Over!

Well, we’ve almost made it through another summer in here in Georgia but shorts weather is far from over with warm temperatures lingering until October here in the south. So tell me, did you get those unsightly spider and varicose veins treated this year or did you put it off again?  Procrastinating a potentially expensive treatment or procedure is easier to justify when we think it’s just a cosmetic improvement but did you know those blue and purple veins can be a sign of a more serious condition?

Spider veins (those tiny little squiggles) and varicose veins (those larger bluish veins below the skin and the bulging ones, too) can be a symptom of Venous Insufficiency.  Simplified, this means that the veins and valves in your legs have been over stretched and no longer function as they should to move blood out of your legs and back to your heart. This results in increased pressure on the venous system, reflux of deoxygenated blooddownward and the stagnation of cellular waste in your legs. No wonder its uncomfortable!  Some common causes for this are genetics (“my mom had these veins”), prolonged standing (teachers, cashiers, factory workers, nurses, etc)pregnancy, and athletics. Once the “stretching” occurs, there is no real way for these veins to snap back into place. Compression socks and stockings can help support the veins (like Spanx for your legs) but there is no evidence that this will reverse the condition - and they look terrible with shorts!

Other symptoms of venous insufficiency include:

• Itching, flaking skin
• Numbness and tingling

While we cant change genetics or the past, the good news is that venous insufficiency can be managed very successfully with vein closure.  Current treatment options not only improve and often eliminate symptoms but they also can result in a much-improved appearance of the legs, ankles and feet.  The treatments are also pain free and require no downtime leaving your vacation days free to show off your vacation ready legs!

Even better news? Because venous insufficiency is a medical condition, most procedures to correct the problem are covered by insurance. If you have visible veins and are experiencing any of the symptoms mentioned above, you owe it to yourself to come in for a consultation and thorough evaluation.  During your appointment, we will examine your legs, document your symptoms, schedule any needed imaging and discuss treatment options. We will also submit our findings to your insurance company for approval prior to any procedures so there are no surprises!

Please don’t hesitate to call our office for any questions or to schedule your consultation.

 

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Five things I Didn't Know about Vein Disease as a Primary Care Provider

As a nurse practitioner in general family practice, I’ve treated an enormous variety of medical conditions and illnesses. As is expected in general medicine, we practice with a broad brush and refer to specialists for more complex issues. Now, as I move into the specialty field of Venous Disease and Treatment, I’ve observed some very important elements of this chronic disease that are outside of the awareness of most general practitioners.

1. Tired, aching, heavy legs are not just symptoms of getting older. Though age is a contributing factor to venous insufficiency, the leg fatigue, aching, heaviness, swelling, throbbing, tingling and pain associated with venous disease is not just something that has to be accepted as a normal part of aging.  Other contributing factors are pregnancy and prolonged standing so venous disease can affect adults of all ages.
2. Venous Insufficiency affects approximately 40% of the population in the US.  Perhaps it’s genetics (one or both of your parents or siblings has varicose veins or other vein problems) or vein stressors due to lifestyle (you work on your feet, you’re an athlete, you’re a bit overweight) but whatever the reason, this number suggests that a HUGE number of people with venous disease and insufficiency are undiagnosed.
3. Spider veins are more than just a cosmetic blemish.  Prior to practicing in this specialty, I thought these little veins were purely an ugly annoyance I tried to cover during the warm months of the year (most of the year here in the south).  They were just leftover reminders of my pregnancy or of working as a floor nurse.  In fact, spider veins can be the first sign of an underlying venous insufficiency and can aid in early detection of a vein disorder. Increased pressure in the superficial venous system contributes heavily to the appearance of spider veins and may progress to their larger, uglier sibling – varicose veins!
4. Venous imaging should be a primary (rather than secondary) component of evaluating most cases of leg swelling (edema) and many cases of leg pain.  While there are many reasons for leg swelling and associated aching that must be ruled out during patient visit, providers often prescribe a diuretic (water pill), encourage patients to wear compression stockings and to be more active.  This is excellent advice but if the venous system is not examined by ultrasound as a component of treatment, effective treatment options may be overlooked and patients may struggle to manage these symptoms over the long term.
5. Treatment of venous insufficiency is almost always pain-free and is nothing like the barbaric “vein stripping techniques” of the past. Venous closure is most often performed either chemically or via endovenous ablation – which means that electromagnetic energy is used to close the vein from the inside rather than stripping the vein out.  Neither procedure is considered a surgical procedure and neither requires any down-time or missed time off from work!

If you are experiencing any of the symptoms mentioned and would like discuss your specific concerns in person, I would love to have you come in for a consultation. As we are a medical specialty practice, most visits are covered by your insurance – please check with them to see if you need a written referral from your PCP.



 

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Sonographer to RN Degree Program

RVT to RN Degree Program

Why should a registered Sonographer have to go to school for two or even 4 years just to be able to inject a vein (and feel protected)? A Registered Nurse can come from a variety of backgrounds including but not limited to: med surge, ICU, CCU, home health, camp nurse (yes I looked it up), geriatric nurse and even a school nurse can perform sclerotherapy without training!  They can also pick up an ultrasound probe and with 12 months on the job training, sit for a Sonography credential. A physician simply has to sign a form, attesting to the experience. A nurse needs a letter and a Sonographer needs 121 credits, WTH?

 

The two careers are very similar in that registered nursing and sonography can be associate but are more commonly bachelor degree programs now.  I have provided information below on the curriculum, collected by a google search. You can compare the two side by side. I actually used a BSN program and an AS program in Sonography to appease all of the nurses who may stumble upon this blog.  Don't get butt hurt, we are not trying to take over your turf, just party on the same dance floor! I have bolded the common classes (anatomy and physiology) and have italicized those that are of equal difficulty (physics and statistics). 

 

"There are two common drugs used in Sclerotherapy (Asclera (Polidocanol) and sodium tetradecyl sulfate or STS). Is it really necessary to take 121 college credits to understand the pharmacology of these two compounds"? 

 

There is only one to three classes in the entire catalog that deals with pharmacology (one in this example, basic pharmacology).  All of the other areas have nothing to do with anything remotely associated with patient care in the vein or vascular setting that is not part of a vascular or sonography program. We don't give enema's, put in catheters or suppositories, but nurses don't have to .....well yeah they do! Mad respect for those nurses in the trenches! There are 9 specific areas below that deal with Sonography specific content. Looking at these two curriculum, how is it that a Nurse can become a Sonographer but there is not a College or University in America who provides a path for the Sonographer?

 

Why should a Registered Sonographer have to go to 2 years of college instead of taking a course in pharmacology? What if the Sonographer has shown his or her knowledge of pharmacology in the related field (phlebology)?  The Registered Phlebology Sonographer credential is 24% pharmacology, sclerotherapy and the treatment of veins. Even with this credential proving the knowledge of the individual, it is left in the "air" weather a Sonographer (RPhS) can perform sclerotherapy. I petitioned the state of Georgia and they responded "We do not regulate rules or laws for your profession". Who does? 

 

Who would you want to inject your veins?  Did you know that there is no certification for sclerotherapy, nope any nurse in America can perform it without training. That is crazy! Did you know that a Sonographer has to go to school for a minimum of 2 years, yet a physician has to have ZERO training to be able to perform ultrasound?

 

Bachelors in Science in Nursing (BSN)

While the program you choose may be set up differently from another, what remains fairly standard are the curriculum requirements for a Bachelors degreed nurse. Generally the curriculum you’ll get in a BSN program looks similar to this:

  • Anatomy and Physiology
  • Microbiology
  • Psychology/Anthropology
  • Statistics
  • Nursing Assessment
  • Nutrition and Diet
  • Life Span
  • Basic Pharmacology/Math for Medicine
  • Community, Family, Geriatric, Psych overviews
  • Nursing Theory
  • Nursing Research

Because the BSN is a full-fledged Bachelors degree you’ll complete a number of required courses, such as English/Composition, Art, Literature, History, Physical Education, and Social Sciences.

Clinicals in the BSN encompass a wide array of patient care facilities. Advanced clinicals allow you to choose among unique environments based on your interests and possible goals in the field. For example, you might spend the first part of your degree working in a local hospital, but during the latter part of your studies you may opt to pursue a clinical experience in a long-term care facility, a public health department, a psych facility and more.

Associate Degree in Sonography (RVT)

Core ultrasound classes may be divided into pre-professional (or pre-requisite) courses and those related to the profession of sonography. While ultrasound curriculum varies from school to school, here are some examples of common courses:

Pre-professional/Pre-requisite Ultrasound Courses

  • Physics
  • Algebra/Applied Mathematics
  • Computer Technology
  • Communications/English
  • Biology (Anatomy & Physiology, Microbiology)
  • Health Ethics
  • Psychology/Sociology
  • Medical Terminology
  • Professional Ultrasound Core Courses
  • Introduction to Sonography
  • Ultrasound Instrumentation
  • Ultrasound Physics
  • Sonography Patient Care
  • OB/GYN Ultrasound
  • Cardiovascular Sonography
  • Abdominal Sonography
  • Neurosonography
  • Clinical Internships and Labs

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