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Referrals
 
I accept referrals from physicians, midwives, chiropractors, nurse practitioners or any other health care professional the patient may have.
  
When possible I prefer patients be referred to me so their primary care provider knows what is happening. 
  
In the light of the current medical climate, with so many not having access to a family doctor, I will see patients without a referral. In those circumstance consultaion letters are not routinely sent.
 
How to refer
 
The simplest way is to FAX a referral to
 
807-475-5644.
 
This FAX line is dedicated to my clinic and is secure.
  
We will contact the patient.   I will write a consultation letter after they have been seen
  
Written referrals can be mailed to my business office at :
  
3529 Rosslyn Road
RR#5
Thunder Bay      P7C 5M9
  
However remember patients are usually seen at St Joseph's Hospital although I do occasional clinics for new patients at Confederation College Health Services
  
If you want to discuss the referral or their are other questions feel free to call my office any weekday morning between 9.30 and noon - Eastern time- and my booking staff will assist you.
  
The business phone number is     807-577-4888
  
                                                     DO NOT CALL St JOSEPH's HOSPITAL.
I rent space from them but none of their staff work for me. My staff, and I, are only there on evenings when there are clinics.
  
The above business number is the only one you, or the patient, needs to know when contacting the clinic
  
                                                                                                           Updated  2009
 

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NOMENCLATURE IN PHLEBOLOGY  FOR NAMES OF VEINS OF THE LOWER EXTREMITY

 

 

 
BACKGROUND

Due to increasing confusion, and the need to standardise the anatomical names of the leg veins, a meeting was held in Rome, Italy, on 8th and 9th Sept 2001. This was under the auspices of the International Union of Phlebologists [IUP], the International Federation of Associations of Anatomists [IFAA] and the Federative International Committee on Anatomical Terminology [FICAT]. The meeting [held just before 9-11] was called to review and update the current official anatomical nomenclature -Terminologia Anatomica-

 

RATIONALE FOR CHANGE

With the increased emphasis on Phlebology worldwide there has been confusion re several names given for veins in the legs.

Most notably one of the main deep veins of the thigh named the “superficial femoral vein” has been erroneously considered, on occasions, as a superficial vein. This has led to incidences of catastrophic failure to treat deep venous thrombosis.

      The abbreviation LSV is often used. Depending on who uses it this may represent the Long Saphenous Vein or the Lesser Saphenous Vein.

 

SUMMARY OF CLINICALLY IMPORTANT CHANGES

 

      OLD TERMINOLOGY                   NEW TERMINOLOGY

 

Greater Saphenous Vein   or

Long Saphenous Vein       or      GREAT SAPHENOUS VEIN - GSV

Internal Saphenous Vein

 

Lesser Saphenous Vein    or

Short Saphenous Vein     or       SMALL SAPHENOUS VEIN - SSV

External Saphenous Vein

 

- way I remember “All creatures great and small” !

 

Femoral Vein                     COMMON FEMORAL VEIN

 

Superficial Femoral Vein         FEMORAL VEIN

 

Cockett’s Perforators            PARATIBIAL PERFORATOR

Hunter’s Perforator              MID THIGH PERFORATOR

May’s Perforator                      POSTERIOR TIBIAL PERFORATOR

Anterior Femoral Vein            ANTERIOR ACCESORY SAPHENOUS VEIN

 

PERSONAL COMMENTS

There were other changes made but they are of little use in everyday practice. I will try to use the new terminology in any reports I send. However, having been educated in Glasgow, I am still likely to respect the historical significance of the term HUNTER PERFORATOR. Supplied for your information

 

t t 2006                                               Updated 2009


 
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