Dr. Harish Yalamanchili on Why Your Legs Hurt, What Those Spider Veins Mean, & The Fix That Works

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00:00 The “vein guy” is in—why people hide their legs & what this episode covers
00:58 Dr. Yalamanchili’s background: India → U.S., training, and specialties
02:41 Two clinic locations (Newport vs. Pomona) and what each focuses on
03:29 COVID shutdowns → building a private PCR lab from scratch
06:03 How they became a one-stop testing operation for major studios/productions
10:38 The real cause of vein disease (it’s not just what you see on the skin)
11:38 The valve + gravity problem explained in plain English
13:05 Why ultrasound matters: visible veins ≠ severity
13:52 Old-school vein stripping vs. modern minimally invasive treatment
15:38 Host’s story: leg pain, fear of DVT, surprise diagnosis
19:32 Can a past DVT trigger vein disease later?
22:21 Pregnancy, genetics, and why symptoms can worsen over time
23:35 Compression socks: who should wear them (and when)
25:23 Why compression after sclerotherapy affects results
27:12 Options to close veins: RF/laser vs. glue/foam/mechanochemical
28:59 What the procedure feels like + results confirmation by ultrasound
30:06 “Rope/tug” sensation weeks later—what it is and why it improves
35:55 Who is not a candidate (rare cases) + safety notes
37:48 Vein care and longevity: quality of life, pain reduction, any age
42:23 Wrap-up, gratitude, and the final toast