VeinDynamics is a program of Yakima Vascular Associates. Yakima Vascular's board certified vascular surgeons and staff are dedicated to the therapeutic and cosmetic treatment of vein problems.
Varicose veins are swollen veins on legs or ankles that look like grape clusters or large ropes. This unsightly condition occurs when the one-way valve in our veins fail, causing blood to back up in the vein creating pressure build-up. Twenty five million Americans suffer varicose veins, and women are more likely than men to develop varicose veins. Varicose veins can cause dull, aching pain and swelling that is generally worse at the end of the day or after long periods of standing or sitting. There are many factors contributing to varicose veins including heredity, pregnancy, hormonal changes, obesity, standing or sitting for long periods of time, aging or injury. For some people, untreated varicose veins can lead to skin ulcers, bleeding or inflammation (phlebitis).
Endovenous Laser Therapy (EVLT)
This minimally invasive treatment is a safe and highly effective for varicose veins. An endovenous laser is inserted into the greater saphenous vein through an entry point no larger than a needle point. As the laser is pulled out, it pulses and essentially closes the vein. The procedure is performed in a doctor's office and does not require general anesthesia. It lasts about 30-60 minutes with results typically seen after the first treatment. There is minimal pain and patients often return to work or their normal routine within a few days.
Microphlebotomy removes varicose veins through several tiny incisions. No sutures are needed to close the small incisions. The procedure is performed in the office with local anesthesia (numbing medication). There is almost no discomfort with this procedure.
Spider veins are small, thread-like blood vessels near the surface of the skin. They typically occur in the legs or ankles and only measure 1-2 mm in diameter. They may be red or blue colored and often look like spider webs. Spider veins can be unsightly and may also cause aching in the legs, especially after long periods of standing or sitting.
A chemical solution is injected into the abnormal vein with a microneedle. This irritates the vein and causes it to collapse and fade away with time. Multiple treatments may be needed. There is almost no discomfort with this procedure.
Insurance may cover the cost of varicose vein treatment. Billing coordinators will assist in determining your insurance coverage. Most often, spider vein treatments are not covered by insurance. Information about the cost of eliminating spider veins is provided prior to treatment. Contact our office for pricing.
Tekchand Tanwani, MD
Dr. Tekchand Tanwani grew up in southern Pakistan in a small town about the size of Yakima. He earned a medical degree from the University of Karachi in Pakistan. He completed a residency in general surgery at Northshore University Medical Center in Long Island, N.Y. and is board certified by the American College of Surgeons and the American College of Phlebology.
Dr. Tanwani belongs to a family of physicians and considers medicine a noble and rewarding profession. He enjoys spending time with patients and educating them about their care, employing honesty and a passion for his work.
Dr. Tanwani moved to Yakima in 1998 and enjoyed the weather, community and the landscape so much that he and his wife decided to stay in Yakima and raise their two children here.
COVID-19 News & Announcements
New! June 23: Going Home after Birth during the COVID-19 Pandemic
New! June 23: Volver a casa después de dar a luz durante la pandemia de COVID-19
To minimize the risk of spreading COVID-19, Virginia Mason Memorial (VMM) would like to remind all patients and visitors that masks are REQUIRED at all VMM facilities, including our clinics.
To conserve supplies, we request that all patients and visitors bring masks to their appointments. A limited number of reusable cloth masks, made by community members, will be available if you need one.
We also strongly encourage all community members to wear masks when in public - this is one of our best tools to prevent the spread of COVID-19.
UPDATED! May 26: New Visitation Policy
As a response to the current community situation with COVID-19, we are suspending most in-person visits to our hospitalized patients. The decision to suspend hospital visits was difficult and made only after careful consideration.
Read More »
Prescription Home Delivery
We now offer home delivery for your prescription medications.
Visitors to Generations OB/GYN
As part of our continuing efforts to focus on patient safety during the COVID-19 pandemic, Generations has changed its visitor policy.
No visitors will be allowed for clinic visits, with the only exceptions being:
1 Visitor will be allowed for the first OB appointment
1 visitor will be allowed at the 20 week anatomy ultrasound
Visitors to the Family Birthplace
Women in the Family Birthplace may have one visitor.
Telehealth: Your questions answered
COVID-19 Evaluation Clinic
Our Creekside HealthyNow location is now a COVID-19 evaluation clinic. If you have cough and fever, please schedule your visit at our Creekside Location. Please list your symptoms in the reason for visit so our team is better prepared to assist you.
This location completes an evaluation to determine if you're a candidate for COVID testing. Learn more »
We have reduced the number of Physician and Provider positions we are recruiting for in the wake of the COVID-19 pandemic. Should you be interested in possible employment with Virginia Mason Memorial, please contact us at firstname.lastname@example.org. We are actively reviewing our staffing needs and new positions are being approved for posting. We appreciate your interest in us and hope to have the opportunity to consider you for a role with VMM.
Additional Spiritual Resources During COVID-19
Chaplains at Virginia Mason Memorial Hospital provide care for every patient regardless of their personal beliefs or non-beliefs. For support, assistance, prayers, and all other spiritual care requests, please email email@example.com or call the spiritual care office: (509) 575-8035
There are times when a direct face to face spiritual care conversation is not the best option (due to distance, a pandemic, patient preference). That's where Tele-Chaplaincy provides another possibility. You can request chaplain support using your personal, or hospital room, phone. Calls are confidential. Chaplains will listen, provide encouragement, offer help and resources, and if desired, offer prayer. If you are part of a faith community a chaplain can help you connect with them.
Without regular visits from family and friends a stay in the hospital can be even more challenging. One of our newest offerings, Virtual Chaplaincy using Zoom, helps make connections. By contacting the Spiritual Care team at the email or phone number above you can request a Zoom meeting. Family and friends throughout the Yakima Valley, from the four corners of the state, from across the country and even internationally, are meeting with patients via Zoom to offer their love and support. Due to the popularity of this option scheduling and frequency may, at times, be limited.
Hospital Lab Services
All out-patient lab services - including newborn screens and bilirubin collections - will now be provided at Memorial Cornerstone Medicine, 4003 Creekside Loop. Hours are 7 a.m. to 6 p.m. Monday through Friday; 8 a.m. to noon, Saturday and Sunday.
Beginning Thursday, March 19, the hospital pharmacy is closed to the public for the duration of the pandemic. The public may choose to have those prescriptions transferred to VMM's Pharmacy at Creekside or the pharmacy of their choice.
The Pharmacy at Creekside, 4003 Creekside Loop, is open 8:30 a.m. to 6 p.m. Monday through Friday; and Saturday and Sunday 8 a.m. to 4:30 p.m. and offers walk-in or drive-through options for pickup.
Farmacia Del Hospital
A partir del jueves 19 de marzo, la farmacia del hospital estará cerrada al público mientras dure la pandemia. El público puede escoger si quiere que sus recetas sean transferidas a la otra farmacia de Virginia Mason Memorial, localizada en la clínica Cornerstone o también puede elegir cualquier otra farmacia de su preferencia. La clínica de Cornerstone, está localizada en el 4003 Creekside Loop. En esta farmacia se puede recoger la medicina por la ventana y/o adentro de la clínica.
Horario: Lunes a Viernes de 8:30 a.m. a 6:00 p.m. y sábado y domingo de las 8:00 a.m. a las 4:30 pm