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Dr. Robert WorthingtonKirsch

Phlebology
Exton, PA
37 years experience male

Locations

Vein Clinics of America

Exton, PA

Address

707 Eagleview Boulevard, Suite 303, Exton, PA, United States
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Phlebology

Interventional Radiology

Languages spoken

English

Doctor Q&A

140 Answers
73 Agrees
The number of answers this doctor has agreed with.
A 47-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Shouldn't be: There is no herbal preparation which has been shown to have any real effect on fibroid disease.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
It doesn't: Apple cider vinegar (whether applied as a rub or taken internally) has no recognized effect on varicose veins.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
No: You cannot do anything to fibroids with regular exercises, except in very unusual situations.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Maybe: Only about half of women with fibroids have any symptoms (abnormal bleeding, pressure symptoms). If a woman has no symptoms from her fibroids, no trea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Probably: The artery is right under the skin there. If one is slightly enough it is normal to see it pulse in some positions
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
See an IR: An Interventional Radiologist with experience in this area may be able to unblock the tubes using a technique called hysterosalpingography and fallopi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Yes: It depends on what you consider 'new.' most women still have hysterectomy for fibroids. Some have myomectomy. Embolization (uae) is effective in ~90% ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Easily: Sometimes the fallopian tube is clogged with natural secretions that have become thickened, preventing conception. Fallopian tube recanalization is a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
It depends: It depends on the clinical situation. Pelvic venography can evaluate for ovarian vein insufficiency (aka pelvic congestion), may-thurner syndrome, or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Correct: For a person to inherit pku they must receive a defective pah gene from each parent. Both parents are carriers. The chance of further children having ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
No: You cannot develop true varicosities in the hand.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
NO: There is no scientific validity to homeopathic medicine. See www.Trickortreatment.Com if a varicocele (varicose veins of the scrotum) is symptomati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Maybe: Some women have fibroids removed with the specific goal of improving their fertility. In some patients with small numbers of fibroids in good location... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Depends: In general you might have some bruising and mild to moderate discomfort for a day or so. It partly depends on which laser is used. In my experience th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Varicocele: Failure of the valves in the spermatic vein (most common on the left) can lead to varicosities of the scrotum known as a 'varicocele.' this is sometim... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
No: There is minor discomfort from the initial puncture and during the course of getting the vein anesthetized. There should be no pain at all when the la... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Much of the time: Abdominal ultrasound is the easiest and least expensive way to image the pelvis, and often gives enough information to make treatment decisions. Somet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Depends: It depends on exactly what type of veins you have. You should start with a consultation with a phlebologist, interventional radiologist, or vascul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Yes: The organic solvent 1, 1, 1-trichloroethane was originally used as a thinner in the product. This solvent is readily absorbed by the lungs via inhalat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 65-year-old male asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Get evaluated: This needs to be evaluated by the service that inserted the iv. It could be clot in the vein, infection, or extravasation of fluid (amongst others).
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Depends: It depends on the type and location of the lesion. If treatment is indicated, sclerotherapy and/or embolization are usually the best approaches. This ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Depends: Most women with fibroids have fairly normal pregnancies. Fibroid can increase the likelihood of complications of pregnancy, especially miscarriage. Fi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Little concern: I assume that you are reading a report of a mammogram. The quoted segment is a finding that is within the normal range. It means that there is evident... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
?Fracture of coccyx: Need to see a physician. If the coccyx is fractured and displaced/angled anteriorly it can cause these symptoms. Displacement can usually be reduced f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Depends: There may be some variation in measurements from scan to scan based on CT slice registration and measurement technique. However, and enlarging aneurys... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
"Shadow" is not a term that a qualified radiologist would use in the interpretation of a CT scan of the brain. The original report needs to be reviewe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
See a doctor: If you cannot hold fluids down you risk getting dehydrated and quite ill. You should see a healthcare provider.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Not very: In experienced hands, ultrasound guided liver biopsy has a complication rate well below 5%.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Not sure: I am not sure what you are describing. Normal veins can appear blue or greenish in some people. A vein that has thrombosed can also appear a bit green... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Nothing bad: A phlebolith is calcification in the wall of a vein. They are very common in the pelvis and cause no harm at all.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Should be evaluated: You should probably get an opinion from a phlebologist or other physician who specializes in treating vein disease. Many primary care physicians know ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Start with a consult: There are a variety of treatments available. The exact treatment plan will depend on the pattern of disease present. Start with a consultation with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Destruction of tissu: Destruction of tissue by injection of a medication/chemical that destroys that tissue. Most commonly and familiarly used for veins, where the cells li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Location: Both arise in the same disease processes, probably depending on minor details of the patient's anatomy. Increase in portal venous pressure in the live... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
No: Fibroids are extremely common and are not cancers. They do not become cancers. There is a cancer (leiomyosarcoma of the uterus) that can look like a f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
NO!: Horse chestnuts are poisonous! there are some claims that an extract of horse chestnut may be helpful for varicose veins, but the evidence is weak ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Yes: In experienced hands, laser ablation is more than 90% effective in eliminating abnormal flow in the treated vein, with a complication rate below 3-5%.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Exercise: The keys to minimizing varicose veins are exercise to keep the muscular vein pump of the leg working, elevation to decrease swelling, and support or c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Minimal: Some women will experience menopausal symptoms after uae. This is very unusual in women under 40. Women 45 and older have at least a 15-25% chance of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
This is not something that you want to treat without a physician caring for you. You should be seen at the nearest wound care center.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Most vitamin supplements are not needed, although not harmful to anything but your bank account.
Created for people with ongoing healthcare needs but benefits everyone.
A 77-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Whenever you put anything through the skin, the risks include bleeding, infection, and allergic reaction to a medication given. When doing GSV ablatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
It's certainly possible. If you don't want to get pregnant, use a reliable contraceptive and be aware of how it works so you don't engage in activity ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Higher risk w surger: The risk of significant complications of any major abdominal surgery is generally considered to be between 5-10%. The risk of major complications of u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Blocking flow: Varicoceles are caused when the valves that prevent backflow in the spermatic vein fail, causing the veins of the scrotum to dilate because of high pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
PD Catheter: The pd catheter needs to be inserted and positioned properly. This is usually done by a surgeon, but some interventional radiologists also place pd ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Essentially none: Historically there have been a variety of methods to repair arterial narrowings. Now almost all are done with a balloon device of some sort.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Various treatments: You need to start with an evaluation by a phlebologist, including an ultrasound examination (which must be done with you standing). There are a variet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Robert WorthingtonKirsch
Phlebology 37 years experience
Start with a consult: There are a variety of treatments available. The exact treatment plan will depend on the pattern of disease present. Start with a consultation with... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
270
Thank you notes
Aug 20, 2012
Very impressive & responsive, Accurate.
HealthTap member
Mar 30, 2015
Dr. WorthingtonKirsch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. WorthingtonKirsch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! I have AV Malformation Ligation. I had been having bad shortness of breath. I finally found a doctor that knew exactly what it was and I had surgery. So far I have been ...Read More
HealthTap member
Thank you, your answer was very helpful! I just had UFE in July and to our surprise in now pregnant. I've been very anxious about this.
HealthTap member
that's the general consensus on this website so I think im done thanks

Education & Training

Medical/Graduate school

University of Massachusetts Medical School, MA
Graduated 1986MD

Medical/Graduate school

University of Massachusetts Medical School, MA
Graduated undefinedMD

Awards

Top Phlebologist, Second Place, the Nation - Spring
2017
HealthTap Founding Doctor

Affiliations

Vein Clinics of America
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