robertthorn's blog

Recently, it was found that nearly 70% of people both men and women, are suffering from spider vein problems. And due to this issue, most of the women feel shy while swimming, wearing bikinis, and cycling, etc. as they didn’t like the veins coming out on the surface of the skin. Now the question is which is the best vein centers woodland park that I need to look for. As there are various vein treatment centers in the city, selecting one is quite tough. 

Therefore, here we recommend you to visit the top and supreme vein center New Jersey for the best and effective treatment. The vein center is famous for its services and treatment in New Jersey. 

Let’s know about spider veins in detail! 

What are spider veins?

Spider veins are known as telangiectasis in medical terms. And they generate from the stem called venous insufficiency. They are having a weblike image and veins are having the same shape as a spider. Mostly they are seen on the lower body, showcasing purple, red, or blue in appearance. 

How does the Spider vein occur? 

They occur when the blood comes into the veins on the surface area of the skin. Many times, the cause behind this is obesity, trauma, heredity, and fluctuations in the level of the hormone. Sometimes vein specialist new Jersey arenot able to detect the exact cause of vein disease. 

Who All are at Risk With This? 

As we all know it can occur at any age but the main pinpoint people are adulthood. Normally what happens is that old age will lead to enhanced predominance. The main risk factors are- sitting for long hours, pregnancy, hormone therapy, birth control pills, leg injury. 

Signs of Spider veins!
  • Throbbing, 
  • Burning,
  • Cramping,
  • Itchiness,
  • Heaviness, and 
  • Tingling etc. 

What are Treatments of Spider veins?

Before having the vein treatment new jerseyfor spider veins,  the doctor in the vein center near me will check the patients for venous disease. However, selecting thespider vein treatmentis much more reliable, safe, and effective. If you have not treated your vein disease shortly then it will be recurring. 

Following are the types of spider vein treatment near me

  1. Radiofrequency Ablation 

Likewise, laser ablation uses thermal energy to cure damaged veins rather than heat energy. Because the heat energy will lead to blemishing and discomfort than the process which uses heat energy. 

  1. Sclerotherapy 

Sclerotherapy is a method that is used to treat blood vessel malformations and also malformations of the lymphatic system. A medicine is injected into the vessels, which makes them shrink. It is used for children and young adults with vascular or lymphatic malformation.

  1. Endovenous Laser 

This is the treatment that uses ultrasound-guided techniques. And this will help to cure the varicose veins by using laser energy. Also, this technique is carried out by the vascular surgeon,  interventional radiologist, or phlebologist. It is a  minimally invasive procedure. 



  1. Compression Stockings

This is the easiest way to deal with spider veins at home. This will lead to preventing the blood from pooling into veins and enhance the blood flow. Also, this will completely not kill the spider veins, but prevent the occurrence of new spider veins. 



Thus, the above article provides the complete details of Spider veins. For having the best treatment now you have to choose the top veins center Clifton.


Article Source : https://veinscenternewjersey.wordpress.com/2021/09/16/complete-guide-on-spider-vein-treatment/

Are you annoyed by huge gnarly veins that are mostly noticed on the legs and feet? You are not alone in this as many people have been diagnosed with such abnormal veins. Most don’t consider this a serious health hazard but are ashamed of this. Therefore, people want to get rid of them due to cosmetic reasons. People who do suffer from vein problems may face the following issues that may include:

 

Signs and symptoms:

 

If you do happen to experience signs and symptoms, they may include:

 

  • Heaviness in the legs.
  • Aching legs
  • Being physically inactive for extended periods of time.
  • Itching around the affected area.
  • Leg ulcers around the affected area.

 

If you are experiencing any of the above-mentioned symptoms, visit the veins center to get an effective vein treatment Paramus from the best vein specialist NJ.

 

Laser Treatments:

 

Laser and IPL(intense pulsed light technology) are very popular outpatient thread vein treatments. They produce very effective results for small and more superficial veins of 1 to 3 mm. However, the vein treatment near me New Jersey is not effective for 4 mm or larger veins. Pulsed light or laser energy is produced onto a vein where heat is transmitted to close off the vein wall so that diseased veins would die. Treated veins are absorbed by the body itself. This will let blood pass through healthy veins. As a result, you will be able to get younger-looking, polished, and blemish-free skin along with more consistent pigmentation. Get the vein treatment near me woodland park done only by a vein specialist Clifton.

 

Moreover, this vein treatment near me New Jersey is conducted under the impression of local anesthesia. Your surgeon inserts a laser fiver through tiny incisions into a damaged vein delivering laser energy in short pulses.  You may experience slight discomfort during the varicose vein treatment NJ afterward, you will be able to resume your normal daily routine.

 

However, the treatments are quite successful, but they may revert again.

 

Other popular treatments at vein center NJ:

 

Sclerotherapy:

 

It is another one of the most used treatments to deal with abnormal veins. If you are having deeper veins, your vein doctor in New Jersey may approach a combo treatment. First sclerotherapy, your vein specialist near me will insert a very thin needle into a diseased vein for injecting a chemical solution to destroy it. The treated veins are absorbed by the body itself in six to eight weeks. The side effects of this method may include bruising, redness, and blisters that may be effective for around two or three days.

The treatment at vein center woodland park will be completed within thirty to forty-five minutes. You can notice results after the four or five sessions.

 

Average cost per session:

 

The minimum cost of the treatment may lie between $400 to $500 per session. The cost of the treatment may be different depending on the size of the treatment, severeness, and the qualification of your doctor. The distance between veins and woodland park to your residential area also affects the price of the treatment. If you have gone through the pearl laser skin rejuvenation treatment, the cost may be $600 to over $2,000 it offers an instant facelift.

Article Source : https://veinscenternewjersey.blogspot.com/2021/08/what-are-best-treatments-for-varicose.html

 

 

 

The appearance of varicose veins can be noticed below the skin’s surface. When the veins get inflamed and protrude outward, they cause an unsightly appearance making you lose your self-confidence. You might experience a heavy sensation in the legs along with tenderness. Chronic aches are also part of the symptoms of abnormal veins. These may produce due to the blood pooling within your legs, you may experience leg cramps while sleeping at night. Get the appropriate consultation from your vein doctor to get rid of varicose veins precisely.

 

If the varicose veins are at their mild stage, you won’t need any type of clinical vein treatment near me as it can be fixed by raising your legs at some height or you may be recommended compression stockings to reduce the symptoms of varicose veins. The bulging and unattractive varicose need immediate medical attention. Therefore, make an appointment with a vein specialist at the vein center for vein treatment.

 

There are many ways for treating varicose veins. EVLT (Endovenous Laser Ablation) is one of the best ways to treat varicose veins.

 

Endovenous Ablation:

 

The varicose vein treatment aims at diseased veins to get them vanished. This process can be completed in your physician’s office in under an hour. The vein doctor near me in New Jersey will administer local anesthesia to paralyze the affected area so that treatment can be performed without any hindrance. Then, the vein doctor Paramus inserts a catheter directly into targeted veins, applies a sufficient amount of heat so that the heat can damage the inner lining, and makes it cave in.  This makes the blood reroute the circulation as the diseased veins have become shrunk. However, you may feel a little pain during the varicose vein treatment near me but it is quite tolerable.

 

After the spider vein treatment, you will be recommended to wear compression stockings so that symptoms of varicose veins can’t be reversed. They not only help avert the onset of blood clots but minimize bruising also.

 

Advantages:

 

This method has lots of advantages, compared to other treatment options.  

It is a minimally invasive procedure that does not need any incision. The scarring is very minimal.  Moreover, the complications after this procedure are less as well.

 

  • The treated veins remain disappeared even after one year of the procedure.
  • The chances of recurrence are very rare.
  • Minimizes the possibility of leg ulcers.
  • Relieve you from aching and pain.
  • Removes the unattractive and bulging veins
  • Enhance the blood flow.

 

This technique lets the patients resolve the venous insufficiency issues effectively and efficiently.

 

The price of the EVLT Procedure may range from $600 to $3,000. Also, it depends on the size of the treatment or how much of the veins are required to be treated. If you have insurance coverage, you can choose the doctor who has coverage for such type of treatment.

Artical Source : https://veinscenternewyork.blogspot.com/2021/07/varicose-veins-and-endovenous-ablation.html

 

When a vein becomes enlarged, stretched, and twisted due to defective vein walls. The blood starts pooling inside them. Veins aim to transport blood towards the heart for letting it be purified. When the process of flowing impure blood towards the heart gets obstructed, the clogged blood inside the veins makes them enlarged and stretched resulting in varicose veins. Visit vein centers if the abnormal veins are bothering you.

 

Veins are like tiny tube structured vessels that help the blood to circulate from the lower part of the body towards the heart against the gravitational force. Such conditions require vein treatment at woodland park by a vein doctor near me at a vein center in New jersey.

 

Causes of varicose veins: -

 

According to research, the varicose veins are more evident in women compared to men. There are various reasons that cause varicose veins, may include;

 

  • Standing or sitting for prolonged periods.
  • Hormonal imbalances issues during pregnancy and menopause
  • Being fatty.
  • Being pregnant.
  • Genetics factors
  • Family history of venous insufficiency

 

Consult or call vein doctor NJ, if you want to prevent them.

 

Symptoms of Varicose Veins: 

 

  • Achy and painful legs
  • Rope like structure in the legs or face
  • Skin discoloration
  • Notable stretched, bulging veins
  • Inflammation in the legs.
  • Protruding veins.

 

These symptoms demand immediate clinical attention from a vein specialist near me NJ  as early as possible.

 

Natural vein treatment new jersey for Varicose Vein:

 

 

  • Ginkgo Biloba improves blood flow and tissue oxygenation. It can carry forty milligrams three times a day.
  • If you maintain a healthy weight, not only it will prevent the growth of spider veins but it will keep you away from unhealthy lifestyles like ingestion of junk food, cola, and sugary food items.
  • Also, stay away from alcohol, smoking, salt, tobacco, and refined foods, if you want to keep you away from such types of diseases.
  • Vitamin k is considered a natural ailment that helps prevent blood clotting and when you rub apply vitamin k containing products over the affected area, you may never experience blood clotting there.
  • Carbo vegetables: people with a bad circulatory system can suffer from various kinds of ailments such as : mottled skin with distended veins and a bruised or "marbled" look, may indicate a need for this remedy
  • Bilberry extract excites the development of new capillaries. Not only it strengthens the capillary walls but enhances the effect of vitamin C.
  • Physical mobility or daily exercise helps maintain a healthy weight. You can do some easy exercises like walking, swimming and bicycling as all help maintain healthy blood circulation.
  • Varicose veins may also exaggerate inorganic calcium accumulating in the veins. This inorganic calcium can create blocks of blood inside the veins ending in blood blocks acting like a dam forcing the veins to bulge out from the skin’s surface. In such cases, raw garlic can be used to dissolve the deposits of both calcium and cholesterol so that blood can move freely in the body.

 

Consult vein doctor Clifton, if these tips don’t deliver expected results.

Artical Source : https://veinscenternewjersey.mystrikingly.com/blog/varicose-vein-what-are-the-natural-treatments-to-relieve-them

Spider veins are referred to by many names in medical terms such as spider-nevus, angioma, or telangiectasia, etc. These veins project the structure of a spider web, which is most commonly called spider veins. Moreover, these are red, purple, or blue-like blood vessels that become stretched and develop near the surface of the skin on your legs, face, and neck. Visit the veins center, if you want to relieve the unsightly veins.

 

What are spider veins?

 

Spider veins are tiny, destructed veins that can be noticed on the surface of the legs or face. Usually, they don’t cause any harm or pain but most people desire to eliminate them due to their ugly appearance. They may resemble the skin in red, purple.  If you are wishing for their extraction from your body, call a vein doctor near me.

 

What are the risk factors?

 

The causes of this condition are not always clear, but certain factors can influence a person to hold them. When the problem becomes uncontrollable, you may require spider vein treatment near me new jersey  These numerous risks include:

 

  • Age, simply put, the more you age, the more you are prone to have them. Women’s ratio to possess them are more than men but don't feel picked on because approximately 50% of people get them.

 

  • Heredity, when your family members already have venous insufficiency, chances become higher of getting unsightly veins on your body too.

 

  • Hormonal influences include hormonal changes during puberty, pregnancy, and menopause. Even hormonal fluctuations induced by oral contraceptives can impact their occurrence.

 

  • Lifestyle involves many factors such as obesity, the extra weight of your body places extra pressure on the vessels causing them damaged and stretched,

 

  • Job or Occupation: most people have to stand for long periods due to their professional needs, which is considered a well-known cause of telangiectasia. So whatever your profession is, whatever a nurse, or in retail sales, your health might be at risk if your activity level is null. You are prone to have spider or varicose veins due to reduced circulation of blood.

 

Spider veins vs Varicose veins:

 

They are similar to spider veins only difference is that varicose are larger and more ugly in the aspect of appearance. Furthermore, varicose veins generally occur on the legs, mainly the calves and inside the thighs.  Unlike spider veins, they bulge out the skin and appear twisted like a rope on the surface of the skin. These veins may cause pain and discomfort requiring varicose vein treatment by a vein specialist NJ.

 

Spider Vein Treatment:

 

The two main methods of vein treatment Clifton are sclerotherapy and thermocoagulation.

 

Briefly, sclerotherapy is based on using a needle to inject saline solution into the damaged vessels to cause them to collapse onto themselves. Risks may include allergic drug reactions to the solution and bruising. You can get the treatment done at vein centers in New jersey.

 

Thermocoagulation is just what it sounds like heat, which is used to "coagulate" the vessels, which then collapse and disappear. The differences in different methods come from whether a laser, radiofrequency, or electric current supplies the heat to the damaged part of the blood vessels. The risks of thermocoagulation are heat burns on the skin, however, this process is considered relatively painless and excellent for treatment for the face and nose. Visit veins centers NJ to discuss the treatment with the vein specialist Paramus.

Article Source :  https://veinscenternewjersey.blogspot.com/2021/07/spider-vein-treatment-what-to-opt-for.html

Being physically active on a daily basis increases your chances to ease the symptoms of varicose veins. If you have been suffering from varicose veins already, exercises may help to improve the condition. However, exercises alone can’t treat varicose veins but along with vein treatment, can make a huge difference. Therefore, be physically active as it benefits your body in lots of ways including:

●Maintain healthy weight
●Healthy blood flow
●Makes your muscles stronger and many more.

Still, if you have doubts in your mind, clear them by making an appointment with a vein doctor at a certified vein center.

How do exercises help reduce the risk of varicose veins?
  
Most people are not sure that exercises can help reduce or prevent the symptoms of varicose veins. But it is also true that there are no side effects or harmful effects of doing exercises daily. Indeed, there is no loss at all of being physically active. However, it is evident that being physically active may help reduce the risks of varicose veins. Moreover, 

●Daily exercise enhances blood flow in the legs and keeps the blood pumping.●Being active also helps maintain a healthy weight that may prevent putting extra pressure on the leg veins.


●If you already have varicose veins, you may experience swollen, itchy, and heavy legs. If you exercise daily, it increases blood circulation and lessens these symptoms.  

 Almost all forms of exercise help maintain a healthy weight. It also offers lots of benefits. If you have any doubts regarding any form of exercise, consult your vein doctor New Jersey. Most importantly, if you are pregnant, consult the vein doctor Paramus first before practicing any form of exercise.     

How to Prevent Varicose Veins Through Exercise?

Most vein doctors NJ suggest a minimum of thirty minutes of daily exercise.  Exercises that can prevent varicose vein symptoms are:

Walking:

Walking is always considered a safe and beneficial exercise for people of all ages and fitness levels. Not only regular exercise can help you lose weight but maintain healthy blood pressure. Furthermore, it helps strengthen your bones and muscles. 

Bicycling:

Bicycling is a less effective exercise such as walking. It also enhances blood circulation and protects the joints. When people exercise regularly, not only it strengthens their calf muscles but promotes healthy blood circulation as well. You can use both types of bikes i.e traditional and stationary.  If you are unable to buy or access a bicycle, stretching exercises can be a profitable option. You can draw your knees toward your chest and make a pedal motion with your legs.  

Leg lifts:

Usually, Leg lifts don’t need the involvement of any special machine. Lay down flat on your back and lift each leg at a time. Stay in the position for a few seconds before changing the leg. This will help stretch the muscles of the leg. Most people do leg lifts when they are standing. Apart from stretching muscles and enhancing circulation, leg lifts help increase flexibility in your muscles. Grip onto a stable object such as a chair and stretch one leg in front of you. Be in the position for a few seconds and shift the legs. 

Lunges:

Lunges strengthen muscle mass including feet and calves. When the muscles are strong and healthy, the blood circulation also stays in the right direction. Start doing exercise by standing with your feet slightly apart. Step ahead and bend your knee. Make sure your knee is directly above your ankle. Stay in the position for a few seconds then straighten up and switch legs. 

Rocking feet:

Pulling out the muscles in your feet also helps enhance muscle strength and circulation. Start by holding your weight on the ball of your foot for a few seconds, then ground the heel. After that, pause your weight on the ball of your foot and lift the ball of your foot. You can complete this stretch even when you are sitting or standing. If you are standing, be certain to hold on to a stable object for balance.  


Elevate your legs:

Doctors also recommend elevating your legs as it helps relieve achy and sore legs. 

If you don’t get these exercises beneficial, call a vein specialist in woodland park for medical vein treatment in new jersey. 

Article Source : https://veinscenternewjersey.blogspot.com/2021/08/vein-treatment-are-exercise-beneficial.html

Unfortunately more than half of all women are suffering from venous insufficiency. Heredity is the main cause of varicose veins in eight cases out of ten, followed by lesions. Varicose veins are mainly a cosmetic problem because in most cases veins are deformed and enlarged, being very visible under the skin. Located mostly in the area of the legs, they are usually formed due to venous insufficiency. Visit vein centers, if varicose veins are visible in your legs. 

This condition is however less dangerous for health than other issues because it only affects patients aesthetically. In certain situations, however, veins may break and cause severe bleeding. Fortunately, these cases are extremely rare. Sometimes varicose vein inflammation may take place internally and develop a blood clot. All these problems can easily be treated with the latest cosmetic surgery techniques. On the other hand, more severe consequences of varicose veins are the development of skin disorders, like ulcers, which are preceded by a brownish pigmentation of the skin. Such conditions require a vein specialist New Jersey.

If you notice such a symptom you should choose to undergo surgery since the intervention is one of the simplest cosmetic surgery procedures, offering surprising results. The surgical vein treatment near meby a vein specialist Cliftonhas the following objectives:

  • To ensure a favorable appearance of the body, since it is important for a woman to have beautiful legs;

  • To eliminate the pain that disrupts the quality of life in women;

  • To fight edema;

To prevent certain complications such as skin problems (ulcers, dermatitis, etc).

A wide range of vein treatment near me NJcan be used for destroying or removing varicose veins.

  •  One of the traditional techniques is known as stripping and involves removing the main vein from the leg by making two small incisions, one at the ankle and the other one around the knee. This method produces good results. 

  •   Another varicose vein treatment NJ is Phlebectomy, in this method professionals make several tiny incisions that are just a few millimeters wide along the affected veins. The doctor uses a hook to pull out diseased veins through these incisions. The diseased vein is cut and extracted into several pieces. This method is beneficial to cure smaller veins that branch off larger veins.

All these vein treatments near me woodland parkcan also be used in combination with other advanced cosmetic surgery techniques but this depends on the nature and purpose of the intervention. In addition to this, the patient may require hospitalization, even though in most cases medical supervision is not imposed. Finally, you should also know that the interventions can take place under local or general anesthesia, each of them being associated with different risks.

How Much A Vein Surgery cost?

The price of vein stripping surgery may range from $1,500 to $3,000 plus including fees of the hospital or surgical center. Charges for EVLT may range from $600 to $3,000, but it depends on the size of the treatment.



Article Source : https://veinscenternewjersey.wordpress.com/2021/07/28/vein-treatments-useful-information-about-surgical-methods-for-varicose-veins/

Spider veins look like varicose veins but are smaller in size. They are blue or red in color and are close to the surface of the skin. They resemble spider webs or tree branches and can be noticed on the face or the legs. The main reason for the cause of spider veins is the pooling of blood within the veins. The other causes are changes in hormones, injuries, or sun exposure. Lack of exercise, obesity and older age are some major reasons that increase the risk of spider veins. Sometimes a pregnant woman is more likely to suffer from spider veins. You may need spider vein treatment new jersey at a certified veins center.

Spider veins are generally found in the legs because veins in the legs endure most pressure while carrying blood back to the heart as they push blood back against the force of gravity. This pressure is very strong. The pressure exerted by the weight of the body is also strong and if the person is obese, it gives rise to spider veins. A few symptoms are severe pain that might get worse after a long time of continuously sitting or standing, swelling, heaviness, etc. When the case is severe, skin darkening is another symptom.

Spider veins are blemishes on the skin and most doctors believe in preventing them rather than finding a cure for them. Even those who suffer from them and take medical advice are always advised to prevent the occurrence of new ones. This is the most important step of spider vein treatment NJ. The increasing problem has led to the development of various spider vein treatment near me new Jersey for cosmetic as well as physical purposes. Some of the vein treatment NJoptions are creams, surgery, or laser treatment. If the symptoms are not too severe, doctors generally recommend changes of lifestyle which can help to prevent the problem from further developing.

Spider vein treatment near me NJmay also have side effects. The patients must askvein doctor NJfor the side effects of the various treatments offered. 

  • Surgeries done under the influence of anesthesia might have side effects like nausea and sometimes infection in the wound. Incision marks also cause scarring. 

  • Sclerotherapy might have side effects on people who are allergic to the substances used in the injection. This may end in skin burning or stains or blood clots. 

  • The laser treatment might cause discoloration of the skin for a while. At the same time, laser treatment is said to be less painful and leads to faster recovery than other methods of treatment.

Is Spider Vein Treatment Expensive?

The Spider Vein treatment cost depends on the number of treatments required for a patient. Dark spider veins are adequately treated with sclerotherapy. It can involve one to five treatments. The treatments cost may range from a couple hundred to five hundred dollars a treatment. Sclerotherapy for spider veins is pretty safe but there can be slight complexities like hyperpigmentation can develop.



Article Source : https://veinscenternewjersey.mystrikingly.com/blog/vein-treatment-advanced-methods-to-deal-with-spider-veins

People who suffer from varicose vein problems for a longer time need medical attention as it can create severe health implications. Technology and medical expertise have come a long way towards specializing in vascular treatment. Since there are a variety of medical treatments, you need to pick only the best one. Only the bestvein specialist new Jerseycan recommend the most suitable mode of spider vein treatment Cliftonfor you. 

  1. Is it necessary?

It is not uncommon for hospitals and specialized spider vein treatment near me Cliftoncenters to jump straight to the option of having surgery. Vein specialists first become sure about the severity level of the problem. However, just because surgery is a solution to an issue, doesn't mean it is the optimal solution. There are several modes of treatment options that exist for a range of subtle differences when dealing with veins.

Laser Light Therapy: 

Laser light therapy is one of the effective options for those suffering from spider veins. During thisvein treatment near me Clifton, a strong light is used to create energy that gets selectively absorbed into the vascular tissue. This can effectively damage this type of tissue only and eventually your body absorbs it. It is overall painless and easy to recover.

Endovenous Ablation: 

For a nonsurgical and more minimally invasive option, endovenous ablation may be a good solution. In this method, a vein doctor inserts a very tiny catheter into a problem vein. A fiber that emits radiofrequency is funneled inside the entire length of the vein. This causes it to close rerouting blood and nutrients to other healthy ones. Visit the veincenter near meto know everything about the treatment. 



  1. Pick a quality doctor:

If you have decided to go through a vein surgery and all other options have been exhausted, take your time finding the best doctor to conduct the surgical procedure. A quality doctor at veins center new jerseywill be well credentialed and have plenty of general medical experience but will have special training and specialization in the treatment of vascular diseases. A trained professional will have plenty of experience working under trained specialists and cardiothoracic and vascular surgeons as well as have numerous published articles and research in related fields. Lastly, you can ask your friends or relatives about the treatments if they have gone through as it will help you to be sure that you should go for the treatment or not. 

  1. Supportive staff:

Many people overlook the importance of high-quality and helpful staff. It is really worse when you are having a procedure and being left with questions and concerns and having no ability to contact or reach your doctor or nurse for help. High-quality treatment vein center Cliftonmakes sure their staff is well-trained, knowledgeable, friendly, and able to assist you with your recovery needs after your surgery. Moreover, if you get the treatment under the supervision of cooperative, skilled, and experienced staff, you will be able to get a wonderful experience after or during the treatment.  Therefore, Do not overlook the importance of a well-organized organization staffed with great people.

Hopefully, these three tips will clear your mind regarding taking the vein treatments.



Article Source  : https://veinscenternewjersey.blogspot.com/2021/07/three-important-things-to-consider.html


Try Nasseej Now ...


Try Nasseej Now ...