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										A 
										Typical Evaluation at The Vein Center of 
										Sarasota 
										
										
										  
										
										
										 If 
										you have varicose veins make an 
										appointment to see Dr. Schiro at The 
										Vein Center of Sarasota.  The diagnosis 
										is usually made by the patient and based 
										simply on the appearance of the veins. 
  
										
										
										Dr. Schiro will do a complete history 
										and physical examination.  He will 
										examine your legs while sitting, 
										standing, and maybe with your legs 
										dangling on the exam table.  
										   
										
										
										If you have spider veins and no bulging 
										varicose veins Dr. Schiro will be able 
										to reassure you that it is not a 
										significant problem and that spider 
										veins have mostly cosmetic 
										consequences.  If the spider veins don’t 
										bother the patient, no therapy is 
										recommended.  If the spider veins bother 
										the patient from a cosmetic standpoint, 
										sclerotherapy with or without cutaneous 
										laser therapy will be recommended. 
  
										
										
										If, during the initial presentation, the 
										patient demonstrates bulgy varicose 
										veins, a duplex ultrasound (or a Doppler 
										ultrasound) will be recommended to 
										accurately diagnosis the leaking or 
										incompetent vein. 
										   
										
										
										During the study, a hand-held device is 
										placed over your skin and passed back 
										and forth over the legs.  A computer 
										converts sound waves into a picture of 
										the blood flow in the veins.  This study 
										is used to precisely detect many things 
										including blood clots, the size of the 
										veins, the direction of blood flow in 
										the veins, and the exact location of the 
										leaking or incompetent valves that are 
										responsible for the varicose veins. 
  
										
										
										Once a complete evaluation is 
										accomplished Dr. Schiro will sit down 
										with you and discuss the precise 
										findings and outline a plan of 
										treatment. 
										   
										
										
										The entire visit will take a little over 
										one hour.  |