Vein Center Accreditation

When trying to decide which vein center best suits you the choices can be overwhelming.  There are many different kinds of doctors doing the treatments, there are small stand-alone clinics to treatments within the hospital, there are offices close and there are offices far.  One could go crazy trying to compare facilities.  There is one easy way to narrow down your search of a great facility.

Accreditation is an important tool in determining the competence of a varicose vein facility. IAC Accreditation SealAccreditation is a series of checks and balances within the community to make sure certain standards are being met.  When applying for accreditation there can be evaluation of ultrasound images, checking appropriate certifications, maintaining continuing education, protocols set in place, and even a walk thru to make sure all things are in place.

As a patient, visiting an accredited facility should be important.  This can signify to you that the facility takes their job to the next level.  They are holding themselves to a higher standard.  The accredited maintains practices that you as a patient can have confidence that you are receiving the best treatment that is out there.  As a patient, you can rest assured you are receiving your ultrasound by technicians who have taken tests focusing on all imaging aspects of the vascular system.  You are also receiving consultations and treatments by doctors who have performed a certain number of exams each year as well maintaining current knowledge in their field.

As previously stated the varicose vein market has grown largely over the past few years.  There is a great way to pick out a facility for you by making sure that your choice is an accredited facility.  IVC is proudly accredited by two separate accreditation bodies.  We would love for you to come and visit us to show you why we stand out above the rest.  If our office does not work for you, do not hesitate to ask and make sure the facility you choose is accredited and held to a high standard for your best quality of care.

Everyday Mom Life

As the sun rises, so do I. Well, I’d like to wake up when the sun comes up, but being a busy mom and on the go, I’m up way before the sun most days. I find that as I have tossed and turned all night due to my legs cramping up and constantly feeling like I need to move them to get comfortable; it’s easier to wake up and get a start on the day.

I do enjoy feeling like I’m productive during the day due to an early start. I drop the kids off at school and head back to do the quick tidy up around the house.  However, I’ve noticed lately that as I start doing the dishes, laundry and cleaning I find that my legs start to swell or feel heavy. I push through it thinking that I’ll get a head start on dinner.  I sit down and look through the recipe book thinking of something new to cook, I notice that the pressure from my legs feels a little more relaxed and even more so if I prop them up on the chair beside me. Creamy chicken over rice sounds good, but I need a fresh vegetable to go along with it and I’m fresh out.

Grocery shopping, I have gotten to where I don’t even go much anymore. I find that the lines are horrible and standing on my feet so long, tends to make my legs look like the spaghetti squashes that I’ve purchased for dinner. I stand in line looking like a weird lady with consistent itching because of the swelling. People probably look in my cart just to make sure I’ve got some sort of lotion or anti-flee cream because the itching gets so out of hand.

I feel much better as I’ve gotten home and dinner is in the oven and I can get off my feet.  I might even try that new “personal time” idea that people keep raving about, maybe I can get a few minutes in before the kids get home. I still want to try to be productive and so gardening has become quite the therapeutic activity for me lately. I enjoy the flowerbeds looking nice and doing something so monotonous helps me to relax and focus on the simple things in life, well that is before my legs start to cramp up. As I stretch them out, I realize that my ankles look about the color of the red and purple flowers I’ve purchased earlier this morning on my distracted grocery errand,  too bad It’s time to go pick up the kids from school and I won’t be able to elevate them to help the new color changes.

As I go pick up the kids, I find myself having to resituate in the car several times due to the uncomfortable aches I feel in my legs. Maybe I should have them checked out at the Vein Center that my friend went to; I mean after all she was thrilled with the treatment and their polite staff.

It’s part of the natural anatomy for women’s bodies to change and not work as they did in the earlier years. In fact, most busy women experience the symptoms talked about above, even if they aren’t in that specific stage of life. Taking time to notice what your body is trying to tell, is critical in helping you to live the quality of life that you want to. If you notice any of these symptoms above, you may want to think about getting set up for one of our free screenings here at IVC.

What To Expect During Your Ultrasound

Some very common questions new patients have when they come in for their first appointment are “What are you looking for? How can you tell if I have varicose veins?” Ultrasound is excellent for diagnosing varicose veins and is used throughout the treatment plan. Patients can expect to have an ultrasound at all of their appointments.

When the exam is started, the sonographer adjusts the bed to what’s referred as the Reverse Trendelenburg position, which is with the foot of the bed much lower than the head of the bed. This simulates standing, which increases venous pressure on the legs, and the blood flow patterns can be evaluated more accurately than laying down flat on a bed, which creates 0% hydrostatic pressure and the flow patterns would be minimalized. The patient does stand for part of the ultrasound when the back of the legs are being evaluated.

The sonographer evaluates all the deep and superficial veins in the legs. The legs are checked for any superficial or deep blood clots. The starting and ending point of all the veins are evaluated, and the flow checked for reflux. Reflux in the veins is when blood is going in the wrong direction (towards the feet) when it should be flowing up towards the heart. The heart pumps the blood from the arteries to the

Reflux in a vein identified using color doppler.

extremities, and the veins take the blood back to the heart. The amount of blood returning to the heart varies at any moment, as this is achieved by breathing. When there is increased abdominal pressure, for instance, taking a deep breath, the diaphragm presses down on the lower venous system, decreasing flow, just for a moment, and when breath is exhaled, the pressure is released from the lower venous system, and the blood rushes back to the heart. This happens over and over.
There are valves throughout the veins, and when there is increased pressure on the veins, the valves will stop the blood from going back to the feet. When you have Chronic Venous Insufficiency Syndrome, the valves have stopped working and every time there is increased abdominal pressure, the valves won’t hold the blood where it is, and it all rushes towards the feet. This phenomenon can be visualized on ultrasound by using Doppler, which can tell what direction the blood is flowing. The sonographer has the patient reproduce this through the Valsalva movement (bearing down) multiple times throughout the procedure. This is how venous disease is diagnosed.

A week or so after the procedures another ultrasound is performed, this time to check for vein closure and to make sure there are no complications or blood clots. After several months the body has absorbed the vein and it is not visible on ultrasound anymore.

Ultrasound is a very useful modality in the diagnosis of varicose veins and has revolutionized the treatment and management of Venous Insufficiency Syndrome.