A Big Island Vascular Doctor Tells How You Should Prepare for Your First Vein Appointment

Many new patients at Vein Clinics of Hawaii are hesitant when we suggest that they start by having a venous health screening.  As a Big Island vascular doctor, I understand their hesitation, because many medical tests require patients to fast beforehand, or force them to endure painful and invasive procedures during the test itself.

Relax. A vein screening isn’t like this at all. It’s a simple, painless, and above all non-invasive procedure that will enable your Hawaii vein doctors to give you an accurate assessment of your vein health in about an hour. You really don’t need to “prepare” for it at all, except to gather some family health information beforehand, if you don’t know it already.

So what does a vein health screening involve?

As performed by the best vein doctors in Hawaii, your screening will start with a physical examination, during which (depending on which of our offices you choose) Dr. Randall S. Juleff or Dr. Shelby K. Bailey will ask specific questions about your general health and possible risk factors for vein disease. For example, because vein disease is hereditary, they may ask questions about your family’s history with vein disease, or about obesity, smoking, cardiovascular disease, or living a sedentary lifestyle.

This is not to be intrusive in any way, but to help us determine the level of vein disease risk you have inherited. Next, your Maui vein treatment specialists may ask about specific symptoms, such as whether you already have visible varicose veins, and if so, whether they cause you pain. If you are female, they may also ask whether you have given birth, or are taking birth control pills or hormone replacement therapy, because these can also increase your vein disease risk.

What actual tests are performed, and do they hurt?

The purpose of the tests we perform during a vein screening is to find the cause of any symptoms you are experiencing, and to allow the doctor to determine what the best treatment options may be. Your doctors may start with blood pressure readings, sometimes taken at both wrist and ankle because this allows us to measure the difference between the two readings, which can help to detect chronic venous insufficiency, one of the primary causes of varicose veins.

Next, they use Doppler ultrasound to look below the surface of the skin to visualize the veins themselves and the blood flowing through them. This enables your Big Island vascular doctor to see blockages to normal blood flow. Ultrasound is painless, safer than X-rays, and causes no discomfort at all. Other tests may be performed, depending on what the doctor finds with ultrasound, but rest assured that they will be as painless as everything we’ve discussed so far.

What you can do – prepare by making a list of your own questions

At Vein Clinics of Hawaii, we want to work with you to help you achieve your health goals, so it really helps us if you come prepared with things you want to know from your screening. Examples of questions you might ask include:

“What did you find? Are my symptoms due to vein disease or not?”
“If I don’t have vein disease currently, what can I do to prevent it?”
“What would be the result of avoiding or delaying treatment?”
“If I do have vein disease, what are my treatment options?”
Now that you know how simple and painless a vein health screening is, isn’t it time to make that call to the leading Big Island vascular doctor, Dr. Juleff or go online to schedule one?

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