The office staff will gather demographic data and initiate a patient chart for you. This chart may include financial and insurance information as well as a privacy disclosure. Information on your past medical history is typically gathered at this point, and often you will be asked about the vein problems you are currently experiencing.
There may be additional information you may be requested to read or view, such as informational brochures or a videotape about the treatment of varicose veins.
When meeting in private with Dr. Richman or his staff, you will be asked more in depth questions regarding your medical history. He may question you about any vein-related symptoms you may be experiencing. After carefully examining your legs, he may also examine the abdomen or pelvis to search for other abnormal veins. You may wish to bring loose-fitting (baggy) shorts with you to the office, and ask the staff if it would be appropriate for you to change into them once in the exam room. We also have disposable paper shorts available for your convenience.
After the initial exam is complete, Dr. Richman may decide that further testing is in order. These tests often include duplex ultrasound and/or Doppler exams of the legs. These non-invasive procedures use sound waves to evaluate the function of the valves in the veins of the leg. These tests are very important in diagnosis, and can improve the effectiveness of any treatment.
At this point, Dr. Richman will discuss treatment options with you. You should feel free to ask any questions about costs, complications, and potential benefits as well as side effects of treatment. You should also feel free to question him about his qualifications, training, background, and the number of previous procedures performed of the type he is suggesting.
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