Now, you know the difference between a normal vein and a varicose vein on physical examination. Look at your legs. Are your veins varicose? This patient’s ultrasound confirmed exactly what we see on physical exam. The twisting vein is incompetent and the vein valves do not close properly and blood in that vein flows backwards. The straight vein has perfectly normal valves that close and blood goes back up to the heart just like it supposed to. Met your deductible? Then there is no time like the