We do the exam in reverse trendelenburg and then repeat it with the patient standing only if we don't find reflux.  We have good luck with this and the docs are happy. 
I looked at the standards.  Does ICAVL require the entire exam be done with the patient standing?

From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Myers, Ruth
Sent: Thursday, January 31, 2008 11:02 AM
To: [log in to unmask]
Subject: Re: Venous insufficiency

Claudia- with the new ICAVl standards that state that the patient must be done standing for reflux studies, will you change your protocol ( or did I mis-read the standards?)
-----Original Message-----
From: Benge, Claudia [mailto:[log in to unmask]]
Sent: Thursday, January 31, 2008 9:27 AM
To: [log in to unmask]
Subject: Re: Venous insufficiency

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