I would echo Steve’s advice. Spot on! Choose your battles.

It’s not just vascular ultrasound.  Welcome to the world of for-profit healthcare.  As a professional, we need to stand up for “doing the right thing” by your patient, the profession, and yourself.  You gotta look yourself in the mirror and know you did right.  


I’ll suggest 2 things.

  1. I’ve been saying for a while, we need licensure – which, if we make it so, has the potential to set and enforce standards of practice. The license could serve as the enforcer against the CFO that believes 15 studies a day should be the standard.
  2. IAC should track numbers of studies performed and incidence of WRMSD within a laboratory. If this is unacceptably high, withhold accreditation until remedied.


OK – I’m done working for a Saturday! Have a good one everybody!




William B Schroedter, BS, RVT, RPhS, FSVU

4120 Woodmere Park Blvd

Suite 8B

Venice, Florida  34293



From: UVM Flownet <[log in to unmask]> On Behalf Of Steve Knight
Sent: Friday, April 26, 2019 6:23 PM
To: [log in to unmask]
Subject: Re: Vein Centers



I sense your concern and we share similar attitudes but I would like to suggest that you take full responsibility for your work and leave other centers deal with their own stuff. There are big dollars at play in addition to measurable outcomes. These problems will declare themselves in time. I believe that there will always be a need for a good sonographer and a good facility. I hope that doesn't sound callous. You will drive yourself mad if you don't pick your battles carefully. That is the strategy I have adopted.



On Fri, Apr 26, 2019, 6:07 PM Audrey Fleming <[log in to unmask]> wrote:

Hi All,


I am really feeling like an old timer these days.


Does anyone else see the proliferation of Vein Centers a problem. I don't mind for profit situations but it's getting ridiculous in some areas. There are so many places offering vein testing in office and then treating. Mind you, many of these places do the minimum to qualify for insurance and don't look for additional problems such as may-thurner or pelvic congestion. I know most of these are straight forward basic varicose veins but it can be more than that. Are these places taking business away from the vascular lab and vascular surgeons?


I will also bring up a possible reason for payments to be continuously cut. When the vein centers can afford hiring marketers and a tech to go to community events to find clients for these procedures then eventually the payments will be cut. Obviously there is enough revenue generated to go looking for people covered by insurance and it must eventually raise questions by the insurers. Any thoughts on this?



back in the States and wondering if I want to stay in the field..................................

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