text_1: 63-year-old woman went to a vascular surgeon for varicosities and she did a Valsalva (I don't know what test this is) and the blood went down but not up.  So the question is, "Can we just address the painful superficial veins and leave the deep venous system alone or is the problem with the deep system causing the painful superficial veins?
text_2: What is best treatment for hypercholesterolemia? Patient already on two drugs.