My hands are very dry, wrinkled, cold, and appear blue (veins not distended, its like they have ruptured and were small..im 44 and have had no iv access in my hands or arms, even with dopler for sometime now (i have a chronic bowel problem which requires IV fluids sometimes, this is how I know..they have even had to put the iv into my neck or chest for fluids and then sometimes still have problems with blood return from these areas). It is also extended up the arms a bit. Numbness is present. Should I be concerned. My capillary refill is very very slow and fingertips appear a bit white. Sorry, I did not know you charged for this. Sorry for your time.