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16 - This forearm fistula is less than three weeks old, and already big enough to use if needed. Is the patient a 25 year-old lumberjack? No, he is 85 years old.
	17 - The basilic vein is sometimes huge on the back of the forearm and can be transposed to the front for an excellent fistula
18 - Seldom does Mother Nature leap into your lap with a terrific vein like this. This wrist fistula was ready for use within weeks, and also promises to develop secondary upper arm cephalic and basilic fistula options.
	19 - Another basilic fistula
20 - Fistulas can be created in large arms, but most often they are too deep to use. The advantage of a large arm, however, is that most often the veins have not been ruined by IVs and blood draws. If a fistula develops after a relatively small operation, then moving it to the surface can make sense (below).
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