Nisha Bunke, MD, FACPh, RPhS

Nisha Bunke, MD, FACPh, RPhS

Venous Disease Specialist

Dr. Bunke, MD, FACPh, RPhS specializes in highly advanced and minimally invasive outpatient procedures for treating a wide spectrum of superficial venous disorders. Dr. Bunke is board-certified and fellowship trained in Venous and Lymphatic Medicine. She was the first physician in the United States to complete fellowship training supported by the American College of Phebology and was mentored by world renowned vascular surgeon, Dr. John Bergan. She is currently appointed as a Volunteer Clinical Instructor of Surgery at the University of California San Diego (UCSD) School of Medicine, member of the Scripps Ximed Medical Group and Veteran’s (VA) Medical Center. In addition to these duties, for the past five years, Dr. Bunke has managed the vein clinics at the VA Medical Center, providing vein care for our veterans. From 2010 until 2012, she also directed UCSD’s Vein Clinic. She is also board-certified in Family Medicine, but has dedicated her practice to vein disorders since 2008.

Dr. Bunke is a physician and scientist, actively leading clinical research studies. In 2009, Dr. Bunke was awarded the Internationale Union of Phlebologie Research Fellowship and the Best Young Presenter Award in Monaco. Collectively, Dr. Bunke and Dr. Bergan were awarded the 2008 JOBST Research Award for the Advancement of Phlebology for their research on Inflammatory Bio-Markers of Venous Insufficiency. Moreover, Dr. Bunke is a member of The Clinical and Translational Research Institute (CTRI) of the University of California San Diego (UCSD), the American Medical Association (AMA), San Diego County Medical Society, Society for Vascular Medicine, American College of Phlebology (ACP), American Venous Forum (AVF) and the Society for Vascular Ultrasound (SVU).

Dr. Bunke has numerous publications in both scientific journals and medical textbooks. Most recently, she is the co-editor of The Vein Book, a textbook for physicians published by the Oxford University Press, covering over 600 pages of vein conditions.

View Dr. Bunke’s scientific publications

Books/ Book Chapters: Dr. Nisha Bunke

Bergan, JJ, Bunke, N. “Outcome Measures in Venous Disease.” In:  Fast Facts- Vascular and Endovascular Surgery Highlights 2008-09.  Davies, A., Mitchell, A. M. Health Press UK

Bergan, JJ. Bunke, N.  “Varicose Veins and Chronic Venous Insufficiency.” In: Total Endovascular Series Venous Diseases Contemporary Management.’ Lumsden, A, Davies, M.

Bergan, JJ, Bunke, N.  “Venous Disorders.”  In:  Educational Review Manual in General Surgery. 8th Edition. Castle Connolly Graduate Medical Publishing.

Bergan, JJ, Bunke, N. “Pathophysiology of Chronic Venous Disease.”  In:  The European Venous Course Book.

Bergan JJ, Bunke, N. “Endovenous Procedures in Venous Disease.”  In:  Peripheral Endovascular Interventions.  White, R, Fogarty, T.  3rd Ed.

Bergan, JJ, Pascarella, L, Bunke, N. “Venous Anatomy, Physiology and Pathophysiology.”  In: Treatment of Leg Veins, 2nd ed.  Alam, M., Silapunt, S. Martin Mellor Publishing Ltd. UK

Bergan, J. Lee, BB, Bunke N.  “Lymphatic Disease.”  In: Clinical Review of Vascular Surgery. Edited by Sapan Desai, MD, PhD and Cynthia Shortell, MD.

Bergan, J. and Bunke, N. General Considerations. In: Lymphedema: A Concise Compendium of Theory and Practice. Edited by Byung-Boong Lee, John Bergan, Stanley G. Rockson 2011.

Bergan, JJ, Bunke-Paquette, N, editors. The Vein Book, 2nd edition. Oxford University Press, New York, NY USA. 2014

Bunke-Paquette, N. “Complications of Liquid Sclerotherapy.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Loerzel, N, Ratcliff V, Bunke-Paquette, N, et al. “Ultrasound Examination of the Patient with Primary Venous Insufficiency.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Bunke-Paquette, N, Loerzel, N, Bergan, JJ. “Ultrasound-Guided Catheter and Foam Therapy for Venous Insufficiency.’ In: The Vein Book, 2nd ed. Bergan, JJ, Bunke- Paquette, N. Oxford University Press, New York, NY USA. 2014

Bergan, JJ, Pascarella, L, Bunke-Paquette, N. “Perforating Veins.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Bunke-Paquette, N. Russell, T, Broder, K, Li, A. “Medical Management of the Venous Leg Ulcer.” In: The Vein Book, 2nd ed. Bergan, JJ, Bunke-Paquette, N. Oxford University Press, New York, NY USA. 2014

Peer-Reviewed Journals

Bunke N, Brown K, Bergan J. Foam sclerotherapy: techniques and uses. Perspect Vasc Surg Endovasc Ther. 2009 Jun;21(2):91-3

Bunke N, Brown K, Bergan J. Phlebolymphemeda: usually unrecognized, often poorly treated. Perspect Vasc Surg Endovasc Ther. 2009 Jun;21(2):65

B.B. Lee, M. Andrade, P.L. Antignani,F. Boccardo, N. Bunke, et. al. Guidelines: Diagnosis and treatment of primary lymphedema consensus document of the international union of phlebology (IUP)-2013. International Angiology. 2013 Dec: (32): 541-574

Helane Fronek, MD, FACP, FACPh

Helane Fronek, MD, FACP, FACPh

Venous Disease Specialist

Helane Fronek MD, FACP, FACPh entered the field of phlebology (Venous and Lymphatic Medicine) in 1985 and has been an integral part of the development of this new medical specialty. As the Director of the Varicose Vein Clinic at Scripps Clinic, she provided leading edge treatment for the entire spectrum of superficial venous disorders and conducted research on venous leg ulceration, compression therapy, and emerging therapies for varicose veins. Dr. Fronek is a past president of the American College of Phlebology, the largest medical organization devoted to vein care. She is a respected speaker and educator in all aspects of diagnosis and treatment for venous disease and communication in the medical arena.
Dr. Fronek was the first recipient of the American College of Phlebology’s prestigious Leadership Award. In 2011, Dr. Fronek was honored for her contribution to the field of phlebology and named an honorary member of the ACP. This award is given to one leader in the field, amongst national and international members.

Board-certified in both Internal Medicine and Venous and Lymphatic Medicine, she is also Assistant Clinical Professor of Medicine at UC-San Diego School of Medicine, where she teaches medical students the practice of physical examination and the art of medicine. Dr. Fronek has dedicated her career to providing technically excellent and compassionate care to her patients and to inspiring and teaching the next generation of phlebologists. Dr. Fronek is well known for authoring, ‘The Fundamentals of Phlebology’ which is a medical textbook used by most Phlebologists entering the field.

View Dr. Fronek’s scientific publications

Books/ Book Chapters: Dr. Helane S Fronek

Hyndiuk, RA and Neufeld (Fronek), HS, Ophthalmology Basic and Clinical Science Course, Section VII, Microbiology, Immunology, And External Ocular Disease, Part I, Ocular Microbiology and Laboratory Techniques, p. 11-27, 1976.

Hyndiuk, RA, Seideman S and Neufeld (Fronek), H, Ophthalmology Basic and Clinical Science course, Section VII. Part II, Laboratory Manual for External Ocular Disease and Endophthalmitis, p. 28-36,1976.

Fronek, HS, Noninvasive Examination of the Patient Before Sclerotherapy, in Goldman MP, Sclerotherapy: Treatment of Varicose and Telangiectatic Leg Veins, p. 108-157, Mosby-Year Book, St. Louis, 1991 and 1995.

Fronek, HS, Sclerotherapy of Reticular Veins, in Goldman MP and Bergan JJ, ed. Ambulatory Treatment of Venous Disease, p. 49-53, Mosby-Year Book, Inc., St. Louis, 1996.

Fronek, HS, Ed. The Fundamentals of Phlebology: Venous Disease for Clinicians, American College of Phlebology, Oakland, 2004

Fronek, HS, Ed. The Fundamentals of Phlebology: Venous Disease for Clinicians, 2nd Edition, RSM Press, London, 2008.

Peer-Reviewed Journals:Dr. Helane S Fronek

Diamond S and Schenbaum (Fronek) H, Flunarizine, a Calcium Channel Blocker, in the Prophylactic Treatment of Migraine, Headache 23(1): 39, 1983.

Fronek, HS, Noninvasive Examination of the Venous System in the Leg; Presclerotherapy Evaluation, J Dermatol Surg Oncol15:2, 1989.

Bishop CCR, Fronek HS, Fronek A, Dilley RB, Bernstein EF, Realtime color duplex scanning after sclerotherapy of the greater saphenous vein, J Vasc Surg 1991; 14:505-10.

Fronek, HS, Vascular Studies: Which are indicated and when? in Derm. Therapy, Treatment of chronic wounds Ed. V. Falanga 9:18-29, 1999

Fronek, H, Your Own Personal Secret to Work Life Balance, Vein Magazine, Summer 2011, p.80

Fronek, H, Be Your Own Personal Coach, Vein Magazine, Fall 2011, p.12

Fronek, H, The Opposite is Also True, Vein Magazine, Spring 2012

Fronek, H, Try a Little Mindfulness, Vein Magazine, Fall 2012

Anna Cardinell, MSN, FNP-BC

Anna Cardinell, MSN, FNP-BC

Nurse Practitioner

Anna Cardinell is a Board Certified Family Nurse Practitioner with 20 years of nursing experience. She has been practicing as an Advanced Practice Nurse for 16 years. She received her BSN from Regis University in Denver and her MSN from Emory University in Atlanta where she graduated Cum Laude. She held an Adjunct Faculty position at Regis University teaching the graduate nursing students. She has extensive experience as a surgical Nurse Practitioner and a Registered Nurse First Assistant. Her love of procedures and desire for health promotion of her patients lead her to a position with a large interventional radiology practice in Denver where she cared for patients with venous disease and performed sclerotherapy. She moved to the San Diego area two years ago with her husband and three young children. She is also an instructor for Kaplan in addition to her clinical practice helping to prepare nursing graduates for state board exams. She is a member of The American Association of Nurse Practitioners and the California Association of Nurse Practitioners.

La Jolla Vein Care Staff

Our clinical staff consists of Registered Vascular Technologists (RVTs), Nurse Practitioners and Medical Assistants and ancillary staff who have several years of experience in vein care. Most of our staff have helped patients at La Jolla Vein Care for 5+ years.  We also have adScripps XIMEDministrative staff with expertise in insurance preauthorizations, and in combination with our doctors, will fight for patients to get the treatment they need.

Because of our staff’s extensive experience in vein care, they are knowledgeable about vein conditions and treatment and are happy to answer questions any time.  Give us a call to see how we can help you 858-550-0330.