Health Excel

La Jolla Vein Care Joins Health Excel IPA

La Jolla Vein Care has joined Health Excel IPA and will be contracted with some new insurances beginning today, July 1st. This is exciting news and means that more people will have access to our vein careservices including ultrasound diagnostics, leading edge vein treatments,expert physicians, and concierge-style practice, and customer service. The
contracted plans with Health Excel IPA are below:

Blue Shield HMO

Golden State


Imperial Health

Brand New Day

According to Health Excels website: ‘San Diego County-based independent physician associations (IPAs) have joined forces to create a new administrative organization with the goal of providing enhanced healthcare services to patients and payers. The new entity, called Health Excel, counts more than 1200 Healthcare Providers as members — over 300 Primary Care Physicians, and over 700 Specialists — making it one of the largest independent organizations in San Diego County. Virtually every medical specialty will be represented by Health Excel doctors.’ To read more about Health Excel, click here to go to their website.

Video About Covid Safety

Watch A Video About Our Safety Precautions During COVID

Nera with portable ultrasound


Telemedicine and Mobile Ultrasound Services Made Available throughout Southern California in an Aim to Ensure Important Health Concerns Don’t Go Untreated While Many Continue to Shelter in Place

 LA JOLLA, CALIF. (June 9, 2020) La Jolla Vein Care (LJVC), a leader in vein treatment serving the Southern California community for more than a decade, is actively working to enhance its traditional service offerings to assist new and existing clients amid the unprecedented times brought forth by COVID-19. In a world of social distancing and self-quarantine, many individuals are postponing medical care in a bid to reduce virus exposure levels – a move many healthcare experts anticipate may lead to worsening symptoms and potentially dangerous complications down the line. To offset the concern that underlying vein diseases will go unchecked to the detriment of patient well-being while also addressing the public desire to avoid unnecessary outings; La Jolla Vein Care has deepened its commitment to best-in-class telemedicine offerings and has recently launched a new mobile ultrasound service.

“House calls are something many people see as a thing of the past, but with the inactivity of self-quarantine potentially exacerbating underlying vein diseases combined with an overall reluctance to venture out to visit a doctor, we knew something needed to be done,” said Dr. Nisha Bunke, MD, FACPh, RPhS, venous disease specialist and vein clinic medical director at La Jolla Vein Care. “We’re proud to roll out these new service offerings to meet patient needs and adapt to changing preferences during this difficult time.”

While varicose veins may be unsightly, they are not simply surface-level ailments and an ultrasound exam is required to diagnose the underlying venous diseases that cause these issues.

When left unchecked, the conditions can lead to chronic ailments like venous ulcers, but many people suffer from acute complications such as thrombophlebitis (blood clots within the veins), spontaneous vein hemorrhage, and disabling leg pain– so appropriate treatment should not be delayed, if at all avoidable.

As the first company of its kind to offer direct care to patients in their homes, La Jolla Vein Care has adopted the use of both telemedicine and state-of-the-art mobile ultrasound services via Terason uSmart 3300 NextGen technology. While telemedicine was quickly made available for consultations, pre-procedure assessments and post-procedure follow up appointments, the treatment center is advancing its accessibility initiative through new in-home mobile ultrasound diagnostics conducted by certified technicians – ushering in a new era of vein care.

Patient safety is at the forefront of LJVC’s new mobile service offerings – from the utilization of hospital-grade cloud storage systems, to cutting-edge technology that allows doctors to view results safely from a distance and adherence to all CDC guidelines including temperature checks and personal protective equipment (PPE).

Most assessments will begin with a telemedicine “visit,” followed by a mobile ultrasound screening in the patient’s home, spanning a wide radius of service area ranging from Chula Vista to San Juan Capistrano. If an in-office procedure is deemed necessary, temperature checks, ample PPE, and multiple hand-washing and sanitizing stations are available before coming into the building—and even then, only one patient will be allowed in the office at a time. Patients can conveniently wait in their cars until they are notified by text that their examination room is available.

Telemedicine and tele-radiology services are currently available to patients without additional convenience fees. LJVC accepts most PPO insurance types and considers itself now ready for the new normal of non-emergency medicine.

To book a telemedicine consultation with La Jolla Vein Care, visit call (858) 550-0330.



Memorial Day Observation

In observance of Memorial Day, our office is closed. We would like to honor the men and women who have sacrificed their lives while serving in the military. Most of us at La Jolla Vein Care have a direct military connection, and we continue to honor veterans and current military. We have chosen to be a vein care provider for veterans, military retirees, and active military and their spouses with VA CHAMPS, and Tricare.

Both Dr. Bunke and Dr. Lucas have cared for veterans at the VA HealthCare San Diego and VA Memphis correspondingly.


Dr. Nisha Bunke Receives Business Journal Award

 La Jolla Vein Care’s Founder and Medical Director, Dr. Nisha Bunke was honored along with 24 other women, to receive the San Diego Business Journal’s, Business Women of the Year Awards 2018. Read more at the SDBJ website.


Dr. Sarah Lucas in the News

If you missed Dr. Sarah Lucas, of La Jolla Vein Care on KUSI News, you can see her here on our media page.

Dr. Lucas discusses venous insufficiency in pregnancy, how many women it affects and how it affects them. 

Pregnant Woman having her leg veins checked by physician

Pregnancy-Related Varicose Veins, Do Stockings Help?

Pregnancy-Related Varicose Veins, Do Stockings Help?

By Dr. Sarah Lucas

Varicose veins affect up to 30% of pregnant women, and the majority of pregnant women experience some venous insufficiency symptoms such as leg swelling, heaviness, and/or fatigue. Varicose veins most commonly emerge in the first trimester and progress over the course of the pregnancy and subsequent pregnancies. They usually improve after the baby is born, but many women never return to their pre-pregnancy state. This risk of varicose veins increases with each pregnancy, affecting more than 55% of women who have had more than two children.

For this reason, many patients ask what is the best approach to keeping their legs healthy during pregnancy. For the most part, the same guidelines apply to pregnant women as to other patients: keep active, wear compression stockings to control leg swelling and discomfort, and elevate the legs as needed. It is very rare for pregnant women to require surgery for varicose veins. We typically recommend patients wait at least three months postpartum or until breastfeeding is complete to get treatment.

A recent study presented at the European Venous Forum suggests that compression stockings may actually reduce the risk of varicose veins during pregnancy. Women with no history of varicose veins were randomly assigned to wear thigh-high compression stockings or no stockings starting in the first trimester.   Among the women who completed the study, varicose veins developed in 12% of those who wore stockings vs. 27% of those who did not. This was a small study (146 patients) but encouraging for women who want to are concerned about onset or worsening of varicose veins during pregnancy.

The La Jolla Vein Care Doctors 2018

San Diego Top Doctors 2018

The La Jolla Vein Care Doctors 2018

The La Jolla Vein Care Doctors 2018

8 years in-a-row!Check out San Diego Magazine, October 2018 issue of the ‘Top Doctors’ and see La Jolla Vein Care Doctors. Read about Dr. Bunke and her amazing colleagues dedication to the field of venous disease, leading edge treatments and how they are leaders in the industry. 

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La Jolla Vein Care Earns Vein Center and Venous Testing Accreditation

San Diego’s First Accredited Dedicated Vein Center

La Jolla Vein Care is the only dedicated vein center in San Diego that is accredited by the Intersocietal Accreditation Commission (IAC). IAC accreditation is a “seal of approval” that patients can rely on as an indication that the facility has been carefully critiqued on all aspects of its operations considered relevant by medical experts in the field of Vascular Testing and as a Vein Center.