Your Consultation:
Due to the current COVID-19 situation, we offer different options for your venous disease consultation & assessment.
To meet your individual needs and preferences we offer the following consultation types without sacrificing quality.

1.     Virtual Visit (Telemedicine): A virtual visit is an appointment conducted like a live video conference where you can see and talk to our physicians.   Our virtual video visit is conducted through our over a secure and HIPAA compliant patient portal. Your patient portal can be accessed from a computer, tablet or smartphone.

For the virtual consultations, we recommend you send us pictures of your leg concerns. A picture tells a thousand words. You can text us your picture through our HIPAA compliant text messaging or email ahead of time. Your doctor will review the pictures and your health questionnaire ahead of time prior to the call.

2.     In-office visit: If you prefer, you may also have an in-office consultation with our physicians. We have taken extensive COVID precautions. During an in-office visit, a face covering is required throughout.

View our COVID POLICIES

Your Consultation:

Due to the current COVID-19 situation, we offer different options for your venous disease consultation & assessment.
To meet your individual needs and preferences we offer the following consultation types without sacrificing quality.

1. Virtual Visit (Telemedicine):
A virtual visit is an appointment conducted like a live video conference where you can see and talk to our physicians.
Our virtual video visit is conducted through our over a secure and HIPAA compliant patient portal.
Your patient portal can be accessed from a computer, tablet or smartphone.

For the virtual consultations, we recommend you send us pictures of your leg concerns. A picture tells a thousand words.
You can text us your picture through our HIPAA compliant text messaging or email ahead of time.
Your doctor will review the pictures and your health questionnaire ahead of time prior to the call.

2.   In-office visit: If you prefer, you may also have an in-office consultation with our physicians. We have taken extensive COVID precautions. During an in-office visit, a face covering is required throughout

Ultrasound Examination:

All ultrasounds are performed in-office at our vascular lab. The ultrasound examination may take 60 to 90 minutes. The ultrasound is performed by a Registered Vascular Technician (RVT) who has specialized training and certifications in ultrasound imaging. The study images are then reviewed by the physician. The ultrasound may be scheduled on the same day or a different day than the consultation, depending on your preference and availability. Or if you prefer, you can have an ultrasound, return home, then have a virtual consultation with the physician at another time.  An ultrasound is required prior to determining a treatment plan.

La Jolla Vein Care Registered Vascular Technologist (RVT)

An ultrasound examination is a painless study that is necessary diagnose underlying vein conditions, not visible to the naked eye.  We typically perform a venous reflux and DVT study. In some cases (patients over age 65, etc.) an examination of arterial circulation may be recommended as well.

Your ultrasound results are reviewed by the physician and will be discussed during or after the consultation and correlated to your leg concerns. A treatment plan may be recommended as well as alternative and conservative management options.

Preparing for your Visit:

Ultrasound: if you are scheduled for an ultrasound examination, the technician will need to scan your entire leg from the groin to the ankle. You may bring loose-fitting or gym shorts to wear during the examination. Otherwise, you will keep your underwear/ boxer shorts on, and a sheet/ blanket will be given to you for modesty.  On the day of your study, hydrate by drinking water.

Doctor Visit: Please bring loose-fitting or gym shorts to wear so the physician can examine your leg.

Please arrive 15 minutes prior to your appointment to ensure your visit starts on time.

RVT Nera, showing portable ultrasound

Ultrasound Examination:

All ultrasounds are performed in-office at our vascular lab. The ultrasound examination may take 60 to 90 minutes. The ultrasound is performed by a Registered Vascular Technician (RVT) who has specialized training and certifications in ultrasound imaging. The study images are then reviewed by the physician. The ultrasound may be scheduled on the same day or a different day than the consultation, depending on your preference and availability. Or if you prefer, you can have an ultrasound, return home, then have a virtual consultation with the physician at another time.  An ultrasound is required prior to determining a treatment plan.

La Jolla Vein Care Registered Vascular Technologist (RVT)

An ultrasound examination is a painless study that is necessary diagnose underlying vein conditions, not visible to the naked eye.  We typically perform a venous reflux and DVT study. In some cases (patients over age 65, etc.) an examination of arterial circulation may be recommended as well.

Your ultrasound results are reviewed by the physician and will be discussed during or after the consultation and correlated to your leg concerns. A treatment plan may be recommended as well as alternative and conservative management options.

Preparing for your Visit:

Ultrasound:  If you are scheduled for an ultrasound examination, the technician will need to scan your entire leg from the groin to the ankle. You may bring loose-fitting or gym shorts to wear during the examination. Otherwise, you will keep your underwear/ boxer shorts on, and a sheet/ blanket will be given to you for modesty.  On the day of your study, hydrate by drinking water.

Doctor Visit:  Please bring loose-fitting or gym shorts to wear so the physician can examine your leg.

Please arrive 15 minutes prior to your appointment to ensure your visit starts on time.

RVT Nera, showing portable ultrasound

Please note that insurance requires that you try prescription compression stockings for 3 months before preauthorizing vein treatment for medically necessary conditions.  For this reason, it is best to have your consultation as soon as possible to start the process of conservative treatment and compression therapy. In the meantime, you can also ask your primary care physician to prescribe you compression stockings. Keep a copy of the prescription or receipt of compression stocking purchase. If you have any questions about this requirement, please ask us at 858-550-0330.