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:

There are two options

1.     In-office ultrasound. We offer this the same day as your in-office consultation for convenience. 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.

For an in-office visit, we will provide you with disposable shorts or a gown to change into in order to examine your legs. Alternatively, you may bring your own loose fitting shorts.

2.     Mobile, At-home ultrasound imaging is available to seniors (over 65 years of age) who do not want to leave their home. This is offered at no additional charge for seniors.  For all others, there is a convenience fee for an in-home ultrasound. The ultrasound tech with a mobile ultrasound scanner will come to your house in personal protective equipment (PPE) and following COVID precautions. Using state-of-the-art ultrasound technology, the physician is able to view your ultrasound images remotely, almost immediately.

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.