Veins Specialties Welcomes Audrey Hoke

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Audrey Hoke joins the staff at Vein Specialties as the company’s new medical receptionist. She will bring her talents and background to assist at Northern Arizona’s most experienced vein treatment center.

Vein Specialties Welcomes Audrey Hoke

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Vein Specialties extends a warm welcome to its newest recruit, Audrey Hoke. She has joined Vein Specialties as their new medical receptionist and insurance billing clerk. Audrey took various classes in Business from Finger Lakes Community College in Geneva, New York. She then moved to San Diego, where she enrolled at Southwestern Community College, taking classes for communication, supervision and management. She also received certification as an Emergency Medical Technician. In addition to her education, Audrey has attended seminars in leadership, management and sales. Audrey expresses a genuine interest in the medical field, “My passion has always been to help people in need. I have always had an interest in the medical field and my interests had been realized after I became a certified EMT.”

Vein Specialties specializes in the treatment of varicose veins and spider veins. Varicose veins are enlarged, twisted veins which commonly form on the legs and ankles. They are caused primarily by genetic predisposition; however they can also be the result of obesity, trauma to the legs, pregnancy and standing occupations. Swelling, heaviness, pain, restless leg syndrome and spider veins are all associated with varicose veins. If left untreated, blood can then pool in the legs, leading to more serious problems such as eczema, leg ulcers or blot clots.

Normal veins carry blood toward the heart in one direction. If delicate valves are damaged inside the veins, blood will flow downward, referred to as venous reflux. A duplex ultrasound is used to diagnose venous reflux as well as determine the size and structure of the veins. This 45 minute painless examination is key to determining the type of treatment.

At Vein Specialties, varicose veins are treated with state-of-the-art endovenous laser ablation (EVLA) and foam sclerotherapy. The EVLA is a quick and painless procedure which lasts only twenty minutes. The procedure is performed under local anesthesia with the patient awake. The patient feels only a needle prick and afterward, the patient is able go back to work the same day with minimal discomfort. Compression stockings are worn postoperatively for up to 6 weeks. Patients are advised to be checked by ultrasound periodically. If the patient has multiple veins, several treatments are required on subsequent days.

Foam sclerotherapy is used to treat smaller tributary veins that also frequently cause leg discomfort. This procedure does not even require local anesthesia. Both EVLA and foam sclerotherapy have been shown to be over 95% effective at treating varicose veins. Both treatments are covered by most insurance companies.
Sclerotherapy is used to treat spider veins as well. Spider veins are small red, blue and purple veins that commonly appear on the surface of the legs. Treatment of spider veins is strictly cosmetic but the use of a painless laser can be used to eliminate spider veins. “Since starting work at Vein Specialties, I have learned a lot about varicose veins. This experience is allowing me to not only pursue my interest but fulfill my passion of helping others,” remarks Audrey.

To learn more about varicose veins, visit our website at or at for information on our other services. Follow us on Twitter and Facebook.

Vein Specialist, Robin Fleck, M.D., is a double board certified dermatologist and internist, recognized by the American Board of Dermatology and the American Board of Internal Medicine. She is founder and Medical Director of Vein Specialties and is a Fellow of the American Society of Laser Medicine and Surgery and the American Venous Forum. Dr. Fleck is also the director of Southwest Skin and Cancer Institute in Prescott, Arizona and a Fellow of the American Academy of Dermatology.

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Jan Gillum
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