Dr. Laura Pak

Vascular Surgery
Larkspur, CA
30 years experience

Locations

Office

Larkspur, CA

Address

2 Bon Air Suite 100, Larkspur, CA
Directions

Sirona Vascular Center

Sonoma, CA

Sirona Vascular Center

Novato, CA

Sirona Vascular Center

Greenbrae, CA

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Vascular Surgery

Languages spoken

English

Doctor Q&A

46 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 52-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Potentially: Lymphedema can result from any type of disruption of lymphatic channels: surgery, trauma, and infection are common causes. If the heroin was injected ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes: Odds are against him, even if he is standing in the hospital at the time the AAA ruptures. We do, however, save 10-30% of ruptured AAA with surgery, e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Several reasons: Diabetics may develop neuropathy, decreased sensation to the skin, which means they are unaware if they step on a thorn or if their shoes are creating... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Not much: It should not be enough to require a transfusion unless you are anemic beforehand. Your surgeon will use a tourniquet during surgery if he is concerne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Risk can be lowered: Signs of peripheral artery disease (pad) are: pain in the calf muscle with walking that is relieved with rest, pain in the foot at nighttime that impr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Socks not shoes: Wearing compression socks makes the biggest difference with varicose veins. The best type to get are graduated compression, so they give more squeeze ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Usually yes: If there are 2 functioning av accesses on the same side, there is higher risk of access steal (not enough blood flow to the hand, producing hand pain ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
PT can help: It really helps to work with a pt familiar with amputees. Effort, optimism and support will be essential as you first start walking with a prosthesis.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Not on its own: Aneurysms tend to grow slowly over time: for abdominal aortic aneurysms, about 10% of their diameter per year, for thoracic aneurysms, maybe slightly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Get checked out: Sudden onset of leg pain could be many things: a pulled muscle, achilles tendon tear, blood clot (dvt or superficial thrombophlebitis), periostitis, e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Many possibilities: Possible causes could be: urinary tract infection, kidney stones, bladder stone, renal infarct, tumor, prostatitis, or even "runner's hematuria." he s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Several things: About 5% of men over the age of 65 have abdominal aortic aneurysms. Risk factors include: increasing age, male sex, family history of aneurysm (may in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Heavy lifting: We tell people with aortic aneurysms to avoid activities that will increase intraabdominal pressure. This would include lifting anything so heavy it m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes: With the exception of deep abdominal massage or forceful back massage when the person is lying on his stomach. In general, we advise patients with abd... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Depends: If the blood clots were in the vein where her dialysis catheter was, this can be a catheter-related thrombosis, estimated to occur with as many as 8% ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
In short, no: We generally dont do surgery for people with 100% blockage; endartectomy can be hazardous in this situation. A person with stroke symptoms and 100% bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Below 140: Lower is fine, too, as long as you are not feeling lightheaded or dizzy. Keeping the BP low slows the rate of aneurysm expansion. Decreasing the heart... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Depends: Mainstays of treatment are exercise, periodic leg elevation, compression stockings, skin moisturizer, and attaining ideal body weight. Surgery these d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes: Although rare, it can happen. Some of the possible causes are buerger's disease (blockage of small arteries related to smoking), vasculitis, severe ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes, generally: Ultrasound is the best screening tool for carotid disease. It is non-invasive and gives flow data in real time. Carotid ultrasound is advised for peop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes: It is not unusual to have headaches on the side of the stent soon after carotid stenting, especially if the carotid stenosis was high grade. These hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Open or endo: It can be done with tpa (alteplase) (a high-potency medication to dissolve blood clot) and a rotor-rooter device inserted through a needle stick in th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
We try not to!!: Gangrene is often associated with severe pad (peripheral arterial disease). Frequently, providing better blood flow can help avoid major amputation. S... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Two possibilities...: It could be large enough that the person is aware of a pulsing sensation that keeps him awake. Alternatively, if the aneurysm is thrombosed (clotted),... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Walking: Many times, supervised physical therapy can be helpful after surgery to build strength and balance and reduce pain. Walking or using a stationary bike... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
See a specialist: Lymphedema nurse specialists can be unbelievably helpful in providing emotional support and counseling, education about skin care, and also in providi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Variable: A lot depends on the person's status before surgery. Infection, wound healing problems, swelling, pain, poor nutritional status, and general deconditi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
It bursts: The wall of the aorta tears because of increased pressure from the expanding aneurysm. Ruptures can be "contained, " with the bleeding confined by the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Antibiotics: Lymphangitis usually presents as a red streak running up the inner aspect of the leg or arm. It may be associated with fever or malaise. Oral or intra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Just is: The carotid arteries are anterior circulation vessels; you can think of them as supplying the front of the brain. The basilar artery is at the base of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes: Probably you are thinking of endoleak following stent graft repair for aaa. What this means is that there is persistent blood flow into the excluded a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
You can slow it down: We start to develop atherosclerosis in our 30's and generally it progresses as we age. People who have a family history of heart disease or stroke are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes: Unfortunately, one of the more common groups of patients who require amputations are diabetics, who frequently also have kidney disease. The kidney di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Sure: After the initial healing period, many people use aloe or vitamin E on the scar. Arnica can help with postoperative bruising and swelling. Other over-... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Variable: If the popliteal aneurysm was thrombosed (completely blocked, causing loss of blood flow to the foot), recovery can be very prolonged (several weeks t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
phantom pain: Phantom sensations are common after amputations. The cause is poorly understood, but the pain is thought to arise from injured nerve fibers. Frequentl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Depends: Aneurysms are dangerous because many people don't know they have them until they rupture. Screening is important for people over 65 with family histor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Infrarenal: The most common location for an AAA is below the level of the renal (kidney) arteries. Anatomically, this is below the level of the bottom of your bre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Depends: For some people, pain in the affected limb decreases a lot after an amputation. Surgical pain may last a few days to weeks. Others develop phantom sen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Very: We use the endpoint of stroke to define how effective carotid surgery is. Endarterectomy reduces the risk of stroke from 26% to 9% in patients with h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Possibly: If the artery is completely blocked, or if there are long segments of blockage or multiple areas of complete blockage in a row, it may be more difficu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Yes and no: Pretty much any aneurysm is repairable with an open or endovasculat approach. What would make an aaainoperable is the status of the patient. If someon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
A few minutes: The technician puts an IV in your arm and you lay flat on a narrow table. The table slides into a large donut shaped xray tube. You hold your breath f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
There can be: There are multiple risk factors for atherosclerosis: hypertension, high cholesterol, diabetes, smoking, family history of heart disease or stroke, get... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Probably not: Typically, blood clots in the veins are associated with inactivity, not trauma. A DVT usually gives you leg swelling and a "charley horse" feeling de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Laura Pak
Vascular Surgery 30 years experience
Ok to do sports: Why did you get the dvt: recent surgery, dehydration, inactivity, travel? If you have a family history of clots, get tested for hypercoagulable state.... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
181
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Pak is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pak is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pak is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Our surgeon just said the same thing you did. Just wanted to follow up to see if that's the general recommendation. Really appreciate your opinion.
HealthTap member
Thank you, your answer was very helpful! Dear Dr. Laura, your expert opinion is very valuable in my RMT practic
HealthTap member
Thank you, your answer was very helpful! I appreciate the candid answer.

Education & Training

Medical/Graduate school

University of Pennsylvania School of Medicine, PA
Graduated 1993MD
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