Sacramento Magazine’s Top Doctors List 2018

Illustrations by Hans Bennewitz
Sacramento Magazine Top Doctors 2018

All of the physicians on our Top Doctors list have earned the stamp of approval from their peers. They have been chosen through a formal process similar to the informal peer-to-peer process doctors themselves use to connect their patients to the right specialists. Professional Research Services, LLC conducted our survey, then verified the doctors’ credentials and specific areas of expertise. Doctors cannot pay to be included on the list. To learn more about the selection process, go to prscom.com.

Additionally, we asked 10 Top Doctors to address subjects you and your loved ones need to know about, from treating foot fungus to advances in cardiac technology.

The professionals listed herein were selected by their peers in a survey conducted by Professional Research Services Company of Troy, Michigan. Professionals may be screened and selected through the verification of licensing and review of any infractions through various applicable boards, agencies and rating services. For further information visit prscom.com or email PRS at spinkhasova@hour-media.com. To purchase Top Doctors plaques, please see prsawards.com.

Addiction Medicine

Martin Leamon
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-5846

Daniel Lewis
Kaiser Permanente – Sacramento Medical Center
(916) 482-1132

Kevin Walsh
Kaiser Permanente – Sacramento Medical Center
(916) 482-1132

Christopher Zegers
Kaiser Permanente – Sacramento Medical Center
(916) 482-1132

Adolescent Medicine

Laura Kester
UC Davis Children’s Hospital
(916) 734-3172

Daniel Martineau
Kaiser Permanente – Rancho Cordova Medical Offices
(916) 631-7334

Jonathan E. Thygeson
Sutter Health
(916) 924-8754

Allergy and Immunology

Matthew S. Bowdish
The Allergy Center at Sacramento ENT
(916) 736-6644

Bradley Chipps
Capital Allergy & Respiratory Disease Center
(916) 453-8696

Angelina Crans Yoon
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Sean Deane
Kaiser Permanente – South Sacramento Medical Center
(916) 627-7500

Asha Desai
The Allergy Center at Sacramento ENT
(916) 736-6644

Victoria Dimitriades
UC Davis Children’s Hospital – Glassrock Building
(916) 734-3112

Gordon Garcia
Kaiser Permanente – South Sacramento Medical Center
(916) 627-7500

M. Eric Gershwin
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Mark I. Grijnsztein
Sutter Health
(916) 478-6555

Rosemary Hallett
UC Davis Health
(916) 783-7109

Marc Ikeda
Kaiser Permanente – South Sacramento Medical Center
(916) 627-7500

S. Rubina Inamdar
Mercy Medical Group
(916) 733-3303

NaYoung Kim
Kaiser Permanente -Sacramento Medical Center
(916) 480-6500

Binita Mandal
Mercy Medical Group
(916) 536-3500

Joseph T. Marino
The Allergy Station at Sacramento Ear, Nose & Throat
(916) 736-6644

Rajan Merchant
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Travis A. Miller
The Allergy Station
(916) 238-6238

Chiraag Patel
Pulmonary Medicine Associates
(916) 325-1040

Sunil Perera
Allergy Medical Group
(916) 782-7758

Bruce Ryhal
Kaiser Permanente – Roseville Medical Cente
(916) 784-4220

Troy Scribner
Kaiser Permanente – Roseville Medical Center
(916) 784-4220

Arif Seyal
Kaiser Permanente – Rancho Cordova Medical Offices
(916) 631-3088

Suzanne S. Teuber
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Anesthesiology

Dondee Almazan
Kaiser Permanente – Roseville Medical Center
(916) 784-4000

Richard L. Applegate, II
UC Davis Health
(916) 734-5031

Anitha Ayyalapu
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2574

Karyn D’Addio-Riley
Kaiser Permanente -Sacramento Medical Center
(916) 973-5000

Rajvinder Dhamrait
UC Davis Health
(916) 734-5031

Erin Kong
Kaiser Permanente -Sacramento Medical Center
(916) 973-5000

Elmo Orlino, Jr.
Kaiser Permanente – Roseville Medical Center
(916) 784-4000

Catherine Whang
Kaiser Permanente – Roseville Medical Center
(916) 784-4000

addiction medicine

Update on Addiction Medicine

According to doctors, we have a logical fallacy: We remember the bad—long-lost friends who could never hold down jobs or people passed out on the side of the street—and rarely consider the reality, which is that substance-use disorders are incredibly treatable. People who have recovered and are now productive and successful rarely trumpet their former substance use, which adds to the perception. The bigger problem? Access to care, says addiction psychiatrist Martin Leamon, M.D., of UC Davis Medical Center.

How is addiction defined?
The terminology has changed over the years, which is confusing, but the current term is “substance use disorder.” This is when someone loses control of their substance use—when their rational brain loses the ability to control whether or not they use the substance anymore. There’s a different part of the brain that drives the substance use now, and it drives the use in ways that are irrational and harmful.

What have we learned about substance use disorders recently that has changed the way they are viewed and treated?
Anyone can develop a substance use disorder. Along the lines of diabetes or heart disease, people who develop substance use disorders are not inherently at fault or to blame for the disorder. They’re certainly responsible for getting treatment for the disorder once they have it, but it isn’t always their fault. Substance use disorder can also be different for different people, and have different levels of severity.

Is going away to rehab usually necessary?
We’ve learned how important and effective medication-assisted treatment can be, often alongside things like therapy, peer support and mindfulness, depending on the substance. What we’ve also learned recently is that if the person’s primary care doctor is properly trained, substance use disorders don’t necessarily have to be treated only in specialty settings. Mild to moderate substance use can be treated in the clinical office. Residential treatment for three months isn’t necessary for everyone.

What is a misconception about substance use disorders?
A big misconception is the notion that a use disorder can be controlled by willpower. It’s the idea that if someone “really wanted” to stop, they could. You see this misconception in family members, co-workers and in people with the disorder themselves. They think, “I just have to really want it.” These disorders are very treatable, but the biggest obstacle for many people is access to care. There is supposed to be open access to treatment, but there really just isn’t. There are very significant cost barriers to people getting the level of care that they need for substance use disorders.

Breast Surgery

Richard J. Bold
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Joyce A. Eaker
Sutter Health
(916) 262-9404

Samia Foster
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Lisa M. Guirguis
Sutter Health
(916) 733-9660

Joelle Jakobsen
Mercy Medical Group
(916) 536-3600

Margaret Mentakis
Kaiser Permanente – South Sacramento Medical Center
916-688-2014

Melinda Mortenson
Kaiser Permanente -Sacramento Medical Center
(916) 973-5235

Candice A. M. Sauder
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Reid Towery
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Cardiac Surgery

W. Douglas Boyd
UC Davis Health – Cypress Building
(916) 734-3861

Michael Chow
Kaiser Permanente – South Sacramento Medical Center
(916) 733-4100

Joseph Huh
Kaiser Permanente – South Sacramento Medical Center
(916) 733-4100

Michael T. Ingram
Sacramento Cardiovascular Surgeons
(916) 452-8291

Richard Kaplon
Mercy Medical Group
(916) 733-6850

Robert Kincade
Sacramento Cardiovascular Surgeons
(916) 452-8291

James Longoria
Sacramento Cardiovascular Surgeons
(916) 452-8291

Allen Morris
Mercy Medical Group
(916) 733-6850

Teimour Nasirov
Sutter Health/Lucile Packard Children’s Hospital
(916) 340-0111

Paul Anthony Perry
UC Davis Health – Cypress Building
(800) 282-3284

Gary Raff
Shriners Hospital for Children
(916) 453-2000

Kapil Sharma
Mercy Medical Group
(916) 733-6850

Frank Slachman
Mercy Medical Group
(916) 733-6850

Henry Zhu
Kaiser Permanente – South Sacramento Medical Center
(916) 733-4100

Cardiology

Scott B. Baron
Capitol Interventional Cardiology
(916) 967-4278

Howard Dinh
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4000

Thomas Fitzpatrick
Kaiser Permanente – Roseville Medical Center
(916) 784-5657

Jonathan A. Hemphill
Capitol Interventional Cardiology
(916) 967-4278

Krisztian Kapinya
Kaiser Permanente – Sacramento Medical Center
(916) 973-5282

Anuradha Khurana
Kaiser Permanente – Roseville Medical Center
(916) 784-5657

Robert Kirchner
Kaiser Permanente – Roseville Medical Center
(916) 784-5657

Joseph Kozina
Mercy Medical Group
(916) 736-2323

Reginald Low
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-5678

Peter Miles
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4000

Sandeep Mittal
Kaiser Permanente – Roseville Medical Center
(916) 784-5657

Stephen R. Peters
Roseville Cardiology Medical Associates
(916) 782-2146

Femi Philip
Kaiser Permanente – Roseville Medical Center
(916) 784-5657

David K. Roberts, III
Sutter Health
(916) 887-4040

Jason H. Rogers
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(800) 282-3284

A Sheehy
Kaiser Permanente – Sacramento Medical Center
(916) 973-5282

Jeffrey Allen Southard
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(800) 282-3284

Garrett B. Wong
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(800) 282-3284

cardiac

What’s New in Cardiac Interventions

An aortic valve delivered through an incision in your leg? High-def cameras to guide robotic-assisted procedures? It’s all already happening—some of it for the first time in the United States—right here in Sacramento. We turned to W. Douglas Boyd, M.D., professor of cardiothoracic and robotic surgery at UC Davis Medical Center, for details.

What’s new with stents?
Stents are small, strong metal mesh tubes that act as a scaffold support to hold the vessel open. They are commonly used with balloon angioplasty to support the coronary vessel wall from the inside. Stenting material continues to be improved so that they are more biocompatible with the blood vessels and are able to keep them open longer. The latest effort involves the implantation of stents that are biodegradable with time, eliminating the foreign body that is the cause of adverse reactions of the implanted stent.

Are there minimally invasive options that people may not even know exist?
With minimally invasive aortic and mitral valve repair and replacement, new aortic valves can be implanted into the heart through small incisions that preserve the breastbone. Mitral valves can also be repaired through small incisions, which avoids artificial valves and the necessity of long-term blood thinners. Another repair option for leaky mitral valves is transcatheter mitral valve repair through the use of a new repair device called a MitraClip. The small device is inserted through a small catheter in the leg and clips damaged leaflets. Finally, another transcatheter procedure is aortic valve replacement. Some patients—usually those deemed moderate- to high-risk for conventional heart surgery—can have a diseased, narrow valve replaced through tiny incisions in the leg or beneath the collarbone. The new valves are delivered through a small catheter, about the size of the finger.

How has technology improved cardiac interventions recently?
Robotics allows us to translate the complex dexterity and movements of the surgeon’s hand into the human chest through small incisions and allows extremely precise, less invasive surgery. We now have new high-definition 3D cameras that allow vision of the surgical field that is even better than what can be seen with the naked human eye.

What is a misconception about cardiac interventions?
That elderly patients with heart problems are too old or too high-risk to undergo a cardiac procedure safely, and that they are unlikely to be helped. Patients in their 80s and even 90s routinely undergo life-changing procedures that improve the quality and length of their lives.

Colon and Rectal Surgery

James M. Conner
Sacramento Colon and Rectal Surgery Medical Group
(916) 966-6121

Linda Marie Farkas
UC Davis Health – Cypress Building
(916) 734-2680

Wissam J. Halabi
UC Davis Health – Cypress Building
(916) 734-2680

Burzeen E. Karanjawala
Sacramento Colon and Rectal Surgery Medical Group
(916) 231-1050

Joshua Kehoe
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Ranganath Pathak
Sacramento Colon and Rectal Surgery Medical Group
(916) 960-0466

Daniel Shibru
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

Patrick Sullivan
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Jeanne Yu
Sacramento Colon and Rectal Surgery Medical Group
(916) 231-1050

Critical Care Medicine and Pulmonary Disease

Jason Yeates Adams
UC Davis Health
(916) 734-3565

Muhammad Afzal
Pulmonary Medicine Associates
(916) 325-1040

Shawn S. Aghili
Pulmonary Medicine Associates
(916) 786-7498

Timothy E. Albertson
UC Davis Health
(916) 734-8230

Sherry Andrews
Kaiser Permanente – Roseville Medical Center
(916) 784-5375

Parimal Bharucha
Mercy Medical Group
(916) 733-3323

Nour Karzoun
Kaiser Permanente – Sacramento Medical Center
(916) 973-7618

Yuen Kwan
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4821

Petey Lao
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4821

Gregory Marelich
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4821

Seth Robinson
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Darshan Sonik
Kaiser Permanente – Sacramento Medical Center
(916) 973-7618

Dermatology

Susan Boone
Kaiser Permanente – Elk Grove Big Horn Medical Offices
(916) 478-5671

Alison A. Boudreaux
Calkin & Boudreaux Dermatology Associates
(916) 646-3376

Robert Burns
Kaiser Permanente – Rancho Cordova Medical Offices
(916) 631-2142

Christie Carroll
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Elbert Chen
Kaiser Permanente – Rancho Cordova Medical Offices
(916) 631-2142

Monica Constantinescu
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2045

Christine Doherty
Kaiser Permanente – Roseville Medical Center
(916) 771-7700

Sean Doherty
Kaiser Permanente – Roseville Medical Center
(916) 771-7700

C. Stephen Goetz
C. Stephen Goetz MD
(916) 966-6444

Paula Huber
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2045

Sam T. Hwang
UC Davis Health – Cannery Building
(916) 734-6111

Lia Keller
Kaiser Permanente – Sacramento Medical Center
(916) 771-7700

Jamie McInturff
Kaiser Permanente – Elk Grove Big Horn Medical Offices
(916) 478-5671

Karen Y. Nishimura
Sutter Health
(916) 797-4766

Kory Parsi
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2045

Margaret E. Parsons
Dermatology Consultants of Sacramento
(916) 739-1505

Douglas Patton
Kaiser Permanente – Sacramento Medical Center
(916) 771-7700

Adam Pettey
Kaiser Permanente – Roseville Medical Center
(916) 771-7700

Jasdeep Sharma
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2045

Marc A Silverstein
UC Davis Health
(916) 286-6130

Sima Torabian
Kaiser Permanente – Sacramento Medical Center
(916) 771-7700

Michael A. Trauner
Sutter Health
(916) 736-3399

Andrea Willey
Andrea Willey MD
(916) 922-7546

Ear, Nose and Throat

Ben Balough
Kaiser Permanente – South Sacramento Medical Center
(916) 525-6350

Arnaud Fassett Bewley
UC Davis Health – Glassrock Building
(916) 734-5400

Hilary A. Brodie
UC Davis Health – Glassrock Building
(916) 734-5400

Montague Carr
Kaiser Permanente – Sacramento Medical Center
(916) 973-5322

Anton Chen
Kaiser Permanente – Sacramento Medical Center
(916) 973-5322

David Cua
Kaiser Permanente – Sacramento Medical Center
(916) 973-5322

Vishal Doctor
Kaiser Permanente – Sacramento Medical Center
(916) 973-5322

D. Gregory Farwell
UC Davis Health – Glassrock Building
(916) 734-5400

Timothy A. Fife
Sacramento Ear, Nose & Throat
(916) 782-1291

Jamie Lauren Funamura
UC Davis Health – Glassrock Building
(916) 734-5400

Ben G. Goldwyn
Sutter Health
(916) 262-9456

Eli R. Groppo
Sacramento Ear, Nose & Throat
(916) 736-3399

Anne Johnstone
Kaiser Permanente – South Sacramento Medical Center
(916) 525-6350

Sally Kamal
Kaiser Permanente – Roseville Medical Center
(916) 784-5880

Levi Ledgerwood
Kaiser Permanente – South Sacramento Medical Center
(916) 525-6350

Allen Lue
Kaiser Permanente – South Sacramento Medical Center
(916) 525-6350

Kevin X. McKennan
Sacramento Ear, Nose & Throat, (916) 736-3399

Deanne Nyland
Mercy Medical Group
(916) 536-3500

Randall A. Ow
Sacramento Ear, Nose & Throat
(916) 782-1291

Nima Pahlavan
Kaiser Permanente – Sacramento Medical Center
(916) 973-5322

Shannon Poti
Kaiser Permanente – Sacramento Medical Center
(916) 973-5322

Craig W. Senders
UC Davis Children’s Hospital – Glassrock Building
(916) 734-5400

Shoab Siddique
Mercy Medical Group
(916) 536-3600

Toby O. Steele
UC Davis Health – Glassrock Building
(916) 734-5400

Matthew Zavod
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

ER

What Really Happens in the ER

Which medical TV show is most like the ER? Probably none of them. What’s the craziest thing that has happened in the ER? Well, sharing might be a HIPAA violation. Long wait times? Blame the 50 percent of people who could’ve gone to urgent care—but long wait times might just be the biggest myth of the emergency room, according to Kaiser Permanente’s William Trythall, M.D.

What percentage of ER visits could have been a visit to a person’s GP or urgent care instead?
We admit about 10 percent of patients who come to the emergency room to the hospital. Of the remaining visits, I would say about half could have gone to their general practitioners or to urgent care. We know that access to health care is an issue for many people, and we are trying to help address that through community work.

What is the most common nonemergency reason that people come to the emergency room?
The No. 1 reason for a nonemergency visit is for a medication refill.

What is the most common actual emergency reason that people come to the emergency room?
Pain, particularly chest pain, abdominal pain, headache or flank pain.

What is something about the emergency room that a nonmedical professional would never guess?
People would probably never guess the sheer volume of patients that we see in the emergency room. It’s a busy place, and we’re very focused on making sure that people get the care that they need. (According to the Centers for Disease Control and Prevention, there are more than 136 million visits to the emergency room in the United States every year.)

What is a misconception about the emergency room?
The biggest misconception about the ER is that you have to wait hours to be seen. Our door-to-doctor time is very impressive, and we have systems in place that result in a patient first being assessed right in the waiting room so that care can quickly begin.

Emergency Medicine

Trevor Cadogan
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

Andrew Elms
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

Darilyn Campbell Falck
Turnure Medical Group
(916) 624-3500

Nathan Kuppermann
UC Davis Children’s Hospital
(800) 282-3284

Joseph Morris
Kaiser Permanente – Roseville Medical Center
(916) 784-5380

Pankaj Patel
Kaiser Permanente – Roseville Medical Center
(916) 784-5380

Jeff Rodgerson
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

William Trythall
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

Samuel D. Turnipseed
UC Davis Health
(916) 734-3790

John Wiesenfarth
Kaiser Permanente –  Sacramento Medical Center
(916) 973-6600

Endocrinology, Diabetes and Metabolism

Shazia Faiz
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Sidika E. Karakas
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Joyce Leary
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4644

Ginger R. McMullen
Sutter Health
(916) 455-3700

Patricia Ostrander
Mercy Medical Group
(916) 733-3346

Deborah K. Plante
Plante Wellness
(916) 367-4000

Pamela T. Prescott
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Saima Sajid-Crockett
Kaiser Permanente – Roseville Medical Center
(916) 784-4004

Alison Semrad
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Craig Smith
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4644

You Sher Tay
Kaiser Permanente –  Sacramento Medical Center
(916) 973-6200

Daniel Wong
Sutter Health
(916) 455-3700

Family Medicine

Alicia Lauren Agnoli
UC Davis Health
(800) 282-3284

Rose Arellanes
Kaiser Permanente – Folsom Medical Offices
(916) 817-5200

Megan Babb
Mercy Medical Group
(916) 351-4800

Kimberly Cafarella
Mercy Medical Group
(916) 351-4800

John Chuck
Kaiser Permanente – Davis Medical Offices
(530) 757-7070

Erin Deane
Sutter Health
(916) 865-1140

Dineen J. Greer
Sutter Medical Group
Sutter Family Medicine Residency Program
(916) 451-4400

Karun F. Grossman
Sutter Health
(916) 285-8100

Anthony F. Jerant
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3630

Sarah Anne Marshall
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3630

Ryan Nicholas
Mercy Medical Group
(916) 351-4800

Christopher Olson
Mercy Medical Group
(916) 939-8400

Olivier Seban
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Christopher W. Swales
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Eric G. Tepper
“Eric G. Tepper, M.D.”
(916) 455-1155

Mark Vaughan
Auburn Medical Group
(530) 886-8630

Don Yokoyama
Mercy Medical Group
(916) 733-3440

Jojet Zara
Mercy Medical Group
(916) 536-3540

Gastroenterology

Yasser Al-Antably
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2028

David M. Arenson
Sutter Health
(916) 454-0655

Ali Azarm
Kaiser Permanente –  Sacramento Medical Center
(916) 973-5380

John Canio
Capitol Gastroenterology Consultants Medical Group
(916) 965-9650

William Chen
Mercy Medical Group
(916) 536-2596

Gautam N. Gandhi
Sutter Health
(916) 454-0655

Jason Guardino
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2028

Ronald Hsu
Sutter Health
(916) 773-6200

Abdul M. Khaleq
Sutter Health
(916) 262-9370

Rana Khan
Mercy Medical Group
(916) 733-3370

Linda Lee
Kaiser Permanente –  Sacramento Medical Center
(916) 973-5380

Palaniappan Manickam
Mercy Medical Group
(916) 536-2596

John McCracken
Kaiser Permanente –  Sacramento Medical Center
(916) 973-5380

Christopher Romberg
Kaiser Permanente – Roseville Medical Center
(916) 474-6221

Gurpreet Singh
Sutter Health
(209) 656-6800

Jesse Stondell
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-0779

Jason Umphress
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Anastasia C. Waechter
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-0779

General Surgery

John T. Anderson
UC Davis Health
(800) 282-3284

Yona Barash
“Yona Barash, M.D., FACS”
(916) 863-1805

Michael Beneke
Sutter Health
(916) 262-9404

Richard J. Bold
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Thomas Dugoni
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Joelle Jakobsen
Mercy Medical Group
(916) 536-3600

David Kissinger
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

Jason Londeree
Kaiser Permanente –  Sacramento Medical Center
(916) 973-5235

Eric Morse
Mercy Medical Group
(916) 536-3600

Kristen Rathbun
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

Mark Roberts
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Michael Schlieman
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

Sharon Shiraga
Kaiser Permanente –  Sacramento Medical Center
(916) 973-5235

Patrick Sullivan
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Christian Swanson
Mercy Medical Group
(916) 351-4800

Glenn Tse
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Genetics

Marthanda Sastry Eswara
Sutter Health
(916) 887-4827

Kristin Curtis Herman
UC Davis Health – MIND Institute
(916) 703-0300

Mark Lipson
Kaiser Permanente –  Sacramento Medical Center
(916) 614-4075

Madelena Martin
UC Davis Health – MIND Institute
(916) 703-0300

Billur Moghaddam
Kaiser Permanente – Roseville Medical Center
(916) 614-4075

Katherine A. Rauen
UC Davis Health – MIND Institute
(916) 703-0204

Kamer Tezcan
Kaiser Permanente –  Sacramento Medical Center
(916) 614-4075

 

cold sore

Keeping Cold Sores Away

If you’re an adult in America, chances are you’ll eventually come into contact with HSV-1 (herpes simplex virus)—even if you never show a single symptom. Are cold sores contagious only when you can see them, and, in extreme cases, are cold sores just the tip of the iceberg? Here’s what you should know, courtesy of Erin Deane, M.D., department of family medicine at Sutter Medical Group.

How often do cold sores typically occur?
More than 90 percent of adults in the United States show the presence of antibodies, or having been exposed, to HSV-1 by the time they reach age 70. Most of these individuals will not ever have a cold sore outbreak, however, and recurrence of cold sores can be as frequent as once per month or as infrequent as once or twice per year.

How do you know that it’s a cold sore—could it just be, for example, a pimple near your mouth area?
Cold sores will last up to 10 to14 days with the initial episode, and shorter with subsequent outbreaks. They can often be preceded by symptoms such as tingling, pain and burning in the day or two prior to the outbreak. Cold sores typically are manifested by painful clusters of vesicles, or blisters, near the mouth, lips, nose or even eye area.

Are cold sores contagious only during an outbreak?
Unfortunately, viral shedding, or risk of transmitting to others, can occur both during an outbreak and in between episodes. It is important to not unnecessarily share eating utensils, beverages and cosmetic products with others to help avoid transmission. Some individuals will take antiviral medication to help reduce risk of transmission to others and prevent frequent outbreaks. Outbreaks can occur at any time and can be triggered by stress, sunburn, viral illness, skin trauma, menstruation or dental work. The virus can manifest as much more than a simple cold sore—the virus that causes cold sores can also rarely cause more severe and even deadly conditions, such as hepatitis, brain infection (encephalitis), eye infection and blindness, severe skin rashes, respiratory infections and esophageal infections.

Geriatric Medicine

Calvin H. Hirsch
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Ashkan Javaheri
Mercy Medical Group
(916) 733-3460

Vanessa Mandal
Mercy Medical Group
(916) 536-2500

Bary Siegel
Kaiser Permanente –  Sacramento Medical Center
(916) 614-4040

Gynecologic Oncology

Priyal Dholakiya
Mercy Medical Group
(916) 556-3164

Kevin Elliott
Mercy Medical Group
(916) 556-3164

Wiley Fowler
Mercy Medical Group
(916) 556-3164

Abby M. Gonik
Sutter Health
(916) 733-4440

Vanessa A. Kennedy
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Gary Scott Leiserowitz
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Vikas Mahavni
Kaiser Permanente –  Sacramento Medical Center
(916) 614-4055

Jeffrey Skilling
Kaiser Permanente –  Sacramento Medical Center
(916) 614-4055

Nell Suby
Kaiser Permanente –  Sacramento Medical Center
(916) 614-4055

Hand Surgery

Robert H. Allen
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2700

Benjamin Bluth
Mercy Medical Group
(916) 536-2408

David Evans
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

Stephen Hankins
Sutter Health
(916) 797-4725

Chetan Shawn Irwin
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2700

Elspeth Kinnucan
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Sean Rocha
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

Daniel N. Switlick
Sutter Health
(916) 797-4725

Robert Morris Szabo
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2700

Michael Vance
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

Hematology and Oncology

Alborz Alali
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Kristie A. Bobolis
Sutter Health
(916) 782-5106

I-Yeh Gong
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2086

Richard Guy
Kaiser Permanente – Roseville Medical Center
(916) 784-5626

Julie Hersch
Kaiser Permanente – Roseville Medical Center
(916) 784-5626

Lai Hui
Kaiser Permanente – Downtown Commons Medical Offices
(916) 497-3100

Brian A. Jonas
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

John M. Kailath
Sutter Health
(916) 962-1544

Dinesh Kotak
Kaiser Permanente – Roseville Medical Center
(916) 784-5626

Lisa Law
Kaiser Permanente – Roseville Medical Center
(916) 784-5626

Sivakumar Reddy
Sutter Health
(916) 782-5106

Sonia Reichert
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Philip Sardar
Kaiser Permanente – Roseville Medical Center
(916) 784-5626

Shahzad Siddique
Mercy Medical Group
(916) 733-5300

Stephen Wang
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2086

Hospice and Palliative Medicine

Joi Barrett
Sutter Health
(916) 733-8713

Nathan Paul Fairman
UC Davis Health – Psychiatry and Behavioral Sciences
(916) 734-3574

Shelly Garone
Kaiser Permanente – Roseville Medical Center
(916) 474-6590

Margaret Leung
Kaiser Permanente – Roseville Medical Center
(916) 474-6590

John F. Macmillan, Jr.
UC Davis Health
(800) 282-3284

Jennifer Osborn
Mercy Medical Group
(866) 553-3261

Seth A. Rosenthal
Sutter Health
(916) 781-1225

Infectious Disease

John Belko
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Stuart H. Cohen
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Matthew Eldridge
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6229

Jose-Mario Fontanilla
Kaiser Permanente – Roseville Medical Center
(916) 973-5230

Laura Grigor
Kaiser Permanente – Roseville Medical Center
(916) 973-5230

Ranjani Kalyan
Pulmonary Medicine Associates
(916) 786-7498

Brett R. Laurence
Pulmonary Medicine Associates
(916) 325-1040

Lenora Lee
Kaiser Permanente – Sacramento Medical Center
(916) 973-5230

Andrew McNeil
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6229

Sriharsha Rao
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6229

George Thompson
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Angelique Tjen-A-Looi
Kaiser Permanente – Sacramento Medical Center
(916) 973-5230

Internal Medicine

Joi Barrett
Sutter Health
(916) 733-8713

Bayard W. Chang
Bayard W. Chang, MD
(916) 929-2526

Nelson Chiang
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

Sean Deane
Kaiser Permanente – South Sacramento Medical Center
(916) 627-7500

Matthew Eldridge
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6229

Howard J. Homler
Howard J. Homler MD
(916) 962-2035

Craig Raymond Keenan
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Lisa Liu
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

Jane Tsai
Mercy Medical Group
(916) 733-3400

Morgan Waters
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2106

Scott M. Wigginton
Scott M. Wigginton, MD
(916) 570-2850

Maternal and Fetal Medicine

Nina M. Boe
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Nancy Terrell Field
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Matthew Garabedian
Kaiser Permanente – Roseville Medical Center
(916) 784-4148

William Gilbert
Perinatal Associates of Sacramento
(916) 862-9900

Herman Locsin Hedriana
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Sherrie McElvy
Perinatal Associates of Sacramento
(916) 862-9900

Amelia S. McLennan
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Edward Mentakis
Kaiser Permanente – Roseville Medical Center
(916) 784-4148

Kristina Milan
Valley Children’s Medical Group
(559) 353-3000

Carey Moreno-Hunt
Kaiser Permanente – Roseville Medical Center
(916) 784-4148

Sima Parmar
Perinatal Associates of Sacramento
(916) 862-9900

Veronique Tache
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Neonatal and Perinatal Medicine

Kristin Robbins Hoffman
UC Davis Children’s Hospital
(800) 282-3284

Satyan Lakshminrusimha
UC Davis Children’s Hospital
(800) 282-3284

Francis R. Poulain
UC Davis Children’s Hospital
(800) 282-3284

Catherine Anne-Marie Rottkamp
UC Davis Children’s Hospital
(916) 734-0491

Mark A. Underwood
UC Davis Children’s Hospital
(800) 282-3248

Nephrology

Shubha Ananthakrishnan
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3761

Adarsh Bhat
Summit Nephrology Medical Group, Inc.
(916) 789-1505

Janeline Daubert
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6988

Burl R. Don
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3761

Lana Gafter
Summit Nephrology Medical Group, Inc.
(916) 789-1505

Elena V. Gelfand
Capital Nephrology Medical Group
(916) 929-8564

Kai-Ting Hu
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6988

Jasminder Momi
Mercy Medical Group
(916) 733-5336

Jose Morfin
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3761

Tuan Nguyen
Kaiser Permanente – Sacramento Medical Center
(916) 973-5230

Jignesh Patel
Kaiser Permanente – Roseville Medical Center
(916) 973-5230

Roopinder Poonia
Mercy Medical Group
(916) 536-2466

Vijay Rathore
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6988

Jeffrey Stewart
Kaiser Permanente – Sacramento Medical Center
(916) 973-5230

Brian Thornton
Summit Nephrology Medical Group, Inc.
(916) 789-1505

Jane Y. Yeun
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3761

Nick Youssefi
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6988

Annie Yu
Kaiser Permanente – Roseville Medical Center
(916) 973-5230

Franklin Yuan
Kaiser Permanente – Roseville Medical Center
(916) 973-5230

Neurology

Paul Akins
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Ryan Armour
Mercy Medical Group
(916) 733-3372

Jason Chang
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2050

John Geraghty
Kaiser Permanente – Roseville Medical Center
(916) 474-6380

Jeffrey Kennedy
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-3588

Suzanne Koopmans
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2050

Neuzil Lai
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2050

John Schafer
Mercy Medical Group
(916) 536-3670

Peter Skaff
Mercy Medical Group
(916) 351-4800

Eric Van Ostrand
Kaiser Permanente – Sacramento Medical Center
(916) 973-5175

women and cancer

Women and Cancer

Men are more likely to be diagnosed with—and die from—cancer, but it is still a leading cause of death of women in the United States. Are cancer rates for women improving? Are any rates rising? And is it too late to get the HPV vaccine? Here’s the latest in gynecologic oncology from Sutter Health’s Abby Gonik, M.D.

Have any cancer rates dropped in the past five years?
Rates of ovarian cancer have decreased over the past 30 years and continue to fall about 1.5 percent each year. One possible reason for this decline is the increased use of oral contraceptive pills since the 1980s. Women who take oral contraceptive pills for at least six years have a decreased lifetime risk of developing ovarian cancer.

What is the deadliest cancer in women?
That being said, ovarian cancer is still the leading cause of death from gynecologic malignancy in the United States. There are approximately 22,000 new cases of ovarian cancer and 14,000 cancer-related deaths here every year. Survival from ovarian cancer is related to the stage at diagnosis—if it is found in an early stage, the five-year survival rate is over 90 percent. Unfortunately, over 75 percent are detected at a later stage, and the overall prognosis remains poor. Discovery of an effective screening tool to allow for early detection would significantly impact the mortality rates.

Have any cancer rates risen in the last five years?
Uterine (endometrial) cancer is the most common cancer of the female reproductive tract, with an estimated 63,000 new cases in the United States in 2018. Estimates show that the rates of this cancer are increasing by 1.3 percent each year over the past decade. Several factors may be contributing to this steady increase in endometrial cancer rates, including longer life expectancy (older women have a higher risk of developing this cancer), the worsening obesity epidemic and the prolonged use of tamoxifen to prevent or treat breast cancer.

Very recently, the HPV vaccine was made available to women up until the age of 45. How does this vaccine work now?
Human papillomavirus is a sexually transmitted pathogen that causes virtually all cancers of the cervix, as well as many cases of pre-cancer on the cervix, vulva and vagina. The vaccine protects against nine subtypes of HPV, which together cause over 90 percent of cervical cancers and 90 percent of genital warts. The ideal time to vaccinate is prior to any HPV exposure, so the guidelines still recommend vaccination at 11 to 12 years of age. The recommendation for “catch up” vaccine previously extended to age 26, but it was recently increased to 45 based on studies that showed a continued efficacy rate in patients aged 27 to 46.

Neurosurgery

Amit Banerjee
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Indro Chakrabarti
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Samuel F. Ciricillo
Sutter Health
(916) 454-6850

Cully Cobb, III
Mercy Medical Group
(916) 733-3401

Huy Duong
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Kern Guppy
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Brian Jian
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Sean McNatt
Kaiser Permanente – Roseville Medical Center
(916) 474-2600

David Moller
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Praveen Prasad
Mercy Medical Group
(916) 733-3401

Kiarash Shahlaie
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-3588

James Silverthorn
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Nuclear Medicine

Jason B. Cohen
Sutter Health – Sutter Imaging
(877) 515-0053

Erno Gyetvai
Kaiser Permanente – Sacramento Medical Center
(916) 973-5720

Andrew Klonecke
Kaiser Permanente – Sacramento Medical Center
(916) 973-5720

Vicki Nagano
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2029

Obstetrics and Gynecology

Victor K. Chan
Sutter Health
(916) 744-2620

Mitchell D. Creinin
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Douglas Gillott
Kaiser Permanente – Roseville Medical Center
(916) 784-4148

Jocylen Glassberg
UC Davis Health
(530) 747-3000

Laurie Gregg
Sacramento Women’s Health
(916) 927-3178

Matthew W. Guile
Sutter Health
(916) 262-9414

Christine Jang
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2055

Vanessa A. Kennedy
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Darcy C. Ketchum
Sutter Health
(916) 262-9414

Sanjeev Khurana
Kaiser Permanente – Roseville Medical Center
(916) 784-4148

Kim Kopecky
Kaiser Permanente – Roseville Medical Center
(916) 784-4148

Judith Mikacich
Sacramento Women’s Health
(916) 927-3178

Bahareh M. Nejad
UC Davis Health
(916) 783-7109

Clara Paik
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6900

Kathleen Rooney
Sacramento Women’s Health
(916) 927-3178

Michael Trifiro
UC Davis Health – Glassrock Building
(916) 734-6363

Occupational Medicine

David Caretto
Mercy Medical Group
(916) 733-3390

Harinder Dhir
Kaiser Permanente – Roseville Medical Center
(916) 474-6455

Evelyn Fainsztein
Mercy Medical Group
(916) 351-4801

John Forsyth
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Meredith Tallman
Kaiser Permanente – Roseville Medical Center
(916) 474-6455

Ronald Whitmore
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2005

Ophthalmology

Robert Bellinoff
Mercy Medical Group
(916) 733-3311

Jacob W. Brubaker
Sacramento Eye Consultants
(916) 649-1515

Mark Drabkin
Kaiser Permanente – South Sacramento Medical Center
(916) 525-6400

Richard A. Jones
Eye Site Sacramento
(916) 452-8105

Louis Klieger
Kaiser Permanente – Rancho Cordova Medical Offices
(916) 784-4185

Samuel H. Lee
Sacramento Eye Consultants
(916) 649-1515

Richard A. Lewis
Sacramento Eye Consultants
(916) 649-1515

Jennifer Y. Li
UC Davis Health – Cadillac Drive Facility
(916) 734-6650

Michele C. Lim
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6602

Mark J. Mannis
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-6602

James Martel
Martel Eye Medical Group
(916) 564-9990

Sang-Rog Oh
Kaiser Permanente – Sacramento Medical Center
(916) 614-4015

Arun C. Patel
Retinal Consultants
(916) 454-4861

Robert R. Peabody, Jr.
Medical Vision Technology
(916) 731-8040

Joel A. Pearlman
Retinal Consultants
(916) 454-4861

J. Brian Reed
Retinal Consultants
(916) 454-6191

Christian L. Serdahl
Eye Site Sacramento
(916) 452-8105

Patricia B. Sierra
Sacramento Eye Consultants
(916) 649-1515

Tony Tsai
Retinal Consultants
(916) 454-4861

Robert T. Wendel
Retinal Consultants
(916) 454-4861

Peter Wu
Kaiser Permanente – Sacramento Medical Center
(916) 614-4015

Orthopedic Surgery

Amy Black
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

William Bragg
Mercy Medical Group
(916) 733-5700

Christian Bromfield
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

Mark Dillon
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

Jonathan G. Eastman
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2700

Holly Haight
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

Domingo Hallare
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

William Junglas
Mercy Medical Group
(916) 536-2408

Eric Otto Klineberg
UC Davis Health – Cannery Building
(916) 734-7463

Raphael Klug
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Mark A. Lee
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2700

Holly Bee Leshikar
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2700

David Manske
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

Richard A. Marder
UC Davis Health – Cannery Building
(916) 734-6805

Ravi Ramachandran
Ravi Ramachandran M.D. – Folsom Spine
(916) 245-3322

Marty Reed
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

David W. Tai
Sutter Health
(916) 732-3340

James Voigtlander
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Jason Zemanovic
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Osteopathic Medicine

Ernestina T. Agresti
Sierra Rose Family Physicians Medical Group, Inc.
(916) 786-5908

Linda M. Agresti
Sierra Rose Family Physicians Medical Group, Inc.
(916) 786-5908

Pain Medicine

Michael Bicocca
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6353

David J. Copenhaver
UC Davis Health
(916) 734-5031

Heather Davids
Mercy Medical Group
(916) 536-2442

B. Kelly Hunt
Hendrickson & Hunt Pain Management Physicians
(916) 984-3899

Sharon G. Leano
Roger B. Stephens Medical Group
(916) 564-3377

Andrew Linn
Mercy Medical Group
(916) 733-5844

Gagan Mahajan
UC Davis Health
(916) 734-5031

Vinay M. Reddy
Spine and Nerve Diagnostic Center
(916) 419-9900

Lee T. Snook
Metropolitan Pain Management Consultants, Inc.
(916) 568-8338

Kevin Walsh
Kaiser Permanente – Sacramento Medical Center
(916) 482-1132

Rod Youssefi
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6353

concussions

New Thinking on Concussions

Concussions aren’t just for football players or weekend warriors in a community soccer league. Car accidents, falls and violence are major causes of injury to the brain. And the biggest shock? You don’t have to sustain a blow to the head at all or “black out” to have a concussion, says Kaiser Permanente’s Paul T. Akins, M.D., Ph.D.

After hitting your head, how do you know if you should see a doctor?
If you have a minor bump or scrape, you probably do not need to seek professional medical help. If you have trauma like scalp lacerations, then you should see a doctor. It’s important to know that if you are having trouble thinking after hitting your head, you need to take it seriously. Symptoms of concussions include decreased attention and short-term memory, poor balance, slowed responses to simple questions (such as “Where do you live?”), increased emotions, headaches, and light and sound sensitivity. Rarer symptoms include the inability to retain any new information, seizures and persistent loss of vision—not just a brief time of “seeing stars.”

What happens to the brain during a concussion?
During a concussion, the head suffers an impact. Sometimes, this is a direct blow to the head, but it can also occur with abrupt rotational and acceleration/deceleration forces. The brain is shaken and slaps around within the skull, similar to a boat bouncing up against a dock during a storm. At a microscopic level, the axons that transmit information from one brain region to another are injured, as well as more widespread changes in brain function.

What are the biggest causes of concussions?
Motor vehicle accidents, falls, occupation-related injuries, recreation- and sports- related injuries, and violence. Falls are the leading cause in older adults, and recent statistics indicate that 20 percent of high school football players sustain brain injuries each season.

What is the risk of repeated concussions? Are there any long-lasting effects of concussions?
A premature return to activities (while the athlete is still having concussion-related symptoms) increases the rate of recurrent concussions. Each concussion increases the risk of another. With multiple concussions, there is a risk for cumulative traumatic brain injury, which includes chronic traumatic encephalopathy and the serious second-impact syndrome. While ongoing symptoms after the concussion are common, only a minority of patients will be left with long-term effects. Repetitive concussions, however, increase the risk for irreversible brain injury.

What is a misconception about concussions?
Many people don’t realize that you can get a concussion without being hit in the head. Indirect brain injury occurs as the brain is shaken around during a rapid acceleration/deceleration/rotation. Early in my career, loss of consciousness was a requirement for a concussion diagnosis, but we now know that only 10 percent of people with concussions truly experience blacking out.

Pediatric Cardiology

James Hill
Capital Pediatric Cardiology
(916) 750-2328

Andrew Juris
Pediatric Cardiologists of Northern California
(916) 452-5391

Naveen Manohar
Capital Pediatric Cardiology
(916) 750-2328

Luz Natal-Hernandez
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Jeanny K. Park
UC Davis Health – Pediatric Heart Center
(916) 734-3456

Andrew Nicholas Pelech
UC Davis Health – Pediatric Heart Center
(916) 734-3456

Ernesto Rivera
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Lance Shirai
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Sherzana Sunderji
UC Davis Health – Glassrock Building
(916) 734-3456

Luca Trento
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Stanley Wright
Capital Pediatric Cardiology
(916) 750-2328

Jay Yeh
UC Davis Health – Glassrock Building
(916) 734-3456

Pediatric Critical Care Medicine

Robert Alisharan
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

Anne Camerlengo
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

Constantine Dimitriades
UC Davis Children’s Hospital
(800) 282-3284

Daniel A. Falco
Sutter Health
(916) 887-0360

Kevin Haug
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

John Holcroft
UC Davis Children’s Hospital
(800) 282-3284

James P. Marcin
UC Davis Children’s Hospital
(800) 282-3284

Stephanie Nicole Mateev
UC Davis Children’s Hospital
(916) 734-7840

Theresa Murdock-Vlautin
UC Davis Health
(916) 734-2011

Michael Myette
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

JoAnne E. Natale
UC Davis Children’s Hospital
(800) 282-3284

Jennifer L. Plant
UC Davis Health – Ticon II Building
(916) 734-5177

Viyeka Sethi
UC Davis Health
(916) 734-7840

Craig Swanson
Sutter Health
(916) 887-0360

Pediatric Dermatology

Smita Awasthi
UC Davis Health – Cannery Building
(916) 734-6111

Pediatric Endocrinology

Christina Chao
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Stephanie Crossen
UC Davis Health – Glassrock Building
(916) 734-3112

Mirna Escalante
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Nicole S. Glaser
UC Davis Health – Glassrock Building
(916) 734-3112

Francis Hoe
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Lindsey Loomba-Albrecht
UC Davis Health
(916) 734-5177

Ulhas Nadgir
Center of Excellence in Diabetes and Endocrinology
(916) 426-1902

Gnanagurudasan Prakasam
Sutter Health
(916) 426-1902

Sudha Reddy
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Dennis M. Styne
UC Davis Children’s Hospital – Glassrock Building
(916) 734-3112

Pediatric Gastroenterology

Yinka Davies
Sacramento Pediatric Gastroenterology
(916) 332-1244

Michael Durant
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Sunpreet Kaur
UC Davis Health – Glassrock Building
(916) 734-3112

Pratima Kodali
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Johann M. Peterson
Sutter Health
(916) 887-4780

Daphne Sy Say
UC Davis Health – Glassrock Building
(916) 734-3112

Edward Talya
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Danielle Usatin
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

vision

Developments in Vision Correction

For those who reach for their glasses every morning or pluck contact lenses from their eyes every night, the promise of never having to do so again is enticing—but, intrinsically, there’s just something a little concerning about a laser shining in your eye. What’s new with LASIK, and is it a virtually safe procedure that can be completed in less time than an episode of “House Hunters”? Jennifer Li, M.D., assistant professor of clinical opthalmology at UC Davis Medical Center, explains.

What is the LASIK procedure like?
LASIK surgery is an in-office procedure that takes less than 30 minutes. You are lying flat for the procedure and the eye is numbed with topical anesthetic (eye drops). Your eyelids are gently opened with an instrument so that there is no concern that you might accidentally blink in the middle of a procedure. A flap is created with a laser (a femtosecond laser) on the surface of the eye (the cornea). This takes about 20 seconds. The flap is then lifted back to allow for a second laser (an excimer laser) to reshape the cornea. Once the reshaping process is complete, the flap is placed back in its original position. Patients are usually able to return back to work one or two days after the procedure, but it may take three to six months for vision to fully stabilize.

How has the surgery changed recently?
At UC Davis, we use the latest technology, which has continued to improve. We have seen the transition to an all-blade-free surgery at UC Davis, and this improvement in technology has nearly eliminated the risk of having a complication during flap creation for LASIK. Additionally, we continue to provide Wavefront optimized treatments with advanced eye tracking to all of our patients.

Pediatric Hematology and Oncology

Scott Adams
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Jong Hee Chung
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Jonathan M. Ducore
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Kent Jolly
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Sonali Lakshminarayanan
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Christina Lettieri
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Marcio H. Malogolowkin
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Anjali Pawar
UC Davis Health – Comprehensive Cancer Center
(916) 734-5959

Aarati Rao
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Pediatric Infectious Disease

John Belko
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Dean A. Blumberg
UC Davis Health – Ticon II Building
(916) 734-5177

Natasha A. Nakra
UC Davis Health – Glassrock Building
(916) 734-3112

Elizabeth Helen Partridge
UC Davis Health
(916) 734-3557

Jean A. Wiedeman
UC Davis Health – Glassrock Building
(800) 282-3284

Pediatric Nephrology

Ari Auron
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Lavjay Butani
UC Davis Health – Glassrock Building
(916) 734-3112

Maha N. Haddad
UC Davis Health – Glassrock Building
(916) 734-3112

Arundhati Kale
UC Davis Health – Glassrock Building
(916) 734-3112

Stephanie Tram-Anh Nguyen
UC Davis Health
(916) 734-3112

Pediatric Neurology

Shailesh Asaikar
Child and Adolescent Neurology Consultants
(916) 649-9800

William Steven Benko
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-3588

Celia H. Chang
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-3588

Michael G. Chez
Sutter Health
(916) 773-8711

Richard Friederich
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

Shannon N. Liang
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-3588

Brian Masselink
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

Gregg Nelson
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

Pediatric Neurosurgery

Samuel F. Ciricillo
Sutter Health
(916) 454-6850

Sean McNatt
Kaiser Permanente – Roseville Medical Center
(916) 474-2600

Marike Zwienenberg
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-3588

Pediatric Pulmonology

Diana Go
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Sanjay Jhawar
UC Davis Health – Glassrock Building
(800) 282-3284

Kiran Nandalike
UC Davis Health – Glassrock Building
(800) 282-3284

Myrza Perez
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Wan Tsai
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

joint replacement

Progress in the Field of Joint Replacement

From the ability to recover from surgery in the comfort of your home to the longevity of your new joint, large strides have been made in joint replacement surgery. Still, experts say that artificial joints can’t fully replicate the joint you were born with—and, sorry to disappoint, but a superhero-esque bionic knee probably isn’t on the horizon. We turned to orthopedic surgeon Holly Haight, M.D., of Kaiser Permanente for more information.

What has been the biggest recent breakthrough in joint replacement?
Home recovery. Patients can now be discharged the same day as their procedure and recover in their own homes. They get home physical therapy, and we have a stellar nurse who keeps in close contact the next day and for any needs or questions that they have. Patients eat and sleep better at home, and the infection risk is lower at home.

Knee and hip replacements are common, but what other joints can be replaced?
Hips and knees are the biggest and the simplest, so they have the longest track record and are the most successful. Almost any joint can be replaced, though—shoulders, elbows, ankles, small joints in the hand and even discs in the back. More complex joints, such as joints that have motion in multiple directions (such as small joints in the spine) or have odd shapes (between the small bones of the wrist and foot), cannot be replaced. It’s important to remember that even with the simplest joints like hips and knees, it’s still nearly impossible to fully replicate the biomechanics of the native joint.

What is the rehabilitation and recovery process like after a joint replacement?
Some joints, like knees, shoulders and elbows, require extensive physical therapy to restore strength and motion. Other joints, like the hip, require less intense therapy. Some soft tissues take as long as a year to completely heal, so although the patient may have about 90 percent of the recovery within the first three months, there may still be soreness, stiffness and aching for many months after surgery.

With new and emerging technology, what can we hope to see in the future?
Materials are probably where technology will make the most progress. Joint replacements can now last anywhere from seven to 30 years, and hopefully we will be able to extend that life span.

What is a misconception about joint replacements?
A new joint can help a person remain independent by maintaining the ability to walk, shop and engage in low-impact exercise and activities of daily living. Artificial joints are not designed for high-level athletic pursuits, so if that’s the expectation, it’s better to stay with a native joint.

Pediatric Sleep Medicine

Diana Go
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Sanjay Jhawar
UC Davis Health – Glassrock Building
(800) 282-3284

Kiran Nandalike
UC Davis Health – Glassrock Building
(800) 282-3284

Myrza Perez
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Wan Tsai
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Pediatric Surgery

Lisa P. Abramson
Sutter Health
(916) 887-4220

Thomas Curran
Kaiser Permanente – Roseville Medical Center
(916) 474-2600

Diana L. Farmer
UC Davis Health – Cannery Building
(916) 734-7844

Stephen K. Greenholz
Sutter Pediatric Surgery
(916) 733-6050

Shinjiro Hirose
Shriners Hospital for Children
(916) 453-2000

Jennifer E. Keller
Kaiser Permanente – Roseville Medical Center
(916) 474-2600

Douglas Miniati
Kaiser Permanente – Roseville Medical Center
(916) 474-2600

Chirag V. Patel
UC Davis Health
(800) 282-3284

Amy Rahm
UC Davis Health – Glassrock Building
(800) 282-3284

Payam Saadai
Shriners Hospital for Children
(916) 453-2000

Rebecca A. Stark
UC Davis Children’s Hospital
(916) 734-7844

Pediatric Urology

Andrew Huang
Kaiser Permanente – Roseville Medical Center
(916) 784-4160

Eric A. Kurzrock
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2222

Jennifer H. Yang
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2222

Pediatrics (General)

Thomas A. Bullen
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-5846

Robert S. Byrd
UC Davis Health – Glassrock Building
(916) 734-3112

Diane Chan
Kaiser Permanente – Roseville Medical Center
(916) 784-4190

Gregrey Cohen
Mercy Medical Group
(916) 536-3520

Sean Cooke
Kaiser Permanente – South Sacramento Medical Center
(916) 688-6800

Kevin Patrick Coulter
UC Davis Health – Glassrock Building
(916) 734-3112

Eric Joseph Crossen
UC Davis Health – Glassrock Building
(916) 734-3112

Albina S. Gogo
UC Davis Health – Glassrock Building
(916) 734-3112

Michael C. Lucien
UC Davis Health – Midtown Ambulatory Care Center
(916) 734-5846

Ashley Sens
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Jonathan E. Thygeson
Sutter Health
(916) 924-8754

Rachel Weinreb
Sutter Health
(916) 262-9002

Physical Medicine and Rehabilitation

Ryan Carver
Kaiser Permanente – Roseville Medical Center
(916) 771-6611

Steven Chan
Kaiser Permanente – Sacramento Medical Center
(916) 973-7481

Loren T Davidson
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-7041

Maya Capoor Evans
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-7041

Lawrence Manhart, Jr.
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Craig M. McDonald
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-7041

Vinay M. Reddy
Spine and Nerve Diagnostic Center
(916) 419-9900

Joel Schaffer
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2036

Akshat Shah
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2036

Mark Tyburski
Kaiser Permanente – Roseville Medical Center
(916) 771-6611

Jeremy Wren
Mercy Medical Group
(916) 733-3373

Plastic and Reconstructive Surgery

Christa Clark
Christa Clark MD, FACS, Granite Bay Cosmetic Surgery
(916) 246-6122

Jesus Garcia
Kaiser Permanente – Sacramento Medical Center
(916) 973-5515

Lynne A. Hackert
Sutter Health
(916) 878-4948

Karly Kaplan
Kaiser Permanente – Sacramento Medical Center
(916) 973-5515

David Kaufman
Kaufman Plastic Surgery
(916) 943-4714

Gerald Khachi
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2045

James Kim
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2045

Alan Y. Lim
Sutter Health
(916) 733-9588

Shahriar Mabourakh
Shahriar Mabourakh, MD, FACS
(916) 984-8585

Kenneth Phillips
Kaiser Permanente – Sacramento Medical Center
(916) 973-5515

David E. Sahar
UC Davis Health – Cannery Building, (916) 734-7844

Jeffrey Sweat
J. Sweat Plastic Surgery
(916) 400-0822

Travis Tate Tollefson
UC Davis Health – Glassrock Building
(916) 734-2347

Granger B. Wong
Centre for Plastic Surgery
(916) 791-7088

Michael S. Wong
UC Davis Health – Cannery Building
(916) 734-7844

Podiatry

John Benson
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Dana Cozzetto
Mercy Medical Group
(916) 536-2408

Carla Docharty
Capital Foot and Ankle
(916) 453-8900

Amy Duckworth
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Matthew Garrison
Mercy Medical Group
(916) 733-3359

James J. Kinchsular
James J. Kinchsular, DPM
(916) 454-3668

Roya Mirmiran
Sutter Health
(916) 262-9464

Damon Namvar
Sutter Health
(916) 262-9464

Beth Noe
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Lindsay Russell
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

Michael Scatena
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

Tanya Singleton
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

Michael Starkweather
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Gregory Tovmassian
Sacramento Foot & Ankle Center
(916) 459-4398

Kirsten Van Voris-Scatena
Kaiser Permanente – Sacramento Medical Center
(916) 973-5275

Daniel Lee
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2030

Preventive Medicine

Cheree Dunbar
Northern California Wellness, Inc.
(916) 790-5352

Psychiatry

Arlene Burton
Kaiser Permanente – Elk Grove Big Horn Medical Offices
(916) 478-5850

Nathan Paul Fairman
UC Davis Health – Psychiatry and Behavioral Sciences
(916) 734-3574

pain management

Pain Management in an Opioid Addiction Era

Opioid overdoses result in more deaths than car accidents, so should they ever be prescribed? What can be done for those who have become dependent on opioids to manage their pain, and is there a better way? We posed these questions to David Copenhaver, M.D., M.P.H., director of cancer pain management and pain medicine telehealth at UC Davis Health.

When is managing pain with an opioid necessary, and when should it be avoided?
We’ve learned that chronic opioid therapy has very limited evidence in terms of efficacy, but its risks are well-defined. Risk factors such as an untreated psychiatric comorbid disease, history of substance abuse, active substance abuse or a family history of substance abuse all add substantial risk for aberrant behavior surrounding opioid therapy. That said, there are patients who may benefit from opioid therapy after appropriate risk stratification.

What percentage of people who are prescribed an opioid will develop a dependency or addiction?
It’s hard to say, but a report by the Institute of Medicine suggested that 116 million Americans meet criteria for chronic pain, and one could argue that 10 percent of the population carries the proclivity or genetic predisposition for addiction. Therefore, over 10 million people could have a predisposition for addiction and experience chronic pain. Many physicians have taken the approach of a universal precaution: suggesting all patients may carry the predisposition for addiction.

How can people who have previously been dependent on opioids use new methods of pain management?
There are many non-opioid or opioid-sparing pain strategies. These strategies are the mantra at UC Davis. There are specialized implantable devices that allow for substantial and sustained relief, and various interventional procedures that can alleviate pain. There are also non-opioid prescription medications (SNRIs and anticonvulsants) that treat pain coupled with acupuncture, therapeutic massage and restorative physical therapy.

What is a misconception about opioids?
We have recently seen opioid prescriptions reduce, so we would have expected that as prescriptions trended down, opioid-related deaths would have also reduced. Unfortunately, we are not seeing this trend. Even in the face of reduced prescriptions, opioid-related deaths continue to escalate, which highlights the complexity of the problem in the United States regarding illicit drugs and synthetic fentanyl entering society.

Radiation Oncology

Allan Chen
Kaiser Permanente – Roseville Medical Center
(916) 771-2871

Rachel Chou
Kaiser Permanente – Rancho Cordova Medical Offices
(916) 631-2730

Megan E. Daly
UC Davis Health – Comprehensive Cancer Center
(800) 362-5566

Ruben Fragoso
UC Davis Health – Comprehensive Cancer Center
(800) 362-5566

Roger M. Gilbert
Sutter Health
(916) 781-1225

Christopher U. Jones
Sutter Health
(916) 781-1225

Derrick Koo
Kaiser Permanente – Roseville Medical Center
(916) 771-2871

Vincent Lee
USCMC – South Sacramento Cancer Center
(916) 683-9616

Shyam Rao
UC Davis Health – Comprehensive Cancer Center
(800) 362-5566

Seth A. Rosenthal
Sutter Health
(916) 781-1225

Derrick Schmidt
Kaiser Permanente – Roseville Medical Center
(916) 771-2871

Ellen  Wiegner
Mercy Medical Group
(916) 556-3131

Radiology

Matthew Bobinski
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(800) 482-3284

Cynthia Dirkx
Kaiser Permanente – Sacramento Medical Center
(916) 817-5250

Brian Gunter
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2029

Jeffrey S. Kuo
Sutter Health – Sutter Imaging
(877) 515-0053

Charles H. McDonnell, III
Sutter Health – Sutter Imaging
(877) 515-0053

Tan Nguyen
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2029

Narasimhachari Raghavan
Sutter Health – Sutter Imaging
(877) 515-0053

Michael J. Silberstein
Kaiser Permanente – Sacramento Medical Center
(916) 817-5250

Arvind Sonik
Kaiser Permanente – Sacramento Medical Center
(916) 817-5250

Reproductive Endocrinology / Infertility

Lisa Cookingham
Kaiser Permanente – Sacramento Medical Center
(916) 614-5005

Curt Klooster
Kaiser Permanente – Sacramento Medical Center
(916) 614-5005

Laurie P. Lovely
Northern California Fertility Medical Center
(916) 773-2229

Michael J. Murray
Northern California Fertility Medical Center
(916) 773-2229

Kenneth Vu
Kaiser Permanente – Sacramento Medical Center
(916) 614-5005

Ernest J. Zeringue
California IVF Fertility Center, (530) 771-0177

Rheumatology

Michael Barger
Mercy Medical Group
(916) 691-8500

Anupama Savithri Bhat
Kaiser Permanente – Roseville Medical Center
(916) 784-4000

Gurtej S. Cheema
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2737

Arshia Islam
Kaiser Permanente – Roseville Medical Center
(916) 784-5616

Lloyd Ito
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2330

Anand Lal
Kaiser Permanente – Roseville Medical Center
(916) 784-5616

Diana Lau
Dignity Health Medical Foundation – Woodland and Davis,
(530) 576-5298

Joy Mombourquette
Kaiser Permanente – Roseville Medical Center
(916) 474-2250

Minhchau Nguyen
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2330

Thitinan Srikulmontree
Mercy Medical Group
(916) 409-1400

Kenneth Wiesner
Sacramento Rheumatology Consultants Medical Group
(916) 343-8538

Sleep Medicine

Shawn S. Aghili
Pulmonary Medicine Associates
(916) 786-7498

Richard Beyer
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Kapil Dhawan
Pulmonary Medicine Associates
(916) 325-1040

Robert Dias
Mercy Medical Group
(916) 733-5700

Swapna Parikh
Kaiser Permanente – Sacramento Medical Center
(916) 973-7618

David Tzeng
Kaiser Permanente – South Sacramento Medical Center
(916) 688-4821

Lydia M. Wytrzes
Lydia M. Wytrzes MD
(916) 564-3610

Sports Medicine

Jason Brayley
Kaiser Permanente – Elk Grove Promenade Medical Offices
(916) 544-6160

Biljinder Chima
Rocklin Family Practice and Sports Medicine
(916) 624-0300

Brian A. Davis
UC Davis Health – Cannery Building
(916) 734-6805

Susan Joy
Kaiser Permanente – Sports Medicine Center
(916) 326-8200

Richard A. Marder
UC Davis Health – Cannery Building
(916) 734-6805

Scott Meier
Kaiser Permanente – Elk Grove Promenade Medical Offices
(916) 544-6160

Alberto J. Panero
SAC Regenerative Orthopedics
(916) 573-2595

Gloria Rho
Kaiser Permanente – Sports Medicine Center
(916) 326-8200

Michael Shea
Mercy Medical Group
(916) 733-5700

Jeffrey L. Tanji
UC Davis Health – Cannery Building
(916) 734-6805

Brandee L. Waite
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-7041

Craig Ziegler
Kaiser Permanente – Roseville Medical Center
(916) 784-4045

Thoracic Surgery

Matthew Agnew
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

W. Douglas Boyd
UC Davis Health – Cypress Building
(916) 734-3861

Lisa M. Brown
UC Davis Health – Comprehensive Cancer Center
(800) 362-5566

David Tom Cooke
UC Davis Health – Cypress Building
(916) 734-3861

Costanzo Di Perna
Mercy Medical Group
(916) 536-3665

Joseph Huh
Kaiser Permanente – South Sacramento Medical Center
(916) 733-4100

Michael T. Ingram
Sacramento Cardiovascular Surgeons
(916) 452-8291

Robert Kincade
Sacramento Cardiovascular Surgeons
(916) 452-8291

James Longoria
Sacramento Cardiovascular Surgeons
(916) 452-8291

Stephen D. Maxwell
Sutter Health
(916) 773-8750

Rick Peng
Kaiser Permanente – Sacramento Medical Center
(916) 973-5235

Paul Anthony Perry
UC Davis Health – Cypress Building
(800) 282-3284

Gary Raff
Shriners Hospital for Children
(916) 453-2000

Brian Rezvani
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

Henry Zhu
Kaiser Permanente – South Sacramento Medical Center
(916) 733-4100

Transgender Health

Christopher W. Swales
Dignity Health Medical Foundation – Woodland and Davis
(530) 576-5298

Urology

Carolina Alvayay
Sutter Health
(916) 797-4720

Aron Bruhn
Kaiser Permanente – Roseville Medical Center
(916) 784-4160

Marc A. Dall’Era
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2222

Jonathan Eandi
Sutter Health
(916) 262-9386

Christopher P. Evans
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2222

Suzanne Generao
Kaiser Permanente – Sacramento Medical Center
(916) 973-5355

Brian N. Naftulin
Capitol Urology Medical Group
(916) 983-5557

Michael Novotny
Kaiser Permanente – Sacramento Medical Center
(916) 973-5355

Jennifer Rothschild
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-2222

Carmen Stapp
Kaiser Permanente – Roseville Medical Center
(916) 784-4160

Scott Troxel
Kaiser Permanente – Roseville Medical Center
(916) 784-4160

Alice Tsao
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2081

Jared Whitson
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2081

Vascular / Interventional Radiology

Matthew Danielson
Kaiser Permanente – Sacramento Medical Center
(916) 817-5250

Mark M. Davidian
Sutter Health – Sutter Imaging Sacramento
(916) 453-9999

Brandon Doskocil
Kaiser Permanente – Sacramento Medical Center
(916) 817-5250

Farhad Farzanegan
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2029

Jonathan Hartman
Kaiser Permanente – Sacramento Medical Center
(916) 973-5490

Christopher J. Laing
Sutter Health – Sutter Imaging Sacramento
(916) 453-9999

Derek Vien
Kaiser Permanente – Sacramento Medical Center
(916) 817-5250

Patrick M. Vogel
Sutter Health – Sutter Imaging Sacramento
(916) 453-9999

Vascular Surgery

Christopher Abbot
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

John Brawley
Kaiser Permanente – South Sacramento Medical Center
(916) 688-2014

Charles T. Brownridge
Sutter Health
(916) 262-9400

Richard Florio
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Dmitri V. Gelfand
Sutter Health
(916) 773-8750

Misty D. Humphries
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3800

Addison McMurtry
Kaiser Permanente – Roseville Medical Center
(916) 784-4144

Brian D. Park
Sutter Health
(916) 262-9400

Thomas C. Park
Sutter Health
(916) 262-9400

William C. Pevec
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center
(916) 734-3800

Handel Robinson
Mercy Medical Group
(916) 536-2584

Victor M. Rodriguez
UC Davis Health – Cypress Building
(916) 734-2680

Ali Tajlil
Sutter Health
(916) 733-6890

Eric Williams
Kaiser Permanente – Sacramento Medical Center
(916) 973-5235

toenail fungus

Keeping Your Toenails Fungus Free

About 10 percent of Americans have it—and up to half of Americans over the age of 70 have it, too. What is it? It’s toenail fungus, and, if left untreated, it can eventually destroy your toenail and spread to surrounding nails. Matthew Garrison, D.P.M., of Mercy Medical Group gives us the scoop—and tells us how to prevent it from happening.

What exactly is toenail fungus?
Toenail fungus is an infection involving the nail plate and bed with dermatophytes, molds and yeasts. Signs of toenail fungus are nail discoloration, brittleness, thickness, odor, nail shape change and pain.

Is it contagious? What is the most common cause?
It’s contagious, but not in the same way as bacterial or viral infections spread. That’s not to say one should share toenail clippers, socks, shoes or showers with someone known to have toenail fungus—certainly don’t do that. Fungus thrives in a warm, dark and moist environment, which is why it affects toenails more than fingernails. The most common causes include wearing shoes with closed toes often, having sweaty feet, using nail polish on the toenails and having routine pedicures, or exercising in shoes and causing micro-injuries to the nail plate complex, which allows fungus the opportunity to enter underneath the shell.

Once you’ve had toenail fungus, are you more susceptible to getting it again?
Not necessarily, but there is no vaccine, so repeat infections definitely occur. People over the age of 65 or people with an immunocompromised condition are more prone to developing recurrent fungal infections.

How do you treat it?
The only way to “cure” it is to have a permanent nail removal, which is a common procedure for a lot of people. Treatment for toenail fungus includes topical medicines (such as home remedies like tea tree oil or white vinegar soaks) as well as over-the-counter and prescription options. Another option is oral medication, which typically requires a blood test to monitor liver and kidney health while taking the medication and not recommended to those who may be taking other medications or who have medical conditions known to possibly damage those organs. Laser treatments are also available, but those are typically not covered by insurance. Combining treatments is also an option, which commonly includes temporary nail removal and topical and/or oral medication during the nail regrowth phase.

There are also preventive strategies: Leave shoes that have been worn all day or exercised in to sit outside in sunlight and air; never shove socks inside the shoes for a lengthy time; consider anti-fungal sprays in shoes when you store them; change your socks frequently if there is a high moisture concentration; and alternate wearing work or exercise shoes.