Top Docs List 2019

Top Docs

Graduating from medical school, completing a residency and obtaining a state medical license are high achievements, yet some doctors have reached an even higher level. Sacramento Magazine’s Top Doctors list includes only physicians who have received a nod of approval from their peers. In fact, 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, verifying each doctor’s credentials and specific areas of expertise. To learn more about the selection process, go to prscom.com. We also asked nine Top Doctors to explain the latest information on subjects ranging from vaping dangers to advances in immunotherapy.

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 sshevin@hour-media.com. To purchase Top Doctors plaques, please see prsawards.com.


Addiction Medicine

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

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

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

Allison Meisner
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) 734-3112


Allergy and Immunology

Ali Amirzadeh
Dignity Health – Mercy Medical Group, (916) 733-3303

Matthew S. Bowdish
Sutter Independent Physicians – The Allergy Center at Sacramento ENT, (916) 736-6644

Bradley E. Chipps
Sutter Independent Physicians – Capital Allergy & Respiratory Disease Center, (916) 453-8696

Angelina Crans Yoon
Dignity Health – Woodland Clinic, (530) 668-2600

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

Asha Desai
Sutter Independent Physicians – The Allergy Center at Sacramento ENT, (916) 736-6644

Victoria Dimitriades
UC Davis Children’s Hospital, (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 Medical Group, (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
Dignity Health – Mercy Medical Group, (916) 733-3304

Nayoung Kim
Kaiser Permanente – Sacramento Medical Center, (916) 480-6500

Arvind Kumar
Kaiser Permanente – Roseville Medical Center, (916) 784-4220

Binita Mandal
Dignity Health – Mercy Medical Group, (916)  844-1590

Joseph T. Marino
Sutter Independent Physicians – The Allergy Center at Sacramento ENT, (916) 736-6644

Rajan Merchant
Dignity Health – Woodland Clinic, (530) 668-2600

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

Neil Parikh
Sutter Independent Physicians – Capital Allergy & Residential Disease Center, (916) 453-8696

Chiraag Patel
Sutter Independent Physicians – Pulmonary Medicine Associates, (916) 325-1040

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

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


allergies

mark

Local, Seasonal Allergies

Mark Grijnsztein, MD
Allergy/Immunology
Sutter Medical Group

Depending on who you ask, Sacramento is the City of Trees—or the City of Wheeze. Come spring, it’s hard to go a day without hearing someone sneezing, coughing, rubbing their eyes, or simply talking about their allergies. Is it true that seasonal allergies are worse in Sacramento than other places?

Do allergies seem to be worse in Sacramento than other parts of the country? If so, what contributes to this?
Allergies are bad in Sacramento due to the warm, windy climate during the spring and summer months, which is conducive to pollen distribution. Since we are a large agricultural region, there is high exposure to allergens like grass pollen. That being said, there are many areas in the country that have bad allergies as well.

Is it true that Sacramento has some of the unhealthiest air quality in the United States? How does this affect allergies?
According to the American Lung Association, Sacramento has some of the worst exposures to ozone and particle pollution. Ozone and particle pollution are airway irritants that cause allergy-like symptoms of the nose and sinuses along with respiratory problems, including asthma and COPD exacerbations.

Are things like a whole house fan bad for people with seasonal allergies?
Whole house fans without filtration of the air being used can obviously increase allergy exposure to whatever is outside in the environment.

What’s the connection between local honey and allergies? Is that a valid form of over-the-counter relief?
There is a widespread belief that eating local honey will help allergy symptoms by exposing you to pollen in small amounts to desensitize you (similar to allergy shots). Local honey does in fact contain small amounts of pollen; however, it is pollen from local flowers which are less likely to cause allergy symptoms compared to allergenic airborne pollen from trees, grass and weeds. This makes it less likely to help for significant allergy symptoms.

What is something that the average person might not know about allergies?
Two things: Vitamin C is a natural antihistamine and may help control allergy symptoms. Also, viral illness is the most common cause of hives, rather than pollen or food allergies.


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

Jens Bjerregaard
Kaiser Permanente – Sacramento Medical Center, (916) 973-5000

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

Rajvinder Dhamrait
UC Davis Health, (916) 734-5031

Richard Dunbar
Kaiser Permanente – Roseville Medical Center, (916) 784-4000

Kenneth Furukawa
UC Davis Health, (916) 734-5031

Thomas L. Hughes
UC Davis Health, (916) 734-5031

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

Seth Lerner
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2574

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

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

Hiral Patel
Kaiser Permanente – Roseville Medical Center, (916) 784-4000

Niroop Ravula
UC Davis Health, (916) 734-5031

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

David Lewis Wolf
UC Davis Health, (916) 734-5031

Aubrey Yao
UC Davis Health, (916) 734-5031


Breast Surgery

Balazs Bodai
Kaiser Permanente – Sacramento Medical Center, (916) 614-4055

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

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

Joyce A. Eaker
Sutter Medical Group, (916) 262-9404

Lisa M. Guirguis
Sutter Medical Group, (916) 733-9660

Joelle Jakobsen
Dignity Health – Mercy Medical Group, (916) 536-3500

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

Brooke Vuong
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2014

Mindy Young-Reeves
Kaiser Permanente – Roseville Medical Center, (916) 784-4144


Cardiac Surgery

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

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

Michael T. Ingram
Sutter Independent Physicians – Sacramento Cardiovascular Surgeons, (916) 452-8291

Richard Kaplon
Dignity Health – Mercy Medical Group, (916) 733-6850

Robert Kincade
Sutter Independent Physicians – Sacramento Cardiovascular Surgeons, (916) 452-8291

James Longoria
Sutter Independent Physicians – Sacramento Cardiovascular Surgeons, (916) 452-8291

Allen Morris
Dignity Health – Mercy Medical Group, (916) 733-6850

Teimour Nasirov
Sutter Medical Center, Sacramento, (916) 340-0111

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

Gary Raff
Shriners Hospital for Children, (916) 453-2191

Amy Rahm
UC Davis Children’s Hospital, (916) 734-3112

Victor M. Rodriguez
UC Davis Medical Center – Cypress Building, (916) 734-2680

Stephen Rossiter
Dignity Health – Mercy Medical Group, (916) 733-6850

Kapil Sharma
Dignity Health – Mercy Medical Group, (916) 733-6850

Frank Slachman
Dignity Health – Mercy Medical Group, (916) 733-6850

J. Nilas Young Jr.
UC Davis Medical Center – Cypress Building, (916) 734-3861

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


Cardiology

Scott Baron
Capitol Interventional Cardiology, (916) 967-4278

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

Richard P. Ericson
Sutter Medical Group, (916) 887-4040

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

Kathryn A. Glatter
Dignity Health – Woodland Clinic, (530) 668-2600

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

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

Peter Kim
Kaiser Permanente – Sacramento Medical Center, (916) 973-5282

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

John Ko
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4000

Joseph Kozina
Dignity Health – Mercy Medical Group, (916) 736-2323

David Lao
Dignity Health – Mercy Medical Group, (916) 536-3560

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 Morrissy
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4000

Minal Patel
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4000

Stephen R. Peters
Sutter Independent Physicians – Roseville Cardiology Medical Associates, (916) 782-2146

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

David K. Roberts
Sutter Medical Group, (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

Inder Singh
Dignity Health – Mercy Medical Group, (916) 733-3344

Thomas Smith
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (800) 282-3284

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

Kevin Stokke
Dignity Health – Woodland Clinic, (530) 668-2600

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

Zijian Xu
Sutter Medical Group, (916) 887-4040

Scott Yang
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4000


vaping dangers

Dr. Samjot Dhillon

Vaping Dangers

Samjot Singh Dhillon, M.D.
Pulmonary, Critical Care and Sleep Medicine
Kaiser Permanente

Vaping—smoking an electronic cigarette with a handheld battery-powered vaporizer—was once thought of as a “safer” alternative to conventional smoking. Turns out, that claim was hot air. With nearly 20 fatalities due to complications related to vaping and more than 1,000 vaping-related illnesses across the country coming to light, it’s time to talk.

What is the biggest danger of vaping?
The two biggest dangers are acute lung injury, which is now being increasingly recognized, and the increasing prevalence of vaping in the younger population, who presumes this to be a safer alternative to smoking and are oblivious of the risks.

In the instances of death due to complications from vaping, were there special circumstances? Is everyone at risk?
At this time, anyone vaping is at risk of lung injury. No pre-existing ailment has been identified yet which specifically predisposes to this condition or death.

E-cigarettes have been popular for a while. Why are we just hearing about how dangerous vaping is now?
Isolated cases have been published for more than seven years, so this phenomenon is not entirely new. In 2018, more than 3.6 million American middle- and high-school students used e-cigarettes in the previous 30 days, including every fifth high-school student and every 20th middle-school student. Since the industry is not FDA regulated, the exact ingredients of e-cigarettes are not even known in many instances. Increased prevalence of vaping, alteration of chemical composition and modification of devices, illicit production and improved recognition have all likely contributed to more reports of harm.

What symptoms should people who vape look for? Is the damage irreparable
Symptoms could be respiratory (cough, shortness of breath, chest pain); gastrointestinal (nausea, vomiting, diarrhea, abdominal pain); or systemic (fever, weight loss, fatigue). The acute respiratory disease related to vaping seems to respond to the cessation of vaping and treatment with corticosteroids in the vast majority of patients, but some patients did not survive the condition, so this response cannot be generalized. Long-term consequences of vaping-related respiratory illnesses are not yet known.

What is something that the average person may not know about vaping?
While most vaping-induced lung injury was reported in those who used THC, one study reported that 17 percent of the patients used nicotine-only products. E-cigarette devices while stored or while being used have also been reported to cause chemical injuries, burns and even explosive injuries. Cases of liquid nicotine poisoning were also reported in children, resulting in legislation requiring child-resistant packaging.


Colon and Rectal Surgery

James M. Conner
Sutter Independent Physicians – Sacramento Colon and Rectal Surgery Medical Group, (916) 966-6121

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

Burzeen E. Karanjawala
Sutter Independent Physicians – Sacramento Colon and Rectal Surgery Medical Group, (916) 231-1050

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

Thomas Magrino
Dignity Health – Woodland Clinic, (530) 668-2600

Ranganath Pathak
Sutter Independent Physicians – Sacramento Colon and Rectal Surgery Medical Group, (916) 960-0466

David Rodriguez
Capitol Colon and Rectal Surgery, (844) 269-4349

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

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

Jeanne Yu
Sutter Independent Physicians – 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
Sutter Independent Physicians – Pulmonary Medicine Associates, (916) 325-1040

Shawn S. Aghili
Sutter Independent Physicians – 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
Dignity Health – Mercy Medical Group, (916) 733-3323

Hugh Black
UC Davis Medical Group, (916) 734-8230

Sabrina Chen
Kaiser Permanente – South Sacramento Medical Center,  (916) 688-4821

Samjot Dhillon
Kaiser Permanente – Roseville Medical Center, (916) 784-5375

Darshan Dhingani
Dignity Health – Mercy Medical Group, (916) 733-3304

Amit Gupta
Kaiser Permanente – Sacramento Medical Center, (916) 973-7618

Paul Hoffman
Dignity Health – Mercy Medical Group, (916) 733-3323

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

Francis Lam
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

Brian M. Morrissey
UC Davis Medical Group, (916) 734-8230

Dan-Vinh Nguyen
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4821

Seth Robinson
Dignity Health – Woodland Clinic, (530) 668-2600

Christian M. Sebat
UC Davis Health Medical Group – Folsom, (916) 985-9300

Walter Shakespeare
Kaiser Permanente – Roseville Medical Center, (916) 784-5375


Dermatology

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

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

Christie Carroll
Dignity Health – Woodland Clinic, (530) 668-2600

Cynthia Chambers
Sutter Independent Physicians – Pacific Skin Institute, (916) 925-7020

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, Inc., (916) 966-6444

Farzam Gorouhi
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2045

Mary E. Horner
Sutter Independent Physicians – Dermatology Consultants of Sacramento, (916) 739-1505

Debra Horney
Dignity Health – Woodland Clinic, (530) 668-2600

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

Jesse Kramer
Dignity Health – Mercy Medical Group, (916) 733-3304

Wen En Kuo
Kaiser Permanente – Sacramento Medical Center, (916) 771-7700

Sangeeta Marwaha
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2045

Karen Y. Nishimura
Sutter Medical Group, (916) 797-4766

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

Margaret E. Parsons
Sutter Independent Physicians – Dermatology Consultants of Sacramento, (916) 739-1505

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

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

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

Raja Sivamani
Sutter Independent Physicians – Pacific Skin Institute, (916) 925-7020

Danielle Marie Tartar
UC Davis Health, (916) 734-6111

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


Ear, Nose and Throat

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

Peter Belafsky
UC Davis Health, (916) 734-5400

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 – Roseville Medical Center, (916) 784-5880

David A. Evans
Sutter Independent Physicians – Sacramento Ear, Nose & Throat, (916) 736-3399

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

Tim A. Fife
Sutter Independent Physicians – Sacramento Ear, Nose & Throat, (916) 782-1291

Jamie Lauren Funamura
UC Davis Children’s Hospital, (916) 734-5400

Eli R. Groppo
Sutter Independent Physicians – 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

Michael J. Kearns
Sutter Independent Physicians – Sacramento Ear, Nose & Throat, (916) 966-2700

Maggie A. Kuhn
UC Davis Health – Glassrock Building, (916) 734-5400

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

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

Richard McHugh
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6350

Deanne Nyland
Dignity Health – Mercy Medical Group, (916) 536-3600

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

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

Shannon Poti
Kaiser Permanente – South Sacramento Medical Center, (915) 525-6350

Brian Rubinstein
Kaiser Permanente – Roseville Medical Center, (916) 474-2600

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

Shoab Siddique
Dignity Health – Mercy Medical Group, (916) 733-3312

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

Travis Tate Tollefson
UC Davis Health, (916) 734-2347

Steven Wright
Dignity Health – Woodland Clinic, (530) 668-2600

Matthew Benjamin Zavod
Dignity Health – Woodland Clinic, (530) 668-2600


Emergency Medicine

Emily Andrada
UC Davis Children’s Hospital, (800) 282-3284

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

Rupinder Chima
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2106

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

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

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

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

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

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

John Wong
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2106


immunotherapy

Dr. Lai Fong Hui

Immunotherapy for Cancer

Lai Fong Hui, M.D.
Hematology/Oncology
Kaiser Permanente

Chemotherapy blasts cancer cells directly, but some types of cancers are being successfully treated with immunotherapy. Immunotherapies alter our immune systems to prevent or treat infection, autoimmune diseases and, in some cases, cancer. Here’s the latest on this treatment.

What exactly is immunotherapy?
Vaccination is one type of immunotherapy that most people are familiar with. The hepatitis B vaccine was approved in the 1980s to prevent liver cancer, a vaccinelike drug was approved in 2010 to treat prostate cancer, and the HPV vaccine was approved in 2014 to prevent HPV-related diseases such as cervical and oral cancer. Another type of immunotherapy is monoclonal antibody, which binds to the receptors on the surface of cancer cells, triggering the immune system to kill those cells. The two hot topics in the immunotherapy world today are checkpoint inhibitors and CAR T (chimeric antigen receptor T cell). We have checkpoints in our immune system to prevent it from overworking and attacking our own organs, but these checkpoint proteins can keep T cells from killing cancer cells. Checkpoint inhibitors block these links, so the T cells can attack them. During CAR T therapy, a patient’s T cells are collected, modified and expanded in the laboratory. These CAR T cells are then re-infused back into the patient to kill the cancer cells.

What kind of cancers can be treated with immunotherapy?
Checkpoint inhibitors are mainly used in solid tumors, such as melanoma, kidney, lung, bladder, and head and neck cancers. It can also be used in some specific types of breast, stomach and intestinal cancers. CAR T cell therapy was first used successfully in children with leukemia, and it is now also used in adults with non-Hodgkin’s lymphomas.

How effective is immunotherapy?
Monoclonal antibodies are usually combined with chemotherapy and produce a response rate in 40 to 70 percent of patients, depending on the stage of the cancer. For metastatic melanoma, 50 to 60 percent of patients are alive at the three-year mark in this otherwise deadly disease. For kidney cancer, the response rate can be 50 to 60 percent, and patients live longer.

What are the side effects of immunotherapy?
Patients undergoing immunotherapy are usually admitted to the hospital during treatment. Vaccines are generally very well-tolerated. Monoclonal antibodies are also well-tolerated, except some manageable acute reactions during infusions. The antibodies can cause infections, but very rarely serious organ damage. Checkpoint inhibitors work by boosting the immune system. When the immune system is overactivated, a patient can experience inflammation or organ malfunction, such as diarrhea, shortness of breath, cough, and high or low thyroid function. CAR T therapy can cause cytokines to be released during the treatment, so patients can have severe acute reactions, like high fever, chills, low blood pressure or confusion.

What is something that the average person may not know about immunotherapy?
Some patients with leukemia, lymphoma or melanoma can achieve very long remission, and therefore possibly or likely be cured. We are truly making progress on cancer treatments. I’m hopeful and very grateful.


Endocrinology, Diabetes, and Metabolism

Adeela N. Ansari
Adeela N. Ansari, MD, (855) 539-5966

Stephanie Crossen
UC Davis Health, (916) 734-3112

Shazia Faiz
Dignity Health – Woodland Clinic, (530) 668-2600

Kent Ishihara
Kaiser Permanente – Roseville Medical Center, (916) 784-4004

Siddika 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 Medical Group, (916) 455-3700

Patricia Ostrander
Dignity Health – Mercy Medical Group, (916) 733-3346

Deborah Plante
Plante Wellness, (916) 367-4000

Chaithra Prasad
Kaiser Permanente – Roseville Medical Center, (916) 784-4004

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

Dana M. Sheely
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 Medical Group, (916) 455-3700


Family Medicine

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

Nova Aguila
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2106

Peter Ash
Kaiser Permanente – Sacramento Medical Center, (916) 614-4040

Mark Babo
Kaiser Permanente – Sacramento Medical Center, (916) 973-5243

Thomas Balsbaugh
Kaiser Permanente – Sacramento Railyard Med Center, (866) 454-8855

Kimberly Cafarella
Dignity Health – Mercy Medical Group, (916) 351-4800

Biljinder Chima
Sutter Independent Physicians – Rocklin Family Practice and Sports Medicine, (916) 624-0300

Rino Dizon
Kaiser Permanente – Sacramento Railyard Med Center, (866) 454-8855

John F. Gisla Jr.
Dignity Health – Mercy Medical Group, (916) 351-4800

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

Mary Monroe-Rodman
Dignity Health – Woodland Clinic, (530) 668-2600

Christopher Olson
Dignity Health – Mercy Medical Group, (916) 933-4222

Anna Rose Pinlac Sanchez
Kaiser Permanente – Elk Grove Big Horn Medical Offices, (916) 478-5100

Joan Bianca Roberts
Dignity Health – Mercy Medical Group, (916) 575-8000

Olivier Seban
Dignity Health – Woodland Clinic, (530) 668-2600

Katherine Stewart
Kaiser Permanente – Folsom Medical Offices, (916) 817-5200

Christopher Swales
Dignity Health – Woodland Clinic, (530) 668-2600

Timothy Takagi
Mercy Family Health Center, (855) 784-7289

Daniel S. Wittkop
Kaiser Permanente – Sacramento Medical Center, (916) 614-4040


Gastroenterology

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

Amar Al-Juburi
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-0779

Latifat Alli-Akintade
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2028

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

Sreepriya Balasubramanian
Kaiser Permanente – Roseville Medical Center, (916) 474-6221

Christopher L. Bowlus
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-0779

Kathlynn Caguiat
Kaiser Permanente – Sacramento Medical Center, (916) 973-5380

Albert Chang
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2028

William Chen
Dignity Health – Mercy Medical Group, (916) 536-2596

Serag Dredar
Sutter Medical Group, (916) 262-9370

Theodor Feinstat
Sutter Medical Group, (916) 773-6200

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

Chhaya Hasyagar
Kaiser Permanente – Sacramento Medical Center, (916) 973-5380

Thomas Imperato
Dignity Health – Mercy Medical Group, (916) 423-2124

Abdul M. Khaleq
Sutter Medical Group, (916) 262-9370

Rana Khan
Dignity Health – Mercy Medical Group, (916) 733-3370

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

Robert Levy
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2028

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

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

Kuldip Sandhu
Dignity Health – Mercy Medical Group, (916) 536-2596

Bhavneet Singh
Kaiser Permanente – Roseville Medical Center, (916) 474-6221

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

Loc Ton
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2028

Cara Torruellas
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2028

Jason Umphress
Dignity Health – Woodland Clinic, (530) 668-2600

Shiro Urayama
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-0779

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


General Surgery

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

Michael Beneke
Sutter Medical Group, (916) 262-9404

Natasha Bir
Dignity Health – Woodland Clinic, (530) 668-2600

Christopher Chiu
Kaiser Permanente – Roseville Medical Center, (916) 784-4144

Andres Crowley
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2014

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

Sepideh Gholami
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

Damon Herr
Kaiser Permanente – Sacramento Medical Center, (916) 973-5235

Joelle Jakobsen
Dignity Health – Mercy Medical Group, (916) 536-3500

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

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

Eric T. London
Sutter Medical Group, (916) 262-9404

Eric Morse
Dignity Health – Mercy Medical Group, (916) 536-3500

Carlos Perez
Kaiser Permanente – Sacramento Medical Center, (916) 973-5235

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

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
Dignity Health – Mercy Medical Group, (916) 351-4800

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

Karen Win-Vroom
Dignity Health – Woodland Clinic, (530) 668-2600

Mindy Young-Reeves
Kaiser Permanente – Roseville Medical Center, (916) 784-4144


Genetics

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

Suma P. Shankar
UC Davis Health – MIND Institute, (800) 282-3284

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


Geriatric Medicine

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

Ashkan Javaheri
Dignity Health – Mercy Medical Group, (916) 733-3460

Huey C. Lin
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-3630

Vanessa Mandal
Dignity Health – Mercy Medical Group, (916) 733-3460

Janice Rogers
Kaiser Permanente – South Sacramento Medical Center, (916) 627-7685


IUD

Dr. Karyl Andolina

IUD Facts

Karyl Andolina, M.D.
Obstetrics/Gynecology
Kaiser Permanente

IUDs are more popular than ever. In 2002, only 1.5 percent of women used IUDs, but a 2018 study showed that a record 4.4 million women—7.8 percent of all American women—now have an IUD. Is it finally time to ditch the pill?

What are the risks and side effects?
The biggest risk is very rare: During placement, the IUD can go through the uterus and require surgical removal. Though there is less than a 1 percent chance of pregnancy with an IUD, if you do get pregnant, there is a risk of it being ectopic (outside of the uterus). However, the risk of this is still lower with the IUD versus not being on birth control or being on the pill, because the risk of pregnancy is so much lower.

Are there any clear benefits to choosing an IUD instead of the pill?
They don’t cause weight gain or mood changes. They do not increase your risk of stroke or high blood pressure. They are much more effective in preventing pregnancy than the pill, because it’s easy to miss a pill. You don’t have to think about the IUD.

What are the different kinds of IUDs?
There are two types: with and without hormones. The copper IUD is effective for 12 years and doesn’t change the timing of your period. It may increase menstrual cramps and bleeding, so it’s best for women with lighter periods. The progesterone IUDs help to significantly lighten your period, decrease pelvic pain, decrease risk of uterine cancer and decrease pain during your period. Depending on the brand, they are effective for three to seven years. This IUD can really help teenage girls who miss school or sports due to their painful, heavy periods, or have a low blood count (anemia).

What’s something the average person might not know about IUDs?
Progesterone IUDs are so effective at slowing blood loss due to periods that the hysterectomy rate in the United States has dropped significantly.


Gynecologic Oncology

Rebecca A. Brooks
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

Priyal Dholakiya
Dignity Health – Mercy Medical Group, (916) 556-3164

Kevin Elliott
Dignity Health – Mercy Medical Group, (916) 556-3164

Wiley Fowler
Dignity Health – Mercy Medical Group, (916) 733-5300

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

Rachel Ruskin
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

Neha Shah
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

Christopher O. Bayne
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-2700

Benjamin Bluth
Dignity Health – Mercy Medical Group, (916) 536-2408

Stephen Hankins
Sutter Medical Group, (916) 797-4725

Chetan Shawn Irwin
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (800) 482-3284

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

Clifford Thomas Pereira
UC Davis Health – Cypress Building, (800) 282-3284

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

Daniel N. Switlick
Sutter Medical Group, (916) 797-4725

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

Hoang N. Tran
Dignity Health – Woodland Clinic, (530) 668-2600

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

Christopher J. Wilson
Sutter Independent Physicians – Hand Surgery Associates, (916) 457-4263


Hematology and Oncology

Alborz Alali
Dignity Health – Woodland Clinic, (530) 668-2600

Deepti Behl
Sutter Medical Group, (916) 453-3300

Kristie A. Bobolis
Sutter Medical Group, (916) 782-5106

Michael P. Carroll
Sutter Medical Group, (916) 733-4400

Helen K. Chew
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

Scott D. Christensen
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

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

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

Lai Hui
Kaiser Permanente – Sacramento Railyard Med Center, (916) 497-3100

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

John Kailath
Sutter Independent Physicians – Sierra Hematology Oncology Medical Center, (916) 962-1544

Ram Lalchandani
Sutter Independent Physicians – Sierra Hematology Oncology Medical Center, (916) 962-1544

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

Anjlee Mahajan
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-3461

Sarah Perez
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2086

Sivakumar Reddy
Sutter Medical Group, (916) 782-5106

Sonia Reichert
Dignity Health – Woodland Clinic, (530) 668-2600

Jonathan Riess
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

Ana Rodriguez Fahrni
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2086

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

Antoine Sayegh
Kaiser Permanente – Roseville Medical Center, (916) 784-5626

Samer Shihabi
Dignity Health – Mercy Medical Group, (916) 691-8500

Shahzad Siddique
Dignity Health – Mercy Medical Group, (916) 733-5300

Ryan Stevenson
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2086

David Sun
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2086

Joseph M. Tuscano
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

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

Theodore Wun
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959


Hospice and Palliative Medicine

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

Janelle Minter
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2106

Greg Naughton
Kaiser Permanente – Sacramento Medical Center, (916) 648-6920

Jennifer Osborn
Dignity Health – Mercy Medical Group, (916) 537-5079

Janice Rogers
Kaiser Permanente – South Sacramento Medical Center, (916) 627-7685

Jeffrey Yee
Dignity Health – Woodland Clinic, (530) 668-2600


Infectious Disease

Sanaz Abderrahmane
Dignity Health – Mercy Medical Group, (916) 733-5995

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

Mohammad Jaber Kabbesh
Dignity Health – Mercy Medical Group, (916) 733-5995

Ranjani Kalyan
Sutter Independent Physicians – Pulmonary Medicine Associates, (916) 786-7498

Brett R. Laurence
Sutter Independent Physicians – 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

Meryl Perez
Sutter Independent Physicians – Pulmonary Medicine Associates, (916) 786-7498

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

Sudershan Singh
Dignity Health – Woodland Clinic, (530) 668-2600

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

Robert Zimmerman
Dignity Health – Mercy Medical Group, (916) 733-5995


Internal Medicine

Joi Barrett
Sutter Medical Group, (916) 733-8713

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

Gary Chu
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2106

Shahnaz Iqbal
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2106

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

Eliot Mah
Kaiser Permanente – Sacramento Medical Center, (916) 614-4040

Kathryn Diane Newell
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-2737

Jon Oide
Kaiser Permanente – Elk Grove Big Horn Medical Offices, (916) 688-2106

Jane Tsai
Dignity Health – Mercy Medical Group, (916) 733-3333

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

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

Jeffrey Yee
Dignity Health – Woodland Clinic, (530) 668-2600


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
Sutter Independent Physicians – Perinatal Associates of Sacramento, (916) 862-9900

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

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 E. Milan
Valley Children’s Medical Group, (916) 758-6670

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

Sima Parmar
Sutter Independent Physicians – Perinatal Associates of Sacramento, (916) 862-9900

Carolina Reyes
Valley Children’s Medical Group, (916) 758-6670

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


Neonatal and Perinatal Medicine

Carolyn Getman
Dignity Health – Mercy Medical Group, (916) 537-5135

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
Sutter Independent Physicians – Summit Nephrology, (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

Elena V. Gelfand
Sutter Independent Physicians – Capital Nephrology Medical Group, (916) 929-8564

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

Jasminder Momi
Dignity Health – Mercy Medical Group, (916) 733-5336

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

Roopinder Poonia
Dignity Health – 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
Sutter Independent Physicians – Summit Nephrology, (916) 789-1505

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


wine cannabis and pregnancy

debra wright, md

Wine, Cannabis and Pregnancy

Debra Wright, M.D.
Obstetrics/Gynecology
UC Davis Children’s Hospital

When you’re literally growing a human, it’s your instinct to do everything you can to protect it. But at the same time, you’re a human, too—and nine months without a glass of wine can be a long time. Perhaps you have a friend who swears her doctor said a glass was fine. Plus, your own mom confesses that she drank some wine, and you turned out OK. What’s the truth about wine?

Real talk. Is a little bit of wine OK? Like, even half a glass, one time?
The thing is that we don’t know, so the safest amount is to avoid alcohol during pregnancy. It’s something that you can’t ethically do a research study on—like, “OK, you have a sip of wine, you have a glass of wine, you have two glasses of wine” and see what happens. We probably won’t ever be able to answer this in a definitive way.

Do things become more relaxed during the third trimester?
Even in the third trimester, there is still some concern that there could be cognitive or behavior deficits to the baby.

Why are there so many conflicting news articles and books? Is this largely a matter of opinion?
Possibly, to some degree. Some of it may be cultural: In Europe, some people are a bit more relaxed about alcohol intake in general. My opinion is that when we don’t know the answer and it’s something that you don’t need to use, it’s safer just to avoid alcohol.

Many pregnancies are unplanned, so presumably, there are plenty of babies born whose mothers did unknowingly drink at some point at the beginning of the pregnancy. How often do we see the effects of this early consumption?
In a perfect world, people wouldn’t drink if they were at risk of pregnancy, but many women will have a story about how they drank alcohol before becoming aware that they were pregnant. Of course, many have babies that are not impacted, but then, some will. One thing that people might not be aware of is that binge drinking has been associated with fetal alcohol syndrome—so someone who isn’t a heavy or regular drinker, but has a binge, [can be affected]. The CDC defines binge drinking for women as consuming four or more drinks in approximately two hours.

What is something that the average person might not know about alcohol consumption and pregnancy?
Actually, most women are concerned about alcohol intake during their pregnancies. Many stop drinking, and they stop eating sushi and deli meats. But they don’t follow the same recommendations when it comes to marijuana intake, especially now that it’s legal. We don’t know the impacts of marijuana on pregnancy and babies, but that drug has a tendency to be attracted to fat cells—which is what makes up the baby’s brain. We still see people smoking or eating cannabis, and a surprising amount of people do it for nausea symptoms related to their pregnancy.


Neurology

Ryan Armour
Dignity Health – Mercy Medical Group, (916) 733-5779

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

Shahnawaz Karim
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2050

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

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

Marc Eugene Lenaerts
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-3588

Peter Skaff
Dignity Health – Mercy Medical Group, (916) 351-4800

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

Vicki L. Wheelock
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-3588


Neurosurgery

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

Samuel F. Ciricillo
Sutter Medical Group, (916) 454-6850

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

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

Fady Girgis
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-4300

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

Griffith R. Harsh IV
UC Davis Health – Midtown Ambulatory Care Center, (800) 282-3284

Mark Hawk
Kaiser Permanente – Sacramento Medical Center, (916) 973-5490

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

Kee D. Kim
UC Davis Health, (916) 734-7463

Joshua Lucas
Dignity Health – Mercy Medical Group, (916) 536-3665

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

Praveen Prasad
Dignity Health – 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

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


Nuclear Medicine

Cameron C. Foster
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (800) 282-3284

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

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

John Webb
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2029


Obstetrics and Gynecology

Karyl Andolina
Kaiser Permanente – Rancho Cordova Medical Offices, (916) 631-3080

Jennifer Baumbach
Kaiser Permanente – Roseville Medical Center, (916) 784-4148

Jocylen Glassberg
UC Davis Health, (530) 747-3000

Laurie Gregg
Sutter Independent Physicians – Sacramento Women’s Health, (916) 927-3178

Melody Y. Hou
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-6900

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

Rebecca King
Kaiser Permanente – Sacramento Medical Center, (916) 614-4055

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

Alexander Locke
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2055

Judith Mikacich
Sutter Independent Physicians – Sacramento Women’s Health, (916) 927-3178

Bahareh M. Nejad
UC Davis Health – Roseville, (916) 783-7409

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

Kathleen Rooney
Sutter Independent Physicians – Sacramento Women’s Health, (916) 927-3178

Debra D. Wright
UC Davis Children’s Hospital, (800) 282-3284

Amira Zaid
Dignity Health – Woodland Clinic, (530) 668-2600


Occupational Medicine

David Caretto
Dignity Health – Mercy Medical Group, (916) 733-3390

Stella Dao
Kaiser Permanente – Folsom Medical Offices, (916) 817-5667

Wesley Hashimoto
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2005

Susan Scholey
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2005


Ophthalmology

Robert Bellinoff
Dignity Health – Mercy Medical Group, (916) 733-3311

James David Brandt
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-6602

Carmine Cammarosano
Dignity Health – Woodland Clinic, (530) 668-2600

Margaret Chang
Sutter Independent Physicians – Retinal Consultants, (916) 454-6191

David Cupp
Sutter Independent Physicians – Retinal Consultants, (916) 454-6191

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

Nandini G. Gandhi
UC Davis Health Medical Group – Roseville, (916) 783-7109

Sukhjit Johl
Kaiser Permanente – Sacramento Medical Center, (916) 614-4015

Richard A. Jones
Sutter Independent Physicians – Eye Site Sacramento, (916) 452-8105

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

Samuel H. Lee
Sutter Independent Physicians – Sacramento Eye Consultants, (916) 649-1515

Sung Lee
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6400

Richard A. Lewis
Sutter Independent Physicians – Sacramento Eye Consultants, (916) 649-1515

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

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

Joel A. Pearlman
Sutter Independent Physicians – Retinal Consultants, (916) 454-6191

Gregory Rabin
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6400

Patricia B. Sierra
Sutter Independent Physicians – Sacramento Eye Consultants, (916) 649-1515

Christianna Stuber
Dignity Health – Mercy Medical Group, (916) 351-4800

David G. Telander
Sutter Independent Physicians – Retinal Consultants, (916) 454-6191

George Watson
Kaiser Permanente – Roseville Medical Center, (916) 784-4185

Robert T. Wendel
Sutter Independent Physicians – Retinal Consultants, (916) 454-6191

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
Dignity Health – 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

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

Samuel Hu
Dignity Health – Mercy Medical Group, (916) 733-5700

William Junglas
Dignity Health – Mercy Medical Group, (916) 733-5700

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

Dennis Meredith
Dignity Health – Woodland Clinic, (530) 668-2600

R. Lor Randall
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-2700

David W. Tai
Sutter Independent Physicians, (916) 732-3340

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

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


screen time

Robert Bellinoff, md

Screen Time and Eye Health

Dr. Robert Bellinoff, MD
Ophthalmology
Mercy Medical Group

Even if you’re eating well, staring at screens all day can’t be optimal, can it? What can we do to mitigate eye strain and dryness? Are those blue-light filtering glasses worth anything? And is scrolling Instagram before bed hazardous to your health? Here’s some insight.

As the current screen-heavy population ages, can we expect to see more eye problems and diseases than in previous generations?
There’s no scientific evidence that screen time, in and of itself, causes damage to the eyes. Unlike exposure to ultraviolet light from the sun, which can increase the risk of eye diseases including cataracts and cancers on the surface of the eye, there is no evidence that the blue light from digital screens has a harmful effect on the eyes themselves. That being said, one can certainly get eye strain and dry eyes from spending extended periods of time on a digital device. This is because we tend to blink less often when we are focused on looking at a screen, reading a book, or doing other close-up work for extended periods of time.

How much screen time per day is considered safe?
The American Academy of Pediatrics has spelled out digital device time recommendations for each age group. Children under 18 months should avoid all use of screen media other than video chatting. Children between the ages of 2-5 years should be limited to one hour per day of high-quality programs. Ages 6-12 years should be limited to two hours per day of screen time. Ages 13-18 years also should be limited to less than 3 hours per day. As with all guidelines, parents must use their best judgment and common sense when it comes to their individual child’s screen time. The bottom line is that less is better when it comes to our exposure to screen time and health.

Does taking breaks from looking at the screen help?
Taking a break definitely helps. Prolonged digital device usage often leads to a syndrome called “digital eye strain.” Typical symptoms include eye pain, blurred vision, dry eyes, headaches, and even neck and shoulder pain.  While on our digital devices, the following can lead to eye problems: blinking less, poor posture, bad lighting, and prolonged reading up close. The first step to combating digital eye strain is to make sure your contact lens or eyeglass prescription is up to date. Then, you should practice the 20-20-20 rule for eye strain. After 20 minutes of screen time, take a 20 second break to look around at objects 20 feet away to help the eye refocus and relax the eye muscles. There are apps that can help remind you to take a break. Also, remember to use artificial tears to help with dry eye.

“Screen glasses,” or blue light glasses, are gaining some popularity in online conversations. Are they necessary?
When we use our computers, smart phones, or tablets, we are exposed to the blue light emitted from the screens. While there aren’t any studies that show blue bight damages the structures of the eye, there are other concerns associated with blue light exposure. Blue light affects the body’s circadian rhythm, which controls our natural wake and sleep cycle. During the daytime, blue light—which also comes from the sun—helps stimulate us and wakes us up. Excessive exposure to blue light at night can make it harder to sleep. Blue light glasses can reduce the amount of blue light your eyes are exposed to, and help avoid throwing off your circadian rhythms, but more research is needed for definitive answers on how much they help. There are also “night shift” modes on most smartphones, tablets, and computers that will adjust the screen’s setting to emit less blue light, which may be helpful.

What is something that the average person might not know about how screens and blue light may impact their eye health?
Most people would be surprised to know that there are several studies that suggest that not enough time spent outdoors and exposure to sunlight can affect the growth and development of a child’s vision. Parents should encourage their children to play outside, not just for exercise and fun, but for their eye health, too.


Pain Medicine

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

Heather Rachel Davids
Sutter Medical Group, (916) 454-6850

Scott Fishman
UC Davis Health, (916) 734-5031

Andrew Linn
Dignity Health – Mercy Medical Group, (916) 733-5844

Gagan Mahajan
UC Davis Health, (916) 734-5031

Vinay M. Reddy
Sutter Independent Physicians – Spine and Nerve Diagnostic Center, (916) 419-9900

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


Pediatric Cardiology

Jonathan Dayan
UC Davis Health, (916) 734-3456

James Hill
Sutter Independent Physicians – Capital Pediatric Cardiology, (916) 750-2328

Frank F. Ing
UC Davis Children’s Hospital, (800) 282-3284

Oleg Kovalenko
Sutter Independent Physicians – 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
Sutter Independent Physicians – Capital Pediatric Cardiology, (916) 750-2328

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


Pediatric Critical Care Medicine

Sara Aghamohammadi
UC Davis Children’s Hospital, (800) 282-3284

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 Medical Center, Sacramento Children’s Center, (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

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

Jessica Kim Signoff
UC Davis Children’s Hospital, (800) 282-3284

Craig Swanson
Sutter Medical Center, Sacramento Children’s Center, (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

Abigail Claire Gelb Fruzza
UC Davis Health, (916) 734-3112

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 M. Nadgir
Sutter Independent Physicians – Center of Excellence in Diabetes and Endocrinology
(916) 426-1902

Gnanagurudasan Prakasam
Sutter Independent Physicians – Center of Excellence in Diabetes and Endocrinology (CEDE), (916) 426-1902

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

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


diet and eyes

Nandini Gandhi, MD

Diet + Eyes

Nandini Gandhi, M.D.
Ophthalmology
UC Davis Health

An unfortunate story about a boy who went blind after subsisting on potato chips, white bread, fries and processed meat was widely circulated earlier this year. If we changed our diets to his, would our eyes likely suffer the same fate? And is there anything we can eat to keep our peepers peepin’ into old age?

How much does our diet impact eyesight and eye health?
Many of the visually active structures in our eyes are highly dependent on a steady supply of vitamins, minerals and other nutrients to function well. Chronic deficits in these nutrients can result in permanent vision loss. The boy in the news story ultimately developed a nutritional optic neuropathy, presumably as a result of vitamin B-12 deficiency.

If an otherwise healthy adult changed his/her diet to the boy’s diet for a long enough time, would they likely go blind?
While the case of this child is extreme, chronic malnutrition can have permanent effects on vision. By depriving visually active structures of the nutrients that they need to function, a previously healthy individual can develop poor vision in the long term. So blindness isn’t guaranteed, but vision impairment is certainly a possibility.

Pop science taught us that carrots were the best vegetables for eye health. True or false, and are other vegetables better?
Carrots are an important source of beta-carotene, which is used to make vitamin A. Vitamin A, in turn, is vitally important for the functioning of multiple structures of the eyes, from the cornea to the retina. However, carrots are not the only vegetable important to maintain good ocular health. Green leafy vegetables are an important source of lutein and zeaxanthin, which contribute to retinal health, and foods rich in omega-3 fatty acids have anti-inflammatory properties that may also contribute to long-term ocular health. In general, a balanced diet rich in fruits, vegetables and whole grains is advised to maintain long-term ocular health.

Do vegetables help ward off glaucoma?
There is no definitive evidence that vegetables ward off glaucoma.

What’s something the average person might not know about how their diet impacts eye health?
The eyes are fed by tiny blood vessels, so foods that are good for the blood vessels and heart are also good for the eyes. What this means is that a heart-healthy diet is also beneficial in promoting good long-term ocular health.


Pediatric Gastroenterology

Jonathan A. Africa
Sutter Medical Group, (916) 887-4780

Yinka Davies
Sacramento Pediatric Gastroenterology, (916) 332-1244

Arthur J. de Lorimier
UC Davis Health, (916) 734-3112

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

Kelly Beth Haas
UC Davis Health, (916) 734-3112

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

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

Johann M. Peterson
Sutter Medical Group, (916) 887-4780

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

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

Trinh Thi Nhat Truong
UC Davis Health, (916) 734-3112

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


Pediatric Hematology and Oncology

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

Elysia Alvarez
UC Davis Health – Comprehensive Cancer Center, (916) 734-5959

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

Ritu Cheema
UC Davis Children’s Hospital, (916) 734-3112

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

Elizabeth Partridge
UC Davis Health, (916) 734-2105


Pediatric Nephrology

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

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

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

Arundhati Kale
UC Davis Health – Glassrock Building, (916) 734-2011

Stephanie Tram-Anh Nguyen
UC Davis Health, (916) 734-5177


Pediatric Neurology

Shailesh Asaikar
Sutter Medical Center, Sacramento Children’s Center – 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

Shubhangi C. Chitnis
Sutter Medical Group, (916) 454-6667

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

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

Trishna Kantamneni
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-3588

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 Medical Group, (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 Psychiatry

Andrew Bregman
Kaiser Permanente – Elk Grove Big Horn Medical Offices, (916) 525-6100

Anne McBride
UC Davis Health, (916) 734-3574


Pediatric Pulmonology

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

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

Rory J. Kamerman-Kretzmer
UC Davis Children’s Hospital, (916) 734-3112

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 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


Pediatric Surgery

Lisa P. Abramson
Sutter Medical Group, (916) 887-4220

Erin Brown
UC Davis Children’s Hospital, (800) 282-3284

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

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

Joy L. Graf
Sutter Medical Group, (916) 887-4220

Shinjiro Hirose
Shriners Hospital for Children, (916) 453-2191

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

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

Payam Saadai
Shriners Hospital for Children, (916) 453-2191

Jacob T. Stephenson
UC Davis Health, (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)

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

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

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

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

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

Thomas R. March
Dignity Health – Woodland Clinic, (530) 668-2600

Dee Jay Miranda
Kaiser Permanente – Folsom Medical Offices, (916) 817-5400

Ashley Sens
Dignity Health – Woodland Clinic, (530) 668-2600

Jonathan E. Thygeson
Sutter Independent Physicians – Jonathan E. Thygeson MD. Inc, (916) 924-8754

Lenore Reeva C. Youssefi
Sutter Medical Group, (916) 817-3700


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

Satinderpal Dhah
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2036

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

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

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

Vanessa McGowan
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2036

Lynn Nakamura
Kaiser Permanente – Roseville Medical Center, (916) 771-6611

Vinay M. Reddy
Sutter Independent Physicians – Spine and Nerve Diagnostic Center, (916) 419-9900

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

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

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

Jeremy Wren
Dignity Health – Mercy Medical Group, (916) 733-5779


pediatric sleep medicine

Myrza Perez, M.D.

Pediatric Sleep Medicine

Myrza Perez, M.D.
Pediatric Pulmonology/Pediatric Sleep Medicine
Kaiser Permanente

Every parent is sleep-deprived, right? But when should your baby keeping you up all night be cause for concern? Are your kids getting enough sleep? And how can you tell when your children are sleep deprived? Here’s the eye-opening truth.

When should a parent begin to suspect that they should see a pediatric sleep medicine specialist?
By 3 months, babies should be developing a more predictable schedule with longer stretches of sleep at night. Many babies naturally start doing this without help from their parents. By 6 months of age, most babies are physiologically capable of going through the night without any feedings. If a baby older than 6 months seems irritable at night or is difficult to console, this baby may have a medical problem leading to a sleep problem. This would be a reason to see the pediatrician to assess what might be the cause.

What is the most common sleep disorder that you see?
Obstructive sleep apnea, which presents as nighttime snoring, gasping in sleep, mouth breathing and restlessness in sleep. It can be difficult to assess whether a child is tired during the day—tired children are sometimes hyperactive, not focused, struggle with school or are irritable. Unlike teens and adults, who recognize that they’re tired, many children don’t necessarily want to sleep. In young children, the most common cause is large tonsils and/or large adenoids, so removing them can cure them. In older children, like preteens and teens, the most common cause is being overweight or obese.

Is sleep training, or letting a baby cry it out, still a recommended practice?
In healthy infants older than 6 months of age who are still struggling with falling asleep on their own or who wake up several times overnight, this method is the fastest to teach them to soothe themselves and learn to fall asleep alone rather than continuing to signal by crying to their parents that they need help falling back to sleep. All infants and children have brief awakenings throughout the night, but in the children who have learned to soothe themselves, these arousals are brief. Parents often have no idea that the child has awakened.

Are sleep disorders with children typically physiological, or something else?
Sleep apnea is physical: obstruction from tonsils and adenoid enlargement, or from obesity. Many insomnias or other sleep problems are behavioral: Young children go through phases of testing their limits and their parents. Sleep problems such as insomnia are commonly seen in psychological conditions such as depression and anxiety, and untreated sleep problems make it more difficult to adequately treat depression and anxiety.

What is something that the average person may not know about children’s sleep?
The average older infant should sleep for 10 to 12 hours overnight, plus at least one nap during the day. By school age, the overnight sleep need is about 10 hours per night, and this does not decrease significantly into adolescence. Teens should be aiming for about nine hours of sleep per night on average, though many are getting much less than this.


Plastic and Reconstructive Surgery

Carrie Black
Dignity Health – Mercy Medical Group, (916) 536-2400

Christa Clark
Christa Clark MD, FACS, (916) 246-2662

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

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

David Kaufman
Kaufman & Davis Plastic Surgery, (916) 983-9895

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

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

Tom S. Liu
Liu Plastic Surgery, 408-418-0808

Pirko Maguiña
The Plastic Surgery Center, (916) 929-1833

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

Lee L.Q. Pu
UC Davis Health – Cannery Building, (916) 734-7844

Granger 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

Timothy Bernard
Dignity Health – Woodland Clinic, (530) 668-2600

John Dawson
Dignity Health – Mercy Medical Group, (916) 351-4800

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

Jeremy Evans
Dignity Health – Mercy Medical Group, (916) 733-3359

Matthew Garrison
Dignity Health – Mercy Medical Group, (916) 733-3359

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

Roya Mirmiran
Sutter Medical Group, (916) 262-9464

Damon Namvar
Sutter Medical Group, (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 – Woodland Clinic, (530) 668-2600

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


Preventive Medicine

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


Psychiatry

Bradley Briercheck
Kaiser Permanente – Sacramento Medical Center, (916) 973-5300

Arlene Burton
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6100

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

Jonathan Funk
Dignity Health – Woodland Clinic, (530) 668-2600

Maria Koshy
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6100

Alison Newman
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6100

Lorin M. Scher
UC Davis Health, (916) 734-3574

Humberto Temporini
Kaiser Permanente – South Sacramento Medical Center, (916) 525-6100

Paula Marie Wadell
UC Davis Health, (916) 734-3574

Angie Yu
Kaiser Permanente – Elk Grove Big Horn Medical Offices, (916) 478-5850


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

Christopher U. Jones
Sutter Medical Group, (916) 781-1225

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

Charlotte D. Kubicky
Sutter Medical Group, (916) 781-1225

Vincent Lee
South Sacramento Cancer Center, (916) 978-1947

Melissa Lemieux
Dignity Health – Mercy Medical Group, (916) 556-3131

Arta M. Monjazeb
UC Davis Health – Comprehensive Cancer Center, (800) 362-5566

Nathalie Nguyen
Kaiser Permanente – Rancho Cordova Medical Offices, (916) 631-2730

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

Seth A. Rosenthal
Sutter Medical Group, (916) 781-1225

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

John Stevenson
Dignity Health – Mercy Medical Group, (916) 863-8700

Matthew Wheatley
Dignity Health – Mercy Medical Group, (916) 863-8700

Ellen Wiegner
Dignity Health – Mercy Medical Group, (916) 556-3131


Radiology

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

Karen Brown
Kaiser Permanente – Sacramento Medical Center, (916) 817-5250

Jennifer Chang
UC Davis Health, (800) 282-3284

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

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

Choo-Won Kim
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2029

Chia-Li Lai
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2029

Charles H. McDonnell III
Sutter Medical Group, (877) 515-0053

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

Gregory Rogalski
Dignity Health – Mercy imaging Centers, (916) 434-7600

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


Reproductive Endocrinology / Infertility

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

Manuel A. Doblado
Sutter Independent Physicians – Northern California Fertility Medical Center, (916) 773-2229

Laurie P. Lovely
Sutter Independent Physicians – Northern California Fertility Medical Center, (916) 773-2229

Michael J. Murray
Sutter Independent Physicians – Northern California Fertility Medical Center, (916) 773-2229

Sahar M. Stephens
Sutter Independent Physicians – Northern California Fertility Medical Center, (916) 773-2229

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


Rheumatology

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

Minzi Chen
Dignity Health – Woodland Clinic, (530) 668-2600

Mohammadomid Edrissian
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2330

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

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

Diana W. Lau
Dignity Health – Woodland Clinic, (530) 668-2600

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

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

Thitinan Srikulmontree
Dignity Health – Mercy Medical Group, (916) 844-1592

Kenneth Billings Wiesner
Sutter Independent Physicians – Sacramento Rheumatology Consultants Medical Group
(916) 343-8538


Sleep Medicine

Paramjeet Atwal
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4821

Richard Beyer
Dignity Health – Woodland Clinic, (530) 668-2600

Matthew Chow
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-3588

Robert Dias
Dignity Health – Mercy Medical Group, (916) 733-3372

Kimberly A. Hardin
UC Davis Health – Midtown Ambulatory Care Center, (916) 734-3588

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

Jamal Mujaddid Mohammed
UC Davis Health Medical Group – Sacramento, (916) 734-8230

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

Frederick Edward Ramos
Kaiser Permanente – South Sacramento Medical Center, (916) 688-4821

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

Lydia Maria Wytrzes
Sutter Independent Physicians, (916) 564-3610


Sports Medicine

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

Kevin James Burnham
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-2737

Biljinder Chima
Sutter Independent Physicians – Rocklin Family Practice and Sports Medicine, (916) 624-0300

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

Marcia I. Faustin
UC Davis Health Medical Group – Elk Grove, (916) 683-3955

Julie Lynn Ingwerson
UC Davis Health, (916) 734-6805

Susan Joy
Kaiser Permanente – Sacramento Railyard Med 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

Daniel Parker
Dignity Health – Woodland Clinic, (530) 668-2600

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) 771-6611


youth suicide

Maria Koshy, M.D.

Youth Suicide

Maria Koshy, M.D.
Chief of Department of Psychiatry
Kaiser Permanente

It is an unspeakable horror to lose a child, and it’s a conversation that no one wants to have, but we have to: Youth suicide is on the rise. If you or someone you know is at risk of suicide, please contact the National Suicide Prevention Lifeline at (800) 273-8255.

What are the current youth suicide rates? Who is most at risk?
The Centers for Disease Control and Prevention reported a 30 percent increase in suicides from 2000 to 2016 across all age groups. Between 2007 and 2017, the suicide rates among adolescent boys increased by 31 percent. The rates for adolescent girls doubled in the last decade, and in 2015, it was the highest it has been since 1975. LGBTQ+ youth are particularly at risk: They are four times more likely to seriously consider suicide, make a plan for suicide and attempt suicide than their peers.

What unique challenges are young people facing today?
Economic recessions, such as the one that occurred in the late 2000s, have historically been associated with changes in suicide rates: Financial stressors in the family can exacerbate mental health symptoms in children and adolescents. Opiate-use disorders have also increased in prevalence in the last decade across age groups, and substance-use disorders are an established risk factor for suicide. Teenagers have more access to opiates than they did in prior decades, which can increase the likelihood of overdoses (and deaths related to accidental opiate use may also be mislabeled as a suicide). Lastly, with the increase in the use of social media and technology, children may be spending less time face-to-face with their peers engaged in direct social interaction, which can be socially and emotionally isolating.

What role does social media play?
Social media can have benefits such as exposure to current events, increasing connectivity between family and friends who would otherwise be separated by geographical distances, and social inclusion for marginalized teens who may otherwise struggle with social acceptance in their day-to-day life. Excessive use of social media in teens can also result in some unforeseen outcomes in mental health. A recent study published in the Journal of American Medical Association Psychiatry of more than 6,000 adolescents showed that those who spent more than three hours per day on social media may be at a higher risk of mental health problems, specifically feelings of sadness, nervousness or sleep issues. This study echoed many other previously published studies, which showed a similar association between excessive use of social media and a low or unhappy mood. The one-sided narratives created on social media may lead teens to develop feelings of inadequacy or dissatisfaction with their own lives, and they are more vulnerable to cyberbullying on social media by their peers.

What are signs that your child or student may be thinking about suicide?
Changes in sleep pattern (excessive sleeping or too little sleep), a change in self-esteem, loss of interest in favorite pastimes, a decline in academic performance, dramatic changes in weight and appetite, increased aggressiveness and anger that are out of character, or making statements about self-harm or not wanting to be around may all be red flags to watch out for, according to the American Academy of Pediatrics. The key to intervening is to create an environment of open communication and to be proactive in reaching out. When teenagers make statements like “nothing matters” or “I wonder how many people would come to my funeral,” it is important to pay attention and take these statements at face value. It can be tempting to minimize the statements because it can be difficult to accept that your teenager may not be doing well, but addressing these issues early on can help prevent later suicide attempts.

What is something that the average person may not know about youth suicide?
Youth suicide can be preventable. The majority of adolescents who attempt suicide have risk factors for suicide, such as mental illness or substance use, but they are often not engaged in treatment prior to their attempt.


Thoracic Surgery

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

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
Dignity Health – Mercy Medical Group, (916) 536-3665

Stephen D. Maxwell
Sutter Medical Group, (916) 878-2555

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

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

Trevor Williams
Dignity Health – Mercy Medical Group, (916) 536-3665


Transgender Health

Christopher Swales
Dignity Health – Woodland Clinic, (530) 668-2600


Urology

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

Samuel T.H. Chan
Kaiser Permanente – Roseville Medical Center, (916) 784-4160

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

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

Joyce Loeffler
Dignity Health – Woodland Clinic, (530) 668-2600

Megan Merrill
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2081

Brian N. Naftulin
Folsom Urology, (916) 983-5557

Tan Pham
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2081

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

Kimberly Takahashi
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

Braden Boice
Kaiser Permanente – Sacramento Medical Center, (916) 973-5720

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

Mark M. Davidian
Sutter Medical Group, (916) 453-9999

Lawrence Davis
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2029

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

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

Robert Freed
Kaiser Permanente – Sacramento Medical Center, (916) 973-5720

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

Alexander M. Kane
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2029

Maud Morshedi
Kaiser Permanente – South Sacramento Medical Center, (916) 688-2029

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


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 Medical Group, (916) 262-9400

Richard Campbell
Kaiser Permanente – Sacramento Medical Center, (916) 973-5235

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

Dmitri V. Gelfand
Sutter Medical Group, (916) 773-8750

Blake Hamby
Kaiser Permanente – Sacramento Medical Center, (916) 973-5235

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

Matthew William Mell
UC Davis Health – Lawrence J. Ellison Ambulatory Care Center, (916) 734-3800

Brian D. Park
Sutter Medical Group, (916) 262-9400

Thomas C. Park
Sutter Medical Group, (916) 262-9400

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

Samantha Stradleigh
Kaiser Permanente – Roseville Medical Center, (916) 784-4144

Ali Tajlil
Sutter Independent Physicians, (916) 733-6890

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


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