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NCMA’s Santa Rosa Head & Neck Physicians Hailed as Top Doctors by Sonoma Magazine

Santa Rosa Head & Neck physicians including Mark R. Homicz M.D., Stephanie S. Huang M.D., David J. Quenelle M.D., and Stefan M. Zechowy M.D., were all recently selected as among 2017 top physicians in the category of Ear, Nose and Throat by Sonoma Magazine’s Top Doctors survey. Dr. Huang was also recognized in the field of plastic and reconstructive surgery.

Sonoma Magazine’s Top Doctor Survey was submitted to Sonoma County doctors who were then asked which medical specialist they would most often recommend to a loved one, and more than 300 professionals emerged as top docs in 50 categories of medicine.

About Mark Homicz, M.D.

Santa Rosa Head & NeckDr. Mark Homicz graduated from Yale Medical School in 1998. He conducted his internship training in General Surgery at Stanford University. He completed a residency in Otolaryngology/Head & Neck Surgery at the University of California, San Diego. His training included an intensive focus on  head and neck cancer and  thyroid/parathyroid surgery. Dr. Homicz received national awards from the American Academy of Otolaryngology/Head & Neck Surgery, American Academy of Facial Plastic Surgery, and the Triologic Society for academic achievement and research during his training.

Dr. Homicz  joined Santa Rosa Head & Neck Surgical Group in 2004. Board certified in his field, Dr. Homicz practices all areas of ENT – Ear, Nose, Throat and Head & Neck Surgery. His areas of interest and expertise include thyroid/parathyroid surgery, head and neck cancer, facial plastic/reconstructive surgery, and nasal/sinus surgery.

To make an appointment with Dr. Homicz please call (707) 523-7025.

About Stephanie Huang M.D.

Dr. Huang graduated from University of Illinois College of Medicine in 1998 as a member of the James Scholar Program. was awarded the McGraw-Hill Book Award for top-ranked medical student in basic sciences, and was elected to the Alpha Omega Alpha medical honor society.  As an undergraduate, she received the Howard Hughes research award, and was twice the recipient of the Foundation for Advanced Education in the Sciences Summer Research Grant from the National Institutes of Health.  She pursued a research internship at the Lawrence Berkeley National Laboratory, received the Biomedicine Training Investigator Award, and the NIH National Research Service Award.

Dr. Huang completed her internship in General Surgery, residency in Otolaryngology/Head and Neck Surgery, and fellowship in Facial Plastic and Cosmetic Surgery at The University of Chicago Hospitals.  She is board certified by the American Academy of Otolaryngology/Head and Neck Surgery.  Her various achievements have been featured on the Discovery Channel, VH-1, American Medical Association News, and the Chicago Sun Times. Dr. Huang is among a handful of female surgeons trained in both head/neck and facial plastic surgery.

To make an appointment with Dr. Huang please call (707) 523-7025.

About David Quenelle M.D.,

Santa Rosa Head & NeckDr. David Quenelle attended college and medical school at the University of Oregon. After internship in San Diego and surgery training in Fresno, he completed his Otolaryngology residency at University of Cincinnati and board certification in 1974. He was a consultant in Cape Town, South Africa for a year, then did a fellowship in Head & Neck Surgery in Cincinnati. He stayed on the faculty as Chief of the Division of Head & Neck Surgery for 3 years and was a senior investigator at the National Cancer Institute.

From 1969 to 1971, Dr. Quenelle was a US Air Force Flight Surgeon in Southeast Asia and earned the Air Medal and a Letter of Commendation. He entered private practice in Santa Rosa in 1979 but continues to teach as a clinical professor at UCSF once per month. Dr. Quenelle enjoys practicing all aspects of modern ENT – Ear, Nose, Throat, and Head & Neck surgery.

To make an appointment with Dr. Huang please call (707) 523-7025.

About Stefan M. Zechowy M.D.

Dr. Stefan Zechowy graduated from Cornell University with a degree in Computer Science. After a year as a software engineer in Massachusetts he attended medical school. He graduated from University of Maryland School of Medicine in 1996 and then completed his internship and residency in Otolaryngology/Head and Neck Surgery at Tufts University in Boston. His pediatric otolaryngology training was done at Harvard’s Children’s Hospital. His residency also included a year at Brown University’s Rhode Island Hospital with a focus on facial trauma and reconstruction, as well as pediatric otolaryngology training at Hasbro Children’s Hospital.

Dr. Zechowy moved to Santa Rosa and joined Santa Rosa Head and Neck Surgical Group in 2001. He is a board-certified otolaryngologist and enjoys and practices all aspects of otolaryngology (ENT – Ear, Nose, Throat and Head & Neck Surgery). His areas of special interest and expertise include nasal and sinus surgery, ear surgery, sleep apnea surgery, as well as thyroid surgery.

To make an appointment with Dr. Huang please call (707) 523-7025.

About Santa Rosa Head & Neck Surgery

Santa Rosa Head and Neck Surgical Group (SRHN) offers expertise in the medical and surgical treatment of patients with a wide variety of disorders of the head and neck including hearing and balance problems, nasal/sinus disease, snoring, voice disorders, and swallowing problems. Furthermore, our physicians have expertise in the management of cancers of the nose, mouth, throat, neck, facial skin, and thyroid. Our doctors have also been extensively trained in cosmetic and reconstructive procedures of the face and neck. Listed below is more information on the services offered:

  • The Hearing Center at SRHN
  • Nose/Sinus
  • Throat/Voice/Swallowing/Snoring
  • Head & Neck Tumors
  • Thyroid/Parathyroid
  • Facial Plastic/Reconstructive
  • Skin Care
  • The Allergy Center at SRHN

Santa Rosa Head & Neck Surgery
1701 Fourth St. Suite 120
Santa Rosa, CA 95404
(707) 523-7025
Fax: (707) 523-3024

NCMA Family Physician James G. Trapnell, MD Honored as ‘Top Doctor’ 2017

Northern California Medical Associates’ Family Medicine Physician James G. Trapnell, MD was recently selected as among 2017 top physicians by Sonoma Magazine’s Top Doctors survey.

Sonoma Magazine’s Top Doctor survey was submitted to Sonoma County doctors who were then asked which medical specialist they would most often recommend to a loved one, and more than 300 professionals emerged as top docs in 50 categories of medicine.

About Dr. Trapnell

Northern California Medical Associates’ Family Medicine Physician James G. Trapnell, MD was recently selected as 2017 top physicians in their respective specialties by Sonoma Magazine’s Top Doctors survey.

James Trapnell, M.D., was born and raised in the bay area. A UC Berkeley undergraduate, class of 1986, Dr. Trapnell went on to attend medical school at UCLA, and then his Family Practice residency in Martinez, CA through UC Davis. Upon completing his residency, Dr. Trapnell worked in the East Bay, California, and in New Hampshire providing healthcare to the . He returned to the west coast in 1999, and has been a family physician at Spring Creek Family Practice for over 13 years.

Dr. Trapnell’s enjoys all aspects of family healthcare, especially providing a stable continuum of care for the elderly and medically complicated patients. Outside of work, Dr. Trapnell and his wife Annette are busy raising their two wonderful daughters. His hobbies include listening to music, cooking, baking, exercise, and gardening. Santa Rosa is Dr. Trapnell’s home, and he feels truly fortunate to have become a part of such a wonderful community–both personally and professionally.


Spring Creek Family Practice
1144 Sonoma Ave. # 119
Santa Rosa, CA 95409
(707) 544-3811
Fax: (707) 544-0128

NCMA Internal Medicine Physicians Recognized as Top Doctors in Sonoma County

Northern California Medical Associates’ Internal Medicine Physicians Dr. William Carroll, Parul T. Kohli, M.D., Neil A. Levin M.D., and Bruce N. Tucker M.D. were recently selected as 2017 top physicians in their respective specialties by Sonoma Magazine’s Top Doctors survey.

Sonoma Magazine’s Top Doctor survey was submitted to Sonoma County doctors who were then asked which medical specialist they would most often recommend to a loved one, and more than 300 professionals emerged as top docs in 50 categories of medicine.


About Dr. Carroll

William Carroll MDDr. William D. Carroll, M.D. is an Internist who specializes in Internal Medicine. He received his Medical Degree from Indiana University School of Medicine, served his residency in Internal Medicine, St. Mary’s Hospital and Medical Center. Dr. Carroll practices at Santa Rosa Internal Medicine. To schedule an appointment call (707) 546-2180.

 


About Parul T. Kohli M.D.

Dr. Parul T. KohliDr. Kohli is an internal medicine physician who focuses on comprehensive “whole patient” care. She provides compassionate care continuing across the whole spectrum- from preventative health to chronic disease. Dr. Kohli enjoys spending time with her family traveling and outdoor activities like biking, skiing and kids soccer. She practices yoga and enjoys walking, running, music and dance. Read more about Dr. Kohli on her profile page. To schedule an appointment call 707-546-2180.


About Dr. Levin

Dr. Neil A. Levin, MD is an Internist specializing in Internal Medicine. He received his medical degree from Harvard Medical School and served a residency at Stanford University Medical Center. He currently practices at Santa Rosa Internal Medicine. To schedule an appointment call 707-546-2180.


About Dr. Tucker

Dr. Bruce N. Tucker is an Internist who specializes in Internal Medicine. He received his degree in medicine at New York University School of Medicine and served a residency at the University of California San Diego School of Medicine. He practices with Santa Rosa Internal Medicine and can be reached for appointment by calling 707-546-2180.

 

New study reveals: Regret is lasting for many men who undergo traditional prostate cancer treatments

HIFU, an FDA approved precise and targeted therapy for the treatment of prostate cancer, is one of the most exciting new treatments available today.

Responding to a recent review of patient comments spanning two decades Dr. Michael Lazar of California HIFU talks about the importance of informing prostate cancer patients about all available treatment options.

A recent study revealed this month that as they get older, some men who have undergone treatment for prostate cancer come to regret the treatment decisions they made. This study reviewed the survey results of 934 men conducted at intervals of one, two, five, and 15 years after they were treated for prostate cancer. Most of the men (89%) were treated with surgery or radiation. Ultimately, 14.6% of the entire group expressed some regret over treatment results (16.6% of the radiation-treated men, 15% of the surgically-treated men, and 8.2% of the men treated conservatively).

“Luckily today there are more treatment options for men with prostate cancer,” says Santa Rosa Urologist Dr. Michael Lazar, MD of California HIFU. “It is interesting to see that most of the regret expressed by these patients has to do with loss of quality of life due to side effects from treatment including; loss of sexual function, related bowel issues and urinary incontinence. These are the same side effects I hear my patients express concern about as well. This is another reason why new treatments such as HIFU can be a great option for men who have been diagnosed in the early stages, when long term side effects of more radical treatments can potentially be avoided.”

The study results also revealed that regret increased over time, suggesting that when initial concerns over surviving prostate cancer fade, the life altering consequences of treatment become more obvious. Regrets spiked among men who felt they hadn’t been adequately counseled by their physicians before pursuing a particular treatment option, and also among men who were overwhelmed by constantly fluctuating levels of prostate-specific antigen, a blood test used to monitor cancer’s possible return.

“It is imperative that men who are diagnosed with prostate cancer have the tools they need in advance, to help them make an informed decision,” explains Dr. Lazar. “Information is more available now than it was 15 or 20 years ago, and it is easier for cancer patients to educate themselves. It is still important for the doctor to have a comprehensive knowledge of current treatment options, and to share that information openly with the patient. This is the best way to avoid regret.”

Prostate Cancer Treatment Options

There are many prostate cancer treatment options available today. Prostate cancer is usually managed with active surveillance, radiation therapy, surgery to remove the cancerous gland, freezing (cryotherapy), or high intensity focused ultrasound (HIFU). Hormonal therapy is used to only to control cancer that has spread beyond the prostate, or for very elderly patients with a limited life expectancy.

After many years of poor response rates to the usual chemotherapy medicines, an explosion of new therapies are becoming available, specifically for the treatment of prostate cancer. This includes medicines that kill tumor cells directly, stimulate the man’s immune system to attack the tumor, and prevention of the tumor from growing a blood supply, to name just a few. These therapies are for cancers that have spread beyond the prostate and are not treatable with Radiation, Surgery, Freezing, or HIFU.

HIFU: Non-invasive Treatment for Prostate Cancer

HIFU, an FDA approved precise and targeted therapy for the treatment of prostate cancer, is one of the most exciting new treatments available today. It is one of the few that actually reduces the risk of complications caused by surgery and radiation. HIFU uses ultrasound energy, or sound waves, to target and destroy only specific areas of tissue and during the procedure, the sound waves pass through healthy tissue without causing damage. At the focal point of the sound waves (similar to a magnifying glass focusing the rays of the sun to burn a leaf), the tissue temperature is elevated only high enough to destroy the targeted tissue.

“Although recommendations are that men opt to wait and watch when diagnosed with prostate cancer, HIFU is a treatment that is most effective for men who have early stage, localized prostate cancer that has not spread or metastasized outside the prostate,” explains Dr. Lazar.

About Dr. Lazar

Dr. Lazar is part of Northern California Medical Associates (NCMA) and operates California HIFU in Santa Rosa. He is the medical director of HIFU Prostate Services, LLC, a leading provider of minimally-invasive prostate cancer treatments using High Intensity Focused Ultrasound (HIFU). Dr. Lazar is also a clinical partner with HPS with the HIFU San Francisco Surgery Center of Excellence, a state-of-the-art facility that is convenient to hotels and the airport.  For more information about Dr. Lazar, HIFU treatment for prostate cancer visit the HIFU website or to make an appointment call: (707) 546-5553.

 

NCMA cardiologist shares insight on a new study linking high blood pressure to common heart valve disorder

NCMA cardiologist Dr. Noel Santo Domino discusses the latest findings pointing to a clear link between high blood pressure and a life-threatening condition that may be preventable in some cases.

Mitral regurgitation is a term that describes a medical situation where blood backflows into the heart resulting in symptoms such as shortness of breath, tiredness, dizziness and chest pain. “It is generally more common in older adults and can lead to death,” explains Dr. Noel Santo Domingo, MD NCMA cardiologist.

A new study, published in the journal PLOS Medicine, detailed the heart history of 5.5 million adults over 10 years. Researchers discovered that those who were diagnosed with higher blood pressure in early life have a significantly greater risk of developing mitral regurgitation later in life. Mitral regurgitation is a condition which makes the heart less efficient at pumping blood throughout the body and can lead to heart failure in severe cases.

Dr. Noel Santo-Domingo

Mitral regurgitation is a term that describes a medical situation where blood backflows into the heart resulting in symptoms such as shortness of breath, tiredness, dizziness and chest pain. “It is generally more common in older adults and can lead to death,” explains Dr. Noel Santo Domingo, MD NCMA cardiologist.

The crux of this study indicates that mitral regurgitation may in fact, be preventable in patients who are diagnosed early with high blood pressure. “If this is the case, then as cardiologists it becomes our task to encourage those patients that are presenting with high blood pressure to take measures to adopt healthier lifestyle habits – thereby greatly reducing the chance that they will ever develop this deadly and debilitating disease.”

The deadly consequences of mitral valve regurgitation

Mitral valve regurgitation often progresses slowly and is accompanied in the early stages by very mild symptoms. A patient may have no symptoms for years, even decades. Depending on how advanced the disease is when diagnosed, signs and symptoms of mitral valve regurgitation can include:

  • Heart murmur
  • Shortness of breath (dyspnea), especially with exertion or when at rest
  • Fatigue, especially during times of increased activity
  • Heart palpitations (experienced as rapid, fluttering heartbeat)
  • Swollen feet or ankles

A diagnosis of mitral valve regurgitation sometimes happens only after a doctor discovers a heart murmur. In other patients the problem develops quickly and in these cases, the patient may experience a sudden onset and exhibit severe signs and symptoms. In the medical community, mitral regurgitation has been largely considered a degenerative disorder, viewed as resulting from a weakening of the valve over time due to ‘wear and tear’. When viewed as a degenerative disorder doctors generally focus on treatment such as surgery to repair or replace the valve — rather than prevention.

“This new study is exciting and provides hope for many of our patients,” said Dr. Santo Domingo. “It also suggests additional research is needed to determine whether lowering blood pressure — through exercise, diet or blood pressure-lowering drugs – will in fact reduce the risk of the disorder occurring. In the meantime, advising patients who already exhibit signs of high blood pressure to take measures to improve their health will only lead to better outcomes in the long run.”

The deadly ramifications of HBP

High blood pressure (HBP or hypertension) is often called the “silent killer” in that symptoms are very subtle and not always detectible in an otherwise healthy person. In this way it quietly damages blood vessels and leads to chronic health conditions. While there is no absolute cure, medications prescribed by a cardiologist can help, and choosing to pursue healthier lifestyle changes can not only enhance quality of life, it will help to reduce the overall risk of developing heart disease and related symptoms such as stroke, kidney disease and more.

The American Heart Association recommends taking these steps to manage high blood pressure naturally:

  • Eat a well-balanced, low-salt diet
  • Limit alcohol consumption
  • Adopt a routine that includes regular physical activity
  • Maintain a healthy weight
  • Take prescription medications properly
  • Monitor your heart health and know your blood pressure

The best way to find out if a person’s blood pressure is in a healthy or unhealthy range is to get it checked.

About the NCMA Cardiology Team

From cardiac catheterization to open-heart surgery, from electrophysiology to rehabilitation and prevention, the Northern California Medical Associates (NCMA) Cardiovascular Services team is dedicated to delivering the highest quality care and the best patient results. The NCMA Cardiology staff not only maintains its commitment to patients’ health and well-being but also maintains a tradition of excellence and expertise in its practice of the most current, innovative treatments in cardiovascular medicine. To learn more, visit the cardiology section of the NCMA website.

 

 

How to stay healthy when it’s smoky outside

How to stay healthy when it’s smoky outside

Smoke from fires can have serious impact on a person’s health. Taking precautions and avoiding excessive exposure is imperative during wild fire events like the one currently underway in Santa Rosa and Northern California.

Depending on the type of fire and what has been burned, the resulting smoke may contain substances including carbon dioxide, carbon monoxide, particulate matter, organic chemicals, water vapor, nitrogen oxides and more. Exposure to this kind of smoke can have serious health effects, from mild eye irritation to more serious lung irritation escalating to asthma and even premature death.

Particulate matter is the main public health threat during short-term exposure to wildfire smoke, and it’s crucial to protect yourself from exposure. People who are at greatest risk are those who have heart or lung diseases. Older adults are more likely to be affected by smoke due to their increased risk of heart and lung diseases.

Children are also more likely to be affected by health threats from smoke as their airways are still developing and they breathe more air per pound of body weight than adults. Here are general tips on how to stay healthy from the Center from Disease Control and the Air Quality Management District:

The best advice is to stay indoors; close all doors and windows. Avoid vigorous outdoor and indoor activity. Those with respiratory difficulties or heart problems, as well as the elderly and young children should all remain indoors. Keep windows closed and run the air conditioner if possible. Running an indoor air filter is also effective in reducing the amount of polluted air circulating inside the home.

Do not use any indoor or outdoor wood-burning appliances. Do not burn candles, incense or light fireplaces. When the smoke does subsides, air out the home to clear any pollutants that might be trapped inside. For those who may not have an air conditioner, and if it is too warm to stay inside with the windows closed, seek shelter in a designated evacuation center or away from the affected area.

For those who must be outdoors regardless, being prepared can save a life. Do not rely on dust or surgical masks for prevention as these masks will not protect the lungs from the small particles found in wildfire smoke. Use of a special N95 or P100 respirator mask will provide the best protection against the fine particles in smoke.

Most healthy people will recover quickly when exposed to smoke but people with asthma and cardiovascular or respiratory diseases can experience worsening of conditions when inhaling smoke. The elderly, young children and pregnant women are the most vulnerable to smoke and should avoid exposure. In addition, smokers should be equally cautions as they may not feel symptoms of exposure as acutely as non-smokers.

Driving through an area affected by smoke: A car should not be used as shelter during a wild fire event. When traveling in a car, close windows and doors and run the car’s air conditioner, making sure to circulate the air already in the car and not pull in smoky air from outside. Carbon dioxide levels can spike quickly in newer cars if vents and windows are tightly closed and the circulation setting is on, so crack the windows slightly to prevent grogginess.

How to stay up to date:

Check local air quality reports. Listen and watch for news or health warnings about smoke. Find out if your community provides reports about the U.S. Environmental Protection Agency’s Air Quality Index (AQI) or check the report on AirNow.gov. In addition, pay attention to public health messages about safety measures.

Today’s Top Doctor Feature: Yuichiro D. Nakai, MD and Dr. Jack Waxman MD

Northern California Medical Associates’ Endocrinologist Dr. Yuichiro D. Nakai, MD and Rheumatologist Dr. Jack Waxman were recently selected as 2017 top physicians in their respective specialties by Sonoma Magazine’s Top Doctors survey.

Sonoma Magazine’s Top Doctor survey was submitted to Sonoma County doctors who were then asked which medical specialist they would most often recommend to a loved one, and more than 300 professionals emerged as top docs in 50 categories of medicine.


About Dr. Nakai

NCMA’s Yuichiro D. Nakai, MD, and his Endocrinology Division in Santa Rosa diagnose and treat hormone-related health conditions by identifying imbalances in the hormone glands of your body system. Through discussion, examination and careful laboratory testing, they work hard to provide comprehensive treatment options for conditions. Dr. Nakai also oversees the NCMA Diabetes Center. To learn more about the Diabetes Center or to schedule an appointment call (707) 578-7530.


About Dr. Waxman

Dr. Jack Waxman of NCMA’s FountainGrove Rheumatology is an expert rheumatologist who is able to provide patients with diagnostics, treatment and management of a full spectrum of rheumatologic health conditions. In addition to general rheumatologic medicine services, treatment of arthritic diseases and fibromyalgia, vasculitis, connective tissue diseases, osteoporosis, bone density scanning and infusion therapy is also available. To learn more call (707) 573-6942 to make an appointment today.

 

NCMA Cardiovascular Services Physicians Recognized by Sonoma Magazine’s 2017 ‘Top Doctors’ Survey

Santa Rosa physicians Masis  Babajanian MD, Patrick S. Coleman MD, Thomas E. Dunlap MD, Harendra K. Punatar MD and Keith Korver MD of NCMA Cardiovascular Services were recently selected as top cardiologists by Sonoma Magazine’s Top Doctors survey.

Sonoma Magazine’s Top Doctor survey was submitted to Sonoma County doctors who were then asked which medical specialist they would most often recommend to a loved one, and more than 300 professionals emerged as top docs in 50 categories of medicine. Among physician peers Dr. Babajanian, Dr. Coleman, Dr. Dunlap and Dr. Korver ranked at the top for cardiology specialists, supporting what the many patients who routinely benefit from the expertise and outstanding cardiovascular services provided by these exemplary physicians already know.

The NCMA Cardiovascular Services is comprised of highly skilled physicians, specialists, nurses and other healthcare professionals dedicated to providing patients’ health care needs. Since 1975, the group has focused on sub-specialization within cardiovascular health to provide services by the most highly trained and experienced physicians and staff.

About Dr. Babajanian

Dr. Masis Babajanian is a fellowship trained cardiologist specializing in Cardiovascular Disease, Internal Medicine, Invasive Cardiology, Nuclear Cardiology and Pacemaker Implants. He received his medical degree from Stanford University School of Medicine and received his fellowship in cardiology from Tulane University School of Medicine, Department of Internal Medicine.

About Dr. Coleman

Dr. Patrick Coleman is a board certified cardiologist with fellowship training in nuclear and interventional cardiology. He serves as the Medical Director of the Cardiac Catheterization Laboratories for both SRMH and Sutter Santa Rosa, as well as the Director of the Cardiology Section at NCMA. In addition to practicing cardiology at NCMA’s Santa Rosa and Ukiah offices, Dr. Coleman regularly gives lectures to the general public and health providers about maintaining and improving heart health and emergency response.

About Dr. Dunlap

Dr. Thomas Dunlap is a fellowship trained cardiologist specializing in Cardiovascular Disease, Peripheral Vascular, Endovascular Medicine, Interventional Cardiology and Pacemaker Implants. He is the Regional Director of Cardiac and Vascular Services at Santa Rosa Memorial Hospital and Director of the Cardiology Division of NCMA, and Chairman of the Endovascular Committee of Sutter Medical Center of Santa Rosa. He is published in numerous medical journals on cardiovascular health.

About Dr. Korver

Dr. Korver attended medical school at the University of California Los Angeles School of Medicine and served his residency in general surgery at Georgetown University Hospital; Integrated Surgical Residency, University of Hawaii. He is also fellowship trained in Cardiothoracic Surgery, UCSF School of Medicine; Pediatric Cardiac Surgery and Cardiac Transplant Surgery from UCSF School of Medicine..

About Dr. Punatar

Dr. Punatar obtained his medical doctorate at Miraj Medical College in Miraj India and went on to complete his residency and fellowship training in cardiovascular disease from Coney Island Hospital in Brooklyn, NY. He has been a valued member of NCMA’s team of expert cardiologists for over 23 years, and he regularly sees patients in Santa Rosa and Petaluma.

About NCMA Cardiology

NCMA Cardiology is comprised of a team of cardiologists and one cardiothoracic and vascular surgeon —all board-certified in their fields. NCMA’s HeartWorks Cardiac Rehabilitation Center provides each patient with a personal diet and exercise plan supervised by a team of physicians, nurses, and cardiac exercise specialists.  In accordance with its practice of providing comprehensive cardiovascular health care, NCMA offers comprehensive care in areas including;

  • Cardiovascular Testing and Services
  • Interventional Services and Procedures
  • pacemaker and defibrillator clinics
  • anti-coagulation clinics
  • congestive heart failure clinics
  • pulmonary hypertension clinics
  • lipid clinics
  • adult congenital heart clinic
  • general check-ups with cardiologists

NCMA’s services offers cardiac care in three counties, with 11 offices, located in Santa Rosa, Petaluma, Sonoma, Healdsburg, Fort Bragg, Mendocino, Gualala, Ukiah, and Lakeport. To learn more about NCMA Cardiology visit www.ncmahealth.com.

 

NCMA Welcomes Cardiologist Dr. Henry W. Huang, M.D. FACC to FountainGrove Cardiology

Dr. Henry W. Huang is the newest cardiologist to join NCMA’s Cardiovascular Services team of highly skilled physicians, specialists, nurses and other healthcare professionals dedicated to patient health care needs. Since 1975, the group has focused on sub specialization within cardiovascular health to provide services by the most highly trained and experienced physicians and staff.

About Dr. Henry Huang MD

Dr. Henry W. Huang is the newest cardiologist to join NCMA’s Cardiovascular Services team of highly skilled physicians, specialists, nurses and other healthcare professionals dedicated to patient health care needs. Henry W. Huang, M.D., FACC is board certified in both cardiovascular diseases and internal medicine and he currently holds certifications in clinical lipidology, nuclear cardiology, cardiovascular computed tomography and national board certification in adult comprehensive echocardiography. Dr. Huang has been featured for two consecutive years in Pasadena Magazine as among Top Doctors in the field of cardiology.

Dr. Huang graduated from Columbia University College of Physicians and Surgeons in 2000. He continued his discipline with a chief fellowship at California Pacific Medical Center in 2006. Most recently Dr. Huang held the position of assistant professor of Clinical Medicine and Director of Nuclear Cardiology, Division of Cardiovascular Medicine at the University of Southern California in Los Angeles.

In his spare time, he enjoys working out and exploring the restaurants and wineries of Sonoma County. He is also a car enthusiast and sports fan.

About NCMA

From cardiac catheterization to open-heart surgery, from electrophysiology to rehabilitation and prevention, the Northern California Medical Associates (NCMA) Cardiovascular Services team is dedicated to delivering the highest quality care and the best patient results.  This team of professional staff not only maintains its commitment to our patients’ health and well-being but to maintaining a tradition of excellence and expertise in our practice of the most current, innovative treatments in cardiovascular medicine.

For more information about FountainGrove Cardiology and the full range of services offered by Northern California Medical Associates, visit the website. To make an appointment with Dr. Huang call (707) 573-6199.

Recognized ‘Top Doctor’ NCMA Orthopaedic Specialist Dr. John Tomasin, talks about Hip Replacement Surgery

Special Note: Congratulations to NCMA physician Dr. John Tomasin of Healdsburg Orthopaedics who has been voted one of the top doctors in the field of orthopaedics in Sonoma Magazine’s 2017 Top Doctors survey. For this survey local doctors were asked which medical specialist they would most often recommend to a loved one, more than 300 professionals emerged as top docs in 50 categories of medicine, and Dr. Tomasin’s name rose to the top in his specialty. NCMA would like to congratulate Dr. Tomasin on this timely recognition.

According to most recent statistics the number of hip replacements performed in the United States continues to rise – with hip replacement happening more often in people age 45-50 making up 95 percent of all procedures. This number is a very significant jump – 205 percent in just the past decade. The majority of hip replacements are due to degenerative arthritis caused by wear-and-tear stemming from this population of patient’s more active lifestyle – making them more likely to struggle with arthritis.

“The increasing number of patients who opt for hip replacement proves that this procedure is one of the most studied and cost-effective ways to improve the quality of life, and we are happy to be able to offer THR to residents of Northern Sonoma County.” said NCMA Orthopaedic Surgeon Dr. John Tomasin, MD. “The recovery rate has improved right along with technique making it easier for patients to choose surgery over suffering from constant join pain. The statistics also demonstrate that the baby boomer generation is less willing to accept the limitations that accompany arthritis,” added Tomasin.

Dr. Tomasin practices at Healdsburg Orthopaedics in Healdsburg where he offers a full array of orthopaedic services, including hip replacement surgery. He is a Board-Certified physician in Orthopaedic Surgery as well as a Diplomate of the American Board of Orthopaedic Surgery. He attended medical school at the University of California Davis School of Medicine and completed his residency at the University of Mississippi Medical Center and the Scottish Rite Hospital for Crippled Children in Atlanta, GA. Dr. Tomasin completed his Sports Medicine Fellowship at Hughston Sports Medicine Clinic in Columbus, GA as well as an AO Fellowship in Munich, West Germany. Dr. Tomasin has been published in numerous professional medical journals, including Journal of Bone and Joint Surgery, Journal of Orthopaedic Trauma, and The Physician and Sports Medicine.

Getting Hip with Joint Health

Hip replacement is one of the most successful contemporary surgical procedures. Refined surgical techniques, improved implant characteristics, aggressive physical rehabilitation and a focus on pain management have all contributed to this achievement. The long-term success rates for both total hip and total knee surgery well exceed 95 percent. Advances in approaches along with pre- and postoperative physical therapy are improving an already very successful operation. The latest peri-operative pain control methods, including spinal anesthesia and continuous peripheral nerve blocks for regional anesthesia, add to patient comfort throughout the surgical process.

“These recent changes have dramatically improved results for patients,” explained Dr. Tomasin. “With more rapid recovery and shortened length of stay. Having the latest techniques in our surgical repertoire has made it possible to better determine the best approach to take with each patient.”

Understanding Hip Injuries

Hip pain is a common symptom experienced by all age groups – the intensity of which can range from mild discomfort to severe pain that impairs normal daily activities. Senior citizens are particularly susceptible to hip injuries resulting from a fall. This is due to a decrease in bone density as part of the aging process combined with a reduction in joint elasticity – the combination of which leaves them susceptible to fractures. People who are overweight are also disposed to hip injuries because of the excessive pressure placed on the on the hip.

Common Reasons for Hip Pain

With the advancements in surgical technique many hip disorders may be treated by an orthopaedic surgeon through arthroscopic surgery or other minimally invasive procedures. When osteoarthritis becomes so severe that the pain is intense or the hip joint becomes deformed, a total hip replacement will likely be a consideration. Hip fractures sometimes require surgery to repair the fracture or to replace the hip. Other common causes of hip pain include;

  • Bursitis – due to overuse or repetitive actions around the joints of the body
  • Muscle strains – (particularly groin and hamstring muscle strains) result from small micro tears in muscles caused by a quick twist or pull to the muscle
  • Hip fractures or a break in the hip bone – usually occurring in a fall by an elderly patient
  • Tendonitis – stemming from the many tendons located around the hip that can become inflamed resulting in pain around the hip region
  • Arthritis – is the most common cause of chronic hip pain frequently treated with a joint replacement

When to Seek Help for Hip Pain

If a hip injury impairs the ability to stand, bear weight and walk, consulting with an orthopaedic physician is the best bet. If the pain is more gradual and does not respond to rest, ice and over-the-counter pain medications then seeking medical help is also a good idea. This is especially true if the hip pain begins to limit the range of motion of the hip or causes limping.

About NCMA Orthopaedics and Dr. Tomasin

In addition to making ongoing scientific presentations on orthopaedic medicine across the country Dr. Tomasin has practiced orthopaedic medicine in Sonoma County for more than 20 years. After establishing a private medical practice in 1988, Dr. Tomasin established partnerships with various medical groups in Sonoma County and serves as a Clinical Medical Professor at Sutter Medical Center in Santa Rosa.  Dr. Tomasin has served as medical consultant for the Northern California Rugby Football Union and team physician for the Santa Rosa Rugby Club. He is a Fellow of the American Academy of Orthopaedic Surgeons, and member of the American Orthopaedic Society for Sports Medicine, California Orthopaedic Association and Hughston Society of Sports Medicine. And, he was the team physician at Healdsburg High school for 27 years and at Cardinal Newman for 10 years.

NCMA Orthopaedics diagnoses, treats, and manages a full spectrum of orthopaedic health issues. In addition to general orthopaedic medicine services, NCMA Orthopaedic surgeons also have expertise, special interest, and experience in the following areas: ACL repair, foot and ankle surgery, hand surgery, joint injections, joint replacement, knee ligament repair and x-ray. To learn more, visit our website or call 707-433-0126 for more information.