internal medicine

NCMA welcomes internal medicine & geriatric specialist Rachel Mayorga, MD

Dr. Rachael Mayorga NCMA Healdsburg physician Dr. Rachel Mayorga is a primary care doctor who specializes in internal medicine and geriatric medicine. Her practice focuses on individualized preventative and long-term wellness.

Dr. Mayorga’s practice philosophy is based on the principles which enable patients to enjoy greater access to and more quality time with their doctor. Her practice is particularly suited for people seeking a doctor who will spend time with them to design a personalized plan for health.

Board certified in Internal Medicine and in Geriatric Medicine, Dr. Mayorga is a specialist in “Healthy Aging,” and has lectured and participated in community outreach programs. Dr. Mayorga collaborates with her patients to customize a care plan focused on their unique health needs and life goals.

Dr. Mayorga received a Fellowship in Geriatric Medicine from Rush-Presbyterian, St. Luke’s Medical Center, Chicago, Illinois. She completed residency in internal medicine at St. Joseph’s Hospital and Medical Center, Phoenix, Arizona, and graduated with an MD from the University of Utah School of Medicine, Salt Lake City, Utah.

NCMA’s Internal Medicine & Geriatric Physicians diagnose, treat, and manage a full spectrum of health conditions. In addition to general internal medicine services, they also have expertise, special interest, and experience in gastroenterology, endocrinology, health screenings, diabetes management and care, immunizations, women’s health and much more. To schedule an appointment call 707.385.0222.

Parul T. Kohli, M.D. joins Santa Rosa Internal Medicine

new doc 1Northern California Medical Associates (NCMA) is proud to announce that Parul T. Kohli, M.D., has joined Santa Rosa Internal Medicine, a group of eight prominent internal medicine physicians. Dr. Kohli is a board certified internist who worked for a multi-specialty group at CMMC hospital in Lewiston, Maine. She worked primarily with adult
patients in both outpatient and acute/critical care and was involved in teaching and supervising family medicine residents.

Dr. Kohli for PR 2

Dr. Kohli received her medical degree at the University of Calcutta, India, Department of Internal Medicine and was among the top threein her class. She continued at the University of New York, Buffalo, tocomplete her residency training in internal medicine. Dr. Kohli focuseson 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 kid’s soccer. She practices
yoga and enjoys walking, new doc 3running, music and dance.

What the 2014 Flu Season Means For Adults over the Age of 65

Guyn

Dr. Thomas Guyn

National attention for the 2014 flu season has so far focused on the growing number of H1N1 flu virus cases, striking with most severity among young and middle-aged adults.  These reported cases have resulted in multiple hospitalizations, including many requiring intensive care unit (ICU) admission as well as a few fatalities. There is no way to predict which influenza viruses will ultimately predominate over the 2014 season. Although H1N1 may be the strain that’s getting the most attention, there is still a need to get a yearly influenza vaccine.

People who are over the age of 65 typically have a weaker immune system, making this age group much more susceptible to the flu. “In fact, getting the flu when you’re over the age of 65 can have very serious consequences, including severe illness and death,” says Dr. Thomas Guyn, NCMA SRIM. “Up to ninety percent of flu-related deaths and more than half of flu-related hospitalizations typically occur in people age 65 and older.”

Influenza Facts for 2014

Early indicators are that the current flu season is turning out to be a virulent one. The Centers for Disease Control (CDC) noted in January that more than 50 percent of flu-related hospitalizations and 90 percent of flu-related deaths occur among people over 65. While it is true that the flu vaccine may not protect everyone – as vaccines typically have a 60 percent rate of effectiveness – and lower immune response can reduce effectiveness in some older Americans, opting out of getting a vaccine is not the best choice, especially given the high risk elderly patients can face.

Why You Should Get an Annual Vaccine

A flu vaccine is designed specifically to protect against those flu viruses that research indicates will be most common during the season. The vaccine is updated every flu season and a person’s immunity will wane over a 12 month period, which is why it’s important to get a flu vaccine every year. Immunity kicks in about two weeks following vaccination.

There are options as to how to receive a flu vaccine, and for those who may be squeamish about needles, there are options for that as well:

  • Regular flu shot: This option comes in the form of a shot in the upper arm or shoulder and is good for most everyone, even for those who have a long-lasting medical condition like diabetes.
  • Intradermal flu shot: If anyone who simply does not like needles, this vaccine is a good alternative. It uses a much smaller needle that only goes into the skin, and does not penetrate the muscle. It works as well as the regular flu shot, and it is acceptable for people age 18-64.
  • Nasal-spray flu vaccine: This method involves breathing the vaccine in through the nose. This is an option typically reserved for healthy folks between the ages of 2 and 49, and unlike the regular flu shots which are made up of killed viruses this one has live viruses.

“Since people over the age of 65 are more vulnerable to the flu due to a weakening immune system they are also at an increased risk of getting pneumonia, a common complication of the flu.  We would also recommend getting a pneumococcal vaccine which will protect against pneumonia,” says Dr. Guyn. “This is just another good way to support the health of our patients.”

Protecting Yourself from the Flu

In addition to getting the flu vaccine the CDC suggests six basic practices to help avoid the flu:

  1. Avoid close contact with people who are symptomatic.
  2. Stay at home if you are sick.
  3. Cover your mouth when you cough or sneeze – use a tissue or deflect coughs into the inner part of the elbow to avoid contaminating hands.
  4. WASH YOUR HANDS frequently. Hot water and soap are the best options but alcohol-based hand gel is a good emergency substitute.
  5. Avoid touching your eyes, nose, and mouth – especially when out in public.
  6. Watch your health. Getting plenty of rest, eating right and regular exercise will help boost the effectiveness of your immune system.

Tips for managing the flu

When flu-like symptoms appear, particularly in people who are 65 or older and people who suffer from chronic conditions such as asthma or diabetes, it is advisable to consult a healthcare provider right away. Antiviral medicines are available and may shorten the flu by one or two days, helping to prevent more serious complications such as pneumonia. This are best prescribed as soon as symptoms become apparent; fever, sneezing, body aches, stuffiness, or coughing.

The two FDA-approved antiviral medications for flu are:

  • Relenza (zanamivir): People age 7 and older can take this. It is inhaled into the nostrils and is not appropriate for people with asthma or chronic obstructive pulmonary disease (COPD).
  • Tamiflu (oseltamivir): Tamiflu can be taken by almost everyone and it comes in pill or liquid form for adults and teens over age 13.

Dr. Thomas Guyn of NCMA’s Santa Rosa Internal Medicine specializes in general internal medicine and is currently accepting new Medicare patients. Dr. Guyn served as a hospitalist at Santa Rosa Memorial Hospital prior to joining Santa Rosa Internal Medicine. There he acted as a liaison between patients as their primary care physician and specialist physicians. Many of the patients he worked with were seniors. He has experience with a wide range of diseases affecting seniors and works extensively with geriatrics facing many medical issues including the flu. He is available by appointment and can be reached by calling (707) 544-3411 or (707)546-2180.

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SNM’s Quality Care Award Goes to NCMA’s Kenneth Murachanian, M.D. for providing the highest quality care in the western region

Sutter Medical Network (SMN) announced the recipients of this year’s esteemed Quality Care awards on December 17th. Our very own Kenneth Murachanian, M.D. from the prestigious group of NCMA’s Santa Rosa Internal Medicine was awarded the highest recognition as the best internal medicine physician for providing quality care in the western region.

Dr. Murachanian’s award was presented to him by Dr. Michael van Duren Vice President of the Clinical Transformation Program at SMN.

Dr. Murachanian’s award was presented to him by Dr. Michael van Duren Vice President of the Clinical Transformation Program at SMN. The SMN Quality Care Award is presented to a total of three primary care physicians in each region (one family medicine physician, one internal medicine physician and one pediatrician) with the highest overall Quality Pay for Performance mean scores compared to all other eligible clinicians in his or her region.

Dr. Murachnian and SRIM care staff were recognized for working diligently to ensure that patients receive the preventive care and screenings that they need — an important factor for patients who are very selective about the healthcare they choose to pursue.

All SMN affiliated medical foundations and IPAs that reported quality data to Sutter Health in 2013 were eligible to participate in this award opportunity. Congratulations Dr. Murachanian!

Northern California Medical Associates (NCMA) Welcomes Jaime Molden, M.D. Cardiac Electrophysiologist to the NCMA Cardiovascular Services Team

Northern California Medical Associates’ (NCMA) Cardiovascular Services is delighted to welcome Dr. Jaime Molden to the elite Fountaingrove Cardiology team. Dr. Molden previously served as Medical Director of Electrophysiology at Dixie Regional Medical Center in St. George.

Background

Jaime Molden, M.D. Dr. Molden earned his medical degree from the University of Chicago’s Pritzker School of Medicine, where he was recognized with the Dylan Award in Medical Ethics. Returning to California, and following internship and residency in internal medicine at Harbor-UCLA Medical Center in Torrance, Dr. Molden joined Kaiser Permanente Southern California in Los Angeles as an internist. In 2009 he completed a fellowship in cardiovascular disease at Harbor-UCLA Medical Center during which time he also served as a clinical instructor. Dr. Molden went on to complete the Clinical Cardiac Electrophysiology Program at Los Angeles’s Cedars-Sinai Medical Center in 2010.

Dr. Molden currently holds board certifications in clinical cardiac electrophysiology, cardiovascular disease, nuclear cardiology and internal medicine, as well as, advanced cardiac life support and has authored numerous clinical publications.

Cardiology and More

Dr. Molden is trained to diagnose and treat a variety of heart and cardiovascular conditions including congenital heart defects, congestive heart failure, heart disease, coronary artery disease, heart attacks, arrhythmias, high cholesterol, high blood pressure and many other heart-related conditions. As an electrophysiologist, Dr. Molden is able to also provide advanced diagnosis, treatment and management of electrical- based diseases and disorders of the heart. His education and experience in electrophysiology allows him to perform specialized surgical procedures such as ablation and drug therapy to manage complex arrhythmias.

By joining Northern California Medical Associates’ (NCMA) Cardiovascular Services team Dr. Molden becomes an important part of a highly recognized team of dedicated professionals, all working together to deliver the highest quality care with the best patient results.  Providing treatment and services for everything from cardiac catheterization to open-heart surgery, from electrophysiology to rehabilitation and prevention, this highly  qualified staff not only maintains its commitment to patient health and well-being, they also follow a tradition of excellence and expertise to deliver the most current, innovative treatment in cardiovascular medicine.

Making an appointment

Dr. Molden is pleased to be accepting new patients at NCMA’s Fountaingrove Cardiology office in Santa Rosa. For more information about NCMA visit our site at ncmahealth.com, and to arrange for an appointment call (707) 573-6199.

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Northern California Medical Associates is Northern California’s premier provider of medical and surgical care north of the Golden Gate and has been serving individuals and families since 1975. Every highly skilled professional comprising the NCMA team shares a strong commitment to preventive programs and health screening designed to promote and maintain everyday health. NCMA has successfully built a legacy of excellence that is recognized nationwide.

Press Democrat Honors Dr. James Leoni and Family

Dr. James Leoni, NCMA Primary Care Physican

Dr. James Leoni                                                 NCMA Primary Care Physician

The Leoni’s have been practicing medicine in Sonoma County for three generations. With six physicians and two nurses in the family, one might say  helping others is in their blood. Dr. James Leoni is a primary care physician with Northern California Medical Associates and his son James Jr. seems to be following in his footsteps.

For over half a century, the Leoni family has made its mark on Petaluma by helping and healing generation of  people in the community. The patriarch of the family, Angelo Leoni (James’ father) reflects on his exceptional family with always a hint of humor, “I never encouraged them to be doctors. They did all this foolishness all on their own.” Dr. James Leoni credits his success and passion for the medical field to his father who stood as a driving force in his studies and still stands as his role model as a physician, father and son.

Click here for the full Leoni article.

Dr. Thomas Guyn and Dr. Vishal Goyal join Northern California’s elite team of Physicians in Santa Rosa

Northern California Medical Associates (NCMA, ncmahealth.com) Northern California’s premier provider of medical and surgical care in the North Bay, welcomes Internal Medicine physician, Dr. Thomas Guyn, and Cardiologist, Dr. Vishal Goyal. NCMA employs only the most highly respected primary care physicians and specialists in Sonoma, Lake and Mendocino Counties.

Dr. Thomas Guyn, internal medicine physician with NCMA

Dr. Thomas Guyn, internal medicine physician with NCMA

NCMA welcomes Dr. Thomas Guyn to an elite team of physicians at NCMA’s Santa Rosa Internal Medicine office. Dr. Guyn makes the transition to NCMA after he served as a hospitalist at Santa Rosa Memorial Hospital (SRMH). Dr. Guyn acted as a liaison between patients during their hospital stay and their primary care and specialist physicians. As a hospitalist, Dr. Guyn has experience with a wide range of diseases and worked extensively with geriatrics and general internal medicine. Formerly, Dr. Guyn held a private practice as well as performing medical consultant services and acute care medicine. With a desire to serve out-patients and hospitalized patients more on a long-term basis, Dr Guyn is making the transition to an internal medicine physician at NCMA’s Santa Rosa Internal Medicine office.

Dr. Guyn completed his undergraduate studies at Chico State University and went on to UC Santa Barbara for graduate studies in genetics and protein structure. After finding a passion for medicine and travel, Dr. Guyn completed his medical degree at the University of Rome Medical School in Rome, Italy. During his stay in Italy, Dr. Guyn met his wife and they now have two grown children. Dr. Guyn’s interests include environmental health, where he has earned a Masters of Arts in Value and the Environment (MAVE) from the University of Lancaster.

During his free time, Dr. Guyn enjoys spending time with his children, running, and pottery.

Dr. Guyn’s specialty is in internal medicine and is immediately available for appointments. Call to (707) 544-3411 to schedule an appointment.

Dr. Vishal Goyal, cardiologist with NCMA

Dr. Vishal Goyal, cardiologist with NCMA

NCMA additionally welcomes Cardiologist, Dr. Vishal Goyal to their cardiovascular services team at FountainGrove Cardiology in Santa Rosa. Dr. Goyal specializes in invasive and non-invasive cardiovascular medicine including disease prevention, diagnostic cardiac catheterization, pacemaker implantation, echocardiography and nuclear cardiology.

Dr. Goyal received his undergraduate degree from UC San Diego in Economics. He then earned his Medical Degree from Saint Louis University School of Medicine with a Distinction in Community Service. Dr. Goyal then went on to complete his internship at UC Davis Medical Center. During his fellowship, Dr. Goyal was named Chief Fellow from the University of New Mexico Health Science Center.

Dr. Goyal recently moved to Sonoma County with his wife and young daughter and they are excited to be back in their native California. Dr. Goyal and his family enjoy road cycling and gourmet cooking.

“I am very excited to return to Northern California and I look forward to becoming an active supporter of the Sonoma County community,” states Dr. Goyal.

Dr. Goyal is accepting new patients at NCMA’s FountainGrove Cardiology office in Santa Rosa. To set up an appointment call (707) 573-6199. For more information about NCMA and our physicians visit our site at ncmahealth.com