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Dr. Michael Lazar Noted For Comprehensive Approach to Treating Patients

testimonialAs a retired malpractice insurance professional, Charles Lawrence is very familiar with the many complex problems in today’s healthcare industry. He knows what to look for in a good doctor, and he deeply appreciates quality healthcare services. When Charles thought he was having urinary problems, he came to see Dr. Michael J. Lazar in Santa Rosa for an examination. Dr. Lazar didn’t find any problems with Charles’ urinary system, and Charles’ symptoms went away on their own shortly thereafter. The appointment proved to be well worth Charles’ time, however, as Dr. Lazar discovered a lump, also known as a nodule, in his thyroid that other physicians had failed to find in past appointments with Charles.

Charles explains, “The busyness of doctors is a major problem in our healthcare system today. It’s not easy for a doctor to spend an hour with every patient, but Dr. Lazar is proof that it is possible.

Dr. Lazar discovered the nodule in my thyroid because he was thorough in his evaluation. It’s as straightforward as that, and I cannot be more appreciative of his comprehensive approach to treating patients. Dr. Lazar even had my wife sit in on the first 15 minutes of my appointment to include her input. After finding the lump in my thyroid, I was referred to a surgeon who removed it. The surgeon was blown away that of all types of doctors, a urologist had been the one to discover the nodule—which fortunately turned out to be benign.

Dr. Lazar and his office staff conduct business with an impressive adherence to professionalism with a personal touch. The office staff briefed me over the phone the day before my appointment for how to prepare for my examination, and treated my wife and I with respect upon our arrival. I was happy to find that I have a healthy urinary system, but if I ever have any problems I know I will be back to see Dr. Lazar.”

Charles Lawrence lives with his wife in Fort Bragg, CA, and he enjoys working in his garden in his free time.

Michael Lazar, MDMichael Lazar, MD – Urologist

Michael J. Lazar, M.D. graduated from the University of Arkansas in 1978 and completed postgraduate training in surgery and urology at LSU in 1983. He is four-­time board certified by the American Board of Urology and is Managing Physician Director of Santa Rosa Surgical Management Co., LLC, which manages Santa Rosa Memorial Hospital’s Ambulatory Surgery Center. He is also Chairman of the Board of Directors of Redwood Health Services and is a member of the American Urological Association. For the last seven years, Dr. Lazar has worked tirelessly to advance High Intensity Focused Ultrasound (HIFU) treatment for prostate cancer.

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!

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.