Specialty Ophthalmology: Oculoplastic Facility Sacramento Medical Center Department of Ophthalmology Address Sacramento Cosmetic Services Center 2288 Auburn Blvd Suite 205 Sacramento CA 95821 Point West Medical Offices Ophthalmology Dept 1650 Response Road Sacramento CA 95815 Folsom Medical Offices Ambulatory Surgery Center 285 Palladio Parkway Folsom CA 95630 Telephone Point West Appointments/Advice (916) 614-4015 Sacramento Cosmetic Services (916) 973-6100 Folsom Surgery Center (916) 986-4178 E-mail your doctor View your preventive services

Department Hours

Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Closed	8:30 am 5:00 pm	8:30 am 5:00 pm	8:30 am 5:00 pm	8:30 am 5:00 pm	8:30 am 5:00 pm	Closed
Closed during lunch, 12:30 pm to 1:30 pm

My Qualifications

I was born not far from Sacramento (Yuba City) but spent much of my early adult life in Southern California. I was an undergraduate at UCLA. I received my medical degree from UCLA. I completed my internship at Harbor-UCLA Medical Center in Torrance, CA and my residency at the Jules Stein Eye Institute, University of California, Los Angeles School of Medicine. You get the idea I had a tough time leaving Los Angeles; needless to say, I am a UCLA Bruins fan. I did leave Southern California to complete my fellowship in Oculofacial Plastic, Reconstructive, and Orbit Surgery at the Midwest Eye Institute/Indiana University School of Medicine in Indianapolis, Indiana. I joined the Permanente Medical Group in 2001 and am happy to be back in Northern California.

Professional Affiliations

I am board certified in Ophthalmology by the American Board of Ophthalmology. I am a fellow of the American Academy of Ophthalmology and the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS).

My Healthcare Practice

My practice is limited to oculofacial plastic and orbit surgery. Understandably, most people have never heard of this subspecialty. After finishing an internship and ophthalmology residency, I completed an additional two years of advanced fellowship training to specialize in reconstructive and cosmetic surgery of the face, especially the areas around the eyes. This includes the eyebrows and forehead, the eyelids, the surrounding face, the orbits (“eye socket”), and the tear production and drainage systems. Problems in these areas can result from conditions present at birth as well as from aging changes, injury, infection, or tumors. Medical conditions can also affect these areas, as with thyroid eye disease. Other people may be more concerned about the cosmetic effects aging and gravity has had on these structures. Although Kaiser does not cover the cost of cosmetic surgery, we do have a unique multidisciplinary Cosmetic Services program with which I am actively involved.

I see patients only on referral from other doctors, usually your comprehensive ophthalmologist. You do not need a referral for a cosmetic consultation; please call our Cosmetic Center at 916-973-6100 to arrange a visit. I welcome you to explore the information on my home page, especially the links discussing some of the more common conditions with which I deal; you may even recognize the condition for which your doctor has referred you. This information is provided only as a general guideline and does not apply to every patient. After our meeting, we will have the chance to discuss what is going on in your individual situation and then discuss what your options are to deal with it.

What to expect at your first visit

Even though Kaiser has a state-of-the art computerized medical record system, I still want to get to know you better. Please take a moment to complete the New Patient Form. Please bring a list of medications, including medications not prescribed by your doctor such as vitamins, minerals, and herbal medications.

After I have the chance to examine you, we will discuss your situation. We will talk about what can be done about it as well as what cannot be done. This information will help you make an informed decision about how to proceed with treatment. My job is to educate you about your condition and treatment options, but the ultimate decision is still yours. I do not want you to feel overwhelmed by this responsibility because I would never recommend something to you if I did not think it could help and would refuse to do something I thought would cause harm.

Surgery Scheduling

If the decision is made to proceed with surgery, we will discuss the different options as far as surgical setting. Some surgeries can be done comfortably in the office surgical suite using local anesthetic (“numbing injection”). If this is the case for your procedure, we will schedule a surgery date at your initial clinic visit. Some surgeries require a different level of anesthesia, either monitored anesthesia care (“twilight” anesthesia where you receive medication through an IV to help you relax) or general anesthesia (where you are asleep). In these cases, my surgery scheduler will contact you with a surgery date. You will be contacted about one month before the planned surgery date to confirm your availability and schedule a preoperative visit. The preoperative visit may be scheduled after you have had clearance to proceed with surgery from your primary care doctor. In some cases, preoperative lab work and an ECG (“heart tracing”) will be required. A postoperative visit is also scheduled, generally for one week after surgery. If you are having surgery in an operating room, the exact surgery time will be relayed to you by the operating room staff the day before surgery.

Unless specifically instructed, continue to take all your routine medications, including the morning of your surgery. The most common exceptions are insulin and other medications for diabetes. If you have diabetes, check with your primary care doctor exactly which medications to take on the morning of surgery. Avoid smoking for at least 2 weeks before and after surgery. Avoid alcohol for 2 days prior to surgery and one week afterwards.

Occasionally, we may have to change your scheduled date for surgery, sometimes with short notice. This is done only when an emergency case arises. We apologize for this inconvenience and will reschedule your surgery as soon as possible

Preoperative and Postoperative Instructions

You will be given an instruction sheet with specific directions for before surgery, the day of surgery, and after surgery. You can also download your instruction sheet from this web page; please refer to the links for your particular type of surgery. Read these instructions carefully and ask questions if something does not make sense. The restrictions in regard to activity and medications are to insure your safety and give you the best chance for a good outcome. Failure to follow these instructions may result in cancellation of your surgery.

Be sure to visit the New Kaiser Permanente Website for additional information regarding appointments, prescriptions, health education classes and other health-related topics. You can also click on my department link above to receive additional health information.

To choose your own personal physician, click here.

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About Your Office Visit

Prevention Information on Your Registration Slip

My Credentials

Medical school	UC Los Angeles, School of Medicine, Los Angeles, CA
Internship	Los Angeles County-Harbor-UC Los Angeles Medical Center, Los Angeles, CA
Residency	UC Los Angeles Medical Center, Los Angeles, CA
Fellowship	Indiana University Medical Center, Indianapolis, IN
Board certification	Ophthalmology, American Board of Ophthalmology

Disclaimer
If you think you have a MEDICAL OR PSYCHIATRIC EMERGENCY, CALL 911 IMMEDIATELY or go to the nearest hospital. DO NOT attempt to access emergency care through this web site. An emergency medical condition is a medical or psychiatric condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in any of the following: serious jeopardy to your health, serious impairment to your bodily functions, or serious dysfunction of any bodily organ or part. An emergency medical condition is also "active labor," which means a labor when there is inadequate time for safe transfer to a Plan hospital (or designated hospital) before delivery or if a transfer poses a threat to the health of the member or unborn child.

This site may contain links to other web sites outside of www.permanente.net. Kaiser Permanente has no control over the content or the availability of these sites, and is not responsible for the privacy practices or the content of such Web sites. Web links are provided as an educational tool, and should not be relied upon for personal diagnosis or treatment. A link or reference to a web site should not be construed as an endorsement of the site or its contents. Any medical content that you feel may be important to your health should always be discussed with your Kaiser Permanente physician.