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Department Hours
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5:00 pm | 7:00 am
5:00 pm | 7:00 am
5:00 pm | 7:00 am
5:00 pm | 7:00 am
5:00 pm | Closed |
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My Biography
I joined the Permanente Medical Group after several years on the cardiac anesthesiology faculty at UCSF. I was attracted to the group because Kaiser Permanente had made a commitment to establishing a large regional cardiac surgery center and had recruited a group of extremely well respected, formally trained cardiac anesthesiologists to help achieve that goal. The group members were skilled in cardiac practice, invasive monitoring, intraoperative echocardiography, and intensive care. They had an excellent reputation nationally. I knew my partners would be talented physicians. I was honored to be asked to join the practice.
I did my anesthesiology residency and fellowship in cardiac anesthesiology at Stanford. Recommended by the faculty there, I had the opportunity to work in England as a senior registrar in anaesthetics in the National Health Services. I was stationed at St. George's Hospital in London, one of the regional cardiovascular centers. I did cardiac and thoracic anaesthesiology, cardiac intensive care, and supervised registrars in the general operating rooms. I have some experience in basic research, but my main interest has always been in clinical cardiac anaesthesiology and patient care.
I've been very happy with the cardiac program in San Francisco, but over the years, our practice has changed. In the early years of the cardiac program, my partners and I focused primarily on anesthesia for coronary artery bypass procedures. As interventional cardiology has assumed more importance in coronary revascularization procedures, our work has shifted more to providing anesthetic management for more complex procedures. Multiple valve replacements, aortic reconstruction, surgery for arrhythmias, and procedures combined with coronary revascularization have taken predominance in our group's work. Our patient demographic has changed, with older patients being more commonly treated. Working with elderly patients who have more complex medical problems has been very satisfying professionally. I enjoy dealing with the challenges of changing physiology with age, and I like spending time getting to know people with such varied life experience. The preoperative anesthesiology visit is very important for me and my patients. It gives me a chance to evaluate their medical status, allows them to learn as much as they wish about their anaesthetic plan, and establishes therapeutic relationships.
I am serious about my profession. I try to keep my own practice at a consistently high level. My partners in the San Francisco group are a constant inspiration to me. My colleagues make enormous effort to assure their patient care is unparalleled. The standard of the group requires that I keep up with cardiac literature, participate in cardiac anesthesia education, and continue to document competence with formal certification in anesthesiology and echocardiography. As a subspecialist, I am a member of Society of Cardiovascular Anesthesiologists and the American Society of Echocardiography. Our entire group participates in resident and fellow training in association with UCSF and Stanford, and are active in quality improvement programs in our own hospital.
Outside the hospital, I try to enjoy the tremendous variety Northern California offers. I run with The Impala Racing Team, one of San Francisco's oldest running groups, because I believe in the benefits of regular exercise. I love dogs and have a wonderful Labrador retriever who is an intelligent, well-behaved, friendly good sport. I am an avid Giants fan and can tolerate the baseball off-season only because I enjoy skiing in the months between the World Series and Spring Taining. I feel lucky to have found a practice I like in a city so easy to enjoy.
Undergraduate Education: BA, Smith College
Began Practice: 1983
Joined Kaiser Permanente: 1991
Other Resources
My Credentials
| Cornell University School of Medicine, New York, NY |
| Stanford University Hospital, Stanford, CA |
| Stanford University Hospital, Stanford, CA |
| Stanford University Hospital, Stanford, CA |
| Anesthesiology, American Board of Anesthesiology |
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