July/August 2015

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S a n M at e o C o u n t y

July-August 2015

in s id e

S a n M at e o C o u n t y M e d ica l A ss o ciat i o n

Volume 4 Issue 7

Physician SMCMA 2015 Annual Meeting at the Candy Store

Photos from the SMCMA 2015 Annual Meeting

Portrait of Michael Norris, MD, SMCMA President

Portrait of James Missett, MD, Award Recipient


Premiums are based in part on age. The longer you wait, the higher your premium rate may be. You’ve worked hard all your life to provide a good standard of living for you and your family and KEEP your current lifestyle in retirement. But long-term care costs can get in the way. If you develop a debilitating long-term condition, you may need long-term care. Once you’re 65 years old, Medicare will help pay your medical costs. But Medicare does not pay full benefits for extended-care, assisted-care facilities, custodial care or nursing home facility expenses. If you need this type of care, you could face big expenses: • The national average cost of a year in a nursing home is $87,600.* • The 2014 median annual cost for an assisted-living, one-bedroom apartment with a private bath, or a private room with a private bath was $42,000.* Many of us think Medicare is going to cover long-term care expenses, but find the coverage very limited. That’s why millions of responsible Americans help protect their lifestyles with long-term care insurance. But finding the right protection isn’t easy. It’s tough to compare policies with different benefits, features, limitations, costs, spouse coverage and more. The San Mateo County Medical Association/CMA can help, with a special benefit for members: Long-Term Care Resources, a unique long-term care buying service. This program allows you to work with a long-term care insurance representative who will give you all the information about benefits and rates of different, highly rated long-term care providers. Call Long-Term Care Resources today to receive information at 800-616-8759, or visit www.myltcplan.com/smcma. * Genworth 2014 Cost of Care Survey, February 2014, https:// genworth.com/corporate/about-genworth/industry-expertise/costof-care.html, viewed 1/27/15

Call 800-616-8759 or visit www.myltcplan.com/smcma Sponsored by: 70086 (7/15) Copyright 2015 Mercer LLC. All rights reserved. 777 South Figueroa Street, Los Angeles, CA 90017 • 800-842-3761 CMACounty.Insurance.service@mercer.com • www.CountyCMAMemberInsurance.com Mercer Health & Benefits Insurance Services LLC •

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S a n M at e o C o u n t y

Physician Editorial Committee Russ Granich, Md, Chair uli Chettipally, Md Sharon Clark, Md edward Morhauser, Md Gurpreet Padam, Md Sue u. Malone, executive director Shannon Goecke, Managing editor

SMCMA Leadership Michael norris, Md, President; Russ Granich, Md, President-elect; Alexander ding, Md, Secretarytreasurer; Vincent Mason, Md, Immediate Past President toby Frescholtz, Md; Alex lakowsky, Md; Richard Moore, Md; Michael o’Holleran, Md; Joshua Parker, Md; Suzanne Pertsch, Md; Xiushui (Mike) Ren, Md; Sara Whitehead, Md; douglas Zuckermann, Md; Scott A. Morrow, Md, Health officer, County of San Mateo; dirk Baumann, Md, AMA Alternate delegate

editorial/advertising inquiries San Mateo County Physician is published ten times per year by the San Mateo County Medical Association. opinions expressed by authors are their own and not necessarily those of the SMCMA. San Mateo County Physician reserves the right to edit contributions for clarity and length, as well as to reject any material submitted. Acceptance and publication of advertising does not constitute approval or endorsement by the San Mateo County Medical Association of products or services advertised. For more information, contact the managing editor at (650) 312-1663 or sgoecke@smcma.org. Visit our website at smcma.org, like us at facebook.com/smcma, and follow us at twitter.com/SMCMedAssoc. © 2015 San Mateo County Medical Association

July-august 2015 - Volume 4, issue 7 columns president’s Message: Join me at Walk with a doc ..................................... 4 Michael norris, Md

executive Report: end-of-life options Bill stalls in assembly ................. 5 Sue u. Malone

Feature articles photos from the 2015 sMcMa annual meeting ...................................... 6 portrait of Michael norris, Md, 2015-16 sMcMa president .................................................................... 11 Shannon Goecke

portrait of James Missett, Md, distinguished service award recipient ................................................. 12 Shannon Goecke

of interest Membership updates, classified ads, index of advertisers .................14


President’s Message

Join me at Walk with a Doc The San Mateo County Medical Association Community Service Foundation started its Walk with a Doc program in 2012. This was an opportunity for the medical community to engage the public and extol the values of exercise and a healthy lifestyle, particularly today, when more than a third of American adults are obese according to the NIH.

Michael Norris, MD President

I view the Walk with a Doc program as a metaphor for the association as a whole: Our goal is to engage the greater community, interact with physicians from other parts of the county, and raise awareness of the SMCMA and medicine in general.

The program started has steadily expanded each year; in 2015 we have 30 walks at 15 locations across San Mateo County. We kicked off this season on March 7 and will continue until October 24. This year the SMCMA also partnered with the Mid-Peninsula Open Space District to host walks at three of their preserves—Ravenswood Open Space in East Palo Alto, Windy Hill Open Space Preserve in Portola Valley, and Puglas Ridge Open Space Preserve in Redwood City. Mid-Pen provides docents to answer walkers’ questions about the preserves. With fabulous vistas and Bay Area weather, our walks never feel like “exercise.” The average turnout for the WWAD outings is about 15-20 walkers and two or more docs, plus SMCMA staff and volunteers from Mid-Pen. SMCMA provides complimentary bottled water and healthy snacks, donated every year by the Magnolia of Millbrae. We meet at 10 AM, start with a brief informal talk about the virtues of exercise, diet, and health maintenance, not to mention sunscreen. We encourage the walkers to ask us any questions they may have about health topics, ranging from arthritis to heart attacks. I often get asked plastic surgeryrelated questions, e.g., “Do I need a face lift?” Our walkers range in age from 8 to 80, and have varied levels of fitness: A few will come with walkers or canes. We allow everyone to participate, often splitting into groups of differing abilities. The walks are scheduled to end at 11 a.m., but we often run over to answer questions. We can always use more volunteer docs and I encourage members to contact SMCMA to get involved. I view the WWAD program as a metaphor for the Association as a whole: Our goal is to engage the greater community, interact with physicians from other parts of the county, and raise awareness of the SMCMA and medicine in general. This can only be achieved by participation of physicians in SMCMA. You will never know everything the organization does, and can do for you, unless you get involved. As I embark on my year as your president, I look forward to meeting and working with, a great number of “docs” in our county. See you at Walk with a Doc! ■

Dr. Norris and walkers at Windy Hill Open Space Preserve on July 25, 2015 4 San Mateo county physician | July-August 2015


Executive Report

End-of-Life Options bill stalls in Assembly In the June 2015 issue of San Mateo County Physician, we discussed Senate Bill 128, the Endof-Life Options Act. At the time the issue went to press, the bill had passed the State Senate by a comfortable margin and was scheduled to be heard by the Assembly Health Committee on July 7. This hearing had originally been scheduled for June 23 but was postponed in the hope of building more support in the Assembly, where it faced fierce religious opposition. According to a Sacramento Bee poll of 15 of the 19 committee members, just four said they would support the bill in its current form. Meanwhile, it found that at least seven members planned to oppose the bill in the hearing, while others planned to abstain from the vote. Amid the opposition, bill’s co-authors, Lois Wolk (D-Davis) and William Monning (D-Carmel) withdrew the legislation. The bill would have required two California physicians to agree that a mentally competent patient has six months or less to live before prescribing life-ending drugs. The patient would have to discuss with a doctor other treatment options, and would be required to make a written request for the prescription and two oral requests at least 15 days apart. This was not the first time similar legislation has been attempted in California, but it’s further than it has ever gotten. SB 128 was introduced in January 2015, three months after 29-year-old Bay Area resident Brittany Maynard was diagnosed with terminal brain cancer and moved to Oregon to access its Death with Dignity Law. Maynard, who ended her life on November 1, 2014, became an advocate for the legalization of aid-in-dying. Her family has continued to encourage lawmakers to enact similar legislation in California.

The passing of the torch...

The momentum with which SB 128 passed the Senate reflects a shift in attitude about endof-life care. One cause of that shift is the belief that the relationship between physician and patient is sacred. Previously, the California Medical Association opposed SB 128 on the grounds that it violated a physician’s ethical obligations to provide patients with the best treatment possible. After lawmakers amended the bill to provide more protections for doctors and hospitals who didn’t wish to participate, the CMA removed its opposition in May and changed its position to neutral. The SMCMA went a step further and adopted a position of support for the concept of physician aid-in-dying. The resolution read, in part “We understand that this is a very complex and emotional topic but it supports continued improvements in end-of-life care. We also feel it honors and protects patients’ right of self-determination. SMCMA would not advocate for anything that could harm patients or medical practice, or violate medical ethics.” Senate Bill 128 could potentially be taken up in August if certain deadlines and rules are waived. However, observers say a vote this year is unlikely. Meanwhile, other supporters have vowed to seek a 2016 ballot initiative to legalize physician-assisted death if the measure fails.

Sue U. Malone Executive Director

We understand that this is a very complex and emotional topic, but it supports continued improvements in end-of-life care. We also feel it honors and protects patients’ rights of self-determination. SMCMA would not advocate for anything that could harm patients or medical practice, or violate medical ethics.

Currently, physician aid-in-dying is legal in the states of Washington, Oregon, Vermont, and the County of Bernalillo, New Mexico. (It is under dispute in the state of Montana.) Oregon was the first, passing its Death with Dignity Law in 1994. It has been used in more than 750 deaths since voters approved it. ■ July-AUGUST 2015 | SAN MATEO COUNTY PHYSICIAN 5


2015 ANNUAL MEETING The San Mateo County Medical Association held its 2015 annual meeting of members at the Candy Store, a one-of-a-kind classic car museum in the heart of Burlingame, on June 18. The Candy Store started in 1979 when two automombile enthusiasts, Bob Cole and the late Russell Head, wanted a safe place to store their car collection, as well as a clubhouse for other collectors. In 1983, the club moved to its current location, a Spanish-style building that was designed in 1928 as a Packard dealership. The building itself is a visual feast, with slate floors, beamed ceilings, and cathedral windows. However, the real treat is the car collection, with some of the most significant examples of automotive engineering and design over the past 100 years, from a 1913 Ford Model-T delivery van to a silver Aston Martin like James Bond drove in Goldfinger. This members-only venue is only open to non-members during special events like this one. During dinner, amongst the classic cars, we installed our 2015-16 officers and directors, led by President Michael Norris, MD. We also honored our outgoing board members, Kristen Willison, MD, and Edward Koo, MD, and our 40-year members (see page 8). Outgoing President Vincent Mason, MD, a talented soloist with the Glide Memorial Church Ensemble, treated the audience to a stirring a capella rendition of My Funny Valentine. Another special part of the evening was the bestowal of the SMCMA Distinguished Award upon retired Menlo Park psychiatrist James Missett, MD. Dr Missett served as SMCMA president from 2003 to 2004, and again from 2007-2008 when incoming President Rex Greene relocated to Ohio. (See page 12 to learn more about Dr. Missett.) The motto of the Candy Store is “Great cars, great people,” and that certainly was the case on June 18. The SMCMA is grateful to everyone who came out to celebrate with us. ■

Dr. Mason sings!

A 1913 Ford Model-T light delivery van

6 san Mateo county physician | July-august 2015


JUNE 18, 2015

Members of the SMCMA Board of Directors, from left: Dr. Alex Ding, Dr. Michael Norris, Dr. Vincent Mason, Dr. Douglas Zuckermann, Dr. Kristen Willison, Dr. Mike Ren, Dr. Niki Saxena, Dr. Russ Granich, and Dr. Dirk Baumann

Dr. Michelle Caughey

Dr. Alberto Bolanos

Incoming SMCMA President Dr. Michael Norris, left, and outgoing President Vincent Mason engage in a gavel tug-of-war

Dr. Jay Whaley

Dr. Subha Aahlad

Maureen Missett, Dr. James Missett, Susan Dondershine, and Dr. Harvey Dondershine July-august 2015 | san Mateo county physician 7


2015 ANNUAL MEETING

Our venue at the Candy Store

Senator Jerry Hill and Dr. Vincent Mason

Dr. Russ Granich and Dr. Niki Saxena

Dr. James Missett and Dr. Eliot Shubin

Dr. Alex Ding and wife Kimberly Ding

Douglas Zuckermann, Dr. Mike Ren, Dr. Michael Nwynn and his wife, Lan Nguyen

Dr. John Hoff and wife Robin Hoff

All photos by Ginger Tree Photography www.gingertreephotography.com


Congratulations, 40-Year Members! EVENT SPONSORS GOLD SPONSOR Palo Alto Medical Foundation Mills-Peninsula Health Services Michael Bender, MD

SILVER SPONSORS NORCAL Mutual Insurance Company ray Kelly, MD

Cooperative of American Physicians Kaiser Permanente Redwood City ■ Kaiser Permanente S San Francisco Mercer ■ Sequoia Hospital ■ Stanford Hospital & Clinics

Betty Miller, MD

Not pictured: edward Anderson, MD Michael Bressler, MD Paul hazelrig, MD lucy Schmidt, MD

BRONZE SPONSORS Gilead Sciences ■ First Republic Bank ■ The Magnolia of Millbrae

July-august 2015 | san Mateo county physician 9


10 san Mateo county physician | July-august 2015


“I’ve led a charmed life,” says Burlingame plastic surgeon Dr. Michael Norris, 2015-16 president of the San Mateo County Medical Association. Indeed, it would seem Dr. Norris has a knack for being in the right place at the right time. He was born and raised in southern California, before heading to New Orleans to attend Loyola University, on scholarship, majoring in mathematics. This was in the late 1960s, during a period of advancement in computer science that included the invention of the floppy disk, the creation of Intel, and the entry of Hewlett Packard into the general purpose computer business. Norris realized that math wasn’t for him after all, but he had no idea what he wanted to do. He enjoyed his biology and chemistry courses, and it showed in the marks he earned. One of his peers, a senior in pre-med, suggested he apply to medical school. Norris was skeptical. For one, he was doubtful that the University’s elitist pre-med committee would give him its recommendation. His intuition was keen—when he finally went before the committee, he was commended for his academic achievements but informed that the committee could not give him its recommendation for medical school. But that was no matter—Norris had already applied, and been accepted, at the University of Miami School of Medicine. The late 1960s also saw the height of the United States’ involvement in the Vietnam War. Norris had already gone in for his pre-induction physical. Medical students were among those deferred from the draft, but only until after they completed their internships. So, when Norris started medical school, he also enlisted in the U.S. Navy, where he would spend the next 14 years. Again, luck was on his side—he narrowly missed being present at the October 1983 barracks bombing in Beirut and the late1983 U.S. invasion of Grenada. Joining the Navy kept Norris out of Vietnam and paid for his education. It also positioned him for an internship and residency, both in surgery, at the Naval Regional Medical Center in San Diego, a leader in the medical field and a major teaching and research center. It was at this point that Norris developed an interest in plastic surgery, particularly the reconstructive aspect. Again, Norris was in the right place at the right time: This was the late 1970s, which saw the development of many of the modern reconstructive surgical techniques, including skin/muscle flap transfers. Norris was attracted to the reconstructive aspect of plastic surgery, and the fact that it wasn’t limited to any particular part of the body. His next stop was the Eastern Virginia Graduate School of Medicine in Norfolk, which had one of the best plastic surgery programs in the country. (William P. Magee, Jr., DDS, MD, a leading plastic and craniofacial surgeon and founder of Operation Smile, was a student at EVGS and continues to teach there.) Here, Norris completed a residency in plastic surgery and a fellowship in hand surgery. He went on to complete a fellowship in microvascular surgery at the University of Louisville. As he honed his skills as a reconstructive surgeon, Norris found himself discouraged as the Navy continued to deploy him as a general surgeon. “The Navy didn’t take plastic surgery seriously,” Norris said, so he quit. He spent two years in the Department of Plastic Surgery at the Naval Hospital in Portsmouth, Virginia, followed by three years in the Division of Plastic Surgery at the Naval Hospital in San Diego. Again, he wasn’t certain of his next steps. He had no experience in running his own medical practice. He considered a position with Kaiser Permanente in Los Angeles, but a classified ad in a plastic surgery journal led him to Burlingame, where a plastic surgeon was looking for another physician to join his practice.

MICHAEL NORRIS SMCMA President 2015-16 education B.S., Mathematics, loyola university M.d., university of Miami School of Medicine training and experience Internship - Surgery naval Regional Medical Center, San diego Residency - General Surgery naval Regional Medical Center San diego Residency - Plastic Surgery eastern Virginia Graduate School of Medicine Fellowship - Hand Surgery eastern Virginia Graduate School of Medicine Fellowship - Microvascular Surgery university of louisville certifications national Board of Medical examiners American Board of Surgery American Board of Plastic Surgery American Board of Plastic Surgery Added Qualifications in Surgery of the Hand

CoNtiNUeD oN PAge 13

July-august 2015 | san Mateo county physician 11


The columnist and editor Doug Larson once said, “Establishing goals is all right if you don’t let them deprive you of interesting detours.” Psychiatrist James Missett, MD, recipient of the 2015 SMCMA Distinguished Service Award, would seem to know something about goals and detours. His achievements are clear evidence of his discipline and work ethic. At the same time, his curiousity and openness have led him to embrace unexpected opportunities—the interesting detours— that have made for a diverse and rewarding career. Missett grew up in Connecticut and originally intended to be a philosophy professor. He earned his undergraduate degrees in philosophy from the California University of America in Washington, DC, and his doctor in Philosophy of Science at St John’s University in New York City.

JAMES MISSETT

He was working on his PhD at St. John’s University when his father, an internist, passed away. The younger Missett had never considered a career in medicine before, but then he saw how many people had loved and admired his father, and understood the difference his father had made in people’s lives. Within a few weeks, he had applied to medical school. He earned his medical degree from Yale University School of Medicine, as well as a Master of Public Health degree from Johns Hopkins in Baltimore. Despite a background in philosophy and very little science training, he graduated with honors. Missett completed his internship and residency at Stanford University. That’s where he met Maureen Kenney, a nursing student living in Pasadena at the time. Their first date was the 1972 Rose Bowl. They were married that summer. Their son Brian is a radiation oncologist at Kaiser in Santa Clara County, and daughter Katie is a mathematics teacher.

Distinguished Service Award Recipient, 2015

Dr. Missett spent many years in private practice in Menlo Park. In 1975, the Missett residence was robbed by a burglar who had struck more than 50 homes in Palo Alto. Dr. Missett testified against the burglar in court, and the district attorney was so impressed with his testimony, he offered him a job doing forensic psychiatry with the court.

education

In the 1980s, another dramatic event presented Dr. Missett with a new professional opportunity. After the 1981 assassination attempt on President Ronald Reagan by John Hinkley, Jr., the National Academy of Sciences advised the United States Secret Service to hire a psychiatrist for consultation about protential problem suspects. Missett was asked if he would be interested in consulting, and for many years he was responsible for all psychiatric evaluations for the Secret Service between Yuma, Arizona, and Fairbanks, Alaska, and between Salt Lake City and Guam.

B.A., M.A., Philosophy, Catholic university of America Ph.d., Philosophy of Science, St. John’s university M.d., yale university School of Medicine M.P.H., Johns Hopkins university training and experience Internship - Internal Medicine Stanford university Hospital Residency, Chief Residency - Psychiatry Stanford university Hospital certifications Certifications in Psychiatry, Psychiatry with Special Qualifications in Addiction Psychiatry, and Psychiatry with Special Considerations in Forensic Psychiatry by the American Board of Psychiatry and neurology Certification in Forensic Psychiatry by the American Board of Forensic Psychiatry

In 2002, Missett became the first director of the Center for Psychiatry and the Law at Stanford University, which was created to train faculty members how to teach the techniques of evaluating patients in a way that is helpful to the court. “Jim and I met as new members of the community teaching faculty at Stanford School of Medicine, when I attended his Grand Rounds presentation on the psychiatry of protecting the President of the United States,” said Harvey Dondershine, MD, JD, one of Missett’s colleagues at the Center for Psychiatry and the Law. “Since then, we’ve talked forensics and teaching and going to court and had really great fun doing it. I watched Jim’s reputation for excellence spread across the “Farm” to the Law School, and then across the nation as well. Lawyers like to say the forensic expert is the hood ornament on the car they drive to court. Jim is no hood ornament! He is the quintessential professional with the competence to discover the ‘story’ and the skill to explain it to lawyers so that the law can do justice in the courtroom.” Missett served as president of the San Mateo County Medical Association from 2003 to 2004, working tirelessly to strengthen the bond between educational institutions and private practice, find solutions to health plan obstacles, and address major changes

12 san Mateo county physician | July-august 2015


James Missett, MD (continued from previous page)

Michael Norris, MD (Continued from Page 10)

in health care that most impact doctors. In 2003, Sutter Health announced its intention to build a full-service hospital in San Carlos, and Dr. Missett and other leaders worked with thenSupervisor Jerry Hill to ensure the Board of Supervisors fully understood the dynamics of increasing or decreasing hospital facilities and the impact on the community at large.

Two decades later, Dr. Norris runs a thriving practice in Burlingame where approximately 70 percent of his work focuses on surgery of the hand and wrist. He also has extensive experience in cosmetic surgery of the face, eyes, body and breast. His patients commend Norris for his kindness and his gift for making them feel comfortable and safe.

In 2007, when incoming President Rex Greene relocated to Ohio, Dr. Missett was tapped by his peers to fill the vacancy because of his leadership skills and rapport with association members. During his second term, he again demonstrated his gift for diplomacy and consensus-building, strengthening the relationship between SMCMA and nearby universities, Stanford and UCSF.

Dr. Norris has been an active member of the San Mateo County Medical Association since he came to practice here in 1986. “Everyone joined. Doctors were closer as a community then,” says Norris. Norris was recruited to the association’s board of directors after serving on various committees, including the Medical Review and Advisory Committee.

After finishing his second term, Missett has stayed active in the medical association, including serving as a member of the SMCMA delegation to the CMA House of Delegates for many years. In the end, establishing goals while staying open to detours has made for an adventurous and rewarding career. “Psychiatry is about the nature of life; the nature of relationships,” said Missett. “I don’t think you could pick a better life.” ■

More recently, Dr. Norris has been donating most of his Saturday mornings to the SMCMA’s Walk with a Doc program, speaking to members of the community about healthy living and leading them on walks in our county’s parks. “Dr. Norris is thoughtful, pragmatic and committed to the well being of physicians on a local, state and federal level,” said Dr. Vincent Mason, Immediate Past-President of SMCMA. “We are fortunate to have him as our President for 2015.” ■

Are you getting the most out of your membership? SMCMA/CMA members enjoy free access to valuable professional resources and an extensive network of benefit partners, adding up to enough savings to pay for your membership several times over:

Member benefit Purchase health insurance for 8-person staff through Mercer: Recover fees through CMA’s reimbursement helpline: Call CMA’s legal information line and access documents from CMA’s online health law library, instead of calling an attorney:

Savings $12,120 $800 $2,660

Earn 16 CME by attending Western Health Care Leadership Academy:

$400

Attend two SMCMA educational programs and three CMA webinars:

$600

Purchase office supplies through Staples Advantage program:

$750

Total savings:

$17,330

The value of membership:

Priceless

Can you afford not to be a member? July-AUGUST 2015 | SAN MATEO COUNTY PHYSICIAN 13


SMCMA oers two seminars on

PRACTICE OPTIONS

Self-employment vs. hospital/foundation Affiliation >>Wednesday, September 16, 2015 - 6:00-7:30 P.M. There are many practice opportunities for physicians to consider for the future. Will you remain in solo practice? Merge with others to form a bigger single specialty, multi-specialty group or ACO? Join a Foundation or University Affiliation? This workshop will present a balanced discussion of options and issues for physicians to consider before making these important decisions.

Merging Practices: Strategies to remain independent >>Wednesday, October 14, 2015 - 6:00-7:30 P.M. In this new era of health care, consolidating practices can result in economies of scale, reduction of overhead, increased power in contracting, increased net income, ability to recruit new partners and retire partners. But as in a marriage, good communication and shared values are key to compatibility and long term success. This workshop covers practical strategies to manage a successful merger. Presenter: Debra Phairas, President Practice and Liability Consultants

NeW SMCMA MeMBerS

San Mateo County Medical Association 777 Mariners island Boulevard, Suite 100, San Mateo $99 per program for members/staff, $249 for all others refreshments will be provided registration: smcma@smcma.org, 650.312.1663

Neal Berger, M.D. Orthopaedic Surgery Redwood City

Tracy Zweig Associates INC.

A

REGISTRY

&

PLACEMENT

FIRM

Physicians

Judy Chang, M.D. *Neurology Sacramento

Jade ramos-Poblete, M.D. *Internal Medicine, Infectious Diseases San Bruno

Nurse Practitioners Physician Assistants

*Board-certified the following SMCMA members have recently retired from practice: Richard Braunstein, Md leonard Valentino, Md stephen Weller, Md indeX oF adVeRtiseRs Cooperative of American Physicians ......................Inside Back Cover the Magnolia of Millbrae ............................................................................ 10 Mercer.................................................................................. Inside Front Cover noRCAl ............................................................................ outside Back Cover tracy Zweig Associates ................................................................................. 14

14 san Mateo county physician | July-august 2015

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