Perioperative Services (Surgery + Anesthesia)

Chair:

Rebecca Chan, M.D.

Medical Staff:

Phil Tsai, M.D.

Puja Trivedi, D.O.

Randa Karas, M.D.

Mahnaz Broukim, M.D.

Josephine Calandria, CRNA

Berenice Rivera-Cruz, CRNA

Contact numbers:

Office: (562) 385-7755

The Neurosurgery Program at Rancho Los Amigos National Rehabilitation Center primarily serves patients that have suffered brain injuries. As part of the LA General/Rancho Los Amigos Comprehensive Epilepsy Center, the Neurosurgery service woks closely with the Epilepsy Monitoring Program at Rancho Los Amigos. Patients undergo video-EEG monitoring, imaging and neuropsychological evaluation, and when appropriate undergo invasive EEG monitoring with subdural electrodes. Resection of the seizure foci are performed at the LA General Medical center in Los Angeles. The LA General/Rancho Los Amigos Comprehensive Epilepsy Center received a Special Merit Plaque at the Los Angeles County 25th Annual Productivity and Quality Awards ceremony in 2011. In 2011, the Neuro-Spine Program initiated Phase II evaluation for patients with medically intractable epilepsy.

The Neuro-Spine Program has a comprehensive cranial vault reconstruction program that has achieved local and national notoriety for their success in treating patients with head injuries. The program is now the busiest of its kind in the United States.

With respect to peripheral nerve surgery, nerve biopsies, decompressions, and transpositions are performed. The patients that benefit from these surgeries include those with peripheral neuropathies of unknown origin, as well as those suffering from radial, ulnar, and median nerve compression.

The Neuro-Spine service welcomes patient referrals for consultation and treatment.

Program Chief:

Charles Liu, M.D., PhD

Medical Staff:

Kevin Rolfe, M.D., M.P.H.

Jonathan Russin, M.D.

Darrin Lee, M.D.

Brian Lee, M.D., PhD

Dudley Fukunaga, PA-C

Contact numbers:

Office: (562) 385-7166

Fax: (562) 385-6247

The primary focus of the Urology Program at Rancho Los Amigos National Rehabilitation Center is the evaluation and treatment of neurogenic bladder. Nerogenic bladder is a bladder dysfunction that often occurs secondary to a neurologic disorder such as spinal cord injury, multiple sclerosis, Parkinson’s disease, stroke, and spina bifida.

Common symptoms of neurogenic bladder include urinary incontinence, difficulty emptying the bladder, a frequent urge to urinate, and urinary tract infections. These issues can often be treated conservatively with a combination of medical therapy and catheterization as needed. If more invasive therapy is required we perform cutting-edge reconstructive surgery of the bladder that can often resolve or greatly improve bothersome symptoms associated with neurogenic bladder.

Many of the surgical options that are available to our patients have been refined and advanced by the urology team at Rancho Los Amigos, specifically for patients who suffer from neurogenic bladder. The urology program welcomes patient referrals for consultation and treatment.

Program Chief:

David Alan Ginsberg, M.D.

Medical Staff:

Evgeniy Kreydin, M.D.

Shilo Rosenberg, M.D.

Raafat Rokes, P.A.-C

Contact Numbers:

Office: (562) 385-7166

Fax: (562) 385-6247

The Otolaryngology program welcomes patient referrals for consultation and treatment.

Program Chief:

Gordon Sun, M.D.

Medical Staff:

David Shamouelian, M.D.

Antonio Guillen, N.P.

Contact Numbers:

Office: (562) 385-7166

Fax: (562) 385-6247

The Spine Surgery Program at Rancho Los Amigos National Rehabilitation Center primarily serves patients that have suffered spinal cord injuries. Surgeries include complex spinal surgeries, neural decompression, instrumented and non-instrumented fusions, and deformity correction for patients suffering from a spinal cord injury, but patients with degenerative, infectious, and neoplastic conditions are routinely treated as well.

Program Chief:

Kevin Rolfe, M.D. MPH

Medical Staff:

John Fleming, M.D.

Dudley Fukunaga, P.A.-C

Contact Numbers:

Office: (562) 385-7166

Fax: (562) 385-6247

This program is unique to the west coast, and as the center for the county of Los Angeles.

The pressure ulcer management (PUM) a constructive plastic surgery program at Rancho Los Amigos National Rehabilitation Medical Center. Consist of team of experts that aggressively manage pressure ulcer, which is a potential devastating disease that primary occurs in patients that are bed redden, or confined to wheelchair (spinal injury patients, spinal bifida patients, and patients neurologic disease).

Our team of experts deal with the patient total clinical picture. To treat and correct all the predisposing factors that contribute to the development of pressure ulcer, and prevent reoccurring ulcers in the future, by patient education and provide the best wheelchair cushion and bed to be used by the patient.

Our innovation approach to use complex reconstructive plastic surgery and pre and postoperative protocol, and this makes this program well known nationally and internationally. The experience of this program was documented by many publications and textbooks in reconstructive plastic surgery of pressure ulcer. This program is a teaching center to the plastic residents of USC and UCLA and the resident rotates regularly to Rancho. The program at Rancho has a 25 bed service for patients with extensive pressure ulcers, infected hips and heterotopic ossification of the hip joint and knee joint.

The typical hospital stay is approximately 8 weeks, this will allow sufficient time to achieve flap healing and a short rehab of the patient post the flap surgery. Postoperative protocol include the use of special bed, and physical therapy and occupational therapy to perform their protocol post flap surgery. Nursing staff are well trained to take care of the patient and to take care of the flap surgery wound.

This document will help you prepare for your surgery appointment:

· Pressure Ulcer Management Preoperative Appointment Day

· Manejo de Ulcera de Presion Dia de su Cita Preopeativa

Program Chief:

Salah Rubayi, M.D., F.I.C.S., F.A.C.S.

Professor of Clinical Surgery, Division of Plastic Surgery, USC

Medical Staff:

Kegianoosh Paydar, M.D., F.A.C.S.

Professor of Clinical Surgery Division of Plastic Surgery, U.C.I.

Lori Aliksanian, M.D.

Robert Vega, P.A.-C

Yearly Fellow

Contact Number

Office: (562) 385-7166

Fax: (562) 385-6247

The Diabetes/Amputee program welcomes patient referrals for consultation and treatment.

Program Chief:

Richard Chambers, M.D.

Medical Staff:

Tanzim Khan, D.P.M.

Mark Linam, D.P.M.

David Armstrong, D.P.M.

Laura Shim, D.P.M.

Raafat Rokes, P.A.- C

Contact Numbers:

Office: (562) 385-7166

Fax: (562) 385-6247

The Post Polio & Pathokinesiology Gait Lab welcomes patient referrals for consultation and treatment.

Medical Staff:

Vance Eberly, M.D.

Contact Numbers:

Office: (562) 385-6260

The Surgical Arthritis Program at Rancho Los Amigos National Rehabilitation Center provides surgical treatment primarily for arthritis of the hip and knee and upper extremity care for patients with rheumatoid arthritis. We use the latest surgical and non-surgical techniques to manage arthritis, including modern total joint replacement implants and physical therapy. The surgical arthritis program welcomes patient referrals for consultation and treatment.

Program Chief:

Donald Longjohn, M.D.

Medical Staff:

Daniel Oakes, M.D.

Robert Runner, M.D.

Soheil Najibi, M.D.

Nathanael Heckman, M.D.

Contact Numbers:

Office: (562) 385-7166

Fax: (562) 385-6247

Ortho Sports, fractures, pediatric ortho and other general orthopedic maladies are treated. The General Ortho program welcomes patient referrals for consultation and treatment.

Program Chief:

Kevin Rolfe, M.D. MPH

Medical Staff:

Soheil Najibi, M.D.

Vance Eberly, M.D.

Geoffrey Miller, M.D.

Elke Ahlmann, M.D.

Jackson Lee, M.D.

Dudley Fukunaga, PA.-C

Mondana Hatzidakis, P.A.-C

Contact number:

Office: (562) 385-7166

Fax: (562) 385-6247