FEATURE
TOP DOCTORS 2023
Sheila Meena Krishna, MD [5] Coastal Pacific Dermatology 345 Saxony Rd, Suite 201 Encinitas, CA 92024 (619) 630-0367 Alice Y Liu, MD, PhD [11] Dermatologist Medical Group of North County 3613 Vista Way Oceanside, CA 92056 (760) 758-5340 Tyler James Maly, MD [2] Dermatologist Medical Group of North County 3613 Vista Way Oceanside, CA 92056 (760) 758-5340 Jeffrey Michael Melancon, MD, PhD [1] Sharp Rees-Stealy Medical Group 300 Fir St San Diego, CA 92101 (619) 446-1549 Charles H Miller, MD [14] Kaiser Permanente 8080 Parkway Dr La Mesa, CA 91942 (800) 290-5000 Mona Z Mofid, MD, FAAD [6] Sharp Community Medical Group 8929 University Center Ln, Suite 202 San Diego, CA 92122 (858) 412-3271 Melanie Dawn Palm, MD, MBA, FAAD [1] Art of Skin, MD 437 S Highway 101, Suite 217 Solana Beach, CA 92075 (858) 792-7546 Michelle Terez Pelle, MD [1] MedDerm Associates 3965 Fifth Ave, Suite 200 San Diego, CA 92103 (619) 542-0013 Adam David Perry, MD [4] Kaiser Permanente 400 Craven Rd San Marcos, CA 92078 (800) 290-5000 Keith Donald Roby, MD [1] Kaiser Permanente 8080 Parkway Dr La Mesa, CA 91942 (800) 290-5000 Sherry Lynn Rotunda, MD [12] Dermatologist Medical Group of North County 3613 Vista Way Oceanside, CA 92056 (760) 758-5340 Tamara Katherine Scalise, MD [3] Kaiser Permanente 8080 Parkway Dr La Mesa, CA 91942 (800) 290-5000
Robert Stanley Scheinberg, MD [18] Dermatologist Medical Group of North County 3613 Vista Way Oceanside, CA 92056 (760) 758-5340 Susan Youko Shimomaye, MD [9] Dermatologist Medical Group of North County 1200 Garden View Rd, Suite 108 Encinitas, CA 92024 (760) 942-1311 Lisa Ann Stirling, MD [2] Comprehensive Dermatology Group 781 Garden View Ct, Suite 201 Encinitas, CA 92024 (760) 634-3376 Jens Thiele, MD [4] Dermatology Specialists 3629 Vista Way Oceanside, CA 92056 (760) 757-7546 Anne Kathleen Truitt, MD [2] Skin Surgery Medical Group 5222 Balboa Ave, Fifth & Sixth Floor San Diego, CA 92117 (858) 292-5101 Young Ha Tsai (Lee), MD [1] Sharp Rees-Stealy Medical Group 2600 Via De La Valle, Suite 200 Del Mar, CA 92014 (858) 499-2708 Joy Davida Wisniewski, MD [2] Comprehensive Dermatology Group 781 Garden View Ct, Suite 201 Encinitas, CA 92024 (760) 634-3376 DERMATOPATHOLOGY Antoanella Calame, MD [5] Compass Dermatopathology 6605 Nancy Ridge Dr, Suite 200 San Diego, CA 92121 (858) 750-2983 DEVELOPMENTAL ! BEHAVIORAL PEDIATRICS Rachel Ann Ireland, MD [5] Kaiser Permanente 6911 Convoy Ct, Dept Pediatrics San Diego, CA 92111 (800) 290-5000 DIAGNOSTIC RADIOLOGY Norman C Chen, MD [11] San Diego Imaging 7910 Frost St, Suite 100 San Diego, CA 92123 (858) 565-0950
Harry Peter Ellison, MD [11]
X-Ray Medical Group 8881 Fletcher Pkwy, Suite 102 La Mesa, CA 91942 (619) 461-1830 Jon Gabriel Ellison, MD [9] X-Ray Medical Group 8881 Fletcher Pkwy, Suite 102 La Mesa, CA 91942 (619) 461-1830 Nazih Nassif Farah, MD [3] San Diego Imaging 7910 Frost St, Suite 100 San Diego, CA 92123 (858) 634-5900 Jonathan Marc Gurney, MD [8] San Diego Imaging PO Box 23540 San Diego, CA 92193 (858) 565-0950 Scott Carey Honowitz, MD [3] X-Ray Medical Group 7777 Alvarado Rd, Suite 108 La Mesa, CA 91942 (619) 460-2770 Brady Kirk Huang, MD [2] UC San Diego Health 200 W Arbor Dr, MC 8970 San Diego, CA 92103 (858) 657-7000 Valentin Arrington Lance, MD [6] X-Ray Medical Group 7777 Alvarado Rd, Suite 108 La Mesa, CA 91942 (619) 460-2770 Jenna I-Chun Liu, MD [10] X-Ray Medical Group 8881 Fletcher Pkwy, Suite 102 La Mesa, CA 91942 (619) 461-1830 Jeffrey Steven Miller, MD [3] San Diego Imaging 7910 Frost St, Suite 100 San Diego, CA 92123 UC San Diego Health 9400 Campus Point Dr, MC 7316 La Jolla, CA 92037 (858) 822-6126 Neeraj Jitendra Panchal, MD [11] San Diego Imaging PO Box 23540 San Diego, CA 92193 (858) 565-0950 Kiran Roshan Patel, MD [3] San Diego Imaging 7910 Frost St, Suite 100 San Diego, CA 92123 (760) 547-8000 (858) 634-5900 Haydee Ojeda- Fournier, MD [4]
A technician processes donations at the UC Health Milk Bank.
Thinking about the amount of itching and pain that I could have avoided had my doctors been more informed about what medications are safe while breastfeeding keeps me up at night. Other parents have faced similar situations. “Yesterday I fielded four calls
from people who were told that they had to stop breastfeeding or pump-and-dump over medications that were completely safe,” Markham says. “But that’s what their doctors had told them.” There’s still a lot left to learn. Chambers says that, even today, it’s rare for the FDA to require that pharmaceutical companies conduct lactation- related studies before a new drug hits the market. In fact, 90 percent of clinically approved medications do not have appropriate drug labeling information for those who are pregnant and lactating. Over my three-and-a-half years of breastfeeding, I’ve examined many a pill label, wondering at the med’s safety. Recently, a quick search in my medicine cabinet revealed a generic bottle of ibuprofen with a warning on it: “If pregnant or breastfeeding, ask a health professional before use.” According to the HMI’s LactMed database, however, the medication is “a preferred choice as an analgesic or anti- inflammatory agent in nursing mothers.” Confusion about what pill to take is not the only consequence of the lack of research and information about taking medication while lactating. “Research has shown that people with highest rates of postpartum depression are those who wanted to breastfeed but were unsuccessful,” Markham says, explaining that many feel sad or disappointed that their plans were derailed for reasons out of their control. “[Breastfeeding] is a big relationship to have to change for medication.”
80 OCTOBER 2023
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