A Day in the Life of Pediatric Surgeon Dr. Peter Yu

By Dr. Peter T. Yu, pediatric general and thoracic surgeon at CHOC Children’s

5:00 a.m.: Alarm rings. I hit snooze once, for an additional 9 minutes of peace. Then it is time to get up and at ’em. In the dark, I attempt to avoid injuring myself on the various toys that are strewn about the house–one of the hazards that comes with raising young children. I start the coffee maker, brush my teeth, shave, get dressed and kiss my slumbering family good-bye. Then it is off to swim practice.

7 a.m.: Swim practice is over. Fatigued but happy, I shower and joke with the teammates on my masters swim team. I am grateful for my health and momentarily enjoy the small personal accomplishment of having completed my workout for the day.

7:30 a.m.: After navigating moderate traffic and enjoying NPR, I arrive at CHOC. I meet with the very kind family of my first patient, a 5-year-old boy who is having inguinal hernia/hydrocele surgery today. In children, an inguinal hernia is a small, congenital opening in the groin that allows communication between the abdomen and the scrotum in boys and the labia in girls. Thus, things like fluid, fat, omentum or intestines can pass through this opening, creating a bulge and sometimes causing pain. A hydrocele is related to an inguinal hernia and is due to fluid that has passed from the abdomen, through the opening, and into the scrotum. Inguinal hernias occur in about 1-5 percent of all children. Hernia and hydrocele surgery are routine operations for all pediatric general and thoracic surgeons and, as expected, the operation goes smoothly.

9:00 a.m.: For my second operation of the day, Dr. Mustafa Kabeer, a fellow pediatric general and thoracic surgeon, and I perform a minimally invasive Nuss procedure on a teen athlete. This patient, who hopes to earn a college scholarship, has pectus excavatum or sunken chest, the most common congenital chest wall abnormality in children. For many, this is far more than a cosmetic problem. Using small incisions that will ultimately be well-hidden in this patient’s armpits, we are able to insert a metal bar between his heart and his chest wall that helps to pop the sternum out into normal position. This bar will stay in place for three years, before it is removed in an outpatient procedure. Our operation today took only 2 small incisions and 45 minutes of operating time. We prefer the minimally invasive Nuss procedure to the older, more invasive Ravitch procedure since it achieves a wonderful outcome with less pain, minimal blood loss and only tiny, hidden scars.

10:00 a.m.: As the anesthesiologist and the operating room staff prepare for my final case of the day, I walk over to the surgical neonatal intensive care unit and medical/surgical unit to make rounds and touch base with my team of excellent, experienced surgical nurse practitioners (NPs). Not a day goes by that I am not thankful for their contributions to the outstanding care of our surgical patients at CHOC. Currently, on the surgical floor, I have patients who have recently had appendectomies, a cholecystectomy (removal of the gallbladder), lysis of adhesions (cutting of intra-abdominal scar tissue) to treat a small bowel obstruction, port placement for chemotherapy, and a Nissen fundoplication for gastroesophageal reflux disease. In the NICU I have one baby with congenital diaphragmatic hernia whom I recently placed on ECMO (extracorporeal membrane oxygenation), state-of-the-art technology that supports the heart and lungs by taking over the heart’s pumping function and the lung’s oxygen exchange. A second patient of mine in the NICU is a baby who recently had esophageal atresia/tracheoesophageal fistula surgery to repair a congenital defect where the trachea, or windpipe, abnormally communicates with the esophagus, or food tube. Fortunately, all patients are doing well, I am able to address the questions of each of my patients and their parents, and the NPs and I come to a consensus on the plan of care for the day for each one.

dr peter yu
Dr. Peter Yu, pediatric general and thoracic surgeon at CHOC Children’s

10:30 a.m.: Once rounds are done, I head back to the operating room for my final case of the day, a thoracoscopic lung lobectomy. This is one of my most favorite operations and is my area of expertise. This 3-month-old patient was diagnosed prenatally when an ultrasound showed a congenital lung lesion, also known as a CPAM (congenital pulmonary airway malformation, formerly known as CCAM). This diagnosis is becoming more and more prevalent, occurring in about 1 in every 5,000 babies. Fortunately, more than 90 percent will be symptom-free during pregnancy and after birth, allowing pediatric general and thoracic surgeon such as myself to hold off on surgery until the infant is a few months old and better able to tolerate the stress of an operation. Even though infants with CPAMs may be asymptomatic, it is still recommended that these lesions be removed because they can often become infected and, in rare instances, may become a cancer later in life. The benefit of operating sometime during the first several months of life is that the CPAM has yet to become infected, making surgery easier and allowing for a minimally invasive removal. Thanks to the patient’s young age, the remaining portion of her healthy lung will grow in size and compensate for the removed lobe.

Thoracoscopic lung lobectomy is extremely technically challenging because the surgeon navigates major blood vessels such as the pulmonary artery and pulmonary vein, and operating time can vary from two to six hours depending on a patient’s particular anatomy. Fortunately, this little baby’s anatomy is favorable and I am able to complete the minimally invasive operation in about 2 hours with minimal blood loss and an excellent outcome. After surgery, I have the privilege of giving her parents good news, which is always the best part of my work day. I anticipate that she will have a two-day hospital stay with minimal pain and no complications, and her tiny scars will ultimately be unnoticeable by others (except for mom! Pediatric surgeons know that moms see everything J).

1:00 p.m.: I have a quick lunch with my NPs and Dr. David Gibbs, another pediatric general and thoracic surgeon at CHOC who is also the medical director of trauma. He has established the excellent trauma program we have here, the only trauma center in Orange County that is exclusively dedicated to children. We take a moment to enjoy each other’s company, get trusted input on current clinical situations, and catch our breaths from this very typical, fast-paced workday.

2:00 p.m.: I participate in a fetal counseling session. Given my special training in fetal surgery, I work closely with community perinatologists (also known as high-risk obstetricians or MFMs–maternal fetal medicine physicians) to counsel expectant mothers and fathers on what to expect when their baby has been diagnosed in utero with a condition that will require surgery.

Today, I meet with parents whose daughter has been prenatally diagnosed with congenital diaphragmatic hernia, or CDH. Simply put, CDH is a hole in the diaphragm, which is the muscle that divides the abdomen from the chest. The diaphragm helps us breathe, and a hole here allows things that are normally in the abdomen, such as the liver or intestines, to pass into the chest. Besides potentially compromising the intestine itself, this can also lead to small lungs (pulmonary hypoplasia) which may not be able to adequately oxygenate the body. Another severe consequence of CDH is pulmonary hypertension, which is abnormally high pressure in the blood vessels of the lungs. This is a problem because a newborn’s heart must work extra hard to pump blood into this abnormal high-pressure system, which can lead to heart failure and death if not appropriately treated.

I go over the diagnosis with mom and dad, and explain to them that, after birth, their baby will require a breathing tube and ventilator to support her small lungs. Special inhaled and intravenous medications will be used to decrease the high blood pressure in the blood vessels in the lungs and to help support her beating heart. If these measures are not enough, we will need to use ECMO. If ECMO is needed, I will perform a surgery to make an incision on her neck to access her carotid artery and jugular vein so that ECMO catheters can be placed.

Ultimately, once their daughter’s heart and lung condition has stabilized—which may take days to weeks after birth—I will repair the congenital diaphragmatic hernia. To do this, I will make an incision on the abdomen, move the intestines and liver from the chest back into the abdomen, and stitch the hole closed.

I am careful to be upfront and honest about the situation: CDH is a serious and frequently life-threatening condition and the national average for survival is approximately 65 percent. Their daughter will likely require a two to three month stay in our NICU and may need to go home with supplemental oxygen and special medications for a period of time. However, I’m able to reassure them as well. Nearly 90 percent of newborns that have this surgery at CHOC survive. At CHOC, we are fully equipped and have the expertise to handle any possible outcome, thanks in part to our surgical NICU, the only one of its kind of the west coast.

Mom and dad are tearful at the gravity of their daughter’s situation but they also express how grateful they are for the opportunity to learn more about CDH, have their questions answered, and leave feeling better prepared for the next steps. They know they can contact us at any time, day or night, and we will be there to address any problem and provide support. They also feel relieved that they will be surrounded by familiar, trusted faces when their daughter is born.

3:00 p.m.: I head back to my office with some precious time to complete some homework—yes, I said homework—and work on research projects. Believe it or not, I have gone back to school to get my Master of Public Health degree from Johns Hopkins University. This is feasible because I am able to complete the majority of my coursework online. I wanted to get this additional degree to gain knowledge and experience in outcomes research, a relatively new branch of public health research that seeks to understand the end results of particular health care practices and interventions. While pursuing this degree, I am simultaneously working on outcomes research projects with my research partner, Dr. Yigit Guner, another pediatric general and thoracic surgeon at CHOC. Together we are utilizing large national databases to create risk calculators that can help better predict CDH outcomes, as well as predict outcomes in other neonatal diseases such as VACTERL (vertebral defects, anal atresia, cardiac defects, trachea-esophageal fistula, renal anomalies, and limb abnormalities).

6:00 p.m.: I head home for the day. En route, I call my mother who lives out-of-state to check in. My father recently passed away after a long struggle with illness and I just want to make sure she’s doing alright. She assures me that she is, and stubbornly resists my suggestions to have her move to Orange County. She is happy and comfortable in her home, which makes me happy as well, but I am concerned that I will be unable to adequately help her in the years to come should her health someday fail.

6:30 p.m.: I’m happy to be home with my family. It’s dinner time and I’m famished. I relish the chance to catch up on the day’s events with my wife and kids. I play with the kids for a bit and then it is time to help my oldest with homework. After that, my wife and I get all the kids ready for bed and tuck them in.

9:00 p.m.: My wife and I finally have a precious moment to ourselves. We watch a favorite TV show together and I barely make it to the end before falling asleep. It feels so good to lie in bed, with the cool night breeze filtering in through my bedroom window. I dream of my family, work and old friends. Tomorrow, I have clinic and then I will spend the remainder of the day and night in the hospital, as I am on call for any pediatric general, thoracic and trauma emergencies that come to CHOC. I feel so blessed to have the family that I have, and to be able to do the meaningful work that I do.

Find a CHOC pediatric surgeon

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Patients Say the Darndest Things

In celebration of Doctor’s Day, we asked a few of our physicians what’s the funniest thing a patient has ever told you?

doctor's day
Left: Dr. Mary Jane Piroutek. Right: Snow White, her doppelgänger.

Dr. Mary Jane Piroutek, emergency medicine specialist

Q: What’s the funniest thing a patient has ever told you?

A:  Kids say funny things all the time. One of my favorites was a little 4 year old girl that had ingested coins and they were stuck in her esophagus. When I asked her what happened she shrugged her shoulder and with a mischievous look in her eyes said, “I ate the money, I’m not supposed to eat the money.”  Also recently a patient told me I looked like Snow White (which I don’t) and she called me Dr. Snow White the whole time I took care of her.

doctor's day

Dr. Gary Goodman, medical director, pediatric intensive care unit, CHOC Children’s at Mission Hospital

Q: What’s the funniest thing a patient has ever told you?

A: Just recently, I had a patient, who has a mild developmental delay, call me “the boy.”  I would stop in the patient’s room each morning, at which point I’d get asked, “What do YOU want?”

doctor's day

Dr. Kenneth Kwon, emergency medicine specialist

Q: What’s the funniest thing a patient has ever told you?

A: An adage in pediatric emergency care is when a child comes in with a nosebleed, you don’t ask if he picks his nose, you ask him which finger he uses. When I asked this question to one of my pint-sized patients, he answered that he used all of them, and then proceeded to demonstrate by sticking each of his 10 fingers in his nose individually. It was priceless.

doctor's day

Dr. Maryam Gholizadeh, general and thoracic surgeon

Q: What’s the funniest thing a patient has ever told you?

A: There was a young child around 8-9 years old and we were going to remove his appendix with laparoscopy. I was standing on his left side because with laparoscopy we make our incision on the left side. Just before he went to sleep he looked up at me and said, “Why are you standing on my left? My appendix is on the right.” I was amazed at how knowledgeable this kid was!

doctor's day

Dr. Jennifer Ho, hospitalist

Q: What’s the funniest thing a patient has ever told you?

A: From a 3-year-old girl: “I want to be a doctor like you … but only for unicorns and fairies.”

doctor's day

Dr. Andrew Mower, neurologist

Q: What’s the funniest thing a patient has ever told you?

A: “I don’t eat apples, doctor.”

“Why?”

“Because they keep the doctor away, and I like you, Dr. Mower.”

doctor's day

Dr. Laura Totaro, hospitalist

Q: What’s the funniest thing a patient has ever told you?

A: I was examining the mouth of my patient when he proudly showed me his loose tooth and whispered to me that his family had a secret. He then excitedly admitted that his mom was the tooth fairy!  His mother looked at me quizzically and then burst out laughing when she realized what had taken place. Earlier she had admitted to him that she played the role of tooth fairy at home but her son took this quite literally and believed it to actually be her secret full time job for all children.

doctor's day

Dr. Mustafa Kabeer, general and thoracic surgeon

Q: What’s the funniest thing a patient has ever told you?

A: A patient asked me what my first name was, and I told him it was Mustafa. He then promptly told me that was the name of his pet lizard!

doctor's day
Dr. Taraman, pictured with his apparent doppelgängers, Linguini from “Ratatouille” and Flint Lockwood from “Cloudy with a Chance of Meatballs.”

Dr. Sharief Taraman, neurology

Q: What’s the funniest thing a patient has ever told you?

A: One of my patients told me that I look like the character Flint Lockwood from Cloudy With A Chance of Meatballs and another one thinks I look like the character Linguini from the movie Ratatouille, both of which I found very funny.  Apparently, I give off the nerdy guy vibe.

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Two Oncologists with Special Interest in Immunotherapy Join Hyundai Cancer Institute at CHOC Children’s

Two oncologists have joined the team of nationally-recognized specialists of the Hyundai Cancer Institute at CHOC Children’s. Dr. Josephine HaDuong and Dr. Ashley Plant were both fellowship trained at two of the country’s top cancer programs, and share research interest in immunotherapy and targeted therapies.

Dr. Josephine HaDuong is board-certified in pediatric hematology and oncology, and was drawn to the Cancer Institute for what she refers to as its gold standard of care.

“The Hyundai Cancer Institute is a growing center that strives to be among the best. The team provides patients access to cutting-edge clinical trials that may lead to breakthroughs in pediatric cancer,” says Dr. HaDuong.

Her research is driven, in large part, by her clinical interest in caring for patients with solid tumors. A published author and principal investigator in a number of studies, Dr. HaDuong’s major research activities include exploring developmental therapeutics in solid tumors using immunomodulatory and targeted agents, as well as functional imaging in bone and soft tissue sarcomas using magnetic resonance spectroscopy.

Following medical school at the University of Pittsburgh, where she earned a full tuition merit scholarship, Dr. HaDuong completed her residency and pediatric hematology/oncology fellowship training at Children’s Hospital Los Angeles. She was honored with the Fellow of the Year, Excellence in Teaching Award.

She is a member of numerous professional associations, including American Society of Clinical Oncology, American Society of Pediatric Hematology and Oncology, and North American Consortium for Histiocytosis. In addition to English, she speaks Spanish and Vietnamese.

Raised in Orange County, Dr. HaDuong is thrilled to be back in her hometown. “I have always wanted to return home to serve the children and families in Orange County. I look forward to being a part of an incredible team who works relentlessly to end cancer,” says Dr. HaDuong.

Dr. Ashley Plant is committed to growing CHOC’s neuro-oncology treatment program, and eager to bring new therapies to patients with brain tumors. “I look forward to collaborating with academia and industry to bring early clinical trials to CHOC, especially in the area of immunotherapy. I am also excited to partner with my new colleagues to advance the work the Cancer Institute has been doing to reduce the long-term toxicities of cancer therapy,” says Dr. Plant.

Dr. Plant is a published author whose research interests include early phase clinical trial design for pediatric brain tumors. Her most recent project is a phase 1 clinical trial for a neo-antigen heat shock protein vaccine for diffuse intrinsic pontine glioma, a fatal brain tumor. She hopes to enroll patients in this trial within the next year. She considers herself fortunate to have worked under world-renowned immuno-oncologists Dr. Glenn Dranoff and Dr. Jerome Ritz at Dana Farber Cancer Institute in Boston. There, she won the Young Investigator Award for a project evaluating clonality of T cell receptors in pediatric gliomas.

Following medical school at Stanford University, Dr. Plant finished her residency at University of California, Los Angeles. Her fellowship training in pediatric hematology/oncology was completed at Boston Children’s Hospital. She received additional training in clinical trials and public health at Harvard Chan School of Public Health.

“I was attracted to CHOC because the hospital prioritizes excellent clinical care of patients above all else,” says Dr. Plant. “The hospital’s commitment to patient-and-family-centered care is something I wholeheartedly support. Cancer affects everyone in the family – physically, emotionally, psychologically and sometimes even financially. If we fail to address these issues, we are not completely caring for our patients and their families.”

Learn more about the Hyundai Cancer Institute at CHOC Children’s.

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Meet Dr. Wyman Lai

Just in time for American Heart Month, meet Dr. Wyman Lai, a nationally-recognized pediatric cardiologist with expertise in fetal cardiology and non-invasive imaging for heart disease in fetuses, and children at CHOC Children’s. Dr. Lai is the new medical director of echocardiography at CHOC and co-medical director of the CHOC Heart Institute.

Dr. Wyman Lai
Dr. Wyman Lai, medical director of echocardiography at CHOC and co-medical director of the CHOC Heart Institute.

“CHOC has a fabulous mix of state-of-the-art care, community presence, and academic achievement. I thoroughly enjoy working with my colleagues, who strive to provide the very best care available. The administrative staff at CHOC has also been extremely supportive. Together we are building a pediatric service that rivals any in the region, and we have our sights on even higher goals,” says Dr. Lai.

Dr. Lai’s passion for helping others inspired him to become a doctor. His original plan was to go into academic primary care pediatrics – a teaching and research position, and he majored in maternal and child health for his Master of Public Health degree. Early in his training, he became fascinated with what pediatric cardiologists were doing, and he switched to pediatric cardiology.

“The heart is an amazingly complex organ; it starts off as a simple tube, and it’s a wonder that it develops into a four-chambered pumping organ that delivers oxygen efficiently throughout our body,” says Dr. Lai. “In pediatric cardiology, we are able to make a profound difference in the lives of our patients. With our surgical colleagues, we have made incredible advances in life-saving therapies over the past five decades.”

Dr. Lai attended medical school at the Alpert Medical School of Brown University. He completed his residency at UCLA Ronald Reagan Medical Center, followed by a pediatric cardiology fellowship at UCLA Medical Center, and much later, a pediatric cardiology MRI fellowship at Boston Children’s Hospital.

Since joining CHOC, Dr. Lai has been treating patients with complex congenital heart disease. He is also treating patients with the full spectrum of heart conditions, from heart murmurs to chest pain and syncope.

Dr. Lai’s approach towards his patients and their families is to treat them like family members.

“As with all families, however, not everyone is the same,” he explains. “Some patients and parents want more medical information and some less. Some want to be very involved in the decision-making process and some not so much. My practice is to provide them with enough information and support, so they feel comfortable with the decisions they are making.”

Along with Drs. Nita Doshi and Pierangelo Renella, Dr. Lai is helping to build a great program in fetal cardiology at CHOC. He is also working with Dr. Renella to grow the congenital cardiac MRI program, including the use in non-invasive imaging for creating 3D heart models.

“We recently used a 3D cardiac MRI dataset to print several heart models that were used to assist in the planning of care for a child with complex congenital heart disease. Another area of innovation is our purchase of new patient monitoring software in the cardiovascular ICU that will help us to identify patients at risk for acute deterioration before it happens,” Dr. Lai says.

In his spare time, Dr. Lai loves spending time with his family. He also enjoys swimming, biking and running. He hopes to run in this year’s Boston and New York marathons, which he has participated in the past. He is also attending classes for a health care executive MBA at UC Irvine.





Learn more about CHOC fetal cardiology




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Meet Dr. Christine Bixby

CHOC Children’s wants its patients and families to get to know its specialists. Today, meet Dr. Christine Bixby, a neonatologist. She completed a fellowship in neonatology, as well as her residency and an internship in pediatrics at Harbor UCLA Medical Center. She attended medical school at University of California, Davis. Dr. Bixby is the president of the Orange County Breastfeeding Coalition. Currently the medical director of lactation services at CHOC, she has been on staff at CHOC for nine years.

Dr. Christine Bixby
Meet Dr. Christine Bixby, a neonatologist at CHOC Children’s

Q: What are your special clinical interests?
A: Newborn and premature care, and breastfeeding and breast milk use in extremely low birth weight infants.

Q: Are you involved in any current research?

A: Breast milk handling, breast milk use in low birth weight infants, breast milk and feeding in entire Neonatal Intensive Care Unit (NICU) population.

Q: What are some new programs or developments within your specialty?
A: Through CHOC’s NICU initiative, the increased number of private rooms will help further facilitate family involvement in infants’ care and allow for a better transition to the family for breastfeeding. It will allow them to be as close to their baby as possible.

Q: What are your most common diagnoses?
A: Prematurity and respiratory distress in newborn.

Q: What would you most like patients and families to know about you or your division at CHOC?
A: We focus on involving families in an infant’s care and help them navigate their NICU stay to make sure they’re comfortable with their baby’s care, and understand what’s happening on behalf of their child. I want them to rest assured there really are so many people working tirelessly on behalf of their baby across so many disciplines.

Q:  What inspires you most about the care being delivered here at CHOC?
A: We’re trying to continually push the envelope of providing better and better care from both a technical standpoint and also from a supporting families standpoint.

Q: Why did you decide to become a doctor?
A: My father experienced a serious injury at age two, and only survived it because of the great medical care he received. Once I was older I got the chance to see what medicine was really about, and I realized it’s about using critical thinking skills to get people through a challenging time, both medically and emotionally.

Q: If you weren’t a physician, what would you be and why?
A:  I’d be a park ranger because my father was a park ranger. I love being outside and spending quiet time in nature.

Q: What are your hobbies/interests outside of work?
A: I love spending time with my children and family, crocheting, inline skating, hiking and camping

Q: What have you learned from your patients?
A: I’ve learned the incredible strength of babies. We underestimate them as a society, but a sick baby is often stronger than a sick adult. I’m continually impressed by my patients’ families and the way they handle challenging diagnoses. They are put into a difficult position, but they process the information and move forward and are wonderful advocates for their children.

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Meet Dr. Kenneth Kwon

CHOC Children’s wants its patients and families to get to know its specialists. Today, meet Dr. Kenneth Kwon, a pediatric emergency medicine specialist. Dr. Kwon attended medical school at Columbia University. He completed an internship at UCLA, a pediatric residency at Lucile Packard Children’s Hospital at Stanford University, and an emergency medicine residency at UC Irvine. He has been on staff at CHOC for eleven years and currently serves as director of pediatric emergency services and Chief of Staff elect at CHOC Children’s at Mission Hospital.

Dr. Kenneth Kwon

Q: What are your special clinical interests?
A: Pediatric trauma and injury prevention.

Q: What are your most common diagnoses?
A: Fractures, head injuries, lacerations, febrile illnesses, and abdominal pain.

Q: What would you most like community/referring providers to know about you/your division at CHOC?
A: We are a comprehensive general emergency department and trauma center with an emphasis on pediatric and family-centered care. We have pediatric-friendly facilities including a pediatric waiting area and Child Life services, and we have the resources of a children’s hospital in our building and at our fingertips.

Q:  What inspires you most about the care being delivered here at CHOC?
A: CHOC is on the forefront regionally and nationally when it comes to patient safety and quality care, and that is not more evident than in the emergency department. I have worked in over ten emergency departments in my career, and I can safely say that the ED at CHOC at Mission is top-notch when it comes to timeliness and scope of care, facilities and staff.

Q: Why did you decide to become an emergency medicine physician?

A: During pediatric residency, I was particularly interested in high acuity care. I was deciding between neonatal/pediatric intensive care and pediatric emergency medicine. But I missed treating adults and the elderly, so I decided to pursue a second residency in emergency medicine. Now I get the best of both worlds, which is treating high acuity patients of all ages, with a particular emphasis on children.

Q: If you weren’t a physician, what would you be and why?
A: I would have become a music producer. I’ve always loved music and even dabbled as a disc jockey in college. I was never good at singing or dancing.

Q: What are your hobbies/interests outside of work?
A: Golf, family time, listening to obscure 80’s one-hit wonders, and sampling local microbrews.

Q: What was the funniest thing a patient told you?
A: An adage in pediatric emergency care is when a child comes in with a nosebleed, you don’t ask if he picks his nose, you ask him which finger he uses. When I asked this question to one of my pint-sized patients, he answered that he used all of them, and then proceeded to demonstrate by sticking each of his 10 fingers in his nose individually. It was priceless.

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Meet Dr. Maryam Gholizadeh

CHOC Children’s wants its patients and families to get to know its specialists. Today, meet Dr. Maryam Gholizadeh, a pediatric surgeon. Dr. Gholizadeh attended medical school at George Washington University, and completed her residency at Eastern Virginia Medical School. She completed a pediatric surgery fellowship at Children’s National Medical Center in Washington D.C., and a pediatric surgical oncology fellowship at Memorial Sloan Kettering Cancer Center in New York. She is currently the chair of pediatric surgery, and a member of the credentialing, medical executive and medical staff performance committees. She has been on staff at CHOC for 13 years.

Dr. Maryam Gholizadeh

Q: What are your special clinical interests?

A: All aspects of pediatric and neonatal surgery, surgical oncology and minimal invasive surgery.

Q: What are your most common diagnoses?

A: Appendicitis, hernias, lumps and bumps, as well as complex congenital pediatric and neonatal conditions.

Q: What would you most like community/referring providers to know about your division at CHOC?

A: As a general pediatric surgery division, we can take care of a variety of conditions such as hernias, hydroceles, gastrointestinal conditions requiring surgery, thoracic conditions, oncological problems requiring surgery such as neuroblastoma, Wilms’ tumor and teratomas.

Q: What inspires you most about the care being delivered here at CHOC?

A: We have a great group of specialists at CHOC who can deliver a high quality of care to our patients.

Q: Why did you decide to become a pediatric surgeon?

A: I decided to become a pediatric surgeon when I was a third year surgical resident on pediatric surgery rotation. Pediatric general surgery is the only field where you are able to take care of a variety of conditions. I found this field extremely rewarding, at the same time challenging.

Q: If you weren’t a physician, what would you be and why?

A: An athlete. I love the challenge, the discipline, and the fact you are always trying to do your best.

Q: What are your hobbies/interests outside of work?

A: Running, cycling, skiing and playing with my dogs.

Q: What was the funniest thing a patient told you?

A: There was a young child around 8-9 years old and we were going to remove his appendix with laparoscopy. I was standing on his left side because with laparoscopy we make our incision on the left side. Just before he went to sleep he looked up at me and said, “Why are you standing on my left? My appendix is on the right.” I was amazed at how knowledgeable this kid was!

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Meet Dr. Amy Harrison

CHOC Children’s wants its patients and families to get to know its specialists. Today, meet Dr. Amy Harrison, a pediatric pulmonologist. Dr. Harrison attended Indiana University School of Medicine, and completed both her pediatrics residency and fellowship in pediatric pulmonology at the University of Minnesota Children’s Hospital. She currently serves as co-director of CHOC’s Cystic Fibrosis Center, and has been on staff at CHOC for five years.

Dr. Amy Harrison
Dr. Amy Harrison

Q: What are your special clinical interests?

A:  Cystic fibrosis (CF), muscle weakness (muscular dystrophy and spinal muscular atrophy), asthma and general pulmonary health, chronic disease.

Q: Are you working on any current research?

A: Our CF program was awarded the CF Fundamentals Learning and Leadership Collaborative in June 2015, which has allowed us to improve our CF care processes and clinical outcomes for people with cystic fibrosis. We are currently studying ways to improve our patients’ knowledge of, and adherence to, prescribed pulmonary therapies.

Q: Are there any new programs or developments within your specialty?

A:  Our CF program was awarded a mental health grant through the Cystic Fibrosis Foundation to develop and implement a depression and anxiety screening program for patients with CF and their caregivers. Funds will enable the team to expand its social worker’s availability and have a designated psychologist to help patients and caregivers. They will provide screenings, evidence-based guidelines and follow-up care for depression and anxiety, as well as develop a community referral network of mental health providers. CHOC’s CF model, if successful, could be replicated in other specialty clinics.

In addition, we are excited to offer many cutting-edge therapies for CF patients including Orkambi and Kalydeco, medications that help the defective protein in CF function more normally, thus treating the underlying cause of CF.

Q: What are your most common diagnoses?

A: I see patients with a range of conditions, including asthma, chronic cough, recurrent pneumonia, cystic fibrosis, muscular dystrophy and spinal muscular atrophy.

Q: What would you most like community/referring providers to know about you/your division at CHOC?

A: The pulmonary division at CHOC offers comprehensive care for all patients with lung disease and sleep disorders from extensive lung function testing to sleep studies and diagnostic procedures such as bronchoscopy. We also have comprehensive services for patients with sleep apnea, sleep breathing disorders including apnea monitors and BIPAP data analysis for clinical management. In addition, we also offer services in Huntington Beach, Mission Viejo, Corona and Pomona Valley.

Q: What inspires you most about the care being delivered here at CHOC?  

A: I enjoy caring for children with chronic conditions and helping them to find ways of living normal fulfilling lives. I take great pride in my patient’s accomplishments and find their stories inspiring. I most enjoy creating a true partnership with my patients and their families to find ways to improve their care.

 Q: Why did you decide to become a pediatric pulmonologist?

A: I was always interested in science from a very young age and pursued a medical education due to my own fascination with learning more about how our bodies work. During my training, I developed asthma myself and found my strong relationships with my own medical professionals enormously helpful in empowering me to deal with a chronic disease.

Q: If you weren’t a physician, what would you be and why?  

A: I would probably set up my own Etsy shop and sell things I create! I often make homemade gifts for friends and family members for birthdays and holidays. I also love to travel and exposing my children to new cultures.

Q: What are your hobbies/interests outside of work?

A: I love spending time with my family and my three children, ages 2, 6 and 10. In addition, I enjoy reading, visiting museums and traveling.

Q: What have you learned from your patients?

A: I am continuously amazed by how strong and resilient my patients can be. I learn so much from them, and I have now had three patients tell me they were inspired to pursue a career in medicine because of our relationship and their disease.

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Meet Dr. Jennifer Ho

CHOC Children’s wants its patients and families to get to know its specialists. Today, meet Dr. Jennifer Ho, a pediatric hospitalist. Dr. Ho attended UC Irvine School of Medicine and completed her pediatric residency at CHOC. She has been on staff for six years and is a member-at-large of the Medical Staff Executive Committee and member of the Medical Staff Performance Committee at CHOC Children’s at Mission Hospital.

Dr. Jennifer Ho

Q: What are your special clinical interests?
Care of the hospitalized pediatric patient, infectious diseases, evidence-based medicine and optimization of the electronic health record.

Q: What are some new programs or developments within your specialty?
A: I am excited that the field of pediatric hospital medicine is growing and will soon be a nationally board-certified recognized specialty.

Q: What are your most common diagnoses?
A: Asthma, bronchiolitis, dehydration and seizures.

Q: What would you most like community/referring providers to know about you/your division at CHOC?
A: We now provide 24/7 attending coverage in the hospital at both CHOC Orange and CHOC Mission to ensure the highest quality of care for Orange County children. We pride ourselves on communication and are always available to help facilitate transition of care.

Q:  What inspires you most about the care being delivered here at CHOC?
A: As a mother of two young children, it is very comforting to know that if they ever need medical care, CHOC provides the highest quality of care in a family-friendly environment.

Q: Why did you decide to become a doctor?

A: I decided to become a doctor when I was diagnosed with a heart problem in high school. I thought the human body was fascinating and I wanted to be able to help patients through their problems and get the most out of life.

Q: If you weren’t a physician, what would you be and why?
A: I would own a used bookstore with an attached coffee shop and spend my days reading old books and drinking coffee.

Q: What are your hobbies/interests outside of work?
A: Being a mommy to my two little kids, being outside, reading and playing volleyball.

Q: What was the funniest thing a patient told you?
A: From a 3-year-old girl: “I want to be a doctor like you … but only for unicorns and fairies.”

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Meet Dr. Andrew Mower

CHOC Children’s wants its patients and families to get to know its specialists. Today, meet Dr. Andrew Mower, a pediatric neurologist. Dr. Mower attended medical school at St. George’s University School of Medicine, completed a residency in pediatrics at Maimonides Medical Center, and another residency in child neurology State University of New York Downstate. He completed a fellowship in clinical neurophysiology at Columbia University. Dr. Mower sits on CHOC’s quality improvement committee and is part of CHOC’s ancillary and diagnostic services. He has been on staff at CHOC for two years.

Dr.Andrew_Mower_0699_2

Q: What are your special clinical interests?
A: Epilepsy and epilepsy surgery

Q: What are some new programs or developments within your specialty?
A: Stereotactic EEG for epilepsy surgery

Q: What are your most common diagnoses?
A: Epilepsy and headaches

Q: What would you most like community/referring providers to know about you or your division at CHOC?
A: We take on the most challenging epilepsy cases to search for cures, and, if not, at least an improvement in the child and family’s quality of life. We work together as a team to use all of our expertise to help the child and family.

Q:  What inspires you most about the care being delivered here at CHOC?
A: I feel that we offer families hope when hope had been abandoned before.

Q: Why did you decide to become a doctor?
A: I decided to become a doctor to help people in need. I chose neurology as my specialty because I had a fascination with the nervous system and wanted to break misperceptions that little can be done for patients with neurological problems.

Q: If you weren’t a physician, what would you be and why?
A: Farmer. I love the accomplishment of creating a garden and growing produce.

Q: What are your hobbies/interests outside of work?
A: Gardening, running and hiking

Q: What was the funniest thing a patient told you?
A: “I don’t eat apples, doctor.”

“Why?”

“Because they keep the doctor away, and I like you, Dr. Mower.”

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