I have been an Ob-Gyn specialist since finishing my residency in Wilmington Medical Center (Christiana Hospital) in Wilmington, Delaware in 1971 and passing my Medical State Board in the same year. I started delivering babies and taking care of women's health in my specialty in Ashland, Ohio in 1971, and after few years moved to Xenia, Ohio where I joined the United States Air Force Medical Armed Service at Wright-Patterson AFB and then was sent to California as Active Ob-Gyn medical staff at Edwards AB USAF Hospital in 1975. I was sent oversea to Yokota AB USAF Hospital, Honshu,Japan and Misawa AB USAF Hospital in Northern Japan as Ob-Gyn specialist sometime the only one delivering babies in the Air Force Base.

After 3 years in Japan also with my family and one child born in Japan, I was sent to Clark AB Regional USAF and Medical Center in the Philippines and was assigned there for 3 years again before going back to United States. I started the first idea of screening pregnant women with office ultrasound for problems in their pregnancy in the hospital as supplied by the military as was the first one to perform laparoscopic procedure for diagnosis and sterilization at Ashland Hospital in Ohio previously. I have been board certified in Ob-Gyn specialty for 30 years now and was released in Active Duty Service in the military in 1983 but joined the same year as an Air Force Reserve Officer until I retired after 13 years in 1996.

I started my Ob-Gyn private practice at the present office and area at Westlake in 1984 and started delivering babies at first at St. John West Shore Hospital then at Fairview hospital, Southwest Hospital, and Lakewood Hospital until I quit this practice at the end of the year of 1999. His office practice remains focused only on Women's Health but in Preventive and some Primary care. The specific goal of my office practice now is to forge a team with my patients with me not only as a physician but as a coach to the quest of healthy, productive and longer life as a choice by reducing the likelihood of hospital admission and stays, also the likelihood of surgery and expensive medical options. So in addition to having specific acceptable guidelines in screening for breast, cervical, uterine, and ovarian cancers using latest office technology in cervical cancer such as Thin Prep and DNA Pap test for Papilloma virus, in office transvaginal ultrasound to evaluate immediately a palpable pelvic mass during examination to determine if the mass is benign or malignant screening for Ovarian Cancer, mammogram, and Gail model tool for Breast Cancer Screening.

I would like to spend more time in one on one basis with patients also in screening their Risk Factors levels on Cardiovascular Diseases that can lead for them as a walking time bomb for major events and happenings such as myocardial ischemia or infarction and stroke which can be related to earlier existing abnormal cholesterol level or dyslipidemia and subclinical elevated blood pressure, abnormal blood sugar level, or type 2 diabetes, excessive weight gain or obesity from inactivity that may lead to increase in breast Cancer. I would like to spend more time with them after finding out their Risk Factors level the appropriate counseling and handout information needed for Heart Healthy Diet, Low calorie and nutritional maintenance diet accompanied by counseling and handout information on low impact walking or workout exercises to help in the reduction or maintenance of their weight, increasing the levels of good cholesterol (HDL) for protection of the heart and finally, reduction of the bad cholesterol ( LDL ) if necessary with ultimately the use of medications, to incorporate also at the same time counseling and handout informational material on appropriate strengthening and stretching exercises of core muscles of the body at home with some yoga, pilates, and tai-chi exercise instructions.

As to the issue of handling patient cases that may require hospitalization in my practice of preventive medicine in Women's Health, as you know my office is located inside the campus of St. John West Shore Hospital and their Emergency Room is right nearby. My cardiologist and my surgeon that I refer my breast cases to are independent practices in our building in the campus of the hospital. I also do not hesitate sending some of my patients to any of their choice of specialists, especially the appropriate salaried physician and specialist from UHHS (University Hospital Health System) who has a large office Medical Center also nearby but outside the campus of St. John West Shore Hospital where I attend my Grand Rounds medical meeting to update myself in my profession every week.

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