The lump felt like a rib underneath her breast, but when the skin dimpled, Judi Preuss suspected something else. A mammogram, ultrasound and a needle biopsy showed breast cancer.
Ever since he was a little boy, reptiles have fascinated UCSF Fresno emergency physician and medical toxicologist Nicklaus Brandehoff, MD. His interest in herpetology has led to some interesting experiences, including working with venomous snakes before medical school at UC San Francisco School of Medicine.
This back-to-school season, six freshly white-coated UC San Francisco medical students – all from the San Joaquin Valley – are pioneering a new community-focused program. They are the first class admitted to UCSF’s San Joaquin Valley Program in Medical Education (SJV PRIME), a program designed for future physicians who are committed to providing high-quality, culturally competent and accessible medical care that addresses the Valley’s unique health needs.
The first time, the young man felt an intense pain in his belly, the sudden attack lasted for five minutes.
The next attack came as unexpectedly as the first, and disappeared as quickly.
The south San Joaquin Valley resident knew something was wrong, but examinations by doctors and blood work at the local hospital had found nothing out of the ordinary.
More than 100 medical residents and fellows, along with three oral and maxillofacial surgery dental residents and five physician assistants completed training at UCSF Fresno this year. Many are staying in the Central Valley to care for patients, teach future physicians or continue their medical education.
At the VA Central California Health Care System, new endoscopic equipment and the skills of Shreyas Saligram, MD, MRCP, director of advanced endoscopy at UCSF Fresno, are making minimally invasive procedures available to veterans that were unthinkable only a few years ago.
Rita Locke of Coalinga had taken thyroid medication for eight years but this past winter a nodule had grown so large that at night she had to change sleeping positions to swallow.
Annette Simmons of Clovis had diabetes fatigue. She had pricked her fingers so many times to check her blood glucose that calluses had formed on her fingertips.
“You’re just tired,” Simmons said. “You’re tired of checking your blood and you need to because if you plan on living a long life you need to keep your blood sugar within certain ranges.”
Three trauma teams had been activated at Community Regional Medical Center as UCSF Fresno’s Gene W. Kallsen, MD, completed his final shift of a 50-year medical career that paralleled the development of emergency medicine as a specialty.