Patrick J. Macmillan, MD


Dr. Patrick Macmillan is the Chief of Hospice and Palliative Care, and is serving as the interim fellowship director.  He is board certified in Internal Medicine, Psychiatry and Hospice and Palliative Medicine.  He was on the faculty at East Tennessee State University for six years before moving to Fresno to devote his energy to caring for chronically and terminal ill patients.  He is dedicated to academic teaching and has been involved in training residents and medical students all of his career.   

Lidia Rodriguez-Carranza, MD


Lidia Rodriguez Carranza joined the faculty for the Hospice and Palliative Medicine fellowship in April 2015.  She is board certified in Internal Medicine, Geriatrics and Hospice & Palliative Medicine.  Before coming to Fresno Dr. Rodriguez-Carranza was Clinical Director of Geriatric Services at Golden Valley Health Centers.  She also precepted University of the Pacific and UC Davis students.  Dr. Rodriguez-Carranza did her residency training at Harrisburg Hospital in Pennsylvania and completed a one-year fellowship in Geriatrics at the University of Pittsburgh.  Born and raised in Peru Dr. Rodriguez-Carranza is fluent in both Spanish and English.  She enjoys outdoor activities:  hiking, sightseeing, rafting and exercising.  She also enjoys traveling and listening to music.

Tegest Hailu, MD


Dr. Tegest Hailu graduated from SUNY Buffalo Medical School. She then completed a family medicine residency at UCSF Fresno. She eventually joined the faculty before entering private practice.  She recently completed a Hospice and Palliative Medicine Fellowship.  She is the Medical Director at Hinds Hospice and supervises Fellows for their longitudinal home hospice requirements.  She also supervises Fellows at Community Regional Medical Center on the Palliative Care Consultation Service.  In her spare time she created an international organization supporting youth educational opportunities in her homeland of Ethiopia.  She enjoys spending time with her husband and children.

David Sine, MD


Dr. David Sine obtained his BScN/RN and medical degree at McMaster University in Canada.  He completed his Pediatric Residency at UCSD/Rady Children's Hospital, and served as Chief Resident.  Following residency he accepted a position as a teaching attending and Hospitalist at Rady Children’s Hospital.

He worked tirelessly from internship on with San Diego Hospice toward the development and partnership with Rady Children’s Hospital and UCSD.


He and his wife Kealani, also a pediatrician, moved to central California 21 years ago to raise their three daughters (Malia Kalei and Leiana) in a more rural setting.  They were Hospitalists and then opened their own practice 4 years ago. David now works with his wife three days, and in a rural clinic for underserved/special needs children one day a week


He serves as the Medical Director for Palliative Care at Valley Children’s Hospital performing consultations and teaching the UCSF HPM fellows one day a week. He has been the Medical Director for Tulare Pediatric Hospice for over 10 years and Hinds Hospice for over a year.


His other interests outside of medicine include spending time with three very busy daughters, Brazilian Jujitsu, and relaxing time on the Coast

After reflecting on 22 years of working with children facing life threatening limiting illness Dr. Sine remarked, “I cannot affect the final outcome but will do everything I can do maximize quality of life and comfort.”

Ivy Darden, MD

Dr. Darden is the UCSF Fresno Internal Medicine Residency Program Director. She attended medical school at UCLA and completed her Internal Medicine Residency at UCSF Fresno.  Dr. Darden is board certified in Internal Medicine and Critical Care Medicine.  Dr. Darden has had numerous awards and recognitions including the Henry J. Kaiser award for Excellence in Teaching, UCSF Fresno in 2008.  Outside interests include baking (especially for her residents) and woodworking.

Kathryn Veyna, NP


Kathy began working with UCSF Family Practice Palliative Medicine in May of 2014 and has recently been appointed faculty clinical Instructor with the UCSF Department of Family Medicine. She has Advanced Certified Hospice and Palliative Nurse Certification as well as American Academy of Nurse Practitioners National Certification. Kathy graduated from the UC Davis School of Family Medicine PA/NP program and then worked for 12 years with a private Fresno Oncology group. A lymphoma and stem cell transplant survivor herself, she has a great interest and empathy for people diagnosed with cancer, as well as those who are chronically ill. 

She enjoys working with the Palliative multidisciplinary team, and in her spare time enjoys the outdoors, hiking, cycling, painting and dancing.