TMS Services Of Vancouver

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

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Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

After training at New York Medical College, she completed a Family Medicine Internship at University of Connecticut and afterwards went on to complete Psychiatry Residency at the University of Washington Medical Center in Seattle, WA where she served as Chief Resident at the VA Medical Center in Seattle, WA during her last year in training. She is Board Certified in Psychiatry by the American Board of Psychiatry and Neurology.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Mask up like a pro: Mayo Clinic expert shows how to safely wear, take off a face mask

By: Mayo Clinic
Title: Mask up like a pro: Mayo Clinic expert shows how to safely wear, take off a face mask
Sourced From: www.youtube.com/watch?v=JSXjaTYe0YU

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

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Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Sunday 30 August 2020

Long-term treatment with certain antidepressants may reduce dementia incidence

By: TBDTitle: Long-term treatment with certain antidepressants may reduce dementia incidenceSourced From: www.healio.com/news/psychiatry/20200828/longterm-treatment-with-certain-antidepressants-may-reduce-dementia-incidencePublished Date: Fri, 28 Aug 2020 18:48:10 Z TEXT ME – 360-226-8735 TMS Serivces of Vancouver Elia Gonzalez-Rodriguez, M.D. 1498 S.E. Tech Center Place Suite 110 Vancouver, Washington 98683 (360) 831-2276 Fax (360) 326-2606 Web: https://lnkw.co/TMSServicesofVancouver Map: https://lnkw.co/TMSSerivcesVancovuer Gmb: https://lnkw.co/TMSServicesVancouverGMB #Depression #TMS #Transcranial […]

from
https://www.tmsservicesofvancouver.com/2020/08/30/long-term-treatment-with-certain-antidepressants-may-reduce-dementia-incidence/

Mayo Clinic Minute: Who should be screened for colorectal cancer?

Colorectal cancer is the second leading cause of cancer death in the U.S. The U.S. Preventive Services Task Force and the Multi-Society Task Force on colon cancer encourage patients to start screening at age 50 unless they have other risk factors like family history or inflammatory diseases that could predispose them to colon cancer. More […]

from
https://www.tmsservicesofvancouver.com/2020/08/30/mayo-clinic-minute-who-should-be-screened-for-colorectal-cancer/

Long-term treatment with certain antidepressants may reduce dementia incidence

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

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Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Mayo Clinic Minute: Who should be screened for colorectal cancer?

Colorectal cancer is the second leading cause of cancer death in the U.S. The U.S. Preventive Services Task Force and the Multi-Society Task Force on colon cancer encourage patients to start screening at age 50 unless they have other risk factors like family history or inflammatory diseases that could predispose them to colon cancer.

More health and medical news on the Mayo Clinic News Network. https://newsnetwork.mayoclinic.org/

Journalists: Clean and nat sound versions of this pkg available for download at https://newsnetwork.mayoclinic.org/

Register (free) at https://newsnetwork.mayoclinic.org/request-account/

By: Mayo Clinic
Title: Mayo Clinic Minute: Who should be screened for colorectal cancer?
Sourced From: www.youtube.com/watch?v=JWiPKaivNQA

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

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Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Saturday 29 August 2020

Escitalopram may reduce adolescent anxiety

By: TBDTitle: Escitalopram may reduce adolescent anxiety Sourced From: www.healio.com/news/psychiatry/20200828/escitalopram-may-reduce-adolescent-anxietyPublished Date: Fri, 28 Aug 2020 20:23:27 Z TEXT ME – 360-226-8735 TMS Serivces of Vancouver Elia Gonzalez-Rodriguez, M.D. 1498 S.E. Tech Center Place Suite 110 Vancouver, Washington 98683 (360) 831-2276 Fax (360) 326-2606 Web: https://lnkw.co/TMSServicesofVancouver Map: https://lnkw.co/TMSSerivcesVancovuer Gmb: https://lnkw.co/TMSServicesVancouverGMB #Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling […]

from
https://www.tmsservicesofvancouver.com/2020/08/29/escitalopram-may-reduce-adolescent-anxiety/

Mayo Clinic Q&A podcast: Heart muscle damage from COVID-19

Escitalopram may reduce adolescent anxiety

By: TBD
Title: Escitalopram may reduce adolescent anxiety
Sourced From: www.healio.com/news/psychiatry/20200828/escitalopram-may-reduce-adolescent-anxiety
Published Date: Fri, 28 Aug 2020 20:23:27 Z

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Mayo Clinic Q&A podcast: Heart muscle damage from COVID-19

From the beginning of the COVID-19 pandemic, it was that known the disease affected the lungs. But some of the most severe damage to the body can be to the heart muscle. COVID-related myocarditis, or inflammation of the heart muscle, can cause severe damage and sometimes death.

On the Mayo Clinic Q&A podcast, Dr. Leslie Cooper, chair of Cardiology at Mayo Clinic in Florida, discusses how COVID-19 affects the heart in hospitalized patients, in young people and he identifies areas of research that need to be pursued in the near future.

This interview was recorded on Aug. 24, 2020. Information in this post was accurate at the time of its posting. Due to the fluid nature of the COVID-19 pandemic, scientific understanding along with guidelines and recommendations may have changed since the original publication date.

For more information, visit http://newsnetwork.mayoclinic.org.

By: Mayo Clinic
Title: Mayo Clinic Q&A podcast: Heart muscle damage from COVID-19
Sourced From: www.youtube.com/watch?v=-hPY9Dv-Z4A

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Friday 28 August 2020

Physicians in certain racial/ethnic groups have lower burnout rates vs. white physicians

By: TBDTitle: Physicians in certain racial/ethnic groups have lower burnout rates vs. white physicians Sourced From: www.healio.com/news/psychiatry/20200827/physicians-in-certain-racialethnic-groups-have-lower-burnout-rates-vs-white-physiciansPublished Date: Thu, 27 Aug 2020 21:41:02 Z TEXT ME – 360-226-8735 TMS Serivces of Vancouver Elia Gonzalez-Rodriguez, M.D. 1498 S.E. Tech Center Place Suite 110 Vancouver, Washington 98683 (360) 831-2276 Fax (360) 326-2606 Web: https://lnkw.co/TMSServicesofVancouver Map: https://lnkw.co/TMSSerivcesVancovuer Gmb: […]

from
https://www.tmsservicesofvancouver.com/2020/08/28/physicians-in-certain-racial-ethnic-groups-have-lower-burnout-rates-vs-white-physicians/

Voices of Mayo: Matthew Horace on Race in America Today

Matthew Horace, Mayo Clinic’s chief security officer, shares his experience of growing up under the shadow of bias as a Black man in America, his career as a law enforcement officer, and his thoughts on what each person can do to improve race relations. Voices of Mayo is a series that highlights Mayo staff and […]

from
https://www.tmsservicesofvancouver.com/2020/08/28/voices-of-mayo-matthew-horace-on-race-in-america-today/

Patient travels to Mayo to find answers during pandemic

More health and medical news on the Mayo Clinic News Network. https://newsnetwork.mayoclinic.org/ Journalists: Clean and nat sound versions of this pkg available for download at https://newsnetwork.mayoclinic.org/ Register (free) at https://newsnetwork.mayoclinic.org/request-account/ By: Mayo ClinicTitle: Patient travels to Mayo to find answers during pandemicSourced From: www.youtube.com/watch?v=PPeIS9FLK2o TEXT ME – 360-226-8735 TMS Serivces of Vancouver Elia Gonzalez-Rodriguez, M.D. […]

from
https://www.tmsservicesofvancouver.com/2020/08/28/patient-travels-to-mayo-to-find-answers-during-pandemic/

Physicians in certain racial/ethnic groups have lower burnout rates vs. white physicians

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Voices of Mayo: Matthew Horace on Race in America Today

Matthew Horace, Mayo Clinic's chief security officer, shares his experience of growing up under the shadow of bias as a Black man in America, his career as a law enforcement officer, and his thoughts on what each person can do to improve race relations.

Voices of Mayo is a series that highlights Mayo staff and their stories, exploring their diverse backgrounds, the challenges they face, the opportunities they have been given, and their experiences at Mayo Clinic.

As Mayo Clinic strengthens its commitment to eliminating racial bias within its walls and in the communities it serves, staff at Mayo Clinic are sharing their experiences of growing up under the shadow of bias, and how they overcame it. Matthew Horace, chief security officer at Mayo Clinic, talks about his background and how he came to be at Mayo Clinic. Horace is founder of The Horace Foundation Endowment for Criminal Justice Studies at Delaware State University.

As a person of color, growing up in Philadelphia, I was aware at a very early age of over-policing, racism and discrimination. Police abuse was an ordinary element of living. It was the problem we all lived with. I was always told by my parents that no matter how absurd the reason for the stop by police, insults or degradation, to submit and comply so that I could make it home alive. They hoped that I would live to see productive adulthood unlike many of my contemporaries.

Early years

In second grade, I was bused from an upper middle class neighborhood to a solidly middle-class, predominantly white neighborhood. I vividly remember as our yellow school buses pulled up to the school, our welcoming committee consisting of white parents protesting with signs and older teens yelling and throwing things despite a police presence.

When I was old enough to make a decision about my schooling, I returned to my neighborhood high school, and excelled at both athletics and academics, and received several athletic scholarship opportunities to attend college. I chose to attend Delaware State University, one of the nation's Historically Black Colleges and Universities.

I went on to play college football and earned a bachelor's degree in English. In 1982, I was training for the upcoming football season when I was viciously attacked by a Philadelphia Police K-9 Officer and his dog during a parade. I was left on the street, bleeding. The officer didn't stop to provide aid, and didn't arrest me or question me. My parents learned that the officer did not report the attack and that the officers who eventually took me to the hospital reported that I had sustained "unknown injuries." I was also listed as a suspect and not a victim. This was my first direct experience with the "Thin Blue Line" and corrupt policing.

I tried as best I could to never leave people or process the same way that I had found them.
Matthew Horace

I was bitten directly in my Achilles tendon area — the bite became infected, and I was hospitalized for weeks. I was certain that my college football career and scholarship were in jeopardy and that any chances I had of playing professionally were over. I also live with the idea of what probably would have happened if I had fought back against the attack.

Athletics has taught me some incredible lessons regarding overcoming adversity on the field and off. After the K-9 incident, I was determined to jump in, crawl, walk, run, lift and get bigger, stronger and faster. I went back to school assuming my starting role on the football field. I doubled down on my understanding of racial injustice. I decided to enter the law enforcement field in an effort to become a part of the solution.

Being the change

Hoping to be the change that I wanted to see, I entered the law enforcement profession first as a police officer. I later rose through the ranks of the U.S. Department of Justice as a federal agent.

I tried as best I could to never leave people or process the same way that I had found them. I committed to using my position and voice to never remain silent in the face of wrong and never fall short on effort. I used my voice as a frequent contributor to national news and became a published author to be candid and initiate difficult discussions. We all have to get uncomfortable to get comfortable.

I transitioned from law enforcement into corporate and private businesses. Law enforcement is a truly noble calling where the majority of people commit themselves to the safety and security of people they will never meet. I learned throughout my career that the profession is also plagued with racism, implicit bias and imperfect behaviors. I was really shocked when I entered the profession as to how often racial and ethnic slurs were a part of the dialogue among many of my colleagues.

Broadly, we can't talk about obstacles or challenges without talking about racism and discrimination. These are challenges I have faced my entire life both in employment environments and during daily personal interactions. They are mentally and physically draining, hurtful, and even can contribute to co-morbidities.

Always being on, always having to do more, jump higher, be better, and demonstrate greater skills will have long-term impacts on your mental and physical health, as will being the "only one in the room."

I've been the only one in specific environments for so long that my family and I have learned how to turn it into a positive.

I've been the only one in the room for so long that it doesn't matter anymore. Although there are many reasons for it, I and my family have learned that it is not always a disadvantage, just uncomfortable.

The Mayo experience

In 2018, I was contacted by job recruiters as I was in my second post-government executive security role. I began interviewing and was advancing in the process when I saw the Mayo position online and also received a call from a Mayo headhunter. I was familiar with Mayo's well-earned reputation in health care. My next role needed to be about culture, mission and purpose.

After thoroughly researching the organization, I was certain that Mayo was the type of organization whose purpose I wanted to contribute to.

I met amazing people during the interview process and was hopeful that they were as interested in me as I was in Mayo.

I did notice that there was no one who looked like me in the interview process nor did I see very many people who looked like me in the environment. This always becomes an issue when considering taking on a new role but especially when considering relocating to a new area for a job. This didn't discourage me because, throughout my journey, I have frequently been the only one in the room, in a meeting, on an airplane or speaking. It's one of those unfortunate isolating facts, but you learn to overcome it.

I never looked back and have not regretted my decision. Mayo is the greatest organization with the most impactful mission that I have ever worked for.

We all know that to fix a problem you have to acknowledge the problem. We all have to get a bit uncomfortable in order to get comfortable.
MATTHEW HORACE

Mayo staff are some of the world's brightest people in the world, and I believe that Mayo leaders understand academically that being a minority in a majority environment can be challenging. It impacts recruitment, hiring and retention.

At Mayo, dozens of employees have extended the arm of hospitality to my family and me, and we have shared some great times and fellowship. In fact, I don't think that we have received as gracious a welcome in any of our relocation experiences — 10 in total — ever in my career. We are truly humbled and encouraged by the welcome that we have received.

During the Thanksgiving 2019 holiday season, I was hospitalized at Saint Marys Hospital. Three Mayo families gave of their time, talents, money and energy to ensure that despite my hospitalization I and my family had a full Thanksgiving with all of the trimmings. I will never forget the blessing or the joy it brought to my healing.

It is not lost on me, however, that this is not everyone's experience. I would encourage everyone, particularly in times like these, to step out of your comfort zone and ask someone who doesn't look like you to meet for dinner or coffee. This is where the healing begins. Many of my friends call me and ask, "What can we do?" My answer is always the same. "You are doing it."

Getting uncomfortable to get comfortable

We all know that to fix a problem you have to acknowledge the problem. We all have to get a bit uncomfortable in order to get comfortable. Until recently America seemed unwilling to acknowledge racism as systematic and insidious, instead of using terms like "a few bad apples."

Implicit biases don't make us bad people, they just make us people. Unfortunately, when they manifest themselves in the execution of policing and public safety services, those biases can play out negatively. People who shouldn't have to go through this struggle end up feeling drained, exhausted, discriminated at best, or dead at worst.

The world saw this play out in the tragic killing of George Floyd and Breonna Taylor in Louisville, but also in the cases of too many others to mention for the purposes of this story.

In every executive role I've had, I have felt an obligation to ensure that I've given voice and action to issues that have negatively impacted others.
MATTHEW HORACE

While policing has been the target of the nation's current discord, it is important to understand that implicit bias, racism and prejudice exist in board rooms, schools, public service, corporate offices and even in health care.

One aspect is understanding the power of voice in supporting others. In every executive role I've had, I have felt an obligation to ensure that I've given voice and action to issues that have negatively impacted others. Social justice is one of those issues.

To that end, if not me, then who? And if not now, then when?

Social justice is not just about Black people, social justice is about all people. If we were all doing the right thing for the right reasons, we wouldn't be in the current predicament.

I am mindful every day while leading Mayo's Global Security that it's my responsibility to ensure that our operations reflect a mindful understanding of this problem and ensure that Mayo's security and public safety arm is aligned with its well-earned reputation in health care.

Lasting role models

One of my greatest joys is the long line of people who I have been able to mentor, coach and lift up. In many cases, they are people who may not have ever received an opportunity were it not for someone who looked like them listening to them and understanding their gifts.

The other joy has been the power of changing people's hearts. It's been my experience that we can legislate behavior — discipline people for committing acts of racism or words or actions that don't align with Mayo's values. What we can't legislate is hearts. Changing people's hearts is where it truly begins. I have been trying to do this through my appearances on national news segments regarding police use of force, race and policing communities of color and as a published author of two books.

I have proudly displayed two pieces of art in my offices and home throughout the years that depict resilience and courage: The Norman Rockwell print called "The Problem We All Live With," and a lithograph of Thurgood Marshall, signed by his son John Marshall.

The Rockwell print depicts four white male U.S. marshals protecting Ruby Bridges, an 8-year-old African American girl who needed the government's protection as she integrated into New Orleans Public Schools in 1960. In the photo, I am moved by the resilience and courage of little Ruby Bridges, but also that of her family. Being a parent and having been exposed to parents from all walks of life for the better part of 23 years, I can't think of one parent who would have allowed their child or themselves to endure what they did for the sake of justice and equality in education. Whenever I think that someone might not like what I say on behalf of justice, I think about her.

Many Americans understand Thurgood Marshall's accomplishments regarding civil rights and being appointed to the U.S. Supreme Court. What I am inspired by is his journey. He graduated from Howard University Law School in 1932, and, as an African American attorney, worked in some of the most hostile environments on Earth. Imagine an African American attorney walking into a police station in Alabama, Mississippi or Georgia in 1935 and asking to see police reports regarding the death of a Black man? Nothing I have ever faced or will face comes close to what resilience and courage it took for him to succeed for decades.

Ask yourself if you would put your child in the position to be the only or one of the only white students in a predominantly African American school, sports team or dance troupe. If you wouldn't, I invite you to ask yourself why. I and others have done it in reverse our entire lives.

Lessons learned

I've learned these three great lessons along the way:

Every white person isn't out to hurt you and every person of color isn't out to help you. My mentors and advocates have come from all races, genders and nationalities. That diversity of support has helped to advocate, support and propel me. Choose who is in your corner wisely.
Discrimination can have an unintended consequence of enhancing your body of work. Throughout my work career, I have been made and asked to do more. The unintended consequence of my early disappointments was that, at a certain point, I was more qualified than all of my peers.
Pick someone who doesn't look like you on a regular cadence and get to know them. Ask them about their lives, their challenges and their dreams. You will probably find that you have more in common than you think with almost anyone you meet.

At Mayo, nothing is more inspiring than being in a meeting solving unique challenges when you are at the table with a diverse group of people from all over the world with different backgrounds. As a patient at Mayo, my care team consists of doctors, nurses and specialists from all over the world. Diversity and inclusion is a necessary business imperative. This is what makes Mayo special. Extend those business interactions to personal relationships.

Holding on to hope

Mayo Clinic provides hope to over one million people from over 150 countries each year. Having been a patient at Mayo and experiencing the listening, compassion, understanding, teamwork and communication from my exceptional care team inspires me with hope that everything is possible.

When I see the tone, tenor and demographics of national and international peaceful protests and Mayo Clinic's willingness to listen, I maintain hope that I work for an organization and with people who will be a part of the solution and not a part of the problem.

I am inspired by the fact that Mayo employees understand what hope, listening and compassion mean and therefore should be able to be the problem solvers, change agents and leaders that the world needs to see.

I am hopeful that my voice, my writing and my perspective will shed light, open dialogue and influence people to just listen.
MATTHEW HORACE

I am inspired by Mayo's commitment against racism. I have the opportunity to work in a world-class organization with world-class subject experts in their fields. Why shouldn't it be Mayo at the tip of the spear in solving "The Problem We All Live With?" Why can't Mayo solve both the COVID-19 crisis and the social justice challenge of our time?

For those of you who may be wondering, "What is this all about anyway?" African American families in the U.S. are disproportionately impacted by inequities in economics, housing, education, transportation and health care.

I am hopeful that my voice, my writing and my perspective will shed light, open dialogue and influence people to just listen.

By: SharingMayoClinic
Title: Voices of Mayo: Matthew Horace on Race in America Today
Sourced From: sharing.mayoclinic.org/2020/07/31/voices-of-mayo-matthew-horace-on-race-in-america-today/
Published Date: Fri, 31 Jul 2020 12:37:54 +0000

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Patient travels to Mayo to find answers during pandemic

By: Mayo Clinic
Title: Patient travels to Mayo to find answers during pandemic
Sourced From: www.youtube.com/watch?v=PPeIS9FLK2o

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Thursday 27 August 2020

Yoga, tai chi, meditation improve veterans’ mental, physical health

By: TBDTitle: Yoga, tai chi, meditation improve veterans’ mental, physical health Sourced From: www.healio.com/news/psychiatry/20200826/yoga-tai-chi-meditation-improve-veterans-mental-physical-healthPublished Date: Wed, 26 Aug 2020 21:25:12 Z TEXT ME – 360-226-8735 TMS Serivces of Vancouver Elia Gonzalez-Rodriguez, M.D. 1498 S.E. Tech Center Place Suite 110 Vancouver, Washington 98683 (360) 831-2276 Fax (360) 326-2606 Web: https://lnkw.co/TMSServicesofVancouver Map: https://lnkw.co/TMSSerivcesVancovuer Gmb: https://lnkw.co/TMSServicesVancouverGMB #Depression #TMS […]

from
https://www.tmsservicesofvancouver.com/2020/08/27/yoga-tai-chi-meditation-improve-veterans-mental-physical-health/

Grateful for ‘world-class’ care to treat lung cancer during COVID-19 pandemic

Sheila Piper was diagnosed with early-stage lung cancer in the midst of the COVID-19 pandemic. She was able to safely receive the medical care she needed at Mayo Clinic thanks to measures in place to protect patients and staff. Sheila Piper considers herself blessed. She has a wonderful family that includes Ron, her husband of […]

from
https://www.tmsservicesofvancouver.com/2020/08/27/grateful-for-world-class-care-to-treat-lung-cancer-during-covid-19-pandemic/

Seeing clearly again thanks to Mayo Clinic: Sandy Blue’s story

If not for the help and healing Sandra Blue received at Mayo Clinic 10 years ago, she may be blind today. Filled with gratitude, Sandra continues to be moved to share her journey of how her sight was saved from a severe complication of rheumatoid arthritis. See more details about Sandra’s story: https://sharing.mayoclinic.org/2018/11/07/seeing-purpose-in-sharing/ By: Mayo […]

from
https://www.tmsservicesofvancouver.com/2020/08/27/seeing-clearly-again-thanks-to-mayo-clinic-sandy-blues-story/

Yoga, tai chi, meditation improve veterans’ mental, physical health

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Grateful for ‘world-class’ care to treat lung cancer during COVID-19 pandemic

Sheila Piper was diagnosed with early-stage lung cancer in the midst of the COVID-19 pandemic. She was able to safely receive the medical care she needed at Mayo Clinic thanks to measures in place to protect patients and staff.

Sheila Piper considers herself blessed. She has a wonderful family that includes Ron, her husband of 33 years, two sons and a daughter-in-law. She's a 29-year employee of a hospital in Grand Forks, North Dakota, where she's a supervisor in the surgical department. When she's not at work, she enjoys spending time outdoors with her family and two dogs.

In March, Sheila's life was interrupted by an unprecedented and challenging situation. She was diagnosed with early-stage lung cancer in the midst of the COVID-19 pandemic.

It was a difficult diagnosis at a most difficult time. Despite the challenges, Sheila was able to safely receive the help and medical care she needed. And thanks to her dedicated Mayo Clinic team and timely lung cancer treatment, Sheila's outlook is very good.

Quick action to address concern

In 2015, Sheila was diagnosed with sarcoidosis, a disease where tiny collections of inflammatory cells (granulomas) can grow in any part of the body — most commonly the lungs and lymph nodes. In Sheila's case, the sarcoidosis attacked her lungs.

Sheila lost part of her right lung, which limited her overall lung capacity, and for the past three years, her local doctors closely watched a spot on her better-functioning left lung. That spot remained unchanged until recently, when she presented with new symptoms.

Her local physicians conducted a series of tests and recommended that Sheila follow up at Mayo Clinic in Rochester, where she previously received care for her sarcoidosis. Sheila was comfortable returning to Mayo, a place where she feels safe.

A biopsy of the questionable spot in mid-March at Mayo Clinic indicated that Sheila had lung cancer. Sheila was back at home in Grand Forks when she received the call from Aahd Kubbara, M.B.B.S. It was about the time that many states, including Minnesota, were announcing stay-at-home executive orders because of the COVID-19 pandemic.

Sheila recalls Dr. Kubbara's compassion and professionalism as he spoke with her about the diagnosis. He told her she could expect a call from Francis Nichols, M.D., chair of the Division of General Thoracic Surgery, to discuss next steps.

A plan to combat cancer during COVID-19

Within two hours of receiving her cancer diagnosis, Sheila received that call from Dr. Nichols, who reviewed the details of Sheila's early-stage lung cancer and informed her and her husband that it was slow-growing. Dr. Nichols outlined a plan for treatment that factored in appointment scheduling changes due to COVID-19.

Sheila was grateful for Dr. Nichols' quick and decisive action. "I had to do nothing," Sheila says. "He had a plan for my care within two hours, even in this crazy world."

That plan included Shanda Blackmon, M.D., a thoracic surgeon at Mayo Clinic, who would remove the tumor. Dr. Blackmon's goal was to follow the standard pre-COVID-19 protocol and perform the surgery within one month of the cancer diagnosis.

The fact that Mayo had already established telehealth capabilities and just ramped it up during COVID-19 allowed us to save a lot of patients from a delay in care.
Shanda Blackmon, M.D.

Dr. Blackmon carefully tracked Sheila's case, aware that if the tumor grew by two millimeters it could become a more advanced stage cancer. A virtual lung tumor board established by the Thoracic Surgery Division conducted daily virtual lung tumor board sessions, reviewing cases, setting priorities and making sure every patient was attended to.

Sheila's surgery was set for April 9, within one month of her diagnosis and during the time when Dr. Blackmon was allowed to operate only on patients with cancer, before nonessential and elective procedures resumed.

Video visits and constant communication

According to Dr. Blackmon, Mayo's ability to conduct video visits was critically important in Sheila's care plan. She and her colleagues coordinated with Sheila's primary team in Grand Forks through e-consults and evaluations.

"Sheila's care would have been delayed had we not had the capacity to see patients by video," says Dr. Blackmon. "The fact that Mayo had already established telehealth capabilities and just ramped it up during COVID-19 allowed us to save a lot of patients from a delay in care."

Leading up to the April surgery date, Kristyn Maixner, a nurse practitioner in Thoracic Surgery, played a big part in bolstering Sheila's confidence that it was safe to return to Rochester for face-to-face visits. Maixner was in regular communication with Sheila about her upcoming appointments.

Knowing what to expect in Rochester

Maixner explained that Sheila would have two COVID-19 tests administered by Mayo — five days before the scheduled surgery and again two days prior. She answered Sheila's questions, outlined how and where to get tested, and covered other details, including current visitor policies. Sheila understood that every patient was tested for COVID-19.

"Those calls were more than reassuring. Mayo was communicating above and beyond my expectations," Sheila says. "My husband and I were so impressed. We knew that Mayo had a plan."

Sheila and Ron made two trips to Rochester in early April. They went home after Sheila's first negative COVID-19 test then returned to Mayo a few days later for the second required test and surgery. They say they felt well-informed prior to their arrival about measures that were in place due to COVID-19.

In the patient care setting, Sheila noticed added safety precautions, including repeated screenings over the phone and at building entrances, areas marked off in waiting rooms to comply with social distancing, hand washing measures, extra steps at patient check-in, and enhanced cleaning. Sheila also noted that Mayo staff's personal protective equipment was "spot on" every time.

"The preventive measures Mayo took meant that never once did we think, 'Are we safe?'" she says.

In addition to making sure patients are protected while at Mayo Clinic during COVID-19, Dr. Blackmon says patients should be assured that staff members are safe, too. "As a thoracic surgeon who cuts into lungs, I've never felt more protected," says Dr. Blackmon.

The Pipers were grateful that hotels, restaurants, grocery stores and other businesses near Mayo's campus in Rochester were open and had added safety measures in place, such as enhanced cleaning and face coverings for employees.

Shutting the door on COVID-19 and cancer

With two serology tests and repeated screenings for COVID-19, Sheila says that thanks to Mayo Clinic, she was able to "shut the door on COVID" and instead focus on beating cancer. Her advice to other patients is to do the same.

Dr. Blackmon also encourages patients to seek help and not delay care due to the pandemic. She says it's important for those who are at high risk for lung cancer to continue with regular screenings.

"The number of lives saved from lung cancer screening is tremendous, so we don't want patients to delay their annual screenings," she says.

Mayo was communicating above and beyond my expectations. My husband and I were so impressed. We knew that Mayo had a plan.
Sheila Piper

Today, Sheila says she feels great. The cancer was contained following removal of the tumor, her lymph nodes are cancer-free, and she doesn't need radiation or chemotherapy treatment.

Her voice catches as she shares the news that she's cancer-free.

In early May, Dr. Blackmon and Sheila reconnected during another video visit. "She's doing well and looks great," says Dr. Blackmon.

Sheila says the help she received at Mayo Clinic means the world to her and has freed her from her worries. Prior to surgery, she struggled to breathe and had back pain, but like the cancerous tumor, those symptoms are gone, too.

With Mayo's guidance and a plan, she says she's thankful she was able to receive "world-class" care at Mayo Clinic even in the midst of COVID-19. "It was the place to be," she says.

HELPFUL LINKS

Learn about lung cancer care at Mayo Clinic.
Find out more about sarcoidosis.
Explore Mayo Clinic.
Request an appointment.

By: SharingMayoClinic
Title: Grateful for ‘world-class’ care to treat lung cancer during COVID-19 pandemic
Sourced From: sharing.mayoclinic.org/2020/05/22/grateful-for-world-class-care-to-treat-lung-cancer-during-covid-19-pandemic/
Published Date: Fri, 22 May 2020 13:25:26 +0000

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Seeing clearly again thanks to Mayo Clinic: Sandy Blue's story

If not for the help and healing Sandra Blue received at Mayo Clinic 10 years ago, she may be blind today. Filled with gratitude, Sandra continues to be moved to share her journey of how her sight was saved from a severe complication of rheumatoid arthritis.

See more details about Sandra’s story: https://sharing.mayoclinic.org/2018/11/07/seeing-purpose-in-sharing/

By: Mayo Clinic
Title: Seeing clearly again thanks to Mayo Clinic: Sandy Blue's story
Sourced From: www.youtube.com/watch?v=AAnihJQcig0

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Wednesday 26 August 2020

Lithium may increase risk for renal decline among older adults

By: TBDTitle: Lithium may increase risk for renal decline among older adults Sourced From: www.healio.com/news/psychiatry/20200825/lithium-may-increase-risk-for-renal-decline-among-older-adultsPublished Date: Tue, 25 Aug 2020 20:13:33 Z TEXT ME – 360-226-8735 TMS Serivces of Vancouver Elia Gonzalez-Rodriguez, M.D. 1498 S.E. Tech Center Place Suite 110 Vancouver, Washington 98683 (360) 831-2276 Fax (360) 326-2606 Web: https://lnkw.co/TMSServicesofVancouver Map: https://lnkw.co/TMSSerivcesVancovuer Gmb: https://lnkw.co/TMSServicesVancouverGMB #Depression […]

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Rising Above Two Challenging Health Conditions

For years, Joey Del Toro has lived with medical conditions that have affected his abilities and appearance. But Joey hasn’t let his health concerns define him. Instead, he’s focused his energy on moving beyond them and excelling at the sports he loves. The landscape of Joey Del Toro’s youth was colored by medical experiences. Treatments […]

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Subtotal Petrosectomy With Blind Sac Ear Canal Closure

Please be advised that this video contains graphic footage of surgery. This video demonstrates subtotal petrosectomy with blind sac ear canal closure performed by Dr. Matthew Carlson. Series Editors: Andrew J. Goates, M.D.; Matthew L. Carlson, M.D. To learn more about the Department of Otorhinolaryngology at Mayo Clinic, visit http://mayocl.in/2FDUHTI By: Mayo ClinicTitle: Subtotal Petrosectomy […]

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Lithium may increase risk for renal decline among older adults

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Rising Above Two Challenging Health Conditions

For years, Joey Del Toro has lived with medical conditions that have affected his abilities and appearance. But Joey hasn't let his health concerns define him. Instead, he's focused his energy on moving beyond them and excelling at the sports he loves.

The landscape of Joey Del Toro's youth was colored by medical experiences. Treatments for Joey's two health conditions filled his calendar and required frequent road trips from his family's home in Woodbury, Minnesota, to Mayo Clinic in Rochester. But medical appointments weren't the only events populating Joey's schedule as a child. An avid athlete, sports also filled Joey's days.

During elementary school and middle school, Joey participated in football, hockey and lacrosse. Then, while navigating treatment for a life-threatening cardiac syndrome called Wolff-Parkinson-White syndrome with Mayo Clinic pediatric cardiologist Bryan Cannon, M.D., Joey switched course, trading in his cleats, sticks, and skates for skis.

"When Dr. Cannon gave me the green light to go ahead with endurance sports, I didn't know at that time if I wanted to excel at Nordic skiing or cross-county running," Joey says. He eventually chose Nordic skiing and biathlon, which combines skiing and precision rifle shooting. Today, he's a collegiate athlete at Saint Michael's College in Vermont.

"I've enjoyed seeing him do the things he loves, and I enjoy seeing him accomplish these life goals."
Megha Tollefson, M.D.

Joey's sports require stamina, speed, precision and focus. And it's the ability to focus in particular that has served him well as he's weathered his health concerns, including ongoing therapy for alopecia areata — a skin condition in which the body's immune system attacks hair follicles and causes patchy hair loss.

"Even though I know that (his condition) really has affected him so much on a personal level, I feel like he has not allowed it to hold him back," says Megha Tollefson, M.D., a Mayo Clinic pediatric dermatologist and a member of Joey's care team. "I've enjoyed seeing him do the things he loves, and I enjoy seeing him accomplish these life goals."

Living with Wolff-Parkinson-White syndrome and alopecia has had a significant effect on Joey and his family. But the individualized care he's received from his Mayo Clinic team has provided the support they've needed.

"Probably the most fearful piece of this was Joey's heart condition, and Dr. Cannon was able to solve that for the rest of his life," says Joey's dad, David. "Whereas the hair — which should be less traumatic from a health perspective — is the part that lingers on and on. They've been compassionate, supportive, understanding and very good with Joey."

Alarming symptoms

Joey was about 10 when he began experiencing episodes of an accelerated heart rate — a symptom of Wolff-Parkinson-White syndrome. "My heartbeat would go up to 220 beats per minutes," Joey says. "I learned the best way to stop it was to flip myself upside down and wait for several minutes. After that, it would stop, and I would be tired but OK."

Wolff-Parkinson-White is characterized by extra electrical connections in the heart. "When the heart develops, it starts as a straight tube and folds in on itself. When it does that, all of these primitive connections that most people have go away," Dr. Cannon says. "But in 1 in 750 people, they don't go away."

As a result of the extra connections, the electrical signal that usually travels up and down the normal fibers of the heart, triggering it to pump, instead travels across the abnormal fibers and creates an unusually fast heartbeat.

"In Joey's case, his heart was beating at 220 beats per minute having this abnormal heartbeat," Dr. Cannon says. "He was pretty active doing sports, and it was interfering with his participation."

Sometimes, months separated the occurrences. Other times, it was weeks. Occasionally, it was only a day. When he felt the fast heartbeat during practice or sporting events, Joey would sideline himself. In time, as the episodes became more frequent, Joey's football coach told the family that he was concerned with Joey's participation on the team.

Straightforward treatment

While certain maneuvers, such as inversion, coughing and breath-holding, can disrupt the cycle of abnormal electrical misfiring and slow a rapidly beating heart, the only cure for Wolff-Parkinson-White syndrome is removing the extra connections through a procedure known as abl a tion.

Joey and his family were aware of ablation as an option, but it wasn't until they sought treatment at Mayo Clinic for Joey's other health concern that they learned he was a candidate for the procedure.

"When we called Mayo and said we wanted to see a dermatologist for alopecia, they asked if he had any other medical conditions," says Joey's mom, Mary. "We said he had Wolff-Parkinson-White syndrome, and they said they'd need to see him first for that before they started doing anything with his hair."

"We were able to completely get rid of (the abnormal electrical misfiring), and he hasn't had any problems since."
Bryan Cannon, M.D.

At Joey's initial appointment in Mayo's Department of Cardiovascular Medicine, he underwent an EKG and echocardiogram. Afterward, they met with Dr. Cannon and learned that ablation might be an option. Dr. Cannon, who helped write international guidelines for treatment of Wolff-Parkinson-White syndrome, says there is no advantage to waiting to do the treatment after age 8.

"Some people get nervous about treating younger patients. But at Mayo Clinic, we have more experience doing it on younger patients and more complex patients," Dr. Cannon says. "We were basically able to say, 'We're comfortable doing this, so let's do it now.'"

In October 2013, Dr. Cannon performed Joey's ablation procedure, which involved inserting a catheter equipped with a camera through a blood vessel in Joey's leg and threading it to his heart.

"We figure out where the extra fiber connection is, and we heat it up," Dr. Cannon says. "Once we do that, he is cured. We were able to completely get rid of it, and he hasn't had any problems since."

Personalized care

With Joey's heart condition under control, his care shifted to treating the alopecia, which is the most common cause of hair loss in children. "Alopecia areata can range from small patches that aren't noticeable to complete hair loss," Dr. Tollefson says. "Joey fell somewhere in the middle. Through the years, it fluctuated and has gotten better and worse."

Several treatment options are available for alopecia areata. None cure the condition, however. "A lot of the time, the treatment we recommend will help the hair grow back, but we cannot prevent the flares from happening," Dr. Tollefson says.

"This care has definitely allowed me to grow without having to worry about my condition and helped me to accept a lot more, especially with the alopecia."
Joey Del Toro

For Joey, the treatment that's produced the greatest benefit has been injectable steroids administered directly to the scalp. Every six to eight weeks for the past six years, Joey and his parents have traveled to Mayo Clinic's Department of Dermatology for the shots.

The injections are painful and cause some bleeding at the injection sites, but they work to block Joey's follicles from his immune system, allowing his hair to grow back. "Every appointment, we would take a picture, and then look at the picture at the next appointment to track progress and to see where the hair had started growing," Joey says. "If I had shots in the early spring, by the summer, the hair would be a lot thicker, and I would be like, 'This is actually worth it.'"

As a way to channel his emotions over the years, Joey has focused his energy on athletics. As a freshman in high school, he joined the cross-country running team. The next year, he joined his school's Nordic ski team. During his junior year, after watching biathlon events in the 2018 Winter Olympics, Joey's dad registered him for a nearby novice competition. After participating in that event, Joey was hooked.

Joey excelled in skiing and biathlon events through his senior year and focused his college search on schools with a Nordic ski team that were near a biathlon training venue. He and his family ultimately decided on St. Michael's, where he now studies engineering. Nearly every weekend during the winter, Joey skis with his college's Nordic team or competes in biathlon events with a local club.

Joey receives ongoing follow-up for both of his medical conditions from his Mayo Clinic team. The treatment he receives gives him the freedom to live without being mired in stress, he says. "This care has definitely allowed me to grow without having to worry about my condition and helped me to accept a lot more, especially with the alopecia."

HELPFUL LINKS

Read more about alopecia areata and Wolff-Parkinson-White syndrome
Check out Mayo Clinic Children's Center.
Visit the departments of Dermatology and Cardiovascular Medicine.
Explore Mayo Clinic.
Request an appointment.

By: SharingMayoClinic
Title: Rising Above Two Challenging Health Conditions
Sourced From: sharing.mayoclinic.org/2020/05/04/rising-above-two-challenging-health-conditions/
Published Date: Mon, 04 May 2020 10:00:00 +0000

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606

#Depression #TMS #Transcranial #Addiction #Psychiatrist #Counseling #Therapy #Magnetic #Vancouver #Dr.EliaGonzalez

-----

Dr. Gonzalez earned her medical degree via Fifth Pathway Certification from New York Medical College, in Valhalla, NY.

Psychology Today: https://www.psychologytoday.com/us/therapists/tms-services-of-vancouver-vancouver-wa/771692

NeuroStar: https://neurostar.com/providers/tms-services-of-vancouver/

Subtotal Petrosectomy With Blind Sac Ear Canal Closure

By: Mayo Clinic
Title: Subtotal Petrosectomy With Blind Sac Ear Canal Closure
Sourced From: www.youtube.com/watch?v=kDk8U-DWY-c

TEXT ME - 360-226-8735

TMS Serivces of Vancouver

Elia Gonzalez-Rodriguez, M.D.

1498 S.E. Tech Center Place Suite 110

Vancouver, Washington 98683

(360) 831-2276 Fax (360) 326-2606