My background is that of a Board Certified Anesthesiologist with twelve years experience in academic medicine and ten years experience in private practice. My undergraduate education includes a BA in Biology from Clark University and I went on to obtain a Doctorate in Medicine from the University of Massachusetts. My training and experience afforded me a well developed understanding of human physiology, anatomy, and pharmacology from a clinical background were I functioned in the role of a cardiac anesthesiologist and then later in the field of anesthesiology for obstetrics and gynecology. I taught at the medical school and post graduate levels in anesthesiology theory and practice. I am a physician approaching my fifth year of recovery from an addiction under the guidance and monitoring with the Massachusetts Medical Society division of Physician Health Services. I seek employment in teaching and or research in my quest to regain my life and forgiveness for my mistakes. I would be happy to discuss this openly with you and the Physician Health Service would provide you with documentation of my recovery.
At Florida Atlantic I would gain the physician recognition of the year award and I would switch my practice interests to Anesthesia for the gravid female in the labor division of Obstetrics at Holy Cross Hospital in Fort Lauderdale. I would provide epidural analgesia for labor and delivery and manage complex fetal and maternal issues for safe and effective anesthesia in cases presenting with maternal and fetal compromise, eclampsia, uterine rupture and cord prolapse cases. I developed a keen appreciation for the physical and metabolic maternal fetal changes at late stages of labor and applied that to issues related to maternal and fetal hypoxia, hypertension, and fetal asphyxia and acidosis in the delivery period. My skills and understanding of physiology were often called on by other professionals in situations that were complex and dire and my decisions were often critical in the survival of the mother and fetus. This was a point in my career that the years of experience that I had come with brought me to a new level of confidence among my superiors and subordinates that only time and experience could muster.
My experience and knowledge from the University of Massachusetts and the University of Miami was invaluable however exhausting both physically and emotionally. At this time in my career I chose to move to private practice where the demands were less taxing and the compensation would allow me to earn enough money to pay off my student debt which accumulated to over one hundred and twenty five thousand dollars. Over the following 4-5 years I was able to pay my debt off and when I finished employment at Sheridan I was virtually debt free. My duties at this job were providing routine anesthesia services in hospital based and office based practices.
I joined the faculty of the University of Miami at Jackson Memorial Hospital as a cardiac anesthesiologist in September 2000. My responsibilities were similar to my position at UMass however I expanded my experience and practice to managing cardiac and lung transplant patients. My expertise developed in managing the pharmacology and physiology of donor hearts and lungs being transplanted to recipients with life threatening cardiac and pulmonary anomalies. I became proficient in predicting and averting organ failure intra operatively and post operatively stabilizing circulation through pharmacological and ventricular assist devices, transfusion, and artificial respiratory maneuvers and devices. I worked closely with all levels of professional providers and delivered with them a standard of medical care rarely thought possible in the past.
I joined the faculty of UMass shortly after my graduation from residency in 1991. My duties included the coordination of medical students and teaching anesthesia theory and practice. Clinically I joined the cardiac anesthesia team and began developing skills in the intra and post operative management of cardiac patients undergoing open heart surgery for valvular and vascular replacements from various pathologic conditions. My expertise developed from experience managing complex and dangerously fatal cardiovascular and metabolic compromise inherent in the disease process as well as the complications related to the use of artificial cardiopulmonary bypass circulation devices and the practice of stopping a beating heart. I became proficient in diagnosing and treating cardiovascular instability and techniques in anesthesia that averted complications related to cardiac issues when managing unstable patients, and safe and effective practices of securing airways in patients during unstable cardiac situations. I gained experience learning pharmacological and physiological techniques to maintain adequate tissue perfusion for patients undergoing vascular replacement without stopping the heart to do so. At UMass I began to use echocardiography intraoperatively to evaluate left ventricular function and aortic and mitral valve viability after replacements with artificial and porcine valve implants. I also worked in areas of cardiovascular trauma with aortic arch tears and dissections requiring complete circulatory arrest and then resuscitation to patients with anoxia and without blood pressure via techniques of hypothermia and pharmacological and metabolic support with successful survivals and recoveries. I participated in peer review, residency training and lectures, and scientific paper reviews and critiques.
I was accepted into the University of Massachusetts Residency Program in July 1988 and completed this program in June 1991. My training included intensive knowledge and understanding of anesthesia theory, pharmacology, anatomy, physiology, surgery and medicine. It would be the foundation I would draw upon in subsequent years as I developed within my field and expertise. Clinically and academically I participated in teaching and lecturing on various anesthesiology related issues and trends. I was mentored by Dr. Stephen Heard and inspired by his intelligence and dedication to clinical research an publication.
After graduation from medical school I completed my internship year in Surgery at Berkshire Medical Center Residency Program in Pittsfield, Massachusetts. My first year of training consisted of managing surgical patients intra and post operatively, physical examinations, diagnosing and treatment. Rotations included trauma surgery, general surgery, plastic surgery, OB/GYN surgery, Neurosurgery, and Emergency Medicine.I completed my internship and passed the last part of the USMLE exam in this time period. I went on to continue my training in July 1988 at the University of Massachusetts Residency Program in Anesthesiology.
The following year after graduating from Clark University I was admitted to the University of Massachusetts Medical School. The first two years of didactics included graduate level courses in Anatomy, Physiology, Biochemistry, Genetics, Biostatistics, Neurology and Neuroanatomy, Pathology, Microbiology, Pharmacology and Cell Biology. My clinical years and sub internship were divided between rotations at UMass and affiliated hospitals in areas of medicine, surgery, psychiatry, obstetrics and gynecology, radiology and pediatric medicine. I graduated with a doctorate in medicine from UMass in June 1987. I would pass part 1 of the USMLE in my second year, part 2 in my 4th year, and part 3 the following year after completion of my internship.
I received my undergraduate degree in Biology in 1982. My premedical courses included physics, chemistry, calculus with a major in biology.
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