Monthly Archives: October 2010

Dr. Mark Ellis

Ellis, Mark H. – MD

Allergy and Immunology, Batavia Woods - PSF Allergy, CHOC at Mission, CHOC Hospital, Physicians, St. Joseph Irvine Health Center

Mark Ellis, M.D., is the Chief of the CHOC Specialists Allergy & Immunology Division, Director of Allergy, Asthma & Immunology Program at CHOC, and a member of the St. Joseph Hospital Nasal and Sinus Center and a Associate Clinical Professor at UC Irvine. He is board certified in pediatrics and in allergy, asthma and immunology.

 

Dr. Ellis served his fellowship at UCI Medical Center in Orange. He completed his internship and residency through the University of Arizona Health Sciences Center in Phoenix. Dr. Ellis graduated from the Tulane University School of Medicine in New Orleans.

 

Dr. Ellis specializes in the treatment and management of allergies and asthma, including specialized care for sinusitis. Dr. Ellis is an award-winning principal investigator for many clinical trials and research studies for both adults and children, concerning new treatments for asthma and allergies. Dr. Ellis was voted as one of Orange County’s Top Doctors for 2009 & 2010.

 

Published Works

 

Ellis M. Successful Treatment of Chronic Urticaria Using Leukotriene Antagonists. J Allergy Clin Immunol 1998; 102:876-77.

 

Nayak A, Ellis M, Gross G, Mendelson L, Schenkel E, Lanier B, Simpson B, Mullin M, Smith J. The Effects of Triamcinolone Acetonide Aqueous Nasal Spray on Adrenocortical Function in Children With Allergic Rhinitis. J Allergy Clin Immunol 1998; 101:157-62.

 

Telez-Diaz G, Ellis M, Morales-Russo F, Heiner D. Prevalence of Avocado Allergy Among Atopic Patients. Allergy Proceedings, September-October 1995:16:5:241-243.

 

Scott C. The Effect of Nedrocromil Sodium on Childhood Asthma During The Viral Season. American Journal of Respiratory and Critical Care Medicine, 1995:152:1879-1886. Konig P, Eigen H, Ellis M, Ellis E, Blake K, Geller D, Shapiro G, Welch M, Chiu J, Nelson B, Sokol W, Ellis M, Galant S, and Novey H. Extended Evaluation of Diagnostic Skin Testing Practices in Orange County, California.Allergy Proceedings, July-August 1993:14:4:283-286.

 

Ellis M, Short J, and Heiner D. Anaphylaxis Following Ingestion of a Recently Introduced Hydroyzed Whey Protein Formula. Journal of Pediatrics, 1991:118:74-77.

 

Ellis M and Gallup J. Aeroallergans in Southern California. Chapter in Immunology and Allergy Clinics of North America. William Solomon Editor. WB Saunders, 1989:9:365-380.

 

Ellis M, Haydik L, Gillman S, Cummins L and Cairo M. Immediate Adverse Reactions to Acetaminophen in Children: Evaluation of Histamine Release and Spirometry. Journal of Pediatrics, 1989: 114:654-656.

Shimizu M, Vayuvegula B, Ellis M, Gluck L, and Gupta S. Regulation of Immune Functions by Human Surfactant. Annals of Allergy, 1988, 61:459-462.

 

Ellis M, Gupta S, Galant S, Hakim S, Vandeven C, Toy C, and Cairo M. Impaired Neutrophil Function in Patients with AIDS or AIDS-Related Complex: A Comprehensive Evaluation. Journal of Infectious Diseases, 1988. 158: 1268-1276.

 

Gupta S, Ellis M, Cesario T, Ruhling M, and Vayuvegula B. Disseminated Cryptococcal Infection in a Patient with Hypogamma-globulinemia and Normal T Cell Functions. American Journal of Medicine, 1987: 82:129-131

 

Abstracts

 

Ellis M, Cruz-Rivera M, Walten-Bowen K, Smith JA. Improved Asthma Control with Once-Daily Budesonide Inhalation Suspension (BIS; Pulmicort Respules™) in Children 4 Years of Age. J Allergy Clin Immunol, 1999: Vol 103 No 1, Part 2 PS130.

 

Ellis M, Jacobson R, and Hollman D. Allergy to Solonopis Aurea, An Uncommon Native Fire Ant. JACI, 1992;89:293. Presented to the Academy of Allergy and Immunology, Mar 1992, Orlando, FL.

 

Konig P, Eigen H, Ellis M, Ellis E, Geller D, Scott C, Shapiro G, and Welch M. Nedocromil Sodium Prevents Increased Asthma Symptoms In Children Whose Asthma Is Exacerbated During the Viral Season. JACI, 1992;89:235. Presented to the Academy of Allergy and Immunology, Mar, 1992, Orlando, FL

 

Hoffman D, and Ellis M. Allergy to Chicken Meat JACI, 1991;87:192. Presented to the American Academy of Allergy and Immunology, Mar. 1991, San Francisco, CA. Haydik I, Ellis M, Novey H, Cummins L, Gillman S, Houshiar A, and Wilson A. Basophil Histamine (BHR) Correlates Well with Alternaria Bronchial Challenge in Asthmatics, JACI, 1989;83:185. Presented to the American Academy of Allergy and Immunology, Feb. 1989, San Antonio, TX.

 

Ellis M, Novey H, Gillman S, Cummins L, and Wilson A. Evaluation of Alternaria Sensitive Asthmatics, JACI, 1988;80. Presented to the American College of Allergy and Immunology, Nov. 1988, Los Angeles, CA.

 

Ellis M, Haydik I, Gillman S, Cummins L, and Cairo M. Immediate Adverse Reaction to Acetaminophen. Oral Presentation, American Academy of Allergy and Immunology, March 1988, Anaheim, CA.

 

Galant S, Posner L, Lee N, Hicks D, Wilderson B, and Ellis M. Immediate Hypersensitivity to Semisynthetic Penicillins in Cystic Fibrosis; Journal of Allergy and Clinical Immunology, 1987; 77:199. Presented in Washington DC, March 1987.

 

Ellis M, Vayuvegula B, and Gupta S. Regulation of Macrophage Functions By Surfactant: Annal of Allergy, 1986; Vol. 57. Presented in Las Vegas, January 1987.

 

Ellis M, Dumars K, Gillman S, VandeVen C, Heiner D and Cairo M. Familial IgG4 Sub Class Deficiency With Normal IgA Associated and Recurrent Infection with Decreased Neutrophil Chemotaxis and Bacterial Killing; Society of Pediatric Research, 1987.

 

Cairo M, Vandeven C, Gupta S, and Ellis M. Abnormal Polymorphonuclear Function Including Bacterial Killing, C. Albicans, Phagocytosis, Chemotaxis and PMN Mo-1 Expression in ARC and AIDS: International Society of Preventative Oncology. Presented in Nice, France, April 1987.

 

Ellis M, Gupta S, Vandeven C, Wong C, Litke T, and Cairo M. Heat Liable Serum Inhibitor of Polymorphonuclear Leukocyte (PMN) Chemotaxis and Bacterial Killing in Pre-Acquired Immunodeficiency Syndrome (pre-AIDS) and AIDS; Journal Allergy and Clinical Immunology, 1986; 77:127. Presented in New Orleans, March 1986.

 

Chen W, Ellis M, Vayuvegula B, Purtillo D, Galant S, Cair M, and Gupta S. In Vitro Inhibition of Immunoglobulin Secretion by Adherent Monocytes in a Patient with X-Linked Lymphoproliferative (XLP) Syndrome and Hypogammaglobulinemia: American Federation of Clinical Research, 1986.

 

Gibbs, Joshua G. – DO

Uncategorized

Joshua Gibbs, D.O, PSF Allergist and Clinical Immunologist, treats patients of all ages with asthma, allergic or immunologic conditions. He is board certified in internal medicine and in allergy/clinical immunology.

 

Dr. Gibbs served as Chief Fellow during his allergy/clinical immunology fellowship at Penn State University in Hershey, PA. He completed an internal medicine residency at Thomas Jefferson University Hospital in Philadelphia. His osteopathic rotating internship was performed at Crozer-Keystone Health System in Delaware County, Pennsylvania. Dr. Gibbs graduated from the Philadelphia College of Osteopathic Medicine in Philadelphia.

 

His special interests include treating patients with hereditary angioedema, drug allergy, rhinitis, asthma and chronic rhino sinusitis.

Announcements

 

Dr. Joshua Gibbs discusses Asthma in Young Athletes at 1st Annual Sports Medicine for the Youth Athlete Conference hosted by CHOC

 

Dr. Joshua Gibbs discusses the fact that children’s food allergies are on the rise.

 

Singer, Melville I. – MD

Uncategorized

With more than 50 years of experience, Melville Singer, M.D. treats the full spectrum of pediatric cardiology related conditions, with specialized expertise in adults with congenital heart disease.

 

Dr. Singer is board certified in both pediatrics and pediatric cardiology and is a Associate Clnical Professor at UC Irvine. He served his fellowship and residency at Children’s Hospital in Cincinnati. He received his medical training at Ohio State University, in Cincinnati, and completed his internship at Cincinnati General Hospital.

 

 

 

Announcements

 

CHOC Specialists Cardiology practice office moving – Monday, August 1st, 2011

 

 

“The premier pediatric cardiology practice in Orange County, CA.”
The CHOC Specialists Cardiology Physicians are distinguished by their commitment to clinical excellence and research and through their training and faculty appointments at many of the nation’s most prestigious schools and hospitals including the University of California, Los Angeles (UCLA), Children’s Hospital of Los Angeles (CHLA), Boston Children’s Hospital, Philadelphia Children’s Hospital, and Texas Children’s Hospital in Houston, TX.

 

Dr. Pierangelo Renella

Renella, Pierangelo – MD

Cardiology, CHOC at Mission, CHOC Hospital, Physicians, Providence Medical Office Building, St. Joseph Hospital, St. Jude Medical Center, Western Medical Center - Santa Ana

Pierangelo Renella, M.D. received his medical degree from the University of California, Irvine School of Medicine. He did his Pediatric Internship and Residency at Children’s Hospital Los Angeles. Dr. Renella has completed Fellowships in Pediatric Cardiology and Advanced Non-Invasive Cardiovascular Imaging at the University of California Los Angeles and Children’s Hospital Boston.

Dr. Renella is involved in multiple clinical research projects involving cardiac MRI and CT. In addition, he is sub-specialized in fetal cardiology and fetal cardiac imaging. He is currently developing a dedicated congenital cardiac MRI and CT program at CHOC.

Dr. Renella is board certified in pediatrics and pediatric cardiology and speaks fluent Spanish and Italian.

Announcements

CHOC Specialists Cardiology practice office moving – Monday, August 1st, 2011

Current Research

1) Investigating the feasibility of 3D echocadiography for right ventricular volumetric and functional assessment in children.

2) Right and left ventricular volumetric and functional assessment by cardiac MRI in severely anemic patients with iron overload.

3) The significance of regional right ventricular function in repaired Tetralogy of Fallot patients as assessed by cardiac MRI.

“The premier pediatric cardiology practice in Orange County, CA.”
The CHOC Specialists Cardiology Physicians are distinguished by their commitment to clinical excellence and research and through their training and faculty appointments at many of the nation’s most prestigious schools and hospitals including the University of California, Los Angeles (UCLA), Children’s Hospital of Los Angeles (CHLA), Boston Children’s Hospital, Philadelphia Children’s Hospital, and Texas Children’s Hospital in Houston, TX.
Dr. Linda Muhonen

Muhonen, Linda E. – MD

Cardiology, CHOC at Mission, CHOC Hospital, Hoag Memorial Hospital Presbyterian, Physicians

Pediatric cardiologist Linda Muhonen, M.D. provides care for the full spectrum of related conditions with special emphasis in preventive cardiology. Additionally, she directs the Children’s Cholesterol Clinic located at CHOC and CHOC at Mission in Mission Viejo.

Dr. Muhonen is board certified in pediatric cardiology. She completed her 3rd year of residency and training at the University of Iowa Hospital in Iowa City, Iowa.

Dr. Muhonen completed her 2nd year of residency and training at Loma Linda University Medical Center. Dr. Muhonen received her medical training at Oral Roberts University in Tulsa, Oklahoma.

Announcements

CHOC Specialists Cardiology practice office moving – Monday, August 1st, 2011

“The premier pediatric cardiology practice in Orange County, CA.”
The CHOC Specialists Cardiology Physicians are distinguished by their commitment to clinical excellence and research and through their training and faculty appointments at many of the nation’s most prestigious schools and hospitals including the University of California, Los Angeles (UCLA), Children’s Hospital of Los Angeles (CHLA), Boston Children’s Hospital, Philadelphia Children’s Hospital, and Texas Children’s Hospital in Houston, TX.

Developmental/Behavioral Pediatrics

Uncategorized

Developmental / Behavioral Pediatrics

Members of the Division of Developmental and Behavioral Pediatrics participate in research projects that explore the nature of childhood developmental conditions and their treatments. Some of the studies examine new medications or treatments for ADHD. Many of the ADHD studies offer participants free assessments, diagnosis and/or treatment.
CLINICAL CARE
Members of the Division provide medical services to the CHOC UCI Initiative for the Development of Attention and Readiness (CUIDAR). This project provides parent training and social skills intervention to young children with active or disruptive behaviors. This program for children between the ages of 3 and 5 years of age is available to Orange County children and their parents. Contact (949) 824-2462.
Faculty physicians participate in the evaluation of high risk infants and infants and toddlers with possible developmental delays through their participation in multidisciplinary assessments. Referrals can be made to the Early Developmental Assessment Center (EDAC) at CHOC Children’s at (714) 509-4041.
CHOC Children’s Behavioral and Developmental Clinic
This teaching clinic provides pediatric medical specialty consultation and ongoing care to children with a range of behavioral and developmental problems.
Faculty Practice
Members of the division see patients for clinical assessment and ongoing care at For OC-KIDS Neurodevelopmental Center, a CHOC Children’s & UCI facility in Orange. Call (714) 939-6118 for an appointment in Orange.
For an appointment at the Gottschalk Medical Plaza on the University of California, Irvine campus call (888) 456-7002.

 

Links

 

Orange County American Academy of Pediatrics, California Chapter 4

 

 

 

 

 

 

 

 

 

 

Critical Care

Specialties

When a life-threatening situation arises, CHOC Specialists Critical Care physicians are available 24-hours-a-day, seven days a week and provide comprehensive services for acutely ill or seriously injured children and adolescents. These board certified or board admissible pediatric subspecialists serve as medical directors for the 24-bed Pediatric Intensive Care Unit (PICU) at CHOC, the eight-bed PICU located within CHOC at Mission, and pediatric units at select Orange County hospitals.

Additionally, CHOC Specialists Critical Care physicians are available for immediate consultation and intervention in the event patients admitted into other areas of the hospital experience unforeseen complications. They provide 24-hour coverage for the emergency departments at both CHOC and CHOC at Mission. If a life-threatening situation arises, they are immediately available.

Regionally Recognized for Expert, Tertiary-Level Critical Care

With more than 30 years of experience, CHOC Specialists Critical Care physicians are regionally recognized for their expertise and treat critically ill patients from throughout Southern California. They treat the full spectrum of pathology and disease, from the very common to the very rare. Patients with a wide range of disorders are hospitalized in the PICU, including those with:

  • Conditions that require complex medical interventions including extracorporeal membrane oxygenation (ECMO)< inhaled nitric oxide, high frequency oscillatory ventilation, continuous video EEG monitoring, intracranial presure monitoring, portable CT scanning
  • Severe head injuries
  • Life-threatening disorders of the heart, lungs and central nervous system
  • Treatment of acute respiratory failure
  • Chronic conditions such as respiratory illnesses, cancer or muscular dystrophy, requiring pediatric intensive care
  • Post-surgical care and management, including cardiac surgery, neurosurgery, general pediatric surgery and orthopedic surgery

Through participation in multi-center studies of children with life-threatening respiratory failure, CHOC Specialists Critical Care physicians provide the most technically advanced therapies, such as extracorporeal membrane oxygenation (ECMO), high-frequency oscillation and the use of nitric oxide. Under their leadership, CHOC has had a successful ECMO program for more than 25 years.

CHOC Specialists Critical Care physicians also are integral to the CHOC Cancer, Neuroscience, Cardiac and Orthopaedic Institutes. Their services are complemented by the multidisciplinary care provided by other pediatric subspecialty physicians, nurses, respiratory therapists, pharmacists, physical therapists, occupational therapists, speech pathologists, clinical dietitians, child psychologists and social workers at CHOC and CHOC at Mission.

According to Virtual Pediatric Systems, LLC (VPS), a national collaborative of over 200 ICUs, when compared to a cohort of 19 similar PICUs, the CHOC PICU had:

  • A Pediatric Index of Mortality 3 (PIM3) standardized mortality ratio statistically significantly lower than the VPS reference group.
  • A statistically significantly lower Standardized Length of Stay Ratio than the VPS reference group.
  • A similar percentage of unscheduled readmissions within 24 hours when compared to the VPS reference group.

24-Hour Transport Service to CHOC and CHOC at Mission

The availability of 24-hour transport services allows CHOC Specialists Critical Care physicians to bring critical care directly to the patient — and then to bring the patient back safely to either CHOC or CHOC at Mission. The sophisticated and highly specialized CHOC Transport Service is the only one in the region equipped with a pediatric high frequency oscillator and state-of-the-art ventilator.

By ambulance or helicopter, our team is available to transport children from emergency rooms, hospital nurseries, pediatric facilities and physician offices from throughout the Southern California region. Non-emergent (ACLS) transport services are also available and may be arranged by calling the Pediatric Transport Team at either CHOC or CHOC at Mission.

Fellowship Program & Professional Education

In addition to direct patient care responsibilities, CHOC Specialists Critical Care physicians are committed to advances in pediatric medicine through research, teaching and tertiary clinical training. In addition to teaching Residents at CHOC, they also teach fellows. CHOC Specialists Critical Care has trained over 70 critical care fellows in the past 20 years. CHOC Specialists Critical Care physicians are active members in the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network and currently involved in multiple national clinical trials. Several of our physicians hold faculty positions in the Department of Pediatrics at Harbor-UCLA Medical Center. The Pediatric Critical Care Fellowship Program (CHOC/Harbor-UCLA Medical Center) is ACGME-approved and has graduated 25 board admissible pediatric intensivists during the last 10 years.

Additionally, CHOC Specialists Critical Care physicians provide continuing medical education, outreach programs and consulting services to the pediatric community and to the multidisciplinary subspecialty teams at CHOC and CHOC at Mission.

Family Support and Care

CHOC Specialists Critical Care physicians are committed to the health and well-being of the children of Southern California. Medical care is provided with compassion, offering each family the necessary information to understand the child’s condition and anticipated outcome.

Referral Guidelines

Resources

Developed by CHOC Specialists, in partnership with community physicians, these guidelines provide you with useful information in working up your patients, and contribute to making the appointment itself most meaningful by having the right clinical information available.

Listed below are the specialties that currently have guidelines. Updates, as well as additional specialties and diagnoses, are added regularly.

  Allergy & Immunology

  • Allergy & Immunology Referral Guidelines: Allergic Rhinitis, Anaphylaxis

    Cardiology

  • Cardiology Referral Guidelines: Heart Murmur, Palpitations, Arrhythmia, Abnormal ECG, Chest Pain, Syncope, Hypertension, Attention Deficit Disorder, Kawasaki Disease, Genetic Disorders: Marfan, Turner, Downs, DiGeorge, Noonan, Muscular Dystrophy, Premature, Patent Ductus Arteriosus (PDA), Atrial Septal Defect (ASD), Small Ventricular Septal Defect (VSD), Hyperlipidermia.

    Developmental & Behavioral Pediatrics

  • Developmental & Behavioral Pediatrics Referral Guidelines: Attention Deficit Disorder, Hyperactivity, Inattentiveness, Developmental Delay, Autism, Asperger, Pervasive Developmental Disorder, Tic Disorders, Tourette’s, Selective Mutism, Anxiety Problem, Oppositional Defiant Disorder, Learning Disorder

    Endocrinology

  • Endocrinology Referral Guidelines: Growth Disorders, Thyroid Disorders and Pubertal Disorders including, Congenital Hypothyroidism (Neonate), Congenital Hypotheyroidism (Child), Acquired Hypothyroidism, Autoimmune Thyroiditis/Hypothyroidism, Central Hypothyrodism, Acquired Hyperthyroidism, Auntoimmune Hyperthyroidism (Grave’s Disease), Neonatal Hyperthyroidism, Goiter, Thyroid Nodule, Diabetes Mellitus Type 1 & Type 2, Hyperglycemia, Impaired Glucose Tolerance, Impaired Fasting Glucose, Morbid Obesity, Acanthosis Nigricans, Short Stature, Failure to Thrive, Precocious Puberty/Premature Thelarche (Girls), Precocious Puberty (Boys), Premature Adrenarch (Girls), Premature Adrenarch (Boys), and Delayed Puberty.
  • Endocrinology Referral Request Form

    Gastroenterology

  • Gastroenterology Referral Guidelines: Chronic Abominal Pain, Celiac Disease, Crohn’s Disease, Diarrhea, Hematochezia, Food Allergy, Peptic Ulcer Disease, Gastro Esophageal Reflux (GER), Vomiting, Constipation, Failure to Thrive.
  • Gastroenterology Referral Request Form: Abdominal Pain, Diarrhea, Weight Loss, GI Bleed, GERD, Jaundice, Constipation, Growth Failure, Vomiting

    Hematology

  • Hematology Referral Guidelines: Anemia, Thrombocytopenia, Neutropenia, Coagulation Defect, Recurrent Infections
  • Hematology Referral Request Form: Anemia, Thrombocytopenia, Neutropenia, Bleeding Disorders, Thrombosis, Recurrent infections, Di George Syndrome, Hypogammaglobulinemia, Chronic Granulomatous Disease, Hemangioma, Vascular Malformations, Port Wine Stain but no Lymphangiomas

    Hospitalist

  • Hospitalist Preference Form

    Infectious Disease

  • Infectious Disease Referral Guidelines: Recurring Fevers, Recurrent Staphylococcal Infections, Latent Tuberculosis Infection
  • Infectious Disease Referral Request Form

    Nephrology

  • Nephrology Referral Guidelines: Microhematuria, Gross Hematuria, Proteinuria, Acidosis, Cystic Kidneys, Hypertension
  • Nephrology Referral Request Form

    Neurology

  • Neurology Referral Guidelines: Recurrent Unprovoked Seizures (Epilepsy), Febrile Seizures, First Unprovoked Seizure, Developmental Delay, Tics, Tourette’s, Autism, Pervasive Developmental Disorder, Concussion, Headaches
  • Neurology Referral Request Form: Non-Febrile Seizures, Intractable Epilepsy, Neuromuscular Disorders, Headaches with Neurological Findings

    Ophthalmology

  • Ophthalmology Referral Guidelines: Visual Behavior / Acuity, Eyelids, Nasolacrimal System, Anterior Segment, Ocular Media. Sensorimotor System (Pupils and Ocular movements), Prematurity, Systemic Disorders, Congenital Deformities & Syndromes, and Non Accidental Injury

    Pulmonology

  • Pulmonology Referral Guidelines: Infant Apnea, Child Apnea, Asthma, Brochopulmonary Dysplasia (BPD), Chronic Cough, Cystic Fibrosis, Recurrent Pheumonia, Respiratory Syncytial Virus (RSV)

    Rheumatology

  • Rheumatology Intake Form
  • Rheumatology Referral Guidelines: Arthralgias, Joint Swelling, Joint Contracture, Limp Joint, Weakness, Back Pain, Malar Rash, Proteinuria, Hematuria, Unexplained Fevers, Weight Loss, Skin Tightening, Extremity Color Changes, Iritis, Chronic Pain, Positive (+) ANA
  • Rheumatology Referral Request Form

Please note: All information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

Blood Bank

Research

We continue our research efforts in the area of cord blood research, working to make transplants more effective and more available to patients suffering from a variety of cancers and other conditions, including auto-immune disorders. The CHOC Cord Blood Bank is one of only ten NMDP Cord Blood Banks in the country. Through the NMDP Registry, our bank provides cord blood units to transplant patients worldwide.

 

For more information, please contact Vicki Slone in the Cord Blood Program at CHOC at (714) 509-4154.

 

Allergy and Immunology

Specialties

CHOC Specialists Allergy, Asthma and Immunology physicians provide comprehensive treatment based on prevention, intervention, education and self-management. Recognized for excellence by their peers and actively involved in clinical research, they offer the latest treatment options for patients of all ages with allergic or immunologic conditions. CHOC Specialists Allergy and Immunology physicians have special expertise in caring for the medically fragile and those who have not responded to conventional therapy.

Treatment modalities include pharmacotherapy, immunotherapy, dietary control and environmental allergen/irritant avoidance. Inpatient and outpatient services are available for children and adults experiencing conditions related to allergies, asthma and immune deficiencies, including:

  • Acute, chronic and severe asthma
  • Allergic rhinitis
  • Allergic conjunctivitis
  • Acute and chronic sinusitis
  • Complicated eczema and atopic dermatitis
  • Acute and chronic urticaria
  • Drug and food allergies
  • Stinging insect allergies
  • Cellular immune deficiencies
  • Antibody immune deficiencies

Early Intervention and Outpatient Management For Acute Asthma, CHOC Specialists Allergy, Asthma and Immunology physicians are committed to providing preventive care and early intervention for asthmatic patents. Managing severe asthma exacerbations in the office has been effective in reducing the number of emergency room visits, hospitalizations and days missed from school and work.

Cost-Effective Allergy Care Emphasizing Education and Prevention The Allergy evaluation begins with a medical history, diagnostic evaluation and environmental assessment. At the conclusion of the first appointment, each patient receives a detailed treatment plan, plus educational literature on altering the home environment to minimize exposure to allergens or irritants. This approach is thorough and cost effective. By providing education for patients and their families, CHOC Specialists Allergy, Asthma and Immunology physicians promote better understanding and management of the condition through the proper use of medications, environmental controls and other preventive measures to alleviate symptoms and minimize reactions.

Active Participants in the Latest Clinical Research CHOC Specialists Allergy

Asthma & Immunology physicians serve as principal investigators for many clinical research studies, providing patients with access to the newest treatment options available. Recent studies have included new medications for asthma, allergic rhinitis, sinusitis and eczema.

Recognized within the community for excellence, CHOC Specialists Allergy, Asthma and Immunology physicians are board certified pediatric subspecialists, who have been practicing in Orange County for over 35 years. They provide medical directorship for the Allergy, Asthma and Immunology program at CHOC. As a community service, they report on daily mold and pollen counts to the Orange County Register.

CHOC Specialists Allergy, Asthma and Immunology physicians direct a summer camp for asthmatic children sponsored by the American Lung Association and participate in community education lectures and seminars.

Additionally, CHOC Children’s Allergy and Immunology Specialists are proud to be partner with the CHOC Children’s Gastroenterology Specialists to offer one of the only Eosinophilic Esophagitis Clinics in Southern California. The multidisciplinary team of allergists, gastroenterologists and dietitians, work with children from infancy to age 18 to help diagnose and treat eosinophilic esophagitis (EoE) using the very latest research-based treatments.

When a child is first diagnosed with EoE, it is an overwhelming experience. The clinic team provides the expertise and support needed to manage the patient’s health and wellbeing. The clinic meets every first and third Wednesday of the month. During the initial stages of care, patients may need to attend clinic every one to three months depending on the severity of the child’s symptoms. The EoE team also provides support services outside of the clinic through e-mail and phone calls. Once there is resolution of the EoE and the trigger is identified, we recommend yearly visits for follow-up.

Cardiology

Specialties

The CHOC Specialists Cardiology Division strives to provide the best possible care for infants, children and adolescents with acquired or congenital heart disease as well as adults with congenital heart disease. Comprehensive inpatient and outpatient services are offered including collaborative care with the intensive care team in the dedicated Cardiovascular Intensive Care Unit (CVICU). We have a strong educational program for patients and families and we offer complete cardiovascular care.

Leading-Edge Diagnostic Capabilities & Treatment

CHOC Specialists Cardiology physicians provide the following services:

  • Inpatient and outpatient consultation
  • Prenatal consultation
  • Echocardiography (fetal, transthoracic and transesophageal)
  • Digital diagnostic and therapeutic cardiac catheterization, including atrial septal—defect or patent ductus arteriosus closure
  • Electrophysiological services, including event and Holter monitoring, tilt table testing, exercise stress testing, pacemaker implementation and programming, and state-of-the-art electrophysiological testing and ablation for arrhythmias
  • Comprehensive, multi-disciplinary Hyperlipidemia Clinic and new clinics in Heart Failure and Pulmonary Hypertension as well as future clinics in Arrhythmias and Adolescents with Congenital Heart Disease
  • Care for adolescents and adults with congenital heart disease

Recognized For Excellence

CHOC Specialists Cardiology physicians serve as the Medical Directors for the pediatric cardiology services provided at CHOC. Our cardiologists work closely with the pediatric cardiac surgeons at CHOC. Collaboration with pediatric intensivists in the hospital’s dedicated CVICU as well as Pediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Unit (NICU) provides a comprehensive, multidisicplinary approach to patient care.

Active Participants in the Latest Clinical Research

CHOC Specialists Cardiology has an active research program and has representation at the pediatric study section at the National Institute of Health (NIH). Ongoing projects include evaluating new treatments for respiratory syncytial virus (RSV) in children with cardiac disease and newer noninvasive methodologies in monitoring children after cardiac surgery. The Division has assisted in the development of new catheters to evaluate coronary problems in children. They recently participated in a national study to evaluate newer inotropic agents following heart surgery as well as management strategies for hypoplastic left heart syndrome. Future proposed projects involve an important collaboration between the CHOC Specialists Cardiology Division and the University of California, Irvine.

“The premier pediatric cardiology practice in Orange County, CA.”

The CHOC Specialists Cardiology Physicians are distinguished by their commitment to clinical excellence and research and through their training and faculty appointments at many of the nation’s most prestigious schools and hospitals including the University of California, Los Angeles (UCLA), Children’s Hospital of Los Angeles (CHLA), Boston Children’s Hospital, Philadelphia Children’s Hospital, and Texas Children’s Hospital in Houston, TX.

Dr. Anthony Chang

Chang, Anthony C. – MD, MBA, MPH

Cardiology, CHOC at Mission, CHOC Hospital, Hoag Memorial Hospital Presbyterian, Physicians, Providence Medical Office Building, St. Joseph Hospital, St. Jude Medical Center, Western Medical Center - Santa Ana

Anthony Chang, M.D. is the CHOC Specialists Division Chief of Cardiology, Medical Director of the CHOC Children’s Heart Institute, and an Associate Clinical Professor at University of California, Irvine School of Medicine.

Dr. Chang completed his pediatric residency and pediatric cardiology fellowship training at Children’s Hospital National Medical Center, in Washington D.C., and Children’s Hospital of Philadelphia, respectively. He graduated from the Georgetown University Medical School, in Washington, D.C., and received his undergraduate degree from Johns Hopkins University, in Baltimore. Dr. Chang has a master’s degree in business administration from the University of Miami School of Business and a master’s degree in public health from the University of California, Los Angeles (UCLA).

Dr. Chang has held faculty appointments at the Harvard University School of Medicine, the University of Southern California School of Medicine and the University of Pennsylvania Medical School, in Philadelphia. He also directed the cardiac intensive care programs at Children’s Hospital of Los Angeles and Miami Children’s Hospital.

Prior to joining CHOC, Dr. Chang was medical director of the pediatric cardiac intensive care service and chief of critical care cardiology at Texas Children’s Hospital, and a tenured associate professor in pediatrics at the Baylor College of Medicine. Dr. Chang is widely published and on the editorial board of several publications. He frequently publishes articles, presents lectures on a variety of topics and has published books, including Pediatric Cardiac Intensive Care and Heart Failure in Children. He has served as program director for several large international conferences and symposia.

Awards

1980 “Academic Honors” (Johns Hopkins University Premedical Program, Baltimore, MD.)

1988 “Best Resident Award” (Academic Forum, Children’s Hospital National Medical Center, Washington, DC.)

1993 “Best Research Award in Critical Care Medicine” (American Academy of Pediatrics, San Francisco, CA.)

1995 “Best Teaching Award” (Division of Critical Care Medicine, Children’s Hospital of Los Angeles, CA.)

1998 “McGaw Award for Academic Excellence” (graduated first in class – Health Administration Executive Program, Miami, FL.)

2000 “Special Teaching Award” (Department of Pediatrics, Miami Children’s Hospital, Florida)

2003 “Presidential Citation Award” (Society of Critical Care Medicine)

2007 – 2008 “Best Doctors in America” (Best Doctors)

2008 “Outstanding Teaching Award” (UCLA Pediatric Cardiology Program)

2008 “Dean’s Outstanding Scholarship Award” (graduated first in class) and “Delta Omega” (Public Health Honor Society)

2009 “America’s Top Cardiologist” (Consumer’s Research Council of America)

2010 “California’s Top Doctors” (Orange Coast Magazine)

2011 – 2012 “Best Doctors in America” (Best Doctors)

2012 “Physician of Excellence” (Orange County Medical Association) (OCMA)

Current Research

1. Use of Novel Agents in the Treatment of Pulmonary Hypertension

2. Artificial Intelligence in Decision-making in Pediatric Cardiology

3. Heart Failure in Children: Current Therapy and Management

Publications

Publications† link:
Dr. Anthony Chang Publications

( † Disclaimer: This search is powered by Google Scholar. Google Scholar is a third-party website with no affiliation with CHOC.)

Video

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CHOC physicians, patients and their families talk about how CHOC provides expert pediatric care|http://www.youtube.com/watch?v=FYhgKwYHaHY&NR=1
Dr. Anthony Chang, Medical Director of the CHOC Childrens Heart Institute discusses Life-threatening Events Associated with Pediatric Patients in Sports (LEAPS)|http://www.youtube.com/watch?v=lCAiVJomg60&feature=player_embedded
“The Call” CHOC Documentary featuring Dr. Chang|http://www.youtube.com/watch?v=41v3q-aeqgc
[/youtubegallery]

Announcements

Dr. Anthony Chang and Dr. Ronald Bronicki published in Critical Care Medicine Journal: “Management of the postoperative pediatric cardiac surgical patient”

CHOC Specialists Cardiology practice office moving – Monday, August 1st, 2011

Dr. Anthony Chang & Dr. Anjan Batra Honored by the Orange County Board of Education for LEAPS

Dr. Anthony Chang and Dr. Anjan Batra discuss Sudden Cardiac Death in Young Athletes at 1st Annual Sports Medicine for the Youth Athlete Conference hosted by CHOC

Life-threatening Events Associated with Pediatric Patients in Sports (LEAPS) – Discussion featuring Dr. Anthony Chang and Dr. Anjan Batra

“The premier pediatric cardiology practice in Orange County, CA.”
The CHOC Specialists Cardiology Physicians are distinguished by their commitment to clinical excellence and research and through their training and faculty appointments at many of the nation’s most prestigious schools and hospitals including the University of California, Los Angeles (UCLA), Children’s Hospital of Los Angeles (CHLA), Boston Children’s Hospital, Philadelphia Children’s Hospital, and Texas Children’s Hospital in Houston, TX.