ABOUT THE DOCTOR:
Robert Afra, M.D.
Board Certified Orthopaedic Surgeon
Dr. Robert Afra is a San Diego-based orthopedic surgeon who is nationally renowned in sports medicine with expertise in treating shoulder, elbow, wrist, hip, knee and ankle conditions. As the former Chief of Sports Medicine at the University of California, San Diego, Dr. Afra has published extensively in professional journals and books and presented at conferences around the world, where he is considered a pioneer in the study of shoulder, knee, elbow and ankle injuries in athletes and active adults. Dr. Afra is also a specialist in cartilage issues and pain in knee cap disorders; he was named Co-Director of the International Patellofemoral Study Group Conference in San Diego in July 2011. As a sports medicine physician, he has managed and treated complex joint injuries and successfully guided patients back to peak performance levels.
Dr. Afra takes a customized approach to treat each of his patients. He provides comprehensive care to injured athletes, from sprain rehabilitation and muscle and ligament tear repairs to care for broken bones. He regularly cares for children and active adults with injuries to the upper extremities (shoulders, elbows, and wrists) and lower extremities (hips, knees, and ankles). His joint replacement practice consists of shoulder replacement, hip replacement, and knee replacement surgery, including minimally invasive surgery techniques and traditional joint replacement surgery when necessary.
Dr. Afra completed his fellowship training in sports medicine at Boston University, where he treated a variety of elite college athletes in ice hockey, soccer, basketball, field hockey and lacrosse. Dr. Afra was a researcher at University of Hawaii’s Queen Emme Medical Center in the field of muscle and nerve physiology, and was a surgical fellow at the world-renowned Barnard O’Brien Microsurgical Institute in Melbourne, Australia. He has studied microsurgical techniques and the art of plastic surgery. Dr. Afra studied medicine at UCLA, where he also completed his surgery internship. Prior to attending medical school, Dr. Afra worked at the Salk Institute on an NIH research stipend. In 2010, Dr. Robert Afra was selected by the Arthroscopy Association of North America, a premiere sports medicine society, as one of three surgeons to lecture to university faculty in the United States and Canada.
We are committed to providing the highest quality of subacute care, post-acute care and rehabilitation therapies to individuals who are recovering from catastrophic injury events in personal injury and workers compensation. We accomplish this goal by a staffing patient ratio of 2 fulltime staff members per patient, providing our full attention to the plan of care that is individualized per patient to ensure their progression to wellness. Larger facilities house many patients with differing infections and diseases. We limit our patient load to only 6 at a time therefore reducing the risk of acquired infections as well as adhering to our strict infection control protocols.
Who We Are:
Managed by a multidisciplinary team of physicians, nurses and therapists, Coastal Injury Care Center is an inpatient rehabilitation facility and subacute care center that provides round-the-clock skilled nursing services and intensive rehabilitation therapies to individuals who have been severely and catastrophically injured. Our individualized care plans are managed by an interdisciplinary group of specialists including neurologists, orthopedists, physiatrists, podiatrists, wound care physicians, dentists, nurses, social workers, activity directors, respiratory therapists, registered dieticians, physical therapists, occupational therapists and speech therapists.
Coastal Injury Care Center provides services based upon each resident’s initial assessment, including but not limited to:
· Acquired Brain Injuries (traumatic, anoxic, aneurysms, cerebral vascular accidents)
· Spinal Cord Injuries (all levels including Halo care)
· Complex Wound Care (including V.A.C. Therapy)
· Pulmonary (Vent care and weaning, tracheostomy care, suctioning and de-cannulation)
· Amputee Care
· Medically Complex (multiple IV antibiotic therapy, isolation, TPN, G and J tube feeding)
· High-Intensity Rehabilitation (PT, OT, ST, LCSW, MSW)
· Orthopedically Complex (multiple trauma, fractures, non-weight bearing)
Coastal Injury Care Center provides the following services for patients in need of acute and subacute care.
· Individualized treatment programs managed by a multidisciplinary group of physicians including neurologists, orthopedists, physiatrists, podiatrists and wound care physicians.
· Continuous (24-hour) skilled nursing and supportive care provided by licensed healthcare professionals under the supervision and direction of a board certified Medical Director (MD/DO).
· Neurologic and/or vascular monitoring
· Ventilator or tracheostomy dependence/complex pulmonary care
· Respiratory Therapy services for oxygen delivery, suctioning, CPAP or BiPAP.
· Dietary care including tube feeding or total parenteral nutrition (TPN)
· Gastrostomy or ileostomy care not manageable at a lower level of care.
· Complex wound care (debridement, packing, extensive dressing)
· Medication monitoring
· Psychosocial support provided by licensed clinical social workers and psychiatrists.
· Subacute rehabilitation for physical, occupational and recreational therapy provided by licensed physical and occupational therapists.
· Skin care, oral care and position changes
Located 15 minutes outside of downtown San Diego in La Mesa, our newly remodeled facility has a fully equipped kitchen, entertainment area, rehabilitation room for therapeutic activities, a fully landscaped backyard and spacious rooms. Rooms are tastefully decorated and have hardwood flooring, closets and HDTV’s.
When you’ve been injured or in an accident, it can be frustrating and financially challenging to get the prescription medications you need. Attorney fees and doctor bills can mount rapidly, leaving you with little flexibility. Getting the treatment you need is something that can’t wait. You need your medication now, while your attorney is working to settle your claim.
We will get you the medication you need, when you need it, so you can return to your family, your job and your life in health and confidence.
At PayLater Pharmacy we understand what you’re dealing with. We know the challenges that come with the fallout of an accident or injury, and we are here to help. Your recovery is our priority. At PayLater, we promise:
THE PAYLATER PROGRAM WAS DESIGNED TO ENSURE YOU ALWAYS HAVE ACCESS TO THE MEDICATION YOUR DOCTOR PRESCRIBED, REGARDLESS OF YOUR FINANCIAL SITUATION. IF YOU’VE BEEN IN AN ACCIDENT, HERE’S HOW TO TAKE ADVANTAGE.
Dr. Amir Bahreman, MD, is a quadruple board-certified neurologist, and is an American Diplomat in Neurology and Psychiatry, Brain Injury Medicine, Clinical Neurophysiology and Vascular Neurology by APBN.
Dr. Bahreman trained in neurology at the Albert Einstein University in New York in 2000. During his residency at Montefiore Hospital he developed additional expertise in headache disorders, stroke and neuromuscular diseases. Because of the unique location of Montefiore Hospital in the Bronx New York, he was exposed to a variety of neurological pathologies including traumatic brain injury. During his residency he treated patients with traumatic brain injury, spine injury and neuromuscular disorders. In his last year of residency, he had the privilege of working directly with Dr. Richard Lipton and Dr. Lawrence Newman, world renowned headache experts, which gave him the knowledge necessary to diagnose and manage post traumatic headache disorders and migraines associated with traumatic brain injury.
Following residency, Dr. Bahreman, entered a fellowship program at the University Of Chicago, where he became board certified in Clinical Neurophysiology in 2007 and Vascular Neurology (stroke) in 2008. During his fellowship training at University of Chicago he became skilled in electrodiagnostics including electroencephalography, electromyography, and nerve conduction studies.
Upon completing his fellowship, Dr. Bahreman joined a local private neurology group and in 2008, he moved to San Diego when he started his own solo practice. He became affiliate with Sharp Health System where he presently provide services as Stroke specialist at Sharp Grossmont Hospital. In his private practice, he treats patients with traumatic brain injury, post traumatic headache disorders, migraines, complex regional pain syndrome (CRPS), neuralgias, seizures, musculoskeletal diseases, Parkinson’s disease, stroke, spinal cord injuries, traumatic spinal disease and peripheral nerve injuries.
Since then, he has received extra training and become certified in a variety of areas including VNG (video nystagmography), posturography, Botox and spasticity, and antiaging medicine. He is a member of A4M (American Academy of Anti-Aging medicine). In December 2017, he passed the Stem Cell board exam sponsored by Academy of Anti-Aging Medicine.
Currently, Dr. Bahreman’s primary interest is in medical legal neurology with a special focus on traumatic brain injury (TBI). He provides services as a treating physician and expert witness in neurology for patients with brain or spinal injuries. His expertise has been used by plaintiff and defense attorneys in a variety of neurological cases including TBI, CRPS and peripheral nerve injuries. In 2017, he testified in a class action lawsuit against Bristol Myers and their drug Plavix. He currently performs and offers a variety of neurological studies that are commonly used in medical legal cases including:
At San Diego Chiropractic Doctors, a team of highly talented specialists are at your disposal and are committed to providing the best chiropractic care in San Diego. Dr. Mark Cincotta and partner Dr. Danny Bachoua are currently the team doctors for the BMC Pro Cycling Team. With one call, they could be yours too! Dr. Cincotta has provided top-notch chiropractic treatment for star athletes such as Lance Armstrong, Shaquille O’Neil, and even the USA Olympic Team. SDCD is proud to be one of over 1,000 clinics nationwide to offer safe and effective DTS spinal therapy, a non-surgical alternative for disc related syndromes of the cervical spine. Clinic advances in traction therapy have given new hope to millions suffering from the debilitating pain of damaged or degenerative discs and pinched nerves.
ABOUT THE DOCTORS
Dr. Danny Bachoua is a local San Diegan. He received his Bachelors in Kinesiology from SDSU in 2001. He later went on finish his Doctor of Chiropractic Degree at Southern California University if Health Sciences in 2007. Before graduating in 2006 he began his work at San Diego Chiropractic Doctors as an intern and began establishing himself in the community. Dr. Bachoua knows that chiropractic care and the maintenance of the spine are vital components to overall health. Dr. Bachoua performs specific hands-on chiropractic adjustments of the spine and extremities, manual spinal traction, trigger point therapy, Kinesio taping, PNF stretching and myofascial release technique (MRT). Known for his comforting touch and calm manner. Dr. Bachoua quickly sets patients at ease. Dr. Bachoua is composed, explains himself and actively works with his patients to individually guide them to better health and peace of mind. Nutrition, diet and exercise are among the topics discussed to promote health.
Patients from all over San Diego and beyond consult Dr. Cincotta on a variety of issues from neck and back pain, headaches & migraines to TMJ, digestive problems and more. Home stretches and exercises used to strengthen proper alignment augment office visits. Each patient receives personalized attention as well as safe, effective treatment. At San Diego Chiropractic Doctors, quality care is paramount. Here, you will receive the personalized care and attention needed to guide you to better health.
From CA-94 in La Mesa:
Exit Via Mercado. Last stop light traveling east on 94. Make a left and travel about 300 yards. Enter the Rancho San Diego Center to the right.
10 minutes east of Downtown San Diego
ABOUT THE DOCTOR:
Choll W. Kim, M.D., Ph.D
Board Certified Orthopaedic Spine Surgeon
Dr. Choll Kim graduated cum laude from Harvard Medical School and completed his fellowship training in complex spine surgery at the Mayo Clinic. In addition, he is double board certified by the American Board of Orthopedic Surgeons and the American Board of Spine Surgery.
Dr. Kim is an internationally recognized expert in the field of computer-assisted minimally invasive spine surgery. He has trained and continues to train specialists throughout the country on the safe and effective application of state-of-the-art techniques using image guidance and navigation technologies.
Dr. Kim utilizes a broad range of minimally invasive treatments to effectively treat all aspects of complex spinal disorders, including herniated disks, spinal stenosis, adult scoliosis, spondylolisthesis, traumatic injuries, tumors, and infections throughout the entire spine from the neck to the low back. He is one of only a handful of surgeons in the world to master laser endoscopic spine surgery (LESS), a state-of-the-art minimally invasive procedure that effectively treats herniated disks, radiculopathy and sciatica. The LESS procedure can be performed under local anesthesia, in a same day setting and with a small stab incision that is covered with a band aid.
A leader in his field, Dr. Kim is the founder and past-president of the Society for Minimally Invasive Spine Surgery (SMISS), the founder of Minimally Invasive Spine Centers of Excellence (MIS-COE), the chair of the MIS Committee for the International Society for the Advancement of Spine Surgery (ISASS), the director of the Advanced Spine & Joint Institute at Alvarado Hospital and an associate clinical professor at the University of California, San Diego.
Furthermore, Dr. Kim is a Qualified Medical Evaluator and a past voting member of the FDA Orthopedic Devices Panel, which reviews all new spinal technologies. He has designed minimally invasive instrumentation used by surgeons around the world. Dr. Kim is an active member of the North American Spine Society (NASS) and the American Academy of Orthopedic Surgeons (AAOS), and a fellow of the Scoliosis Research Society. Dr. Kim has over 200 publications and presentations.
Board Certified Pain Management Specialist
Board Certified Physical Med & Rehab Specialist
Improving a patients quality-of-life by helping them get back to the things they used to do is the focus of our practice. Dr. Lao provides some of the worlds most advanced treatment options for acute and chronic pain.
Dr. Lao provides his patients with thorough consultation and formulation of treatments plans based on their individual needs to regain their quality of life. He believes by taking the time to talk to each patient to pin-point the source of pain will help him diagnose and treat the source of pain providing patients a manageable life style.
Dr. Lao has years of experience diagnosing and treating painful conditions. He believes in providing a multidisciplinary, multi-specialty approach that allows each patient access to a variety of pain treatment options. The field of pain management is continually advancing, and Dr. Lao offers new treatments, new procedures and new pain management techniques to help patients control and minimize their pain. His comprehensive approach to pain care provides patients with exceptional patient care.
Treatments are offered for:
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