My Services
Patient Care
I care for patients at the Ridley Tree Cancer Center-Sansum Clinic, and operate at Foothill Surgery Center and the Cottage Hospitals in Santa Barbara and Goleta, California. I offer prenatal and postpartum house calls, as well as telemedicine consults via Sansum Clinic. You can utilize your health insurance for these visits.
Please contact me if you would like to schedule an appointment.
In the Ridley Tree Healing Garden with our breastfeeding medicine and lactation support team: Clinic Coordinator Sandra Alamillo, Katrina Mitchell, MD/IBCLC, Janin Avants, RN/IBCLC, and Jessica Carmona, MA.
Medical/Surgical Services
Plugging, mastitis, recurrent mastitis
Subacute mastitis (dysbiosis)
Therapeutic ultrasound for engorgement, plugging, mastitis
Breast or nipple pain with breastfeeding
Nipple blebs and other nipple conditions
Vasospasm
Dermatitis
Induced lactation and relactation
Treatment of hyperlactation (“oversupply”)
Treatment of hypolactation (”low supply”)
Pump trauma
Bloody nipple discharge
Guidance for patients undergoing surgery, anesthesia, and
radiology/nuclear medicine proceduresEvaluation of new breast masses
Lactation Support
Prenatal consults and early postpartum care
Positioning and latch
Managing engorgement
Weighted feeds
Maintaining or increasing milk supply
Pumping and back to work tips
Maternal Mental Health
Medication management
Coordination with therapists, reproductive psychiatrists to support breastfeeding with mental health treatment
Pregnancy Concerns
Skin tags or other breast/nipple lesions
Masses
Breast growth, engorgement, pain
Speaking
I speak locally, regionally, nationally, and internationally on on a wide variety of surgical, oncology, and lactation topics. This includes complications of lactation, breastfeeding and breast cancer, breastfeeding and breast surgery, breast physical exam, wound care, physical therapy techniques for lactation, and the intersection of perinatal mental health with breastfeeding.
Teaching
While breast surgeons receive excellent cancer training, we have less exposure to benign (non-cancerous) disease during medical school, residency and fellowship. To bridge this gap in education, I am working on creating a live and taped course on “Lactation for Breast Care Providers.”
