Dr. Bretsky’s Super Doctor Award Featured in Los Angeles Times

Back in December, it was announced that Dr. Bretsky was named for a second straight year as one of the Super Doctors of California. This award is given to physicians who have attained a high degree of peer recognition and professional achievement. Selections are made by other physicians who are asked the following question: “If you needed medical care, which doctor would you choose?”

The results have now been published online on www.superdoctors.com and in Super Doctors Magazine, a separate publication distributed with the Los Angeles Times featuring approximately 5% of the top physicians in Southern California. Join us in congratulating Dr. Bretsky on this special achievement.


Two New Awards for Dr. Bretsky

Sometimes good things come in bunches, and this is no exception for Dr. Bretsky who recently received two prestigious acknowledgments from his peers.

For yet another year, Dr. Bretsky has been recognized as a Super Doctor (www.superdoctors.com). The selection process for Super Doctors is a rigorous multi-step process designed to identify physicians who have attained a high degree of peer recognition and professional achievement. Selections are made by other physicians who are asked the following question: “If you needed medical care, which doctor would you choose?”

In addition, this year Dr. Bretsky earned an American College of Physicians Fellowship (FACP). This is a distinction earned from colleagues who recognize Dr. Bretsky for his accomplishments and achievements over and above the practice of medicine. The most important considerations for an ACP Fellowship is a physician’s excellence and contributions made to both medicine and the broader community.

According to the American College of Physicians, “Fellowship in the ACP means that as a patient, you have confidence...Read more

Santa Monica Primary Care Adds New Clinical Staff in Our Expanded Space

Long-standing patients of Santa Monica Primary Care have had the same reaction when opening the door to our newly renovated space – Wow.

They are coming in through the same door at the end of the hallway, marked Suite 230, but there is a whole new feel. Beginning last year, we remodeled our existing space and expanded into the adjacent suite. We added additional exams rooms, and opened up the entire bank of west facing windows making entry into our waiting room a bright and welcoming experience. We have never been an office that wished to greet you with a closed glass window, but now our front desk is even more open with a beautiful Santa Monica backdrop.

In addition to our new space, we now have more clinical staff to accommodate the growing needs of our patients. Along with Dr. Bretsky, we have two Physician Assistants (PAs) – Sandra Ovadia and Jillian Payne. Both of our Physician Assistants have many years of experience not only in Primary Care, but also in diverse specialties including Uro-Gynecology, Thoracic Surgery, and Emergency Medicine.

In general, PAs play a broad and expanding role in our health care system, working in a variety of practice...Read more

Flu Recommendations: 2017-2018 Season

With the flu season approaching, we wanted to let our patients know that we now have flu shots available in our office. The Centers for Disease Control (CDC) has published its recommendations on influenza vaccination for the 2017–18 season, and they continue to recommend vaccination for all people aged 6 months and older with only rare exceptions. People who should either NOT have or should WAIT to have the flu vaccine include:

1. Individuals who have had a severe allergic reaction (e.g., anaphylaxis) after previous dose of RIV or to a vaccine component.

2. Individuals with moderate to severe acute illnesses (with or without fever). However, after resolution of the illness, the flu vaccine can be given.

3. Patients with significant egg allergy (i.e. experience more than just hives) should have the vaccine administered by a clinician with significant experience managing allergic reactions (typically Allergist / Immunologist).

Of interest to our patients older than 65, the CDC states that EITHER standard-dose OR high-dose vaccine is acceptable.

The CDC is again recommending against use of the live attenuated influenza vaccine (FluMist), given...Read more

Cases of Colorectal Cancer Increasing Among Young People

After decades of declining colon and rectal cancer rates, data published last week shows that these diseases have been increasing among young adults. Colon cancer rates have increased 2.4% annually among adults in their 20s and 1.0% among those in their 30s. For rectal cancer, the increase is even more dramatic: 3.2% among those in their 20s. For those born around 1990 the rates of colon cancer are more than two fold greater (2.4 times) than those born around 1950. Rectal cancer is over 4 fold greater (4.3 times) for those born around 1990 as compared to those born around 1950.

So the question, of course, is why the dramatic rise after decades of declining rates?

When I discuss colon and rectal cancer risks with patients, I often refer to two classic epidemiologic studies. The first study was done by Armstrong and Doll in 1975. It compared incidence and mortality rates for 27 cancers in 23 countries and correlated these with a variety of dietary habits and other variables. Dietary variables, particularly meat and animal protein consumption, was strongly associated with cancers of the colon and rectum. Further, these investigators confirmed prior data suggesting...Read more