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  • Ralph Holmes, M.D.
    Emergency Urgent Care Find a Doctor Ralph Holmes M D Ralph Holmes M D 7920 Frost St Ste 200 San Diego CA 92123 858 966 5999 Specialty Plastic Surgery Cleft Palate and Craniofacial Locations 7920 Frost St Ste 200 San Diego CA 92123 858 966 5999 858 966 8550 3020 Children s Way MC 5031 San Diego CA 92123 Specialty Plastic Surgery Cleft Palate and Craniofacial Organization Rady Children s Specialists of San Diego Medical Group IPA Rady Children s Specialists Medical School Boston University School of Medicine Internship Santa Clara Valley Hospital Residency University of Texas Yale University School of Medicine Board Certifications Plastic Surgery Gender M Bio Dr Ralph Holmes is a board certified plastic surgeon and a pediatric plastic surgery specialist at Rady Children s Hospital San Diego He is also a voluntary professor of plastic surgery at UC San Diego A native of San Diego Dr Holmes received his medical degree from Boston University School of Medicine and his otolaryngology training at the Yale New Haven Medical Center His interest in reconstructive surgery led him to complete plastic surgery training at the University of Texas Southwestern Medical Center in Dallas After serving as a professor and chief of the Plastic Surgery Division at UC San Diego from 1995 to 1999 Dr Holmes relocated to Rady Children s to focus on his primary interests of craniofacial surgery cleft lip and palate surgery ear reconstruction and surgery for skin conditions A founder of the Birthmark Clinic and the Vascular Lesion Clinic at Rady Children s Dr Holmes enjoys collaborating closely with the Pediatric Dermatology Division He also has a personal interest in reconstruction of the outer ear and was the first to bring to Rady Children s modern techniques of creating new ears from rib cartilage for children

    Original URL path: http://www.rchsd.org/doctors/ralph-holmes-md/ (2015-03-26)
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  • Locations
    Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Prader Willi Syndrome Clinic Locations Prader Willi Syndrome

    Original URL path: http://www.rchsd.org/programs-services/prader-willi-syndrome-clinic/locations/ (2015-03-26)
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  • Conditions Treated
    Programs Services Community Programs Child Maltreatment Programs International Services Support Groups Services Search All Find a Doctor Patients Visitors Your Child s Hospital Stay Pay Your Bill Financial Assistance Medical Records Health Information Exchanges MyChart About Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Proton Therapy Conditions Treated Proton Therapy Conditions Treated Proton Therapy Conditions Treated What to Expect Frequently Asked Questions Out of Area Patients Locations Patient Story Conditions Treated Proton therapy can be used to treat the following tumors in children and young adults Brain and central nervous system Astrocytoma Atypical teratoid rhabdoid tumors ATRT Craniopharyngioma Ependymoma Intracranial germ cell tumors germinoma Low grade glioma Medulloblastoma Meningioma Optic nerve tumors Optic pathway hypothalamic glioma Primitive neuro ectodermal tumor intracranial PNET Spinal cord tumors Solid tumors Chondrosarcoma Chordoma Ewing sarcoma Neuroblastoma Rhabdomyosarcoma and other soft tissue sarcomas Soft tissue sarcoma Tumors of the head and neck Wilms tumor Lymphoma Hodgkin Non Hodgkin Rady Children s Hospital San Diego 3020 Children s Way San

    Original URL path: http://www.rchsd.org/programs-services/proton-therapy/conditions-treated/ (2015-03-26)
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  • What to Expect
    Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Proton Therapy What to Expect Proton Therapy What to Expect Proton Therapy Conditions Treated What to Expect Frequently Asked Questions Out of Area Patients Locations Patient Story What to Expect Team Approach The decision to use proton beam therapy for a particular patient involves a team approach Here at Rady Children s we have a multidisciplinary Neuro Oncology Tumor Board with specialists in neuro oncology oncology radiation oncology neurosurgery pathology and radiology Tumor board members will review the imaging pathology clinical condition and treatment plan of each patient presented The goal is to choose the best treatment plan for each patient through group discussion and consensus Our Neuro Oncology team will collaborate with Scripps cancer specialists on treatment planning Treatment Process Patients will typically receive approximately 30 treatments during a four to six week period Each treatment lasts for approximately 15 to 25 minutes after which the patient is free to carry on with daily activities Some patients may need anesthesia requiring them to be at the facility for several hours while they are prepped for and then recover from sedation Child Centered

    Original URL path: http://www.rchsd.org/programs-services/proton-therapy/what-to-expect/ (2015-03-26)
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  • Frequently Asked Questions
    charge Protons can be manipulated to stop and deliver radiation directly at a tumor and travel no further Q What is proton therapy A Proton therapy is a form of external beam radiation treatment using powerful technology to generate a beam that penetrates the body from the outside This is different from conventional radiation which uses X rays Q How effective is proton therapy A There are hundreds of peer reviewed journal articles that have been published in the medical literature showing that proton therapy is highly effective in treating many tumor sites compared to alternative therapies In the United States there are currently more than 100 active proton therapy studies Q How accurate is proton therapy A The proton beam can be delivered with accuracy of up to 1 millimeter and is by far the most accurate form of external beam radiation treatment available today Through the use of pencil beam technology protons can be controlled to conform precisely to the shape of the tumor and to release most of their energy within the tumor Q Is proton therapy painful A The treatment is non invasive and painless Most people feel no physical sensation form the proton beam hear very little noise and experience very little discomfort Q Are there any side effects A Proton therapy does not produce the serious side effects associated with conventional X ray radiation and has been found to be particularly effective in brain and spinal cord tumors where secondary radiation from traditional X rays can lead to learning disabilities reduced IQ scores and other potential lifelong side effects Q Does my child have to stay overnight A No Proton therapy is an outpatient treatment performed in the Scripps Proton Therapy Center Q Can my child still keep his or her daily routine while

    Original URL path: http://www.rchsd.org/programs-services/proton-therapy/frequently-asked-questions/ (2015-03-26)
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  • Out-of-Area Patients
    Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Proton Therapy Out of Area Patients Proton Therapy Out of Area Patients Proton Therapy Conditions Treated What to Expect Frequently Asked Questions Out of Area Patients Locations Patient Story Out of Area Patients If you live outside the

    Original URL path: http://www.rchsd.org/programs-services/proton-therapy/out-of-area-patients/ (2015-03-26)
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  • Locations
    Us Who We Are Newsroom Patient Stories Research Get Involved Events Publications Health Safety Health Library Ask Your Nurse Videos Safety Store at Rady Children s Rethink Your Drink Injury Prevention Growing Up Columns Locations Main Campus Satellite Locations Emergency Urgent Care Programs Services Proton Therapy Locations Proton Therapy Locations Proton Therapy Conditions Treated What to Expect Frequently Asked Questions Out of Area Patients Locations Patient Story Locations Rady Children

    Original URL path: http://www.rchsd.org/programs-services/proton-therapy/locations/ (2015-03-26)
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  • Patient Story
    required radiation therapy to kill any remaining cells to keep the disease from returning After learning about the serious side effects that standard X ray radiation treatment can have on children we did our homework and learned that proton radiation therapy is an alternative that can help minimize possible long term damage said Logan s mother Crisandra Green Along with his parents and four siblings Logan traveled from the Phoenix area to San Diego for his treatments at Rady Children s Hospital San Diego at Scripps Proton Therapy Center Every weekday since early August he has been treated with a highly accurate beam of protons to target a tumor that was the size of a ping pong ball situated in the back of his brain Tumor located in sensitive area The tumor was located in a highly sensitive area between the brain stem and cerebellum This is a region of the brain that is involved in movements and feelings and controls vital functions such as breathing and the heartbeat so accuracy of treatment is critically important says Andrew Chang M D Logan s treating physicians who practices at Scripps and Rady Children s A conventional X ray treatment beam would have continued past Logan s tumor and irradiated healthy portions of his brain face and throat increasing his probability of side effects such as cognitive and memory problems as well as secondary cancers caused by the radiation By comparison doctors can control a proton radiation beam to stop where the tumor stops protecting nearby critical organs The Scripps Proton Therapy Center uses pencil beam scanning the latest advancement in proton therapy Pencil beam scanning sweeps a narrow proton beam across the tumor in fine strokes building up the dose layer by layer The result is a dose of cancer killing

    Original URL path: http://www.rchsd.org/programs-services/proton-therapy/logans-amazing-journey/ (2015-03-26)
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