Vital Signs

News in brief about Cottage Children’s Hospital’s programs and services

The Pediatric Anorectal Disorder Management Program at Cottage Children’s Hospital provides comprehensive medical and surgical care to pediatric patients with anorectal disorders such as imperforate anus, Hirschsprung’s disease and anal stenosis, as well as to patients who have had ileoanal pull-through surgical repairs. The service is provided by pediatric surgeons Tamir Keshen, MD, and Charles Stolar, MD, and pediatric gastroenterologist Helen John-Kelly, MD. Patients can see both subspecialties in one visit instead of having to make separate appointments. This comprehensive approach is designed to be convenient for families. The clinic is offered once a month for half a day at Dr. Keshen’s office. For additional information about the program, call (805) 563-6560.


Dr. John-Kelly offers anorectal manometry, a test performed to evaluate the functioning of the anal canal, usually to assess the cause of constipation. It can confirm suspected cases of Hirschsprung’s disease, a condition in which a defect in the nerves supplying the colon can cause constipation. The test also can confirm the cause of fecal incontinence when it is suspected that disease or surgery may have impaired the nerves or muscles in the anal area. In some cases in older children with fecal incontinence, it can be used to retrain and strengthen the anal muscles. Dr. John-Kelly performs the test at her office. For more information, call (805) 569-7876.

In April 2013, under the leadership of Steve Kaminski, MD, Medical Director of Trauma Services, CCH became the first and only hospital on the Central Coast to be verified as a Level II Pediatric Trauma Center by the American College of Surgeons (ACS). Level II Pediatric Trauma Centers must meet essentially the same clinical and resource requirements as a Level I Adult or Pediatric Trauma Center, primarily varying only in terms of research expectations.

In May 2013, CCH’s three hospital-based outpatient clinics in hematology-oncology, gastroenterology and endocrinology were designated Special Care Centers by the state of California. The designation means, in part, that children with acute and chronic diseases related to the three specialties will no longer have to travel to Los Angeles or beyond to obtain comprehensive care.


Patient visits at the three pediatric clinics in hematology-oncology, gastroenterology and endocrinology grew by an average of 20 percent in 2013 – approximately 6,000 compared to 5,000 in 2012. CCH’s Pismo Beach Outreach Clinic, which is currently open on a part-time basis, had almost 400 patient visits in 2013 and is expected to grow even more in 2014.


Total patient visits at CCH’s pediatric endocrinology/diabetes clinic grew by more than 30 percent in 2013. The clinic treats approximately 200 diabetes patients and over 1,000 endocrinology patients. Marjan Haghi, MD, was recently joined in the clinic by another pediatric endocrinologist, Hidekazu Hosono, MD.

CCH recently added three new pediatric specialists for rheumatology, pulmonary and nephrology, in addition to providing new occupational therapy and physical therapy services.


Miriam Parsa, MD, pediatric rheumatology. Dr. Parsa currently practices two days a month in Santa Barbara at the 427 W. Pueblo St. clinic. She will work one day a month at the Pismo Beach Outreach Clinic, starting in 2014.


Shirleen Loloyan, MD, pediatric pulmonology. Dr. Loloyan practices two days a month in Santa Barbara at the Pueblo Street clinic and two days a month at the Pismo Beach Outreach Clinic.


Kate Wesseling-Perry, MD, pediatric nephrology. Dr. Wesseling practices two days a month in Santa Barbara at the Pueblo Street clinic and will also work at the Pismo Beach Outreach Clinic.


 << Return to Spring 2014 CCH Magazine