# Cal Med Physicians and Surgeons

> Cal Med Ambulatory Surgery Center in Colton, CA, is a multi-specialty surgery center and medical facility where we perform a broad range of procedures. Call now.

This document contains the full content of all pages on this website.

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## Built For Better

**Link:** [Built For Better](https://www.calmeddocs.com/) ([md](https://www.calmeddocs.com/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center in Colton, CA, is a multi-specialty surgery center and medical facility where we perform a broad range of procedures. Call now.

State of the Art Colton & Inland Empire Ambulatory Surgery Center

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#### Specialized Care. Regional Leadership.

*Cal Med Physicians and Surgeons in Colton, CA*

For more than 30 years, Cal Med Physicians and Surgeons has helped patients access advanced specialty care, delivered with skill, compassion, and integrity. Our board-certified surgeons and specialists provide comprehensive services across multiple disciplines, combining decades of clinical experience with a warm and welcoming approach to patient care.

#### Who We Serve

#### Board-Certified Surgeons

*The Expertise Behind Quality Care*

For more than 30 years, Cal Med Physicians and Surgeons has been a trusted surgical provider for patients throughout Colton, San Bernardino County, Riverside County, and the greater Inland Empire.

Our Cal Med Surgery centers in Colton, San Bernardino, and Riverside are staffed by highly skilled and experienced surgeons specializing in general, vascular and endovascular surgery, oral and plastic surgery, ophthalmology, gastroenterology, and other disciplines. They are licensed and board-certified surgeons, and most are fellowship trained, meaning they have achieved the highest level of training in their specialties.

[more patient testimonials](/testimonials/)

#### Better Outcomes By Design

*State-of-the-Art Surgery Center*

From advanced surgical procedures to specialized wound care and limb preservation, Cal Med Physicians and Surgeons brings expert care, innovative technology, and comprehensive services together under one roof.

Our advanced operating suites, specialized procedure rooms, preoperative and recovery areas, and leading-edge technology support a wide range of specialties, delivering a seamless patient experience while supporting exceptional clinical outcomes. Our three-story, 31,000-square-foot facility was meticulously designed to meet the highest ambulatory surgery center standards established by the federal government.

#### A Refreshing Approach to Recovery

**Advanced Wound Care**

Chronic wounds often require more than traditional treatment alone. Our specialized wound care clinic provides comprehensive evaluation and advanced therapies for diabetic foot ulcers, non-healing wounds, pressure injuries, circulation-related wounds, and other complex conditions. By combining evidence-based treatments, advanced technologies, and personalized care plans, we help patients overcome barriers to healing and move toward recovery with confidence.

**Limb Preservation**

Limb preservation focuses on identifying and treating the underlying factors that place patients at risk for serious complications, hospitalization, or amputation. Through comprehensive vascular assessment, infection management, advanced wound healing strategies, and coordinated specialty care, our team works to preserve tissue health, maintain function, and improve long-term outcomes. Early intervention and a multidisciplinary approach enable us to deliver care that supports both healing and quality of life.

#### We’ve Got You Covered

Cal Med Physicians and Surgeons are affiliated with many major hospitals in the Inland Empire and Coachella Valley, including Arrowhead Regional Medical Center, Riverside University Health System Medical Center, Community Hospital of San Bernardino, Redlands Community Hospital, and Desert Regional Medical Center.

Cal Med Physicians and Surgeons are founders and medical directors of some of the area’s most advanced treatment centers, such as the Edward G. Hirschman Burn Center at Arrowhead Regional Medical Center in Colton and the Institute of Clinical Orthopedics and Neurosciences (ICON) at Desert Regional Medical Center in Palm Springs.


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## 404

**Link:** [404](https://www.calmeddocs.com/404/) ([md](https://www.calmeddocs.com/404/index.html.md))

**Description:** 404 | Page Not Found

Page Not Found

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[Back To Home Page](/)


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## Providers

**Link:** [Providers](https://www.calmeddocs.com/about/) ([md](https://www.calmeddocs.com/about/index.html.md))

**Description:** Providers

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## Cardiothoracic Surgeons

**Link:** [Cardiothoracic Surgeons](https://www.calmeddocs.com/about/cardiothoracic-surgeons/) ([md](https://www.calmeddocs.com/about/cardiothoracic-surgeons/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center's board certified surgeons are some of San Bernardino County's top surgeons in Cardiothoracic surgery.

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## Dr. Karamanos

**Link:** [Dr. Karamanos](https://www.calmeddocs.com/about/dr-karamanos/) ([md](https://www.calmeddocs.com/about/dr-karamanos/index.html.md))

**Description:** Meet Dr. Karamanos, double board-certified plastic and reconstructive surgeon serving Colton, CA. Trusted for advanced aesthetic and complex reconstruction procedures with personalized care at Cal Med Physicians and Surgeons.

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#### Dr. Efstathios Karamanos, MD, FACS

*Plastic and Reconstructive Surgeon*

Dr. Efstathios Karamanos is a highly skilled plastic and reconstructive surgeon known for his expertise in aesthetic surgery as well as complex, state-of-the-art major reconstructions. He brings a patient-centered approach that combines advanced surgical techniques with personalized care, ensuring outcomes that restore both form and function.

He graduated with honors from the National and Kapodistrian University of Athens, Greece, ranking in the top 1% of his class. Dr. Karamanos completed his general surgery training at Henry Ford Hospital in Detroit, Michigan, followed by specialized plastic surgery training at the University of Texas in San Antonio. He further advanced his expertise through a research fellowship at the University of Southern California in Los Angeles.

Board-certified in both general surgery and plastic and reconstructive surgery, Dr. Karamanos is recognized as a leader in his field. He has contributed extensively to medical knowledge, authoring over 60 peer-reviewed scientific articles and two authoritative books, including the definitive atlas on extremity reconstruction.

#### Meet with Dr. Efstathios Karamanos

As part of Cal Med Physicians and Surgeons, Dr. Karamanos is committed to delivering the highest standards of care in a warm and supportive environment. His dedication to innovation and individualized treatment plans reflects Cal Med’s mission to provide exceptional outcomes and compassionate service to patients across the Inland Empire.

Schedule your consultation with Dr. Karamanos to explore advanced plastic surgery and reconstructive techniques, and build an expertly guided path toward confidence.

[Schedule A Consultation](/book-appointment/)


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## Oral Surgeons

**Link:** [Oral Surgeons](https://www.calmeddocs.com/about/ent-oral-surgeons/) ([md](https://www.calmeddocs.com/about/ent-oral-surgeons/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center's top board certified Physicians and Surgeons specializing in Oral/Ear, Nose & Throat Surgeries in San Bernardino County.

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## General Surgery

**Link:** [General Surgery](https://www.calmeddocs.com/about/general-colorectal/) ([md](https://www.calmeddocs.com/about/general-colorectal/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center in Colton has some of the top General/Endoscopic and Colorectal Physicians and Surgeons

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## Interventional Radiologists

**Link:** [Interventional Radiologists](https://www.calmeddocs.com/about/interventional-radiology-surgeons/) ([md](https://www.calmeddocs.com/about/interventional-radiology-surgeons/index.html.md))

**Description:** Our Interventional Radiologists at Cal Med Ambulatory Surgery Center are experts in providing top-notch care to our patients.


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## Judi Ramiscal, MD

**Link:** [Judi Ramiscal, MD](https://www.calmeddocs.com/about/judi-ramiscal-md/) ([md](https://www.calmeddocs.com/about/judi-ramiscal-md/index.html.md))

**Description:** Our San Bernardino Oncology Surgeon, Dr. Judi Ramiscal is a board-certified surgeon and a specialist in her field. She's published multiple peer reviewed publications.

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#### Meet Dr. Ramiscal

Her interest in treating cancer patients started as an undergraduate researcher at the Koch Institute at MIT, which led to an initial industry career in translational oncology.

She then obtained her medical degree from the Mayo Clinic School of Medicine in Rochester, Minn, and completed a general surgery residency at the University of Hawaii. She then completed a complex general surgical oncology fellowship at the John Wayne Cancer Institute in Santa Monica (now known as the St. John’s Cancer institute.)

She has written several book chapters in critical care and biliary disease, published multiple peer reviewed publications in cancer drug development and pharmacology, and has given presentations at national surgical meetings based on her research topics ranging from minimally invasive techniques for GI neoplasms to prognostic factors in melanoma based on nodal characteristics.

In addition to training across the breadth of Complex General Surgical Oncology, Dr. Ramiscal has especially robust training in the latest breast surgery techniques, such as oncoplastic breast conserving surgery - including therapeutic reductions and mastopexy and ultrasound guided partial mastectomies.

She is passionate about improving the experience of cancer patients. As a native of southern California, she looks forward to bringing her clinical and research expertise back home, and to serving and teaching the communities that raised her. In her free time, she enjoys road trips and outdoor activities, especially in the ocean and on the snow.

**Specialties**

- Surgical Oncology
- Breast Surgery
- Endocrine Surgery
- Skin/Soft Tissue/Sarcoma Surgery
- General Surgery

**Professional Experience[.block]**Surgical Oncologist[] [.block]Arrowhead Regional Medical Center[] [.block]Cancer Care Center Colton, CA[]

#### Education

#### Training

#### Bibliography, Research, Awards

*Dr. Judi Ramiscal — Bibliography*

#### Oral Presentations, Abstracts, Posters & Videos

#### Awards & Honors


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## Neurosurgeons

**Link:** [Neurosurgeons](https://www.calmeddocs.com/about/neurosurgeons/) ([md](https://www.calmeddocs.com/about/neurosurgeons/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center in Colton has some of the top Neurosurgeons.

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## Our President

**Link:** [Our President](https://www.calmeddocs.com/about/our-president/) ([md](https://www.calmeddocs.com/about/our-president/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center's President, Dr. GnanaDev is a highly awarded surgeon who has been practicing for nearly 40 years.

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#### Dev A. GnanaDev, MD, MBA, FACS

*President*

A surgeon for nearly 40 years, Dr. GnanaDev specializes in vascular, general and trauma surgery. He is a longtime former medical director at Arrowhead Regional Medical Center in Colton (2000 to 2012) and was one of just three doctors from San Bernardino counties in the past 150 years to serve as president of the California Medical Association (2008 to 2009). He has served as Chairman of the Department of Surgery at Arrowhead Regional Medical Center since 1988 and is founder and president of Cal Med Physicians and Surgeons, Inc.


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## ASC Staff

**Link:** [ASC Staff](https://www.calmeddocs.com/about/our-staff/) ([md](https://www.calmeddocs.com/about/our-staff/index.html.md))

**Description:** Our staff at Cal Med Ambulatory Surgery Center have lots of experience and are here to help you!

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#### Jorge Valencia, MBA, Chief of Operations

#### Angela Martinez, MSN, RN, Director of Nursing


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## Plastic Surgeons

**Link:** [Plastic Surgeons](https://www.calmeddocs.com/about/plastic-surgeons/) ([md](https://www.calmeddocs.com/about/plastic-surgeons/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center has some of San Bernardino's top Plastic Surgeons, providing excellent cosmetic and reconstructive surgery.

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## Surgical Oncologists

**Link:** [Surgical Oncologists](https://www.calmeddocs.com/about/surgical-oncologists/) ([md](https://www.calmeddocs.com/about/surgical-oncologists/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center in Colton has some of the top Surgical Oncologists.

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## Surgical Physician Assistants

**Link:** [Surgical Physician Assistants](https://www.calmeddocs.com/about/surgical-physician-assistants/) ([md](https://www.calmeddocs.com/about/surgical-physician-assistants/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center in Colton has some of the top Surgical Physician Assistants.

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## Vascular - Endovascular Surgeons

**Link:** [Vascular - Endovascular Surgeons](https://www.calmeddocs.com/about/vascular-surgeons/) ([md](https://www.calmeddocs.com/about/vascular-surgeons/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center's board certified surgeons are some of San Bernardino County's top surgeons in Vascular/Endovascular surgery.

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#### Helping. Healing.

*Vascular and Endovascular Surgeons*

Led by vascular and endovascular surgeon Dr. Sam Lee, our dedicated team of vascular and endovascular surgeons, doctors, and nurses ensures exceptional wound care and treatment options for vascular and endovascular procedures. Our vascular/endovascular staff is committed to supporting patients through evidence-based treatments and wound-care management.


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## Accessibility

**Link:** [Accessibility](https://www.calmeddocs.com/accessibility/) ([md](https://www.calmeddocs.com/accessibility/index.html.md))

**Description:** Accessibility

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**General**

We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that website accessibility efforts assist all users and that every person has the right to live with dignity, equality, comfort and independence.

**Accessibility on Our Site**

We make available Cal Med Physicians and Surgeons's Web Accessibility Widget, which allows us to improve this site's compliance with the Web Content Accessibility Guidelines (WCAG 2.1).

**Enabling the Accessibility Menu**

Our accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety.

**Disclaimer**

We continue our efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities.

In an ongoing effort to continually improve and remediate accessibility issues, we also regularly scan our site with UserWay's [Accessibility Scanner](https://userway.org/scanner) to identify and fix every possible accessibility barrier on our site. Despite our efforts to make all pages and content on our site fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution.

**Here For You**

If you are experiencing difficulty with any content on our site or require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist.

**Contact Us**

If you have any questions, need assistance, or want to report an accessibility issue, please call us at [(909) 747-0371](tel:(909) 747-0371) or fill out the [contact form](/contact/) on our website.


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## Book An Appointment

**Link:** [Book An Appointment](https://www.calmeddocs.com/book-appointment/) ([md](https://www.calmeddocs.com/book-appointment/index.html.md))

**Description:** Contact us to schedule an appointment at Cal Med Ambulatory Surgery Center serving the San Bernardino, Riverside, and the surrounding areas.

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#### Call to contact us: <a href="tel:(909) 747-0371">(909) 747-0371</a> or fill out the request form below.

*1281 W. C St Colton, CA 92324*


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## Conditions Treated

**Link:** [Conditions Treated](https://www.calmeddocs.com/conditions-treated/) ([md](https://www.calmeddocs.com/conditions-treated/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center in Colton treats a wide range of surgical conditions for patients in Riverside and San Bernardino.

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#### Specialized Care for Complex, Non-Healing Wounds

*Conditions We Treat at Cal Med Ambulatory Surgery Center*

Healing is a journey, and at CalMed Limb Preservation Center, we’re here to walk it with you. We specialize in caring for people with complex or slow-healing wounds — from diabetic foot ulcers and circulation issues to chronic injuries that just haven’t responded to traditional treatments. Our mission is simple: to stop infections in their tracks, prevent unnecessary hospital stays, and do everything in our power to protect your mobility and independence.

**If you’ve been living with a wound for more than a month, [.block] [] or if you haven’t seen real progress in eight weeks, it’s time for a different approach.**

Chronic wounds are incredibly common, but they are often tied to deeper health challenges like diabetes, vascular disease, or the long-term effects of radiation therapy. Because these issues affect every part of your life, we don’t just treat the wound — we look at the root cause. Our multidisciplinary team works side by side with you to create a personalized plan that prioritizes your comfort and future, helping you get back to the life you love.


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## Consultation

**Link:** [Consultation](https://www.calmeddocs.com/consultation/) ([md](https://www.calmeddocs.com/consultation/index.html.md))

**Description:** Schedule a consultation with Cal Med Physicians and Surgeons for personalized treatment recommendations and expert specialty care in Colton, CA.

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#### Your First Step Toward What’s Next

*Consultation at Cal Med Physicians and Surgeons*

Whether you're seeking surgical treatment, specialized wound care, vascular expertise, hyperbaric oxygen therapy, or a second opinion, a consultation with Cal Med Physicians and Surgeons provides the opportunity to connect with experienced specialists who prioritize your health and goals.

Our team believes informed patients make confident decisions. That's why we take the time to understand your concerns, review your medical history, and create recommendations tailored to your individual needs.

**Personalized Care Begins With Expert Insight**

From initial evaluation through treatment and recovery, Cal Med Physicians and Surgeons combines board-certified expertise with a patient-first approach to deliver individualized care and exceptional outcomes in Colton, CA, and throughout the Inland Empire.

#### Guidance With Confidence

*What happens during a consultation?*

A consultation is your opportunity to meet with the Cal Med team to discuss your symptoms, concerns, or treatment goals, and to receive expert recommendations tailored to your unique health needs.

During your visit, our providers review your medical history, evaluate your condition, discuss previous treatments, and answer any questions you may have. Depending on your needs, additional diagnostic testing or referrals may be recommended to help create a comprehensive treatment plan.

Our goal is to provide clarity, education, and confidence so you can make informed decisions about your care.

**What To Expect**

Your experience begins with a conversation. During your appointment, our team will discuss your symptoms, health history, medications, and previous treatments. Imaging studies, test results, or referral information may also be reviewed.

Following your evaluation, your provider will explain the findings, discuss available treatment options, and recommend a personalized plan tailored to your condition and goals.

Whether treatment involves surgery, advanced wound care, vascular intervention, hyperbaric oxygen therapy, or ongoing monitoring, you'll leave with a clearer understanding of your next steps and the support of a team committed to your well-being.

#### Clarity And Confidence

*When is the right time for a consultation?*

Consultations are appropriate for individuals seeking answers, evaluating treatment options, or looking for specialized care. Patients experiencing chronic wounds, vascular conditions, surgical concerns, or those seeking a second opinion may benefit from meeting with the Cal Med team.

Referring physicians and healthcare professionals seeking collaborative specialty care for their patients are also welcome.

#### Experience You Can Trust

*Why Choose Cal Med Physicians and Surgeons for Your Consultation?*

For more than 30 years, Cal Med Physicians and Surgeons has provided expert specialty care to patients throughout Colton, San Bernardino County, Riverside County, and the Inland Empire. Our board-certified physicians and surgeons are recognized leaders in their fields and are committed to delivering compassionate, patient-centered care.

By combining advanced technology, multidisciplinary collaboration, and individualized treatment planning, we strive to provide every patient with the highest level of care and support from the very first visit.


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## Contact Us

**Link:** [Contact Us](https://www.calmeddocs.com/contact/) ([md](https://www.calmeddocs.com/contact/index.html.md))

**Description:** Our state-of-the-art surgery center in San Bernardino is one of a kind, delivering a wide array of surgeries and health care. Contact us to schedule an appointment.

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#### Call to contact us: <a href="tel:(909) 747-0371">(909) 747-0371</a> or fill out our form below.

**Lauri Alba Program Director CalMed** - Limb Preservation Center, Advanced Wound Healing & Hyperbaric Medicine Advanced Endovascular and Podiatry Center 

[1281 W C St., Suite 200, Colton, CA, 92324](https://maps.app.goo.gl/wjDy87jGjB1KuNFN6) **P: 909-679-2754  F: 909-906-9025**


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## Notice To Patients Open Payments Database

**Link:** [Notice To Patients Open Payments Database](https://www.calmeddocs.com/open-payment-database-notice/) ([md](https://www.calmeddocs.com/open-payment-database-notice/index.html.md))

**Description:** A link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided on this page. For informational purposes only.

### Content

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public.

You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: [https://openpaymentsdata.cms.gov/](https://openpaymentsdata.cms.gov/)


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## Patient Portal

**Link:** [Patient Portal](https://www.calmeddocs.com/patient-portal/) ([md](https://www.calmeddocs.com/patient-portal/index.html.md))

**Description:** Resources for patients at Cal Med Ambulatory Surgery Center in San Bernardino.

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#### Knowledge for Healing

*Patient Education & Clinical Resources*

At CalMed Limb Preservation Center Advanced Wound Care & Hyperbaric Medicine, patient education and provider collaboration are essential pillars of high-quality clinical care. We understand that patients and families aren't just looking for treatments—they are seeking reliable, trustworthy medical information to better understand their conditions and available care options.

Our Resource & Education Center is dedicated to providing patients, family caregivers, referring physicians, and healthcare professionals with evidence-based educational materials. Covering everything from wound healing dynamics and diabetic foot care to hyperbaric oxygen therapy, circulatory health, and chronic wound prevention, our goal is simple: to empower patients to become active participants in their recovery while supporting the healthcare community with seamless referral tools.

#### Empowering Patients

*Educational Resources for Patients & Caregivers*

Living with a chronic wound, diabetic foot ulcer, or circulatory condition brings up a lot of questions. Our patient education materials are designed to translate complex medical topics into clear, understandable language, keeping you informed, confident, and supported throughout your entire healing journey.

Knowledge is an active component of healing. Our comprehensive patient guides help explain:

- **The Mechanics of Healing:** How chronic wounds develop and why poor localized circulation delays the body's natural repair process.
- **Clinical Red Flags:** How to identify early signs of infection and understand precisely when to seek specialized medical intervention.
- **Therapeutic Expectations:** What to expect during advanced treatments and exactly how hyperbaric oxygen therapy (HBOT) works at a cellular level.
- **Long-Term Wellness:** Practical lifestyle strategies and adjustments to significantly reduce the risk of wound recurrence.

#### Streamlining Continuity of Care

*Referral Forms for Providers and Patients*

A timely referral to a specialized limb preservation center can make a profound difference in a patient's ultimate healing outcome and long-term mobility. To simplify and accelerate the intake process, CalMed Limb Preservation Center provides downloadable, streamlined referral forms for physicians, podiatrists, home health agencies, hospitals, and skilled nursing facilities.

Our referral processes are designed to optimize communication, ensuring that critical diagnostic and clinical histories are immediately available to our medical team during the initial evaluation. By coordinating care early, we help reduce the risk of complications and get patients into advanced wound care as quickly as possible.

#### Proactive Home Management

*Wound Care Tips and Prevention Resources*

Preventing complications before they start is the cornerstone of long-term limb preservation. Our curated resource library includes practical, actionable home care tips to help you protect fragile healing tissue, minimize the risk of infection, and spot potential issues early.

Click the links below to download our specialized patient education and prevention files:

#### Request an Appointment

*Connect with CalMed Limb Preservation Center*

Our team is here to assist you, whether you're seeking specialized care or coordinating treatment. Early intervention plays a crucial role in protecting tissue and preventing complications. Don't wait—reach out to our Colton center today for the support you need.

[Schedule Your Consultation](/consultation/)


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## Privacy Policy

**Link:** [Privacy Policy](https://www.calmeddocs.com/privacy-policy/) ([md](https://www.calmeddocs.com/privacy-policy/index.html.md))

**Description:** This privacy policy has been compiled to better serve those who are concerned with how their "Personally Identifiable Information" (PII) is being used online. View Privacy Policy Here.

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This privacy policy has been compiled to better serve those who are concerned with how their ‘Personally Identifiable Information’ (PII) is being used online. PII, as described in US privacy law and information security, is information that can be used on its own or with other information to identify, contact, or locate a single person, or to identify an individual in context. Please read our privacy policy carefully to get a clear understanding of how we collect, use, protect or otherwise handle your Personally Identifiable Information in accordance with our website.

**What personal information do we collect from the people that visit our blog, website or app?**

When ordering or registering on our site, as appropriate, you may be asked to enter your name, email address, phone number or other details to help you with your experience.

**When do we collect information?**

We collect information from you when you fill out a form or enter information on our site.

**How do we use your information?**

We may use the information we collect from you when you request more information about a procedure in the following way:

- To follow up with you after correspondence (email or phone inquiries)

**How do we protect your information?**

We do not use vulnerability scanning and/or scanning to PCI standards.

We only provide articles and information. We never ask for credit card numbers.

We use regular Malware Scanning.

**SMS Marketing Policy**

Note: This section applies specifically to SMS marketing and does not replace our general Privacy Policy.

Collection of Phone Numbers

We collect your phone number only when voluntarily provided, such as during transactions, inquiries, or when signing up for promotional messages. You can opt in during your initial interaction with our website, through a pop-up, or by checking an SMS consent box on a form.

Use of Phone Numbers for SMS

Your phone number may be used to send personalized services, updates, and promotional offers. These may include appointment reminders, service updates, and special discounts. Standard SMS carrier charges may apply.

Opting Out of Marketing Messages

You may opt out of receiving SMS marketing messages at any time by:

- Texting STOP
- Texting UNSUBSCRIBE

Please allow up to 10 business days for the opt-out process to take effect.

Privacy of Phone Numbers

After opting out, your phone number will not be sold or transferred to third parties for marketing purposes. Limited sharing with subcontractors for support services (e.g., customer service) may occur.

Access to Promotions and Discounts

Opting into SMS is not required to access promotions or discounts, which may also be available directly on our website.

Changes to This Policy

We may update this policy periodically. Significant changes will be posted on our website.

**Do we use 'cookies'?**

Yes. Cookies are small files that a site or its service provider transfers to your computer’s hard drive through your Web browser (if you allow it) that enables the site’s or service provider’s systems to recognize your browser and capture and remember certain information. They are also used to help us understand your preferences based on previous or current site activity, which enables us to provide you with improved services. We also use cookies to help us compile aggregate data about site traffic and site interaction so that we can offer better site experiences and tools in the future.

We may also use trusted third-party services that track this information on our behalf.

You can choose to have your computer warn you each time a cookie is being sent, or you can choose to turn off all cookies. You do this through your browser settings. Since browser is a little different, look at your browser’s Help Menu to learn the correct way to modify your cookies.

If you turn cookies off, some features will be disabled. It won’t affect the user’s experience that make your site experience more efficient and may not function properly.

**Third-party disclosure**

We do not sell, trade, or otherwise transfer to outside parties your Personally Identifiable Information unless we provide users with advance notice. This does not include website hosting partners and other parties who assist us in operating our website, conducting our business, or serving our users, so long as those parties agree to keep this information confidential. We may also release information when its release is appropriate to comply with the law, enforce our site policies, or protect ours or others’ rights, property or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses.

**Third-party links**

Occasionally, at our discretion, we may include or offer third-party products or services on our website. These third-party sites have separate and independent privacy policies. We therefore have no responsibility or liability for the content and activities of these linked sites. Nonetheless, we seek to protect the integrity of our site and welcome any feedback about these sites.

**Google**

Google’s advertising requirements can be summed up by Google’s Advertising Principles. They are put in place to provide a positive experience for users. [Google Ads policies.](https://support.google.com/adspolicy/answer/6008942?hl=en&visit_id=638319400653474249-1621812918&rd=1)

We have not enabled Google AdSense on our site but we may do so in the future.

**California Online Privacy Protection Act**

CalOPPA is the first state law in the nation to require commercial websites and online services to post a privacy policy. The law’s reach stretches well beyond California to require any person or company in the United States (and conceivably the world) that operates websites collecting Personally Identifiable Information from California consumers to post a conspicuous privacy policy on its website stating exactly which information is being collected and those individuals or companies with whom it is being shared. Please see:

[California Online Privacy Protection Act (CalOPPA)](https://consumercal.org/about-cfc/cfc-education-foundation/california-online-privacy-protection-act-caloppa-3/#sthash.0FdRbT51.dpuf)

**According to CalOPPA, we agree to the following:**

Users may visit our site anonymously.

Once this privacy policy is created, we will add a link to it on our home page or as a minimum, on the first significant page after entering our website.

Our Privacy Policy link includes the word ‘Privacy’ and can be easily be found on the page specified above.

You will be notified of any Privacy Policy changes on our Privacy Policy Page.

**How does our site handle Do Not Track signals?**

We honor Do Not Track signals and Do Not Track, plant cookies, or use advertising when a Do Not Track (DNT) browser mechanism is in place.

**Does our site allow third-party behavioral tracking?**

It’s also important to note that we allow third-party behavioral tracking.

**COPPA (Children Online Privacy Protection Act)**

When it comes to the collection of personal information from children under the age of 13 years old, the Children’s Online Privacy Protection Act (COPPA) puts parents in control. The Federal Trade Commission, United States’ consumer protection agency, enforces the COPPA Rule, which spells out what operators of websites and online services must do to protect children’s privacy and safety online.

We do not specifically market to children under the age of 13 years old.

**Fair Information Practices**

The Fair Information Practices Principles form the backbone of privacy law in the United States and the concepts they include have played a significant role in the development of data protection laws around the globe. Understanding the Fair Information Practice Principles and how they should be implemented is critical to comply with the various privacy laws that protect personal information.

**In order to be in line with Fair Information Practices we will take the following responsive action, should a data breach occur:**

We will notify you via email within 7 business days.

We also agree to the Individual Redress Principle which requires that individuals have the right to legally pursue enforceable rights against data collectors and processors who fail to adhere to the law. This principle requires not only that individuals have enforceable rights against data users, but also that individuals have recourse to courts or government agencies to investigate and/or prosecute non-compliance by data processors.

**CAN SPAM Act**

The CAN-SPAM Act is a law that sets the rules for commercial email, establishes requirements for commercial messages, gives recipients the right to have emails stopped from being sent to them, and spells out tough penalties for violations.

**We collect your email address in order to:**

Send information, respond to inquiries, and/or other requests or questions

**To be in accordance with CANSPAM, we agree to the following:**

- Not to use false or misleading subjects or email addresses.
- Identify the message as an advertisement in some reasonable way.
- Include the physical address of our business or site headquarters.
- Monitor third-party email marketing services for compliance, if one is used.
- Honor opt-out/unsubscribe requests quickly.
- Allow users to unsubscribe by using the link at the bottom of each email.

**If at any time you would like to unsubscribe from receiving future emails**

Follow the instructions at the bottom of each email and we will promptly remove you from **ALL** correspondence.

**Contacting Us**

If there are any questions regarding this privacy policy, you may contact us using the information below.


---

## Resources

**Link:** [Resources](https://www.calmeddocs.com/resources/) ([md](https://www.calmeddocs.com/resources/index.html.md))

**Description:** Resources

### Content


---

## Our Advanced Treatments & Technology

**Link:** [Our Advanced Treatments & Technology](https://www.calmeddocs.com/resources/advanced-technology/) ([md](https://www.calmeddocs.com/resources/advanced-technology/index.html.md))

**Description:** Explore advanced wound care treatments, noninvasive vascular testing, and hyperbaric medicine at Cal Med Surgery Center in Colton, CA.

### Content

#### Built to Heal Wounds

*Next-Generation Medical Technology for Effective Wound Healing*

At CalMed Limb Preservation Center Advanced Wound Care & Hyperbaric Medicine, we understand that chronic wounds and complex healing conditions often require more than traditional wound care alone. Patients are frequently seeking specialized therapies and technologies to support healing when standard treatments have fallen short. Our center offers a comprehensive suite of advanced clinical treatments and diagnostic technologies to accelerate recovery, reduce complications, preserve limbs, and help patients safely return to daily life.

Every patient who visits our center receives a highly personalized evaluation and treatment plan tailored to their specific wound type, underlying medical conditions, circulatory status, infection risk, and overall health. By combining advanced modalities with evidence-based medicine and multidisciplinary care, we provide the specialized support your unique healing journey requires.

#### Healing the Wound

*The Vital Role of Surgical Debridement*

One of the most foundational tools in advanced wound healing is surgical debridement. Debridement is the careful process of removing dead, damaged, infected, or nonviable tissue from a wound to establish a clean, healthy foundation for recovery. Chronic wounds frequently harbor unhealthy tissue that physically interferes with normal cellular healing and significantly increases the risk of severe infection.

When performed by our specialized team, surgical debridement helps:

- **Reduce Bacterial Burden:** Removing dead tissue eliminates the breeding ground for harmful bacteria and biofilm.
- **Stimulate Healthy Tissue Growth:** Cleaning the wound bed triggers the body's natural healing cascade and improves localized circulation.
- **Optimize Advanced Therapies:** Creating a clean wound bed allows advanced topical treatments and biological products to work at maximum efficiency.

At our center, debridement procedures are performed meticulously and only when medically appropriate. Depending on the type of wound and your overall health, this may involve precise surgical techniques or other specialized methods designed to safely remove unhealthy tissue while completely preserving the surrounding healthy structures. We prioritize patient comfort and understanding, ensuring you are fully informed throughout every stage of this essential intervention.

#### Next-Generation Biologics

*Cellular and Tissue-Based Products*

Some wounds fail to progress through the normal stages of recovery due to severely impaired tissue regeneration, poor localized circulation, chronic inflammation, or systemic diseases like diabetes. In these complex cases, cellular and tissue-based products (CTPs) can be a crucial component of a comprehensive treatment strategy.

These advanced biologic therapies are designed to mimic human tissue, delivering specialized structural matrixes and biological elements directly to the wound to jumpstart cellular repair and support rapid closure.

**Clinical Protocol:** Cellular and tissue-based products are utilized under strict medical guidelines and are selected only when clinically appropriate.

At our limb preservation center, biological therapy recommendations are highly individualized based on wound depth, clinical history, vascular status, infection risk, and the wound's response to prior treatments. Patients seeking advanced options appreciate our evidence-based access to newer biological technologies that extend far beyond standard medical dressings.

#### Accelerated Healing Support

*Negative Pressure Wound Therapy (NPWT)*

Negative Pressure Wound Therapy (NPWT)—commonly referred to as a wound vacuum or "wound VAC"—is a highly effective, advanced treatment modality used for selected acute and chronic wounds. This therapy uses a specialized, sealed dressing connected to a computerized pump that applies carefully controlled continuous or intermittent suction to the wound bed.

Negative pressure wound therapy supports recovery by helping to:

- **Manage Drainage & Swelling:** Constantly removes excess fluid and harmful inflammatory exudate while decreasing localized swelling.
- **Promote Tissue Growth:** Cellular stretching caused by the vacuum pressure actively stimulates tissue granulation and encourages wound contraction.
- **Protect the Healing Environment:** Creates a closed, protected barrier that shields vulnerable tissue from outside contamination and bacteria.

NPWT is highly effective following complex surgeries, traumatic injuries, or when managing deep diabetic foot ulcers and pressure injuries. Our advanced wound care team monitors patients closely throughout therapy to ensure the device is functioning optimally and that tissue regeneration is progressing exactly as expected.

[Learn More About Advanced Wound Care](/advanced-wound-care/)

#### Diagnostic Excellence

*Vascular Testing and Circulation Assessment*

Proper blood flow is the single most critical factor in successful wound healing and limb preservation. Without adequate circulation, damaged tissues are deprived of the oxygen, nutrients, and immune cells required to repair themselves. For this reason, undiagnosed circulatory impairment is a leading cause of delayed wound healing and preventable limb loss.

At CalMed Limb Preservation Center, noninvasive vascular testing and circulation assessments are core components of our initial diagnostic workup. Patients presenting with chronic wounds, diabetic foot ulcers, or arterial and venous skin changes undergo rapid, painless testing to thoroughly map blood flow to the lower extremities.

This precise testing allows our team to identify:

- **Peripheral Arterial Disease (PAD):** Blockages or narrowing in the arteries that restrict oxygen-rich blood from reaching the wound.
- **Chronic Venous Insufficiency:** Damaged valves in the veins that cause blood to pool in the lower legs, resulting in high pressure and tissue breakdown.

When circulation deficits are discovered, our multidisciplinary team coordinates immediately with top vascular specialists. This collaborative approach allows us to quickly determine if a vascular intervention can restore adequate blood flow, drastically improving your ultimate healing potential and preventing future complications.

[Vascular Healing Begins Here	](/vascular-endovascular-surgery/)

#### Cellular Oxygenation

*Hyperbaric Medicine & Hyperbaric Oxygen Therapy (HBOT)*

Hyperbaric medicine is a specialized, highly effective service available at our center for patients dealing with complex wounds, delayed radiation tissue injuries, bone infections, or compromised surgical reconstructions.

During Hyperbaric Oxygen Therapy (HBOT), patients relax inside a clear, pressurized monoplace chamber while breathing 100% pure medical-grade oxygen. Under increased atmospheric pressure, oxygen is forcefully dissolved directly into the blood plasma and bodily fluids. This dramatic increase in oxygen delivery reaches deep into damaged, poorly oxygenated tissues, providing the energy required for rapid cell repair and new blood vessel growth.

Our center provides HBOT for Medicare and Undersea & Hyperbaric Medical Society (UHMS) approved indications, including:

- Complex or deep diabetic foot ulcers
- Late effects of radiation therapy (soft tissue and bone necrosis)
- Chronic refractory osteomyelitis (persistent bone infection)
- Compromised skin grafts and muscle flaps
- Certain acute, severe necrotizing soft tissue infections

Every patient undergoes a meticulous clinical evaluation by our hyperbaric physicians to ensure safety and appropriateness before therapy begins. Throughout each treatment block, your sessions are directly managed and continuously monitored by fully certified hyperbaric professionals to ensure a comfortable, safe, and highly effective healing environment.

[Learn More About HBOT	](/hyperbaric-oxygen-therapy/)

#### Patient Success Stories

*Real Journeys, Real Healing*

[Read What Patients Are Saying](/testimonials/)

#### Meet the Care Team

*Dedicated to Your Recovery*

[Learn More About Us](/about/our-staff/)


---

## Hospital Affiliations

**Link:** [Hospital Affiliations](https://www.calmeddocs.com/resources/affiliations/) ([md](https://www.calmeddocs.com/resources/affiliations/index.html.md))

**Description:** Cal Med Ambulatory Surgery Center San Bernardino is affiliated with Arrowhead Regional Medical Center, Dignity Health and Riverside University Health System.

### Content


---

## What to Expect as a Patient

**Link:** [What to Expect as a Patient](https://www.calmeddocs.com/resources/what-to-expect/) ([md](https://www.calmeddocs.com/resources/what-to-expect/index.html.md))

**Description:** Learn what to expect during your first visit and advanced wound care or hyperbaric treatment at Cal Med Surgery Center in Colton, CA.

### Content

#### Navigating Your Care at CalMed

*Guided Care for Your Advanced Wound Healing*

At CalMed Limb Preservation Center, Advanced Wound Care & Hyperbaric Medicine, we understand that visiting a specialized center for the first time can feel overwhelming. Patients and their families are often navigating painful wounds, infection concerns, mobility limitations, or the fear of potential complications like limb loss. Our absolute priority is to provide compassionate, patient-centered care in a supportive environment where you feel informed, comfortable, and actively involved in your recovery.

From your initial consultation through your ongoing treatment and follow-up care, our expert team is fully committed to helping you understand your condition, treatment options, and healing milestones. Every patient receives a highly individualized evaluation and care plan tailored explicitly to their unique medical needs, wound type, circulatory status, and overall health.

#### Your First Visit

*What to Expect During the First Appointment Process*

The first visit to our limb preservation center is entirely focused on gathering detailed information about your wound, medical history, symptoms, circulation, and overall health. Because chronic wounds and delayed healing are frequently driven by multiple underlying factors, a comprehensive evaluation is the most critical step in developing a treatment plan that actually works.

During your first appointment, you can expect a seamless and thorough diagnostic process:

- **Detailed Medical History & Medication Review:** A deep dive into your overall health, current medications, and known allergies.
- **Wound & Vascular Assessment:** Precise measurement and assessment of the wound, an evaluation of your vascular status, and checks for signs of infection.
- **Review of Prior Diagnostics:** An analysis of previous treatments, imaging, or diagnostic studies you may have already undergone.
- **Personalized Care Plan Development:** Building a customized recovery roadmap based on our real-time findings.

Our advanced wound healing team takes the time to answer your questions, explain our clinical findings, and clearly discuss treatment recommendations. We know that many patients have already tried other treatments before visiting our center, and we strive to ensure you feel entirely supported, educated, and informed from day one.

#### A Deeper Diagnostic Look

*Comprehensive Evaluation Overview*

Successful wound healing and limb preservation require our team to identify every hidden factor that might be impairing your body's natural recovery process. During your evaluation, our multidisciplinary team carefully examines a wide range of systemic and localized issues:

- **Medical Management & Risk Factors:** Diabetes control, circulatory health, swelling, venous disease, and underlying autoimmune conditions.
- **Physical & Lifestyle Factors:** Pressure or offloading needs, nutritional concerns, mobility limitations, surgical history, and smoking status.

Patients dealing with diabetic foot ulcers, arterial ulcers, venous leg ulcers, pressure injuries, radiation injuries, or non-healing surgical wounds often require highly specialized testing to pinpoint the root cause of the issue. Depending on your specific condition, your comprehensive evaluation may include vascular testing, advanced imaging, laboratory blood work, wound cultures, or a dedicated hyperbaric medicine consultation.

To deliver the best possible outcomes, our center seamlessly coordinates multidisciplinary care across a network of wound specialists, vascular experts, infectious disease professionals, surgeons, and hyperbaric medicine teams—reducing your risk of complications and accelerating your healing journey.

#### Your Healing Roadmap

*What to Expect During Treatment*

Every wound is completely unique, which means your treatment plan will be dynamically adjusted based on your diagnosis, circulatory health, infection risk, and rate of healing. While some patients may only require a short course of specialized care, others with complex or deep wounds may need ongoing treatment over a longer period.

Depending on your clinical needs, your advanced treatment plan may utilize:

- **Advanced Wound Modalities:** Specialized cell- and tissue-based products, negative pressure wound therapy, and advanced dressings.
- **Clinical Interventions:** Surgical debridement, targeted infection management, compression therapy, and custom offloading devices.
- **Specialized Referrals & Education:** Hyperbaric oxygen therapy (HBOT), referrals for direct vascular intervention, and detailed home care instructions.

If your customized plan includes Hyperbaric Oxygen Therapy (HBOT), you will receive a separate, detailed hyperbaric medicine evaluation prior to your first session. Our specialized team will carefully walk you through exactly what HBOT involves, how long the sessions last, what to expect inside the chamber, and how insurance covers the therapy. Throughout your time with us, we continuously monitor your progress and dynamically adjust your care plan as your tissue heals.

#### Insurance and Medicare Information

*Insurance and Medicare Information*

We know that navigating insurance coverage for specialized wound care, limb preservation, and hyperbaric medicine can feel confusing. Your coverage depends entirely on your diagnosis, your individual insurance plan, medical necessity requirements, and the treatment recommendations outlined by our providers.

Our dedicated administrative team works directly with you and your insurance provider to handle the heavy lifting. We will proactively verify your benefits, determine any prior authorization requirements, review specific coverage criteria, and coordinate all necessary clinical documentation so you can focus entirely on getting better.

#### Consistency Drives Recovery

*Visit Frequency and Follow-Up Care*

How often you visit our center depends directly on the severity of your wound, your localized circulation, infection risks, and your overall healing progress. While some patients may only need to see us for a weekly check-in and dressing change, individuals navigating highly complex or limb-threatening conditions may require more frequent, close monitoring.

For patients undergoing Hyperbaric Oxygen Therapy (HBOT), treatment sessions are typically scheduled multiple times per week according to your approved, evidence-based clinical protocol. Continuous, consistent follow-up care is absolutely vital to the long-term success of limb preservation; it allows our team to watch your healing progress in real time and provide you with the ongoing education needed to protect newly healed tissue and drastically reduce the risk of a wound recurring.

#### Preparing for Your Appointment

*What Patients Should Bring*

To help ensure your first visit is completely smooth, productive, and stress-free, please bring the following items with you to the center:

- **Identification & Insurance:** Your current photo identification and all medical insurance cards.
- **Medical Records:** A comprehensive list of your current medications (including dosages) and any prior medical records, imaging results, or lab tests related to your condition.
- **Referrals & Questions:** Any doctor referral forms required by your insurance, along with a written list of specific questions or concerns you want to ask our team.

***Note for Lower Extremity Patients:*** If you are seeking treatment for a wound on your foot, ankle, or lower leg, please bring the footwear you wear most frequently, including shoes, braces, or specialized offloading devices, so our team can evaluate them.

#### Patient Resource & Education Center

*Empowering Your Healing Journey Through Knowledge*

At CalMed Limb Preservation Center, we firmly believe that patient education and seamless provider collaboration are essential pillars of high-quality medical care. We know our patients aren’t just looking for treatments—they are looking for reliable, trustworthy information that helps them understand exactly what is happening to their bodies.

Our Resource & Education Center provides patients, family caregivers, and area healthcare providers with clear, practical educational materials covering wound healing, diabetic foot care, hyperbaric medicine, and limb preservation. By making accurate medical information easy to access, we empower you to become an active, confident participant in your own recovery.

[Read More](/patient-portal/)

#### Your First Step Toward Healing

*Contact CalMed Limb Preservation Center Today*

If you or a loved one is dealing with a non-healing wound, don't wait to seek specialized medical care. Early clinical intervention is the single most effective way to prevent infection, protect healthy tissue, and preserve your mobility. Reach out to our team today to schedule your

[Call to Schedule Your Appt.](/book-appointment/)


---

## Sitemap

**Link:** [Sitemap](https://www.calmeddocs.com/sitemap/) ([md](https://www.calmeddocs.com/sitemap/index.html.md))

**Description:** Navigate the CalMed website easily. Find links to our advanced wound care services, conditions treated, patient resources, and contact information.


---

## Terms of Use

**Link:** [Terms of Use](https://www.calmeddocs.com/terms-of-use/) ([md](https://www.calmeddocs.com/terms-of-use/index.html.md))

**Description:** This Terms of Service describes Our policies and procedures on the collection, use and disclosure of Your information when You use the Service and tells You about Your privacy rights and how the law protects You.

### Content

Last updated: 26 January 2026

This Terms of Service describes Our policies and procedures on the collection, use and disclosure of Your information when You use the Service and tells You about Your privacy rights and how the law protects You.

We use Your Personal data to provide and improve the Service. By using the Service, You agree to the collection and use of information in accordance with this Privacy Policy.

Interpretation and Definitions

Interpretation

The words of which the initial letter is capitalized have meanings defined under the following conditions. The following definitions shall have the same meaning regardless of whether they appear in singular or in plural.

Definitions

For the purposes of this Terms of Service:

- **Account** means a unique account created for You to access our Service or parts of our Service.
- **Company** (referred to as either “the Company”, “We”, “Us” or “Our” in this Agreement) refers to Cal Med Physicians and Surgeons, [1281 W C St., Suite 200, Colton, CA, 92324](https://maps.app.goo.gl/wjDy87jGjB1KuNFN6)
- .
- **Cookies** are small files that are placed on Your computer, mobile device or any other device by a website, containing the details of Your browsing history on that website among its many uses.
- **Country** refers to: USA
- **Device** means any device that can access the Service such as a computer, a cellphone or a digital tablet.
- **Personal Data** is any information that relates to an identified or identifiable individual.
- **Service** refers to the Website.
- **Service Provider** means any natural or legal person who processes the data on behalf of the Company. It refers to third-party companies or individuals employed by the Company to facilitate the Service, to provide the Service on behalf of the Company, to perform services related to the Service or to assist the Company in analyzing how the Service is used.
- **Usage Data** refers to data collected automatically, either generated by the use of the Service or from the Service infrastructure itself (for example, the duration of a page visit).
- **Website** refers to Cal Med Physicians and Surgeons, accessible from calmeddocs.com
- **You** means the individual accessing or using the Service, or the company, or other legal entity on behalf of which such individual is accessing or using the Service, as applicable.

Collecting and Using Your Personal Data

Types of Data Collected

Personal Data

While using Our Service, We may ask You to provide Us with certain personally identifiable information that can be used to contact or identify You. Personally identifiable information may include, but is not limited to:

- Email address
- First name and last name
- Phone number
- Usage Data

Usage Data

Usage Data is collected automatically when using the Service.

Usage Data may include information such as Your Device’s Internet Protocol address (e.g. IP address), browser type, browser version, the pages of our Service that You visit, the time and date of Your visit, the time spent on those pages, unique device identifiers and other diagnostic data.

When You access the Service by or through a mobile device, We may collect certain information automatically, including, but not limited to, the type of mobile device You use, Your mobile device unique ID, the IP address of Your mobile device, Your mobile operating system, the type of mobile Internet browser You use, unique device identifiers and other diagnostic data.

We may also collect information that Your browser sends whenever You visit our Service or when You access the Service by or through a mobile device.

Tracking Technologies and Cookies

We use Cookies and similar tracking technologies to track the activity on Our Service and store certain information. Tracking technologies used are beacons, tags, and scripts to collect and track information and to improve and analyze Our Service. The technologies We use may include:

- **Cookies or Browser Cookies.** A cookie is a small file placed on Your Device. You can instruct Your browser to refuse all Cookies or to indicate when a Cookie is being sent. However, if You do not accept Cookies, You may not be able to use some parts of our Service. Unless you have adjusted Your browser setting so that it will refuse Cookies, our Service may use Cookies.
- **Flash Cookies.** Certain features of our Service may use local stored objects (or Flash Cookies) to collect and store information about Your preferences or Your activity on our Service. Flash Cookies are not managed by the same browser settings as those used for Browser Cookies. For more information on how You can delete Flash Cookies, please read “Where can I change the settings for disabling, or deleting local shared objects?” available at [https://helpx.adobe.com/flash-player/kb/disable-local-shared-objects-flash.html#main_Where_can_I_change_the_settings_for_disabling__or_deleting_local_shared_objects_](https://helpx.adobe.com/flash-player/kb/disable-local-shared-objects-flash.html#main_Where_can_I_change_the_settings_for_disabling__or_deleting_local_shared_objects_)
- **Web Beacons.** Certain sections of our Service and our emails may contain small electronic files known as web beacons (also referred to as clear gifs, pixel tags, and single-pixel gifs) that permit the Company, for example, to count users who have visited those pages or opened an email and for other related website statistics (for example, recording the popularity of a certain section and verifying system and server integrity).

Cookies can be “Persistent” or “Session” Cookies. Persistent Cookies remain on Your personal computer or mobile device when You go offline, while Session Cookies are deleted as soon as You close Your web browser.

We use both Session and Persistent Cookies for the purposes set out below:

- **Necessary / Essential Cookies**Type: Session CookiesAdministered by: UsPurpose: These Cookies are essential to provide You with services available through the Website and to enable You to use some of its features. They help to authenticate users and prevent fraudulent use of user accounts. Without these Cookies, the services that You have asked for cannot be provided, and We only use these Cookies to provide You with those services.
- **Cookies Policy / Notice Acceptance Cookies**Type: Persistent CookiesAdministered by: UsPurpose: These Cookies identify if users have accepted the use of cookies on the Website.
- **Functionality Cookies**Type: Persistent CookiesAdministered by: UsPurpose: These Cookies allow us to remember choices You make when You use the Website, such as remembering your login details or language preference. The purpose of these Cookies is to provide You with a more personal experience and to avoid You having to re-enter your preferences every time You use the Website.

For more information about the cookies we use and your choices regarding cookies, please visit our Cookies Policy or the Cookies section of our Privacy Policy.

SMS Messaging Terms & Compliance

1. Program Description: This messaging program sends appointment confirmation and reminder messages to customers who have booked an appointment with Cal Med Physicians and Surgeons through our website at calmeddocs.com, or via our scheduling forms, and have explicitly opted in to receive SMS notifications. Opt-in is collected via web forms with a dedicated checkbox for SMS consent. Messages include scheduling confirmations, appointment reminders, rescheduling updates, and customer support communications.

2. Cancellation Instructions: You can cancel the SMS service at any time. Simply text "STOP" to the same number that sent you messages. Upon sending "STOP," we will confirm your unsubscribe status via SMS. Following this confirmation, you will no longer receive SMS messages from us. To rejoin, sign up as you did initially, and we will resume sending SMS messages to you.

3. Support Information: If you experience issues with the messaging program, reply with the keyword "HELP" for more assistance, or reach out directly at (909) 747-0371 during business hours.

4. Carrier Liability: Carriers are not liable for delayed or undelivered messages.

5. Message & Data Rates: Message and data rates may apply for messages sent to you from us and to us from you. Message frequency varies based on your service usage and appointment schedule. For questions about your text plan or data plan, contact your wireless provider.

6. Supported Carriers: Our SMS program works with all major U.S. wireless carriers, including AT&T, T-Mobile, Verizon, Sprint, and most regional carriers.

7. Age Restriction: You must be 18 years or older to participate in our SMS program.

8. Privacy Policy: For privacy-related inquiries, please refer to our Privacy Policy.

We comply with all applicable laws and regulations, including the Telephone Consumer Protection Act (TCPA) and CTIA guidelines, regarding the use of SMS communications.

Use of Your Personal Data

The Company may use Personal Data for the following purposes:

- **To provide and maintain our Service**, including to monitor the usage of our Service.
- **To manage Your Account:** to manage Your registration as a user of the Service. The Personal Data You provide can give You access to different functionalities of the Service that are available to You as a registered user.
- **For the performance of a contract:** the development, compliance and undertaking of the purchase contract for the products, items or services You have purchased or of any other contract with Us through the Service.
- **To contact You:** To contact You by email, telephone calls, SMS, or other equivalent forms of electronic communication, such as a mobile application’s push notifications regarding updates or informative communications related to the functionalities, products or contracted services, including the security updates, when necessary or reasonable for their implementation.
- **To provide You** with news, special offers and general information about other goods, services and events which we offer that are similar to those that you have already purchased or enquired about unless You have opted not to receive such information.
- **To manage Your requests:** To attend and manage Your requests to Us.
- **For business transfers:** We may use Your information to evaluate or conduct a merger, divestiture, restructuring, reorganization, dissolution, or other sale or transfer of some or all of Our assets, whether as a going concern or as part of bankruptcy, liquidation, or similar proceeding, in which Personal Data held by Us about our Service users is among the assets transferred.
- **For other purposes**: We may use Your information for other purposes, such as data analysis, identifying usage trends, determining the effectiveness of our promotional campaigns and to evaluate and improve our Service, products, services, marketing and your experience.

We may share Your personal information in the following situations:

- **With Service Providers:** We may share Your personal information with Service Providers to monitor and analyze the use of our Service, to contact You.
- **For business transfers:** We may share or transfer Your personal information in connection with, or during negotiations of, any merger, sale of Company assets, financing, or acquisition of all or a portion of Our business to another company.
- **With Affiliates:** We may share Your information with Our affiliates, in which case we will require those affiliates to honor this Privacy Policy. Affiliates include Our parent company and any other subsidiaries, joint venture partners or other companies that We control or that are under common control with Us.
- **With business partners:** We may share Your information with Our business partners to offer You certain products, services or promotions.
- **With other users:** when You share personal information or otherwise interact in the public areas with other users, such information may be viewed by all users and may be publicly distributed outside.
- **With Your consent**: We may disclose Your personal information for any other purpose with Your consent.

Retention of Your Personal Data

The Company will retain Your Personal Data only for as long as is necessary for the purposes set out in this Terms of Service. We will retain and use Your Personal Data to the extent necessary to comply with our legal obligations (for example, if we are required to retain your data to comply with applicable laws), resolve disputes, and enforce our legal agreements and policies.

The Company will also retain Usage Data for internal analysis purposes. Usage Data is generally retained for a shorter period of time, except when this data is used to strengthen the security or to improve the functionality of Our Service, or We are legally obligated to retain this data for longer time periods.

Transfer of Your Personal Data

Your information, including Personal Data, is processed at the Company’s operating offices and in any other places where the parties involved in the processing are located. It means that this information may be transferred to — and maintained on — computers located outside of Your state, province, country or other governmental jurisdiction where the data protection laws may differ than those from Your jurisdiction.

Your consent to this Terms of Service followed by Your submission of such information represents Your agreement to that transfer.

The Company will take all steps reasonably necessary to ensure that Your data is treated securely and in accordance with this Terms of Service and no transfer of Your Personal Data will take place to an organization or a country unless there are adequate controls in place including the security of Your data and other personal information.

Disclosure of Your Personal Data

Business Transactions

If the Company is involved in a merger, acquisition or asset sale, Your Personal Data may be transferred. We will provide notice before Your Personal Data is transferred and becomes subject to a different Terms of Service.

Law enforcement

Under certain circumstances, the Company may be required to disclose Your Personal Data if required to do so by law or in response to valid requests by public authorities (e.g. a court or a government agency).

Other legal requirements

The Company may disclose Your Personal Data in the good faith belief that such action is necessary to:

- Comply with a legal obligation
- Protect and defend the rights or property of the Company
- Prevent or investigate possible wrongdoing in connection with the Service
- Protect the personal safety of Users of the Service or the public
- Protect against legal liability

Security of Your Personal Data

The security of Your Personal Data is important to Us, but remember that no method of transmission over the Internet, or method of electronic storage is 100% secure. While We strive to use commercially acceptable means to protect Your Personal Data, We cannot guarantee its absolute security.

Children’s Privacy

Our Service does not address anyone under the age of 13. We do not knowingly collect personally identifiable information from anyone under the age of 13. If You are a parent or guardian and You are aware that Your child has provided Us with Personal Data, please contact Us. If We become aware that We have collected Personal Data from anyone under the age of 13 without verification of parental consent, We take steps to remove that information from Our servers.

If We need to rely on consent as a legal basis for processing Your information and Your country requires consent from a parent, We may require Your parent’s consent before We collect and use that information.

Links to Other Websites

Our Service may contain links to other websites that are not operated by Us. If You click on a third party link, You will be directed to that third party’s site. We strongly advise You to review the Privacy Policy and Terms of Service of every site You visit.

We have no control over and assume no responsibility for the content, privacy policies or practices of any third party sites or services.

Changes to this Terms of Service

We may update Our Terms of Service from time to time. We will notify You of any changes by posting the new Terms of Service on this page.

We will let You know via email and/or a prominent notice on Our Service, prior to the change becoming effective and update the “Last updated” date at the top of this Terms of Service.

You are advised to review this Terms of Service periodically for any changes. Changes to this Privacy Policy are effective when they are posted on this page.

Contact Us

If you have any questions about this Terms of Service, You can contact us by visiting this website's contact page or call us directly at [(909) 747-0371](tel:(909) 747-0371) during business hours.


---

## Testimonials

**Link:** [Testimonials](https://www.calmeddocs.com/testimonials/) ([md](https://www.calmeddocs.com/testimonials/index.html.md))

**Description:** Read inspiring recovery stories and healing testimonials from patients treated at CalMed Limb Preservation Center in Colton, CA.

### Content


---

## Colorectal Surgery

**Link:** [Colorectal Surgery](https://www.calmeddocs.com/colorectal-surgery/) ([md](https://www.calmeddocs.com/colorectal-surgery/index.html.md))

**Type:** Service

**Description:** Cal Med Ambulatory Surgery Center specializes in Colorectal surgery. Focusing on disorders of the rectum, anus, and colon.

### Content

#### Cal Med Docs Colorectal Surgeon

- Anal Abscess
- Anal Cancer
- Anal Condyloma
- Anal Fistula
- Appendiceal Tumors/Cancer
- Bowel incontinence (Fecal Incontinence)
- Colitis
- Colon Resection
- Colon Tumors
- Colonoscopy
- Colorectal Conditions
- Colorectal Surgery

- Diverticulitis (Colonic Diverticulitis)
- Hemorrhoids
- Hernia Surgery
- Inflammatory Bowel Disease (IBD) – Crohn’s Disease/Ulcerative Colitis
- Pelvic Reconstructive Surgery
- Pilonidal Disease
- Rectal Cancer
- Rectal Prolapse
- Sigmoidoscopy
- Transanal Minimally Invasive Surgery (TAMIS)

At Cal Med Docs in San Bernardino and Riverside **colorectal surgery is a branch of medicine** that focuses on disorders of the rectum, anus and colon. Cal Med’s colorectal surgeon is *one of just a few* currently available in the greater Inland Empire area.

**The services provided and conditions treated by Cal Med’s colorectal surgeons in San Bernardino & Riverside are:**

#### What is colorectal cancer?

Colorectal cancer affects the colon, a six-foot long tube that connects your small intestine to your rectum, and the rectum, an eight-inch chamber that joins the colon to the anus.

Your large intestine, which consists of the colon and the rectum, is an important organ that processes waste to empty the bowels. The colon takes away water from the stool and stashes the solid stool before emptying it into the rectum. When the cells that line the colon or rectum become abnormal, it eventually evolves into a tumor, i.e. a colorectal cancer. Here are some of the *most common symptoms* to look out for regarding colorectal cancer:

- If you see any blood in your rectum
- If you experience consistent constipation or diarrhea in your bowel movements
- If you feel bloated in your stomach
- If you suddenly have the urge for a bowel movement, or having a hard time emptying your bowels
- If you lose a lot of weight unexpectedly and/or have no appetite

#### Call Us Today To Book An Appointment

**[(909) 747-0371](tel:(909) 747-0371)**

[Book Appointment](/book-appointment/)

#### Types of colorectal cancer

**Colorectal adenocarcinoma**, the most common colorectal cancer is adenocarcinoma of the colon and rectum. Here how this long word is broken down: adeno refers to the glands and carcinoma is a type of cancer in the epithelial cells on the surface of your body, internally and externally. This cancer grows in the lining of your large intestine and can spread to other layers. One of the subtypes of adenocarcinoma is mucinous adenocarcinoma, which is roughly 60% mucus. This form of cancer accounts for up to 15% of all rectal and colon adenocarcinomas can spread very quickly and is known to be more aggressive than typical adenocarcinomas. The remaining possible colon and rectum adenocarcinomas include:

**Gastrointestinal carcinoid tumors **start in nerve cells that regulate hormone production**. **These tumors grow slowly, often in the lungs and/or gastrointestinal tract. They are the cause of only 1% of all colorectal cancers but half of all cancers found in the small intestine.

**Primary colorectal lymphomas **are a form of non-Hodgkin lymphoma that grows in lymphocytes, white blood cells that are crucial in fighting infections.

**Gastrointestinal stromal tumors** are fairly rare and develop in a cell within the lining of the gastrointestinal tract with over 50% developing in the stomach.

**Leiomyosarcomas** are another form of sarcoma while **Melanomas** are more commonly associated with skin cancer.

#### Why Choose Cal Med Physicians and Surgeons?

Cal Med Physicians and Surgeons is a premier surgical provider group whose mission is to offer the highest quality health care to residents of the Inland Empire.

Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique group with approximately 35 licenses and board certified surgeons including neurosurgeons, ophthalmologists, ear, nose and throat (ENT) specialists, oral, vascular and general surgeons.

Our [San Bernardino surgeons](https://www.calmeddocs.com/) serve as the main surgical providers (except for orthopedics) at Arrowhead Regional Medical Center, including in the level 2 trauma center and regional burn center, and provide surgical services at Community Hospital of San Bernardino and Redlands Community Hospital. Our neurosurgeons provide services not only at Arrowhead Regional Medical Center, but also at Riverside University Health System Medical Center and Desert Regional Medical Center.

Our president, Dev Gnanadev, M.D., is an associate medical director and chairman of the surgery department at Arrowhead Regional Medical Center.


---

## Interventional Radiology

**Link:** [Interventional Radiology](https://www.calmeddocs.com/interventional-radiology/) ([md](https://www.calmeddocs.com/interventional-radiology/index.html.md))

**Type:** Service

**Description:** Cal Med Ambulatory Surgery Center's San Bernardino Interventional Radiology uses advanced techniques to provide minimally invasive image-guided procedures.

### Content

#### Minimally Invasive Procedures

**For patients in Riverside and San Bernardino interventional radiology (IR) applies *minimally-invasive image-guided procedures* to treat diseases in most organs.**

Also known as *vascular and interventional radiology*, this is a medical specialty that offers a way to use the least invasive techniques to minimize the risk to the patient.

One of the biggest **benefits of interventional surgery** is being able to avoid open surgery in many cases. *Interventional radiologists can now see the inside of the body* and care for serious conditions like cancer and cardiovascular disease. And do so with unprecedented precision.

#### What is Interventional Radiology?

A surgeon makes a small incision in the skin and inserts a catheter into a large blood vessel at the recipient site where the procedure is to take place. An imaging technique such as an X-ray, CT or MRI scan, or ultrasound is utilized to guide the catheter.

Interventional radiology allows for the delivery of *precise and targeted treatment to complex conditions and life-threatening diseases* such as cancer, cardiovascular disease, stroke, uterine fibroids, varicose veins and other medical concerns.

There are some important reasons to getting our San Bernardino interventional radiology:

- Can be performed on an outpatient basis
- Cheaper than many typical surgeries
- Less pain than open surgery
- Less risk than open surgery
- Shorter stay in hospital than with most complex surgeries
- Shorter recovery time than open surgery

**Interventional radiology is one of the biggest advances in the medical industry** decreasing the risk and pain to patients while also offering a shorter recovery time.

#### Types of Interventional Radiology Procedures

#### Why Choose Cal Med Physicians and Surgeons?

Cal Med Physicians and Surgeons is a premier surgical provider group whose mission is to offer **the highest quality health care** to residents of the Inland Empire.

Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique group with *approximately 35 licenses and board certified surgeons* including neurosurgeons, ophthalmologists, ear, nose and throat (ENT) specialists, oral, vascular and general surgeons.

Our surgeons serve as the main surgical providers (except for orthopedics) at Arrowhead Regional Medical Center, including in the level 2 trauma center and regional burn center, and provide surgical services at Community Hospital of San Bernardino and Redlands Community Hospital. Our neurosurgeons provide services not only at Arrowhead Regional Medical Center, but also at Riverside University Health System Medical Center and Desert Regional Medical Center.

Our president, Dev Gnanadev, M.D., is an associate medical director and chairman of the surgery department at Arrowhead Regional Medical Center.


---

## Endoscopic Surgery

**Link:** [Endoscopic Surgery](https://www.calmeddocs.com/endoscopic-surgery/) ([md](https://www.calmeddocs.com/endoscopic-surgery/index.html.md))

**Type:** Service

**Description:** Cal Med Ambulatory Surgery Center specializes in Endoscopy in San Bernardino & Riverside. Endoscopy is a vital procedure that is minimally invasive. Call now.

### Content

#### A Smoother Path to Relief

*Endoscopic Surgery at Cal Med Physicians and Surgeons*

Endoscopic surgery allows physicians to diagnose and treat a wide range of conditions using specialized instruments and advanced imaging technology. These minimally invasive procedures often provide faster recovery, less discomfort, and highly accurate evaluation of areas like the digestive tract.

At Cal Med Physicians and Surgeons, patients throughout Colton, San Bernardino County, Riverside County, and the Inland Empire receive personalized care from experienced specialists who combine advanced techniques with a patient-centered approach to deliver safe, effective treatment.

Call to book an appointment: [(909) 747-0371](tel:(909) 747-0371) or fill out the request form below

#### A Clearer View

*What is Endoscopic Minimally Invasive Surgery?*

Endoscopic surgery refers to procedures performed using a thin, flexible tube equipped with a camera and specialized instruments called an endoscope. This technology allows physicians to examine internal structures, diagnose abnormalities, and perform certain treatments without large incisions.

Endoscopic procedures are commonly used to evaluate the esophagus, stomach, colon, and other parts of the gastrointestinal tract. Depending on the patient's needs, endoscopic surgery may be performed for screening purposes, diagnosis, biopsy collection, polyp removal, bleeding control, or treatment of specific disorders.

At Cal Med Physicians and Surgeons, treatment plans are tailored to each patient's symptoms, medical history, and overall health to provide individualized care and accurate diagnoses.

#### Guided With Precision

*What is the Endoscopic Surgery procedure like?*

Before the procedure, patients undergo a consultation and receive instructions regarding dietary restrictions and medication management. Depending on the type of endoscopy being performed, preparation may include fasting or bowel preparation.

On the day of treatment, sedation is typically administered to maximize comfort. The physician gently guides the endoscope into the appropriate area to evaluate tissues and perform any necessary interventions, such as biopsies or removal of abnormal growths.

Most procedures are completed on an outpatient basis. Patients are monitored afterward and are generally able to return home the same day with instructions for recovery and follow-up care.

#### Recommendation For Endoscopy

*What conditions does Endoscopic Surgery address?*

An endoscopy may be ordered by your doctor if you show any of the following conditions or symptoms:

- Blockage of the esophagus
- Chronic constipation
- Crohn’s disease
- Gallstones
- Gastroesophageal reflux disease
- Hiatal hernia
- Infections
- Irritable bowel syndrome
- Pancreatitis
- Stomach ulcer
- Tumors
- Ulcerative colitis
- Urine with blood
- Vaginal bleeding

#### Confidence Through Accuracy

*Types of Endoscopy*

There are several types of endoscopies San Bernardino doctors at Cal Med can perform, depending on the area of the body.

#### Better Insight. Less Recovery.

*What are the benefits of Endoscopic Surgery?*

**Early Detection**

Endoscopic procedures can identify abnormalities and disease in their early stages, allowing for timely intervention and improved treatment planning.

**Minimally Invasive Approach**

Many procedures require no external incisions, resulting in less discomfort and reduced recovery time.

**Diagnostic Accuracy**

High-definition imaging allows our physicians to closely examine tissues and, when necessary, obtain biopsies, improving diagnostic precision.

**Therapeutic Capabilities**

In many cases, endoscopic procedures can both diagnose and treat conditions during the same session, reducing the need for additional interventions.

**Convenient Outpatient Care**

Most procedures are performed in an outpatient setting, allowing patients to return home the same day.

#### When You Need Answers

*Am I a candidate for Endoscopic Surgery?*

Patients experiencing gastrointestinal symptoms, undergoing preventive screenings, or requiring evaluation of abnormal imaging or laboratory findings may be candidates for endoscopic surgery.

These procedures are commonly recommended for individuals with:

- Persistent abdominal discomfort
- Rectal bleeding
- Changes in bowel habits
- Difficulty swallowing
- Chronic reflux symptoms
- Family history of gastrointestinal disease
- Need for colorectal cancer screening

A consultation with the Cal Med team helps determine which procedure, if any, is most appropriate for your individual needs.

#### Back to Your Routine

*Endoscopic Surgery Recovery*

Recovery following endoscopic surgery is typically straightforward. Patients may experience mild bloating, cramping, or throat irritation depending on the procedure performed, but these effects are usually temporary.

Because sedation is commonly used, patients should arrange transportation home and avoid strenuous activity for the remainder of the day. Most individuals resume normal activities within 24 hours, although specific recovery instructions may vary depending on the complexity of the procedure and any treatments performed during the examination.

#### The Clarity to Move Forward

*Endoscopic Surgery Results*

One of the greatest benefits of endoscopic surgery is the ability to obtain answers quickly and accurately. Findings from the procedure often help physicians diagnose digestive conditions, identify abnormalities, and guide future treatment decisions.

For patients requiring therapeutic interventions, improvements may begin shortly after treatment. Procedures such as polyp removal, bleeding control, or dilation of narrowed areas can provide meaningful symptom relief and help prevent complications. Combined with ongoing medical management and follow-up care, endoscopic surgery plays an important role in maintaining digestive health and overall well-being.

#### Experience You Can Trust

*Why Choose Cal Med Physicians and Surgeons?*

Cal Med Physicians and Surgeons is a premier surgical provider group whose mission is to offer the highest quality health care to residents of the Inland Empire.

Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique group with approximately 35 licenses and board-certified surgeons, including neurosurgeons, ophthalmologists, ear, nose, and throat (ENT) specialists, oral, vascular, and general surgeons.

Our surgeons serve as the main surgical providers (except for orthopedics) at Arrowhead Regional Medical Center, including in the level 2 trauma center and regional burn center, and provide surgical services at Community Hospital of San Bernardino and Redlands Community Hospital. Our neurosurgeons provide services not only at Arrowhead Regional Medical Center, but also at Riverside University Health System Medical Center and Desert Regional Medical Center.

Our president, Dev Gnanadev, M.D., is an associate medical director and chairman of the surgery department at Arrowhead Regional Medical Center.

**Call us today to book an appointment.**

**[(909) 747-0371](tel:(909) 747-0371)**

*Endoscopic Surgery Frequently Asked Questions*


---

## General Surgery

**Link:** [General Surgery](https://www.calmeddocs.com/general-surgery/) ([md](https://www.calmeddocs.com/general-surgery/index.html.md))

**Type:** Service

**Description:** Cal Med Ambulatory Surgery Center is a premier surgery center in the Inland Empire, providing general surgery in Riverside and San Bernardino Counties. Call us today.

### Content

#### Premier General Surgery Providers

*General Surgery at Cal Med Physicians and Surgeons*

From common procedures to more complex surgical conditions, general surgery plays an essential role in restoring health and improving quality of life. At Cal Med Physicians and Surgeons, our experienced surgeons provide comprehensive care tailored to each patient's diagnosis, goals, and overall well-being.

Using advanced techniques and a patient-first approach, we are committed to delivering safe, effective surgical care with compassion and precision throughout every stage of treatment. A premier surgical provider group whose mission is to offer the highest-quality health care to residents of the Inland Empire, Cal Med Physicians and Surgeons combines board-certified expertise, modern surgical technology, and decades of experience to deliver individualized treatment plans and exceptional outcomes.

Call to book an appointment: [(909) 747-0371](tel:(909) 747-0371) or fill out the request form below

#### A Fuller Future

*What is a General Surgeon?*

According to the American Board of Surgery, general surgeons are highly skilled surgeons who perform operations addressing areas of the body such as the abdomen, breast, skin, and endocrine system. In addition, a certified general surgeon has broad knowledge and experience in surgical critical care, surgical oncology, and trauma.

Treatment options vary depending on the patient's condition and may include minimally invasive procedures, laparoscopic surgery, and traditional open surgery. At Cal Med Physicians and Surgeons, surgical plans are tailored to each patient's needs, emphasizing safety, effectiveness, and long-term health.

Whether surgery is elective or medically necessary, our goal is to provide comprehensive care that supports optimal outcomes and a smooth recovery.

#### Specialized Care for Multiple Concerns

*What can I expect during my surgical procedure?*

Every patient's journey begins with a thorough consultation and evaluation. During this process, your surgeon reviews your symptoms, medical history, imaging studies, and treatment goals to develop an individualized surgical plan.

On the day of surgery, patients are cared for by a highly trained team in our accredited surgical facility. Depending on the condition being treated, procedures may be performed using minimally invasive or traditional techniques.

Following surgery, patients are closely monitored and provided with detailed postoperative instructions. Our team remains actively involved throughout recovery, ensuring each patient receives the support needed for successful healing.

*Our General Surgery Providers*

#### Your Path to Lasting Relief

*What conditions does General Surgery address?*

**A general surgeon can help you if you need:**

- To be referred by your doctor (who works closely with general surgeons) when a more invasive intervention is required
- A surgical procedure that falls within the parameters of a general surgeon
- A weight loss procedure that deals with the abdomen
- Emergency care such as skin burns, internal bleeding, and resuscitation
- Pre- or post-surgical care that demands a general surgeon to understand and interpret your medical records and health results, and administer drugs if necessary; a general surgeon is also knowledgeable in the management of pain and the healing of wounds
- Minimally invasive surgery that only requires small incisions, and the risks of complications are low

**Our San Bernardino general surgeons specialize in a variety of surgeries, such as:**

- Organs of the abdomen, including the esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder, and bile ducts, and often the thyroid gland
- Things that involve the skin, breast, soft tissue, and hernias
- Can sub-specialize in trauma surgery, laparoscopic surgery, [colorectal surgery](/colorectal-surgery/), breast surgery, [vascular surgery](/vascular-endovascular-surgery/), endocrine surgery, transplant surgery, and cardiothoracic surgery

#### Comprehensive Surgical Care

*What kinds of procedures are included in General Surgery?*

#### Is It Time For Surgery?

*Am I a candidate for General Surgery?*

Candidates for general surgery are individuals whose conditions may require surgical intervention after evaluation by a physician. Patients experiencing chronic symptoms, acute illness, abnormal findings, or conditions that have not responded to conservative treatment may benefit from surgery.

A consultation with the Cal Med Physicians and Surgeons team allows patients to better understand their options and determine the most appropriate treatment plan for their needs.

#### Healing Forward

*General Surgery Recovery*

Recovery following general surgery varies depending on the procedure performed and the patient's overall health. Some surgeries are performed on an outpatient basis, while others may require a short hospital stay.

Patients should follow postoperative instructions carefully, including medication guidelines, activity restrictions, wound care, and follow-up appointments. Mild discomfort and fatigue are common during the healing process, and most individuals gradually resume their normal routines over time.

When additional wound-healing support is needed, patients have access to Cal Med's advanced wound care and hyperbaric medicine services, ensuring continuity of care within one system.

Our team provides ongoing support and personalized recommendations to help patients recover safely and comfortably.

#### A Return to Wellness

*General Surgery Results*

General surgery is designed to address conditions that affect overall health, function, and quality of life. Many patients experience meaningful relief from symptoms, improved mobility, and renewed confidence following treatment.

Results vary depending on the condition being treated and the type of procedure performed. While some benefits may be apparent shortly after recovery, long-term improvements often continue to develop over time. Through personalized care and close follow-up, Cal Med Physicians and Surgeons is committed to helping patients achieve lasting results and better health.

Patients who require complex postoperative care or treatment for difficult-to-heal wounds benefit from access to Cal Med's integrated wound care and hyperbaric medicine program. With advanced wound-healing therapies, vascular specialists, and limb-preservation resources available within the same organization, patients receive comprehensive support throughout recovery.

#### Experience You Can Trust

*Why Choose Cal Med Physicians and Surgeons?*

Cal Med Physicians and Surgeons is a premier surgical provider group whose mission is to offer the highest-quality health care to residents of the Inland Empire. Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique group with approximately 35 licensed and board-certified surgeons, including neurosurgeons, ophthalmologists, ear, nose, and throat (ENT) specialists, oral, vascular, and general surgeons.

Our surgeons serve as the main surgical providers (except orthopedics) at Arrowhead Regional Medical Center, including in the level 2 trauma center and regional burn center, and provide surgical services at Community Hospital of San Bernardino. Our neurosurgeons provide services not only to Arrowhead Regional Medical Center but also to Riverside University Health System Medical Center and Desert Regional Medical Center.

Our president, Dr. Dev GnanaDev, is an associate medical director and chairman of the surgery department at the Arrowhead Regional Medical Center.

**Call us today to book an appointment.**

[(909) 747-0371](tel:(909) 747-0371)

*General Surgery Frequently Asked Questions*


---

## Ophthalmology Retinology

**Link:** [Ophthalmology Retinology](https://www.calmeddocs.com/ophthalmology-retinology/) ([md](https://www.calmeddocs.com/ophthalmology-retinology/index.html.md))

**Type:** Service

**Description:** Cal Med Ambulatory Surgery Center treats conditions such as glaucoma & iritis. We offer surgical eye care or opthalmology in San Bernardino for cataracts, trauma, and other issues.

### Content

#### Your Eye Care & Health

*Ophthalmology & Retinology at Cal Med Physicians and Surgeons*

**We use our eyes for so many things nowadays, from our smartphones to our tablets.**

It is important to have your eyes examined *at least once a year*. At Cal Med Physicians and Surgeons, we have **ophthalmologists** who specialize in complete eye care, including retinology. Our experienced team will take care of your vision services, including a new eye exam.

Our [San Bernardino ambulatory surgery center](/) features the latest technology to help treat medical conditions such as glaucoma and iritis. Our premier outpatient surgery center offers complete surgical eye care for cataracts, trauma, and other issues. We strive to provide **the best ophthalmology San Bernardino County can offer**, and we can diagnose and treat eye conditions that are related to other diseases like diabetes.

#### Clear Vision Starts Here

*What is Ophthalmology & Retinology?*

**Ophthalmology** is the medical specialty dedicated to diagnosing and treating diseases of the eye, while **retinology** focuses specifically on disorders affecting the retina—the light-sensitive tissue at the back of the eye responsible for vision.

Retinal diseases can progress silently and may threaten your vision if left untreated. Through comprehensive evaluations, imaging studies, and advanced treatment options, ophthalmologists and retina specialists work to identify problems early and help preserve sight whenever possible.

Treatment plans may include observation, medications, injections, laser procedures, or surgical intervention, depending on the condition being addressed.

#### Eye Exam: What to Expect

*What is an Ophthalmology & Retinology exam like?*

Our San Bernardino **ophthalmology specialist** will begin by asking you about your medical and vision history. You will then receive several eye tests that can include:

- **Acuity test** is a visual assessment of your sight as you sit in front of an eye chart and try to read letters that progressively get smaller with each line.
- **Cover test** sounds just like it is, in that your specialist covers one of your eyes as you stare at a specific point some distance away. This test allows your doctor to watch as your eyes move and examine them for strabismus, a condition also known as crossed eyes, in which the eyes do not align with each other the way they should.
- **Glaucoma test** is done either with a puff of air as you stare at a specific target or with a tonometer to numb your eyes while your ophthalmologist peeks at the front surface of your eyes. The goal is to gauge if the fluid pressure inside your eyes falls within normal range.
- **Pupil dilation** is a more extensive test, often taking half an hour to complete. Your pupils are fully enlarged through the use of eye drops to check inside your eyes. The eye drop allows your eyes to be more sensitive to light and will blur your vision temporarily.
- **Biomicroscope** is a device that lights up the front of your eye so your specialist can look into the back of your eyes, your cornea, iris, and lens for signs of any disease.
- **Eye muscle movement** looks into the alignment of your eyes as you follow a moving target from your ophthalmologist in different directions.
- **Ophtalmoscopy** allows your doctor to dilate your pupils and see the back of your eyes to check your retina, its blood vessels, and the fluid in your eyes.
- **Perimetry** tests your visual field without moving your eyes. Your specialist can discover what you see at the periphery of your visual field and can diagnose your eye condition.
- **Pupil test** verifies how your pupils adjust to light and objects that are close to you.
- **Refraction test** helps decide on your new prescription with the flipping of lenses to see which one fits your specific needs best.

It is important to check for problems that can affect your vision, such as cataracts, diabetic retinopathy, glaucoma, and macular degeneration.

#### Caring For Complex Vision Problems

*What conditions does Ophthalmology & Retinology address?*

Cal Med Physicians and Surgeons treat a wide range of eye and retinal conditions, including:

- Diabetic retinopathy
- Macular degeneration
- Retinal tears and retinal detachments
- Macular holes
- Epiretinal membranes
- Vitreous hemorrhage
- Retinal vein occlusion
- Floaters and flashes
- Posterior vitreous detachment
- Hypertensive retinopathy
- Eye complications related to diabetes
- Age-related vision changes

Early diagnosis is essential, as many retinal diseases can progress before noticeable symptoms develop.

*Cataracts*

**Cataracts are a natural part of the aging process when your eyes get cloudy from the build-up of protein in the lens. What happens is that cataracts causes you to lose some of your eyesight as the cloudiness progresses with time and can begin to interfere with the ability to operate machinery such as your car and activities such as watching a movie.**

The four major **types of cataracts** are caused by 1) the aging process, 2) congenital (babies born with it or it develops in childhood), 3) a traumatic injury to the eye, or 4) as a secondary cause from a medical condition like diabetes or being around toxic substances, radiation, or ultraviolet light.

Getting a stronger prescription and a new pair of glasses can help, but eventually,* corrective cataract surgery will be required*. This surgery can be done at our outpatient surgery center in San Bernardino County, meaning you go home the same day as your procedure. Your lens will be removed and replaced with a man-made one.

#### Focused On Vision

*What areas can Ophthalmology & Retinology address?*

Ophthalmology and retinology services focus on the eyes and, more specifically, the retina, macula, vitreous, and blood vessels that support healthy vision. Treatment is aimed at preserving eyesight and maintaining visual function.

#### Preserving Sight

*What are the benefits of Ophthalmology & Retinology?*

**Early Detection Matters**

Advanced imaging and regular eye evaluations allow retinal diseases to be identified before irreversible vision loss occurs.

**Personalized Treatment**

Every condition—and every patient—is different. Treatment plans are customized according to diagnosis, symptoms, and overall health.

**Vision Preservation**

Many retinal diseases cannot be cured, but early intervention may help slow progression and preserve existing vision.

**Advanced Technology**

State-of-the-art diagnostic tools and modern treatment options allow for greater precision and improved outcomes.

**Long-Term Care**

Ongoing follow-up helps patients manage chronic eye conditions and maintain the best possible quality of life.

#### A Vision of Personalized Care

*Am I a candidate for Ophthalmology & Retinology?*

You may benefit from ophthalmology and retinology services if you:

- Have diabetes or high blood pressure
- Experience flashes, floaters, or sudden vision changes
- Have blurry or distorted central vision
- Have been diagnosed with macular degeneration or retinal disease
- Have a family history of serious eye conditions
- Require ongoing monitoring for chronic eye disease

A comprehensive evaluation can help determine the most appropriate treatment plan for your needs.

#### A Clearer Future

*Ophthalmology & Retinology Recovery*

Recovery varies depending on the specific treatment performed. Many office-based procedures require little to no downtime, allowing patients to resume normal activities shortly afterward.

More advanced retinal surgeries may involve a longer recovery period and specific postoperative instructions. Follow-up visits are important to monitor healing and ensure the best possible outcome.

Patients with chronic retinal conditions often require ongoing care and routine evaluations to maintain long-term eye health.

#### A Difference You Can See

*Ophthalmology & Retinology Results*

The goal of ophthalmology and retinal treatment is not only to improve vision when possible, but also to preserve existing sight and prevent further deterioration. Early intervention often leads to better outcomes and may significantly reduce the risk of severe vision loss.

While some retinal conditions require lifelong management, modern therapies have transformed the outlook for many patients, allowing them to maintain independence and enjoy a higher quality of life.

#### Dedicated To Vision

*Why Choose Cal Med Physicians and Surgeons for Ophthalmology & Retinology?*

At Cal Med Physicians and Surgeons, our team is dedicated to offering you **the best opthalmology San Bernardino County has to offer** at our premier outpatient surgery center. We have highly trained, board-certified, and experienced surgeons with expertise in all aspects of surgical eye care specialties who will diagnose your eye condition. We focus on a positive patient experience and a successful outcome because we care about our patients *and we value quality of care above all*.

Call us today to book an appointment.

[(909) 340-3296](tel:(909) 340-3296)

[Book Appointment](/book-appointment/)

*Ophthalmology & Retinology Frequently Asked Questions*


---

## Oral Surgery

**Link:** [Oral Surgery](https://www.calmeddocs.com/oral-surgery/) ([md](https://www.calmeddocs.com/oral-surgery/index.html.md))

**Type:** Service

**Description:** At Cal Med Ambulatory Surgery Center our San Bernardino oral surgeons perform an array of dental procedures to correct issues with your teeth, gums, jaw, and face.

### Content

#### Advanced Oral Surgery Solutions

*Oral and Maxillofacial Surgery at Cal Med Physicians and Surgeons*

**At Cal Med Physicians and Surgeons, we offer oral surgery services to deal with a number of issues from repositioning of the jaw to the removal of a tumor.**

**Our San Bernardino oral surgeons perform a variety of dental procedures** to correct problems with the teeth, gums, jaw and face. Dentists perform many oral procedures, including regular checkups and root canal. Oral and maxillofacial surgeons usually handle more complex surgeries such as facial reconstruction, oral birth defects and removal of impacted teeth.

At Cal Med Physicians and Surgeons, patients benefit from advanced surgical capabilities, modern technology, and a fully integrated outpatient surgical environment designed to support safe, efficient treatment and recovery. Our team works closely with patients and referring providers to deliver personalized care focused on long-term oral health and function.

#### Foundations for Better Oral Health

*What does an oral surgeon do?*

Oral surgery is a specialized field focused on diagnosing and treating conditions affecting the teeth, jaws, mouth, and surrounding facial structures. These procedures are often recommended when problems cannot be resolved through routine dental treatments alone.

Oral surgery encompasses a wide range of treatments, including tooth extractions, wisdom tooth removal, surgical implant preparation, treatment of oral lesions, bone grafting, and correction of certain jaw-related conditions. The goal is to restore oral function, reduce discomfort, protect long-term health, and support future restorative treatment when needed.

Did you know that oral and maxillofacial surgeons are the only health care specialists, other than anesthesiologists, who can administer all levels of sedation up to general anesthesia? Oral surgeons are unique among dental specialists in that they are trained in emergency medicine, general surgery, and anesthesiology.

Oral surgeons can treat hard and soft tissues of the face, mouth and jaws. Dentists can perform common procedures but often refer a maxillofacial surgeon for more complex surgeries such as the alignment of your jaws. Oral surgeons can help reconstruct the mouth and face and repair common birth defects like cleft lip and palate. They can aid people who have facial deformities due to medical conditions.

#### Precision In Every Step

*What is the Oral Surgery procedure like?*

Every oral surgery procedure begins with a comprehensive evaluation, which may include diagnostic imaging, examination, medical history review, and treatment planning.

On the day of treatment, patients arrive at Cal Med's outpatient surgery center where the surgical team prepares them for the procedure. Depending on the treatment being performed, local anesthesia, sedation, or other appropriate anesthesia options may be used to maximize comfort.

During surgery, the surgeon carefully addresses the underlying condition while prioritizing precision, safety, and tissue preservation. After treatment, patients are monitored and provided with detailed recovery instructions before returning home.

Procedure length varies based on the complexity of treatment, ranging from simple extractions to more advanced reconstructive procedures.

#### Full Smile Support

*What conditions does Oral Surgery address?*

There are a number of conditions that can be addressed by oral surgeons:

**Cleft Lip & Palate**: With this surgery, birth defects can be corrected, including changes in facial structure.

**Corrective Jaw**: Oral surgeons can improve a misaligned bite, repair congenital abnormalities, severe orthodontic conditions, and other disorders. The jaw can be reshaped for proper realignment of the teeth and jaws.

**Dentures: **Oral surgery can help make a denture fit better inside your mouth by revising irregularities in your jaw. In many cases, the supporting bones have deteriorated over the years, and dentures do not fit properly.

**Facial Repair: **Our surgeons can repair fractured jaws and broken facial bones.

**Temporomandibular Joint (TMJ) Disorders**: We can help people who suffer from temporomandibular joint (TMJ) disorders, which can cause strong headaches as well as facial pain.

**Infections**: Some infections in the face and mouth can develop into cancerous growths and become life-threatening. Oral surgery can take out infected tissue and decrease future problems.

**Jaw with Unequal Growth: **If your upper and lower jaws are not properly aligned, it can cause difficulty when you eat, swallow, or even speak. Oral surgery can move parts or all of the upper and/or lower jaw into a new position for a more balanced and functional jaw.

**Lesions:** Some lesions can be removed after a biopsy indicates abnormal growth or tissue.

**Reconstructive Surgery**: Oral surgeons can help deal with a sudden traumatic dental and/or facial injury from an accident or sports activities. They specialize in repairing and reconstructing dental and facial structures, working with hard and soft tissues.

**Sleep Apnea**: If you or someone you love has problems with snoring, there are surgical procedures that can help alleviate or eliminate sleep apnea. For example, laser surgery can scar and tighten the oropharynx in the back of your mouth to diminish breathing problems.

**Tooth Loss:** Many teeth can be replaced with dental implants to restrain other teeth from shifting. The implants can be a great choice when there is a loss of tooth because of an accident or as an alternative to dentures. They can also be surgically anchored in place in the jawbone.

**Wisdom Teeth**: An oral surgeon can surgically remove wisdom teeth that may be causing pain and infection of the gum tissue. By surgically removing the wisdom teeth, she can prevent damage to the other teeth as well as the jaws, gums, and bones.

#### Where Function Begins

*What areas can Oral Surgery address?*

Oral surgery can address conditions affecting the teeth, gums, jawbone, oral soft tissues, facial structures, and supporting bone. Treatment may involve a single tooth, multiple areas of the mouth, or more comprehensive reconstructive procedures depending on the patient's needs.

#### Top 15 Advantages

*Oral Surgery Benefits*

There are many reasons why our oral surgeries can help alleviate pain and solve serious issues. Here are the top 15 benefits of oral surgery:

- Addresses jawbone deterioration
- Convenience of no longer needing to remove and clean your dentures
- Durability of implants
- Easier to eat
- Enhances facial appearance
- Facial reconstruction
- Finding permanent solutions (instead of treating the symptoms)
- Improves speech
- Long-term tooth replacement
- Prevent damage
- Repair cleft lip and palate
- Replace lost tissue
- Restore crowns
- Sleep normally once again
- Surgical extraction

#### Time For Relief

*Am I a candidate for Oral Surgery?*

You may be a candidate for oral surgery if you have impacted wisdom teeth, severe tooth damage, chronic oral pain, infection, missing teeth requiring implant treatment, jaw abnormalities, oral lesions, or other conditions that cannot be addressed through routine dental care.

A consultation at Cal Med Physicians and Surgeons can help determine whether oral surgery is appropriate and which treatment options best align with your needs.

#### Complete Healing Support

*Oral Surgery Recovery*

You can expect some discomfort and swelling in the first 48 hours following your surgery. Your surgeon can prescribe medication for pain relief. You should avoid strenuous exercise and smoking for a few weeks. You may be able to use an ice pack on the site of your surgery to decrease swelling. Make sure to talk to your doctor for your particular needs. 

Depending on what type of procedure you go through, it will likely take at least two weeks to heal. Most jaw surgeries take over a month to completely heal.

#### Built For Future Smiles

*Oral Surgery Results*

Results from oral surgery are often noticeable soon after healing begins. Patients frequently experience reduced pain, improved function, enhanced oral health, and greater comfort during daily activities.

Long-term outcomes depend on the specific procedure performed, overall oral health, and adherence to recommended aftercare. Whether addressing infection, replacing missing teeth, correcting structural concerns, or preparing for restorative treatment, oral surgery can provide lasting improvements that support both oral health and quality of life.

#### Trusted Smile Experts

*Why Choose Cal Med Physicians and Surgeons?*

The mission of Cal Med Physicians and Surgeons as a premier surgical provider group is to offer the highest quality health care to residents of the Inland Empire. Cal Med is a unique group of licensed and board-certified surgeons. We employ many of the best neurosurgeons, ophthalmologists, ENT specialists and oral surgeons San Bernardino County has to offer.

Our surgeons serve as the main surgical providers (except for orthopedics) at Arrowhead Regional Medical Center, including in the level 2 trauma center and regional burn center, and provide surgical services at Community Hospital of San Bernardino and Redlands Community Hospital. Our neurosurgeons provide services not only at Arrowhead Regional Medical Center, but also at Riverside University Health System Medical Center and Desert Regional Medical Center.

Our president, Dev Gnanadev, M.D., is an associate medical director and chairman of the surgery department at Arrowhead Regional Medical Center. Cal Med Physicians and Surgeons is a premier surgical provider group whose mission is to offer the highest quality health care to residents of the Inland Empire. Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique group with approximately 35 licensed and board-certified surgeons, including neurosurgeons, ophthalmologists, ear, nose, and throat (ENT) specialists, oral, vascular, and general surgeons.

Call to book an appointment: [(909) 340-0580](tel:(909) 340-0580) or fill out the request form below

*Oral Surgery Frequently Asked Questions*


---

## Advanced Wound Care

**Link:** [Advanced Wound Care](https://www.calmeddocs.com/advanced-wound-care/) ([md](https://www.calmeddocs.com/advanced-wound-care/index.html.md))

**Type:** Service

**Description:** Specialized wound care, limb preservation, and hyperbaric oxygen therapy at Cal Med Physicians and Surgeons in San Bernardino, CA.

### Content

#### Healing Beyond the Surface

*Advanced Wound Care at Cal Med Physicians and Surgeons*

Chronic wounds require more than routine treatment. At Cal Med Limb Preservation Center Advanced Wound Care & Hyperbaric Medicine, our multidisciplinary team provides comprehensive care for patients with diabetic ulcers, circulation-related wounds, pressure injuries, radiation damage, and other complex healing conditions. Combining advanced wound management, vascular evaluation, limb preservation strategies, and Hyperbaric Oxygen Therapy (HBOT), we help patients receive personalized care focused on healing, preserving mobility, and improving quality of life.

**Specialized Healing. Comprehensive Care.**

Patients seeking advanced wound care, limb preservation, or hyperbaric oxygen therapy in San Bernardino and the Inland Empire turn to Cal Med for evidence-based treatment, multidisciplinary expertise, and compassionate care designed to support healing when traditional approaches have not been sufficient.

#### When Healing Stalls

*What is Advanced Wound Care?*

Advanced wound care is a specialized branch of medicine focused on diagnosing and treating wounds that fail to heal through normal processes. A wound that remains open for more than four weeks or fails to improve after eight weeks may require specialized intervention.

At Cal Med, treatment begins with identifying the underlying causes of delayed healing, which may include diabetes, vascular disease, infection, pressure injuries, autoimmune disorders, radiation damage, or poor circulation.

#### A Coordinated Approach

*What is the Advanced Wound Care procedure like?*

Every patient begins with a comprehensive evaluation. Our specialists assess the wound itself while also investigating underlying factors that may interfere with healing.

Depending on the condition, treatment may involve:

- Wound cleansing and debridement
- Advanced dressings
- Circulation testing
- Infection control
- Pressure relief and offloading
- Nutritional support
- Hyperbaric Oxygen Therapy
- Ongoing monitoring and follow-up

Because healing is rarely one-size-fits-all, treatment plans are tailored to each patient's needs and adjusted as healing progresses.

#### Comprehensive Support for Complex Wounds

*What conditions does Advanced Wound Care address?*

Cal Med specializes in the diagnosis and management of:

**Diabetic Foot Ulcers: **Diabetes can impair circulation and sensation, increasing the risk of serious wounds and infections. Early intervention may help prevent hospitalization and amputation.

**Non-Healing Wounds: **Wounds caused by surgery, trauma, swelling, poor circulation, autoimmune disease, or chronic inflammation often require specialized care.

**Venous Leg Ulcers: **These wounds develop when damaged veins prevent blood from circulating efficiently, causing swelling and tissue breakdown.

**Pressure Ulcers: **Also known as bed sores, pressure injuries may occur in patients with limited mobility or prolonged bed rest.

**Arterial Ulcers: **Peripheral artery disease can reduce blood flow and prevent wounds from healing properly.

**Late Effects of Radiation: **Radiation therapy may lead to tissue damage months or years after treatment. Hyperbaric oxygen therapy may be appropriate for certain radiation-related injuries.

**Compromised Grafts and Flaps: **Reduced blood supply following reconstructive surgery can threaten healing and tissue viability.

**Chronic Infections: **Including chronic refractory osteomyelitis and necrotizing soft tissue infections.

#### From Head to Toe

*What areas can Advanced Wound Care address?*

Advanced wound care can treat wounds to the feet, legs, ankles, and other lower extremities; surgical sites; pressure points; and tissues affected by radiation injury or impaired circulation. Our limb preservation specialists focus on protecting mobility while promoting healing throughout the body.

#### Restoring Possibility

*What are the benefits of Advanced Wound Care?*

- **Faster Healing Support: **Specialized therapies help create the conditions necessary for healthy tissue repair.
- **Limb Preservation: **Early intervention and multidisciplinary care may help reduce the risk of amputation and preserve independence.
- **Improved Circulation: **Vascular evaluations help identify circulatory problems that contribute to delayed healing.
- **Reduced Infection Risk: **Advanced therapies help control bacteria and support the body's natural immune response.
- **Personalized Treatment: **No two wounds are alike. Every treatment plan is customized to the patient's unique condition and health history.
- **Access to Hyperbaric Oxygen Therapy: **For qualifying conditions, HBOT may provide an additional tool to support healing and tissue oxygenation.

#### Oxygen With Purpose

*Hyperbaric Oxygen Therapy (HBOT)*

Hyperbaric oxygen therapy allows patients to breathe 100% oxygen inside a specially designed chamber while atmospheric pressure is increased beyond normal levels. This process enables oxygen to reach tissues that may be damaged, inflamed, infected, or deprived of adequate blood flow.

HBOT is often incorporated into broader treatment plans and may help:

- Support wound healing
- Encourage new blood vessel formation
- Assist the body's immune response
- Promote tissue repair
- Improve oxygen delivery to compromised tissues

Many patients describe treatment as relaxing, and sessions are carefully monitored by trained hyperbaric medicine professionals.

#### When Healing Calls For Help

*Am I a candidate for Advanced Wound Care?*

You may candidates for advanced wound care if you have:

- A wound that has not healed after several weeks
- Diabetes-related foot ulcers
- Circulation-related wounds
- Pressure ulcers or bed sores
- Radiation injuries
- Chronic infections
- Surgical wounds that are slow to heal
- Compromised skin grafts or flaps

A consultation with our team can determine which therapies are appropriate for your condition.

#### A Partnered Path Forward

*Advanced Wound Care Recovery*

Healing timelines vary significantly depending on the type and severity of the wound, as well as underlying health conditions.

Patients may require:

- Regular follow-up visits
- Dressing changes
- Offloading or compression therapy
- Nutritional support
- Blood sugar management
- Vascular treatments
- Hyperbaric oxygen therapy sessions

Our team closely monitors progress and adjusts treatment plans as healing occurs.

#### Protecting What Matters

*Advanced Wound Care Results*

Successful wound care is about far more than closing a wound. Effective treatment can help reduce pain, lower the risk of infection, preserve mobility, and improve quality of life.

Results vary depending on the underlying condition and severity of tissue damage, but many patients experience meaningful improvement through a combination of advanced therapies, ongoing monitoring, and multidisciplinary care. By identifying the root causes of delayed healing, Cal Med helps patients move toward healthier outcomes and greater independence.

#### Healing With Intention

*Why Choose Cal Med Physicians and Surgeons for Advanced Wound Care?*

Cal Med Limb Preservation Center Advanced Wound Care & Hyperbaric Medicine brings multiple specialties together under one roof to provide truly comprehensive care. Our team combines advanced wound-healing technologies, vascular expertise, limb-preservation strategies, and hyperbaric medicine to address both the wound and the conditions that contribute to delayed healing.

Rather than treating symptoms alone, we focus on the bigger picture, helping patients heal safely, preserve mobility, and avoid complications whenever possible. With individualized treatment plans and evidence-based therapies, we are committed to helping patients receive the specialized care they deserve.

*Advanced Wound Care Frequently Asked Questions*


---

## Facial Plastic Surgery

**Link:** [Facial Plastic Surgery](https://www.calmeddocs.com/facial-plastic-surgery/) ([md](https://www.calmeddocs.com/facial-plastic-surgery/index.html.md))

**Type:** Service

**Description:** Refresh and refine your appearance with facial plastic surgery at Cal Med Physicians and Surgeons in Colton, CA. Personalized care and natural-looking results.

### Content

#### Refined, Refreshed, & Renewed

*Facial Plastic Surgery at Cal Med Physicians and Surgeons*

The face tells your story, but age, genetics, and life experiences can change how that story is reflected back to you. At Cal Med Physicians and Surgeons, we offer personalized facial plastic surgery procedures designed to restore balance, improve definition, and help patients look naturally refreshed rather than overdone.

Whether you're considering upper or lower eyelid surgery, a facelift, rhinoplasty, or a brow lift, our experienced surgical team focuses on creating results that complement your unique features and aesthetic goals.

Cal Med Physicians and Surgeons combines experienced surgical care with individualized treatment planning to deliver natural-looking facial plastic surgery results in a comfortable, patient-centered environment.

#### Restored Definition and Radiance

*What is Facial Plastic Surgery?*

Facial plastic surgery encompasses a variety of procedures designed to enhance facial balance, restore youthful contours, and address structural or age-related concerns. Rather than changing who you are, these procedures are intended to help you look like the best version of yourself.

At Cal Med Physicians and Surgeons, facial plastic surgery options may include:

- Upper Blepharoplasty (Upper Eyelid Surgery)
- Lower Blepharoplasty (Lower Eyelid Surgery)
- Facelift Surgery
- Rhinoplasty
- Brow Lift Surgery

Each procedure is customized to the patient's anatomy, concerns, and desired outcome, creating improvements that appear harmonious and natural.

#### Care Your Can Feel Confident In

*What is the Facial Plastic Surgery procedure like?*

Your journey begins with a comprehensive consultation, during which your surgeon evaluates facial anatomy, discusses your goals, and develops a personalized surgical plan.

Depending on the procedure being performed, surgery may be completed using local anesthesia with sedation or general anesthesia. Most facial plastic surgery procedures are performed on an outpatient basis at Cal Med's advanced surgical facilities.

Procedures may involve:

- Repositioning underlying tissues
- Removing excess skin
- Refining nasal structure
- Elevating the brow
- Addressing puffiness or excess eyelid skin

After surgery, patients recover comfortably at home with detailed instructions and scheduled follow-up visits to monitor healing.

#### Restoring Facial Harmony

*What conditions does Facial Plastic Surgery address?*

Facial plastic surgery can help address:

- Facial aging and skin laxity
- Sagging cheeks and jawline
- Deep facial folds
- Drooping eyebrows
- Heavy upper eyelids
- Puffy lower eyelids and under-eye bags
- Nasal asymmetry
- Dorsal humps
- Structural nasal concerns
- Loss of facial definition
- Tired or aged appearance

These procedures are designed to improve facial proportions and create a more refreshed, balanced appearance.

#### From Brow to Jawline

*What areas can Facial Plastic Surgery address?*

Facial plastic surgery can improve multiple areas of the face, including the forehead, eyebrows, eyelids, nose, cheeks, jawline, and neck. Treatments may be performed individually or combined to achieve comprehensive facial rejuvenation.

#### Subtle Changes For Lasting Confidence

*What are the benefits of Facial Plastic Surgery?*

Facial plastic surgery offers both aesthetic and emotional benefits, helping patients feel more confident and aligned with how they see themselves.

#### A Refined, Personalized Path

*Am I a candidate for Facial Plastic Surgery?*

Healthy adults seeking to improve facial aging or enhance facial features may be candidates for facial plastic surgery. Ideal candidates are generally:

- In good overall health
- Non-smokers or willing to stop smoking before surgery
- At a stable weight
- Concerned about facial aging or structural features
- Realistic in their expectations

A consultation with the Cal Med surgical team can determine which procedures are most appropriate for your goals and anatomy.

#### Healing Gracefully

*Facial Plastic Surgery Recovery*

Recovery varies depending on the procedure performed and whether multiple treatments are combined. Swelling, bruising, and temporary discomfort are common during the early stages of healing.

Many patients return to light activities within one to two weeks, while more strenuous exercise should be avoided until cleared by their surgeon.

As swelling gradually subsides over the following weeks and months, improvements become increasingly apparent. Regular follow-up appointments help ensure proper healing and optimal results.

#### A Reflection That Fits

*Facial Plastic Surgery Results*

Facial plastic surgery is designed to create improvements that appear natural, balanced, and uniquely suited to each patient. While some changes are visible soon after surgery, final results continue to refine as swelling resolves and tissues settle.

Patients often notice smoother contours, brighter eyes, improved facial proportions, and a more youthful appearance without sacrificing their individuality. Results from facelift surgery, rhinoplasty, brow lifts, and eyelid surgery are long-lasting and can provide renewed confidence for years to come.

#### Elevating Facial Aesthetics

*Why Choose Cal Med Physicians and Surgeons for Facial Plastic Surgery?*

Facial plastic surgery requires both surgical precision and artistic judgment. At Cal Med Physicians and Surgeons, patients benefit from board-certified expertise, advanced surgical facilities, and a personalized approach to facial rejuvenation.

Our team performs procedures including upper and lower blepharoplasty, facelift surgery, rhinoplasty, and brow lift surgery with an emphasis on natural-looking outcomes that preserve your unique features.

From consultation through recovery, every aspect of your experience is centered on safety, communication, and individualized care. With decades of experience serving patients throughout Colton, San Bernardino County, Riverside County, and the Inland Empire, Cal Med is committed to helping patients achieve results that look refreshed, balanced, and authentically their own.

*Facial Plastic Surgery Frequently Asked Questions*


---

## Body Plastic Surgery

**Link:** [Body Plastic Surgery](https://www.calmeddocs.com/body-plastic-surgery/) ([md](https://www.calmeddocs.com/body-plastic-surgery/index.html.md))

**Type:** Service

**Description:** Restore and refine your contours with body plastic surgery at Cal Med Physicians and Surgeons in Colton, CA. Personalized care and exceptional results.

### Content

#### Shape What Moves You

*Body Plastic Surgery at Cal Med Physicians and Surgeons*

Major life changes, including weight loss, pregnancy, aging, and genetics, can affect the way you feel about your body. At Cal Med Physicians and Surgeons, our experienced plastic surgery team offers personalized body contouring procedures designed to address excess skin, stubborn fat, and changes in body proportions. Every treatment plan is tailored to your goals, helping you achieve natural-looking improvements while supporting long-term confidence and well-being.

From tummy tucks and liposuction to fat transfer procedures and post-weight loss body contouring, Cal Med Physicians and Surgeons combines board-certified expertise with individualized treatment plans and advanced surgical care to help patients achieve balanced, confidence-boosting results.

#### More Than Contouring

*What is Body Plastic Surgery?*

Body plastic surgery encompasses a range of procedures designed to improve body shape, proportions, and contour. These procedures can address excess skin, localized fat deposits, stretched abdominal muscles, and changes that occur following pregnancy, aging, or significant weight loss.

At Cal Med Physicians and Surgeons, body contouring options may include:

- Tummy tuck surgery (abdominoplasty)
- Liposuction
- Fat transfer procedures
- Body lift surgery
- Arm lift surgery
- Thigh lift surgery
- Post-weight loss body contouring

Every treatment plan is personalized to address each patient's anatomy, goals, and desired outcome. Whether performed individually or combined as part of a larger body transformation, body plastic surgery is designed to create smoother contours and improved proportions.

#### Excellence in Care & Precision

*What is the Body Plastic Surgery procedure like?*

Your experience begins with a comprehensive consultation, where your surgeon will discuss your goals, review your anatomy, and recommend the most appropriate treatment options.

Depending on the procedures selected, surgery may be performed under general anesthesia in one of Cal Med's accredited outpatient surgery centers. Techniques vary based on the area being treated and may involve fat removal, skin tightening, muscle repair, or fat transfer.

Following surgery, patients spend time recovering in a monitored setting before returning home with detailed post-operative instructions. Follow-up appointments allow your surgical team to monitor healing and guide you through every stage of recovery.

#### Addressing Body Changes

*What conditions does Body Plastic Surgery address?*

Body plastic surgery can help address:

- Loose or sagging skin
- Changes following pregnancy
- Stubborn fat deposits resistant to diet and exercise
- Excess skin after significant weight loss
- Separated abdominal muscles (diastasis recti)
- Loss of body definition with aging
- Volume deficiencies requiring fat transfer
- Body asymmetry
- Skin laxity affecting the arms, abdomen, thighs, or lower body

Treatment recommendations are customized based on each patient's needs and goals.

#### A Journey Toward Harmony

*What areas can Body Plastic Surgery address?*

Body plastic surgery can improve contour and proportion throughout the body, including the abdomen, waist, flanks, hips, buttocks, thighs, arms, and lower body. Procedures are customized to create balanced, natural-looking results.

#### Reshape Your Confidence

*What are the benefits of Body Plastic Surgery?*

#### Step Into What’s Next

*Am I a candidate for Body Plastic Surgery?*

Body plastic surgery may be appropriate for healthy adults who are bothered by excess skin, stubborn fat deposits, or changes in body contour. Ideal candidates are typically close to their goal weight, maintain realistic expectations, and are committed to a healthy lifestyle.

A consultation with the plastic surgery team at Cal Med Physicians and Surgeons can help determine which procedures are most appropriate for your goals and anatomy.

#### Healing With Purpose

*Body Plastic Surgery Recovery*

Recovery varies depending on the procedures performed and the extent of treatment. Mild swelling, bruising, and soreness are expected during the early stages of healing.

Patients may be asked to:

- Wear compression garments
- Limit strenuous activity for several weeks
- Walk regularly to encourage circulation
- Attend follow-up appointments
- Gradually resume normal routines

Most patients return to light activities within one to two weeks, although more extensive procedures may require additional recovery time. Your surgeon will provide detailed guidance tailored to your specific treatment plan.

#### Reimagined Confidence

*Body Plastic Surgery Results*

Body plastic surgery can provide dramatic improvements in contour, proportion, and overall silhouette. Patients often notice changes immediately following surgery, though swelling gradually subsides over several months as final results emerge.

As healing progresses, many individuals enjoy smoother body lines, improved clothing fit, and increased confidence. Maintaining a stable weight and healthy lifestyle can help preserve results for many years, allowing patients to enjoy the benefits of their transformation long after recovery is complete.

#### Experience In Every Curve

*Why Choose Cal Med Physicians and Surgeons for Body Plastic Surgery?*

At Cal Med Physicians and Surgeons, body contouring procedures are approached with both surgical precision and an appreciation for natural-looking aesthetics. Our board-certified surgeons combine decades of experience with personalized treatment planning to create results that complement each patient's unique anatomy and goals.

Procedures are performed in accredited, state-of-the-art surgical facilities equipped with advanced technology and supported by attentive clinical teams. From consultation through recovery, patients receive compassionate, individualized care focused on safety, comfort, and achieving beautiful, balanced outcomes.

*Body Plastic Surgery Frequently Asked Questions*


---

## Vascular Endovascular Surgery

**Link:** [Vascular Endovascular Surgery](https://www.calmeddocs.com/vascular-endovascular-surgery/) ([md](https://www.calmeddocs.com/vascular-endovascular-surgery/index.html.md))

**Type:** Service

**Description:** Cal Med Ambulatory Surgery Center's San Bernardino vascular surgeons provide excellent treatment through surgery on diagnosed patients with vascular disease. Call now.

### Content

#### Restoring Life's Flow

*Vascular Endovascular Surgery at Cal Med Physicians and Surgeons*

Your blood vessels are your lifeline, carrying oxygen-rich blood via your veins to your heart; the freeway of your circulatory system. *You do not want to create your own traffic jam with the hardening of your arteries*. Cal Med Physicians and Surgeons have specialists to ensure you stay on the right track.

Our **San Bernardino vascular surgeons** provide treatment through surgery on diagnosed patients with diseases of the arterial, venous and lymphatic systems (excluding the intracranial and coronary arteries). The purpose of **vascular surgery** is to treat vascular diseases, which are diseases of the arteries and veins.

#### The Pathways of Health

*What is Vascular Disease?*

**Vascular disease** is any abnormal condition dealing with the blood vessels, *in particular the arteries and the veins*. Vascular surgery becomes necessary when there is a blockage in the arteries, which carry blood to different parts of the body. When there is a blockage in the artery, the blood supply is restricted or blocked, leading to important organs such as the heart.

*Anyone is vulnerable to vascular disease*, including people who are obese or suffer from type 2 diabetes. It can start as early as having atherosclerosis in adolescence. If your blood does not circulate properly, it can lead to all kinds of problems, such as disability and even death. It can strike at any time or to anyone.

Arterial disease is a condition in which blood clots, arteriosclerosis, and other vascular conditions occur in the arteries. Venous disease concerns problems that occur in the veins. Some vascular conditions occur only in arteries, only in the veins, or in both the arteries and the veins.

*Vascular Disease Causes & Symptoms:*

#### A Higher Level of Precision

*What is Vascular Endovascular Surgery?*

Vascular and endovascular surgery is a medical specialty focused on treating diseases of the blood vessels, including arteries and veins. The goal is to restore healthy circulation, prevent complications, and preserve organ and limb function.

Traditional vascular surgery may involve open surgical repair of blood vessels, while endovascular surgery utilizes minimally invasive techniques performed through small catheter-based access points. These procedures often allow for faster recovery and reduced disruption to surrounding tissues.

An endovascular procedure is *a minimally invasive surgical technique* that treats an assortment of diseases and which allows surgeons to use the major blood vessels to access the specific affected body part. A surgeon inserts a catheter through a tiny incision in the skin using a major blood vessel where the procedure will take place and the area that needs surgery. The most common blood vessel used for a surgery is the femoral artery or an artery near a joint.

Treatment options may include: 

- Angioplasty Stent placement 
- Atherectomy Endovascular aneurysm repair 
- Venous interventions 
- Bypass procedures 
- Limb salvage procedures 
- Vascular imaging and diagnostics 

Every treatment plan is tailored to the patient's condition, symptoms, and long-term vascular health goals.

In San Bernardino and Riverside endovascular surgery is a versatile technique for today’s surgeons because it can treat many diseases in different parts of the body in a minimally invasive way that is safer and offers minimal risk and shorter recovery time.

#### An Easier Experience

*What is the Vascular Endovascular Surgery procedure like?*

Treatment begins with a comprehensive vascular evaluation that may include ultrasound imaging, vascular studies, CT imaging, angiography, and physical examination.

For endovascular procedures, a small catheter is typically inserted through a tiny access point in the groin, wrist, or leg. Using advanced imaging guidance, the surgeon navigates specialized instruments through the blood vessels to treat blockages, narrowing, aneurysms, or other vascular abnormalities.

Depending on the condition, treatment may involve opening blocked arteries, placing stents, removing plaque buildup, or repairing damaged blood vessels.

Many endovascular procedures are performed with minimal incisions and may allow patients to return home the same day.

#### Protection Through Intervention

*What conditions does Vascular Endovascular Surgery address?*

Vascular and endovascular surgery may be used to diagnose and treat:

- Peripheral Artery Disease (PAD)
- Critical Limb Ischemia (CLI)
- Peripheral Vascular Disease (PVD)
- Diabetic circulation complications
- Non-healing wounds
- Chronic limb-threatening ischemia
- Aortic aneurysms
- Carotid artery disease
- Arterial blockages
- Deep vein disorders
- Venous insufficiency
- Varicose veins
- Vascular trauma
- Compromised circulation affecting wound healing

These conditions often require timely intervention to reduce the risk of serious complications, including tissue loss, infection, stroke, or amputation.

#### Whole-Body Circulatory Support

*What areas can Vascular Endovascular Surgery address?*

Vascular and endovascular procedures can treat blood vessel conditions throughout the body, including the neck, abdomen, pelvis, arms, legs, feet, and major arteries and veins responsible for circulation and organ health.

#### Beyond Blood Flow

*What are the benefits of Vascular Endovascular Surgery?*

**Restore Healthy Circulation**

Improving blood flow helps deliver oxygen and nutrients to tissues throughout the body.

**Preserve Limbs**

Early vascular intervention can play a critical role in preventing limb loss and supporting long-term mobility.

**Support Wound Healing**

Improved circulation is often essential for healing chronic wounds, diabetic ulcers, and tissue injuries.

**Minimize Invasiveness**

Many endovascular procedures are performed through small access sites, resulting in less discomfort and faster recovery.

**Reduce Complications**

Treatment may lower the risk of infection, tissue damage, cardiovascular complications, and disease progression.

**Improve Quality of Life**

Patients often experience reduced pain, improved walking ability, greater independence, and increased confidence in daily activities.

#### Time to Take Action

*Am I a candidate for Vascular Endovascular Surgery?*

You may be a candidate if you experience:

- Leg pain while walking
- Non-healing wounds
- Foot ulcers
- Poor circulation
- Cold or discolored extremities
- Swelling or venous disease
- Diagnosed vascular disease
- Aneurysms
- Diabetic circulation complications

Many vascular conditions progress gradually and may not cause symptoms until circulation becomes severely compromised. Early evaluation can help identify treatment options before complications occur.

#### Healing in Motion

*Vascular Endovascular Surgery Recovery*

Recovery depends on the type of procedure performed and the patient's overall health.

Many minimally invasive endovascular procedures allow patients to resume light activities within a few days. More complex vascular surgeries may require longer recovery periods and additional follow-up care.

Patients may receive recommendations regarding:

- Activity modifications
- Walking programs
- Compression therapy
- Wound care
- Medication management
- Follow-up vascular imaging

For patients with chronic wounds or limb-threatening conditions, Cal Med's Advanced Wound Care, Limb Preservation, Podiatry, and Hyperbaric Oxygen Therapy programs can provide additional support during recovery.

#### A Future With Better Flow

*Vascular Endovascular Surgery Results*

Many patients experience significant improvements in circulation, mobility, wound healing, and overall quality of life following vascular intervention. Improved blood flow often reduces pain, supports tissue health, and helps prevent further progression of vascular disease.

Results vary depending on the severity of the condition being treated, overall vascular health, and ongoing management of risk factors such as diabetes, smoking, high blood pressure, and cholesterol. With appropriate follow-up care, vascular interventions can provide lasting benefits that help patients maintain independence and preserve long-term health.

#### A Comprehensive Specialist Network

*Why Choose Cal Med Physicians and Surgeons?*

Cal Med Physicians and Surgeons is a premier surgical provider group whose mission is to offer the highest quality health care to residents of the Inland Empire.

Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique group with approximately 35 licenses and board certified surgeons. Our roster includes many of the best neurosurgeons, ophthalmologists, ear, nose and throat (ENT) specialists, oral, general and vascular surgeons San Bernardino County has to offer.

Our [San Bernardino and Riverside surgeons](https://www.calmeddocs.com/) serve as the main surgical providers (except for orthopedics) at Arrowhead Regional Medical Center, including in the level 2 trauma center and regional burn center, and provide surgical services at Community Hospital of San Bernardino and Redlands Community Hospital. Our neurosurgeons provide services not only at Arrowhead Regional Medical Center, but also at Riverside University Health System Medical Center and Desert Regional Medical Center.

Our president, Dev Gnanadev, M.D., is an associate medical director and chairman of the surgery department at Arrowhead Regional Medical Center.

*Vascular Endovascular Surgery Frequently Asked Questions*


---

## Podiatry Center

**Link:** [Podiatry Center](https://www.calmeddocs.com/podiatry-center/) ([md](https://www.calmeddocs.com/podiatry-center/index.html.md))

**Type:** Service

**Description:** Expert foot and ankle care in Colton, CA. Cal Med's Podiatry Center offers personalized treatment for pain, injuries, diabetic foot conditions, and more.

### Content

#### Every Step Matters

*Podiatry Center at Cal Med Physicians and Surgeons*

Healthy feet are the foundation of an active life. At Cal Med Physicians and Surgeons, our Podiatry Center provides specialized care for a wide range of foot and ankle conditions, from everyday discomfort to complex diabetic and circulation-related concerns. Whether you're dealing with chronic pain, sports injuries, or non-healing wounds, our team delivers personalized treatment plans designed to restore mobility and improve quality of life.

**Comprehensive Foot Care with Advanced Limb Preservation Support**

Cal Med Physicians and Surgeons combines expert podiatric care with vascular evaluation, advanced wound care, and Hyperbaric Oxygen Therapy to provide patients with a multidisciplinary approach to foot and ankle health.

#### Healthy Feet For Healthy Living

*What is Podiatry?*

Podiatry is the medical specialty dedicated to diagnosing, treating, and preventing conditions affecting the feet, ankles, and lower extremities. Podiatric care encompasses everything from common concerns such as bunions and heel pain to complex diabetic foot ulcers and circulation-related conditions.

At Cal Med Physicians and Surgeons, our Podiatry Center offers comprehensive treatment options, including conservative therapies, advanced wound care, surgical intervention, and, when appropriate, multidisciplinary care with vascular specialists and hyperbaric medicine professionals.

Our goal is not only to relieve symptoms but also to preserve mobility, prevent complications, and support long-term foot health.

#### Care From the Ground Up

*What is the Podiatry process like?*

Your experience begins with a thorough evaluation of your symptoms, medical history, and lifestyle. Diagnostic imaging, circulation assessments, or additional testing may be recommended to better understand the underlying cause of your condition.

Depending on your diagnosis, treatment may include:

- Orthotics or footwear recommendations
- Wound management
- Medication or injections
- Physical therapy recommendations
- Surgical intervention
- Advanced limb preservation therapies

When surgery is necessary, procedures are performed in Cal Med's accredited outpatient facilities with personalized follow-up care to support recovery.

#### Solutions For Every Step

*What conditions does Podiatry address?*

Our Podiatry Center treats a wide variety of conditions, including:

- Heel pain and plantar fasciitis
- Bunions
- Hammertoes
- Ingrown toenails
- Tendon injuries
- Arthritis of the foot and ankle
- Sports injuries
- Stress fractures
- Diabetic foot ulcers
- Peripheral neuropathy
- Circulation-related wounds
- Chronic wounds
- Flat feet
- Achilles tendon disorders
- Corns and calluses
- Foot and ankle deformities

Through our integrated wound care and limb preservation services, patients with complex conditions receive comprehensive support designed to help avoid serious complications.

#### Specialized Diabetic Foot Care

*Diabetic Foot Ulcers*

One of the most common conditions treated at our center is diabetic foot ulcers. Diabetes can damage nerves and blood vessels, reducing sensation and limiting circulation to the feet and lower extremities.

As a result, even small cuts, blisters, or pressure areas may develop into serious wounds. Without timely diabetic foot ulcer care, these wounds can worsen, become infected, and increase the risk of hospitalization or amputation.

Our diabetic foot ulcer care program includes advanced wound healing therapies, circulation assessment, infection management, offloading techniques, patient education, and ongoing monitoring.

We also evaluate whether patients may benefit from hyperbaric oxygen therapy or other advanced treatments.

#### Move Forward In Comfort

*What are the benefits of Podiatry care?*

#### Step Into Support

*Am I a candidate for Podiatry?*

Anyone experiencing foot pain, ankle discomfort, injuries, deformities, diabetic foot concerns, or chronic wounds may benefit from podiatric care.

Patients with diabetes, vascular disease, or conditions that affect circulation are particularly encouraged to seek evaluation early, as timely treatment can help reduce the risk of complications and improve healing outcomes.

#### Healing In Motion

*Podiatry Recovery*

Recovery depends on the condition being treated and whether surgery is required. Many non-surgical treatments allow patients to return to daily activities immediately, while surgical procedures may require a period of reduced activity and rehabilitation.

Patients with wounds or diabetic foot conditions may require ongoing monitoring, dressing changes, or advanced therapies to promote healing. Our team provides individualized aftercare instructions and follows patients closely to support optimal recovery and long-term foot health.

#### Back On Your Feet

*Podiatry Results*

Successful podiatric treatment can significantly improve comfort, mobility, and overall quality of life. Many patients experience reduced pain and greater ease with walking and daily activities after receiving appropriate care.

For patients with chronic wounds, diabetic foot ulcers, or circulation-related conditions, early intervention and comprehensive management can support healing and help preserve mobility. Through personalized care and advanced treatment options, Cal Med Physicians and Surgeons is committed to helping patients maintain healthy, active lives for years to come.

#### Expert Care, Every Step

*Why Choose Cal Med Physicians and Surgeons for Podiatry?*

At Cal Med Physicians and Surgeons, podiatric care extends far beyond treating symptoms. Our team takes a comprehensive approach to foot and ankle health, combining expert diagnosis with individualized treatment plans tailored to each patient's needs.

What sets Cal Med apart is our integrated approach to complex lower extremity conditions. Patients benefit from access to vascular specialists, advanced wound care services, limb preservation programs, and Hyperbaric Oxygen Therapy—all under one organization. This collaborative model allows us to provide comprehensive care for everything from common foot problems to serious diabetic and circulation-related conditions.

Serving patients throughout Colton, San Bernardino County, Riverside County, and the Inland Empire, Cal Med is committed to helping patients stay active, independent, and moving comfortably.

*Podiatry Frequently Asked Questions*


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## Plastic Surgery

**Link:** [Plastic Surgery](https://www.calmeddocs.com/plastic-surgery/) ([md](https://www.calmeddocs.com/plastic-surgery/index.html.md))

**Type:** Service

**Description:** At Cal Med Ambulatory Surgery Center our San Bernardino plastic surgeons perform a wide range of reconstructive and cosmetic plastic surgery. Contact us today.

### Content

#### Refine Your Power

*Plastic Surgery at Cal Med Physicians and Surgeons*

Plastic surgery is about more than appearance; it's about helping patients feel comfortable, confident, and empowered in their own skin. At Cal Med Physicians and Surgeons, our plastic surgery team offers a comprehensive range of cosmetic and reconstructive procedures designed to enhance natural beauty, restore balance, and improve quality of life. Whether you're interested in facial rejuvenation, body contouring, breast enhancement, or reconstructive solutions, every treatment plan is tailored to your unique anatomy, goals, and lifestyle.

**Our plastic surgeons perform a wide variety of procedures from head to toe, with most surgeries divided into two categories: reconstructive and aesthetic.** *Reconstructive surgery* is designed to improve function and form and restore to the fullest extent possible the original esthetics of the body part. *Aesthetic surgery* involves the enhancement of certain normal parts of the body.

#### Artistry Meets Surgical Excellence

*What is Aesthetic Surgery?*

Aesthetic surgery is a field of plastic and reconstructive surgery, aiming at restoring or improving the appearance of various parts of the body.

Patients who seek aesthetic improvement may desire to reverse the effects of aging on their face or body, have completed their weight loss journey and desire body contouring, or may be unhappy with the aesthetics of certain parts of their bodies and desire a change.

We know that having aesthetic surgery is a big decision. Here at Cal Med Aesthetic Surgery, we strive to make that journey as pleasant as possible. From the initial consultation to the post-operative care, our board-certified surgeons and our experienced, dedicated team will work with you to provide individualized care to meet your needs and goals. Our team’s ethos can be summarized in three words: Honesty, Communication, Safety.

#### Build Your Confidence

*What is plastic and reconstructive surgery?*

A reconstructive surgery helps to improve body function, a more even and normal appearance, and self-esteem. According to the American Society of Plastic Surgeons, there are more than one million reconstructive surgery procedures done each year.

**Reconstructive plastic surgery focuses on repairing facial and body abnormalities** and defects and correcting dysfunctional areas of your body to give you a more normal appearance. There are many reasons why you may need a reconstructive procedure, from birth disorders to sudden traumatic injury. It could be simply an aging issue, an infection, or to treat a disease or tumor.

#### An Exceptional Surgical Experience

*What is the Plastic Surgery procedure like?*

Your experience begins with a comprehensive consultation and surgical planning appointment. During this process, your surgeon evaluates your anatomy, discusses your goals, reviews your medical history, and develops a customized treatment plan.

On the day of surgery, patients arrive at Cal Med's accredited outpatient surgery center, where they are cared for by an experienced surgical team. Depending on the procedure, surgery may be performed using local anesthesia, IV sedation, or general anesthesia.

After surgery, patients recover in a monitored post-operative setting before returning home with detailed recovery instructions and follow-up appointments.

#### Solutions With Purpose

*What conditions does Plastic Surgery address?*

Plastic surgery may help address:

- Facial aging and volume loss
- Excess or sagging skin
- Breast asymmetry
- Loss of breast volume
- Large or uncomfortable breasts
- Post-pregnancy body changes
- Weight-loss related skin laxity
- Nasal shape or structural concerns
- Drooping eyelids
- Scarring
- Congenital differences
- Tissue defects following injury or surgery
- Gender affirmation goals

#### Full-Body Confidence

*What areas can Plastic Surgery address?*

Plastic surgery can address concerns involving the face, neck, eyelids, nose, breasts, abdomen, arms, thighs, buttocks, and other areas of the body. Treatments may focus on aesthetic enhancement, reconstruction, functional improvement, or a combination of these goals.

#### A Tailored Transformation

*What are the benefits of Plastic Surgery?*

**Personalized Solutions**

Every procedure is customized to the individual rather than following a one-size-fits-all approach.

**Enhanced Confidence**

Many patients report feeling more comfortable and confident after addressing long-standing aesthetic concerns.

**Improved Proportions**

Plastic surgery can create greater balance and harmony between facial features or body contours.

**Functional Improvements**

Certain procedures may improve comfort, mobility, vision, breathing, or overall quality of life.

**Long-Lasting Results**

While aging continues naturally, surgical improvements often provide benefits that can last for many years.

**Reconstructive Support**

Plastic surgery can help restore appearance and function following injury, illness, cancer treatment, or significant weight loss.

#### Sculpted Intention

*Am I a candidate for Plastic Surgery?*

Candidates for plastic surgery are typically healthy individuals seeking cosmetic enhancement, reconstruction, or functional improvement.

You may be a candidate if you:

- Are in good overall health
- Have realistic expectations
- Are bothered by specific cosmetic or structural concerns
- Have completed significant weight loss
- Wish to improve confidence or comfort
- Need reconstructive treatment following injury, illness, or surgery

A consultation with the Cal Med team is the best way to determine which procedures may be appropriate for your needs.

#### Full-Spectrum Healing Support

*Plastic Surgery Recovery*

Recovery varies significantly depending on the procedure performed. Some patients may return to work within a few days, while others may require several weeks of recovery.

Patients can generally expect:

- Temporary swelling and bruising
- Activity restrictions during early healing
- Follow-up appointments to monitor progress
- Gradual improvement as tissues heal

For reconstructive cases, wound-related procedures, or patients with healing challenges, Cal Med's integrated Advanced Wound Care, Limb Preservation, and Hyperbaric Oxygen Therapy (HBOT) programs provide additional resources that may help support recovery when medically appropriate.

#### Outcomes That Reflect You

*Plastic Surgery Results*

Plastic surgery results are designed to enhance your natural features while supporting your personal goals. Improvements may include more balanced facial proportions, smoother contours, restored volume, improved symmetry, or reconstruction of areas affected by injury, illness, or previous surgery.

While some changes are visible immediately, final results continue to develop as swelling resolves and tissues heal. Depending on the procedure, results may last for many years and can often be maintained through a healthy lifestyle and ongoing skincare or wellness practices.

#### Credentials For Confidence

*Why Choose Cal Med Physicians and Surgeons?*

Cal Med Physicians and Surgeons is a premier surgical provider group that supplies the highest quality health care to residents of the Inland Empire. Formerly known as Arrowhead Community Surgical Medical Group, Inc., Cal Med is a unique center with approximately 35 licensed and board-certified surgeons. We employ many of the best neurosurgeons, ophthalmologists, ear, nose, and throat (ENT) specialists, oral, vascular, and plastic surgeons San Bernardino County has to offer.

The [San Bernardino surgeons](https://www.calmeddocs.com/) from Cal Med serve as the main surgical providers (except orthopedics) at Arrowhead Regional Medical Center, including the level 2 trauma center and regional burn center, as well as the Community Hospital of San Bernardino. Neurosurgeons from Cal Med also contribute to the Riverside County Regional Medical Center and the Desert Regional Medical Center, in addition to Arrowhead Regional.

Cal Med president, Dr. Dev GnanaDev, is an associate medical director and chairman of the surgery department at the Arrowhead Regional Medical Center, and our general surgeon, Dr. John Culhane, is the medical director of the Edward G. Hirschman Burn Center (at Arrowhead), the only burn center in four counties.

*Plastic Surgery Frequently Asked Questions*


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## Hyperbaric Oxygen Therapy (HBOT)

**Link:** [Hyperbaric Oxygen Therapy (HBOT)](https://www.calmeddocs.com/hyperbaric-oxygen-therapy/) ([md](https://www.calmeddocs.com/hyperbaric-oxygen-therapy/index.html.md))

**Type:** Service

**Description:** Advanced HBOT in San Bernardino and Riverside. Hyperbaric oxygen therapy supports healing for chronic wounds, radiation injury, and complex conditions.

### Content

#### A Higher Standard of Healing

*HBOT at Cal Med Physicians and Surgeons*

Sometimes healing requires more than traditional treatment alone. Hyperbaric Oxygen Therapy (HBOT) provides advanced oxygen-based support for patients with chronic wounds, diabetic foot ulcers, radiation injuries, compromised grafts, and other complex conditions. At Cal Med Physicians and Surgeons, our Hyperbaric Medicine program combines evidence-based treatment protocols with personalized care to help improve healing potential and preserve quality of life.

Advanced hyperbaric medicine at Cal Med Limb Preservation Center combines specialized expertise, multidisciplinary wound care, and personalized treatment plans to support healing for complex conditions and chronic wounds.

#### A Cellular Breath of Fresh Air

*What is Hyperbaric Oxygen Therapy (HBOT)?*

Hyperbaric Oxygen Therapy (HBOT) is a medical treatment in which patients breathe 100% oxygen inside a specially designed hyperbaric chamber. During treatment, the atmospheric pressure inside the chamber is increased above normal levels, allowing significantly more oxygen to dissolve into the bloodstream.

This oxygen-rich blood is delivered throughout the body to tissues that may be damaged, oxygen-deprived, inflamed, or infected. Oxygen is essential for cellular repair, tissue regeneration, and immune function, making HBOT an important component of advanced wound healing and hyperbaric medicine.

Hyperbaric oxygen therapy has been used for decades in hospitals and specialized wound centers across the United States and is often incorporated into a broader multidisciplinary treatment plan.

#### Inside the Chamber

*What is the HBOT procedure like?*

Hyperbaric Oxygen Therapy is generally painless and often described as relaxing.

Before treatment, patients undergo a comprehensive evaluation to determine whether HBOT is appropriate for their condition. Once treatment begins, patients enter the hyperbaric chamber and breathe concentrated oxygen while the chamber is gradually pressurized.

During pressure changes, patients may experience a sensation similar to flying on an airplane, with a sense of fullness or popping in the ears. Once treatment pressure is reached, patients simply relax while oxygen circulates throughout the body.

Depending on the chamber and treatment plan, patients may rest, watch television, or listen to music during the session. Throughout treatment, trained hyperbaric medicine professionals continuously monitor safety and comfort.

#### Complex Healing Support

*What conditions does HBOT address?*

Hyperbaric oxygen therapy is approved for several conditions and may be incorporated into treatment plans for:

**Diabetic Foot Ulcers**

Poor circulation and nerve damage caused by diabetes can lead to wounds that struggle to heal. HBOT helps support oxygen delivery and may complement advanced wound care therapies.

**Delayed Radiation Injury**

Patients experiencing late effects of radiation therapy involving the skin, jaw, bladder, bowel, or soft tissues may benefit from hyperbaric medicine when traditional treatments have been unsuccessful.

**Chronic Refractory Osteomyelitis**

Persistent bone infections can be difficult to treat and may require HBOT as part of a comprehensive care plan.

**Compromised Grafts and Flaps**

Reduced blood flow following reconstructive surgery may threaten tissue viability. Hyperbaric oxygen therapy may help support healing and tissue preservation.

**Necrotizing Soft Tissue Infections**

HBOT may be utilized alongside surgical treatment and antibiotics to support infection management.

**Chronic Wounds and Limb Preservation**

Patients with circulation-related wounds, vascular disease, and non-healing ulcers often benefit from the multidisciplinary approach offered through Cal Med's Advanced Wound Care and Limb Preservation Center.

#### Repair Beyond the Surface

*What areas can HBOT address?*

Because oxygen is delivered throughout the bloodstream, Hyperbaric Oxygen Therapy supports healing throughout the body. HBOT may benefit tissues affected by chronic wounds, radiation injury, compromised circulation, infection, and impaired oxygen delivery.

#### Breathe In What’s Possible

*What are the benefits of HBOT?*

When medically appropriate, hyperbaric oxygen therapy may provide several important benefits.

- **Enhanced Oxygen Delivery: **HBOT increases the amount of dissolved oxygen circulating throughout the bloodstream, helping nourish compromised tissues.
- **Support for Wound Healing: **Increased oxygen levels may help stimulate tissue repair and support the body's natural healing processes.
- **New Blood Vessel Formation: **HBOT can encourage angiogenesis, or the development of new blood vessels, improving circulation in damaged areas.
- **Infection Support: **Oxygen-rich environments may enhance the body's immune response and help support treatment for certain infections.
- **Reduced Swelling: **Hyperbaric medicine may help decrease inflammation and edema in selected conditions.
- **Limb Preservation: **By addressing tissue oxygenation and healing potential, HBOT may contribute to limb preservation efforts in patients with diabetic wounds and vascular disease.

#### An Extra Push Toward Recovery

*Am I a candidate for HBOT?*

Candidates for Hyperbaric Oxygen Therapy are typically patients with chronic wounds, diabetic foot ulcers, radiation injuries, certain infections, compromised grafts or flaps, and other approved conditions.

Every patient undergoes a thorough evaluation that includes medical history, diagnostic testing, imaging, medications, and overall health status. Because HBOT is not appropriate for everyone, treatment recommendations are individualized and based on established clinical guidelines.

#### Simple, Stress-Free Support

*HBOT Recovery*

One of the advantages of Hyperbaric Oxygen Therapy is that there is little to no downtime after treatment.

Most patients can return to their normal daily activities immediately following a session. Depending on the underlying condition being treated, multiple treatments may be scheduled over several weeks. Patients should continue following all wound care instructions, medications, and physician recommendations throughout their treatment course to maximize healing potential.

#### Advancing Natural Healing

*HBOT Results*

Hyperbaric oxygen therapy is designed to support the body's natural healing processes rather than produce instant changes. Results occur gradually and vary depending on the condition being treated, overall health, circulation, and adherence to the treatment plan.

Many patients receiving HBOT as part of comprehensive wound care experience improvements in healing progression, tissue viability, infection control, and overall quality of life. Because HBOT is frequently used alongside advanced wound care therapies, vascular evaluation, and limb preservation strategies, its benefits are often seen as part of a broader, multidisciplinary approach to recovery.

#### Reclaim Your Health In Confidence

*Why Choose Cal Med Physicians and Surgeons for HBOT?*

At Cal Med Physicians and Surgeons, hyperbaric oxygen therapy is integrated within a dedicated Advanced Wound Care and Limb Preservation Center. Rather than treating wounds or complex conditions in isolation, our team takes a multidisciplinary approach designed to identify underlying causes and support long-term healing.

Patients benefit from coordinated care that may include:

- Hyperbaric Medicine
- Advanced wound care therapies
- Vascular evaluation and circulation assessment
- Infection management
- Debridement and specialized dressings
- Limb preservation strategies
- Ongoing monitoring and personalized treatment plans

By bringing multiple specialties together under one roof, Cal Med provides patients with comprehensive care focused on healing wounds, preserving mobility, and helping patients return to daily life with greater confidence.

*HBOT Frequently Asked Questions*


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## Breast Augmentation

**Link:** [Breast Augmentation](https://www.calmeddocs.com/breast-augmentation/) ([md](https://www.calmeddocs.com/breast-augmentation/index.html.md))

**Type:** Service

**Description:** Enhance your shape and confidence with personalized breast augmentation at Cal Med Physicians and Surgeons in Colton, CA.

### Content

#### Beautifully Personalized

*Breast Augmentation at Cal Med Physicians and Surgeons*

Whether you're looking to enhance volume, restore breast fullness after pregnancy or weight loss, or achieve better symmetry, breast augmentation offers highly customizable solutions tailored to your goals. At Cal Med Physicians and Surgeons, our plastic surgeons provide a comprehensive approach to breast enhancement, offering implant-based augmentation as well as fat transfer techniques and complementary breast procedures designed to create natural-looking, balanced results.

From breast augmentation and fat transfer to breast lifts, implant exchange procedures, and gender-affirming breast surgery, Cal Med Physicians and Surgeons offers personalized breast care delivered with surgical expertise and an emphasis on natural, harmonious results.

#### Confidence, Customized

*What is Breast Augmentation?*

Breast augmentation is a cosmetic surgical procedure designed to enhance breast size, improve symmetry, and restore fullness. While breast implants remain the most common method of augmentation, some patients may also benefit from fat transfer breast augmentation, which uses the body's own fat to create subtle, natural enhancement.

At Cal Med Physicians and Surgeons, breast augmentation is customized to each patient's anatomy and goals. In some cases, augmentation may be combined with a breast lift to restore both volume and position, creating a more youthful and balanced appearance.

#### Your Journey to Transformation

*What is the Breast Augmentation procedure like?*

The process begins with a comprehensive consultation where your surgeon discusses your breast procedure options, sizing, incision placement, and desired outcomes. Together, you will develop a treatment plan designed specifically for your anatomy and goals.

Following the procedure, patients are monitored before returning home with detailed recovery instructions. Most patients can resume light activities within several days while gradually returning to normal routines over the following weeks.

#### Beauty In Balance

*What conditions does Breast Augmentation address?*

Breast augmentation may help improve concerns such as:

- Naturally small breast size
- Loss of volume following pregnancy or breastfeeding
- Weight-loss-related changes
- Breast asymmetry
- Age-related loss of fullness
- Congenital breast differences
- Desire for enhanced body proportions
- Volume restoration following implant removal
- Gender-affirming breast enhancement

Our surgeons also offer breast lift procedures, breast reduction, implant exchange, breast explantation, and fat transfer techniques to address a wide range of cosmetic and reconstructive goals.

#### Calibrated Confidence

*What are the benefits of Breast Augmentation?*

#### Embrace a Fuller Future

*Am I a candidate for Breast Augmentation?*

Breast augmentation may be appropriate for healthy adults seeking fuller breasts, improved symmetry, or restoration of lost volume. Candidates should have realistic expectations and be in good overall health.

During your consultation, our surgeons will discuss all available options, including implant-based augmentation, fat transfer, breast lift surgery, implant exchange, or breast explantation, to determine the approach that best aligns with your goals and anatomy.

#### Measured & Intentional Healing

*Breast Augmentation Recovery*

Recovery following breast augmentation is gradual, and every patient heals at their own pace. Mild swelling, soreness, and tightness are common during the first several days after surgery.

Most patients are able to return to light daily activities within a few days and resume work within one week, depending on their occupation. More strenuous exercise and heavy lifting should be avoided for several weeks to allow proper healing.

Patients will wear a supportive garment and attend follow-up appointments to ensure their recovery is progressing as expected. Cal Med's team remains available throughout the healing process to provide guidance and support.

#### Proportions That Complement

*Breast Augmentation Results*

Breast augmentation provides long-lasting improvements in breast size, shape, and overall balance. While swelling is expected initially, patients typically begin seeing their new contours emerge over the first several weeks, with final results continuing to refine as tissues settle.

Many women experience increased confidence and greater satisfaction with their appearance following surgery. Because every treatment plan is customized, results are designed to complement each patient's natural proportions while achieving their personal goals. With proper care and routine monitoring, breast implants can provide years of beautiful, natural-looking enhancement.

#### Tailored Expertise

*Why Choose Dr. Efstathios Karamanos For Breast Augmentation?*

At Cal Med Physicians and Surgeons, breast enhancement is approached with both surgical precision and artistic understanding. Our board-certified surgeons recognize that every patient has unique goals, which is why treatment plans are carefully tailored to achieve balanced, natural-looking outcomes.

In addition to breast augmentation, our team offers a full spectrum of breast procedures, including fat transfer breast augmentation, breast lift surgery, breast reduction, implant exchange, breast explantation, and gender-affirming breast procedures. This comprehensive approach allows patients to explore all available options and receive care designed specifically for their needs.

Procedures are performed in our accredited outpatient surgery centers using advanced techniques and a patient-first philosophy focused on safety, comfort, and exceptional outcomes. When specialized healing support is needed, patients also benefit from access to Cal Med's integrated wound care and Hyperbaric Oxygen Therapy services, providing comprehensive continuity of care under one trusted organization.

*Breast Augmentation Frequently Asked Questions*


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## Limb Preservation

**Link:** [Limb Preservation](https://www.calmeddocs.com/limb-preservation-center/) ([md](https://www.calmeddocs.com/limb-preservation-center/index.html.md))

**Type:** Service

**Description:** Advanced limb preservation in San Bernardino with wound care, vascular evaluation, and HBOT to help support healing and reduce amputation risk.

### Content

#### Protect What Moves You

*Limb Preservation at Cal Med Physicians and Surgeons*

When wounds, diabetes, poor circulation, or infection threaten the health of an arm or leg, early intervention can make all the difference. At Cal Med Physicians and Surgeons in San Bernardino, our multidisciplinary Limb Preservation Center brings together advanced wound care, vascular evaluation, hyperbaric oxygen therapy (HBOT), and personalized treatment plans designed to address the underlying causes of delayed healing. By combining multiple specialties under one roof, we help patients preserve mobility, reduce complications, and support better long-term outcomes.

Advanced wound care, vascular expertise, and hyperbaric medicine work together at Cal Med to help preserve limbs, promote healing, and improve quality of life.

Protect what moves you. To see if you may be a good fit for our Limb Preservation Center, contact Program Director Lauri Alba or fill out the form below.

P: [909-679-2754](tel:9096792754)

F: [909-906-9025](tel:9099069025)

#### Preserving Form & Function

*What is Limb Preservation?*

Limb preservation is a comprehensive medical approach focused on preventing tissue loss, preserving function, and reducing the risk of amputation in patients with chronic wounds or circulation-related conditions. Rather than treating only the wound itself, limb preservation addresses the underlying factors that interfere with healing.

At Cal Med Physicians and Surgeons, limb preservation may include advanced wound management, vascular evaluation, surgical intervention when necessary, infection control, pressure offloading, diabetic foot care, and hyperbaric oxygen therapy. Every treatment plan is individualized to provide the most effective pathway toward healing.

#### A Team-Based Approach

*What is the Limb Preservation procedure like?*

Limb preservation is not a single procedure but a coordinated treatment process involving multiple specialties. Your care begins with a comprehensive evaluation to determine why healing has slowed and identify any underlying conditions contributing to tissue damage.

When a patient is referred to the center, it is vital to assess the problem quickly, as time is often of the essence when trying to save a limb. Patients can expect to see a doctor and other members of the team. Treatments during the course of care at the center may include:

- Diagnostic tests
- Blood work
- Wound cultures
- Offloading (surgical or with devices)
- Surgical debridement
- Revascularization (restoring circulation to the lower leg with a surgical procedure)
- Wound closure (such as skin graft)

#### Treating Complex Cases

*What conditions does Limb Preservation address?*

The Limb Preservation Center, Advanced Wound Care & Hyperbaric Medicine provides services to patients with conditions that may lead to a major lower limb amputation. Amputations related to complications of diabetes (such as peripheral vascular disease or diabetic foot infections) are the most common cause of lower-extremity amputations. Approximately 50,000-60,000 major lower-extremity amputations are performed each year in the U.S. as a result of diabetes-related complications.

These may include patients with diabetic foot ulcers, diabetic foot infections, peripheral arterial disease, or other limb-threatening conditions. The center may also treat other types of non-healing wounds, such as pressure sores, venous ulcers (from swollen legs, usually around or above the ankle), non-healing post-operative wounds, and other types of wound conditions.

Wounds and conditions that are commonly treated with HBOT include, but are not limited to:

- Chronic bone infections
- Compromised skin grafts or flaps (i.e., grafts or flaps that don’t “take”)
- Diabetic foot ulcers that meet certain criteria
- Late effects of radiation (i.e., effects after radiation can occur months or even years after the treatment)

#### Focused On Mobility

*What areas can Limb Preservation address?*

Limb preservation most commonly focuses on the feet, toes, ankles, lower legs, and areas affected by diabetes or vascular disease. However, advanced wound care and reconstructive therapies may also help preserve tissue in the hands, arms, and other areas affected by chronic wounds or compromised circulation.

#### Protecting Quality of Life

*What are the benefits of Limb Preservation?*

#### Support When It Matters Most

*Am I a candidate for Limb Preservation?*

You may be a candidate for limb preservation if you have:

- A chronic wound that has not healed with traditional treatment
- Diabetes and foot ulcers
- Poor circulation or peripheral artery disease
- Venous insufficiency
- Pressure injuries
- Tissue damage from radiation therapy
- Compromised grafts or surgical flaps
- Recurring infections
- A condition that places you at increased risk for amputation

An evaluation at Cal Med's Limb Preservation Center can help determine which therapies are appropriate for your condition.

#### Healing Through Partnership

*Limb Preservation Recovery*

Recovery varies depending on the severity of the wound and the underlying medical condition being treated. Many patients require ongoing wound care visits, specialized dressings, offloading devices, vascular management, or hyperbaric oxygen therapy sessions.

Patient education is an essential part of recovery. Following wound care instructions, managing blood sugar levels, maintaining proper nutrition, and attending follow-up appointments all play important roles in achieving successful outcomes.

Healing is often gradual, but close monitoring and personalized care help support steady progress.

#### An Optimistic Future

*Limb Preservation Results*

The goal of limb preservation is to promote wound healing while maintaining tissue function and preventing complications. Patients often experience improved healing, reduced pain, better circulation, and greater mobility as treatment progresses.

Results vary based on the severity of the condition and overall health, but early intervention and multidisciplinary care can significantly improve healing outcomes. For many patients, successful limb preservation means maintaining independence, avoiding hospitalization, and returning to everyday life with greater confidence.

#### A Center Dedicated to Healing

*Why Choose Cal Med Physicians and Surgeons for Limb Preservation?*

Cal Med Limb Preservation Center Advanced Wound Care & Hyperbaric Medicine was created to provide patients with specialized care for complex wounds and conditions that threaten mobility. Unlike traditional treatment models, our center combines advanced wound management, vascular expertise, podiatry, hyperbaric oxygen therapy, and multidisciplinary collaboration under one roof.

Our team focuses on identifying the root causes of delayed healing and developing individualized treatment plans designed to preserve tissue, improve circulation, and support long-term health. By bringing multiple specialties together, we provide patients with comprehensive care centered on healing, mobility, and quality of life.

**Our Medical Director**

The team consists of doctors, nurses, and other staff, all dedicated to helping you achieve a healed wound.

Our medical director, Sam Lee, MD, a vascular and endovascular surgeon, oversees clinical operations in the center, ensuring high standards of patient care, safety, and outcomes. They guide treatment protocols, lead interdisciplinary teams, support staff education, and drive quality improvement initiatives—playing a vital role in achieving optimal healing and advancing evidence-based wound management.

**Appointments**

A physician’s referral is not needed to begin treatment at our center. However, we would like to communicate with your primary care doctor in order to best coordinate your care, so we encourage you to discuss your wound care appointment with your doctor.

You may also need an authorization, depending on the type of insurance. To schedule your appointment, please call 909-906-9025.

The center is open Monday through Friday from 8 a.m. – 5 p.m.

**Call us today to book an appointment.**

[(909) 747-0371](tel:(909) 747-0371)

*Limb Preservation Frequently Asked Questions*


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