BREAST RECONSTRUCTION: Expert has experience in the techniques of breast reconstruction and is familiar with common problems that occur during general breast reconstruction surgery such as breast reconstruction after mastectomy, breast augmentation, mammary vein surgery and protocol, and transaxillary endoscopic-assisted breast augmentation.

HAND/FOOT SURGERY: He is familiar with microsurgery contribution to emergency hand surgery, reconstructing the hand with partial or multiple toe transplants, bypass revascularization of lower extremity, other upper and lower extremity re-plantation processes, Ilizarov distraction osteosynthesis in the lower extremity, digital replantation in infants and children, bone anchoring system in upper extremity reconstruction, foot and ankle trauma, treatment of mutilating hand injuries, carpal tunnel syndrome, cubital tunnel syndrome, stable fixation of hand fractures, plating, and rigid fixation in toe-to-hand re-plantation.

SKIN/TRAM FLAP RECONSTRUCTION: He is familiar with management and using free flaps in surgery, scalp and forehead avulsion, and treatment of chronic osteomyelitis. He is also familiar with skin cancer management and surgical management of melanoma.

MUSCLE/TISSUE GRAFTING: He has clinical experience with microvascular muscle transplantation, muscle and myocutaneous flaps (trials on rats), microvascular transplantation of the Serratus Anterior muscle, facial re-animation, microsurgical replantation, transplants using quantitative fluorometry, chronic osteomyelitis with debridement caused by muscle transfer, re-planting the avulsed scalp, orthopedic surgery using soft-tissue reconstruction, vein grafting in the head and neck, calcified myonecrosis (necrotic damage to muscle tissue), compartment syndrome, and re-operative aesthetic and reconstructive plastic surgery. He has also presented several presentations and symposiums on topics such as Gracilis muscle in microsurgical transplantation and free tissue transfer.

WOUND HEALING: He has published articles on wound healing including specific topics such as wound salvaging after failed tissue transplantation, managing and reconstructing failed tissue transplantations and post-surgical management.

American College of Surgeons American Society of Plastic Surgeons American Society of Aesthetic Surgery American Society of Reconstructive Microsurgery

State of Washington Medical License 1994 License Number MD 32173

Deaconess Medical Center, Spokane, WA Attending Staff 1994 to present Chairman, Department of Surgery 1996-1998 2002-2004 Member-at-Large, Executive Committee 1996-2007 Sacred Heart Medical Center, Spokane, WA Attending Staff 1994 to present

Phi Beta Kappa St. Louis University 1977

Summa Cum Laude St. Louis University 1978

President's Award, Best Paper 1991 California Society of Plastic Surgeons 41st Annual Meeting, San Francisco, CA

Best Overall Paper 1993 California Society of Plastic Surgeons 43rd Annual Meeting, Monterey, CA

General Surgery Residency, Cook County Hospital 1982-1987 Plastic Surgery Residency, Univ of Calif, San Francisco 1987-1989 Fellowship in Microsurgery, Davies Medical Center, San Francisco 1989-1990

Presented articles and lectured at local, national, and international meetings and symposia.