Sutter Health

Department Chair

Site Lead and Psychiatrist

Self-Management of Depression

Depression is a complex illness, which presents in a myriad of ways and almost 60-70% people treated with antidepressants fail to achieve a symptom-free state when first treated with these medications. The treatment of depression cannot be pigeon-holed into one or two kinds of treatment modalities. Self-management is increasingly becoming the standard of care in people with long-standing medical conditions. Self-management puts one in the driver’s seat with regards to making choices regarding one’s health. However, treatment of depression has lagged behind in incorporating the concept of self-management with the most popular self-help paradigm on depression focusing mostly on cognitive-behavioral approaches. Self-management goes beyond the narrow perspective of self-help and addresses life style changes, social relationships, communication, problem-solving, and also includes elements of wellness and recovery.

Author and Blogger

Kaiser Permanente

Senior Physician

County of Humboldt

Medical Director

ProMedica

UPMC

Resident Physician

Central Institute of Psychiatry

Mahatma Gandhi Institute of Medical Sciences

House Officer

Harpreet S. Duggal, MD, FAPA, is a board-certified psychiatrist and an international expert on self-management of depression. He has practiced psychotherapy and psychopharmacology for over 20 years and has authored over one hundred articles in scientific journals. He is also a bestselling author of books on depression. Check out his blog on evidence-based strategies for self-management of depression and lifestyle psychiatry. The content on this platform or other social media sites should not be construed as treatment advice or a substitute for it.

Harpreet Duggal, MD, FAPA

UCSF Health

Senior Physician Assistant - Cardiac Cath Lab

Building a new role involving APP contribution in Interventional Cardiology- Cardiac Cath Lab

Clinical and procedural responsibilities for inpatient and outpatient heart procedures performed in the cardiac cath lab at UCSF.

Critical role in assisting the fellows and attendings with pre-operative, intra-operative, and post-operative care responsibilities for procedural patients.

Responsible for pre-operative evaluation, assessment, obtaining history and physicals, consenting patients, scrubbing during procedures, oversight of care transitions, discharge planning and teaching, and performance of specific procedures.

Physician Assistant - Cardiac Cath Lab

Senior Physician Assistant - Thoracic Surgery

Lead Physician Assistant - Thoracic Surgery

Thoracic Surgery PA- Operating room assist, hospital post-op management, outpatient care, and administrative support. 

Rounded on inpatients. Developed and implemented patient management plans, progress notes, and facilitated in provision of continuity of care. 

Facilitated admissions, transfers and patient discharge. Instructed and counseled patients and their families regarding recovery process and compliance with prescribed therapeutic regimens. 
Followed up post operative patients in outpatient setting. 

1st and/or 2nd assist in surgeries and perform procedures consistent with standard of care in thoracic surgery.  Robotic first assist. 

Emergency department and inpatient consultation.

Participated in interdisciplinary team meetings to collaborate on patient care needs.

Developed and implemented protocols following evidence-based medicine.
Restarted Cancer Surveillance program to ensure appropriate follow up after cancer resections.

Supervised and facilitated on-boarding of new APP's.

Physician Assistant - Thoracic Surgery

Independent:

Serve as a subject matter expert & consultant, relative to diagnostic ultrasonoraphy.
Facilitate product demonstrations, trials and evaluations.

Assist clients in pre-screening and post data results.
Has offered strategies in utilizing diagnostic imaging for a prototype to medical therapy providing symptomatic relief in chronic liver & cardiac disorder for previous client.

Independent Consultant in Diagnostic Imaging

KAAJ Healthcare

Provided medical care based on patients’ needs including taking a detailed patient history & physical exam, ordered and interpreted diagnostic tests, made diagnosis of acute and chronic illnesses, produced assessment and plan, offered treatment and therapies to adult and geriatric patient population. 

Provided preventive care and therapeutic care based on individual patient's needs and medical history.

Physician Assistant

Fremont Internal Medicine Medical Associates

Functioned independently as a hospitalist medical provider. 
Triaged patients’ needs, and provided appropriate care in an accurate and timely manner.

Provided medical care including taking a detailed patient history & physical exam, ordered and interpreted diagnostic tests, made diagnosis of acute and chronic illnesses, produced assessment and plan, offered treatment and therapies to the patients including children, adults, and geriatric in a psychiatric hospital.

Supported and contributed to efforts to maintain and improve client satisfaction in all aspects of health care delivery.

Allied Health Group (10/2013 – 06/2018)

Enjoyed utilizing my skills in sonography in different facilities (Kaiser SSF & Redwood City; SCVMC; PAMF; O'Connor Hospital) to help cardiologists in diagnosing critical cardiac conditions.
Performed Transthoracic Echocardiogram; Contrast Echo studies; TEE’s; Treadmill and Dobutamine Stress Echo’s.
Documented significant clinical findings and generated complete echo reports.

Diagnostic Imaging Sonographer - Cardiology

U.S. Department of Veterans Affairs

Volunteered as a PA and enjoyed working with veterans as well as giving back to the community.
Took a detailed patient history, perform physical examination, diagnose and treat with a consultation of an attending physician.
Triaged patients’ needs, provide appropriate care, and perform related duties as required.

Stanford University School of Medicine

Medical skills: Paracentesis, Suturing, Splinting, Casting, I&D, Toenail removal, Cryotherapy, Pelvic & bimanual exams, Papanicolaou cytology smears, Colposcopy, Punch biopsy, Aseptic & isolation techniques

Surgical skills: Provided hemostasis, sternotomy incision & closure, chest tube and pacing wires insertion & removal. Assisted in endoscopic vein harvesting, aortic cross clamping, valvular and coronary grafts suturing; post-op care

Cardiology skills: EKG’s, Echo’s, TEE’s, Stress Echo’s, Cardioversion, Defibrillation, Pacing, Catheterization, CTA, Nuclear scans

Rotation Sites: 
- Adult Cardiac Surgery, Stanford Hospital, Palo Alto, CA (Feb-Mar 2016)
- Adult Cardiology, Veterans Affairs, Palo Alto, CA (Jan 2016)
- Mental Health, Gardner Health Services, San Jose, CA	 (Jan-Feb 2016)
- Internal Medicine, Veterans Affairs, Palo Alto, CA (Feb-Dec 2015)
- Family Medicine, Primary Care Associates, Hollister, CA (Feb-Dec 2015)
- Inpatient med: GI & Liver Transplant Consult, Stanford Hospital, Palo Alto, CA (Oct-Nov 2015)
- Ob-Gyn Medicine, Altos Oaks Medical Group, Mountain View, CA (Sep-Oct 2015)
- Emergency Medicine, Valley Medical Center, San Jose, CA (Aug 2015)
- Pediatric Medicine, Primary Care Associates, Hollister, CA (Apr-May 2015)

Physician Assistant Student

Performed and interpreted TTE’s, Contrast echo studies, Stress Echo’s and assisted with TEE’s in various medical settings.
Taught Principles of Echocardiography to cardiology fellows of Stanford School of Medicine.
Served as a Clinical Preceptor for students of Cardiovascular Technology Program from City College of San Francisco (CCSF).
Developed and presented educational programs toward improving productivity, patient outcomes and treatment modalities.
Assisted in research echo studies and participated in Transcatheter Aortic Valve Replacement (TAVR) procedures.

Cardiac Sonographer

St. Rose Hospital

Supervised the department on the weekends. Performed EKG’s, Treadmill Stress Tests, Holter Monitors.
Assisted in Emergency room as a code team member.

EKG Technician

As a senior physician assistant at UCSF Health, I have over 20 years of experience in the healthcare system, spanning various roles and specialties. My mission is to provide compassionate, high-quality, and evidence-based care to patients with cardiac conditions, both in the interventional and surgical settings.

I have a critical role in the cardiac cath lab, where I assist the fellows and attendings with pre-operative, intra-operative, and post-operative care responsibilities for procedural patients.  Additionally, I have a strong background in thoracic surgery, where I worked for almost 4 years at Kaiser Permanente, managing complex cases, first assisting in operating room and performing Robotic assisted surgeries. I am also certified as a registered diagnostic cardiac sonographer with background of performing specific procedures, such as contrast injections, Doppler, and EKG.

I obtained my professional degree in Physician Associate from Stanford Medical School, and have a Masters in Medical Science.

taplio

The Battle

Harpreet Duggal, MD, FAPA

Sonia C.

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