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Dr. Nephtali Ruiz Gomez, MD

(28 Ratings)

Specializes in: General Surgery

Loma Linda University School of Medicine

Professional interests include: pancreatic cancer, robotic surgery, neuroendocrine tumors, and more.

11234 Anderson Street Suite 1600
Loma Linda, CA 92354

(909) 558-2262

Dr. Nephtali Ruiz Gomez, MD is a general surgeon in Loma Linda, CA specializing in general surgery. He graduated from Loma Linda University School of Medicine. Dr. Nephtali Ruiz Gomez, MD is affiliated with Loma Linda University Health, Loma Linda University Children's Hospital, Loma Linda University Medical Center East Campus, Loma Linda University Cancer Center, Loma Linda University Faculty Medical Clinics, Loma Linda University Surgical Hospital, Loma Linda University Medical Center, FACULTY PHYSICIANS AND SURGEONS OF LLUSM and Loma Linda University Medical Center Murrieta.

Office Locations

Address:

11234 Anderson Street Suite 1600
Loma Linda, CA 92354

Address:

11370 Anderson Street Suite 2100
Loma Linda, CA 92354

Address:

25333 Barton Road
Loma Linda, CA 92354

Address:

26780 Barton Road
Redlands, CA 92373

Address:

28062 Baxter Road
Murrieta, CA 92563

Some issues Dr. Nephtali Ruiz Gomez, MD can help you with:

Adrenalectomy (Adrenal Surgery)

Adrenalectomy is a surgical procedure to remove the adrenal glands, which lie above each kidney. The adrenal glands are responsible for producing hormones that are necessary for bodily functions, such as the regulation of blood pressure and metabolism. If the adrenal glands overproduce certain hormones, or if a tumor grows on them, removal of the glands is a treatment option.

Adrenal surgery can be open or laparoscopic. Laparoscopic adrenalectomy is a minimally invasive procedure that inserts a thin tube with a camera (laparoscope) through several small incisions on the abdomen. The surgeon uses the laparoscope to guide the procedure and is able to access and remove adrenal glands through the small incisions. Laparoscopic adrenal surgery lasts approximately 1-2 hours.

Laparoscopic adrenalectomy is associated with shorter recovery periods, reduced risk of infection, and smaller scars. Although these factors may be desirable, the location of the tumor, its size, and the severity of the condition may require that an individual instead undergo open surgery. An open adrenalectomy is typically done for larger adrenal tumors and requires a single, large incision on the abdomen. Open adrenal surgery takes around 2-4 hours.

Following the operation, patients will remain in the hospital for 1-2 days for a laparoscopic adrenalectomy or 3-5 days for an open adrenalectomy. Patients will likely have a liquid diet immediately after their surgery, but should be able to return to solid foods after a day. If both of the glands are removed, patients will be given drug therapy to replace the hormones they produced.

Robotic Surgery

Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.

There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

doctor visit	49
hospital care	49
inpatient care	49

**Gender**
Male	49
Female	72

**Ethnicity**
Non-Hispanic White	69
Black	0
Hispanic	28
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	48
From 75 to 84	0
85 and over	0
Less than 65	35

Hypertension	75
High Cholesterol	48
Stroke	14
Ischemic Heart Disease	40
Depression	30
Chronic Kidney Disease	54
Asthma	15
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	35
Chronic Obstructive Pulmonary Disease	16
Diabetes	45
Dementia	13
Cancer	13

catheterization	23
doctor visit	41
hospital care	34
inpatient care	34

**Gender**
Male	53
Female	68

**Ethnicity**
Non-Hispanic White	77
Black	0
Hispanic	24
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	47
From 75 to 84	29
85 and over	11
Less than 65	34

Hypertension	69
High Cholesterol	37
Stroke	0
Ischemic Heart Disease	37
Depression	28
Chronic Kidney Disease	45
Asthma	14
Osteoperosis	12
Atrial Fibrilation	10
Heart Failure	30
Chronic Obstructive Pulmonary Disease	20
Diabetes	34
Dementia	14
Cancer	34

catheterization	19
doctor visit	50
hospital care	15
inpatient care	15

**Gender**
Male	78
Female	106

**Ethnicity**
Non-Hispanic White	102
Black	0
Hispanic	44
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	82
From 75 to 84	48
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	42
Depression	24
Chronic Kidney Disease	57
Asthma	22
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	50
Chronic Obstructive Pulmonary Disease	24
Diabetes	47
Dementia	0
Cancer	33

catheterization	12
doctor visit	55
hospital care	16
inpatient care	16

**Gender**
Male	41
Female	61

**Ethnicity**
Non-Hispanic White	57
Black	0
Hispanic	23
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	43
From 75 to 84	0
85 and over	0
Less than 65	31

Hypertension	75
High Cholesterol	60
Stroke	0
Ischemic Heart Disease	47
Depression	28
Chronic Kidney Disease	66
Asthma	24
Osteoperosis	0
Atrial Fibrilation	14
Heart Failure	30
Chronic Obstructive Pulmonary Disease	24
Diabetes	49
Dementia	0
Cancer	25

catheterization	13
doctor visit	65
hospital care	11
inpatient care	11

**Gender**
Male	43
Female	44

**Ethnicity**
Non-Hispanic White	45
Black	0
Hispanic	26
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	37
From 75 to 84	0
85 and over	0
Less than 65	23

Hypertension	75
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	51
Depression	29
Chronic Kidney Disease	74
Asthma	16
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	36
Chronic Obstructive Pulmonary Disease	24
Diabetes	51
Dementia	0
Cancer	21

catheterization	11
doctor visit	58

**Gender**
Male	35
Female	49

**Ethnicity**
Non-Hispanic White	45
Black	0
Hispanic	20
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	38
From 75 to 84	22
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	55
Depression	29
Chronic Kidney Disease	54
Asthma	15
Osteoperosis	14
Atrial Fibrilation	0
Heart Failure	30
Chronic Obstructive Pulmonary Disease	18
Diabetes	38
Dementia	0
Cancer	31

device removal	10
doctor visit	66
hospital care	12
inpatient care	12

**Gender**
Male	48
Female	55

**Ethnicity**
Non-Hispanic White	48
Black	15
Hispanic	24
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	48
From 75 to 84	0
85 and over	0
Less than 65	29

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	57
Depression	26
Chronic Kidney Disease	58
Asthma	12
Osteoperosis	15
Atrial Fibrilation	0
Heart Failure	38
Chronic Obstructive Pulmonary Disease	24
Diabetes	42
Dementia	12
Cancer	32

doctor visit	70

**Gender**
Male	32
Female	57

**Ethnicity**
Non-Hispanic White	45
Black	0
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	35
From 75 to 84	20
85 and over	12
Less than 65	22

Hypertension	75
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	52
Depression	20
Chronic Kidney Disease	56
Asthma	0
Osteoperosis	13
Atrial Fibrilation	0
Heart Failure	29
Chronic Obstructive Pulmonary Disease	12
Diabetes	43
Dementia	15
Cancer	26

doctor visit	149
hospital care	11
inpatient care	11

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Nephtali Ruiz Gomez, MD for Medicare patients.

The highest averages for the top procedures that Dr. Nephtali Ruiz Gomez, MD treated as a general surgeon in Loma Linda, CA were hospital care, inpatient care, catheterization and device removal.

catheterization	15
device removal	10
doctor visit	67
hospital care	21
inpatient care	21

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD.

**Gender**
Male	37
Female	51

**Ethnicity**
Black / African American	1
Asian / Pacific Islander	0
Non-Hispanic White	48
Native American / Alaskan Native	0
Hispanic	21
Other	0

**Age**
75 to 84	11
85 and over	2
Less than 65	17
65 to 74	37

Average of Total of Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Nephtali Ruiz Gomez, MD treated were hypertension, chronic kidney disease, high cholesterol and ischemic heart disease.

Hypertension	59
High Cholesterol	41
Stroke	1
Ischemic Heart Disease	38
Depression	21
Chronic Kidney Disease	46
Asthma	11
Osteoporosis	5
Heart Failure	27
Chronic Obstructive Pulmonary Disease	16
Diabetes	34
Atrial Fibrillation	4
Cancer	21
Dementia	5

Education & Training

Dr. Nephtali Ruiz Gomez, MD graduated from Loma Linda University School of Medicine. He completed residency at Loma Linda University Medical Center. He is certified by the American Board of Surgery, General Surgery and has a state license in Maryland.

Medical School: Loma Linda University School of Medicine

Residency: Loma Linda University Medical Center

Board Certification: American Board of Surgery, General Surgery

Licensed In: Maryland

Affiliations & Hospitals

Dr. Nephtali Ruiz Gomez, MD is associated with these hospitals and organizations:

Loma Linda University Health

Loma Linda University Children's Hospital

Loma Linda University Medical Center East Campus

Loma Linda University Cancer Center

Loma Linda University Faculty Medical Clinics

Loma Linda University Surgical Hospital

Loma Linda University Medical Center

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Loma Linda University Medical Center Murrieta

Ratings & Reviews

Dr. Nephtali Ruiz Gomez, MD has an exceptional overall rating with an average of 4.86 out of 5 stars based on 28 ratings. We collect ratings and reviews of Dr. Nephtali Ruiz Gomez, MD from all over the web to help you find the right in Loma Linda, CA.

4.86

Overall Rating

(28 Ratings)

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General Payments

These charts describe general payments received by Dr. Nephtali Ruiz Gomez, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Intuitive Surgical, Inc.	$2,553 Da Vinci Surgical System $1,553	DAVINCI XI $1,000
Medtronic, Inc.	$1,605 Signia $1,571	LigaSure $35
TERUMO MEDICAL CORPORATION	$150 Azur CX Detachable $150
Silk Road Medical, Inc.	$142 ENROUTE 0.014 Guidewire $142
AngioDynamics, Inc.	$126 Nanoknife $126
Other	$229 Velphoro $91	1588 HD 3 Chip Camera $51	GORE SYNECOR Biomaterial $36	SURGICAL $32	ENSEAL $18

**Types of Payments**
Travel and Lodging	$2,220
Food and Beverage	$1,585
Education	$1,000

Biography

Dr. Nephtali Gomez is a physician who specializes in general surgery. He has indicated that his clinical interests include endocrine surgery. He is professionally affiliated with Loma Linda University Health. Dr. Gomez is a graduate of Loma Linda University School of Medicine and a graduate of Loma Linda University Medical Center's residency program.

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Dr. Nephtali Ruiz Gomez, MD

Office Locations

Some issues Dr. Nephtali Ruiz Gomez, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Nephtali Ruiz Gomez, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Loma Linda, CA