Meet Dr. Anjalee Warrier Galion

CHOC Children’s wants its referring physicians to get to know its specialists. Today, meet Dr. Anjalee Galion, a pediatric neurologist and sleep specialist.

CHOC Children's

Q: What is your education and training?
A:  I attended the University of Medicine and Dentistry of New Jersey- New Jersey Medical School, and completed my residency in pediatrics at University of San Francisco, Fresno.  During my academic year, I worked for Walter Reed Army Institute of Research to help identify a vaccine for malaria. My second day was September 11, 2011, and it was an amazing, humbling, and scary experience to be a part of the military for this day. My first fellowship was in pediatric neurology at the University of California, Irvine (UC Irvine), and my second fellowship was in sleep medicine at the University of California Los Angeles- Cedars Sinai Sleep Medicine Fellowship.

Q: What are your administrative appointments?
A: Assistant clinical professor at UC Irvine, assistant program director for the UC Irvine child neurology residency program, chair of the junior faculty leadership council, and co-chair of the sleep workgroup for the National Autism Treatment Network.

Q: What are your special clinical interests?
A: Sleep disorders in children with neurologic diseases such as epilepsy and autism, as well as sleep and cognition.

Q: Are you involved in any current research?

A: Evaluation of efficacy of specific sedative hypnotics in children with Autism spectrum disorder, and Identification of sleep architecture and pathology in children with epilepsy.

Q: How long have you been on staff at CHOC?
A: Four years.

Q: What are some new programs or developments within your specialty?
A: CHOC is one of the few, if only, hospitals in the country doing combined long-term video EEG as well as polysomnography (sleep study).  This allows us a very unique opportunity to look at the brain activity and pathology in sleep. Multidisciplinary sleep clinics involving psychology and pulmonology are also unique. Also, identification and treatment of a variety of pediatric sleep disorders including all types of insomnia, narcolepsy and parasomnias, such as sleepwalking/sleep talking/night terrors.

Q: What are your most common diagnoses?
A: Insomnia, narcolepsy, sleepwalking (or somnambulism).

Q: What would you most like community/referring providers to know about you or your division at CHOC?
A: We treat all types of sleep-related disorders and are providing state-of-the-art care for children with sleep disorders. It is estimated that more than 30 percent of children have sleep-related disorders, and improvement in sleep is essential for learning and cognition. Research suggests improved sleep supports optimal athletic performance as well. If there is any concern for a sleep-related disorder we are happy to help evaluate these children.

Q:  What inspires you most about the care being delivered here at CHOC?
A: We treat every child with the highest level of care and the physicians genuinely care for the patients and our community.

Q: Why did you decide to become a doctor?
A: I had been interested in neuroscience since I was a Howard Hughes fellow at the University of Maryland, having done work in spinal cord regeneration. I heard a talk in my first year of medical school about pediatric neurology and haven’t looked back since.

Q: If you weren’t a physician, what would you be and why?
A: If I was not a physician I would mostly likely be a PhD working in the field of neurobiology and sleep medicine. Both my parents were PhDs and I grew up hearing about fascinating advances in the world of science, so I have been drawn to science and research from a young age. For quite a few years I was strongly considering becoming a professional flute player. I was fortunate enough to travel through Italy with my youth symphony and performed around the country in orchestras, but science drew me in by the time I was in college.

Q: What are your hobbies/interests outside of work?
A: I enjoy hosting parties and events for family and friends. Our family enjoys traveling and spending time together.

Q: What have you learned from your patients?
A: The best part about working with pediatric patients is that you are constantly reminded to enjoy life and be grateful for every day. The smallest things can make a child happy, like playing with a light-up toy or seeing bubbles, and it is a great reminder to take pleasure in all the simple things around us every day.

Domnic Fernandez Joins CHOC as Director, Hyundai Cancer Institute

Domnic Fernandez has been named director of the Hyundai Cancer Institute at CHOC Children’s.  Working closely with hospital and physician leaders, he is responsible for advancing CHOC’s position as a leading destination for innovative pediatric and adolescent cancer treatments.

CHOC Children's

“The Hyundai Cancer Institute at CHOC has a stellar reputation, including being ranked a top pediatric cancer program by U.S. News & World Report.  Its physicians, researchers and staff are dedicated to changing the future of cancer treatments: finding a cure and securing meaningful survivorship for our patients.  I am honored to be a part of this team, and look forward to helping continue to secure the brightest and healthiest futures for children,” said Domnic.

Fernandez joins CHOC from Adventist Healthcare, where he served as a vice president overseeing outpatient practices at four regional hospitals.  Service lines under his purview included primary care, urgent care, pediatrics, endocrinology, cardiology, oncology, orthopedics, neurology, electrophysiology and obstetrics/gynecology.  In addition to improving productivity and increasing referrals, he created a patient experience team that helped increase patient satisfaction scores by 22 percent.

Previously, Fernandez has worked in a variety of leadership positions at hospitals in Virginia and Minnesota.   His healthcare experience includes practice management, strategic planning, business development, revenue cycle management, physician and patient satisfaction initiatives, regulatory compliance, clinical outcomes and continuous process improvements, and marketing.  In addition to launching new clinics and managing practice acquisitions, he’s assumed responsibility for several electronic health record (EHR) go lives and optimizations.

After earning his bachelor’s degree in physical therapy, Fernandez completed the master’s in health care administration program at St. Xavier University in Chicago.  He is a member of the Medical Group Management Association and American College of Medical Practice Executives.

“The Hyundai Cancer Institute is a gem in our community, and I look forward to working with our subspecialists and referring community physicians to ensure children get the excellent care they need close to home,” stated Domnic.

Domnic can be reached at


CHOC Conference Addresses Medical Complexities

With the number of children with complex medical needs expected to double in the next decade, an upcoming CHOC Children’s conference will provide important information for medical providers who are diagnosing and treating this patient population.

The Dec. 3 “Connecting the Dots … Diagnosing and Treating Children and Adolescents with Medical Complexity” will focus on commonly overlooked and under-diagnosed connective tissue disorders such as Ehlers-Danlos syndrome (EDS); chronic pain syndromes; postural orthostatic tachycardia syndrome (POTS); dysautonomia; and mast cell activation disorder.

The conference is recommended for community pediatricians, family practice physicians, and internal medicine physicians, as well as a variety of specialists, including gastroenterologists, cardiologists, neurologists, rheumatologists and pain specialists.

“These are multisystemic disorders with a variety of symptoms. If patients and physicians are not aware of some of these underlying diagnoses, patients may be experiencing diagnostic odysseys for years prior to an actual diagnosis being made,” says Dr. Neda Zadeh, a CHOC geneticist who will moderate the conference. “Earlier diagnosis is always better.”

Following the conference, attendees will gain new skills related to these conditions:

  • Recognizing the symptoms for some of the more common connective tissue disorders including EDS and hypermobility type, and referring accordingly to appropriate subspecialty.
  • Understanding the symptoms for POTS and how to assess for this in the outpatient medical setting;
  • Recognizing features of mast cell activation disorder, and understanding how this relates to certain forms of EDS;
  • Improving knowledge of chronic pain and connective tissue conditions in children and adolescents;
  • Recognizing the signs and symptoms of a possible underlying connective tissue disorders, as well as the resources and referrals available; and
  • Improving knowledge and treatment of chronic pain in children and adolescents.

Register for the conference on CHOC’s website.

A complementary conference Dec. 3 and 4 is dedicated to teen patients with connective tissue disorders and their parents. If you have a patient who would benefit from the conference, they can also find registration information on CHOC’s website.

CHOC Employee Gives Back Through CHOC Walk

For Devin Hugie, director of facilities, a tiny patient close to his heart makes it extra special to participate in the CHOC Walk in the Park.

Devin’s participation in the CHOC Walk began more than a decade ago – long before he was an employee. His wife was looking for a community event in which their family could get involved. Their daughter Ashlie, in junior high at the time, would voluntarily go door to door to raise funds, he recalls. The family was well aware of everything the hospital did for children in the community and they continued to support the CHOC Walk throughout the years.

Devin Hugie

In 2012, when an opportunity opened up to work for CHOC, Devin jumped at the chance to become part of the CHOC family. As an employee, he became even more involved with the CHOC Walk and formed “Team Hope.” The 50-member team, including Devin’s family, as well as friends and partners of the facilities department, has raised $9,340 this year. They hope to reach their goal of raising $10,000. Devin has personally raised $4,250, making him one of the top fundraising walkers.

Proceeds from the CHOC Walk help to fund education, research, and advance the health and well-being of children. More than 15,000 people are expected to attend this year.

“I’m blessed to be at CHOC. It really is about the kids and I can’t think of a more awesome cause,” Devin says.

In March 2014, this important cause hit even closer to home. Devin’s grandson, Noah, was unexpectedly admitted to CHOC’s neonatal intensive care unit (NICU) for an infection in his lung. It was a scary time for Devin’s daughter, Ashlie — Noah’s mom — and the rest of the family. Today, Noah is a happy and healthy toddler, and the family is even more inspired to give back through the CHOC Walk.

“I’ve always known the great work that we do, but when a loved one becomes a patient it becomes more real. The care that my grandson received made it even more amazing to be a part of CHOC. I am so grateful,” Devin says.

The dedicated, fun-loving grandfather hopes his story will inspire others to get involved and give back.

“The morning of the Walk is filled with excitement,” he says. “You see all the various teams and the pictures of the many kids whose lives CHOC has touched; you feel grateful to be part of the bigger picture.”

The CHOC Walk in the Park presented by Disneyland Resort will be held October 30, 2016. Register and learn more. 

In the Spotlight: Michael Recto, M.D.

As an internationally-recognized expert in interventional pediatric cardiology, and division chief of cardiology, CHOC Children’s Specialists, Dr. Michael Recto’s goal is to provide world-class cardiac care. He treats children with serious congenital heart defects, and performs both diagnostic and interventional cardiac catheterization procedures.

Dr. Michael Recto

Prior to coming to CHOC, Dr. Recto served as both chief of pediatric cardiology and director of cardiac catheterization at Tulane Medical Center in New Orleans. Previously, he was chief of pediatric cardiology and director of inpatient transplant services at Kosair Children’s Hospital in Louisville.

Dr. Recto takes great pride in having worked throughout his career with some of the top cardiologists in the field. When he joined the CHOC Children’s Heart Institute in 2013, he witnessed the same level of talent and knew instantly he was in the right place, he says.

“Everyone on the CHOC team is an expert in their field. We have experts in echocardiography (fetal, transthoracic and transesophageal echo), cardiac MRI, electrophysiology and cardiac intensive care. I am proud to be part of such a talented team,” he says.

Dr. Recto enjoys spending time in CHOC’s state-of-the-art cardiac catheterization laboratorities, where he is able to diagnose problems and if needed, perform an intervention and help a patient right on the spot, he explains.

Dr. Recto is board certified in pediatrics and pediatric cardiology. He attended medical school at University of the Philippines College of Medicine, followed by a pediatric internship and residency at New York University Medical Center in New York City. He completed a pediatric cardiology fellowship at Mount Sinai Medical Center in New York City, and a pediatric interventional cardiology senior fellowship at Texas Children’s Hospital, Baylor College of Medicine in Houston, under the tutelage of Dr. Charles E. Mullins, known as the Father of Modern Interventional Pediatric Cardiology.

In addition, Dr. Recto is a fellow of the American College of Cardiology (ACC) and a fellow of the Society for Cardiac Angiography and Interventions (SCAI), among other professional organizations. He has co-authored numerous articles in publications such as Pediatrics, Pediatric Cardiology, and Journal of the American College of Cardiology, to name a few.

Long before Dr. Recto was treating serious heart conditions, however, he thought of becoming an engineer or architect.  His mother asked if he had ever considered a career in medicine. Although unsure about this career path, he decided to give it a try. After his first semester as a pre-med student, Dr. Recto felt that he had never studied as much in his life, he says jokingly, and decided he better continue the hard work he had started. He was eventually accepted to the University of the Philippines College of Medicine, where only a small number of students are accepted every year.  The young doctor was first exposed to pediatric patients during his rotating internship at the Philippine General Hospital, where patients with some of the most complex clinical problems are sent for care.  That experience solidified his passion for pediatrics.

Today, Dr. Recto’s approach to delivering care is to treat his patients and their families the same way he would like his family to be treated. He has learned a lot from his patients and their families along the way, and is still surprised at the touching moments he experiences on a daily basis.

“I had a patient just the other day with an atrial septal defect and I explained to this child’s family that this particular hole between the two atria was going to be hard to close. The patient would possibly require open-heart surgery,” Dr. Recto says. “The patient’s father looked at me and said, ‘We have a lot of faith in you.’ I was indeed able to close the defect in the cath lab. When I came out of the procedure and told the entire family the good news, they stood up and applauded and the father gave me a big hug. I was not expecting that. A moment like that is one of the best things you can experience. It was truly gratifying and humbling.”

When Dr. Recto is not caring for patients at CHOC, he enjoys spending time with his wife, a pediatric emergency medicine physician at CHOC, and their three grown children. He and his wife enjoy eating out and traveling.  Dr. Recto is also an avid tennis player.

Dr. Recto is open to questions from community physicians, and encourages physicians to call him or use Pingmd. To contact him, or to refer a patient, please call 714-509-3939.