Allison, Bridget, Denise

John Appiott, DO received his Doctor of Osteopathic Medicine from the Philadelphia College of Osteopathic Medicine in 1992.

Sandra Palavecino, MD obtained her medical degree at the Central University of Venezuela and completed her Internal Medicine Residency at the University of Connecticut Health Center in Farmington, Connecticut in 2012. She is board certified in Internal Medicine and has practiced in Sussex County for several years. She has additional expertise in bariatric medicine and diet counseling. Dr. Palavecino is a diplomate of the American Board of Obesity Medicine and is a member of the Obesity Medicine Association, the American College of Physicians and the American Medical Association. Dr. Palavecino has been part of TidalHealth Medical Weight Loss and Bariatric Nutrition since 2015 and the Director of the medical weight loss program since Spring 2016.

Dr. David Sechler has been practicing on Delmarva since 1997, after serving four years in the United States Navy as an active-duty Lt. Commander and general surgeon in Camp Lejeune, N.C.Dr. Sechler earned his medical degree at the College of Virginia in Richmond, Va. and completed his residency at the Medical Center of Delaware in Newark, Del. He is board-certified by the American Board of Surgery in general surgery and is a member of the American Society of Breast Surgeons.Dr. Sechler has served as the Chief of General Surgery at TidalHealth Peninsula Regional for 10 years and has been performing stereotactic breast biopsies for the past twelve years. With his extensive and ongoing training, Dr. Sechler was the first general surgeon to perform the stereotactic breast biopsies in the Salisbury area and is one of the leading breast surgeons treating patients at the TidalHealth Breast Center.