Saint Agnes Care has expanded its specialty services in Fresno with the opening of a new outpatient rheumatology clinic, aimed at reducing the burden on patients facing complex autoimmune and musculoskeletal conditions. The facility, located on East Herndon Avenue, focuses on the early detection and personalized management of diseases affecting the joints, muscles, bones, and the immune system.
For many residents of the San Joaquin Valley, accessing specialty care often involves significant travel or long wait times, which can be particularly grueling for patients suffering from chronic inflammation or mobility issues. By establishing this local hub, Saint Agnes Care intends to intercept these conditions before they progress to irreversible joint damage or systemic failure.
The clinic’s launch is part of a broader strategic effort by the Saint Agnes Medical Foundation to keep critical healthcare services within the community. According to Sonya Pizzo, vice president of the foundation, the goal is to ensure that Valley patients receive timely interventions without the delays associated with out-of-area referrals, thereby preserving a higher quality of life for those with chronic illnesses.
Addressing the Complexity of Autoimmune Care
Rheumatology is a specialized field that deals with a wide array of systemic diseases. Unlike a general orthopedist who may focus on surgical interventions for joint injury, a rheumatologist manages the underlying inflammatory and autoimmune processes that cause the body to attack its own tissues.

Conditions treated at the clinic typically include rheumatoid arthritis, lupus, psoriatic arthritis, and various forms of vasculitis. Because these diseases are often “invisible” in their early stages—presenting as vague fatigue or intermittent joint stiffness—early diagnosis is critical. When caught early, modern biologic therapies and disease-modifying antirheumatic drugs (DMARDs) can often induce remission or significantly sluggish disease progression.
The new clinic emphasizes a personalized care model, recognizing that rheumatological conditions are rarely static. A patient’s symptoms and medication responses can shift over months or years, requiring a physician who can pivot treatment strategies based on real-time clinical data and patient feedback.
A Patient-Centered Approach to Diagnosis
Overseeing the new facility is rheumatologist Shelley Kaur Dhillon, whose connection to the region is rooted in her medical training. Dhillon completed her residency with Saint Agnes Graduate Medical Education before pursuing further specialization at the University of California, Irvine.
Dr. Dhillon’s clinical philosophy centers on the psychological aspect of chronic illness. Many patients with autoimmune disorders spend months or years seeking a diagnosis, often feeling dismissed by providers because their symptoms—such as chronic pain and exhaustion—do not always appear on standard blood tests or imaging.
“As a physician, I want my patients to feel truly heard and validated,” Dhillon said, noting that confirming a diagnosis is often as much about acknowledging the patient’s lived experience as it is about clinical confirmation. She advocates for treating the “whole person,” integrating the patient’s unique life experiences and concerns into the medical management plan.
| Clinic Detail | Information |
|---|---|
| Location | 1510 E. Herndon Ave., Suite 230, Fresno |
| Specialty | Outpatient Rheumatology |
| Lead Physician | Dr. Shelley Kaur Dhillon |
| Primary Focus | Joint, muscle, bone, and immune system conditions |
| Appointment Method | Saint Agnes Medical Center website |
Improving Healthcare Access in the Central Valley
The expansion reflects a pressing need for specialty care in Fresno and the surrounding agricultural hubs. The Central Valley has historically faced challenges with physician distribution, often leaving rural populations underserved. By integrating the rheumatology clinic into the existing Saint Agnes Care network, the organization creates a more seamless referral pipeline from primary care physicians to specialists.
This integration is designed to shorten the “diagnostic odyssey”—the time it takes for a patient to move from the first sign of a symptom to a definitive treatment plan. In rheumatology, this speed is often the difference between maintaining joint function and facing permanent disability.

Patients seeking care can now schedule appointments directly through the Saint Agnes Medical Center online portal. The clinic is currently accepting new patients, offering a range of diagnostic evaluations and long-term management strategies for those with chronic inflammatory conditions.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Patients should consult with a licensed healthcare provider for diagnosis and treatment of any medical condition.
The clinic is now fully operational and accepting new patients at its Herndon Avenue location. Future updates regarding expanded hours or additional specialty staffing will be posted via the Saint Agnes Medical Center official communications channels.
Do you have experience navigating specialty care in the Central Valley? Share your thoughts or questions in the comments below.
