Biography
In addition I have advanced training in the interventional pulmonary techniques utilized to diagnose and treat malignant and benign processes in the trachea and bronchi. These techniques include rigid bronchoscopy, bronchial and tracheal stent placement, as well as cryoablative techniques including cryospray and cryoprobe ablation. I am also a co-investigator on several industry sponsored trials of lung volume reduction of emphysema through endobronchial coil or valve placement.
Procedures Performed:
* endobronchial ultrasound (EBUS)
* electromagnetic navigation bronchoscopy (EMN)
* gold fiducial placement
* rigid bronchoscopy
* cryospray ablation
* Argon Plasma Coagulation
* foreign body removal from the airway
* balloon dilation of the airway (balloon bronchoplasty)
* endobronchial stent placement
* Endobronchial valve placement for bronchopleural fistulae
Disease Treated
* lung nodule/mass diagnostics
* hilar and mediastinal lymph node biopsies
* carcinoid tumors
* Lung Cancer
* tracheobronchomalacia
* relapsing polychondritis
* Wegner's Granulomatosis
In order to schedule an appointment to see me in the Interventional Pulmonary clinic at UCSF please call the number above (415-353-7285). During all clinical consultations, it is essential that you bring a disk with a copy of all outside chest CTs or PET scans.
In addition to specializing in pulmonary procedures, I am also an attending in the UCSF medical and surgical intensive care units where I manage critically ill patients with respiratory failure and septic shock. I have done research on sepsis and the acute respiratory distress syndrome and am the course director for the critical care ultrasound course at UCSF.
Education
Institution | Degree | Dept or School | End Date |
---|---|---|---|
UCSF/PAMF | Fellowship in Interventional Pulmonary Medicine | Internal Medicine | 2014 |
UCSF | Fellowship in Pulmonary and Critical Care | Internal Medicine | 2010 |
UCSF | Residency | Internal Medicine | 2006 |
University of Chicago | M.D. | School of Medicine | 2003 |
Northwestern University | B.S. Biomedical Engineering | School of Engineering | 1997 |
Board Certifications
American Board of Internal Medicine,
Internal Medicine - General
Critical Care Medicine - Subspecialty
Pulmonary Disease - Subspecialty
Awards & Honors
Award | Conferred By | Date |
---|---|---|
Best Abstract Sepsis 2012 | International Sepsis Meeting | 2012 |
Professionalism Award | UCSF | 2007 |
Resident teaching award | UCSF | 2007 |
Clinical Expertise
Argon Plasma Coagulation (APC) therapy for bleeding or tumor invasion
Carcinoid Tumors
Complex Pleural Effusions
Cryo-probe resection of airway tumors
Cryospray Ablation of Airway Tumors
Electromagnetic Navigation Bronchoscopy (EMN)
Endobronchial Ultrasound guided Bronchoscopy (EBUS)
Enlarged Lymph Nodes In The Chest
Gold and Platinum Fiducial Placement for Radiation Therapy
Lung Cancer Diagnostics And Staging
Lung Masses
Sarcoidosis
Tracheal And Bronchial Obstructions
Tracheal and Bronchial Stent Placement
Grants and Funding
- Regulation of Innate Immunity by the Sympathetic Nervous System Druing Sepsis | NIH | 2012-08-01 - 2017-05-31 | Role: Principal Investigator
Research Narrative
My research lies at the intersection of the nervous system and immunity. Specifically, I have been studying how noradrenergic neurons influence the immune response during severe infection in mice. These studies may have important implications for how states of heightened stress, that lead to elevations in systemic catecholamines, alter the immune system. A second area of research is the epigenetic imprint of severe sepsis on human monocytes.
Research Interests
Sepsis
ARDS
Mechanical Ventilations
Lung Cancer Diagnostics
New Techniques in Interventional Pulmonary Medicine
Publications
- Safety and utility of indwelling pleural catheters in lung transplant recipients.| | PubMed
- Impact of a Dedicated Pleural Clinic on Indwelling Pleural Catheter Related Outcomes: A Retrospective Single Center Experience.| | PubMed
- Therapeutic Bronchoscopy: Beyond Just Relieving the Obstruction.| | PubMed
- Lung Cancer Screening.| | PubMed
- A Woman with One Year of Cough Presumed to Be Asthma.| | PubMed
- A retrospective observational study of benign anthracotic lymphadenitis and its association with PET avid lymph nodes in patients undergoing cancer evaluation.| | PubMed
- Nonfibered Packing Coil Embolization of Pulmonary Artery Pseudoaneurysm Resulting in a Delayed Endobronchial Coil Migration.| | PubMed
- Molecular cytopathology diagnosis of a lung neoplasm: Case report of an unusual non-small cell carcinoma with MET exon 14 skipping mutation.| | PubMed
- Therapy-Induced Evolution of Human Lung Cancer Revealed by Single-Cell RNA Sequencing.| | PubMed
- Fluid Response Evaluation in Sepsis Hypotension and Shock: A Randomized Clinical Trial.| | PubMed