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.
Awards & Honors
Award | Conferred By | Date |
---|---|---|
Best Abstract Sepsis 2012 | International Sepsis Meeting | 2012 |
Professionalism Award | UCSF | 2007 |
Resident teaching award | UCSF | 2007 |
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
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.| | View in PubMed
- Impact of a Dedicated Pleural Clinic on Indwelling Pleural Catheter Related Outcomes: A Retrospective Single Center Experience.| | View in PubMed
- Therapeutic Bronchoscopy: Beyond Just Relieving the Obstruction.| | View in PubMed
- Lung Cancer Screening.| | View in PubMed
- A Woman with One Year of Cough Presumed to Be Asthma.| | View in PubMed
- A retrospective observational study of benign anthracotic lymphadenitis and its association with PET avid lymph nodes in patients undergoing cancer evaluation.| | View in PubMed
- Nonfibered Packing Coil Embolization of Pulmonary Artery Pseudoaneurysm Resulting in a Delayed Endobronchial Coil Migration.| | View in PubMed
- Molecular cytopathology diagnosis of a lung neoplasm: Case report of an unusual non-small cell carcinoma with MET exon 14 skipping mutation.| | View in PubMed
- Therapy-Induced Evolution of Human Lung Cancer Revealed by Single-Cell RNA Sequencing.| | View in PubMed
- Fluid Response Evaluation in Sepsis Hypotension and Shock: A Randomized Clinical Trial.| | View in PubMed
- Patient-controlled Anesthesia With Propofol During Bronchoscopy.| | View in PubMed
- Acute respiratory distress syndrome-attributable mortality in critically ill patients with sepsis.| | View in PubMed
- Flexible Bronchoscopic Deployment of a Silicone Bronchial Stent.| | View in PubMed
- Bilateral Endobronchial Masses and Severe Hypoxemic Respiratory Failure.| | View in PubMed
- Efforts to Limit Publication Bias and Improve Quality in the Journal: Introduction of Double-Blind Peer Review.| | View in PubMed
- The Impact of Bronchial Thermoplasty on Asthma-Related Quality of Life and Controller Medication Use.| | View in PubMed
- Using a Dedicated Interventional Pulmonology Practice Decreases Wait Time Before Treatment Initiation for New Lung Cancer Diagnoses.| | View in PubMed
- Central Airway Obstruction Due to Tracheal Glomus Tumor.| | View in PubMed
- Pulmonary Sclerosing Pneumocytoma: Did Lightening Just Strike Twice?| | View in PubMed
- A mass that has no (EBUS) echo.| | View in PubMed
- Endobronchial Ultrasound-guided Transbronchial Needle Injection of Liposomal Amphotericin B for the Treatment of Symptomatic Aspergilloma.| | View in PubMed
- Electromagnetic Navigational Bronchoscopy Spares a Drunken Crab From the Surgeon's Knife.| | View in PubMed
- Immune Repertoire Diversity Correlated with Mortality in Avian Influenza A (H7N9) Virus Infected Patients.| | View in PubMed
- Sepsis.| | View in PubMed
- Multiple gene mutations identified in patients infected with influenza A (H7N9) virus.| | View in PubMed
- Effect of Endobronchial Coils vs Usual Care on Exercise Tolerance in Patients With Severe Emphysema: The RENEW Randomized Clinical Trial.| | View in PubMed
- Therapeutic Targets in Sepsis: Past, Present, and Future.| | View in PubMed
- Fibroblast Growth Factor-10 (FGF-10) Mobilizes Lung-resident Mesenchymal Stem Cells and Protects Against Acute Lung Injury.| | View in PubMed
- Development and Validation of a Mortality Prediction Model for Patients Receiving 14 Days of Mechanical Ventilation.| | View in PubMed
- One-Way Valves to the Rescue for Bronchopleural Fistulae.| | View in PubMed
- Adipose Tissue-Derived Mesenchymal Stem Cells Attenuate Pulmonary Infection Caused by Pseudomonas aeruginosa via Inhibiting Overproduction of Prostaglandin E2.| | View in PubMed
- Increased expression of neutrophil-related genes in patients with early sepsis-induced ARDS.| | View in PubMed
- Fluid therapy during acute respiratory distress syndrome: less is more, simplified*.| | View in PubMed
- Acute respiratory distress syndrome: emerging research in China.| | View in PubMed
- A dry lung is a happy lung: more supporting evidence.| | View in PubMed
- From storm to suppression in sepsis: are bands the link?*.| | View in PubMed
- Increased susceptibility to Klebsiella pneumonia and mortality in GSNOR-deficient mice.| | View in PubMed
- Noradrenergic neurons regulate monocyte trafficking and mortality during gram-negative peritonitis in mice.| | View in PubMed
- Calcium flux and endothelial dysfunction during acute lung injury: a STIMulating target for therapy.| | View in PubMed
- Updates in the management of acute lung injury: a focus on the overlap between AKI and ARDS.| | View in PubMed
- Inflection points in sepsis biology: from local defense to systemic organ injury.| | View in PubMed
- A multicenter mortality prediction model for patients receiving prolonged mechanical ventilation.| | View in PubMed
- Parasitic infection improves survival from septic peritonitis by enhancing mast cell responses to bacteria in mice.| | View in PubMed
- Systemic mast cell degranulation increases mortality during polymicrobial septic peritonitis in mice.| | View in PubMed
- Decreased respiratory system compliance on the sixth day of mechanical ventilation is a predictor of death in patients with established acute lung injury.| | View in PubMed
- Predictors of mortality in acute lung injury during the era of lung protective ventilation.| | View in PubMed
- Diabetic ketoacidosis precipitated by Staphylococcus aureus abscess and bacteremia due to acupuncture: case report and review of the literature.| | View in PubMed