Pulmonary and Critical Care Clinical Medicine
Request Expert
Expert is a busy clinical pulmonary physician who treats many patients with pulmonary diseases. He has been board certified by the American Board of Internal Medicine in Pulmonary Diseases for nearly 20 years. He reads pulmonary function tests regularly, and is facile with respiratory physiology. He regularly reviews the pulmonary journals and attends pulmonary conferences, keeping abreast of the treatment of respiratory disease. He commonly treats bronchitis, chronic bronchitis, chronic obstructive pulmonary disease (COPD), lung tumors, sarcoidosis, interstitial lung disease, and many other lung diseases. He is familiar with occupational lung diseases and pneumoconiosis, having trained under William Rom, MD, who writes the definitive textbook in this area. He has coauthored a chapter in the International Labor Organisation (ILO) encyclopedia on respiratory irritants and lung disease.
Expert has accumulated over 20 years of expertise in airway management and related respiratory skills. He has been certified in Basic Life Support and Advanced Cardiac Life Support since 1988, and he is Board Certified in Pulmonary Medicine and in Critical Care Medicine by the American Board of Internal Medicine. He did an extra year of critical care training at the University of Pittsburgh, honing airway, tracheal intubation, and acute care skills. Since fellowship he has been active in private practice, routinely putting these skills to work on patients with lung disease and breathing problems. He routinely reads pulmonary function tests and spirometry, correlating them with clinical patient problems on a daily basis. He prescribes bronchodilator therapy of various kinds every day. He routinely manages mechanical ventilators, handles ARDS and other forms of respiratory insufficiency. He has been an Instructor for the Fundamentals of Critical Care Support course, sponsored by the Society of Critical Care Medicine (SCCM), since 2004. Expert has been active with the SCCM annually, going to continuing education conferences and chatting with other experts online at CCM-L. He is a locally recognized consultant with a busy clinical pulmonary and critical care practice. He also manages an administrative critical care practice, helping to develop and implement ICU policies and procedures.
Expert is an expert in intensive care medicine, deeply involved in the field over the past twenty years. He is actively board certified by the American Board of Internal Medicine in Pulmonary Medicine and in Critical Care Medicine. He has been Medical Director of the Intensive Care Unit in his practices in New York and in New Hampshire for the past ten years. He took a year of advanced critical care training at the University of Pittsburgh, and worked under experts including Ake Grenvik, Jim Snyder (author of the definitive textbook of oxgen delivery), Michael Pinsky, and Expert Crippen. Prior to that, he trained at Bellevue Hospital through New York University, where the Swan-Ganz catheter was originally conceived, and studied all the physiologic variables derived from the pulmonary artery catheter. He manages mechanical respirators, vasoactive medications, and all kinds of measuring devices on a daily basis. He also works to develop and implement critical care protocols, policies and procedures, and daily ICU plans of care. He has helped to develop Multidisciplinary critical care rounds in his hospitals, and routines coordinates care between various medical services. He teaches critical care as an instructor of the Fundamentals of Critical Care Support (FCCS) course. He is active with the Society of Critical Care Medicine, and maintains contact with national experts through annual conferences and online through the ICU discussion group, CCM-L. He works with hospital administration and helps ensure compliance with the ICU Leapfrog criteria.
Expert has significant experience studying and managing pulmonary tuberculosis. He is actively certified by the American Board of Internal Medicine in Pulmonary Diseases. He spent 2 years in pulmonary fellowship at Bellevue Hospital in New York City, managing tuberculosis patients during the tuberculosis epidemic of the early 1990s. Then he spent another year attending the outpatient Chest Clinic, often managing outpatient tuberculosis. There he worked under experts William Rom, Timothy Harkin, and Stuart Garay, who subsequently wrote the definite textbook on tuberculosis. Many of these patients had multidrug resistant tuberculosis (MDR-TB). Many of the patients were immune suppressed with Acquired Immunodeficiency Syndrome (AIDS) as well. Part of Expert's experience was running the inpatient pulmonary therapy unit for patients with tuberculosis. This was a locked ward containing some of New York City's worse TB cases. Expert did supportive research, both as a subject and investigator on the role of cytokine formation in Mycobacterium tuberculosis infection, using bronchoalveolar lavage and ELISA techniques. As an outpatient tuberculosis physician, Expert worked with the Public Health Department of NYC and their Directly Observed Therapy (DOT) program. Subsequently, he has been in private practice as a pulmonary physician, treating many tuberculosis patients over the past 20 years.