General Practitioners

• Medical Weight Loss
• Primary Care
  Because sleep disorders are closely related to other health issues, we work closely - before, during, and after treatment - to coordinate with your primary care physician and other specialists to ensure that your sleep issues remain resolved.  Each of our physicians is committed to making sure you receive expert continuity of care so that you receive the maximum benefit from your sleep treatment.
• Smoking Cessation
  The Tarrant County Public Health Department offers a Live Tobacco Free program with free online and in-person tobacco cessation classes for adult residents of Tarrant County.
• Sleep Disorders
  Our patients who are using a Philips BiLevel Positive Airway Pressure or Continuous Positive Airway Pressure device for treatment of a sleep disorder should have already heard from Philips, who has issued a recall of many of their CPAP and BiLevel PAP devices and mechanical ventilators. This is due to possible degradation of sound abatement foam and exposure to chemical emissions from the degraded foam material. High heat and humidity as well as use of unapproved cleaning methods, such as ozone (e.g. SoClean, PrimeClean), may contribute to foam degradation.
• Emergency Care
  Pulse oximetry is a test that measures the amount of oxygen present in the blood. This diagnostic test uses a medical device known as a pulse oximeter to measure the levels of oxygen in the blood, as well as the pulse rate, without having to take a blood sample. Pulse oximetry is a non-invasive test that causes no pain or discomfort. A pulse oximeter is often used in a hospital setting when a patient is admitted to the emergency room for diagnostic purposes, or during surgery, to monitor pulse rate and oxygen levels. A pulse oximetry test is commonly used to evaluate or diagnose various medical conditions that affect the function of the heart and lungs.
• Infectious Diseases
  Acute restrictive conditions are the most common pulmonary cause of acute respiratory failure. Infectious diseases include pneumonia and tuberculosis.
• Flu Shots
  The influenza vaccine, also known as a flu shot, is recommended each year for children over the age of 6 months and adults. Flu shots are generally available starting in September before the flu season begins. While the flu shot may not be 100 percent effective, it has been shown to be effective in either preventing or reducing the severity of the flu.
• Bronchitis
• Pneumonia
• Immunizations

Ophthalmologists

• Glaucoma

Gynecologists

• Pregnancy

Internists

• Internal Medicine
  We are specialists in pulmonary diseases. Pulmonary specialists are internists who have been trained in internal medicine and subsequently have received additional training in the field of diseases of the respiratory system. Our primary areas of concern are diseases of the lungs and bronchial tubes, but often we must evaluate the heart and upper respiratory tract, including the nose and mouth, as well as chest and body functions. We often work with other physicians in providing care for patients with severe medical problems in the hospital. Historically, pulmonary physicians treated infectious diseases (i.e., tuberculosis), but chronic obstructive pulmonary disease (COPD), emphysema, bronchitis, and lung cancer have become more common. Our practice of pulmonary diseases also includes problems of blood circulation through the lung (i.e., blood clots), immunologic diseases (i.e., asthma), chest trauma, respiratory failure, sleep apnea, and occupational and environmental diseases of the lung. We do not perform surgery. However, we may often insert needles into the chest to remove fluid from the chest or to obtain a sample of the lining of the chest wall or even of the lung itself. We also often perform bronchoscopy to examine the bronchial tree. We do limit our practice to diseases of the chest and strongly recommend that you have an internist or family physician to take care of your non-pulmonary needs.
• Endoscopy
  While respiratory distress, particularly in infants or in patients who have been recently intubated, may be a symptom of subglottic stenosis, occasionally a doctor will detect the problem in a patient who is asymptomatic. After a thorough physical examination, other diagnostic tools may be used to confirm a tentative diagnosis, including X-rays, microlaryngoscopy and bronchoscopy. The patient may also be evaluated by a gastroenterologist who may decide to administer an upper GI endoscopy. Other diagnostic pulmonary tests may also be done.
• Lung Cancer
  Lung cancer is one of the most preventable types of cancer. However, although most lung cancer deaths can be prevented through lifestyle changes, lung cancer kills more people each year than colon, prostate, lymph and breast cancers combined. Lung cancer is always treatable, however, regardless of its size and location, and whether or how far it has spread.

Psychiatrists

• Anxiety

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  Endoscopic bronchial ultrasound, or EBUS, is a technique that combines ultrasound and bronchoscope technology to diagnose and evaluate the stages of lung and bronchial cancers. Performed while the patient is under sedation, EBUS involves the insertion of a flexible endoscope with a small ultrasound tool attached through the patient's mouth and trachea. This provides the doctor with a detailed view of the lungs in order to diagnose lung disease and determine the severity of the condition. The entire procedure generally takes about 30 minutes to complete, and patients can usually return home the next day.
• MRI
  Early diagnosis of lung cancer is the best way to achieve a successful outcome, but early diagnosis is rare because symptoms do not usually appear until the disease has progressed. To determine which tests are necessary, a patient's medical history is taken, a physical exam is performed and symptoms are discussed. A diagnosis of lung cancer is usually then confirmed by certain imaging tests and/or types of biopsies. Imaging tests used to help diagnose lung cancer include CT, PET, MRI and bone scans. Types of biopsies used to help diagnose lung cancer include...
• X-Rays
• Computed Tomography
  Office Policies We request that you make your appointments as far in advance as  possible. We also have certified adult nurse practitioners and physician assistants in many of our offices who may see patients on a "work-in" basis, when scheduling with the physician is not possible or if you are having  increasing difficulties and feel you need to be seen. If you have outside laboratory reports, chest x-rays or CT scans, we ask that you  bring these with you at the time of your appointment. Your promptness in keeping appointments is appreciated and we ask that you call ahead if you will be late or require any changes.
• Chemotherapy
  Treatment for small-cell lung cancer is usually limited to surgery, chemotherapy and radiation therapy, although clinical trials of other types of treatment are ongoing.
• Radiation Therapy

Surgeons

• Reconstructive Surgery
  In the mildest cases of subglottic stenosis, patients may not require treatment and may just be kept under careful medical observation since they are at greater risk for respiratory problems. When the stenosis, though relatively mild, requires treatment, an airway balloon dilation may be performed. This procedure is similar to an angioplasty in that the pathway in opened by the surgical inflation of a balloon-like device. In cases of severe subglottic stenosis, reconstructive surgery of the larynx and trachea may have to be performed in order for patients to be able to breathe independently.

Dermatologists

• Fungus
  Pneumonia is an infection of the lung that is caused by either a bacteria, virus or fungus. More than one million people were hospitalized in the United States in 2009 with pneumonia, with more than 50,000 fatalities. Pneumonia affects people of all ages but tends to focus on the following groups...
• Lesions
  Electromagnetic navigational bronchoscopy, or ENB, is a form of diagnostic bronchoscopy. ENB is used to detect and help treat peripheral lung lesions, and can detect lung disease even before symptoms are present, improving the patient's prognosis. The procedure is performed under anesthesia, using CT imaging to create a 3D picture of the lungs. The bronchoscope is inserted through the patient's mouth and into the airways of lungs, and catheters are placed into the bronchoscope channel. Biopsy tools are then used to collect tissue samples for diagnosis and testing. Because ENB is minimally invasive, it reduces the potential for complications that are more likely to result from an invasive surgical procedure.

Allergists

• Allergies