Department of Medicine
Clinical Associate Professor of Medicine
Pulmonary & Critical Care Medicine
I am a board-certified pulmonary and critical care physician with expertise in pleural diseases and pulmonary vascular diseases, particularly pulmonary embolism and pulmonary hypertension related to respiratory disorders. At the UBMD multispecialty clinic in Amherst, I see patients with pleural diseases and pulmonary vascular diseases as well as patients with a wide range of respiratory problems, including asthma, chronic obstructive pulmonary disease (COPD), interstitial lung disease, sarcoidosis and pulmonary hypertension. I am an attending physician in the medical intensive care unit at Buffalo General Medical Center (BGMC) and the Buffalo VA Medical Center (Buffalo VAMC). I am also a pulmonary consultant in these hospitals and at Roswell Park Cancer Institute (RPCI).
I am one of the few pulmonologists in the country trained in pleuroscopy (medical thoracoscopy), an endoscopic procedure most commonly performed to obtain pleural biopsy to diagnose and stage malignancy and to treat malignant pleural effusion. Compared to surgery, this is a low-risk procedure that can be done under conscious sedation and with a single incision. I am skilled in a number of other advanced procedures: endobronchial ultrasound (EBUS), ultrasound-guided pleural pigtail catheter placement, tunneled pleural catheter placement, endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and electromagnetic navigational bronchoscopy.
I am exploring ways to improve the diagnosis of pulmonary vascular diseases so they may be diagnosed and treated at a stage early enough to impact survival. I have reported real-life clinical experience with the off-label compassionate use of pulmonary vaso-active therapy in different forms of pulmonary hypertension; I have also performed systematic reviews of the use of such therapy in different forms of pulmonary hypertension to identify the patient populations that are most likely to benefit from such therapy and should be targets of randomized clinical trials. Additionally, I am exploring using pulmonary vaso-active therapy in pulmonary hypertension that results from obesity hypoventilation syndrome. I collaborate with specialists that include UBMD physicians with expertise in cardiology, pulmonology and critical care, to establish a pulmonary embolism response team at BGMC.
I teach medical students in years two through four. I teach and supervise medical students, residents and fellows who rotate with me at BGMC and Buffalo VAMC, and I also speak at grand rounds lectures at these hospitals. At the center of my teaching is a patient-centered, evidence-based approach to the management of clinical problems in pulmonary and critical care. I welcome opportunities to mentor medical students, residents and fellows, and I invite trainees to approach me for research supervision and collaboration.