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Dr. Cadence Amber Kuklinski, DO is a pediatric pulmonologist in Saint Louis, MO specializing in pediatric pulmonology and general pediatrics. She graduated from Des Moines University, College of Osteopathic Medicine. Dr. Cadence Amber Kuklinski, DO is affiliated with WashU Medicine, St. Louis Children's Hospital, BJC HealthCare, Washington University in St. Louis (WUSTL) and WashU Medicine.
St. Louis Children's Hospital
Asthma
Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.
Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:
Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.
There is no cure for asthma, but with treatment it should not interfere with daily life and activities.
Bronchoscopy
Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.
In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:
For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.
During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.
Dr. Cadence Amber Kuklinski, DO graduated from Des Moines University, College of Osteopathic Medicine. She completed residency at St. Louis University (SLU) Affiliated Hospitals. She is certified by the Pediatrics and has a state license in Missouri.
Medical School: Des Moines University, College of Osteopathic Medicine
Residency: St. Louis University (SLU) Affiliated Hospitals
Board Certification: Pediatrics
Licensed In: Missouri
Dr. Cadence Amber Kuklinski, DO is associated with these hospitals and organizations:
Dr. Cadence Amber Kuklinski, DO appears to accept the following insurance providers: CIGNA Flexcare, MultiPlan, MHBP, United Healthcare Select Plus, United Healthcare Select, United Healthcare PPO, United Healthcare POS, Great-West Healthcare Open Access, United Healthcare EPO, United Healthcare Choice Plus, United Healthcare Choice, Blue Choice, Aetna QPOS, Great-West Healthcare POS, Great-West Healthcare PPO, Health Alliance HMO, Aetna Open Access HMO, Great-West Healthcare HMO, Rockport Healthcare Group, Hannibal Regional PHO, Aetna Medicare HMO, TRICARE, Decatur Memorial Hospital, Coventry, Anthem, Best Doctors, Aetna Managed Choice POS, Aetna Select, Aetna Choice POS, Aetna HMO, CIGNA Open Access POS, Aetna US Access, CIGNA Open Access Plus HMO, Aetna National Advantage Program, Coventry HMO, CIGNA Network, CIGNA PPO, MO HealthNet, CIGNA POS, CIGNA HMO, CorVel, CIGNA EPO, Aetna Medicare PPO, Aetna Open Access Managed Choice, Aetna Open Access Elect Choice, Aetna Choice POS II, AARP, Medicare Advantage, TriWest, Blue Cross Blue Shield Missouri - Regular or Traditional, CoxHealth, Coventry PPO, Coventry National Network PPO, USA Managed Care Organization, Health Alliance POS, Health Alliance PPO, United Healthcare, United Healthcare Navigate, Medicare, Medicaid, Quality Health Management, Humana, Cigna, Molina Healthcare, First Health, HealthLink PPO, Beech Street, HealthLink POS, HealthLink Open Access, HealthLink HMO, Aetna Elect Choice, HFN, United Healthcare Community Plan (AmeriChoice), Community Partners Health Plans, CIGNA Open Access Plus POS, Blue Cross Blue Shield of Illinois, CIGNA Network Open Access, CIGNA PPO Plus, Private Healthcare Systems (PHCS), Care Management Resources (CMR), Mercy Health Springfield Communities, Aetna Affordable Health Choice PPO, Advantra Option 1 HMO/POS (Aetna Medicare), Union Pacific Railroad Employee Health System, Freedom Plus PPO-Missouri (Aetna Medicare), Aetna CVS Health (MO Marketplace Exchange), Freedom PPO-Missouri (Aetna Medicare), Aetna Open Choice (PPO), Aetna Medicare Open Access POS, Health Alliance Medicare POS, Kansas Advantra Freedom PPO (Aetna Medicare), VA HealthCare Choice Program, BJC Center of Excellence - Consociate Health, Verify Insurance Acceptance With Practice, Illinois Department of Public Aid (IDPA/HFS), Advantra Silver HMO (Aetna Medicare), Advantra PPO (Aetna Medicare), Essence Advantage HMO, Meridian (Illinois Department of Public Aid), Health Alliance (IL Marketplace Exchange), HealthScope Benefits, Inn (Orscheln Industries Health Plan), Gold Advantage (Aetna Medicare), Aetna Health Network, Essence Advantage Select HMO, Advantra Complete PPO Illinois (Aetna Medicare), Aetna Health Network Option, BJC HealthSolutions, Aetna Medicare Open Access HMO, Health Alliance Medicare HMO, Advantra Option 2 HMO (Aetna Medicare), Essence Advantage Plus HMO and Gold Dual Core HMO Missouri (Aetna Medicare).
According to our sources, Dr. Cadence Amber Kuklinski, DO accepts the following insurance providers:
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Dr. Cadence Kuklinski specializes in pediatric pulmonology and general pediatrics. Dr. Kuklinski's areas of clinical interest consist of cystic fibrosis (CF), bronchoscopy, and asthma. She graduated from Des Moines University, College of Osteopathic Medicine. For her professional training, Dr. Kuklinski completed a residency program at a hospital affiliated with St. Louis University (SLU). Dr. Kuklinski's hospital/clinic affiliations include Memorial Hospital Shiloh, St. Louis Children's Hospital, and WashU Medicine. According to BJC HealthCare, she is currently accepting new patients at her office in Saint Louis, MO.