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Dr. Carlos Eduardo Milla, MD is a pediatric pulmonologist in Palo Alto, CA specializing in pediatric pulmonology and general practice. He graduated from Cayetano Heredia University in 1986 and has 38 years of experience. Dr. Carlos Eduardo Milla, MD is affiliated with Stanford Children's Health and LPCH MEDICAL GROUP DIV OF LUCILE.
770 WELCH ROAD SUITE 380
Palo Alto, CA 94304
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.
Lung Transplant
Patients who have very severe lung disease may need a lung transplant. The diseased lung is entirely removed and replaced with a healthy lung, usually donated by a person who died. Either one or both lungs can be transplanted.
Contrary to popular belief, lung transplant is rarely used to treat lung cancer. It is a more common treatment for patients with other advanced lung diseases, such as cystic fibrosis, sarcoidosis, pulmonary fibrosis, and chronic obstructive pulmonary disease (COPD). Lung transplant is a serious operation and is generally used as a last resort for patients who have only a short time to live without surgery.
During a transplant, an incision is made on the side of the chest (for a single lung) or in the middle (for both lungs). Patients may be hooked up to a heart-lung bypass machine, which will do the work of moving blood and oxygen through the body during the procedure. After the diseased lung is cut away from the main airway and blood vessels, the donor lung is stitched into place. Surgery may take as long as twelve hours, and a hospital stay of two to three weeks after surgery is not uncommon. For the first hours or day after surgery, patients use a ventilator, or a machine to help them breathe. Tubes will be inserted into the chest to help drain excess air and fluid. During recovery, physical therapy and breathing exercises are used to help the new lung work as well as possible.
Lung capacity is carefully monitored for several months after surgery. Patients who have had a transplant will also have to take anti-rejection drugs for the rest of their lives. These drugs stop the body's immune system from attacking the new lung. The main risks after a transplant are infection and rejection (when the immune system attacks the 'foreign' lung). A healthy lifestyle, including maintaining a diet high in vegetables and lean protein, not smoking, and getting enough exercise, is important to keeping the lungs functioning as well as possible. With proper care, many patients can live ten or even twenty years after a lung transplant.
Dr. Carlos Eduardo Milla, MD graduated from Cayetano Heredia University in 1986. He completed residency at SUNY Downstate Medical Center and Affiliated Hospitals. He is certified by the Pediatric Pulmonology, American Board of Pediatrics and has a state license in California.
Medical School: Cayetano Heredia University (1986)
Residency: SUNY Downstate Medical Center and Affiliated Hospitals (1992)
Board Certification: Pediatric Pulmonology, American Board of Pediatrics
Licensed In: California
Dr. Carlos Eduardo Milla, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Carlos Eduardo Milla, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Vertex Pharmaceuticals Incorporated |
$94,621
KALYDECO $8,583 |
ORKAMBI $2,300 |
$83,738 |
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---|---|---|---|---|---|---|
Gilead Sciences Inc |
$66,017
Cayston $9,576 |
$56,441 |
||||
Genentech USA, Inc. |
$8,723
Non-Covered Product $4,421 |
Pulmozyme $4,302 |
||||
AbbVie, Inc. |
$3,880
Creon $46 |
$3,834 |
||||
Gilead Sciences, Inc. |
$3,838
Cayston $3,838 |
|||||
Other |
$4,963
NIOX VERO DEVICE $525 |
S9 CPAP $267 |
TOBI $73 |
ZENPEP $59 |
The Vest System Model 105 Home Care $55 |
Other $3,984 |
Travel and Lodging | $64,368 |
---|---|
Consulting Fee | $52,540 |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $49,190 |
Honoraria | $12,132 |
Food and Beverage | $3,486 |
Other | $325 |
Dr. Carlos Eduardo Milla, MD has received 98 research payments totaling $1,286,477.
Dr. Carlos Milla's areas of specialization are general practice and pediatric pulmonology; he sees patients in Palo Alto, CA and Madera, CA. Dr. Milla's areas of expertise include lung transplant, heart transplant, and cystic fibrosis (CF). After attending Cayetano Heredia University for medical school, he completed his residency training at a hospital affiliated with SUNY Downstate Medical Center. He is conversant in Spanish. He is affiliated with Valley Children's Healthcare and Stanford Children's Health.