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Dr. Ngoc Phuong Ly, MD, MPH is a pediatric pulmonologist in Oakland, CA specializing in pediatric pulmonology and physician. She graduated from University of Rochester School of Medicine and Dentistry. Dr. Ngoc Phuong Ly, MD, MPH is affiliated with UCSF, UCSF Benioff Children's Hospitals, Hill Physicians and Pulmonary Clinic.
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. Ngoc Phuong Ly, MD, MPH graduated from University of Rochester School of Medicine and Dentistry. She completed residency at Virginia Commonwealth University (VCU) Affiliated Hospitals. She is certified by the American Board of Pediatrics, Pediatric Pulmonology and has a state license in California.
Medical School: University of Rochester School of Medicine and Dentistry
Residency: Virginia Commonwealth University (VCU) Affiliated Hospitals
Board Certification: American Board of Pediatrics, Pediatric Pulmonology
Licensed In: California
Dr. Ngoc Phuong Ly, MD, MPH appears to accept the following insurance providers: Cigna, Aetna, Blue Shield of California, SCAN Health Plan, Anthem, UnitedHealthcare, Health Net, Hill Physicians Care Solutions, Central Health Plan, CCHP Health Plan (Chinese Community Health Plan) and Canopy Health.
According to our sources, Dr. Ngoc Phuong Ly, MD, MPH accepts the following insurance providers:
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These charts describe general payments received by Dr. Ngoc Phuong Ly, MD, MPH. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$4,897
Cayston $4,125 |
$773 |
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$1,610
SYMDEKO $73 |
$1,537 |
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$665
$665 |
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$54
CMF $54 |
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$18
NON BRAND $18 |
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$15
ZENPEP $15 |
| $3,328 | |
| $2,500 | |
| $708 | |
| $650 | |
| $73 |
Dr. Ngoc Phuong Ly, MD, MPH has received 35 research payments totaling $429,460.
Dr Ngoc P Ly is a specialist in diagnosing and managing acute and chronic respiratory diseases in children. Her expertise encompasses lung function testing, exercise testing and bronchoscopy (passing a flexible instrument into the lungs to view the airways). She has a special interest in caring for children with asthma and other chronic lung diseases. Ly directs the UCSF Asthma Program, which provides comprehensive diagnosis and treatment services for asthma in children, with a focus on severe asthma. The program's care team includes a nurse practitioner and respiratory therapist certified in asthma education, with the goal of helping patients and their families to better understand and manage the condition.
