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Dr. Eleanor D. Muise, MD is a pediatric pulmonologist in New York, NY specializing in pediatric pulmonology. She graduated from Drexel University College of Medicine in 2011 and has 15 years of experience. Dr. Eleanor D. Muise, MD is affiliated with NYU Langone Health.
NYU Langone Health
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.
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. Eleanor D. Muise, MD graduated from Drexel University College of Medicine in 2011. She completed residency at Montefiore Medical Center. She is certified by the American Board of Pediatrics - Pediatrics and has a state license in New York.
Medical School: Drexel University College of Medicine (2011)
Residency: Montefiore Medical Center (2014)
Board Certification: American Board of Pediatrics - Pediatrics (2019)
Licensed In: New York
Dr. Eleanor D. Muise, MD is associated with these hospitals and organizations:
Dr. Eleanor D. Muise, MD appears to accept the following insurance providers: HIP EPO, HIP Access II, HIP Access I, MagnaCare PPO, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Aetna HMO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, AARP, WellCare Medicare, WellCare, Medicare Part B, United Healthcare Medicare, Medicare Advantage, United Healthcare, Medicaid, Humana, Cigna, 1199SEIU, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, Aetna Medicare, HIP Child Health Plus, MultiPlan PPO, MultiPlan, GHI Medicare Supplement, Aetna POS, United Healthcare Navigate, First Health PPO, Great-West Healthcare HMO, Aetna Indemnity, Great-West Healthcare, Golden Rule, Community Care Network (CCN), Trustmark , Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), CIGNA HMO, EmblemHealth, CIGNA Indemnity, Healthfirst Child Health Plus, Elderplan, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Local 1199 PPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, HealthSpring, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO (NYU Langone Suffolk Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Surest, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, MetroPlusHealth Medicare, Qualcare Inc, Hotel Trades Council, Healthfirst Essential Plan 1 & 2, Insurance Design Administrators, Aetna EPO (American Express employer), Health Net of California, Global Excel, NYC Employees PPO Plan, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, American Plan Administrators, MetroPlusHealth Gold, BCBS Local 32BJ Employees, Healthfirst Platinum Leaf Exchange, Healthfirst Gold Total, Pro, Plus EPO, AXA Assistance USA, Nippon Life-Aetna, Fiserv Health, UMR GEHA, Mutual of Omaha, UMR, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, Screen Actors Guild, MetroPlusHealth Medplus Plan Exchange, Meritain Health, Aetna Choice POS II Choice Plus Plan (NY University Employees), HIP VIP Medicare Bold, Administrative Concepts, Healthfirst Silver Total, Pro, Plus EPO, BCBS Healthplus NY Child Health Plus NY, BCBS EPO (NYU Langone Suffolk Employees), NY Fire Department - WTC, Aetna POS (American Express Employer), Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, AETNA EPO (NYULH Employees), BCBS Healthplus Mediblue Advantage, MetroPlusHealth Child Health Plus, MetroPlusHealth Essential Plan 3 and 4, Aetna Signature Administrators PPO, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, MetroPlusHealth Goldcare, MetroPlusHealth Gold Plus Plan Exchange, MetroPlusHealth Essential Plan 1 and 2, Healthfirst Essential Plan 3 & 4, New York Hotel Trades, HIP VIP Medicare Prime, Global Health, Healthfirst Bronze Leaf Exchange, Nippon Life of America-Aetna, World Trade Center - Sedgwick, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, US Life Insurance Company, BCBS Blue Access PPO Large Group, Oxford Health Plans Liberty, Wlny-TV Inc., Aetna International, Aetna Choice POS II Value Plan (NY University Employees), Medicare Part A and B, MetroPlusHealth Bronze Plus Plan Exchange, Healthfirst Gold Leaf Exchange, MVP Preferred EPO, BCBS PPO (BlackRock Employees), BCBS Out of State or Region, Healthfirst Bronze Total, Pro, Plus EPO, Aetna Meritain Health, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, HIP Medicare Supplement, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Aetna Student Plan, Health And Recovery Plan (Harp), BCBS EPO (BlackRock Employees), Allied, MetroPlusHealth Platinum Plus Plan Exchange, Empire Mediblue Healthplus Dual, Aetna Medicare Value Select HMO, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, MetroPlusHealth Silver Plus Plan Exchange, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, AETNA EPO (Sunset Park Employees), BCBS Blue Access EPO Large Group, WTC Health Program and BCBS Federal Program.
According to our sources, Dr. Eleanor D. Muise, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Eleanor D. Muise, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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BRONCHITOL $20 |
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Dr. Eleanor Muise's specialty is pediatric pulmonology. Dr. Muise's areas of expertise include the following: lung biopsy, lung transplant, and shortness of breath (dyspnea). She is affiliated with NYU Langone Health. She accepts Trustmark, Anthem, Blue California, and more. She studied medicine at Drexel University College of Medicine. She trained at Montefiore Medical Center for her residency.
