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Dr. Michael Ghobrial, MD

(81 Ratings)

Specializes in: Adult Pulmonology and Adult Critical Care

Professional interests include: mechanical ventilation, sleep apnea, pneumonia, and more.

3574 Center Road
Brunswick, OH 44212

(330) 225-8886

Dr. Michael Ghobrial, MD is a pulmonologist in Westlake, OH specializing in adult pulmonology and adult critical care. Dr. Michael Ghobrial, MD is affiliated with Cleveland Clinic, Brunswick Family Health Center and Cleveland Clinic Main Campus.

Office Locations

Address:

29441 Hummingbird Circle
Westlake, OH 44145

Address:

3574 Center Road
Brunswick, OH 44212

Address:

9500 Euclid Avenue
Cleveland, OH 44195

Some issues Dr. Michael Ghobrial, MD can help you with:

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:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

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:

Brush biopsy, which uses a brush to collect samples.
Endobronchial biopsy, which uses the bronchoscope to guide forceps to sample lung tissue.
Transbronchial biopsy, which uses forceps and image guidance - such as X-rays, CT scans, or fluoroscopy - to sample lung tissue.
Transbronchial fine needle aspiration (TBNA), which uses a small needle to take samples of the lymph nodes or lungs.

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 Issues

Every cell in the body requires oxygen to function and produces carbon dioxide as a waste product. In order to keep the body's tissues constantly supplied with fresh oxygen and to keep waste from building up, the lungs pump air in and out, even while sleeping or unaware. Unfortunately, diseases and disorders affecting the lungs are some of the most common medical problems afflicting people around the world. Some of the most common lung problems include asthma, COPD, pneumonia, and lung cancer.

Asthma is a chronic disease where swollen, inflamed airways make it hard to breathe. It is often brought on by specific triggers. While asthma is a common condition, affecting millions of people, it can also be serious and even fatal in severe cases. Treatment involves avoiding triggers and using inhaled corticosteroid medications.

COPD, or Chronic Obstructive Pulmonary Disease, is the name given to two illnesses that both cause difficulty breathing: emphysema and chronic bronchitis. In emphysema, the air sacs of the lungs become damaged, while with bronchitis they become clogged with mucus. COPD is the fourth leading cause of death in the United States. It is almost always caused by breathing irritants into the lungs, such as smoking or heavy pollution.

Pneumonia is a lung infection that can be caused by bacteria, a virus, or fungi. Most healthy people recover from pneumonia in a week or two, but for some people pneumonia can be fatal. There are treatments available for pneumonia, but the best treatment is to prevent getting sick in the first place. People who are at risk should make sure they get a flu shot every year. There is also a vaccine available for the type of bacteria that causes pneumonia.

Lung cancer occurs when abnormal cells inside the lung grow into a tumor, destroying healthy tissue. Because it is so difficult to detect lung cancer in early stages when it has few symptoms, it is the deadliest form of cancer, responsible for the most cancer deaths both in the U.S. and worldwide. Most lung cancer is caused by exposure to tobacco smoke, but between 10-15% of cases are not linked to smoking.

Some problems with the lungs are minor and are not cause for concern. However if symptoms have lasted for a month or more, even if they are minor, it is worth checking with a healthcare professional. A cough, shortness of breath, or excess mucus production that lingers for weeks are all worth getting looked at.

In The News

“Dr. Michael Ghobrial with the Cleveland Clinic said they're seeing it more commonly in younger patients.”—"New research sheds light on an emerging parallel COVID epidemic", ABC7 News, October 2022

“But in our practice, we are seeing it more common in younger patients," said Michael Ghobrial, Medical Director of Respiratory Therapy and Pulmonary Rehabilitation for Cleveland Clinic's Medina...”—"Treating Fatigue and Breathlessness in COVID Long-Haulers", Cleveland Clinic Newsroom , January 2016

hospital care	24
inpatient care	24

**Gender**
Male	58
Female	78

**Age**
From 65 to 74	46
From 75 to 84	38
85 and over	30
Less than 65	22

Hypertension	75
High Cholesterol	75
Stroke	25
Ischemic Heart Disease	59
Depression	40
Chronic Kidney Disease	50
Asthma	38
Osteoperosis	0
Atrial Fibrilation	29
Heart Failure	51
Chronic Obstructive Pulmonary Disease	43
Diabetes	50
Dementia	29
Cancer	0

hospital care	11
inpatient care	11

**Gender**
Male	25
Female	15

**Age**
From 65 to 74	0
From 75 to 84	15
85 and over	13
Less than 65	0

Hypertension	75
High Cholesterol	75
Stroke	40
Ischemic Heart Disease	75
Depression	48
Chronic Kidney Disease	75
Asthma	45
Osteoperosis	0
Atrial Fibrilation	33
Heart Failure	60
Chronic Obstructive Pulmonary Disease	45
Diabetes	58
Dementia	40
Cancer	0

**Gender**
Male	11
Female	12

**Ethnicity**
Non-Hispanic White	23
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

Hypertension	75
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	75
Depression	0
Chronic Kidney Disease	70
Asthma	0
Osteoperosis	0
Atrial Fibrilation	61
Heart Failure	75
Chronic Obstructive Pulmonary Disease	74
Diabetes	65
Dementia	0
Cancer	0

doctor visit	118
hospital care	118
inpatient care	118
pulmonary testing	14

**Gender**
Male	108
Female	113

**Ethnicity**
Non-Hispanic White	210
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	99
From 75 to 84	63
85 and over	41
Less than 65	18

Hypertension	75
High Cholesterol	59
Stroke	7
Ischemic Heart Disease	42
Depression	34
Chronic Kidney Disease	49
Asthma	18
Osteoperosis	8
Atrial Fibrilation	26
Heart Failure	43
Chronic Obstructive Pulmonary Disease	63
Diabetes	32
Dementia	16
Cancer	20

doctor visit	499
hospital care	231
inpatient care	231
pulmonary testing	104

**Gender**
Male	199
Female	207

**Ethnicity**
Non-Hispanic White	386
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	160
From 75 to 84	145
85 and over	51
Less than 65	50

Hypertension	75
High Cholesterol	63
Stroke	5
Ischemic Heart Disease	46
Depression	36
Chronic Kidney Disease	49
Asthma	17
Osteoperosis	12
Atrial Fibrilation	24
Heart Failure	46
Chronic Obstructive Pulmonary Disease	66
Diabetes	36
Dementia	16
Cancer	19

doctor visit	321
hospital care	134
inpatient care	134
pulmonary testing	89

**Gender**
Male	171
Female	185

**Ethnicity**
Non-Hispanic White	334
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	157
From 75 to 84	130
85 and over	39
Less than 65	30

Hypertension	75
High Cholesterol	65
Stroke	5
Ischemic Heart Disease	50
Depression	35
Chronic Kidney Disease	51
Asthma	20
Osteoperosis	12
Atrial Fibrilation	21
Heart Failure	44
Chronic Obstructive Pulmonary Disease	57
Diabetes	34
Dementia	15
Cancer	18

doctor visit	889
hospital care	281
inpatient care	281
pulmonary testing	365

Average Medicare Procedure Volume From 2015 - 2021

Volume of procedures performed by Dr. Michael Ghobrial, MD for Medicare patients.

The highest averages for the top procedures that Dr. Michael Ghobrial, MD treated as a pulmonologist in Westlake, OH were pulmonary testing, hospital care and inpatient care.

doctor visit	458
hospital care	133
inpatient care	133
pulmonary testing	143

Average Medicare Patient Data From 2015 - 2021

Information about Medicare patients treated by Dr. Michael Ghobrial, MD.

**Gender**
Male	57
Female	61

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	95
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	39
85 and over	17
Less than 65	12
65 to 74	46

Average of Total of Conditions of Medicare patients treated by Dr. Michael Ghobrial, MD From 2015 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Michael Ghobrial, MD treated were hypertension, high cholesterol, chronic kidney disease and chronic obstructive pulmonary disease.

Hypertension	45
High Cholesterol	39
Stroke	8
Ischemic Heart Disease	34
Depression	19
Chronic Kidney Disease	34
Asthma	13
Osteoporosis	3
Heart Failure	31
Chronic Obstructive Pulmonary Disease	34
Diabetes	27
Atrial Fibrillation	19
Cancer	5
Dementia	11

Education & Training

He completed residency at Fairview Hospital. He is certified by the Internal Medicine - Critical Care Medicine Internal Medicine Internal Medicine - Pulmonary Disease and has a state license in Ohio.

Residency: Fairview Hospital (2015)

Board Certification: Internal Medicine - Critical Care Medicine Internal Medicine Internal Medicine - Pulmonary Disease

Licensed In: Ohio

Affiliations & Hospitals

Dr. Michael Ghobrial, MD is associated with these hospitals and organizations:

Cleveland Clinic

Brunswick Family Health Center

Cleveland Clinic Main Campus

Ratings & Reviews

Dr. Michael Ghobrial, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 81 ratings. We collect ratings and reviews of Dr. Michael Ghobrial, MD from all over the web to help you find the right in Westlake, OH.

Overall Rating

(81 Ratings)

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General Payments

These charts describe general payments received by Dr. Michael Ghobrial, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boehringer Ingelheim Pharmaceuticals, Inc.	$2,247 OFEV $211	Pradaxa $49	SPIRIVA RESPIMAT $15	$1,972
Regeneron Healthcare Solutions, Inc.	$1,873 DUPIXENT $1,873
Covidien LP	$972 superDimension $972
Shire North American Group Inc	$900 $900
AstraZeneca Pharmaceuticals LP	$601 FASENRA $138	AIRSUPRA $112	BREZTRI $92	TEZSPIRE $74	$184
Other	$1,478 DUPIXENT $269	TEZSPIRE $185	Arikayce $129	TRELEGY ELLIPTA $101	TYVASO $75	Other $720

**Types of Payments**
Consulting Fee	$4,429
Food and Beverage	$2,672
Travel and Lodging	$842
Education	$127

Biography

Dr. Michael Ghobrial practices adult critical care and adult pulmonology. His patients gave him an average rating of 5.0 stars (out of 5). Clinical interests for Dr. Ghobrial include endotracheal intubation, alpha-1 antitrypsin deficiency, and sleep apnea. He is affiliated with Cleveland Clinic Main Campus and Brunswick Family Health Center. His residency was performed at Fairview Hospital.