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Dr. Natalia Soto-Gomez, MD

(Dr. Natalia Soto Gomez, M.D.)

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Specializes in: Adult Pulmonology and Adult Critical Care
CES University, Institute of Health Sciences
Professional interests include: hypertension (high blood pressure), asthma, respiratory failure, and more.
10007 Huebner Road Suite 402 Building 4
San Antonio, TX 78240

Dr. Natalia Soto-Gomez, MD is a pulmonologist in San Antonio, TX specializing in adult pulmonology and adult critical care. She graduated from CES University, Institute of Health Sciences. Dr. Natalia Soto-Gomez, MD is affiliated with Baptist Health System, CHRISTUS Health, Baptist Hospital and PULMONARY CONSULTANTS OF SAN ANTONIO PA.

View Doctor's Full Profile (210) 692-0361

Office Locations

Address:

10007 Huebner Road Suite 402 Building 4
San Antonio, TX 78240

Some issues Dr. Natalia Soto-Gomez, 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.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

  • Age
  • Gender (most heart attack sufferers are male)
  • A family history of heart attacks
  • Smoking
  • Obesity
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

Average Medicare Procedure Volume From 2017 - 2021

Volume of procedures performed by Dr. Natalia Soto-Gomez, MD for Medicare patients.

The highest averages for the top procedures that Dr. Natalia Soto-Gomez, MD treated as a pulmonologist in San Antonio, TX were hospital care, inpatient care, pulmonary testing and catheterization.

catheterization 12
doctor visit 83
hospital care 431
inpatient care 431
pulmonary testing 31
tracheal (windpipe) procedures 10

Average Medicare Patient Data From 2017 - 2021

Information about Medicare patients treated by Dr. Natalia Soto-Gomez, MD.

Gender
Male 45
Female 48
Ethnicity
Black / African American
Asian / Pacific Islander
Non-Hispanic White 36
Native American / Alaskan Native
Hispanic 44
Other
Age
75 to 84 24
85 and over 14
Less than 65 26
65 to 74 29

Average of Total of Conditions of Medicare patients treated by Dr. Natalia Soto-Gomez, MD From 2017 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Natalia Soto-Gomez, MD treated were chronic kidney disease, hypertension, diabetes and high cholesterol.

Hypertension 30
High Cholesterol 28
Stroke 5
Ischemic Heart Disease 27
Depression 15
Chronic Kidney Disease 30
Asthma 5
Osteoporosis 2
Heart Failure 25
Chronic Obstructive Pulmonary Disease 16
Diabetes 27
Atrial Fibrillation 10
Cancer 4
Dementia 15

Education & Training

Dr. Natalia Soto-Gomez, MD graduated from CES University, Institute of Health Sciences. She completed residency at University of Texas Affiliated Hospitals. She has a state license in Texas.

Medical School: CES University, Institute of Health Sciences

Residency: University of Texas Affiliated Hospitals

Licensed In: Texas

Affiliations & Hospitals

Dr. Natalia Soto-Gomez, MD is associated with these hospitals and organizations:

Baptist Health System
CHRISTUS Health
Baptist Hospital
PULMONARY CONSULTANTS OF SAN ANTONIO PA

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General Payments

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

Payments by Company
United Therapeutics Corporation $543 ORENITRAM
$373 		TYVASO
$170
GlaxoSmithKline, LLC. $519 NUCALA
$287 		TRELEGY ELLIPTA
$213 		SHINGRIX
$19
AstraZeneca Pharmaceuticals LP $438 BREZTRI
$225 		FASENRA
$157 		TEZSPIRE
$25
$31
Janssen Pharmaceuticals, Inc $152 XARELTO
$152
Boehringer Ingelheim Pharmaceuticals, Inc. $136 OFEV
$136
Other $1,014 DUPIXENT
$149 		PULMONX CHARTIS TABLET CONSOLE
$130 		ZINPLAVA
$100 		AVYCAZ
$96 		Letairis
$89 		Other
$449
Types of Payments
Food and Beverage $2,803

Biography

Dr. Natalia Gomez specializes in adult critical care and adult pulmonology. Clinical interests for Dr. Gomez include diabetes, bronchoscopy, and hypertension (high blood pressure). Dr. Gomez attended medical school at Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine. She is affiliated with CHRISTUS Health and Baptist Health System.

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