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Dr. Norlalak Jiramethee, MD

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Specializes in: Adult Pulmonology and Adult Critical Care

Professional interests include: stroke, brain hemorrhage, acute liver failure , and more.

8088 W. Whitney Drive
Peoria, AZ 85345

(833) 855-9973

Dr. Norlalak Jiramethee, MD is a pulmonologist in Phoenix, AZ specializing in adult pulmonology and adult critical care. Dr. Norlalak Jiramethee, MD is affiliated with District Medical Group and DISTRICT MEDICAL GROUP INC.

Office Locations

Address:

2525 E. Roosevelt Street
Phoenix, AZ 85008

Address:

2929 E Thomas Road
Phoenix, AZ 85016

Address:

8088 W. Whitney Drive
Peoria, AZ 85345

Some issues Dr. Norlalak Jiramethee, MD can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

doctor visit	12

**Gender**
Male	21
Female	20

**Age**
From 65 to 74	18
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	66
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	75
Depression	0
Chronic Kidney Disease	29
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	61
Diabetes	0
Dementia	0
Cancer	0

doctor visit	129

**Gender**
Male	100
Female	118

**Ethnicity**
Non-Hispanic White	196
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	96
From 75 to 84	86
85 and over	0
Less than 65	0

Hypertension	64
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	53
Depression	24
Chronic Kidney Disease	34
Asthma	33
Osteoperosis	11
Atrial Fibrilation	21
Heart Failure	31
Chronic Obstructive Pulmonary Disease	46
Diabetes	36
Dementia	0
Cancer	25

doctor visit	17

**Gender**
Male	19
Female	28

**Age**
From 65 to 74	20
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	66
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	62
Depression	0
Chronic Kidney Disease	40
Asthma	47
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	40
Chronic Obstructive Pulmonary Disease	60
Diabetes	32
Dementia	0
Cancer	0

hospital care	10
inpatient care	10

**Gender**
Male	23
Female	19

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

**Age**
From 65 to 74	19
From 75 to 84	0
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	50
Depression	36
Chronic Kidney Disease	60
Asthma	26
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	45
Chronic Obstructive Pulmonary Disease	43
Diabetes	31
Dementia	0
Cancer	0

doctor visit	7
hospital care	78
inpatient care	78
pulmonary testing	20

**Gender**
Male	64
Female	48

**Ethnicity**
Non-Hispanic White	57
Black	0
Hispanic	29
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	45
From 75 to 84	0
85 and over	0
Less than 65	51

Hypertension	75
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	54
Depression	37
Chronic Kidney Disease	62
Asthma	20
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	47
Chronic Obstructive Pulmonary Disease	38
Diabetes	50
Dementia	20
Cancer	10

doctor visit	38
hospital care	80
inpatient care	80

**Gender**
Male	70
Female	40

**Ethnicity**
Non-Hispanic White	46
Black	17
Hispanic	34
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	50
From 75 to 84	0
85 and over	0
Less than 65	41

Hypertension	75
High Cholesterol	55
Stroke	12
Ischemic Heart Disease	47
Depression	35
Chronic Kidney Disease	63
Asthma	14
Osteoperosis	0
Atrial Fibrilation	17
Heart Failure	39
Chronic Obstructive Pulmonary Disease	41
Diabetes	52
Dementia	23
Cancer	14

hospital care	74
inpatient care	74

**Gender**
Male	67
Female	26

**Ethnicity**
Non-Hispanic White	36
Black	16
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	38
From 75 to 84	0
85 and over	0
Less than 65	29

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	48
Depression	38
Chronic Kidney Disease	74
Asthma	0
Osteoperosis	0
Atrial Fibrilation	20
Heart Failure	44
Chronic Obstructive Pulmonary Disease	34
Diabetes	57
Dementia	26
Cancer	0

Average Medicare Procedure Volume From 2014 - 2020

Volume of procedures performed by Dr. Norlalak Jiramethee, MD for Medicare patients.

The highest averages for the top procedures that Dr. Norlalak Jiramethee, MD treated as a pulmonologist in Phoenix, AZ were hospital care, inpatient care and pulmonary testing.

doctor visit	44
hospital care	60
inpatient care	60
pulmonary testing	20

Average Medicare Patient Data From 2014 - 2020

Information about Medicare patients treated by Dr. Norlalak Jiramethee, MD.

**Gender**
Male	36
Female	29

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	35
Native American / Alaskan Native	0
Hispanic	8
Other	0

**Age**
75 to 84	8
85 and over	0
Less than 65	12
65 to 74	28

Average of Total of Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD From 2014 - 2020

The highest averages of the most common conditions of Medicare patients that Dr. Norlalak Jiramethee, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	49
High Cholesterol	41
Stroke	1
Ischemic Heart Disease	38
Depression	17
Chronic Kidney Disease	36
Asthma	14
Osteoporosis	1
Heart Failure	24
Chronic Obstructive Pulmonary Disease	32
Diabetes	25
Atrial Fibrillation	7
Cancer	4
Dementia	6

Education & Training

She completed residency at UMDNJ-Robert Wood Johnson Medical School Affiliated Hospitals. She is certified by the Critical Care Medicine, Internal Medicine, and Pulmonary Disease, American Board of Internal Medicine and has a state license in Arizona.

Residency: UMDNJ-Robert Wood Johnson Medical School Affiliated Hospitals

Board Certification: Critical Care Medicine, Internal Medicine, and Pulmonary Disease, American Board of Internal Medicine

Licensed In: Arizona

Affiliations & Hospitals

Dr. Norlalak Jiramethee, MD is associated with these hospitals and organizations:

District Medical Group

DISTRICT MEDICAL GROUP INC

Ratings & Reviews

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General Payments

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

**Payments by Company**
Genentech, Inc.	$1,000 $1,000
Bayer HealthCare Pharmaceuticals Inc.	$42 Adempas $42
Actelion Pharmaceuticals US, Inc.	$26 $26
Gilead Sciences Inc	$20 $20

**Types of Payments**
Travel and Lodging	$1,000
Food and Beverage	$68
Education	$20

Biography

Dr. Norlalak Jiramethee's medical specialty is adult critical care and adult pulmonology. For her residency, Dr. Jiramethee trained at a hospital affiliated with UMDNJ-New Jersey Medical School and a hospital affiliated with UMDNJ-Robert Wood Johnson Medical School. Her clinical interests include acute liver failure, metabolic disorders, and stroke. In addition to English, she speaks Thai. She is professionally affiliated with District Medical Group.

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Dr. Norlalak Jiramethee, MD

Office Locations

Some issues Dr. Norlalak Jiramethee, MD can help you with:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD in 2020

Average Medicare Procedure Volume From 2014 - 2020

Average Medicare Patient Data From 2014 - 2020

Average of Total of Conditions of Medicare patients treated by Dr. Norlalak Jiramethee, MD From 2014 - 2020

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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