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Dr. Roland El Ghazal, MD

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(Dr. Roland El Ghazal, M.D.)

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Specializes in: Adult Pulmonology and Adult Critical Care

Lebanese University Faculty of Medical Sciences

Professional interests include: tuberculosis (TB), bronchiectasis, bronchoscopy, and more.

2929 Health Center Drive Floor 3
San Diego, CA 92123

(858) 939-6570

Dr. Roland El Ghazal, MD is a pulmonologist in Chula Vista, CA specializing in adult pulmonology and adult critical care. He graduated from Lebanese University Faculty of Medical Sciences. Dr. Roland El Ghazal, MD is affiliated with Sharp HealthCare, Sharp Memorial Hospital, PALOMAR INTENSIVIST MEDICAL GROUP, INC and SHARP REES-STEALY MEDICAL GROUP INC.

Office Locations

Address:

1400 E. Palomar Street Floor 2
Chula Vista, CA 91913

Address:

2929 Health Center Drive Floor 3
San Diego, CA 92123

Some issues Dr. Roland El Ghazal, 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.

hospital care	37
inpatient care	37

**Gender**
Male	17
Female	21

**Ethnicity**
Non-Hispanic White	25
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	14
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	66
Stroke	0
Ischemic Heart Disease	63
Depression	53
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	42
Heart Failure	75
Chronic Obstructive Pulmonary Disease	63
Diabetes	74
Dementia	53
Cancer	0

hospital care	67
inpatient care	67

**Gender**
Male	45
Female	29

**Ethnicity**
Non-Hispanic White	38
Black	0
Hispanic	18
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	27
From 75 to 84	0
85 and over	0
Less than 65	19

Hypertension	75
High Cholesterol	62
Stroke	24
Ischemic Heart Disease	68
Depression	49
Chronic Kidney Disease	75
Asthma	16
Osteoperosis	0
Atrial Fibrilation	26
Heart Failure	69
Chronic Obstructive Pulmonary Disease	46
Diabetes	72
Dementia	42
Cancer	0

catheterization	12
doctor visit	27
hospital care	232
inpatient care	232

**Gender**
Male	232
Female	204

**Ethnicity**
Non-Hispanic White	292
Black	26
Hispanic	72
Asian	22
Other	0
Native American	0

**Age**
From 65 to 74	156
From 75 to 84	116
85 and over	70
Less than 65	94

Hypertension	75
High Cholesterol	58
Stroke	11
Ischemic Heart Disease	50
Depression	44
Chronic Kidney Disease	61
Asthma	24
Osteoperosis	12
Atrial Fibrilation	26
Heart Failure	57
Chronic Obstructive Pulmonary Disease	42
Diabetes	48
Dementia	31
Cancer	12

catheterization	13
doctor visit	136
hospital care	120
inpatient care	120

**Gender**
Male	89
Female	106

**Ethnicity**
Non-Hispanic White	109
Black	0
Hispanic	43
Asian	21
Other	0
Native American	0

**Age**
From 65 to 74	70
From 75 to 84	68
85 and over	32
Less than 65	25

Hypertension	75
High Cholesterol	60
Stroke	8
Ischemic Heart Disease	45
Depression	31
Chronic Kidney Disease	62
Asthma	38
Osteoperosis	13
Atrial Fibrilation	27
Heart Failure	55
Chronic Obstructive Pulmonary Disease	39
Diabetes	53
Dementia	18
Cancer	14

bronchoscopy	11
catheterization	12
doctor visit	161
hospital care	70
inpatient care	70
minimally invasive procedures	12
pulmonary testing	11

**Gender**
Male	93
Female	127

**Ethnicity**
Non-Hispanic White	120
Black	11
Hispanic	59
Asian	19
Other	11
Native American	0

**Age**
From 65 to 74	96
From 75 to 84	61
85 and over	36
Less than 65	27

Hypertension	75
High Cholesterol	57
Stroke	13
Ischemic Heart Disease	40
Depression	35
Chronic Kidney Disease	60
Asthma	14
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	49
Chronic Obstructive Pulmonary Disease	36
Diabetes	48
Dementia	24
Cancer	13

doctor visit	150
hospital care	77
inpatient care	77

**Gender**
Male	92
Female	124

**Ethnicity**
Non-Hispanic White	107
Black	14
Hispanic	55
Asian	27
Other	0
Native American	0

**Age**
From 65 to 74	72
From 75 to 84	77
85 and over	43
Less than 65	24

Hypertension	75
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	52
Depression	35
Chronic Kidney Disease	61
Asthma	14
Osteoperosis	12
Atrial Fibrilation	22
Heart Failure	50
Chronic Obstructive Pulmonary Disease	39
Diabetes	48
Dementia	24
Cancer	16

doctor visit	178
hospital care	43
inpatient care	43
pulmonary testing	10

**Gender**
Male	83
Female	111

**Ethnicity**
Non-Hispanic White	98
Black	0
Hispanic	49
Asian	26
Other	0
Native American	0

**Age**
From 65 to 74	77
From 75 to 84	68
85 and over	34
Less than 65	15

Hypertension	75
High Cholesterol	57
Stroke	8
Ischemic Heart Disease	38
Depression	33
Chronic Kidney Disease	52
Asthma	12
Osteoperosis	15
Atrial Fibrilation	21
Heart Failure	49
Chronic Obstructive Pulmonary Disease	43
Diabetes	43
Dementia	19
Cancer	16

doctor visit	92
hospital care	25
inpatient care	25

**Gender**
Male	103
Female	111

**Ethnicity**
Non-Hispanic White	129
Black	0
Hispanic	48
Asian	20
Other	0
Native American	0

**Age**
From 65 to 74	79
From 75 to 84	86
85 and over	31
Less than 65	18

Hypertension	75
High Cholesterol	57
Stroke	10
Ischemic Heart Disease	48
Depression	29
Chronic Kidney Disease	57
Asthma	11
Osteoperosis	13
Atrial Fibrilation	26
Heart Failure	49
Chronic Obstructive Pulmonary Disease	35
Diabetes	40
Dementia	26
Cancer	16

catheterization	11
doctor visit	244
hospital care	30
inpatient care	30
pulmonary testing	63

**Gender**
Male	119
Female	150

**Ethnicity**
Non-Hispanic White	149
Black	0
Hispanic	58
Asian	31
Other	17
Native American	0

**Age**
From 65 to 74	111
From 75 to 84	99
85 and over	40
Less than 65	19

Hypertension	72
High Cholesterol	57
Stroke	6
Ischemic Heart Disease	43
Depression	29
Chronic Kidney Disease	48
Asthma	16
Osteoperosis	13
Atrial Fibrilation	19
Heart Failure	36
Chronic Obstructive Pulmonary Disease	28
Diabetes	42
Dementia	20
Cancer	14

**Gender**
Male	145
Female	158

**Ethnicity**
Non-Hispanic White	181
Black	0
Hispanic	58
Asian	31
Other	19
Native American	0

**Age**
From 65 to 74	126
From 75 to 84	107
85 and over	42
Less than 65	28

Hypertension	75
High Cholesterol	67
Stroke	16
Ischemic Heart Disease	36
Depression	31
Chronic Kidney Disease	31
Asthma	16
Osteoperosis	15
Atrial Fibrilation	32
Heart Failure	36
Chronic Obstructive Pulmonary Disease	43
Diabetes	40
Dementia	14
Cancer	17

Average Medicare Procedure Volume From 2013 - 2022

Volume of procedures performed by Dr. Roland El Ghazal, MD for Medicare patients.

The highest averages for the top procedures that Dr. Roland El Ghazal, MD treated as a pulmonologist in Chula Vista, CA were hospital care, inpatient care, pulmonary testing and bronchoscopy.

bronchoscopy	12
catheterization	12
doctor visit	160
hospital care	77
inpatient care	77
minimally invasive procedures	12
pulmonary testing	38

Average Medicare Patient Data From 2013 - 2022

Information about Medicare patients treated by Dr. Roland El Ghazal, MD.

**Gender**
Male	101
Female	114

**Ethnicity**
Black / African American	5
Asian / Pacific Islander	19
Non-Hispanic White	124
Native American / Alaskan Native	0
Hispanic	46
Other	4

**Age**
75 to 84	69
85 and over	32
Less than 65	26
65 to 74	81

Average of Total of Conditions of Medicare patients treated by Dr. Roland El Ghazal, MD From 2013 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Roland El Ghazal, MD treated were hypertension, high cholesterol, chronic kidney disease and heart failure.

Hypertension	74
High Cholesterol	60
Stroke	10
Ischemic Heart Disease	48
Depression	36
Chronic Kidney Disease	58
Asthma	16
Osteoporosis	10
Heart Failure	52
Chronic Obstructive Pulmonary Disease	41
Diabetes	50
Atrial Fibrillation	26
Cancer	11
Dementia	27

Education & Training

Dr. Roland El Ghazal, MD graduated from Lebanese University Faculty of Medical Sciences. He completed residency at Yale University Affiliated Hospitals. He is certified by the Pulmonary disease Pulmonary disease and has a state license in Connecticut.

Medical School: Lebanese University Faculty of Medical Sciences

Residency: Yale University Affiliated Hospitals

Board Certification: Pulmonary disease Pulmonary disease

Licensed In: Connecticut

Affiliations & Hospitals

Dr. Roland El Ghazal, MD is associated with these hospitals and organizations:

Sharp HealthCare

Sharp Memorial Hospital

PALOMAR INTENSIVIST MEDICAL GROUP, INC

SHARP REES-STEALY MEDICAL GROUP INC

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General Payments

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

**Payments by Company**
Intuitive Surgical, Inc.	$6,316 Da Vinci Surgical System $3,316	ION $3,000
Boehringer Ingelheim Pharmaceuticals, Inc.	$1,706 Spiriva $1,706
Philips Electronics North America Corporation	$700 V800 $700
Janssen Pharmaceuticals, Inc	$145 XARELTO $119	INVOKANA $25
Actelion Pharmaceuticals US, Inc.	$125 OPSUMIT MACITENTAN $125
Other	$297 GIAPREZA $124	FARXIGA $120	MYCAMINE $19	Vivo 45 LS $19	Blue Rhino $15

**Types of Payments**
Education	$6,000
Consulting Fee	$1,620
Food and Beverage	$882
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$700
Travel and Lodging	$86

Biography

Dr. Roland Ghazal is an adult critical care and adult pulmonology specialist in Chula Vista, CA and San Diego, CA. Clinical interests for Dr. Ghazal include shortness of breath (dyspnea), lung cancer, and intensive care. He is affiliated with Sharp Memorial Hospital. He attended Lebanese University Faculty of Medical Sciences and then went on to complete his residency at a hospital affiliated with Yale University. According to Sharp HealthCare, he is currently accepting new patients at his office in Chula Vista, CA.