Dr. Ryan Best, MD is a pulmonologist in Portland, OR specializing in adult pulmonology and adult critical care. He graduated from University of Colorado Denver School of Medicine in 2015 and has 10 years of experience. Dr. Ryan Best, MD is affiliated with Providence St. Vincent Medical Center, The Oregon Clinic, Legacy Health and Legacy Meridian Park Medical Center.
9427 Sw Barnes Road Suite 296
Portland, OR 97225
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.
Volume of procedures performed by Dr. Ryan Best, MD for Medicare patients.
The highest averages for the top procedures that Dr. Ryan Best, MD treated as a pulmonologist in Portland, OR were hospital care and inpatient care.
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Information about Medicare patients treated by Dr. Ryan Best, MD.
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The highest averages of the most common conditions of Medicare patients that Dr. Ryan Best, MD treated were chronic kidney disease, hypertension, depression and high cholesterol.
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Dr. Ryan Best, MD graduated from University of Colorado Denver School of Medicine in 2015. He completed residency at Maine Medical Center. He is certified by the Critical Care Medicine, Board-certified and has a state license in Maine.
Medical School: University of Colorado Denver School of Medicine (2015)
Residency: Maine Medical Center
Board Certification: Critical Care Medicine, Board-certified
Licensed In: Maine
Dr. Ryan Best, MD is associated with these hospitals and organizations:
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Dr. Ryan Best is a Portland, OR physician who specializes in adult critical care and adult pulmonology. He is especially interested in intensive care, bronchoscopy, and pulmonary hypertension. Dr. Best obtained his medical school training at the University of Colorado Denver School of Medicine and performed his residency at Maine Medical Center. He has received the following distinction: Peter Bates Teaching Award. His hospital/clinic affiliations include Legacy Meridian Park Medical Center, The Oregon Clinic, and Providence St. Vincent Medical Center.
