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Dr. Stefan Worgall, MD, PHD is a pediatric pulmonologist in New York, NY specializing in pediatric pulmonology and general pediatrics. He graduated from Heidelberg University in 1992 and has 33 years of experience. Dr. Stefan Worgall, MD, PHD is affiliated with NewYork-Presbyterian, Weill Cornell Medicine and Pediatric Pulmonology.
505 East 70th Street 3rd Floor
New York, NY 10021
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:
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:
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.
Dr. Stefan Worgall, MD, PHD graduated from Heidelberg University in 1992. He completed residency at New York-Presbyterian Hospital. He is certified by the American Board of Pediatrics American Board of Pediatrics (Pediatric Pulmonology) and has a state license in New York.
Medical School: Heidelberg University (1992)
Residency: New York-Presbyterian Hospital
Board Certification: American Board of Pediatrics American Board of Pediatrics (Pediatric Pulmonology)
Licensed In: New York
Dr. Stefan Worgall, MD, PHD is associated with these hospitals and organizations:
Dr. Stefan Worgall, MD, PHD appears to accept the following insurance providers: Health Insurance Plan of NY (HIP), United Healthcare, AETNA, Oxford Health Plans, Empire Blue Cross/Blue Shield Healthplus, GHI, Aetna - NYP, VNSNY CHOICE, EmblemHealth, WellCare, Fidelis Care, Medicare Advantage, Affinity Health Plan, Medicare, Healthfirst, Medicaid, Cigna, United Healthcare Empire Plan, United Healthcare Compass, Freedom, Community Plan, Rockefeller University - Trustmark, HMO, EPO/POS, Blue Connection, Blue Access, EPO, PPO, CBP, CHP, Metro/Core/Charter, WorldWide Medical and Liberty.
According to our sources, Dr. Stefan Worgall, MD, PHD accepts the following insurance providers:
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These charts describe general payments received by Dr. Stefan Worgall, MD, PHD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$27
Astral $27 |
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RAGWITEK $20 |
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$18
NIOX VERO DEVICE $18 |
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ARNUITY $15 |
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Dr. Stefan Worgall is a New York, NY physician who specializes in pediatric pulmonology and general pediatrics. These areas are among his clinical interests: cystic fibrosis (CF), bronchoscopy, and chronic lung disease. Dr. Worgall can take several insurance carriers, including United Healthcare Compass, Health Insurance Plan of New York (HIP), and Blue California. After attending Heidelberg University for medical school, he completed his residency training at New York-Presbyterian Hospital and a hospital affiliated with Weill Cornell Medical College. He has received distinctions including Recipient Daedalus Fund for Innovation award, Weill Cornell Medicine; Voted of New York City's Super Doctors; and Distinguished Associate Professor of Pediatric Pulmonology. He is affiliated with Weill Cornell Medicine and NewYork-Presbyterian. Dr. Worgall has an open panel in according to Weill Cornell Medicine.
