SIMED Pulmonology & Other Treatments for Your Health:

Don't think for a second that you can't enjoy healthier living and a more active lifestyle. Maintain your physical health with internal, sleep, critical care, and pulmonary medicine from our board-certified physicians in Gainesville, Florida. SIMED Pulmonology three board-certified doctors specialize in pulmonary diseases, critical care medicine, sleep medicine, and internal medicine to help you experience life to the fullest. You can find us on NW Eighth Avenue, directly across the street from Cofrin Natural Park.
Is the Pneumonia vaccine right for you?
May 14, 2015
"People age 65 and older should get two separate vaccines to protect against pneumonia and other infections, a change of decades-old advice, according to new health guidelines.

An advisory panel to the U.S. Centers for Disease Control and Prevention recently recommended that people get a second vaccine, called Prevnar 13, because of limitations with the older shot, called Pneumovax 23." (WSJ, Sept 1, 2014)

We ask SIMED Pulmonology physician Jorge Camacho, MD to touch base on the new indications for pneumonia vaccine (Prevnar 13) and what that might mean to you or your loved ones.
Jorge Camacho, MD | SIMED Pulmonology | SIMED Health
Pneumococcal infections including pneumonia and meningitis are common and up until recently the only vaccine recommended for adults was the PPSV23.

Starting in 2014 the United States Advisory Committee on Immunization practices recommended a new pneumococcal vaccine known as PCV13 with the commercial name of Prevnar 13.

This type of vaccine has been shown to be very effective in preventing invasive pneumococcal infections in children causing a dramatic decrease in that type of infections. Randomized trials were done in adults finding the vaccine to be highly effective as well, because of that the recommendations changed.

The current recommendation is to vaccinate every adult above the age of 65 with the 2 available vaccines. The Prevnar 13 vaccine should be given first followed by the PPSV23 6 to 12 months later.  In those who have already received PPSV23, at least one year should elapse before they are given Prevnar 13.

There is no revaccination necessary with Prevnar13.
  • For adults 19 to 64 years of age at intermediate risk of pneumococcal disease (i.e., cigarette smokers; patients with chronic heart disease, chronic lung disease, diabetes mellitus, alcoholism, or chronic liver disease)  the recommendation is to receive PPSV23 alone. Prevnar 13 is not indicated.
  • For adults aged 19 or older who are at high risk of pneumococcal disease (i.e., patients with functional or anatomic asplenia, an immunocompromising condition [e.g., HIV infection, cancer], a cerebrospinal fluid leak, a cochlear implant, advanced kidney disease),  Prevnar 13 followed at least eight weeks later by PPSV23 is the recommendation.
  • In patients who have already received PPSV23, at least one year should elapse before they are given Prevnar 13.
  • A single revaccination with PPSV23 is recommended in adults ≥65 years of age if they were vaccinated more than five years previously at a time when they were less than 65 years of age and, in immunocompromised patients, five years or more after the first dose.
Prevnar 13 is not recommended for healthy adults below 65 years of age who do not have a specific risk factor for pneumococcal infection."

For more information on whether you should get the immunization, please contact your SIMED provider.
The Essential Facts and Myths of Lung Cancer
December 8, 2014
Lung cancer is a disease that effects more then 174,000 SIMED Health | PulmonolgyAmericans each year. With so many different myths and rumors about lung cancer, we have decided to find out the facts and debunk the myths by sitting down with SIMED Pulmonology physician Runi Foster, MD.

  • Lung Cancer is the leading cause of cancer death in men and women. In the past 35 years, the lung cancer death rate has fallen 21% among men but has increased 116% among women. 
  • Cigarette smoking is linked to about 90% of lung cancers. 
  • People who smoke are 15-30 times more likely to get lung cancer or die from lung cancer. Even smoking a few cigarettes a day or smoking occasionally increases the risk of lung cancer. 
  • Secondhand smoke also causes lung cancer. In the United States, 2 out of 5 adults who don't smoke and half of all children are exposed to secondhand smoke.
  • 7,300 people who never smoked died from lung cancer due to second hand smoke.
  • Other risk factors include Radon, Asbestos, Arsenic, Diesel exhaust and some forms of Silica and Chromium.
  • Lung cancer is stigmatized and is sometimes called "Invisible Cancer." 
  • Lung cancer is a very deadly disease and 50% of people with lung cancer die within one year of being diagnosed.
  • Only 16% of patients diagnosed with lung cancer are still alive after 5 years, compared with over 90% of breast and prostate cancer patients.
  • Symptoms of lung cancer usually do not become apparent until the cancer is in the late stages and difficult to treat. 
  • The success of smoking prevention programs has caused an unintended consequence of labeling lung cancer as a "smoker's disease” and perception that people with lung cancer have brought it upon themselves.
  • All lung cancer types are due to smoking. Although smoking is by far the greatest risk factor, 10-15% of lung cancer patients have never smoked. Most of these patients are women and are diagnosed at a younger age.  Young lung cancer patients have advanced and incurable cancer.
  • Common symptoms include persistent cough, shortness of breath, weight loss, hoarseness, wheezing, headache, bone pain, and coughing up blood.
Diagnosing and Treatment
  • There is variety of methods to diagnose lung cancer and is different for each person. Imaging studies, along with sampling of tissue or fluid, will determine the type of cancer. 
  • There are several options for treating lung cancer and is based on the type and stage of lung cancer, other existing health issues and the patients own preference.
Screening For Lung Cancer
  • A national lung screening trial compared low dose CT or standard chest x-ray for lung cancer screening. The study found low dose CT scans could reduce lung cancer death by 20% compared to chest x-ray.  The American Lung Association recommends low dose CT screening for the following people:
            - Current or former smokers aged 55-74 years
            - A smoking history of at least 30 pack years
            - No history of lung cancer.

The best way to reduce your chances of lung cancer is by making healthy choices and participating in a healthy lifestyle. If you are a smoker, taking the steps to quit or reduce the amount you smoke may help lower your chances of developing the disease. To schedule a screening today please contact your SIMED Primary Care provider or SIMED Pulmonology provider today. To request an appointment online please click here.

Resources & Reference Links:
Lung Cancer Awareness Month
Learning More About Lung Cancer
Lung Cancer Fact Sheet
Risk Factors
SIMED Welcomes Pulmonology
August 13, 2014
Jorge Camacho, MD SIMED is pleased to announce that Jorge Camacho, MD, Runi Foster, MD and Joseph Tonner, MD will be joining SIMED effective July 1st.  These three board-certified doctors specialize in pulmonary diseases, critical care medicine, sleep medicine, and internal medicine.  Your SIMED Pulmonology team also includes Glenn Molloy, ARNP and E. Courtney Wilhem, PA-C as well as our experienced and dedicated Respiratory Technologists who will be there to assist each patient to breathe easier.

Pulmonology is the study, diagnosis, and treatment of the lungs and respiratory tract. Our Pulmonology Physician team works closely with your SIMED team of physicians including your Primary Care and Sleep Medicine physicians.  Together, they will help you manage such pulmonary health issues as:
  • COPD
  • Cystic Fibrosis
  • OSA
  • Pneumonia
  • Pulmonary Arterial Hypertension, Embolism, or Sequestration
  • Sarcoidosis
  • Sleep Apnea
  • Interstitial Lung Diseases
The addition of pulmonology to our diverse group of specialists will allow us to provide our patients with even more of the high level, quality care they have come to expect.  To schedule an appointment with a SIMED Pulmonologist, please contact us at (352) 375-0302 or request an appointment online.
Runi Foster, MD
Joseph Tonner, MD

What Is Pulmonology?
Pulmonology is the study, diagnosis, and treatment of the lungs and respiratory tract. It is associated with the treatment of pulmonary diseases and conditions such as cystic fibrosis, COPD (chronic obstructive pulmonary disease), asthma, interstitial lung disease, pneumonia, sarcoidosis, and sleep apnea, as well as pulmonary arterial hypertension, embolism, or sequestration.

Physicians specializing in pulmonology spend time in their training concentrating on the lungs and respiratory system. They are often members of the American College of Chest Physicians, the American Lung Association, or the American Thoracic Society. Common diagnostic procedures used in pulmonology are chest X-rays, pulmonary function tests (PFTs), CT scans, and sleep studies.

Pulmonary Health Issues:

Cystic Fibrosis
Sleep Apnea
Interstitial Lung Disease

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