Breathe


Treating patients with respiratory disorders for over 20 years, Dr. Avi Ishaaya is available to evaluate patients who may be experiencing or are concerned with breathing difficulties and/or lung disease. In addition to a comprehensive consultation¸ several lung and breathing tests are performed at our center.

Some of the respiratory disorders that are diagnosed and treated at our center include:

  • Asthma
  • Severe asthma
  • COPD
  • Emphysema
  • Pulmonary hypertension
  • Sarcoidosis
  • Hypersensitivity pneumonitis
  • Lung mass
  • Lung nodules
  • Pleural effusions
  • Bronchiectasis
  • Pulmonary fibrosis
  • Interstitial Lung disease
  • Hemoptysis (coughing up blood)


Lung Testing

Pulmonary function tests (PFT’s) are non-invasive breathing tests done to measure how well the lungs perform. More specifically, these tests are used to:

      •	Measure your lung volume, the strength of your diaphragm and the airflow to & from your lungs.
      •	Compare your lung function with standards that show how well your lungs should be working. 
      •	Detect narrowing in the airways.
      •	Diagnose certain types of lung disease (such as asthma, bronchitis, and emphysema)
      •	Find the cause of shortness of breath
      •	Measure the effect of chronic diseases like asthma, chronic obstructive lung disease (COPD),
        or cystic fibrosis on lung function.
      •	Identify early changes in lung function that might show a need for a change in treatment.
      •	Measure whether exposure to chemicals at work or home affects lung function
      •	Check lung function before someone has surgery
      •	Assess the effect of medication
      •	Measure progress in disease treatment


These non-invasive breathing tests are done during one appointment, and most often can be done on the same day as your medical consultation. You will be asked to breath into a tube that is connected to a machine. Our PFT technician will give you specific instructions on how to do these tests. It may take an effort to do these tests, and you may become tired or light-headed. To get the most accurate results from your breathing tests:

      •	Do not smoke for at least 1 hour before the test.
      •	Do not drink alcohol for at least 4 hours before the test.
      •	Do not exercise heavily for at least 30 minutes before the test.
      •	Do not wear tight clothing that makes it difficult for you to take a deep breath.
      •	Do not eat a large meal within 2 hours before the test. 

Some medications should not be taken before the test. Please check with us prior to your appointment.

Bronchial Thermoplasty (With the Alair® System)

Bronchial Thermoplasty is a new and safe, outpatient procedure performed by Dr. Avi Ishaaya to treat severe persistant asthma in adults 18 and older using the new Alair System.


What is Asthma?

Asthma is a chronic disease in the lungs where the airways can become smaller or narrower and make it harder to breathe. Triggers causing the airways to narrow are different for each person, and can include: allergens, irritants, exercise, respiratory infections, and weather/cold air. Asthma significantly impacts quality of life and can be life-threatening.


What is bronchial thermoplasty?

It’s a procedure that delivers controlled heat to the airway walls in the lungs to limit the muscle’s ability to constrict the airways – and help you breathe better. Bronchial thermoplasty is an outpatient hospital procedure performed over 3 treatment sessions by Dr. Avi Ishaaya, which has been shown to increase asthma control and improve quality of life in patients with severe asthma.


How is the Procedure Performed?

The bronchial thermoplasty procedure is performed by Dr. Avi Ishaaya, a specially trained pulmonologist with 17 years experience, at the Miracle Mile Surgical Center. The procedure typically takes less than an hour. Following the procedure, you will be monitored for 2-4 hours and can go home the same day. To treat the entire lung, the complete procedure is performed in 3 outpatient procedure visits, each scheduled approximately 3 weeks apart.


What are the Benefits of Bronchial Thermoplasty?

Bronchial thermoplasty has been shown to improve asthma-related quality of life and asthma control – including decreased severe asthma attacks, reduced ER visits and hospitalization for respiratory symptoms and less days lost from work, school and other daily activities due to asthma. Severe asthma treatment can greatly impact the quality of your life in a positive way.


Is Bronchial Thermoplasty Covered By Insurance?

Coverage policies and payment varies by payer. We will contact your insurance company prior to having bronchial thermoplasty to confirm coverage and payment and to obtain pre-authorization as needed. Bronchial thermoplasty has been pre-authorized on a case-by-case basis by several payers.



Click here or Call 1-323-954-1788 to schedule an appointment to discuss your asthma treatment options.