Issue link: https://viewer.e-digitaledition.com/i/1219128
TSAOG ORTHOPAEDICS IS PLEASED TO WELCOME TWO NEW PHYSICIANS Amanda M. Ivy, MD, is an orthopedic surgeon with TSAOG Orthopaedics (formerly The San Antonio Orthopaedic Group). She is board-certified by the American Board of Orthopaedic Surgery (ABOS), and fellowship trained in sports medicine. As a sports medicine physician, Dr. Ivy will treat all orthopedic conditions, with a focus on sports medicine, minimally invasive techniques, cartilage restoration and fracture care. She will see patients ages 1 year and older. Dr. Ivy has a special interest in sports-related injuries, ligament reconstruction of the knee, rotator cuff and labral repair of the shoulder, cartilage restoration of the knee, fracture care, and minimally invasive arthroscopic procedures of the knee, shoulder and ankle. She has appointments available at TSAOG Orthopaedics' New Braunfels location. David R. Espinoza, MD, is a board-certi- fied family medicine physician, fellowship trained in primary care sports medicine. He is certified by the American Board of Family Medicine (ABFM) and treats patients ages 8 years and older for all nonoperative orthope - dic and musculoskeletal conditions (with the exception of spine-related issues). As a sports medicine physician, Dr. Espinoza has a special interest in acute and chronic sport-related injuries, team sideline coverage, musculoskeletal ultrasound diagnostics, concussion management, and ultrasound-guided interventional procedures, including injections, prolotherapy, tenex and regenerative medicine. He has appointments available at TSAOG Orthopaedics' Stone Oak location. n medical advancement offers doctors unprecedented sta - bility enabling the precision needed for biopsy far into the peripheral lung and to more easily diagnose lung cancer earlier than ever before. The robot features an ultra-thin, easily maneuverable catheter that can move 180 degrees in all directions, which doctors can navigate through small and tortuous airways to reach nodules in any airway segment within the lung. The robot's flexible biopsy needle can also pass through very tight bends via the catheter to collect tissue in the pe - ripheral lung, enabling a more precise biopsy and easier surgical experience for patients. The robot is designed to access difficult to reach areas of the lung through natural openings, like the mouth. When used for lung cancer screening, it supports early diagnosis by sampling tissue from small nodules in hard to reach areas of the lung where previous tools and procedures were unable to reach. "With the ability to go through the natural airways of the lung with this technology, there is no puncturing of the lung tissue from the outside of the lining of the lung," comments pulmonologist Ali Abedi, MD. "It becomes a safer way to approach some of these lesions that are in the periphery of the lung for patients who have fairly advanced underlying lung disease." Prior to this advancement, the preferred method to reach abnormal spots that were in the periphery of the lung was to use a live CT scan image and a needle, entering the chest wall and lung from outside the body. This presented a relatively high risk of injuring the lung tissue and causing the lung to collapse for some patients who had advanced lung disease with emphysema. "We're always excited to be involved in new innovations in the field of pulmonology and interventional pulmonology," Dr. Abedi says. "Not only will we be providing a valuable service for our patients, but we'll also be participating in the development of this new technology. We will be able to collect data that will help us advance this procedure and make this type of sampling of lung tissue more efficient in the future." n M D N E W S . C O M /// M D N E W S S A N A N T O N I O ■ 2 019 A R O U N D T O W N ❰❰❰❰❰ 1 5 Around Town