Ong, PhilipSchool of Medicine |
|
|
Interventional Pulmonology and Lung Transplantation |
|
| 10/2020 - Present | Medical Director of Pulmonary Endoscopy | University of Texas Health San Antonio, Medicine |
| 10/2020 - Present | Co-Director, Interventional Pulmonology Program | University of Texas Health San Antonio, Medicine, San Antonio, TX |
| 10/2020 - Present | Associate Medical Director, Lung Transplantation | University Health System, University Transplant Center, San Antonio, TX |
| 9/2017 - Present | Medical Director, Bronchoscopy Services | University Health System, Advanced Diagnostic Center, San Antonio, TX |
| 7/2017 - Present | Assistant Professor/Non-Tenure Track | UT Health San Antonio, Medicine, San Antonio, TX |
| Year | Degree | Discipline | Institution |
| 2017 | Clinical Fellowship | Interventional Pulmonology | University of Texas MD Anderson Cancer Center Houston , TX |
| 2014 | Clinical Fellowship | Pulmonary and Critical Care Medicine (Transplant Pulmonology Track) | Baylor College of Medicine Houston , TX |
| 2011 | Residency | Internal Medicine | Yale University - Bridgeport Hospital Bridgeport , CT |
| 2009 | Internship | Internal Medicine | Yale University / Bridgeport Hospital Bridgeport , CT |
| 2008 | Residency | Internal Medicine | St Luke`s Medical Center Quezon City , Philippines |
| 2004 | MD | Medicine (Academic Scholarship) | St Luke`s College of Medicine Quezon City , Philippines |
| 2004 | Internship | Rotating clinical Internship | St Luke`s Medical Center Quezon City , Philippines |
| 2002 | Internship | International Exchange Internship (ENT) | Mahidol University Bangkok , Thailand |
| 1999 | BS | Biological Science (Magna Cum Laude) | West Visayas State University Iloilo City , Philippines |
Bronchoscopic Lung Volume Reduction (Service)- As the largest center in South Texas for bronchoscopic lung volume reduction (BLVR) using endobronchial valves, we leveraged the existing patient evaluation process techniques at the University Transplant Center to identify, evaluate and treat patients with COPD that may be a candidate for this treatment to either delay or provide an alternative to lung transplantation. |
Bronchoscopy Process Optimization (Administrative)- Having worked at multiple highly-regarded bronchoscopy units in the country, I have been tasked to redesign and plan the new bronchoscopy units at the newly-opened Advanced Diagnostic Center (ADC) at UHS where we doubled the capacity and improved the throughput of patients undergoing bronchoscopic procedures. Previous limitations had resulted in multiple inpatients waiting for 3-4 days for their procedures to be completed. Process improvements were reviewed in detail in conjunction with the nursing administration and the endoscopy technologist staff, as well as the anesthesia staff to streamline the process at UHS. I am also in the process of designing and planning the new bronchoscopy unit at the new UT Health San Antonio Hospital that is slated to open. |
Electromagnetic Navigation Bronchoscopy (Service)- Formalized the workflow and service to the technician staff, and introduced procedure in clinical use at UHS. This involves the use of an electromagnetic field to endobronchially navigate and biopsy peripheral lesions, with a future aim for ablation of peripheral tumors. |
Endobronchial ultrasound (Service)- Optimization of workflow and yield, as well as training of fellows in endobronchial ultrasound. Also spearheaded training of cytology staff in endobronchial ultrasound workflow. I also introduced the of novel techniques in conjunction with this procedure including endobronchial elastography, and intralesional forceps biopsy. |
Interventional Pulmonology (Research)- As an emerging field within pulmonology, there is paucity of good evidence based clinical research in the outcomes of the multitude of novel therapeutic and diagnostic techniques that have emerged in the past 5-10 years. Since the inception of my career, I have been trained and developed skills in performing registry studies of novel minimally invasive bronchoscope techniques for the diagnosis and treatment of airway malignancies, as well as diagnostic modalities such as endobronchial ultrasound (EBUS). Most clinical research requires a robust clinical base with which to build sound clinical evidence. In this vein, I have endeavored to be a preferred center for bronchoscopic lung volume reduction (BLVR) using endobronchial valve treatment. This will be a sound basis to build a patient registry that can provide good clinical evidence for patient selection and outcomes research in the future. |
Interventional Pulmonology (Teaching)- As co-director of our Interventional Pulmonology (IP) curriculum, we have created a clinical service that has proved to be popular with our pulmonary fellows, and has been an attraction to many applicants to our fellowship program. This is a service that is now indispensable in most large academic centers in the country. In the past, the IP rotation is not an option for our fellows, our rotation now includes a structured procedure schedule and didactics. The eventual aim is to establish an AABIP accredited Interventional Pulmonology fellowship that includes experiences at both UHS and the VAMC. |
Medical Thoracoscopy (Service)- Introduced procedure at UTHSA (previously not offered before). I trained and supervised fellow interventional pulmonology faculty in procedure. This is a single port thoracoscopic procedure to perform pleural biopsy, thoracoscopic pleurodesis and other pleural interventions. |
Percutaneous Ultrasound Gastrostomy (PUG) (Service- With critical care staff, performed the first successful ultrasound guided percutaneous gastrostomy at the beside. |
Photodynamic Therapy Program (Service)- Performed first endobronchial photodynamic therapy (PDT) procedure in South Texas. Trained nursing staff in the cancer floor, infusion center and the endoscopy suite in the care of patients who are undergoing procedure. This involves using infusing a photosensitizer to endobronchially treat endobronchial malignancies with a narrow-band laser. |
Transplant Pulmonology (Research)- Long term outcomes in transplant pulmonology has remained elusive due to the onset of chronic lung allograft dysfunction. Out of all solid organ transplants, lung transplant recipients face a dismal 5 year survival rate of 50-60% which is the lowest. I am currently involved in several protocols within our transplant center to explore the early diagnosis of lung allograft rejection and dysfunction, including the use of circulating cell free DNA to help detect allograft rejection. |
Transplant Pulmonology (Teaching)- The transplant pulmonology rotation is daunting for most fellows due to the different skillset and knowledge base that the learner is required to be familiar with to manage the patients in the rotation. I have been involved in the curriculum development and didactic teaching of fellows during that rotation to help prepare them to navigate the challenging rotation. |
| Date | Description | Institution | # Students |
| 7/2020 - Present | Interventional Pulmonology Curriculum | UT Health San Antonio | 12 students |
| Due to the increasing interest of pulmonary fellows to our interventional pulmonology (IP) service, a new IP rotation was created in our program that will involve procedural milestones and didactic curriculum. The aim is to design an accredited 1-year interventional pulmonology fellowship for UTHSA. | |||
| 7/2015 - Present | Annual Southwest Regional Incoming PCCM Fellows Bootcamp | University of Texas MD Anderson Cancer Center | 25 students |
| Annual bootcamp for incoming first year pulmonary and critical fellows from 11 different institutions in Texas and Louisiana | |||
Abstract |
| Taneja M, Nashawi M, Villafuerte D, Saikumar H, Hackman S, Ong P, Peters JI. When a Tumor Is Not a Tumor: A Case of Mycobacterial Spindle Cell Pseudotumor; 2020 Jan. (Am J Resp Crit Care Med; vol. 201). |
| Levine DJ, Ong P, DeArmond D, Sako E. Single Center Snapshot Experience of dd-cfDNA in Lung Transplantation; 2020 Jan. (J Heart Lung Transplant; vol. 39, no. 4). |
| Villafuerte D, Thi M, Hackman S, Levine DJ, Ong P. This Shall Not Pass: A Case of Diffuse Pulmonary Alveolar Microlithiasis; 2020 Jan. (Am J Resp Crit Care Med; vol. 201). |
| Beg M, Qaysi M, Ong P. Double Aortic Arch - A Rare Cause of Stridor in Adults; 2019 Jan. (Am J Resp Crit Care Med; vol. 199). |
| Ong P, Mudambi L., Fuentes A., Dawson K, Sinha N., Mankidy B., Scheinin S., Kaleekal T., Jyothula S. Belatacept as Primary Immunosuppression in a Lung Transplant Recipient; 2014 Jan. (J Heart Lung Transplant; vol. 33, no. 4). |
| Ong P, Mudambi L., Fuentes A., Dawson K, Sinha N., Mankidy B., Scheinin S., Kaleekal T., Jyothula S. Successful Use of Cidofovir and Leflunomide in Lung Transplant Recipient with BK Polyomavirus Encephalitis; 2014 Jan. (J Heart Lung Transplantation; vol. 33, no. 4). |
| Grewal Y, Ong P, Badara M, Chanda A, Balasingham S, Dioverti M, Salas V, Florindez-Ullilen J, Kaufman DA. Incidence And Consequences Of Hypophosphatemia In Critically Ill; 2011 Jan. (Am J Resp Crit Care Med; vol. 183). |
| Balasingham, S., Fortis, S., Ong, P., DeAguirre M., Ramos F., Florindez-Ulilen JA., Manthous CA. Do ventilator settings impact the comfort of patients with chronic obstructive pulmonary disease (COPD) or obesity?; 2011 Jan. (Am J Respir Crit Care Med; vol. 183). |
| Gourineni, V., Ong, P., Adimoolam, V., Krishnakurup, J., Abdelsayed G. Watermelon Stomach: A Cause of Occult GI Blood Loss; 2010 Jan. (Am J Gastroenterol; vol. 105). |
| Parperis K, Ong P, Abdelsayed, G. Pyoderma Gangrenosum in a Patient with Quiescent Ulcerative Colitis; 2009 Jan. (Am J Gastroenterol; vol. 104). |
| Rishi A, Amoateng-Adjepong Y, Vazquez R, Geeti A, Grigoriyan A, Shetty M, Lall P, Sidhu B, Ong P, Liu P, Lvovsky D, Kaufman D, Manthous CA. Atypical Antipsychotics and Severity of Sleep Apnea; 2009 Jan. (Am J Resp Crit Care Med; vol. 179). |
Book Chapter |
| Ong P, Peters J, Malave A. Bronchoscopy and Other Diagnostic Studies. In: Shelledy DC, Peters JI (eds). Respiratory Care: Patient Assessment and Care Plan Development (2nd Ed). 2021. p. 555-567. |
| Ong P, Ost D. Lung Cancer Epidemiologic Changes: implications in Diagnosis and therapy, Interventions in Pulmonary Medicine. In: Diaz-Jimenez J, Rodriguez A (eds). Interventions in Pulmonary Medicine. 2018. p. 323-332. |
| Guntupalli KK, Howard C, Ong P, Thatchuthara J, Lan C. Acute respiratory distress syndrome. In: Mehta Y, Sharma J, Gupta MK (eds). Textbook of Critical Care. 2016. |
Journal Article |
| Ong P, Peters JI. In spontaneous pneumothorax, initial needle aspiration and large- and narrow-bore chest tubes do not differ for success Ann Intern Med 2020 Jul;173(2). |
| Ong P, Grosu HB, Debiane L, Casal RF, Eapen GA, Jimenez CA, Noor L, Ost DE. 1. Ong P, Grosu HB, Debiane L, Casal RF, Eapen GA, Jimenez CA, Noor L, Ost DE. Long-term quality-adjusted survival following therapeutic bronchoscopy for malignant central airway obstruction Thorax 2019 Feb;74(2):141-156. |
| Casal RF, Walsh G, McArthur M, Hill LR, Landaeta MF, Armas Villalba AJ, Ong P, Debiane L, Vakil E, Grosu HB, Jimenez CA, Ost D, Adachi R, Eapen GA. Bronchoscopic Laser Interstitial Thermal Therapy: An Experimental Study in Normal Porcine Lung Parenchyma J Bronchology Interv Pulmonol 2018 Oct;25(4):322-329. |
| Benninger LA, Medepalli K, Aragaki-Nakahodo A, Benzaquen S, Ong PG, Gilles Debiane L, Casal RF. Sequential Bronchoscopic Cryobiopsy and Cryotherapy Ann Am Thorac Soc 2017 Jun;14(6):1036-1040. |
| Vakil E, Faiz SA, Iliescu C, Balachandran DD, Ong P, Debiane LG, Mehran R. Managing Post-Pneumonectomy Tension Hydrothorax Ann Am Thorac Soc 2017 Jun;14(6):1031-1035. |
| Harris K, Debiane LG, Ong P, Eapen GA. Quantifying Central Airway Obstruction during Therapeutic Bronchoscopy Ann Am Thorac Soc 2017 May;14(5):799-802. |
| Ong P, Casal RF, Stewart J, Eapen GA, Faiz SA. Metastatic Cancer Mimicking a Mycetoma Am J Respir Crit Care Med 2017 Mar;195(6):e29-e30. |
| Ong P, Grosu H, Eapen GA, Rodriguez M, Lazarus D, Ost D, Jimenez CA, Morice R, Bandi V, Tamara L, Cornwell L, Green L, Zhu A, Casal RF. Endobronchial ultrasound-guided transbronchial needle aspiration for systematic nodal staging of lung cancer in patients with N0 disease by computed tomography and integrated positron emission tomography-computed tomography Ann Am Thorac Soc 2015 May;12(3):415-419. |
| Goodarzi A, Ong P, Casal RF. Large tracheal varices in a patient with superior vena cava compression J Bronchology Interv Pulmonol 2015 Apr;22(2). |
| Casanegra AI, Brannan S, Dadu R, Ong P, Berner M, Spinning K, Hughes T, Marrinan G, Zinn K, Manthous C. Short term femoral vein catheterization rarely causes thrombosis or bacteremia J Hosp Med 2011 Jun;6(1):33-36. |
| Tian J, Kaufman DA, Zarich S, Chan PS, Ong P, Amoateng-Adjepong Y, Manthous CA; American Heart Association National Registry for Cardiopulmonary Resuscitation Investigators. Outcomes of critically ill patients who received cardiopulmonary resuscitation Am J Respir Crit Care Med 2010 Aug;182(4):501-506. |
Review Article |
| Ong P, Debiane LG, Casal RF. Recent advances in diagnostic bronchoscopy J Thorac Dis 2016 Dec;8(12):3808-3817. |
Federal |
|
| Funding Agency | NIH/NCI biostatistic core |
| Title | Long-term quality-adjusted survival following therapeutic bronchoscopy for malignant central airway obstruction |
| Status | Complete |
| Period | 10/2017 - 4/2019 |
| Role | Co-Investigator |
| Grant Detail | This study was funded by NIH/NCI biostatistic core (P30CA016672), biostatistics core, at the University of Texas, MD Anderson Cancer Center and Institutional Research Grant from MD Anderson Cancer Center. (ClinicalTrials.gov ID: NCT03326570) The aim this study is to investigate the long-term efficacy and safety outcomes of therapeutic bronchoscopy in patients with airway malignancies. |
Private |
|
| Funding Agency | CareDx |
| Title | Real-time Response to Treatment of Acute Rejection in Adult Lung Transplantation Associating Donor-derived Cell-free DNA to Histologic Findings |
| Status | Active |
| Period | 4/2020 - Present |
| Role | Co-Investigator |
| Grant Detail | Industry research grant, $75,000 |