Dr. David Cooke

Thoracic Surgery
Sacramento, CA
24 years experience male

Locations

Office

Sacramento, CA

Address

2221 Stockton Blvd, Suite #2112, Sacramento, CA
Directions

Insurances accepted

BCBS Blue Card PPO

About

Bio

Dr. David Tom Cooke is an Assistant Professor in the Section of General Thoracic Surgery in the Division of Cardiothoracic Surgery at the University of California, Davis Medical Center, and is the Section Head of General Thoracic Surgery, and Associate Program Director of the UC Davis Cardiothoracic Surgery Residency. In 2008 he completed a clinical fellowship in cardiothoracic surgery at the University of Michigan, in Ann Arbor. Prior to matriculating at the University of Michigan, Dr. Cooke completed his general surgery residency in 2006 at the Massachusetts General Hospital/Harvard Medical School in Boston. In 2004, Dr. Cooke completed a research fellowship in experimental lung transplantation in the Department of Cardiothoracic surgery at Stanford University. Dr. Cooke received his Bachelor's Degree in Molecular and Cell Biology, Emphasis in Immunology from the University of California, Berkeley in 1994, and his Medical Degree from Harvard Medical School in 1999. He is certified by the American Board of Surgery and the American Board of Thoracic Surgery. He is a member of the Society of Thoracic Surgeons and is a Fellow of the American College of Surgeons and the American College of Chest Physicians. He is a member of the board of directors of the American Lung Association in California. Dr. Cooke specializes in non-cardiac general thoracic surgery, thoracic oncology, surgical treatment of malignant and benign esophageal disease, and video assisted thoracic surgery (VATS), including VATS pulmonary resection. Dr. Cooke's research interests involve clinical studies including oncologic trials, surgical outcomes research, translational research, surgical education and medical social media. He enjoys following down trodden sports teams, such as the Oakland A’s, Golden State Warriors and the Oakland Raiders. Twitter: @UCD_ChestHealth Blog: http://blog.ucdmc.ucdavis.edu/chesthealth

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Thoracic Surgery

Doctor Q&A

327 Answers
37 Agrees
The number of answers this doctor has agreed with.
A 53-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: Asthma itself is not a risk factor for lung cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Superior sulcus: This is a syndrome that results from a tumor that sits in the top or apex of the lung, called a superior sulcus tumor. These tumors if appropriate st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
IV: There are 4 stages for esophageal cancer, with a and b substages. We use roman numerals. For stages i - iia, the treatment is the physically fit pat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Metastasis: Renal cell carcinoma often spreads or metastasizes to the lungs. If there are few spots, they may be able to be surgically removed.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Somewhat: Risks include: injury to arteries and veins injury to the nerve failure to accomplish goals of therapy pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Possibly: Depending on the cause of dysphagia, food and liquids may incompletely make it through the esophagus. As a result, food may regurgitate back up and b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Biopsy: Biopsy during fiberoptic endoscopy is the cold standard to distinguish between esophagitis and esophageal cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: No direct correlation between lung cancer surgery and alcohol tolerance.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: There is no evidenced base proven benefit for the use of photodynamic therapy to treat copd.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes: Alcohol is a risk factor for squamous cell carcinoma (scc) of the esophagus. In fact smoking and alcohol combined increases the risk of scc of the es... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes: Quitting smoking slows the rate of progression of emphysema.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Surgery for NSCLC: Curative surgery for lung cancer is based currently on lobectomy, or removing the entire lobe (1/5 of the lung), and rarely pneumonectomy, or removing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes: But not what you think. There is something called ecmo. This system removes blood from the body, oxygenates it, and returns it to the body. Most co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Stage specific: Early stage tumors portend better survival.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: Not commonly. Certain chemotherapy may affect hearing.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes: The risk for any cancer, including esophageal is metastasis, or spread of the cancer to distant organs. Esophageal cancer can metastasize to the brai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Motility problems: If your physician suspects motility problems, or abnormal movement of the esophagus or associated sphincters, then manometry, or pressure measurements... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Usually: In the medically fit individual surgery is the standard of care for early stage esophageal cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Weak sphincter: The sphincter between the esophagus and stomach can become weak or ineffective, causing acid to back up or reflux into the esophagus from the stomach.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Chest pain: First the patient should be ruled out for coronary artery disease. Esophageal spasm can result in diffuse chest pain. Stress and cold liquids can wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 85-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Two main types: There are two main types of surgery for zenker's diverticulum. 1. Is transoral endoscopic stapling. This is often first line therapy, and is especia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Zero: The best thing to do is not to smoke at all. Smoking is a risk factor for multiple diseses including lung cancer and esophageal cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Depends: Causes of adenocarcinoma: acid reflux; causes of squamous cell carcinoma: smoking, alcohol, achalasia, caustic injury, chaga's syndrome, nitrosamines.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: Sounds like sternal non-union, meaning the sternum did not completely heal. The patient should see a board certified thoracic surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: But stopping smoking makes COPD worsen at a slower rate, and also lowers your risk of lung cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes and No: Smoking does permanently damage your lungs. If you have smoked > 100 cigarettes in your lifetime, your risk of cancer goes up. However, if you quit ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes, but rare: Basal cell carcinoma of the skin has been known to metastasize to the lung. Depending on the number of spots or metastasize, they may be able to be r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: Smoking is a leading cause of lung cancer, cardiovascular disease and a host of other medical problems. By telling your doctor that you smoke, he or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Lots of info: Esophageal cancer is a rare disease, but is common at many high volume medical centers. Some good websites for info: cancer.Gov http://www.Fightec.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Ask your doctor: Your surgeon may know of clinical trials. More clinical trials may be offered at a high volume, academic medical center and/or national cancer instit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
PCP: Start with your primary care physician (pcp) he or she may refer you to a pulmonologist. There is new data that suggests the effectiveness of low dos... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: Lung volume reduction surgery or lvrs is for patients with chronic emphysema, and not chronic bronchitis. Bronchitis is inflammation of the airways. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 78-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Several: Some symptoms include persistent cough, wheezing, coughing up blood, unintentional weight loss, etc... However the majority of lung cancer is wihtout... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes: There are surgeons who specialize in minimally invasive heart surgery. Look at sts.Org (society of thoracic surgeons).
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Not directly: It is inflammation of the cartilage between ribs in the chest wall or rib cage. It is treated with anti inflammatory medication.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Sniff test: If there is shortness of breath or difficulty breathing then a sniff test can be done to see if the diaphragm is paralyzed. If it is, then it can be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Talk: Talk with your surgeon. Ask them to draw exactly what they will be doing. Ask about the recovery process, both while in the hospital and once you le... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Entire lung: A pneumonectomy is the removal of the entire lung on one side, usually for lung cancer. Thoracic surgeons now trie to avoid pneumonectomy by performi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Yes: A pneumonectomy has a mortality rate up to 6%. Thoracic surgeons try to avoid pneumonectomy by performing what are called parenchymal sparing procedu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: Smoking can exacerbate any underlying lung disorders.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Be direct: Tell your dad not to light up, or leave the area when he smokes.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
15-17%: About 15-17% of smokers develop lung cancer or emphysema. About 85% of patients with lung cancer have been exposed to significant amounts of cigarett... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Most likely: Either by anstent placement via wires and catheters, or open surgical bypass.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
No: You are your own boss. Surgeons are part of your care team. Surgeons are not in the business of forcing treatment. As physicians who have taken the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Depends on type: Stage III is divided into stage iiia and iiib. Surgery is an option for patients with stage iiia. Surgery may increase survival in conjunction with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Good: The upfront therapy of choice for a physically fit person with stage iia lung cancer is surgery. The expectation of therapy for some one with stage i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Not very: A chest ct is much more accurate as it provides much better detail.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
A new study: The results of the national lung screening trial (nlst) demonstrated that for high risk patients (age >50 years and extensive smoking history) screeni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Depends on stage: Recurrence rates are dependent on the stage of lung cancer that a patient is having surgery for. Stage i lung cancer has low recurrence rates, stage ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. David Cooke
Thoracic Surgery 24 years experience
Not likely: If you are a non-smoker/never smoker (<100 cigarettes in a lifetime), and your second hand smoke exposure is low, then your risk compared to the gener... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

7
Recommendations
628
Thank you notes
Jun 4, 2014
Dr. Cooke is an exceptional person! Caring and informative. We are all very fortunate to have him in this community!
Aug 27, 2013
Great Chest surgeon; highly recommended
I recommend thi physician
HealthTap member
This was very helpful. Thanks! I know more imaging is needed maybe biopsy but after they found the shadow they want a breathing test which she's had and is never good. Why waste the time? Ty for your ...Read More
HealthTap member
This saved my life. Thank you. I cannot thank you enough Dr. Cooke. If you are ever in North Van. look me up...smile. I make a mean cup of coffee...
HealthTap member
Hi dear thanks for the advise but can you please let me know some tips to quit smoking as i am 24 male and used to smoke minimum of 10-15

Education & Training

Medical/Graduate school

Harvard Medical School, MA
Graduated 1999MD

Residency

Massachusetts GENERAL HOSPITAL

Awards

Most Influential, Second Place, Sacramento, CA - Winter
2013
Top Thoracic Surgeon , First Place, California - Winter
2013
HealthTap Founding Doctor

Affiliations

UC Davis Medical Group
University Of CA Davis Med Ctr
UC Davis Comprehensive Cancer Center
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