Dr. Aaron Milstone

Pulmonology
Franklin, TN
29 years experience male

Locations

Office

Franklin, TN

Address

4323 Carothers Pkwy # 605, Franklin, TN
Directions

Practice website

About

Bio

Dr. Aaron Milstone completed his medical residency at Vanderbilt University Medical Center in 1997. He then went on to do a fellowship in pulmonary & critical care at the same location. Following his training he became the medical director of the Vanderbilt Lung Transplant program for a decade. He then moved his medical practice to a suburb of Nashville (Franklin, TN); he has lectured regionally and nationally on many subjects but is best known for his expertise in the treatment of COPD/emphysema. He is compassionate and passionate about his medical practice. His wife is a nurse at Vanderbilt Children's hospital in Nashville, TN and he has three children.

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.

Pulmonology

Licenses

United States: Tennessee

Languages spoken

English

Doctor Q&A

513 Answers
843 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Hot flashes and mood changes can occur when taking prednisone. Night sweats can occur with prednisone/steroids as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Various: 1 collapsed lung 2 bleeding 3 death (rare 1 in 10000 for bronchoscopy biopsies).
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Emphysema is the most common indication for ling transplant in the us.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: COPD (emphysema/chronic bronchitis) is not a communicable disease. It usually occurs in past or current smokers and can sometimes have a genetic pred... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Pleurisy can resolve on its own - usually 7 to 10 days.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Low Carbs: Followong a low carb diet and increasing your caloric output with exercise has been shown to help prevent weight gain while on steroids/prednisone.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Rheumatoid arthritis can be associated with a variety of pulmonary/respiratory conditions; recurrent pleurisy can occur with rheumatoid arthritis. It... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Echo or cardiac ultrasound is a good non invasive way to detect pulm htn.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Pleurisy: Pleurisy (an inflammation of the lining of the lung) would be most likely in an otherwise healthy young person. It typically causes sharp pain with i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 76-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Unlikely: Pulmonary fibrosis/ ipf is usually a painless process. Breastbone pain in the illness is usually associated with muscle pain from the chronic dry cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Two age groups: Childhood asthma is usually diagnosed from age 1 to teenage years. Adult onset asthma occurs in patients beyond the age of 18. Asthma has been known... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Sepsis is a broad term used to describe infection than enters the bloodstream and causes low blood pressure, poor oxygenation and organ dysfunction. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
In a way....: Long term use of moderate doses of fluticasone/flovent is associated with an increased risk of cataract formation. Daily use of the drug can be assoc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Depends: In children beta agonists/bronchodilators are the mainstay of treatment for asthma flares. Some children also take daily antihistamines or leukotrene... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Possibilities: Blood mixed with sputum usually occurs with either bronchitis or pneumonia. Pure blood (hemoptysis) may be more concerning for other problems (heart ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old male asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Airway: Smoke itself can cause airway narrowing also known as bronchospasm. In an asthmatic it can trigger asthma exacerbations.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Same as non asthma: There has never been definitive evidence that asthmatics live less than non asthmatics. Although quality of life can be greatly affected by asthma qu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Great Question!: What a great query. Patients with narcolepsy/cataplexy usually have to seek jobs with very flexible schedules. Many of these patients require naps o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Yes Mirapex and Requip (ropinirole) have both been shown to be effective in restless leg syndrome and periodic limb movement disorder.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Smokers and former smokers can donate their lungs; we obviously only use lungs from light to moderate smokers. Heavy smokers lungs are usually to imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: The only linke between abdominal descriptions and the lungs is hepatization. This is very lung tissue is so full of fluid/pus that it appears to look... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Poor: Light therapy is not a good treatment for insomnia. It is typically used in circacadian rhythm disturbances (ie delayed or advanced phase sleep syndro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Pneumonia is an infection of the lower respiratory tract and usually causes shortness of breath, fever and productive cough. Pneumonia produces unusu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Two Issues: Sleep paralysis is safe and usually a benign condition. That said it can be associated with sleep deprivation (lack of sleep) or narcolepsy.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Type of obstruction: Chronic bronchitis is a type of obstructive lung disease. It is characterized by cough and sputum production for approximately 100 days out of the ye... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Not Directly: A cracked or broken rib can result in pain. Pain can result in the patient not taking deep breaths. In turn the small airsacs of the lung (known as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: Lung volume reduction is only indicated in emphysema; not chronic bronchitis. The surgery has specific criteria based on lung function (fev1 > 20%) a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Many sources...: Many medical conditions can cause spots to form on lungs. The most common in the US include prior tuberculosis infection and/or prior histoplasmosis ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Uncertain: The exact mechanism by which cardiac ischemia causes dyspnea is unknown. There are a number of possible reasons including 1) increased pulmonary edem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: It is rare for non smokers to develop emphysema (usually it is caused by occupational exposures in non smokers or genetic deficiecy such as Alpha one ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Top Five: The top fice factors that can cause a COPD exacerbation include allergies, bacterial/viral infection, pulmonary embolism, heart attack and non complia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Mesothelioma is actually a type of cancer; this cancer affects the lining of the lung and can be very difficult to treat. It usually occurs in smoke... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Inhalers: Inhalers can be very successful at decreasing cough from emphysema - especially anticholinergic drugs like tiotropium and ipratropium.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Low: This is low dose oxygen and equal to roughly 27 percent inspired oxygen (we breath 21 percent).
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Depends: Some lung infections can run a 5-7 day course and resolve on their own (these are usually viral); more severe infections may require a course of antib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: Pneumonia is an example of a lower respiratory tract infection (ie in the lungs). Examples of upper respiratory tract infections include sinusitis, r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Ciprofloxacin can treat upper respiratory tract infections but its use is limited. It mainly covers bacteria that can affect the genital/urinary trac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: This is not likely. Occassionally animal borne diseases can affect humans. Respiratory infections in dogs/cats are not spread to humans.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Various: Typically a pulmonary embolism will show defects on the perfusion portion of a ventilation/perfusion scan (also know as a vq).
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: Chewing tobacco is related to oral cancer - since it is not smoked/inhaled it doesnt increase the riskof develoing emphysema/copd.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Studies: To obtain a definitive diagnosis of COPD takes a combination of history, exam and test findings. Many times an xray can be suggestive of COPD and pul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Time: Most patients with pertussis will resolved their cough over a 6-12 week time period. Some of the medications that may help cough from pertussis inclu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Depends: Most asthma attacks resolve in 3 to 7 days.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: She probably should be evaluated by a pulmonologist for this. That way she can get a definitive measurement of her lung function and help determine w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Dilfucans antifungal properties work even when taken with concomitant antibiotic therapy.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Yes: Occasionally COPD can be found on a ct scan even when pulmonary testing is normal - this is relatively uncommon.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
90 percent: Oxygen saturation below 90 percent can mean very low oxygen levels in the body and can be harmful (strain on our heart and lungs).
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
No: Stress is not one of the causes of pulmonary embolism. Most embolisms originate in the legs (90%) and some originate in the arms (10-15%). Main caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Probably Not: Most of the time radiation is given to stage IV patients to either increase their longevitiy (usually measured in months) or decrease pain symptoms (i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Aaron Milstone
Pulmonology 29 years experience
Years: Life expectancy for a double lung transplant for COPD is around 90% at 1 year, 60% at 5 years and 15% at 10 years.
Created for people with ongoing healthcare needs but benefits everyone.

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

8
Recommendations
808
Thank you notes
Feb 6, 2013
I have known Dr. Milstone for many years. We have several common patients. He is a brilliant compassionate doctor with the highest talent and integrity.
Oct 13, 2012
ery accurate & helpful. Impressive.
I recommend this physician
HealthTap member
Thanks. This has been driving me crazy trying to figure out. We have only ever had 50' tubing to cover our 30' trip along the outer edge of the room. Appreciate your thoughts and reference on this. Be...Read More
HealthTap member
Thank you!! My 2 year old was diagnosed with pneumonia in Oct. of 2009, and she's never really gotten over it. We are just trying to narrow down the possibilities. Thank you so much for your answer!
HealthTap member
Thanks Dr Milstone. I'll ask my PCP tomorrow about a test for sleep apnea. I am not over weight, maybe just a little, but I do snore. Thanks again--charles

Education & Training

Medical/Graduate school

Wayne State University School of Medicine, MI
Graduated 1994MD

Awards

Best Doctors Award 2009-2010, 2010-2011 and 2011-2012
Top Doctor, Third Place, Nashville, TN - Winter
2013
Most Influential, Second Place, Nashville, TN - Winter
2013

Affiliations

Williamson Medical Center
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