U.S. doctors online nowAsk doctors free

Dr. James Urbanic

Radiation Oncology
Winston Salem, NC
19 years experience male

Locations

Office

Winston Salem, NC

Address

Department of Radiation Oncology, Wake Forest School of Medicine, Winston Salem, NC
Directions

Insurances accepted

Blue Cross Blue Shield of North Carolina

Blue Cross Blue Shield of South Carolina

Aetna Life Insurance Company

UnitedHealthcare

About

Bio

I enjoy the practice of medicine and taking care of my patients. I specialize in the treatment of lung cancer and the use of radiosurgery and stereotactic body radiotherapy. I am an acitve researcher at both the regional and national level leading a number of clinical trials designed to hopefully help more patients beat cancer or improve the quality of their lives during there fight with cancer.

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.

Radiation Oncology

Doctor Q&A

37 Answers
54 Agrees
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
The M.D. matters : Just be careful not to get sucked up by marketing of a particular machine. That is an unpleasant part of modern medicine. Find the best team you can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Killing cancer cells: Radiaiton therapy uses high energy x-rays to cause injury to cancer cells. It is used in many cases were surgery is either not possible or even despi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
I do not agree: Radiation to the head and neck area could potentially increase the risk for carotid artery disease years after the treatment. I routinely discuss thi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Smoking irritates: Smoking irritates the bronchi. It causes inflammation and can damage the bronchi and bronchioles ability to naturally clear out pathogens leading to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Up to you: You should probably see an eye care professional every couple of years if you have no other problems. How often you change your eyeglasses is subject... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Depends on details: It really depends on the details of the specific situation. The risks and benefits of any competing or complimentary treatments really need to be con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Details matter: Many lung nodules are benign. This will depend on were you live. Lung nodules can be granulomas, infections, fungal infections, benign growths such ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Depnds on stage: It depends on whether the disease is limited to the lung, lund and mediastinum (middle of chest), or has spread outside the chest. Will also depend o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Extensive testing: After going through pre-clinical testing in cell culture lines and animal models, a cancer drug is tested in humans. A phase i trial looks for safety ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Cure varies: Beyond the obvious differences in organ and cell type as well as the various treatment approaches, the most important patient difference is really the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Not likely: These symptoms are not likely a brain tumor. But it would be worth seeing your doctor or a neurologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Unknown: Herbal and natural remedies cannot be discounted but the lack of solid randomized clinical trials makes it hard to recommend the best one. Also the s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Hard to know: We know of a few cancers caused by viruses such as cervical cancer and head and neck cancer. These are the most widely discussed. There are other mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Maybe: It will really depend on what the scans show and the details of your prior cancer history. On the surface it seemsllikely.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Category?: Really impossible to answer without more specifics. In general the best advice is to find a comprehensive team you can trust.
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Calcium and vit D: Consider a DEXA scan to measure bone density. If your density is low a bisphosphonate type medication can be helpful. This should be a standard conv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
It is ok: Always worth mentioning your allergy history when having a medical procedure done. But this should be ok as ablative iodine and MRI contrast should n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Worth getting check: That is something worth getting checked. It's an area where an enlarged lymph node can be so your doctor should take a look at it.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
NO: These cancers are not related. But.... Many people are confused by the concept that lung cancers can spread to the brian as metastasis. This happen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Probably not: Probably not but best to have a detailed conversation about your family history and other risk factors with your gynecologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Really rare: Colon cancer would be extremely rare for someone in their 20s. You should see your physician if there are other symptoms or if you are losing weight ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Smoking irritates: Smoking irritates the bronchi. It causes inflammation and can damage the bronchi and bronchioles ability to naturally clear out pathogens leading to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Both: You should neither smoke nor be exposed to unnecessary radiation. Radiation when used for appropriate imaging or treatments takes into account an ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 62-year-old male asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Possible: It is possible for a cancer in the liver to spread to other organs. It is also common for other cancers to spread to the liver. The best examples be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Coal mines: This is common name for coal miners pneumonconiosis. This is a progressive fibrosis of the lung caused by the chronic irritation of coal dust.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Pt and meds: That can be a challenging problem. Sometimes massage therapy and evaluation for lymphedema can be useful. Occasionally pain meds or anti inflammator... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Lots of things: That something is rather nonspecific it could be many things it is best to see your doctor to figure it out more clearly.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Single stage: Primary brain tumors (gliomas) are not staged 1 through 4 like cancers in other parts of the body. Prognosis has more to do with what type and if it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Not normal: You should definitely have that checked out.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Tough to know: Would want to actually see the imaging of the brain, see blood work, get a full history, and have a chance to examine you prior to making serious gues... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Find what fits: Find a charity or organization that you believe in and donate what time or money you feel able to. Ther eis no one right answer, it will depnd on wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Pet scan challenging: A pet scan will generally show 3 main groups of findings. Infection inflammation or cancer. With a history of breast cancer a biopsy may be conside... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 69-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
An aggressive tumor: This is an aggressive form of thyroid cancer that can come back rapidly and is general treated with a combination of surgery, radiation therapy, and c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Stage is important: Prognosis is going to depend on the stage of the cancer and the health of the patient.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Newer with RT: Immunotherapy has had a resurgence in the past few years primarily in the treatment of melanoma. This is branching into other cancers. As a radiatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Still experimental: This work is still experimental but promising. Our understanding of the regenerative ability of neural structures is improving and the use of stem ce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. James Urbanic
Radiation Oncology 19 years experience
Their are survivors: With surgical resection there is medical data to support 20% of patients can be 10 year survivors in this situation. Surgery is becoming more common ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

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

2
Recommendations
130
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Urbanic is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Urbanic is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Share thanks in your own words...
HealthTap member
Thank you I have discussed it and he said I could not be on long
HealthTap member
Thank you! Can allergy or cough cause this kind of situation?

Education & Training

Medical/Graduate school

Medical University of South Carolina College of Medicine, SC
Graduated 2003MD

Awards

ASCO Young Investigator Award
Most Influential, Third Place, Winston-Salem Region, NC - Summer
2013
Top Radiation Oncologist , First Place, North Carolina - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less