Dr. William Galli
Internal Medicine - Pulmonary Critical Care
MO
29 years experience male
Locations
Office
My office hours
Thursday: 7:00am - 5:00pm
Show moreAbout
Bio
I have been practicing Pulmonary since 2000 and Critical Care combination since 2006. I have been working for the last 2 years in CCM and as a consultant to my pulmonary colleagues here in MO.
I focus on patients needs as well as the family to offer advise and comfort.
My interest is COPD.
SpecialtiesDoctors 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.
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.
Internal Medicine - Pulmonary Critical Care
Pulmonary Critical Care
Languages spoken
English
Doctor Q&A
112 Answers
35 Agrees
The number of answers this doctor has agreed with.
A 39-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
USE CPAP!: You may use Ambien (zolpidem) but make sure you use your CPAP as well. The Ambien (zolpidem) will 'numb' your brain so may cause issues with oxygen an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 31-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Depends on severity.: Ild is progressive fibrosis of the lungs. When pts start having respiratory failure with low oxygen levels and higher carbon dioxide levels this may h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 39-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Need more specifics: Normal values are based on age sex race weight and height. The specific numbers to look for based on predicted values for your variables. Generally th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Cold air can: Cold air is dryer and this may tigger bronchospasm of the airways. Also running on hot days can cause this as well since the air will be heated and hu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 43-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
NO!!!: No steam is boiling water in vapor form and could burn your lungs. Now cold steam will not work either. Cells in the lung called macrophages will "cl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Yes/No: Most people will not sleep during a severe asthma attack.
Yes asthma can be fatal if a severe attack. One may fall asleep if the carbon dioxide goes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Probably yes: Not sure if she had a reaction or not. Need to d/w her primary about the risk/benefit ratio involved. At 87 yrs old and any comorbidities she may be p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 43-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Specialitist: A pulmonary md is one who trains 2-3 years after residency to study lung disorders and help establish treatments for a variety of lung disorders. Usua... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 58-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Scar tissue: Ild is scar tissue that is in the lungs. There are many causes for this and some are treatable and some are not. The doctor will run test to try to de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 49-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Detail history: 1st start with a detailed history and physical. Then simple test such as a chest xray and "routine" blood work. Follow up from there. Sometimes one ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 48-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Consult an ID doc: D dimer only good if negative. Positive can be a lot of things. Fevers enlarged glands etc can be a serious condition. Depends on length of time th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 39-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Scar tissue in lungs: Many things can cause scar in the lung.Pulmonary fibrosis(ild) is a progressive disease. Need to r/o cause that are treatable. Some cases require a lu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 36-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Yes: A flare of your asthma may last longer. Depends on how well you were controlled before and the type of medications you use .
Also what triggered you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 28-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
COPD vs Asthma: At 28 yrs old possible long standing asthma. But giving smoking history possible early copd. Need to check Alpha 1 antitrypsin levels.Air trapping on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Depends on duration: If problems have been over many mths or years then not an infection. An infection may be due to your underlying lung problem.
If symptoms started wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Anytime: This is not normal. There are severity issues as well. Could be related to a simple infection to a much more life threatening disease. Need to follow... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
God knows.: No one can tell you this. There are co-illness that can decrease your life expectancy but no absolute number. Need to exersise and have a great medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 22-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Depends: Not sure amount of air in tubing. Need to have nurse then to prime IV tubing to limit any possible complications. I would insist on this since this ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Could B exacerbation: Any changes of the normal could be an exacebation of copd. Typical would be antibiotics not just for infection but antiflamatory properties as well. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 45-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
No typical pressure: This is based on an individual and the anatomy or the upper airways. Also on the severity of the osa. One typically get a titration study to determin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Many: Dust comes in different forms and sizes. Particle size is very important. If the particles are large then they get caught in the nose and upper airway... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 49-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Sometimes.: After braindeath criterea someone will be on life support until they are removed in the or and once cardiac function stops the organs are harvested. T... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Yes, arterial: Two systems artery and vein. Artery takes blood away from heart so clot can travel to brain/kidney/leg/ very severe and life threatening.
Venous retu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 33-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Depends on cause.: If pleurisy is fron an infection then yes. If from just some inflammatroy cause to the lung pleura then usually not. Need to see your doctor if voice ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Need follow up.: Need to see your md. Also if you smoke you need to stop. Antibiotics may be prescribed to help as well. Sometimes a viral illness will predispose you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Not typical: Asthma is a reversible airway obstruction and can be due to an inflammatory issue in the lung tissue. Sometimes a systemic reaction may mimic or exace... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Theoretically poss.: Any type of noxious stimuli can cause COPD if used long enough and you have a genetic predisopsition. One inhales deeper and may hold breath longer t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 45-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Unknow time.: No one can answer that question only god knows. The capacity is reduced if that is the fev1. Best option is to quit smoking. Quality of life is als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Edema: This is probably fluid retention. Many causes of this. The pain is from the swelling of the tissue. The discoloration comes the chronic swelling of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Depend on severity: Need to have tight control on your diabetes. Also how was enlarge d heart diagnosed? If on echocardiogram then see a heart doctor as well. Also depend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 52-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Not at all.: This is just a measurement of cation and anions in the blood. Basically electrolytes and acid base equilibrium. Normal anion gap is 12 or less. No wor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Hard Case: Sounds like chronic cough. Have your doctors review your medication. Top reason for chronic cough is post nasal drip/asthma/gerd/medications. That's w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 53-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Normal liver/kidney: The normal half life is about 9 hours with normal organ function and 13 hours in the eldery. That is half life so a safe bet is 18 hours to 24 hour in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Bad situation: Depends why one is on the ventilator and what caused the arrest. 1st thing is start CPR and follow acls(advanced cardiac life support). One the patie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Possible : If viral then always a possibility. Bacterial as well. Good hand washing and hygiene is always a must. Avoid tobacco as much as possible.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Difficult answer: Some many causes, simple viral illness to life threatening. Need to be examined and test done. Simple blood test and chest xray to more complicated te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
1 comment
A 38-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Blood thinners.: Cause can be from medications(birthcontrol), inactivity or genetic predispositions. Many causes and need to review with her doctor.Treatment depends o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Dynamic collapse: This is a fancy term of when airway pressure is more on the outside of your airways and collapses as you exhale. This pressure difference happens at d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
ACT score.: You should take anact test to determine your control of asthma. Look at asthma.Com for the test. A score of 19 or less is not a great score. You may n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Unknown: No one can tell you dates, only percent survival. So lower with large tumor burden. So if tumor spread to lung brain etc this is stage 4. Also depend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 50-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Stop smoking #1!!!: The best thing is quitting smoking. Next evaluate the severity of your illness with lung test(pft) and chest xray. Once this is established then your ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 35-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Yes: This can occur sometimes and new joints may have to be replaced. One can also get infected natural joints and this will cause swelling and pain even t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 58-year-old male asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Interstitial Lung Dz: Simple answer is scar tissue in the lungs. Zif cured depends on what can cause this. Many test to find identifing cause. Also a good history and physi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Complicated case: COPD is a cause of respiratory failure that may lead to 'life support' on vent. Pneumonia is an independant factor that makes COPD pt harder to get of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Yes: Usually to young for emphysema unless genetic issues. But if you are sick while cxr or pft done then yes in about six wks you make be back to normal. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Nonspecific: Depends where in the rib area you have pain. Also depends if pain is constant or only with deep breathing. Also does this occur at rest or with activi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
NO: If you need inhalers then go see your md and determine why you need the inhaler. Asthma can be deadly and one needs the right medications. If other is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Depends on test: Not a typical number to report on a lung function test(pft). Possible explanations are lab error or even air trapping if on a certain portion of test.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
The interface.: This is typically used for COPD or sleep apnea. Can also be used in emergency with heart failure. .
The mask is the most important thing since this i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. William Gallianswered
Internal Medicine - Pulmonary Critical Care 29 years experience
Not always.: Depends on severity and also body position sometimes. If moderate to severe osa then CPAP is better. If mild then need to see in what body position yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
53
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Galli is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Galli is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thanks I have both emphysema n asthma seem to have more difficulty in
HealthTap member
Thank you, your answer was very helpful! Cant exercise only walk , had MRA LV an Basic MRI, RV aneursym, COPD
HealthTap member
Thank you, your answer was very helpful! This is useful information that I think everyone should know.
Education & Training
Medical/Graduate school
Philadelphia College of Osteopathic Medicine, PA
Graduated 1994MD
Residency
Lankenau
Completed 1998
Awards
Teacher of the year. 2005-2006 Fellowship
HealthTap Founding Doctor
Affiliations
ACCP
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