PNEUMOLOGIST
Torre Medica Hospital Auxilio Mutuo
Ste. 401, Ponce de Leon Ave. #735
Hato Rey, P.R. 00917
787-296-8394
787-900-5661
EDUCATION AND DEGREES:
UNIVERSITY DEGREE YEAR
Medicine School: Doctor in Medicine June 2,000
Universidad Autónoma
De Guadalajara,
Jalisco, México
University of Puerto Rico Bachelor of Sciences May 1996
Río Piedras Campus, Major: General Program
(August 1993 – May 1996) Honors:Cum Laude
University of Puerto Rico Bachelor (Started)
Mayaguez Campus,
(August 1992 – May 1993)
POST GRADUATE TRAINING AND CURRENT WORK
Fundación de Investigación
Principal Investigator of Pulmonary/Critical Care Research Studies
July 2012-present
Hospital Auxilio Mutuo
Director of the Pulmonary Division
March 1 2013-present
San Juan Bautista School of Medicine Assistant Professor Internal Medicine Pulmonary/Critical Care
November 2012-Present
American University of Antigua College of Medicine.Adjunct Professor for Clinical Medicine August 2012-Present
San Juan City Hospital Pulmonary Fellowship Program Director
May 2012-present
Hospital Auxilio Mutuo- Faculty Physician, Pulmonary/Critical Care Division
Sept.2007-present
San Juan City Hospital.Pulmonary/Critical Care Faculty Physician
July 2007-present
Pulmonary and Critical Care Medicine Fellowship
July 2004- 2007
San Juan VA Medical Center, Pulmonary and CCM Section
San Juan, PR 00921-3201
Intensive Care Unit Rotation April 2007 at University of Pittsburgh Medical Center (UPMC),Pittsburgh,PA,USA
Internal Medicine Residency
July 2001– June 2004
San Juan VA Medical Center, Medicine Service (111)
San Juan, PR 00921-3201
Internship
July 2000 – June 2001
Hospital Auxilio Mutuo
San Juan, Puerto Rico.
Pre-Internship
July 1999 – May 2000
Hospital Regional de Aguadilla,
Aguadilla, Puerto Rico.
MEDICAL LICENSE:
Puerto Rico #13,947
MEDICINE BOARD / CERTIFICATES:
American Board of Critical Care Medicine Recertified November 2017
American Board of Pulmonary Diseases Recertified October 2016
Certificate of Training Boston Scientific Company in “Bronchial Thermoplasty” November 2012
American Board of Critical Care Medicine October 2007
American Board of Pulmonary Diseases November 2006
American Board of Internal Medicine August 2004
United States Medical License Examination Step III December 2003
Educational Commission of Foreign Medical Graduates, April 2003.
Certified Course in Total Parenteral Nutrition, September 2002,
Puerto Rico.
Clinical Skills Assessment Examination, November 2001, Philadelphia, USA.
United States Medical License Examination Step II, August 2001.
Oral Examination (Reválida de Puerto Rico Parte III) February 2001.
United States Medical License Examination Step I, May 2000.
Clinic Skills (Reválida de Puerto Rico Parte II) November 2000.
Clinic Skills (Reválida de Puerto Rico Parte I) November 1998.
Certified Course in Advanced Cardiac Life Support (ACLS)
Certified Course in Cardio-Respiratory Resuscitation (CPR)
AWARDS
Puerto Rico Doctors Choice Award 2018 :Pulmonary Medicine
Marquis Who’s Who Award 2017
Poster presentation 2016 First Place Clinical Vignettes and Research Competition .American College of Physician.Intercontinental Hotel. ”Encephalopathy and Kidney Injury as Unexpected Complication of Recreational Drug Use: A Case Series”
Poster presentation 2015 Second Place American College of Physician.Hotel La Concha.”Aspergillus terreus:A New Threat for an Immunocompetent Patient?
Oral Presentation 2014 First Place Clinical Vignettes and Research Competition,American College of Physician.Hotel San Juan.” New Strain of MDR Tuberculosis G24767: Old Disease a Continuous Threat”
Fellowship of the Amercian College of Physician (ACP),FACP
March 2014
Poster presentation 2013 Second Place American College of Physician.Hotel La Concha. “A Case of Diffuse Alveolar Hemorrhage Associated with Hyaluronic Acid Dermal Filler”.
Poster presentation 2013 Third Place American College of Physician.Hotel La Concha. “An Idiopathic Condition in a Healthy Young Man”.
Poster presentation 2010 Second place American College of Physician,Embassy Suites Dorado,PR. “Immunocompromised Patient’s:What a Challenge !”
Fellowship of the American College of Chest Physicians (ACCP),FCCP August 2009
Fellow of the Year Award, 2006-07 , Veteran’s Hospital San Juan, Puerto Rico.
Fellow of the Year Award, 2005-06 Veteran’s Hospital San Juan, Puerto Rico.
Fellow of the Year Award, 2004-05 Veteran’s Hospital San Juan, Puerto Rico.
Resident of the Year Award, 2003-04 Veteran’s Hospital,
San Juan, Puerto Rico.
Resident of the Year Award, 2002-03 Veteran’s Hospital,
San Juan, Puerto Rico.
Resident’s research presentation Award: Third place.
Topic: “Insulin:effect in mortality and renal failure in critically ill patients”. Veteran’s Hospital,
San Juan, Puerto Rico.2004
CLUBS AND ORGANIZATIONS:
American College of Physician Puertorrican Chapter .Scientific Committee Member.July 2018-present
American College of Physican,Puertorrican Chapter .Scientific Committee Chairman 2014-May 2018
Puertorrican Society of Pulmonologist 2007-current
American College of Chest Physicians-2004-current
American Thoracic Society-2004-current
Society of Critical Care Medicine -2004-current
Puertorrican Society of Critical Care Medicine -2004-current
American College of Physician – 2003-current
North American Student Association – 1996- 2000.
RESEARCH EXPERIENCES:
2018 Sub Investigator
“Patient Empowered Strategy to Reduce Asthma Morbidity in Highly Impacted Populations”
2016-2017 Sub Investigator
“CAS Scoring :A Novel ID-ID Score for Predicting In Hospital Mortality in Community Acquired Sepsis Patients”
Prospective Study in collaboration with over 60 centers worldwide
2015-2017 Investigator
A Phase III,52 week,randomized double blind three arm parallel group study comparing the efficacy,safety,tolerability of the fixed dose triple combination with the fixed dose dual combinations of FF/VI and UMEC/VI ,all administered once daily in the morning via dry powder inhaler in patients with COPD
2014 Investigator
The RISE study-Revealing the Impact of Symbicort in reducing Exacerbations in COPD.A Phase IIIB 6-Month, Double-blind, Double dummy, Randomized Parallel-group, Multicenter Exacerbation Study of Symbicort ® pMDI 160/4.5µg x 2 Actuations Twice-daily compared to Formoterol Turbuhaler 4.5 µg x 2 Inhalations Twice-daily in COPD Patients.
2014 Investigator
A 26 week randomized,double-blind-parallel group,active controller,multicenter,multinational safety study evaluating the risk of serious asthma- related events during treatment with Symbicort, a fixed combination of inhaled corticosteroid(ICS)(budesonide) and a long acting B2-agonist(LABA)(formoterol) as compared to treatment with ICS(budesonide) in adult and adolescent (>12 years of age) patients with asthma.
2013 Investigator
The Effectiveness of the Polysaccharide Pneumococcal Vaccine for the Prevention of Hospitalizations Due to Streptococcus pneumoniae Pneumonia in the Elderly Differs Between the Sexes: Results From The Community-Acquired Pneumonia Organization (CAPO) International Cohort Study . Timothy L Wiemken,Ruth M Carrico, Sabra L Klein, Emily B Pacholski , Robert R Kelley , Colleen Jonsson , Paula Peyrani, Stefano Aliberti , Francesco Blasi , Ricardo Fernandez-Gonzalez , Gustavo Lopardo , Julio A Ramirez
2013 Investigator
A randomized, placebo controlled,double-blind parallel group ,multi center to asses the safety and efficacy of tiotropium bromide (18mcg) delivered via the Handi Haler in COPD subjects recovering from hospitalization for an acute exacerbation.
2012 Investigator
Incidence and outcomes of hospitalized patients with healthcare associated pneumonia at the San Juan City Hospital.
2012 Investigator
Anthropometric and Demographic characteristics of patients with Obstructive Sleep Apnea in Puerto Rico.”
2011 Subinvestigator
An International, Observational Study to Evaluate Current Management of Hospitalized Patients with Community-Acquired Pneumonia (International CAP Study)
2011-Subinvestigator
Safety Study of Cetuximab in Combination With Cisplatin and Vinorelbine to Treat Advanced Non-small Cell Lung Cancer
2011-Investigator
Puerto Rico’s Intensive Care Units:An Overview of Critical Care Medicine”
2010-Investigator
Usual organisms found in HIV patients diagnosed by bronchoalveolar lavage at San Juan City Hospital
2010-Subinvestigator
Blood transfusions modality and related complications in critically ill patients admitted to a Medical Intensive Care Unit.
2009-Investigator
Incidence of undiagnosed depression symptoms in COPD patients at San Juan City Hospital.
2009-Sub investigator
Targeted detection of alpha-1 antitrypsin deficiency in patients referred for Pulmonary Functioning Testing .San Juan City Hospital
2008-Investigator
Comparison between chlorhexidine gluconate impregnated dressings and skin antiseptic in the prevention of catheter related blood stream infections .
San Juan City Hospital.
2008-Investigator
Incidence of pulmonary arterial hypertension in sickle cell disease patients at the San Juan City Hospital.
2008-Investigator
Ventilator associated pneumonia:incidence,etiology and quality improvement. San Juan City Hospital.
2008-Investigator
Compliance of Guidelines for Intensive Care Unit Admissions in San Juan City Hospital in a Three Months Period.
2007- Investigator
Thromboprophylaxis in Stroke Patients admitted to a major San Juan Metropolitan Hospital.
2006- Sub investigator
Effect of roflumilast on exacerbation rate in patients with COPD.
VAMC, San Juan, PR
2006- Sub investigator
CASSIOPEA (Clinical study Assessing SSR126517E Injections Once-weekly in Pulmonary Embolism therapeutic Approach) An international, multicenter, randomized, double-blind, double-dummy, parallel group, study of 3-month or 6-month treatment with SSR126517E (3.0 mg s.c. once weekly) versus oral INR-adjusted warfarin in the treatment of patients with symptomatic pulmonary embolism, with or without symptomatic deep venous thrombosis VAMC, San Juan, PR
2006-Investigator
Surviving Sepsis Campaign:A study of physician’s knowledge in Puerto
Rico.VAMC,San Juan, PR
2006- Sub investigator
E5564-G000-301 ACCESS: A Controlled Comparison of Eritoran Tetrasodium and Placebo in Patients with Severe Sepsis VAMC, San Juan, PR.
2006-Sub-investigator
Melatonin:effect in critically ill patients.
2005- Sub investigator
Randomized Aseptic Pharmacokinetic Pharmacodynamic Outpatient Registry Trial of Respiratory Track Infections (RAPPORT) VAMC, San Juan, P.R.
2005- Sub investigator
A Pivotal, Multicenter, Multinational, Randomized, Double-Blind, Placebo-
Controlled Study to Evaluate the Efficacy and Safety of TAK-242 in Adults with Severe Sepsis VAMC, San Juan, PR.
2005 – Sub investigator
A Prospective, Randomized, Double-blind, Placebo Controlled, Dose
Ranging, Multi-Center Study of the Safety and Efficacy of Three Days
Continuous Intravenous of GR270773 in the Treatment of Suspected or
Confirmed Gram-negative Severe Sepsis in Adults” VAMC, San Juan, PR.
2005 – Sub investigator
Multi-Center Clinical Trial of the Bard Silver-Coated Endotracheal Tube to Reduce Ventilator Associated Pneumonia (VAP): Health Economic Study-5004 ” VAMC, San Juan, PR.
2005 – Sub investigator
Linezolid in the Treatment of Subjects with Nosocomial Pneumonia Proven To Be Due To Methicilline-Resistant Staphylococcus Aureus” VAMC, San Juan, PR.
2004 –Sub- Investigator, Protocol: XRP4563C/3501
“A Double-blind, Placebo-Controlled, Parallel, Multicenter Study on Extended VTE Prophylaxis in Acutely Ill Medical Patients with Prolonged Immobilization” VAMC, San Juan, PR.
2004- Sub- Investigator, Protocol: #5003A
“Multi-Center trial of the Bard® Silver –Coated endotracheal tube to reduce ventilator associated pneumonia” VAMC, San Juan, PR.
2004-Sub-Investigator, Protocol: “A Four Week, Double Blind, Placebo-Controlled Exploratory Evaluation of FEV1.0 Changes and Safety of ONO-6126 in Patients with Chronic Obstructive Pulmonary Disease (COPD)” VAMC, San Juan, PR.
2004- Sub-Investigator, Protocol: “A Randomized, Open Label, Multi-Center Clinical Trial, Comparing Microbiologic Response to Linezolid and Vancomycin in Ventilator-Associated Pneumonia (VAP) due to Methicillin Resistant Staphylococcus Aureus (MRSA)” VAMC, San Juan, PR.
2004- Sub-Investigator, Protocol: A Multi-Center, Randomized, Double-Blind, Parallel Group, 40-Week Comparison of Asthma Control Using Bronchial Hyperresponsiveness as an Additional Guide to Long-Term Treatment in Adults Receiving Either Fluticasone Propionate/Salmeterol DISKUS BID or Fluticasone Propionate DISKUS BID (or Placebo BID if Asymptomatic)” VAMC, San Juan, PR.
2003- Investigator, Protocol: Insulin: Effect on mortality and renal failure in critically ill patients. VAMC, San Juan, PR.
1996-Crustaceous Taxonomy Study, University of Puerto Rico, Río Piedras Campus, Zoology Department
RESEARCH
PRESENTATIONS
October 2019 American College of Chest Physician.New Orleans .”Uncommon Cause of Complete Atrioventricular Block Presenting with Dyspnea”
October 2019 American College of Chest Physician.New Orleans.”Dental Infection Leading to a Pulmonary Catastrophe in an Immunocompetent Patient.”
October 2019 American College of Chest Physician.New Orleans.”A Rare Case of Spontaneous Hemothorax :A Late Manifestation of Cavitary Lesion by Aspergillus”
October 2019 American College of Chest Physician.New Orleans”A Strange Cause of a Pulmonary Nodule”
October 2019 American College of Chest Physician.New Orleans.”A rare anatomical variant causing a common respiratory complaint”
May 2019 American Thoracic Society Dallas Texas”Scimitar Syndrome :A Rare Cause of Cardiomyopathy in Adults
2018 American College of Chest Physician San Antonio Texas.”Chronic Cough Causing an Unexpected Complication.
2017 American College of Chest Physician Toronto Canada.”A Slow Growing Disaster”
2017 American Thoracic Society Washnington ,USA. .”Encephalopathy and Kidney Injury as Unexpected Complication of Recreational Drug Use: A Case Series”
2016 Clinical Vignettes and Research Competition .American College of Physician.Intercontinental Hotel.”Adenocarcinoma of the Colon in Anterior Mediastinum…What !!!!!
2016 Clinical Vignettes and Research Competition .American College of Physician.Intercontinental Hotel.”Encephalopathy and Kidney Injury as Unexpected Complication of Recreational Drug Use: A Case Series”
2016 Clinical Vignettes and Research Competition .American College of Physician.Intercontinental Hotel.”Fast and Unexpected Spread of a Slow Growing Tumor”
2016 Clinical Vignettes and Research Competition .American College of
Physician.Intercontinental Hotel.”Drowning While Breathing”
2016 Clinical Vignettes and Research Competition .American College of Physician.Intercontinental Hotel.”Unusual Case of a Primary Tumor Presenting as Superior Vena Cava Syndrome”
2016 American College of Chest Physician ,Los Angeles,USA”A Rare but Malignant Cardiac Mass”
2016 American Thoracic Society San Francisco ,USA .”Characteristics and Diagnosis of Admission of Patients on Mechanical Ventilation in PR.A Single Center Observational Study”
2016 American Thoracic Society San Francisco ,USA “ Comparison Between Chlorhexidine Gluconate Impregnated Dressing and Skin Antiseptic in the Prevention of Catheter Related Blood Stream Infections in the ICU”
2015 Clinical Vignettes and Research Competition,American College of Physician.Hotel la Concha.”Characteristics and Diagnosis of Admission of Patients on Mechanical Ventilation in PR.A Single CenterObservational Study”
2015 Clinical Vignettes and Research Competition,American College of Physician.Hotel la Concha.”Comparison Between Chlorhexidine Gluconate Impregnated Dressing and Skin Antiseptic in the Prevention of Catheter Related Blood Stream Infections in the ICU”
2015 Clinical Vignettes and Research Competition,American College of Physician.Hotel la Concha.”Fluid Everywhere,but Why? Oral presentation
2015 Poster Presentation American College of Chest Physician.Montreal Canada.”Aspergillus terreus:A New Threat for an Immunocompetent Patient?
2015 Poster Presentation American Thoracic Society.Denver,USA “New Strain of MDR Tuberculosis G24767: Old Disease a Continuous Threat”
2015 Poster Presentation American College of Physician.Boston “New Strain of MDR Tuberculosis G24767: Old Disease a Continuous Threat”
2014 Clinical Vignettes and Research Competition,American College of Physician.Hotel San Juan.Poster Presentation.”A Common Symptom for an Unusual Suspect”
2014 Clinical Vignettes and Research Competition,American College of Physician.Hotel San Juan.Oral Presentation” New Strain of MDR Tuberculosis G24767: Old Disease a Continuous Threat”
2014 Clinical Vignettes and Research Competition,American College of Physician.Hotel San Juan.Poster Presentation” Tracheal tumors:rare but always dangerous”
2014 Oral Presentation American Thoracic Society San Diego,”A case of Chronic Cough and Multiple Cavitary Lesions”
2014 Poster Presentation American Thoracic Society San Diego”An Idiopathic Condition in a Young Healthy Man”
2014 Poster Presentation American Thoracic Society San Diego”Guidelines:Are They For Everyone?”
2014 Poster Presentation Chest International Madrid,Spain.”A Case of a Diffuse Alveolar Hemorrhage Associated with Hyaluronic Acid Dermal Filler”
2014 Poster Presentation Chest International Madrid,Spain.”Puerto Rico Pulmonary Artery Registry Scheme”
2014 Poster Presentation New York Thoracic Society,NY.”Multiple Cavitary Lesions:A nightmare to any physician”
2014 Poster Presentation New York Thoracic Society,NY.”Histoplasma capsulatum pleural effusion in a immunocompromised patient”
2013 Clinical Vignettes and Research Competition,American College of Physician.Hotel La Concha, Puerto Rico.” Pulmonary Hypertension Registry Scheme”
2013 Clinical Vignettes and Research Competition,American College of Physician.Hotel La Concha,PR.”A Case of Diffuse Alveolar Hemorrhage Associated with Hyaluronic Acid Dermal Fillers”
2013 Clinical Vignettes and Research Competition,American College of Physician.Hotel La Concha,PR.”An Idiopathic Condition in a Healthy Young Man”.
2013 Poster Presentation American Thoracic Society Philadelphia,USA. ”Incidence and outcomes of hospitalized patients with healthcare associated pneumonia at the San Juan City Hospital.”
2013 Poster Presentation Philadelphia USA.”Anthropometric and Demographic characteristics of patients with Obstructive Sleep Apnea in Puerto Rico.”
2012 Clinical Vignettes and Research Competition,American College of Physician. Intercontinental Hotel,PR.”Incidence and outcomes of hospitalized patients with healthcare associated pneumonia at the San Juan City Hospital.”
2012 Clinical Vignettes and Research Competition,American College of Physician. Intercontinental Hotel,PR.”Anthropometric and Demographic characteristics of patients with Obstructive Sleep Apnea in Puerto Rico.”
2012 Poster presentation American Thoracic Society San Francisco USA
“Pleural effusion as the Initial Extramedullary Manifestation of Acute Myelogenous Leukemia.”
2011 Poster presentation American College of Physician .Embassy Suites Dorado,PR.:AML related pleural effusion:An Uncommon presentation”
2011 Poster presentation American College of Physician .Embassy Suites Dorado,PR.”Tracheobronchopatia Osteochondroplastica:an underdiagnosed central airway disease”
2011 Oral case presentation American College of Physician .Embassy Suites Dorado,PR.”An uncommon hematologic disorder in an adult Puerto Rican patient”
2011 Poster presentation American Thoracic Society .Denver,USA.”A Very Rare and Aggressive Lung Tumor”.
2011 Poster presentation American Thoracic Society .Denver,USA.”A Rare Case of Pulmonary Nodules”.
2011 Poster presentation American Thoracic Society .Denver,USA.”Puerto Rico’s Intensive Care Units:An Overview of Critical Care Medicine”
2010 Poster presentation American College of Physician,Embassy Suites Dorado,PR. “Immunocompromised Patient’s:What a Challenge !”
2010 Poster presentation in American Thoracic Society.New Orleans USA
An unusual presentation of idiopathic LIP in an immunocompetent 52 y/o patient.
2010 Poster presentation in American Thoracic Society.New Orleans USA
“Ventilator associated pneumonia:incidence,etiology and quality improvement.”
2008 Oral presentation in American College of Physician, San Juan, PR.
”Unusual Presentation of Alveolar Hemorrhage in a Immunocompetent Patient:Disseminated Strongyloidiasis.Alayon,D,Fernandez,R,Colon,M.
Roman,J.
2007 Co-author,oral presentation” Early Diagnosis of Hyperinfection Syndrome in an Immunocompromised Patient “American College of Chest Physician Chicago Fernandez,R,Galera,A,Rodriguez,W,Casal,J,Santiago,D,Rios,A,Adoro,A,
Muniz.
2007 American Thoracic Society poster presentation, San Francisco,USA “Melatonin:effect in critically ill patients” .Adorno,J.Rodriguez,W.
2006 Poster presentation in International Society of Intensive Care and
Emergency Medicine Brussels, Belgium.“Surviving Sepsis Campaign: A study of physician’s knowledge in Puerto Rico”
2006 Poster presentation in Society of Critical Care San Francisco, USA
“Surviving Sepsis Campaign: A study of physician’s knowledge”
2005 Poster presentation in American Thoracic Society, San Diego, USA
“Insulin: effect in mortality and renal failure in critically ill patients”
2004 Oral presentation in American College of Physician, San Juan, PR.
“Insulin: effect in mortality and renal failure in critically ill patients
PUBLICATIONS
Fernandez,R.Cruz,M.Gonzalez,M.Gonzalez,I.Pagan,J.”Resection and primary reconstruction of a massive chest wall chondrosarcoma”.Oxford Medical Case Reports”.2019:2
Fernandez,R.Alicea,R.Cruz,M.Adorno,J.Fernandez,R.Rivera,K.Gonzalez,G.Hernandez,H.”Life Threatening hemoptysis:case of Osler Weber Rendu Syndrome”Oxford Medical Case Reports 2018;3:96
Fernandez,R.Rivera,K.Hernandez,A.”Nocardia cyriacigeorgica threatening an immunocompetent host:a rare case of paramediastinal abscess”Oxford Medical Case Reports 2017;12:11
Fernandez,R.Nieves,J.Adorno,J.Manzano,K.Gonzalez,M. “An aggressive non small cell lung cancer in nonsmokers:a case report of an unusual presentation of a micropapillary lung adenocarcinoma”.Respir Med Case Rep 2017;20:125
Fernandez,R.Cruz,M.Gonzalez,M.Gonzalez,I.Gonzalez,G.Rivera,K. ”A Rare but Malignant Cardiac Mass”.J Med Cases 2016;7(11):498
Fernandez,R.Fernandez,F.Nieves,J.Maldonado,H.Rivera,K.Colon,M.”New Strain Multidrug Resistance Tuberculosis G24767 in Puerto Rico:Old disease a continuous Threat”.Respiratory Medicine Case Reports 2016;86:8
Fernandez,R.Sola,E.Rivera,K.Hernann,J.”Diabetes Mellitus:An Important Risk Factor for Re Activation of Pulmonary Tuberculosis”.Endocrinology,Diabetes and Metabolism Case Reports 2016;16:5
Fernandez,R.Torrellas,P.Malpica J.Maldonado H.”Histoplasmosis capsulatum:a rare presentation in an immunocompromised host” ACP Hospitalist 2014.
Fernandez,R.Torrellas,P.Malpica J.Maldonado H.”Idiopathic Hypereosinophilic Syndrome.” ACP Hospitalist 2014.
Fernandez,R.Basora,J.Gonzalez,M.”A Case of diffuse alveolar hemorrhage associated with hyaluronic acid dermal fillers.” Am J Case Rep. 2014 9;15:199
Fernandez,R. T Wiemken TL, Carrico RM, Klein SL, Jonsson CB, Peyrani P, Kelley RR, Aliberti S, Blasi F, Lopardo G, Ramirez JA; CAPO Investigators.”The Effectiveness of the Polysaccharide Pneumococcal Vaccine for thePrevention of Hospitalizations Due to Streptococcus pneumoniae Pneumonia in the Elderly Differs Between the Sexes: Results From The Community-Acquired Pneumonia Organization (CAPO) International Cohort Study .” Vaccine. 2014;32(19):2198
Fernandez,F.Fernandez,R.Nieves,J.Adorno,E.”An Unexpected Side Effect of a Commonly Used Drug.”Boletin Asociacion Medica de Puerto Rico 2013;3:53
Fernandez,.Adorno,J.Valentin,S.Pulmonary Lymphangioleyomiomatosis:Literature Update. Boletin Asoc Med PR 2013;3105
Fernandez,R.Egozcue,M.Adorno,E.Nieves,J.Torrellas,P.” Puerto Rico’s Intensive Care Units:An Overview of Critical Care Medicine”Puerto Rico Health Science Journal December 2013”.Vol.32. No.4
Fernandez,R.Nieves,J.Cordoba,C.Fernandez,R.Salinas,V.”A very rare and aggressive lung tumor”International Journal of Medicine and Medical Services May 2013;5:210
Fernandez,R.Nieves,J.”Tracheobronchopatia osteochondroplastica :An underdiagnosed central airway disease”.International Journal of Medicine and Medical Services Dec. 2012 .Vol. 4,No.10;211
Fernandez,R.Nieves,J.”Pleural effusion as the initial extramedullary manifestation of Acute Myeloid Leukemia”F 1000 Research 2012;1:39
Fernandez,R.Nieves,J,Egozcue,M. “A hematologic condition expressed as a lung disease” F 1000 Research 2012:1:28
Fernandez,R.Gutierrez,M.Hernandez,M.Fernandez,F.”Secondary Biliary Cirrhosis due to a rare Choledocal Cyst Type II complicated with portal hypertension and pancytopenia in a young female patient.”Boletin Asociacion Medica de Puerto Rico 2012;104:3
Fernandez,R.Fernandez,F.Boletin Asociacion Medica De Puerto Rico”Immunocompromised Patients: What a Challenge!” 2012;104:3.
Fernandez,R.Fernandez,F.Boodoosingh,D.Critical Care and Shock 2012;15:43
“ An uncommon hematologic disorder in an adult Puerto Rican patient”
Fernandez,F,Fernandez,R,Boodoosingh,D
Intech publishing company .Editor of the book Severe Sepsis and Septic Shock:Understanding a serious killer.In collaboration with University of Dubrovnik School of Medicine,Croatia February 2012
Intech publishing company .Chapter 10 ”Update in severe sepsis and septic shock” from the book Severe Sepsis and Septic Shock:Understanding a serious killer.In collaboration with University of Dubrovnik School of Medicine,Croatia February 2012
European Journal of General Medicine Jan 2011;8:2. Progressive dyspnea and a persistent wheeze: a subtle presentation of pulmonary embolism in a 64 year old woman.Fernandez,R.Fahme,E
Critical Care and Shock February 2010;13:1-4 “An unusual case of dyspnea”.Salinas,V.Fernandez,R.Betancourt,M,Fernandez,R.
Clinical Respiratory Journal;October 2009;Vol.4 :252 . “An unusual presentation of idiopathic LIP in an immunocompetent 52 y/o patient.”.Cruz,C.Fernandez,R.Santos,G.Reyes,R.Fernandez,R.Ferrer,D.
Primary Care Respiratory Journal December 2009;18;337.An unusual presentation of alveolar hemorrhage.
Roman,J,Fernandez,R,Reyes,R,Santos,G
Critical Care and Shock February 2009;12:24 Compliance of Guidelines for Intensive Care Unit Admissions in San Juan City Hospital in a Three Months Period.Fernandez,R,Martin,E,Rodriguez,J,Gonzalez,C,Reyes,R.
Critical Care and Shock February 2009;12:16 Ventilator associated pneumonia:incidence,etiology and quality improvement.Betancourt,M.Santos,G.Reyes,R.
Journal of Asthma November 2008;10:766-769.An Uncommon cause of Uncontrolled Asthma:Case report.Fernandez,R,Galera,A,Rodriguez,W, Casal,J.
JAMA August 2008;300,No.8:933.Soylemez,R. et al.Benefits and Risks of Tight Glucose Control in Critically Ill Adults.Meta Analysis that included abstract
Critical Care and Shock 2007;10:131-141:Sepsis: A study of Physician’s Knowledge about the Surviving Sepsis Campaign in Puerto Rico. Fernandez, R, Galera, A, Rodriguez, W, Rodriguez, G, Rive, E.
Critical Care .Volume 10 March 2006:S54 Sepsis: A study of physician’s
Knowledge in Puerto Rico .Abstract
Critical Care Medicine. Volume 33,No. 12 December 2005:A160 Sepsis: A study of physician’s knowledge in San Juan Veteran’s Hospital.Abstract
Critical Care and Shock December 2007;Vol.10 No. :27
Abdominal Compartment Syndrome: case report; Fernandez R, Galera A,
Rodriguez-Cintron, W, Rodriguez,P.
Chest October 2007 abstract .Early Diagnosis of Hyperinfection Syndrome in an Immunocompromised Patient:case report.Fernandez,R,Galera,A,Rodriguez,W,Casal,
J,Santiago,D,Rios,A,Adoro,A,Muniz,M.
PRESENTATIONS
SPEAKER
September 2019.Mayaguez Medical Center Internal Medicine Residency.”Update in ILD”
September 2019 8th Respiratory Congress .Hotel Sheraton San Juan ,PR.”Update in Pulmonary embolism”
August 2018 Coalicion de Asma de PR.Hotel Intercontinental.”Update in IPF and ILD”
June 2018 Janssen Speakers Program.”Recent Published Real World Evidence in DVT and PE”Hospital Auxilio Mutuo ER staff.Rest RuthCriss
March 2018;Boehringer Speaker Program:Approach for ILD.San Lucas Hospital Internal Medicine Residency Program.Rest. La Cava , Ponce
August 2017.Coalicion de Asma de PR.Hotel La Concha “
”Guidelines for Liberation of Mechanical Ventilation”
August 2017 Boehringer Speaker Program .”Approach for ILD”. VA Hospital Pulmonary and Critical Care Fellowship Program.Rest. Mario Pagan
May2017 Janssen Speakers Program .”2017 Xarelto Pivotal Trials and Recently Published Real World Evidence in NVAF and DVT/PE.”Mayaguez Resort and Casino
May 2017 Janssen Speakers Program .”2017 Xarelto Pivotal Trials and Recently Published Real World Evidence in NVAF and DVT/PE.”Ponce Hilton
May 2017 Janssen Speakers Program .”2017 Xarelto Pivotal Trials and Recently Published Real World Evidence in NVAF and DVT/PE.”Hotel Caribe Hilton
May 2017. Puertorrican Society of Critical Care .Hotel Caribe Hilton “
”Guidelines for Liberation of Mechanical Ventilation”
May 2016. Puertorrican Society of Critical Care .Convention Center “Pulmonary embolism and Update”
March 2017 Janssen Speakers Program .”2017 Xarelto Pivotal Trials and Recently Published Real World Evidence in NVAF and DVT/PE.”Centro Medico de Mayaguez .Division of Surgery.Rest.Gonzalez Sea Food
December 2016.Colegio de Medicos de PR..Convention Center “An update in Thromboembolic Events”
August 2016 Janssen Speaker Program .”Xarelto to Treat Thrombosis and Reduce Thrombotic Risk”University District Hospital .Doctor’s Hospital Santurce Medical Staff .Ruth Criss Rest.
May 2016. Puertorrican Society of Critical Care .Convention Center “Pulmonary embolism and Update”
March 2016.Hospital Auxilio Mutuo Scientific Meeting.”Pulmonary embolism and Update”
March 2016 Janssen Speaker Program .”Xarelto to Treat Thrombosis and Reduce Thrombotic Risk”University District Hospital .Division of PMR
.Rosa Mexicana Rest.
February 2016 Janssen Speaker Program .”Xarelto to Treat Thrombosis and Reduce Thrombotic Risk”University District Hospital .Division of Internal Medicine .Rosa Mexicana Rest.
March 2016 Janssen Speaker Program .”Xarelto to Treat Thrombosis and Reduce Thrombotic Risk”San Lucas Hospital.Division of Surgery
October 2015.Puerto Rico’s Fourth Respiratory Congress.”Idiopathic Pulmonary Fibrosis”.Intercontinental Hotel
September 2015 Janssen Speaker Program .”Xarelto to Treat Thrombosis and Reduce Thrombotic Risk.“ Hospital San Lucas de Ponce.Division of Internal Medicine
July 2015 Boehringer Speaker Program .”OFEV for the treatment of IPF”. Centro Medico de Mayaguez.Division of Pulmonary Diseases.Gonzalez Seafood Rest.
May 2015 Boehringer Speaker Program .”OFEV for the treatment of IPF”.Puertorrican Society of Pulmonologist.Rest. Texas de Brazil
May 2015 Puertorrican Society of Critical Care .Convention Center.”Thrombolytics in Acute Pulmonary Embolism”
October 2014 Scientific Meeting Coalicion de Asma y otras Condiciones Respiratorias de Puerto Rico Intercontinental Hotel,PR
“Update in Lung Cancer”
September 2014 Janssen Speaker Program .”Xarelto to Treat Thrombosis and Reduce Thrombotic Risk.“ Centro Medico de Mayaguez Division of Internal Medicine
May 2014 Janssen Speaker Program .Xarelto to Treat Thrombosis and Reduce Thrombotic Risk.”Emergency Physicians of the South Region
March 2014.American College of Physician Annual Meeting PR Chapter”Bronchial Thermpolasty:A Non Pharmacologic Intervention for a Common Condition”.Hotel La Concha,Condado PR.
September 2013. Scientific Meeting Coalicion de Asma y otras Condiciones Respiratorias de Puerto Rico.”Pathophysiology of COPD”.Sheraton Hotel San Juan
May 2013.Sociedad Puertorriquena Cuidado Critico.Annual Meeting.”Novel therapies for ARDS”PR Convention Center.
September 2012 Scientific Meeting Coalicion de Asma y otras Condiciones Respiratorias de Puerto Rico Intercontinental Hotel,PR
“Pathophysiology of Asthma”
June 2012 Hospital Auxilio Mutuo Scientific Meeting “Deep Venous Thrombosis Prophylaxis”Rest. Antonio’s
September 2011 Puerto Rican Society of Pulmonology
Pre Convention”Aggressive Presentation of Pleural Effusion”. San Juan Marriot Resort Hotel,PR
February 2011 General Medicine Congress “Update in COPD” Caribe Hilton Hotel ,PR.
November 2010 Infectious Diseases Society of Puerto Rico “Update of the Surviving Sepsis Campaign” Hilton Hotel Ponce,PR
October 2010 American Lung Association,Puerto Rican Chapter”Ventilator Associated Pneumonia.”Embassy Suites Isla Verde,PR.
September 2010 Puerto Rican Society of Pulmonology
Pre Convention”Approach to Interstitial Lung Disease” Sheraton Convention Center San Juan,PR
August 2010 Guest speaker at radio station WKAQ “Obstructive/Central Sleep Apnea”
May 2010 Doctor’s Hospital Meeting ,Manati.”Glucose Control in the Intensive Care Unit.” Embassy Suites,Dorado PR.
May 2010 Puerto Rican Society of Critical Care.”Novel therapies for ARDS”.Sheraton Hotel Convention Center.San Juan,PR.
March 2010 AstraZeneca Speaker Program:Asthma and COPD,Appreciating the Similarities and Differences.Hospital El Maestro internship program
December 2009 AstraZeneca Speaker Program:Asthma and COPD,Appreciating the Similarities and Differences.Hosp.Auxilio Mutuo,Internal Medicine Staff.Asian Bistro Rest.
September 2009 AstraZeneca Speaker Program:Redifining Airflow Obstruction in COPD.University Districit .Hospital ,San Juan.
Internal Medicine Residency. Rest. Antonio
August 2009 AstraZeneca Speaker Program:Novel therapies for COPD.Hospital San Pablo Bayamon,Emergency staff.Asian Bistros Rest.
June 2009 AstraZeneca Speaker program:Novel therapies for COPD.Caribbean Healthcare System.Pulmonary/Critical Care Fellowship Program.Rest. Antonio
June 2009 AstraZeneca Speaker program:Differential Diagnosis of COPD.
Hospital Pavia Santurce,Pulmonary Service.Rest. Palms Hotel San Juan
May 2009 Doctor’s Center Hospital (Manati) Scientific Meeting.”Acute Respiratory Distress Syndrome”.Embassy Suites Hotel Dorado
May 2009 AstraZeneca Speaker program: “New Maintenance Treatment Option for the Management of COPD.”Rest. Casa Italia.Hospital El Maestro,San Juan, Internal Medicine Department
May 2009 Open Heart Surgery Interdisciplinary Course.Hospital Auxilio Mutuo.Chest Images Interpretation”
April 2009 AstraZeneca Speaker program: “New Maintenance Treatment Option for the Management of COPD”.Rest.Fontana di Roma.San Juan City Hospital Pulmonary Fellowship program
Guest speaker January 2009 Hospital Auxilio Mutuo Internship program.”Chronic Obstructive Pulmonary Disease”
Guest speaker November 2008 Sociedad Puertorriquena de Neumologia,Whyndan Hotel ,Luquillo PR. “Acute Respiratory Distress Syndrome”
Guest speaker September 2008 San Juan VA Hospital PMR program.”Pulmonary Hypertension”
Guest speaker September 2008 Hospital Auxilio Mutuo Internship program.”Principles of Mechanical Ventilation”
Guest speaker at radio station WKAQ April 2008 “Bronchial asthma”
Guest speaker at radio station WKAQ May 2008 “Sleep disorders”
Guest speaker in the 2007 graduation ceremony of Universidad Autonoma de Guadalajara School of Medicine,Mexico
Guest speaker 2007 Sociedad Puertorriquena de Cuidado Critico,Hotel Marriot San Juan ,PR “Fulminant hepatic failure”
Guest speaker Trauma Center 2007 University Hospital San
Juan,PR. “Ventilator Associated Pneumonia”
2005 Open Heart Surgery Interdisciplinary Course, San Juan VA Hospital. Surgical Intensive Care Unit “Guideliness for discontinuation of Mechanical Ventilation”
2005 Grand Round Surgical Service University Hospital ,San Juan PR.
“Transfusion Related Acute Lung Injury”
