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JOB OFFERS

Join Us

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PHYSICIAN

We invite you to join a thriving Pulmonary Critical Care and Sleep Medicine practice serving the Walnut Creek, Concord, and Contra Costa County area.  Our combined growth and strength ensures you as a practicing physician a rewarding and prosperous career.

Learn more! 

Email mpccfax@gmail.com or call us at (925) 939-3050

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MEDICAL ASSISTANT

Our practice looks for the brightest and most talented medical assistants to offer our patients the dedicated service they deserve.

Learn more! 

Email mpccfax@gmail.com or call us at (925) 939-3050

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WHY MOVE TO THIS AREA?

Walnut Creek is an exciting place to live and work, with ever expanding retail possibilities and strong residential growth.  

Downtown Walnut Creek

Downtown Walnut Creek Businesses

Broadway Plaza

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Concord is a neighboring city with growing opportunities and vibrant diversity.  

Downtown Concord

Downtown Concord Businesses

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Our office is

30 min away from Oakland, Berkeley

1 hr from San Francisco

3 hr from Yosemite National Park

3 hr from Lake Tahoe

1️⃣ Before Your Procedure

 

Fasting: Nothing to eat or drink after midnight.

Take only approved morning medications with a small sip of water.

 

  • Medications:

    • Stop blood thinners before the procedure 

      • Clopidogrel/Plavix: 5-7 days

      • Apoxaban/Eliquis: 48-72 hrs

      • Rivaroxaban/Xarelto: 48-72 hrs

      • Dabigatran/Pradaxa: 3-5 days

      • Warfarin/Coumadin: 5 days, ensure INR < 1.5

    • Diabetes medications

      • Stop SGLT2 inhibitors 3 days before the procedure

        • Empagliflozin/Jardiance

        • Dapagliflozin/Farxiga

        • Canagliflozin/Invokana

        • Ertugliflozin/Steglatro

        • Sotagliflozin/Inpefa

      • Metformin: hold morning of procedure

      • Stop GLP-1 medications 1 week before the procedure 

        • Dulaglutide (Trulicity)

        • Semaglutide(Ozempic, Wegovy, Rybelsus)

        • Liraglutide (Victoza, Saxenda)

        • Exenatide (Byetta, Bydureon)

        • Lixisenatide (Adlyxin)

        • Tirzepatide (Mounjaro, Zepbound)

    • Antihypertensives

      • ACE inhibitors / ARBs (lisinopril, losartan): hold morning of



 

2️⃣ Day of Procedure

Arrival: Check-in 2 hours prior to scheduled

What to Bring: Photo ID, insurance card, and a responsible adult driver (you cannot drive after anesthesia).

Attire: Loose clothing, no jewelry or valuables.

You’ll meet your anesthesiologist and pulmonologist to review your plan and consent.
 

3️⃣ During the Procedure

Performed under general anesthesia in a fully monitored setting.

Typical duration: 60–90 minutes

The team uses Ion robotic navigation to guide biopsy tools to small peripheral lung nodules with CT-based accuracy.
 

4️⃣ After the Procedure

You’ll recover in the PACU for 1–2 hours under observation.

You need to have a ride home. You will not be permitted to drive yourself home after general anesthesia. 

Expect mild sore throat, hoarseness, or minor blood-streaked sputum for 24 hours.

Resume clear fluids once your gag reflex returns; advance diet as tolerated.

Do NOT drive, drink alcohol, or make major decisions for 24 hours.

Call immediately if you develop:

Shortness of breath or chest pain

Fever > 101 °F

Persistent or heavy bleeding
 

5️⃣ Follow-Up

Pathology results are usually available in 3–7 days.

Our office will contact you when the results are back to review them and to discuss the next steps.

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©2026 by Muir Pulmonary Critical Care and Sleep Medicine.

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