A significant long-term issue is pulmonary fibrosis, a progressive condition characterized by the thickening and stiffening of lung tissue due to scarring, which hinders oxygen transfer into the bloodstream. Dr. Elsaeg likens the lungs affected by pulmonary fibrosis to “hard balloons from the party store.” I feel my face flush when attempting to force air, but I adamantly refuse to inflate.

With former Palisades residents planning to return to their neighborhoods, Dr. Elsaeg has also taken on the role of a reliable confidant, using his personal experiences to assist patients in navigating uncertainty and discovering solutions.

“Ideally, we’d all declare, ‘Everyone living in Pallisard and LA County, let’s move somewhere else. There’s no need for concern,’” he remarked. “But that isn’t the reality. We’re striving for a challenging balance between helping us return to normalcy and leading our lives while ensuring we do so as safely as possible.”

In early February, Dr. Elsaeg took a seat next to Dana Michelles, a cybersecurity attorney and healthy mother of three, assessing the damage at her home, where she now struggled with coughing.

“Lover, you’re not moving air at all,” Dr. Elsaeg stated while listening to her lungs through a stethoscope, promptly ordering a breathing test and a nebulizer. The student observing asked to listen and then looked at Dr. Elsaeg in confusion.

“I haven’t heard anything,” the student remarked. Dr. Elsaeg acknowledged him with a nod.

After years of renting, Michelle and her husband secured their first mortgage nearly four years ago, marking a significant family achievement. Now, as their home in Palisades is engulfed in smoke, the family has been split across two rental apartments in Marina del Rey—one for the boys and another for the girls.