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Pulmonary Medicine

Pulmonary Medicine | Asthma | COPD…

Our Physicians evaluate, diagnose and treat breathing disorders and lung diseases. From routine assessments of chronic cough and shortness of breath to evaluating patients for lung transplants or specialized cancer treatment, we offer a very personalized approach to your care.

Pulmonary medicine deals with many diseases and conditions, including: ARDS (acute respiratory distress syndrome), asthma, COPD (chronic obstructive pulmonary disease), cystic fibrosis, interstitial lung disease, lung cancer, lung transplants, occupational lung disease, pulmonary hypertension, pulmonary tuberculosis, sarcoidosis of the lungs, and SARS (severe acute respiratory syndrome).

Physicians routinely consult with colleagues in Cardiothoracic Surgery, Cardiovascular Diseases, Hematology/Oncology, Infectious Diseases and Rheumatology to ensure all aspects of a patient’s problem are evaluated.

TRAINING
Our pulmonologists are physicians who, after receiving a medical degree (MD), completed residency training in internal medicine (3 years), followed by at least 2 additional years of subspeciality fellowship training in pulmonology. After satisfactorily completing a fellowship in pulmonary medicine, they were permitted to take the board certification examination in pulmonary medicine. All of our pulmonary physicians are board certified pulmonologists and have been rated as the areas top doctors by New York magazine.

DIAGNOSIS
Bergen Medical offers diagnostic and treatment services for all major lung problems, including comprehensive evaluations of:

  • Shortness of breath
  • Chronic cough
  • Hemoptysis (coughing up blood)
  • Abnormal chest X-rays
  • Pneumonia
  • Pneumothorax
  • Pleurisy
  • Pulmonary hypertension
  • Other areas of expertise include:

  • Cardiopulmonary rehabilitation
  • Connective tissue disease
  • Sarcoidosis
  • Infections
  • Atypical mycobacterial infections
  • Tuberculosis
  • Interstitial lung disease
  • Pulmonary fibrosis
  • Lymphangiomyomatosis, lymphangioleiomyomatosis (LAM)
  • Interventional bronchoscopy
  • Balloon dilation and stent placement to open windpipes
  • Endoscopic brachytherapy (with Radiation Oncology)
  • Laser treatments for palliation
  • Lung cancer diagnosis and evaluation
  • Bronchoscopy services, including interventional treatment with lasers and stents
  • Mesothelioma
  • Nicotine dependence
  • Obstructive lung disease
  • Emphysema
  • Chronic obstructive pulmonary disease (COPD)
  • Asthma
  • Chronic cough
  • Bronchitis
  • Acute bronchitis
  • Chronic bronchitis
  • Bronchiectasis
  • Pulmonary vascular disease
  • Pulmonary hypertension
  • Pulmonary embolism
  • Pulmonary vasculitis
  • Sleep disorders evaluation and treatment
  • The pulmonologist begins the diagnostic process with a general review focusing on:

  • Hereditary diseases affecting the lungs
  • Exposure to toxins (tobacco smoke, asbestos, exhaust fumes, coal mining fumes)
  • Exposure to infectious agents
  • An autoimmune diathesis that might predispose to certain conditions (pulmonary fibrosis, pulmonary hypertension)
  • Physical diagnostics are as important as in the other fields of medicine:

  • Inspection of the hands for signs of cyanosis or clubbing, chest wall, and respiratory rate.
  • Palpation of the cervical lymph nodes, trachea and chest wall movement.
  • Percussion of the lung fields for dullness or hyperresonance.
  • Auscultation (with a stethoscope) of the lung fields for diminished or unusual breath sounds.
  • Rales or Rhonchi heard over lung fields with a stethoscope.
  • As many heart diseases can give pulmonary signs, a thorough cardiac investigation is usually included.
  • Other tools include:

  • Laboratory investigation of blood (blood tests).
  • Spirometry and Pulmonary Function Testing(the determination of lung volumes in time by breathing into a dedicated machine; response to bronchodilatators and diffusion of carbon monoxide)
  • Bronchoscopy

  • Digital Chest X-rays
  • CT scanning
  • Positron emission tomography (especially in lung cancer)
  • Polysomnography (sleep studies) commonly used for the diagnosis of Sleep apnea