Office and Outpatient Services
Our physicians treat a variety of pulmonary and sleep conditions including, but not limited to:
• Chronic Obstructive Pulmonary Disease (COPD)
• Pulmonary fibrosis
• Pulmonary hypertension
• Pleural disease
• Lung nodules
• Lung cancer
• Sleep apnea
Our physicians are experts in evaluation of cough, wheezing, shortness of breath, and snoring.
Spirometry & Full Pulmonary Function Testing
Spirometry and Full Pulmonary Function Testing are available in our office.
What is a Pulmonary Function Test (PFT)?
Pulmonary function testing measures how well the lungs take in and release air and how well they move gases such as oxygen into circulation. It includes three components: spirometry, lung volume, and diffusion capacity.
• Spirometry – measures airflow
• Lung volume – measures the capacity of the lungs
• Diffusion capacity – measures how well the lungs move oxygen from the air into the bloodstream
How the Test Is Performed
During a spirometry test, the patient would be seated. The technician would instruct the patient to breathe into a mouthpiece, first with normal breathing, and then withforced inhalation or exhalation after a deep breath. Sometimes the patient will be given medicine to see how it changes the test results.
Lung volume measurement is done within a sealed, clear box called a body pleismograph, shown here. While breathing in and out into a mouthpiece, changes in pressure inside the box will help determine lung volume.
During the last part of the test, the patient is instructed to breathe a harmless gas for a short time. The concentration of the gas in the air exhaled is measured. The difference in the amount of gas the patient inhaled versus exhaled will measure how effectively gas travels from the lungs into the blood.
How to Prepare for a PFT
• Do not eat a heavy meal right before the test
• Do not smoke for 4-6 hours before the test
• Your doctor will give you specific instructions regarding your medication or inhaler use before the test
In addition to the critical care services provided by our physicians, we have an excellent team of physician assistants and nurse practitioners present in the intensive care unit and on the floors at some of our local hospitals. Our care team is dedicated to providing all of our patients with high quality medical care and assisting in the transition to outpatient care once the patient has been discharged from the hospital.
Additional members of our PCS team are:
• Brian Brown, PA-C
• Emily Day, PA-C
• Jennifer Delong, ARNP
• R. Scott Gilbert, PA-C
• Stuart Paasche, PA-C
• Adam Quarles, ARNP
• Christopher Rieman, PA-C
Currently, our PCS team is serving patient needs in the intensive care unit and treating pulmonary conditions at Health Park Medical Center and Gulf Coast Hospital.
Lung Cancer Screening
A new, non-invasive low-dose CT can be used to catch lung cancer early, in Stage 1.
This new screening test is currently not covered by Medicare or other insurance, unless your doctor orders it for diagnostic purposes or your plan has a specific provision for prevention and screening services.