Treatments & Services | Centers & Programs
Today’s medicine requires specialized testing and skills to assure the most accurate results and the best outcomes. In order to achieve the best results for our patients and referring physicians, the Division of Pulmonary, Critical Care, Sleep & Occupational Medicine has developed state-of-the-art facilities with highly trained staff to support the clinical needs of our patients and the research directions of the faculty. The Division provides general pulmonary and critical care services across campus in primarily closed ICU settings. The latter includes 24/7 in-house Critical Care services at University and Methodist Hospitals. Furthermore, the Division has developed certain focus areas in patient care, blending clinical skills with cutting edge research and education of future clinicians and scientists. As a result of our commitment to patient care and our ability to provide disease focused programs, the Division was recently recognized by U.S. News and World Report as the 14th best Pulmonary and Critical Care program in the country. Below are listed specialized programs within the Division.
Treatments & Services
Chronic Obstructive Pulmonary Disease (COPD)
Besides caring for general patients with COPD, the Division is also part of the Alpha-1-Antitrypsin registry and has a dedicated clinic to see these patients.
Interstitial & Immunologic Lung Disease
The Pulmonary Division at the Indiana University School of Medicine has collaborated with several of its partners to develop specialized programs for care of patients with immunologic lung disease. All physicians are board-certified pulmonologists with special interest and expertise in interstitial and immunologic disorders of the lung. This program offers education for patients, trainees, and physicians, diligent monitoring of treatment side effects, novel treatments and research protocols for eligible patients, a CLIA certified bronchoalveolar lavage laboratory offering lung cell sub typing, and a full profile of medical services dedicated to the proper diagnosis of immunologic lung diseases.
Michael Lykens, Karen Wolf
Several physicians in the Pulmonary Division are recognized world experts in interventional pulmonology, bringing the latest bronchoscopic and thoroscopic techniques to the care of patients with multiple pulmonary diseases.
Khalil Diab, Praveen Mathur, David Roe, Frank Sheski, Robert Weller
The Division is part of several lung cancer focused programs based at University Hospital (Thoracic Oncology Program – TOP) and at the Veterans Hospital. Pulmonologists in these programs have expertise in the latest diagnostic and therapeutic tools available for managing lung cancer at all stages of disease.
Praveen Mathur, Catherine Sears, Frank Sheski
Our Pulmonary Hypertension Clinics are located in the Advanced Heart and Lung Disease Center at IU Health Methodist Hospital and at the Roudebush VA Medical Center. Patients with all types of pulmonary hypertension (WHO groups 1-5) are actively evaluated and treated. All physicians are board-certified pulmonologists with special interest and expertise in pulmonary vascular disease and hemodynamic evaluation. We work closely with our colleagues in the Cardiology, Rheumatology and Gastroenterology/Hepatology Divisions as well as the Radiology and Thoracic Surgery Departments to provide the best possible interdisciplinary and patient-focused care. We offer education for patients, trainees, and physicians, close monitoring of potential treatment side effects, novel treatments and research protocols for eligible patients. All modern diagnostic modalities including cardiac MRI and cardiopulmonary exercise testing are available. Treatment modalities include oral drugs (endothelin receptor antagonists, phosphodiesterase type 5 inhibitors, soluble guanylate cyclase activator) as well as inhaled, subcutaneous and intravenous medications (prostacyclins and inhaled nitric oxide). Mechanical (e.g ECMO) and surgical (e.g. atrial septostomy) rescue therapies are offered as well. Special expertise exists in employing exercise as a therapeutic intervention and in the treatment of right ventricular failure.
Michael Duncan, William Harvey, Tim Lahm, Karen Wolf
The Division provides the Medical Directorship and support for the Indiana University Lung Transplant program. Our lung transplant program is now in the top 10 based on volume of procedures performed per year. The program also includes expertise on technologies needed to bridge patients to transplant, including ECMO and Ventricular Assist Devices. The Lung Transplant program has a rich history of basic and clinical science research, and is a scientific leader in the prevention of lung transplant rejection. The program has also established a new one year fellowship to train pulmonologists wishing to subspecialize in caring for lung transplant patients.
Michael Duncan, Chadi Hage, David Roe (Medical Director)
Intensive Care Unit Survival Clinic
Our Division was one of the first to recognize that patients in the ICU suffer many early and late cognitive impairments, including delirium and post-traumatic Stress Disorder. The Division has been leading research in this area and Indiana University is one of the few centers in the country that has an established clinic to see patients that have survived an ICU stay and been discharged.
Bronchoalveolar Lavage Laboratory
This CLIA-certified laboratory is based in Walther Hall on the IUPUI campus. The lab provides analysis of bronchoalveolar lavage cells through performance of differential counts, lymphocyte phenotyping, hemosiderin staining for assessment of alveolar hemorrhage, and screening for histiocytosis X.
Homer L. Twigg III
High Risk Asthma Clinic
The Division has established specialized clinics in which patients with severe or difficult to control asthma are seen.
Neuromuscular Pulmonary Clinic
Many patients have lung diseases which result in chronic respiratory failure. These diseases include neuromuscular diseases such as amyotrophic lateral sclerosis and end-stage COPD or pulmonary fibrosis. In addition to managing the underlying disease processes, these patients and their families frequently also require specialized care to deal with ventilatory assist devices (CPAP, BIPAP, ventilators) in the home. In collaboration with members of the Department of Neurology, the Neuromuscular Pulmonary Clinic is helping patients with these devastating diseases lead as normal lives as possible in the outpatient environment.
The Pulmonary Division at the Indiana University School of Medicine has developed specialized programs for care of patients with Sarcoidosis. All physicians are board-certified pulmonologists with special interest and expertise as "sarcoidologists." This program offers education for patients, trainees, and physicians, diligent monitoring of treatment side effects, novel treatments and research protocols for eligible patients, a CLIA certified bronchoalveolar lavage laboratory offering lung cell sub typing, and a full profile of medical services dedicated to the proper diagnosis of immunologic lung diseases.
Michael Lykens, Karen Wolf
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Centers & Programs
Adult Cystic Fibrosis Program
As more and more patients with cystic fibrosis are living into adulthood there is a need for these patients to transition into the care of adult pulmonologists. The Pulmonary Division at Indiana University has a clinic and personnel dedicated to the care of patients with cystic fibrosis.
Occupational Lung Disease Center
This center specializes in evaluating patients with suspected occupational lung disease. The clinic represents a collaboration between pulmonologists and radiologists in evaluating patients with suspected occupational lung disease.
Sleep Medicine & Circadian Biology Program
The Sleep Medicine and Circadian Biology Program has specialized services for individuals who have sleep-related problems. This program is the focal point for several different sub-specialties to bring state-of-the-art methods and developing research to the forefront of medicine. Subspecialties involved in the program include Pulmonary Medicine, Neurology, Otolaryngology, Oral-Maxillofacial Surgery, Psychiatry, and Dentistry. The program now has the capacity to house two Sleep Medicine Fellowships per year.
Shalini Manchanda, Ninotchka Sigua, Thomas Sullivan, Karl Yang
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