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    Pulmonary Medicine

    ›› Watch Addy's story, a CHoR CF patient

    Pulmonary specialists at Children's Hospital of Richmond at VCU provide expert diagnosis and comprehensive treatment to address the unique medical needs of children.

    Respiratory Problems

    The pulmonary team evaluates children with respiratory symptoms such as chest congestion, chronic noisy breathing (stridor, snoring and wheezing), persistent cough, rapid breathing, and shortness of breath. The team treats children with a variety of acute and chronic respiratory problems, including:

    • Aerodigestive problems (aspiration, reflux)
    • Allergic bronchopulmonary aspergillosis
    • Asthma
    • Bronchiectasis
    • Bronchopulmonary dysplasia (chronic lung disease of infancy)
    • Chest wall abnormalities (scoliosis, pectus excavatum)
    • Congenital lung anomalies
    • Cystic fibrosis (CF)
    • Interstitial lung diseases
    • Mucus clearance problems
    • Plastic bronchitis
    • Primary ciliary dyskinesia
    • Pulmonary fibrosis (damage and scarring of lung tissue)
    • Recurrent pneumonia
    • Respiratory failure and insufficiency (home ventilators, tracheotomy care, long-term supplemental oxygen need)
    • Respiratory problems of neuromuscular disorders
    • Respiratory problems of sickle cell disease
    • Sleep disordered breathing (obstructive sleep apnea)
    • Vocal cord dysfunction

    Treatment includes close collaboration with other specialties such as allergy and immunology, otolaryngology, physical medicine and rehabilitation, gastroenterology and others as needed.

    Central Virginia's Only Cystic Fibrosis Foundation Accredited CF Care Center

    CHoR's CF Care Center provides both pediatric and adult programs and includes a multidisciplinary team of nurses, physicians, dietitians, social workers, physical therapists, respiratory therapists, psychologists and geneticists. The Center is also a member of the Cystic Fibrosis Therapeutics Development Network, the largest CF clinical trials network in the world.

    Testing and Services

    The following testing is available at CHoR to allow its pulmonary specialists to evaluate the type and extent of a child's lung disease or disorder:
    Pulmonary function testing performed in a dedicated pediatric pulmonary function laboratory:
    • Bronchoprovocation tests
    • Diffusion capacity
    • Exercise testing
    • Exhaled nitric oxide measurement
    • Infant pulmonary function testing
    • Lung volumes
    • Noninvasive end-tidal CO2 measurement
    • Spirometry
    • Bronchial mucus biophysical and chemical analysis
    • Flexible bronchoscopy (upper and lower airways)

    Full radiology and laboratory services, including:

    • Allergy testing
    • Chest CT and MRI
    • Sweat testing
    • Nasal ciliary brush biopsy and interpretation
    • Polysomnography (sleep study) performed in a dedicated pediatric sleep laboratory

    Patient and Family Education 

    Patients, parents and other family members who care for the pulmonary patient receive education and training in a number of areas including asthma education; administration, use and cleaning of inhaled medication and delivery devices; airway clearance methods and equipment. The team also hosts an annual CF Family Education Day and participates in various advocacy and outreach initiatives.

    Clinical Trials and Research 

    CHoR is making great strides in the treatment of children with CF and other respiratory diseases and disorders. Research is driven by skilled teamwork, collaboration, and international partnerships to understand and treat respiratory conditions. The pulmonary labs are supported by a generous grant from the Denny Hamlin Foundation as well as funding from other charitable, private, and government sources.

    Appointments and Location

    (804) 828-CHOR (2467)

    Services are provided at the Nelson Clinic, Fredericksburg Multispecialty Center and MCVP at Chesterfield Meadows.

    ›› Meet the Team


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    For Appointments,
    Call 1.804.828.2467.

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