{"id":2646,"date":"2022-07-07T20:36:17","date_gmt":"2022-07-07T20:36:17","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/"},"modified":"2025-02-26T10:12:56","modified_gmt":"2025-02-26T15:12:56","slug":"pulmonary-subspecialty-care","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/","title":{"rendered":"Pulmonary Subspecialty Care"},"content":{"rendered":"<p style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-4407\" src=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/01\/text-removed-neph-our-team-DOM-Division-Banner-Images-1024x341.png\" alt=\"\" width=\"1024\" height=\"341\" srcset=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/01\/text-removed-neph-our-team-DOM-Division-Banner-Images-1024x341.png 1024w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/01\/text-removed-neph-our-team-DOM-Division-Banner-Images-300x100.png 300w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/01\/text-removed-neph-our-team-DOM-Division-Banner-Images-768x256.png 768w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/01\/text-removed-neph-our-team-DOM-Division-Banner-Images-600x200.png 600w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/01\/text-removed-neph-our-team-DOM-Division-Banner-Images.png 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p style=\"font-weight: 400\">We care for a broad range of patients with a wide spectrum of pulmonary diseases at multiple clinic locations. Many of our clinics utilize multidisciplinary expertise such as respiratory therapy, pharmacy, nutrition, social work, and psychology. We also collaborate with other medical subspecialists in rheumatology, allergy, infectious diseases, palliative care, and radiology to care for our patients.<\/p>\n<p>Additionally, we care for critically ill patients at our state-of-the-art 30-bed <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/critical-care-medicine\/\">medical intensive care unit<\/a> (MICU).<\/p>\n<h2 style=\"font-weight: 400\">We Focus On Caring for Adults with the Following Conditions<\/h2>\n<p style=\"font-weight: 400\">Given the high demand for pulmonary services, we focus on serving adults with complex conditions who benefit most from our team\u2019s expertise, collaborative care, and clinical trials. To refer patients with these conditions, please follow the instructions <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/referrals\/\">here<\/a>. Please contact us at 984-974-5703 if you need help.<\/p>\n<span class=\"collapseomatic  colomat-close\" id=\"id69d267aa2047e\"  tabindex=\"0\" title=\"Asthma\"    >Asthma<\/span><div id=\"target-id69d267aa2047e\" class=\"collapseomatic_content \">\n<ul>\n<li>Moderate to severe asthma with persistent daily symptoms despite at least two maintenance inhaler therapy<\/li>\n<li>Asthma with hospitalizations or recurrent exacerbations requiring systemic steroids despite at least two maintenance inhaler therapy<\/li>\n<li>Severe asthma needing evaluation for biologic therapy<\/li>\n<li>If your patient has allergic\/atopic symptoms and a concern for mild asthma, consider placing a referral to UNC Allergy and Immunology Clinic<\/li>\n<li>Please review our <a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2024\/10\/Asthma-referral_17.Oct_.2024.docx\">asthma referral criteria<\/a><\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/uncaap\/\">Learn More About Asthma<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa2075b\"  tabindex=\"0\" title=\"Bronchiectasis\"    >Bronchiectasis<\/span><div id=\"target-id69d267aa2075b\" class=\"collapseomatic_content \">\n<ul>\n<li>Patients with confirmed or suspected bronchiectasis<\/li>\n<li>Non-tuberculous mycobacterial (NTM) lung infections, including Mycobacterium avium complex (MAC) and Mycobacterium abscessus<\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/primary-ciliary-dyskinesia-pcd\/\">Primary ciliary dyskinesia<\/a><\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/unc-center-for-bronchiectasis-care\/\">Learn More About Bronchiectasis<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa20919\"  tabindex=\"0\" title=\"Chronic Obstructive Pulmonary Disease (COPD) &amp; Alpha-1\"    >Chronic Obstructive Pulmonary Disease (COPD) &amp; Alpha-1<\/span><div id=\"target-id69d267aa20919\" class=\"collapseomatic_content \">\n<ul>\n<li>Moderate to severe COPD with persistent daily symptoms despite maintenance inhaler therapy<\/li>\n<li>Patients with abnormal alpha-1 antitrypsin blood levels, genotype, family history, or suspected alpha-1 antitrypsin pulmonary disease<\/li>\n<li>COPD with a history of hospitalizations for exacerbations<\/li>\n<li>Patients requiring consideration of lung transplant, non-invasive ventilation, lung volume reduction procedures<\/li>\n<li>Patients interested in participating in COPD or alpha-1 antitrypsin clinical trials<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/chronic-obstructive-pulmonary-disease-copd\/\">Learn More About COPD<\/a> <a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/alpha-1-antitrypsin-deficiency-alpha-1\/\">Learn More About Alpha-1<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa20c3f\"  tabindex=\"0\" title=\"Cystic Fibrosis\"    >Cystic Fibrosis<\/span><div id=\"target-id69d267aa20c3f\" class=\"collapseomatic_content \">\n<ul>\n<li>Confirmed cystic fibrosis by genetic testing or sweat chloride testing<\/li>\n<li>Suspected cystic fibrosis needing further evaluation<\/li>\n<li>Patients with confirmed or suspected CF-related disorders<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/cystic-fibrosis\/\">Learn More About Cystic Fibrosis<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa20fa1\"  tabindex=\"0\" title=\"Complex Dyspnea Without Clear Cause\"    >Complex Dyspnea Without Clear Cause<\/span><div id=\"target-id69d267aa20fa1\" class=\"collapseomatic_content \">\n<ul>\n<li>Patients with persistent dyspnea that is not clearly cardiac in etiology<\/li>\n<li>Dyspnea in the setting of multi-morbid conditions (obesity, heart disease, lung disease)<\/li>\n<\/ul>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa2105d\"  tabindex=\"0\" title=\"Interstitial Lung Disease\"    >Interstitial Lung Disease<\/span><div id=\"target-id69d267aa2105d\" class=\"collapseomatic_content \">\n<ul>\n<li>Confirmed or suspected interstitial lung diseases <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/interstitial-lung-disease\/\">(complete list here)<\/a><\/li>\n<li>Patients with connective tissue disease-associated lung disease can be seen in a multidisciplinary clinic with UNC Rheumatology<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/interstitial-lung-disease\/\">Learn More About Interstitial Lung Disease<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa214f4\"  tabindex=\"0\" title=\"Interventional Pulmonology &amp; Lung Cancer \"    >Interventional Pulmonology &amp; Lung Cancer <\/span><div id=\"target-id69d267aa214f4\" class=\"collapseomatic_content \">\n<ul>\n<li>Patients with suspected or confirmed lung cancer are seen by a team or specialists in the Multidisciplinary Thoracic Oncology Program (MTOP) in conjunction with thoracic surgeons, medical oncologists, radiation oncologists, radiologists, pathologists and nurses<\/li>\n<li>Malignant and benign diseases of the airways, lung tissue and pleura<\/li>\n<li>Lung nodules\/masses and\/or thoracic lymphadenopathy (review our <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2025\/02\/IPvsGenPulmReferralResponse_25Feb2025.pdf\">referral criteria<\/a> to interventional versus general pulmonary clinic)<\/li>\n<li>Suspected or confirmed complex upper and lower airway obstruction<\/li>\n<li>Patients requiring tracheostomy<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/interventional-pulmonology\/\">Learn More About Interventional Pulmonology<\/a> <a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/lung-cancer\/\">Learn More About Lung Cancer<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa2193d\"  tabindex=\"0\" title=\"Lung Transplantation\"    >Lung Transplantation<\/span><div id=\"target-id69d267aa2193d\" class=\"collapseomatic_content \">\n<ul>\n<li>Patients with all types of severe lung disease including cystic fibrosis, idiopathic pulmonary fibrosis, interstitial lung disease, emphysema, bronchiectasis, pulmonary hypertension, sarcoidosis, lymphangioleiomyomatosis (LAM), and alpha-1 antitrypsin deficiency needing evaluation for lung transplant<\/li>\n<li>Patients needing evaluation for dual-organ transplantation including heart-lung and lung-kidney<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/lung-transplantation\/\">Learn More About Lung Transplantation<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa21db4\"  tabindex=\"0\" title=\"Pulmonary Hypertension\"    >Pulmonary Hypertension<\/span><div id=\"target-id69d267aa21db4\" class=\"collapseomatic_content \">\n<ul>\n<li>Diagnosis, treatment, long-term management and follow-up of patients with all forms of pulmonary hypertension, including pulmonary thromboembolic disease<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/pulmonary-hypertension\/\">Learn More About Pulmonary Hypertension<\/a>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d267aa2205a\"  tabindex=\"0\" title=\"Sarcoidosis\"    >Sarcoidosis<\/span><div id=\"target-id69d267aa2205a\" class=\"collapseomatic_content \">\n<ul>\n<li>Confirmed or suspected sarcoidosis with or without pulmonary involvement<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/sarcoidosis\/\">Learn More About Sarcoidosis<\/a>\n<\/div>\n<p style=\"text-align: right\"><a class=\"btn btn-primary btn-lg  oscitas-bootstrap-container\" target=\"_self\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/referrals\/\">Refer A Patient<\/a>\n<h2 style=\"font-weight: 400\">We Are Unable To Routinely See Adults with the Following Conditions<\/h2>\n<p style=\"font-weight: 400\">To ensure access for people with high-priority conditions, UNC Faculty Practice pulmonologists cannot routinely see adults with the following conditions. These problems are usually well-managed by a primary care provider such as a family practitioner, internist or a different specialty.<\/p>\n<ul>\n<li>Mild asthma: <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/05\/Asthma-referral_website.docx\">suggested initial treatment prior to referral<\/a><\/li>\n<li>Chronic cough without empiric treatment: <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/05\/Cough-referral_website.docx\">suggested initial treatment prior to referral<\/a><\/li>\n<li>Obstructive sleep apnea: referrals should be sent to <a href=\"https:\/\/www.med.unc.edu\/neurology\/divisions\/sleep-1\/\">UNC Neurology- Sleep Disorders Clinic<\/a><\/li>\n<li>DVT\/PE for questions unrelated to pulmonary hypertension: questions regarding anticoagulation management can be referred to <a href=\"https:\/\/www.med.unc.edu\/medicine\/hematology\/patient-care\/\">UNC Hematology<\/a><\/li>\n<li>Pulmonary tuberculosis treatment: should be referred to the local health department.<\/li>\n<li>Pulmonary rehabilitation: please send referral to Physical Therapy or <a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/complete-pr-list.pdf\">see here<\/a> for a list of pulmonary rehabilitation centers across the state.<\/li>\n<\/ul>\n<p>Patient must be referred by an outpatient provider (MD, DO, NP, PA), preferably their primary care provider.<\/p>\n<ul>\n<li>Emergency room and urgent care providers should refer patients back to their primary care provider who can then facilitate a referral if needed..<\/li>\n<\/ul>\n<h3>E-Consults<\/h3>\n<p style=\"font-weight: 400\">If you are a <strong>provider in the UNC Health System<\/strong> and have a simple question about one of the above conditions, you may place an <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/e-consults\/\">e-consult<\/a>.<\/p>\n<h2 style=\"font-weight: 400\">Procedures and Ancillary Services<\/h2>\n<p style=\"font-weight: 400\">Additional services offered by our division include:<\/p>\n<ul>\n<li style=\"font-weight: 400\">Pulmonary function testing (<a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/location\/unc-eastowne\/\">Eastowne clinic<\/a>, <a href=\"https:\/\/www.uncmedicalcenter.org\/uncmc\/hospitals-locations\/profile\/unc-hospitals\/?searchId=08b6c264-0b6a-ef11-a86b-000d3a611ea2&amp;sort=11&amp;page=1&amp;pageSize=10\">Main Hospital<\/a>, <a href=\"https:\/\/www.uncmedicalcenter.org\/uncmc\/hospitals-locations\/profile\/unc-hospitals-hillsborough-campus\/?searchId=02f7eb8e-0b6a-ef11-a86b-000d3a611ea2&amp;sort=13&amp;page=1&amp;pageSize=10\">Hillsborough Hospital<\/a>, <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/location\/test-3\/\">Panther Creek<\/a>, <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/location\/test-2\/\">Pittsboro<\/a>)<\/li>\n<li style=\"font-weight: 400\">6-minute walk test (Eastowne clinic, Main Hospital, Hillsborough Hospital, Panther Creek, Pittsboro)<\/li>\n<li style=\"font-weight: 400\">Oxygen titration test (Main Hospital)<\/li>\n<li style=\"font-weight: 400\">High altitude simulation testing (Main Hospital)<\/li>\n<li style=\"font-weight: 400\">Methacholine bronchoprovocation testing (Main Hospital)<\/li>\n<li style=\"font-weight: 400\">Level 1 and 2 cardiopulmonary exercise testing (Hillsborough Hospital)<\/li>\n<li style=\"font-weight: 400\">Right heart catheterization (Hillsborough Hospital)<\/li>\n<li style=\"font-weight: 400\">Sweat chloride testing<\/li>\n<\/ul>\n<hr \/>\n<h2>Listen to Pulmonary Podcasts<\/h2>\n<ul>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/chairs-corner\/podcast\/dr-shannon-carson-pulmonary-critical-care\/\">Hear from the Chief<\/a> of the Pulmonary division, Dr. Shannon Carson, on UNC&#8217;s Pulmonary and Critical Care division on the Chairs Corner Podcast.<\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/chairs-corner\/podcast\/copd-with-dr-brad-drummond\/\">Learn more about COPD<\/a> with Dr. Brad Drummond, director of the UNC Obstructive Lung Diseases Clinical and Translational Research Center.<\/li>\n<li>Dr. Scott Donaldson <a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/chairs-corner\/podcast\/cystic-fibrosis-donaldson\/\">talks about cystic fibrosis<\/a>, the testing and treatment for CF, and how people are living longer with the disease today.<\/li>\n<li><a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/chairs-corner\/podcast\/ards-care\/\">Acute Respiratory Distress Syndrome,<\/a> ARDS, is a condition that occurs when fluid fills the lungs and often requires a patient to be placed on a ventilator. Dr. Jason Mock explains.<\/li>\n<li>Andy Nelson is a person who has idiopathic pulmonary fibrosis and received a double lung transplant. He shares his <a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/chairs-corner\/podcast\/lung-transplant-patient\/\">story here.<\/a><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4256 alignright\" src=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/07\/ChairsCornerLogo-Final-300x300.jpeg\" alt=\"\" width=\"129\" height=\"129\" srcset=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/07\/ChairsCornerLogo-Final-300x300.jpeg 300w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/07\/ChairsCornerLogo-Final-150x150.jpeg 150w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/07\/ChairsCornerLogo-Final-600x600.jpeg 600w, https:\/\/www.med.unc.edu\/medicine\/pulmonary\/wp-content\/uploads\/sites\/1321\/2024\/07\/ChairsCornerLogo-Final.jpeg 720w\" sizes=\"auto, (max-width: 129px) 100vw, 129px\" \/><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>We care for a broad range of patients with a wide spectrum of pulmonary diseases at multiple clinic locations. Many of our clinics utilize multidisciplinary expertise such as respiratory therapy, pharmacy, nutrition, social work, and psychology. We also collaborate with other medical subspecialists in rheumatology, allergy, infectious diseases, palliative care, and radiology to care for &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/\" aria-label=\"Read more about Pulmonary Subspecialty Care\">Read more<\/a><\/p>\n","protected":false},"author":79967,"featured_media":0,"parent":2256,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2646","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pulmonary Subspecialty Care - Division of Pulmonary Diseases and Critical Care Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/medicine\/pulmonary\/patient-care\/pulmonary-subspecialty-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pulmonary Subspecialty Care - Division of Pulmonary Diseases and Critical Care Medicine\" \/>\n<meta property=\"og:description\" content=\"We care for a broad range of patients with a wide spectrum of pulmonary diseases at multiple clinic locations. Many of our clinics utilize multidisciplinary expertise such as respiratory therapy, pharmacy, nutrition, social work, and psychology. 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