Pulmonary Services

Pulmonary Services

At Walton Pulmonary and Sleep Medicine, we are dedicated to providing our patients the most comprehensive and effective treatment options. Our pulmonary services include:

  • State-of-the-art Elite Body Plethysmography for Complete Pulmonary Function test
  • PlureX Catheter Placement for Management of Malignant Pleural Effusion
  • Ultrasound-Guided Thoracentesis and Central Line Placement
  • Evaluation and Management of Sleep Disordered Breathing
  • Ventilator Management and Critical Care Services
  • Outpatient Pulmonary Consultation
  • Inpatient Pulmonary Consultation
  • In-lab and Home Sleep Studies
  • Bronchoscopy

Pulmonary Rehabilitation

Pulmonary Rehabilitation

Live better with COPD

Patient’s with chronic pulmonary conditions have significant comorbidities secondary to treatable conditions such as cardiac deconditioning, peripheral muscle dysfunction, and a reduction in total and lean body mass, anxiety and poor coping skills. Pulmonary rehabilitation can help improving those conditions.

What is pulmonary rehabilitation?
Pulmonary rehabilitation is a multidisciplinary program of care that is individually tailored and designed to optimize physical, social performance and autonomy in patients with chronic lung conditions.

Who will benefit from pulmonary rehabilitation?
Pulmonary rehabilitation should be considered for patients with chronic obstructive pulmonary disease or other chronic lung conditions whom are experiencing shortness of breath, reduced exercise tolerance, need assistance to perform activities of daily living or impaired health status.

What are the goals of pulmonary rehabilitation?
Based on strong scientific evidence, pulmonary rehabilitation provides the greatest improvements in symptoms, exercise capacity, and health related quality of life comparing to any other form of therapy available for patients with many chronic lung conditions.

What are the benefits of pulmonary rehabilitation?

  • Improvement of symptoms of shortness of breath
  • Optimize functional status
  • Increase participation and reduction in health care cost through stabilizing or reversing systemic manifestations of the disease
  • Decrease re-hospitalization rates
  • Increase overall sense of well-being

NuStep T5XR Recumbent Cross Trainer

The NuStep T5XR offers users a low impact, total body workout regardless of age or ability level. The bilateral stepping motion with 15 resistance levels and 13 workout programs provides both a cardiovascular and strength workout that can help exercisers reach their goals in comfort.

The NuStep T5XR features:

  • Engaging total-body workout
  • Low step-through design for easy on and off
  • Smooth and natural movement that’s easy on the joints
  • Large color LCD display with 13 workout programs
  • Contact heart rate handles for real-time monitoring
  • Comfortable 360° swivel seat with 12° of seat recline

Oxygen Therapy

Oxygen Therapy – (Oxygen Oximetry)

What is an oxygen oximetry?
Your red blood cells must carry sufficient oxygen through your arteries to all of your internal organs to keep you alive. Normally, when red blood cells pass through the lungs, 95%-100% of them are loaded, or “saturated,” with oxygen to carry. If you have lung disease or other types of medical conditions, fewer of your red blood cells may be carrying their usual load of oxygen, and your oxygen saturation might be lower than 95%. Your blood oxygen level can be measured in two ways.

How do I prepare for the test?
There is no preparation necessary.

What happens when the test is performed?
An estimate of your oxygen saturation can be made easily and painlessly with a clip that fits on your finger. This clip shines a light through one side of your finger; a detector measures the light that comes through the other side. This machine can make a good guess about your oxygen saturation because blood cells that are saturated with oxygen absorb and reflect light differently than those that are not. Blood cells are a bright red when they are loaded with oxygen, and they change to a bluish color when they are no longer carrying a full load. This machine cannot give a perfect measurement of your oxygen saturation; it can give only a rough estimate, and its measurement can be affected by things as simple as red nail polish on your finger.

A better test for measuring your oxygen saturation is an arterial blood gas test. For this test, a small sample of blood must be drawn directly out of an artery. Most routine blood tests use blood that is drawn out of a vein, so this test is a little different. The artery that is sampled most often is the radial artery in your wrist, the one you can feel when you take your pulse. To draw blood from this artery, your doctor or a technician feels your pulse before inserting the needle. Some patients find that it hurts a little more to have blood taken from an artery instead of a vein, but the procedure takes only a few seconds. Your arterial blood can be directly tested for its oxygen level, and other tests (such as the level of carbon dioxide and the pH of the blood) can be done as well.

What risks are there from the test?
Measurement made with a fingerclip has no risks. The risks of an arterial blood gas test are very small. Even temporary injury to your artery is unlikely to cause a problem, because most patients pump blood to their hand through more than one artery.

Before drawing your blood, your doctor may do a brief physical examination to make sure that you still get good blood flow to your hand even when one wrist artery is blocked. To do this test, the doctor presses down first on both sides of your wrist to block blood flow, until your hand becomes pale. Then he or she lifts off the pressure from one side to see if that is enough to let your hand turn pink again.

Must I do anything special after the test is over?
You will need to have pressure held over the artery for a few minutes after the blood is drawn, because arteries are more likely than veins to bleed afterward.

How long is it before the result of the test is known?
The results of the arterial blood gas test are processed very quickly and are available within 15 minutes in most laboratories. The fingerclip estimate of oxygen is available immediately.

Other Focus

Other Focus

  • Asthma
  • Shortness of Breath
  • Lung Nodule

Dr. Lim
Medical Director of Pulmonary Rehabilitation Division

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