National Jewish Health 2017 PULMONARY HIGHLIGHTS Clinical Expertise, Research and Education National Jewish Health® ® National Jewish Health acknowledges The Tuchman Family Foundation and Debra and Ken Tuchman for their generous gift to establish The Tuchman Family Division of Pulmonary, Critical Care and Sleep Medicine. For more than 20 years, Debra and Ken Tuchman and the Tuchman Family have been committed to National Jewish Health through board service and as outstanding advocates for the institution. Dear Colleague, With great pleasure, we present National Jewish Health Pulmonary Highlights 2017, our annual compilation of clinical, research and educational capabilities in pulmonary medicine. At National Jewish Health, we solve hard problems. Patients come to us from around the nation — and the world — seeking answers. They have often spent years working with their physicians and experimenting with treatment options, only to have their conditions continue and sometimes worsen. Our team of expert pulmonologists conducts intensive evaluations in collaboration with cardiologists, gastroenterologists, allergists, oncologists, rheumatologists and others. Once we develop a diagnosis and treatment plan, we work with each patient’s hometown physicians to implement the plan. We are an academic medical institution that has focused on respiratory and related diseases for more than 119 years. We have one of the largest pulmonary divisions in the nation. This year we were named the #1 respiratory hospital in the nation by U.S. News & World Report in its 2017–2018 Best Hospitals rankings. Our dedicated faculty includes recognized national leaders in their fields, who continue to pass along their knowledge by training medical students, residents and postgraduate fellows in affiliation with the University of Colorado School of Medicine and through our robust, nationwide continuing medical education program. Our dynamic research program is continuously seeking answers to the many questions and challenges that remain in pulmonary medicine. Please take a few moments to review this publication and discover how the work we do here is vital to the advancement of pulmonary medicine, and how it improves treatment options available to you for your patients. Irina Petrache, MD Richard J. Martin, MD Chief, Division of Pulmonary, Chair, Department of Medicine Critical Care and Sleep Medicine National Jewish Health National Jewish Health CLINICAL EXPERTISE National Jewish Health provides unparalleled care for complex, symptomatic pulmonary patients. People come to National Jewish Health from around the nation and the world for comprehensive evaluations, diagnoses and treatment plans from our expert pulmonary specialists and their colleagues in cardiology, gastroenterology, oncology, immunology, rheumatology and radiology. Our intensivists and hospitalists provide exceptional inpatient care. Physicians and staff work with each patient’s hometown physician to implement, monitor and adjust care as needed. Allergy and Immunology Chronic Beryllium Disease Electrophysiology Our multidisciplinary team of National Jewish Health has more Our electrophysiology program nationally recognized experts uses experience with the diagnosis and manages the outpatient and the latest testing and treatments treatment of chronic beryllium surgical needs of patients with to diagnose and manage allergies disease than any other group arrhythmias, including atrial and other immune disorders, in the world. We emphasize fibrillation, cardiomyopathy, which can impact respiratory early disease detection and ventricular tachycardia, health. Our patients have access intervention. bradycardia, palpitations, syncope to the latest clinical trials. and sudden cardiac death/ COPD familial genetic syndromes. We Asthma A complete medical and offer clinical trials and the latest Through upper and lower airway nonmedical evaluation allows our treatment options. evaluations in our multi-day team of physicians and therapists asthma programs, we phenotype to address COPD medications, Environmental Health patients and discover complicating education, compliance, nutrition Our multidisciplinary team has factors. Our faculty members lead and rehabilitation. Our faculty is helped define, diagnose and treat numerous National Institutes of advancing pulmonary medicine patients with a broad range of Health (NIH) studies and industry- with COPDGene and other studies. occupational, environmental and sponsored clinical trials. We are a leading center in the granulomatous lung diseases, diagnosis and management of including chronic beryllium Behavioral Health alpha-1 antitrypsin deficiency. disease, bronchiolitis obliterans Our expert team helps patients and respiratory disease among understand and manage Cystic Fibrosis warfighters returning from behavioral health issues that often We have the largest and most deployment in the Middle East. accompany chronic respiratory experienced adult cystic fibrosis diseases. In addition, our program in the United States. Our Gastroenterology prevention and wellness programs team of experts provides multi- We diagnose and treat the entire help with tobacco cessation and faceted treatment to patients from range of GI illnesses, including weight management. around the nation. We have more liver disease, biliary disorders, than two dozen ongoing clinical inflammatory bowel disease, Cardiology trials to evaluate new cystic GERD and esophageal disorders, Our cardiologists are experts in fibrosis therapies. pancreatic disease, gut motility the heart-lung interface. They work disorders and functional disorders closely with pulmonologists to of the gut. diagnose and treat the cardiac causes and consequences of lung disease. 2 NATIONAL JEWISH HEALTH CLINICAL EXPERTISE Interstitial Lung Disease Pediatrics interpretations of imaging test We have vast experience with We are shaping the evolving results and consultations to help interstitial lung disease (ILD). knowledge about diagnosis doctors make accurate and timely Through detailed evaluations, we and treatment of asthma, vocal diagnoses. We are known around accurately diagnose the wide range cord dysfunction and other the world for our expertise in of ILDs of idiopathic, exposure and pediatric pulmonary diseases. thoracic imaging. autoimmune origins. Our plans of Our Severe Asthma Clinic and Rare Lung Diseases care are based on the most current Pediatric Day Program offer Our position as a national information about ILD, much of multi-day evaluations, education pulmonary referral center gives us which has been discovered at and management plans for extensive experience diagnosing National Jewish Health. We have children with pulmonary and and managing a variety of ongoing trials of approved and atopic diseases. rare lung diseases, including experimental medications. Pulmonary Pathology pulmonary alveolar proteinosis Interventional Pulmonology Our pathologists’ vast experience (PAP); lymphangioleiomyomatosis Our minimally invasive diagnostic, examining lung tissue and (LAM); and eosinophilic therapeutic and palliative diagnosing respiratory diseases syndromes; that most procedures include identification, contributes to our unparalleled pulmonologists rarely see. diagnosis and treatment of diagnostic capabilities and draws Rheumatology pulmonary nodules; early detection consultations for cases from Our rheumatologists work of lung cancer; diagnosis and around the nation. to manage a variety of treatment of airway obstructions; rheumatological disorders. pleural procedures; implantation Pulmonary Hypertension Our Autoimmune Lung Center and removal of airway stents; Cardiologists and pulmonologists specializes in ILDs caused by and bronchial thermoplasty. work as a team to provide comprehensive and sophisticated systemic autoimmune diseases. NTM diagnoses and detailed treatment Sarcoidosis Although we started as a hospital plans for patients with pulmonary Our experts address the multi- for destitute tuberculosis patients, hypertension. organ nature of sarcoidosis. Our today we see primarily experience with thousands of nontuberculous mycobacterial Pulmonary Physiology Services sarcoidosis patients has helped us (NTM) infections. Our experience Our state-of-the-art laboratory better define the disease and gain with thousands of complex offers many unique tests, insight into its causes. mycobacterial infections has given including exercise-induced bronchoconstriction; us a deep knowledge of antibiotic Sleep cardiopulmonary exercise tests regimens and surgical options. Our comprehensive sleep center with full metabolic testing; arterial relies on a full complement of Oncology line; lactate levels and cardiac data; pulmonologists, sleep medicine Expert pulmonologists, thoracic and continuous laryngoscopy with specialists, psychologists, radiologists, gastroenterologists exercise tolerance. respiratory therapists and and surgeons help us diagnose polysomnographic technologists and treat cancers of the lungs, Radiology to address the full spectrum of head and neck, and digestive Our highly experienced team sleep disorders. system. Lung cancer screening of radiology technologists and and our tumor registry help us radiologists performs imaging screen and monitor patients at studies on more lungs than any high risk for lung cancer. other facility. Our experts provide NATIONAL JEWISH HEALTH 3 CLINICAL RESEARCH National Jewish Health is constantly searching for new, more effective treatments and medications for patients around the