Service Location
(except for the Sleep Center)
410 Lakeville Road, Suite 107
New Hyde Park, NY 11040

Services Provided
The Division of Pulmonary, Critical Care and Sleep Medicine provides care in:

• Pulmonary Medicine
• Asthma Center
• Bronchoscopy & Interventional Pulmonology
• Lung Cancer Center
• Sleep Disorders Center

Pulmonary Medicine
Specializes in the evaluation and management of Pulmonary Diseases:

• Chronic Obstructive Pulmonary Disease (COPD)
• Emphysema
• Chronic Bronchitis
• Asthma
• Occupational and Environmental Lung Disease
• Sleep Disorders

For more information:
Call (516) 465-5400
Fax (516) 465-5454
Email us at clazo@nshs.edu

Asthma Center

• The Asthma Center will help patients develop self-management plans.
• NS-LIJ HS participates in Community Education and Awareness Programs.
• NS-LIJ HS as an Asthma Clinical Research Center offers a wide range of clinical trials for people with asthma. Patients with asthma are invited to participate in several research trials to help treat and prevent asthma attacks.
• The National Asthma Clinical Research Centers are a constantly expanding network of connections among specialists in many different fields at their base locations.
• The ACRCs will also serve as regional educational center, in close collaboration with local American Lung Association.

Bronchoscopy & Interventional Pulmonary Medicine
Types of Bronchoscopies offered:

• Photodynamic Therapy
• Cryotherapy
• Laser Bronchoscopy
• Airway Stenting
• Brachytherapy

For more information:
Call (516) 465-5400
Fax (516) 465-5454
Email us at clazo@nshs.edu

What is Bronchoscopy?

• Bronchoscopy involves a minimally invasive procedure to allow the physician to look inside your lungs. This is done using a bronchoscope. It can be done on an outpatient basis and it is not a surgical procedure. There is no general anesthesia involved.
• Bronchoscopy is a very useful and minimally invasive test that can help your doctor diagnose a variety of conditions. These include lung cancer, cancer of other organs that have spread to your lung, many types of pneumonia, tuberculosis, pneumocystis carinii pneumonia (PCP), and many other lung diseases. Bronchoscopy may allow your doctor to make a diagnosis and avoid a surgical procedure in some cases.
• Bronchoscopy also can be used to treat some diseases and complications of other diseases. These procedures are more involved and require special expertise. Therapies that can be done with the bronchoscope include YAG laser  treatment for lung cancer and other types of cancer. Other treatments that are effective for different types of cancer within the lung include photodynamic therapy , cryotherapy , brachytherapy , and airway stents . Each of these may be effective in treating different types of cancer. Importantly, these treatments are effective for both primary lung cancer (cancer that begins in the lung) and metastatic disease to the lung (e.g. breast cancer that spreads to the lung). Your doctor or a pulmonary specialist will be able to tell you whether or not these procedures may be of benefit for you.
• All of these specialty procedures are available at North Shore University Hospital. To get additional information , you should speak with your physician or arrange an appointment with a pulmonary specialist.

• The bronchoscope is a small, flexible tube that has a television camera on the end of it. It is very narrow, smaller than a pencil in diameter. The doctor can pass the bronchoscope and pilot the bronchoscope into your lungs. He will do this by inserting the bronchoscope either through your mouth or the nose. The bronchoscope is not sharp and cannot cut you. You will have local anesthesia with lidocaine so you will not cough or gag. The doctor will maneuver the flexible scope and using a television camera guide it into your lungs. He will be able to take pictures, take small samples of tissue (biopsies), and sample the fluid in the lung.
• During the procedure you will be sedated. This is usually done with Demerol (related to morphine) and versed (related to Valium). This will make you very sleepy and you may even fall asleep. This is not a problem if you do. This is not general anesthesia so you will not have any of the associated risks associated with anesthesia.
• Because you will be receiving sedative medications it will be necessary to have a family member or friend drive you home after the procedure (the same day). In addition, you must not have anything to eat or drink after midnight the night before so that you can have the procedure on an empty stomach. Important medications can be taken with a small sip of water.
• Bronchoscopy is a very useful and minimally invasive test that can help your doctor diagnose a variety of conditions. These include lung cancer, cancer of other organs that have spread to your lung, many types of pneumonia, tuberculosis, pneumocystis carinii pneumonia (PCP), and many other lung diseases. Bronchoscopy may allow your doctor to make a diagnosis and avoid a surgical procedure in some cases.
   

• Photodynamic therapy is a minimally invasive outpatient procedure.
• Photodynamic therapy is a method of medical treatment using drugs which are activated by light.
• Light-activated drugs allow very selective photochemical destruction of diseased cells in the lungs and airway, without effecting normal healthy tissue.
• The patient is injected with the photodynamic drug. The drug then clears from normal cells and is selectively retained by the diseased cells, such as a tumor. The physician will then expose areas within the lung to light of a specific wavelength causing a photochemical reaction in the tumor cells, which have retained the drug. This activates the drug, selectively destroying the tumor while sparing the healthy tissue.
   

• Cryotherapy is a minimally invasive outpatient procedure.
• Cryotherapy exposes diseased tissue, such as a tumor, to subzero temperatures that destroy the tumor.
• Cryotherapy allows a wide range of tissue within the lung to be treated successfully. This includes both primary lung cancer and tumors metastic to the lung.
   

• A minimally invasive outpatient procedure.
• Uses the combination of a bronchoscope to visualize diseased tissue, such as a tumor, and a laser to destroy the tissue.
• A Laser Bronchoscopy allows the treatment of cancerous tumor cells as well as restructuring of the airways to allow optimal therapy.
   

• A minimally invasive outpatient procedure.
• Airway Stenting is a therapy that allows opening of narrowed airways. Narrowed airways may be caused by diseased or healthy tissue within the airway.
• An Airway Stent is a hollow mesh tube that is placed in a narrowed section of the airway, which is causing clinical problems, such as shortness of breath. The Airway Stent then expands to re-open the airway.

Brachytherapy

• A minimally invasive outpatient procedure that combines Bronchoscopy and Radiation Oncology.
• Conventional Radiation effects both the tumor and normal healthy tissue around it. The normal tissues are destroyed in proportion to the amount of radiation. This limits the total amount of radiation that can be given using conventional techniques.
• Brachytherapy introduces radiation to a selective area, where as conventional radiation effects the whole area.
• Brachytherapy is a two step procedure that first uses state-of-the-art-imaging technology to identify the area(s) to be treated with radiation.
• The second step selectively treats the area(s) with radiation to eliminate diseased tissue, such as a tumor. This is done by placing highly radioactive sources within the lung using a bronchoscope. This selectively treats the tumor while sparing normal healthy tissue.
• Selective radiation therapy allows increased levels of radiation to be used safely.
   

For more information:
Call (516) 465-5400
Fax (516) 465-5454
Email us at clazo@nshs.edu

The Lung Cancer Center
The Lung Cancer Center specializes in the diagnosis and treatment of lung cancer. The Center uses a multidisciplinary approach combining interventional pulmonary medicine, clinical research, radiation and chemotherapy.

Multimodality Treatments

• Mulitmodality treatments combine the physician expertise in Pulmonary Medicine and Radiation Oncology.
• The Pulmonary Medicine physician has the expertise in Bronchoscopy procedures to assist the Radiation Oncologist in the isolation of diseased tissue within the airway and lungs.
• The Radiation Oncologist has the expertise in the treatment of specific diseased tissue by selecting a type of radiation best suited for the tissue identified by the Pulmonary Physician