Pulmonary, Critical Care and Sleep Medicine: Services

UF Health Pulmonary, Critical Care and Sleep Medicine at Jacksonville treats a wide array of medical conditions, including:

  • Shortness of Breath

    The most common condition seen treated is shortness of breath. The physicians' goals are determine the cause and arrive at appropriate therapy based on the underlying condition. Shortness of breath can be caused by heart disease, lung disease, deconditioning, or any combination of these things.

    Diagnosing the correct underlying condition can be as simple as pulmonary function tests (breathing into a machine) to diagnose chronic obstructive pulmonary disease or asthma or can involve more complicated heart and lung tests. These tests can include high resolution CT scanning, echocardiography, stress tests, and a vast array of other tests depending on the underlying cause. Treating shortness of breath depends upon the cause.

  • Obstructive Lung Disease

    Obstructive lung diseases, which include emphysema and chronic bronchitis, are commonly referred to as COPD or chronic obstructive pulmonary disease. Less than one-half of people labeled with this disease have actually undergone diagnostic testing to confirm the diagnosis. The test can be obtained at the time of the initial office visit and consists of blowing forcefully into a machine known as a spirometer.

    Once the diagnosis is confirmed then a program of medication, exercise, and patient education is prescribed to enable the patient to avoid acute illness, maximize their exercise ability and improve their quality of life.

  • Asthma

    Asthma is nearly always able to be managed by the patient. In the asthma clinic the focus is on patient education. The multidisciplinary team of clinical pharmacists, respiratory therapists, and physicians has as its goal the prevention of asthma attacks using the least amount of medication possible so that the patient can live and work normally. We also offer bronchial thermoplasty, a safe, long-lasting, non-drug procedure used to treat severe, persistent asthma in adult patients whose asthma is not well controlled with inhaled corticosteroids and long-acting beta-agonists.

    Bronchial Thermoplasty for Asthma

  • Abnormal X-rays

    Most patients with abnormal X-rays are seen in the Thoracic Oncology Clinic because the multidisciplinary approach enables rapid evaluation. An evaluation can entail anything from a review of films in the case of obvious, non-serious conditions to bronchoscopic biopsy (including lymph node biopsy by ultrasound bronchoscopy) and referral to a cardiothoracic surgeon for surgical biopsy.

Treatment Clinics

  • Pulmonary Hypertension and Interstitial Lung Disease Program

    Pulmonary hypertension and interstitial lung disease are a group of complex diseases and require a dedicated, multidisciplinary team to evaluate, diagnose and treat these conditions. The UF Health Pulmonary Hypertension and Interstitial Lung Disease Program is staffed by two pulmonologists dedicated to pulmonary hypertension and one dedicated to interstitial lung diseases, a registered respiratory therapist/pulmonary hypertension clinic coordinator and a clinical research coordinator. The clinic offers state-of-the-art diagnostics and therapies and offers to participation in numerous clinical trials. In cases where transplantation is required, referrals to transplant centers can be made in a timely and efficient manner. A pharmacist is present in the clinic to help with complex medication regimens and education regarding different medications. The program coordinator allows patients to navigate the complex environment of evaluation, treatment authorizations and follow ups.

  • Sleep Center

    UF physicians at the UF Health Sleep Center – Jacksonville diagnose and treat a variety of sleep-related disorders. The center is fully accredited by American Association of Sleep Medicine (AASM) and fully equipped with an overnight polysomnography suite. In addition the Center is also fully accredited by AASM to offer home sleep testing (HST). The physicians evaluate and treat adult and pediatric patients with a wide spectrum of sleep related disturbances.

    Sleep Disorders

  • Thoracic Oncology Program

    A multidisciplinary approach ensures timely diagnosis and treatment of lung cancer. The UF thoracic surgeons, pulmonologists, oncologists and radiation oncologists of the UF Health Thoracic Oncology Program – Jacksonville meet on a weekly basis to discuss patients and consider the best individual therapy; this ensures that patients benefits from a collaborative, academic team of specialists.

    The Thoracic Oncology Program at the UF Health Cancer Center at Jacksonville also offers lung cancer screenings using a safe, low-dose CT scan. The American Lung Association endorses facilities which use a team of experts for lung cancer screening procedures.

    Lung Cancer Screenings

  • Interventional Pulmonary Program

    The interventional pulmonary program is an integral part of the division and offers a wide range of diagnostic and therapeutic options for patients with a variety of lung and pleural diseases:

    • Fiberoptic bronchoscopy
    • Transbronchial biopsy under fluoroscopic guidance
    • Transbronchial needle aspiration of lymph nodes
    • Argon plasma coagulation
    • Endobronchial ultrasound guided biopsy of hilar and mediastinal lymph nodes
    • Navigational bronchoscopy
    • Bronchial thermoplasty
    • Pleuroscopy
    • Tunneled pleural drainage catheter placement
  • Pulmonary Laboratory

    The staff provides a full range of services that include complete pulmonary function testing, methacholine challenge tests, a six-minute walking test, Cardiopulmonary exercise testing (CPET) and High altitude simulation testing (HAST). The laboratory has the capacity for therapeutic intervention, including ultrasound-guided catheter placement for pleural effusions (excess fluid that accumulates in the space surrounding the lungs) and pneumothorax (a collapsed lung).

  • Medical Intensive Care Unit

    The medical intensive care unit consists of 32 beds. Five critical care certified medical professionals are on duty at all times and consist of UF physicians, residents and fellows; pharmacists; nurses and physician extenders. The unit offers state of the art technology for evaluating and managing critically ill population.

Other conditions and services

  • Connective tissue disease
    • Sarcoidosis
  • Critical care services
  • Infections
    • Atypical mycobacterial infections
    • Tuberculosis
  • Interstitial lung disease
    • Pulmonary fibrosis
  • Lung cancer diagnosis and evaluation
    • Bronchoscopy services
    • Mesothelioma
  • Pulmonary vascular disease
    • Pulmonary hypertension
    • Pulmonary embolism
    • Pulmonary vasculitis (Wegener's granulomatosis)
  • Sleep disorder evaluation and treatment