Pulmonary disease specialists in Virginia

Difficulty breathing can be frightening and stressful. When it happens, HCA Virginia's pulmonologists are dedicated to easing your fears by quickly diagnosing the cause the of your symptoms and getting you the treatment you need. We treat both acute and chronic lung diseases, and we offer you education, respiratory therapy and access to advanced treatments. We will help restore your pulmonary health so you can breathe freely again.

For more information about our primary care services or for help finding a doctor, call our free, 24/7 Consult-A-Nurse line.

Lung conditions we treat

Our pulmonary medicine specialists diagnose and treat a variety of lung conditions. Our offerings include:

Asthma treatment

Asthma is a chronic condition of the airways within the lungs. Asthma narrows those airways and makes breathing difficult. If you come to us because you are having an asthma attack, we determine your peak airflow and provide appropriate treatment, such as administering a bronchodilator. Bronchodilators are a type of medication that helps open the airways.

If you have severe asthma, we provide bronchial thermoplasty treatment. This outpatient procedure uses precisely controlled thermal energy, instead of medication, to open your airways.

Lung and thoracic cancer care

Thoracic cancer refers to cancers that develop within the chest, which can include lung, esophageal, pleural, mediastinal and chest wall tumors. At HCA Virginia, we offer comprehensive thoracic and lung cancer care, including screening, prompt diagnosis and minimally invasive surgery.

Lung cancer screening

We offer low-dose computed tomography (CT) screenings for people who are at high risk of developing lung cancer.

Your doctor may recommend this lung cancer screening if you:

  • Are between 55 and 77 years old
  • Are still smoking or have quit in the last 15 years
  • Have smoked at least 30 "pack years" (the number of packs you smoked per day multiplied by the number of years you smoked)

Other lung conditions

We also provide expert care for:

  • Bronchitis
  • Chronic obstructive pulmonary disease (COPD)
  • Emphysema
  • Fibrogenic diseases, such as sarcoidosis, pulmonary fibrosis and cystic fibrosis

Pulmonary diagnostics

We offer advanced pulmonary diagnostics, such as esophageal and endobronchial ultrasound and lung biopsies, so our lung specialists can provide you with an accurate diagnosis.

Some of our other pulmonary diagnostics include:

Bronchoscopy

A bronchoscopy is a visual examination of the air passages leading into the lungs using a bronchoscope—a long, thin tube with a camera on the tip. Bronchoscopies are used to diagnose conditions involving the lungs and trachea, including bleeding, difficulty breathing, chest pain or obstructions in the airway.

Navigational Bronch/Lung Nodule Clinic

The Navigational Bronch/Lung Nodule Clinic at Henrico Doctors’ Hospital is dedicated to the diagnosis, treatment and management of lung diseases. Here, we use minimally invasive technology to determine if lung nodules are cancerous or noncancerous. (A lung nodule is defined as a spot in the lung that is visible on a chest X-ray or CT scan.)

Using advanced technology, your CT scan is converted into a 3D map of your lungs for your doctor. They use this map to guide a bronchoscope to the lung nodule to remove a tissue sample (biopsy) for analysis. With this minimally invasive procedure, we can access hard-to-reach areas of the lungs without the need for surgery.

Pulmonary function testing

Pulmonary function tests, including pulmonary stress tests, are breathing tests that indicate how well your lungs are working. These tests assess how much air you can blow out, how much air your lungs can hold and how hard you can blow air out. This information allows us to develop the best treatment plan for your specific needs.

Additionally, pulmonary stress tests may be used help determine if patients with lung cancer have the capacity to undergo surgery.

Sleep studies

Our hospitals offer sleep centers where highly trained specialists perform sleep studies. A sleep study helps us diagnose and treat sleep-related breathing disorders, such as obstructive sleep apnea.

Respiratory treatments

Our approach to pulmonary treatment goes beyond "standard fixes." We provide you with effective, long-term respiratory solutions.

Some of these treatments include:

  • Bi-level positive airway pressure (BiPAP) therapy
  • Continuous positive airway pressure (CPAP) therapy
  • Lung and thoracic surgery
  • Oxygen-weaning therapy
  • Pulmonary rehabilitation
  • Trilogy therapy
  • Ventilator management

Lung and thoracic surgery

Your surgeon will determine the most appropriate surgery for your health and needs.

Some of our thoracic surgery options include:

  • Conventional lobectomy: removes a lobe of the lung, usually to treat early-stage lung cancer
  • Conventional thoracoscopy: uses a tiny lens and light source (instead of a video camera) for the procedure
  • Mediastinoscopy and mediastinal surgery: examines the center part of the chest cavity, often to determine the extent of lymph node involvement in lung cancer
  • Pericardial window: drains fluid from the membrane surrounding the heart
  • Segmentectomy: removes part of an organ, gland or tumor and surrounding tissue
  • Video-assisted thoracic surgery (VATS): uses a tiny, high-definition video camera (a thoracoscope) and miniature instruments

Pulmonary rehabilitation

Pulmonary rehabilitation can help manage the symptoms of acute and chronic lung conditions. As such, we provide pulmonary rehabilitation as part of our comprehensive physical therapy and rehabilitation services.

Our pulmonologists, respiratory specialists and therapists will work together to develop a rehabilitative plan to improve your pulmonary health. It may include exercise training, education, smoking cessation programs, nutritional counseling and oxygen therapy.