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Pulmonology - Clinical Services


 

The Section of Pulmonology provides comprehensive clinical care and consultation for children with lung disorders. Care is provided at Children’s Hospital Colorado, National Jewish Health, Denver Health and at outreach clinics in Colorado, Nebraska and Montana.

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Program Staff Description
Asthma, Breathing & Lung Care at Children's Hospital Colorado
Mon-Fri, 8:00am-4:30pm
Director: Monica J. Federico, MD (Pulmonology)
Associate Directors: Gwendolyn S. Kerby, MD (Pulmonology) and F. Dan Atkins, MD (Allergy)
Nurse Practitioner: Shirley McKenzie, CPNP
The Asthma Program is a multidisciplinary service providing comprehensive care for children with asthma in both an inpatient, emergency department, and outpatient setting. This initiative is a novel, multidisciplinary program that provides high quality care to children from all over Colorado and surrounding states. Children are referred to our center from every corner of Colorado and patients and providers report that we are better at caring for acute, severe asthma attacks than any hospital in Colorado. Our community-based program brings asthma specialists to private practices and has been in place for more than a year. The community-based program's focus is to normalize patient activity by optimizing pharmacologic therapy through extensive patient education, evaluation of contributing factors, including allergy and environmental triggers, and close monitoring of pulmonary function. Additional goals include outreach education for all health care providers and collaboration with National Jewish Health and Denver Health in asthma-oriented research.
Aerodigestive Program at Children’s Hospital Colorado
Mon-Fri, 8:00am-4:30pm
Medical Director: Robin R. Deterding, MD
Co-Directors: Jason Soden, MD, Jeremy Prager, MD (Digestive Health Institute)
Nurse Practitioner: Ben Corbett, CPNP
The Aerodigestive program is a comprehensive, multidisciplinary diagnostic service dedicated to the management of children with complex disorders of the airway, respiratory and GI tracts that include aspiration, airway abnormalities, and reflux. This program is dedicated to a team approach to care, with a focus on the family, for improved parent and patient education with comprehensive coordination of outpatient, inpatient, surgical and follow-up services. The Aerodigestive program provides professional services from the fields of otolaryngology, pulmonary medicine, gastroenterology, pediatrics, pediatric surgery, occupational therapy, speech pathology, nutrition and other services as needed. We also offer concierge services to make our out of town patients and families comfortable with their travel plans to Colorado for evaluation and treatment.
Children's Interstitial and Diffuse Lung Disease (chILD) Program at Children's Hospital Colorado
Mon-Fri, 8:00am-4:30pm
Program Director: Robin R. Deterding, MD
Program Faculty: Megan Dishop, MD (Pediatric Pathology), Leland Fan, MD (Pediatric Pulmonology), Thomas Hay, MD (Radiology Professionals), and David Partrick, MD (Pediatric Surgery)
Our team is comprised of some of the most experienced physicians in the world to diagnose, evaluate, and treat children with these problems. Dr. Deterding and Dr Fan are both internationally known pediatric pulmonologist in this area, Dr. Dishop is also internationally known and reviews pathology slides from around the world and Dr. Partrick has exceptional outcomes related to pediatric lung biopsies for children with ILD in that many can be discharged in 24 hours. We have a complete multi-disciplinary team read to assess nutritional issues, psychosocial issues, and financial concerns and concierge services to make our out of town patients and families comfortable with their plans to see us. Our team is ready to be part of your child’s team to address their needs.

This clinical and research program focuses on children with complex lung disease, including all types of interstitial lung diseases such as Surfactant Dysfunction Mutations (SPC, ABCA3, TTF1), Neuroendocrine Cell Hyperplasia of Infancy (NEHI), Bronchiolitis Obliterans, Pulmonary Hemorrhage, and unique and unknown forms of interstitial lung disease (ILD) in young children and teenagers. Respiratory compromise following bone marrow transplantation and connective tissues disease is also of interest. A longitudinal study looking at biomarkers and outcome markers in these conditions is underway. Significant expertise in CT scans, bronchoscopy pulmonary function testing (including infants), and international expertise in video-assisted and bronchoscopic lung biopsy in infants and small children creates a unique opportunity for full diagnostic and second opinion evaluations. Specialists in pediatrics, surgery, nursing, social work, and respiratory therapy provide expertise with noninvasive ventilation, immunosuppression and special diagnostic techniques, such as lung biopsy in infants and small children. Second opinion consultations are arranged for patients from around the world through our ILD nurse coordinator and concierge services and welcome coordinator. Dr. Deterding is an original member for the Board of Directors of the Children's Interstitial and Diffuse Lung Disease Foundation (chILD) and the Chair of the Children’s Interstitial and Diffuse Disease Research Network.
Children's Hospital Colorado Sleep Center Director: Norman Friedman, MD (Otolaryngology)
Director of Pediatric Sleep Research: Ann C. Halbower, MD (Pulmonology)
Nurse Practitioners: Carole E. Kline, MSN, CPNP and Susan Hines, CPNP
Sleep Behavioral Psychologist: Susan Crane, PsyD
Children’s Hospital Colorado Sleep Center is a multidisciplinary program jointly administered by Pulmonology and Otolaryngology. A wide variety of pediatric sleep disorders is managed, including, but not limited to, central and obstructive apnea, sleep-disordered breathing, hypoventilation, narcolepsy, insomnia, and sleep phase disorders. The program includes physicians, nurses, and respiratory therapists with special experience in noninvasive ventilation of children. Patients are studied in a state-of-the-art sleep diagnostic laboratory and can be followed in several clinics that focus on family-based care.
Cystic Fibrosis Center at Children's Hospital Colorado
Mon-Fri, 8:00am-4:30pm
Director: Scott D. Sagel, MD
Associate Director: Frank J. Accurso, MD (Pediatric Center)
Nurse Practitioners: Ruth S. DeVoogd, CPNP (Pediatric Center) and Jerry Nick, MD (Adult Center)
The Cystic Fibrosis Center is a large, nationally recognized clinical and research service providing care throughout the Rocky Mountain Region. Clinical care is provided by an extensive multidisciplinary team located at Children’s Hospital Colorado (Pediatric Program), National Jewish Health (Adult Program), University of Colorado Hospital and at several outreach locations in Colorado and Montana (both adult and pediatric). As one of the Therapeutics Development Centers organized by the national Cystic Fibrosis Foundation, the Colorado CF center is active in many aspects of clinical and basic research. Special clinical and research emphasis is placed on early detection and disease pathophysiology, since Colorado was the first state in the U.S. to develop newborn screening for cystic fibrosis.
Pediatric Heart Lung Center at Children's Hospital Colorado
Mon-Fri, 8:00am-4:30pm
Directors: Steven H. Abman, MD, Christopher Baker, MD, and Vivek Balasubramaniam, MD
Nurse Practitioner: Alicia Grenolds, CPNP
The Pediatric Heart Lung Center (PHLC) is a unique multidisciplinary program that provides novel diagnostic and treatment strategies to children with diverse heart and lung disease, especially related to pulmonary hypertension. Members of the PHLC are actively involved in laboratory and clinical research, as well as in providing consultations to children with pulmonary hypertension as inpatients and outpatients. Clinical care is provided by a multidisciplinary group of pulmonary, cardiology and neonatology specialist physicians, nurses and respiratory therapists. Research extends from bench to bedside and focuses on pulmonary hypertension, premature babies, bronchopulmonary dysplasia, acute lung injury, and many other diseases.
Pulmonary Diagnostic Center at Children's Hospital Colorado
Mon-Fri, 8:00am-4:30pm
Director: Gwendolyn S. Kerby, MD Diagnostic modalities include pulmonary function testing in older children, preschoolers, and infants, bronchoprovocation, and exercise testing, flexible bronchoscopy, and laryngoscopy, bronchoalveolar lavage, and transbronchial biopsy, induced sputum collection, and four-channel sleep studies.
Pulmonary Hypertension Clinic D. Dunbar Ivy, MD (Pediatric Cardiologist) and Steven Abman, MD (Pediatric Pulmonologist)
Nurse Practitioners: Alicia Grenolds, CPNP and Beth Coleman, CPNP
The Pulmonary Hypertension Clinic at Children's Hospital Colorado provides a team approach to the diagnosis and treatment of children with severe pulmonary hypertension from unknown ("primary") or known ("secondary") causes.

We currently treat patients with chronic prostacyclin infusions, calcium channel blockers, endothelin receptor blockers, sildenafil, inhaled nitric oxide, and several experimental drugs.
Ventilator Care Program at Children’s Hospital Colorado Chris Baker, MD (Pediatric Pulmonary), Jason Gien, MD (Neonatology), Vivek Balasubramaniam, MD (Pediatric Pulmonary), and Steve Abman, MD(Pediatric Pulmonary)
Respiratory Therapists: Cloy Vaneman and Monte Leidholm
The Ventilator Care Program at Children’s Hospital Colorado is a comprehensive, multidisciplinary program that seeks to improve the quality of care, enhance outcomes, and provide better services for children with chronic ventilator–dependent lung disease and their families, and to enhance research, training, and education of health care providers. The program focuses on providing seamless care in partnership with families during the hospitalization, transition to home, and follow up in the clinic.

Our group includes several physicians, as well as outstanding respiratory therapists, and others. In addition to caring for patients in the hospital and post-discharge, we provide extensive consultation for patients from throughout the country.