General Information about the Department
Turkish Medical City Chest Diseases Hospital consists of 6 physicians, 3 professors, 2 associate professors and 1 chief assistant doctor. Clinical operations are carried out with 12 specialist physicians and 6 assistants. Chest Diseases clinic provides service with a total of 48 beds, including 32-bed inpatient department and 16-bed 2nd Stage Intensive Care. Outpatient and consultation outpatient services are provided both in the Cardiovascular Hospital and other hospital blocks. In addition, there is a “Smoking Cessation Unit”, “Bronchoscopy and EBUS unit” and a unit where prick “skin tests” for allergies are performed, and a “Respiratory Physiotherapy Unit”. In addition to routine outpatient services, related diseases are followed up in particular outpatient clinics such as “Interstitial Lung Diseases”, “Pulmonary Embolism and Pulmonary Hypertension”, “Asthma-COPD” outpatient clinics. “Inhaler Training” is carried out by the relevant nurses in order to eliminate the problems experienced by the patients while using their respiratory devices and medicines. “PPD test” procedures are among the services provided by trained nurses in the polyclinic unit.
Diagnosed and Treated Diseases
In Chest Diseases Clinic, follow-up and treatment of all diseases related to the branch are performed. Patients are treated with a highly experienced team in the field of Pulmonary Thromboembolism, thrombolytic therapy can be applied in clinical emergencies, and thrombolytic therapy can be applied in conjunction with the interventional radiology clinic, in case of need. Pulmonary Hypertension cases are evaluated by the multidisciplinary council and the necessary follow-up and treatment are performed. In the outpatient clinic follow-ups of asthma and COPD patients, smokers are directed to a smoking cessation unit. Resistant asthma cases are investigated in the Allergy and Immunology Unit. Inhaler technique is evaluated at every control of the cases and necessary training is given. In addition, brochures and information training are provided for protection from allergens and risk factors in Asthma. In patients with COPD, inhaler treatments are arranged according to their stages, and smokers are given to quit smoking. In our country, “inhaler drug use technical training”, which is applied in very few hospitals, is carried out by the training nurse in every outpatient clinic application to all patients who are prescribed. The allergic skin test (prick test) is also performed by nurses trained in this field under the supervision of a doctor in cases suspected of having atopy. Systemic diseases such as pulmonary involvement and drug-related lung diseases also follow. In addition, the smoking cessation unit serves all day, every day of the week. Cases are evaluated at expert level, treatment and follow-up is planned. Required patients are followed up together with the Department of Psychiatry. The Smoking Cessation Unit Nurse periodically calls patients by phone and advises patients on motivation and behavioral therapy. A detailed clinical, laboratory and radiological evaluation is performed in the outpatient clinic for patients with restrictive diseases such as COPD, bronchiectasis, and Kyphoscoliosis. Later, cases suitable for respiratory physiotherapy are investigated by the cardiology physician in terms of cardiac reserves with echocardiography. Respiratory physiotherapy is started after the exercise capacities are evaluated with the increasing speed shuttle walking test (shuttle) in our newly established physiotherapy unit. They are included in the 2-month outpatient physiotherapy program for two days a week.
Bronchoscopic methods are used for the diagnosis of lung cancer and some other diseases in the Chest Diseases Clinic. Appropriate cases can be treated with electrocautery. In addition, foreign body can be removed bronchoscopically. There is an Endobronchial ultrasonography (EBUS) unit run by specialist physicians who have gained experience since 2011. There are 2 Bronchoscopy and 2 (EBUS) units within Chest Diseases, and 2 bronchoscopic procedures can be performed simultaneously. Intensive care units in other towers that require bronchoscopy are also served. After the patients undergoing EBUS are taken to the preoperative monitoring area and their preparations are made, they are taken to the EBUS unit and the procedure is performed by an anesthesiologist by applying sedation. Especially for patients who cannot be diagnosed by bronchoscopy, EBUS can be performed in a number of centers in our country.
With the EBUS method, a diagnosis can be made without the need for surgery in cases where lung and extrapulmonary cancer is suspected. In the presence of unexplained lymphadenopathy, diagnosis can be made by noninvasive method directed towards benign and malignant etiologies. In addition, EBUS is used for recurrence and staging in cases followed up with a malignant diagnosis. It is an ultrasonography device in Chest Diseases Clinic and is used for thoracentesis procedures and, when necessary, as Echo cardiography. In the clinic, 2nd Stage intensive care service with 16 beds is provided. In intensive care; Under the direction of 2 assistants, a specialist physician and 1 professor, they follow up patients and receive training. There is one respiratory and one contact isolation room and, when necessary, intensive care can be followed at the level of 3rd step. Sub units of our departments are as follows:
1-Chest Diseases Intensive Care Unit
2-Chest Diseases Bronchoscopy and Endobronchial Ultrasonography (EBUS Unit)
3- Chest Diseases Smoking Cessation Unit
4-Chest Diseases Physiotherapy Unit
5-Department of Chest Diseases / Department of Allergic Diseases