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Lang

Pulmonary and Allergy Clinic (Pediatrics)

The pediatric pulmonary and allergy clinic at Boston Medical Center (BMC) provides allergy, asthma, and respiratory care to children from birth to age 21. We work as a team with your child's primary care provider (PCP), daycare, school, or afterschool program. Objektif nou se kreye yon plan tretman konplè ki adapte ak bezwen endividyèl pitit ou a.

Kontakte Nou

Pediatric Pulmonary and Allergy Clinic
801 Massachusetts Ave., boston medical center, MA 02118
7yèm Etaj
BMC, Crosstown Center
617.414.4841

In clinic: Monday, Tuesday, Thursday, and Friday, 8 a.m. to 5 p.m. On call: Monday – Friday, 8 a.m. to 5 p.m.

Klinik Espesyalize yo

Klinik Espesyalize yo

Pwogram opresyon grav

Pwogram Opresyon grav nou an fèt pou timoun ki gen opresyon ki difisil pou kontwole. Nou ka ede timoun ki:

  • Yo bezwen plizyè tretman stewoyid pou pouse yo
  • Te fè anpil vwayaj nan Depatman Ijans lan
  • Pran medikaman pou opresyon men tretman an pa mache
  • Pèdi Jou lekòl oubyen yo pa kapab fè aktivite akoz opresyon
  • Yo te entène lopital pou opresyon

Our program includes two pulmonologists, two allergists, a nurse practioner, and a specially trained asthma nurse who work closely with your child's PCP, school, or daycare to create an individual treatment plan for your child. Nou kapab fè tès alèji po ak tès respire nan premye vizit pitit ou a.

Our team also includes a pharmacy liaison who helps families get approvals for inhalers, injections, and any other medicines their child needs. Paske nou konnen tretman opresyon (espesyalman piki) ka koze estrès pou timoun, enfimyè nou resevwa fòmasyon nan atitid ak teknik detant pou fè pasyan nou yo santi yo alèz.

Pwogram Manje Alèji

Nou ofri swen trè espesyalize pou timoun ki genyen oswa sispèkte alèji a manje ki gen ladan pwason, nwa, kal pwason, lèt, ze, ble, soja, ak lòt manje yo.

Nou itilize tès dyagnostik presize pou byen dyagnostike alèji a epi kreye yon plan jesyon. Tès la ka gen ladan tès laboratwa, tès alèji po, ak yon tchalenj manje oral yo Tchalenj manje oral yo ka ede nou aprann si pitit ou a ka manje yon manje espesifik san l pa gen reyaksyon alèjik. These challenges are highly specialized tests that must take place in a closely monitored setting and are not available at all hospitals.

Nou konnen ke jere alèji manje ka difisil e koute chè. Nan BMC, nou ofri sipò siplemantè pou fanmi ki ka gen pwoblèm tranpòtasyon vin nan randevou yo oswa peye pou tretman.

Pwogram aewodijestiv

Nou ofri yon pwogram aewodijestive espesyalize pou timoun ki gen pwoblèm respire, vale, ak manje. Ekip eksperyans nou an gen ladan tout espesyalis pitit ou a ka bezwen wè pou kondisyon yo, tankou:

  • Alèjis
  • Dietitian
  • Zòrèy, nen, ak doktè gòj (otolarengolojis)
  • Gastwoantewològ
  • Pulmonologist
  • Terapis lapawòl ak lang

Ekip nou an travay kole kole kole pou dyagnostike ak trete tout kalite pwoblèm aewodijestive epi yo ap travay avèk fanmi ou ak PCP pitit ou a pou kowòdone tout swen pitit ou.

Pwogram ak Sèvis yo

Nou pran swen timoun ki gen yon seri kondisyon, ki gen ladan:

  • Kondisyon aewodijestive yo, tankou tous kwonik, ezinofil, esofajit, oswa pwoblèm manje ak vale yo
  • Alèji yo (ki gen ladan alèji ak manje, ensèk, medikaman, bèt kay, mwazisi, faktè anviwònmantal, ak lòt deklanchè)
  • Opresyon (ki gen ladan opresyon grav) ak lòt maladi poumon yo
  • Tous kwonik
  • Lafyèv ( alèjik rinitis ak konjonktivit)
  • Iminodefisyans (enfeksyon kontinyèl ak pwoblèm sistèm iminitè a)
  • Maladi poumon ki gen rapò ak prematirite
  • Konplikasyon pilmonè maladi Drepanositoz (SCD)
  • Maladi poumon grav (ki gen ladan bwonchit ak diskinezi silyè prensipal)
  • Sinizit
  • Gratèl po (tankou ekzema ak woujòl)
  • Twoub respiratwa nan somèy

Ekip Nou an

Resous Pasyan yo

Premye Vizit ou

Lè pitit ou a vizite Klinik Pilmonè ak Alèji nan BMC pou premye fwa, n ap pran yon istwa medikal detaye epi fè yon egzamen fizik. Tou depan de kondisyon pitit ou a, nou ka fè kèk tès, tankou: 

  • Tès pou respire, ki rele tou tès fonksyon poumon, ki ka ede doktè a dyagnostike avèk presizyon kondisyon pitit ou a epi tcheke pou wè kijan medikaman yo ap travay. Pifò timoun ki gen laj 5 ak plis yo kapab fè tès pou respire yo.
  • Egzèsis tès defi pou ede nou dyagnostike opresyon ki lakoz pa egzèsis. Si ekip nou an sispèk pitit ou a gen yon alèji, n ap sèvi ak tès po a pou ede jwenn sansiblite espesifik yo.
  • Nou ka fè yon radyografi pwatrin lan tou. 

Anplis tès ak tretman, nou bay anpil sèvis ak pwogram pou ede timoun yo rete an sante. Men sa yo enkli:

  • Enspeksyon alèji nan kay yo
  • Enfòmasyon lojman
  • Kontwòl alèji nan kay
  • Sèvis entèprèt yo
  • Ede w jwenn medikaman ak materyèl yo

Apèsi sou rechèch

Anplwaye Pilmonè ak Alèji klinik yo te patisipe nan anpil etid rechèch lokal ak nasyonal konsènan kesyon aktyèl yo sou opresyon ak alèji. Specifically, Suzanne Steinbach and Lois Doerr worked on the NIH-sponsored Inner-City Asthma Study project, which showed that home allergen control reduces asthma symptoms for inner-city children and that better communication between physicians and families about asthma symptoms improves asthma control as well.

Piblikasyon ki gen rapò ak yo enkli:

1. Cohen RT, Rodeghier M, Kirkham FJ, Rosen CL, Kirkby J, DeBaun MR, Strunk RC. "Exhaled Nitric Oxice": Pa asosye ak opresyon, sentòm, oswa Espiwometri nan Anemi Drepanositoz J Allergy Clin Immunol. 2016, nan laprès.

2. Vo P, Bair-Merritt M, Camargo CA, Eisenberg S, Long W. Faktè endividyèl, kontèks sosyal katye, ak opresyon nan laj 5 ane. J Opresyon 2016 nan laprès.

3. Boyer D, Thomson C, Cohen R, Rao D, Dell S, Rayment J, Wang R, Dy FJ, Wambach J, Tam-Williams J, Simon D, Price E, Oermann CM, Chante A, Rettig JS, Duncan ED, Baker CD, Liptzin DR, Moore PE. Pwogram de baz ATS 2016: Pati III. Medikaman poumon pedyatrik. Analis nan Sosyete Torasik Ameriken 13 (6): 955-966, 2016.

4. Cohen RT, Strunk RC, Rodegheir M, Rosen CL, Kirkham FJ, Kirkby J, DeBaun MR. Modèl fonksyon poumon pa asosye ak presedan oswa fiti mòbidite nan timoun ki gen anemi Drepanositoz Analis Sosyete Torasik Ameriken , 2016 Out; 13(8):1314-23. PMID: 27300316.

5. Cohen RT, Klings EK, Strunk RC. Maladi Drepanositoz: twoub respiratwa oswa opresyon? Opresyon nan rechèch ak pratik, 1:15, 2015.

6. Anseye SJ, Gill MA, Togias A, Sorkness CA, Arbes SJ Jr, Calatroni A, Wildfire JJ, Gergen PJ, Cohen RT, Pongrac ja, Kercsmar CM, Khurana Hershey GK, Gruchalla RS, Liu AH, Zoratti EM, Kattan M, Grindle KA, Gern JE, Busse WW, Szefler SJ. Tretman presezonal swa avèk omalizumab oubyen ogmantasyon kòtikoestewoid rale nan nen pou anpeche opresyon agrave J Allergy Clin Immunol. 2015 Dec; 136(6): 1476-85.PMID 26518090, PMCID 4679705.

7. Vo P, Bair-Merritt M, Camargo CA. Wòl potansyèl vitamin D nan lyen ki genyen ant obezite ak severite/kontwòl opresyon nan timoun yo. Ekspè Rev Revspir Med 9 (3): 309-25, 2015.

8. Sheares BJ, Mellins RB, Dimango E, Serebrisky D, Zhang Y, Bye MR, Dovey ME, Nachman S, Hutchinson V, Evans D. Èske pasyan ki anba swen doktè sibspeksyalis benefisye de plan aksyon opresyon alekri yo? Am J Responsab Swen Med 2015, 191 (12): 1374-73, PMIC 25867075.

9. Hayden LP, Hobbs BD, Cohen RT, Wise RA, Tcheke W, Crapo JD, Hersch CP. Nemoni timoun ogmante risk pou maladi pilmonè kwonik obstriktif: daprè etid "COPDGene". Rechèch Respiratwa, 16 (1): 115, 2015. PMID 26392057, PMCID 4578796.

10. Belfort MB, Cohen RT, Rhein LM, McCormick, MC. Kwasans tibebe prematire ak opresyon nan laj 8 ane. Achiv maladi Timoun yo, edisyon Fetal ak Neonatal, 101 (3) F230-4, 2015. PMID 26354369.

11. Diri JL, Matlack KM, Simmons MD, Steinfeld J, Lwa MA, Dovey ME, Cohen RT. LEAP: Yon jijman owaza kontwole de yon pwogram Edikasyon opresyon pou yon edikatè komen ki yon pasyan. Edikasyon pasyan ak Konsèy, pii: S0738-3991 (15) 30006-9, 2015. PMID 26210342.

12. Li H, Butz A, Keet CA, Minkovitz CS, Hong X, Caruso DM, Pearson C, Cohen RT, Wills-Karp M, Zuckerman BS, Hughes ME, Wang X. Pretèm nesans ak opresyon anfans: wòl degre prematire ak definisyon opresyon yo. Jounal Ameriken nan Medikaman respiratwa ak swen kritik, 192 (4): 520-523, 2015. PMID 26278798, PMCID 4595670.

13. Vance LD, Rodeghier M, Cohen RT, Rosen CL, Kirkham FJ, Strunk RC, DeBaun MR. Ogmante risk pou yo epizòd vaso-oklizif aprè premye sendwòm pwatrin sevè nan timoun ki gen anemi drepasitoz mwen ke 4 ane: Dòmi ak opresyon. Jounal Ameriken Ematoloji, 90 (5): 37-1375, 2015. PMID 25619382, PMCID 4409481.

14. DeBaun MR, Rodegheir M, Cohen RT, Kirkham FJ, Rosen CL, Roberts I, Cooper B, Stocks J, Wilkey O, Insa, BD, Warner JO, Strunk RC. Faktè ki predi fiti epizòd ACS nan timoun ki gen Maladi Drepanositoz Journal Ameriken Ematoloji 89 (1): e212-217, 2014. PMID 25088663, PMCID 4866602.

15. Strunk RC, Cohen RT, Cooper BP, Rodeghier M, Kirkham FJ, Warner JO, Stocks J, Kirkby J, Roberts I, Rosen CL, Craven EI, DeBaun MR. sentòm respirasyon fò ak opresyon parantal yo asosye ak yon dyagnostik doktè nan timoun ki gen anemi Drepanositoz Jounal Pedyatri 164 (4): 821-826, 2014. PMID 24388323, PMCID 3962704.

16. Cohen RT, Strunk RC, Jaden JF, Rosen CL, Kirkham FJ, Redline S, Stocks J, Rodeghier MJ, DeBaun, Mesye lafimen tabak anviwonmantal ak Obstriksyon vwa pasaj respirasyon nan Timoun ki gen Maladi Drepanositoz Lestomak, 144 (4): 1323-9, 2013. PMID 23681054, PMCID 3787918.

Enfòmasyon sou Entèna ak Bous Rechèch

The pediatric pulmonary and allergy clinic at BMC provides training to pediatric residents from the Boston Combined Residency Program, a joint effort of Boston Children’s Hospital and Boston Medical Center.

The clinic also provides training opportunities to fellows in the BMC/BU Allergy and Immunology Fellowship Program.