Vanderbilt Lung Institute

Inpatient Clinical Services

Rogers Pulmonary Service

Pulmonary Consult Service

Advanced Lung Disease Service

Medical Intensive Care Unit

 

Outpatient Clinical Services and Programs

Interstitial Lung Diseases/Pulmonary Fibrosis

Lisa Lancaster, MD

Rosemarie Dudenhofer, MD

Joao de Andrade, MD

Justin Hewlett, MD

Margaret Salisbury, MD

James Loyd, MD (Emeritus)

Rare Lung Diseases and Sarcoidosis

Justin Hewlett, MD

Adult Cystic Fibrosis

James Tolle, MD

Alison Miller, MD

Michael Noto, MD, PhD

Susan Eastman, NP

Interventional Pulmonology/Lung Nodules/Thoracic Oncology

Otis Rickman, MD

Fabien Maldonado, MD

Robert Lentz, MD

Pierre Massion, MD

Melissa Warren, MD

Charla Walston, NP

Lung Transplantation

Amit Parulekar, MD, MBA

Anil Trindade, MD

Ivan Robbins, MD

Stephanie Norfolk, MD

Ciara Shaver, MD, PhD

Katie McPherson, MD

Pulmonary Hypertension/Pulmonary Vascular Diseases

Ivan Robbins, MD

Anna Hemnes, MD

Meredith Pugh, MD

Pulmonary Sleep Disorders

James Sheller, MD

Paula Watson, MD

Lisa Lancaster, MD

Rosemarie Dudenhofer, MD

Pulmonary Neuromuscular and Diaphragmatic Disorders

Melissa Warren, MD

ICU Survivor Clinic

Carla Sevin, MD

Occupational Lung Disease Clinic

Carla Sevin, MD

Vanderbilt Asthma, Sinus, and Allergy Program (V.A.S.A.P.)

Ryszard Dworski, MD

John Fahrenholz, MD

David Hagaman, MD

S. Bobo Tanner, MD

Kenneth Babe, MD

Cosby Stone, MD, MPH

Tina V. Hartert, MD, MPH

General Pulmonary Medicine

Carla Sevin, MD

James Sheller, MD

Katie McPherson, MD

James Tolle, MD

Robert Miller, MD

Paula Watson, MD

Pulmonary Fellows’ Clinic


Inpatient Clinical Services

Rogers Pulmonary Service

A board-certified pulmonologist, an internal medicine resident, and a pulmonary fellow comprise the inpatient pulmonary service. This service admits patients with a variety of pulmonary problems from VUMC clinics, the ED, and the ICUs. It also accepts transfers from other hospitals. Daily multidisciplinary rounds ensure that all patients receive state of the art therapies and that our trainees receive adequate exposure to complex pulmonary medicine problems.

Pulmonary Consult Service

A pulmonologist and a pulmonary fellow comprise the inpatient pulmonary service. At times, internal medicine residents are also part of the service. The Pulmonary Consult Service provides 24-hours/day consultation throughout VUMC, including critical care problems outside of the Medical Intensive Care Unit. The team makes daily rounds and performs procedures such as bronchoscopy (including advanced techniques such as EBUS and Navigational Bronchoscopy), Thoracentesis and advanced management of pleural diseases by thoracoscopy, chest thoracostomy, pleural biopsy, etc.

To request a pulmonary consultation or to inquire about the transfer of a non-critically ill patient to the Rogers Pulmonary Service, contact the Pulmonary Fellow through the VUMC main operator at (615) 322-2386.

Advanced Lung Disease Service

The Advanced Lung Disease Service manages patients who are either being evaluated for or are recovering from lung transplantation. A pulmonologist and a team of specialized NPs care for patients in the Advance Respiratory Care Unit located in the 8N ward of VUMC. Pulmonary fellows may join the service as an elective rotation.

Medical Intensive Care Unit

Twenty-four hour a day critical care services are provided in the Vanderbilt Medical ICU. This unit is a new 34-bed state of the art facility caring for critically ill adults. Continuous physician coverage is provided by two teams of medical residents supervised by two second or third year pulmonary/critical care fellows and two dedicated faculty members. Faculty members staff the MICU on one-week long rotations. House officers and Critical Care Fellows staff the unit on rotations of one month and two weeks, respectively. Additionally, a third non-teaching team is staffed by a faculty member and highly specialized critical care NPs. Patient transfers from other hospitals can be accomplished by ground ambulance or via the LifeFlight air transport service.

A limited number of faculty attend in the MICU and all have been board certified in Internal Medicine, Pulmonary Disease and Critical Care Medicine. This team provides initial evaluation and ongoing care of the critically ill patient and is responsible for performance of all procedures including, diagnostic and therapeutic vascular catheterization, intubation, chest tube insertion, thoracentesis, and bronchoscopy. Patients receiving ECMO are managed in the non-teaching MICU team. 

Because the unit stresses high quality, cost effective patient care delivered in a collaborative environment, it has become a national leader in critical care education and research. Nurses, respiratory therapists, pharmacists, nutritionists, and physical therapists actively participate in daily bedside teaching and work rounds.

Consensus "critical pathways" for the most common admission problems are used extensively to improve care and control costs. Six diagnoses account for most ICU admissions: severe sepsis, acute respiratory distress syndrome, gastrointestinal bleeding, lung transplantation, and poisoning or overdose. The MICU has an active program of research projects to discover new therapies and improve patient care. Currently projects in enteral nutrition, ARDS treatment, delirium, sleep disorders and pain control in the critically ill are ongoing.

To obtain a critical care consult or to transfer a patient to the MICU at any time, contact the Transfer Center at (615) 343-0976. Non-emergent consults should be referred to the Pulmonary Consult Fellow.

 

Outpatient Clinical Services and Programs

If you want to become a patient or if you want to refer a patient, please call the Vanderbilt Lung Institute Access Center at (615) 322-2386

Interstitial Lung Diseases/Pulmonary Fibrosis

Dr. Lisa Lancaster is the Director of the VUMC Interstitial Lung Disease (ILD) Program that comprises a multidisciplinary team of pulmonologists, NPs, clinical coordinators, and research coordinators. The VUMC ILD Program provides state of the art evaluation and management of patients with ILD and pulmonary fibrosis. It is a member of the Pulmonary Fibrosis Foundation (PFF) Care Center Network, which recognizes ILD centers of excellence in patient care, research, and education. We are the only PFF-certified specialized ILD center in a 200-mile radius and our patients come from TN and surrounding States in the Southeast.

The ILD Program has a weekly multidisciplinary meeting that includes pulmonologists, chest radiologists, lung pathologists, and rheumatologists. These meetings are considered the standard of art for the diagnosis of fibrotic lung diseases and was one of the first to be established in the country. In addition to excellence in patient care, the ILD program also has a well-developed infrastructure to support clinical research. Our many ongoing registries and clinical trials afford patients the opportunity of participating in the effort to better understand and conquer pulmonary fibrosis. Patients or physicians seeking more information or in need of an appointment can contact the Vanderbilt Lung Institute Access Center at (615) 322-2386.

Rare Lung Diseases and Sarcoidosis

Dr. Justin Hewlett leads the VUMC Rare Lung Disease and Sarcoidosis Clinics. In addition to Sarcoidosis, he also provides specialized care for patients with conditions such as lymphagioleiomyomatosis (LAM), fibrosing mediastinitis, cystic lung diseases, Birt-Hogg-Dube’, among others. Dr. Hewlett collaborates closely with other VUMC providers in Infectious Disease, Rheumatology, and Thoracic Surgery to provide state of the art evaluation and access to cutting edge therapies for his patients. Patients or physicians seeking more information or in need of an appointment can contact the Vanderbilt Lung Institute Access Center at (615) 322-2386.

Adult Cystic Fibrosis

Most patents with cystic fibrosis now live into adulthood and collectively represent an important and rapidly growing patient group for adult pulmonary-critical care physicians. The Division's Cystic Fibrosis Foundation Accredited Adult Cystic Fibrosis Program is directed by James Tolle, M.D. It  provides expert and comprehensive care to over 200 adults with Cystic Fibrosis.  Not only does the Adult Cystic Fibrosis Program provide state of the art clinical care, it also serves as a venue for Resident and Fellow education. Patients are provided the opportunity to participate in investigational studies of new drug and gene therapies available on a limited basis. Faculty and staff of the Adult Cystic Fibrosis Clinic can be contacted at (615) 322-3048 and appointments/referrals can be made through the Vanderbilt Lung Institute Access Center at (615) 322-2386.

Interventional Pulmonology/Lung Nodules/Thoracic Oncology

Dr. Otis Rickman is the Director of VUMC’s Interventional Pulmonology (IP) Program. VUMC has two state of the art bronchoscopy and interventional procedure suites, and performs over 1800 procedures/year.

Diagnostic and interventional bronchoscopy using the latest tools enable the rapid diagnosis and treatment of pulmonary, pleural, and airway diseases.  New technologies include endobronchial ultrasound for fine needle aspiration, superdimension-guided biopsy of peripheral lesions, lasers and stents for management of airway disease, endobronchial brachytherapy, and autoflorescence bronchoscopy to detect dysplastic and in-situ carcinomas. Additionally, the VUMC IP Program also has a number of ongoing clinical research projects that are aimed at developing novel techniques and tools.

Our team also participates in the Thoracic Oncology Clinic which is a multi-disciplinary outpatient program, staffed by faculty pulmonologists, as well as, medical oncologists, radiation oncologists, thoracic surgeons, oncology and pulmonary fellows. The program is designed to expeditiously evaluate lung masses and begin appropriate therapy. In addition to efficiently serving patients, the program serves as a valuable teaching site for trainees. Patients with thoracic malignancies are offered the opportunity to participate in cutting edge clinical research trials. The clinic is housed in the Vanderbilt Ingram Cancer Center (VICC) which is one of only 40 Comprehensive Cancer Centers designated by the National Institutes of Health. Patients or physicians seeking more information can contact 615-343-8550 or the Vanderbilt Lung Institute Access Center at (615) 322-2386 for appointments with Interventional Pulmonology specialists. For appointments with the Thoracic Oncology Clinic, please call the VICC Access Center at (615) 936-8422.

Lung Transplantation

The Vanderbilt Lung Transplant Program was established in 1987 by of Dr. William Frist and Dr. James Loyd. It is currently directed by Dr. Amit Parulekar (Medical Director), Dr. Anil Trindade (Associate Medical Director) and by Dr. Eric Lambright (Surgical Director). To this date, over 500 patients have been transplanted at Vanderbilt and the clinics provide life-long care for all lung transplant recipients. The outcomes following lung transplant at Vanderbilt have been consistently better than the national data that are tracked and reported by the United Network for Organ Sharing (UNOS). Our multidisciplinary team includes highly trained Pulmonologists, Thoracic Surgeons, Infectious Disease Specialists, NPs, Clinical Pharmacists, Transplant Coordinators, Social Workers, Case Managers, Psychologists, among others. With the recruitment of Dr. Matt Bacchetta in 2018 for the position of Chief Surgical Officer of the Vanderbilt Lung Institute, we incorporated novel techniques and strategies such as ex-vivo lung perfusion (EVLP) that allowed us to substantially increase our number of transplants while maintaining safety and quality. The creation of the Advanced Lung Disease Service allowed us to provided highly specialized, safe, and effective care for this patient population.

Lung transplantation may be appropriate for patients with end stage emphysema, cystic fibrosis, pulmonary hypertension or pulmonary fibrosis and early referral is recommended to provide adequate time for a comprehensive evaluation and counseling for patients/ families. Lung transplantation is generally reserved for patients less than age 70 who do not have other significant medical conditions. A brochure for patients and physicians, which explains lung transplantation, its limitations and the details of the Vanderbilt program, can be requested by phone at (615) 936-0393 or at https://www.vanderbilthealth.com/transplant/29453.

Pulmonary Hypertension/Pulmonary Vascular Clinic

Dr. Ivan Robbins is the Director of the VUMC Pulmonary Hypertension Program. The Pulmonary Vascular Clinic at VUMC is the only accredited pulmonary hypertension care center in Tennessee, which is a recognition of our excellence in clinical care, education, and research.

We offer the full range of treatments, from oral, inhaled and infused medications to catheter-based therapies and surgical treatment for chronic thromboembolic pulmonary hypertension (CTEPH). Our surgeons are highly skilled in performing pulmonary thromboendarterectomy, an advanced procedure that removes blood clots from the lung. We also offer extracorporeal membrane oxygenation and lung transplantation for selected severely ill patients with pulmonary vascular disease.

The VUMC pulmonary vascular team works closely with experts in other specialties such as Thoracic Surgery, Cardiology, Rheumatology and Gastroenterology to ensure that you receive comprehensive care. Together, we develop a personalized care plan to meet your unique needs. Additionally, our nurse coordinators oversee all aspects of your care. They can explain your test results, help guide your treatment plan, connect you with resources for financial support, assist with any necessary disability paperwork, and more. Our specialty pharmacists ensure that you have the right medications and know how to take them. They also can advise you on lab monitoring and financial assistance as needed.

As the only large academic medical center in the region, we offer you the opportunity to participate in research that is investigating new treatments. That means you have access to the latest therapeutic options for pulmonary hypertension.

Patients or physicians seeking more information or in need of an appointment can contact the Vanderbilt Lung Institute Access Center at (615) 322-2386.

Pulmonary Sleep Disorders

The Vanderbilt Sleep Disorders Pulmonary Clinic is led by James Sheller, M.D., and staffed by a team of providers that are certified in Pulmonary and Sleep Medicine. The clinic is located in the basement level of The Vanderbilt Clinic building. The Pulmonary Sleep Disorders Clinic  is part of  The Vanderbilt Sleep Center and provides comprehensive diagnostic services for patients with a variety of sleep problems including sleep apnea syndromes, narcolepsy, insomnia, and movement disorders. Clinical evaluation, sleep studies (polysomnography) and therapies are available. The staff of the Sleep Disorders Center can be contacted at (615) 322-4000 and appointments to the Pulmonary Sleep Disorders Clinic can be made by calling the Vanderbilt Lung Institute Access Center at (615) 322-2386. The two fully credentialed laboratories are located at the West End Marriott Hotel in Nashville and the Franklin center at the Hyatt Hotel on Bakers Bridge Road.  For more information, please visit the website at: https://www.vanderbilthealth.com/sleepcenter/.

Pulmonary Neuromuscular and Diaphragmatic Disorders

Dr. Melissa Warren, MD is the director of the VUMC Neuromuscular and Diaphragmatic Disorders Clinic which provides specialized respiratory care for people with diaphragmatic disorders, amyotrophic lateral sclerosis (ALS), multiple sclerosis, muscular dystrophy and other neuromuscular diseases. Patients are advised on the latest strategies and technologies for airway clearance and assisted ventilation and have the benefit of being managed by a collaborative team that includes pulmonologists and neurologists. Patients or physicians seeking more information or in need of an appointment can contact the Vanderbilt Lung Institute Access Center at (615) 322-2386.

ICU Survivor Clinic

Dr. Carla Sevin is the Director of the ICU Recovery Center that was established in 2012. It is an innovative National resource at Vanderbilt that is dedicated to addressing the multifaceted recovery needs of individuals who have survived a critical illness. This clinic is a natural extension of the ground-breaking research done by investigators at the Vanderbilt University School of Medicine and around the world that has highlighted the existence of significant neuropsychological, mental health, physical and functional challenges among survivors of critical illness in the months and years after discharge. The ICU Recovery Center strives to minimize post intensive care syndrome (PICS) and maximize recovery. 

‍Our clinic provides a wide array of interdisciplinary services each Friday in The Vanderbilt Clinic with the goal of coordinating post-ICU care, easing the transition from intensive care to home, and providing mental health treatment and cognitive rehabilitation. In addition to Dr. Sevin, our team is comprised of an intensive care nurse practitioner, a neuropsychologist, an intensive care pharmacist, and a case manager. Services provided by our clinic include:

  • Coordination and referrals to primary care, subspecialty services, physical and occupational therapy
  • Medication reconciliation with pharmacist
  • Assistance obtaining medical equipment, oxygen, or non-invasive ventilation
  • Educational resources on physical, cognitive, emotional and daily living issues experienced by ICU survivors
  • Behavioral health consultations for sleep, pain, stress management, smoking cessation
  • Resources and support for caregivers and family members
  • Referral to government assistance programs

For additional information about the ICU Recovery Center or to schedule an appointment, please contact us:

ICURecoveryClinic@vumc.org

(615) 322-2386

Alternatively, you may also contact the Vanderbilt Lung Institute Access Center at (615) 322-2386.

Vanderbilt Asthma, Sinus, and Allergy Program (V.A.S.A.P.)

The Asthma, Sinus and Allergy Program (A.S.A.P.), located at 2611 West End Avenue and in a number of other locations in Metro Nashville, is a multi-disciplinary clinic in which pulmonologists, allergists, and ear nose and throat specialists work together to provide timely outpatient consultation, evaluation and management of patients with asthma, sinus and allergic rhinitis problems. A.S.A.P. offers comprehensive on-site diagnostic evaluations including CT scanning, pulmonary function and allergy testing. An important component of the program for patients is the Centers extensive patient education and outcome monitoring programs.

Routine and urgent appointments are welcome and the Center offers acute care as well as long term disease management. Convenient facilities and hours are available for allergy desensitization patients. Additionally, the Center offers patients the opportunity to receive investigational therapies for asthma, and allergic diseases as part of research study protocols. If you need to reach one of our physicians or want to make an appointment, do not hesitate to call the Vanderbilt Lung Institute Access Center at (615) 322-2386.

General Pulmonary Medicine

Faculty members of the Division conduct general outpatient referral pulmonary clinics, located in The Vanderbilt Clinic (TVC) building and at the Hillsboro Medical Group (Dr. Robert Miller). Additionally, pulmonary/critical care fellows have their own General Pulmonary Clinics at TVC and work under the supervision of a faculty member. The General Pulmonary Medicine outpatient clinic practice provides a full range of pulmonary consultative services and diagnostic and therapeutic procedures. Both first time consultation and ongoing care are provided in this clinical setting. Common problems seen include the evaluation of dyspnea, chronic cough, diagnosis and therapy of asthma and chronic obstructive pulmonary disease, preoperative evaluation, and the evaluation of abnormal chest radiographs. Specialized clinics exist for the evaluation and care of patients requiring lung transplantation, and those with pulmonary hypertension, interstitial lung disease, lung cancer, adult cystic fibrosis, neuromuscular weakness, and allergic disorders and are described in separate sections.

Vanderbilt Pulmonary Function Lab

The Vanderbilt Pulmonary Function Laboratory, directed by James Tolle, M.D. offers a full range of pulmonary function testing including spirometry, lung volume measurements, diffusing capacity determinations, body box plethysmography, arterial blood gas analysis, and cardiopulmonary exercise and methacholine bronchoprovocation testing.

The laboratory, located in the basement of the Vanderbilt Clinic Building, uses state of the art equipment and highly trained staff to deliver timely and accurate results. Same day testing and interpretation of routine pulmonary function studies rarely can't be accomplished. The lab staff and Pulmonary Division faculty are happy to answer questions about pulmonary function test results or assist physicians in the selection of appropriate tests. Because of manpower requirements, cardiopulmonary exercise test and bronchoprovocation tests typically require advance scheduling. The direct phone number for the Pulmonary Function Lab is (615) 322-0626. Scheduling for the Pulmonary Function Lab can also be achieved by calling the Vanderbilt Lung Institute Access Center at (615) XXX XXXX.