Respiratory Medicine

Common Respiratory Problems
  • Allergy
  • Asthma and Wheeze
  • Asbestos related Lung Disease
  • Breathlessness
  • Bronchitis
  • Bronchiectasis
  • Chronic Obstructive Pulmonary Disease and Emphysema
  • Lung Cancer
  • Obstructive Sleep Apnoea
  • Persistent Cough
  • Pneumonia and Chest Infections
  • Pneumothorax
  • Pleurisy
  • Pulmonary Fibrosis (Interstitial Lung Disease)
  • Pulmonary emboli
  • Sarcoidosis
  • Smoking related Lung problems
  • Sports related breathing problems
  • Tuberculosis
Investigations Available

Simple Spirometry
Assessment of flow and volume during a forced expiratory manoeuvre provides diagnostic and prognostic information in a wide variety of respiratory conditions. Spirometry can be done with or without reversibility testing.

'Full' Lung function testing
Spirometry, tests of gas transfer and lung volumes. Useful for diagnosis and monitoring of many respiratory conditions.

Arterial blood gas analysis
To determine the presence/absence of abnormally low levels of oxygen (hypoxaemia) or of abnormally high levels of carbon dioxide (hypercapnia or hypercarbia) and the extent to which there may have been physiological adaptations to this.

Peak Flow Meter and Diary
A prime characteristic of asthma is diurnal variability and this is usually assessed through the use of a peak flow meter and diary.

Respiratory Muscle Strength Testing
For muscle, especially diaphragmatic weakness.

Bronchial Provocation Testing
Needed in some cases of unexplained cough and shortness of breath with administration of histamine, methacholine or mannitol.

6 or 12 minute Walk Test
A semi-quantitative test of exercise tolerance.

Fitness to Fly Testing
To formally assess safe air travel for patients with chronic lung problems.

Cardiopulmonary Exercise Testing
For patients with unexplained shortness of breath.

Sleep studies
There are a variety of methods of studying sleep. Often we’re most interested in looking for the presence of repetitive desaturations or apnoea/hypopnoea events as characteristic features of obstructive sleep apnoea. These results are used in combination with an assessment of how your sleep is affecting your daytime wakefulness/somnolence – usually with the Epworth Sleepiness Scale. The commonly done sleep studies are full overnight polysomnography and Multiple Sleep latency Test.

Diagnostic Bronchoscopy
An endoscopic procedure that takes place under sedation, whereby the large airways (trachea and main bronchi) and further accessible airways are inspected. Samples including biopsies can be taken for analysis.

Allergy tests
Done either using Skin Prick Testing or on blood sample measuring total serum IgE and specific allergies to various food and inhalant allergens.

Pulmonary Imaging
Including Chest CT scanning, chest ultrasound, Isotope scanning (bone and ventilation-perfusion) and PET-CT. Also includes CT lung biopsy, pleural aspirations and biopsies.

Thoracic Surgery
Have full access to all forms of thoracic surgery including VATS (video assisted thoracoscopic surgery), mediastinoscopy, mediastinotomy, thoracotomy, pleurodesis, rigid bronchoscopy, EBUS (endobronchial ultrasound) and many others as needed.

Multidisciplinary Team Meetings (MDT)
Regular discussion of cases in respiratory MDTs with other respiratory consultants, radiologists, thoracic surgeons, oncologists and pathologists for providing holistic care.

Contact Address:

The Clementine Churchill Hospital
Sudbury Hill,
T: 020 7099 8777
F: 020 8423 7718

Outpatient Clinics:

Mrs Preeti Shah

Accounts Department:

Mr Les Bate