Tokuda Hospital Sofia

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Pneumology

The following treatment programs are developed in the Pulmonology Clinic:

  • Bronchial Asthma
  • COPD
  • Pneumonia
  • Pulmonary Thromboembolism
  • Bronchoalveolic Cancer

There is a potential for invasive diagnostic tests: Flexible and Rigid Fiberoptic Bronchoscopy, Transbronchial Fine Needle Pulmonary Biopsy. A gradual expansion and development of the so called invasive pulmonology with performing of bronchial tree stenting is planned.

Patient Reception

The Pulmonology Sector is an independent structure unit within the Internal Diseases Clinic. It has 18 beds in rooms with 1 and 4 beds. All rooms are air-conditioned, equipped with modern bathrooms, individual televisions, wardrobes.

Multidisciplinary Approach

The Pulmonology Sector functions in a team with all other specialties in the Internal Diseases Department - Gastroenterology, Endocrinology, Nephrology, Rheumatology and Allergology and in direct collaboration with the Medical Imaging Clinic, Department of Thoracic Surgery, Cardiology Clinic, Department of Vascular Surgery and Angiology, Department in Cardiac Surgery, ER. This flexible structure facilitates fast and collaborative multidisciplinary assessment of the patient.

The following conditions are diagnosed and treated in the Pulmonology Sector:

1. Pneumonia and Other Inflammatory Diseases of the Lungs

The effectiveness of this treatment is guaranteed by modern Clinical and Microbiological Laboratory, which provides the most advanced laboratory tests (CRP, procalcitontin, IL- 6, ADA) for diagnostics of inflammatory diseases and microbiological, serological and PCR tests for typical, atypical and viral infections. In critical infections leading to respiratory failure and requiring mechanical ventilation, patients are treated in Intensive Care Unit equipped with the latest equipment.

Multidisciplinary approach to severe sick patients has proven its success during the Flu Pandemy in 2009-2010 year. No deaths from the swine flu have been registered in the hospital, which was reported at the Bulgarian and European Congress on Pulmonary Diseases in 2010.

2. COPD and Bronchial Asthma

Complete diagnostics and treatment of all obstructive diseases are performed in compliance with the latest World Guidelines.

Breathe functioning tests, including spirometry, bronchodilator test, diffusion capacity are performed here. If there are indications, patients are consulted and tested by Allergology specialist. Complete blood and microscopic tests can be made for diagnostics of allergy. If the indications are present therapy for immune desensibilization is appointed.

3. Primary and Metastatic Lung Cancer

Complete cycle for diagnostics of cancer patients can be performed in the hospital. The Internal Diseases Clinic has modern Endoscopic Sector, equipped with contemporary bronchoscopes and potential for recording of any bronchoscopic manipulation. This allows a review and transmission of the examinations. The Medical Imaging Clinic is equipped with state of the art CT and MRI equipment, which can diagnose and stage the tumor process. There are modern departments of Thoracic Surgery, Oncohematology and Radiotherapy in the hospital. Decisions about diagnostics and treatment of cancer patients are taken in a meeting of the Interdisciplinary Committee consisting of leading experts in the abovementioned fields.

4. Pulmonary Embolism and Pulmonary Arterial Hypertension

Pulmonary embolism requires fast diagnostics and emergency treatment measures. At Tokuda Hospital all this starts from the entrance of the hospital, where in the ER the clinical probability is estimated immediately and laboratory markers for pulmonary embolism are tested. If indications are present, a CT pulmonary angiography is performed for the patient immediately and depending on the results, he is instantly graded for severeness and appointed for appropriate treatment – with medications, including fibrinolysis, invasive treatment with percutaneous thrombofragmentation and selective fibrinolysis or cardiac surgery treatment. All patients with pulmonary embolism were examined and consulted by Angiology specialist with venous duplex ultrasound. Patients with pulmonary arterial hypertension are examined jointly by pulmonologist, cardiologist and specialist in medical imaging. If indications are present, invasive assessment of the heart may be performed. In rare cases if there are indications, patients can be directed to the Department of Thoracic Surgery for lung biopsy.

5. Diffuse Interstitial Lung Diseases (Idiopathic Pulmonary Fibrosis, Nonspecific Interstitial Pneumonia, Hypersensitivity Pneumonitis, Sarcoidosis, and other interstitial lung diseases)

For these patients a CT pulmonary evaluation can be performed by leading experts in the field of Pulmonary Imaging, and also Functional Assessment of the lungs, Bronchoscopic evaluation and if indications are present - lung, skin, kidney and other organ biopsy by a specialist. Extensive immunological examinations and consultations can be made. If necessary, patients can be consulted by leading European experts in Interstitial Lung Diseases.

Outpatient Room for Pulmonary Function Testing

In the Pulmonology Sector of Tokuda Hospital also works an outpatient consulting room for Pulmonary Function Testing. The laboratory is equipped with the latest diagnostic equipment of Viasys Health Care - a world leader in technology, regarding pulmonary function testing. Function testing of the lungs during breathing at rest and during exercise.

Examinations in breathing at rest include:

- Spirometry

- Diffusion: Real-time single breath method

 - Functional residual capacity (FRC - He rebreathing method)

 - Bronchial challenge samples (APS-pro)

Functional examinations of the cardio-pulmonary system during exercise:

 - Cardiopulmonary stress test

More details on the outpatient consulting room, including helpful documents and prices, you can find here.

Department

Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.

Map 

From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.