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Pulmonology

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Pulmonology

Pulmonology Providers

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Bashar Alkinj, MD

Pulmonologist
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John C. Fowler, MD

Pulmonologist
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Joseph (Britt) Jura, MD

Pulmonologist / Sleep Medicine Physician
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Knewton Sakata, MD

Pulmonologist
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Meghan McCullers, MD

Pulmonologist
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Michael Puruckherr, MD, FCCP, FACP

Pulmonologist / Sleep Medicine Physician
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Nicholas Wysham, MD

Pulmonologist
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Stephanie Coates, MD

Pulmonologist
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Todd Gienapp, DO

Pulmonologist

Pulmonology Locations

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87th Avenue Clinic
700 NE 87th Ave
Vancouver, WA 98664
360-882-2778
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Salmon Creek Clinic
2525 NE 139th Street
Vancouver, WA 98686
360-882-2778

Information about Pulmonology

Overview

What is Pulmonology?

As we breathe, so we go. The slightest obstruction, infection, or ailment of the lungs will affect every part of our lives. Pulmonolgy focuses on the diagnosis and treatment of diseases of the lungs and airways, including chronic obstructive pulmonary disease (COPD), asthma, and pulmonary fibrosis. Pulmonologists provide advanced diagnostic respiratory testing such as pulmonary function testing, oximetry, and pulmonary stress testing, and work closely with primary care physicians and other specialists to develop treatment plans that match your lifestyle and needs.

How We Are Different

Our job takes on many facets, depending on your health and health-related goals. Endurance athletes see us to manage exercise-induced asthma; COPD patients visit us to support their chronic issues; sleep medicine specialists loop us in when they’re working with sleep apnea patients. Our pulmonary and critical care providers offer diagnostic and therapeutic services for a range of respiratory conditions, while delivering up-to-date and comprehensive care. If it involves the air you breathe—and your ability to breathe it—we’re here.

Services
Comprehensive, on-site pulmonary function testing:
  • Spirometry
  • Lung Volumes & DLCO
  • Exercise testing with exhaled gas analysis
  • Bronchial Provocation tests
Care for patients with a wide variety of pulmonary disorders:
  • Asthma
  • Cough
  • COPD / Emphysema
  • Unexplained shortness of breath (Dyspnea)
  • Bronchitis
  • Pneumonia/Lung Infections
  • Pulmonary fibrosis
  • Pleural Effusion
  • Lung Cancer
  • Pulmonary nodules
  • Pulmonary hypertension
  • Pulmonary embolism
Diagnostic and therapeutic procedures:
  • Pulmonary Function Testing
  • Oximetry
  • Arterial blood gas testing
  • Thoracentesis
  • Bronchoscopy, including Endoscopic Ultrasound, 3D navigational bronchoscopy
FAQs
Sometimes I feel short of breath for no reason. Is this common?

Shortness of breath (dyspnea) happens to many of us at different times. For instance, when you are exercising, after you’ve run up the stairs, etc. The feeling can be completely normal, but when it comes unexpectedly (for instance, when you’re not being overly active), or lasts longer than a minute or two, it can be a sign of a medical problem or condition, from asthma to a blood clot, pneumonia, anxiety, or even cancer. If you aren’t sure, we encourage you to make an appointment.

What are some of the most common lung conditions people deal with?

Today, the most common lung conditions are asthma, chronic obstructive pulmonary disease (COPD), pneumonia and lung cancer.

Plenty has been written about smoking and the lungs, but what about air pollution? How does this affect your lungs?

Pollution is extremely harmful to our lungs and the heart, and the situation is especially troubling in low-lying areas, or places with chronically poor air quality. It aggravates heart problems, bronchitis, asthma, and other lung problems.

While news of pollution may make you feel like there’s nothing you can do, there are a number of ways to protect yourself when air quality is poor:

  • Listen to air quality forecasts, and consider ways to change your daily routine accordingly. For example, drive less, car pool, take transit, work from home, do errands in a group, etc.
  • Drink lots of fluids, especially before, during, and after exercise.
  • Consider exercising indoors in a clean, well-ventilated environment.
  • Protect those at higher risk of health problems, especially children, seniors, and those with lung and heart problems.
What to Expect

You can expect us to meet you where your health is, no matter what you’re dealing with. Issues of the lungs can slow us down, but they shouldn’t stop us. With proper treatment and ongoing care, you can continue to enjoy life even when you suffer from a chronic lung issue. If you’re dealing with an acute situation, we’re the doctors to turn to for tests, treatment, therapies and management.

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