Cystic Fibrosis Center
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Pulmonology Referrals
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At the CHOC Cystic Fibrosis Center, we specialize in providing the very best cystic fibrosis (CF) treatment and care to ensure your child lives a long, healthy life. CHOC is the only CF treatment center in Orange County, and we are consistently ranked by U.S. News & World Report as one of the top children’s pulmonology programs in the nation.
As the only Pediatric Cystic fibrosis Center in Orange County fully accredited by Cystic Fibrosis Foundation, you can rest assured that your child will receive the professional expertise, state-of-the-art diagnostic tools and leading-edge treatments to keep your child healthy.
Our CHOC pediatric pulmonologists are board certified in both pediatrics and pediatric pulmonology with additional training in treating cystic fibrosis. Our CF team also works with a full range of CHOC specialists for nearly any pediatric problem related to CF. We are here to coordinate care with you and your child through every stage of treatment, from diagnosing CF to finding the right medication and treatments and providing personalized education plans. Our CF medical team is on call 24/7 should you need them.
A Multidisciplinary Team
- At every clinic visit, families have access to a multidisciplinary team including:
- Care coordinators
- Board-certified Pediatric pulmonologists
- Board-certified pediatric gastroenterologists who join our pulmonologists during appointments at our CF pulmonary/GI sessions
- Board-certified endocrinologists who specialize in the care of CF patients with endocrine issues
- Genetic physicians and counselors who review all genetic testing and provide counseling and education to our CF families
- Psychologists at every clinic to help patients and families deal with the stress and anxiety of having a chronic disease
- Pediatric pulmonary nurse practitioners
- Registered dietitians who assist families with healthy diets and understanding the role of extra fat, calories and prescribed enzymes in the diet
- Respiratory therapists
- Physical therapists
- Social workers
- Pharmacists and pharmacy technicians
- Child life specialists
- Research coordinators
State-of-the-Art Diagnostic Services
At CHOC, we offer a full range of diagnostic services for our CF patients.
Sweat Testing
Sweat is collected and analyzed in an accredited sweat testing laboratory.
Pulmonary Function Testing
For more than 25 years, the CHOC Pulmonary Function Lab has been working with physicians to provide the high-quality pulmonary function test results and educate patients and families on the vital tests they provide. The lab is one of very few pediatric labs to have achieved American Thoracic Society Accreditation. The Pulmonary Function Lab employs registered respiratory therapists (RRT) that also hold the credentials as certified and registered pulmonary function technologists (CPFT and RPFT). Our therapists also have their asthma educator certification (AE-C). Most importantly, our therapists specialize in working with children in order to get the very best test results possible.
Newborn Screening
We offer separate monthly appointments for patients referred to CHOC from the California newborn screening program. A genetic counselor joins the CF program each month to meet with our families and discuss the genetic findings.
Sputum Collection
We have a dedicated sputum induction room in our clinic to help collect mucus from children who do not routinely produce sputum. Sputum can then be analyzed for infection.
Throat Cultures
Throat cultures are done to check for infection.
Blood Tests
Blood tests are done to test for infection and CF disease-causing gene mutations.
Genetic Analysis
Blood or cheek brushings can be collected and tested for CF disease-causing gene mutations.
Microbiology Laboratory
At CHOC, we pride ourselves on processing blood, urine and stool tests as quickly and efficiently as possible using the very latest equipment and expert staff. Physicians connected to our computer network are often able to get routine results within 60 minutes. In addition, we can work with physicians and their staff to provide advanced DNA and microbiology testing.
Fiberoptic Bronchoscopy
Fiberoptic bronchoscopy is used to directly visualize the airways and collect mucus secretions from the lower airways for culture.
Cardiopulmonary Exercise Testing
Cardiopulmonary exercise testing is performed to test lung function.
Lung Imaging
Lung imaging, including chest X-Rays (chest radiograph) and high-resolution CT scan (computer tomography) is done to check the lungs for disease.
At CHOC, we understand that treating CF is a multifaceted approach of inpatient, outpatient and home care, as well as easily accessible health care providers, leading-edge research and community involvement. We also provide you and your family the following services to ensure your child receives the best treatment possible.
24/7 Access for Your Child
Our team of experienced physicians is available to you and your child 24/7 for both inpatient and outpatient care. We offer both day and evening outpatient services to accommodate your schedule. And, we always have an on-call physician outside of business hours. For our hospitalized patients, the CHOC CF team is available for daily rounds, including weekends and holidays.
Weekly Home IV Clinic
Our weekly home IV program (since 1995) provides weekly clinical assessment, pulmonary function, nutrition, intravenous access care, and monitoring of drug levels and renal function to our patients that are on a home IV program. Our innovative home IV program has been widely studied and copied by other CF centers around the nation.
Annual CF Family Education Day
For more than 20 years, CHOC has held its annual CF family education day to offer our families and caregivers the latest findings in cystic fibrosis research and treatments from national and local CF experts. This is also an opportunity for our community to network with providers and other CF families.
Family Advisory Council
The CHOC Family Advisory Council provides a family point of view and bridges the communication gap between patients, families, administration and medical staff at CHOC.
Through the work of the Family Advisory Council, we can better understand what providing patient- and family-centered care really is all about and create the best possible programs that can help our patients and families. For more information on the CHOC Cystic Fibrosis Family Advisory council, please contact Abby Mecham, LCSW at 714-509-7593.
Newborn Screening
We have a separate program offered monthly for patients referred to CHOC from the California newborn screening program. A genetic counselor joins the clinic each month to meet with the families and discuss the genetic findings.
As a part of our mission, CHOC is dedicated to providing our cystic fibrosis patients the very latest breakthrough treatments by participating in research and clinical trials. Our CF research program was established in 1991 and uses the highest industry and academic sponsored protocols.
Our Center is selected to be a member of the CF Foundation Therapeutics Development Network (TDN) which is the largest cystic fibrosis clinical trials network in the world. TDN helps speed the delivery of new and better therapies to people with cystic fibrosis. We currently participate in several Cystic Fibrosis Foundation and Industry sponsored clinical trials including potential new therapies from Vertex study. To learn more about what studies you or your child may qualify for, please contact Eric Rodriguez at [email protected].
We know that for your child to successfully reach his or her health goals, it’s important to completely understand CF, as well as all prescribed treatment plans and therapies.
The CHOC CF Rise program is designed to determine any knowledge gaps that you and your child have and give you a specially prepared, personalized education plan. Every child with CF has a different treatment plan that is unique to his or her specific health needs, age, lifestyle, goals and medical test results.
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