Pediatric pulmonologists and nurse practitioners with expertise in evaluation and management of pediatric lung diseases (i.e. asthma, chronic cough, wheezing, bronchopulmonary dysplasia, recurrent pneumonia, neuromuscular weakness, and shortness of breath).
Certified by the national Cystic Fibrosis Foundation as a care, teaching and research center, the CF center of WNY includes both pediatric and adult programs for patients with non-acute respiratory diseases (care is provided to adults by internal medicine-certified specialists).
The Cystic Fibrosis Therapeutic Development Center has participated in more than 40 clinical trials and has helped bring several drugs through development to clinical use for patients with CF, focusing on inhaled antibiotics, mucoactive drugs and CFTR potentiators and correctors.
We evaluate and manage children who need breathing assistance through use of CPAP, BiPap, mechanical ventilation, cough-assist devices and other therapies to improve airway clearance.
We work closely with the MDA Clinic in providing respiratory care of children with neuromuscular disease.
We have the only New York State-designated Apnea Program in Western New York and provide management for children who are discharged home on oxygen, apnea and bradycardia monitors.
The Severe Asthma Clinic is a multidisciplinary program with specialists in Pulmonology, Allergy/Immunology, Respiratory Therapy, and Nursing, who collaborate to help children with severe asthma. A severe asthma patient is one who experiences pediatric intensive care unit admission, frequent hospitalizations or ER visits, frequent/high doses of systemic steroids and/or one who is symptomatic despite receiving high-dose controller asthma medications.
The mission of this clinic is to provide optimal care to our patients and educate parents and families about asthma to help them improve asthma control and quality of life for themselves and their loved ones.
Children with severe asthma tend to fall into two categories: difficult-to-treat asthma or severe therapy-resistant asthma.
Difficult-to-treat asthma is poor control due to an incorrect diagnosis or comorbidities and poor adherence due to adverse psychological or environmental factors. Evaluating the patient from a 360-degree view, which involves factoring in other medical conditions, addressing home exposures (mold, dust), assessing access to medication and health services, looking at tobacco exposure, and dealing with school issues, are all important and can all contribute to the clinical picture.
Severe therapy-resistant asthmatics are children whose asthma remains uncontrolled despite resolution of any reversible factors. Incorporating a multidisciplinary model that addresses the medical and social needs of children with asthma has shown demonstrable improvement in quality of life and symptom-free days, as well as decreased hospitalizations and ER visits.
We offer a full range of clinical services including:
For patients with refractory asthma, the Severe Asthma Clinic offers innovative diagnostic and treatment services that are at the forefront of asthma care including:
1. Pulmonary function & exercise testing
The Pulmonary Exercise Diagnostic Laboratory offers the most advanced technology in diagnosing and monitoring lung disease. The staff specializes in testing children as young as 5 years of age and welcomes adults as well for Spirometry, Lung Volumes, Resistance Measurements, Diffusing Capacity, Methacholine Challenge and Exercise Testing.
To schedule an appointment for pulmonary function testing:
2. Sweat testing
We provide the only sweat test laboratory in Western New York certified by the Cystic Fibrosis Foundation and College of American Pathologists.
To schedule an appointment for sweat testing:
3. We transcribe and interpret events recorded in memory monitors in babies with apnea and bradycardia, as well as overnight home oximetry studies.
Division Nurse Coordinator
Kirsten Nutty, CPNP
Adult CF Program Coordinator
Lynne Fries, PA-C, MPAS, DPT
CF Center Research Coordinators
Nadine Caci, BSN, RNC, CCRC
Sharon Michalovic, AAS, BA, CCRC
Christine Roach, BSN, RN, CCRC
Nicole Shea, PhD
Christine Coburn-Miller, MSRD
Rachel Petre, RRT
Sandra Prentice, CRT
Lisa Flattery-Walsh, RRT
Michelle Westley, RRT
Kimberly Rand, LMSW
Sweat Test Lab Therapist
Jennie Agro, MT
1001 Main Street
Buffalo, NY 14203