- Medical Weight LossSymptoms of COPD can include a persistent cough that may or may not produce mucus, wheezing, shortness of breath, weight loss, and frequent lung infections. You may also notice swelling of the legs or ankles and more rapid breathing than is normal for you.
- Primary CareMetropolitan Pulmonary is a comprehensive facility encompassing pulmonary and sleep medicine. Your primary care physician may order tests to be performed at our facility, or ask that you see one of our physicians in consultation. Our group consists of two pulmonary/critical care physicians, Dr. Devins, Dr. Cokingtin, and are trained in comprehensive pulmonary medicine which includes the diagnosing and treatment of lung and sleep disorders, as well as critical care medicine in a hospital setting.
- Smoking CessationThe most important part of treatment is to stop smoking. Check with your physician to see if it might be helpful to join a stop-smoking program, or if he advises using nicotine patches or gum. Prescription medication is also available to help you be successful in your decision to stop smoking. With cigarette smoking cessation, the lung function stabilies. This means that no matter how severe your disease is, quit smoking and it will not get any worse.
- Sleep DisordersUsing the latest technology along with proven therapies and diagnostic techniques, the physicians of Metropolitan Pulmonary, P.C. all strive to help patients with chronic breathing and sleep disorders lead normal, active lives.
- Emergency CareAsthma can be a life-threatening condition. If your medicines do not seem to be working to keep you breathing comfortably, contact your health care provider. If you are having an asthma attack and your rescue inhaler is not relieving your symptoms, get medical care right away. This may mean going to the emergency room or calling 911. Newer medications to prevent asthma “attacks” include the medications Singulair and Accolate as well as the novel, injectable medicine Xolair. See the “what’s new” section in this website. Singulair has been approved to treat allergic symptoms as well as asthma.
- ElectrocardiogramCOPD is diagnosed with a physical exam by your physician and pulmonary function tests. Chest x-rays are notoriously inaccurate in diagnosing COPD. Your physician may also order blood tests, electrocardiograms, CT scans, or lab tests of your sputum. If COPD is not treated, or progresses, it can cause strain and enlarge your heart, (cor pulmonale) and increase blood pressure in your lungs (pulmonary hypertension).
- Bronchitis
- Pneumonia
- Internal MedicineDr. Devins completed his medical training at University of Missouri in Kansas City. He completed his Pulmonary fellowship at Washington School of Medicine in St. Louis, and his Critical Care fellowship at Harvard Medical School, Massachusetts General Hospital in Boston. He has also completed training in Sleep Medicine and Allergy. Dr. Devins is board certified in Internal Medicine, Pulmonology, and Sleep Medicine.
- Diabetes Care
- X-Rays
- Computed TomographyCT scans are frequently ordered and a diagnostic tool for a variety of lung problems. CT scans can be done in a hospital or an outpatient imaging center. There are various techniques used for CT scanning. Your physician will determine the type of scan that will provide the best chance for diagnosis in your specific situation.
- AllergiesSicily - Sicily came to Metropolitan Pulmonary in 2009. Prior to that, she had worked for the Devins Allergy Clinic for 15 years where she did allergy testing, formulated antigen, and assisted in all aspects of that allergy practice. She is the proud mother of 2 adult sons. It’s never hard to find Sicily – just listen for her bubbly laugh, and she’s not far away. She brings joy to our patients and those she works with. She works 1-2 days a week assisting in our Allergy department, but primarily works as Dr. Ferguson’s medical assistant.