About the Department of Pediatric Pulmonology and Allergology at ATOS Clinic Heidelberg
The Department of Pediatric Pulmonology and Allergology at the ATOS Clinic Heidelberg specializes in the treatment of diseases of the respiratory system and respiratory allergies in children of all ages. The department has excellent modern infrastructure and advanced diagnostic equipment to assess the function of the lungs and other organs of the respiratory system. The department's specialists have at their disposal an in-house laboratory for performing blood tests and allergy tests. The medical team is particularly interested in the diagnosis and treatment of bronchial asthma and allergies. The department's specialists have extensive experience in these areas of medicine. Before starting the diagnosis, the doctors hold individual consultations in the presence of the child and his parents. The specialist is interested in the young patient's complaints, asks questions about previous treatment, and then prescribes the necessary diagnostic measures. As for the treatment, the medical facility offers conservative therapy with medications, inhalations, and other methods. The doctors work strictly according to the current clinical protocols and follow the recommendations of the German Society for Pediatric Pulmonology (GPP) and the German Society for Pediatric Allergology (GPA). The Head Physician of the department is Dr. med. Verena Mandelbaum.
One of the main areas of clinical practice in the department is pulmonary function testing in children. The examination includes impulse oscillometry (a method of assessing airway patency), spirometry (a method of examining external respiration, which allows measuring the volume and speed of airflow), body plethysmography (a method of assessing external respiration), and pharmacological tests to detect bronchial hypersensitivity. The duration of each diagnostic test does not exceed 10-15 minutes. During the examination, children are in a comfortable environment, surrounded by the care of doctors and do not feel any fears.
An integral part of the daily work of the department's team of doctors is conducting tests to identify allergies in a child. Allergy testing is indicated for symptoms such as itching, sneezing, rash, cough, abdominal pain, etc. Depending on the clinical situation, physicians may perform blood tests (for example, a RAST test and an allergen-specific IgE test), skin tests (for example, prick tests, epicutaneous tests, patch tests, and scratch tests), and provocation tests (for example, nasal provocation tests and bronchoprovocation tests). It should be noted that it is important for the doctors in the department that the child does not feel any pain or discomfort during the examination. For this reason, blood is usually taken from a vein using a special patch or a thin needle.
To treat allergies in children, the department's doctors use allergen-specific immunotherapy (ASIT). This method eliminates the cause of the allergy rather than simply relieving the symptoms. ASIT works as follows: doctors periodically inject the child with very small doses of a substance that causes an allergy. This helps the body get used to the allergen and stop reacting to it. Thus, ASIT allows for long-term effects on allergies in children.
In the treatment of pulmonary diseases (acute, obstructive, and chronic bronchitis, pneumonia, pleurisy, bronchial asthma, or chronic obstructive pulmonary disease), the specialists use anti-inflammatory drugs, antitussives, antiseptics, and antibacterial agents. In combination with drug therapy, inhalations, therapeutic heat modalities, electrophoresis, and other procedures are often prescribed.
The department's range of diagnostic and therapeutic services includes the following:
- Diagnostic services
- Pulmonary function testing
- Impulse oscillometry
- Spirometry
- Body plethysmography
- Broncholysis
- Allergy testing
- Blood tests: a RAST test and an allergen-specific IgE test
- Skin tests: prick tests, epicutaneous tests, patch tests, and scratch tests
- Provocation tests: nasal provocation tests and bronchoprovocation tests
- Pulmonary function testing
- Therapeutic services
- Drug therapy
- Inhalations
- Therapeutic heat modalities
- Electrophoresis
- Allergen-specific immunotherapy (ASIT)
- Other diagnostic and treatment methods
Curriculum vitae
Higher Education and Professional Career
- 1981 - 1987 Medical studies, Ruprecht Karl University of Heidelberg.
- 1984 Three-month research fellowship, University of New Mexico Children's Hospital, Albuquerque, New Mexico, USA.
- 1987 Admission to medical practice.
- 1987 Thesis defense, Ruprecht Karl University of Heidelberg.
- 1987 Assistant Physician, Department of Pediatric and Adolescent Medicine, University Hospital Heidelberg; many years of work as the head of the outpatient clinic for pediatric pulmonology and allergology.
- 1997 Board certification in Pediatric and Adolescent Medicine, Medical Association of North Baden, Karlsruhe.
- 2000 Additional qualification in Allergology; foundation of a private specialized clinic for pediatric pulmonology and allergology in Heidelberg.
- 2009 Additional qualification in Pulmonology.
- 2014 Head Physician, Department of Pediatric Pulmonology and Allergology, ATOS Clinic Heidelberg.
Memberships in Professional Societies and Organizations
- European Academy of Allergy and Clinical Immunology (EAACI).
- German Society for Pediatric Pulmonology (GPP).
- German Society for Pediatric Allergology (GPA).
- German Society for Pediatric Intensive Care and Neonatology (DGPIN).
- German Society for Pediatric and Adolescent Medicine (DGKJ).
- Professional Association of Pediatricians in Germany (BVKJ).
- Center for Training Patients with Bronchial Asthma and Neurodermatitis (ZANS).
- Quality assessment organization "Allergology Rhein-Neckar".
Photo of the doctor: (c) ATOS Klinik Heidelberg