Bronchiectasis diagnosis and conservativ treatment in Hannover Medical School (MHH)
Hannover Medical School (MHH)
Hannover, Germany
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Program id #
270519
Prof. Dr. med. Tobias Welte
Department of Pulmonology
Specialized in: pulmonology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- indicators blood coagulation
- x-ray and bronchography
- electrocardiogram (ECG)
- high-resolution computed tomography (HR-CT)
- collected three sputum samples
- pulmonary function test
- blood gas analysis
- bronchoscopy with biopsy
- histological and microbiological examination
- bronchial lavage
- consultation of related specialists
- symptomatic specific treatment
- the cost of essential medicines and materials
- nursing services
- control examinations
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- X-ray/chest CT scan (if available)
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About the department
The Department of Pulmonology at the Hannover Medical School offers the full range of advanced diagnostics and treatment for patients with respiratory diseases. The department's doctors have exceptional competence in the field of patient care before and after lung transplantation, treatment of pulmonary hypertension, bronchiectasis, pulmonary fibrosis, cystic fibrosis, lung tumors and obstructive airway diseases. More than 20,000 patients with diseases of varying severity, including extremely rare ones, receive medical care in the department annually. The department's doctors are distinguished by high professionalism and vast experience, and also keep pace with innovative medical achievements. The department is headed by Prof. Dr. med. Tobias Welte.
The department has state-of-the-art medical equipment for accurate diagnostics, which allows the specialists to guarantee high-quality and effective treatment according to international standards. Bronchoscopy is one of the most commonly used diagnostic tests. The department's experts perform about 5,500 such procedures every year. If an oncological process is suspected in the lungs, bronchi and other thoracic organs, then a biopsy can also be performed during bronchoscopy. Bronchoscopy can be carried out both on an outpatient and inpatient basis. In addition, pulmonary function tests are an integral part of comprehensive diagnostics. With appropriate clinical indications, X-ray diagnostics, MRI and CT scanning of the thoracic organs can also be conducted.
One of the priority areas of work of the department's pulmonologists is the treatment of benign and malignant lung tumors. Should cancer be suspected, the attending physician individually selects a set of diagnostic tests, after which an accurate diagnosis is made for the patient. With confirmed cancer, the patient's clinical case is considered at an interdisciplinary tumor board with the participation of pulmonologists, oncologists, radiologists, radiation therapists, chemotherapists and other specialists. Quite often, one of the main stages in the treatment of thoracic cancer is surgical resection of the tumor, which is performed by thoracic surgeons.
The department's medical team successfully treats other complex pulmonary diseases, including bronchial asthma, cystic fibrosis, chronic obstructive pulmonary disease, interstitial lung diseases, pulmonary fibrosis, pulmonary emphysema, pulmonary hypertension, chronic pulmonary embolism, bronchiectasis, alpha-1-antitrypsin deficiency and other pathologies. In the case of above-mentioned diseases, the department's doctors use effective drug therapy regimens and carry out endoscopic procedures. If more radical therapeutic measures are required, then thoracic surgeons are involved in the therapeutic process.
The department has a progressive Sleep Laboratory, which has been certified by the German Society for Sleep Research and Sleep Medicine since 2015. The work of the laboratory specialists focuses on the diagnostics and treatment of sleep disorders caused by snoring or serious lung diseases. On average, more than 1,300 patients undergo diagnosticas and treatment in the laboratory each year.
The department's service range includes:
- Diagnostics
- Endoscopic diagnostics
- Flexible and rigid bronchoscopy
- Endobronchial ultrasound scanning
- Diagnostic bronchoalveolar lavage
- Endobronchial and transbronchial biopsy
- Pulmonary function tests
- 6-minute walk test
- Follow-up monitoring of patients after lung transplantation
- Whole-body plethysmography
- Testing of the gas composition of exhaled air
- Measurement of the volume of exhaled air and its flow rate
- Methacholine challenge test
- Measurement of the strength and endurance of the respiratory muscles
- Measurement of the pulmonary diffusing capacity
- Measurement of the air velocity and volume using Spiro Pro
- Spirometry
- Spiroergometry
- Exhaled nitric oxide test
- Comprehensive sleep diagnostics within a specialized Sleep Laboratory
- Endoscopic diagnostics
- Treatment
- Drug therapy with modern medicines
- Implantation of tracheal and bronchial stents
- Therapeutic bronchoalveolar lavage
- Endoscopic lung volume reduction
- Removal of a foreign body from the respiratory tract
- Endoscopic hemostasis
- Percutaneous dilational tracheostomy
- Argon plasma coagulation
- Bronchoplasty (balloon dilatation)
- Thermal ablation
- Cryotherapy
- Other medical services
Curriculum vitae
Higher Education and Postgraduate Training
- 1978 - 1985 Study of Human Medicine, Hannover Medical School.
- 1985 - 1988/90 Department of Internal Medicine, Lehrte District Clinic.
- 1990 - 1994 Assistant Physician, Department of Pulmonology, Hannover Medical School.
- 1992 Board certification in Internal Medicine.
- 1994 Board certification in Pulmonology.
- 1994 Doctoral Degree.
- 1995 Additional qualification in Internal Intensive Care.
- 2000 Habilitation and Venia Legendi in Internal Medicine.
- 2002 Additional qualification in Infectiology.
Professional Career
- 1994 - 2004 Head of the Department of Pulmonology at the University Hospital Marburg.
- 2003 Offer to the position of Professor of Pulmonology at the University of Marburg (refusal).
- Since 2004 Head of the Department of Pulmonology at the Hannover Medical School.
- 2015 Offer to the position of Professor at the University of Vienna (refusal).
- Since 2020 Visiting Professor at the Sigmund Freud University Vienna.
Work in Professional Societies and Organizations
- Since 1994 Head of more than 30 research projects of the German Research Foundation, the German Federal Ministry of Education and Research.
- Since 2001 Chairman of the Board of Trustees of the CAPNETZ FOUNDATION.
- Since 2001 Board Member of the Group of Competence Centers of the German Federal Ministry for Education and Research (PROGRESS and ASCONET).
- 2007 - 2011 Representative of the Center for Clinical Research in Hannover funded by the German Federal Ministry for Education and Research.
- Since 2011 Board Member of the German Center for Lung Research (DZL) and Director of a similar center in Hannover (biomedical research in severe stages of obstructive pulmonary disease).
- 2011 - 2019 Member of the Internal Advisory Board of the German Center for Infection Research (DZIF).
- 2008 - 2010 President of the German Society for Intensive Care and Emergency Medicine.
- 2009 - 2015 Editor-in-Chief of "European Respiratory Monograph".
- 2008 - 2016 Member, and since 2012 – Representative of the Supervisory Board of the German Research Foundation.
- Since 2016 Member of the Clinical Trials Review Group of the German Research Foundation.
- 2009 -2013 President of the German Sepsis Society.
- 2012 - 2014 President of the German Society for Pneumology and Respiratory Medicine.
- Since 2018 President of the Paul Ehrlich Society.
- 2018 - 2019 President of the European Respiratory Society (ERS).
- 2019 President of the Forum of International Respiratory Societies (FIRS).
- 2020 Board Member of the Biomed Alliance.
Awards and Honors
- 2010 "Therapist" Springer CME Award.
- 2014 Fellow of the European Respiratory Society (FERS).
- 2018 Honorary Member of the Austrian Society of Pulmonology.
- 2019 Balzan Medical Award.
- 2020 Honorary Award of the German Society of Pediatric Intensive Care Medicine.
Photo of the doctor: (c) Medizinische Hochschule Hannover (MHH)
About hospital
The Hannover Medical School has the status of a leading German medical facility. The advanced medical technologies, highly qualified specialists, as well as productive research activities form a solid basis for top-class medical service of the world standard. The hospital is proud of its outstanding achievements in the treatment of cancer, diseases of the lung, heart, kidney, liver and metabolic disorders, as well as surgical diseases.
The medical facility diagnoses and treats more than 63,000 inpatients and about 470,000 outpatients annally. These indicators are growing steadily, which indicates the reputability and prestige of the hospital in the European medical arena.
For decades, the hospital has been a pioneer in transplantation medicine and is one of the leading centers of this specialization in the world. It performs about 400 transplantations of solid organs annually. Also, the hospital has performed over 130 bone marrow transplantations. In addition, the hospital ranks among the world leaders in cochlear implantation for the treatment of hearing loss.
Much attention is paid to interdisciplinary cooperation. Since 2016, the hospital has the largest certified Cancer Center in the Federal State of Lower Saxony, which provides comprehensive, multidisciplinary medical care in accordance with the standardized protocols of cancer societies.
The specialists of the hospital offer patients not only modern treatment of the highest quality, but also attentive care, sympathetic attitude to the patient's problems and understanding of his individual needs. Thus, the patient can be sure that his health is in the safe hands of highly qualified doctors.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Hannover Medical School live in comfortable and cozy rooms. Each patent room has an ensuite bathroom with shower and toilet. A standard patient room includes an automatically adjustable bed with an orthopedic mattress, a bedside table, a wardrobe, a TV and a telephone. You can use TV, telephone and Internet using a special chip card, which can be purchased at self-service terminals or ordered at the service counter. The hospital allows the patients to use mobile phones, with the exception of intensive care units, some departments and diagnostic rooms.
If desired, the patient can stay in an enhanced-comfort room. Such rooms are distinguished by a more sophisticated design, and are additionally equipped with upholstered furniture, a safe for storing valuables and a mini fridge.
Meals and Menus
The patient and the accompanying person are offered delicious and balanced three meals a day. Breakfast and dinner are served buffet style and lunch can be chosen from three set menus. All dishes are prepared by professional chefs using the freshest ingredients available in the region.
If you are on a specific diet for some reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
There is a chapel on the territory of the hospital, where Christian and Catholic services are regularly held. The hospital provides a prayer room for followers of Islam, which is open for visits 24 hours a day.
Religious services can also be provided upon request.
Accompanying person
During an inpatient program, an accompanying person can stay with you in the patient room or in a hotel of your choice.
Hotel
During an outpatient program, you can stay in a hotel of your choice. The managers will help you choose the most suitable options.
