Pediatric Pulmonology
At Stony Brook Children's Hospital, we are committed to providing the highest quality of care to the children of Suffolk County with pulmonary conditions. As the only academic health center in the county, we have the resources and expertise to diagnose, treat and manage a wide range of respiratory disorders in children of all ages.
Pediatric respiratory diseases come in many forms — from cystic fibrosis and sleep apnea to asthma, allergies and chronic lung disease — each needing a highly specialized approach to treatment. Through specialty centers and clinics, as well as with an active physician practice, the Pediatric Pulmonary Division at Stony Brook Children's provides expertise and a wide range of clinical services to appropriately and effectively address respiratory disease in infants, children and adolescents.
Our Mission Statement: The pediatric pulmonology division at Stony Brook Children's Hospital will provide outstanding family-centered state-of-the-art care with compassion. We work to educate the next generation of pediatricians, generate new knowledge of respiratory diseases in children, share our expertise in childhood respiratory health, and advocate on behalf of our patients.
Services
Stony Brook Children's taps into the latest protocols, state-of-the-art technology, and ongoing research to bring advanced pediatric pulmonary care to the community.
Leading-edge diagnostics include full pulmonary function testing, spirometry, exercise and cold air challenge, and allergy blood testing, all of which are performed in Stony Brook's fully accredited laboratory.
Our division houses one of only 130 cystic fibrosis (CF) centers in the country accredited by the Cystic Fibrosis Foundation. CF accreditation is a rigorous process that evaluates all aspects of care from the laboratory services available, to the credentials of the clinicians and the quality of research.
Stony Brook's program addresses cystic fibrosis via a multidisciplinary team approach. The cystic fibrosis team includes physicians, a pediatric pulmonary nurse practitioner, nurses, respiratory therapist, pulmonology function technician, sleep technician, social worker, metal health coordinator, dietician, physical therapist, pharmacist and a genetic counselor - who all care for patients and their families. The CF patient and family advisory board members are also active participants of our team meetings.
Stony Brook is also one of the select cystic fibrosis centers that is part of the CF Learning Network. Members share quality improvement initiatives, evidence-based care practices and results of ongoing studies designed to provide better patient care.
In addition, because the lifespan of cystic fibrosis patients has been steadily improving, with an average life expectancy of 41.6 years, cystic fibrosis is undergoing recategorization — from a genetic fatal disease to a genetic chronic disease.
Cystic Fibrosis Center Locations:
Inpatient Care
Stony Brook Children's Hospital and Stony Brook University Hospital
101 Nicolls Rd
Stony Brook, NY 11794
Map & Directions
Cystic Fibrosis Center
4 Smith Haven Mall, Suite 101
Lake Grove, NY 11755
Map & Directions
Transition to Adult Care
269 East Main Street
East Islip, NY 11730
Map & Directions
For appointments at any of the outpatient facilities, call (631) 444-KIDS (5437).
This accredited pediatric sleep center evaluates and diagnoses pediatric sleep disorders including obstructive sleep apnea, respiratory disorders, insomnia, parasomnias such as night terrors and sleepwalking, and behavioral problems relating to sleep. As a university-based center, it provides clinical care and research, as well as offers a sleep fellowship program to train other physicians. This means that the community has access to the very latest protocols.
Stony Brook's Sleep Disorders Center is run by Dr. Catherine Kier, who is also board certified in Sleep Medicine, and was trained at the University of Pennsylvania, home of the country's first sleep division.
Stony Brook University Sleep Disorders Center
240 Middle Country Road, Suite A
Smithtown, NY 11787
Maps & Directions
Phone: (631) 444-2500
Fax: (631) 444-2580
Our accredited pediatric pulmonary function (PFT) lab evaluates how well a child’s lungs are working. PFT labs are key in assessing a child’s lung and airway growth; the course of diseases like cystic fibrosis; the location and type of any airway obstructions; the overall degree of impairment; and the effect of various therapies.
Stony Brook Children’s PFT lab is staffed by board-certified pulmonologists and pediatric-trained, certified respiratory therapists and technicians. All procedures are performed according to standards set by the American Thoracic Society for acceptability, quality, replicability and safety.
Pediatric Pulmonary Function Laboratory
4 Smith Haven Mall, Suite 101
Lake Grove, NY 11755
Maps & Directions
Phone: (631) 444-KIDS (5437)
Available on an inpatient and outpatient basis, bronchoscopy is a procedure where a thin, flexible tube called a bronchoscope is passed through the nose or mouth, down the throat, and into the airway while the patient is sedated. The bronchoscope also can be used to sample mucus or lung tissue for laboratory testing, and to remove blockages. This service is tailored to the needs of the individual patient, from infancy through adolescence.
Bronchoscopy Services
Stony Brook Children's Hospital
101 Nicolls Rd
Stony Brook, NY 11794
Maps & Directions
Phone: (631) 444-8340
Our team partners with Stony Brook's Genetics Division to offer a number of tests to identify hereditary respiratory disorders. Tests include sweat testing and genetic testing for cystic fibrosis. The genetic testing laboratory is fully accredited and offers the latest and most accurate tests available.
Genetic Testing
Advanced Pediatric Care
4 Smith Haven Mall, Suite 101
Lake Grove, NY 11755
Maps & Directions
Phone: (631) 444-KIDS (5437)
Sweat Testing
Stony Brook Children's Hospital
101 Nicolls Rd
Stony Brook, NY 11794
Maps & Directions
Phone: (631) 444-2623
Stony Brook Children's Allergy and Immunology Division offers medical evaluations, diagnostic testing and treatment options for allergic diseases such as asthma and allergic rhinitis, sinusitis, atopic dermatitis, eczema, food allergies, insect sting allergy, allergic conjunctivitis and hives, as well as testing and treatment for disorders of the immune system such as common variable disease and hypogammaglobulinemia.
The allergy team takes a long-term management approach to these conditions, and treatment includes education on the disease process, use of equipment, environmental and dietary modifications, and self-management techniques.
The Pediatric Pulmonary Division at Stony Brook Children's include pulmonologists, nurse practitioners and certified asthma educators who provide expert asthma care for pediatric patients in both the Inpatient units and Outpatient offices.
Our team offers asthma consultations with pulmonary specialists, clinical and diagnostic evaluations, care coordination and health management education services. We collaborate with primary care providers, other subspecialists, and multidisciplinary healthcare team members, including certified asthma educators, to offer high quality individualized asthma care, asthma protocols, asthma action plans, asthma education, and home management planning for children and adolescents with asthma throughout the continuum of their pediatric care from birth to 21 years of age.
We also provide patient and family health education, home management training and asthma provider referrals for transition to adult asthma care after age 21. Our team advocates and collaborates with the local LI Asthma coalition for developing ongoing quality improvement initiatives with a focus on providing high quality asthma care for children and families in our community.
Our Team
The Pediatric Pulmonary team is led by Catherine Kier, MD, a highly respected physician, researcher and educator. She and other pediatric pulmonologists, Barry Diener, MD, Mathew Ednick, DO, Katharine Kevill, MD and Vicki Masson, MD, work with two pediatric nurse practitioners and a group of dedicated medical professionals to provide comprehensive, individualized care for patients starting with the initial assessment and diagnosis through setting a plan of treatment and performing interventions and follow-up care.
In the case of cystic fibrosis (CF), where more and more patients are living well into adulthood, we have a dedicated Cystic Fibrosis Center with both pediatric and adult programs. Follow-up care can last the course of their lifespan. The team also works closely with other departments throughout the hospital, including pediatric hematology/oncology, pediatric gastroenterology, pediatric endocrinology, the neonatal intensive care unit and the pediatric intensive care unit.
In addition to serving patients, all members of the clinical team are engaged in pediatric pulmonary research and education.
Locations
For appointments, please call: (631) 444-KIDS (5437)
Lake Grove Advanced Pediatric Care
4 Smith Haven Mall, Suite 101Lake Grove, NY 11755
(631) 444-KIDS (5437)
Fax: (631) 444-4990
East Islip Advanced Pediatric Care
269 East Main StreetEast Islip, NY 11730
(631) 444-KIDS (5437)
Fax: (631) 581-9561
Smithtown Advanced Pediatric Care
260 Middle Country Road, Suite 107Smithtown, NY 11787
(631) 444-KIDS (5437)
Fax: (631) 265-7518
Stony Brook Sleep Center
240 Middle Country Road, Suite ASmithtown, NY 11787
Patient Resources
Stony Brook Medicine has taken a leading role in educating the community about asthma and works closely with the American Lung Association of Long Island and the New York State Children's Asthma Initiative. Stony Brook is also an active member of the Greater New York Chapter of the Cystic Fibrosis Foundation, and participates in education, fundraising and special events, including the Great Strides annual walk.
For valuable insights and practical advice to help you lead a fuller, more active life while effectively managing asthma, visit the New York State Children’s Asthma Initiative website.
American Lung Association
Asthma Basics: A learning program with a series of asthma topics for people who want to learn about asthma and how to manage asthma symptoms
Children’s Hospital of Philadelphia
Asthma: A Guide for Families: A short video review of basic asthma information, followed by a series of other videos to review important asthma topics.
Huff N Puff Educational Videos
A cartoon type asthma education video series for children, teens and adults who want to learn about asthma and how to manage asthma symptoms.
Asthma Trigger House
A fun family game to learn about asthma triggers. Developed by a Stony Brook Children's Pulmonary NP with a team of partners.
Inhaler with Spacer and Mouthpiece
Boston Children's Hospital
- How to use an inhaler with spacer and mouthpiece
- Instrucciones para usar un inhalador con espaciador y la boquilla
American Lung Association
- How to use an inhaler with a spacer or valved holding chamber
- Como usar un inhalador de dosis medida con un espaciador
Inhaler with Spacer and Face Mask
Boston Children's Hospital
- How to use an inhaler with spacer and facemask
- Instrucciones para usar un inhalador con espaciador y la mascarilla
American Lung Association - Instructions for Baby & Preschooler
- How to use an Inhaler with spacer and mask with an infant
- How to use an Inhaler with spacer and mask with an infant en Español
How to Clean an Inhaler and Spacer
Boston Children's Hospital
Twisthaler
Boston Children's Hospital
American Lung Association
Flexhaler
Boston Children's Hospital
American Lung Association
Ellipta
Boston Children's Hospital
National Jewish
Diskus
Boston Children's Hospital
American Lung Association
Redihaler
Boston Children's Hospital
Respiclick
Boston Children's Hospital
Respimat
Boston Children's Hospital
Nebulizer & Mouthpiece
Boston Children's Hospital
Nebulizer & Face Mask
Boston Children's Hospital
Both Mouthpiece & Face Mask
National Jewish Health
American Lung Association
How to Clean Your Nebulizer
American Lung Association
Tracheotomy Handbook
A quick reference guide for: tracheotomy care, emergency care, equipment, home care, and additional resources
(Courtesy of Cincinnati Children's Hospital)
Tracheotomy care videos
A visual guide for routine trach care — (Courtesy of Cincinnati Children's Hospital Medical Center)
- How to Do an Emergency Trach Change
- How to Do a Routine Trach Change
- How to Care for Your Child's Skin and Do a Trach Tie Change
- How to Suction a Trach
Equipment Resources
- Bivona TTS Trach Cuff
- Canula traqueal Bivona TTS con manguito inflable
- Shiley Trach Air Cuff
- Canula de traqueostomia Shiley con manguito inflable
- Chest Physical Therapy (CPT)
- Fisioterapia toracica
- Cough assist T70 for the tracheotomy with or without ventilator
- Cough Assist T70 para pacientes con traquesostomia con o sin respirador
- Cough Assist T70 With Mask or Mouthpiece
- Cough Assist T70 con mascara o boquilla
- Oxygen Use at Home
- Uso de oxigeno en el hogar
- Using a Passy-Muir Valve With Your Tracheostomy
- Como usar la valvula Passy-Muir con la traqueostomia
Advances and Recognition
Cystic Fibrosis Accreditation
Stony Brook's Cystic Fibrosis Center is one of just 130 centers nationwide accredited by the Cystic Fibrosis Foundation. This means that the center offers comprehensive care and the latest protocols following Cystic Fibrosis Foundation guidelines.
Center of Excellence
Stony Brook is a designated Center of Excellence by the New York Department of Health for cystic fibrosis and genetic testing.
Cystic Fibrosis Foundation
Quality Care Award 2019 Stony Brook’s Cystic Fibrosis Center earned national recognition in 2019 for outstanding quality improvement processes and accomplishments.
Definitions
Allergies are abnormal reactions of the immune system that occur in response to otherwise harmless substances. Normally, the immune system responds to foreign microorganisms or particles by producing specific proteins called antibodies. These antibodies are capable of binding to identifying molecules, or antigens, on the foreign particle. This reaction between antibody and antigen sets off a series of chemical reactions designed to protect the body from infection. Sometimes, this same series of reactions is triggered by harmless, everyday substances such as pollen, dust and animal danders. When this occurs, an allergy develops against the offending substance (an allergen.)
Asthma is a chronic (long-lasting) inflammatory disease of the airways. In those susceptible to asthma, this inflammation causes the airways to narrow periodically. This, in turn, produces wheezing and breathlessness, sometimes to the point where the patient gasps for air. Obstruction to airflow either stops spontaneously or responds to a wide range of treatments, but continuing inflammation makes the airways hyper-responsive to stimuli such as cold air, exercise, dust mites, pollutants in the air, and even stress and anxiety.
Cystic fibrosis (CF) is an inherited disease that affects the lungs, digestive system, sweat glands and male fertility. Its name derives from the fibrous scar tissue that develops in the pancreas, one of the principal organs affected by the disease.
Sleep apnea is a condition in which breathing stops for more than ten seconds during sleep. Sleep apnea is a major, though often unrecognized, cause of daytime sleepiness. It can have serious negative effects on a person's quality of life.
