We follow our post-transplant patients very closely and will see you frequently in the lung transplant clinic after your surgery. Outlined below are our general clinic guidelines, but a sudden change in your condition may warrant additional unscheduled tests such as CAT scans, 6 minute walk test (6MWT) to detect activity-related low oxygen levels, blood work and bronchoscopy.
We make every attempt to maintain an efficient clinic schedule and to see you at your scheduled time. However, lung transplant patients who present with unexpected complications require the care of multiple providers and may need to be seen ahead of waiting patients. Be assured that you will receive our full attention once it is your turn to be seen.
Our clinic patients can develop various infections. There is no reliable way to isolate sick patients from well patients in the waiting area. Consider wearing a mask for your clinic visits 4 to 6 weeks after transplant.
Frequency of visits
After you are discharged from the hospital, we will see you in the clinic for a visit twice a week for the first month. If clinically stable, your appointments will be scheduled as weekly visits for 1 month, every other week for 3 months, monthly for 3 months and then once every 3 months thereafter. If there is a change in your condition we will need to see you between routine appointments.
Hours of operation
The post-transplant clinic sees patients from 7 a.m. to 10:30 a.m., Monday through Thursday.
What happens during the visit
Regular appointments include a chest X-ray (performed in the Radiology department), spirometry (done at our clinic or pulmonary function lab) blood work (done in our clinic) and a clinic visit with our staff.
A nursing assistant will check your vital signs and do blood work. The transplant coordinator will review your patient journal and confirm that you are taking your medications appropriately.
The transplant nurse practitioner or pulmonologist will perform an exam, review your studies, discuss any problems you may be experiencing and make any needed changes to your care plan. At the end of your visit, staff will confirm your next appointment.
Before your visit
Do not take your morning dose of tacrolimus (Prograf) or cyclosporin (Neoral) before your blood is taken. We routinely test for complete blood count (CBC), chemistries, Prograf (or cyclosporin) level and CMV antigenemia. Blood test results are usually available the same day as your visit. We will notify you by telephone if your test results indicate a need to change your medication.
Please bring your medication list and spirometry and vital signs manual with you to every visit.