Respiratory
Respiratory Medicine
The beauty of Respiratory Medicine is its broad scope. There are many different primary pulmonary diseases, and the lung is also secondarly involved in many other systemic diseases. In addition, research areas are also diverse, encompassing both the clinical arena and basic immunology and molecular biology. Lung pathology is diverse and ranges from airways disease, to cancer to infective disease and inflammatory/vasculitic processes.
There is the opportunity to indulge one's yearning for practical procedures in the bronchoscopy list and for the high tech in the ITU, with which respiratory Medicine is developing closer links. This is definitely a specialty that truly can offer something for everyone.
What is Respiratory Medicine
Respiratory Medicine is one of the two major specialties of acute General (Internal) Medicine (G(I)M). Approximately 30% of all acute admissions in G(I)M are for a primary respiratory problem – similar figures to Cardiology – and Respiratory Physicians are essential and major contributors to the acute medical take in all acute hospital Health Boards. Respiratory Medicine has a close relationship with Critical Care Medicine.
Most Respiratory Physicians supervise non-invasive ventilation in the support of patients with acute respiratory failure in the High Dependency Unit environment, and many have sessions helping to run Intensive Care services and expertise in the management of the Adult Respiratory Distress Syndrome. Respiratory Physicians have considerable technical skills. They undertake bronchoscopy (both diagnostic and, increasingly, interventional), pleural procedures (including pleural biopsy and chest drain insertion), medical thorascopy for the more invasive investigation of pleural effusion and non-invasive ventilation. They have considerable expertise in cardiopulmonary physiology and run lung function laboratories in most hospitals for the interpretation of complex lung function testing, a cornerstone of respiratory diagnosis.
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