Pediatric Pulmonologists

Children's Lung Doctors - Pediatric Asthma Doctors

Presbyterian Hospital Plano, MOB 1
6130 W Parker Rd, Ste 505, Plano, TX 75093

469-303-8440appointment Pediatric Lung Disease Dr. Peter Schochet and Dr. Hauw Lie

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    • Hauw S. Lie, MD
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Flexible Bronchoscopy

Flexible Bronchoscopy (bron-KOS-ka-pee) is an important procedure for evaluating the pediatric airway, vocal cords, trachea, bronchi and bronchioles. While your child is under sedation, a flexible bronchoscope is passed through the nose or mouth into the lungs. The bronchoscope is a special instrument with a tiny camera that allows the pediatric pulmonologist to view the anatomy through the scope or on a video monitor. The bronchoscope is designed to allow other procedures, such as bronchoalveolar lavage (washing), transbronchial biopsy (small pieces of tissue are removed), endobronchial ultrasound, electrocautery or laser treatments.

Bronchoalveolar Lavage (Washing)

Bronchoalveolar lavage “wash” of the upper respiratory tract is a technique by which cells and fluid from bronchioles and lung alveoli are obtained to analyze (cytology) for diagnosis of pulmonary disease or evaluation for pulmonary treatment. The bronchoscope is wedged into a bronchus and sterile saline is squirted in and then removed along with the fluid and cells to be analyzed.

Transbronchial Biopsy (Small Pieces of Tissue are Removed)

Transbronchial biopsy is performed on children to determine the cause of a pulmonary infection, unusual and unclear lung disease, neoplastic disease, interstitial lung disease, and lung transplantation.

Indications for Flexible Bronchoscopy in Pediatrics

bronchoscopy procedures in childrenExploration of the Pediatric Airways

  • Persistent stridor
  • Persistent wheezing
  • Hemoptysis
  • Suspicion of a foreign body
  • Persistent or recurring atelectasis
  • Persistent or recurring pneumonia
  • Localized pulmonary hyperlucency
  • Problems related with the artificial airways
  • Miscellaneous (large burns, phonatory anomalies)

Dr Schochet lung biopsyObtaining Biological Samples (bronchoalveolar lavage, bronchial biopsy, bronchial brushing) 

  • Aspiration lung syndromes
  • Chronic interstitial pneumonia
  • Pneumonitis due to hypersensitivity
  • Pulmonary hemosiderosis
  • Eosinophilic pneumonia
  • Other (sarcoidosis, alveolar proteinosis, histiocytosis)
  • Endoluminal obstructive pathology
  • Pneumonia in immunosuppressed patients

transbronchial biopsyTherapeutic Applications for Flexible Bronchoscopy in Pediatrics

  • Aspiration of endobronchial secretions
  • Instillation of medication
  • Difficult or selective intubations
  • Management of the foreign body combined with rigid bronchoscope

Preparing Your Child for a Bronchoscopy

If your child is having a bronchoscopy as an outpatient you will be told not to let them eat after midnight the night before (or about 8 hours before) the procedure. You will also receive instructions about taking their regular medicines.

In children it is required to have them undergo general anesthesia for bronchoscopy. The bronchoscope is placed through their nose and then advanced slowly down the back of the throat, through the vocal cords and into the airways. Your pulmonologist will be able to see the inside of the airways as the bronchoscope moves down. The length of the bronchoscopy varies depending on what needs to be done, but usually it can last from 15 minutes to an hour.

Our offices are located in the Texas Health Presbyterian Hospital Plano, Medical Office Building 1 (MOB 1). If your child is need of a specialist in pediatric pulmonology, please contact us or submit an online appointment request.

Appointment with Dr Schochet

WELCOME TO THE PEDIATRIC PULMONOLOGISTS

About Pediatric Pulmonologists: Pediatric pulmonologists Dr. Peter Schochet and Dr. Hauw Lie, are dedicated to the care of infants, children and adolescents with acute or chronic respiratory disorders. Our highly knowledgeable staff provides evidence based medical care to patients from the Plano area and throughout North Texas. Our practice has a … About Us

Diagnostic Tests for Asthma

Dr Schochet and Dr Lie

Pulmonary Tests and Procedures in Children: Pulmonary tests are an important aspect of diagnosing lung disorders in children. Dr. Peter Schochet and Dr. Hauw Lie are board certified pediatric pulmonologists that care for children with asthma and other lung disorders. They perform physical exams and provide or order pediatric pulmonary tests that

Diving Medicine – Undersea and Hyperbaric Medicine (UHB)

scuba diver and flag

Dr. Schochet's interest in diving has led him to assisting young divers with asthma. He understands that divers with asthma are more prone to diving mishaps. This is why it is important for asthmatics to have their medication regimen evaluated and have physical exams prior to going on diving trips. Although he doesn't treat diving illness, he is an … SCUBA Diving

Dangers of Teens Vaping E-Cigarettes discussed on Pedilung.com

Dangers of Teens Vaping E-Cigarettes

The dangers of teens vaping e-cigarettes is a serious issue being addressed by our pediatric pulmonologists in Plano, Dr. Schochet and Dr. Lie, as the number of adolescents and teens using electronic

pedilung.com

Pedilung Blog

Asthma Rates in Children are Leveling Off

January 2, 2016 By Schochet

The prevalence of pediatric asthma has leveled off except amongst the poor children.  The overall … Pedilung

Asthma Questionnaire: When Should I See a Pediatric Lung Specialist?

January 1, 2016 By Schochet

The Pediatric Lung Specialists have added a list of asthma questions for parents to ask themselves … Pedilung

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Pediatric Pulmonologists

Peter N. Schochet, MD
Hauw S. Lie, MD

Texas Health Presbyterian Hospital Plano
Medical Office Building 1 (MOB 1)
6130 West Parker Road, Suite 505
Plano, Texas 75093

Phone 469-303-8440
Fax 469-303-0675

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Appointment with Dr Schochet

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