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Refractory Obstructive Lung Disorders Clinic

The Refractory Obstructive Lung Disorders (ROLD) Clinic is a specialized care center devoted to the comprehensive assessment and treatment of adults who have difficult-to-control asthma, chronic obstructive pulmonary disease (COPD) and related conditions. Our lung experts specialize in early detection and advanced diagnostic and treatment methods for obstructive lung disorders that are difficult to manage, including:

  • Asthma
  • Chronic bronchitis
  • Emphysema
  • Chronic obstructive pulmonary disease (COPD)
  • Bronchiolitis

Advanced Diagnosis

At the University of Chicago, our lung specialists will assess your medical history and your symptoms to determine the diagnostic approach that is most appropriate for you. A full range of testing options is available on-site and in the pulmonary function testing lab.

Pulmonary function testing: These tests determine how well the air you breathe moves through your lungs and into your bloodstream. In the ROLD Clinic, we offer the following lung tests:

  • Spirometry
  • Lung volumes
  • Airway resistance measurements, including methacholine challenge--an assessment of reactivity in the airway which is used to test for asthma

Exhaled nitric oxide test: Our specialists are among the first in the country to use this non-invasive technique routinely in the diagnosis and treatment of patients with asthma. This method is also used to test the effectiveness of asthma treatment.

Diagnostic bronchoscopy: In this minimally invasive technique, a physician uses a thin tube to view your lung tissue. This method also allows the physician to take a tissue sample if necessary.

Comprehensive Evaluation and Treatment

Physicians in the ROLD Clinic use a multidisciplinary approach to confirm diagnoses and assess the effectiveness of treatment plans. Our lung experts collaborate with highly skilled physicians in radiology, pathology, otolaryngology (ear, nose and throat care), thoracic surgery and lung transplantation.

In addition to offering leading-edge treatment options, we aim to help patients learn how to make decisions and choose behaviors that will help them manage their diagnoses. We offer:

  • Allergy testing, to help identify environmental allergen triggers
  • Individualized patient education and treatment planning
  • Medication and counseling to help patients overcome tobacco addiction

Our asthma experts were among the first in the nation to offer bronchial thermoplasty, a non-drug treatment for severe asthma.

ROLD Clinic Physician Team

Our physicians are highly skilled specialists with expertise in the management of complex pulmonary conditions.

D. Kyle Hogarth, MD
Assistant Professor of Medicine

Edward T. Naureckas, MD
Professor of Medicine

More Information

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D. Kyle Hogarth, MD:
Bronchial Thermoplasty: new treatment available for patients with advanced, hard-to-control asthma