Our specialist services

The importance of a good night's sleep is well recognised, and there is a growing community awareness of the high prevalence of sleep disordered breathing in Australia (eg obstructive sleep apnoea). MQ Health and Respiratory and Sleep is pleased to offer a modern sleep investigation unit with facilities and staff to help diagnose and oversee the treatment of common and rare sleep disorders.

Our services include:

• diagnostic
• CPAP titration/review
• mandibular device titration
• home diagnostic studies.

Home studies

Home studies can be performed on suitable patients and comply with accreditation and accepted Australasian Sleep Association guidelines.

Sleep Laboratory Director

Dr Lydia Makarie Rofail BScMed MBBS (Hons) PhD FRACP

Referrals

To make a direct patient referral to the Sleep Laboratory, please download and complete the referral form below and fax to +61 (2) 9812 3844 or email to reception@mqrs.com.au.

Most lung disorders affect the way the lungs operate so measuring the function of the lungs may be an important part of your medical assessment.

Our on-site lung function laboratory provides a range of tests to help measure and assess lung and airway function and operates according to the internationally recognised American Thoracic Society standards.

Respiratory investigation tests include:

• full lung function (spirometry with pre and post bronchodilator/DLCO/lung volumes)
• spirometry (pre and post bronchodilator)
• FOT (Forced Oscillation Technique)
• MIPs and MEPs (tests of respiratory muscle function)
• mannitol challenge testing (bronchial provocation test)
• cardio pulmonary exercise test (CPET).

Respiratory Lab Director

Professor Matthew Peters MD FRACP

Referrals

To make a direct patient referral to the Lung Function Laboratory, please download and complete:

• the respiratory function request form
• the cardiopulmonary exercise test (CPET) request form.

Fax to: +61 (02) 9812 3844 or email to reception@mqrs.com.au.

We offer the latest interventional treatments for lung conditions, where medication therapy alone has failed to adequately control symptoms.

The burden of chronic lung disease is high in the Australian population. Many people with lung disease are unaware that a range of interventional treatments is now available that can improve their breathlessness.

What is interventional pulmonology?

Interventional pulmonology is a branch of respiratory medicine dedicated to the diagnosis and treatment of lung disease, using minimally invasive techniques.

The areas of interventional pulmonology we cover are:

• flexible and rigid bronchoscopy
• endoscopic lung volume reduction (ELVR) with one-way valves for COPD
• ELVR with stream of 'glue' for patients with COPD not suitable for valves
• endobrochial ultrasound (linear EBUS) – for the diagnosis and staging of mediastinal nodes
• endobrochial ultrasound (radias EBUS) – for the diagnosis of peripheral lung nodules
• dilatation/stenting of airways
• management of proximal airways obstruction including tumours with laser (Nd-Yag and Holium), cryoprobe and APC
• diagnosis of interstitial lung disease with cryoprobe biopsy
• bronchial thermoplasty for refractory asthma.

Interventional treatments can improve symptoms, function and quality of life in selected people with chronic lung disease.

Not everyone is suitable for these procedures and our physicians will need to fully assess you before any interventional treatments can be offered.

Contact us for more information.

MQ Health Pleural Service is the first dedicated pleural service in NSW.

Lead by a multidisciplinary team of pleural experts including respiratory physicians, thoracic surgeons and interventional radiologists, MQ Health Pleural Service unit provides rapid access to a multidisciplinary approach for pleural disease assessment, management and treatment.

What we treat

Our physicians and support staff provide expertise covering a wide range of conditions, including:

• complex pleural effusions
• pleural infections
• malignant pleural effusions
• pleurodesis
• pneumothoraxes
• recurrent transudative pleural effusions.

Our service offers state-of-the-art investigation and management of pleural effusions, as well as a range of procedures including:

• chest drains
• medical and surgical thoracoscopy
• pleural aspirates
• tunnelled pleural catheters.

Referrals

As an inpatient your team will need to refer you to the MQ Health Pleural Service unit directly by contacting the respiratory fellow on +61 (0) 435 533 316.

Rapid outpatient assessment is also available by medical professionals contacting the same number.

The Pulmonary Nodule Clinic is a dedicated multidisciplinary clinic established with the aim of identifying early Stage 1 lung cancer in patients, to ensure early and effective treatment aimed at improving survival. The clinic is an integral element of the Early Lung Cancer Detection (ELUCiD) program.

The imminent introduction of a funded lung cancer screening program in Australia, together with the significant numbers of asymptomatic lung nodules found during routine investigations such as chest X-rays and CT coronary angiograms, has created a need for a streamlined, efficient and evidence-based approach to the investigation and management of these nodules. This involves utilising proven clinical pathways, models of care, and a multidisciplinary approach.

Lung cancer screening results in the detection of pulmonary nodules and the Pulmonary Nodule Clinic provides an efficient and timely multidisciplinary approach to manage these nodules via proven, evidence-based clinical pathways.

GP Information

• Patients referred will typically have an opacity on radiology which may be well or poorly defined, up to 3 cm in diameter.
• Referred patients will be triaged to see a respiratory physician, relevant investigations organised, and then presented at our regular Pulmonary Nodule Multidisciplinary Team (MDT) meeting.
• The referring medical practitioner will be invited to attend and be a part of the MDT and the decision-making process. Other participating members of the MDT include specialist and interventional radiologists, cardiothoracic surgeons, respiratory physicians and interventional pulmonologists, specialist nurses, physiotherapists, medical librarians and radiation/medical oncologists (as needed).
• MQ Health is at the forefront of innovative diagnostic and therapeutic approaches to pulmonary nodules. This includes 3D volumetric analysis of nodules, both endoscopic and trans-thoracic approaches to tissue diagnosis (eg bronchoscopic radial ultrasound and cone beam CT guided cryobiopsies), and a wide range of therapeutic options. Examples of this are stereotactic ablative body radiotherapy (SABRE), robotic segmental sublobar resections and bronchoscopic ablation therapy.

The MQ Health Pulmonary Nodule Clinic, using clinical pathways and nodule models, will also provide expert advice on the need and timing of follow-up and the modality best suited for this. Macquarie Medical Imaging, an integral part of the MQ Health entity, provides the medical imaging component in the pathways, including low dose high resolution CT with volumetric nodule analysis and PET/CT.

All studies are retained indefinitely for follow-up.

Contact

E: reception@mqrs.com.au
T: 0435 533 316 This is a dedicated phone line for the clinic, with appointments available every day.