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Initial Consultation & Evaluation

Initial Consultation

During your first appointment, you will meet with the lung transplant coordinator and a pulmonologist. Your medical history will be reviewed and you will receive information regarding transplant, potential risks and benefits of having a transplant and an overview of the evaluation process. While not required, many patients find it helpful to bring someone with them to the initial consultation. 

* It is important that you have enough oxygen to last several hours for the consultation

In 1-2 weeks, the lung transplant coordinator will contact you to let you know if the transplant team thinks you are an appropriate candidate for transplant evaluation and to determine if you are interested in pursuing one. If you are interested, an evaluation will be scheduled. 

Transplant Evaluation

The lung transplant evaluation consists of three days of testing, education, consultations and meetings with different members of the lung transplant team. A typical evaluation is done on a Monday, Tuesday and Wednesday. Once your evaluation is scheduled, we will mail a packet with your personalized schedule and directions for the tests. Please open this packet upon receipt and review prior to your evaluation. 

Day 1 - Labs and Testing

On this testing day, you will be moving from department to department, and most patients bring someone along to help assist them if needed. You will need to have enough oxygen with you to last the whole day.

Tests may include:

  • VQ scan (ventilation/perfusion lung scan)
  • Chest CT scan
  • Six-minute walk
  • EKG (electrocardiogram)
  • Abdominal, neck and leg ultrasounds
  • Bone density scan
  • Pulmonary function test
  • Echocardiogram
  • Blood work
  • Urine collection
Day 2 - Consults/Appointments

Appointments will include:

  • Pulmonary rehab: An evaluation of your physical abilities and oxygen needs. This will include one or more six minute walk tests in which you will need to provide your own oxygen. Please bring shoes that are comfortable for walking
  • Transplant education: One of the transplant coordinators will educate you about pre- and post-transplant life. This is an opportunity to learn and ask questions. We recommend bringing someone from your support team to this appointment. 
  • Social worker: A social worker will complete a psychosocial evaluation to help develop a plan to get through the whole process. Any barriers to transplant will be discussed with patients. We recommend bringing someone from your support team to this appointment. 
  • Registered dietitian: An evaluation of your current diet to help you set appropriate goals for a healthy lifestyle.
Day 3 - Heart Catheterizations

Heart catheterizations will be performed to assess your heart. These are typically done as an outpatient procedure. You will need someone to drive you home following the procedure.