Suggested Pre-Referral Evaluation and Management Guidelines
All patients debilitated due to their underlying end-stage pulmonary disorder while on maximal medical management. Tobacco and nicotine abstinence for at least 6 months. Ambulatory, BMI < 33, no other significant medical disease. Absence of malignancy for at least 5 years(excluding basal cell carcinoma of the skin). No significant coronary artery disease.
Suggested Additional Test/Management Prior to Specialty Visit
Full pulmonary function testing, 6 minute walk test. High resolution CT of the chest.