A pulmonary department was established along with the Motol Hospital on January 4, 1943. The first head doctor was the acclaimed Czech pneumophthiseologist prof. Jaroslav Jedlička (1943-1945). Following heads of this department was resp. doc. Antonín Platil (1945-1978), doc. Jan Münz (1978-1984), and doc. Vladimír Mikulenka (1984-1992).
Department capacity development
Initially, it was the largest department of the Motol Hospital with 230 beds. Later the capacity has been gradually decreased along with the number of tuberculosis patients, also owing to other pulmonary departments, which were established in Prague. At the same time, however, there has been an increase in the number of non-tuberculosis patients.
Guidance centers within our department
Our department operates a guidance center for patients with bronchial asthma and chronic obstructive pulmonary disease since year 1979. From year 1987, we became the first clinic in Czech Republic which provided a guidance center for adult patients with cystic fibrosis.
Bronchoscopies in our clinic were performed since the end of the 1950s, our department has its own functional laboratory since year 1981. In 1990, the inpatient unit was moved from already inconvenient hospital barracks into provisional premises of the Long-Term Care Hospital. Also undergraduate and post-graduate studies have taken place in the department since that year.
New workplace, new personalities
The new Transpiration and Respiratory Diseases pavilion was opened in 1992, and thanks to head doctor Mikulenka, it was one of the most modern pneumological departments in Czech Republic. Sadly, head doctor Mikulenka did not live to see the opening of new intensive care unit in 1993. Other leading figures were also prof. Vladimír Vondra (1993-1997) and prof. Miloslav Marel (1997-2003). In 1994 the outpatient TRD facility for Prague 5 had also became part of our department.
Interventional bronchology and improving our care for patients
In the 1990s, mainly interventional bronchology was developed, this includes also resolving tumorous and non-tumorous stenoses of respiratory system. The introduction of modern radiotherapeutic and chemotherapeutic procedures led to an improvement in taking care of patients with lung cancer. Non-invasive ventilation support started to be applied in the area of intensive care. Great attention was also paid to diseases of the pleura. At the end of the 1990s our department also began to take part in examinations of patients before lung transplantations.
Development of the department after year 2000
On December 15, 2002 our TRD Department of University Hospital Motol became Pneumology Clinic at the 2nd Faculty of Medicine of Charles University and by January 1, 2003 of the University Hospital Motol as well. Doc. Jaromír Musil, PhD. (2003-2010), was appointed as a head of the clinic. Since year 2000 there has been a further expansion of diagnostic and therapeutic options (new bronchological diagnostic methods, biological treatment of bronchial asthma and lung cancer, long-acting bronchodilators in the treatment of chronic obstructive pulmonary disease). Our Nicotine Treatment Center was established in 2005. Since 2006, our functional laboratory has been equipped with a device for examination of exhaled [NO] in patients with bronchial asthma.
Studies and grants
Our department participates in clinical studies and grant projects, dealing with early detection of lung cancer and examination of exhaled air condensaten. Prof. MuDr. Miroslav Marel, CSc, has been in charge of our clinic since August 1, 2010.
Diagnosis and treatment of lung cancer is one of the clinic´s pilot programs, and it is performed for patients from the clinic catchment area as well as patients from the entire Czech Republic. Number of such patients is constantly increasing. Those whose illness is diagnosed at an early stage are sent for surgical treatment, as part of close cooperation between the Pneumology Clinic and I and III Surgery Clinics of the University Hospital Motol. Patients with locally advanced disease are treated with chemotherapy and radiotherapy in cooperation with the radiotherapeutic department. Treatment is indicated with respect to quality of life of such patients. Such options as bronchology intervention (laser treatment, stenting of the airways) and brachytherapy are also being used in our treatment, they can be done thanks to our collaboration with the radiotherapeutic department.
We have the status of Department of Pneumo-Oncology
Since 2007, we have become one of 9 Pneumo-Oncology centers in Czech Republic, which are allowed to use biological treatment – Tarceva and Alimta (indicated for malignant mesotheliom of the pleura) – in the 2nd line of therapy. Our clinic also takes part in international studies, thanks to which we are able to offer most recent therapy methods to our patients. One doctor with an attestation in clinical oncology works at the clinic, and treatment of most patients takes place on an outpatient basis.