Pulmonary & Sleep Medicine

Pulmonary medicine includes a range of respiratory ailments and conditions, including chronic obstructive pulmonary disease (COPD), asthma, acute respiratory distress syndrome (ARDS), various lung diseases, cystic fibrosis, sleep apnea and other impediments to our breathing. At Salerno Medical Associateswe test, diagnose, treat and refer to highly qualified specialists when warranted.


We measure and test breathing efficiency in our office….

Among the equipment we utilize for the benefit of our patients are a pulmonary function test machine and spirometry. We are able to accurately determine how well your lungs work by measuring how much air you inhale, how much you exhale and how quickly you exhale.

Spirometry is used as a diagnostic tool for asthma, COPD and other conditions that affect breathing. We evaluate lung function and capacity through the process of inflating and deflating a balloon. Early detection of COPD is critical for successful treatment.

—Smoking is the chief cause of COPD, and we test and diagnose smokers and asthmatics, because it is essential to properly deliver the right amount of medicine with the most effective inhaler or deliverer.—

We also test for allergies, which go hand in hand with pulmonary issues. We offer recently added allergy screening and skin testing in the office.

Note: We assist and advise smokers toward the goal of quitting, or smoking cessation, and although we have witnessed a general decline in smoking over the past several decades, this addiction continues to be the major cause of  lung disease, as well as heart disease and lung cancer. When appropriate we prescribe Chantix, which has become one of the most effective pharmaceutical smoking cessation options.


Sleep medicine and sleep apnea…

Sleep apnea is a temporary and repeated interruption of breathing during sleep and threatens the delivery of oxygen to the brain and other parts of the body. It may lead to morning headaches, insomnia, excessive daytime sleepiness and grogginess, decreased attention span and increased irritability, This can be a deadly serious problem, because some people die in their sleep, which may be undiagnosed and untreated sleep apnea when breathing stops altogether.

Sleep medicine may be a bit of a misnomer for dealing with sleep apnea with its symptoms of snoring, nighttime choking, gasping, waking up when suddenly startled, daytime fatigue, daytime tiredness, narcolepsy and lack of energy. Obesity, aging and smoking are the most common causes of sleep apnea.

Modern technology has made great inroads in telling you whether you have it or not, and both the assessment and treatment can be performed in the privacy and comfort of your own home.

There was a time when the sleep apnea could only be diagnosed by going to a hospital or sleep laboratory to be evaluated overnight. Now we can provide portable equipment you can use in your own bed. A sleep profiler, which monitors the activity of the brain, helps diagnose causes of insomnia for those who can’t fall asleep or stay asleep. This technology allows us to find out what is causing insomnia versus, as in sleep apnea, the physiology of what goes on while you’re sleeping and your utilization of oxygen.

Sleep apnea is not just a condition for older overweight people and is even diagnosed in children. Although often related, insomnia and sleep apnea are two different physiological conditions, even though the latter may be a cause of the former. Both are related to sleep architecture, which is the cyclical pattern of sleep and its different stages.


Call us at (973)672-8573 or make an appointment online.