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Appointments and General Information 
(513) 241-5489
Marilyn Orr,  Administrator   
(513) 419-1101
Patient Accounts/Billing
(513) 419-1102
Sleep Disorders Center 
(513) 241-5489 Ext. 123
Pulmonary Function Lab
(513) 241-5489 Ext. 119
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Dear Dora, 


Thank you for subscribing to our newsletter.  TSPA is proud to keep you informed of new innovations in treatment for our patients.  In this newsletter we are featuring Intrabronchial Valves (IBV) and Inspire sleep therapy.  Intrabronchial Valves (IBV) is a new treatment for significant lung air leaks. Inspire sleep therapy is for those patients with moderate to severe sleep apnea that cannot be treated with traditional sleep therapy.  I hope you find our newsletter helpful.  Your comments are always welcome and you can unsubcribe at any time.


New Treatment for Air Leaks

Intrabronchial Valve (IBV) is a device to control prolonged air leaks of the lung or significant air leaks that are likely to become prolonged following certain lung surgeries.  Studies are being done to see if IBV's can help those with significant lung damage due to emphysema.  The intra bronchial valve (IBV) is designed to limit airflow to parts of the lungs down past the valve, allowing mucus and air movement in the healthy portion of the lung. The valves block the injured tissue from inhaled air, reducing the leak and enabling natural healing.  IBV's are placed by a pulmonologist (lung doctor)

during a flexible bronchoscopy.


To read more click here: Endobronchial Valves




Inspire Sleep Therapy 

Treatment For Sleep Apnea


Tri-State Pulmonary Associates continues to seek out advances in medical technology to provide the very best care available for our patients.


Our sleep center provides the most recent and clinically proven therapy for the treatment of sleep disorders.


Inspire sleep therapy is the newest FDA approved fully implantable sleep therapy device used to treat moderate to severe obstructive sleep apnea. The system is composed of 3 implanted components: the pulse generator, a sensing lead and a stimulation lead. Once implanted and activated the device senses breathing patterns and delivers mild stimulation to airway muscles to help keep the airway open during sleep.  The device is implanted by a physician board certified in the treatment of ear, nose and throat disorders (ENT). The device is then tested and turned on by the sleep doctor in the office. Further adjustments based on patient assessment, are completed by the sleep doctor.


Inspire sleep therapy is not for everyone. Your sleep doctor and an ENT will determine if you are a candidate for the device. Some of the requirements for use are:

  • previous failure of CPAP/BILEVEL therapy
  • a sleep study with less than 25% central sleep apnea and an apnea-hypopnea index of 20-56 events per hour and
  • incomplete collapse of the soft tissue at the back of the roof of the mouth (soft palate) verified by a endoscopy study.


If you think Inspire sleep therapy may be right for you, please call our sleep center at 513-241-5490. For additional information regarding this clinically proven device please visit




Staying in Control of Your Asthma

Steps to quality asthma care


Are you having trouble doing everyday tasks like household chores, walking up stairs, playing with your kids? Do you have side effects from your asthma medicines? Are you following a treatment plan, but still can't seem to catch your breath? These are three good reasons to follow-up with your health care provider. Controlling asthma means taking your medication correctly, as directed, and changing things in your life that make your asthma worse. If you have asthma, coping with common symptoms like coughing, wheezing and that dreadful feeling when you can't get enough air into your lungs can be a recipe for disaster.


No one should have to struggle to breathe. You can avoid asthma attacks and related symptom flare-ups by making time to see your doctor at least once a year and more often if you are experiencing symptoms.


Click here to read more: Control Your Asthma 



(Courtesy of Amercan Lung Association, published May 9, 2014)






In September we will begin seeing patients at our newest location in Anderson Township. The office will be open on  Mondays from 1pm to 5pm.  The office is located in The Christ Hospital Outpatient Center, 7545 Beech Street, Suite G, Cincinnati, OH.




  I hope you have found our newsletter helpful.  Your comments are welcome.  You can email your comments to me at

Marilyn Orr
Practice Administrator
Tri-State Pulmonary Physicians

Sunil K Dama, M.D.     Kiranmayee Lanka, M.D.     Christopher M. Orabella, M.D.      

 Mark J. Scott, M.D.      Christopher B. Schmitt, M.D.     Eric J Weinstein, M.D.     Nicole  L. Mullins, C.N.P.


Tri-State Pulmonary Associates, Inc | The Christ Professional Building | 2123 Auburn Avenue, Suite 401 | Cincinnati | OH | 45219