CHEST Journal Podcasts

The author of this month's Special Feature marking the 50th anniversary of the first publication of cases of alpha-1-antitrypsin deficiency (AATD), Robert A. Stockley, MD, joins Kenneth R. Chapman, MD, and CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to review the impact that this research has had on respiratory medicine and clinical practice. Since this first publication in 1963, among other advances, AATD research has identified the most common genetic susceptibility factor for emphysema, developed the protein structural biology to repair the defect, distinguished the serinopathies in disease pathophysiology affecting other organs, and validated the role of CT scanning and its acceptance as a primary outcome for clinical trials. Duration: 38:11 minutes

Direct download: 131901.mp3
Category:medical -- posted at: 12:30am EST

In this month's podcast, Nicholas M. Mohr, MD, and Anne M. Drewry, MD debate their Point/Counterpoint editorials with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP. Dr. Mohr argues that the sickest patients do not tolerate fever well and that temperature management should be used. Dr. Drewry counters that there are risks involved with antipyretic therapies and that there is little convincing evidence to indicate that fever adversely affects outcomes in septic patients.

Direct download: 144_4.mp3
Category:medical -- posted at: 7:17am EST

Momen M. Wahidi, MD, MBA, FCCP, and Robert Browning, MD, FCCP, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to expand on their Point/Counterpoint debate on the merits of endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) versus conventional TBNA. Duration: 32:40 min

Direct download: 144_3_732.mp3
Category:medical -- posted at: 12:00am EST

John D. Goodson, MD, joins CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to provide background on his Commentary in this month's issue of CHEST making the case that the undervaluation of evaluation and management professional services vis-a-vis procedural services must be addressed and fixed. Duration: 37 min

Direct download: 144_3__740.mp3
Category:medical -- posted at: 12:00am EST

Pablo Alonso-Coello, PhD, and Gordon Guyatt, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP to discuss the results of a study of 18 asthma clinical practice guidelines. The study found that, although improving, the quality of most guidelines was disappointing. They further consider ways to improve guidelines, their format, and methods of dissemination. Duration 33 min

Direct download: 144_2_390.mp3
Category:medical -- posted at: 12:30am EST

Earl S. Ford, MD, MPH, and David M. Mannino, MD, FCCP, joint CHEST Podcast Editor D. Kyle Hogarth to discuss updates to surveillance results for chronic obstructive pulmonary disease (COPD) in the United States from 1999 to 2011. Declines in the prevalence of COPD in several categories suggest progress in the treatment of COPD. Duration: 33 min

Direct download: 144_1_284.mp3
Category:medical -- posted at: 12:30am EST

M. Diane Lougheed, MD, FCCP, and editorialist Kathleen Kreiss, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, in review Dr. Lougheed et al's article in this month's issue, relating the tracking of Flock Worker's Lung, from initial reports of a cluster of interstial lung disease cases among textile workers in Ontario in the early 1990s, to the discovery of additional similar clusters, on to the recognition of it as a specific occupational disease attributable to inhalation of flocked nylon fragments. Dr. Lougheed's group compared and analyzed changes among the same group of employees from 1991 to 2011 to create a profile of longitudinal lung function changes over this period.

Direct download: 143_6_1642.mp3
Category:medical -- posted at: 12:30am EST

Samy Suissa, PhD, of McGill University joins CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, for a conversation on the Commentary that he and Amnon Ariel, MD, FCCP, contributed to the May issue. In response to increased asthma death risks with long acting beta-agonists (LABA) in a number of randomized trials, the FDA recently mandated manufacturers to conduct five large non-inferiority randomized trials of LABA plus inhaled corticosteroids. Dr. Suissa gives his thoughts on the challenges of evaluating data from these upcoming studies. (duration: 26:36 min)

Direct download: 143_5_1208.mp3
Category:medical -- posted at: 12:30am EST

ACCP Diagnosis and Management of Lung Cancer Guidelines Chair W. Michael Alberts, MD, FCCP, and Vice Chair Frank Detterbeck, MD, FCCP, join CHEST podcast editor for an overview of the newly released 3rd edition of the respected guidelines. Their discussion focuses on updates on recommendations for screening, advances in treatment, smoking cessation, and sympotom management and palliative care. (duration 33 min)

Direct download: 143_5S_LC.mp3
Category:medical -- posted at: 12:30am EST

Dr. Erik Folch and Dr. Colleen L. Channick join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, for a discussion on whether 50 supervised ultrasound-guided transbronchial needle aspiration procedures are needed to declare competency to assess lung cancer stage. Dr. Folch argues for, noting that although the procedure is safe, the risk of upstaging or downstaging is high in those without more extensive experience. Dr. Channick makes the case that the number 50 is arbitrary and that requiring such a large number of supervised procedures might exclude competent clinicians, thereby denying many patients with lung cancer a vital, non-surgical staging tool

Direct download: 143_4_888.mp3
Category:general -- posted at: 12:30am EST

In this month's issue of CHEST, Dr. Peter J. Kahrilas, MD et al. provide a systematic review on the value of acid-suppressive therapy to those with chronic cough. In this month's podcast, Dr. Kahrilas, editorialist Michael F. Vaezi, MD, PhD, and CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, discuss the problems of selecting patients who would benefit, of conducting trials that would provide insight for clinicians into potential theapies, and of determining causality between gastroesphgeal reflux disease and chronic cough.

Direct download: 143_3_605.mp3
Category:medical -- posted at: 1:00am EST

A new Point/Counterpoint debate: David Jimenez, MD, PhD, takes the "Yes" side and Susan Murin, MD, FCCP, makes the "No" argument as they join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to discuss protocol vs. clinician evaluation in deciding whether to administer lytic therapy to patients. Duration: 40 min.

Direct download: 143_2_296.mp3
Category:general -- posted at: 1:00am EST

In this month's podcast, Gaurav Kumar, MD; Don Detmer, MD; and Karen S. Rheuban, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss a systematic review by Dr. Kumar and colleagues on the costs of telemedicine and what is known and not known about the value of telemedicine for hospitals and institutions.

Direct download: 143_1_19.mp3
Category:medical -- posted at: 1:00am EST

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