CHEST Journal Podcasts (medical)

Shawn P.E. Nishi, MD, and Jonathan M. Iaccarino, MD, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss diagnostic evaluation after lung cancer screening.

Direct download: 157-2_191016.m4a
Category:medical -- posted at: 9:00am EST

Rizwan A. Khan, MD, and Anita J. Reddy, MD, join CHEST Podcast Editor, Gretchen R. Winter, MD, to discuss the association between volume of fluid resuscitation and intubation in high risk septic patients with heart failure, end stage renal disease, and cirrhosis.

Direct download: 157-2_191195.m4a
Category:medical -- posted at: 9:00am EST

Barbara Yawn, MD, and David Mannino, MD, FCCP, join CHEST Podcast Editor, Gretchen R. Winter, MD, to discuss if screening for COPD can improve outcomes.

Direct download: 157-1_191126.m4a
Category:medical -- posted at: 11:19am EST

Tahar Chouihed, MD, PhD, and Nicolas Girerd, MD, PhD, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss the accuracy of several lung ultrasound methods for the diagnosis of acute heart failure in the emergency department.

Direct download: 157-1_190454.m4a
Category:medical -- posted at: 9:30am EST

CHEST Editor in Chief, Richard S. Irwin, MD, Master FCCP, joins CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss his memorable 14-year tenure as Editor in Chief of the journal.

Direct download: 155-6_190144.v2.m4a
Category:medical -- posted at: 3:29pm EST

Craig M. Lilly, MD, FCCP, and Curtis N. Sessler, MD, FCCP, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss battling intensivist burnout.

Direct download: 156-5_182787.m4a
Category:medical -- posted at: 9:00am EST

Laura Myers, MD, MPH, and Joseph D. Zibrak, MD, join CHEST Podcast Editor, Gretchen R. Winter, MD, to discuss medical malpractice involving pulmonary and critical care physicians.

 

Direct download: 156-5_190663.m4a
Category:medical -- posted at: 9:00am EST

Angel O. Coz Yataco, MD, FCCP, and Jayshil J. Patel, MD, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss the administration of broad-spectrum antibiotics in patient with sepsis.

Direct download: 156-4_191072.m4a
Category:medical -- posted at: 9:00am EST

Mika Hamilton, MBChB, FRCA, FFICM, joins CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss depression in patients one year after ICU discharge.

Direct download: 156-3_182567.m4a
Category:medical -- posted at: 9:00am EST

Seth Koenig, MD, FCCP, and John P. Corcoran, BMBCh, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss point-of-care ultrasound examinations as routine practice in evaluating acutely breathless patients.

Direct download: 156-3_190853.m4a
Category:medical -- posted at: 9:00am EST

Andreas Horner, MD, and Leonardo M. Fabbri, MD, FCCP, join CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss overdiagnosis of COPD in patients with unobstructed spirometry.

Direct download: 156-2_180763.m4a
Category:medical -- posted at: 9:30am EST

Christian R. Osadnik, PhD, joins CHEST Podcast Editor, Dominique J. Pepper MD, MBChB, MHSc, to discuss the effect of pulmonary rehabilitation on symptoms of anxiety and depression in patients with COPD.

Direct download: 156-1_182892.m4a
Category:medical -- posted at: 9:00am EST

Dominique Pepper, MD, and Andre C. Kalil, MD, MPH, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the serial procalcitonin measurement for antibiotic de-escalation and discontinuation.

Direct download: 155-6_181912.m4a
Category:medical -- posted at: 9:00am EST

Marin H. Kollef, MD, FCCP, and Eddy Fan, MD, PhD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate if persistent or worsening ARDS refractory to optimized ventilation and proning deserve​s​ a trial of​​ prostacyclin​.​

Direct download: 155-4__182671.m4a
Category:medical -- posted at: 9:00am EST

Neal Navani, MD, PhD, and Gerard A. Silvestri MD, FCCP, join CHEST Podcast Moderator, George Cheng MD, PhD, FCCP, to discuss the accuracy of clinical staging of stage I-IIIa non-small cell lung cancer.

Direct download: 155-3_181248.m4a
Category:medical -- posted at: 9:00am EST

Joyce S. Lee, MD, and Justin M. Oldham, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether interstitial pneumonia with autoimmune features represents a distinct class of patients with idiopathic interstitial pneumonia.

Direct download: 155-2_182010.m4a
Category:medical -- posted at: 9:00am EST

Paul E. Marik, MD, FCCP, and Mitchell M. Levy, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether the Surviving Sepsis Campaign guidelines should be retired.
Direct download: 155-1_182316.m4a
Category:medical -- posted at: 9:00am EST

Emily Henkle, PhD, MPH, and James D. Chalmers, MBChB, PhD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the high prevalence of bronchiectasis in the U.S. and significant heterogeneity in bronchiectasis patients with and without COPD.

Direct download: 154-6_180619_2.m4a
Category:medical -- posted at: 9:00am EST

Cori L. Ofstead, MSPH, and Atul C. Mehta, MBBS, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the effectiveness of reprocessing flexible bronchoscopes.

Direct download: 154-5_180069.m4a
Category:medical -- posted at: 9:00am EST

Neil MacIntyre MD, FCCP, and Colin K. Grissom, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether computerized protocols should replace physicians for managing mechanical ventilation.

Direct download: 154-3_181315.m4a
Category:medical -- posted at: 9:00am EST

Joseph R. Bledsoe, MD, and Samuel Z. Goldhaber, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the efficacy and safety of managing low-risk pulmonary embolism patients without hospitalization.

Direct download: 154-2__172641.m4a
Category:medical -- posted at: 9:00am EST

Douglas E. Wood, MD, FCCP, and Peter J. Mazzone, MD, MPH, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss if lung screening should be expanded to persons who don't meet CHEST Guidelines criteria.

Direct download: 153-6_180658.m4a
Category:medical -- posted at: 3:08pm EST

Donald Robert McCaffree, MD, MSHA, Master FCCP, and Neeraj R. Desai, MD, MBA, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the tobacco industry's deceptive communications to the public and the government.

Direct download: 153-5_172977.m4a
Category:medical -- posted at: 9:00am EST

Peter J Mazzone, MD, MPH, FCCP, and Renda Soylemez Wiener, MD, MPH, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss updated recommendations for lung cancer screening.

Direct download: 153-4_172542.m4a
Category:medical -- posted at: 9:00am EST

James D. Chalmers, MD, PhD, and Ian D. Pavord, FMedSci, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate if inhaled corticosteroids should be withdrawn in patients with in GOLD 3 COPD.

Direct download: 153-4_180086.m4a
Category:medical -- posted at: 9:00am EST

Wesley H. Self, MD, MPH, and editorialist Michael S. Niederman, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the paper by Self et al, which discusses the clinical significance of radiologic signs of pneumonia visualized on a CT scan but not concurrently seen on a chest x-ray.

Direct download: 153-3_171083.m4a
Category:medical -- posted at: 9:00am EST

Jose L. Cardenas-Garcia, MD, and Seth J. Koenig, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether all initial episodes of hemoptysis should be evaluated by bronchoscopy.

Direct download: 153-2_172255.m4a
Category:medical -- posted at: 9:00am EST

Matthew C. Miles, MD, FCCP, and Rendell W. Ashton, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss strategies for success in fellowship. This is the first article in the new CHEST section Teaching, Education, and Career Hub (TEaCH).

Direct download: 153-1_172059.m4a
Category:medical -- posted at: 1:15pm EST

Jennifer K. Quint, PhD, and editorialist Michael C. Steiner, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the observational analysis of recorded referral for pulmonary rehabilitation in relation to subsequent healthcare utilization for acute exacerbation of COPD.

 

 

Direct download: 170441.m4a
Category:medical -- posted at: 9:00am EST

Ariane Lewis, MD, and Robert D. Troug, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to offer their thoughts from their Point/Counterpoint editorials on whether informed consent should be required for apnea testing in patients with suspected brain death.

Direct download: 171266.m4a
Category:medical -- posted at: 9:30am EST

Athol U. Wells, MD, and Joshua J Mooney, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to debate whether bronchoalveolar lavage should be a standard diagnostic tool for IPF. The discussion centers on the lack of evidence-based agreement on the value of performing BAL.

Direct download: 171903.m4a
Category:medical -- posted at: 9:00am EST

Anand Padmanabhan, MD, PhD, and editorialist Theodore Warkentin, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the paper by Padamanabhan et al, which describes outcomes in three patients with heparin-induced thrombocytopenia (HIT) who responded well to IVIg therapy.

Direct download: 170270.m4a
Category:medical -- posted at: 8:00am EST

Nichole T. Tanner, MD, MSCR, FCCP, and editorialist Jonathan M. Iaccarino, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the accuracy of physician assessment in predicting malignancy in pulmonary nodules. Although adept at recognizing the pretest probability of malignancy, physicians would provide better patient care if they had followed guideline-recommended next steps in evaluation.

Direct download: CHEST162449.m4a
Category:medical -- posted at: 7:30am EST

Mark J. Zucker, MD, JD, FCCP, and Anne R. Hemnes, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to review the pros and cons of their Point/Counterpoint debate, “Should Wireless Pulmonary Artery Hemodynamic Monitoring Be Used to Monitor Patients With Pulmonary Hypertension?”

Direct download: CHEST_162901.m4a
Category:medical -- posted at: 7:00am EST

Paul E. Marik, MD, FCCP, and Editorialist Heleen M. Oudemans-van Straaten, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss Dr. Marik and colleagues' retrospective study of the effectiveness in treating patients with severe sepsis and specific shock with the early use of intravenous vitamin C, together with corticosteroids and thiamine.

Direct download: 162412.m4a
Category:medical -- posted at: 9:30am EST

Ahmed H. El-Sherief, MD, and editorialist Galit Aviram, MD, join CHEST podcast editor, D. Kyle Hogarth, MD, FCCP, to discuss the study by Dr. El-Sherief and others on the inconsistencies in lymph node classification and the need for a lymph node map that simultaneously communicates a standard set of lymph node station definitions in three languages—using the language of anatomic landmarks for surgeons, bronchoscopic landmarks for pulmonologists, and visual CT landmarks for radiologists.

Direct download: 150739.m4a
Category:medical -- posted at: 9:12am EST

Gregory A. Schmidt, MD, FCCP, and Pierre Kory, MD, join CHEST podcast editor, D. Kyle Hogarth, MD, FCCP, to discuss their Point/Counterpoint debate on the value of inferior vena cava ultrasound to determine the use of acute fluid resuscitation for patients in shock.

Direct download: 162650.m4a
Category:medical -- posted at: 11:25am EST

Chanu Rhee, MD, MPH, and Robert C. Hazy, MD, FCCP, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to review and analyze the results of Dr. Rhee et al's research estimating incidences and mortality of septic shock over a ten-year period. Their results showed that the incidence has risen but mortality rates have fallen.

Direct download: 161069.m4a
Category:medical -- posted at: 10:06am EST

Brian Funaki, MD, and Mark L. Lessne, MD, joint CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss this month's Point/Counterpoint debate: Do the Benefits Outweigh the Risks for Most Patients Under Consideration for Inferior Vena Cava Filters?

Direct download: 162047.m4a
Category:medical -- posted at: 9:57am EST

Alain Tremblay, MD, and editorialist David E. Ost, MD, FCCP, joined CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the research by multi-center Canadian study by Tremblay et al that evaluated how well autofluorescence bronchochoscopy (AFB) detected high-grade lesions in patients at risk for lung cancer. Their study determined that too few CT occult cancers were detected to justify its addition into a lung cancer screening program.

Direct download: 152543.m4a
Category:medical -- posted at: 9:23am EST

Devanand Anantham, MD, and Ching-Fei Chang, MD, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to discuss the multi-country Asian adaption of guidelines to evaluate pulmonary nodules.

Direct download: 151092.m4a
Category:medical -- posted at: 12:05pm EST

Anand Padmanabhan, MD, joins David A. Garcia, MD, FCCP, and guest podcast moderator, Bruce L. Davidson, MD, FCCP, to discuss the results of the research of Dr. Padmanabhan et al on a PF4-dependent platelet activation assay to identify patients likely to have heparin-induced thrombocytopenia/thrombosis.

Direct download: 152210.m4a
Category:medical -- posted at: 10:42am EST

Lisa A. Maier, MD, MSPH, and Elliott D. Crouser, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the study by Dr. Maier and her colleagues looking at data from death certificates to assess the association between occupations and sarcoidosis.

Direct download: 152814.m4a
Category:medical -- posted at: 9:30am EST

Curtis N. Sessler, MD, FCCP, and Stephen M. Pastores, MD, FCCP, join CHEST podcast editor D. Kyle Hogarth, MD, FCCP, to discuss this important topic, which is being addressed by the Critical Care Societies Collaborative "call to action" statement.

Direct download: 152698.m4a
Category:medical -- posted at: 9:30am EST

In this month's podcast, Pietro Caironi, MD, and Angel O. Coz Yataco, MD, FCCP take on the Point/Counterpoint topic with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP. Dr. Caironi takes the "Yes" side, arguing that albumin has been shown to correct for hypoalbumenia in patients with sepsis. Dr. Coz Yataco takes the opposing view that mortality rates are not shown to improve and that the cost is high.

Direct download: 160779.mp3
Category:medical -- posted at: 9:50am EST

Steven Simpson, MD, and Clifford S. Deutschman, MD, MS, join CHEST Podcast D. Kyle Hogarth, MD, FCCP to discuss the merits of the new Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), recently published in JAMA. Dr. Simpson wrote an editorial for CHEST on this topic.

Direct download: 160468.mp3
Category:medical -- posted at: 9:30am EST

Dr. Wheeler was interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP on the path of career and the highlights of his life's work.

Direct download: 160327.mp3
Category:medical -- posted at: 9:00am EST

Gurinder Singh, MD, and editorialist Abebaw Yohannes, PhD, FCCP, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to discuss the close association of psychological disorders, with 30-day readmission rates in patients with COPD.

Direct download: 150449.mp3
Category:medical -- posted at: 8:00am EST

Mark L. Metersky, MD, FCCP, and Scott Manker, MD, FCCP, discuss the merits of injectable corticotropin vs. corticosteroids with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, given the exponentially higher cost of the former.

Direct download: 152544.mp3
Category:medical -- posted at: 9:00am EST

Clive Kearon, MD, PhD, and COL Lisa K. Moores, MC, USA, FCCP, join CHEST Evidence-Based Medicine Section Editor, Ian T. Nathanson, MD, FCCP, to review the important updates to the VTE Guidelines. This is the first of the topic updates to CHEST since the move to a "living guidelines" model, where topics will be updated on a rolling basis, not compiled into a single supplement containing all updates.

Direct download: 151469.mp3
Category:medical -- posted at: 9:06am EST

Courtney R. Bruce, JD, MA, and Trevor Bibler, PhD, joint CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss how their institution navigates and interprets differences in written advance directives and in-person requests from surrogate decision makers. They highlight one case study to demonstrate their process.

Direct download: 152209.mp3
Category:medical -- posted at: 8:21am EST

Borja G. Cosio, MD, and Peter Barnes, MD, Master FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss Dr. Cosio et al's study that proposes diagnostic criteria to identify patients with asthma-COPD overlap syndrome (ACOS).

Direct download: 151055.mp3
Category:medical -- posted at: 9:59am EST

Renda Soylenz Wiener, MD, MPH; Nichole T. Tanner, MD, MSCR; and editorialist David R. Baldwin, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss a series of articles in this month's issue of CHEST focusing on pulmonary nodules and whether guidelines affect decisions on patient diagnosis and treatment.

Direct download: 150630.mp3
Category:medical -- posted at: 8:05am EST

Paul P. Walker, MD, and editorialist David M. Mannino, MD, FCCP, are interviewed by CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to review the research by Walker et al on heroin smokers and their risk of developing COPD at an early age.

Direct download: 150236.mp3
Category:medical -- posted at: 9:39am EST

Andrew N. Menzies-Gow, PhD, and editorialist Matthew Masoli, MD, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the study by the British Thoracic Society Difficult Asthma Network showing that a dedicated severed asthma center is associated with improved quality of life and asthma control and a reduction in health-care use and oral steroid burden.

Direct download: 143056.mp3
Category:medical -- posted at: 8:54am EST

Joining CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, Mark V. Avdalic, MD, argues the case for, and Holly R. Middlekauff, MD, argues the cases against, painting electronic cigarettes as harmful products whose use clinicians should discourage.

Direct download: 150538.m4a
Category:medical -- posted at: 12:30am EST

Armin Ernest, MD, FCCP, and editorialist Michael J. Simoff, MD, FCCP, join guest podcast editor, Septimiu Murgu, MD, FCCP, to discsuss the new expert panel report from CHEST assessing the current state of bronchosopy training. Among topics they discuss are the role of societies and certification processes.

Direct download: 140678.mp3
Category:medical -- posted at: 9:03am EST

Hans J. Lee, MD, and Malcolm DeCamp, MD, join CHEST podcast editor D. Kyle Hogarth, MD, FCCP, to discuss the merits, pro and con, on the benefits of a small- vs. large bore catheter.

Direct download: 150424.mp3
Category:medical -- posted at: 12:30am EST

CHEST Ultrasound Corner Section Editor Seth Koenig, MD, FCCP, and Haney Mallemat, MD, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP on the growth of use of ultrasound in the ICU and the resources that the CHEST organization provides to train physicians on its use.

Direct download: 140967.mp3
Category:medical -- posted at: 7:57am EST

Tina Shah, MD, MPH; Jeffrey H. Jennings, MD, and editorialist Byron Thomashow, MD, FCCP, engage in a wide-ranging discussion with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, on the difficult issue of reducing readmissions for patients with COPD. Studies by Dr. Shah and colleagues and Dr. Jennings et al are highlighted.

Direct download: 141123.mp3
Category:medical -- posted at: 12:30am EST

Gerard J. Criner, MD, FCCP, is interviewed by CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, on the just released guidelines for the prevention of acute exacerbations of COPD, a major cause of morbidity and mortality in the United States and the world.

Direct download: 141676.mp3
Category:medical -- posted at: 8:02am EST

Rami Doukky, MD, and editorialist Lisa K. Moores, MD, FCCP, meet in conversation with CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP to discuss Dr. Doukky et al's retrospective study showing that highly sensitive cardiac troponin I assay provides a good prognostic negative predictive value; consequently, it can play a role in identifying candidates for out-of-hospital treatment of acute PE.

Direct download: 140700.mp3
Category:medical -- posted at: 12:30am EST

Steven D. Nathan, MD, FCCP, is interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, on his commentary discussing near- and long-term trends in lung transplantation, including new criteria for donors, procedures, and novel therapies.

Direct download: 141748.mp3
Category:medical -- posted at: 7:23am EST

Geoffrey B. Johnson, MD, PhD, reviews the Ahead of the Curve Commentary in this month's issue which looks to the near-future clinical uses of thoracic PET scanning. He joins CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to discuss improvements in the  technology, highlighting better resolution, ability to identify trace amounts of imaging agents, and use in chemotherapy monitoring. 

Direct download: 141612.mp3
Category:medical -- posted at: 12:30am EST

Bruce L. Davidson, MD, MPH, FCCP, joins CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to elaborate on his Commentary in this month's issue, outlining that direct thrombin inhibitor anticoagulants are associated with cardiac thromboses and making the case that, except for rare instances, alternatives should be prescribed.

Direct download: 142028.mp3
Category:medical -- posted at: 12:30am EST

Subroto Paul, MD, FCCP, and Malcolm M. DeCamp, MD, FCCP, take time to discuss the article by Dr. Paul and colleagues in the December 2014 issue of CHEST with Podcast Editor D. Kyle Hogarth, MD, FCCP. Their study evaluated the effectiveness of robotic-assisted vs thoracoscopic lobectomy. Thus far, in the early days of its use, they found that robotic-assisted lobectomy is associated with more injury and bleeding at a higher cost. The participants discussed potential future directions for robotics in this area.

Direct download: 133032.mp3
Category:medical -- posted at: 12:30am EST

Two of the policy statement's authors, Peter J. Mazzone, MD, FCCP, and Gerard A. Silverstri, MD, FCCP, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to outline the nine components needed for high quality lung cancer screening programs as identified by speciality groups of CHEST and ATS. It is hoped that this statement will guide those who set up lung cancer screening programs and will help to clarify standards for reimbursement.

Direct download: 142500.mp3
Category:medical -- posted at: 8:53am EST

Allan J. Walkey, MD, and editorialist Gregory Y. H. Lip, MD, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to discuss the research by Dr. Walkey et al showing that patients who developed new-onset atrial fibrillation during sepsis were more likely than those who did not to be at greater risk for hospitalizations for heart failure, ischemic stroke, and death. They discuss the need for follow up for these patients.

Direct download: 140003.mp3
Category:medical -- posted at: 12:30am EST

Richard S. Irwin, MD, Master FCCP (CHEST Editor in Chief and Cough Guidelines Panel Chair) and Cough Expert Panel Member Tamara Pringsheim, MD, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to introduce the latest updates to the CHEST Cough Guidelines. The introductory overview article is published in this month's issue and other cough topic updates will be published in upcoming issues of CHEST. The focus of this month's podcast is the development of the current guidelines. Drs. Irwin and Pringsheim emphasize the importance of evaluating research to make recommendations and the importance of bringing experts in all fields to the table. Dr. Pringsheim, in addition to being a guideline writing expert, was invited to join the panel because she is a neuroscientist specializing in movement disorders and could better help to evaluate evidence for habit cough. 

Direct download: 141485.mp3
Category:medical -- posted at: 12:30am EST

Professor Dame Margaret Turner-Warwick is interviewed by CHEST Associate Editor Peter J. Barnes, DM, Master FCCP, discussing her medical and research career, the problems facing women in medicine, her research into interstitial lung disease and asthma, and her time as the first female president of the Royal College of Physicians at a time of many changes to the UK National Health System. This interview can be also be viewed here.

Direct download: 140076.mp3
Category:medical -- posted at: 12:30am EST

Michael D. Christian, MD, FCCP, Niranjan Kissoon, MBBS, and editorialist Christian E. Sandrock, MD, MPH, FCCP, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, to talk about what is new in the just released collection of CHEST Consensus Statement articles on "Care of the Critically Ill and Injured During Pandemics and Disasters." This is the first comprehensive update to these statements since 2008 and provides suggestions for physicians, administrators, and others on the gamut of challenges that must be prepared for when events strain medical resources.  Among the new and updated topics they discuss are pediatric patients, resource poor environments, special patient populations, and planning and implementation issues across regions and country boundaries. The special problems of collecting evidence-based data in these events are also discussed.

Direct download: 140732.mp3
Category:medical -- posted at: 9:25am EST

Terence K. Trow, MD, FCCP (one of the authors for the new Pharmacologic Therapy for Pulmonary Arterial Hypertension (PAH) in Adults CHEST Guideline and Expert Panel Report); Mary G. George, MD (corresponding author of the new CDC pulmonary hypertension surveillance report); and editorialist Anna R. Hemnes, MD, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP to review these important articles. The new CHEST PAH Guidelines distill the available evidence on new therapies and treatment. Among the points emphasized by Dr. Trow is the need to use more than echocardiograms in diagnosis; right-sided heart catheterization is also required. Dr. George reviews the data from the National Vital Statistics System and from the National Hospital Discharge Survey, noting that after a period of decline, the mortality associated with PH among men is beginning to rise; a rise among women also continues.

Direct download: 140793.mp3
Category:medical -- posted at: 10:42am EST

Tracy J. Doyle, MD, MPH, and Ivan O. Rosas, MD, FCCP, discuss the findings of their research, suggesting that subclinical rheumatoid arthritis-associated interstitial lung disease is prevalent and that a subset of patients will experience progression of lung disease over time. D. Kyle Hogarth, MD, FCCP, podcast editor of CHEST interviews them and editorialist Gregory P. Cosgrove, MD, FCCP, to review the data, particularly at-risk patients. 

Direct download: 131394.mp3
Category:medical -- posted at: 12:30am EST

One of the founding greats of critical care medicine and a renowned teacher, Dr. Lawrence D. H. Wood, is interviewed by D. Kyle Hogarth, MD, FCCP, podcast editor of CHEST on the highlights of his career.

Direct download: 140014.mp3
Category:medical -- posted at: 12:30am EST

In this month's podcast, Shelley S. Magill, MD, PhD, of the Centers for Disease Control and Prevention (CDC) provides an introduction to the new three-tier, adult surveillance definition algorithm for ventilator-associated events (VAE) developed by the multi-organization Ventilator-Associated Pneumonia (VAP) Surveillance Definiition Working Group and implemented in January 2013 by the CDC's National Healthcare Safety Network. The Executive Summary of the report appears in this month's issue and is being co-published with other Working Group society publisher journals. CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, moderates the discussion with Dr. Magill and editorialist Craig M. Lilly, MD, FCCP, to debate the merits of the new focus on VAE vs. VAP

Direct download: 131640.mp3
Category:medical -- posted at: 3:40pm EST

Manu Jain, MD, and Steven Shepherd, MPH and a long-time cystic fibrosis patient, join D. Kyle Hogarth, MD, FCCP, for this discussion of the debate on the policy of allowing only one adult patient with cystic fibrosis to attend any indoor events. Dr. Jain argues that risks are great enough to make this policy a good one. Mr. Shepherd argues that the concept is based on outdated ideas, the risks are very small, and that adults should be able to make their own choices on the risks they want to take.

Direct download: 132404.mp3
Category:medical -- posted at: 3:31pm EST

Simon J. Finney, PhD, MBChB, editiorialist Arthur P. Wheeler, MD, FCCP, and CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, discuss an article by Dr. Finney and others that reviews their research into modifying the traditional definition of the systemic inflammatory response syndrome (SIRS) following cardiac surgery. They found that they could improve the predictive value of SIRS criteria when the definition was adjusted to meeting three or more criteria or, most especially, fulfilling two or more of the criteria for at least six consecutive hours.

Direct download: 131023.mp3
Category:medical -- posted at: 12:30am EST

This month, CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, presents a special topic podcast on the recent vote of the Centers for Medicare and Medicaid Services (CMS) national coverage determination panel that there is not enough evidence to warrant Medicare coverage of low-dose CT screening for lung cancer. He is joined in conversation by Frank C. Detterbeck, MD, FCCP (Yale University), Scott Manaker, MD, PhD, FCCP (University of Pennyslvania), and David F. Yankelevitz, MD (Mount Sinai Hospital). They address some of the factors that went into the decision. Drs. Detterbeck, Manaker, and Yankelevitz also provide their interpretations of the important National Lung Screening Trial (NLST) and the results of studies from the International Early Lung Cancer Action Program (I-ELCAP), a multicenter clinical study in which patients were screened with CT using a common protocol.

Direct download: LC_screening_CMS.mp3
Category:medical -- posted at: 9:36am EST

Christopher J. Ryerson, MD, and editorialist Athol U. Wells, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the study by Dr. Ryerson and others extending the use of the GAP risk prediction model (which is based on gender, age, and lung physiology) for chronic interstitial lung disease (ILD) to patients with idiopathic pulmonary fibrosis (IPF) and non-IPF ILDs. They consider the utilty of applying a single clinical prediction model for accurate mortality estimation across multiple ILD subtypes and discuss the possibilities of staging.

Direct download: 131474.mp3
Category:medical -- posted at: 7:09am EST

C. Gregory Elliott, MD, FCCP, and editorialist David Langlaben, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the recent research of Dr. Elliott et al that determined the genetic mutations responsible for pulmonary capillary hemangiomatosis (PCH), a rare cause of pulmonary hypertension. The EIF2AK4 mutuations were found using exome sequencing. 

Direct download: 132366.mp3
Category:medical -- posted at: 12:30am EST

Richard S. Saver, JD, is interviewed by CHEST Podcast Editor, D. Kyle Hogarth to answer questions that physicians in research medicine will have about the new Physician Payments Sunshine Act; the new regulations mandate the a Centers for Medicare and Medicaid Services website begin publishing data provided by manufacturers on payments to physicians. Topics they cover include how patients might use the website, how physicians might monitor what is reported, and which entities are required to report.

Direct download: 131719.mp3
Category:medical -- posted at: 12:30am EST

Milo A. Puhan, MD, PhD, and editorialist David M. Mannino, MD, FCCP, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss Dr. Puhan et al's multicenter prospective study that showed no association between lower levels of 25-hydroxyvitamin D and either rate of COPD exacerbation or all cause mortality. Dr. Mannino concludes that the current Institute of Medicine recommendations of 600-800 IU/day of vitamin D intake, along with exercise and moderate amounts of sun exposure are still the best advice for patients.

Direct download: 131296.mp3
Category:medical -- posted at: 12:30am EST

In this month's Point/Counterpoint editorials, Najib M. Rahman, DPhil, takes the "yes" side of the debate, arguing that pleural infection continues to result in significant morbidity and mortality despite current therapeutic strategies. He joins CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, and Gene Colice, MD, FCCP, who takes on the "no" position. Dr. Colice argues that dosing regimens for fibrinolytics do not ensure effective intrapleural fibrinolysis, clinical trials in adults have not shown consistent clinical benefits, and an alternative approach (surgical drainage by video-assisted thoracoscopic surgery) provides effective drainage of the pleural space with improved clinical outcomes.

Direct download: 132354.mp3
Category:medical -- posted at: 12:30am EST

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

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

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

J. Matthias Walz, MD, FCCP, and Kevin C. Doershug, MD, FCCP, join CHEST Podcast Editor D. Kyle Hogarth to discuss this month's Point/Counterpoint Editorials: Should an Anesthiologist Be the Specialist of Choice in Managing the Difficult Airway in the ICU? Duration: 35:33 min

Direct download: 142_6_1372.mp3
Category:medical -- posted at: 1:00am EST

CHEST social media editors Christopher L. Carroll, MD, FCCP, and Deep Ramachandran, MBBS, join CHEST Managing Editor Vicki Tedeschi for a special podcast discussing social media and how physicians can use these tools for professional development. 

Direct download: 142_5.mp3
Category:medical -- posted at: 10:39am EST

Francois Stephan, MD, PhD, and Theodore E. Warkentin, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the results of the article by Stephan et al on the issues of diagnosing heparin-induced thrombocytopenia in a cardiothroacic surgical ICU.

Direct download: 142_4_837.mp3
Category:medical -- posted at: 1:06am EST

Dirk-Jan Slebos, MD, PhD, and Jim Egan, MD, join CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, to discuss the results of a study by Slebos et al using the experimental device, the lung volume reduction coil in patients with severe emphysema.

Direct download: 142_3_574.mp3
Category:medical -- posted at: 12:00am EST

E. Wesley Ely, MD, FCCP, and Yoanna Skrobik, MD, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP, in another Point/Counterpoint debate: Should Benzodiazepines Be Avoided in Mechanically Ventilated Patients? (36:30)

Direct download: 142_2_281.mp3
Category:medical -- posted at: 5:00am EST

Dr. Pyng Lee, MD, FCCP, and Richard W. Light, MD, FCCP, join CHEST Podcast Editor D. Kyle Hogarth, MD, FCCP to debate this month's Point/Counterpoint Editorials: Should thoracoscopic talc pleurdodesis be the first choice management for malignant pleural effusion.(44:57)

Direct download: 142_1_15.mp3
Category:medical -- posted at: 8:40am EST