CHEST Journal Podcasts

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