CHEST Journal Podcasts (general)

Robert J. McCunney, MD, MPH, and David C. Christiani, MD, MPH, FCCP, are interviewed by CHEST Podcast Editor, D. Kyle Hogarth, MD, FCCP, as they discuss the many issues posed by the increasing use of low-dose spriral CT (LDCT) in lung cancer screening. The focus is on McCunney and Li's article in this month's issue of CHEST, comparing 20- to 30-year exposure to LDCT with that of nuclear workers and atomic bomb survivors. The conversation covers many topics, including level of exposure, the problem of false positives, machine calibration, and appropriate candidates for LDCT.

Direct download: 131420.mp3
Category:general -- 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

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