Deep Breaths: Updates from CHEST

Welcome to the Deep Breaths: Updates from CHEST series, dedicated to championing the prevention, diagnosis, and treatment of lung and chest diseases. Check out CHEST leaders and advocates sharing the latest in chest medicine education, clinical research, and team-based care in the areas of pulmonary diseases, critical care, and sleep medicine. Learn more about the latest diagnostic and treatment advances in pulmonology and critical care below.

40 episodes

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Episodes 40

First 5 Minutes®: Empowering Shared Decisions in Lung Cancer Screening
2mo ago · 18:00
Host: Brett Bade, MD Guest: Michael Gieske, MD This episode focuses on improving lung cancer screening and early detection by helping primary care providers recognize eligible and high-risk patients, apply current screening guidelines, and engage patients in clear shared decision-making conversations. Speakers will explore why many patients who qualify for low-dose CT scan screening are still not screened. Learn practice strategies to help close preventable gaps in care, including identifying risk during routine visits, addressing patient concerns, ordering appropriate screening, and ensuring
Breaking the Code: Mechanisms and Future Therapies for Refractory Chronic Cough
3mo ago · 13:15
Host: Eric Merrell, MD Guest: Syed Shahzad Mustafa, MD Guest: Glenn Schneider, MD Part of the educational program Bridging Specialties®: Timely Diagnosis and Treatment for Refractory Chronic Cough, this activity explores emerging scientific insights and therapeutic advances shaping the management of refractory chronic cough (RCC). Despite appropriate evaluation and treatment of common etiologies, many patients continue to experience persistent cough consistent with cough hypersensitivity syndrome. Advances in understanding ATP–P2X3 signaling and neural mechanisms have reshaped the conceptual f
Diagnostic Challenges in Refractory Chronic Cough: From Burden to Solutions
3mo ago · 16:15
Host: Sandhya Khurana, MD, FCCP Guest: Syed Shahzad Mustafa, MD Guest: Ashley Wilk, DO, DipABLM Part of the educational program Bridging Specialties®: Timely Diagnosis and Treatment for Refractory Chronic Cough, this activity examines the diagnostic challenges associated with refractory chronic cough (RCC) and the importance of coordinated, guideline-directed evaluation across specialties. RCC is frequently characterized by prolonged diagnostic delays, repeated empiric treatments, and fragmented care across specialties. Many patients experience months of persistent symptoms before a structured
What Type 2 Inflammation in COPD Means for Treatment Decision Making
5mo ago · 15:00
Host: Stephanie Christenson, MD Guest: Diego Maselli, MD, FCCP COPD is increasingly recognized as a heterogeneous disease, and for a subset of patients, type 2 inflammation plays a meaningful role in exacerbation risk and treatment response. Given that, Drs. Stephanie Christenson and Diego Maselli come together to examine how insights into the pathobiology of type 2 inflammation can directly inform clinical decision making in COPD. Specifically, they discuss the practical use of blood eosinophil counts to phenotype patients, assess risk, and guide therapy selection within the context of GOLD 2
Understanding Extensive-Stage Small Cell Lung Cancer: Advancements and Ongoing Challenges
1y ago · 17:30
Host: Gerard A. Silvestri MD, MS, Master FCCP Guest: Anurag Singh, MD Guest: Adam H. Fox, MD, MSc Guest: Mariam Alexander, MD, PhD Despite the typically poor prognosis of extensive-stage small cell lung cancer, recent advancements are reshaping clinical perspectives on treatment. New and emerging options show promise for prolonged survival and improved quality of life. Join Drs. Gerard Silvestri, Adam Fox, Mariam Alexander, and Anurag Singh as they discuss how the therapeutic landscape is evolving for these patients. Silvestri is a pulmonologist and the Hillenbrand Professor of Thoracic Oncolo
Targeting IL-5 in Severe Asthma: The Role of Biologic Therapies
1y ago · 9:45
Host: Diego Maselli, MD Guest: Monica Kraft, MD, FCCP Guest: Anju T Peters, MD, MSCI, FAAAAI IL-5 is a key driver of Type 2 inflammation in patients with severe asthma, promoting downstream effects like mucus plugging and epithelial barrier dysfunction. Given these impacts, targeted therapy with biologics can play a role in severe asthma management. Join Drs. Diego Maselli, Anju Peters, and Monica Kraft as they explore the impacts of IL-5 and share perspectives on patient selection and shared decision-making for targeted therapies. Dr. Maselli is a Professor of Medicine at the Long School of M
Addressing Gaps in COPD Management: Insights for Pulmonary and Primary Care
1y ago · 18:15
Host: Nathan Falk, MD, MBA, FAAFP Guest: Megan Conroy, MD, MA(Ed), FCCP Patients with chronic obstructive pulmonary disease (COPD) often experience significant delays in diagnosis and treatment due to systemic gaps in management. A recent survey of 400 primary care and pulmonary clinicians uncovered patterns of fragmented care among both specialties. Join Dr. Nate Falk and Dr. Megan Conroy as they dive into the findings and explain how CHEST’s COPD Toolkit can help clinicians address these gaps and provide a coordinated approach to COPD management. Dr. Falk is a board-certified family physicia
Applying the First 5 Minutes Concept to COPD Care
1y ago · 10:30
Host: Angela Birdwell, DO, MA, FCCP Guest: Antonio Anzueto, MD Guest: Susan Corbridge, PhD, APRN, ACNP-BC, FAANP, FCCP, FAAN Although the prevalence of chronic obstructive pulmonary disease (COPD) has decreased in adults aged 18 to 44, it remains elevated in certain patient groups, like women, adults over 65, smokers, and those living in rural areas. This prevalence emphasizes the importance of a patient-centered approach, which is why Dr. Angela Birdwell speaks with Drs. Antonio Anzueto and Susan Corbridge about how open conversations and the First 5 Minutes concept can help personalize the c
The Vicious Vortex: Key Mechanisms of Bronchiectasis
3y ago · 12:30
Host: Ashwin Basavaraj, MD Guest: Christopher Lippincott, MD, MPH Bronchiectasis is a complex syndrome that can lead to an interconnected cascade of airway dysfunction and inflammation. How has our understanding of this syndrome evolved with Cole’s vicious cycle hypothesis? Dr. Ashwin Basavaraj and Dr. Christopher Lippincott take a closer look at this hypothesis and the clinical mechanisms behind bronchiectasis. This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
Exploring Approaches to Management for Bronchiectasis
3y ago · 12:30
Guest: Ashwin Basavaraj, MD Host: Christopher Lippincott, MD, MPH From airway clearance techniques and mucoactive therapy—what can clinicians do to manage bronchiectasis exacerbations? To answer this question, Dr. Christopher Lippincott and Dr. Ashwin Basavaraj explore the mechanisms that lead to bronchiectasis and share strategies to manage exacerbations. This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
Exploring COPD Exacerbations Through the Lens of a Patient Case
3y ago · 12:00
Host: Stephanie Christenson, MD Guest: Ron Balkissoon, MD, MSc, DIH, FRCPC What do we need to know about the pathophysiology and burden of COPD exacerbations? To better understand this—and the factors that may put our patients at risk—Dr. Stephanie Christenson from the University of California San Francisco and Dr. Ron Balkissoon from National Jewish Health share insights on COPD exacerbations. This is a non-promotional, non-CME disease state educational program brought to you by CHEST in collaboration with and sponsored by GSK.
Recognizing & Addressing the Burden of COPD Exacerbations
3y ago · 11:00
Host: Stephanie Christenson, MD Guest: Ron Balkissoon, MD, MSc, DIH, FRCPC What is a COPD exacerbation, and what puts our patients at risk of them? Drs. Stephanie Christenson and Ron Balkissoon discuss these risks and the burden of COPD exacerbations on our patients. This is a non-promotional, non-CME disease state educational program brought to you by CHEST in collaboration with and sponsored by GSK.
Diagnosing Pneumonia: A Look at Key Obstacles & New Testing Modalities
3y ago · 11:00
Host: Randy Young, MD Guest: Tufik Assad, MD, MSCI What are the factors that make diagnosing pneumonia challenging, and how might emerging testing modalities improve that? To answer this question, Dr. Randy Young and Dr. Tufik Assad from the Williamson Medical Center in Franklin, Tennessee dive into the etiology, diagnostic challenges, and current trends in pneumonia diagnostics. This is a non-promotional, non-CME disease state educational podcast produced in partnership with the American College of Chest Physicians and is supported by bioMèrieux.
Key Diagnostic Barriers & Guideline Updates for Pneumonia
3y ago · 14:00
Host: Randy Young, MD Guest: Daniel Jay Feinstein, MD, FACP, MS, ACRP-PI Diagnosing pneumonia can be challenging, but the CAP guidelines offer recommendations to improve the detection of this infection. To find out more about the recommendations, Dr. Randy Young and Dr. Daniel Feinstein, a Physician Executive at Novant Health, dive into testing for pneumonia. This is a non-promotional, non-CME disease state educational podcast produced in partnership with the American College of Chest Physicians and is supported by bioMèrieux.
Emerging Clinical Data on Endobronchial Valves for COPD
3y ago · 14:30
Host: Frank C. Sciurba, MD, FCCP Guest: Emily L. Yee, MD What do we need to know about using endobronchial valves in patients with severe COPD and emphysema? Drs. Frank Sciurba and Emily Yee explore the impact of these valves on patients. This educational podcast is produced in partnership with the American College of CHEST Physicians and sponsored by Pulmonx Corporation, the manufacturer of Zephyr. Click here to find additional educational resources for clinicians and patients.
Perspectives on the NTM Guidelines for MAC Lung Disease
3y ago · 13:00
Host: Doreen Addrizzo-Harris, MD Guest: Ashwin Basavaraj, MD From evaluating diagnostic criteria to nonpharmacologic therapy, what do the NTM guidelines recommend when it comes to the treatment of MAC lung disease? Drs. Doreen Addrizzo-Harris and Ashwin Basavaraj from NYU Grossman School of Medicine will dive into the practical application of the NTM guidelines. This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
Therapeutic Challenges in NTM/MAC Lung Disease: One Patient’s Journey from Diagnosis to Treatment
3y ago · 14:30
Host: Ashwin Basavaraj, MD Nontuberculous mycobacteria (NTM) and bronchiectasis are challenging diseases that require a multidisciplinary approach to treat. Dr. Ashwin Basavaraj sits down with his patient, Mary, to learn more about these obstacles and discuss how we can find the right care team. This program is produced in partnership with the American College of CHEST Physicians, and is sponsored by Insmed Incorporated.
Bridging Specialties™: Timely Diagnosis for ILD Patients
4y ago · 16:00
Host: David Schulman, MD, MPH, FCCP Guest: Andrew H. Limper, MD Guest: Timothy A. Hernandez, MD There are many barriers to reaching a definitive diagnosis for idiopathic pulmonary fibrosis (IPF). To learn more about these obstacles—and how we can overcome them—Dr. David Schulman from the American College of Chest Physicians joins Dr. Tim Hernandez from the University of Texas Health Sciences Center and Dr. Andrew Limper from the Mayo Clinic to discuss the diagnosis of IPF. This is a non-promotional, non-CME disease state educational podcast produced in partnership with the American College of
Investigating Inflammatory Mediators in Chronic Rhinosinusitis
4y ago · 15:00
Host: Peter Howarth BSc, (Hons), MBBS, DM, FRCP Guest: Kathleen M. Buchheit, MD Guest: Philippe Gevaert, MD, PhD Do cytokines play a role in chronic rhinosinusitis? Dr. Peter Howarth is joined by Dr. Katie Buchheit, an Associate Professor of Medicine at Harvard Medical School, and Professor Philippe Gevaert, an ENT specialist at the Department of Otorhinolaryngology at Ghent University and the Upper Airway Research Laboratory, to explore the role of inflammatory mediators in the progression of chronic rhinosinusitis with nasal polyps. This is a nonpromotional, non-CME disease state educational
Investigating T2 Inflammation in Severe Asthma & COPD
4y ago · 13:30
Host: Peter Howarth BSc, (Hons), MBBS, DM, FRCP Guest: Ian Pavord, MA, DM, FRCP, FERS, FMedSci Guest: Geoffrey Chupp, MD Type 2 inflammation can be challenging to identify. What should we be looking for in our patients with severe asthma and COPD? Joining Dr. Peter Howarth to discuss identifying this type of inflammation are Dr. Geoffrey Chupp from the Yale School of Medicine and Dr. Ian Pavord from the University of Oxford. This is a nonpromotional, non-CME disease state educational podcast brought to you by the American College of CHEST Physicians in collaboration with and paid for by GSK.
Optimizing Delivery with LAMAs: A Look at Key Considerations & Clinical Data
4y ago · 12:30
Host: Muhammad Adrish MD, MBA, FCCP, FCCM Guest: Navitha Ramesh, MD, FCCP Inhalers are one of the most common methods of delivery for the treatment of COPD, but is it the best option for all of our patients? Associate Professor of Pulmonary Critical Care at Baylor College of Medicine, Dr. Muhammad Adrish, reviews LAMA use for COPD patients with Dr. Navitha Ramesh, Assistant Professor at Drexel University College of Medicine. This episode is produced in partnership with the American College of CHEST Physicians and is sponsored by Viatris Inc.
Navigating Nebulized LAMAs for COPD Patients
4y ago · 7:00
Host: Megan Conroy, MD, MA(Ed), FCCP Guest: Farrukh Abbas, MD On average, more than two-thirds of patients with chronic obstructive pulmonary disease (COPD) make at least one error in using an inhaler device. Fortunately, nebulized long-acting muscarinic antagonists (LAMAs) can help our patients overcome this common challenge in COPD care. That’s why Drs. Megan Conroy and Farrukh Abbas come together to talk about the GOLD treatment guidelines, strategies for reducing patient hesitancy regarding nebulized LAMAs, and more. This episode is produced in partnership with the American College of CHES
Closing the Gaps in Care: A Look at Diagnostic Challenges for Severe Asthma
4y ago · 11:30
Host: Tom Corbridge, MD, FCCP Guest: Michael E. Wechsler, MD, MMSc Severe asthma is an uncontrolled disease that can be difficult to diagnose. To help us overcome this obstacle, Dr. Tom Corbridge joins Dr. Michael Wechsler from National Jewish Health in Denver to discuss the challenges we face while trying to diagnose severe asthma. This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.
Evaluating Eosinophilic Disorders: A Dive into Diagnosing EGPA & HES
4y ago · 14:00
Guest: Jared Nathan Silver, MD, PhD Guest: Praveen Akuthota, MD Eosinophilic granulomatosis with polyangiitis and hypereosinophilic syndromes are often mistaken for each other. How can we better distinguish these diseases? Dr. Jared Silver discusses how to diagnose these diseases with Dr. Praveen Akuthota, a pulmonologist from U.C. San Diego Medical Center in California. This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.
Evaluating Therapy Escalation for Patients with COPD
4y ago · 12:00
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Hassan Bencheqroun, MD Evaluating the need for therapy escalation can be challenging. So joining Dr. Charles Turck to help us understand how to escalate treatment for patients with chronic obstructive pulmonary disease is Dr. Hassan Bencheqroun, Assistant Professor of Medicine at the University of California Riverside School of Medicine. This is a non-promotional, non-CME disease state disease education podcast series brought to you by American College of CHEST Physicians in collaboration with and paid for by GSK.