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.
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.
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
Point/Counterpoint Discussion: Does the Risk of Cross-Infection Warrant the Exclusion of Adults with Cystic Fibrosis From Cystic Fibrosis Events?
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 Shepherd argues that the concept is based on outdated ideas, the risks are very small, and that adults should be able to make their own choices on the risks they want to take.
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.