Respiratory Exchange

Liver disease presents a high burden, both on the society as well as healthcare system. Dr. Aanchal Kapoor, founder and director of the Medical Intensive Liver Unit (MILU), talks about the creation of this ICU Critical Care unit completely dedicated to the care of patients with severe liver disease. Dr. Kapoor discusses how this multidisciplinary unit works with staff from multiple areas including...

Dr. Daniel Culver, chairman of the Pulmonary Department in the Respiratory Institute at Cleveland Clinic, dives in to the topic of interstitial lung diseases, their diagnosis and management. He covers use of transbronchial cryobiopsy, the benefits of multidisciplinary discussion, and changes in the use of immunosuppressive and anti-fibrotic therapies. Dr. Culver talks about the need for identifyin...

In the U.S. from March 2020 to June 2021, 147 lung transplants took place for COVID fibrosis or COVID ARDS. In this podcast, Dr. Kenneth McCurry and Dr. Marie Budev, surgical director and medical director, respectively, of the Lung and Heart-Lung Transplant Program at Cleveland Clinic discuss COVID-19, ARDS, fibrosis and the potential role of lung transplantation to treat those patients with advan...

In this episode, Dr. Sumita Khatri, vice chair of Cleveland Clinic’s Respiratory Institute and director of the Asthma Center, discusses the multitude of factors that can impact a patient’s lung heath, including climate change, particle matter pollution, ozone, proximity to urban heat islands and traffic, as well as occupational influencers like farming and agricultural work. Dr. Khatri urges physi...

Sandra Hong, MD joins Respiratory Exchange to discuss oral immunotherapy (OIT) for food allergy. She reviews the life-changing success of patients who have undergone OIT via an established program, as well as covering “early OIT,” in which children below the age of four are introduced to a food allergen in order to build up a tolerance.

Dr. Peter Mazzone, Director of the Lung Cancer Program for the Respiratory Institute and the Lung Cancer Screening Program for Cleveland Clinic, discusses why the low-dose CT screening test for lung cancer has become the standard of care for high-risk individuals and the necessity of having a system in place to manage the scan’s findings. He also talks about follow-up needed for lung nodules found...

Dr. Marie Budev, director of the Cleveland Clinic Lung Transplant Program, tackles the huge subject of Lung Transplant, covering a range of topics that includes when the right time to refer a patient is and what the contraindications are for transplant. She discusses the Lung Allocation Score, lung transplant survival rate and how long it takes to get a patient ready for transplant. Dr. Budev also...

Dr. Daniel Culver, chair of the Cleveland Clinic Department for Pulmonary Medicine, and Dr. Manuel Ribeiro, director of the Sarcoidosis Center at the Cleveland Clinic, recap the highlights from the December WASOG Diseases conference. They review the discussions on Progressive Fibrosing Interstitial Lung Disease, the relationship between inflammation and fibrosis, the new European Respiratory Socie...

Dr. David Lang, chairman of the Cleveland Clinic Department for Allergy and Immunology, updates us on methods allergists may use to challenge self-reported penicillin allergy, desensitize patients who have a documented aspirin allergy and current testing for vaccine allergies.

Dr. Rachel Taliercio, founder and director of the Chronic Cough Clinic, talks about the four main causes of chronic cough: upper airway cough syndrome, cough variant asthma, non-asthmatic eosinophilic bronchitis and GERD. In addition, she discusses the value of really listening to patients and the importance of using guideline-based therapies. Dr. Taliercio also covers cough hypersensitivity syndr...

Dr. Hassan Khouli, chairman of Cleveland Clinic’s Critical Care Medicine Department, covers aspects of this young, evolving field, from expanding the ICU team to include pharmacists and nutritionists, to the trend in creating sub-specialized medical ICUs. Dr. Khouli also discusses the movement toward non-invasive technologies, using data to minimize over-testing and the value of engaging families...

Dr. Kristin Englund, founder and director of Cleveland Clinic’s post-COVID reCOVer Clinic, discusses the increasing impact of long COVID on patients and healthcare. Learn about the growing list of disease symptoms, the effect on multiple organs and which patients are more at risk for long COVID. Dr. Englund discusses the reCOVer Clinic and the development of multiple care paths and a multidiscipli...

Dr. Steven Gordon, chairman of Cleveland Clinic’s Infectious Disease Department, discusses how the COVID-19 pathogen has taught us numerous lessons connected to preparedness for dealing with future emerging pathogens. Dr. Gordon covers the need to develop supply chain resiliency and redundancy, and to move from a “just in time” supply mentality to one of “just in case.” He also talks about using b...