The Exchange

Commentary and Observations from
the Medical Front Lines

Latest Pulmonary Medicine Articles on PCE's The Exchange

A New Biologic on the Horizon for Severe Asthma

A New Biologic on the Horizon for Severe Asthma

There are currently 5 available monoclonal antibody treatments for patients with moderate to severe asthma, all of which target immunoglobulin E (IgE) or type 2 inflammatory cytokines involved in eosinophilic inflammation. While the currently available biologic therapies (omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab) have been extremely effective for many asthmatics, there are still many patients with non-eosinophilic or non-allergic asthma who do not have an adequate response... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

My Experience With COVID-19 – An NP’s Perspective, Part 2

My Experience With COVID-19 – An NP’s Perspective, Part 2

In my previous post, I wrote about becoming ill with COVID-19 and how the initial symptoms impacted me. In this post, I'll be discussing home care tips that... Continue Reading

Filed under: Infectious Diseases, NPs & PAs, Pulmonary Medicine

My Experience With COVID-19 – An NP’s Perspective, Part 1

My Experience With COVID-19 – An NP’s Perspective, Part 1

Even as an NP practicing 20 years in a pulmonary clinic, I was not prepared for how ill I became when I contracted COVID-19 just after Christmas 2020. ... Continue Reading

Filed under: Infectious Diseases, NPs & PAs, Pulmonary Medicine

Management of Severe T2-High Asthma

Management of Severe T2-High Asthma

Many patients with asthma have type 2 inflammation. Type 2 inflammation, also known as T2-high asthma, is driven by presence of interleukin (IL)-4, IL-5, IL-... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

Protecting Patients From Unsafe Air Quality

Protecting Patients From Unsafe Air Quality

With all of the fires raging in California, many other areas far from them are experiencing poor air quality too. Poor air quality can have both long- and sh... Continue Reading

Filed under: Public Health, Pulmonary Medicine

Asthma Q&A With Dr Kurtis Elward: Part 2

Asthma Q&A With Dr Kurtis Elward: Part 2

PCE recently held our Series 1 Live Stream events. During the Live Streams, attendees have the chance to ask expert faculty specific questions, though we oft... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

Asthma Q&A With Dr Kurtis Elward: Part 1

Asthma Q&A With Dr Kurtis Elward: Part 1

PCE recently held our Series 1 Live Stream events. During the Live Streams, attendees have the chance to ask expert faculty specific questions, though we oft... Continue Reading

Filed under: Allergy/Immunology, Pulmonary Medicine

Silent Hypoxia in COVID-19 Patients

Silent Hypoxia in COVID-19 Patients

Emergency rooms in New York are finding COVID-19 pneumonia in some patients who have no shortness of breath. Clinicians have reported that when they did x-ra... Continue Reading

Filed under: Infectious Diseases, Pulmonary Medicine

Asthma and COVID-19

Asthma and COVID-19

The early data on mortality from COVID-19 infections are showing that asthma is not one of the top risk factors. The top ten COVID-19 comorbidities (in rank... Continue Reading

Filed under: Infectious Diseases, Pulmonary Medicine

Quitting Smoking When You Already Have Lung Cancer: Does It Matter?

Quitting Smoking When You Already Have Lung Cancer: Does It Matter?

Many patients feel that once they develop lung cancer, it is pointless to quit smoking. Smoking is one of the toughest addictions to break, and with the adde... Continue Reading

Filed under: Oncology/Hematology, Pulmonary Medicine, Substance Abuse

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

We all know that sleep is crucial for heart health. Research has shown that regardless of a person's age, weight, smoking habits, and exercise l... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine, Pulmonary Medicine

Managing Patients With Suspected Vape-Related Lung Problems

Managing Patients With Suspected Vape-Related Lung Problems

We have been hearing about more and more cases of lipoid pneumonia linked to marijuana oils in e-cigarettes. According to the CDC, as of November 2019, there... Continue Reading

Filed under: Infectious Diseases, Public Health, Pulmonary Medicine

Multi-agency Information for Patients and Providers: e-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

Multi-agency Information for Patients and Providers: e-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

By now, we have all heard the news concerning the dangers of e-cigarettes and vaping and have likely received a myriad of updates in our ever-growing e-mail... Continue Reading

Filed under: Public Health, Pulmonary Medicine

Management of Patients with Suspected EVALI

Management of Patients with Suspected EVALI

Over the last several years there has been a dramatic spike in individuals vaping, and we have witnessed the associated injuries—including bur... Continue Reading

Filed under: Health Policy and Trends, Pulmonary Medicine

Procalcitonin Levels in the Management of COPD Exacerbations

Procalcitonin Levels in the Management of COPD Exacerbations

The use of procalcitonin-based protocols to guide the decision to administer antibiotics has been evaluated in infections of different origins and settings.... Continue Reading

Filed under: Infectious Diseases, Pulmonary Medicine

Anticoagulants and Recurrent Thrombosis

Anticoagulants and Recurrent Thrombosis

The other day a student asked me, "If a patient is taking a blood thinner for a previous venous thromboembolism (VTE), is it still possible for them to get a... Continue Reading

Filed under: Pulmonary Medicine

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