In this podcast episode, Corinne Young interviews Brian Bizik, a Physician Associate with expertise in respiratory and allergy care. They discuss the topic of asthma-COPD overlap, exploring the definitions and controversies surrounding this condition. They emphasize that asthma and COPD are separate entities that can coexist in one patient, but asthma-COPD overlap is not its own distinct disease. The conversation highlights the importance of identifying and treating the predominant symptoms and inflammatory factors in each patient. They also discuss the different phenotypes and presentations of asthma-COPD overlap and provide insights into treatment options.

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In this episode, Corinne Young interviews Ray Goodwin, a board-certified family nurse practitioner, about sarcoidosis. They discuss the characteristics of sarcoidosis, including its inflammatory nature and the formation of granulomas in various organs. They also explore the different presentations of sarcoidosis, such as pulmonary, cardiac, and neurosarcoidosis. The conversation covers the diagnostic process, including the importance of biopsy and imaging, and the staging of sarcoidosis. They delve into the treatment options, which primarily involve immunosuppression with oral corticosteroids, and the challenges in managing the disease. The episode concludes with a discussion on the mortality rate of sarcoidosis and the need for further research and guidelines.

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In this episode, we interview Erin Klein Carlson, a respiratory therapist, about the basics of pulmonary function testing. We discuss the reasons for ordering a pulmonary function test, the types of patients that may not be suitable for testing, and the different types of lung function tests available. We also explore the interpretation of flow loops and the importance of z-scores, race and how to approach transgender patients and the challenges of interpreting lung function in this population.

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Dr. Melissa Wilson discusses new treatments in the field of pulmonary hypertension in 2024, focusing on Sotatercept and combination therapy with Opsynvi. Dr. Wilson emphasizes the importance of patient selection and individualized treatment plans. She also discusses the initiation and monitoring of these therapies, as well as potential side effects and patient adherence.

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In this podcast episode, we interview Brian Rose, a cardiovascular physician assistant, about the intersection of cardiology and pulmonology in managing patients with breathlessness. We discuss the evaluation and management of dyspnea on exertion, the role of diastolic dysfunction and valvular disease in causing pulmonary hypertension, and the importance of collaboration between cardiology and pulmonology. 

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Dr. Valerie Young, a thought leader on imposter syndrome, discusses the phenomenon and its impact on APPs. Imposter syndrome is the belief that one is not as intelligent or competent as others perceive them to be, leading to fear of being exposed as a fraud. Learn how to identify and combat imposter syndrome in this episode and visit Dr. Young's website for more information https://impostorsyndrome.com

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In this episode, Corinne Young interviews Jennifer Faber-Gerling about mycobacterium avian complex (MAC). They discuss the bacterium itself, the rise in cases, screening and diagnosis, treatment and side effects, reinfection versus reactivation, and symptom management. Jennifer emphasizes the importance of close surveillance, collaboration with a multidisciplinary team, and individualized care for patients with MAC. Claim your 0.5 CME credits here: https://forms.gle/42yHmF8UpemVhdDJA 

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Dr. Jamie Rutland discusses the role of biologic therapy in COPD. He explains that type 2 inflammation, characterized by the presence of eosinophils, is a key factor in COPD. He also discusses the use of biologics to target this inflammation and reduce exacerbations in COPD patients. 

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APAPP Board Member, Tyler Kuhk an adult gerontology nurse practitioner, discusses the complexities of inhalers and the various types of inhaler devices available. He highlights the importance of understanding the different families of inhalers, types of inhaler devices, the need for proper inhaler technique, and addresses common mistakes that patients make. Tyler also discusses the importance of cleaning and maintaining inhalers and provides insights into choosing the right device for each patient. The episode concludes with a discussion on peak inspiratory flow meters and guidelines for inhaler therapy.

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Dr. Susan Wilcox, medical director of the medical ICU at Leahy Hospital, delves into ECMO (Extracorporeal Membrane Oxygenation) and its applications, emphasizing that ideal candidates are typically relatively healthy individuals with isolated single organ injuries. Nonetheless, she acknowledges the rarity of finding textbook-perfect candidates.

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