User login
This month in the journal CHEST®
Editor’s picks
Editorials
Right Ventricle to Left Ventricle Ratio at CTPA Predicts Mortality in Interstitial Lung Disease
By Dr. S. Gaine, et al.
Lung Ultrasound for the Diagnosis of Acute Heart Failure in the Emergency Department: A Step Forward
By Dr. P. Le Conte, et al.
Original research
The Burden of Substance Abuse-Related Admissions to the Medical ICU
By Dr. D. Westerhausen, et al.
Accuracy of Several Lung Ultrasound Methods for the Diagnosis of Acute Heart Failure in the Emergency Department: A Multicenter Prospective Study
By Dr. T. Choulhed, et al.
Editor’s picks
Editor’s picks
Editorials
Right Ventricle to Left Ventricle Ratio at CTPA Predicts Mortality in Interstitial Lung Disease
By Dr. S. Gaine, et al.
Lung Ultrasound for the Diagnosis of Acute Heart Failure in the Emergency Department: A Step Forward
By Dr. P. Le Conte, et al.
Original research
The Burden of Substance Abuse-Related Admissions to the Medical ICU
By Dr. D. Westerhausen, et al.
Accuracy of Several Lung Ultrasound Methods for the Diagnosis of Acute Heart Failure in the Emergency Department: A Multicenter Prospective Study
By Dr. T. Choulhed, et al.
Editorials
Right Ventricle to Left Ventricle Ratio at CTPA Predicts Mortality in Interstitial Lung Disease
By Dr. S. Gaine, et al.
Lung Ultrasound for the Diagnosis of Acute Heart Failure in the Emergency Department: A Step Forward
By Dr. P. Le Conte, et al.
Original research
The Burden of Substance Abuse-Related Admissions to the Medical ICU
By Dr. D. Westerhausen, et al.
Accuracy of Several Lung Ultrasound Methods for the Diagnosis of Acute Heart Failure in the Emergency Department: A Multicenter Prospective Study
By Dr. T. Choulhed, et al.
Winners: Abstract Awards
Alfred Soffer Research Award Winners
Johnathan Chung: EVALUATING CLINICAL UTILITY OF A UIP GENOMIC CLASSIFIER IN SUBJECTS WITH AND WITHOUT A HRCT PATTERN OF UIP
Girish Nair, MD: QUANTITATIVE LUNG FUNCTION IMAGING USING NOVEL INTEGRATED JACOBIAN VENTILATION METHOD IN A HEALTHY COHORT WITH NO RESPIRATORY SYMPTOMS
Young Investigator Award Winners
Marvi Bikak, MD: APPLICATION OF MARKOV MODELING TO ASSESS OUTCOMES IN COPD
Arunima Bera, MD: SOLUBLE INTRACELLULAR ADHESION MOLECULE-1 (ICAM-1) PREDICTS MORTALITY IN CHILDREN WITH ARDS AND SEPSIS
Top Abstract Poster
Winner: Rachel Naramore: CAUSES OF MORTALITY POST SINGLE VS DOUBLE LUNG TRANSPLANTATION FOR COPD
Runner-up: Arjun Srinivasan: FEASIBILITY AND SAFETY OF DAY CARE THORACOSCOPY FOR UNDIAGNOSED EXUDATIVE PLEURAL EFFUSIONS
Case Report Slide Winners
Catherine A. Gao, MD: NOCARDIA ABSCESS AND PULMONARY ALVEOLAR PROTEINOSIS MASQUERADING AS LUNG CANCER WITH LYMPHANGITIC SPREAD IN A 57-YO PATIENT WITH 80 PY SMOKING HISTORY, in Fellows session - Interesting Presentations of Infectious Diseases
Sangita Goel, MD: SUCCESSFUL SINGLE LUNG TRANSPLANT OF A HEPATITIS C POSITIVE DONOR TO AN HIV SEROPOSITIVE RECIPIENT WITH PULMONARY FIBROSIS, in Fellows session, – Pulmonary Pathology
Matthew Lyons, MD: FAMILIAL PULMONARY FIBROSIS SECONDARY TO SHORT TELOMERE SYNDROME, in Medical Student/Resident session – Diffuse Lung Disease
Sarika Savajiyani, DO: MANAGEMENT OF SECONDARY HYPERFIBRINOLYSIS IN EXTRACORPOREAL MEMBRANE OXYGENATION AS IDENTIFIED BY THROMBOELASTOGRAPHY, in Fellows session – Clinical Conundrums in ECMO
Chase A. Baxter, DO: POLYBIOPSY FULMINANS: PULMONARY LYMPHOMATOID GRANULOMATOSIS, in Medical Student/Resident session – Pulmonary Pathology
Jason Low, MBBS: THE HURRICANE EFFECT: AN UNUSUAL PHENOMENON IN THE PULMONARY ARTERY, in Fellows session – Bronchoscopic Procedures
Jacob Hupp, MD: ECMO-RELATED HEMOLYTIC ANEMIA: A CASE SERIES ILLUSTRATING THE ROLE OF PLASMAPHERESIS IN MANAGEMENT, in Fellows session – Plasmapheresis to the Rescue
Nichole A. Smith, MD: BILATERAL CHYLOTHORAX SECONDARY TO SPONTANEOUS THORACIC DUCT ANEURYSM, in Fellows session – Disorders of the Pleura
Ritu Modi, MD: A FLORIST’S OCCUPATIONAL EXPOSURE, in Fellows session – Chest Infections: Find the Fungus
Ly Tran, DO: A RARE CASE OF PARANEOPLASTIC EDEMATOUS DERMATOMYOSITIS ASSOCIATED WITH SMALL CELL LUNG CANCER, in Medical Student/Resident session – Lung Cancer: Unusual Presentations
Abdelhamid Ben Selma, MD: PRIMARY SYNOVIAL SARCOMA OF THE LUNG COMPLICATED WITH POST BIOPSY TUMOR SPREAD TO THE TRACHEAL WALL, in Medical Student/Resident session – Pulmonary Pathology II
Dhaval Thakkar, MD: A CURIOUS MANIFESTATION OF SARCOIDOSIS, in Fellows session – Pulmonary Manifestations of Systemic Disease
Isaac N. Biney, MBChB: ACUTE PULMONARY EMBOLISM ASSOCIATED WITH A MOBILE RIGHT ATRIAL THROMBUS MANAGED BY SUCTION THROMBECTOMY, in Fellows session – Pulmonary Vascular Disease
Tie: José Antonio J. Meade Aguilar: CROSSFIT TRAINING-RELATED SPONTANEOUS DIAPHRAGMATIC RUPTURE: A CASE REPORT and Abigayle R. Sullivan, DO: A RARE CASE OF CULTURE-NEGATIVE WHIPPLE’S ENDOCARDITIS, in Medical Student/Resident session - Cardiovascular Cases
Yameena T. Jawed: BLUE INSIDE AND OUT: A NOVEL CASE OF HYPOTHERMIC SHOCK SALVAGED BY METHYLENE BLUE, in Fellows session – Unusual Cases and Treatments in the ICU
Rahul Dasgupta, MD: SUPERIOR VENA CAVA (SVC) –TRACHEAL FISTULA: AN UNUSUAL CASE OF HEMOPTYSIS, in Medical Student/Resident session – Lung Cancer: Expect the Unexpected
Akshay Bhatnagar, MD: A CASE OF CLINICALLY AMYOPATHIC DERMATOMYOSITIS-RELATED INTERSTITIAL LUNG DISEASE DUE TO ANTI-MDA5 ANTIBODY AND HEPATITIS B INFECTION, in Fellows session – Diffuse Lung Diseases
Kathleen Twomey, MD: A CASE OF RECURRENT ENCEPHALOPATHY IN A GASTRIC BYPASS PATIENT, in Medical Student/Resident session – Critical Care Complications
Jennifer Sunny, DO: MASSIVE BEE ENVENOMATION TREATED BY PLASMAPHERESIS, in Medical Student/Resident session – Critical Care Devices
Hafiz B. Mahboob, MD: PAZOPANIB ASSOCIATED SECONDARY SPONTANEOUS PNEUMOTHORAX: NATURAL DISEASE PROGRESSION OR DRUG SAFETY CONCERN? in Fellows session – Lung Cancer
Tie: Andrew DeMaio, MD, A CASE OF PULMONARY TUBERCULOSIS AND PERSISTENT INTESTINAL INFLAMMATION AND HEMORRHAGE: TB OR NOT TB? and Joanna M. Scoon: ATTACK OF THE WILD BOARS, in Fellows session – Chest Infections
Danielle El Haddad, MD: A RIGHT TO LEFT EXTRACARDIAC SHUNT FROM A CHRONIC SUPERIOR VENA CAVA THROMBUS IN A PROTHROMBOTIC PATIENT, in Medical Student/Resident session – Pulmonary Vascular Disease
John Shumar, DO: MAKE NO BONES ABOUT IT: A RARE CASE OF OSSEOUS SARCOIDOSIS PRESENTING TWENTY YEARS AFTER INITIAL DIAGNOSIS, in Medical Student/Resident session – Pulmonary Manifestations of Systemic Disease
Case Report Poster Winners
Jad Sargi, MD: ATYPICAL PRESENTATION OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES SYNDROME)
Ankur Sinha, MBBS: LISTERIA MONOCYTOGENES BRAIN ABSCESS IN AN IMMUNOCOMPETENT ADULT
Carla Emille D. Barbon, MD: GIANT PRIMARY LIPOSARCOMA OF THE PLEURA RESECTED THROUGH HEMI-CLAMSHELL THORACOTOMY
Hope F. Johnson, RRT: BRONCHOSCOPIC TREATMENT OF EARLY AND LATE PRESENTATION OF IRON PILL ASPIRATION
Humna Abid Memon, MD: AUTOLOGOUS STEM CELL TRANSPLANTATION: A POSSIBLE TREATMENT FOR PULMONARY HYPERTENSION IN POEMS SYNDROME
Jordanna Hostler, MD, FCCP: BEYOND STEROIDS: MEPOLIZUMAB FOR CHRONIC EOSINOPHILIC PNEUMONIA
Zahra Zia, MD, MBBS: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) FOR EMERGENT SURGICAL TREATMENT OF ANAEROBIC PURULENT PERICARDITIS CAUSING CARDIAC TAMPONADE, BRONCHOMEDIASTINAL FISTULA, AND ARDS
Brooke A. McDonald: FATAL CENTRAL PULMONARY CEMENT EMBOLISM AFTER KYPHOPLASTY
Mary E. Richert, MD: A CASE OF RASBURICASE-INDUCED METHEMOGLOBINEMIA DUE TO GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY TREATED WITH HYPERBARIC OXYGEN THERAPY
Shiva M. Arjun, MD: AORTOBRONCHIAL FISTULA DUE TO GRAFT FAILURE: A RARE CAUSE OF HEMOPTYSIS
Harshwant Grover, MD: BLACK MEDIASTINUM: PRIMARY MEDIASTINAL MELANOMA
Neha Agarwal, MD: POSTTRANSPLANT PULMONARY KAPOSI SARCOMA PRESENTING AS CHYLOTHORAX
Alfred Soffer Research Award Winners
Johnathan Chung: EVALUATING CLINICAL UTILITY OF A UIP GENOMIC CLASSIFIER IN SUBJECTS WITH AND WITHOUT A HRCT PATTERN OF UIP
Girish Nair, MD: QUANTITATIVE LUNG FUNCTION IMAGING USING NOVEL INTEGRATED JACOBIAN VENTILATION METHOD IN A HEALTHY COHORT WITH NO RESPIRATORY SYMPTOMS
Young Investigator Award Winners
Marvi Bikak, MD: APPLICATION OF MARKOV MODELING TO ASSESS OUTCOMES IN COPD
Arunima Bera, MD: SOLUBLE INTRACELLULAR ADHESION MOLECULE-1 (ICAM-1) PREDICTS MORTALITY IN CHILDREN WITH ARDS AND SEPSIS
Top Abstract Poster
Winner: Rachel Naramore: CAUSES OF MORTALITY POST SINGLE VS DOUBLE LUNG TRANSPLANTATION FOR COPD
Runner-up: Arjun Srinivasan: FEASIBILITY AND SAFETY OF DAY CARE THORACOSCOPY FOR UNDIAGNOSED EXUDATIVE PLEURAL EFFUSIONS
Case Report Slide Winners
Catherine A. Gao, MD: NOCARDIA ABSCESS AND PULMONARY ALVEOLAR PROTEINOSIS MASQUERADING AS LUNG CANCER WITH LYMPHANGITIC SPREAD IN A 57-YO PATIENT WITH 80 PY SMOKING HISTORY, in Fellows session - Interesting Presentations of Infectious Diseases
Sangita Goel, MD: SUCCESSFUL SINGLE LUNG TRANSPLANT OF A HEPATITIS C POSITIVE DONOR TO AN HIV SEROPOSITIVE RECIPIENT WITH PULMONARY FIBROSIS, in Fellows session, – Pulmonary Pathology
Matthew Lyons, MD: FAMILIAL PULMONARY FIBROSIS SECONDARY TO SHORT TELOMERE SYNDROME, in Medical Student/Resident session – Diffuse Lung Disease
Sarika Savajiyani, DO: MANAGEMENT OF SECONDARY HYPERFIBRINOLYSIS IN EXTRACORPOREAL MEMBRANE OXYGENATION AS IDENTIFIED BY THROMBOELASTOGRAPHY, in Fellows session – Clinical Conundrums in ECMO
Chase A. Baxter, DO: POLYBIOPSY FULMINANS: PULMONARY LYMPHOMATOID GRANULOMATOSIS, in Medical Student/Resident session – Pulmonary Pathology
Jason Low, MBBS: THE HURRICANE EFFECT: AN UNUSUAL PHENOMENON IN THE PULMONARY ARTERY, in Fellows session – Bronchoscopic Procedures
Jacob Hupp, MD: ECMO-RELATED HEMOLYTIC ANEMIA: A CASE SERIES ILLUSTRATING THE ROLE OF PLASMAPHERESIS IN MANAGEMENT, in Fellows session – Plasmapheresis to the Rescue
Nichole A. Smith, MD: BILATERAL CHYLOTHORAX SECONDARY TO SPONTANEOUS THORACIC DUCT ANEURYSM, in Fellows session – Disorders of the Pleura
Ritu Modi, MD: A FLORIST’S OCCUPATIONAL EXPOSURE, in Fellows session – Chest Infections: Find the Fungus
Ly Tran, DO: A RARE CASE OF PARANEOPLASTIC EDEMATOUS DERMATOMYOSITIS ASSOCIATED WITH SMALL CELL LUNG CANCER, in Medical Student/Resident session – Lung Cancer: Unusual Presentations
Abdelhamid Ben Selma, MD: PRIMARY SYNOVIAL SARCOMA OF THE LUNG COMPLICATED WITH POST BIOPSY TUMOR SPREAD TO THE TRACHEAL WALL, in Medical Student/Resident session – Pulmonary Pathology II
Dhaval Thakkar, MD: A CURIOUS MANIFESTATION OF SARCOIDOSIS, in Fellows session – Pulmonary Manifestations of Systemic Disease
Isaac N. Biney, MBChB: ACUTE PULMONARY EMBOLISM ASSOCIATED WITH A MOBILE RIGHT ATRIAL THROMBUS MANAGED BY SUCTION THROMBECTOMY, in Fellows session – Pulmonary Vascular Disease
Tie: José Antonio J. Meade Aguilar: CROSSFIT TRAINING-RELATED SPONTANEOUS DIAPHRAGMATIC RUPTURE: A CASE REPORT and Abigayle R. Sullivan, DO: A RARE CASE OF CULTURE-NEGATIVE WHIPPLE’S ENDOCARDITIS, in Medical Student/Resident session - Cardiovascular Cases
Yameena T. Jawed: BLUE INSIDE AND OUT: A NOVEL CASE OF HYPOTHERMIC SHOCK SALVAGED BY METHYLENE BLUE, in Fellows session – Unusual Cases and Treatments in the ICU
Rahul Dasgupta, MD: SUPERIOR VENA CAVA (SVC) –TRACHEAL FISTULA: AN UNUSUAL CASE OF HEMOPTYSIS, in Medical Student/Resident session – Lung Cancer: Expect the Unexpected
Akshay Bhatnagar, MD: A CASE OF CLINICALLY AMYOPATHIC DERMATOMYOSITIS-RELATED INTERSTITIAL LUNG DISEASE DUE TO ANTI-MDA5 ANTIBODY AND HEPATITIS B INFECTION, in Fellows session – Diffuse Lung Diseases
Kathleen Twomey, MD: A CASE OF RECURRENT ENCEPHALOPATHY IN A GASTRIC BYPASS PATIENT, in Medical Student/Resident session – Critical Care Complications
Jennifer Sunny, DO: MASSIVE BEE ENVENOMATION TREATED BY PLASMAPHERESIS, in Medical Student/Resident session – Critical Care Devices
Hafiz B. Mahboob, MD: PAZOPANIB ASSOCIATED SECONDARY SPONTANEOUS PNEUMOTHORAX: NATURAL DISEASE PROGRESSION OR DRUG SAFETY CONCERN? in Fellows session – Lung Cancer
Tie: Andrew DeMaio, MD, A CASE OF PULMONARY TUBERCULOSIS AND PERSISTENT INTESTINAL INFLAMMATION AND HEMORRHAGE: TB OR NOT TB? and Joanna M. Scoon: ATTACK OF THE WILD BOARS, in Fellows session – Chest Infections
Danielle El Haddad, MD: A RIGHT TO LEFT EXTRACARDIAC SHUNT FROM A CHRONIC SUPERIOR VENA CAVA THROMBUS IN A PROTHROMBOTIC PATIENT, in Medical Student/Resident session – Pulmonary Vascular Disease
John Shumar, DO: MAKE NO BONES ABOUT IT: A RARE CASE OF OSSEOUS SARCOIDOSIS PRESENTING TWENTY YEARS AFTER INITIAL DIAGNOSIS, in Medical Student/Resident session – Pulmonary Manifestations of Systemic Disease
Case Report Poster Winners
Jad Sargi, MD: ATYPICAL PRESENTATION OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES SYNDROME)
Ankur Sinha, MBBS: LISTERIA MONOCYTOGENES BRAIN ABSCESS IN AN IMMUNOCOMPETENT ADULT
Carla Emille D. Barbon, MD: GIANT PRIMARY LIPOSARCOMA OF THE PLEURA RESECTED THROUGH HEMI-CLAMSHELL THORACOTOMY
Hope F. Johnson, RRT: BRONCHOSCOPIC TREATMENT OF EARLY AND LATE PRESENTATION OF IRON PILL ASPIRATION
Humna Abid Memon, MD: AUTOLOGOUS STEM CELL TRANSPLANTATION: A POSSIBLE TREATMENT FOR PULMONARY HYPERTENSION IN POEMS SYNDROME
Jordanna Hostler, MD, FCCP: BEYOND STEROIDS: MEPOLIZUMAB FOR CHRONIC EOSINOPHILIC PNEUMONIA
Zahra Zia, MD, MBBS: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) FOR EMERGENT SURGICAL TREATMENT OF ANAEROBIC PURULENT PERICARDITIS CAUSING CARDIAC TAMPONADE, BRONCHOMEDIASTINAL FISTULA, AND ARDS
Brooke A. McDonald: FATAL CENTRAL PULMONARY CEMENT EMBOLISM AFTER KYPHOPLASTY
Mary E. Richert, MD: A CASE OF RASBURICASE-INDUCED METHEMOGLOBINEMIA DUE TO GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY TREATED WITH HYPERBARIC OXYGEN THERAPY
Shiva M. Arjun, MD: AORTOBRONCHIAL FISTULA DUE TO GRAFT FAILURE: A RARE CAUSE OF HEMOPTYSIS
Harshwant Grover, MD: BLACK MEDIASTINUM: PRIMARY MEDIASTINAL MELANOMA
Neha Agarwal, MD: POSTTRANSPLANT PULMONARY KAPOSI SARCOMA PRESENTING AS CHYLOTHORAX
Alfred Soffer Research Award Winners
Johnathan Chung: EVALUATING CLINICAL UTILITY OF A UIP GENOMIC CLASSIFIER IN SUBJECTS WITH AND WITHOUT A HRCT PATTERN OF UIP
Girish Nair, MD: QUANTITATIVE LUNG FUNCTION IMAGING USING NOVEL INTEGRATED JACOBIAN VENTILATION METHOD IN A HEALTHY COHORT WITH NO RESPIRATORY SYMPTOMS
Young Investigator Award Winners
Marvi Bikak, MD: APPLICATION OF MARKOV MODELING TO ASSESS OUTCOMES IN COPD
Arunima Bera, MD: SOLUBLE INTRACELLULAR ADHESION MOLECULE-1 (ICAM-1) PREDICTS MORTALITY IN CHILDREN WITH ARDS AND SEPSIS
Top Abstract Poster
Winner: Rachel Naramore: CAUSES OF MORTALITY POST SINGLE VS DOUBLE LUNG TRANSPLANTATION FOR COPD
Runner-up: Arjun Srinivasan: FEASIBILITY AND SAFETY OF DAY CARE THORACOSCOPY FOR UNDIAGNOSED EXUDATIVE PLEURAL EFFUSIONS
Case Report Slide Winners
Catherine A. Gao, MD: NOCARDIA ABSCESS AND PULMONARY ALVEOLAR PROTEINOSIS MASQUERADING AS LUNG CANCER WITH LYMPHANGITIC SPREAD IN A 57-YO PATIENT WITH 80 PY SMOKING HISTORY, in Fellows session - Interesting Presentations of Infectious Diseases
Sangita Goel, MD: SUCCESSFUL SINGLE LUNG TRANSPLANT OF A HEPATITIS C POSITIVE DONOR TO AN HIV SEROPOSITIVE RECIPIENT WITH PULMONARY FIBROSIS, in Fellows session, – Pulmonary Pathology
Matthew Lyons, MD: FAMILIAL PULMONARY FIBROSIS SECONDARY TO SHORT TELOMERE SYNDROME, in Medical Student/Resident session – Diffuse Lung Disease
Sarika Savajiyani, DO: MANAGEMENT OF SECONDARY HYPERFIBRINOLYSIS IN EXTRACORPOREAL MEMBRANE OXYGENATION AS IDENTIFIED BY THROMBOELASTOGRAPHY, in Fellows session – Clinical Conundrums in ECMO
Chase A. Baxter, DO: POLYBIOPSY FULMINANS: PULMONARY LYMPHOMATOID GRANULOMATOSIS, in Medical Student/Resident session – Pulmonary Pathology
Jason Low, MBBS: THE HURRICANE EFFECT: AN UNUSUAL PHENOMENON IN THE PULMONARY ARTERY, in Fellows session – Bronchoscopic Procedures
Jacob Hupp, MD: ECMO-RELATED HEMOLYTIC ANEMIA: A CASE SERIES ILLUSTRATING THE ROLE OF PLASMAPHERESIS IN MANAGEMENT, in Fellows session – Plasmapheresis to the Rescue
Nichole A. Smith, MD: BILATERAL CHYLOTHORAX SECONDARY TO SPONTANEOUS THORACIC DUCT ANEURYSM, in Fellows session – Disorders of the Pleura
Ritu Modi, MD: A FLORIST’S OCCUPATIONAL EXPOSURE, in Fellows session – Chest Infections: Find the Fungus
Ly Tran, DO: A RARE CASE OF PARANEOPLASTIC EDEMATOUS DERMATOMYOSITIS ASSOCIATED WITH SMALL CELL LUNG CANCER, in Medical Student/Resident session – Lung Cancer: Unusual Presentations
Abdelhamid Ben Selma, MD: PRIMARY SYNOVIAL SARCOMA OF THE LUNG COMPLICATED WITH POST BIOPSY TUMOR SPREAD TO THE TRACHEAL WALL, in Medical Student/Resident session – Pulmonary Pathology II
Dhaval Thakkar, MD: A CURIOUS MANIFESTATION OF SARCOIDOSIS, in Fellows session – Pulmonary Manifestations of Systemic Disease
Isaac N. Biney, MBChB: ACUTE PULMONARY EMBOLISM ASSOCIATED WITH A MOBILE RIGHT ATRIAL THROMBUS MANAGED BY SUCTION THROMBECTOMY, in Fellows session – Pulmonary Vascular Disease
Tie: José Antonio J. Meade Aguilar: CROSSFIT TRAINING-RELATED SPONTANEOUS DIAPHRAGMATIC RUPTURE: A CASE REPORT and Abigayle R. Sullivan, DO: A RARE CASE OF CULTURE-NEGATIVE WHIPPLE’S ENDOCARDITIS, in Medical Student/Resident session - Cardiovascular Cases
Yameena T. Jawed: BLUE INSIDE AND OUT: A NOVEL CASE OF HYPOTHERMIC SHOCK SALVAGED BY METHYLENE BLUE, in Fellows session – Unusual Cases and Treatments in the ICU
Rahul Dasgupta, MD: SUPERIOR VENA CAVA (SVC) –TRACHEAL FISTULA: AN UNUSUAL CASE OF HEMOPTYSIS, in Medical Student/Resident session – Lung Cancer: Expect the Unexpected
Akshay Bhatnagar, MD: A CASE OF CLINICALLY AMYOPATHIC DERMATOMYOSITIS-RELATED INTERSTITIAL LUNG DISEASE DUE TO ANTI-MDA5 ANTIBODY AND HEPATITIS B INFECTION, in Fellows session – Diffuse Lung Diseases
Kathleen Twomey, MD: A CASE OF RECURRENT ENCEPHALOPATHY IN A GASTRIC BYPASS PATIENT, in Medical Student/Resident session – Critical Care Complications
Jennifer Sunny, DO: MASSIVE BEE ENVENOMATION TREATED BY PLASMAPHERESIS, in Medical Student/Resident session – Critical Care Devices
Hafiz B. Mahboob, MD: PAZOPANIB ASSOCIATED SECONDARY SPONTANEOUS PNEUMOTHORAX: NATURAL DISEASE PROGRESSION OR DRUG SAFETY CONCERN? in Fellows session – Lung Cancer
Tie: Andrew DeMaio, MD, A CASE OF PULMONARY TUBERCULOSIS AND PERSISTENT INTESTINAL INFLAMMATION AND HEMORRHAGE: TB OR NOT TB? and Joanna M. Scoon: ATTACK OF THE WILD BOARS, in Fellows session – Chest Infections
Danielle El Haddad, MD: A RIGHT TO LEFT EXTRACARDIAC SHUNT FROM A CHRONIC SUPERIOR VENA CAVA THROMBUS IN A PROTHROMBOTIC PATIENT, in Medical Student/Resident session – Pulmonary Vascular Disease
John Shumar, DO: MAKE NO BONES ABOUT IT: A RARE CASE OF OSSEOUS SARCOIDOSIS PRESENTING TWENTY YEARS AFTER INITIAL DIAGNOSIS, in Medical Student/Resident session – Pulmonary Manifestations of Systemic Disease
Case Report Poster Winners
Jad Sargi, MD: ATYPICAL PRESENTATION OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES SYNDROME)
Ankur Sinha, MBBS: LISTERIA MONOCYTOGENES BRAIN ABSCESS IN AN IMMUNOCOMPETENT ADULT
Carla Emille D. Barbon, MD: GIANT PRIMARY LIPOSARCOMA OF THE PLEURA RESECTED THROUGH HEMI-CLAMSHELL THORACOTOMY
Hope F. Johnson, RRT: BRONCHOSCOPIC TREATMENT OF EARLY AND LATE PRESENTATION OF IRON PILL ASPIRATION
Humna Abid Memon, MD: AUTOLOGOUS STEM CELL TRANSPLANTATION: A POSSIBLE TREATMENT FOR PULMONARY HYPERTENSION IN POEMS SYNDROME
Jordanna Hostler, MD, FCCP: BEYOND STEROIDS: MEPOLIZUMAB FOR CHRONIC EOSINOPHILIC PNEUMONIA
Zahra Zia, MD, MBBS: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) FOR EMERGENT SURGICAL TREATMENT OF ANAEROBIC PURULENT PERICARDITIS CAUSING CARDIAC TAMPONADE, BRONCHOMEDIASTINAL FISTULA, AND ARDS
Brooke A. McDonald: FATAL CENTRAL PULMONARY CEMENT EMBOLISM AFTER KYPHOPLASTY
Mary E. Richert, MD: A CASE OF RASBURICASE-INDUCED METHEMOGLOBINEMIA DUE TO GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY TREATED WITH HYPERBARIC OXYGEN THERAPY
Shiva M. Arjun, MD: AORTOBRONCHIAL FISTULA DUE TO GRAFT FAILURE: A RARE CAUSE OF HEMOPTYSIS
Harshwant Grover, MD: BLACK MEDIASTINUM: PRIMARY MEDIASTINAL MELANOMA
Neha Agarwal, MD: POSTTRANSPLANT PULMONARY KAPOSI SARCOMA PRESENTING AS CHYLOTHORAX
CHEST 2019 Award Recipients
ANNUAL AWARDS
Master FCCP
Darcy Marciniuk, MD, Master FCCP
Distinguished Service Award
Doreen Addrizzo-Harris, MD, FCCP
Master Clinician Educator
Eric Edell, MD, FCCP
Early Career Clinician Educator
Cassie Kennedy, MD, FCCP
Paru Patrawalla, MD, FCCP
Alfred Soffer Award for Editorial Excellence
Richard Irwin, MD, Master FCCP
Presidential Citation
Lawrence Mohr, Jr., MD, FCCP
HONOR LECTURE AND MEMORIAL AWARDS
Edward C. Rosenow III, MD, Master FCCP/Master Teacher Honor Lecture
Dare We Discuss the Cure for Stage IV Lung Cancer? Next- Generation Sequencing and Immune Checkpoint Inhibitors!
James Jett, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Distinguished Scientist Honor Lecture in Cardiopulmonary Physiology
Exercise-Induced Pulmonary Hypertension: Translating Pathophysiological Concepts Into Clinical Practice
Eduardo Bossone, MD, PhD, FCCP
The lecture is generously funded by the CHEST Foundation.
Presidential Honor Lecture
Drug-Induced Lung Disease: Watchful Eyes
Andrew Limper, MD, FCCP
Thomas L. Petty, MD, Master FCCP Memorial Lecture
The NHI Phase 3 Trial to Treat Central Sleep Apnea in Heart Failure With Low-Flow Oxygen
Shahrokh Javaheri, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Margaret Pfrommer Memorial Lecture in Home-Based Mechanical VentilationChildren Are Not Just Little Adults – Except Sometimes
Howard Panitch, MD, FCCP
The Margaret Pfrommer Memorial Lecture in Home-Based Mechanical Ventilation is generously supported by International Ventilator Users Network of Post-Polio Health International and the CHEST Foundation.
Pasquale Ciaglia Memorial Lecture in Interventional Medicine
Medical Thoracoscopy: Past, Present, and Future
Pyng Lee, MD, PhD
The lecture is generously funded by the CHEST Foundation.
Roger C. Bone Memorial Lecture in Critical CareReducing Mortality in Sepsis: The History of Performance Measures
Mitchell Levy, MD
The lecture is generously funded by the CHEST Foundation.
Murray Kornfeld Memorial Founders Lecture
Is It Infection, Inflammation, or…Cancer?
Diane Stover, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Om P. Sharma, MD, Master FCCP Memorial Lecture
Common Pitfalls in Sarcoidosis
Michael Iannuzzi, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Mark J. Rosen, MD, Master FCCP Memorial Lecture
Remembering a Giant in Chest Medicine: The Mark J. Rosen Memorial Lecture
Lisa Moores, MD, FCCP
CHEST FOUNDATION GRANT AWARDS
The GlaxoSmithKline Distinguished Scholar in Respiratory Health
Kamran Mahmood, MBBS, FCCP
Lymphocyte Exhaustion Markers in Malignant Pleural Effusions of Lung CancerThis grant is supported by an endowed fund from GlaxoSmithKline.
CHEST Foundation Research Grant in Lung Cancer
James Tsay, MD
Effect of the Inflammasone Signaling Pathway on Lung Microbiome and Lung Cancer
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Pulmonary Arterial Hypertension
Mona Alotaibi, MD
Metabolic Derangements Underlying SSc-PAH
This grant supported in full by the CHEST Foundation.
CHEST Foundation and the Alpha-1 Foundation Research Grant in Alpha-1 Antitrypsin Deficiency
Derek Russell, MD
Neutrophil-Elastase Positive Exosomes and Emphysema in Alpha-1 Antitrypsin Deficiency
This grant supported by the Alpha-1 Foundation and the CHEST Foundation.
CHEST Foundation Research Grant in Women’s Lung Health
Neelima Navuluri, MD, MPH
Evaluation of Chronic Hypoxemia From Cardiopulmonary Disease Among Patients in Western Kenya and Perspectives on Oxygen Therapy
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Pulmonary Fibrosis
Eric Abston, MD
Noninvasive Quantification of Pulmonary Fibrosis Due to Radiation Induced Lung Injury Using [68Ga]CBP8 Type 1 Collagen Probe
Karthik Suresh, MD
Safety and Efficacy of High-Flow Air for Long-term Oxygen Therapy Delivery in Patients With Pulmonary Fibrosis
These grants are supported by a scientific advancement agreement from Boehringer Ingelheim Pharmaceuticals, Inc and by a grant from Genentech.
CHEST Foundation Research Grant in Chronic Obstructive Pulmonary Disease
Chris Mosher, MD
Identifying Treatment Outcomes and Early Predictors of Failure in 600 Hospitalized Patients With Acute Exacerbation of COPD Treated with Noninvasive Ventilation
Grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Nontuberculous Mycobacteria Diseases
Elsje Pienaar, PhD
A Computational Bridge Between In Vitro MIC and In Vivo Efficacy of Antibiotics Against MAC Infection
Elisa Ignatius, MD
Early Bactericidal Activity of Standard Drugs Used to Treat Mycobacterium Avium Complex: A Pilot Study
Supported by a research award grant by Insmed Incorporated.
CHEST Foundation Research Grant in Venous Thromboembolism
Mitchell Cahan, MD
A Translational Approach to Understanding Venous Thromboembolism in Post-Surgical Patients Using MicroRNAs in the American Black Bear
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Severe Asthma
Vickram Tejwani, MD
Peripheral Immune Cell Landscape in Obese Children With Severe Asthma
Sunita Sharma, MD, MPH
Predictors of Anti-IL-5 Treatment Failure in Severe Asthmatics
Supported by an independent educational grant from AstraZeneca LP.
CHEST Foundation Research Grant in Cystic Fibrosis
Kathleen Ramos, MD, MS
Underweight Individuals With Cystic Fibrosis and Implications for Lung Transplantation
This grant supported by Vertex Pharmaceuticals Incorporated.
John R. Addrizzo, MD, FCCP Research Grant in Sarcoidosis
Divya Patel, DO
Pharmacogenetic Predictors of Therapeutic Response to Methotrexate in Patients With Sarcoidosis
Nicholas Arger, MD
Using Serum Interferon-Induced Chemokines to Predict Sarcoidosis Outcomes
This grant is in honor of John R. Addrizzo, MD, and is supported in full by the Addrizzo Family, their friends, and the CHEST Foundation.
CHEST Foundation Research Grant in Sleep Medicine
Irene Telias, MD
Influence of Sleep-Wakefulness Abnormalities on Patient-Ventilator Dyssynchrony: A Step Towards Improvement of Sleep Quality in Critically Ill Patients
Sushmita Pamidi, MD, MSc
Maternal Sleep-Disordered Breathing in Pregnancy and Risk of Adverse Health Outcomes in Children: A Follow-Up Study of the 3D Pregnancy and Birth Cohort
This grant supported by Apria Healthcare and Jazz Pharmaceuticals.
CHEST Foundation Community Service Grant Honoring D. Robert McCaffree, MD, Master FCCP
Hans Lee, MD, FCCP
Uganda Bronchoscopy and Pleuroscopy (UBP) Project
Panagis Galiatsatos, MD, MHS
The Lung Health Ambassador Program
Paul Sonenthal, MD
Improving Critical Care Capacity in Sierra Leone
Dana Hickman, ARNP-C, FNP-BC
Living With COPD: Empowering Individuals, Families, and Caregivers
Ann Salvator, MS
Pediatric Asthma Screenings and Education on the Navajo Reservation
Tisha Wang, MD
PAP Foundation Education Days: A Project to Reach Patients, Caregivers, and Physicians
Grants supported in full by the CHEST Foundation.
ANNUAL AWARDS
Master FCCP
Darcy Marciniuk, MD, Master FCCP
Distinguished Service Award
Doreen Addrizzo-Harris, MD, FCCP
Master Clinician Educator
Eric Edell, MD, FCCP
Early Career Clinician Educator
Cassie Kennedy, MD, FCCP
Paru Patrawalla, MD, FCCP
Alfred Soffer Award for Editorial Excellence
Richard Irwin, MD, Master FCCP
Presidential Citation
Lawrence Mohr, Jr., MD, FCCP
HONOR LECTURE AND MEMORIAL AWARDS
Edward C. Rosenow III, MD, Master FCCP/Master Teacher Honor Lecture
Dare We Discuss the Cure for Stage IV Lung Cancer? Next- Generation Sequencing and Immune Checkpoint Inhibitors!
James Jett, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Distinguished Scientist Honor Lecture in Cardiopulmonary Physiology
Exercise-Induced Pulmonary Hypertension: Translating Pathophysiological Concepts Into Clinical Practice
Eduardo Bossone, MD, PhD, FCCP
The lecture is generously funded by the CHEST Foundation.
Presidential Honor Lecture
Drug-Induced Lung Disease: Watchful Eyes
Andrew Limper, MD, FCCP
Thomas L. Petty, MD, Master FCCP Memorial Lecture
The NHI Phase 3 Trial to Treat Central Sleep Apnea in Heart Failure With Low-Flow Oxygen
Shahrokh Javaheri, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Margaret Pfrommer Memorial Lecture in Home-Based Mechanical VentilationChildren Are Not Just Little Adults – Except Sometimes
Howard Panitch, MD, FCCP
The Margaret Pfrommer Memorial Lecture in Home-Based Mechanical Ventilation is generously supported by International Ventilator Users Network of Post-Polio Health International and the CHEST Foundation.
Pasquale Ciaglia Memorial Lecture in Interventional Medicine
Medical Thoracoscopy: Past, Present, and Future
Pyng Lee, MD, PhD
The lecture is generously funded by the CHEST Foundation.
Roger C. Bone Memorial Lecture in Critical CareReducing Mortality in Sepsis: The History of Performance Measures
Mitchell Levy, MD
The lecture is generously funded by the CHEST Foundation.
Murray Kornfeld Memorial Founders Lecture
Is It Infection, Inflammation, or…Cancer?
Diane Stover, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Om P. Sharma, MD, Master FCCP Memorial Lecture
Common Pitfalls in Sarcoidosis
Michael Iannuzzi, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Mark J. Rosen, MD, Master FCCP Memorial Lecture
Remembering a Giant in Chest Medicine: The Mark J. Rosen Memorial Lecture
Lisa Moores, MD, FCCP
CHEST FOUNDATION GRANT AWARDS
The GlaxoSmithKline Distinguished Scholar in Respiratory Health
Kamran Mahmood, MBBS, FCCP
Lymphocyte Exhaustion Markers in Malignant Pleural Effusions of Lung CancerThis grant is supported by an endowed fund from GlaxoSmithKline.
CHEST Foundation Research Grant in Lung Cancer
James Tsay, MD
Effect of the Inflammasone Signaling Pathway on Lung Microbiome and Lung Cancer
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Pulmonary Arterial Hypertension
Mona Alotaibi, MD
Metabolic Derangements Underlying SSc-PAH
This grant supported in full by the CHEST Foundation.
CHEST Foundation and the Alpha-1 Foundation Research Grant in Alpha-1 Antitrypsin Deficiency
Derek Russell, MD
Neutrophil-Elastase Positive Exosomes and Emphysema in Alpha-1 Antitrypsin Deficiency
This grant supported by the Alpha-1 Foundation and the CHEST Foundation.
CHEST Foundation Research Grant in Women’s Lung Health
Neelima Navuluri, MD, MPH
Evaluation of Chronic Hypoxemia From Cardiopulmonary Disease Among Patients in Western Kenya and Perspectives on Oxygen Therapy
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Pulmonary Fibrosis
Eric Abston, MD
Noninvasive Quantification of Pulmonary Fibrosis Due to Radiation Induced Lung Injury Using [68Ga]CBP8 Type 1 Collagen Probe
Karthik Suresh, MD
Safety and Efficacy of High-Flow Air for Long-term Oxygen Therapy Delivery in Patients With Pulmonary Fibrosis
These grants are supported by a scientific advancement agreement from Boehringer Ingelheim Pharmaceuticals, Inc and by a grant from Genentech.
CHEST Foundation Research Grant in Chronic Obstructive Pulmonary Disease
Chris Mosher, MD
Identifying Treatment Outcomes and Early Predictors of Failure in 600 Hospitalized Patients With Acute Exacerbation of COPD Treated with Noninvasive Ventilation
Grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Nontuberculous Mycobacteria Diseases
Elsje Pienaar, PhD
A Computational Bridge Between In Vitro MIC and In Vivo Efficacy of Antibiotics Against MAC Infection
Elisa Ignatius, MD
Early Bactericidal Activity of Standard Drugs Used to Treat Mycobacterium Avium Complex: A Pilot Study
Supported by a research award grant by Insmed Incorporated.
CHEST Foundation Research Grant in Venous Thromboembolism
Mitchell Cahan, MD
A Translational Approach to Understanding Venous Thromboembolism in Post-Surgical Patients Using MicroRNAs in the American Black Bear
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Severe Asthma
Vickram Tejwani, MD
Peripheral Immune Cell Landscape in Obese Children With Severe Asthma
Sunita Sharma, MD, MPH
Predictors of Anti-IL-5 Treatment Failure in Severe Asthmatics
Supported by an independent educational grant from AstraZeneca LP.
CHEST Foundation Research Grant in Cystic Fibrosis
Kathleen Ramos, MD, MS
Underweight Individuals With Cystic Fibrosis and Implications for Lung Transplantation
This grant supported by Vertex Pharmaceuticals Incorporated.
John R. Addrizzo, MD, FCCP Research Grant in Sarcoidosis
Divya Patel, DO
Pharmacogenetic Predictors of Therapeutic Response to Methotrexate in Patients With Sarcoidosis
Nicholas Arger, MD
Using Serum Interferon-Induced Chemokines to Predict Sarcoidosis Outcomes
This grant is in honor of John R. Addrizzo, MD, and is supported in full by the Addrizzo Family, their friends, and the CHEST Foundation.
CHEST Foundation Research Grant in Sleep Medicine
Irene Telias, MD
Influence of Sleep-Wakefulness Abnormalities on Patient-Ventilator Dyssynchrony: A Step Towards Improvement of Sleep Quality in Critically Ill Patients
Sushmita Pamidi, MD, MSc
Maternal Sleep-Disordered Breathing in Pregnancy and Risk of Adverse Health Outcomes in Children: A Follow-Up Study of the 3D Pregnancy and Birth Cohort
This grant supported by Apria Healthcare and Jazz Pharmaceuticals.
CHEST Foundation Community Service Grant Honoring D. Robert McCaffree, MD, Master FCCP
Hans Lee, MD, FCCP
Uganda Bronchoscopy and Pleuroscopy (UBP) Project
Panagis Galiatsatos, MD, MHS
The Lung Health Ambassador Program
Paul Sonenthal, MD
Improving Critical Care Capacity in Sierra Leone
Dana Hickman, ARNP-C, FNP-BC
Living With COPD: Empowering Individuals, Families, and Caregivers
Ann Salvator, MS
Pediatric Asthma Screenings and Education on the Navajo Reservation
Tisha Wang, MD
PAP Foundation Education Days: A Project to Reach Patients, Caregivers, and Physicians
Grants supported in full by the CHEST Foundation.
ANNUAL AWARDS
Master FCCP
Darcy Marciniuk, MD, Master FCCP
Distinguished Service Award
Doreen Addrizzo-Harris, MD, FCCP
Master Clinician Educator
Eric Edell, MD, FCCP
Early Career Clinician Educator
Cassie Kennedy, MD, FCCP
Paru Patrawalla, MD, FCCP
Alfred Soffer Award for Editorial Excellence
Richard Irwin, MD, Master FCCP
Presidential Citation
Lawrence Mohr, Jr., MD, FCCP
HONOR LECTURE AND MEMORIAL AWARDS
Edward C. Rosenow III, MD, Master FCCP/Master Teacher Honor Lecture
Dare We Discuss the Cure for Stage IV Lung Cancer? Next- Generation Sequencing and Immune Checkpoint Inhibitors!
James Jett, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Distinguished Scientist Honor Lecture in Cardiopulmonary Physiology
Exercise-Induced Pulmonary Hypertension: Translating Pathophysiological Concepts Into Clinical Practice
Eduardo Bossone, MD, PhD, FCCP
The lecture is generously funded by the CHEST Foundation.
Presidential Honor Lecture
Drug-Induced Lung Disease: Watchful Eyes
Andrew Limper, MD, FCCP
Thomas L. Petty, MD, Master FCCP Memorial Lecture
The NHI Phase 3 Trial to Treat Central Sleep Apnea in Heart Failure With Low-Flow Oxygen
Shahrokh Javaheri, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Margaret Pfrommer Memorial Lecture in Home-Based Mechanical VentilationChildren Are Not Just Little Adults – Except Sometimes
Howard Panitch, MD, FCCP
The Margaret Pfrommer Memorial Lecture in Home-Based Mechanical Ventilation is generously supported by International Ventilator Users Network of Post-Polio Health International and the CHEST Foundation.
Pasquale Ciaglia Memorial Lecture in Interventional Medicine
Medical Thoracoscopy: Past, Present, and Future
Pyng Lee, MD, PhD
The lecture is generously funded by the CHEST Foundation.
Roger C. Bone Memorial Lecture in Critical CareReducing Mortality in Sepsis: The History of Performance Measures
Mitchell Levy, MD
The lecture is generously funded by the CHEST Foundation.
Murray Kornfeld Memorial Founders Lecture
Is It Infection, Inflammation, or…Cancer?
Diane Stover, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Om P. Sharma, MD, Master FCCP Memorial Lecture
Common Pitfalls in Sarcoidosis
Michael Iannuzzi, MD, FCCP
The lecture is generously funded by the CHEST Foundation.
Mark J. Rosen, MD, Master FCCP Memorial Lecture
Remembering a Giant in Chest Medicine: The Mark J. Rosen Memorial Lecture
Lisa Moores, MD, FCCP
CHEST FOUNDATION GRANT AWARDS
The GlaxoSmithKline Distinguished Scholar in Respiratory Health
Kamran Mahmood, MBBS, FCCP
Lymphocyte Exhaustion Markers in Malignant Pleural Effusions of Lung CancerThis grant is supported by an endowed fund from GlaxoSmithKline.
CHEST Foundation Research Grant in Lung Cancer
James Tsay, MD
Effect of the Inflammasone Signaling Pathway on Lung Microbiome and Lung Cancer
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Pulmonary Arterial Hypertension
Mona Alotaibi, MD
Metabolic Derangements Underlying SSc-PAH
This grant supported in full by the CHEST Foundation.
CHEST Foundation and the Alpha-1 Foundation Research Grant in Alpha-1 Antitrypsin Deficiency
Derek Russell, MD
Neutrophil-Elastase Positive Exosomes and Emphysema in Alpha-1 Antitrypsin Deficiency
This grant supported by the Alpha-1 Foundation and the CHEST Foundation.
CHEST Foundation Research Grant in Women’s Lung Health
Neelima Navuluri, MD, MPH
Evaluation of Chronic Hypoxemia From Cardiopulmonary Disease Among Patients in Western Kenya and Perspectives on Oxygen Therapy
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Pulmonary Fibrosis
Eric Abston, MD
Noninvasive Quantification of Pulmonary Fibrosis Due to Radiation Induced Lung Injury Using [68Ga]CBP8 Type 1 Collagen Probe
Karthik Suresh, MD
Safety and Efficacy of High-Flow Air for Long-term Oxygen Therapy Delivery in Patients With Pulmonary Fibrosis
These grants are supported by a scientific advancement agreement from Boehringer Ingelheim Pharmaceuticals, Inc and by a grant from Genentech.
CHEST Foundation Research Grant in Chronic Obstructive Pulmonary Disease
Chris Mosher, MD
Identifying Treatment Outcomes and Early Predictors of Failure in 600 Hospitalized Patients With Acute Exacerbation of COPD Treated with Noninvasive Ventilation
Grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Nontuberculous Mycobacteria Diseases
Elsje Pienaar, PhD
A Computational Bridge Between In Vitro MIC and In Vivo Efficacy of Antibiotics Against MAC Infection
Elisa Ignatius, MD
Early Bactericidal Activity of Standard Drugs Used to Treat Mycobacterium Avium Complex: A Pilot Study
Supported by a research award grant by Insmed Incorporated.
CHEST Foundation Research Grant in Venous Thromboembolism
Mitchell Cahan, MD
A Translational Approach to Understanding Venous Thromboembolism in Post-Surgical Patients Using MicroRNAs in the American Black Bear
This grant supported in full by the CHEST Foundation.
CHEST Foundation Research Grant in Severe Asthma
Vickram Tejwani, MD
Peripheral Immune Cell Landscape in Obese Children With Severe Asthma
Sunita Sharma, MD, MPH
Predictors of Anti-IL-5 Treatment Failure in Severe Asthmatics
Supported by an independent educational grant from AstraZeneca LP.
CHEST Foundation Research Grant in Cystic Fibrosis
Kathleen Ramos, MD, MS
Underweight Individuals With Cystic Fibrosis and Implications for Lung Transplantation
This grant supported by Vertex Pharmaceuticals Incorporated.
John R. Addrizzo, MD, FCCP Research Grant in Sarcoidosis
Divya Patel, DO
Pharmacogenetic Predictors of Therapeutic Response to Methotrexate in Patients With Sarcoidosis
Nicholas Arger, MD
Using Serum Interferon-Induced Chemokines to Predict Sarcoidosis Outcomes
This grant is in honor of John R. Addrizzo, MD, and is supported in full by the Addrizzo Family, their friends, and the CHEST Foundation.
CHEST Foundation Research Grant in Sleep Medicine
Irene Telias, MD
Influence of Sleep-Wakefulness Abnormalities on Patient-Ventilator Dyssynchrony: A Step Towards Improvement of Sleep Quality in Critically Ill Patients
Sushmita Pamidi, MD, MSc
Maternal Sleep-Disordered Breathing in Pregnancy and Risk of Adverse Health Outcomes in Children: A Follow-Up Study of the 3D Pregnancy and Birth Cohort
This grant supported by Apria Healthcare and Jazz Pharmaceuticals.
CHEST Foundation Community Service Grant Honoring D. Robert McCaffree, MD, Master FCCP
Hans Lee, MD, FCCP
Uganda Bronchoscopy and Pleuroscopy (UBP) Project
Panagis Galiatsatos, MD, MHS
The Lung Health Ambassador Program
Paul Sonenthal, MD
Improving Critical Care Capacity in Sierra Leone
Dana Hickman, ARNP-C, FNP-BC
Living With COPD: Empowering Individuals, Families, and Caregivers
Ann Salvator, MS
Pediatric Asthma Screenings and Education on the Navajo Reservation
Tisha Wang, MD
PAP Foundation Education Days: A Project to Reach Patients, Caregivers, and Physicians
Grants supported in full by the CHEST Foundation.
Top AGA Community patient cases
Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. In case you missed it, here are the most popular clinical discussions shared in the forum recently:
1. Possible congestive heart failure, tuberculosis (http://ow.ly/QdmG30pZqqo) – Join the GI community in discussing the echocardiogram results of a Holocaust survivor with a history of diabetes, hypothyroidism, benign prostate hyperplasia and hypercholesterolemia, and whose daughter was recently found to be QuantiFERON Gold positive.
2. Recurrent diarrhea in Behcet’s disease patient (http://ow.ly/YX6L30pZqws) – A 42-year-old patient diagnosed with Behcet’s disease at age 13 presented with recurrent diarrhea; a colonoscopy revealed terminal ileal and cecal ulcerations.
3. Gastroparesis patient unable to take anti-emetics (http://ow.ly/E5jD30pZqw4) – Help your colleague address a tricky patient with prolonged QT and gastroparesis.
Access these clinical cases and more discussions at https://community.gastro.org/discussions.
Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. In case you missed it, here are the most popular clinical discussions shared in the forum recently:
1. Possible congestive heart failure, tuberculosis (http://ow.ly/QdmG30pZqqo) – Join the GI community in discussing the echocardiogram results of a Holocaust survivor with a history of diabetes, hypothyroidism, benign prostate hyperplasia and hypercholesterolemia, and whose daughter was recently found to be QuantiFERON Gold positive.
2. Recurrent diarrhea in Behcet’s disease patient (http://ow.ly/YX6L30pZqws) – A 42-year-old patient diagnosed with Behcet’s disease at age 13 presented with recurrent diarrhea; a colonoscopy revealed terminal ileal and cecal ulcerations.
3. Gastroparesis patient unable to take anti-emetics (http://ow.ly/E5jD30pZqw4) – Help your colleague address a tricky patient with prolonged QT and gastroparesis.
Access these clinical cases and more discussions at https://community.gastro.org/discussions.
Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. In case you missed it, here are the most popular clinical discussions shared in the forum recently:
1. Possible congestive heart failure, tuberculosis (http://ow.ly/QdmG30pZqqo) – Join the GI community in discussing the echocardiogram results of a Holocaust survivor with a history of diabetes, hypothyroidism, benign prostate hyperplasia and hypercholesterolemia, and whose daughter was recently found to be QuantiFERON Gold positive.
2. Recurrent diarrhea in Behcet’s disease patient (http://ow.ly/YX6L30pZqws) – A 42-year-old patient diagnosed with Behcet’s disease at age 13 presented with recurrent diarrhea; a colonoscopy revealed terminal ileal and cecal ulcerations.
3. Gastroparesis patient unable to take anti-emetics (http://ow.ly/E5jD30pZqw4) – Help your colleague address a tricky patient with prolonged QT and gastroparesis.
Access these clinical cases and more discussions at https://community.gastro.org/discussions.
Simple ways to create your legacy
Creating a legacy of giving is easier than you think. As the new year begins, take some time to start creating your legacy while supporting the AGA Research Foundation. Gifts to charitable organizations, such as the AGA Research Foundation, in your future plans ensure your support for our mission continues even after your lifetime.
Here are two ideas to help you get started.
Name the AGA Research Foundation as a beneficiary. This arrangement is one of the most tax-smart ways to support the AGA Research Foundation after your lifetime. When you leave retirement plan assets to us, we bypass any taxes and receive the full amount.
Include the AGA Research Foundation in your will or living trust. This gift can be made by including as little as one sentence in your will or living trust. Plus, your gift can be modified throughout your lifetime as circumstances change.
Want to learn more about including a gift to the AGA Research Foundation in your future plans? Visit our website at https://gastro.planmylegacy.org or contact Harmony Excellent at 301-272-1602 or [email protected].
Creating a legacy of giving is easier than you think. As the new year begins, take some time to start creating your legacy while supporting the AGA Research Foundation. Gifts to charitable organizations, such as the AGA Research Foundation, in your future plans ensure your support for our mission continues even after your lifetime.
Here are two ideas to help you get started.
Name the AGA Research Foundation as a beneficiary. This arrangement is one of the most tax-smart ways to support the AGA Research Foundation after your lifetime. When you leave retirement plan assets to us, we bypass any taxes and receive the full amount.
Include the AGA Research Foundation in your will or living trust. This gift can be made by including as little as one sentence in your will or living trust. Plus, your gift can be modified throughout your lifetime as circumstances change.
Want to learn more about including a gift to the AGA Research Foundation in your future plans? Visit our website at https://gastro.planmylegacy.org or contact Harmony Excellent at 301-272-1602 or [email protected].
Creating a legacy of giving is easier than you think. As the new year begins, take some time to start creating your legacy while supporting the AGA Research Foundation. Gifts to charitable organizations, such as the AGA Research Foundation, in your future plans ensure your support for our mission continues even after your lifetime.
Here are two ideas to help you get started.
Name the AGA Research Foundation as a beneficiary. This arrangement is one of the most tax-smart ways to support the AGA Research Foundation after your lifetime. When you leave retirement plan assets to us, we bypass any taxes and receive the full amount.
Include the AGA Research Foundation in your will or living trust. This gift can be made by including as little as one sentence in your will or living trust. Plus, your gift can be modified throughout your lifetime as circumstances change.
Want to learn more about including a gift to the AGA Research Foundation in your future plans? Visit our website at https://gastro.planmylegacy.org or contact Harmony Excellent at 301-272-1602 or [email protected].
Talk to your patients about the current state of prebiotics
Bridgette Wilson, PhD, RD, postdoctoral research associate in nutritional sciences, and Kevin Whelan, PhD, RD, professor of dietetics, King’s College London, England, share talking points to help your patients understand what is currently known about the use of prebiotics for GI disorders.
Explaining prebiotics for GI disorders
Different prebiotic supplements have different effects on gut symptoms. For example, lower doses of noninulin type fructans (e.g., beta-galacto-oligosaccharides [GOS], pectin, partially hydrolyzed guar gum) are likely to be better tolerated in patients with functional gut symptoms, including irritable bowel syndrome (IBS).
Though prebiotic-containing foods are thought to benefit gut health in general, some prebiotics are FODMAPs that have been associated with symptoms in IBS patients. Individual patients on restrictive diets should systematically introduce prebiotic foods to identify the type and quantity they can tolerate.
Prebiotic supplementation of more than 10 g/d may soften stools and increase bowel movements in patients with defecation difficulty or constipation.
Prebiotic supplementation may worsen symptoms in Crohn’s disease but is well tolerated in ulcerative colitis, although there is no effect on disease activity.
These tips are from “The current state of prebiotics,” the third article of a four-part CME series on prebiotics. This activity is supported by an educational grant from GlaxoSmithKline. Part one, “Prebiotics 101,” and part two, “Diet vs. Prebiotics,” are available through AGA University (agau.gastro.org).
AGA also has educational materials for patients on probiotics, which can be accessed at www.gastro.org/probiotics in English and Spanish.
Bridgette Wilson, PhD, RD, postdoctoral research associate in nutritional sciences, and Kevin Whelan, PhD, RD, professor of dietetics, King’s College London, England, share talking points to help your patients understand what is currently known about the use of prebiotics for GI disorders.
Explaining prebiotics for GI disorders
Different prebiotic supplements have different effects on gut symptoms. For example, lower doses of noninulin type fructans (e.g., beta-galacto-oligosaccharides [GOS], pectin, partially hydrolyzed guar gum) are likely to be better tolerated in patients with functional gut symptoms, including irritable bowel syndrome (IBS).
Though prebiotic-containing foods are thought to benefit gut health in general, some prebiotics are FODMAPs that have been associated with symptoms in IBS patients. Individual patients on restrictive diets should systematically introduce prebiotic foods to identify the type and quantity they can tolerate.
Prebiotic supplementation of more than 10 g/d may soften stools and increase bowel movements in patients with defecation difficulty or constipation.
Prebiotic supplementation may worsen symptoms in Crohn’s disease but is well tolerated in ulcerative colitis, although there is no effect on disease activity.
These tips are from “The current state of prebiotics,” the third article of a four-part CME series on prebiotics. This activity is supported by an educational grant from GlaxoSmithKline. Part one, “Prebiotics 101,” and part two, “Diet vs. Prebiotics,” are available through AGA University (agau.gastro.org).
AGA also has educational materials for patients on probiotics, which can be accessed at www.gastro.org/probiotics in English and Spanish.
Bridgette Wilson, PhD, RD, postdoctoral research associate in nutritional sciences, and Kevin Whelan, PhD, RD, professor of dietetics, King’s College London, England, share talking points to help your patients understand what is currently known about the use of prebiotics for GI disorders.
Explaining prebiotics for GI disorders
Different prebiotic supplements have different effects on gut symptoms. For example, lower doses of noninulin type fructans (e.g., beta-galacto-oligosaccharides [GOS], pectin, partially hydrolyzed guar gum) are likely to be better tolerated in patients with functional gut symptoms, including irritable bowel syndrome (IBS).
Though prebiotic-containing foods are thought to benefit gut health in general, some prebiotics are FODMAPs that have been associated with symptoms in IBS patients. Individual patients on restrictive diets should systematically introduce prebiotic foods to identify the type and quantity they can tolerate.
Prebiotic supplementation of more than 10 g/d may soften stools and increase bowel movements in patients with defecation difficulty or constipation.
Prebiotic supplementation may worsen symptoms in Crohn’s disease but is well tolerated in ulcerative colitis, although there is no effect on disease activity.
These tips are from “The current state of prebiotics,” the third article of a four-part CME series on prebiotics. This activity is supported by an educational grant from GlaxoSmithKline. Part one, “Prebiotics 101,” and part two, “Diet vs. Prebiotics,” are available through AGA University (agau.gastro.org).
AGA also has educational materials for patients on probiotics, which can be accessed at www.gastro.org/probiotics in English and Spanish.
Step Therapy National Day of Advocacy
AGA and 17 other specialty physician and patient advocacy organizations partnered with the Digestive Disease National Coalition (DDNC) on an advocacy day focused on the need for step therapy reform.
We met with congressional offices to seek support for patient protection guardrails in step therapy and to encourage co-sponsorship of the Safe Step Act. This bipartisan legislation would create a clear process for a patient or physician to request an exception to a step therapy protocol. It also would require insurers to grant exemptions to step therapy in the following situations:
- Patient already tried and failed on a required treatment
- Delayed treatment will cause irreversible damage
- Required treatment will cause harm to the patient
- Required treatment will prevent a patient from working or fulling daily activities
- Patient is stable on their current treatment
AGA representatives and patient advocates met with the congressional offices of these legislators who serve on key committees that have jurisdiction over this issue.
Sen. Chris Van Hollen, D-Md
Sen. Tim Scott, R-S.C.
Sen. Thom Tillis, R-N.C.
Sen. Lamar Alexander, R-N.C.
Rep. Alma Adams, D-N.C.
Rep. Mark Walker, R-N.C.
Rep. Tim Walberg, R-Mich
A special thanks to AGA members who contacted your legislators online. A combination of 344 tweets and emails were sent urging federal legislators to support the Safe Step Act.
Sharing is caring
Legislators and their staff are always asking us for real-life examples from constituents about step therapy burdens to humanize the issue. Contact AGA staff at [email protected] to share your story.
AGA and 17 other specialty physician and patient advocacy organizations partnered with the Digestive Disease National Coalition (DDNC) on an advocacy day focused on the need for step therapy reform.
We met with congressional offices to seek support for patient protection guardrails in step therapy and to encourage co-sponsorship of the Safe Step Act. This bipartisan legislation would create a clear process for a patient or physician to request an exception to a step therapy protocol. It also would require insurers to grant exemptions to step therapy in the following situations:
- Patient already tried and failed on a required treatment
- Delayed treatment will cause irreversible damage
- Required treatment will cause harm to the patient
- Required treatment will prevent a patient from working or fulling daily activities
- Patient is stable on their current treatment
AGA representatives and patient advocates met with the congressional offices of these legislators who serve on key committees that have jurisdiction over this issue.
Sen. Chris Van Hollen, D-Md
Sen. Tim Scott, R-S.C.
Sen. Thom Tillis, R-N.C.
Sen. Lamar Alexander, R-N.C.
Rep. Alma Adams, D-N.C.
Rep. Mark Walker, R-N.C.
Rep. Tim Walberg, R-Mich
A special thanks to AGA members who contacted your legislators online. A combination of 344 tweets and emails were sent urging federal legislators to support the Safe Step Act.
Sharing is caring
Legislators and their staff are always asking us for real-life examples from constituents about step therapy burdens to humanize the issue. Contact AGA staff at [email protected] to share your story.
AGA and 17 other specialty physician and patient advocacy organizations partnered with the Digestive Disease National Coalition (DDNC) on an advocacy day focused on the need for step therapy reform.
We met with congressional offices to seek support for patient protection guardrails in step therapy and to encourage co-sponsorship of the Safe Step Act. This bipartisan legislation would create a clear process for a patient or physician to request an exception to a step therapy protocol. It also would require insurers to grant exemptions to step therapy in the following situations:
- Patient already tried and failed on a required treatment
- Delayed treatment will cause irreversible damage
- Required treatment will cause harm to the patient
- Required treatment will prevent a patient from working or fulling daily activities
- Patient is stable on their current treatment
AGA representatives and patient advocates met with the congressional offices of these legislators who serve on key committees that have jurisdiction over this issue.
Sen. Chris Van Hollen, D-Md
Sen. Tim Scott, R-S.C.
Sen. Thom Tillis, R-N.C.
Sen. Lamar Alexander, R-N.C.
Rep. Alma Adams, D-N.C.
Rep. Mark Walker, R-N.C.
Rep. Tim Walberg, R-Mich
A special thanks to AGA members who contacted your legislators online. A combination of 344 tweets and emails were sent urging federal legislators to support the Safe Step Act.
Sharing is caring
Legislators and their staff are always asking us for real-life examples from constituents about step therapy burdens to humanize the issue. Contact AGA staff at [email protected] to share your story.
GI societies advise FDA on duodenoscope reprocessing
AGA, ACG, ASGE and SAGES were represented by three physicians who made oral remarks to the panel: Michael Kochman, MD, AGAF, Wilmott Professor of Medicine and Surgery at the University of Pennsylvania; Bret Petersen, MD, FASGE, professor of medicine and advanced endoscopist at the Mayo Clinic in Rochester, Minn. and Danielle Walsh, MD, associate professor of surgery at East Carolina University.
The GI societies over-arching goal is to ensure patient safety and ready access to clinically indicated procedures employing duodenoscopes and other elevator-channel endoscopes.
The panel discussed the adequacy/margin of safety for high-level disinfection, as well as the challenges and benefits of sterilization for routine for duodenoscope reprocessing. The panel’s consensus was that cleaning is the most important step in duodenoscope reprocessing. The panel noted that in properly cleaned duodenoscopes, high-level disinfection is appropriate; however, panel members acknowledged that reports indicate that duodenoscopes are not properly cleaned. The panel also discussed the challenges of implementing sterilization of duodenoscopes, such as potential decreased patient access to endoscopic retrograde cholangiopancreatography (ERCP) and increased costs.
On behalf of the GI societies, Dr. Kochman and Dr. Petersen proposed several overarching principles for the future evolution of our clinical practices focusing on patient safety and outcomes:
We encourage embracing multiple solutions, using a measured step-wise approach to the transition with both iterative and novel devices and processes.
We encourage data-based solutions addressing real-world efficacy while incorporating ongoing surveillance of processes and performance to ensure that early trouble signals are detected.
We believe that device or reprocessing transitions can be incorporated over the lifecycle of current instrumentation, to eliminate the potential for gaps in accessibility of care and to ensure that there is adequate efficacy and safety data to support the adoption of new technology.
We accept minimizing extensive premarket studies, while expecting vigilant post-market surveillance, for technologies or device changes made exclusively with intent to convert to conceptually more safe designs without significant changes in mechanism or function.
We support the addition of durability testing for devices undergoing both standard reprocessing and, in particular, those undergoing sterilization.
Our societies are prepared to support and participate in continued discussion regarding:
Mandatory servicing and inspections.
Mandatory device retirement for reusable devices.
Assessment of the role and standards for third-party inspection and repair.
Our societies strongly support the importance and oversight of succinct, practical, reproducible, user-friendly guidance in manufacturers’ instructions for use (IFUs), which should incorporate post-market validation studies and updates.
We recommend that devices that incorporate programmable features (AERs, washers, sterilizers) should have lock-down mechanisms in place to prevent both user and manufacturer from deviating from the FDA-cleared IFU parameters for the device.
Our societies, as well as numerous guidelines, include high-level disinfection as a currently acceptable option for endoscope reprocessing, assuming use of enhanced washing and drying standards of practice.
Finally, we support the FDA in its efforts to convey to companies the necessary endpoints and goals for performance and expectations relative to post-market review and development of new data to ensure efficacy in the community.
Our societies appreciated this opportunity to comment on the complex and critical topic at hand. Our over-arching goal as physicians remains that of ensuring patient safety and ready access to clinically indicated procedures employing duodenoscopes and other elevator-channel endoscopes.
AGA, ACG, ASGE and SAGES were represented by three physicians who made oral remarks to the panel: Michael Kochman, MD, AGAF, Wilmott Professor of Medicine and Surgery at the University of Pennsylvania; Bret Petersen, MD, FASGE, professor of medicine and advanced endoscopist at the Mayo Clinic in Rochester, Minn. and Danielle Walsh, MD, associate professor of surgery at East Carolina University.
The GI societies over-arching goal is to ensure patient safety and ready access to clinically indicated procedures employing duodenoscopes and other elevator-channel endoscopes.
The panel discussed the adequacy/margin of safety for high-level disinfection, as well as the challenges and benefits of sterilization for routine for duodenoscope reprocessing. The panel’s consensus was that cleaning is the most important step in duodenoscope reprocessing. The panel noted that in properly cleaned duodenoscopes, high-level disinfection is appropriate; however, panel members acknowledged that reports indicate that duodenoscopes are not properly cleaned. The panel also discussed the challenges of implementing sterilization of duodenoscopes, such as potential decreased patient access to endoscopic retrograde cholangiopancreatography (ERCP) and increased costs.
On behalf of the GI societies, Dr. Kochman and Dr. Petersen proposed several overarching principles for the future evolution of our clinical practices focusing on patient safety and outcomes:
We encourage embracing multiple solutions, using a measured step-wise approach to the transition with both iterative and novel devices and processes.
We encourage data-based solutions addressing real-world efficacy while incorporating ongoing surveillance of processes and performance to ensure that early trouble signals are detected.
We believe that device or reprocessing transitions can be incorporated over the lifecycle of current instrumentation, to eliminate the potential for gaps in accessibility of care and to ensure that there is adequate efficacy and safety data to support the adoption of new technology.
We accept minimizing extensive premarket studies, while expecting vigilant post-market surveillance, for technologies or device changes made exclusively with intent to convert to conceptually more safe designs without significant changes in mechanism or function.
We support the addition of durability testing for devices undergoing both standard reprocessing and, in particular, those undergoing sterilization.
Our societies are prepared to support and participate in continued discussion regarding:
Mandatory servicing and inspections.
Mandatory device retirement for reusable devices.
Assessment of the role and standards for third-party inspection and repair.
Our societies strongly support the importance and oversight of succinct, practical, reproducible, user-friendly guidance in manufacturers’ instructions for use (IFUs), which should incorporate post-market validation studies and updates.
We recommend that devices that incorporate programmable features (AERs, washers, sterilizers) should have lock-down mechanisms in place to prevent both user and manufacturer from deviating from the FDA-cleared IFU parameters for the device.
Our societies, as well as numerous guidelines, include high-level disinfection as a currently acceptable option for endoscope reprocessing, assuming use of enhanced washing and drying standards of practice.
Finally, we support the FDA in its efforts to convey to companies the necessary endpoints and goals for performance and expectations relative to post-market review and development of new data to ensure efficacy in the community.
Our societies appreciated this opportunity to comment on the complex and critical topic at hand. Our over-arching goal as physicians remains that of ensuring patient safety and ready access to clinically indicated procedures employing duodenoscopes and other elevator-channel endoscopes.
AGA, ACG, ASGE and SAGES were represented by three physicians who made oral remarks to the panel: Michael Kochman, MD, AGAF, Wilmott Professor of Medicine and Surgery at the University of Pennsylvania; Bret Petersen, MD, FASGE, professor of medicine and advanced endoscopist at the Mayo Clinic in Rochester, Minn. and Danielle Walsh, MD, associate professor of surgery at East Carolina University.
The GI societies over-arching goal is to ensure patient safety and ready access to clinically indicated procedures employing duodenoscopes and other elevator-channel endoscopes.
The panel discussed the adequacy/margin of safety for high-level disinfection, as well as the challenges and benefits of sterilization for routine for duodenoscope reprocessing. The panel’s consensus was that cleaning is the most important step in duodenoscope reprocessing. The panel noted that in properly cleaned duodenoscopes, high-level disinfection is appropriate; however, panel members acknowledged that reports indicate that duodenoscopes are not properly cleaned. The panel also discussed the challenges of implementing sterilization of duodenoscopes, such as potential decreased patient access to endoscopic retrograde cholangiopancreatography (ERCP) and increased costs.
On behalf of the GI societies, Dr. Kochman and Dr. Petersen proposed several overarching principles for the future evolution of our clinical practices focusing on patient safety and outcomes:
We encourage embracing multiple solutions, using a measured step-wise approach to the transition with both iterative and novel devices and processes.
We encourage data-based solutions addressing real-world efficacy while incorporating ongoing surveillance of processes and performance to ensure that early trouble signals are detected.
We believe that device or reprocessing transitions can be incorporated over the lifecycle of current instrumentation, to eliminate the potential for gaps in accessibility of care and to ensure that there is adequate efficacy and safety data to support the adoption of new technology.
We accept minimizing extensive premarket studies, while expecting vigilant post-market surveillance, for technologies or device changes made exclusively with intent to convert to conceptually more safe designs without significant changes in mechanism or function.
We support the addition of durability testing for devices undergoing both standard reprocessing and, in particular, those undergoing sterilization.
Our societies are prepared to support and participate in continued discussion regarding:
Mandatory servicing and inspections.
Mandatory device retirement for reusable devices.
Assessment of the role and standards for third-party inspection and repair.
Our societies strongly support the importance and oversight of succinct, practical, reproducible, user-friendly guidance in manufacturers’ instructions for use (IFUs), which should incorporate post-market validation studies and updates.
We recommend that devices that incorporate programmable features (AERs, washers, sterilizers) should have lock-down mechanisms in place to prevent both user and manufacturer from deviating from the FDA-cleared IFU parameters for the device.
Our societies, as well as numerous guidelines, include high-level disinfection as a currently acceptable option for endoscope reprocessing, assuming use of enhanced washing and drying standards of practice.
Finally, we support the FDA in its efforts to convey to companies the necessary endpoints and goals for performance and expectations relative to post-market review and development of new data to ensure efficacy in the community.
Our societies appreciated this opportunity to comment on the complex and critical topic at hand. Our over-arching goal as physicians remains that of ensuring patient safety and ready access to clinically indicated procedures employing duodenoscopes and other elevator-channel endoscopes.
Consider a Donation to the SVS Foundation
The SVS Foundation is a fundamental part of the Society for Vascular Surgery, entrusted with supporting programs that advance our knowledge of vascular disease and improve the care we provide our patients and communities. A little while back the SVS Foundation published its 2019 Annual Report. This year, the report focuses on how past award recipients have used their grants to impact and improve patient care. More than $13 million in grants over the past three decades have given recipients the support they need to impact the lives of patients and those who provide care. Consider a donation today.
The SVS Foundation is a fundamental part of the Society for Vascular Surgery, entrusted with supporting programs that advance our knowledge of vascular disease and improve the care we provide our patients and communities. A little while back the SVS Foundation published its 2019 Annual Report. This year, the report focuses on how past award recipients have used their grants to impact and improve patient care. More than $13 million in grants over the past three decades have given recipients the support they need to impact the lives of patients and those who provide care. Consider a donation today.
The SVS Foundation is a fundamental part of the Society for Vascular Surgery, entrusted with supporting programs that advance our knowledge of vascular disease and improve the care we provide our patients and communities. A little while back the SVS Foundation published its 2019 Annual Report. This year, the report focuses on how past award recipients have used their grants to impact and improve patient care. More than $13 million in grants over the past three decades have given recipients the support they need to impact the lives of patients and those who provide care. Consider a donation today.
CPT® and ICD-10 Coding for Endobronchial Valves
The FDA recently approved endobronchial valves for the bronchoscopic treatment of adult patients with hyperinflation associated with severe emphysema in regions of the lung that have little to no collateral ventilation. There are CPT® and ICD 10 codes that are appropriate to report these new services. CPT® codes typically are not product or device specific and the codes below apply to current and future FDA approved endobronchial valves with similar clinical indications and intent for the treatment of emphysema.
To be a candidate for the currently approved service, patients must have little to no collateral ventilation between the target and adjacent lobes. In some patients, this can be determined by a quantitative CT analysis service to assess emphysematous destruction and fissure completeness.
If the bronchial blocking technique shows evidence of collateral ventilation, the patient would be discharged without valve placement. In that scenario the appropriate CPT® code would be 31634:
INSERT GRAPHIC HERE
If the patient is determined not to have collateral ventilation, the valve procedure would proceed, followed by a minimum three-day inpatient stay to monitor for possible side effects.
The appropriate CPT codes for placing, and removing FDA approved valves are:
INSERT GRAPHIC HERE
The table below identifies potential ICD-10-CM diagnosis codes for emphysema. Applicability and usage of these codes may vary per case. Hospitals and physicians also should check and verify current policies and requirements with the payer for any patient who will be treated with endobronchial valves.
INSERT GRAPHIC HERE
The CHEST/ATS Clinical Practice Committee provided information for this article.
The FDA recently approved endobronchial valves for the bronchoscopic treatment of adult patients with hyperinflation associated with severe emphysema in regions of the lung that have little to no collateral ventilation. There are CPT® and ICD 10 codes that are appropriate to report these new services. CPT® codes typically are not product or device specific and the codes below apply to current and future FDA approved endobronchial valves with similar clinical indications and intent for the treatment of emphysema.
To be a candidate for the currently approved service, patients must have little to no collateral ventilation between the target and adjacent lobes. In some patients, this can be determined by a quantitative CT analysis service to assess emphysematous destruction and fissure completeness.
If the bronchial blocking technique shows evidence of collateral ventilation, the patient would be discharged without valve placement. In that scenario the appropriate CPT® code would be 31634:
INSERT GRAPHIC HERE
If the patient is determined not to have collateral ventilation, the valve procedure would proceed, followed by a minimum three-day inpatient stay to monitor for possible side effects.
The appropriate CPT codes for placing, and removing FDA approved valves are:
INSERT GRAPHIC HERE
The table below identifies potential ICD-10-CM diagnosis codes for emphysema. Applicability and usage of these codes may vary per case. Hospitals and physicians also should check and verify current policies and requirements with the payer for any patient who will be treated with endobronchial valves.
INSERT GRAPHIC HERE
The CHEST/ATS Clinical Practice Committee provided information for this article.
The FDA recently approved endobronchial valves for the bronchoscopic treatment of adult patients with hyperinflation associated with severe emphysema in regions of the lung that have little to no collateral ventilation. There are CPT® and ICD 10 codes that are appropriate to report these new services. CPT® codes typically are not product or device specific and the codes below apply to current and future FDA approved endobronchial valves with similar clinical indications and intent for the treatment of emphysema.
To be a candidate for the currently approved service, patients must have little to no collateral ventilation between the target and adjacent lobes. In some patients, this can be determined by a quantitative CT analysis service to assess emphysematous destruction and fissure completeness.
If the bronchial blocking technique shows evidence of collateral ventilation, the patient would be discharged without valve placement. In that scenario the appropriate CPT® code would be 31634:
INSERT GRAPHIC HERE
If the patient is determined not to have collateral ventilation, the valve procedure would proceed, followed by a minimum three-day inpatient stay to monitor for possible side effects.
The appropriate CPT codes for placing, and removing FDA approved valves are:
INSERT GRAPHIC HERE
The table below identifies potential ICD-10-CM diagnosis codes for emphysema. Applicability and usage of these codes may vary per case. Hospitals and physicians also should check and verify current policies and requirements with the payer for any patient who will be treated with endobronchial valves.
INSERT GRAPHIC HERE
The CHEST/ATS Clinical Practice Committee provided information for this article.