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Pulmonary Perspectives®

  • Military burn pits: Their evidence and implications for respiratory health

    Military burn pits: Their evidence and implications for respiratory health

    Military service is a hazard-ridden profession. It’s easy to recognize the direct dangers from warfighting, such as gunfire and explosions, but the risks from environmental, chemical, and other occupational exposures can be harder to see. Combustion-based waste management systems, otherwise known as “burn pits,” were used in deployed environments by the US military from the…


  • Managing severe asthma exacerbations in the ED: We need answers beyond albuterol

    Managing severe asthma exacerbations in the ED: We need answers beyond albuterol

    Evidence-based medicine (EBM) stems from making the best patient-centered decision from the highest-quality data available that comports with our understanding of pathophysiology. In some situations, clinicians are forced to draw conclusions from data that are imperfect and apply it to patients who are complex and dynamic. For most pathologies, available data provides some direction. There…


  • Obesity and lung disease in the era of GLP-1 agonists

    Obesity and lung disease in the era of GLP-1 agonists

    Now is the time for pulmonary clinicians to become comfortable counseling patients about and treating obesity. By 2030, half of the US population will have obesity, a quarter of which will be severe (Ward et al. NEJM. 2019;2440-2450). Many pulmonary diseases, including asthma, COPD, and interstitial pulmonary fibrosis (IPF) are linked to and made worse…


  • The double-edged sword of virtual pulmonary rehabilitation

    The double-edged sword of virtual pulmonary rehabilitation

    Pulmonary rehabilitation (PR) is an invaluable program typically set in structured in-person environments for individuals living with chronic respiratory conditions. It offers a comprehensive approach to improving lung health and overall quality of life using a combination of tailored exercise routines, educational sessions, and emotional support. It empowers our patients to better manage their conditions,…


  • Home oxygen therapy: What does the data show?

    Home oxygen therapy: What does the data show?

    Inhalers, nebulizers, antibiotics, and steroids – these are some of the most common tools in our pulmonary arsenal that we deploy on a daily basis. But, there is no treatment more fundamental to a pulmonary practitioner than oxygen. So how is it that something that naturally occurs and comprises 21% of ambient air has become…