LungFIT: Pulmonary Rehab Podcast

In this episode, I discuss a paper that was published in the British Columbia Medical Journal, entitled “Climate impact of inhaler therapy in the Fraser Health region, 2016-2021” that estimates the impact of pressured metered-dose inhaler therapy in a region of Canada. The link to the paper is here. I also mention two papers on this topic, one that was published in the Lancet, the link to that is here, and the European Respiratory Journal, the link to that is here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, our graduate students Debora, Sunaina & Justin share their thoughts, feelings & experiences about their fieldwork in Northern BC. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, research assistant Guilherme Grzelkovski shares his experiences of being a new doctor in Brazil during the height of the pandemic to landing here in Vancouver in Dr. Pat Camp's lab.  Guilherme joined our lab in May and brings a big wealth of knowledge to our team. If you are an IMG or want to know more about this program, feel free to contact Guilherme here. This link may also be helpful for anyone looking for additional information: Practice in BC. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.  

In this episode, I share some of my work related to lung health in partnership with Carrier Sekani Family Services and First Nations communities in north central British Columbia. I talk a bit about why I am doing this work, then described some of the activities we did on our recent trip a couple of weeks ago. I mention some of the principles I bring as the researcher to this work, in terms of responsibility, opportunity, flexibility and accountability, and why I’m drawn to the unpredictable nature of research down outside of the hospital or university setting. If you’d like to know more about Carrier Sekani Family Services, their website is www.csfs.org If you’d like to hear me speak about this work in more detail, feel free to email me at pat.camp@hli.ubc.ca If you’d like to read a couple of papers which describe this work, you can find them here: 1. Scoping Review of Telehealth Use by Indigenous Populations in Australia, Canada, New Zealand, and the United States. https://journals.sagepub.com/doi/full/10.1177/1357633X231158835 2. “Bayis Ilh Tus – A Strong Breath: a community-based research project to estimate the prevalence of chronic obstructive pulmonary disease in remote and rural First Nations communities in Canada: research protocol. https://link.springer.com/article/10.1186/s12939-020-01240-1 I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, I revisit the topic of COVID19 and pulmonary rehab, with a focus on rehab for patients with Long COVID. I mention a number of resources and papers, listed below:   1.  Perumal R, Shunmugam L, Naidoo K et al. Long COVID: a review and proposed visualization of the complexity of long COVID. Front Immunol 2023; 14: 1117464. Accessed July 4, 2023 at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157068/   2.  Journal of Health Economics and Outcomes Research Blog. Economic Effects of Long COVID Even Larger Than We Thought. Published December 13, 2022. Accessed July 4, 2023 at https://jheor.org/post/1746-economic-effects-of-long-covid-even-larger-than-we-thought   3.  Barker-Davies RM, O’Sullivan O, Pumi Prathima Senaratne K, et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med 2020; 949-59. Accessed July 4, 2023 at https://bjsm.bmj.com/content/bjsports/54/16/949.full.pdf   4.  Cochrane Rehabilitation. REH-COVER – Rapid Living Systematic Reviews. Accessed July 4, 2023 at https://rehabilitation.cochrane.org/covid-19/reh-cover-rapid-living-systematic-reviews   5.  Canadian Physiotherapy Association. Rehabilitation for Clients with Post COVID-19 Condition (Long COVID). Guidance for Canadian Rehabilitation and Exercise Professionals. Accessed July 4, 2023 at https://physiotherapy.ca/app/uploads/2022/08/long_covid_en-final-rev2.pdf   6.  World Health Organization. Clinical Management of COVID19: living guideline. V6.0. Accessed July 4, 2023 at https://app.magicapp.org/#/guideline/j1WBYn/section/j7A12z I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

ARE PULSE OXIMETERS RACIST? WHAT I LEARNED ABOUT HEALTH EQUITY AND STRUCTURAL RACISM AT ATS 2023   On this episode I share some of what I learned about health equity and structural racism while at the American Thoracic Society conference in Washington, DC, with a focus on spirometry reference equations and pulse oximetry.  I mention several papers in this episode, here they are with their links. Baugh AD, Shiboski S, Hansel NN, et al. Reconsidering the utility of race-specific lung function prediction equations. Amer J Respir Crit Care Med 2021; 205(7): 819-829. Henry NR, Hanson AC, Schulte PJ, et al. Disparities in hypoxemia detection by pulse oximetry across self-identified racial groups and associations with clinical outcomes. Crit Care Med 2022; 50(2): 204-211.  Fawzy A, Tianshi DW, Wang K et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. JAMA Intern Med 2022; 182(7): 730-738. Jubran A, Tobin MJ. Reliability of pulse oximetry in titrating supplemental oxygen therapy in ventilator-dependent patients. Chest 1990; 97(6): 1420-1425.  

On this episode, I talk about Communities of Practice and how they can be one way to combat professional isolation, and cultivate your professional development. Communities of Practice have emerged as really powerful mechanisms for facilitating knowledge sharing, collaboration, and learning and we are excited to dig into this today! Link to the article about the 7 principles of communities of practice as coined by Jean Lave and Etienne Wenger here.   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Well we missed celebrating our big 5-0 episode a few weeks back and so we will make up for that in the near future! In this episode I am talking about Collaborative Practice in Pulmonary Rehabilitation & how different individuals and disciplines work together to provide rehab programs. The definition of pulmonary rehab includes language about how it's a multidisciplinary intervention, but the reality of many programs is that so often it is just one or two people who are doing everything, but that doesn't mean collaboration doesn't happen or can't happen.  So let’s lean in and explore the concepts of collaborative practice in this episode! I talk about this paper in this episode: PR in Canada- A report from CTS And this paper from CIHC  here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode I talk about a new paper we recently published on the safety and efficacy of pulmonary rehabilitation for individuals hospitalized with an acute exacerbation of COPD. The paper can be found here. I also mention the Cochrane Review by Milo Puhan. That paper can be found here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this journal club episode, I talk about this paper in-press in the Journal of Physiotherapy, “In adults with advanced lung disease, the 1-minute sit-to-stand test underestimates exertional desaturation compared with the 6-minute walk test: an observational study” by Kathryn Watson. You can find that paper here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

In this episode, I talk about academic writing. I talk about some of the barriers that people have about their writing, and offer some solutions. I talk about my workshops and retreats – if you would like to hire me for a in-person or virtual workshop or retreat at your institution, contact me at pat.camp@hli.ubc.ca I talk about some books I’ve read, they can be found on Amazon. I’m not a formal sponsor of these books by the way. I talk about the book “How to Write a Lot” by Paul Silvia. Amazon has this book here: https://a.co/d/4eE7M8q . I mention “smart notes” – an interesting book on this is by Sönke Ahrens and Amazon has this book here: https://a.co/d/iw6PrLD . If you can’t visualize a pomodoro timer, Amazon has one here: https://a.co/d/7xTV57L A few of the prompts I use for writing: My paper/project is about… The stage I am at is… What I am interested in finding out is… The things I need help with are… The main purpose of this paper was… The main finding was… This paper was interesting to me because… I would like to learn more about…because… I disagreed with this approach because… To incorporate this paper in my own work I need to clarify…   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

After a refreshing break, we are back & are changing it up around here!  Looking forward to bringing fresh ideas, discussion & new content to LungFIT!  Thank  you for your continued support & we hope you stay along with us as we shift this podcast into a more global discussion around research, education, clinical care & of course lung health! I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode on Shuttle Walk Tests. I'll be back soon with new content, but until then, thank you again for your support. In this episode, I continue the conversation about field walking tests, with an overview of the Incremental Shuttle Walk Test and the Endurance Shuttle Walk Test. You can listen to the first episode on field walking tests, where we talk about the six minute walk test, here (https://lungfit.med.ubc.ca/the-six-minute-walk-test/). I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428 I refer to the Leicester Hospital, UK website, where you can order the walk test and access the links to some of the research papers on the test: https://www.leicestershospitals.nhs.uk/aboutus/departments-services/pulmonary-rehabilitation/for-health-professionals/incremental-shuttle-walk/ I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the Incremental Walk Test is here:  https://pulmonaryrehab.com.au/importance-of-exercise/exercise-prescription-and-training/endurance-lower-limb/intensity/ I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode on the Six Minute Walk test. I'll be back soon with new content, but until then, thank you again for your support. In this episode, I discuss the six minute walk test as an assessment tool, and outcome measure, and a way to create an exercise prescription. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015, including the use of the 6 minute walk test. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf). I also talk about an international survey on pulmonary rehabilitation, that citation is here: https://erj.ersjournals.com/content/43/5/1326.short I mention the technical standard for field tests in chronic lung disease, put out by the European Respiratory Society and the American Thoracic Society. A link to that paper is here: https://erj.ersjournals.com/content/44/6/1428 I mention the Australia Pulmonary Rehabilitation Toolkit, a link to the page where exercise prescription using the six minute walk distance is here: https://pulmonaryrehab.com.au/importance-of-exercise/case-studies/case-study-one/ I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode on who's missing from pumonary rehabilitation. I'll be back soon with new content, but until then, thank you again for your support. In this talk, I discuss concepts related to who is missing from pulmonary rehabilitation. I mention a study we did in Canada to characterize the pulmonary rehabilitation programs which were running in 2015. The link to that paper is here (https://cts-sct.ca/wp-content/uploads/2018/02/PR-in-Canada-Report_CRJ.pdf) I also mention a systematic review on several pulmonary rehabilitation survey studies, the link to that paper is here. https://www.tandfonline.com/doi/abs/10.3109/15412555.2014.922066 The Cochrane review I spoke of can be found here: https://www.cochrane.org/CD003793/AIRWAYS_pulmonary-rehabilitation-for-chronic-obstructive-pulmonary-disease and the associated editorial is found here: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.ED000107/full The link to Dr. Jenny Alison’s and Mr. David Meharg’s Breathe Easy podcast episode on the American Thoracic Society Pulmonary Rehabilitation Assembly’s website can be found here: https://www.thoracic.org/about/ats-podcasts/pulmonary-rehabilitation-for-hard-to-reach-populations-focus-on-indigenous-people.php I also talk a bit about health inequality in pulmonary rehabilitation in a different American Thoracic Society Breathe Easy podcast, which can be found here: https://www.thoracic.org/about/ats-podcasts/health-inequality-in-pulmonary-rehabilitation.php If you want to read a bit more about intersectionality and health care, I found this paper published in the Lancet to be very helpful in explaining this complicated concept: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31431-4/fulltext I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode about some questions related to pulmonary rehabilitation and COVID-19. I'll be back soon with new content, but until then, thank you again for your support. On this episode, I talk about COVID-19 and pulmonary rehabilitation, including questions that health care professionals should ask themselves when they consider admitting patients who have had COVID-19 and ongoing symptoms. I mentioned some papers that I would recommend reading, that discuss some of these questions in more detail, as well as provide guidance to you as you consider caring for patients who have had COVID-19, in your pulmonary rehabilitation programs. Spruit MA, Holland AE, Singh SJ, Tonia T, Wilson KC, Troosters T. COVID-19: Interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. Eur Respir J 2020; in press (https://doi.org/10.1183/13993003.02197-2020). This paper can be found here.   American Thoracic Society Assembly on Pulmonary Rehabilitation. “Guidance for Re-opening Pulmonary Rehabilitation Programs.” This paper can be found here.   American Physical Therapy Association Webinars on “Physical Therapy Considerations of COVID-19 in the Post-Acute Setting” aired on April 18, 2020 and “COVID-19: Clinical Best Practices in Physical Therapy Management”, aired on March 28, 2020. 

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode about the history of pulmonary rehabilitation. I'll be back soon with new content, but until then, thank you again for your support. In this episode, I provide a brief overview of the history of pulmonary rehabilitation.   I mention several papers in this episode. Several of them are open-access: Celli BR, Goldstein RS. A historical perspective of pulmonary rehabilitation. In: Clini E, Holland AE, Pitta F, Troosters T, eds. Textbook of Pulmonary Rehabilitation. Springer, 2018. Denison C. Exercise and Food for Pulmonary Invalids. Available from Amazon: https://www.amazon.com/Exercise-Pulmonary-Invalids-Classic-Reprint/dp/B008C4AT8E. Petty TL, Nett LM, Finigan MM, Brink GA, Corsello PR. A comprehensive care program for chronic airway obstruction. Annals of Internal Medicine 1969; 70(6):1109-1120. https://pubmed.ncbi.nlm.nih.gov/5789505/ Barach AL. A Treatment Manual for Patients with Pulmonary Emphysema. New York, NY: Grune & Stratton, Inc.; 1969. Hodgkin JE, Balchum OJ, Kass I, Glaser EM, Miller WF, Haas A, Shaw DB, Kimbel P, Petty TL. Chronic obstructive airway diseases. Current concepts in diagnosis and comprehensive care. JAMA 1975; 232:1243–60. https://jamanetwork.com/journals/jama/article-abstract/336862 Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed) 1982; 284:1607–8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1498516/ Guyatt GH, Berman LB, Townsend M, Pugsley SO, Chambers LW. A measure of quality of life for clinical trials in chronic lung disease. Thorax 1987; 42:773–8. https://thorax.bmj.com/content/thoraxjnl/42/10/773.full.pdf Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure of health status for chronic airflow limitation. The St. George’s Respiratory Questionnaire. Am Rev Respir Dis 1992 ;145:1321–7. https://pubmed.ncbi.nlm.nih.gov/1595997/ Singh SJ, Morgan MD, Scott S, Walters D, Hardman AE. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax 1992; 47:1019–24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1021093/ Goldstein RS, Gort EH, Stubbing D, Avendano MA, Guyatt GH. Randomised controlled trial of respiratory rehabilitation. Lancet 1994; 344:1394–7. https://pubmed.ncbi.nlm.nih.gov/7968075/ Wijkstra PJ, Van Altena R, Kraan J, Otten V, Postma DS, Koeter GH. Quality of life in patients with chronic obstructive pulmonary disease improves after rehabilitation at home. Eur Respir J 1994; 7:269–73. https://pubmed.ncbi.nlm.nih.gov/8162979/. Ries AL, Kaplan RM, Limberg TM, Prewitt LM. Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease. Ann Intern Med 1995; 122:823–32. https://pubmed.ncbi.nlm.nih.gov/7741366/. Maltais F, LeBlanc P, Simard C, Jobin J, Berube C, Bruneau J, Carrier L, Belleau R. Skeletal muscle adaptation to endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1996; 154:442–7. https://pubmed.ncbi.nlm.nih.gov/8756820/ Lacasse Y, Goldstein R, Lasserson TJ, Martin S. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2006; Oct 18;(4):CD003793. https://pubmed.ncbi.nlm.nih.gov/17054186/ McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2015; 2:CD003793. https://pubmed.ncbi.nlm.nih.gov/25705944/   I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

Hi everyone, and welcome to the LungFIT podcast. I am going to be taking a much needed break for the next while, so I hope you enjoy this past episode about building your own referral base. I'll be back soon with new content, but until then, thank you again for your support. On this episode, I talk about different strategies to increase the referrals to your pulmonary rehabilitation program, including how to increase your exposure in the clinical community, and how to identify different patient populations who could benefit. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode, I talk about discharge letters. I mention a paper that summarizes the minimal clinically important difference for many outcomes. That paper can be found here. I welcome your feedback about the show or ideas for future episodes. You can contact me via the comments section here on the LungFIT website. If you listen to the LungFIT podcast on iTunes, please take a moment to review the show. Click here to be directed.

On this episode, I talk about including disaster preparedness as a topic in your pulmonary rehabilitation education curriculum. I mention a research study that I was involved in, led by Maddy Laberge. Her publication and the questionnaire can be found in this paper. I also mention some online resources. They can be found here: The American Lung Association. Canadian Lung Association.