This Grand Round presented by Dr Amanda Sathyapala focuses on CPAP adherence in patient with obstructive sleep apnea.
Dr Amanda Sathyapala Background
Dr Amanda Sathyapala is a consultant respiratory physician, and clinical lead of the home ventilation service at Harefield hospital.
She is also a senior lecturer in the airways disease section of the National Heart and Lung Institute of Imperial College London.
Her clinical expertise includes respiratory failure, particularly chronic ventilatory failure requiring non-invasive ventilation, as a result of conditions such as COPD, bronchiectasis, chest wall disease, lung fibrosis, or following surgery. She also specialises in diagnosis and management of respiratory muscle weakness as well as sleep-disordered breathing, such as obstructive sleep apnoea and obesity hypoventilation syndrome.
She is one of only a few respiratory physicians delivering cognitive behavioural therapy for insomnia.
This talk will focus on the analysis of audit data and how and where clinical data gets used.Â
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This talk by Mr Espeed Khoshbin focuses on on managing post cardiac surgical patients in the primary care setting.
Focusing on the role of primary care physicians in managing post operative complications and secondary prevention after coronary artery bypass grafting (CABG), with reference to antiplatelet agents and lipid-lowering medications. Management of hypertension, diabetes mellitus, smoking cessation, weight loss, and cardiac rehabilitation.
Learning Objectives
Mr Espeed Khoshbin Background
Mr Espeed Khoshbin is a consultant in cardiac surgery transplantation and mechanical circulatory support at Royal Brompton and Harefield hospitals. He is also an honorary clinical senior lecturer at Imperial College and The National Heart and Lung Institute (NHLI) in London. He is the national lead for heart and lung transplant education, local lead for cardiac surgical training and an examiner for the board of examiners of the European and UK cardiac surgery.Mr Khoshbin is the NHS lead for organ utilisation at Royal Brompton and Harefield Hospitals.
This talk by professor Mona Bafadhel focuses on eosinophilis in COPD as a major healthcare burden and cause of mortality worldwide.
Learning Objectives
Professor Mona Bafadhel Background
Mona Bafadhel holds the positions of Chair in Respiratory Medicine at King’s College London and Director of the recently established King’s Centre for Lung Health. Additionally, she works as a consultant respiratory physician at the Guy’s and St. Thomas’ NHS Foundation Trust. Her areas of interest in both clinical and research are asthma and chronic obstructive pulmonary disease (COPD). With a strong desire to use clinical research to better patient outcomes, Mona is a leading international academic in the field of respiratory medicine. Her research on COVID-19 and COPD has changed therapeutic practices that impact millions of people worldwide. The Royal College of Physicians bestowed to Mona the Goulstonian Lectureship in 2018 in recognition of her achievements in the clinical sciences. She is the first woman from an ethnic minority and just the fourth overall.
This talks by Professor Nicholas Hopkinson covers COPD as a structural violence.
Professor Nicholas Hopkinson background
Nicholas Hopkinson is professor of respiratory medicine at Imperial College and an honorary consultant physician at Royal Brompton Hospital. He qualified in medicine at Cambridge University and the London Hospital Medical College and went on to train in respiratory and general internal medicine at St George’s Hospital and St Thomas’ Hospital.
Professor Hopkinson is clinical lead for chronic obstructive pulmonary disease (COPD) at Royal Brompton Hospital. This includes systematic evaluation of patients within a multidisciplinary team and addressing issues such as: hypoxia, recurrent exacerbations, alpha one antitrypsin deficiency, early onset disease.
His major research interest looks at the causes of exercise limitation in patients with COPD, and his publications have looked at the: effect of pulmonary rehabilitation, influence of genetic polymorphisms, the effect of dietary nitrate supplementation, lung volume reduction techniques for emphysema, singing for lung health as an approach to relieve breathlessness in COPD and other conditions.
Working with the NW London Collaboration for Leadership in Applied Health Research (CLAHRC), Professor Hopkinson has developed a more systematic Care Bundle for COPD patients as they are discharged. Addittionally, he has published work on tobacco uptake among children and in support of tobacco control measures, such as standardised packaging and smoke-free legislation.
Moreover, the NIHR, Medical Research Council, Wellcome Trust, European Union, British Lung Foundation, and Moulton Foundation have all funded professor Hopkinson’s work.
This talk by Dr Rigby covers the significance of chest pain in children and adolescents.
Dr Rigby explains how chest pain is common in children and adolescent ages 8 to 18. This leads to the importance of aetiology which is often evident when taking a detailed history of the patient.
The talk explains the most common type of chest pain and next steps to take when dealing with patients with those symptoms.
Dr Michael Rigby Background
Dr Michael Rigby is a consultant paediatric cardiologist at Royal Brompton Hospital, specialising in interventional cardiac catheterisation in congenital heart disease in children and young adults.
Prior to this role, Dr Rigby trained at the Killingbeck Hospital in Leeds, the Birmingham Children’s Hospital, John Radcliffe Hospital in Oxford and the Hospital for Sick Children in Toronto, Canada.
This talk by Dr Jamilah Meghji covers “the intersection of TB and Chronic Lung Diseases in LMIC”
Dr Jamilah Meghji BackgroundÂ
Dr Jamilah Meghji is a Consultant Respiratory Physician in Cambridge, UK, with a special interest in tuberculosis and respiratory infection. Her research has used mixed methods to describe the burden and impact of post-TB lung disease on the lives and livelihoods of TB survivors in East Africa. She has an interest in the diagnosis and management of TB co-morbidities, including chronic respiratory diseases, within TB services in low-resource settings.
This talk by Dr James Allinson provides an overview of how early childhood respiratory infections are linked to adult respiratory disease.
Dr James Allinston BackgroundÂ
Dr Allinson is a consultant respiratory physician at Royal Brompton Hospital, working in the fields of chronic obstructive pulmonary disease (COPD) and respiratory failure.
Dr Allinson graduated in 2002 from St Peter’s College, University of Oxford and completed his postgraduate training at Oriel College, University of Oxford, in 2005. He trained in respiratory and general medicine in London and was awarded a PhD from Imperial College London in 2018.
Dr Allinson’s research interests include how airways disease develops across life and how to identify the early stages of COPD development. His research also addresses how to improve the management of already established COPD. Dr Allinson is the primary investigator on an Asthma + Lung UK Project Grant.
This talk by Parris William focuses on “why we need to embed smoking cessation services into targeted lung health checks”.
This talk by Dr Dexter J Wiseman covers “RSV as a Cause of COPD Exacerbation and Beyond: The Hidden Annual Epidemic“.
Dr Dexter Wiseman Background
Dr Dexter Wiseman has an honorary positions at the Royal Brompton and Harefield NHS trust and the National Heart and Lung Institute as clinical research fellows and senior practitioners, respectively.
Dexter is now working at Professor Jadwiga ‘Wisia’ Wedzicha’s lab as part of his research study. In the past, he assisted in managing the London COPD exacerbation cohort. His research interests include the role of viruses in COPD flare-ups. In order to complete his PhD, he examined the part that RSV (Respiratory Syncytial Virus) plays both during flare-ups and times of stability.
In order to better understand the immunological indicators of RSV susceptibility in COPD patients, Dexter collaborates closely with Professor Peter Openshaw and Dr. Ryan Thwaites through the international partnership RESCEU (Respiratory Syncytial virus partnership in Europe).
This talk focuses on all aspects of COPD diagnosis and management, from primary to secondary care.
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Dr Justin Garner Background
Dr Justin Garner qualified from Imperial College School of Medicine, UK, in 2008. He trained as a respiratory specialist in the North-West Thames deanery and completed his PhD in Interventional Bronchoscopy under Professors Pallav Shah and Omar Usmani in 2020. He has worked as a consultant respiratory physician at the Royal Brompton Hospital since October 2021 in the department of lung cancer and interventional bronchoscopy.Â
Dr Justin Garner has specialist expertise in: management of lung cancer and pulmonary nodules, lung volume reduction (e.g., endobronchial valves) and novel interventional therapies for chronic obstructive pulmonary disease (COPD). Bronchial thermoplasty for severe asthma and diagnostic and interventional bronchoscopy. Â
Dr Justin Garner’s research interests include small airways disease, inflammatory biomarkers, and medical device innovation.Â
Dr Justin Garner has published multiple articles and book chapters on various respiratory topics including interventional bronchoscopy techniques for severe COPD (including endobronchial valves), severe asthma, and lung cancer.Â
This talk by Prof Paul Friedman focuses on Artificial intelligence and the ECG. More specifically, how the power of AI can transform electrocardiography for enhance diagnosis and prognosis.
Professor Paul Friedman Background
Professor Paul Friedman is the Norman Blane and Billie Jean Harty Chair, Mayo Clinic Department of Cardiovascular Medicine Honouring Robert L. rye, MD. Since 1998 he is consultant in the Division of Heart Rhythm Services and the Department of Physiology and Biomedical Engineering. Dr Friedman is recognised with the distinction of the Edward W. and Betty Knight Scripps Professorship in Cardiovascular Medicine in Honour of George M. Gura, Jr., M.D.
NIH grants and multi-centre international studies supported Prof Friedman research on procedural treatment of arrhythmia. He has contributed to over 40 patents. Additionally he has built a team focusing on AI to improve the diagnosis and treatment of CV diseases. He is prolific author of articles, books, chapters, editorials, abstracts and letters, servers on the editorial boards of many prestigious journals and has received many awards and honours.
In addition to his clinical and research activities, Dr Friedman has contributed extensively to education through curriculum and couse development and teaching. He holds teaching/examining privileges in Clinical and Translational Science at Mayo Clinic Graduate School of Biomedical Sciences.
This talk covers the topic of Spirometry and race-based medicine past and present.
Dr Gabrielle Liu Background
Dr. Gabrielle Liu, MD is a Pulmonologist in Chicago. She graduated from The Univeristy of Chicaco Hospital – Roosevelt University. Dr Liu is currently an Instructor of Medicine at Northwestern University in the Division of Pulmonary and Critical Care Medicine. She engages in research on early predictors of interstitial lung disease under the NIH F32 grant. Her interests span from interstitial lung disease, population health, environmental health, to understanding the transition from lung health to lung disease.