Podcasts · The Curbsiders Internal Medicine Podcast
#500: COPD Update with Cyrus Askin
· 1 h 18 min
Episode #500: COPD Update with Cyrus Askin
GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores thoughtfully), stage patients with the A/B/E framework, and build treatment around long-acting bronchodilation—adding ICS selectively based on exacerbations and eosinophils. We’ll highlight the nonpharmacologic moves that change outcomes (smoking cessation, vaccination, pulmonary rehab, oxygen when indicated), when to reach for add-ons (azithromycin, roflumilast), how to approach chronic hypercapnia with home NIV, and what’s new (hello, ensifentrine). Pulmonologist and longtime Curbsiders member Dr. Cyrus Askin (@Askins_Razor ) returns to share real-world pearls for diagnosing, treating, and managing comorbidities in COPD. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments
• Intro • Case 1 • Diagnostic Workup • Understanding the Ratio, LLN/Z-Scores, and Equity • Symptom abd Risk Staging (A/B/E) • Case 2 • Foundational Care • Initial Inhaler Strategy • Progression & Hypercapnia: NIV & Adherence Counseling • Add-On Pharmacologic Options for Frequent Exacerbators • What’s New and Emerging • Comorbidities and When to Refer • Take-Home Points Recap • Plugs, CME, and Credits
Credits Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP • Reviewer: Emi Okamoto MD • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP • Technical Production: PodPaste • Guest: Cyrus Askin MD
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