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  • Inspire: Digital health and setting up a medical device with Professor Richard Costello

    Inspire: Digital health and setting up a medical device with Professor Richard Costello
    2025/11/17
    We’re back in the studio with Professor Richard Costello, exploring his vision for the future of digital health and what it takes to set up a medical device to life. He discusses how his experience in digital monitoring led him to a deeper understanding of human behaviour. 00:00 Intro and episode overview 00:41 Introduction to Professor Richard Costello 02:13 Developing an interest in digital health 04:49 Developing patents in digital health 08:37 Maintaining motivation 10:17 Challenges setting up a medical device 13:24 Vision for digital health 16:26 Restructuring healthcare to be more inclusive using digital technology 16:49 Data ownership in digital health 17:33 Portals of communication and the electronic healthcare record 19:44 GDPR in digital health 21:29 Funding structures for digital subscriptions and online platforms 23:19 Inequality and inclusion in the digital era 23:59 The carbon footprint of digital health Guest - Professor Richard Costello Professor Richard Costello is a professor of respiratory medicine at the Royal College of Surgeons in Ireland and a consultant at Beaumont Hospital, Dublin. He trained at RCSI, Beaumont, and Johns Hopkins University. A leading researcher in airways disease and digital respiratory health, he has published over 200 papers, holds several health innovation patents, and founded a company focused on inhaler adherence. He has served as Vice President of the Royal College of Physicians of Ireland and chaired the European Respiratory Society Educational Council, receiving the ERS Educational Award for his contributions to respiratory medicine. Hosts - Dr Barry Harnedy & Dr Sandra Green Dr Barry Harnedy is a respiratory specialist trainee in Ireland. He graduated from National University of Ireland Galway. He is the current Irish Thoracic Society co Educational Officer. He is passionate about digital innovation and airways assessment. Dr Sandra Green is a respiratory specialist trainee in Ireland. She is the current Irish Thoracic Society Sustainability Officer. As a founder of Irish Doctors for the Environment she is interested in healthcare sustainability and planetary health.
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    28 分
  • Preparing for the European Respiratory Society Congress 2025, advice from early career representatives

    Preparing for the European Respiratory Society Congress 2025, advice from early career representatives
    2025/09/22
    In this episode, Dr Marissa O’Callaghan and Dr Sandra Green host Dr. Augusta Beach and Dr. Laura Fabbri, both Early Career Representatives of the European Respiratory Society. They discuss their journeys to becoming representatives, the responsibilities of their roles, and the importance of networking and engagement within the society. This conversation also focuses on the upcoming Congress, including key sessions, tips for poster presentations, and social events, emphasizing the value of participation and proactive involvement for early career members. Keywords European Respiratory Society, Early Career Representatives, Networking, Congress, ILD, COPD, Research, Eosinophils, Asthma, Clinical Trials
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    32 分
  • Conference Series: Maximizing Your European Respiratory Society Congress 2025 Experience with Dr Barry Harnedy and Dr Margaret Higgins (Part 1)

    Conference Series: Maximizing Your European Respiratory Society Congress 2025 Experience with Dr Barry Harnedy and Dr Margaret Higgins (Part 1)
    2025/09/15
    In this episode, Dr Marissa O'Callaghan and Dr Sandra Green host Dr. Margaret Higgins and Dr. Barry Harnedy, the new Educational Officers of the Irish Thoracic Society, to discuss the upcoming ERS Congress in Amsterdam. They share insights on how to strategies to get the most out of your conference attendance, the importance of networking, and opportunities for pursuing fellowships. The conversation also includes a fun quiz about the ERS Congress and practical tips for first-time attendees. Keyword / Tags ERS Congress, networking, fellowship, pulmonology, education, conference tips, respiratory health, international collaboration, poster sessions, early career
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    22 分
  • Breathwork: Overview of lung function testing and the new Global Lung Initiative Guidelines with Aisling McGowan (Part 2)

    Breathwork: Overview of lung function testing and the new Global Lung Initiative Guidelines with Aisling McGowan (Part 2)
    2025/09/01
    In this episode, Aisling McGowan takes us through the full journey of lung function testing — from referral to patient walkthrough — covering contraindications, the patient experience, and interpretation using the new GLI Guidelines.
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    27 分
  • Inspire: Respiratory Physiology: Career Insights with Aisling McGowan (Part 1)

    Inspire: Respiratory Physiology: Career Insights with Aisling McGowan (Part 1)
    2025/08/18
    Join us in this interview with Aisling McGowan, Chief 2 Physiologist at Connolly Hospital, Dublin, whose 34-year career in respiratory and sleep diagnostics has combined clinical expertise, education, and leadership. We explore the role of a respiratory physiologist, the varied training paths into the profession, career progression, opportunities in education and leadership, and the challenges and rewards of a career in respiratory physiology in Ireland. 01:10 Describing the role of the respiratory physiologist 03:13 The training pathway for respiratory physiology 06:32 Specialising in respiratory physiology 08:10 Postgraduate entry to respiratory physiology 08:50 Career progression; staff grade to senior to chief one and chief two 12:10 Advanced practice in respiratory physiology 13:53 Changes to the role if advanced practice came into effect 14:45 Opportunities abroad for Irish trainees 15:50 The pathway for internationally trained respiratory physiologists 16:20 Popularity of respiratory physiology degree courses 17:09 Challenges in recruitment and retention 17:50 Additional postgraduate training opportunities: Master of Science 20:10 Staff shortages and workloads 21:45 The impact of integrated community care hubs on tertiary care staffing 22:26 Vision for lung function diagnostics in the integrated care hub 27:18 What keeps you engaged?
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    31 分
  • Breathwork - Pleural Effusions with Dr Laura Gleeson (Part 2)

    Breathwork - Pleural Effusions with Dr Laura Gleeson (Part 2)
    2025/08/05
    This week, we speak to Dr. Laura Gleeson again—this time about pleural effusions. Our conversation covers all the pleural effusion basics, plus the nuances of radiology, when to insert a chest drain, and how to monitor it once it’s in place. Chapters: 01:05 – Rapid fire round 04:23 – Pleural effusion intro 05:30 – Symptoms at presentation with pleural effusion 06:40 – Interpreting a white-out on CXR 07:20 – When to do further radiology/imaging 08:35 – CT pre or post chest drain insertion? 10:25 – Light’s criteria – can it always be trusted? 12:00 – What tests to send on your pleural fluid sample 14:15 – Chest drain indications 16:35 – Monitoring your chest drain 21:00 – Flushing the chest drain 22:20 – How much fluid to drain 25:00 – Removing the chest drain 27:10 – Empyema management 30:10 – Fibrinolysis 31:55 – Following up your pleural patients 34:10 – Take-home points Show notes & resources: Light’s criteria – MDCalc calculator | CHEST Clinics article MIST trials – MIST2 – NEJM | MIST3 – ATS Journals
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    36 分
  • Inspire: Early consultant years with Dr Laura Gleeson (Part 1)

    Inspire: Early consultant years with Dr Laura Gleeson (Part 1)
    2025/07/21
    In this episode, we speak with Dr. Laura Gleeson, Respiratory Consultant in St James Hospital, about her journey into respiratory medicine and her diverse specialist interests. She shares valuable insights on preparing for consultant interviews and highlights the importance of networking. We explore the realities of early career life and the transition into the first years as a consultant. Dr. Gleeson also reflects on the challenges of setting up a new clinical service and the key tools that can support success. (Recorded June 2024). Chapters 00:43 Introduction 01:24 Pathway to respiratory and special interest in immunology, TB, and pleural disease 07:00 Networking and preparation ahead of a consultant interview 10:23 The interview for a consultant post 11:00 Being on the consultant interview panel 12:35 The inspo for the ambulatory pleural service 14:00 Career focus and fellowship 16:45 Challenges when developing a new clinical service 18:59 Money talks and other methods of engaging management 22:14 Gaining momentum and the Spark Innovation Fund Show Notes 1. Developing an Ambulatory Pleural Effusion Service https://www.gov.ie/en/department-of-public-expenditure-infrastructure-public-service-reform-and-digitalisation/publications/developing-an-ambulatory-pleural-effusion-service/ 2. Healthcare team of the year award for the St Jame’s Hospital Ambulatory Pleural Effusion Sevice https://x.com/stjamesdublin/status/1926927226848633028
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    24 分
  • Breathwork: Pulmonary Hypertension with Professor Sean Gaine (Part 2)

    Breathwork: Pulmonary Hypertension with Professor Sean Gaine (Part 2)
    2025/07/07
    This week, we’re joined by Professor Seán Gaine, Ireland’s foremost expert in pulmonary hypertension. In this insightful episode, he shares his expert perspective on the diagnosis, classification, and clinical presentation of the condition, as well as the latest advances in treatment. A must-listen for all healthcare professionals, Professor Gaine also discusses when to suspect pulmonary hypertension and highlights the nuances in the management of patients with pulmonary hypertension. Don’t miss this opportunity to learn from a global leader in the field. Chapters 0:52 Rapid fire round on pulmonary hypertension 01:42 Definition of pulmonary hypertension 02:08 Signs and symptoms of pulmonary hypertension 02:56 Five groups of pulmonary hypertension 03:33 Group 1 pulmonary hypertension: Pulmonary arterial hypertension 04:34 Group 2 pulmonary hypertension: Left heart disease 05:23 Group 3 pulmonary hypertension: Chronic lung disease/hypoxia 05:58 Group 4 pulmonary hypertension: Pulmonary vascular obstruction 06:30 Group 5 pulmonary hypertension: Miscellaneous 07:25 Referral to the national pulmonary hypertension centre: right heart catheterisation 09:37 Work up in the pulmonary hypertension clinic 11:06 Risk stratification in pulmonary hypertension 12:06 Diagnostic criteria pulmonary hypertension Dynamic testing right heart catheterisation: Cardiopulmonary exercise testing Reliability of right heart catheterisation Treatment algorithm in pulmonary arterial hypertension Tripple therapy for high risk patients Double combination therapy for non-high risk patients Fourth treatment pathway, Quadruple therapy?: Sotatercept - an activin scavenger Treatment options for groups 4 pulmonary hypertension: Balloon pulmonary angioplasty Treatment options for groups 2, 3 and 5 Side effects of triple therapy Lung transplant in pulmonary hypertension: Double or single lung transplant Pitfalls in the acute management of patients with pulmonary hypertension Interpretation of the B Natriuretic Peptide level Medications contraindicated pulmonary hypertensions Outcomes in pulmonary hypertension Take home message on pulmonary hypertension Show Notes - https://lumen5.com/user/edofficer/sotatercept-emergin-d5jg6/ - Irish Thoracic Society Flashcard Pulmonary Hypertension https://irishthoracicsociety.com/wp-content/uploads/2021/06/5.-Pulmonary-Hypertension.pdf - Benza RL, Kanwar MK, Raina A, et al. Development and validation of an abridged version of the REVEAL 2.0 risk score calculator, REVEAL Lite 2, for use in patients with pulmonary arterial hypertension. Chest 2021; 159: 337–346. - Humbert M, Kovacs G, Hoeper MM, Badagliacca R, Berger RMF, Brida M, et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. European Respiratory Journal. 2022:2200879. DOI: https://doi.org/10.1183/13993003.00879-2022 - Chin KM, Gaine SP, Gerges C, Jing Z-C, Mathai SC, Tamura Y, et al. Treatment algorithm for pulmonary arterial hypertension. European Respiratory Journal. 2024;64(4):2401325. DOI: https://doi.org/10.1183/13993003.01325-2024 - Hoeper, M.M., Badesch, D.B., Ghofrani, H.A., Gibbs, J.S.R., GombergMaitland, M., McLaughlin, V.V. et al. (2023) ‘Phase 3 trial of sotatercept for treatment of pulmonary arterial hypertension’, New England Journal of Medicine, 388(17), pp. 1478–1490. Available at: https://doi.org/10.1056/NEJMoa2213558 - Humbert M, McLaughlin VV, Badesch DB, Ghofrani HA, Gibbs JSR, Gomberg-Maitland M, et al. Sotatercept in Patients with Pulmonary Arterial Hypertension at High Risk for Death. N Engl J Med. 2025;392(20):1987-2000. DOI: 10.1056/NEJMoa2415160
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    40 分