{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"ILD for the rheumatologist: Digging through the past and making sense of the present","description":"In this week\u2019s episode we interview Joseph Parambil, MD, staff member in the department of pulmonary, allergy and critical care medicine at Cleveland Clinic, about the current challenges of interstitial lung disease, or ILD. \u00b7        Intro by Adam J. Brown, MD 0:12 \u00b7        Welcome back Joseph Parambil, MD 0:32 \u00b7        But first, some medical history on ILD 1:04 \u00b7        ILD vs. IPF 2:26 \u00b7        A quick aside into silicosis and bleomycin 4:27 \u00b7        Trying to describe pulmonary fibrosis 5:23 \u00b7        The different types of ILD 9:44 \u00b7        Finding a slow progression of disease and autoimmune conditions 10:59 \u00b7        Pulmonary fibrosis diagnoses in 1963 14:41 \u00b7        The modern era of ILD 16:22 \u00b7        Nonspecific interstitial pneumonia 20:12 \u00b7        Handing things over to Dr. Parambil 23:01 \u00b7        Helping rheumatologists understand ILD\/The alphabet soup 24:34 \u00b7        The shift from biopsies and using immunosuppression 33:07 \u00b7        Is the workup similar for UIP and NSIP? 35:26 \u00b7        Is there a standard protocol for workup in terms of serologies? 36:30 \u00b7        The danger of choosing the wrong treatment 38:43 \u00b7        Immunosuppression in patients with pulmonary hypertension and ILD 40:52 \u00b7        UIP and ANCA vasculitis 42:12 \u00b7        Compared to ten years ago, how are we doing with treatments? 43:10 \u00b7        Where are we with lung transplants? 50:49 \u00b7        Looking at hematopoietic stem cell transplants 53:24 \u00b7        The importance of early diagnosis 54:14 \u00b7        Antifibrotic medicines 56:15 \u00b7        Chronic and acute interstitial lung diseases 58:41 \u00b7        Thank you, Dr. Parambil 1:03:54 \u00b7        A conclusion from Dr. Brown 1:04:20 \u00b7        Thank you for listening 1:04:55 We\u2019d love to hear from you! Send your comments\/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum. Joseph Parambil, MD, is a staff member in the Respiratory Institute and the director of the HHT Center of Excellence and the Vascular Anomalies Center at the Cleveland Clinic. He is associate professor of medicine at Cleveland Clinic\u2019s Lerner College of Medicine. He is certified by the American Board of Internal Medicine with additional specialty certification in pulmonary medicine and critical care medicine. References: Homolka J. CMAJ. 1987;PMID:3315158 Liebow A, et al.  : \u201cFrontiers of Pulmonary Radiology.\u201d The interstitial pneumonias, pp. 102-141. 1969. Grune & Stratton. Liebow A, et al. Calif Med. 1969;PMID:PMC1501512 Noble PW, et al. Am J Respir Cell Mol Biol. 2005;doi:10.1165\/rcmb.F301 Scadding JG, et al. Thorax. 1967;doi:10.1136\/thx.22.4.291 Disclosures: Brown and Parambil report no relevant financial disclosures. ","author_name":"Healio Rheuminations","author_url":"http:\/\/rheuminations.healio.libsynpro.com\/website","html":"