• Why is familial interstitial lung disease (ILD) important? How to identify cases?

    familial interstitial lung disease

    In this article I will discuss about the importance of family history in the diagnosis and management of interstitial lung disease (ILD). Most people do not know that part of my job in Manchester is to perform a clinic which is called familial interstitial pneumonia (a.k.a. the “FIP” clinic). During these consultations I collect family history information from our ILD patients and if they meet certain criteria they would then go on to have genetic testing. I cannot put a number on the percentage of my ILD patients who have other family members with ILD or related conditions. However, I…

  • Consultation

    How to conduct the first consultation for ILD?

    This is the 8th episode of the Interstitial Lung Disease podcast. Today I discuss about how to conduct the first consultation for interstitial lung disease (ILD) patients. What questions do you ask during the initial consultation? This is my own…

  • Oxygen therapy in interstitial lung disease

    A very important discussion to have with patients who suffer from various forms of interstitial lung diseases is around supplementary oxygen. Main points to consider: 1. We should request an ambulatory oxygen assessment in all patients with a DLCO value…

  • Pragmatic decisions in idiopathic pulmonary fibrosis IPF

    Pragmatic treatment decisions in IPF

    Unfortunately we still do not have very good treatments for idiopathic pulmonary fibrosis. The antifibrotics that we have (in 2022) only seem slow down the generally inevitable progress of IPF. To complicate matters further, in certain countries (in this example…

  • How to deal with chronic cough in ILD

    How to deal with chronic cough in ILD

    Chronic cough is a major symptom in interstitial lung diseases (ILD), especially as the fibrotic process progresses. No matter what the ILD diagnosis is, dry debilitating cough can go alongside breathlessness and really impact our patients’ quality of life. In…