tag:blogger.com,1999:blog-12660458.post115031516186634232..comments2023-09-01T10:33:09.297-04:00Comments on Pulmonary Roundtable: Alpha-1 AT augmentation therapyUnknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-12660458.post-1150579375400200652006-06-17T17:22:00.000-04:002006-06-17T17:22:00.000-04:00I would not offer augmentation therapy to a patien...I would not offer augmentation therapy to a patient who continues to smoke.Jeff Hhttps://www.blogger.com/profile/01209432708535732499noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1150484304876308792006-06-16T14:58:00.000-04:002006-06-16T14:58:00.000-04:00Well, it doesn't make sense to give replacement th...Well, it doesn't make sense to give replacement therapy when the cause of the decline is still active and treatable (smoking). This would be much more effective than giving the replacement but having the patient continue to smoke - the smoke will accelerate the emphysema much more than any replacement therapy can stave off decline.<BR/>Another example is that we dont usually put a patient in pulmonary rehab if they are actively smoking. I makes more sense to work on the smoking cessation.Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1150405108787823752006-06-15T16:58:00.000-04:002006-06-15T16:58:00.000-04:00Wouldn't replacement therapy be more protective fo...Wouldn't replacement therapy be more protective for people who are smoking?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1150379947702754972006-06-15T09:59:00.000-04:002006-06-15T09:59:00.000-04:00I would not give the replacement. I would instead...I would not give the replacement. I would instead concentrate on aggressive smoking cessation and perhaps consideration of lung transplant listing. It seems to not be the best situation to give replacement while she is actively smoking.Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.com