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0:00
Hello. This is Richard Casaburi.
I'm a research scientist at
the Lundquist Institute
for Biomedical Innovation
at Harbor-UCLA Medical Center
in the Los Angeles
area of California.
I'm here today to
give you a lecture
on pulmonary rehabilitation:
history, promise and problems.
0:20
You'll see here my disclosures,
none of which are
relevant to this talk.
0:26
First, there is the history.
The image you'll see here
is of Dr. Alvan Barach,
who, as you'll see,
lived from 1895-1977.
I'd like to think of him as
the grandfather of
pulmonary rehabilitation.
0:41
Dr. Barach had a really
interesting career.
Starting in 1922, he
perfected the oxygen tent.
In 1934, he used heliox
in asthma and emphysema.
I was completely
unaware that this was
done any time in that era.
He investigated oral penicillin
for pneumonia in 1945.
In the early 1950s,
he developed portable
oxygen supplies
and used them in his patients.
He had 164 PubMed citations.
Remember, PubMed didn't
start until the 1990s.
These were all collected
in retrospect.
91 of them were as
the sole author
and 6 of them were published
in the year of his death.
He published several books.
1:26
I'd like to draw your
attention to this quote.
You have to realize
that in 1952,
the advice to COPD patients was
if you get shortness of
breath doing something,
well, stop doing it.
Here's what Dr. Barach said,
"In two patients with
pulmonary emphysema...
an exercise program
was instituted with
subsequent marked improvement
of capacity to exercise...
The progressive improvement
in ability to walk
without dyspnea suggested
that a physiological
response similar to a
training program in
athletes may have
been produced."
Again, a physiologic response.
This is what he was positing.
