Clinical

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Clinical notebook 2

Posters – Scientific Conferences

Mihaltan et al. - ERS 2018 / ATS 2019

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Mihaltan et al. - CPLF 2019

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Sliwinski et al. - ERS 2018 / ATS 2019

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Sands et al. - ECFS 2019

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Clinical cases

Y.D.

COPD - Asthma

Y.D. is a 70 year old patient, a practicing surgeon, former athlete with deteriorated muscle tone. He presents with COPD and asthma, in addition to a very severe hyperinflated lungs. He has a VEF1 of 35%, and is treated with bronchodilators.
He was approached by a pneumologist for respiratory education, a reduction in his shortness of breath, and exercise rehabilitation.

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Firmin

Bronchospasm and airway clearing

Firmin is a 20-year old patient with Purtilo syndrome.
For this reason, he received an allograft donated by his sister in September 2015.

Three months after transplantation, liver, skin, eye and digestive GVHD (Graft-Versus-Host Disease) manifested.
Pulmonary GVHD was diagnosed in March 2016 at the chronic respiratory failure stage. Long-term oxygen therapy and nocturnal NIV was introduced. Firmin then presented an FEV at 17% of the predicted values, and an FVC at 229% of the predicted values.

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Fabien

Cystic Fibrosis

Fabien is a 28 year old patient living in Brittany. He has a job
and is married. He is a spirited, determined, and very demanding patient. He presents with cystic fibrosis, with an FEV1 of 40%. He has attended many rehabilitation sessions in various specialist centers. During a conference, he heard about CKRF of Marcq-en-Baroeul and made a request to come do a two week program with a friend who also suffers from cystic fibrosis.

The program took place in June 2016. He was the first patient to use the Simeox, and to discover how it was used, along with the caregiving staff.

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