Grand Rounds Report from Allergy and Clinical Immunology

by swright on January 14, 2013

Dr. Scott WrightAt medical grand rounds this week, Dr. Bruce Bochner (Chief, Division of Allergy and CLINICAL Immunology) reviewed therapies that are directed at white blood cells, in particular eosinophils. 

In describing studies that have been published, some of which have shown that experimental anti-eosinophil therapies being successful and others less so, Dr. Bochner explained that a group of asthma doctors in Hamilton (Ontario) were trying to direct the “right” therapy to the “right” patients.  He explained that part of routine care in this asthma practice was to microscopically inspect the sputum of asthmatics to look for the presence of eosinophils.  Patients discovered to have increased eosinophils in their sputum were given therapies directed specifically at eosinophils and others patients were not given these therapies.

From my understanding of the presented results, it appeared as if patients receiving care from this particular practice were benefiting from improved clinical outcomes. 

I was left thinking that this group of pulmonologists are committed to clinical excellence because of their efforts to match the patient with the most appropriate therapy.

We have already begun to head well into the direction of 'individualized care' in medicine, but I thought that Dr. Bochner's highlighting these exemplars at McMaster was truly thought provoking.

 

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