A man in his late 60s enters a lung cancer screening program and is found to have a 4.5 cm tumor—stage II by size, with high-stakes decisions ahead. The case seems to point toward modern perioperative therapy, until biomarker testing changes everything. In this episode, host Lisa Moores, MD, FCCP, is joined by CHEST Guideline Chair John Howington, MD, MBA, FCCP, and oncologist Natasha Leighl, MD, to show how multidisciplinary care—and molecular results—can reroute the entire treatment journey.

They discuss why nodal staging matters, when perioperative therapy improves outcomes, and how biomarker-driven choices can reshape the safest path, while still leaving room for shared decision-making.

Faculty

• Host: Lisa Moores, MD, FCCP

• Guideline Chair: John Howington, MD, MBA, FCCP

• Case Guest: Natasha Leighl, MD

A woman in her early 60s, who never smoked in her lifetime, is diagnosed with stage II lung cancer after an abnormal chest X-ray—and believes surgery has ended the story. But postoperative pathology and molecular testing open a new chapter of therapy designed to lower recurrence risk. In this episode, host Lisa Moores, MD, FCCP, is joined by CHEST Guideline Chair John Howington, MD, MBA, FCCP, and medical oncologist Natasha Leighl, MD, to unpack how stage II decisions continue long after the operating room.

They explore how staging and lymph node assessment shape what comes next; how targeted therapy can fit into survivorship; and how to counsel patients weighing work, travel, side effects, and the emotional whiplash of “I’m cured… unless I’m not.”

Faculty

• Host: Lisa Moores, MD, FCCP

• Guideline Chair: John Howington, MD, MBA, FCCP

• Case Guest: Natasha Leighl, MD

A 49-year-old individual who never smoked learns a routine scan has uncovered a suspicious lung lesion—low PET uptake, a negative bronchoscopy, and “stable” imaging… yet clinical instincts say, “Don’t ignore this.” In this story-driven episode, host Lisa Moores, MD, FCCP, is joined by CHEST Guideline Chair John Howington, MD, MBA, FCCP, and thoracic surgeon Sudish Murthy, MD, PhD, FCCP, to walk through what to do when the data conflict and the stakes are real.

Together, they translate the CHEST guideline “guardrails” into bedside decision-making: when surveillance stops being safe, why minimally invasive surgery matters, and how lung-sparing resection can deliver an oncologically sound plan while preserving future options.

Faculty

• Host: Lisa Moores, MD, FCCP

• Guideline Chair: John Howington, MD, MBA, FCCP

• Case Guest: Sudish Murthy, MD, PhD, FCCP

In the last episode of Rumblings: The CHEST 2025 Podcast, Sandhya Khurana, MD, FCCP, Chair of the Scientific Program Committee for CHEST 2025, speaks with Amy E. Morris, MD, FCCP, Chair of the Scientific Program Committee for CHEST 2026 in Phoenix about Exhibit Hall games (last chance to sign up for the escape room!), Experience CHEST, poster presentations, and what to expect at next year's annual meeting in Phoenix, October 18 to 21.

The Call for Topics is open now! Submissions are due Tuesday, December 2, at 2 pm CT.

In this episode of Rumblings: The CHEST 2025 Podcast, Sandhya Khurana, MD, FCCP, Chair of the Scientific Program Committee for CHEST 2025, and Meredith Turetz, MD, FCCP, Chair of the Training and Transitions Committee, dive into the Network Open Forums at 11:15 am CT (various locations), the Trainee Lounge (South Building, Room 405), and the attendee-favorite CHEST Challenge Championship in the Arie Crown Theater (reception begins at 5 pm, event begins at 6 pm).

Support your favorite CHEST Challenge team with just $5 to CHEST philanthropy by voting for your favorite mascot! Whose bovine is best?

In this episode of Rumblings: The CHEST 2025 Podcast, Sandhya Khurana, MD, FCCP, Chair of the Scientific Program Committee for CHEST 2025, speaks with Deborah Jo Levine, MD, MS, FCCP, Chair of the Council of Networks, about what not to miss on Monday, including the souvenir T-shirt giveaway in the Exhibit Hall, Section presentations at Experience CHEST, and the Cultures and Communities Reception (6 pm CT, Marriott Marquis, Level 33).

In the first episode of Rumblings: The CHEST 2025 Podcast, Sandhya Khurana, MD, FCCP, Chair of the Scientific Program Committee for CHEST 2025, and CHEST President John Howington, MD, MBA, FCCP, welcome you to CHEST 2025 and give a glimpse into the first day of the meeting, including the Opening Session (8 am CT, Arie Crown Theater), the Keynote Address from adventurer and cancer survivor Sean Swarner, and the All-Attendee Welcome Reception (5:30 pm, Marriott Marquis, Grand Horizon ABC).

In this podcast episode, experts explore how relationship-centered communication transforms care in the ICU and other fast-paced clinical environments. Host Susan Corbridge, PhD, ACNP, FCCP, speaks with nurse practitioners Tehya Johnson, MSN, AGPCNC-BC, and Allison Wynes, DNP, FCCP, who share real-world strategies for navigating tough conversations, reducing stigma, and aligning care with patient and family values. Together, they highlight how intentional, compassionate communication fosters trust in high-stakes environments where every moment matters.

This CHEST podcast is part of the First 5 Minutes® initiative, dedicated to empowering clinicians to build trust with patients from the very first interaction. Learn more: https://www.chestnet.org/learning-and-events/first-5-minutes