Pulmonary rehabilitation by Alfred P. Fishman

By Alfred P. Fishman

This cutting-edge reference explores the multi-disciplinary nature of recent pulmonary rehabilitation-detailing the explicit roles of many of the well-being execs who contain a pulmonary rehabilitation group, together with the chest health care provider, actual therapist, and psychologist.

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Barach and I pursued neighboring but parallel paths at the Columbia-Presbyterian Medical Center. He and his colleagues con­tinued to develop new mechanical devices and empirical strategies that were forerunners of pulmonary rehabilitation; my clinic and laboratory provided clin­ical care, often using Barach's devices, that were rooted in physiology, patho­physiology, and pathology. Then, long after I had left the Columbia-Presbyterian Medical Center, the two paths became one: I was invited to build an academic department of rehabilitation medicine at the University of Pennsylvania.

The atmosphere also facilitates the educational role of the professional team, which constantly works to educate the patient and keep family and other significant parties fully informed so they can carry out their supportive roles in rehabilitation. Rehabilitationists believe that adjustment to the changed physical status of disability is best done in a more horizontal and less pyramidal struc­ture. Even the word “patient,” appropriate in the acute hospital setting, is often replaced with the word “client,” “consumer,” or “customer,” depending on where the individual is situated in the continuum of health care.

The selection, the interest, and past accom­plishments of the contributors illustrate very well the breadth with which reha­bilitation must be investigated. Alfred Fishman brings to rehabilitative cardiopulmonary medicine an en­cyclopedic knowledge of cardiopulmonary medicine and vast experience in its study. His acceptance of my invitation to edit this monograph for the series Lung Biology in Health and Disease represented not only a testimony to our friendship, but also one of the best moments in the development of the series of monographs.

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