For Patients
    • Save Your Breath America!(File size 1.98 mb)
      By: Thomas L. Petty, MD and Dennis E. Doherty, MD
      Advice for patients with COPD, (chronic bronchitis or emphysema) and their families.
    • Patient Instructions for Inhaled Devices
      The American College of Chest Physicians has developed printable handout sheets to instruct patients in the use of inhaled devices. These step-by step guides provide instructions on usage and cleaning for most delivery devices available.

For further information on NLHEP contact:, 913.895.4631

For Physicians and Health Professionals
If you would like to use content, illustrations or images from any of our materials, please do the following:
  • Contact us via email ( and describe how you want to use content from our materials
  • Send your content to for review and approval by the NLHEP
  • Make sure you provide full credit to/acknowledgement of the NLHEP and include the NLHEP web site ( on your printed materials.
We will grant permission if:
  • Your information is accurate and consistent with NLHEP goals and objectives
  • NLHEP is provided with the final product.
  • The final product is identified by a letter or numbering code with printing date on the bottom of the document.
NLHEP will send an approval letter using the code that identifies the final approved material(s). This process can be completed within a few days, provided there are no changes to the materials presented to NLHEP for review.

Please note that times given to open a file are estimates only and are dependent on your computer’s internet connection speed, processor capability and the size of each file. Please allow time for the files to open. (Adobe Acrobat Reader Required) where PDF files are denoted.

Professional Educational Materials Available
Five of the listed booklets are available on line for you to print, but if you would like us to send you copies of these booklets, please send e-mail to along with your full name, complete mailing address, phone, e-mail, number of EACH brochure you are requesting, along with a brief description of how you are going to use them. AARC members receive these booklets at no charge. There is a modest charge to other individuals.


by Thomas L. Petty, MD, Robert W. McCoy, BS, RRT, and Dennis E. Doherty, MD (Sixth Oxygen Consensus Conference Recommendations) This new 36-page booklet presents the history of long term oxygen therapy (LTOT) and the state of our knowledge about the scientific basis for LTOT. Emerging technologies promise to make LTOT more available and effective for the growing number of patients with a medical necessity for LTOT. The booklet includes the recommendations from the 6th Oxygen Consensus Conference, as well as the five previous recommendations, published in 1986, 1987, 1990, 1993, and 1999. This booklet is free to AARC members, but please order only the number you need. There is a small cost to mail to those who are not AARC members.


Simple Office Spirometry for Primary Care Practitioners [PDF file 1.16mb, download time on 28k modem approx. 10 minutes]
 By: Thomas L. Petty, MD and Paul Enright, MD
This soft-cover booklet demonstrates how values obtained from simple spirometry can be applied to everyday clinical practice. This material is not copyrighted and may be freely downloaded from our site. However, no person, group, organization or company may put their name on the booklet. The booklet cannot be changed and the NLHEP name and logo must appear as is on the back cover of the booklet.


Prevent COPD Now (File size 578kb)
By: Thomas L. Petty, MD and Dennis E. Doherty, MD -Revised 8/06
This booklet is specifically designed for doctors and talks about diagnosis, testing and treatment, with references and resources that can be a helpful guide in working with the patient with COPD.


By: Dennis E. Doherty, M.D., Thomas L. Petty, M.D., and James S. Seebass, DO
This monograph was developed for the NLHEP “Train the Trainer” series. It expands on clinical information from the Prevent Emphysema Now booklet for doctors.


Frontline Update in COPD
This book is available by calling 913.895.4631. The cost is $5.95 plus shipping and handling.


COPD Pocket Consultant – Revised and back in stock!
NLHEP and the New York-Presbyterian Healthcare System have again collaborated on this 3 X 5 laminated card designed to carry in your lab coat pocket. This information reflects the latest GOLD Guidelines (Nov 2006) for making the diagnosis of COPD, medications for each stage of the disease, along with smoking cessation treatment recommendations. We suggest that this card be carried by all health care professionals who treat COPD patients.


Consider these for your patient—
Save Your Breath America! [HTML page]
By: Thomas L. Petty, MD and Dennis E. Doherty, MD -Revised 8/06
This is an excellent piece to distribute to your pulmonary rehabilitation patients or to those who visit health education events.
Open PDF File (File size 1.98 mb)


COPD Wallet Card
Thanks to the generosity of the New York-Presbyterian Healthcare System, the NLHEP now has the COPD Wallet Card for patients. This card, designed for patients to keep track of their medications and spirometry results, is in a plastic sleeve and is about the size of a credit card. Pulmonary rehab programs may want to give these as a graduation gift to their patients.

Guide to Prescribing Home Oxygen
By: Thomas L. Petty, MD (HTML files) The purpose of this guide is to direct the physician and other healthcare providers in deciding which oxygen modality is best for each long-term oxygen therapy (LTOT) patient. This document provides information on how to match the appropriate piece of oxygen equipment to the right patient.


Slide Presentations
NLHEP Saturday Morning Seminars – the Tulsa Model

  1. Early Diagnosis of COPD (Powerpoint Presentation)
    Please be patient this is a 42.9mg file.
  2. Advanced Disease/COPD (Powerpoint Presentation)
    Please be patient this is a 27.7mg file.
  3. Treatment of COPD (Powerpoint Presentation)
    Please be patient this is a 3.53mg file.
  4. Smoking Cessation (Powerpoint Presentation)
    Please be patient this is a 389kb file.

NLHEP Physician Slide Presentations

NLHEP Physician Slide Presentation I (HTML page)

NLHEP Physician Slide Presentation II (HTML page)


Recommendations of the 6th Long-Term Oxygen Therapy Consensus Conference by Drs. Doherty and Petty  
Why are COPD and Lung Cancer Related? (Word Document) By Thomas L. Petty MD(a) and David M. Mannino MD
COPD Clinical Phenotypes– Thomas L. Petty (HTML page)

COPD Lung Function and Mortality in the United States: Data from the First National Health and Nutrition Examination Survey follow up study Lung Function and Mortality in the United StatesD M Mannino, A S Buist, T L Petty, P L Enright, S C Redd (PDF file 182k, download time on 28k modem approx. 1.25 minutes)
“COPD Surveillance-United States, 1971-2000 David Mannino, M.D., David Homa, Ph.D., Laura Akinbami, M.D., Earl Ford, M.D., Stephen Red, M.D. (PDF file 247k, download time on 28k modem approx. 2.5 minutes)
Early Diagnosis of COPDThomas L. Petty, University of Colorado (HTML page)

Epidemiology, Prevalence , Morbidity and Mortality, and Disease HeterogeneityDavid M. Mannino, MD, FCCP (PDF file 928k, download time on 28k modem approx. 5 minutes)

Definitions, Causes, Course, and Prognosis of Chronic Obstructive Pulmonary Disease

The History of COPD Thomas L. Petty, MD (PDF file 759KB)

A New National Strategy for COPD (HTML page)
COPD: ‘Why Test Your Lungs, Know Your Numbers’ is the New Battle Cry (HTML page)
Demonstration Project: Hanover Hospital(HTML page)
How to Start a Community Screening Project: by Hanover Hospital(HTML page)
Test Your Lungs; Know the Numbers (HTML page)

Hanover Area Coalition for Lung Health (Powerpoint file size: 1 Mg) A Program Description of “How To” for Your Community by Michael Ader, MD and Vicky Shrader RRT

Role of Community Pharmacy in Early Detection of COPD(Powerpoint file size: 887k) Tim Buckley, RRT

Use FEV1 as an Early COPD Detection Tool– Choose: HTML page or PDF file (27k, download time on 28k modem approx. 8 seconds)

Lung Disease

“Diagnosis of Roentgenographically Occult Lung Cancer by Sputum Cytology” Thomas L. Petty, MD, Melvyn Tockman, PhD, MD, and Branko Palcic, PhD – Choose: HTML page or PDF file (82k, download time on 28k modem approx. 24 seconds)
Early Diagnosis of Lung Cancer Thomas L. Petty, University of Colorado – Choose: HTML page or PDF file (22k, download time on 28k modem approx. 7 seconds)
Early Diagnosis and Intervention in Lung Cancer: Clinical Studies Thomas L. Petty, York E. Miller PDF file 226k, download time on 28k modem approx. 1.5 minutes)
The National Lung Health Education Program and Managed Care Thomas L. Petty, MD (PDF file 798k, download time on 28k modem approx. 4.5 minutes)

The National Lung Health Education Program, A New Frontier for Respiratory Care Professionals March ’98 Vol 43 No 3 (PDF File 43k, download time on 28k modem approx. 14 seconds)

A New Vision for Health Thomas L. Petty, MD (HTML page)
NLHEP Strives to Catch Lung Disease in Early Stages AARC Times, March 2000 (PDF file 637k, download time on 28k modem approx. 3.5 minutes)

Obstructive Lung Disease and Low Lung function in Adults in the United States David M. Mannino, MD;Robert C. Gagnon, MS; Thomas L. Petty, MD; Evay Lydik, PhD (PDF file 798k, download time on 28k modem approx. 4.5 minutes)
Screening Strategies for Early Detection of Lung Cancer Thomas L. Petty, MD, (PDF file 55k, download time on 28k modem approx. 18 seconds)
Why are COPD and Lung Cancer Related?” Thomas L. Petty MD and David M. Mannino MD (PDF file 44k)


“Commentary: Quality of Spirometry Testing” Thomas L. Petty, MD Choose: HTML page or PDF file (929k, download time on 28k modem approx. 5.5 minutes)

Performance of a New Screening Spirometer at a Community Health Fair Robin J Schoh MSC MBA, Laura J Fero RN, Howard Shapiro PhD, Jordan P Aslor MBA RPFT, Oscar J Kaelin MSEE, Donald R Rollins MD, and Thomas L Petty MD (HTML page)

Pulmonary Q&A Spirometry A Key Tool for Every Office Thomas L. Petty, MD (HTML page)
Testing Patients’ Lungs: Spirometry as Part of the Physical Examination Thomas L. Petty, MD (PDF file 1.07mg, download time on 28k modem approx. 10 minutes)

The Second Breath of Life Thomas L. Petty, MD (PDF file 103k, download time on 28k modem approx. 30 seconds)
Simple Office Spirometry Thomas L. Petty, MD (PDF file 369k, download time on 28k modem approx. 2.25 minutes)

Spirometry Made Simple Thomas L. Petty, MD (HTML page)
Office Spirometry for Lung Health Assessment in Adults – A Consensus Statement from the NLHEP (HTML page)
Spirometry Comes of Age(HTML page)
Spirometry is Key in Asthma Management” (HTML page)
A New Era for Spirometry(HTML page)
Fishing for AnswersPaul L. Enright, MD (HTML page)

Related Internet Resources
The Agency for Healthcare Research and Quality, (AHRQ), was established in 1989 as a part of the U.S. Department of Health and Human Services. AHRQ supports research designed to improve the quality of health care, reduce its cost, and broaden access to essential services. This Web page brings practical, science-based information to medical practitioners and to consumers. This Agency has provided helpful, “Smoking Cessation Clinical Practice Guidelines”.
The Alliance for Lung Cancer Advocacy, Support and Education, (ALCASE), is a nonprofit organization dedicated to helping those living with lung cancer. The ALCASE Web site brings you information about lung cancer advocacy, support and education.
The American Association for Respiratory Care (AARC) is the only professional society for respiratory therapists in hospitals and with home care companies, managers of respiratory and cardiopulmonary services, and educators who provide respiratory care training.
The American College of Chest Physicians, (ACCP) is the leading resource for the improvement in cardiopulmonary health and critical care worldwide. It mission is to promote the prevention and treatment of diseases of the chest through leadership, education, research and communication.
The American Lung Association, (ALA) national Web site provides online information on asthma and other lung diseases, tobacco control, and environmental health.
The American Thoracic Society, (ATS) founded in 1905 and serving as the medical section of the American Lung Association, is an international professional and scientific society which focuses on respiratory and critical care medicine. The Society’s members help prevent and fight respiratory disease through research, education, patient care and advocacy.
The Coalition for Pulmonary Fibrosis is a national nonpartisan organization led by physicians, medical research professionals, patient advocates, and organizations impacted by pulmonary fibrosis. It serves to unify and enrich education, patient support, and research efforts for pulmonary fibrosis.

COPD ALERT is a nonprofit, Internet-based support and advocacy group for COPD patients, caregivers, medical professionals, and all those who care.

Emphysema Foundation For Our Right to Survive, (EFFORTS) is a nonprofit activists/support organization formed, funded and operated by patients with emphysema, who are working for further research, more effective treatment and hopefully a cure for emphysema and related lung diseases. EFFORTS also provides a support mailing list and educational resources for its members, without charge.
The Hanover Hospital Demonstration Project spearheaded by Dr. Michael Ader of Hanover, Pennsylvania is an example of a community-based program promoting pulmonary wellness through educational programs, patient publications and an easily accessible center of excellence in pulmonary care to meet specific respiratory care needs of Hanover and the surrounding communities. The NLHEP hopes that many communities are inspired by the innovation and dedication shown by this project.
Lung Cancer Frontiers Lung Cancer Frontiers was launched in January 1996 as a newsletter dedicated to advancing knowledge about lung cancer. It’s emphasis is on early identification and treatment. Dr. Tom Petty is the Editor in Chief of the Lung Cancer Frontiers newsletter which covers more information on early identification and treatment.
Since 1971, the National Emphysema Foundation, (NEF), has worked to improve the quality of life of those who have emphysema, asthma and related diseases through education, research and direct patient care. NEF works with academic institutions and public agencies worldwide to study emphysema and to heighten awareness of the disease internationally.

The National Jewish Medical and Research Center, founded in 1899, is a Global Leader in Lung, Allergic, and Immune Diseases”. It is the only medical and research center in the United States devoted entirely to respiratory, allergic and immune system diseases, including asthma, tuberculosis, emphysema, severe allergies, AIDS, cancer and autoimmune diseases such as lupus. National Jewish is a nonprofit institution dedicated to enhancing prevention, treatment and cures through research, and to developing and providing innovative clinical programs for treating patients regardless of age, religion, race or ability to pay.

The Pulmonary Education and Research Foundation, (PERF) is a nonprofit group dedicated to helping those with chronic respiratory disease through education, research, and information, a monthly newsletter highlights current issues of interest for those with chronic respiratory disease. Examples include: pulmonary rehabilitation, breathing techniques, liquid oxygen, and human growth hormone. A bulletin board for questions and answers is provided.
The Surgeon General’s Web page Tobacco Cessation Guidelines can be found on this Web site describing new findings about the latest drugs and counseling techniques for treating tobacco use dependence. Learn how to get help to quit smoking and to improve your chances of quitting smoking by clicking on ” You Can Quit Smoking.