The Impact of Follow-up Physician Visits on Emergency Readmissions for Patients with Asthma and Chronic Obstructive Pulmonary Disease: a Population-based Study

Reviewer’s Comments. What really impressed me is that these travelers took vacations for a “median duration of 13 weeks.” Who’s at home doing all the work while these guys are out trekking for months at a time? It would appear that the combination of poorly controlled asthma (ie, frequent bronchodilator use) combined with the heavy exertion during treks was a nasty combination for inducing attacks of asthma. It would also seem that in anticipation of travel involving heavy exertion such as high altitude treks, asthma control really needs to be tightened up or these patients might be (and you knew this was coming) “too loose to trek.”