Simon Couillard, MD-MSc
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simcouillard.bsky.social
Simon Couillard, MD-MSc
@simcouillard.bsky.social
Canadian respirologist • Collaborator / distinguished graduate, University of Oxford • Clinical researcher, Université de Sherbrooke.
Pleased to share the first episode of my new podcast The Odyssey: Navigating the Early Career Clinician-Researcher Journey
Episode 1 : setting up camp
odysseyresearch.podbean.com/e/navigating...
Episode 1 : Setting up camp | The Odyssey: Navigating the Early Career Clinician-Researcher Journey
Simon Couillard and Sanjay Ramakrishnan discuss their paths from medical school to becoming assistant professors in different parts of the world, the challenges they faced in securing academic positio...
odysseyresearch.podbean.com
August 7, 2025 at 9:50 PM
bmjopen.bmj.com/content/15/7... Non-invasive neuromodulation for alleviating dyspnoea: protocol for a feasibility sham-controlled randomised trial | BMJ Open
Non-invasive neuromodulation for alleviating dyspnoea: protocol for a feasibility sham-controlled randomised trial
Introduction Dyspnoea affects 10% of the general population, and 12% of hospitalised patients report experiencing dyspnoea at rest. It is a common and distressing symptom experienced by people living ...
bmjopen.bmj.com
July 23, 2025 at 12:06 PM
Great response to our correspondence to Clarice Leung and John Fahy on the association between FeNO and baseline membrane thickness in SARP-3. This seems like a good marker of type-2 inflammation, and more specifically IL-13 activity, in #asthma.

www.atsjournals.org/doi/abs/10.1...
July 4, 2025 at 12:21 PM
Reposted by Simon Couillard, MD-MSc
📰 For #WorldAsthmaDay check out this #OpenAccess meta-analysis on inflammatory and clinical risk factors for #asthma attacks (ORACLE2)

Findings support incorporation of blood eosinophils and FeNO into clinical risk stratification

🔗 tinyurl.com/93ar3am3

@simcouillard.bsky.social
May 6, 2025 at 11:22 AM
Reposted by Simon Couillard, MD-MSc
🚨 Funded Clinical Research Fellowship
Asthma/COPD focus | MSc/PhD req | 2–3 yrs | 80% research, 20% clinic | Sherbrooke, QC 🇨🇦
French is a must (95% francophone patients).
📩 S.Couillard@USherbrooke.ca
🌐 DM for details!

www.usherbrooke.ca/dep-medecine...
www.usherbrooke.ca
April 21, 2025 at 4:06 PM
Reposted by Simon Couillard, MD-MSc
The wait is over! 🤩

“Blood eosinophil count, FeNO, asthma attack history, disease severity, low lung function (low FEV1%), and symptoms (ACQ-5 score) are key predictors of asthma attacks”
Huge congrats to the team on this important work 🫁 @simcouillard.bsky.social
@sanjayresp.bsky.social
#asthma
📰 New Article available #OpenAccess

Inflammatory and clinical risk factors for #asthma attacks (ORACLE2): a patient-level meta-analysis

These findings support incorporation of blood eosinophils and FeNO into clinical risk stratification

🔗 tinyurl.com/93ar3am3

@simcouillard.bsky.social
April 9, 2025 at 12:42 PM
Reposted by Simon Couillard, MD-MSc
A major study led by @simcouillard.bsky.social has highlighted the key role of inflammation in #asthma and proposes a new approach to predict and prevent these attacks oxfordbrc.nihr.ac.uk/study-identi... @usherbrooke.bsky.social www.ndm.ox.ac.uk @unileiden.bsky.social @nihr.bsky.social
Study identifies direct link between inflammation and asthma attacks | NIHR Oxford Biomedical Research Centre
oxfordbrc.nihr.ac.uk
April 9, 2025 at 1:15 PM
Reposted by Simon Couillard, MD-MSc
📰 New Article available #OpenAccess

Inflammatory and clinical risk factors for #asthma attacks (ORACLE2): a patient-level meta-analysis

These findings support incorporation of blood eosinophils and FeNO into clinical risk stratification

🔗 tinyurl.com/93ar3am3

@simcouillard.bsky.social
April 9, 2025 at 7:50 AM
🚨 New paper in @lancetrespirmed.bsky.social !
ORACLE2: we pooled data from 6,500+ asthma patients x22 RCTs.

🧪 Blood eosinophils + FeNO = powerful predictors of asthma attacks (esp. together)
💨 Surprise: more lung reversibility = lower risk?

Open access 👉 doi.org/10.1016/S221...

Global collab 💪
April 9, 2025 at 1:39 AM
🚀 Exciting News! 🚀 Thrilled to share that our paper, Phenotyping the Responses to Systemic Corticosteroids in the Management of Asthma Attacks (PRISMA), has been accepted for publication in the European Respiratory Society ERJ journal! 🎉 Congratulations to 1st author @pulmonology101.bsky.social
Phenotyping Responses to Systemic Corticosteroids in the Management of #Asthma Attacks (PRISMA). Blood #eosinophils and #FeNO can stratify asthma #exacerbations, predicting better clinical responses to #OCS. @simcouillard.bsky.social @usherbrooke.bsky.social
publications.ersnet.org/content/erj/...
February 20, 2025 at 2:14 PM
Seemingly overnight, we Canadians have gone from America's greatest ally to a country labelled as drug smugglers needing to be waged a Trade War. There is nothing more painful than fighting a friend. 😔

Hopefully, research and healthcare are spared, so we can keep improving health together.
Home - together.partners
We create sustainable ideas real movement colourful content strong stories lasting concepts enduring values emotional highlights beautiful memories powerful networks smart entertainment together.partn...
together.partners
February 2, 2025 at 4:08 PM
Apprenez en davantage sur notre projet Propulsion Santé 👉. Merci FMSQ pour le beau résumé et la visibilité. Merci AstraZeneca, Opération-Enfant-Soleil , et Association pulmonaire du Québec pour le financement ayant permis de partir un projet qui se déploie maintenant à vitesse grand V. 🚀
Le projet du Dr Simon Couillard, pneumologue, améliore le diagnostic et le traitement de l’asthme. Les innovations des médecins spécialistes sont indispensables à l’évolution de notre santé.
👉 Lisez des histoires inspirantes de médecins spécialistes québécois : fmsq.org/fr/objectif-...
#santeqc
January 29, 2025 at 3:28 PM
Among hospitalized patients with bloodstream infection, antibiotic treatment for 7 days was noninferior to treatment for 14 days. www.nejm.org/doi/full/10....
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
www.nejm.org
December 12, 2024 at 2:38 AM
Among participants with obesity and knee osteoarthritis with moderate-to-severe pain, treatment with once-weekly injectable semaglutide resulted in significantly greater reductions in body weight and pain related to knee osteoarthritis than placebo.
www.nejm.org/doi/full/10....
www.nejm.org
December 12, 2024 at 2:31 AM
Azithromycin distributions to Nigerian children 1 to 59 months of age significantly reduced mortality and was more effective than treatment of infants 1 to 11 months of age. Antimicrobial resistance must be monitored.

www.nejm.org/doi/full/10....
Azithromycin to Reduce Mortality — An Adaptive Cluster-Randomized Trial | NEJM
Twice-yearly mass distribution of azithromycin to children is a promising intervention to reduce childhood mortality in sub-Saharan Africa. The World Health Organization recommended restricting dis...
www.nejm.org
December 12, 2024 at 2:22 AM
Truly an amazing class of drugs: Treatment with tirzepatide led to a lower risk of a composite of death from cardiovascular causes or worsening heart failure than placebo and improved health status in patients with HFpEF and obesity.

www.nejm.org/doi/abs/10.1...
Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity | NEJM
Obesity increases the risk of heart failure with preserved ejection fraction. Tirzepatide, a long-acting agonist of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor...
www.nejm.org
December 12, 2024 at 2:19 AM
Type-2 inflammation is a strong predictor of remission with biologics--- as well as earlier use in the disease course. www.thelancet.com/journals/lan...
December 12, 2024 at 2:13 AM
Approximately every one in six adults with asthma was non-adherent to medications due to cost. thorax.bmj.com/content/earl...
Cost-related non-adherence to medications among adults with asthma in the USA, 2011–2022
Background Uncontrolled asthma is possibly caused by medication non-adherence, and financial hardship can be a major contributor to non-adherence. Since economic conditions and asthma management have ...
thorax.bmj.com
December 12, 2024 at 2:12 AM
SGLT2i and GLP-1 RAs are associated with a reduced risk of incident pneumonia and severe sepsis in patients with T2D.
thorax.bmj.com/content/earl...
Comparative estimate of glucose-lowering therapies on risk of incident pneumonia and severe sepsis: an analysis of real-world cohort data
Background Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are treatments for type 2 diabetes (T2D). Beyond glucose-lowering and cardiorena...
thorax.bmj.com
December 12, 2024 at 2:12 AM
Montelukast-associated Neuropsychiatric Absolute Risk Increase per 100 persons, 1.71 (95% CI 1.44 to 1.98); 1-year NNH, 58 patients (95% CI 51 to 69)).  thorax.bmj.com/content/earl...
Neuropsychiatric diagnoses after montelukast initiation in paediatric patients with asthma
Background The evidence base on montelukast-associated adverse outcomes is inconclusive in children and young persons (CYP) with asthma. We aimed to investigate 1-year incidence of neuropsychiatric di...
thorax.bmj.com
December 12, 2024 at 2:11 AM