Pulmonary Rehab Helps Lakelander Reclaim His Life

November 9, 2026

Jeff Friend had to face the truth about his breathing issues when he went to the Daytona 500 with his family in 2011 and couldn’t make the climb to the grandstand.

Until then, he had kept the situation to himself. But in Daytona, there was no hiding the reality that he simply could not breathe.

After years of struggling, Jeff eventually started a new chapter of his life. Surgery, closely followed by pulmonary rehabilitation with Lakeland Regional Health’s team, helped him become a new man.

How He Got Here

The former smoker had worked as a mechanic most of his life and recalls blowing dust off drum brakes with an air hose. “Of course, it was blowing around and we inhaled it,” he says. “And it was full of asbestos, although we didn’t know how dangerous it was then.”

After the family trip to Daytona, Jeff was diagnosed with chronic obstructive pulmonary disease, or COPD. Over the next eight years, he continued working, but his breathing got progressively worse. He moved from carrying an emergency inhaler to a portable oxygen tank. By 2019, he had to stop working.

“I was in a recliner on oxygen, I couldn’t walk 15 feet, and my wife had to push me around in a wheelchair,” he says. “I had two grandbabies but could not play with them. I was in a panic all the time because I couldn’t catch my breath. I couldn’t talk but about 60 seconds before I ran out of air.”

When Jeff’s pulmonologist suggested he consider a transplant in 2024, he agreed. “I just wasn’t ready to leave.”

Pulmonary Rehab

Jeff had a double lung transplant in January 2025, but that’s only part of his story. Rehabilitation would prove essential to his recovery.

Jeff’s surgeon referred him to Lakeland Regional Health’s pulmonary rehab program so that he could stay close to home. When he started the program in March, he weighed just 135 pounds and was short of breath. He could not walk for 2.5 minutes on the treadmill.

But Jeff was motivated, and he pushed himself. “I didn’t want to just be able to breathe. I wanted to be able to function,” he says.

Karla Garcez Cusmanich, a pulmonary rehabilitation coordinator at Lakeland Regional Health, commends Jeff’s commitment to recovery.

“He always showed a great deal of drive and dedication,” she says. “Gradually, we increased his stamina, breathing control, range of motion, aerobic conditioning, and strength.”

He not only followed the program at rehab but also bought weights and resistance bands to increase his home workouts. He gained muscle and confidence. And with each assessment, he saw his results improving.

When he started, he scored very low on the pulmonary function test (PFT), which measures how well lungs take in and release air. By August, when he completed the program, his PFT was where a healthy person’s would be, he notes proudly.

Karla adds, “He showed significant improvement in his quality of life, better physical conditioning for training, and the emotional confidence to move forward. He started going to a gym and sent us a photo of him exercising with his grandchildren.”

Jeff raves about the therapists who encouraged and coached him as he learned to breathe better and build up his stamina. “Any therapy is good, but that’s a great crew,” he says. “It’s like hiring one-on-one trainers.”

A year later, he was back up to his normal weight, 185 pounds, and was feeling better than he had in more than 15 years. “I am so grateful for them and for having my life back,” Jeff says.

Enjoying Life to the Fullest

Jeff is full of gratitude for this second chance. “Transplant donations save lives, and I am forever grateful for the sacrifice another family made for mine,” he says.

He continues to be monitored by the transplant team at Tampa General Hospital and by Lakeland Regional Health’s James C. Brown, MD, and says he is deeply thankful for all involved in his care.

Now 65, Jeff says he feels like he’s 40 again, and he is making the most of it. He’s busy building a two-car garage at home, going to all his grandchildren’s activities, and visiting the mountains with his wife.

“Now I can go, go, go!” he says.

A believer in paying it forward, Jeff keeps in touch with others who went through pulmonary rehab with him to offer encouragement. He also occasionally stops by to visit his friends in pulmonary rehab and to encourage others who are just starting on their own journey and tell them how much they have to look forward to.

“People come in with their spouse pushing them in a wheelchair, and in five or six weeks, they’ll be walking on their own,” he says, adding, “I know how much it means to be able to do what you want again.”

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