Information for Doctors

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Thoracic Medicine

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Sleep Medicine

Latest News

The Wall Street Journal reported recently on the topic of sleep deprivation as to which cities around the World are the most and least sleep deprived. Brisbane leads the way with the earliest bed time and earliest wake up time.

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According to new research, risk of being obese by age 21 was 20 percent higher among 16-year-olds who got less than six hours of sleep a night, compared with their peers who slumbered more than eight hours.

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As we get older there is a strong relationship between reduced amount and quality of sleep. Recent research has found specific cluster of neurons that have linked insomnia and more sleep fragmentation. The reduction of these neurons can be from normal aging but has also been seen in Alzheimers disease.

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A bedtime routine might sound like something that's only necessary for the grade-school set, but following a nightly schedule can greatly improve the sleep of adults, too. Sleep experts recommend establishing a bedtime routine, both to calm and relax you as you get ready to sleep and so you aren't inadvertently giving yourself jet lag.

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Researchers at NYU Langone Medical Center and elsewhere, using a mouse model, have recorded the activity of individual nerve cells in a small part of the brain that works as a "switchboard," directing signals coming from the outside world or internal memories. Because human brain disorders such as schizophrenia, autism and post-traumatic stress disorder typically show disturbances in that switchboard, the investigators say the work suggests new strategies in understanding and treating them.

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The death rate from asthma in Australia has fallen by almost 70 per cent since the 1980s, according to a new report released by the Australian Institute of Health and Welfare

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Lung Function Testing Preparation

Lung Function Testing Preparation 

 

A lung function test is a series of breathing tests where you will be required to breathe in different patterns through a mouthpiece.  These patterns may require you to breath fast, take big breaths in, empty your lungs out and hold your breath.  The respiratory scientist conducting the test will talk you through each process.  A lung function test is a simple, non-invasive way to examine the lungs and your breathing.

Why am i having this test?

There are many different reasons your doctor may send you to get a lung function test.  Some of these reasons include:

  • To diagnose the cause of a cough or shortness of breath
  • To evaluate the severity of disease
  • As a general check-up for lung health especially if you have had exposure to cigarette smoke or other hazardous chemicals
  • To track disease progression

What do i bring to my test?

If you take any inhalers bring these along with you to your test.  Wear comfortable clothes that will not restrict your breathing

How long will the test take?

The lung function test generally takes about half an hour.  The exact length of the test will vary for each individual.

Could i feel unwell during the test?

During the testing you may feel a little bit breathless.  The tests can also make you cough and lightheaded for a few seconds.  This is normal and you will be given time to recover between tests.  There are no side effects from testing and you will be fine to drive home afterwards.

patient instructions:

All patients are asked to refrain from the following before all tests:

  • Smoking (1 hour)
  • Consuming alcohol or caffeinated drinks (4 hours)
  • Performing vigorous exercise (1 hour)
  • Eating a large meal (2 hours)
  • Wearing restrictive clothing

Specific test instructions:

For these tests Spirometry before and after bronchodilator, Six minute walk test and/or FeNO please note the following:

4 hours before – do not take relievers such as Ventolin, Bricanyl, Atrovent, Asmol or Airomir

12 hours before – do not take long acting relievers such as Foradil, Oxis or Serevent

Mannitol Challenge Test

The Mannitol challange test require some small preparation for the results to be interpreted accurately.

You have been asked by your doctor to perform a Mannitol Challenge test.  During the test you will inhale some Mannitol – which is a sugary powder.  Between doses you will perform spirometry (a simple breathing test) to assess how your lungs respond to the Mannitol.  It is important that you do not take certain medications prior to your test – please refer to the following table.  If you feel you need to take your medications do not hesitate to take them, and call your doctor to reschedule your test appointment.


Things Not To Take:



Day of test

Caffeine (coffee, energy drinks, cola or chocolate), do not smoke or perform vigorous exercise.


8 Hours before test

Ventolin, Bricanyl, Atrovent, Asmol, Airomir, Intal, Tilade


12 Hours before test

Pulmicort, Flixotide Atrovent, QVar, Becloforte, Becotide


48 Hours before test

Seretide, Symbicort, Serevent, Oxis, Nuelin


72 Hours before test

Spiriva, Zyrtec, Telfast, Claratyne


4 Days before

Singulair



 

 

 

 

 

 

 

 

 

 

 

Skin Allergen Testing

72 hours prior to this test avoid taking any form of antihistamines (e.g.: Zyrtec, Telfast or Claratyne).

Nasal Resistance Testing

4 hours prior to this test avoid using any nasal vasoconstrictors.

If you have taken any medications or performed any activities which you think might influence (either positively or negatively) the results of any of these tests inform the respiratory staff prior to the test commencing.


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