Information for Doctors

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Thoracic Medicine

Think you might have a breathing disorder or just looking for more information?

Sleep Medicine

Latest News

New research confirms that sleep disturbances are linked to pain and depression, but not disability, among patients with osteoarthritis (OA).  Results from a new study found that poor sleep increases depression and disability, but does not worsen pain over time.

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Older women with disordered breathing during sleep were found to be at greater risk of decline in the ability to perform daily activities, such as grocery shopping and meal preparation, according to a new study led by researchers at the Johns Hopkins Bloomberg School of Public Health and the University of California, San Francisco.

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People with moderate to severe obstructive sleep apnoea may have an intrinsic inability to burn high amounts of oxygen during strenuous aerobic exercise, according to a new study led by researchers at University of California, San Diego School of Medicine.

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This webinar will be a clinical presentation in assessing a child who presents with snoring. Snoring is a very common presentation in childhood with some studies suggesting that up to 30% of children will snore at some point in their life. Within those that snore, there will be some who have obstructive sleep apnoea.

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Sleep apnoea may make it hard for you to remember simple things, such as where you parked your car or left your house keys, a small study suggests.

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Researchers believe that disrupted circadian clocks are the reason that shift workers experience higher incidences of type 2 diabetes, obesity and cancer. The body's primary circadian clock, which regulates sleep and eating, is in the brain. But other body tissues also have circadian clocks, including the liver, which regulates blood glucose levels.

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Bronchiectasis

What is Bronchiectasis?

Bronchiectasis

Bronchiectasis is abnormal widening of the airways. This is often caused by chronic infection of the airways, most commonly caused by bacteria.

This chronic infection causes chronic inflammation of the airways.

Inflammation damages the lung and can result in bronchiectasis.

Due to the damage and widening of the lungs, mucous is not cleared from the lungs as effectively as normal – leading to a buildup of mucous.

Symptoms of Bronchiectasis

The main symptom of Bronchiectasis is a chronic cough producing mucus.

Other symptoms include:

  • sinusitis/nasal inflammation and fatigue
  • chest pain
  • shortness of breath
  • coughing up blood

An important feature of bronchiectasis is acute episodes of worsening symptoms known as exacerbations.

These exacerbations may be set off by a head cold, but often there is no clear cause.

Testing for Bronchiectasis

Your doctor may send you off for x-rays, CT scans or High Resolution CT scans.  Any abnormal widening of the airways is usually visible off these scans.

Your doctor may also wish to send some of your mucus away for testing to test which bacteria is causing the infection.

It is recommended that patients have breathing tests from time to time to monitor disease progress.  The frequency of testing will depend on deterioration and exacerbation rate for the individual patient.

Treatments of Bronchiectasis

One of the most important treatments for bronchiectasis is mucous clearance which can usually be effectively treated with physiotherapy.

Quite often an individual program can be created that includes:

  • Physiotherapy
  • Physical exercise
  • Postural drainage of the chest
  • Active breathing
  • Huffing
  • Coughing
  • Other physiotherapy techniques.

Exercise

Exercise is another great treatment for bronchietasis and patients can benefit greatly from participating in a pulmonary rehabilitation program.

Medications

Medications such as inhaled bronchodilators, inhaled corticosteroids and occasionally corticosteroid tablets may be used to control asthma-like symptoms such as inflammation. Speak to your doctor about which medication is right for you.

Vaccines

Patients with bronchiectasis should have annual flu vaccines and pneumococcal vaccines every five years.

Breathwise Pulmonary Rehabilitation

Breathwise Pulmonary Rehabilitation is a multi-disciplinary program of exercise and education for people with lung disease that runs at The Wesley Hospital.

Working with an experienced team of medical specialists, physiotherapists, nursing staff, occupational therapy, clinical psychologists,and pharmacists, this program will address the primary aims of pulmonary rehabilitation, which are to reduce the disability and handicap of people with chronic lung diseases and to restore patients to the highest possible level of independent functioning.

About the Program

You will need to attend twice a week for 8 weeks. The program will start off gently and will provide you with a home exercise program so you can remain fit and healthy once you have completed your program.

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