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

Long the stuff of science fiction, the disembodied 'brain in a jar' is providing science fact for researchers, who by studying the whole brains of fruit flies are discovering the inner mechanisms of jet lag.  Researchers present the first real-time imaging of intact circadian neural networks and demonstrate how light shifts disrupt biological clocks.

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Popular non-prescription and prescription medications, including the active ingredient in Benadryl, have been linked to increased risk of developing dementia by a study published in a top-tier medical journal.

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“WHEN SLEEP IS SOUND, HEALTH AND HAPPINESS ABOUND” is the slogan for World Sleep Day 2015 taking place worldwide on March 13th, 2015. Sound sleep is a treasured function and one of the pillars of health, along with a balanced diet and adequate exercise. When sleep fails, health declines. Poor sleep and bad health decrease the quality of life and take happiness away.

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TSGQ registered nurse and polysomnographic technician Travis Bell joined 612 ABC radio presenter Kelly Higgins-Devine to discuss sleep disorders on 2nd February 2015.

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Scientists have found that that activation of cholinergic neurons - those that release the neurotransmitter acetylcholine -- in two brain stem structures can induce REM sleep in an animal model. Better understanding of mechanisms that control different sleep states is essential to improved treatment of sleep disorders.

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Going to bed early could help individuals avoid repetitive negative thinking, according to a recent study. According to the authors, repetitive negative thinking is "defined as an abstract, perseverative, negative focus on one's problems and experiences that is difficult to control."

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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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