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

A study is shining new light on a sleep disorder called “sleep drunkenness.” The disorder may be as prevalent as affecting one in every seven people. Sleep drunkenness disorder involves confusion or inappropriate behaviour, such as answering the phone instead of turning off the alarm, during or following arousals from sleep, either during the first part of the night or in the morning. An episode, often triggered by a forced awakening, may even cause violent behaviour during sleep or amnesia of the episode.

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Ever wondered about the effects of binge sleeping? Are naps bad or how long should you nap for? For all these myths debunked follow the link

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The severity of obstructive sleep apnoea can contribute to high blood pressure in patients despite treatment with antihypertensive medications

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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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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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