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Thoracic Medicine

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Sleep Medicine

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Latest News

jetlagged2 One in three Australians suffer from poor quality sleep.  New research suggests sleep deprivation is costing the Australian economy more than $5.1 billion a year in both direct and indirect costs.

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january2012asthmalung  Many people with asthma have sensitivities to certain drugs that can precipitate an asthma attack. If you have asthma, you need to be aware of which medications may be triggers. You do not need to avoid these medications unless you know they are asthma triggers for you. If these medications have never triggered your asthma, it is still best to take the medications with caution because a reaction can occur at any time.

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asthmatic

Study suggests occasional treatment is effective and may reduce risk of decrease in growth.

Recent research now contests that the current recommended daily dosing of inhaled steroids for children under the age of five may be just as effective as less frequent treatments with a higher dose of inhaled steroids, leading to an overall reduced exposure to the drug.

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sleep_restriction

Plan charts course for future sleep and circadian research identifying opportunities for collaboration.

Recently the NIH has updated its plan for research into new approaches to the prevention and treatment of sleep disorders.  Over the next three to five years, the institute has recommended research initiatives to include looking at the connection between sleep and circadian systems, studying the influence of genetic and environmental factors that could influence a person’s sleep health, and conducting more comparative effectiveness trials to improve treatments for sleep and circadian disorders.

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ptsdcancer11 in 2 Australians will be diagnosed with cancer by the age of 85, with more than 60% of cancer patients surviving more than five years after diagnosis.According to a recent US study the hidden psychological scars caused by the diagnosis of cancer can leave scaring akin to that inflicted by war, with the impact in some cases lasting for years.

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ALZHEIMER’S AUSTRALIA MARCHES ON PARLIAMENT HOUSE

A group of 500 people marched on parliament on October 13 in the fight against dementia.  The assemblage gathered to demand a $500 million Dimentia Action Plan over five years in the next federal budget.  Alzheimer’s Australia president, Ita Buttrose led the march and warned there will be 75 000 baby boomers with dementia in 2020, just eight short years away. READ MORE

Interstitial Lung Disease

What is INterstitial lung disease?

Interstitial lung disease is a name that covers a group of lung conditions that cause chronic breathlessness.  The most common type of ILD is idiopathic pulmonary fibrosis (IPF).  The major problem with ILD is inflammation of the lung tissue leading to scarring (fibrosis) of the air sacs (alveoli) which interferes with the ability of the lungs to deliver oxygen to the body.

Interstitial lung disease is a name that covers a group of lung conditions that cause chronic breathlessness.  The most common type of ILD is idiopathic pulmonary fibrosis (IPF).The major problem with ILD is inflammation of the lung tissue leading to scarring (fibrosis) of the air sacs (alveoli) which interferes with the ability of the lungs to deliver oxygen to the body.

What are the symptoms of interstitial lung disease?

Breathlessness on exertion and occasionally a dry cough are the most common symptoms of interstitial lung disease.  It is uncommon for people to develop breathlessness at rest, chest pain or to have a productive cough.

causes of INTERSTITIAL LUNG DISEASE

Most interstitial lung diseases are caused by the body’s own inflammation and repair system.  Some ILD’s are caused by widespread disease in the body such as Sarcoidosis, rheumatoid arthritis and scleroderma.  ILD can be caused by viral infection, drugs, radiation and occupational hazards. 

Viral infections can sometimes cause interstitial lung disease.  Bacterial infections include pneumonia and fungal infections.

Occupations hazards include – asbestos, coal dust, cotton dust, sand (silica) dust.

Quite a few drugs taken for other diseases have side-effects that can damage the lung.  Some of these drugs include bleomycin, methotrexate and amiodarone. 

Radiation – some people who received radiation for breast or lung cancer can show signs of lung damage long after they receive the radiation treatment.  The severity of the lung disease may include how much or how long your lung was exposed to radiation, and whether there was any underlying lung disease.

how does the doctor diagnose Interstitial lung disease?

There are many different types of ILD and they are often difficult to distinguish between.  Usually the doctor will initially order at least some if not all of the following tests:

  1. Chest x-ray 
  2. Lung function testing
  3. Blood tests
  4. Computed Tomography (CT scan).
  5. Bronchoscopy

treatment of interstitial lung disease 

Treatment can involve a range of drugs depending on your type of interstitial lung disease. 

Medication

Drugs such as corticosteroids can help to reduce inflammation, azathioprine is a cytotoxic normally used to prevent organ rejection after transplantation and acetylcisteine which is a type of antioxidant. 

Oxygen Therapy

Oxygen therapy may be prescribed by your doctor to increase the amount of oxygen circulating through your blood. 

Pulmonary Rehabilitation

Pulmonary rehabilitation may also be of some help to people to improve daily function.  This type of program focuses on teaching you how to breath more efficiently, how to exercise for your disease, education and nutritional information to improve quality of life. 

 complications OF INTERSTITIAL LUNG DISEASE 

Scar tissue formation in your lungs can lead to a series of life-threatening complications, including:


Low blood oxygen levels (hypoxemia)

Because interstitial lung disease reduces the amount of oxygen you take in and the amount that enters your bloodstream, you're likely to develop lower than normal blood oxygen levels. Lack of oxygen can severely disrupt your body's basic functioning.

High blood pressure in your lungs (pulmonary hypertension)

Unlike systemic high blood pressure, this condition affects only the arteries in your lungs. It begins when scar tissue restricts the smallest blood vessels, limiting blood flow in your lungs. This in turn raises pressure within the pulmonary arteries. Pulmonary hypertension is a serious illness that becomes progressively worse.

Right-sided heart failure (cor pulmonale)

 This serious condition occurs when your heart's lower right chamber (right ventricle) — which is less muscular than the left — has to pump harder than usual to move blood through obstructed pulmonary arteries. Eventually the right ventricle fails from the extra strain.

Respiratory failure
In the end stage of chronic interstitial lung disease, respiratory failure occurs when severely low blood oxygen levels along with rising pressures in the pulmonary arteries cause heart failure.

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