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

Getting enough sleep is important to people of any age, but it is especially so for teenagers, with insufficient sleep possibly being linked to obesity as an adult.

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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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COPD

What is COPD?

Chronic Obstructive Pulmonary Disease is a broad term to define airflow limitation that is not reversible.

A patient usually has a component of emphysema, chronic bronchitis or a combination of the two.

COPD is often associated with a history of cigarette smoking or exposure to hazardous chemicals.

The Stats on COPD*

  • Almost 1 in 5 people over 40 have COPD
  • COPD is the fourth most common cause of death in men and the sixth most common cause of death in women
  • More people are dying from COPD each year
  • COPD is the second leading cause of avoidable hospital admissions

* The Australian Lung Foundation

Symptoms of COPD

  • Coughing
  • Feeling puffed or short of breath when performing tasks such as walking up a hill, climbing stairs or even having a shower
  • A build-up in the lungs of a sticky substance called phlegm which you swallow or cough-up

Diagnosis of COPD

According to the Australian Lung Foundation, spirometry is the gold standard for diagnosing, assessing and monitoring COPD.

The Wesley Lung Function Laboratory offers state-of-the-art lung function testing, including spirometry.

Doctors can download a referral form here

Treatments for COPD

Confirm diagnosis: The diagnosis and severity of COPD are determined by breathing tests such as spirometry, x-rays and blood tests to measure oxygen and carbon dioxide levels.

Optimise function: There are no medications that will cure COPD, but they can make you feel a lot better.  Treatments can include exercise, weight and nutrition management and maintaining good sleep habits.

Prevent deterioration: Quit smoking – it is never too late. Have a flu vaccine annually and a pneumonia vaccine ever five years. See your GP and specialist regularly and ensure you have regular checks of your oxygen levels.

Develop a self-management and support plan: You should have a self-management plan agreed by you, your specialist and other health care workers.

Exacerbations

You should increase your treatment early when you become unwell – this should be part of your action plan developed by your doctor. Notify your GP.

People may be given high flow oxygen when they are extremely breathless, however this may be harmful if you have COPD.

If your doctor advises low flow rates (e.g. 0.5-2 Litres per minute) you should have a medic alert bracelet stating this.

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

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