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

In what may be the largest study of sleep problems among individuals with multiple sclerosis (MS), researchers at UC Davis have found that widely undiagnosed sleep disorders may be at the root of the most common and disabling symptom of the disease: fatigue. Study paticipant reports of sleep disorder frequency, sleep patterns and complaints of excessive daytime sleepiness suggest that sleep problems may be a hidden epidemic in the MS population.

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A sleep-promoting circuit located deep in the primitive brainstem has revealed how we fall into deep sleep. Discovered by researchers at Harvard School of Medicine and the University of Buffalo School of Medicine and Biomedical Sciences, this is only the second "sleep node" identified in the mammalian brain whose activity appears to be both necessary and sufficient to produce deep sleep.  Using designer genes, researchers were able to 'turn on' specific neurons in the brainstem that result in deep sleep.

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Insomnia can cause chronic inflammation, which can lead to weight gain, hypertension, diabetes, heart disease, and earlier death. This study finds that curing the insomnia reduces the inflammation and hopefully reduces disease. It also found the best way to cure lack of sleep is through the use of a common psychotherapy treatment - cognitive behavioural therapy.

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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 Wesley Hospital Pulmonary Rehabilitation Programme

"BREATHWISE"

The Wesley Hospital Pulmonary Rehabilitation  Programme

Breathwise, a pulmonary rehabilitation programme based at The Wesley Hospital, focuses on a multi-disciplinary outpatient programme for patients with chronic lung disease, particularly chronic obstructive pulmonary disease (COPD).

Our team is headed by Dr Andrew Scott (Medical Director) and Jonna MacFadyen (Senior Rehabilitation Physiotherapist). We include thoracic medical specialists, thoracic physiotherapists, nursing staff, occupational therapy staff, a clinical psychologist and pharmacist.

Pulmonary rehabilitation is a proven self-management program that is effective in improving the quality of life of people with COPD, and importantly, reducing hospital admissions. Pulmonary rehabilitation programs are suitable for people who have underlying chronic lung disease and who are limited by dyspnoea (sensation of breathlessness). This programme 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.

In Australia only 1% of COPD patients who could benefit from pulmonary rehabilitation have access to it, prompting the development of this service in 2008. To date we have successfully treated many patients, with improvements in exercise and functional capacity, quality of life scores, independence with activities of daily living and comfort of breathing.

Aims of the Programmepulmonary_rehabilitation_class1

  • To increase your strength and the distance you can walk
  • To increase your quality of life
  • To increase your confidence and ability to cope

Who Benefitspulmonary_rehabilitation_class2

  • Any person with lung disease who has difficulty breathing and who finds that day to day activities are getting harder
  • Patients requiring supplemental oxygen are encouraged to attend
  • The program does involve exercise but this is aimed specifically for people who get short of breath so all levels of ability are catered for
  • It is very important that you attend each session

The First Step - Talk to Your Doctor

  • Doctor's referral required

The First Visit

  • This will be an individual apoointment that will take about one hour
  • During this visit you will be assessed and the program explained to you in more detail by our senior physiotherapist

The Programpulmonary_rehabilitation_class3

  • You will need to attend twice a week, for an 8 week period. This is to ensure you receive the full benefit from the program
  • Any inidivual exercise program will be designed for you
  • It will be gentle at first. Each time you attend you will asked to do a little more
  • You must also follow a home exercise program so that when the 8 weeks are up you will know how to exercise at home to stay fit
  • As well as the exercise session, there will be an edication session on each visit. THis will be presented by our health profresionals to help you nunderstand your disease and learn some management skills.

Medical referrals can be directed by contacting Wesley Therapy Services:
Phone : (07) 3232 7048, and (07) 3232 6233
Fax : (07) 3232 6508
Email : This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Download : Download Breathwise Referral

Additional background information on this area of medicine is available from the Australian Lung Foundation website

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