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Thoracic Medicine

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Sleep Medicine

Latest News

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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A bedtime routine might sound like something that's only necessary for the grade-school set, but following a nightly schedule can greatly improve the sleep of adults, too. Sleep experts recommend establishing a bedtime routine, both to calm and relax you as you get ready to sleep and so you aren't inadvertently giving yourself jet lag.

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Researchers at NYU Langone Medical Center and elsewhere, using a mouse model, have recorded the activity of individual nerve cells in a small part of the brain that works as a "switchboard," directing signals coming from the outside world or internal memories. Because human brain disorders such as schizophrenia, autism and post-traumatic stress disorder typically show disturbances in that switchboard, the investigators say the work suggests new strategies in understanding and treating them.

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The death rate from asthma in Australia has fallen by almost 70 per cent since the 1980s, according to a new report released by the Australian Institute of Health and Welfare

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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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