Clinician-Turned-Patient: View From the Other Side


              I recently had the opportunity to experience patient care from the vantage point of a hospital bed, following a rare adverse reaction to a prescribed drug. I spent seven long days in the hospital. When it was finally time for me be discharged, I had strong concerns, as a professional case manager and registered respiratory therapist, about how my ongoing recovery would continue following my transition to home. I live alone: was I […]

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Sleep Disorders in Adults: An Overview for Clinicians


Sleep disordered breathing (SDB) is characterized by abnormalities of respiratory pattern (pauses in breathing) or the quantity of ventilation during sleep. Obstructive sleep apnea (OSA), the most common such disorder, is characterized by the repetitive collapse or partial collapse of the upper airway during sleep and the need to arouse to resume ventilation. Sleep is thus disrupted, yielding waking somnolence and diminished neurocognitive performance. The recurrent sleep arousal in association with intermittent hypoxia and hypercapnia has been implicated in the […]

Press Release: CMSA Elects Victoria Florentine to BOD


The Case Management Society of America, Sacramento Chapter, has elected Victoria Florentine, BA, RRT, CCM, AE-C, to the 2016 Board of Directors.  Victoria is a Registered Respiratory Therapist and Certified Case Manager, and is the President and Owner of Select Respiratory Services, LLC.  This is the first time a Respiratory Therapist has been elected to the Board of Directors for this Chapter of the CMSA. Select Respiratory Services, LLC, provides home respiratory care and consulting services.  It is based in […]

Talking With Your Doctor: Getting Ready for Your Appointment


Talking With Your Doctor: Getting Ready for Your Appointment A basic plan that you prepare ahead of time can help you get the most out of your medical appointment.  This presentation focuses on communication tips for routine medical visits, whether they are with your doctor, nurse, respiratory therapist, or other care provider. There are things you can do to prepare for your appointment so that you have a clear idea of what you want to accomplish and do not forget […]

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Press Release: Select Respiratory Services Joins NHLBI Breathe Better Network


A Campaign to Raise Awareness of COPD Select Respiratory Services, LLC, is pleased to announce its Core Membership in the National Heart Lung and Blood Institute’s (NHLBI’s) Breathe Better Network, part of the COPD Learn More Breathe Better campaign.  Launched in 2007, the Breathe Better Network has grown to include more than 80 members in all 50 states and the District of Columbia.  From generating media attention, hosting screening events, and convening COPD coalitions, to disseminating materials and even driving […]

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Stay Well During the Flu Season


People with healthy immune systems may recover from colds and viruses more quickly.  Children and the elderly are more susceptible to these viruses, because their immune systems may not be as strong as the immune systems of younger adults. There are things everyone can do, however, to strengthen their immune systems and avoid getting sick in the first place.  Flu vaccines protect us from the most dangerous flu strains each year.  Daily exercise and a healthy diet are important ways […]

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Health and Prevention: Coming to a Hospital Near You


Most of us in healthcare recognize “health promotion and disease prevention” as smoking cessation, getting an annual physical, vaccinations, a gamut of diagnostic tests, and taking medications as directed. However, disease prevention and health promotion are so much more than that. According to the World Health Organization (WHO), health is a “state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.” It includes physical fitness, good nutrition, adequate rest, and temperance; the ability […]

The Business of Healthcare: Musings of a Pesky Baby Boomer


Patients tell me they are disgruntled with their health care because they never know what the cost will be. What other business provides services to customers without first disclosing the cost of those services?  From auto mechanics to funeral planners, most businesses are expected, even required by law, to provide an estimate of the cost to the consumer.  With medical fees so incredibly high, why aren’t doctors and hospitals expected to do the same? Why, when patients are given consent forms […]

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Restoring the Doctor-Patient Relationship


When I was two years old, I contracted rheumatic fever.  Too ill to be moved, the family doctor came to our home with his black medical bag and stayed with me all night. Nowadays, doctors no longer make house calls, and they are not free to do what they think the patient needs.  Instead, they do what Medicare pays for.  Thousands of non-medical Medicare employees oversee this process.  Billions of dollars that once went directly to patient care now support […]

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