The Unrecognized Game Changer for COPD: Pulmonary Rehab


COPD is the fourth leading cause of death in the United States, where it is estimated that 16 million people have the disease. It is debilitating, leading to the inability to conduct one’s normal activities of daily living due to shortness of breath and deconditioning. A 2020 study, recently published in JAMA, found that COPD patients who participated in a pulmonary rehabilitation program within 90 days of hospitalization for exacerbation of their disease experienced a dramatic decrease in mortality rate […]

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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 when, as a newly diagnosed breast cancer patient, I experienced a series of adverse reactions following my first round of chemotherapy. 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. […]

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Sleep Disorders in Adults: An Overview for Clinicians


Sleep disordered breathing (SDB) is characterized by abnormalities of respiratory patterns (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 arousals in association with intermittent hypoxia and hypercapnia have 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 […]

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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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 insurance companies pay for.  Thousands of non-medical Medicare employees oversee this process.  Billions of dollars that once went directly to patient care now […]

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Wall-to-Wall Asthma


Before the 1950’s, carpets were made of either wool or cotton.  Then nylon was developed, and it soon dominated the market because it was much less expensive than natural fibers.  In 1965, manufacturers introduced polyester carpeting, then olefin, rayon, and acrylics.  Today, the vast majority of carpeting is made of synthetic fibers. Since indoor air quality is important to health, we should know that carpets, flooring adhesives, and carpet cleaning products affect the quality of the indoor air we breathe […]

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Trying to Stop Smoking? Chantix is Different from Everything Else Your Client Might Have Tried


Tobacco use is still the most preventable cause of death, killing nearly half a million Americans every year.  About one out of every five Americans still smoke, according to the Center for Disease Control (CDC).  Nicotine, the addictive substance in tobacco, is considered as addictive as heroin, and most people who “kick the habit” try to quit several times before they finally succeed.  Research shows that the combination of counseling and medication used to treat nicotine addiction is the most successful […]

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Mild Traumatic Brain Injury and Sleep Disorders


Mild traumatic brain injuries (mTBI) can have lasting consequences on thinking, ability to function and work, and quality of life.  Fifty percent of those with mTBI develop sleep apnea, insomnia, excessive daytime sleepiness, and other sleep problems.  Difficulty sleeping can interfere with recovery, making rehabilitation and healing more difficult.  When people with mTBI get poor sleep, it dramatically worsens their thinking, memory, and attention, and increases their risk of dementia. The two most common sleep problems in mTBI are sleep […]

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