Category Archives: Sleep disorders


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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 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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Traumatic Brain Injury and Sleep Disorders


Traumatic brain injuries (TBI) can have lasting consequences on thinking, ability to function and work, and quality of life.  Fifty percent of those with TBI 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 TBI get poor sleep, it dramatically worsens their thinking, memory, and attention, and increases their risk of dementia. The two most common sleep problems in TBI are sleep apnea […]

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What Do Nasal Allergies and Asthma Have in Common?


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It is uncertain what causes some people to have nasal allergies and asthma. We are still learning what is going on in the body when people have either of these conditions. But we do know that allergies and asthma have a lot in common. Nasal allergies occur in the “upper airways” (the nose, sinus cavities, and throat), while asthma occurs in the “lower airways” (the lungs). Though the locations are different, allergies and asthma appear to cause the same sorts […]

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Who Needs a Patient Advocate?


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A nurse at high risk for breast cancer called to make an appointment for her annual preventive mammogram.  During the phone call, the appointment scheduler asked the nurse if she was experiencing any symptoms.  She told the scheduler that her skin was itchy, including her breasts, but she was pretty sure the itching was caused by the new soap she was using.  Unbeknownst to the nurse, the scheduler noted “itching breasts” in her chart, and instead of scheduling her for […]

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Meet Victoria Florentine


Helping the sick was a natural choice for Victoria Florentine, whose father became ill with heart and lung disease when he was thirty-five years old.  From age ten, Victoria called for the ambulance, kept her mother and the other four children calm and quiet, and held her father’s hand until help arrived.  Although her father did not live long enough to see it, Victoria dedicated her life to guiding those with breathing disorders toward better health. Victoria began her healthcare […]

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