Obstructive Sleep Apnea Differential Diagnosis

By | May 31, 2017

Natural Cures for Insomnia

Hey guys, Axe here from DrAxe . Oneof the most common things I'll hear from my patients, is they'll say, quot; Axe, I can'tsleep.quot; And if you're one of those people that have trouble falling asleep, or strugglewith insomnia, or you wake up during the night, that's very common. In this tutorial I'm goingto go through the exact steps you need to follow to get better quality of sleep andto help you fall asleep fast. Step number one in overcoming sleep deprivationis to change your diet, surprisingly. And, for a lot of people, their diets are keepingthem from falling asleep. Before you go to bed, you need to really drop your carbohydrateconsumption. If you're consuming too many

sugars and carbs, your body is burning those,it's getting warm. And so, lowering that sugar, and grain intake, and carbohydrate intakebefore bed is important. And get some good quality fats before you go to bed. Somethinglike an avocado is a great food to actually help you fall asleep at night, either avocadoor some organic yogurt. So again, avocado and organic yogurt, are the best foods tohelp you naturally fall asleep. The reason they work is those foods are high in magnesiumand potassium. Magnesium and potassium are two crucial nutrients you need to help relaxthe body and to help you fall asleep at night. So remember avocado and yogurt, the top twofoods you can consume just a little bit here

or there in the evening that will help youfall asleep at night. The second step you need to do to overcomeinsomnia is to reduce stress. And for most people, along with diet, this is the big thingthat's keeping you up at night, is your mind starts racing, you keep thinking and you can'tshut your brain off. And there are several reasons for that. One, is you watched TV upuntil the point that you went to bed. That visual stimulus you're watching constantly,especially the blue light, and that doesn't just include the TV screen, it also includesyour computer, your iPad, or your phone. And that light is blue light, which actually tellsyour pineal gland in your brain that it actually

needs to keep running, so it messes with yourcircadian rhythms and cortisol levels. It keeps you from falling asleep at night whenyou were looking at that bright blue light in the computer screens and TV screens. So,about 30 minutes at least, ideally, an hour, but at least 30 minutes before bed, you needto shut off all electronics, and you need to start reading something that helps yourelax. Or start journaling. So you can get out ajournal and start writing things down. You can look at your schedule for the next dayand write that down. But I really recommend reading a novel that you enjoy, reading adevotional, your Bible, or just something

that helps you relax and wind down at least30 minutes before bed. And that's going to help, and in general reducing stress. And if you have something that's really stressingyou out, that's keeping you from sleeping at night, I recommend you start writing downthose things that stress you out. Work on addressing those the best you can, and thenstart scheduling things into the week that you love to do. It is so important. If you'vehad a great day, and you've been happy all day, it actually creates certain hormonesin your body known as endorphins that actually help you fall asleep at night. So actually,having a good mood throughout the day can

help improve your sleep at night. So stepnumber two, shut down the computers and read a book before bed. As well as just add somejoy into your life. Reduce stress; it's very important for falling asleep at night. Step number three, is take quality supplements,especially a magnesium supplement. And taking a magnesium supplement, about 400 to 500mga night before bed, can help you naturally reduce stress, and really improve sleep. Andso I recommend a high quality magnesium chelate or magnesium citrate before bed. So takinga magnesium supplement can help you fall asleep. Also supplements like melatonin can help,or valerian root. But I don't recommend doing

Why Ask Whats a Differential Diagnosis NY Medical Malpractice Attorney Oginski Explains

Why would I ask a in a medical malpracticecase, quot;What is a differential diagnosiséquot; You want to know the answeré Come join meas I share with you some great information. Hi. I'm Gerry Oginski. I'm a New York medicalmalpractice and personal injury attorney practicing law here in the state of New York. Duringthe course of the litigation I will have an opportunity to question the that youhave sued in pretrial testimony. It's known as a deposition. One of the questions I'llbe asking the is, quot;, are you familiar with the term differential diagnosiséquot;quot;Yes.quot; quot;You know that differential diagnosis is a list of diagnoses from most likely toleast likely. Isn't that trueéquot; quot;Yes.quot;

quot;One of the key reasons why you, as a treating, create in your own mind or on paper a differential diagnosis is so that you cannow evaluate and rule out the different possibilities that this patient has based upon their presentingsymptoms and based upon various tests that you perform to evaluate each condition. Isn'tthat trueéquot; quot;Yes.quot; quot;, would you agree that the failure of a physician, a treatingphysician, to consider a differential diagnosis is a basic departure from good and acceptedcareé Isn't that trueéquot; He's got to say yes. If he doesn't then he's simply going to getinto a word argument with me. Now why do I bother asking the whetherhe knows what a differential diagnosis isé

Because I want to establish that containedwithin his records, he did not establish a differential diagnosis, and that if he didor at least was thinking about it, I want to know and I want to see that he knows whatthe most likely possible cause was for this patient's condition, and what he did to attemptto rule out that condition, and if in fact it was not that condition, what was the nextlikely cause, what was the next like diagnosisé Now you continue going down this checklistwhether it's in your mind or at least on paper, and the 's got to know it, and if hedoesn't, then there may be a problem and he may have violated the basic standards of medicalcare to consider those other possibilities

other than the most obvious one.Why do I share this great information with youé I share it with you just to give youan insight and an understanding into what goes on in a medical malpractice case herein the state of New York. I realize you're watching this because you likely have questionsor concerns about your own particular matter. If your matter did happen here in New Yorkand you're contemplating bringing a lawsuit but you have legal questions, what I encourageyou to do is pick up the phone and call me. I answer legal questions like yours everysingle day and I'd love to chat with you. You can reach me at 5164878207, or by emailat gerry@oginskilaw . That's it for today's

tutorial. I'm Gerry Oginski. Have a fantasticday.

Breathlessness in the Older Adult Is It Asthma

Hello, I'm Norman Swan. Welcome to this programon breathlessness in the older adult, asking the question, 'Is it asthmaé' We're coming to you liveacross Australia through the Rural Health EducationFoundation's satellite network. Some older people think that breathlessness isa natural consequence of ageing, unaware that's not the case,

even though the prevalence of asthma and chronic obstructivepulmonary disease, COPD, both increase with age. In this program, we'll talk about the differentialdiagnosis of breathlessness, with special referenceto asthma and COPD. The distinction between asthmaand COPD is important, even when they coexist,as there are significant differences

in the care of peoplewith each condition. As always,we have a number of useful resources on the Rural Health EducationFoundation's website As usual, the broadcast is interactive, and we want your phone calls and faxeswhen you want to ask a question. You can even drop us an email. We've already had one question inahead of time. We look forward to yours.

The numbers to call in on are Fax numbers Or you can drop us an email, and somebody will be hangingon the computer, waiting for it Now let's meet our panel. Christine McDonald is Deputy Directorof the Austin 's Department of Respiratory and Sleep Medicine, and a director of the Institutefor Breathing and Sleep Medicine

at the same institution. Welcome, Christine. Thanks very much. As a ianresearcher, Christine'sspecial research interests include airways diseases, asthma, COPDand lung cancer. She's a member of the AustralianLung Foundation's COPD Executive. Gary Kilovis a solo general practitioner, currently practising in Clarinda,in Melbourne, with over 25 years' experience in bothmetropolitan and regional practice.

Welcome, Gary. Thank you. Toni Riley is a community pharmacistwith 30 years' experience, currently practisingin Bendigo, Victoria. A Victorian evening this evening. Welcome, Toni. Thank you. Toni has a major focus in her pharmacy as a provision of pharmacy servicesto residential care facilities, and is also on the National AsthmaCouncil Pharmacist Asthma Group.

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