61. Community's Sleep Lab Can Help Community Hospital's Sleep Lab has been available for the testing and treatmentof three major sleep disorders sleep apnea, pickwickian syndrome and Upper http://www.communityanderson.com/sleeplab/sleep.htm

Community's Sleep Lab can help Snoring is not a laughing matter. You or your spouse may be suffering from a sleep-related breathing disorder. For more than 16 years, Community Hospital's Sleep Lab has been available for the testing and treatment of three major sleep disorders - sleep apnea, Pickwickian Syndrome and Upper Airway Resistance Syndrome. These conditions are potentially life-threatening and can cause extreme daytime fatigue. Sleep-related breathing conditions can steal hours of productive sleep away every night. These conditions are also known to increase the risk of car accidents and emotional distress. What is Obstructive sleep Apnea? a serious, potentially life-threatening condition affects up to 4% of all males and 2% of all females, especially those women post-menopause results in excessive daytime sleepiness, morning headaches, irratability and depression can lead to accidents while driving or at the workplace What is Pickwickian Syndrome? a serious, potentially life threatening condition present in many severly obese individuals characterized by heavy snoring often involves obstructive sleep apnea shallow breathing while sleeping What is Upper Airway Resistance Syndrome?

62. Saving My Life-The New Me Single mother seeks help with medical bills for gastric bypass surgery.Category Society People Requesting Help Medical Needs...... At one extreme are patients with socalled pickwickian syndrome, or the obesityhypoventilation syndrome. It eventually leads to corpulmonale. http://hometown.aol.com/dolphinsholmes/myhomepage/

htmlAdWH('7005340', '120', '30'); htmlAdWH('7002028', '234', '60'); Main Create Edit Help Saving My Life-The New Me What will it take I need to raise $20,000.00 for a life saving surgery. I need to have a Biliopancreatic Diversion Duodenal Switch a gastric bypass surgery. I am morbidly obese. Obesity is a condition that fulfills all the reasonable definitions of a disease and major medical authorities now recognize obesity as a disease entity. A continuing effort to educate the public to the fact that obesity is a long-term chronic disease is required to overcome the misinformation and stigma commonly associated with this life-threatening condition.I want to live a long life and enjoy my family. I want to care for my family, not my children having to care for me. I feel this is the only way to get a good regimental start to a new life of health. It is difficult for me to have to ask for help. I am a single mom raising two wonderful boys. My insurance company will not pay for this surgery. A loan is not obtainable. I have a friend whom suggested launching a website. Here I am. Asking for help. If everyone who read my

63. NORD - National Organization For Rare Disorders, Inc. In some cases, sleep apnea is referred to as pickwickian syndrome. In these cases,obstructive apnea is combined with obesity and an abnormally short neck. http://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Apnea, Sleep

64. Senior Living: Sleep Apnea - The Noisy Killer named the combination of obesity; hypersomnolence, or excessive sleepiness; and inadequateairflow to the lungs during sleep as pickwickian syndrome, after a http://www.thedoctorwillseeyounow.com/articles/senior_living/sleap_7/

IN THIS ARTICLE Three types How it occurs Are you at risk? Treatment If your doctor says your blood pressure is "a little high," you should be treated with anti-hypertensive drugs. more... OTHER TOPICS Fibromyalgia Managing asthma Tobacco and Women - Trends and Strategies for Quitting Sleep Apnea: The Noisy Killer Ahmed Syed Ali, M.D., and John E. Morley, M.D. Dr. Ali is a visiting scientist in the Division of Geriatric Medicine at Saint Louis University Health Science Center. Peto: "Falstaff is fast asleep behind the arris and snorting like a horse." Prince: "Hark! How hard he fetches breath." - Shakespeare's Henry IV , Part I, Act II, Scene 4 Like snoring, sleep apnea is much older than Shakespeare, but only recently has it been understood as something different from ordinary snoring, and as a potentially deadly disease. Depending on its severity and its cause, sleep apnea is associated with a variety of heart and breathing problems, including heart arrhythmias, high blood pressure, hardening of the arteries, even heart failure and death. It is a peculiarity of this noisy disease that it announces itself to everyone within earshot except its victims. The medical definition of sleep apnea is a temporary stoppage of breathing during sleep, occurring at least 30 times during the night. The stoppage must be longer than the usual interval between breaths while asleep. Ten seconds is normal for adults.

65. Obesity And Respiratory Disorders A reevaluation of the pickwickian syndrome . Chest. Reversal of the Pickwickiansyndrome by longterm use of nocturnal nasal-airway pressure. N Engl J Med. http://www.umdnj.edu/rspthweb/bibs/obesity.htm

Obesity and Respiratory Disorders Bardoczky GI, Yernault JC, Houben JJ, d'Hollander AA. Large tidal volume ventilation does not improve oxygenation in morbidly obese patients during anesthesia. Anesth Analg. Blocker WP Jr, Ostermann HJ. Obesity: evaluation and treatment. Dis Mon. Cohn AI, Hart RT, McGraw SR, Blass NH. The Bullard laryngoscope for emergency airway management in a morbidly obese parturient. Anesth Analg. Collop NA. Refractory hypoxemia in a morbidly obese 28-year-old woman. Chest. Dumont L, Mattys M, Mardirosoff C, et al. Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients. Acta Anaesthesiol Scand. Hakala K, Mustajoki P, Aittomaki J, Sovijarvi A. Improved gas exchange during exercise after weight loss in morbid obesity. Clin Physiol. Harman E, Wynne JW, Block AJ, Malloy-Fisher L. Sleep-disordered breathing and oxygen desaturation in obese patients. Chest. Harman EM, Wynne JW, Block AJ. The effect of weight loss on sleep-disordered breathing and oxygen desaturation in morbidly obese men. Chest.

66. Sleep Disorders Dictionary - Chronic Fatigue Syndrome, Snoring, Insomnia, Sleep pickwickian syndrome a disorder that affects overweight individuals which causesthem to be sedentary, sleepy, and have a low concentration of oxygen in the http://www.abed.com/sleepcenter/dictionary.html

Call Toll Free document.write (d8); Search: Home About Us Warranty Sleep Trial ... Visit the Sleep Center Sleep Disorder Dictionary Chronic Fatigue Syndrome - constant tired feeling that persists even when an individual gets enough sleep. Usually a sign of a larger health problem or disease. Excessive Snoring - Frequent snoring is often a sign of a more serious sleep disorder, such as Obstructive Sleep Apnea. Even if it isn't serious, it can be a great nuisance to sleeping partners, and can cause relationship problems. Fibromyalgia - a disorder which causes muscle pain and fatigue. Hyperactivity - affliction of children that prevents them from falling asleep or from sleeping at the proper times. HyperSomnia - excessive sleeping or sleeping for innappropriately long periods of time. Hypnagogic Startle - Involuntary twitching that occurs before the onset of sleep. Insomnia - A disorder in which an individual has a difficult time falling asleep, wakes frequently during the night, or wakes up earlier than they would like, which persists for an extended period of time and prevents proper sleeping. See the Insomnia Information Page Narcolepsy - a disorder which causes individuals to fall asleep at inappropriate times such as when walking or driving. It can be accompanied by Cataplexy, feelings of paralysis and limpness during waking hours.

67. MedCirca.com | Lippincott Williams & Wilkins Pericarditis, Constrictive. Pheochromocytoma. pickwickian syndrome. Pregnancyand the Heart. Premature Ventricular Contractions. Prosthetic Valves. http://www.medcirca.com/textbooktoc.asp?book=alpert

68. Specific Conditions Improved By Weight Loss Surgery pickwickian syndrome This syndrome was named after a character in one of CharlesDickens' works (Dickens was a 19th century English writer who wrote Great http://www.bobmiedema.com/articles/120802.html

69. MEDLINEplus Medical Encyclopedia: Obesity Hypoventilation Syndrome (OHS) Alternative names Return to top pickwickian syndrome. Definition Returnto top. Obesity hypoventilation syndrome (OHS) is a condition http://www.nlm.nih.gov/medlineplus/ency/article/000085.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Obesity hypoventilation syndrome (OHS) Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Respiratory system Alternative names Return to top Pickwickian syndrome Definition Return to top Obesity hypoventilation syndrome (OHS) is a condition related to obstructive sleep apnea in which a very obese person does not breathe a sufficient amount of oxygen during sleep or while awake. Causes, incidence, and risk factors Return to top The cause of OHS in unknown, but it is likely to involve a combination of a disorder of the brain's control over breathing and the effects of massive obesity on the chest wall. With the excess weight of massive obesity, the muscles of the chest wall can have difficulty expanding the thorax enough to exchange air efficiently. This results in a decreased ability to oxygenate the blood and retention of carbon dioxide (see respiratory acidosis ). Affected individuals suffer from chronic fatigue. This is from sleep loss, poor sleep quality, as well as chronic hypoxia (decreased blood oxygen).

70. Mioti: Medical Condition Pica, • Pick Disease. • pickwickian syndrome, • Picornaviridae.• Pierre Robin Syndrome, • Pigmented Villonodular Synovitis. http://www.mioti.com/cat/condition/results.asp?Alpha=P

71. Mioti: Medical Condition Main Page Add Website Add Conference Advertising Information Email Mioti. Conditionpickwickian syndrome. MEDLINEplus Obesity Hypoventilation Syndrome (OHS). http://www.mioti.com/cat/condition/condition.asp?Cat=PickwickianSyn

72. Symptoms Dr. Burwell and colleagues in describing several obese, hypersomnolent patientswith respiratory and cardiac failure coined the term pickwickian syndrome . http://www.sleep-apnea.ab.ca/symptoms.htm

W. Ward Flemons MD FRCPC Medical Director Alberta Lung Association Sleep Centre Foothills Hospital Medical Director Sleep Apnea Society of Alberta Symptoms of Sleep Apnea Overview History What is Sleep Apnea? Who does it affect? ... Who should be suspected of having it? Why does it happen? A. Sleep B. Breathing C. Sleeping and Breathing What are the consequences? A. Nocturnal B. Daytime C. Neuropsychological D. Medical ... What sort of investigations are done? Overview History In 1837 Charles Dickens undoubtedly described the first sleep apnea patient in "The Posthumous Papers of the Pickwick Club" . One of his characters (Joe) was described as follows, "... and on the box sat a fat and red-faced boy, in a state of somnolency." There are several other references in Dickens' book to this character suggesting he had severe sleep apnea: "Joe - damn that boy, he's gone to sleep again." In response to the firing of enormous guns at a military exercise, "everybody was excited except the fat boy, and he slept soundly as if the roaring of cannon were his ordinary lullaby . . . Be good enough to pinch him, sir - in the leg, if you please; nothing else wakes him." Joe "snores as he waits at the table . . . the snoring of the fat boy penetrated in a low and monotonous sound from the distant kitchen"

73. Spotlight Health Associated with obesity hypoventilation syndrome (aka pickwickian syndrome) andcor pulmonale (strain or enlargement of the lower right heart chamber). http://www.spotlighthealth.com/morbid_obesity/obesity_overview/related_problems.

Get the scoop! Click here to get our free morbid obesity e-newsletter! Obesity Overview What is Obesity? ... Glossary There are several serious and sometimes life-threatening health problems associated with morbid obesity co-morbidities In light of the increased health risks, the NIH states that having a BMI greater than 35 along with significant co-morbidities qualifies as morbid obesity. Co-Morbidities of Morbid Obesity These associated health problems can be life-threatening: Diabetes Mellitus Type 2 Diabetes is a leading cause of end-stage renal disease, blindness, and amputations. Death rates among middle-aged diabetics are twice as high as middle-aged people without diabetes. The prevalence of diabetes is 2.9 times higher in the overweight than in the non-overweight, for those 20 to 75 years of age. Hypertension (high blood pressure) Sleep apnea Associated with obesity hypoventilation syndrome (aka Pickwickian syndrome ) and cor pulmonale (strain or enlargement of the lower right heart chamber). Half to two-thirds of patients with sleep apnea are obese.

74. Shaker Veterinary Hopsital, P.C. Located In Albany, NY, Is Dedicated To Keeping Be Persistent. * pickwickian syndrome—excessive fat in the chest wall, intrathoracicfat, and cranial displacement of the diaphragm due to abdominal obesity. http://www.shakervet.com/tv_topics38.htm

Pet Obesity Most references report that 20-30% of dogs and cats are overweight with one report as high as 40%. If your animal falls into this category and would therefore benefit from a weight reduction program, the information that follows should help you achieve your objectives. Obesity cannot occur unless the amount for food (calories) exceeds the animal’s nutritional requirements. Simple put, if a pet is overweight, it is eating too much. Any overweight animal should be evaluated to make sure there are no metabolic diseases that are contributing to the problem. Thyroid abnormalities are the most common disease that causes obesity and until it is corrected, dietary management will probably not resolve the problem. Hazards of Obesity Overweight animals have shorter life spans than normal weight animals Hastens development of joint disease and lameness Causes heart disease (Pickwickian Syndrome*) Predisposes to Diabetes Increases risk of Heat Stroke Increases anesthesia risk A longer, more active life should be motivation enough for a caring pet owner to treat an overweight pet.

75. ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Obesity Hypoventi The pickwickian syndrome is characterized by massive obesity, flushed face, frequentshort episodes of irresistible sleep throughout the day, and disturbed http://www.enlmedical.com/article/000085.htm

Medical Dictionary Naturapathic Glossary Aphrodisiacs Immune System ... Table of content Obesity hypoventilation syndrome (Pickwickian syndrome) Causes and Risks: Coming soon! Expedition's websites are Powered by

76. Untitled Document Chapman Hall, London, 1837.) The eponym pickwickian syndrome became populara half century later (Burwell CS, Robin ED, Whaley RD, Bickelmann AG. http://mcgovern.library.tmc.edu/text/digital/Osler/1902 Exam/Question 03b.htm

Back to the hyperlinked 1902 exam View page 439 in Principles and Practice of Medicine (click the "back" button on your browser to come back to this page) "Corpulence, an excessive development of the bodily fat - an 'oily dropsy,' in the words of Lord Byron - is a condition for which we are consulted in three groups of cases." Notes: With regard to Byron, see references to J. Smith and E.Y. Lovall in: Tigertt, W.D. Annotated answers to the 1902 examination on Osler's Principles and Practice of Medicine. Annals of Internal Medicine 79:460-472, 1973. Osler also wrote: "An extraordinary phenomenon seen occasionally in excessively fat young persons is an uncontrollable tendency to sleep." In the 6th edition he specifically referred to Dickens's Pickwick: "An extraordinary phenomenon in excessively fat young persons is an uncontrollable tendency to sleep - like the fat boy in Pickwick. I have seen one instance of it." (Dickens, Charles. The Posthumous Papers of the Pickwick Club The eponym "Pickwickian syndrome" became popular a half century later (Burwell CS, Robin ED, Whaley RD, Bickelmann AG. Extreme obesity associated with alveolar hypoventilation - a Pickwickian syndrome. Am J Med 21:811-818, 1956).

77. Pickwickian Syndrome pickwickian syndrome. A Medical General Hospital. A resource with informationon over 4000 medical topics including pickwickian syndrome. http://www.marylandchemotherapy.com/medical-terms/00243.htm

Pickwickian syndrome A Medical Encyclopedia Article provided by Maryland General Hospital A resource with information on over 4000 medical topics including: Pickwickian syndrome Previous Next

78. Pickwickian Syndrome pickwickian syndrome. A Medical Kernan Hospital. A resource with informationon over 4000 medical topics including pickwickian syndrome. http://www.kernanhospital.com/medical-terms/00243.htm

Pickwickian syndrome A Medical Encyclopedia Article provided by Kernan Hospital A resource with information on over 4000 medical topics including: Pickwickian syndrome Previous Next

79. Review Of The Literature The first continuous polygraphic night recordings of adult patients sufferingfrom the pickwickian syndrome were performed by Jung Kuhlo in 1965 (10). http://herkules.oulu.fi/isbn9514266552/html/c146.html

Snoring and obstructive sleep apnea in young children: A 6-month follow-up study Prev Next Chapter 2. Review of the literature Table of Contents History of sleep apnea among children Normal sleep in 3 to 10 year old children Definitions Classification of sleep-related airway obstruction ... Natural history 2.1. History of sleep apnea among children Charles Dickens was probably the first to describe the features of sleep apnea in his famous comic narrative The Posthumous Papers of the Pickwick Club (4). The fat boy Joe was snoring heavily, he was falling constantly asleep and was described as having slow perception. Damn that boy...! In 1889, William Hill (5) recognized the symptoms of the syndrome, describing the stupid lazy-looking kid who frequently suffers from headaches at school, breathes through his mouth instead of his nose, snores and is restless at night. He speculated that some of their backwardness was secondary to some hampering of the cerebral functions rather than deafness. Hill also found adenotonsillectomy to be helpful for these children. In 1965 Menashe et al.

80. GGRC - Medical Care Information pickwickian syndrome; Cor pulmonale; Sleep apnea; Skin sores; Arteriosclerotic heartdisease; Osteoporosis; Attention deficit disorder; Premature death. back to top. http://www.ddhealthinfo.org/ggrc/doc2.asp?ParentID=3172

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