COPD and Other Stuff

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Posts Tagged ‘Silverdale’

Lung Health Screening – FREE – Spirometry Test – Silverdale Costco – YES!

Friday, November 1st, 2013

Hi Guys … I’m back with joyous news…

Lung Health Screening – FREE

Silverdale, Mickelberry Road

Pharmacy Phone:   360-308-2118

Saturday, 2 November 2013

Start time:  10:00am

End time:  3:00pm

http://content.costco.com/Images/Content/misc/pdf/HealthWellnessClinicSchedule.pdf

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“Oh, no!  I can’t breathe!  I should have gone for an early detection Spirometry test at Costco in Silverdale!”

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Here it is – tomorrow at Silverdale’s Costco – FREE!

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Thank you, Costco – for the early warning testing to avoid COPD (Chronic Obstructive Pulmonary Disease) – now I’m playing basketball without worry of smothering lungs!

Please – get checked.  You do not want COPD – ever.  I promise you…get checked tomorrow.

http://www.sciencedaily.com/releases/2013/04/130401111549.htm

Thanks for listening….  familien1@comcast.net

Stay tuned for more Northwoods – I’m a little late … familien1@comcast.net

Sharon O’Hara  


Northwoods – Silverdale – Physical Rehabilitation – Good-by – Hello

Friday, April 12th, 2013

 

I’m telling my recent Northwoods story backwards, my outpatient, twice-weekly rehab ends at the Northwoods picturesque, characteristic salt-water rehab pool and into a new beginning.

Other than my first solo horse-packing trip into the Cascades and living through a host of learning experiences, I have seldom learned so much in one week as during my stay at Northwoods, a five star rehab center just north of Silverdale. 

I hope to progress as I should, working out at home and/or in a commercial pool.  The primary goal here is to rebuild the muscling around my arthritic bone on bone left hip in order to pedal a recumbent trike.

One of Northwoods rehab specialist, Jeff, actually got me RUNNING in the chest high water, coming down on my left foot without the old debilitating pain…muscle building safely in the water. 

Incidentally, the second time I ran in the water I felt so Tarzana that when Jeff asked me to sit on the water stool for a series of other exercises; I made a surprising running leap for it… and slammed into it or would have if I’d got that far. 

I began the jump too far out and the side effect was a gut wrenching, breathtaking laugh – so hard I ran out of air and had to focus hard to stop laughing.  COPD is not for sissies – nor are fancied, imagined, graceful gazelle leaps of joy that I could put weight on that left hip. 

Good Physical Therapists cause little moments of joy for the patients they guide into better fitness as we work into better health.

Northwoods has many good or great physical therapists – I am talking a little about some of the people and my latest experience as a patient in one of two Kitsap County five-star rehab centers.

For information, I didn’t qualify for insurance coverage since I had only been at Harrison overnight for observation, yet encouraged by Harrison’s sharp good-by, good luck doctor,   Dr. Mathew Coates the next day,  I decided to give it a couple days…and stayed over a week.17-IMG_2429

This is the entrance to the Red Barn dining room leading to access to the salty rehab pool.

Antiques – some early Kitsap County settler and his family plowed ground with this nifty tool and a couple good horses – or, maybe it is a thresher – a hay cutter. 


Note the wonderful old artifacts displayed everywhere in the “red barn “ – take a gander at  the two-woman saw on the wall above the staircase. 

Open for dining 13-IMG_2419

 

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These wonderful items are displayed on the way to the ladies changing room and the pool.  10-IMG_2413

On my way out, dinner guests coming in…hubby waiting for me to go home    Gorgeous quilts on the upper, left wall

Door to the pool

Roomy shower – kept spotless

                                                                                                                                                       

                                                                                                                                                     

The first dressing room/ladies room leading to a pool that I have seen decorated with real hand-worked framed quilt squares on the wall. 06-IMG_2406

Kristi, left, following Jeff’s exercise plan had me run as fast as I could to the end of the pool – stop and walk backwards to the other end and repeat the run…got me laughing when I spotted her ‘running’ alongside.  She moved through the water like a prancing parade horse – head bobbing, smooth and graceful while I plowed through the water using my arms pulling forward – feeling plow horsey running through the deliciously warm water.  Kristi asked why I was laughing.  Her first time running through water, she said, when I told her.  She has a wonderful spirit and I howled…and did not tell her Jeff saved his energy and did not run alongside when he instructed me to run. 

                                                                                                                                                                                                                                                                                                                                                                             

Patients need the lightness of spirit and humor with the serious work they do helping put us together again,…we’re sort of like HumptyDumpty and they help us get back together again and teach us how to apply our own glue.Kristi and Shayla 04-IMG_2394 01-IMG_2374

Thanks Shayla, (PT) and Kristi (PTA) – What a great job you do for us!

Thanks for listening … Sharon O’Hara

Part 1 of 4

 


Meet a new look in medical office decor and manner…Does it matter?

Wednesday, November 14th, 2012

Today I walked into a new to me medical office in Silverdale.  The Master’s Orthotics & Prosthetics reception room is a charming, comfortable; friendly place overseen by as friendly and pleasant a receptionist as any I have met anywhere.  Her name is Ariel.

The homey atmosphere, colors and furniture was a clear invitation to sit down and visit.  However – it was their sign on the wall that startled and fascinated me into asking if I could take photos of it, their reception room and receptionist.  They probably think I kissed the Blarney Stone, but humored me and gave permission.

Of all the years I have visited doctor/medical offices – I have never entered one so instantly welcoming and cheerful, including a mention of God.

Over the past few years, I have thought about God a lot and appreciated seeing their public mention of Him.   Look – what do you think?

Should Medical Offices strive for patient/client cheery, soothing colors and comfortable furniture in their reception room?   I vote yes.

The sign designer and artist was Adria Hanson of Hanson Studios.

Meet Ariel.  She even let me stand at the desk to fill out forms…what a welcoming friendly place.

Meet my husband’s feet and part of the reception room.  Comfortable – so comfy looking I had almost talked myself into sitting down when they called me.  Just as well.  I might not have gotten up again.

Thanks for reading.  Sharon O’Hara <COPDandOtherStuff2@gmail.com>

Part 4 of 4, Harrison Home Health CareDoes a tumor mean cancer?  This week.

 


Dr. Halligan and Harrison Medical Center Angels, Part 2 of 3

Sunday, March 4th, 2012

Our recent tragic killings and deaths make me doubly grateful for the incredible people and treatment I received from our hometown hospital and staff at Harrison Medical Center.

Those of us who have been patients there over a length of time know Harrison’s greatest assets are in their staff.  Their nurses and aides, many named Elizabeth and one each named Joseph and DanielJoseph is notable for nursing skills and his uncanny ability to find anything….even a bridge….as in my missing two-tooth bridge.  He found it in a little container with “?” on the lid.

Nurse Elizabeth on 3N is only one example of innovative, creative thinking.    

 

Look at the contraption she put together to take the pressure off the bottom of my left calf to lessen the pain of the open weepy lesions and help it heal faster. The devise worked so well that when I was shifted down a floor they wheeled me downstairs right on the bed.

Nurse Sylvia on 3N brought me the Kitsap Sun newspaper every morning she worked.  I always knew she was on shift when I awoke and spotted the Sun on my bedside tray.  When I was moved to the private room on two – her spirit lifting thoughtful placing of the Kitsap Sun on the bedside table continued and never failed to make me grin in thanks.

A complication was the UW positive testing for MRSA.  You do not want it – hospital visitors do not want you to have MRSA either.  Gowning up and wearing rubber gloves to visit a friend in the hospital might well cut down on regular hospital visits.  http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004520/, http://www.mayoclinic.com/health/mrsa/DS00735  

Dr. Halligan, Doctor’s Clinic in Silverdale, treated my leg daily in the hospital…he never failed to continue his daily treatment and re-wrapping of my lower left leg. 

(I am hoping to go home tomorrow from rehab at Martha & Mary’s Rehab Center in Poulsbo.  I have not been home in 8 weeks).

More later.

Thanks for reading…. Sharon O’Hara


Dr. Halligan and Harrison Medical Center Angels, Part 1 of 3

Wednesday, February 1st, 2012

I am writing this from a hospital bed on the cancer floor at Harrison Medical Center in hope someone will take note what edema can and may do to those who ignore it.

Also, I’m writing in heartfelt thanks to Dr. Halligan, Internist/Surgeon at Silverdale Doctor’s Clinic who saved my life and leg recently by taking over failed treatment for my Lymphedema/Cellulitis/Edema filled legs and painstakingly, day after day treated and changed leg wraps.

Dr. Halligan patiently explained my left leg needed debriding to remove the dead skin, much as burn victims and he couldn’t tell what was under the surface dead skin or how deep the dead tissue went. This four-month pain riddled sleep deprived patient gratefully lay in a bed at Harrison Bremerton 23 hours a day, 7 days a week. Four weeks total this Thursday.

Tomorrow, Wednesday, I am moving to a rehab place for rehabilitation and further healing.

I battled without success since early September the Cellulitis/Edema in my left leg until my right leg reddened with infection and edema and began the water blisters that experience taught would lead to lymph fluid running down my lower legs, scalding the skin it touched and spreading the poison…

Chris Goss, MD, my lung doc at the University of Washington Medical Center straightened out the Restless Leg Syndrome medication problem so I could sleep if the pain eased.

Edema patients  – PLEASE – check out the following photos of the latest rise and fall of my edema filled legs and ask yourself if ignoring edema is worth it.

Dr. Halligan – thank you!

More next time on Harrison Medical Center’s Angels in disguise.

….thanks for reading.  Sharon O’Hara

Thanks for reading…Sharon O’Hara


Suquamish – Re: COPD – the beginning. Pain – the end.

Wednesday, November 2nd, 2011

Thank you for taking the time to write, Suquamish – and you are young at only 52 to have COPD.  I’m sure there are other young ones with COPD who live to be retired and ancient without adding more diseases.  They keep moving as best they can, get good medical care, an exercise program and good nutrition too can overcome almost anything.

What does your doc say about the x-rays?

The pain is in my lower legs – not lungs and I’m one of those COPDers who gathered all these other medical conditions after COPD.

Venous Stasis Dermatitis – Lymphedema – Cellulitis – when I’m not careful enough about sodium and wearing support stockings.  This time though, thanks to Mellissa’s teaching and my husband’s help they didn’t swell, crack open and leak for about a year and a half.  The condition is chronic but I learned more good lessons to keep this from happening again through checking labels more carefully on everything I eat or drink.  Moreover, this too will pass – so will the pain.

The neat thing Suquamish – you gave me another idea.  You are young.  There have to be other people out there who would gladly give living with COPD and heart worthy tips to other COPDers.  Working full time, you probably aren’t able to attend the monthly afternoon Harrison Medical Center/Better Breathers educational classes at Harrison Silverdale.  However ….

Would you be interested in an evening support group of like-minded people who not only have lung or heart disease they are living life to the fullest in spite of it and want to share what has worked for them?

We should have such a support group in Silverdale. No gloom & doom – no cost – just patients sharing what works for us.

What do you think?  Would Tuesday evenings from 7 – 8 pm work for you?  Occasionally we could have speakers willing to donate their time to help educate us too.

Suquamish – Thanks for reading my posts and hope they haven’t been gloomy and doomy for you or anyone – I didn’t meant them to be.  This pain will pass when my lower legs get ‘normal’ again and I take proper care of them – including the support stockings and no more high sodium diet sodas.

I’m open to any suggestions for a meeting place that will allow COPDers (lung and heart folks) to meet on a monthly basis in the evening for an hour…

BTW:  I may be moaning and groaning about pain from my legs but it doesn’t change my plans to make a recumbent trike trip next summer from here to the other Washington for COPD.

Thanks… Sharon

One Response to “COPD – the beginning. Pain – the end”

  1. Suquamish Says:
    November 2nd, 2011 at 4:11 am

I am sorry Sharon, I guess I am following in your footsteps. The VA gave me a chest x-ray and it had a white spot on my lung. They told me to see my health provider (Group Death) I mean Group Health. They put a clip on my nipple to rule out the phantom shadow on the lung. Too bad the clip and the white spot both showed up in different areas. Group Health never diagnosed it at COPD. But a couple weeks ago when I went in Urgent care and underwent a breathing treatment the noted COPD in my health chart. I had another chest xray because of the pain you stated in your post. I guess it is just the muscles that got strained. I guess there weren’t any fractures or they would have been noted. I hope you take care of yourself Sharon, I enjoy reading your post on Kitsapsun.com. I would like to learn more about COPD from someone affected by it. I wonder how much longer I will be able to work. I am just a young guy at 52.
Read more: http://pugetsoundblogs.com/copd-and-other-stuff/2011/11/01/copd-the-beginning-pain-the-end/#ixzz1cbDldPN6

 


Governor Christine O. Gregoire’s Proclamation – COPD Month November 2011

Friday, September 30th, 2011

Governor Christine O. Gregoire has proclaimed November 2011 COPD Month.

Thank you, Governor!

 

What low, no cost plans are in place for November’s COPD Month?

What plan of remembrance and activities does the medical community who serves COPD plan for patient/public awareness events during November 2011?

World COPD Day is Wednesday, 16 November 2011.

What medical groups have activities for COPD recognition, education and early detection Spirometry testing for the citizens of Kitsap County?

Harrison Medical Center’s partnership with the Better Breather’s Lung Support Group meets monthly in the Harrison Silverdale’s Rose Room.

Harrison Medical Center and Hazelwood YMCA in Silverdale have a superb lung/heart patient rehab agreement – what are they planning for November’s COPD Month 2011.

I am walking, triking or riding a scooter in recognition of World COPD Day 2011.  More later.

Thanks for reading… Sharon O’Hara


Update to my Kentucky medical story and a flip side of the same coin

Monday, September 26th, 2011

Update to my Kentucky medical story and a flip side of the same coin.

I spoke too soon on my belief that the American Medical Association would be interested in my comments about a Medicare patient and a doctor in a small town in Kentucky – but a “Kentucky Medical Complaint” Google search brought up some answers.

Update in my friends Kentucky case – she, as of Saturday, 24 September 2011 had not heard from the doctor for test results.  She called the local hospital where the cardio tests (2) were performed and told the results were in and she could pick them up.

She called the doctor’s office yesterday and told the PFTs were normal and the heart tests were normal too.  What justified the cardiac tests when the PFTs were normal?

Why would the PFT procedure be so different in a small town in Kentucky than in the rest of the nation?  Is the 29 days it took to wait for the doctor results due to a state raising fast horses and s l o w doctors in general or specific to one doctor in one small Kentucky town?

Having dependence on Medicare/Medicaid and being old, poor and trusting should not be a factor in a doctor’s way of making a living off the patients through unnecessary testing and no follow up contact with the patient.

The plus side is that she now has the physical test results of her lungs and heart but not a clue what they mean.  When she called the doctor’s office this time, she was told the results of the PFT and cardiac tests were ‘normal’.

Why did the doctor order cardiac testing if the Pulmonary Function Tests were normal?

I called the doctor’s office this morning, Monday, 9/26/11 and asked several questions including why the doctor didn’t call the patient in 29 days to give her the test results and was told that it can take two or three weeks to get the results and another week for the doctor to review the results.  My friend the patient was told two weeks.  When I asked why the cardiac tests were ordered when her PFT was ‘normal’ – BEFORE he spoke to the patient - I was told to call back later to speak with the office manager.

I was told if my Kentucky friend wanted to know the meaning of the test results, she should call and make an appointment with the doctor.

Fast horses and slow doctors in a small town in Kentucky – doesn’t seem right to me.  Are other seniors on Medicare/Medicaid being ill treated by this doctor? 

Are most Kentucky doctors as seemingly indifferent to their senior patients by failing to give test results in a timely manner and ordering cardiac tests without apparent need – or just this one based on my own PFT experience?

The flip side of the coin is the unfair treatment of the medical profession by Medicare and Medicaid.

I wrote the following in answer to a Letter to the Editor, Kitsap Sun:

“Well…health care costs...not one post has mentioned WHY doctors don’t take Medicare or Medicaid. The fact is physicians and the health care industry is the only profession in this nation that PENALIZES the doctor and health care businesses!

Any other business in the country can set their price and people pay it or go elsewhere. Not so the physician. Medicare and Medicaid pay only a fraction of the set price per service of each doctor.

Why should doctors take patients that COST them money to see them…they LOSE money.

If a plumbing business could take ten calls during the business day – why would they take a call from someone that will not pay their full price for the service?

Some doctors DO TAKE MEDICARE/MEDICAID patients and I for one – am grateful mine do.

I will mention here that I saw a medical devise recently that cost Medicaid/Medicare about nine thousand dollars per patient that has one. For a patient to buy it outright it cost about twelve thousand dollars.

If that isn’t outrageous enough for you – my opinion of the value of the devise – it MIGHT be worth one thousand dollars TOPS.

In my opinion, what seems to be happening in some cases is that the health care folks have tacked outrageous prices on cheap junk to make up for the low Medicare/Medicaid set prices.

Who loses? WE DO! The taxpayer AND the patient.”

Read more: http://www.kitsapsun.com/news/2011/sep/19/letter-to-the-editor-state-shouldnt-cut-more/#ixzz1YsPjzSZ4

http://www.kitsapsun.com/news/2011/sep/19/letter-to-the-editor-state-shouldnt-cut-more/

Speaking of a medical determined momma squirrel in Silverdale…

Thanks for reading… Sharon O’Hara


Good Sleep Health and Sleep Apnea – Tomorrow!

Tuesday, July 19th, 2011

Good Sleep Health and Sleep Apnea

Speaker:  Jess Lackey of Pacific Pulmonary Inc.

Wednesday, 20 July 2011

1:00pm – 3:00pm

Rose Room – Harrison Silverdale

1800 NW Myhre Road – Silverdale, WA 98383

 

Better Breathers Support Group

“Our Better Breathers support group encompasses community members and their caregivers who live with chronic respiratory disease and lung disease. Better Breathers is designed to provide support, education, networking, and tools to improve the daily lives of those living with these health conditions.

 

We welcome any community member with asthma, emphysema, chronic bronchitis, sarcoidosis, asbestosis, pulmonary hypertension, pulmonary fibrosis and the many more lung diseases affecting our population, pediatric or adult.

Please email or call if you will need assistance with parking at the meeting.”

Contact: Pamela O’Flynn   – 360-744-6687 –  respiratorycare@harrisonmedical.org

****

My sleep apnea story in short form:  Some ten years ago the Sleep Study and bi-pap machine enabled me to get back into a bed after a few years of sleeping in a chair…I could not breathe lying down so had to sleep in a recliner chair…comfortable though it was, it was not a bed.

During this last year after an at home study I discovered my saturation numbers hit the basement while sleeping – bottoming out into the low 70’s.  100 is normal and nobody knew it…who knows how long that went on?

One of the questions I will be asking tomorrow:  Why don’t the c-pap or bi-pap machines monitor the patient’s blood/oxygen level during sleep to alert the doctor there is a problem.  Hint: After a length of time without oxygen, brain cells die.  http://www.nlm.nih.gov/medlineplus/ency/article/001435.htm

During sleep how low can the blood/oxygen levels go and for how long before brain cells die?  Personally, I want to hug and cherish my brain cells from a distance and keep them going as long as possible.

A sharp Harrison Medical Center ER doc caught a problem and had me put on a concentrator that gathers oxygen from the room and bleeds it into my bi-pap – leading to better sleep.  Except when the RLS bounces me right out of bed to move my legs and walk around.

Ignoring Sleep Apnea can lead to serious stuff – we need to be aware.

Tomorrow is the opportunity to ask the questions and have fun at the same time.

Refreshments!

See you Wednesday!  If anyone needs a ride, let me know.

Following are photos of my concentrator connected to the bi-pap and connected to the facemask that goes over my nose and blows air into my airway.

Some folks say the c-pap and bi-pap is too noisy.  I call it the sweet song of life.

Thanks for reading… Sharon O’Hara


COPDers Most Accurate Measurement of Disease Severity is the 6-Minute Walk According to Netherlands Study

Sunday, May 15th, 2011

COPDers (Chronic Obstructive Pulmonary Disease) are familiar with the 6-minute walking test but the following study presented recently at the American Thoracic Society ATS 2011 Denver is the best explanation I’ve seen of what the test result really means in the progression of the disease.

COPD is the 3rd leading cause of death in the US, 5th in the world.   For many of us it means don’t waste time.   Most of us already know we might be short timers based on other folk’s reactions – like my wonderful dentist doesn’t mention fixing my lower teeth – he just kindly replaced the upper teeth insert my dog, Dean chewed up.

Mr. Dean is a notorious thief of night guards (three) and now he is a pick pocket of false teeth inserts.  He can’t be trusted around teeth in an pocket or loose anywhere he can jump.  I thought he wanted petting – ha!  Seven tiny pieces were found scattered in his cushioned pad and carefully carried to Dr. Robinson.

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Harrison Medical Center, Silverdale Better Breather’s (American Lung Association) upcoming meeting is a super place to ask the questions – more about the meeting in Monday’s blog post.

********

American Thoracic Society

‘Walking distance’ test an accurate indicator of disease severity in patients with COPD

ATS 2011, DENVER – The six-minute walking distance test (6MWD), a test that measures a patient’s ability to tolerate exercise and physical activity, is an effective tool for understanding disease severity in patients with chronic obstructive pulmonary disease (COPD), according to a three-year global study of patients with COPD sponsored by drug manufacturer GlaxoSmithKline.

“We found that baseline 6MWD was predictive of hospital admission with an acute COPD exacerbation, was relatively stable in milder COPD, and has a steady rate of decline in patients with severe disease,” said study author Martijn Spruit, PhD, scientific advisor and research leader at the Centre of Expertise for Chronic Organ Failure (CIRO+) in Horn, the Netherlands. “This confirms prior observations that the results of the 6MWD are related to the risk of death in patients with COPD, and that the test is a useful tool in understanding disease severity in patients with COPD.”

Researchers studied 2,110 patients with moderate to severe COPD who underwent a supervised 6MWD at study enrollment to provide a baseline value and annually for 3 years. Death and exacerbation-related hospitalization were recorded.

During 3 years of observation, 200 patients died and 650 were hospitalized for exacerbations. Mortality rates and exacerbation-related hospitalization were higher in COPD patients as baseline 6MWD decreased. Researchers found that a 6MWD threshold of 357 meters was optimal to predict increased risk of hospitalization; while a 6MWD threshold of 334 meters was optimal to predict an increased risk of death. The mean rate of deterioration of the 6MWD was 5.7 meters per year and was primarily limited by the ability of the patient to breathe easily.

“Exercise tolerance is an important clinical aspect of COPD which can be easily and reliably measured with the 6MWD test,” Dr. Spruit said. “These data confirm the power of the 6MWD to identify subsets of the COPD population at higher risk of exacerbation-related hospitalization or death.

“The ability to group COPD patients according to their functional status disease severity should enable healthcare providers to better tailor therapy for their patients and optimize use of medical resources,” he added. “Patient grouping is also useful for those designing interventional studies in COPD; for example, if the aim of an intervention were to reduce the rate of exacerbation related admission, then a study can be designed by including primarily patients at higher risk of that outcome.”

Dr. Spruit also noted that the 6MWD test offers benefits over a more traditional test of COPD disease severity, the FEV1 (forced expiratory volume in the first second) which measures a patient’s ability to forcefully exhale air in one second. “The FEV1 has limitations as a marker of disease severity in COPD because it fails to capture systemic manifestations of the disease,” he said. “This study was designed to determine if the 6MWD could be an additional measure of disease severity, and the results confirmed that it can.”

(I exhale to just this side of fainting to get the best results – results hinge on the patient’s effort)

###

“Reduced 6MWD Is Associated With Increased Mortality And Exacerbation-Related Hospitalization In COPD: The Eclipse Study” (Session A93, Sunday, May 15, 2:00-4:30 p.m., Room 505-506-507 (Street Level), Colorado Convention Center; Abstract 17736)

* Please note that numbers in this release may differ slightly from those in the abstract. Many of these investigations are ongoing; the release represents the most up-to-date data available at press time.

******************************************

http://patients.thoracic.org/

http://www.thoracic.org/

Thanks for reading… Sharon O’Hara


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About This Blog

This is a patient to patient blog to exchange information and resources...from COPD (Chronic Obstructive Pulmonary Disease) to Arthritis to Cellulites to Sarcoidosis to Sleep Apnea to RLS to Psoriasis to Support Groups to Caregivers and all points in between. Written by Sharon O'Hara.

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