1. Pickwickian Syndrome, Obesity, Daytime Sleepiness, PCO2, Hypoventilation, Intens A physician's story of a patient with the syndrome.Category Health Conditions and Diseases pickwickian syndrome...... After that first visit I diagnosed Gloria's problem as typical ofpickwickian syndrome. Like all syndromes, Pickwickian is not a http://www.mtsinai.org/pulmonary/books/icu/pickwick.html

"We Can't Kill Your Mother" and Other Stories of Intensive Care by Lawrence Martin, M.D. Table of Contents 12. Pickwickian NOTE: "We Can't Kill Your Mother" and Other Stories of Intensive Care can be downloaded in its entirety as an e-book from 1st Books Library ($4.95). The book can also be ordered in trade paperback format for $13.50. For purchasing the e-book or print versions, please go to 1st Books Library and enter part of the book's title or the author in their search engine. Below are the first few paragraphs of PICKWICKIAN. I knew Gloria Fallows for about two years before she was admitted to Intensive Care. I first saw her as an outpatient in 1992 when she was 63. Even then she was enormous 275 pounds, five feet two inches and had trouble breathing. Her chief complaint was "shortness of my breath." "Oh Dr. Martin!" she exclaimed back then. "I can't walk from here to there without struggling." She pointed to a wall of my office about ten feet away. "How long Mrs. Fallows? How long's it been this bad?" "Only the past few months. But it seems to get worse each day."

2. Pickwickian Syndromes Vanderbilt University discussion of the history of naming the syndrome, the causes, and its progression. http://www.mc.vanderbilt.edu/peds/pidl/endocr/pickwick.htm

3. Pickwickian Syndrome Resources On The Internet Search millions of published articles for news on pickwickian syndrome. The eLibrary newspaper and magazine archive http://www.healthcyclopedia.com/pickwickian_syndrome.html

Home Health Conditions by Category ... Contact Us Pickwickian Syndrome Health News Search millions of published articles for news on Pickwickian Syndrome The eLibrary newspaper and magazine archive contains articles from current and back issues of hundreds of publications, including: Modern Medicine Aging The Ardell Wellness Report HealthFacts The Journal of Environmental Health Medical Post Medical Update Men's Health and the National Women's Health Report Note: To access the full text of articles, sign up for a seven-day no-risk free trial subscription to eLibrary. Web Directory See Also: Health: Conditions and Diseases: Cardiovascular Disorders: Heart Disease: Cor Pulmonale Health: Conditions and Diseases: Sleep Disorders: Sleep Apnea Web Links: Breathing Disorders During Sleep - Signs and symptoms of sleep apnea and Pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. Pickwickian - A physician's story of a patient with the syndrome. Pickwickian Syndrome - Neuroweb posting giving information and advice. Pickwickian Syndromes - Vanderbilt University discussion of the history of naming the syndrome, the causes, and its progression.

4. Re: Pickwickian Syndrome Re pickwickian syndrome. In Reply to pickwickian syndrome posted by Terri GriffithBledsaw on December 27, 1998 at 080314 Channing L. Bete Co,. Inc. http://www.sleepnet.com/forum5/messages/290.html

Re: Pickwickian Syndrome Follow Ups Post Followup Diagnostic Dilemmas FAQ Posted by Eric Stephens on January 04, 1999 at 19:00:33: In Reply to: Pickwickian Syndrome posted by Terri Griffith Bledsaw on December 27, 1998 at 08:03:14: Channing L. Bete Co,. Inc. has a great brochure on the subject. It's easy to understand, they're very good about sending out free brochures, and they pride themselves on mailing requests by the next day. Their web site is WWW.channing-bete.com Phone: 1-800-628-7733 Also try your local sleep lab for info. Good luck. Follow Ups: Re: Pickwickian Syndrome nicky squire Re: Pickwickian Syndrome mary trainor Re: Pickwickian Syndrome Ms P Thamgam Re: Pickwickian Syndrome ernest scarcelli Re: Pickwickian Syndrome Marilyn MacLean Re: Pickwickian Syndrome Ma. Naval C. Rivas MD. Re: Pickwickian Syndrome Julie Re: Pickwickian Syndrome Rosemary Re: Pickwickian Syndrome Ma. Naval C. Rivas MD. Re: Pickwickian Syndrome Sarah Carter Re: Pickwickian Syndrome Hans van der Heijden Re: Pickwickian Syndrome YVETTE HALL Re: Pickwickian Syndrome cicchiello Re: Pickwickian Syndrome tony Post a Followup Name : E-Mail : Subject : Comments: PLEASE ONLY CLICK THE SUBMIT FOLLOW UP BUTTON ONCE!!. Thanks, Sandman

5. BREATHING DISORDERS DURING SLEEP Signs and symptoms of sleep apnea and pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. http://www.medhelp.org/lib/breadiso.htm

BREATHING DISORDERS DURING SLEEP National Institutes of Health National Heart, Lung, and Blood Institute "You Can Snore Your Life Away." This sounds more like a joke than a warning. But, in fact, habitual loud snoring is the most common symptom of breathing disorders that occur during sleep. The person who snores not only sleeps restlessly, but also is at risk for serious disorders of the heart and lungs. Snoring can therefore be lifethreatening because it can lead to high blood pressure, irregular heart beats, heart attacks, and sudden death. Normal breathing must continue at all times whether awake or asleep. The act of breathing is an automatic, highly regulated mechanical function of the body. In healthy sleeping individuals, most muscular and neural activities will slow or even shut down but respiration goes on under a neuromuscular "auto pilot." However, if something goes wrong with the auto pilot during sleep, breathing may become erratic and inefficient. Understanding Sleep Sleep is a complex neurological state. Its primary function is rest and restoring the body's energy levels. Repeated interruption of sleep by breathing abnormalities such as cessation of breathing (apnea) or heavy snoring, leads to fragmented sleep and abnormal oxygen and carbon dioxide levels in the blood. Excessive daytime sleepiness and various disorders of the heart, lungs, and the nervous system result.

6. SmartEngine - SmartGuide ( DISEASE : Pickwickian Syndrome ) All about DISEASE pickwickian syndrome from SmartEngine.com Search For . DISEASE pickwickian syndrome. Featured Web Pages http://disease.smartengine.com/shell/smartpage/Pickwickian_Syndrome

SmartGuide Web Auctions DISEASE : Pickwickian Syndrome Featured Web Pages Sleep Apnea Sourcebook - http://www.icongrouponline.com "The Official Patient's Sourcebook" on Sleep Apnea. A comprehesive manual for anyone interested in self-directed research on Sleep Apnea. Categories (1-1 of 1) Health: Conditions_and_Diseases: Sleep_Disorders: Sleep_Apnea: Pickwickian_Syndrome Web Pages Pickwickian Syndromes Vanderbilt University discussion of the history of naming the syndrome, the causes, and its progression. - http://www.mc.vanderbilt.edu/peds/pidl/endocr/pickwick.htm Health: Conditions and Diseases: Sleep Disorders: Sleep Apnea: Pickwickian Syndrome Pickwickian A physician's story of a patient with the syndrome. - http://www.mtsinai.org/pulmonary/books/icu/pickwick.html Health: Conditions and Diseases: Sleep Disorders: Sleep Apnea: Pickwickian Syndrome Breathing Disorders During Sleep Signs and symptoms of sleep apnea and Pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. - http://www.medhelp.org/lib/breadiso.htm

7. Pickwickian Syndrome pickwickian syndrome. Follow Ups Post Followup DiagnosticDilemmas FAQ He is the typical pickwickian syndrome patient. http://www.sleepnet.com/forum5/messages/286.html

Pickwickian Syndrome Follow Ups Post Followup Diagnostic Dilemmas FAQ Posted by Terri Griffith Bledsaw on December 27, 1998 at 08:02:03: Hi, I'm an RN in my last semester of training to become an FNP. This year, I had the unfortunate experience of knowing what it is like to the family member of a patient in CCU. My brother, age 49, was near death and had called me to be with him. He was suffering the effects of years of morbid obesity and I had been aware of the S/Sx of sleep apnea and had tried to get him into a sleep study for years. He is the typical Pickwickian Syndrome patient. I'd like some sources of information to let him read about the syndrome, but it's not easy to locate on the net. Would you have any specific references? In layman's terms, please. He is a very inteligent man, but when it comes to paying attention to what he needs to do to change, it has to be brief, direct and to the point. Thanks. Follow Ups: Re: Pickwickian Syndrome P Thamgam Re: Pickwickian Syndrome Bob S. Re: Pickwickian Syndrome Erwin Re: Pickwickian Syndrome Alice Screws Re: Pickwickian Syndrome Angie Re: Pickwickian Syndrome Brenda Re: Pickwickian Syndrome Brenda Re: Pickwickian Syndrome Sue Kelly Re: Pickwickian Syndrome Chris Sutton Post a Followup Name : E-Mail : Subject : Comments: PLEASE ONLY CLICK THE SUBMIT FOLLOW UP BUTTON ONCE!!. Thanks, Sandman

8. Pickwickian Syndrome . pickwickian syndrome is a complexof symptoms that primarily affect patients with extreme obesity....... pickwickian syndrome. Definition. http://www.healthatoz.com/healthatoz/Atoz/ency/pickwickian_syndrome.html

Encyclopedia Index P Home Encyclopedia Encyclopedia Index P Pickwickian syndrome Definition A group of symptoms that generally accompany massive obesity Description Pickwickian syndrome is a complex of symptoms that primarily affect patients with extreme obesity. The syndrome is named after a character in a Charles Dickens novel, The Pickwick Papers , who seemed to show some of the traits of this disease. The major health problem that occurs in patients with this disease is sleep apnea . This is caused in part by the excess amounts of fatty tissue surrounding the chest muscles. This excess fat places a strain on the heart, lungs, and diaphragm of the patient, making it difficult to breathe. Causes and symptoms The major cause of Pickwickian syndrome is extreme obesity. This obesity places an excessive load on the pulmonary system. The role of genetics is also being studied. Symptoms of Pickwickian syndrome include excessive daytime sleepiness, shortness of breath due to elevated blood carbon dioxide pressure, disturbed sleep at night, and flushed face. The skin can also have a bluish tint, and the patient may have high blood pressure, an enlarged liver, and an abnormally high red blood cell count. Diagnosis Some tests that can be used to diagnose this condition include echocardiography to determine heart enlargement or pulmonary hypertension . Giving the patient multiple sleep latency tests can help give an objective measurement of daytime sleepiness. Magnetic resonance imaging (MRI), computed tomography (CT) scans, or fiberoptic evaluation of the upper airway may also be used.

9. DIRECTORY.TERADEX.COM - Health/Fitness/Diseases/Sleep Disorders/Sleep Apnea/Pick Sleep Signs and symptoms of sleep apnea and pickwickian syndrome; effects on the heart and other systems; treatment http://directory.teradex.com/Health_Fitness/Diseases/Sleep_Disorders/Sleep_Apnea

preloadImages('as_free_x-mail_s','as_anonymous','as_ad-space'); Add your Web Site Add Search to your Site Search for: Search through: Entire site Pickwickian Syndrome DIRECTORY Health/Fitness Diseases Sleep Disorders ... Breathing Disorders During Sleep - Signs and symptoms of sleep apnea and Pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. Pickwickian Pickwickian Syndromes - Vanderbilt University discussion of the history of naming the syndrome, the causes, and its progression. Submit Premium Listing! $10 for two years Sign Up User Name: Password: Edit in Real Time, Banner Placement Help build the largest human-edited directory on the web. Submit a Site Open Directory Project Become an Editor This site is presented in modified Open Directory form E-Mail: webmaster@teradex.com Aaex Corp.

10. Encyclopedia Index P Phototherapy. Physical allergy. Physical examination. Pica. pickwickian syndrome.Piercing and tattoos. Pilates. Pinguecula and pterygium. Pinta. Pituitary dwarfism. http://www.healthatoz.com/healthatoz/atoz/ency/p_encyindex.html

Encyclopedia Index P Home Encyclopedia Encyclopedia Index P T he HealthAtoZ encyclopedia offers thorough and reader-friendly articles about hundreds of diseases, health issues and medical developments. Each article is authoritative and specific, with references for further study. For major diseases, conditions and health issues, HealthAtoZ offers special centers for in-depth reading. Pacemakers Paget's disease of bone Paget's disease of the breast Pain ... Drug Guide Search Related News HealthAtoZ Exclusives Health Exclusive Archives Related Topics Fitness Nutrition Experts FAQ Pediatrician Nurse Nutritionist Fitness Trainer Message Boards Women's Health Men's Health Children's Health Seniors' Health       more... Fun Time E-Cards Life Clock

11. ELibrary.com - The Mosby Medical Encyclopedia 10-01-1996, eLibrary is the subscription based online library for fun or research. Find out more about securing your guaranteed Free 7day trial with your credit card and retrieve 'eLibrary.com - The Mosby Medical Encyclopedia 10-01-1996, 'pickwickian syndrome'' http://redirect-west.inktomi.com/click?u=http://ask.elibrary.com/getdoc.asp%3Fpu

12. Pickwickian Syndrome . pickwickian syndrome isa complex of symptoms that primarily affect patients with extreme obesity.......MAIN SEARCH INDEX pickwickian syndrome. http://www.hendrickhealth.org/healthy/002142.htm

MAIN SEARCH INDEX Pickwickian syndrome Definition Description Causes and symptoms Diagnosis ... Resources Definition A group of symptoms that generally accompany massive obesity Description Pickwickian syndrome is a complex of symptoms that primarily affect patients with extreme obesity. The syndrome is named after a character in a Charles Dickens novel, The Pickwick Papers , who seemed to show some of the traits of this disease. The major health problem that occurs in patients with this disease is sleep apnea . This is caused in part by the excess amounts of fatty tissue surrounding the chest muscles. This excess fat places a strain on the heart, lungs, and diaphragm of the patient, making it difficult to breathe. Causes and symptoms The major cause of Pickwickian syndrome is extreme obesity. This obesity places an excessive load on the pulmonary system. The role of genetics is also being studied. Symptoms of Pickwickian syndrome include excessive daytime sleepiness, shortness of breath due to elevated blood carbon dioxide pressure, disturbed sleep at night, and flushed face. The skin can also have a bluish tint, and the patient may have high blood pressure, an enlarged liver, and an abnormally high red blood cell count. Diagnosis Some tests that can be used to diagnose this condition include echocardiography to determine heart enlargement or pulmonary hypertension . Giving the patient multiple sleep latency tests can help give an objective measurement of daytime sleepiness. Magnetic resonance imaging (MRI), computed tomography (CT) scans, or fiberoptic evaluation of the upper airway may also be used.

13. Pickwickian Syndrome to your request for more information regarding the "pickwickian syndrome" which your mother is currently suffering with. http://neuro-www.mgh.harvard.edu/neurowebforum/NeuromuscularArticles/Pickwickian

Pickwickian syndrome This response submitted by Anne Marie Farnell on 11/19/96. Author's Email: farnelam@muss.mcmaster.ca Hello there, This is a message responding to your request for more information regarding the "pickwickian syndrome" which your mother is currently suffering with. I am a physiotherapy student from Ontario, Canada. I have only recently read some information on this syndrome. Since I am not a medical doctor, I cannot give you the details about the drugs used to treat this disorder. So, I will tell you the little I have learned from my research. My understanding is that most frequently this disorder is associated with being overweight (obese). People with this syndrome tend to stop breathing for periods during their sleep and sometimes during the day. As a result of this, they often have less oxygen in their blood. This can be damaging to various internal organs. If your mother is overweight it is very important that she try to lose some weight. The research seems to indicate that even losing 15-20kg will dramatically reduce the symptoms these people suffer (help your mother to breath more easily). One way to do this is to begin a walking program to improve fitness levels. Other treatments seem to include: oxygen therapy, the hormone-progesterone and various other medications. Your mother needs to see a doctor who can determine the cause of her pickwickian syndrome in order to find the appropriate treatment. I hope this information gave you a start. I wish you the best of luck in your search for more information. I also hope your mother is able to find some medical help.

14. Index Obesity. Obesity. pickwickian syndrome. Obsessive compulsive disorders. Obsessivecompulsivedisorder. Obstetrics. Obstetrical emergencies. Occupational diseases. http://www.hendrickhealth.org/healthy/indexO.htm

A B C D ... N O P Q R S ... Z Obesity Obesity Pickwickian syndrome Obsessive compulsive disorders Obsessive-compulsive disorder Obstetrics Obstetrical emergencies Occupational diseases Occupational asthma Occupational therapy Rehabilitation Olfaction disorders Smelling disorders Onychomycosis Onychomycosis Ophthalmic antibiotics Antibiotics, ophthalmic Ophthalmoplegia Ophthalmoplegia Opioids Analgesics, opioid Opportunistic infections AIDS Mycobacterial infections, atypical Oppositional defiant disorder Oppositional defiant disorder Optic atrophy Optic atrophy Optic nerve diseases Papilledema Optic neuritis Optic neuritis Oral candidiasis Candidiasis Oral contraceptives Oral contraceptives Oral hygiene Oral hygiene Tooth decay Oral surgery Root canal treatment Orchitis Orchitis Orthodontics Malocclusion Orthopedic fixation devices Immobilization Orthopedic surgery Orthopedic surgery Orthostatic hypotension Orthostatic hypotension Shy-Drager syndrome Osteitis deformans Paget's disease of bone Osteoarthritis Osteoarthritis Osteochondritis Osteochondroses Osteogenesis imperfecta Osteogenesis imperfecta Osteomalacia Vitamin D deficiency Osteomyelitis Osteomyelitis Osteopathy Osteopathy Osteopetrosis Osteopetroses Osteoporosis Bone density test Hormone replacement therapy Osteoporosis Osteosarcoma Sarcomas Otitis externa Otitis externa Otitis media Otitis media Otorhinolaryngologic tumors Nasal papillomas Otosclerosis Otosclerosis Otoscopy Ear exam with an otoscope Ovarian cancer Oophorectomy Ovarian cancer Ovarian cysts Infertility drugs Ovarian cysts Ovarian diseases Ovarian torsion Ovariectomy

15. Web Search Results - Excite 3. Re pickwickian syndrome. Re pickwickian syndrome. In Reply to pickwickian syndrome posted by Terri Griffith http://search.excite.com/search.gw?search=Pickwickian+Syndrome

16. Arch Dermatol -- Page Not Found 137;508510, April 2001, pickwickian syndrome and Vanishing Finger Pebbles, BrigitteGranel, MD; Jacques Serratrice, MD; Hicham Mohamed, MD; Claude Weiller http://archderm.ama-assn.org/issues/v137n4/ffull/dlt0401-7.html

Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery MSJAMA Science News Updates Meetings Peer Review Congress The page you requested was not found. The JAMA Archives Journals Web site has been redesigned to provide you with improved layout, features, and functionality. The location of the page you requested may have changed. To find the page you requested, click here HOME CURRENT ISSUE PAST ISSUES ... HELP Error 404 - "Not Found"

17. The Ultimate Guide - WebCrawler 3. Re pickwickian syndrome. Re pickwickian syndrome. In Reply to pickwickian syndrome posted by Terri Griffith http://www.webcrawler.com/cgi-bin/WebQuery?searchText=Pickwickian+Syndrome

18. History Of Clinical Research On The Sleep Apnea Syndrome later in the 19th century of other hypersomnolent, obese patients with loud snoring,which came to be called the pickwickian syndrome in reference to Dickens http://www.talkaboutsleep.com/Info/KLW/SleepApnea36.htm

Search Our Site! To narrow search, use " " marks (e.g. "sleep apnea") Abstract #36 Return to "A Doctor's Perspective" History of Clinical Research on the Sleep Apnea Syndrome Wolfgang Kuhl Deutsche Klinik fur Diagnostik, Wiebaden, Deutschland Published in Respiration Vol. 64(Supple 1) pp 5-10, 1997 Summary Berger noted changing patterns of EEG activity with changing levels of consciousness, from wakefulness to sleep. Recording of the EEG with other physiological measures, especially eye movements, enabled Dement and Kleitman in 1957 to define different stages of sleep, particularly the recurrent cycling throughout the night of Rapid Eye Movement (REM) sleep, associated with the waking pattern of the EEG but no return of consciousness or responsiveness to the outside environment. But clinical research doesn't always require complex technology. In the earliest stages of discovery, just describing a disease well from a clinical standpoint is an important step. Almost a hundred years before Berger, Charles Dickens wrote a vivid description on what later became identified as a stereotypical, severe form of sleep apnea in a character called "Fat Joe" from

19. Directory Vaionline: Siti_Mondiali/Health/Conditions_and_Diseases/Sleep_Disorder Obesity Hypoventilation Syndrome pickwickian syndrome a group of symptoms that can accompany massive obesity. http://directory.vaionline.it/Siti_Mondiali/Health/Conditions_and_Diseases/Sleep

in questa categoria in tutti siti mondiali Home Health Breathing Disorders During Sleep - Signs and symptoms of sleep apnea and Pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. Obesity Hypoventilation Syndrome - Pickwickian syndrome: a group of symptoms that can accompany massive obesity. Information and links to related disorders. Obstructive Sleep Apnea - History, epidemiology, pathophysiology, and treatment of Pickwickian Syndrome. Pickwickian - A physician's story of a patient with the syndrome. Pickwickian Syndrome - Neuroweb posting giving information and advice. Pickwickian Syndromes - Vanderbilt University discussion of the history of naming the syndrome, the causes, and its progression. Sleep Apneas - Discussion of different sleep apneas, including a history of Pickwickian syndrome. Help build the largest human-edited directory on the web. Submit a Site Open Directory Project Become an Editor Registrazione ... Borsa

20. Pickwickian Syndrome only one click For Medical Professionals only. pickwickian syndrome,,Print this article, (from the description of the fat boy http://www.amershamhealth.com/medcyclopaedia/Volume V 2/PICKWICKIAN SYNDROME.asp

Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase. All forms of the word are searchable. Advanced search Browse entry words starting with: A B C D ... Other characters Try our Medcyclopaedia Premium Edition with added tools and functionality tailored to make your working day easier. The following tools are presently available: Expanded search *For Medical Professionals only, registration required Pickwickian syndrome, (from the description of the fat boy in Dickens' "Pickwick Papers") combination of obesity, somnolence, plethora and oedema. This association of severe obesity with alveolar hypoventilation may cause pulmonary arterial hypertension CBH The Encyclopaedia of Medical Imaging Volume V:2 Welcome to Medcyclopaedia. This site is open to a public audience, still we want to know a little more about our visitors. Please tick off the boxes that match your profile. Do you live in Europe? Yes No Are you a medical professional? Yes No This frame will disappear when submitted Legal Contact us Making Waves

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