1. Pickwickian Syndrome, Obesity, Daytime Sleepiness, PCO2, Hypoventilation, Intens "We Can't Kill Your Mother" and Other Stories of Intensive Care. by Lawrence Martin, M.D. Table of Contents. 12. Pickwickian Below are the first few paragraphs of PICKWICKIAN. I knew Gloria Fallows for about two years before as typical of pickwickian 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 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.

3. Pickwickian Syndrome pickwickian syndrome. DESCRIPTION Extreme obesity with polycythemia, somnolence, hypoventilation, arterial unsaturation http://www.5mcc.com/Assets/SUMMARY/TP0693.html

Pickwickian syndrome DESCRIPTION: Extreme obesity with polycythemia, somnolence, hypoventilation, arterial unsaturation and hypercapnia, and pulmonary hypertension. Usual course - chronic; intermittent. CAUSES: marked obesity Synonyms: hypoventilation associated with extreme obesity ICD-9-CM: 278.8 other hyperalimentation Author(s): Mark R. Dambro, MD

4. The Pickwickian Syndrome The pickwickian syndrome. I am sleep apnea. Because of Dickens novel,the disorder has become known as The pickwickian syndrome. http://sleepdisorders.about.com/cs/sleepapnea/a/Pickwick.htm

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Sleep Disorders Home Essentials ... How To Index zau(256,152,145,'gob','http://z.about.com/5/ad/go.htm?gs='+gs,''); Sleep Apnea Snoring Narcolepsy Insomnia ... Help zau(256,138,125,'el','http://z.about.com/0/ip/417/0.htm','');w(xb+xb); Stay Current Subscribe to the About Sleep Disorders newsletter. zau(256,152,100,'hs','http://z.about.com/5/ad/hs.htm?zIhsid=00',''); Search Sleep Disorders Fat Joe Fat Joe Email to a friend Print this page Stay Current Subscribe to the About Sleep Disorders newsletter. Suggested Reading To Sleep Better, Eat Right Wrestling With Apnea Apnea and Football From Other Guides About Pickwickian Syndrome Charles Dickens (1812-1870) Biology not willpower key to obesity Elsewhere on the Web Pickwickian syndrome History of Sleep Apnea Syndrome "Fat Boy:" A Classic Case of What? Most Popular Night Sweats - The Basics How To Cope With Night Sweats Night Sweats Ten Myths About Sleep ... Relaxing Massage Techniques What's Hot Old Wives' Tales Mattresses and Beds The Terror of Sleep Paralysis How To Choose A Bed Or Mattress ... The "Night Owl" Syndrome The Pickwickian Syndrome From Florence Cardinal Your Guide to Sleep Disorders Sign up for my Newsletter May 10 2003 Sound Familiar?

5. Pickwickian Syndrome - Information / Diagnosis / Treatment / Prevention home sleep disorders sleep apnea pickwickian syndrome pickwickian syndrome. Pickwickian A physician s story of a patient with the syndrome. http://www.healthcyclopedia.com/sleep-disorders/sleep-apnea/pickwickian-syndrome

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... sleep apnea > pickwickian syndrome Pickwickian Syndrome Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Medical Definition Health News Web Directory: Related Topics: Cardiovascular Disorders/Heart Disease/Cor Pulmonale Nutrition and Metabolism Disorders/Obesity Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "pickwickian syndrome" Health News: Search millions of published articles for news on Pickwickian Syndrome Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: 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.

6. 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

The Vanderbilt Pediatric Interactive Digital Library is no longer online as of April 14, 2003. Alternative Resources: Vanderbilt Children's Hospital Vanderbilt Children's Hospital - Health Topics Vanderbilt Children's Hospital Digital Library

7. 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.

8. EarthLink-Health Library Definition. pickwickian syndrome is a disorder that was named after Joe, the fat, red faced boy The pickwickian syndrome consists of moderate to extreme obesity, alveolar (a hollow http://www.healthscout.com/ency/43/745/main.html

Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Advertisement Library A B C D ... Y Pickwickian Syndrome From Our Sponsors: Advertisement Definition Pickwickian syndrome is a disorder that was named after Joe, the fat, red faced boy in Charles Dickens' The Pickwick Papers This syndrome is a combination of obstructive apnea in moderately to severely obese people, most of whom attempt to sleep face up. Description About 2.5 million people in the U.S. suffer from sleep apnea (episodes of cessation of breathing during sleep) with men outnumbering women. The several conditions often associated with obstructive sleep apnea include obesity and a short thick neck, and reduction in muscle tone of the soft palate, the uvula (the small, conical, fleshy tissue hanging from the center of the soft palate), and the pharynx. The upper airway may be narrowed by enlarged tonsils or adenoids, a deviated nasal septum, nasal polyps, or congenital abnormalities. Even at high altitudes sleep disruption may occur because of low oxygen concentration. The Pickwickian syndrome consists of moderate to extreme obesity, alveolar (a hollow sac or cavity) hypoventilation, prolonged drowsiness, twitching, cyanosis (a dark bluish to purplish coloration of the skin), periodic breathing, secondary polycythemia (excessive red blood cells caused by low oxygen), and right sided heart failure. Details of the origin and development of this obesity hypoventilation syndrome are unknown, as is its true incidence. Studies show that the syndrome can exist in non-obese patients as well.

9. Pickwickian Syndrome . pickwickian syndrome isa complex of symptoms that primarily affect patients with extreme obesity.......MAIN SEARCH INDEX. pickwickian syndrome. http://www.ehendrick.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.

10. Did You Know - About Pickwickian Syndrome? Did you know that there is a serious medical disorder named after a Dickens character? Find out about pickwickian syndrome here. pickwickian syndrome", also known as obesity hypoventilation syndrome, is named after Joe Patients with pickwickian syndrome are often severely compromised in their activities of http://nursing.about.com/library/1999/bldyk042402.htm?iam=metaiq&terms=hypov

11. AllRefer Health - Obesity Hypoventilation Syndrome (OHS) (Pickwickian Syndrome) Obesity Hypoventilation Syndrome (OHS) (pickwickian syndrome) information centercovers causes, prevention, symptoms, diagnosis, treatment, incidence, risk http://health.allrefer.com/health/obesity-hypoventilation-syndrome-ohs-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia You are here : AllRefer.com Health Obesity Hypoventilation Syndrome (OHS) Obesity Hypoventilation Syndrome (OHS) Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Pickwickian Syndrome Definition Obesity hypoventilation syndrome (OHS) is a condition related to (but can occur separately from) obstructive sleep apnea . In OHS, a very obese person does not breathe a sufficient amount of oxygen during sleep or while awake. Respiratory System The cause of OHS in unknown, but it likely involves a combination of a disorder in the brain's control over breathing and the effects of obesity on the chest wall. With the excess weight of massive obesity, the muscles of the chest wall can have difficulty expanding the chest enough to exchange air efficiently. This results in a decreased ability to oxygenate the blood, and the retention of carbon dioxide (see

12. Pickwickian Syndrome . Causes and symptoms. Diagnosis. Treatment. Prognosis. Prevention. Key Terms. Resources. Definition. A group of symptoms that generally accompany massive......pickwickian syndrome. Definition. http://www.ehendrick.com/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 - Medical Dictionary Definitions Of Popular Medical Terms MedicineNet Home MedTerms medical dictionary AZList pickwickian syndrome. Advanced Search. http://www.medterms.com/script/main/art.asp?articlekey=4896

14. Pickwickian Syndrome pickwickian syndrome is a disorder that was named after Joe, the fat, red faced boy in low oxygen concentration. The pickwickian syndrome consists of moderate to extreme obesity http://www.abc25.com/global/story.asp?s=1230816

15. Pickwickian Syndrome - Encyclopedia Article About Pickwickian Syndrome. Free Acc encyclopedia article about pickwickian syndrome. pickwickian syndrome in Freeonline English dictionary, thesaurus and encyclopedia. pickwickian syndrome. http://encyclopedia.thefreedictionary.com/Pickwickian syndrome

Dictionaries: General Computing Medical Legal Encyclopedia Pickwickian syndrome Word: Word Starts with Ends with Definition Also known as obesity hypoventilation syndrome, the Pickwickian syndrome is a bit of an anomaly amongst eponymous syndromes as it is neither named for a doctor who first described the condition nor a famous patient who had it. In The Posthumous Papers of the Pickwick Club , originally published in 1837 by Charles Dickens Charles John Huffam Dickens (February 7, 1812 - June 9, 1870) was a British writer of the Victorian era. His books remain in print. Charles was born in Portsmouth, England, to John Dickens, a naval pay clerk, and his wife Elizabeth Barrow. When Charles was five, the family moved to Chatham, Kent. When he was ten, the family relocated to Camden Town in London. He received some education Click the link for more information. , there was an extremely obese boy named Joe who could not help falling asleep during the day. A most violent and startling knocking was heard at the door; it was not an ordinary double knock, but a constant and uninterrupted succession of the loudest single raps, as if the knocker were endowed with the perpetual motion, or the person outside had forgotten to leave off. . . The object that presented itself to the eyes of the astonished clerk, was a boy - a wonderfully fat boy - habited as a serving lad, standing upright on the mat, with his eyes closed as if in sleep. He had never seen such a fat boy, in or out of a travelling caravan; and this, coupled with the calmness and repose of his appearance, so very different from what was reasonably to have been expected in the inflicter of such knock, smote him with wonder.

16. USA Today-Health Library pickwickian syndrome Definition pickwickian syndrome is a disorder that was namedafter Joe, the fat, red faced boy in Charles Dickens The Pickwick Papers. http://www.healthscout.com/ency/68/745/main.html

News Front Nationline Washington World ... Columnists Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Library A B C D ... Y Pickwickian Syndrome From Our Sponsors: Advertisement Definition Pickwickian syndrome is a disorder that was named after Joe, the fat, red faced boy in Charles Dickens' The Pickwick Papers This syndrome is a combination of obstructive apnea in moderately to severely obese people, most of whom attempt to sleep face up. Description About 2.5 million people in the U.S. suffer from sleep apnea (episodes of cessation of breathing during sleep) with men outnumbering women. The several conditions often associated with obstructive sleep apnea include obesity and a short thick neck, and reduction in muscle tone of the soft palate, the uvula (the small, conical, fleshy tissue hanging from the center of the soft palate), and the pharynx. The upper airway may be narrowed by enlarged tonsils or adenoids, a deviated nasal septum, nasal polyps, or congenital abnormalities. Even at high altitudes sleep disruption may occur because of low oxygen concentration. The Pickwickian syndrome consists of moderate to extreme obesity, alveolar (a hollow sac or cavity) hypoventilation, prolonged drowsiness, twitching, cyanosis (a dark bluish to purplish coloration of the skin), periodic breathing, secondary polycythemia (excessive red blood cells caused by low oxygen), and right sided heart failure. Details of the origin and development of this obesity hypoventilation syndrome are unknown, as is its true incidence. Studies show that the syndrome can exist in non-obese patients as well.

17. Pickwickian Syndrome Browse entry words starting with A, B, C, D, E, F, G, H, I, J, K, L, M,N, O, P, Q, R, S, T, U, V, W, X, Y, Z, Other characters, pickwickian syndrome,.Print this article, http://www.amershamhealth.com/medcyclopaedia/medical/Volume V 2/PICKWICKIAN SYND

Amershamhealth.com Search for: Type a word or a phrase. All forms of the word are searchable. Browse entry words starting with: A B C D ... Other characters 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 Contacts GE Healthcare Making Waves

18. Pickwickian Syndrome Information Diseases Database pickwickian syndrome Medical dictionary, library and search resources Send Pickwickiansyndrome to medical search engines (JavaScript enabled browsers only). http://www.diseasesdatabase.com/ddb32243.htm

Diseases Database Index Sponsors Contact ... Previous Page Pickwickian syndrome Information Search Pickwickian syndrome may be caused by or feature of (Follow link for list) may cause or feature (Follow link for list) may be associated with (Follow link for list) belong(s) to the category of (Follow link for list) Pickwickian syndrome: Definition(s) via UMLS Code translations and terms via UMLS Send Pickwickian syndrome to medical search engines (JavaScript enabled browsers only) If your browser has no JavaScript you can still use these: Search using Internet medical databases Search using Internet search engines (non-specialist) We subscribe to the HONcode principles of the Health On the Net Foundation i-medicine.info - the evidence based medicine, informatics and audit portal Valid XHTML 1.0 Served 2004-06-03 02:07:18 Metadata Updated 2004-05-22

19. Disease Directory : Sleep Disorders : Sleep Apnea : Pickwickian Syndrome »pickwickian syndrome Movie Reviews«« pickwickian syndrome Movie Reviews.Related Subjects Conditions_and_Diseases. Re pickwickian syndrome. http://www.diseasedirectory.net/Sleep_Disorders/Sleep_Apnea/Pickwickian_Syndrome

Wednesday, June 02, 2004 Sleep Disorders Sleep Apnea Pickwickian Syndrome Diseases ... Sleep Apnea : Pickwickian Syndrome »»Pickwickian Syndrome Movie Reviews«« - Pickwickian Syndrome Movie Reviews. Related Subjects: Conditions_and_Diseases. Family movie reviews for "Pickwickian Syndrome" sorted by average review score: AllRefer Health - Obesity Hypoventilation Syndrome (OHS) ... - Obesity Hypoventilation Syndrome (OHS) (Pickwickian Syndrome) information center covers Prevention. Chest: The Obesity-Hypoventilation Syndrome Revisited ... Chest: The Obesity-Hypoventilation Syndrome Revisited.(pickwickian ... Conditions and Diseases - Pickwickian Syndrome Top Links - Pickwickian Syndrome Web Site Links. Pickwickian Syndromes - Vanderbilt University discussion of the history of naming the syndrome Conditions and Diseases: Sleep Disorders: Sleep Apnea: Pickwickian ... DISEASE: Pickwickian Syndrome - During Sleep Signs and symptoms of sleep apnea and Pickwickian syndrome; effects on the heart and other systems; treatment options; therapy and research. Geometry.Net - Health_Conditions: Pickwickian Syndrome

20. Disease Directory : Pickwickian Syndrome Pickwickiansyndrome. DESCRIPTION Extreme obesity with polycythemia, somnolence...... Directory Listing. Title pickwickian syndrome http://www.diseasedirectory.net/detailed/27040.aspx

Wednesday, June 02, 2004 Sleep Disorders Sleep Apnea Pickwickian Syndrome Diseases ... Pickwickian Syndrome : Pickwickian syndrome Directory Listing Title: Pickwickian syndrome Description: Pickwickian syndrome. DESCRIPTION: Extreme obesity with polycythemia, somnolence, hypoventilation, arterial unsaturation and hypercapnia Date Added: 2/17/2004 3:26:08 PM URL: http://www.5mcc.com/Assets/SUMMARY/TP0693.html

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