Croup: coughs that go bark in the night

Benjamin M. Starnes, MD, FAAP

Benjamin M. Starnes, MD, FAAP
Swedish Queen Anne Primary Care

Croup is a common childhood illness that can be very frightening to a parent or child. It often starts with the symptoms of a mild cold, such as a runny nose, or sore throat. The child goes to bed as usual and then wakes suddenly in the middle of the night with a barking cough. Often they gasp in between the coughs and make a high-pitched noise called stridor when they breathe in.

Thankfully, croup is rarely dangerous. Most children can be treated at home. But it can be a scary illness for both the parent and the child.

It is important to know how to treat croup at home and when to seek help from your doctor or the emergency room....

Multiple Sclerosis Center Celebrates First Anniversary

Kate Floyd

Kate Floyd
Education Coordinator, Swedish MS Center

One year ago today, the first patients visited the brand new Multiple Sclerosis (MS) Center at Swedish Neuroscience Institute. The 11,700-square-foot facility was designed around the patient experience as part of the MS Center’s commitment to treating the whole person and addressing each patient’s individual emotional, psychological, social and physical needs in a supportive environment.

Since we opened our doors on April 9, 2012, we’ve hit a few new milestones:

  • More than 5,400 total patients, including 620 new faces, from around the world received care from our comprehensive treatment team in the last 12 months.

  • We welcomed three new providers: neurologist Peiqing Qian, M.D.; physical therapist Kim Kobata, PT; and neuro-psychiatrist Lina Fine, M.D., M.Phil.

  • We completed the Pigott Terrace. The 1,500-square-foot outdoor therapy terrace includes a one-of-a-kind system that enables patients to ...

Current Exercise Concepts for People with Parkinson’s Disease

Tim Pazier, PT, MPT

Tim Pazier, PT, MPT
Physical Therapist, Swedish/Redmond

Research over the last several years has shown the positive benefits of exercise for people with Parkinson’s disease. Participants in physical therapy exercise programs demonstrate improved reaction time and balance, increased endurance and augmented strength. These gains in function can result in decreased falling, more energy to get around the home or community, and ultimately a better quality of life.

Evidence also points to HOW you exercise as an important variable in slowing the disease process. Concepts such as neural priming, movement visualization, whole body exercise, and intensity of practice all contribute to functional gains for people with PD.

Come to Swedish/Issaquah on April 22 to hear about these concepts AND get a chance to practice these exercises in class. The event is FREE. Please...

Caring for your child's cast

Carlo Daquigan, LPN

Carlo Daquigan, LPN
LPN, Swedish Pediatric Specialty Care

Kids of all generations from all walks of life have one thing in common and that is the love of play and imagination. Play structures, a couch turned to a fort, or their sworn innate ability to fly can take a sour turn. As much as we would like to wrap our little Spider Mans, Incredible Hulks and Wonder Women in bubble wrap, unfortunately life’s little incidences are inevitable.

If ever the time comes where your Super Hero suffers from an injury and needs a cast, it is time to put on your Super Parent costume.

Here are some helpful tips on cast care for the Super Parent:

  • Bathing: Absolutely no showers. We ask parents to give kids a bath instead, keeping the casted limb outside of the tub. In addition, we suggest wrapping the cast with a towel and covering with a newspaper bag or bread bag and closing it off with a rubber band at the top for added protection.
  • Itching: The golden rule of having a cast is DO NOT STICK ANYTHING IN THE CAST! Scratching an itch with an object can cause the skin to break underneath the cast, leaving room for infection. If your child has itching, tapping on the outside of the cast or using a hair dryer set on cool can help.
  • If a cast...

Tips for getting the most out of your inhalers

J. Bruce Williams, MD

J. Bruce Williams, MD
Internal Medicine

“Darn! My inhaler is out and I am going to have to call today, a Sunday, to get a refill…”

Spring is here! And that means asthma season is back, and with the nicer weather, pollen counts are high. Flowers are wonderful and the trees beautiful, but if you are like me, some of those plants have your number. The beautiful smells come with itchy eyes, sneezes, and for some, a serious amount of wheezing.

Patients are reaching for their inhalers more often, and sometimes getting into serious respiratory trouble, especially if their medication is running short. Inhalers are expensive, too, and so using them optimally is both financially and healthfully important.

Fortunately, a couple of tricks can really help maximize an asthma spray’s value.

The medication comes out fast and hard when you squeeze the canister, and it can be difficult to time your breath to inhale the dose well, plus with the energy of the release being so high, a lot of misted drug can zoom right out of your mouth. The trick is to use a ‘spacer’, and the simplest is a rolled up piece of paper, to about a one inch diameter. Tuck the sprayer in the far end, wrap your lips around the outside of the other end, and take your leisure squeezing and breathing! The tube holds the mist in place for a few seconds, letting you better coordinate your inhalation and improve substantially the amount of drug you get to where it is needed.

The second tip is to use a steroid inhaler daily if you need your rescue inhaler more than a few times a week. The rescue inhaler will become less effective the more you use it if you don’t directly treat the inflammation of the allergic response in your bronchial tubes with a low dose of cortisone type medication. The dose of the latter is small and will not cause harm to the rest of your system if used according to directions, but it will keep your rescue medication most beneficial!

Staying productive in the workplace with Multiple Sclerosis (MS)

Kate Floyd

Kate Floyd
Education Coordinator, Swedish MS Center

"But you're so young!" is a reaction a many people with multiple sclerosis (MS) may hear when they talk about their diagnosis. There is a common misconception that MS is diagnosed older or appear much more disabled. However, most people are diagnosed between the ages of 20 and 40, smack in the prime of her or his life and career.

MS symptoms may affect a person's ability to work and participate in an educational program more or less depending on the course of their disease. Many people wonder if they can keep working or they quit because of their MS limitations, causing financial stress.

There is a place in the workplace for people with MS and there are options to support you. Shaheen Virani is a Certified Rehabilitation Counselor at the MS Center at Swedish. A vocational counselor can help people living with MS navigate their employment options, whether it is to continue working, make a career change or apply for disability.

Vocational services at the MS Center are free and can often be coordinated with other appointments on the same day. A counselor can support people with MS in many ways, including:

Two years in the life of the Swedish blog

Dana Lewis

Dana Lewis
Digital Media & Internal Communications | Swedish Blog Administrator

For those of you who don't know, today is the official two year anniversary of the Swedish blog - this means Swedish has been blogging several times a week for two full years!

What have we been blogging about this year?

Who's been blogging?

We've had people from across Swedish blogging (more than 100 the last time we checked), including:

  • Surgeons

  • Nurses

  • Family Medicine and Primary Care Physicians

  • Dietitians

  • Educators

  • (And many others!)

Why are we blogging?

We started the blog as a way to connect with you (our community), whether you're a current patient, a past patient, a future patient…or just someone who stumbled across our site looking for health information. We believe our role is to be a resource of information, both online and off. Blogging gives us an easy way to keep you up to date, informed, and engaged on a number of health topics

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Top Authors

Jennifer Wojciechowski
Dana Lewis

Dana Lewis
Digital Media & Internal Communications | Swedish Blog Administrator

Natalie Kozimor

Natalie Kozimor
Senior Communications Specialist

Kaetlin Miller, MPH, CHES

Kaetlin Miller, MPH, CHES
Health Education Specialist

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