Fatigue Is a Monster for Patients With Pulmonary Disease

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Fatigue Is a Monster for Patients With Pulmonary Disease
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Fatigue is a monster for patients with pulmonary disease. MedTwitter PulmTwitter

If you're looking for it, you'll find fatigue almost everywhere. It's so common that it hides in plain sight, never dealt with because it's present for good reason. The inevitable consequence of age, whatever disease you're treating, poor lifestyle choices, and the daily grind of twenty-first–century life. Its impact is so ubiquitous and pernicious that it's considered acceptable.

Outside of sleep medicine, I see little focus on fatigue among pulmonologists. This despite the existing data on fatigue related to sarcoidosis, chronic obstructive pulmonary disease , and interstitial lung disease. Even when we do pay it lip service,"addressing" fatigue or sleep is essentially a euphemism for ordering a sleep study.

The cancer-related fatigue data that does exist suggests treatment starts with recognition followed by a focus on sleep, exercise, and nutrition. This should surprise no one. The shows that although fatigue is not synonymous with poor quality or insufficient sleep, sleep is usually a major factor. The cancer-related conditions affecting sleep include anxiety, depression, insufficient sleep, insomnia, medication side effects, and OSA.

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