
Institute for Respiratory and Sleep Medicine.
Metro: 08 6200 0877
Bunbury: 08 9711 1889
Conditions we manage
Specialist assessment and management of respiratory and sleep conditions — from common presentations to complex and unclear cases.
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Many patients are not straightforward. We focus on cases where diagnosis or management is uncertain.


Not Just Conditions — Clinical Problems
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Patients rarely present with a diagnosis.
They present with symptoms, uncertainty, and incomplete answers.
At Western Respiratory Sleep, we manage:
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Clearly defined respiratory and sleep conditions
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Patients with persistent symptoms despite normal initial investigations
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Cases where diagnosis and management remain unclear
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Our role is not just to confirm disease — but to clarify what is actually going on and what to do next.
We provide specialist assessment and management of
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Asthma (including difficult-to-control or atypical asthma)
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Chronic cough
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Bronchiectasis
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Chronic obstructive pulmonary disease (COPD)
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Small airway disease
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Unexplained breathlessness
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Post-infectious or persistent respiratory symptoms
Sleep Conditions we assess and manage:
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Obstructive sleep apnoea (including atypical presentations)
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Upper airway resistance syndrome / flow limitation / snoring
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Abnormal movements during sleep
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Excessive daytime fatigue and non-restorative sleep
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Insomnia (when related to physiological factors)
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Sleep disorders are often under-recognised when screening tools are normal or symptoms are subtle.
Patients Without a Clear Diagnosis
We frequently assess patients with:
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Normal spirometry but persistent symptoms
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“Normal” sleep studies but ongoing fatigue
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Symptoms that do not fit a clear diagnosis
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Poor response to standard treatment​
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These patients require advanced diagnostics and specialist interpretation.
When to Refer
Refer when you see:
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Chronic cough without clear cause
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Breathlessness unexplained by initial testing
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Suspected asthma not responding to treatment
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Fatigue or sleep concerns not explained by screening tools
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Discrepancy between symptoms and investigation results
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Recurrent or persistent respiratory symptoms
These are situations where further specialist evaluation changes management.
Integrated Care
Patients are managed within a physician-led system that integrates:
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Specialist respiratory and sleep physicians
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Advanced diagnostic testing
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Individualised treatment pathways
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Ongoing monitoring and follow-up
This ensures clear, actionable management plans.