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Latest Activity

Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
yesterday
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
yesterday
Oscar Lemus updated their profile
Friday
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Friday
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Friday
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23
Mary Z replied to ZolliStar's discussion Non-invasion approach that can relieve mild sleep apnea
"Hi ZolliStar, I've heard before that speech therapy, or singing lessons can help sleep apnea.  The problem at that time was there was no way to determine which exercises help.  Getting research done, rather than anecdotal would be…"
Jul 28
ZolliStar posted a discussion

Non-invasion approach that can relieve mild sleep apnea

Some people report that singing -- singing! -- really helps their sleep apnea. Dr. Stephen Park said that myology (which are exercises to strengthen muscles around the inside of one's mouth area) helps some. I think singing would be better.  If you read all the FAQs on this (click below), I think you'll agree that it makes sense for some. Maybe you.http://www.singingforsnorers.com/index.htmSee More
Jul 28
ZolliStar posted a discussion
Jul 20
liz4cps commented on liz4cps's group Prince William Co, VA support group
"I talked to Kimberlie at the Novant Sleep lab last week (at Prince William Hospital) and she said they would not be holding any meetings this year but are planning to start holding meetings again next year.  I'll let you know when we have…"
Jul 14
richard graham posted a status
"I just have mask called the Wisp. Hope it works. Anybody have experience with it. I have an ultra mirage nasal mask and get leaks at brid"
Jul 9
Andy posted a discussion

Resmed S8 AutoSet II - No Longer Collecting Data??

Hi All,First off, my apologies for not checking in for a long time.I've been using my Resmed S8 AutoSet II for almost 3 years! I feel great, have lost almost 30 lbs, am no longer sleepy during the day, sleep through the night, and have my short-term memory back.Yay!I've told my doctors that I'm the "poster child" for Sleep Apnea and CPAPs! It's been, and continues to be, such an amazing experience that I want everyone to know!Everything has been going well in CPAP-land, but in the last few…See More
Jul 7
hifay replied to richard graham's discussion mouth breathing
"What type of chin straps?"
Jul 6
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"No real improvement in sleep study.  Just not having to use cervical neck color.  What a bummer. Surgeon wants another sleep study in about a month or so (home one) Not sure if will do or not. "
Jun 22
Mary Z replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Ginny, how are you doing after the tongue procedure?"
Jun 22
Mary Z posted a discussion

AHI finally under five.

I have been on CPAP since March 2008 and had a good AHI when I started therapy (under 5).Then my AHI started getting worse- for a while it stayed in the 20's, then we got it to the high teens.  Nothing we did would help.  My doctor said it was due to the meds I take.  For a couple of years I just tolerated the high AHI.  I did another sleep study and changed to an ASV machine.  For two years I still had a AHI around 11-13.  Then all of a sudden - a month ago I noticed my AHI was running five or…See More
Jun 22
ZolliStar replied to richard graham's discussion mouth breathing
"FWIW, I've been alternating between my mouth device and my APAP. I haven't used humidity at all when I use the APAP -- and don't miss it, either. "
Jun 14
richard graham replied to richard graham's discussion mouth breathing
"I still use humidity but less of it. It seems to be working OK.."
Jun 14
ZolliStar replied to richard graham's discussion mouth breathing
"I rarely use the humidifier. I think it's less necessary during the summer when there is humidity.   I also switch between my mouth device and the APAP.  I like each for different reasons. Not sure with which I sleep better, though.…"
May 21

CPAP Compliance Better When Titrations Include Sedatives

If you are administered sedatives during your titration sleep study, you have a better shot at long-term compliance after the study, a new study shows... thought this was of interest:

by David Douglas

Last Updated: 2009-11-16 16:34:05 -0400 (Reuters Health)

NEW YORK (Reuters Health) - Giving sedatives during continuous positive airway pressure (CPAP) titration will improve patients' subsequent compliance, researchers report in the November issue of Chest.

"Obstructive sleep apnea is becoming increasingly prevalent," lead investigator Dr. Christopher J. Lettieri told Reuters Health. "CPAP remains the treatment of choice for most patients. Unfortunately many people are intolerant of CPAP initially because they find it uncomfortable or because they have a difficult time falling asleep with it on."

"Once they become accustomed to CPAP," he added, "their adherence is typically very good. However, many people discontinue the use of CPAP early on and never get to this point."

Dr. Lettieri and his colleagues at Walter Reed Army Medical Center, Washington DC randomized 117 patients to receive a 2-week course of 3 mg of eszopiclone or placebo during CPAP titration. Ninety-eight patients completed the study.

Eszopiclone produced significant improvements in mean sleep efficiency, total sleep time and the number of residual obstructive events seen at the final CPAP titration, compared to placebo.

Over the first 4 to 6 weeks, the active-treatment group showed significantly better compliance. They used CPAP on a higher percentage of nights (75.9% versus 60.1%) and for more hours per night (4.8 versus 3.9 hours).

Intent-to-treat analysis, which assumed that subjects who did not return for follow-up did not use CPAP at all, still showed a tendency toward greater compliance in the premedication group.

"Not only did they use it more, but less of them discontinued CPAP," Dr. Lettieri said.

"Given the prevalence of sleep apnea and the common difficulties patients have with CPAP, this and other interventions aimed at improving the initial experience with CPAP may help improve adherence," he concluded.

Chest 2009;136:1263-1268.
http://www.rtmagazine.com/reuters_article.asp?id=20091116clin014.html
Copyright Reuters 2009.

Tags: compliance, sedatives, subsequent, titration

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What I have trouble understanding is why in this day and age w/computers in so many homes and computer use required on so many jobs and therefore so many computer literate people in this country rather than getting anxious and in a twit when a sleep study is suggested or they have completed their sleep evaluation PSG and are awaiting their titration PSG WHY they don't get on the computer and look up OSA and polysomnography and end up in these forums and relieve so much of their anxiety.

My husband is one of "those" people who just does what the doctor says and doesn't question anything and drives me up a wall!!! I do NOT understand people so willnig and content to be so darn IGNORANT of their health condtions and treatment!!!!! My husband has a saying about some people: "He may not be dumb, but he sure is STUIPD!" meaning the person is educated, normal intelligence, etc., etc. but doesn't use his smarts and makes absolutely asinine decisions and mistakes. My husband is NOT dumb - but - when it comes to his medical care he is absolutely STUPID!!!!
This point may be supported
by research demonstrating that an increase in sleep efficiency
(SE) during CPAP titration compared to the diagnostic night
was found to be the only significant predictor of objectively
measured CPAP adherence after controlling for indices of OSA
severity and sleep quality during the diagnostic night. Specifically,
patients who had their SE increase used their machines an
average of 2 hours more per night than those who did not have
their SE increase.
I totally agree Judy.

I know there are several others that have sleep apnea where I teach. I have learned not to discuss it with them cause NOT one can tell you which machine they use, what their pressure is, etc. let alone monitor their therapy. It drives me nuts. How can they not care?
Ahh, SleepyCarol. Our local support group meetings ..... I honestly do NOT know WHY a good number of the members come to the meetings!!! Talk about not knowin' nuttin'!!!

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