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Dr. Oz had a couple on today (Friday, March 5) who both have sleep apnea. He had some video of the man snoring, then put both in theTruth Tube. Issues discussed were neck size, weight, blood pressure, daytime sleepiness, headaches, BMI.

He had them both take an at-home test (not shown, just the guy with a thing strapped to his head).

Results, man had 67 incidents per hour, woman had not as many but enough for diagnosis.

A Dr. whose name and credentials I did not catch, then discussed 3 steps everyone should take to determine if they have sleep apnea and what to do about it.
Step 1: Do a sleep reality check. Are you getting what you need, based on how you feel daily? You must get enough sleep for a healthy body.
Step 2:  Make lifestyle changes to reduce the physical causes of sleep apnea  (for instance, losing 10% of your body weight will reduce sleep apnea effects by 33%)
Step 3: Use CPAP to keep airways open. (They put a mask on him but didn't fit it etc)  For mild to moderate OSA, you may be able to use an appliance in your mouth at night to pull the jaw forward.

Midwest Sleep Diagnostics clinic in St. Louis MO will be setting them up with CPAP machines, and they will be back on the show at a later date, to see how they are doing.

This is my paraphrasing of what went on, it was pretty fast as is a lot of his stuff, but had all the basics. Will be interesting to see the show when they come back after receiving therapy.

Here is the link to the show, the video of the OSA segment isn't on there yet but probably will be shortly.
http://www.doctoroz.com/


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I don't watch Dr. Oz, but I'm glad he's calling attention to OSA. Dr. Phil Westbrook (sponsored, whatever that means) gives so extensive answers to sleep apnea questions on the site mentioned . Dr. Westbrook goes into detail, including a piece on Home Apnea tests. As Dr. Oz is so popular this is pretty good exposure. Did you know not having a bed partner puts you at risk as there's no one to tell you that you quit breathing during the night? I might have made that up. Dr. Westbrook also says that our PCP's should all be equipped to dianose and treat most simple sleep apnea patients "the average patient with OSA can be, and should be, managed by that patient's own doctor". He talks about the availability of the HST and how they are read. I'm glad my PCP knows when to refer me to a specialist. I can't imagaine that most PCPs have time to deal with sleep apena and treatment. I didn't see any video yet.
Thanks for the link, sherry.

Mary Z.
I think OSA (as well as the complex/central apneas) are woefully ignored and misunderstood by both health professionals and their clients.

Although I am overweight and have a large neck circumference, my PCP never questioned me about snoring, etc. I heard about OSA on my own, and realized that my mother, who was quite thin her entire life, had suffered from it. She napped on the couch a lot, and would give the big snort and wake up..we always thought it was funny, I didn't realize until about a year ago that it was undoubtedly OSA. I recognized the same problem in myself; when I napped in the recliner my throat would close off and I would awaken. This is what led me to tell my PCP; I actually thought I needed for the uvula surgery (and will be pursing that, as I definitely have obstruction even when not sleeping). She sent me to the sleep lab, pretty much kicking and screaming the whole time, as I didn't want to wear the frogman getup to bed! I had a long distance marriage for many years, and snuggling up to my husband in bed is one of the best things about retirement..however, the difference in how I felt after 6 hours of 'sleep' in the sleep lab with the CPAP, versus 10 hours at home without it, plus all the negative effects untreated OSA would have on my health, pretty much made therapy a no-brainer. Luckily I have great health insurance and paid very little for my $5000 SV.

I have been very vocal in informing friends etc about the effects of OSA, but even those who obviously are in need of therapy refuse to seek help because of the high cost, the inconvenience of the titration process and subsequent therapy, or because they are afraid of the ramifications of the diagnosis upon their employment.

It is very sad that OSA does not have the public awareness that it warrants. Maybe we need a campaign symbol like the colored ribbons for cancer.. a big green ZZZZ sticker on the end of our nose ? Or a Wear Your Mask To Work Day?? Or maybe ResMed and Phillips need to start a major media campaign..people feeling so good after using their CPAPs that they have the energy to have sex and dance again, and now can finally do Sudoku!! (I'm not sure about the Sudoku, but I did get a lot better at solving them after I started therapy, lol)
Step 2: Make lifestyle changes to reduce the physical causes of sleep apnea (for instance, losing 10% of your body weight will reduce sleep apnea effects by 33%)

That sounds like horse manure made up by someone for a tv show. I bet he doesn't have any evidence that those ratios are correct.

For mild to moderate OSA, you may be able to use an appliance in your mouth at night to pull the jaw forward.

Dr. Zzzzz is not keeping up to date. There is a good study out that shows no correlation between OSA severity and success with an oral device (MAD). Success with a MAD is dependent on the anatomy and not OSA severity. People with severe OSA should no longer be discouraged from trying a MAD.
Here is the link for the video, it is available now:

http://www.doctoroz.com/videos/how-identify-and-treat-sleep-apnea
Banyon, I have to say you are always a welcomed voice of reason. I am not a very discriminating reader and don't know the statistics like you. Thanks for the breath of fresh air.
Do you think getting information out there is good even when not exactly according to the facts we possess.
Dr. Oz did a show on "instant teeth cosmetic fixing", but it wasn't instant, it required pre dental work by the patients which was pretty involved. His dentist just glued on some veneers after the teeth were already prepared. That's all my experience with Dr. Oz.
Mary Z.

Banyon said:
Step 2: Make lifestyle changes to reduce the physical causes of sleep apnea (for instance, losing 10% of your body weight will reduce sleep apnea effects by 33%)

That sounds like horse manure made up by someone for a tv show. I bet he doesn't have any evidence that those ratios are correct.

For mild to moderate OSA, you may be able to use an appliance in your mouth at night to pull the jaw forward.

Dr. Zzzzz is not keeping up to date. There is a good study out that shows no correlation between OSA severity and success with an oral device (MAD). Success with a MAD is dependent on the anatomy and not OSA severity. People with severe OSA should no longer be discouraged from trying a MAD.
I didn't see the video here -- just text.

sherry said:
Here is the link for the video, it is available now:

http://www.doctoroz.com/videos/how-identify-and-treat-sleep-apnea
I think that despite inaccuracies this was a good piece. I am not sure the exact numbers, but a weight reduction can and will result in a lowering of the AHI and help with the effects of apnea.

Banyon why are you so angry lately. This was a good show that brought national attention to sleep. that is a good thing.
I think I understand where Banyon's frustration is coming from. TV seems to insist on a watered down, simplified version of explaining this disorder that often rubs me the wrong way, too. That said, i see the simplified hooey as kind of a forerunner to the more substantive, intelligent TV coverage that will be in demand once people actually know what Sleep Apnea is.

Rock Hinkle said:
I think that despite inaccuracies this was a good piece. I am not sure the exact numbers, but a weight reduction can and will result in a lowering of the AHI and help with the effects of apnea.
Banyon why are you so angry lately. This was a good show that brought national attention to sleep. that is a good thing.
We have to remember that not everyone is in the know as we are. Sometimes I forget this when talking to people about sleep. I sometimes assume that everyone should know what I do because most of the people in my circle do. Sleep disorders are new to the general public on the whole. I personally feel that we need to show more support for things like this.

I do understand your anger Banyon. Sorry to have put you on the spot like that.
LMAO! Hi Jeff!! Sorry, you rarely irritate me, but you amuse the HELL out of me!!!!

McCord :-D

j n k said:
I think Banyon has developed a style that is designed to grab attention on an Internet board. And I think Dr. Oz, and many such TV personalities, have developed a style that is designed to capture, and hold, the short, shallow attention span of the average channel surfer who doesn't want to have to think too hard or be challenged. Both styles have purpose and limitations. Properly directed, both styles can do a lot of good.

I, on the other hand, have made it a point to be completely devoid of all style. This keeps my life particularly entertaining for me in that it seems to irritate the living daylights out of everyone around me.

jeff
:) I like to think of it as passion not anger. I leave Aristotle's "golden mean" for others.

If I can get a rise out of Rock, I smile.

Take it or leave it - your choice.
You and jnk always keep me thinking. :)

Banyon said:
:) I like to think of it as passion not anger. I leave Aristotle's "golden mean" for others.

If I can get a rise out of Rock, I smile.

Take it or leave it - your choice.

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