Sleep Apnea Forum Bringing Power to the People
-
Steven Y. Park, MD
- Male
- New York, NY
- United States
- Share
- Share on Twitter
- Share on Facebook
- Sleep Apnea Articles -- Updated! (2)
- Discussions (157)
- Sleep Apnea Groups (1)
- Sleep Apnea Community Photos
- Photo Albums
- Sleep Apnea Videos
Steven Y. Park, MD's Discussions
e-stim muscles that hold airway open?
Replied 1 day ago
Breathe Better, Sleep Better with Dr. Park and Deborah Quilter
1 Reply
Started this discussion. Last reply by Mike 1 day ago.
Steven Y. Park, MD's Page
Latest Activity
There are a number of FDA phase I studies in progress using hypoglossal nerve stimulation paced to the muscles of respiration, kind of like a pacemaker. I wrote about this in one of my past blogs here.
I'll be happy to distribute a head's up on this to the members of the Manhattan A.W.A.K.E. Support Group in the morning.
I had a sleep study a while ago which was completely unremarkable, except for a few alpha intrusions. It was using nasal pressure monitors.
I do agree that Asians are more susceptible to sleep-breathing problems since they have smaller jaws. This i…
I'm a bit biased (being an ENT), but I think everyone with sleep apnea should undergo an ENT evaluation. By definition, if you have sleep apnea, you'll also have nasal/sinus/ear issues or throat reflux issues. Once in a while I see patients that hav…
My feeling is that most cases of chronic insomnia is caused by or aggravated by an underlying sleep-breathing disorder, whether or not it's obstructive sleep apnea. Most people with insomnia have upper airway resistance syndrome, which is not usuall…
Not surprising. Did he give a reference?
Numerous studies have shown multiple areas of brain damage or low neuron density in sleep apnea patients, particularly in the areas that control breathing, autonomic function, memory, and executive function.…
Profile Information
- My Interest in Sleep Apnea
- Sleep Professional
- Treatment Being Used, if any
- No treatment
Steven Y. Park, MD's Articles
Upper Airway Resistance Syndrome — A Primer
Note: This is an edited transcription of a podcast recording
Today, we are going to spend the next 30 minutes talking about upper airway resistance syndrome, or UARS. It’s a relatively new description of a condition that’s related to obstructive sleep apnea but as you’ll hear in this podcast, has enormous ramifications in regards to so many health conditions that we see, not only in our field, but in almost every other field in general. I have to say, however, that this is a condition that is n… Continue
Today, we are going to spend the next 30 minutes talking about upper airway resistance syndrome, or UARS. It’s a relatively new description of a condition that’s related to obstructive sleep apnea but as you’ll hear in this podcast, has enormous ramifications in regards to so many health conditions that we see, not only in our field, but in almost every other field in general. I have to say, however, that this is a condition that is n… Continue
Posted on February 8, 2009 at 8:00pm — 5 Comments
Comment Wall (25 comments)
- At 8:59am on March 5, 2010,
Renee said…
- Hello Dr. Park,
I very much appreciate your many postings of advice and support on SG and I would like to ask for your thoughts on a particular issue, that is, lack of S-3 and REM.
I was diagnosed with OSA and have been using CPAP since 12-09 and I am now using CPAP 7 nights a week.
My pressure has been increased from 9 to 12 and my OSA is improving.
Recent 6 wks at pressure of 12 – Per Hr – AI - .8; HI – 3.0; AHI – 3.8
1st 5 wks at the pressure of 9 – Per Hr – AI – 1.5; HI – 4.3; AHI – 5.8
However, I also have alpha intrusion and very little S-3 and REM.
S-3 & REM – % Of Sleep
2nd Titration – 1st Titration – 1st Sleep Study
S-1 – 42.9% – 68.2% – 35.6%
S-2 – 50.2% – 18.6% – 35.9%
S-3 – 6.3% – 6.5% – 20.2%
REM – 0.6% – 6.7% – 8.4%
After a 3rd titration on 2-23, I asked the tech in the morning and found that I, again, did not have REM sleep. I expect to go soon for a consultation to go over my latest titration results. However, on the morning after the titration, the doctor asked me to begin taking Gabapentin (Neurontin) 100mg at bedtime and I have been doing that for the past 10 days. (Although 100mg is a very low dosage, I also take Topomax 25mg daily for benign intention tremor and so that also needs to be taken into account.)
I was hoping that once I found out I had sleep apnea and used CPAP that it would be the answer I needed and, although I had a really difficult time adjusting to CPAP, I have persisted. But, with alpha intrusion and lack of S-3 and REM, I am not getting restorative sleep and so I remain incapacitatingly tired. And so I thought to ask if you have any thoughts or suggestions re: info / testing / treatment – any ideas regarding lack of S-3 and REM and related alpha intrusion.
Thank you very much for considering this long message on an individual issue and for any / all thoughts, suggestions or recommendations that you might have – as well as for all your on-going support and advise to SG members.
Best Regards,
Renee
- At 8:32pm on February 21, 2010,
Mike said…
- Wonder what you think of this new treatment in clinical trials: http://www.sleepguide.com/forum/topics/imthera-tongue-implant-sleep
- At 4:33pm on November 10, 2009,
susan mccord said… - Hi Steve!
Susan McCord :-)
- At 10:57am on November 6, 2009,
99 said… - FYI mark beds is a salesman and not interested in apnea
i have withdrawn my friendship with him
- At 9:32am on November 1, 2009,
RD said… - Thanks for your response. I'll be talking to them soon about that.
- At 4:52am on November 1, 2009,
Beth Parascandolo said… - Dear Dr. Park,
Thank you for your response. My Dr. said he doesn't feel it is UARS from the study. He finds nothing abnormal and is thinking it might be narcolepsy. I have no symptoms of that except for the sleepiness. He said I need to change my Paxil for a different type of SSRI because he wants to do another study to r/o narcolepsy. He said he can't do it while I'm on Paxil and my Psychiatrist said no. I am frustrated and ready to just give up and keep napping everyday. I could just cry. What should I do? Throw in the towel?
- At 9:42am on October 31, 2009,
Maxine Driscoll said…
- Thank you for the information about Iron for my RLS. I will mention it to my doctor. I first went to a neurologist for balance problems. He diagnosed Peripheral Neuropahy and ordered extensive laboratory tests. Everything was in the normal range. A lung function test and a fancy nuclear heart test showed no abnormalities. It was only when I mentioned that I get up frequently at night to urinate, that he sent me for tests for Sleep Apnea. Diagnosis: severe sleep apnea. I am in great shape for my age - 80. Normal blood pressure, etc. All of the neurological problems surfaced about two years ago. I am now taking Mirapex for the RLS. Not sure if it is helping as I wake up with severe leg pain, which goes away when I get up. Again, thank you for the information about Iron.
- At 10:00am on October 13, 2009,
RD said…
- Good Morning Dr. Park,
I am on my 13th day of CPAP therapy. I'm using a Respironics Elite II with a Mirage Quattro full-face mask. For the last 3-4 days now I have woke up with bags under my eyes that look like blisters. It feels like I'm in the middle hay season. My eyes are pinkish, weepy and a little sticky. I don't have any of the "crustys" that I would associate with an allergy. Typically, it takes 2-3 hours to "normalize" my appearance but I still carry dark circles and some puffiness throughout the day.
Is this, in your opinion, a normal reaction to the equipment I'm using? Is there something I can do to mitigate waking up with my eyes swollen semi-shut?
- At 12:23pm on September 24, 2009,
susan mccord said…
- Dr. Park--there's an active discussion going on re: CPAP/safety/monitoring as it relates to medical procedures, i.e., colonoscopy, endoscopy, etc. People, including me, are worried about being sedated without CPAP and proper monitoring of apnea during and after sedation.
When you have time, would you mind weighing in on this? It's a big concern...
Thanks!! Susan McCord :-)
- At 10:52am on September 22, 2009,
susan mccord said…
- FYI--I deleted that original website I put up on Discussion. No sense confusing people unnecessarily.
I'm interested in hearing what you think about the chin strap thing though, at your convenience. Looks like your line's hoppin' today!!
Susan McCord
CPAP Supplies
Latest Activity
Are you over-tightening your mask?
Same stuff. 3 yr standard warranty on machines.. i think its 2 in US???
Hi Michelle , the 406 is a very small mask, your nose is small but where on the bridge of your nose does it rest?? A slightly larger mask like the fisher paykel zest or a medium softgel mask from resmed may work.. i work in canada at a sleep company…
For me, this has been the most frustrating physical problem I've ever had, mainly because I can't seem to find a mask that will work for me, without leaving sore marks on my forehead and the bridge of my nose. And then there was the gel one that jus…
The Stanford surgeries do dramatically reduce the AHI of some number of patients. They are not "cures" and they are not universally effective; I would also like to see how many are still effective after five years. I have also had an MMA with a few…
I wonder if you have TMJ or if you're grinding your teeth while uding your CPAP. I know that they say if you have TMJ, you're more llikely to suffer from sleep Apnea. You should go to your dentist and have it checked out. Maybe you've been grinding…
I turn my as high as it will go every night, which is still not nearly high enough in the winter, with gas heat running. I wake up with sandpaper tongue and all, even on max settting. Very frustrating. I think I was overcharged for a really crappy m…
I am 65 - as of two days ago! Was diagnosed with sleep apnea last August, but also definely had longer.
PS: Thanks, Mike for all you do for this site - ANd many thanks to all who contribute!!
This site has been such a BLESSING>
My doctor and provider are the unmotivated ones, and uneducated to the extent that I made myself in an afternoon and a half. Personally, I agree with Brad; OSA is a simple, physics problem, and why there isn't more being done to find a surgical solu…
amen, this a very painful surgery to recover from as an adult. I had mine removed 2 years ago. It was absolutely no help. My new doctor said I should have not had it done. It only made treating my apnea harder.
I used to work for the phone company and one night we had a driving rain that had filled some radio waveguides (rectangular copper pipe that connects the radios to the antennas on top of the tower) with water, and the waveguides needed to be dried o…
i put my cpap inside a shoe box with an open jar of vick near the rear filter and turn on my machine and put the lid on the shoe box
Good Luck! Enjoy Ann Arbor! UoM hosiptal is amazing
No. Never. The results of the sleep test were sent to a capital city 300 km away. The technition did say that I was a very disturbed sleeper.
When I first started using Pur-sleep Aromatherapy I wanted a clean pad. The ones supplied at the time were reusable and I am too lazy to wash them daily. Others suggested to keep reusing them. Bret has since came up with a "disposable" pad that can…
Carol, that was entirely Too Much Information about pantiliners. :) I cannot unread and I cannot unsee the mental picture of pantiliners .
a a , I've woken up with swollen eyes and a somehat sore jaw. The soreness in my jaw resolved quickly.
But, this was when I was wearing a FFM.
A few months late, but welcome to SleepGuide.
Mary Z.
A Navy Vet and proud of it.
© 2010 Created by The SleepGuide Crew
