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Dr Oz on Sleep Apnea
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/
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/
Views: 513
Replies to This Discussion
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Permalink Reply by RockRpsgt on
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How so? You were arguing weight loss as a silly prescription for helping with apnea. Right? I have been up for a while.
Those are some nice studies though. Happy Sleep Awareness Week everyone!
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Permalink Reply by Tim on
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I watched the show yesterday (it was TiVo'd) and I think that Dr Oz did a reasonably good job in showing and explaining OSA, although the sleep doctor he had on was useless. He put far too much emphasis on weight and neck size as a characteristic of somebody with sleep apnea. Many people watching his show may come away believing that being overweight and having a large neck is a requirement for having OSA..
Dr Oz had a simple apnea and CPAP demonstrator that consisted of a turkey baster connected to a piece of flat plastic hose -- the flat plastic hose represented an obstructed airway and the turkey baster provided the air pressure to inflate and splint the plastic hose. The video of the guy sleeping also illustrated what OSA looks and sounds like. The show didn't show me anything new, but I am not the audience for that particular segment.
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Permalink Reply by Mary Z on
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The last thing I thought about when I developed EDS was sleep apnea, but when my PCP said "sleep test" it made perfect sense. I didn't know then that I do snore, and I was skinny. Not my idea of someone with sleep apnea. I guess Dr. Oz and his sleep professional can't possibly cover everything and reach out to what may be the largest numbers of people who may be affected.
Mary Z.
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I agree that a healthy lifestyles with a monitored weight loss program and exercise routine is the best way to go. Weight loss by itself will help. it may not be the best approach, but it is better than no approach at all. I find no fault in a doctor telling a pt to lose weight to help get healthy. I fault the follow through.
Weight loss with sibutramine was associated with improvements in metabolic and body composition risk factors but not blood pressure or arterial stiffness. Improved insulin resistance was partly associated with reductions in liver fat and hypoxemia associated with sleep apnea
A 10% weight gain predicted an approximate 32% increase in the AHI, whereas a 10% drop in weight predicted a 26% decrease in the AHI. A 10% increase in weight also predicted a sixfold increase in the odds of developing moderate to severe OSA, which was defined as an AHI of 15 per hour.
The drop in number of apneic episodes correlated with the reduction in BMI. (AHI is an index of sleep apnea severity that is calculated by dividing the number of apnea and hypopnea events by the number of hours of sleep.)
Drastic pts need drastic measures. If your BMI is above 40% then you should probably take a little more intense approach to weight loss.
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Good job jnk, nice debate. I should learn to avoid you when I have been up for 30+ hours. Great conversation though.
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Permalink Reply by Judy on
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Ahhhh, two of my very, very favorite people. Wonder what RestedGal would have to say to you two?
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Permalink Reply by Banyon on
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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.
Rock, Good to see one of the MD members here also has some passion directed towards the poor job Dr. Lite does:
Mack D Jones, MD, SAAN said:The show was so bad that I am speechless (and typeless too).
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I still think that this was a good piece. Could it have been better? Yes, I'll give you this battle though. It was a good conversation.
Banyon said: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.
Rock, Good to see one of the MD members here also has some passion directed towards the poor job Dr. Lite does:
Mack D Jones, MD, SAAN said:The show was so bad that I am speechless (and typeless too).
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Permalink Reply by 99 on
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where do babies come from
you do not tell a child that the father puts a seed in the mothers womb
you put in easy to understand childs language
admitted there were discrepency but the overall message was adiquite
Banyon said: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.
Rock, Good to see one of the MD members here also has some passion directed towards the poor job Dr. Lite does:
Mack D Jones, MD, SAAN said:The show was so bad that I am speechless (and typeless too).
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Put it into prospective guys. This piece was a far cry from herbal remedies offering a quick fix to snoring on the internet. How can you expect tv doctors to know more about sleep than your own PCP? Some thought was put into this, and it was broadcast to millions of people. 5 years ago there would have been no bad advice for us to so harshly critique. Did we even have a Sleep Awareness Week 5 years ago?
After this piece people talked about sleep as we have here. That makes it good for sleep. Which in my book makes it a good piece. That's my opinion no matter how many doctors disagree with me.
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An awareness of OSA is a good thing and I agree with Rock that anything that helps bring sleep disorders into public awareness is a good thing.
Our system of medical treatment is so hit and miss. How many of us were lucky enough to get diagnosed in a timely fashion by a considerate doctor who, with a DME ,was willing to work with us to get the right mask, machine and therapy, as well as encourage us and stress that we call with any problems and work them out together? Do you have any idea how many young men (mainly black men) are on kidney dialysis because they ignored their high blood pressure, or worse, the medicine gave them ED and they didn't know they could work with their doctor to find a medicine that didn't have that side effect? Or had an unsympathetic doc who wouldn't even give them viagra, much less work with them to find the right BP medicine. How many docs and patients have the kind of dedication to work out problems that take more than one or two appointments to deal with? (Don't even begin to think about the many people who use the ED as a PCP and are forever lost to follow up.)
We on sleep guide have done everything we have needed to do, and continue to do that day in and day out to assure ourselves of the proper treatment for our OSA. We all learn something new here every time we log on. It takes time and dedication. I mean look at the TV commercial for lipitor- a white, middle aged high middle class looking white guy who still wasn't doing everything he should for his health (I know, it's a commercial. LOL).
My point is, awareness is where we start, but without us being highly educated consumers of medicine, the whole system stalls. To use the example I know- there are so many preventable causes of kidney failure, HBP being one of the biggest, and no matter how many of us know that, the ranks of young people joining the kidney dialysis team increases yearly (personal observation).
So we have to start with awareness that there's a problem. But until people are able to take the responsibility to take care of their own health I don't think we'll get very far. Sometimes I think I have munchhausens when I insist on following up on and treating appropriately all my medical problems. I'm lucky I don't work because it's time and energy consuming.
I'd like to thank the people here who helped me understand (and it's funny because of the two discussions we had at length here about "root cause") that an exam by an ENT is a good step in properly treating my OSA when I was perfectly content to go on unaware that an ENT could help me get better CPAP treatment.
Forgive the rant. I am so proud of all us us for being willing to work with each other and for ourselves to treat a disease, OSA, that impacts every area of our lives. The research and support we can find on the internet is amazing. An that thought does give me hope as young people are growing up computer savvy with the knowledge of how to do research about a health problem.
I really appreciate our professionals and those that just know more for raising the bar for the rest of us as far as the caliber of our treatment. We deserve and are willing to work for the best treatment out out there. I read somewhere that people who really succeed at CPAP are people like ourselves who are not willing to settle and are willing to buy the occasional mask or piece of equipment out of pocket when necessary.
Thanks for listening,
Mary Z.
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