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Governor Mark Sanford and SDB?
We've been watching this guy for a few months now and many have speculated that he is mentally ill. If you listen to his press conferences you see why people think this. He literally cried at one and whines at all of them. He rambles on and on making little sense. I suspect these actions are symptoms of untreated SDB. When I see his photograph, I wonder about his jaw structure. What do you think?
Views: 47
Replies to This Discussion
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Permalink Reply by Mike on
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i think it might be better to evaluate this based on his profile picture:
honestly, to me, it looks like he has pretty good jaw structure. his jaw is jutting outward, not inward, which is a good sign. would be interested to hear what others think.
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Permalink Reply by RockRpsgt on
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the baggy eyes tell me that he is likely not getting a good quality of sleep.
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Permalink Reply by Steven Y. Park, MD on
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His dental arch looks pretty good, but he could have had braces. Mike's right—his profile shows good mandibular protrusion. But his maxilla may be a bit on the flat side, and his nose does look a bit narrow. But nothing that obvious that I can see.
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baggy eyes! baggy eyes! A sleep problem does not alway have to be about SBDs. A person can have a sleep disorder without having apnea. I am not an apnea tech. I am a Sleep Tech. As a Sleep Tech my education tells me that this man's job alone will cause problems to his sleep. Let alone with what is going on with his personal life. His actions tell me that Banyon may be right about his mental health. without seeing a complete medical history it is hard to say. his baggy eyes tell me that he is not getting enough restoritive rest.
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fair enough. I think Dr. Park and I were answering the specific question as to whether anything about his physical appearance indicates a predisposition to OSA.
You're right that sleep is much larger than OSA, and that there are a lot of other things that might be at play here. Thank goodness you as a sleep tech think in such a broad and sophisticated way about all this stuff.
Rock Hinkle said:baggy eyes! baggy eyes! A sleep problem does not alway have to be about SBDs. A person can have a sleep disorder without having apnea. I am not an apnea tech. I am a Sleep Tech. As a Sleep Tech my education tells me that this man's job alone will cause problems to his sleep. Let alone with what is going on with his personal life. His actions tell me that Banyon may be right about his mental health. without seeing a complete medical history it is hard to say. his baggy eyes tell me that he is not getting enough restoritive rest.
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Permalink Reply by Banyon on
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Rock Hinkle said:........... this man's job alone will cause problems to his sleep.......
Mike said:.......You're right that sleep is much larger than OSA, .......
"Don't miss the good life while you are pursuing the perfect life." I like to quote this to my "perfectionist" friends. I am also a gambler and if I can pick 85%, then I am in high clover.
That is a little background. Now back to the topic at hand (or at jaw?).
I take an opposing POV to the statements of Mike and Rock. I don’t think it is correct that “...this man's job alone will cause problems to his sleep….” There are countless individuals who have very “high stress” jobs and sleep and function well. I would not consider a governor’s job high stress in comparison to an EMT in a metropolitan high crime area. Nor to a purple-heart tank commander with 24-months experience in the worst parts of Iraq, now preparing for an Afghanistan tour. Many of these people sleep well.
I also don’t think it is correct that “sleep is much larger than OSA.” Mike, I will give you 15% and please let me take the 85%.
What I am trying to say is my POV is that OSA is responsible for 85% of the people showing up at the offices of psychotherapists and psychiatrists.
OK, but that is a little off topic. The topic was Sanford’s jaw and it seems his jaw does not indicate a high likelihood of OSA. Thanks.
BTW, I am constantly “selling OSA”, trying to get “suspects” to go to the sleep lab and with good success – 31 diagnosed since I was. Is there a schematic available that would help judge from jaw structure the likelihood of OSA? This could help with my “selling”.
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I'll give you the 85 % -- after all, it's for a good cause. on your last question, yes, there is. If they wear a shirt size 17 or larger, they're more likely than not to have OSA.
Banyon said:Rock Hinkle said:........... this man's job alone will cause problems to his sleep.......
Mike said:.......You're right that sleep is much larger than OSA, .......
"Don't miss the good life while you are pursuing the perfect life." I like to quote this to my "perfectionist" friends. I am also a gambler and if I can pick 85%, then I am in high clover.
That is a little background. Now back to the topic at hand (or at jaw?).
I take an opposing POV to the statements of Mike and Rock. I don’t think it is correct that “...this man's job alone will cause problems to his sleep….” There are countless individuals who have very “high stress” jobs and sleep and function well. I would not consider a governor’s job high stress in comparison to an EMT in a metropolitan high crime area. Nor to a purple-heart tank commander with 24-months experience in the worst parts of Iraq, now preparing for an Afghanistan tour. Many of these people sleep well.
I also don’t think it is correct that “sleep is much larger than OSA.” Mike, I will give you 15% and please let me take the 85%.
What I am trying to say is my POV is that OSA is responsible for 85% of the people showing up at the offices of psychotherapists and psychiatrists.
OK, but that is a little off topic. The topic was Sanford’s jaw and it seems his jaw does not indicate a high likelihood of OSA. Thanks.
BTW, I am constantly “selling OSA”, trying to get “suspects” to go to the sleep lab and with good success – 31 diagnosed since I was. Is there a schematic available that would help judge from jaw structure the likelihood of OSA? This could help with my “selling”.
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Mike said:
............. on your last question, yes, there is. If they wear a shirt size 17 or larger, they're more likely than not to have OSA.
Banyon said: That attitude is very much why seven doctors over six years were letting me die. My neck size is 15.5 and I am considered "thin" by most people (in our fat society). In the meantime I met plenty of slim people/slim necks with OSA.
Someone has said, "It is not the size of the neck on the outside; it is the size of the airway inside the neck."
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good point. one certainly can't judge from neck size alone. i would look at protrusion of the jaw as a factor too. outward - good. no protrusion - bad.
Banyon said:Mike said:
............. on your last question, yes, there is. If they wear a shirt size 17 or larger, they're more likely than not to have OSA.
Banyon said: That attitude is very much why seven doctors over six years were letting me die. My neck size is 15.5 and I am considered "thin" by most people (in our fat society). In the meantime I met plenty of slim people/slim necks with OSA. Someone has said, "It is not the size of the neck on the outside; it is the size of the airway inside the neck."
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Permalink Reply by D. W. Conn on
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There could be many issues facing this man. Lack of sleep is a given. Just his public life tells us he has some psychological issues. RBD very possible. Somniloquey during SWS another big possibility. Given his age "Andropaue". Low testosterone. What we can know for sure is this - due to age, gender and stress can lead to actions that could appear to be mental disorders or Bipolar disorder. This is a man in Middle age Crisis.
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I think Paul Giamatti's jaw resembles the apnea-type jaw
Mike said:good point. one certainly can't judge from neck size alone. i would look at protrusion of the jaw as a factor too. outward - good. no protrusion - bad.
Banyon said:Mike said:
............. on your last question, yes, there is. If they wear a shirt size 17 or larger, they're more likely than not to have OSA.
Banyon said: That attitude is very much why seven doctors over six years were letting me die. My neck size is 15.5 and I am considered "thin" by most people (in our fat society). In the meantime I met plenty of slim people/slim necks with OSA. Someone has said, "It is not the size of the neck on the outside; it is the size of the airway inside the neck."
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Permalink Reply by susan mccord on
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I have no idea re: OSA with this guy. What I do know, for sure, from looking at his eyes and his affect, is that he's very troubled and appears to be extremely tired. He doesn't really look healthy to me. Guess we could speculate on the reason forever.
There was a period of time since I was dx OSA that I was scared by the way I looked. Honestly, I would look in the mirror and think, "I'm dying". Seriously, I've been through all kinds of stress and surgeries, heart disease, etc., and at times haven't looked well. But the way I looked maybe 6 weeks ago (not quite sure, when I was having all the CPAP sides), was just grim. A shock. I s'pose it was a combination of OSA finally taking its toll, struggling with treatment, stress from dx, a whole lot of things, probably. But I hope I never have to see myself looking like that again......it scared me, a lot......
What are you guys talking about re: his jaw? I know there are sometimes structural problems with some people but have no idea what you're seeing in terms of jaw/?chin?, or whatever you're all looking at. There's so much I don't yet know or understand about all this, and I WANT to know and understand. Wasn't ready for more info before, but I'm more ready now.
Susan McCord
Mike said:i think it might be better to evaluate this based on his profile picture:
honestly, to me, it looks like he has pretty good jaw structure. his jaw is jutting outward, not inward, which is a good sign. would be interested to hear what others think.
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