Sleep doctors have always thought of insomnia as a behavioral or stress aggravated issue, and the standard ways of treating this all-too-common condition is to either give sleeping pills or have the patient undergo cognitive behavioral therapy. However, a recent study… Continue
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… Continue
The connection between Sleep Apnea and Diabetes is real and scary. Studies published in the European Respiratory Journal and Journal of Internal Medicine tell us that up to 40% of people with Sleep Apnea will have Diabetes. Other studies show that up to 50% of those with type 2 Diabetes have Sleep Apnea. Essentially, Sleep Apnea causes intermittent shortages of oxygen in the body and fragmentation of sleep, which in turn causes physiologic stress which then wreaks havok on glucose… Continue
I came across this video of a dog snoring that was very disturbing to me. As a dog lover, I'm going to talk to a vet about how common this is with dogs, whether it's just as dangerous for them as for human beings, and what treatments are… Continue
Added by Mike on February 5, 2009 at 1:23am —
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Sleep specialists are ticked off that, looking for new revenue streams, an increasing number of primary care physicians and other non-Sleep certified MDs are hopping on the Sleep Medicine bandwagon. As patients, the question is whether we should care. The answer I think is yes.
The complaint of the Sleep specialists is that interpreting sleep studies and diagnosing sleep disorders takes a fair amount of skill and training. Now, if you've ever taken a gander at your raw sleep study… Continue
Primary care physicians are on the front lines of the War on Sleep Apnea. Unfortunately, nobody told them that they're on the front lines of the War on Sleep Apnea! Below is a typical list of tips for healthy living given to me by my primary care physician. Notice the glaring absence of anything Sleep-related:
1. Make sure appropriate screening tests and immunizations are up to date.
If you're like me, you had your polysomnography sleep test done in a cold, clinical medical setting, devoid of any creature comforts whatsoever. Not so for those lucky enough to have their sleep study done at the Vanderbilt Sleep Disorders Center, which recently held its grand opening at a new location: the local Hyatt hotel. The Hyatt Place Cool Springs will be… Continue
Sleep Apnea and Truckers. To the Respironics, Resmeds and Fisher Paykels of the world, the two go together like Love and Marriage. To truckers the combination is more like oil and water. Clearly, the manufacturers have the moral high ground. But whether they will be able to woo truckers remains to be seen.
Truckers are disproportionately predisposed to having some form of Sleep Apnea, with one study pegging the number at 28% of all those holding commercial trucking… Continue
Sleep Apnea and Obesity have become synonymous in the public's awareness, so much so that when the term Sleep Apnea is mentioned, the term obesity is reflexively, and often improperly, tacked on. Case in point: yesterday's USA Today article. The story (which can be found at http://www.usatoday.com/news/health/2009-01-24-obesity-sleep-apnea_N.htm?csp=usat.me) is about new scientific research showing that liver disease, insulin resistance and a less-than-active lifestyle are all independently… Continue
It's long been common medical knowledge that an increase in physical activity can help prevent people from getting cancer. A recent study, though, has found something new: that the cancer preventative effect of exercise can be undermined by insufficient sleep. The study, conducted by a team of researchers led by Dr. James McClain, cancer prevention fellow at the National Cancer Institute in Bethesda, Maryland, tracked women aged 65 or younger over the course of nearly a decade. It… Continue
Do you experience frequent urination at night? Or did you experience frequent urination at night before getting treated for Sleep Apnea? If you have Obstructive Sleep Apnea, it is very likely the cause of your urination problems. Treat the Sleep Apnea problem, and you will find yourself waking up to go to the bathroom less often. Here's how come:
When the airway is blocked or partially blocked as it is during an apnea or hypopnea event, the body must exert more effort to… Continue
in honor of today's inauguration, we wish to reprint the following Top 10 article: My grandmother, quoting Benjamin Franklin, used to tell us kids that "an ounce of prevention is worth a pound of cure." As Barack Obama and his administration consider their health care priorities, I respectfully remind our President of this old truism. Aggressive diagnosis and treatment of the estimated 30 million Americans with Sleep Apnea is the ounce of prevention that would be worth a pound… Continue
This is a copy of a recent newsletter we sent from our sleep lab in Oak Ridge, TN. I thought some of the information may still be helpful for those elsewhere.
If you didn't like first three minutes of the Sleep Apnea Surgery segment on FOX featured in yesterday's article, you're going to hate the last minute. At about the three minute mark in the video, embedded below, the host, co-host and even the surgeon being interviewed each take turns at belittling and mocking CPAP users:
"Kind of makes you look like the Montauk… Continue
Yesterday, we ran an article on the risk of death if Sleep Apnea is left untreated. We were a bit reluctant to post such a morbid article, but the response has been overwhelming -- it obviously struck a chord with many of you. Below are some of your comments. We couldn't have said it any more eloquently:
"My dad died 25 years ago at age 67. Now we know that he had untreated obstructive sleep apnea. He never…Continue
Chances are that if you haven't followed up with your doctor in years, or at all, about your CPAP therapy, something isn't quite right in CPAP-Ville. PAP treatment is as much an art as a science, and it requires continuous monitoring and attention, preferably between you and your physician. That said, I'm finding that doctor follow-up is more the exception than the rule. So you the patient must take the initiative. If you haven't seen your doctor in awhile, make an appointment, and… Continue
We came across the following home testing option on a doctor's website in New York. We think it strikes a nice balance with respect to home testing. It makes it easy for people "on the fence" about getting a sleep study to get one, and then in the case of a positive result, they will presumably have more incentive to go in for the full overnight sleep study, which gives physicians the diagnostic tool the home test does not provide to screen for sleep disorders other than Sleep… Continue
Added by Mike on January 5, 2009 at 1:00pm —
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It wasn't until I was diagnosed and properly treated for Sleep Apnea that I fully appreciated how important it is to be proactive if you can't sleep, or are having trouble sleeping. I guess beforehand I assumed sleep was something that just "happens" naturally and that as long as I was in bed for a respectable number of hours, I was fine. Well, you know what they say about assuming, and it was no less true in my case. Here's a list of the Top 5 Steps you can take to improve your… Continue
Here's a simple way to remember what I wish I had known at the very beginning of my own Sleep Apnea treatment: my ABCD's of Sleep Apnea treatment. The hope is that you will not have to stumble over or run into as many obstacles as I did.
A is for Attitude
The key is that oft-repeated phrase: "whether you think you can, or you think you can't, either way you're right." Sleep Apnea treatment has much to do with attitude. What got me over the hump is realizing that… Continue
If you or someone you know has one or more of the following symptoms, it may be Sleep Apnea:
• Snoring
• Gasping for air or stopping breathing during sleep
• Falling asleep in inappropriate situations, such as while driving, at a movie, or sitting in a meeting
• Waking up feeling unrefreshed
• Large neck size (greater than 17” in men; greater than 16” in women)
• Morning headaches
• Getting up during the night to… Continue