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NYU Sleep Center Director's Talk at Manhattan AWAKE Sleep Apnea Support Group

David Rapoport, head of NYU Sleep Center, spoke on May 5th at the New York City AWAKE Sleep Apnea Support Group.  The full video of his talk is at NYU Sleep Center Director Speaks at Manhattan AWAKE, or https://www.youtube.com/results?search_query=rapoport+nyu&aq=f.   Also:

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Permalink Reply by Mary Z on May 15, 2010 at 8:57am
Really interesting talk, I enjoyed listening. I assume that was you, Mike, standing up in the back near the end. Thanks for posting the link.
Mary
Permalink Reply by Mike on May 15, 2010 at 10:56am
probably was me -- i tried to stay away from the camera but it might have caught a glimpse or two of my mug. glad you enjoyed the talk.

Mary Z said:
Really interesting talk, I enjoyed listening. I assume that was you, Mike, standing up in the back near the end. Thanks for posting the link.
Mary
Permalink Reply by Mike on May 15, 2010 at 6:26pm
Permalink Reply by Mike on May 15, 2010 at 6:28pm
by the way, i'm embarrassed not to know this, but i heard from a dentist at the meeting that Dr. Rapoport won't say it because he's too modest, but that he invented the CPAP machine. I thought it was Colin Sullivan. Did those guys work together on it? Anyone know?
Permalink Reply by Judy on May 15, 2010 at 8:07pm
THE APNEA-HYPOPNEA INDEX: USEFUL OR USELESS?
ATLANTA—The apnea-hypopnea index (AHI) is useless for measuring the severity of sleep-disordered breathing (SDB), says Colin E. Sullivan, MD, PhD. He presented arguments in support of that statement in a pro/con debate at the recent annual meeting of the American Thoracic Society in Atlanta.[1] Offering the opposing view was David M. Rapoport, MD, who maintains that the AHI does have its place in clinical practice.

“There is not much association between the AHI and anything else—sleepiness, muscle dysfunction,” or other markers for SDB, claimed Dr. Sullivan, who heads the Sleep Disorders Unit at the University of Sydney in Australia. The management of SDB should hinge on the history, examination, and clinical judgment, he asserted. ...

http://www.respiratoryreviews.com/sep02/rr_sep02_AHIndex.html
Permalink Reply by Mike on May 15, 2010 at 10:08pm
Permalink Reply by Mary Z on May 16, 2010 at 8:49am
I thought I heard Dr. Rapoport say during his talk who invented CPAP and I think it was Colin Sulllivan.

Mike said:
by the way, i'm embarrassed not to know this, but i heard from a dentist at the meeting that Dr. Rapoport won't say it because he's too modest, but that he invented the CPAP machine. I thought it was Colin Sullivan. Did those guys work together on it? Anyone know?
Permalink Reply by Janice D on May 16, 2010 at 3:51pm
I think that sleep studies, sleep centers, sleep apnea, the promotion of use of the monster type treatment of CPAP for all or most sleep problems is the biggest racket in the medical industry to date. The Dr.'s make alot of money with very little time spent figuring out why people have abnormal results. The medical supply companies make alot of money on a god awful way to treat what they tell you is a very serious problem. This is all based on one test one night of your life as if this is a real indication of what all of your nights are like. Shame Shame Shame on all of the Dr. and on patient's for falling for all of these ridiculous surgical treatment's, CPAP treatments and scare tactic's telling patient's what their so called disorder may cause. All like the guys that use to sell snake oil or do healing in a tent years ago. How we fall for what Dr.'s tell us we should do. I am shocked how many forums there are on the internet. This tells you how little information the Dr.'s give their patient's
Permalink Reply by RockRpsgt on May 16, 2010 at 4:17pm
Do you have apnea Janice? Are you a doctor?

Janice D said:
I think that sleep studies, sleep centers, sleep apnea, the promotion of use of the monster type treatment of CPAP for all or most sleep problems is the biggest racket in the medical industry to date. The Dr.'s make alot of money with very little time spent figuring out why people have abnormal results. The medical supply companies make alot of money on a god awful way to treat what they tell you is a very serious problem. This is all based on one test one night of your life as if this is a real indication of what all of your nights are like. Shame Shame Shame on all of the Dr. and on patient's for falling for all of these ridiculous surgical treatment's, CPAP treatments and scare tactic's telling patient's what their so called disorder may cause. All like the guys that use to sell snake oil or do healing in a tent years ago. How we fall for what Dr.'s tell us we should do. I am shocked how many forums there are on the internet. This tells you how little information the Dr.'s give their patient's
Permalink Reply by Mike on May 16, 2010 at 5:32pm
I disagree with your characterization of Sleep Apnea as a "so-called disorder" that is not a "very serious problem." but i appreciate that a misperception exists among some people that it's just a financial racket. How do we combat that misperception?

Janice D said:
I think that sleep studies, sleep centers, sleep apnea, the promotion of use of the monster type treatment of CPAP for all or most sleep problems is the biggest racket in the medical industry to date. The Dr.'s make alot of money with very little time spent figuring out why people have abnormal results. The medical supply companies make alot of money on a god awful way to treat what they tell you is a very serious problem. This is all based on one test one night of your life as if this is a real indication of what all of your nights are like. Shame Shame Shame on all of the Dr. and on patient's for falling for all of these ridiculous surgical treatment's, CPAP treatments and scare tactic's telling patient's what their so called disorder may cause. All like the guys that use to sell snake oil or do healing in a tent years ago. How we fall for what Dr.'s tell us we should do. I am shocked how many forums there are on the internet. This tells you how little information the Dr.'s give their patient's
Permalink Reply by Mary Z on May 16, 2010 at 7:08pm
Come to think of it I would rather buy snake oil than be on cpap.
A lot of that snake oile contained opium, or laudanum...to sleep, perchance to breathe.

My life expectancy may not have been long, but what the heck, I wouldn't care as long as that snake oil man kept coming around.


Rock Hinkle said:
Do you have apnea
Permalink Reply by RockRpsgt on May 16, 2010 at 7:40pm
If more pts could see the end product of a titration compared with that of their baseline PSG things would change. It is very rewarding to be apart of.

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