QUESTION:
What kind of doctor would you go to for snoring/sleep apnea?
My husband and I are having severe problems with snoring. I think he suffers from sleep apnea. Would a GP treat this or should he go straight to an ENT?

• ANSWER:
  Neurologist could refer him to a Sleep Pathologist to have a Sleep Study done, to see if he needs a CPAP or something like that. If you don't have insurance, the sleep study is quite expensive. A normal doctor should be able to refer him to the right place though, he shouldn't have to go to a neurologist for it.

QUESTION:
What can i do about me getin some sleep with snoring boyfriend?
Hi i am 30 weeks an my boyfriend is snoring every night an i am already not getin sleep cause of pain in my back, what can I do? plzzzzz someone help me out. i think i will go crazy if i dont get some help about this. i need my sleep.

• ANSWER:
  Buy earplugs. They make some that are comfortable enough to wear while sleeping

QUESTION:
Should I go to the doctor to see about snoring/sleep apnea?
I'm fifteen years old and my friends tell me I sleep really weird.. I stop snoring for like 3 minutes then I start doing this whistling thing and this goes on all night long. I have super bad sinuses so could it be sleep apnea? What can doctors do if it is sleep apnea?
Oh, and after three minutes, I gasp for air they say. My family even notices.

• ANSWER:
  Go to your doctor and see about a referral to a sleep clinic. They hook you up to a whole bunch of wires that monitor you as you sleep. Afterwards, they may suggest a c-pap machine which consists of a mask that you wear to bed and it forces oxygen into your lungs while you sleep. Also, if you quit breathing at night while you are sleeping, not good - that is what the c-pap machine is for.
  Ask your parents to schedule you an appt and go and talk to the doctor!!
  Good luck!

QUESTION:
Any way to stop snoring and/or talking in my sleep?
I can't get to sleep when theres other people around because I'm scared I'll say something embarrassing in my sleep or snore really loudly.
I don't smoke or drink, I'm only 16! And I'm actually underweight so losing weight wouldnt be such a good idea.

• ANSWER:
  You can buy those breath-right strips that go over your nose. They're very effective.

QUESTION:
What can I cover my ears with so I can sleep with my snoring husband?
Ear plugs always bother me or fall out. A pillow makes it hard to breathe. Noise machine doesn't drown out the noise. I don't like sleeping on the couch and I am tired of poking my husband in the middle of the night. Help I need to sleep! We have tried an expensive anti snoring pillow, nose strips, spray and everything else out ther except a doctors. I need to block the nois!

• ANSWER:
  He needs to lose weight. Why should you do all the work and suffer? He's fat, yes? Make him workout. If it isn't weight, he needs to have surgery because his snoring is indicative of him getting poor sleep and not enough oxygen = early death.

QUESTION:
How to sleep when someone is snoring?
We're on vacation and I have to share a room with my parents.

My stepmom is snoring like a fucking man. And I can't ignore it because she's facing my bed and it's SO loud.

I'm not sure how I'm going to get to sleep tonight. How can I make her stop without touching her or waking her up.

They're making me get up early tomorrow so we can go do stuff but I can't sleep with her snoring like that.

What do I do?

• ANSWER:

QUESTION:
How to stop my snoring in sleep?Why it happens so?
I am 32 lady with kids and hubby. No bad habits for both of us. I did family planning last year only. During sleeping i snore with very sound. but my husband not. I don't know how to overcome? i feel shame for it?
Any psychological problems? or physiological?

• ANSWER:
  The problem is physiological. Snoring can be caused by various factors and its causing factors define different types of snoring. Knowing your snoring type is essential because you are unable to select the stop snoring way until you know exactly what is the type of your snoring as each of the stop snoring ways work for definite snoring types.

  I'd suggest visiting http://snoringremediescenter.com/ - where you can get a free online questionnaire which can tell you what is the type of your snoring according to your answers. After that you will get suggestions - which stop snoring ways can work for you. The website also offers free consultation service with sleep disorders specialists.

QUESTION:
How to end drooling and snoring during sleep?
I sleep on my belly. I often wake up with a crust of dried saliva running down the side of my face. I snore loudly as pointed out by others. Does anyone else have a similar experience? How can I avoid this?

• ANSWER:
  lie on your back and elevate your head when sleeping

QUESTION:
How do you sleep through a snoring husband?
I have been sleeping alone for almost 6 years now because of DH's snoring. It is so loud I can here it though a shut door with a white noise machine on. Is there a way to drown out his chainsaw snoring? I would like us to share a bed again.
Yes, we have been through 2 sleep studies, I breastfeed and don't want a sleeping pill habit and earplugs are useless. We have tried breathing strips as well. No success.

• ANSWER:
  Earplugs and strong sleeping pills.

QUESTION:
How do I get rid of my snoring while I sleep?
I've never really snored while I slept on a regular basis, but now I'm snoring every night and that's not usual for me. Sometimes I snore when I'm really tired. I've been going to bed at maybe twelve o'clock in the morning and getting up at nine to get my nine hours of sleep every night, but if I go to bed at ten and wake up at seven will I stop snoring?

• ANSWER:
  It makes sense to try some simple non-invasive treatments first to see if they will reduce or prevent your snoring.

  Sleep on your side
  Elevate the head of your bed
  Limit alcohol and medications
  Clear your nasal passages
  Lose weight
  If you snore:

  With your mouth closed: a problem with the tongue is probably the culprit

  With your mouth open: your snoring is likely related to the tissues in your throat

  Only on your back: your snoring is probably mild – improved sleep habits and lifestyle changes may be effective cures ... Do you sleep on your back? Try the “tennis ball trick”: sleep with a tennis ball (or any ball of approximately the same size) attached to the back of your pajama top. (You can sew a pocket or safety-pin a sock to the back of the pajama top, then put a tennis ball in it.) The tennis ball is uncomfortable if you lie on your back, and you will respond by turning on your side. Soon you will develop side-sleeping as a habit and not need the tennis ball.

  In all sleep positions: your snoring is more severe and may require a more comprehensive treatment

QUESTION:
How can you reduce snoring in your sleep?
My brother is sleeping right now and is snoring louder than a donkey. Recently he's been asking me if he snores too loud, and I wonder if I snore as well. What causes snoring and how can you prevent it?

• ANSWER:
  When you fall asleep the muscles in your mouth and throat relax. This causes snoring in some people when the muscles as the air passing through your nose cause the tissue in your nose and throat to vibrate.
  Try sleeping on your side or stomach to get rid of the snoring. Sleeping on your back is usually the worst position for people who snore. If you still have a problem, you can try a "Breathe Right" strip over your nose, throat spray, a snore pillow, etc. Google those snoring remedies for more info if you can't get rid of snoring.

QUESTION:
Who Should I See About Sleep Apnea and Snoring?
My dentist needed to do surgery, so I was put to sleep and the doctor told me that I had some breathing problems. What's happening is I'll stop breathing for a bit, then when my body realizes it, I'll gasp for air by reflex. It happened five times during an hour long surgery and he said it may happen 50 times during a night. Happens when awake sometimes too. Also I snore like nobody's business.
He says I should see a doctor about this. What kind of doctor should I see?

• ANSWER:
  You should ask your regular doctor to refer you to a sleep lab to have an overnight sleep study done. They will monitor you and will be able to tell what problems you are having. Then you'll come back one more night for them to test to see what pressure your C-PAP would need to be.

  You are risking your health each time you sleep, so please get checked soon.

QUESTION:
When you hear someone snoring in their sleep, do you ever wake them up and tell them to stop?
When I was on vacation, my cousin was snoring in her sleep, another cousin and I couldn't sleep. So we got a cup of water and poured it on her face lol.

• ANSWER:
  My mom's room is down the hallway from mine. I've had to barge in there a couple of times to shut her up! She's worse than a car alarm I swear...anyways, nice move with your cousin! LOL

QUESTION:
Can snoring start when you are half asleep or not in deep sleep?
the problem is sometimes when i'm trying to sleep i hear my own snoring & i wake up.

• ANSWER:
  You can cure it ..not to start in the first place.Research has shown that a whopping one in four people suffer from snoring. If that weren't amazing enough, most of those afflicted believe there is nothing to be done for their condition. They don't realize that a good night's sleep is within their grasp. Some people are giving a new product called Snorezip a try, and are having great results.

  Snorezip was developed to increase oxygen flow and reduce mucus. When oxygen flow is increased and mucus reduced, it has been proven that the incidence of snoring will also be greatly reduced, if not eliminated. This product may be just the thing to get those afflicted with snoring on the road to a restful sleep.

  Snoring is not just an annoying habit, but can seriously threaten your health. Doctors claim that patients who snore are more likely to be fatigued, and are more susceptible to life threatening conditions such as diabetes and cardiovascular disease. Snoring also increases the incidence of high blood pressure and metabolic syndrome. Snorezip, with its proven record of reducing incidence of snoring could help reduce this risk.

  SnoreZip is very affordable and easy to use. Most snoring remedies involve the use of uncomfortable masks that must be worn at night. The sheer discomfort of these masks is enough to make most sufferers abandon such a program long before there is any benefit. Since SnoreZip is administered as an oral spray, there's no excuse not to give it a try. Just spray SnoreZip into your mouth before you go to bed, and you could be minutes away from a good night's sleep!

  Check out the url in the source box below to get a free trial of this product .Having suffered from snoring for years I felt it was the right time to share my snoring solutions that I have tried and help other people learn about their options to help alleviate snoring.

QUESTION:
can snoring start when you are half asleep or not in deep sleep?
the problem is sometimes when i'm trying to sleep i hear my own snoring & i wake up.

• ANSWER:
  Yes! Snoring can start way before you reach your R..E.M. sleep (rapid eye movement) otherwise known as dreaming stage of sleep. I, myself suffer from a deviated septum and enlargeddtonsilsls which contributed to the diagnosis of sleep apnea. With that comes a lot of snoring. Snoring is the vibration of your pallet on the back of your throat.and believe me I've woken myself up a time or two from my owsnoringng.

QUESTION:
Ever used a mouth piece (ie; Pure Sleep) to stop snoring, does it work?
Does the Pure Sleep and other type mouth piece products that move the lower jaw forward to open the airway, do they work to stop snoring?

• ANSWER:
  I use a thing called Slumber Guard - it works for me!

QUESTION:
How can a person who is snoring sleep through the noise?

• ANSWER:
  When a person snores he is asleep . When we are asleep our senses( hearing one of them) are lessened. Sometimes the noise does wake them up. But my father use to snore I wonder if my mother wore earplugs. Good question to ask her now.

QUESTION:
How to sleep when somebody is snoring?
Help! It's 2:37 in the morning and i can't go to sleep cuz i'm sharing a room with my frickin sister and she's snoring! ahhh!

• ANSWER:
  Either:

  Stop her from snoring (not going to happen) -- you can wake her or ask her to change positions, but even if she is nice to oblige you, she is likely to fall back asleep and start snoring again before YOU can fall asleep unaided which leads me to

  Put in ear plugs (if you have them) -- the earplugs should lessen the amount of noise to the degree that it shouldn't bug you, and you can always add a fan/music to provide "white noise" to mask her snoring... however, you might not have ear plugs, and so that leaves you with

  Make her leave the room (hey, sleep is precious, right?) -- if you are mean, or if you are nice, go to another room. maybe the living room couch? This will work as a temporary fix, but then again, we are only talking about tonight, right?

  Long term, you need to look at her habits. If she always snores, then it might be a health problem. If she rarely snores, it might just be because she is extra tired tonight or has a cold, etc.

QUESTION:
I can't sleep??? my dad snoring like crazy and i have school in a few hours....?
I can't sleep his snoring is horrible. Ha what worse is that tomorrow is my birthday -_____- !!! WHAT DO I DO? to keep myself awake tomorrow. Same thing happened yesterday I had to sleep in the day cause I couldn't sleep at night with his snoring. I need to survive tomorrow cause i have a lot to do.

• ANSWER:
  Happy birthday ...wake him up or go to another room...but n the morning tlk to ur dad about the snoring

QUESTION:
I told my husband to go sleep on the sofa due to his snoring?
Now he won't speak to me. His snoring has gotten worse over the years. I attribute it to his weight gain and have asked him to do something about it. Last night I couldn't sleep at all and he snored louder than a bear. He got mad at my bickering and finally went to sleep on the couch.

Do you think I was too harsh?

• ANSWER:
  have him see a doctor and possibly get fitted for a CPAP machine. Losing weight could also help.
  Snoring can kill you.

QUESTION:
Why do some people snore when they sleep, and what's a good way to prevent yourself from snoring?
I'm testing in school this week, and when I'm done I'm not allowed to do anything else but sleep. Someone's had to wake me up because I was snoring for the past couple of days. I'd like to sleep so I won't be bored for the two hours I won't be doing anything, without disturbing others. What's a good way to keep myself from snoring?

• ANSWER:
  Snoring treatment must be determined depending on snoring causes (large tonsils, nasal congestion, smoking).

  Currently there are many of stop snoring remedies available on the market, both prescription and over the counter. You can try nasal strips or special pillows. Or you may consult your doctor to check if your tonsils or adenoids are the problem.

  Any ways GOOD LUCK

QUESTION:
Is it sleep apnea when you hear yourself snoring?
The problem has been going on for years but it got worst now that I work 2 jobs and I don't sleep that much. I can hear myself snoring all night long and I feel like I don't get enough rest because I am half awake I guess. Any ideas?

• ANSWER:
  sleep apnea is when you are asleep and stop breathing for short periods of time. sounds like you are exhausted from overwork and not enough sleep.

QUESTION:
How can I sleep when my hubby is snoring at night?
my hubby snores, what can we do so we can both can sleep, we have tried the nose strips, hot teas and 2 pillows. Any ideas?

• ANSWER:
  A variety of oral appliances are available to control snoring and act as "volume control." While there is no one magic solution, there are several ways to control snoring and help you and your partner get a good nights rest. Limit the use of alcohol and sedatives as they tend to increase snoring. Also, try to keep your weight at a healthy range, as weight gain is usually a factor in heavy snorers. There are several viable treatment options. A variety of oral appliances are available to control snoring and act as "volume control." Medication, behavioral therapy, surgery and anti-aging medication are a few of your options. If you or a loved one snores, make sure it is not hazardous to your health. See a sleep apnea doctor as soon as possible and avoid the potential health risks associated with snoring.

QUESTION:
Im going camping soon with snoring people. I can't sleep with snoring people so what should i do?
I try headphones but it never block out the sound fully.

• ANSWER:
  Handy hint. People that snore only do so when they are breathing.

QUESTION:
Does a Sleep Apnea Machine Stop Snoring?
Does sleep apnea machine usage stop/prevent snoring?
Does the machine make noise?

My husband is getting a machine this week. I would like to know if he will stop snoring and I can sleep better. Or, will the machine be loud and disturb my sleep?

• ANSWER:
  My husband uses a CPAP machine, and yes, it stopped his snoring completely. The machine does make a noise, sort of a "white noise" fan sound. I got used to it - I find it covers up a lot of other noises, like traffic, and now I practically need that noise to sleep well myself.

QUESTION:
can cockatiels sleep through loud snoring?
I have moved my cockatiel into my Dad's room while i organise the house, but im worried the bird won't get any sleep since my Dad snores like a chainsaw?

• ANSWER:
  They won't sleep through it at first, but after a few days your bird will become conditioned to the sound and sleep just fine! (Kind of like people, but the birds seem to adjust a bit faster!)

  You don't want your bird in your room? the bird might like that better!

QUESTION:
Can these symptoms be from sleep apnea or just constant snoring?
Lately i have noticed how cloudy and foggy headed i feel. I occasionally get lightheaded and dizzy. Plus my family says i snore much louder than usual. I also never feel satisfied from a good good nights sleep. Please help. Oh yes.....i am somewhat overweight.

• ANSWER:
  there is a difference between simple snoring and sleep apnea snoring. If you just snore, the only problem would be when you disturb your bed partner. However, in sleep apnea snoring, the snore is very loud and irregularly. Not only disturbs your best partner but it will affect your health.

  The main symptoms of sleep apnea appear in sleep, and you don't know what happens to you. Sometimes you stop breathing in sleep for a couple of seconds -- over 30 seconds in severe cases. And if you stop breathing 100 times per night it's obvious why you are so drowsy in daytime.

QUESTION:
How can I stop myself from snoring when I sleep?
I used 2 be a silent sleeper, & I wanna go back 2 the silent sleeper mode. Does me being overweight have anything 2 do with me snoring?

• ANSWER:
  This worked really well for me and everyone I reccommended it to. Try it, it is worth every penny! Everyone in my family is the same way it is really bad!! One of my brothers had to use a CPAP machine for a while because of his sleep apnea, but we finally found the answer to stop snoring and it is awesome!! It is a custom fitted mouthpiece that we purchased on http://www.prosnore.com it really works good and my brother doesn't even have to use his CPAP anymore!! IT IS AWESOME! GIVE IT A TRY!! PROSNORE.COM is the place!

  Steve

QUESTION:
How Do you sleep with a snoring Partner?
It keeps me awake every night until 12 am , and I go to bed at 9 or ten o clock. I've tried coming up earlier, but it's just too early. I've tried earplugs and listening to music, but it still won't block the sound. We do have a spare room but no bed as we've just moved in? Help ? Thanks

• ANSWER:
  Have your partner see a doctor. There are some great treatments available.

  Also, it may not eliminate it every time, but have him/her sleep on their side really helps.

QUESTION:
How do you sleep threw snoring without earplugs?

• ANSWER:
  Keep waking the other person up. Or, lie on your side with one ear pressed into the sheet and the pillow over top of the other ear. Or, sleep on the couch!

QUESTION:
how do i stop talking,snoring and sleep walking?
im a 10 year old girl i cant stop talking snoring ( happen to ppl in sleep) or sleep walking.
plz help me.

• ANSWER:
  try this one , its super easy to use stops snoring immediately

  http://tinyurl.com/stopsnoringmadeeasy

QUESTION:
How I stop snoring when I sleep?
I just found out that my snoring is loud and hard to deal with, per my girlfriend. How do I stop? My mom snores and I hate that I've become her. Id there anything I can do to stop this?

• ANSWER:
  you could have a deviated nasal septum
  make an appointment with an ENT doctor

QUESTION:
Does loud snoring indicate deeper sleep or does softer or no snoring?
Or does it not have anything to do with ones depth of sleep?

• ANSWER:
  Snoring doesn't mean you are getting deeper sleep. it just means that it's harder for you to get oxygen in and out of your lungs due to obstruction. That takes more energy, and can be a symptom of sleep apnea. There are products that you can buy that will cure snoring in around 80% of cases. Usually if the product doesn't work it can be becuase you suffer from sleep apnea and the snoring is just a symptom.
  Check out an anti-snoring device here: www.slumberguard.com.au

QUESTION:
I'm getting that surgery to help stop snoring and sleep apnea, how long does it take to heal?
Is it painfil for days after? When do they remove the packing?

• ANSWER:
  I didn't have the surgery, but an old boss did and it took about 3-4 months before his face looked normal again. He said it hurt, but he was given something for the pain and it was only painful the first week.

QUESTION:
At what stage of sleep does snoring begin?
I'm just curious.

• ANSWER:
  Any. My husband starts snoring only being asleep for 2 minutes

QUESTION:
what do you do when you cant sleep cause of snoring?
My mom can never sleep at night because my freaking dad snores so loud!
almost every night my mom has to go into our guest bedroom because she cant sleep.
I feel so bad for her because she is always tired,
PLEASE HELP

• ANSWER:
  have your dad sleep on his side or wear breathing strips. if that doesn't help i know my friend's dad had some sort of snoring machine that the dr gave him because he had a bad case of it. so maybe your dad could talk to his dr about it.
  for me, sometimes putting a pillow on top of my head while i sleep helps but i've never had to sleep with someone who snores very loudly.

QUESTION:
snoring problems when sleep, what causes snoring? is really bad for our health?
Snoring is enough to drive anyone CRAZY!
Do you keep your spouse or roommate up at night with the noise you make while sleeping?

• ANSWER:
  Snoring is caused by a vibration in the soft tissues at the back of the throat.
  Snoring occurs while you are sleeping.
  The vibrations are caused by your breathing passages either being blocked or severely narrowed while you are breathing, when your muscles relax and your tongue falls back.

QUESTION:
ever woken yourself up with your own snoring / sleep noises?
i dont think i snore.
sometimes i talk in my sleep..

but i always wonder how people who snore so loud dont wake up

• ANSWER:
  Yeah quite a few times.
  One time I dreamt someone had a baby that wouldn't stop crying and I got annoyed and I woke up saying something like "Christ almighty!" lol

QUESTION:
How can I sleep better with my significant other's snoring? - I'm a light sleeper!?
I have used ear plus, taken a sleeping pill (which I don't want to do every night), turned him over (which doesn't always stop his snoring) and even gone into the other bedroom to catch a few zzz's. I'm going to look into those nose strips advertised next. Surgery right now is not an option. Help!

• ANSWER:
  If he is snoring, he could have a sleep disorder. Snoring is a sign of sleep problems. Sleep problems keep one from reaching all stages of sleep. Failure to reach all stages can result in many health problems including but not limited to weight gain, excessive daytime fatigue, headaches, heart problems, lung problems, brain damage and hypertension just to name a few.

  Go to this website and fill out the quiz. You can have him do it or you can fill it out for him. Print off the results if the score is above 10 and take it to your doctor.

  http://www.excessivesleepiness.com/am_I_at_risk/epworth_sleepiness_scale.aspx?s_kwcid=epworth%20sleepiness%20scale|577280673

  The point is that he may not be getting adequate sleep, and the snoring may indicate that, and you may not be getting adequate sleep because of him snoring. Some of the therapies can stop the snoring.

QUESTION:
Why do some people do this "teeth-fighting" or snoring while they sleep?
What cause them to?
My father snore and my mother did this teeth fighting while sleeping. My brother did both!

• ANSWER:
  While we are asleep, turbulent airflow can cause the tissues of the nose and throat to vibrate and give rise to snoring. Essentially, snoring is a sound resulting from turbulent airflow that causes tissues to vibrate during sleep.

  Bruxism is a medical term for grinding, gnashing or clenching teeth and it affects both children and adults. People affected with this disorder will often clench their teeth together unconsciously during the day at stressful times. Individuals who grind or clench their teeth at night suffer from sleep bruxism. Adults normally suffer from bruxism during the day or night whereas most children experience it during the night.

  Check here.

  http://www.medicinenet.com/snoring/article.htm

  http://www.suite101.com/content/teeth-grinding-a25486

QUESTION:
I snore a lot, what can i do to stop snoring and allow my baby daughter and my wife to sleep?
I snore so loudly my neighbours complain!
Please help.
I sleep downstairs most of the time because of this and my sofas are hard and still neighbours complain.
I'm not that over weight i'm a reasonable size for a 40 year old and I have the occasional drink on special occasions.
Please help.

• ANSWER:
  Letting us know you are not over weight and only drink occasionally means you know one or two things about causes of snoring.

  Something you also have to do is find out what causes your own snoring. Could it be because of nasal congestion? Is it the way you sleep at night (upwards) causing your throat to be partially blocked by your tongue. Identifying the possible cause will guide you to the best solution.

  If you are really bothered about this why not visit a sleep study center for an assessment or just tell your doctor to monitor you. You can also research on your own online to discover some ideas.

QUESTION:
snoring - how you can sleep well when someone sleeping adjacent you with sound snore?
last night when i happened to sleep i got this trouble and i am unable to sleep well.

• ANSWER:
  There are several solutions, but snoring may also be a sign that the person has sleep apnea as well. The solution for the snorer might be to talk to a doctor to find out if they have sleep apnea. Te solutions for sleep apnea include a CPAP breathing machine and losing weight (if the person is overweight).
  The solution for you may be earplus, which come in a variety of styles. Look to see how many decibels the sound will be lowered to. I have found that lowering 20 dB (decibels) is passable, but I would suggest more.
  The other solution is to ask your spouse to turn over, but I have found that sleeping on one side presented problems for me long-term. It may not for you and your spouse, but you will find out.
  Good luck.

QUESTION:
Can you sleep when someone is snoring beside you?
Does it bother you?

• ANSWER:
  ah man, i hate it when people snore! it drives me insane!!!!!!

QUESTION:
What is the best position to sleep in to prevent snoring?

• ANSWER:
  There are 3 ; On either Side. On Ones Stomach. Or on Ones Back- on a slight Incline, where the Head & Shoulders are elevated above the rest of the Body.

QUESTION:
Is the onset of snoring a reliable indicator that one is entering a particular sleep state?
Assuming no instance of severe sleep apnea (they could awake several times if this were the case), can I assume that they will enter REM sleep about 90 minutes following the first signs of snoring?

• ANSWER:
  Snoring only indicates that something is partially blocking the airway. It does not indicate a sleep state.

QUESTION:
What is the best position to sleep in to avoid snoring ?

• ANSWER:
  Try: Stop Snoring Mouth Piece – Anti Snore Device Sleep Apnea Cessation Aid

  http://www.doctorshazia.com/stop-snoring-mouth-piece-anti-snore-device-sleep-apnea-cessation-aid

  Also read more information on snoring at:

  http://www.healthmedicalinformation.com/category/general-health/snoring

  All the best

QUESTION:
How do you stop snoring during sleep?

• ANSWER:
  Sounds silly, but never fails. Duct tape a tennis ball to your back.

  I know, but listen.

  This prevents you from falling asleep or rolling over onto your back. This keeps your tongue from reaching the back of your throat, which keeps you from snoring. You probably won't have to do it forever. Give it a shot.

  Good Luck.

QUESTION:
What is the scientific name for snoring, a sleep disorder ?

• ANSWER:
  Not all snoring is caused by obstructive sleep apnea, but that is the most common cause of really loud snoring. It is a serious disorder which can cause heart damage and eventually kill the snorer. Anyone who snores a lot should get a sleep study done, as apnea is easily treated by the use of a CPAP machine, but these have to be individually set for the correct pressure to stop a person's apnea/snoring, so you can't just buy one - you MUST go to a sleep clinic and get a prescription - too little pressure will not stop the snoring/apnea, and too much can cause other serious problems.

  Sleep apnea is NOT always weight related.

QUESTION:
Can't sleep. Snoring, sweating, hogging, stealing blankets. Help!?
I cannot sleep next to my boyfriend. He snores, he "snuggles" me off the bed, he sweats and gives off tons of heat (someone said its because he's a smoker), he steals the blanket, and waking himonly last a few minutes of respite. I cannot sleep next to him at all. Please help me. Oh, and we sleep naked. Maybe if we wore clothes the heat and sweat wouldnt affect me as much. Please, no jokes or snide comments. Thank you!!!!

• ANSWER:
  My boyfriend sweats alot too sometimes. I would not recommend wearing clothes because as he sweats, your clothes will absorb it. Try using 2 differ blankets, maybe the sheet for him and another blanket for you. Also, try something from the store that goes on his nose to open us his breathing to help the snoring. That may help!

QUESTION:
Does not snoring cure sleep apnea?
If you buy a mouthpeice or something to stop your snoring, does it cure your sleep apnea? And if you plan to get one of those, is it recommended to see a doctor? And does sleeping on your side really help?

• ANSWER:
  Yes Dude, you got it!

  There are some Dental Devices that can help you with snoring and sleep apnea. These devices are preferred by some people who can't tolerate CPAP therapy or doesn't have the money.

  Here is a short description of these dental devices:

  -A dental device or sleep apnea oral appliance is used to relieve upper airway obstruction and snoring by modifying the position of the mandible and tongue.

  -An oral appliance also prevents the tongue from blocking the airway passages.

  There are two types of sleep apnea dental device: mandibular advancement appliances (By repositioning the lower jaw and tongue, the oral appliance keeps airways open and prevents the appearance of snoring and apnea events) and tongue retaining devices (his device reposition the tongue in an anterior position).

  Now you know there are alternative treatments to sleep apnea. You should consult your doctor about this.

  I hope it helps!

QUESTION:
What is the treatment for moderate sleep apnea?

• ANSWER:
  cpap, bipap, autopap, possibly dental device.

  surgery is only 50 percent effective

  If overweight, weight loss may cure sleep apnea but need to treat in the short term.

  Best wishes

QUESTION:
What mask is best for sleep apnea?
I have just recently been diagnosed with moderate sleep apnea. I am not a mouth breather. I like to wear my glasses at night and read until I get sleepy. I hate headpieces. What mask is best for people like me?

• ANSWER:
  I like the comfort curve by Respironics, you can find it online and it's a lot less expensive than you would pay in any supply store.

QUESTION:
What is considered severe sleep apnea?
I was told I have on average 32 incidents an hour from the VA.

I read on the internet on some sites saying 20 to 40 is considered moderate sleep apnea, while other sites are saying over 30 is considered severe. It's hard to tell what is moderate or severe because of the contradictory sites.

Does anyone have a concrete sight with information on this??
sorry *site* it's late, I'm tired, lol.
I'm getting a CPAP machine through the VA, thanks though.

I'm asking if it is considered severe or moderate.

• ANSWER:
  I would say it's on the upper end of moderate. If you were a crayola crayon you'd be moderate-severe.

  Do you know which criteria your sleep study used? They are your medical records & you have a right to have copies of everything. While you're at it, ask them about the frequency & which category it's determined to be. There are different schools of thought on labelling.

  Knowing the number of incidents is more important than the category. 32/hr is a lot. Just think, every other minute you are not breathing for a period of time. Some ppl have even more per minute & their times w/out air are shorter. That's how there can even be a severe category.

  I'm glad you're getting the CPAP. You'll notice a difference in the way you feel, your alertness level, feeling like you're back involved in your life, not as tired,more patience, more like 'yourself' & so many more positive things! Not only that, it could save your life!

QUESTION:
Does sleep apnea raise blood pressure?
I would think the answer is yes, but my MD wants to raise my BP meds. I have moderate sleep apnea, and just started a treatment program.

• ANSWER:
  One way that apnea may directly affect blood pressure, regardless of other risk factors:

  Blood pressure fluctuates widely and suddenly in response to episodes of apnea and hypopnea (shallow nighttime breathing).
  Such fluctuations are possibly due to a sudden surge in the sympathetic nervous system, which controls involuntary muscle responses, importantly those in the blood vessels and heart, and may also play a role in sleep apnea.
  These fluctuations lead to transient constriction of blood vessels that, over time, could possibly lead to sustained hypertension and heart damage.
  Effective treatment of sleep apnea with continuous positive airway pressure (CPAP) may reduce blood pressure. Sleep apneas must be significantly reduced, however, to have any effect on blood pressure. Even a 50% reduction in apneas has no effect.

QUESTION:
Sleep apnea surgery question?
I'm almost 40. I've been diagnosed with moderate sleep apnea. My doctor wants me to wear a mask at night to help me sleep. This doesn't appeal to me. I asked about surgery and he wasn't too keen about it. He said that the risks vs. benefits weren't that great. Anyone ever gone through this or know anything about it?

• ANSWER:
  My dad went through the surgery many years ago and it did almost nothing to help him. He was in a lot of pain afterwards and it took forever for it to heal. He finally just got the mask and machine and says it works the best. Too bad that surgery didn't work.

QUESTION:
Can you get a driver's license if you have sleep apnea?
I was recently diagnosed with sleep apnea ( a moderate one). I was planning to get my driver's license since I'm 18, but then the doctor didn't recommend it...

Does anyone know whether or not you can get a driver's license if you have sleep apnea? (Oh, I live in California by the way, if there are different laws...)

Also, if you do have sleep apnea, and you do drive, do you have any problems? Or have anyone ever told you that it's better if you don't drive because you're constantly sleepy?

• ANSWER:
  I have know a couple of people with sleep apnea who did have licenses so it might be a state to state difference in laws.

  I also have know 2 guys with narcolepsy.....and NO WAY will they ever get a license. I was driving with one of them....I was driving!....and he simply feel asleep while talking to me. Very weird the 1st time that happens.

  You might want to check with the agency in your state that issues driver's licenses. Good luck.

QUESTION:
Will a cpap machine improve the health of someone with sleep apnea?
I have sleep apnea and am scheduled to pick up a cpap machine this week. I found them to be uncomfortable when I spent the night at the sleep clinic but I'm going to give it a try. My sleep apnea is moderate to severe so I've got to try something to improve my condition. I've heard several people say they hadn't slept so well in years after going on the cpap. Can anyone out there give me a review? If they are bothersome at first can you eventually get used to them?

• ANSWER:
  It takes about 2 weeks to get use to the machine. They are wonderful once you get use to them, I promise you! I hated mine at first! But my wife wanted me to live! I swear that it made me feel 20 years younger ( i am 61). I fought against it at first! But it is the best thing that has ever happened to me, I only wish I hadden't been such a hard headed sonofwhaterver in resisting to go to the sleep lab in the first place!

  Give it time you will really feel better! Try different face pieces including the type that just fit in your nose only ... try it out and use a chin strap to keep your mouth closed. It keeps your face free!

  Good luck stay with it!

  APS

QUESTION:
Are there any cases where sleep apnea was proven to be caused by poultry farming?
I worked for several years cleaning poultry houses with Bobcat loaders and hauling the manure to area farms for fertilizer.I am now suffering with moderate to severe sleep apnea ,can a viable case be made for a lawsuit against the previous employer?

• ANSWER:
  Sleep Apnea is not caused by poultry farming. It is a condition (often associated with obesity) wherein the airway closes off when a person is sleeping deeply. This is "apnea". This causes the indivdual to feel that they are suffocating and they will then startle awake, leading to an inability to rest fully. Symptoms associated with this condition are chronic fatigue, snoring, restless sleeping.
  Your above work could lead to a restrictive lung disease because of the constant inhaling of fecal particulates. restrictive lung diseases are characterized by an inability to take a deep breath. This is something that is assessed during a "pulmonary function test" and you can speak to your doctor and request this test.

QUESTION:
Where can I found mouth/tongue exercises for sleep apnea?
A recent study (Am J Respir Crit Care Med Vol 179. pp 962–966, 2009) found that oropharyngeal exercises can help reduce symptoms of sleep apnea in moderate cases. Similar exercises are used in speech therapy. Where can I find clear information/instructions on these exercises?

• ANSWER:
  Pharyngeal exercises will do no good for central sleep apnea, and will help only in cases of pharyngeal collapse as a cause of obstructive sleep apnea.
  Exercises consist of posterior consonant production (k, g). I like to use the repetition of "hawk, hawk, hawk" with very strong emphasis on the /k/, and "gah, gah, gah" with very strong emphasis on the /g/. Both will strengthen the lateral pharyngeal wall muscles and the muscles which control the base of the tongue, but it takes a lot of repetition, just like lifting weights does for large muscle strengthening.
  Do 10 repetitions of each every hour you are awake. Theoretically, you'd do about 220 reps daily (10x16).

QUESTION:
Can Sleep Apnea cause constant muscle aches, and weird dreams etc..?
I am a 21 year old male, i have moderate sleep apnea and i have a lot of trouble sleeping with the CPAP machine. My body constantly aches and ever y6 weeks or so i get a temperate and they worse. Randomly throughout the day the muscle aches get worse but tend to get better with time. I am usually very fatigued but i cant fall asleep or nap and such. Would getting my tonsils and amnoids etc.. taken out be a better option for me than trying to a djust to the CPAP? And also, can sleep apnea actually be the cause of all of these aches going through my body?

• ANSWER:
  CPAP takes time to get use too. ARe you using humidity. Have you tried a few types of mask. Do you use the ramp. Have you tried auto pap or bipap. Both are more comfortable than cpap. There are dental devices that are effective for many people.

  Many people who recently started cpap have weird dreams because you have not dreamed in a long time. It gets better. Also you sometimes have aches because you sleep in one spot as previously you tossed and turned. You may need a new mattress or a mattress topper. It get better I promise. It takes time. Go to sleepnet.com for specific advice and message boards. Best wishes.

QUESTION:
Tonsillectomy to relieve sleep apnea?
I've always been a sleepy person. I slept through most of high school and even slept in through very late college classes (including 5 PM classes, even). I never wanted to sleep in class, but couldn't stay awake and slept far more than 8-12 hours a day ideally. I got a sleep study and found that I have moderate sleep apnea. I'm a thin person, and don't have excess facial soft tissue, so my doctor was confused until he looked in my mouth and saw how large my tonsils were. After an Otolaryngologist looked at my throat, she agreed that the tonsils were a problem but also wanted to remove my uvula and some of my soft palate. She listed complications that might occur as a result of removing those also, and it seemed to be an unnecessary risk, possibly creating new discomforts when the tonsils alone could be the problem. Anyone have any experience with this? I'm going to get a second opinion from another doctor, of course. Is there any way to see how good surgeons are (reviews, etc)

• ANSWER:

QUESTION:
Have you tried a CPAP machine for Sleep Apnea?
I had a sleep study a week ago and found out that I have moderate sleep apnea. So last night I had another sleep study to find out what pressure I need to use on the cpap machine to fix my sleep apnea.
It was HORRIBLE!
They used the one that just goes in/under your nose. They said they used the lowest pressure possible.
It felt like a really strong flow of wind was forcing it's way into my nose/throat all night, and I had to use a lot of effort and muscle to exhale. It was exhausting and scary. It felt like I was being pumped up like a balloon and was going to suffocate.
It also made me swallow a lot of air so I as burping and felt like I was going to throw up.
I don't have any idea how long I actually slept. But I do know that I kept waking up in a panic feeling like someone was smothering me.
The tech kept tell me it was just a mental thing and I had to make a mental decision to not panic.
Yes the feeling like I was going to suffocate was a mental thing. I know that I wasn't in any real danger.
But I don't think that I imagined the pain and pressure on/in my nose, throat. And the strain I was putting on my lungs and torso trying to force exhale against the air flow.
Also, I'm only ever able to breathe out of one nostril at a time (just a generally congested person I guess, cuz it switches from one nostril to the other every day or so)
So the air flow was all going into my left nostril, which is currently stinging and throbbing in pain.
They ended up having to give me an ambien at like 3am or something to help me actually get to sleep.

Ugh..... it was seriously the worst night I've ever had.

What was/is your experience? Am I just overly sensitive? Did the tech/doc possibly not use the right equipment/ pressure? Should I even bother trying to get the doctor to prescribe me one?

OH and they didn't offer any choice of sizes for the nose piece. I didn't know there were different sizes till just now when I've been researching it.

• ANSWER:
  no, I haven't, but my former boyfriend, another friend and my brother all use them and they make a huge difference. The one guy I saw used to be really pale--cyanotic; meaning he was really not getting enough oxygen into his system.

  The first morning I saw him after he had used the CPAP he was actually PINK for the first time I ever saw. I'm a nurse who used to work on a cardiac floor and I notice these kinds of things. I was amazed! I had not realized just how cyanotic he had been until he showed up that morning so full of red blood in his system!

  So, they really do work. It sounds like you just need to get the right fit. Good luck!

QUESTION:
Removing my tonsils for sleep apnea; how much pain will I be in and how long will it take to recover?
I'm 20 years old with moderate sleep apnea. I'm soon to be on a cpap. My doctor has recommended I take my tonsils out to perhaps solve my apnea since they are HUGE. I've heard it's worse to remove your tonsils when you're an adult so I'm wondering how much pain I will be in and how long it will take for me to recover and eat solids/talk again. I had a septoplasty over a year ago and it wasn't too bad but I'm dreading another procedure.

• ANSWER:
  Get a second opinion from a board certfied sleep specialist who is either a neurologist or a pulmonologist. ENT always want to due surgery. The surgery is painful from talking to adult patients who have had it done and regret it. My doc said that I would still need pap therapy so why go through with it.

  Surgery is less than 50 percent effective. Are they sure that the only area of obstruction is your tonsils. Can they guarentee that the scar tissue will not become an obstruction.

  Best wishes

QUESTION:
My son have been diagnoised with obustructive sleep apanea, and Dr have asked us to take of the adnenoids?
us to remove Tonsils and adenoids and also he is planning to do turbinates to create more room for breathing, my only question and concern is He never really saw the size of adenoids or tonsils, and is assuming those are causing sleep apnea(moderate).. I am worried what if surgery does not help, My son would not like CPAP. as he is just 3 years and 3 months.... Please advice

• ANSWER:
  Second opinion? We removed my sons tonsils after repeated infections, very large tonsils, bad snoring, sometimes he would have a short breath while sleeping. I'm glad we did it though. He sleeps hell of a lot better, does not snore, results were imminent, he hasn't had an infection since! Anyways u could get a different opinion. We were reffered and the doc did look at his throat etc did tests.

QUESTION:
My mom just had a sleep study (polysomnogram) done for sleep apnea and her max heart rate was...?
Under the Heart Rate Summary section it lists her
average heart rate during sleep (79),
highest heart rate during sleep (90)
but then it says "Highest Heart Rate During Recording (TIB) was 231 bpm- artifact.

What does the artifact mean? I am assuming tib means tibial but I just dont see how 231 could be possible. Could this be an error or what? She was diagnosed with frequent moderate to severe sleep apnea.

• ANSWER:
  artifact means that it was not really, there was some electral interference from the machine. It happens NO big deal.

QUESTION:
Sleep Apnea.......................?
I know little about it but I was diagnosed. I am getting a CP AP machine soon. All I know is that I have 32 incidents an hour.
1) They sent me home with a mask, but yesterday, said they ordered one? Is there 2 masks? I am confused on this one....
2) Once I get the CP AP machine, will I feel better? How long does it take to feel good again?
3) Is my sleep apnea considered moderate or severe? I read contradictory websites, some say moderate, some say severe, who is right?
4) How long does it take to get used to the machine?
5) Anything else you can tell me, I mean anything at all would be great.

Thank you. I am asking the VA these questions whenever they call back, but they are slow and sometimes don't even bother calling back, I can have the machine for a month before they decide to call back, Lol. So I'm trying to find out the information.

• ANSWER:
  I have sleep apnea also.

  1 - there is only one mask. As to why they gave you one and then ordered you another....I can't say

  2 - Lets say you will sleep better and better sleep usually means feeling better. I started to notice a difference right away. I was sleeping soundly for about 4 to 5 hours a night. Not long enough, but the sleep I was getting seemed to be more restful.

  3 - 32 episodes in one hour is alot. I had a total of 365 episodes during one 8 hour sleep session. I stopped breathing several times during the night and kept coming up out of the deep sleep that is needed to feel rested. I am considered moderately severe. My setting on the C-Pap is 14.

  4 - It does feel weird having a mask stuck on your face. You get tangled up in the hose once in awhile. But after about a week I found I was sleeping okay without too many problems

  5 - can't think of anything else. If they gave you a machine with a air humidifer on it, make sure that you use distilled water. Wash your mask nightly and the hose weekly. I was told to use baby shampoo, anything else is too harsh.

  Good luck and I hope you have good results.

QUESTION:
Sleep apnea, little REM sleep, insomnia?
Hi there-
Recently diagnosed with moderate to severe sleep apnea. Also it has been stated that I am not staying in REM sleep for any useful length of time.
I usually sleep very little at night...always have been nocturnal.

I sleep best during the day. But the last 5 months have been rough.
I only stay asleep for a couple hours and then feel hyper and irritable when I get up.

New diagnosis of sleep apnea and very poor amount of REM Sleep.
I am doing a titration study tonight with c-pap machines to see what volume works for me.

I would like to hear from others on how if at all treatment has helped?
If your situation is similar to mine as far as minimal amounts of sleep with diagnosis of apnea?

What can I expect with treatment. Some have said they feel better right away. Others have said it takes awhile. I would like to hear anyone else's experience with this.

Thank you.

PS...Do you ever adjust to life with that machine stuck on your nose?
And is there sex after c-pap even if your significant other doesn't have a thing for Darth Vader breath sounds?

• ANSWER:
  I have the same problem. I am on a cpap machine I use the full mask. If there is a problemu will feel better right away. I think that it is all linked to oxygen in the body. I pap machine is like a small humidifer which u breath in thru your nose. do u have sinus problems? If your nose is plugged all the time, a full mask will force u to breath thr your nose. The first night I slept 12 hrs. I never woke up. I found out that I was exhausted, maybe half dead and did not know it.

QUESTION:
Sleep Apnea questions!!?
I'm 21, Im pretty sure I have sleep apnia, I have always snored. my mother and sister have noted recently that I have stopped breathing for almost 2 minutes most nights, then i gasp for air. lately I notice that even before I fall asleep i will wake up and tell myself to take a breath. I am always tired, i wake up with horrible headaches, I fall asleep for miliseconds at a time during the day, including twice I have had to pull over when driving...

my mom has moderate to severe sleep apnea so I am somewhat familiar with the CPAP. I asked my doctor for a referral for a sleep study, and I am sure I will get information before the study, but I was thinking someone on here could tell me a bit about what goes on.

I usually dont go to bed until 11:30, and that is after watching Nancy Grace and the news, which makes me sleepy. I have always had issues falling asleep in strange places, and I have been hospitalised before, so I know the beds are not very comfy. what if I can't fall asleep? I move a lot when I first start to fall asleep, am I going to be able to turn onto my side? what if i have to go to the bathroom durring the night? will they tell me if i breathe mostly out of my mouth? Im not usually a worrier, but this is the first medical condition I have had since a broken leg when I was 6.

I am engaged, and while my wedding is a few years off, how do you maintain a relationship with this condition? I know my snorring has driven many people to not want to share a room with me for a night, let alone a lifetime. I want to be able to share a bed with my husband have us both get good sleep. can most partners sleep through the noise of the CPAP? what about snoring, does the CPAP eliminate this as well? I dont know how intimacy would go, my husband cant really roll over and kiss me good morning, can he?

sorry there are so many questions. thank you to anyone who is willing to read all that and help.
yes, i know there is surgery. I do not want to get surgery because I do not respond well to anesthesia, and I prefer to use a CPAP if I will need one because it is less invasive. why cut me open if you dont have to?

• ANSWER:
  i have no idea about the conditions of polysomnography. however i know that CPAP is not the only treatment for sleep apnea. Surgery is also possible and is recommended for young people (which i assume you are). There's a surgery where they move your jaws forward, and it'll cure you from sleep apnea and you won't need CPAP or any other treatment. I know CPAP can be a pain in the a** cause my dad uses it and it's annoying.

QUESTION:
My mom has serious sleep apnea but does not have the money to help herself...what can she do?
I am so concerned about my mom who has moderate to severe sleep apnea. She has gone to the doctor and has been told she needs to take immediate steps to help herself (like surgery or the machine), but because of my family's medical bills, she consistently denies herself to put the rest of us first. My family and I have tried to convince her to get what she needs to have done regardless, but she won't, because she knows it will probably be expensive. Are there some effective things she can do instead of surgery or the machine? I've heard of home remedies, but are these good enough?? Please help!

• ANSWER:
  Step one: Lose weight
  Step two: Get some breathe right strips and use them every night
  Step three: Go to pharmacy and get the new apnea over the counter devide that you can do yourself.
  Step four: Make more money and get to the doctor to get the advanced equipment now available.
  Step five: Get a good nights sleep

QUESTION:
Sleep Apnea treatment: Dental device that allows you to breath through your mouth at night?
I've been officially diagnosed with sleep apnea in the mild to moderate range. I also suffer from depression (probably sleep deprivation induced) and insomnia (late to bed/early to rise). I sleep for between 3 to 5 hours a night. Obviously this isn't enough sleep.

I've tried CPAP, but can't get used to it, mainly due to my problems with insomnia (my mind has trouble being "quiet"). I have a hard time sleeping without the distraction of a CPAP, and WITH it.... it's impossible for me to sleep. I litterally just DON'T SLEEP with it on. I've been trying for 2 months (seriously).

I know there are dental devices that relocate your jaw and tounge, but I seem to have problems mainly with my "soft palette". I notice that if I breath through my mouth, it's impossible for it to close off. SO, I was wondering if anyone uses or knows of a dental device that would have holes in it to allow you to breath through your mouth at night? Something like a mouth guard with a tube coming out... THANKS!

• ANSWER:
  My husband has the same problem...It takes longer than 2 months to get use to the CPAP....he had to change the device that covers your nose to a more comfortable one.
  I don't think its the CPAP you are having trouble with..Its falling asleep and staying asleep.
  Could be hormones making you stay awake and waking up early

  Out of wack Hormones can make you stay awake and wake up every hour.
  Check with your Doctor, antidepressent pills helped me sleep

QUESTION:
anyone use a Didgeridoo to relieve sleep apnea?
i heard it works for moderate sa. is there anything to it. do you blow into it like a horn. im on cpap looking for other options.

• ANSWER:
  It's hard to describe (and I've not done it myself) so here are a few videos that may help you form an idea of whether it's something you want to take up or not. The third is about circular breathing, which I guess is key here.

  There's more if you search YouTube but this should get you a good impression.

QUESTION:
Question about sleep apnea.?
I have moderate obstructive and central sleep apnea. My blood oxygen levels according to sleep study dropped down to 60. I tried the CPAP machine for a couple of months and finally gave up. And I can't sleep with that dental appliance either. BTW I am tall and very thin, medically I would be considerated underweight.

I am looking to buy a pulse oxyimeter with alarm that would wake me when my oxygen gets too low, like below 80. Do you think this would work? Where is a good place to buy one?
Thanks.

• ANSWER:
  I would think that would wake you up just as much as sleep apnea.

  Go to the place that supplied you with your machine and ask them to be fitted for a new mask. They have ton's of choices and there is bound to be one that will work for you. If you find a nice respiratory therapist who is willing to spend extra time with you, you can find a mask or nose mask that will work right for you.

  Good Luck!

  I've had sleep apnea for years and it took a while to find a working mask.

QUESTION:
I need advice on Sleep Apnea.?
A sleep study revealed that I have sleep apnea. My general doctor received the report. He told me my apnea is moderate to severe-I stop breathing at least 20 times per hour during sleep. My appointment with the doctor at the sleep lab is one month away. I tried to get an earlier appointment but there were none available. I need to get a Cpap machine that will keep my airway open when I sleep. I have one more month of straining my heart and waking up gasping for breath until my appointment. What is wrong with these idiots. If I stop posting ont these boards it's because I died in my sleep. How can I get these people who know I have a severe case of sleep apnea to schedule my appointment sooner so that I can get my machine sooner so that I can stop damaging my heart? Thanks

• ANSWER:
  That is crazy that they are making you wait! My husband has sleep severe sleep apnea so I know how you feel, it is scary. My husband stopped breathing 600 times in 5 hours!! He has extremely severe apnea. Call the office every other day and ask if they have received any cancellations and advise them that if they do they can call you. You are going to feel like a new person when you receive your machine.

  I wish you the best of luck!

QUESTION:
omg I just found out that I have Sleep Apnea!!!!?
My sleep apnea is bettween Mild and Moderate. I SNORE REALLY LOUD!!! And my parents told me that one I was little I would stop breathing for like 10-15 seconds. Scary.. Anyways do you our some one you know is diagnosed with this symptom? Thanks just wanted to hear about your sleep apnea. IDK I'm HYPER!! DRANK A BIG CUP OF COFFEE!!!!!!!!!!!!!THANKS!!@
Its because I have big tounsils and when I go to lay down (I'm so used to laying on my back because I have been in the hospittal many times annd I had not choice to lay on my back) my tounsils would block the airway passage so I only get a little bit of air when I sleep. I have been trying to lay on my sides currently and yes I have been able to stay in that position but I would still roll from one side to the other. I'm thinking about getting my tounsils removed, my sister did it and she said it is alot more better to breath. What should I do? Is surgery on my tounsils worth it? Will it hurt? What do they do when doing surgery? Will i be uncousious or will I be awake during the surgery??? Thanks!! i know so many questions
I have been to the doctors but it was like umm when I was 11 or 10 years old. Now I'm 13. Oh and I cannot use the machine beacause my room is like dwonstairs from my parents room and i don't want somthing to go wrong with this machine and not wake up.

• ANSWER:
  My son had this condition also. He was only 5 years old, b ut snored so loud you would swear it was a grown man and not a little kid!! He would also stop breathing for periods as long as a minute, and then gasp for air. He had his tonsils and adenoids removed and it was a tremendous success!! Now you can barely even hear him breathe when he sleeps. However, our tonsils get smaller the older we get, so your Dr. will have to tell you if that is an option for you. CPAP machines help a lot of people who have obstructive sleep apnea. Obstructive sleep apnea is where the soft tissues in your neck relax and block your airway while you are sleeping. CPAP (continuous positive airway pressure) is a machine that puts pressure into your airway to keep it open.

QUESTION:
Do I have sleep Apnea or something else? Who do I ask?
I am a 30 year old woman - who is 40lbs overweight (according to dr charts) and has moderate asthma - Often when sleeping I wake-up sweating, can feel my heart through my back, get headaches, have to use my inhaler (though it doesn't always seem to work at night), get restless legs - and feel sluggish sometimes and have headaches for a couple of days that seem untreatable then they disappear, only to reappear later that month. The Dr. ran all kinds of tests, thyroid and such, but to no avail - she never mentioned sleep apnea, but I saw a tv special about it and both my parents have sleep apnea... The thing is that my dr never recommended that I get the sleep study, so do I go and ask for one (maybe she'll think I'm crazy), or do I just go and get it done - I have a PPO so referrals are not necessary. TIA

• ANSWER:
  Go to a specialist, who will do a sleep study on you. They have you stay at the office all night, and monitor your breathing and watch you for signs of apnea. Call your doctor or local hospital for a referal to someone in your area or check your phone book. You may need a CPAP machine if you are having apnea.

QUESTION:
So anyone out there use a mouth piece for sleep apnea?
I tried the c_ pap machine with different mask styles nose pillows, full face mask ,i just cant use them i tried the sleep shir i would just sit up and sleep on my back, so now sleep dr said out piece and sent me to a dentist to get it , but no dentist will take my insurance and it costs 1,800 i cant afford that ,so en back to sleep dr and he said that i could order one off the internet for about 90 dollars, which i will do , my apnea the dr said is moderate its est/level 3 cpt99213,does anyone else buy there mouth piece and can handle it please let me know and thank you for your information,

• ANSWER:
  Hello

  It is really important to have health insurance these days. Go to: this web site to get the cheapest price.
  I saved 30% last month.

  http://EliteHealthIns.com

  I hope that helps

QUESTION:
What is a good alternative to a CPAP Machine for Sleep Apnea?
I am 29 year old female. I am not obese so the doctor believes it to be hereditary since both my brother and father have it.

My sleep apnea is on the borderline of mild to moderate with 15 episodes per hour. Unlike most people with apnea my sleep study showed that I did not snore, sleep with an open mouth or have any drop in my oxygen levels. Apparently most people with sleep apnea have a drop in oxygen mine remained consistent.

My Symptoms do include:
*Excessive daytime sleepiness.
*Waking with an unrefreshed feeling after sleep, having problems with memory and concentration, feeling tired, and experiencing personality changes.
* Morning headaches.
*Sweating while I am sleeping.

I have been using a CPAP machine for 1 week as of today. The mask I have has soft prongs that go in the nose. I have only been able to sleep for 3 to 4 hours per night before waking up and pulling the mask off. That is of course if it is not already off and hanging around my neck.

I have tried two different nose pieces and will most likely try a fuller mask next week. I have started taking gravol to fall asleep at night and I am far more exhaust now then before the CPAP machine.

So is there any alternatives that other people have tried and know to be affective? Cost is not really a huge issue since I have full benefits that will even cover the CPAP machine if I decide to keep it after the 30 day trial.

• ANSWER:
  There aren't any alternatives. I question the sleep apnea diagnosis without a drop in O2 levels.....If I were you I would see another doctor.

QUESTION:
I have obstructive sleep apnea. Will a tonsillectomy completely improve my quality of life?
I have always had trouble sleeping and continually waking up. Even if I sleep a full 8 hours on weekends I still wake up feeling groggy and with a headache. I feel tired and sluggish throughout the day, and usually feel too tired to work out or engage in much physical activity. This has been going on my whole life. I had a sleep study done and I have obstructive sleep apnea, so my body never gets into the very deep stages of restorative sleep. I tried a bipap machine and I can't sleep with it on. Now I have a tonsillectomy and uvulectomy scheduled in a few months. Assuming that the surgery is successful and I can sleep well and deeply afterwards, how much will it effect my qualirty of life. Will I feel 100% better like a whole new person or will there likely just be moderate improvement? Can someone who has had this surgery let me know?

• ANSWER:
  my moms husband has had 2 types of surgery and the sleep apnea has still not improved. He had his tonsils cut out and his throat widened. It was a painful surgery and did him no good.

  I hear it can help some people, so I really hope it works out for you...but it didn't work for him.

QUESTION:
Do you think I have Sleep Apnea?
I think i might have sleep apnea, my mother thinks so too.
I can't go to the doctor because we dont have the money..so?
Well here are some what you could call problems/symptoms.
1. I have headaches everyday..Moderate to severe pain.
2. I get dizzy when I bend over or get up.
3. Im really i mean REALLY tired. I sleep about 10-12 hours a night. It gets bad sometimes..i fall asleep in class and everything. I even take naps when i get home.
4. Shortness of breath? idk ....
5. Im very cranky or moody

So please and thanks for the answers :]... :l

• ANSWER:
  yes it could be. But then again it may not. so it is best to get it checked out by your doctor. he/she can arrange a sleep study to determine if you have SA. from my reading it appears to be more common in males, particularly overweight males.

QUESTION:
Help from a spaanish speaker- grammar help?
Okay so I have to translate this... I did my best but my grammar may not be spot on... I ould really appericiate if you helped me
Thanks so much!

English

Treatment
Treatment for adult OSA must depend on the individual’s current physical condition, medical condition, and pertinent test results. Behavioral, mechanical and surgical methods are the most common forms of treatment for sleep apnea in adults.
Behavioral Treatments
Individuals with sleep apnea are advised to avoid tobacco, alcohol, sedatives, and medications that relax the airway and/or compromise respiratory function. Regular exercise and weight reduction often help people with mild to moderate sleep apnea minimize their symptoms. Sleep apnea sufferers are also advised to avoid sleeping on their backs.

Spanish

Trato
Trato por adultos AOS tiene que depender del condición física, condición clínica y (pertinent test results= resultados del examen pertinent??). Formas Conductual, mecánico y quirúrgico son los formas mās comúnes de trato por apnea del sueño del adultos.
Tratos Conductuales
Individuales con with apnea del sueño son aconsejar para evitar Tabaco, alcohol, sedantes y medicinas que se relaja la rutaaérea y/o (compromise?) función respiratoria. Ejercicio regular y reducción de (weight) normalmente ayudar personas con (mild to moderate???) apnea del sueño minimiza sus síntomas. Personas que sufren por sueño del apnea tambien son recomendar a aconsejar dormer en sus (backs).

Thanks!(::

• ANSWER:
  Hi,

  Most of it is correct, so good job
  My version of it is as follows

  Tratamiento:
  El tratamiento para la Apnea Obstructiva del Sueño en adultos (AOS) depende de la condición física y clínica del individuo, además de los resultados de las pruebas pertinentes . Los tratamientos más comunes para la apnea del sueño consisten en procedimientos quirúrgicos, mecánicos y conductuales.

  Tratamientos Conductuales:
  Se recomienda a los pacientes con apnea del sueño que eviten el tabaco, el alcohol, los sedantes y en general cualquier fármaco que relaje las vias respiratorias y/o pueda comprometer la función respiratoria.
  El ejercicio regular y la reducción de peso a menudo ayudan a los sujetos con grados leves y medios de esta afección a reducir los síntomas. Tambien se recomienda que dichos pacientes no duerman de espaldas.

  Hope this helps

QUESTION:
Gastric or lapband, I am married and have 2 children and a tubal ligation.....?
290 lb female, 5' 3" hx: of hypothyroid controlled, moderate sleep apnea Tx=cpap, umbilical hernia,
I've tried it all no self control,

• ANSWER:
  I did it. It's definitely a big decision and has to personally work with you and your lifestyle. It's not as invasive as gastric bypass and it's day surgery. Some people get it confused with gastric bypass.

  The cost is around ,000 unelss you have medical insurance that will cover it 100%. I wasn't that lucky but you can get financing. Your doctors office should be able to give you a list of companies that offer financing.

  It has almost been a year and I have lost 5 sizes (from a 20-12) in clothing. I was not an extreme case. People who are bigger lose a lot more weight faster. It's not that hard as long as you do what they tell you to do. I would say the most difficult part is no more bread or carbination. But, now I really don't even notice that it's missing from my diet. I can eat most anything just not a lot of it. But, it's great because you actually feel full and your brain tells you to stop eating.

  I just saw myself heading down a road of no return. I kept dieting and gaining it back plus more. It was a horrible cycle for 20 years. I wasn't an overweight person when I was younger. After I had kids, it kicked it into high gear.

  I recommend you attend a seminar to get better informed about Lap Band surgery. They will be able to answer all your questions.

  As a side note, I would be leary about going to other countries to get it done. But, that's just me. I have heard sucess stories but I would do my research thouroughly before taking that route. It's less expensive but there is always a danger regardless.

  Here is how I found mine: http://www.trueresults.com/seminars.php#...

  or

  http://www.lapband.com/lapband/patientse...

QUESTION:
I have been advised for a adenoid and tonsils removal surgery for my 3 year old son,?
even though they are not swollen as he is been diagnosed with moderate Sleep Apnea with 7, he also has deviated spec-tum which we have to wait till he is 18, so Doctor thinks taking off the Normal size tonsils and adenoids will still give him some room and will help him with sleep apnea symptoms, as he is too young for C-PAP..Please have anybody come across this situation.Please advice, will help a lot. We got 2nd and 3rd (ear, nose and throat) doctor opinion.But well everybody says its better than nothing. as Parents we dont have much options i cant see him not sleeping.

• ANSWER:

QUESTION:
Too tired to function/live life? I've tried everything. Ideas?
First of all, there are a couple of things to factor in... I have been battling depression ever since I can remember but it is not as bad as it used to be(I know this can make you tired). Also, I have moderate sleep apnea and have a c-pap machine but have not been able to use it successfully. I just can't get used to it. I've had it for over 5 years, tried every different mask, herbal sedatives and everything you can imagine. I know the fact that I get poor sleep is a major contributor. I've tried mouth devices and the surgery is not an option, obviously making me feel helpless to treating it. I've been evaluated by countless doctors. Blood tests and cat-scans show that I don't have a thyroid disorder. I have been given all kinds of herbal supplements that if taken regularly, prove to slightly improve my energy but not significantly. I've been on every wakefullness medication that hasn't worked, even abused medications that weren't meant for wakefullness like adderall, which makes me crazy and extremely irritable.They all make my body ache like a 90 year old(I'm 21). I have completely changed my diet, thinking that I might be allergic to gluten but that barely made a difference and I couldn't afford it(I'm a college student, barely able to manage 2 classes). I've tried quick fixes to get through the day like strong ginseng tea but everything that gives me enough energy to get through the day also causes me to crash so hard that I can't move for the next two days. Ironically, I think I'm allergic to caffeine(it causes throwing up and diarrhea). I practice every common thing that I know to improve energy-drinking a lot of water, vitamins known to improve vitality, exercise(when I can), even expensive shoes that provide special support, you name it. I had trouble sleeping and waking at the same time as the other kids in high school. I worked with disabilities to knock off my first hour class because I couldn't stay awake in class, or even drive to school without nodding off but I could still function, have friends, and get through most of the day. It's gotten worse since then. I'm in college and I can't even make it to once-a-week, nighttime classes. I certainly can't hold a job and extra things like hanging out with or even contacting friends is to physically exerting. I have a small window of time in each day of a couple hours where I am awake. It's hard to go out to do things like grocery shop. If I can't make it back in time, my mind slows down and I become incoherent. When this happens I have trouble making it home. For example, I'll wake up in another city, my groceries spoiled because I fell asleep and missed my stop. It's not just my body, it's my mind. I can't remember anything or organize my thoughts. Often I will miss things because I think I am in yesterday or tomorrow. My room and hands are covered in notes reminding me to do things like "take a shower, go to bank, eat dinner". Because I can't sustain myself, I am paying for college in all loans and my mom(who is strapped for money and has other children to raise) is paying for all of this out of pocket and we have no insurance. She is constantly coming up with new things it could be and looking into new treatments that she can't afford. I know that I have a duty to my mom and everyone pulling for me to keep trying but sometimes I wish that they would just stop. I am a passionate person and don't want to be part of something I can't participate in. Ideas?

• ANSWER:
  This may be too simple of an answer but i can't seem to accomplish most of anything unless I take -timed release mega B vitamins.
  They give me incredible energy.
  They might work for you too.
  Also Bee Pollen works too.

QUESTION:
I get winded fast, my heart rate jumps and I sweat allot when exerting myself. ?
I am 43 year old male. I workout, don't do allot of cardio though. Here is my issue.

When I exert myself even mildly, my heart rate jumps rapidaly, I start getting winded, I'll start sweating allot especially from my head and I will start to feel fatigued.

For instance, yesterday it was fairly cooled out. I was cleaning out my basement. My basement is only about 5 steps to get outside. I was moving some 2 x 4's out to my yard to store them outside. As I was moving them, my heart started to raise fairly fast, I was getting winded and I started to sweat allot. I had to stop and take a break. I wasn't working that hard and I was pacing myself.

The other day I went to the lumberyard to purchase roof shingles. As I would pick up a bundle and put it on the truck, I would start to get winded. My head was sweating really bad after awhile and I could feel my heart racing.

Another time I was working in my garage changing out a CV joint on and axle. I was sitting down and working on it on the bench. As I was working on it, I started sweating really bad to the point it was almost dripping off of my face. I wasn't even really exerting myself much.

Something is definately not right.

I went to see serveral doctors and no one can find anything wrong.

I had EKG's done, stress test, heart sonogram, I wore a heart monitor for a day, blood workout, just about everything and no one says that there is anything wrong with me.

I will say that when my doctor sent me to a cardiologist to have a stress test done, when I was running on the treadmill, he was shocked to see my heart rate raise so fast. That is when he sent me to have the heart sonogram done which showed nothing wrong. The only thing that has showed up from all the test is I had a sleep study done that shows I have moderate sleep apnea. I also have a deviated septum on one side of my nose.

I know that this shouldn't be happening. Anyone have any suggestions?
I did have my heart checked for enlargement. They did an xray done to check for an enlarged heart, which I didn't know they could by doing an xray, but nothing negative came back.
I had allot of blood work done that I believe covered my thyroid. I go to a hematologist and he has me on testosterone theapy for low test levels.

I just feel that I am not getting enough oxygen circulating in my body. I get the air in my lungs but it's like my body is not circulating it. They did put that oxygen clip on my finger and it is showing ok, so I'm not getting what could be wrong.
I did have my RBC's checked and they are high, but that has been an ongoing issue. I have to have bloodwork done once a month and they have to remove blood every so often. I the the HRT therapy is causing that though, but you are right, when they were high, I got winded real easy and slept all of the time.

I eat pretty good, sometimes too much. I have a great appetite. My weight has stayed pretty much steady.

I believe I was checked for anemia. I've been checked for so many things, it is hard to keep track anymore.

If I didn't go to see any doctor and had didn't have these test done, from reading on the internet, I would guess I had either an enlarged heart or congestive heart failure, but i was checked for both.

• ANSWER:

QUESTION:
Can someone try and tell me ?
For the last couple months, i have experienced extreme fatigure, a fever every 5 weeks or so, muscle weakness, and a sore throat, i have been diagnosed with moderate sleep apnea but my CPAP machine hasnt been helping me out yet, ive been to the doctor and had blood tests for about everyting frmo rheumetology to checking my white blood cells and everything has come out fine, i havec had some instances of blood in my stool but no outstanding abdominal pain and my doctor believes its not serious. But i notice when thrusted into more stress causing situations i feel worse can anxiety really cause all of these symptoms or is there another cause?

• ANSWER:
  If you already suffer from that much ,then anxiety will only worsen the situation.
  Avoid stress as much as you can
  Planets

QUESTION:
Waivers for physical requirements to join the military?
Hi,

I've always wanted to serve my country in some way. The Coast Gaurd Auxiliary seemed to be my only option until I heard about waivers. Can I still serve with moderate sleep apnea and have herniated disk surgery 10 years ago? I am 32 yeard old, with a wife and two kids, job I love. Maybe the reserves woould be best, if possible. Any help would be appreciated. Am I nuts for "Wanting to serve so bad". It's just that I want to help fight for our great country.

Thanks

• ANSWER:
  Military Medical Standards for Enlistment & Appointment
  Spine and sacroiliac joints
  The disqualifying medical conditions are listed below. The International Classification of Disease (ICD) codes are listed in parentheses following each standard.
  The causes for rejection for appointment, enlistment, and induction (without an approved waiver) are an authenticated history of:

  Spine and sacroiliac joints:
  Current herniated nucleus pulposus (herniated disk) (722) or history of surgery to correct this condition is disqualifying.

  Systemic diseases:
  Current sleep disturbances (780.5), including, but not limited to sleep apneas, is disqualifying.

QUESTION:
I had severe rsv as a infant what does that have to do with strong immunity later on?
when i got rsv i was in a oxygen tent for two months plus treatments for the next 6 months and what is confusing is that infants who had rsv usually have numerous breathing issues in their life but from what i've noticed and been told over the years is that it was the opposite thing my immune system grew stronger and efficient over time i have never had a flu shot medical records prove that and yet being next to people who have severe flu symptoms i still never caught it not even a sign of it what i want to know is that is there a connection between infants with rsv and rare cases of "super Immunity" if i would say because i never get sick.
notes i have had high iron since toddler years
moderate sleep apnea
exercise-induced asthma
and
asbergers syndrome are all of my known diagonoses thanks for any help you may provide

• ANSWER:
  There is no such thing as "super immunity", I rarely get sick myself, and I did not have RSV, and asbergers syndrome is a neurological condition, it's not a complete gift without drawbacks (the difficulty and challenges with socialization).

  You most likely have certain genetics that make it more difficult for the more common viruses to take over your cell and use it's replicative organelles to redistribute itself.

QUESTION:
What can cause my sons speech delay....?
I already know he had a speech delay he had taken speech therapy but they said that he doesn't qualify for it any more so I am at a lost. He is 3 yrs old(4 yrs old april 20th) and he still has issues being clear in his speech. Plus he is unable to express his emotions. He is very sensitive and you never know what will set him off. I think it goes back to the speech delay/developmental delay. Is there any other medical reasoning for it..he is a smart bright little boy, and well mannered and even tempered so i don't know. He has also been told he has Moderate Sleep Apnea and just had his tonsils and adenoids removed so I just want to know if this is something that someone else has dealt with since Im at a lost. Oh and also he had chronic ear infections that resulted in tubes being places at 11 mths but has had hearing checks every 6 mths and they find nothing so that's not the cause according to them.
he talks its just hard to understand him if you aren't around him normally sometimes. I tried the school district they said he was right above the cut off for their standards. So that's a no-go. I don't expect him to be able to talk in perfect english or in perfect sentences either.
oh i have always worked in childcare so I have reasonable expectations in what I expect too
when they looked at him for the school district they only looked at his speech and nothing else they tested him for nothing but speech SO NO they didn't test him for autism just the speech

• ANSWER:
  It makes me crazy when I see the "autism" card being played when it comes to speech delay.
  Obviously, your child has been completely evaluated prior to starting school-based treatment, so he certainly isn't autistic!
  Often, no discernable reason is found for delays/disorders of speech and/or language. I wouldn't expect to find one unless there was injury peri- or postnatally.
  The gold standard for articulation development is that a 2-year-old should be intelligible to strangers 1/2 the time, a 3-year-old, 75% of the time, and a 4-year-old, 100% of the time. This does not mean they have mastered all the sounds in English- only that they are understandable.
  Unfortunately, eligibility for school services is based on where the child's speech/language function falls on the bell curve. Only kids who are two standard deviations below the mean on standardized tests are eligible for services.
  I know of very few children his age who are able to express their emotions without difficulty.
  I suggest you find a university clinic (asha.org) where he can get services at a nominal cost.

QUESTION:
How long does it take for CPAP therapy to start relieving sleepiness?
I have major daytime sleepiness, doc did a sleep study and said I have moderate apnea. They started me on a CPAP about a week ago. How long does it take before I get some relief? I'm sleeping fairly well with it, occasional leakage.

• ANSWER:
  Some people have instant relief, other a couple of weeks, others a couple of months.

  Best wishes

  www.sleepnet.com

QUESTION:
Apnea-hypopnea index?
I have sleep apnea with a Apnea-Hypopnea index of 37.1, is this considered moderate or severe?

• ANSWER:
  It is on the boarder of severe. But if you think about it. You stop breathing 37 times out of an hour.

  Google sleep apnea and you will find more information that you want. I found sleepnet.com very useful when I was diagnosed.

  You need to take this seriously. Untreated sleep apnea causes high blood pressure, heart problems such as cor pulmonal and heart failure, stroke, trafficaccidentss, and even death. You stop breathing.

  CPAP is not fun and requires some work to get use to it. Once you start treatment, the fog that you live in with lift. Your morning headaches will stop. You will wake urefresheded. YOu will not get up to go to the bathroom 100 times a night. You will have lots of energy. You will probably loose weight. You will dream again.

  BEST wishes, Mary

QUESTION:
What can be done about poor quality sleep?
OK, I just did a sleep study, and while I do not have sleep apnea, the doctors confirmed that the sleep I'm getting is very poor quality. I slept for approximately 5 hours before I entered REM sleep. On average, I sleep for 12 hours a night, and I'm still exhausted when I wake up. Also, I have moderate snoring. What can be done to make me enter REM sleep faster? One of the suggestions was surgery, a snoreplasty ... would that help? I'll do anything because I'm sick of being exhausted all the time and sleeping so much. I feel like I'm missing out on life.

• ANSWER:
  Cut down on the caffeine and don't drink any after 3 in the afternoon. maletonin an hour before going to sleep has really helped me. if you can afford it you may want to try the surgery as minor disturbances during sleep can affect the overall quality of your sleep.

QUESTION:
Can a physician be sued for malpractice by losing an important medical report from a hospital?
In my case I had a sleep apnea test which showed I had moderate to severe sleep apnea. However, the physician to whom it was sent either lost it -- or simply forgot to ever call me about it. The only reason I discovered that I had apnea was because a nurse friend urged me to call the physician ANYWAY (I had assumed that since I never heard from the doctor the test was normal and there was no reason for him to call me.) So I called the doctor a long time after the original test -- 8 months after the original test.

I've since learned that waiting five months to treat severe apnea could well have damaged my body even more.

Do I have a malpractice suit?

• ANSWER:

QUESTION:
Insomnia - How do I make my mind SHUT UP?
Ok, I've tried all the common sense stuff. Excercise (but not within 6 hours of bedtime), no caffine, meditation, reading a book, chamomile tea, melatonin, etc... I've also been on Lunesta, Ambien, Seroquel (bad side effects), Trazodone, Nortryptaline...

The problem is that I am PHYSICALLY tired, but my MIND will NOT SHUT UP!!!!!!

I try repeatedly to "clear my mind", but I feel like I have a tiny motor running in my brain that I can't turn off. My whole life I've always had difficulty getting to sleep, but for the past few months, I've been operating on only about 4-6 hours per night, and I'm tired and "zoned out" during the day.

I've also done a sleep study at the sleep clinic. They found mild sleep apnea and I've tried a CPAP machine, but it only adds to the aggravation of trying to fall asleep.

I have moderate restless leg syndrome as well, but Requip and Mirapex do NOTHING, neither did the Lunesta or Ambien.

It's like I'm immune to medication.

Any other ideas?

• ANSWER:
  The first thing you need to do is start using the c-pap again. Then ask for a referal to a psychologist or psych doc to get help for your problem. My daughter and I both suffer from this and yes it is annoying. What works best for me is a soak in a warm tub with the lights out and just a nightlight on or a candle in the bathroom. I sit and soak with my eyes closed until my brain slows down enough to allow me to crawl into bed. SInce you have a diagnosis of sleep apnea even mild you need to use the machine. If you were using a mask and didn't like that try the nasal pillows and see if that works better for you. Also for the restless leg syndrome be sure you are getting enough calcium and consider trying some quinine for it. Good Luck.

QUESTION:
I keep having involuntary breaths-sudden and short.?
What is it? I did have multiple small to moderate pulmonary embolisms in both lungs with infarction to the right lung 1 1/2 years ago and recently stopped my Warfarin. I also have breast cancer, sleep apnea, RLS and daytime hypersomulence.

• ANSWER:
  My gosh, I am sorry that you have so much going on. I think that it'd be best to bring it up to your pulmonologist, if you still have one, or your primary doc asap. Get to feeling better.

QUESTION:
who has had a deviated septum before and got it fixed?
I went to some Drs. to see if my deviated septum because of how I much I woke up by snoring in my sleep that makes you not get anoff oxygen to ur brain during ur sleep, its called Apnea... i have moderate Apnea.
my nose is clogged a lot by dust so i don't know how much of a difference it would really make having a surgery to corect it, the Drs say I have one side 90% bloked but now for axample im breathing from that one the it switches so I dont know any more if it worth goin to the nife!! Help??
dose it change ur life??? how much better is to breath trough ur nose instead of ur mouth and one side at a time of ur nose!!??

• ANSWER:
  a friend of mine and her daughter (age 5) both had deviated septum and had surgery to repair them. her daughter now age 9 is absouletly fine and so is she. you only have this one life to live and if you think that it will make life better for you then i say do what you have to do. you already know the answer, you are just looking for some insight. google the statistics on post surgery outcomes. Good Luck!

QUESTION:
I have a very low oxygen saturation level. Lows around 70% to high of 88%. What are some possible causes?
In the last four months, I've had a Ct scan, Hide-a-Scan, two heart studies, three halter monitors, sleep study,Sonogram, full body bone scan, endoscopy and complete blood work up. My cholesterol was slightly above normal. The sleep study showed I have sleep apnea. ( I now wear a C-Pap @ 17 psi w/ 5 lpm o2). The endoscopy showed some signs of mild damage due to aspirin and tylenol taken for the pain. The CT scan showed mild degeneration of L1 & L2 but otherwise nothing significant. (History of prostate cancer. Dr thought maybe the cancer had metastasized into the spine but bone scan showed no evidence of cancer) Moderate to severe pain in RUQ was diagnosed as costal condritis. Symptoms of this are improving.
Bone chilling fatigue haunts me. I'm fairly certain that this is a direct result of the low o2 sats.
Any ideas? So far, the doctors have not found out the problem. Thanks!

• ANSWER:
  Yes, those are very low saturations. In general, the causes of low saturation are problems with the mechanics of breathing (such as sleep apnea), unequal blood flow in the lungs, problems with oxygen diffusing from the lungs into the blood, problems with the heart (such as a shunt), hemoglobin problems, and problems with the saturation monitor itself (certain things can give false readings). I don't know how many of these things the doctors have addressed so far, but they should keep looking until they find the cause. If your current doctor has given up, find another one. Those numbers are way too low. Now, if you are just referring to your sleep study numbers, that is a different story; in that case, you should first focus on the sleep apnea (sleep apnea alone can make you bone tired). But if they are that low in the daytime, the doctors need to keep looking for a cause, and they need to consider having you on oxygen, too.

  I hope they figure it out soon, and I hope you feel better soon.

QUESTION:
Dealing with Childhood Onset of Bipolar Disorder?
I have a 10 yr old daughter that is a rapidly cycling bipolar disorder sufferer.
She is on several medications and due to past medications she has gained alot of excess weight.
Im not sure how to handle this as her meds make her constatnly hungry and no other meds have worked this well. She wants to eat constantly and its always sweets or carbs. . She is also still having severe mood swings but doctor says that her medication is already at max strength and doesnt want to change to much .

Im at my wits end this poor child has sinus tacycardia, bipolar disorder, moderate mental retardation, explosive personality disorder and impluse control disorder, she also has sleep apnea that is centralized in the brain.

I am so close to looking into group home palcement or institutionalization, because that is what her Psychiatrist says may have to be done, if we cant find a med soon that works.
She is on abilify 20 mg 1x a day
wellbutrin sr 100 mg
trazadone 50 mg at night to help sleep

• ANSWER:
  My heart goes out to you. I've been there. My kids are 21 & 19 and doing so-so. The best thing I did for myself is go to www.bpkids.org I got good information on meds and doctors, schools and iep's and even group homes. I joined a online support group that was a life saver. I could ask questions, vent, or just pour out my fear. They have been there. They have stories and advise to share. It meant everything to me. It gave me hope.

  Psychiatrists just aren't able to hear your heart ache and help you cope and do what is right for your child.

  The average Psychiatrist isn't very good. Learn everything you can about meds. Advocate. Maybe try another doctor. I got a good recommendation and drove 50 miles to a doctor who made SO MUCH difference. Still it takes along time to get the best combo of meds.

  I wish you strength and the courage to do what is best for your child, what ever that is.

  I had to put my daughter in a group home for a while because I couldn't keep her safe. It was the hardest thing to do but it was the right thing to do.

QUESTION:
I had a Sleep study done to see if I had sleep apena. Can someone please make this sound normal to me?
I cant decode this info.
Sleep staging: What is this? What are the good and bad sides to this?

Min's % of stage Normal stages
53 15 4
129 43 49
168 57 16
1 0 18

Ar/Aw index: this section contains in order: Pre Rx20, Apnea/Hypopnea, Side pre Rx5, Back Pre Rx37, Total Pre Rx16.

Im guessing the next is number of events? ( what events) Total 77

Types of events listed that are checked: Hypopneas, Respiratory Events followed by Arousal's, Snoring moderate and loud.

Next was Average Sa02 Pre Rx95, Nadir Sa02 Pre Rx 81.

Lastly is PLMs? No
Restless Legs? No

These are the results of my Sleep study. If there is anything you can tell me please do. All advice, and knowledge is welcomed.
Thank you.

• ANSWER:
  After the test is completed a "scorer" analyzes the data by reviewing the study in 30 second "epochs".[1]
  The score consists of the following information:
  Onset of sleep from time the lights were turned off; this is called "sleep onset latency" and normally is less than 20 minutes. (Note that determining "sleep" and "awake" is based solely on the EEG. Patients sometimes feel they were awake when the EEG shows they were sleeping. This may be because of sleep state misperception, drug effects on brain waves, or individual differences in brain waves.)
  Sleep efficiency: the number of minutes of sleep divided by the number of minutes in bed. Normal is approximately 85 to 90% or higher.
  Sleep stages; these are based on 3 sources of data coming from 7 channels: EEG (4 channels usually), EOG (2) and chin EMG (1). From this information each 30-second epoch is scored as "awake" or one of 4 sleep stages: 1, 2, 3, and REM or Rapid Eye Movement sleep. Stages 1–3 are together called non-REM sleep. Non-REM sleep is distinguished from REM sleep, which is altogether different. Within non-REM sleep, stage 3 is called "slow wave" sleep because of the relatively wide brain waves compared to other stages; another name for stage 3 is "deep sleep". By contrast, stage 1 and 2 are "light sleep". The figures show stage 3 sleep and REM sleep; each figure is a 30-second epoch from an overnight PSG.
  (The percentage of each sleep stage varies by age, with decreasing amounts of REM and deep sleep in older people. The majority of sleep at all ages (except infancy) is Stage 2. REM normally occupies about 20-25% of sleep time. Many factors besides age can affect both the amount and percentage of each sleep stage, including drugs (particularly anti-depressants and pain meds), alcohol taken before bed time, and sleep deprivation.)
  Any breathing irregularities; mainly apneas and hypopneas. Apnea is a complete or near complete cessation of airflow for at least 10 seconds followed by an arousal and/or 3% oxygen desaturation; hypopnea is a 50% decrease in airflow for at least 10 seconds followed by an arousal and/or 3% oxygen desaturation. (Medicare requires a 4% desaturation in order to include the event in the report.)
  "Arousals" are sudden shifts in brain wave activity. They may be caused by numerous factors, including breathing abnormalities, leg movements, environmental noises, etc. An abnormal number of arousals indicates "interrupted sleep" and may explain a person's daytime symptoms of fatigue and/or sleepiness.
  Cardiac rhythm abnormalities.
  Leg movements.
  Body position during sleep.
  Oxygen saturation during sleep.
  Once scored, the test recording and the scoring data are sent to the sleep medicine physician for interpretation. Ideally, interpretation is done in conjunction with the medical history, a complete list of drugs the patient is taking, and any other relevant information that might impact the study such as napping done before the test.
  Once interpreted, the sleep physician writes a report which is sent to the referring physician, usually with specific recommendations based on the test results.
  "

QUESTION:
Muscle twitches! HELP!?
Basically this concern is about fasiculations and some other symptoms. Here's a quick background, I'm 19 years old, 156lbs 5'10'' with anxiety issues. I was currently on Claravis (isotretinoin), for moderate acne. I then developed some sleeping problems, which I thought was central sleep apnea, not sure yet of that. So the doctor was unsure, and he believed that I might have nocturnal asthma. He gave me Advair Diskus, and Albuterol Sulfate. I took them both, but did more of the Albuetrol, about a week treatment. As soon as the muscle fasiculations started, I stopped both Accutane, and the Albuterol and the advair.

So here's the issue now. I've been reading about fasiculations, and wherever I read they point to BFS or ALS. I'm very health anxious so immediately thought that I might in-fact have ALS. I didn't notice any muscle weakness or any other symptoms at first , but because I worried about it, I began to go on jogs, and lift weights. I don't ever workout so, after I did the exercises I was feeling kinda of sore. As the anxiety kept building up, I went to the urgent care doctor, there he told me my blood was good, however I was very dehydrated. I know when you're dehydrated you don't feel good and your body needs fluids. However, how long can you be dehydrated for and not know it? The fasiculations have been going on for little over a week now. 9 days to be exact. The second blood sample hasn't came in yet. Any recommendations or help please! ANY!

• ANSWER:
  Dehydration is most likely the culprit here. You can be dehydrated and not be insanely thirsty. Also, the fasiculations can be caused by a mineral deficiency. Are you getting enough Calcium and Magnesium in your diet? I seriously doubt you have BFS or ALS at your age. However, bravo for being proactive and getting it all checked by a doctor.

  How to know when you're getting dehydrated? Check the color of your pee first. It should be a very pale yellow to clear (it will be bright yellow if you're taking Vitamin B products). You can also do a skin test. Pull the skin behind your knuckle. Let go. If the skin doesn't immediately spring back into place, chances are, you're starting to get dehydrated.

  Hope it helps. Take care.

QUESTION:
Has ghb ever been proven to be neurotoxic in humans?
I read that in rats they found that moderate use was neurotoxic..

How can they prescribe it to people for sleep apnea if it could be neurotoxic? And isn't it produced naturally in small amounts in the body, so how could it be neurotoxic? Or was this ONLY in rats but never proven true in humans??

from wikipedia:
In multiple studies, GHB has been found to impair spatial and working learning and memory in rats with chronic administration. These effects are associated with decreased NMDA receptor expression in the cerebral cortex and possibly other areas as well.[60]

Pedraza et al. (2009) found that repeated administration of GHB to rats for 15 days drastically reduced the number of neurons and non-neuronal cells in the CA1 region of the hippocampus and in the prefrontal cortex. With doses of 10 mg/kg of GHB, they were decreased by 61% in the CA1 region and 32% in the prefrontal cortex, and with 100 mg/kg, they were decreased by 38% and 9%, respectively. It is interesting to note that GHB has biphasic effects on neuronal loss, with lower doses (10 mg/kg) producing the most neurotoxicity, and higher doses (100 mg/kg) producing less.

Pretreatment with NCS-382, a GHB receptor antagonist, prevents both learning/memory deficits and neuronal loss in GHB-treated animals, suggesting that GHB's neurotoxic actions are mediated via activation of the GHB receptor.[63] In addition, the neurotoxicity appears to be caused by oxidative stress

Thanks in advance, and I will be choosing best answer!

• ANSWER:
  No evidence of neurological damage has been evident in the time GHB/Sodium Oxybate/Xyrem has been used in humans. It's also not used for sleep apnea - it's used to treat narcolepsy with cataplexy (specifically a related to certain abnormalities that appear during a sleep study), and it tends to induce sleep apnea in people taking it.

  The justification for its use is pretty simple - there is no alternative. When this drug is taken out of the box it's because there is no other viable treatment, and the doctor and patient are faced with a choice between the extreme risks this orphan drug presents, and a condition that is essentially permanently and completely disabling. For a person with this form of narcolepsy, things like driving, working, even basic household tasks may be impossible. The drug is from that point, absolutely slathered in warnings. Xyrem can only be dispensed from Express Scripts, has to be sent with special delivery procedures. Both the doctor and patient are monitored through a program administered by the manufacturer.

  As for human neurotoxicity - it's unclear. This drug is an orphan, and that cannot be emphasized enough. Extremely few people take this drug, for an extremely rare condition. There is very little published material. The few cases of definitive neurological damage I can find published are all associated with severe abuse of illicit GHB. In this case we've got a demonstration of neurotoxicity in an animal model (and the human doses start at 85mg/kg), and no solid demonstration of it when used under medical supervision from extensive post-marketing.

  Basically, the rational is this. We have mixed, muddy and inconclusive evidence of danger. This is versus evidence that this is an extremely effective treatment, for a condition that has devastating consequences.

  Also, your body produces plenty of things that are neurotoxic. Excessive signaling through any neurotransmitter system can induce oxidative cell death.

  And if you want to find an uglier drug, look up Sabril - Vigabatrin. Definitively causes permanent neurotoxic damage to the optic nerve, is clearly documented to do so in humans at dosages used. It's still approved and available. The primary condition it's used to treat (Infantile spasms due to West Syndrome or Lennox-Gastaut Syndrome) is simply an a tragedy too deep to go into

QUESTION:
Do i have sleep apnea due to these symptoms:?
-i am a male
-6 foot, 220 lbs.
-i am tired during the days
-my throat is dry
-i have a lot of saliva sometimes, and sometimes i dont at all
-drowsiness
-dizziness
-light headed

also is sleep apnea is genetic?

• ANSWER:
  Hi,

  You asked if sleep apnea is genetic, and other things related to risk factors of sleep apnea. Here are the most common risk factors:

  -it is estimated that one in five white adults with a body mass index (BMI) of 25–28 kg/m2 have an apnea-hypopnea index (AHI) ≥ 5 to < 15 (mild disease) and 1 in 15 have an AHI ≥ 15 (moderate to severe disease).

  -obesity
  -craniofacial features
  -gender (sleep apnea is almost three times more common in men than in women)
  -ethnicity (disease severity is higher in African-Americans)
  -age (prevalence in elderly)
  -smoking
  -alcohol
  -snoring
  -stroke
  -familial and genetic factors (it has become increasingly clear that sleep apnea commonly clusters within families)

  I hope these will answer your questions.

QUESTION:
Why would I need a sleep study?
I'm 18 years old. 5'7 and 140lbs so i'm pretty healthy. My therapist and family doctor want me to have a sleep study. i wake up at least 3 times a night but i've always been that way. what could be some reasons to have one. and my dad has sleep apnea is it genetic?

• ANSWER:
  I wake up several times during the night feeling like I am having a heart attack. Then I lay awake and wait for my racing heart to fade away.

  I've never been told that I needed a sleep study. Then again, I haven't started therapy yet.

  Then again, also. I have severe anxiety.

  And that's more than likely why I wake up feeling that way.

  But, I hope you get your answer.

QUESTION:
IS it Genetic?
Lately I have been having sever anxieties that my son will die of SIDS. I know it is a worry for almost every if not every mother out there. But the reason I am losing sleep over it is that my husband (my sons father) has sleep apnea and he also had a brother who died of SIDS. My son (Tylor) was my 5th pregnancy and is now my only child. I had numerous m/c's and the only other person in my family with the same problem not only had many m/c's but also a few stillbirths. So you can probably imagine my anxieties going into labor. I've read that SIDS is genetic and that it is not. So I guess my question is does anyone know if sleep apnea is genetic? And also is SIDS genetic? Thank You
Also I do take all of the precautions that all of the books and doctors say. Like keeping him on his back during sleep, no toys/stuffed animals in his crib, I tried the pacifier but he doesn't like pacifiers lol, but I did smoke during my pregnancy (I cut down a lot and went to a much lighter cigarette but after 4 months my doc said not to quit cold turkey cause he would already be addicted and that could cause problems) but now NO ONE smokes around Tylo, I see to that. We all smoke outside and when we go out we are in non smoking or go to a none smoking resturant.

• ANSWER:
  Im not really sure about the answer to your question but for peace of mind maybe you should invest in one of those special baby monitors that goes under the crib mattress and will set an alarm if baby stops breathing. Here is the link to one:

  http://www.mypreciouskid.com/baby-monitor-angelcare.html

QUESTION:
Problem with sleep and heart?
i posted this in general health care but know one answered me so ill ask here.

okay I'm a teenager and quite a while ago i was sleeping and my partner woke me up because i was having a fit when i woke up i was gasping for breath and then i jumped out of bed and don't remember the rest till i came to at the door at the other side of the room but my partner said that i was saying and shouting whats happening and my eyes were huge. she ran into a friends room scared and some other friend came out to see why we were screaming and i had a panic attack and pretty much fainted and found it hard to breath once i got up of the floor my eyes were huge like black no color i guess cause i was scared.for the next about a week or 2 my heart was really painful like it was being squeezed it was really bad the first 2 days after it happened but its not like that all the time now except every now and then like if I'm listening to a song watching a movie or thinking anything at least once a day my heart will get sore like its being held tightly in someones hand. i suffer from chronic pain in my back from a car crash and after going to a chiropractor that specializes on backs i was diagnosed with be nine Marfins syndrome the hypermobillity one of then. i read some things saying that Marfins syndrome is related to sleep apnea and then saw sleep apnea can be related to night seizures and found that what causes them is your breathing not working properly during sleep and it makes it worse if the breathing is blocked then i remembered that i bent the cartilage in the middle of my nose ages ago and i can only properly breath through one nostril but i don't notice it anymore because its only on the inside. also since it all happened i have been jerking and flinching when falling asleep or when I'm really tired i read that this is about blood pressure and breathing and the heart not performing whilst sleeping and that heart disease can also be a cause of jerking and night seizures and there's more i had night terrors as a kid i never get them now but i get other sleeping disorders like sleep paralysis and such like but i seem to get them more often and worse than others i know that some of the sleeping disorders are genetic and some of the family get's some of them but it seems i get the worst of it.
i know this all sounds ******* ridicules but i just want to know what the hell is wrong with me but not just for me btu for my girlfriend the whole thing freaked her out and she is still freaked out by things liek the jerking whilst falling asleep and I'm sure it would put her mind at ease and mine to figure out what it all is.so hopefully someone can give me an answer because the more i think about it the more complicated it gets and I'm kind of worried about my heart i was gonna go to a doctor but i think i should get more information first thank you. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx...

• ANSWER:
  request a Sleep study

QUESTION:
Could this be sleep apnea or just too much sleep?
So my boyfriend is always tired. He works from about 8:30 to 5:00 every day. He gets at the very least seven hours of sleep a night. He usually gets about 8 or 9. According to the BMI scale he is slightly overweight. His BMI is 25.4 with 24.9 being in the normal category and he is 24 years old. He snores extremely loud but I have never really noticed him stop breathing, then again I do not frequently watch. He is tired every day and can never stay awake past 9. I don't know how I can help. I know he does not like being this tired all the time and it is sometimes very frustrating as he rarely wants to do stuff since he is tired and we can never do anything together at night because he falls asleep to early. Any suggestions on how to help him would be wonderful. Thank you! Oh and also, his dad has sleep apnea but am not sure if it is genetic or not. Thanks!
Okay and just to be clear, we went and saw a doctor but to pay for a sleep study if it is just too much sleep seems....silly...

• ANSWER:
  You can go to a sleep place (the type that sells CPAP machines for sleep apnoea). Here you can hire a monitoring machine.

  You place some small tubes in your nose to measure your breathing, and a clip on your finger to measure blood oxygen levels and your pulse rate. The info is recorded to a small box that you take back for a printout.

  This information can be used to make a diagnosis.

QUESTION:
Do you think this is sleep apnea?
Over the past week or so, as I fall asleep I am woken up by needing to breathe in very deeply and suddenly. I don't know why I do it, it's not on purpose, but I just remember the sensation of missing a breath before breathing deeply. This happens roughly three times a night before I fall asleep, I don't know if it occurs while I'm sleeping.

I have done some research and it sounds like sleep apnea, possibly...

I am a 16 year old girl and I'm just hoping for other opinions on what if could be. My dad suffers from sleep apnea, so if it is that, could it be genetic?
Let me just add that I'm not really over weight, I know that's usually the problem!

• ANSWER:
  Since you're 16 years old, I'm reluctant to think new onset sleep apnea without considering other factors that could produce deep sleep. Are you playing with drugs and/or alcohol? Are you involved in a new high energy sport activity? How about stress, diet, change in sleep pattern, new environment? Do you have good air circulation where you sleep. Are you sleeping underneath the covers? Think about these things and others before coming to the conclusion its sleep apnea. If all seems normal, then a sleep study is needed to diagnose Sleep Apnea.

QUESTION:
Is this sleep apnea?
It seems like even when I get 8 or 9 hours of sleep, I'm always exhausted the next day. My boyfriend says that when I fall asleep before him, I start to snore a bit, it gets louder and louder and then I wake up gasping for air and sit up really quick and then go back to sleep. He says I do this maybe 4 times within an hour period before he eventually falls asleep (so maybe even more times per hour). I never remember doing this at night. Is this sleep apnea? If so, do most insurances cover the sleep study required to diagnose it and cover the machine to aleviate it? I'm only 23.. why would I have this? Is it genetic? My dad seems to do the same thing.
I'm 5'5 and weigh 135. Not obese.

• ANSWER:
  It definately sounds like you have sleep apnea. Most insurances will cover a sleep study (partially or whole) depending on your type of insurance. Try to see your primary doctor ASAP and get referred to a sleep center. Don't worry about your age, I'm 28 and just got diagnosed with sleep apnea one month ago. I was in hell prior to that, from the sleep deprivation and all that comes with it. I've had CPAP for only a week and am already doing better. Don't wait around, make sure you address this now, you will be happier later.

QUESTION:
Do i have sleep apnea?
my dad was diagnosed 2 years ago, and i read somewhere it can be genetic. i'm always tired, wake up with a wicked dry throat, have memory problems, and have difficulty staying awake in class sometimes. also, i have no idea if i snore because no one in my family has ever slept in the same room as me, and if they did they probably thought it was my dad, and i live in the middle of nowhere, which means no sleepovers. but im only 15 and i heard its rare in people this young. please hep if you know anything!! i mean i go to bed at 7:30 and wake up at 6:15, and i know im the only high schooler on the planet to go to bed this early on their own free will!

• ANSWER:
  Your symptoms are definitely suggestive of sleep apnea...dry throat, daytime sleepiness, difficulty with memory. Sleep apnea can happen to anyone at any age.

  If left untreated, sleep apnea can cause other health problems like high blood pressure. Talk to your parents about your concern and see a sleep doctor for a sleep study. That is the only way to know for sure what is going on with you when you sleep.

  Hope this helps and good luck to you.

QUESTION:
Can high blood pressure be genetic even if no one in your family has it?
My doctor says my blood pressure is constantly elevated. He made me do a sleep study and saw that I dont have sleep apnea. He then did a blood test and saw that I dont have high cholesterol. The doctor says he thinks its something genetic because I am basically healthy. He doesnt suspect its due to my weight. Im 6"0 and weigh 250 lbs but am always active in the gym. The doctor also did and ekg and said everything looked fine. The doctor now has me taking Atenolol 25 mg before I go to sleep. I have been on the medication for a month now. For the past two days my medicine hasnt been lowering my blood pressure at all. I only eat fruit/vegs and dont drink sodas.

• ANSWER:
  How do you know your grandparents or great grandparents or their parents never had high BP? Someone back through your family could have had it and you may not know about it. Just because your BP is high doesn't mean it's genetic, it could just be you but more than likely it runs in the family somewhere. Are you drinking enough water? You may be dehydrated and that can raise your BP. Do you smoke, that will raise your BP and are you under stress, it will also raise your BP. If your BP continues to run high you need to notify your Dr, he may have to add a medicine or change your medicine.

QUESTION:
High Blood Pressure in Teen?
I'm a 19-year old male. I'm 5'11", 150 pounds, roughly 11% body fat. I am a moderate athlete. I run regularly but not competitivley anymore. I eat a healthy diet with a significant amount of junk food on top of the nutrients. My parents and relatives all have very low blood pressure (my mom has 110/65 for example). Even my two brothers have low blood pressure so I don't think it's genetic.

I have mild sleep apnea (6cm H2O) but I rarely use my CPAP because I can't stand it. Nevertheless I am rarely tired in the morning and I dont wake up more than once or twice a night (as far as I'm aware).

I have an enlarged left ventricle but the doctor says it's "normal". My echo and electrocardiagrams were normal.

My blood pressure is between 150/90 and 140/60 ALL the time. My doctor isn't concerned because my diastolic is usually good. My pulse is 50-70 bpm.

No stress, no smoking, mild alcohol use, and no drugs. Why is my blood pressure so high? What can I do to lower it?

Thanks.
My diastolic averages about 75. The 90 is the upper end. It's rarely there.
I'm definitely hydrated too...

I drink several litres of water a day.

• ANSWER:
  If either diastolic OR systolic is high then it's still needs treating. They should have given you anti-hyperstensives to lower it to within normal range. If one sort doesn't work there are ones with two modes of action which are v. effective (e.g Attacand plus). Kidneys are all related to BP so have you had them checked.. I also found out I had high BP recently and turns out I have a dodgy kidney which is the probable cause. Although cardiologist said about 80% cases of hypertension have no known cause. Make sure you get the right medication as high bp over time can damage kidneys and inc risk of stroke / heart attack.. It is important to bring your bp down.. If you have no luck with this dr I suggest changing.. I was originally told it was ok and to drop a few kg (my BMI is 20)! Hope this helps

QUESTION:
What could possibly be causing my high blood pressure?? Do any doctors/nurses have suggestions?
I'm a 19-year old male. I'm 5'11", 150 pounds, roughly 11% body fat. I am a moderate athlete. I run regularly but not competitivley anymore. I eat a healthy diet with a significant amount of junk food on top of the nutrients. My parents and relatives all have very low blood pressure (my mom has 110/65 for example). Even my two brothers have low blood pressure so I don't think it's genetic.

I have mild sleep apnea (6cm H2O) but I rarely use my CPAP because I can't stand it. Nevertheless I am rarely tired in the morning and I dont wake up more than once or twice a night (as far as I'm aware).

I have an enlarged left ventricle but the doctor says it's "normal". My echo and electrocardiagrams were normal.

My blood pressure is between 150/85 and 140/60 ALL the time. My doctor isn't concerned because my diastolic is usually good. My pulse is 50-70 bpm.

No stress, no smoking, mild alcohol use, and no drugs. Why is my blood pressure so high? What can I do to lower it? Thanks.

• ANSWER:
  There isn't always a clear, cut and dry reason why people have high blood pressure. In fact, in most cases there isn't a clear cause. Based on what you've mentioned, I'd say try exercising more, and following what's known as the DASH dietary guidelines (see link in source for more specific info) for what you're eating. Most likely you'll need to cut the junk food and reduce your sodium intake.

  If your blood pressure is still elevated with your dietary changes, talk to your doctor about possibly getting on medication. Everyday your blood pressure is above normal, you increase your risk for developing heart disease (the #1 killer of Americans) in the future.

QUESTION:
High Blood Pressure Question... Any doctors, nurses, or paramedics know what's wrong with me?
I'm a 19-year old male. I'm 5'11", 150 pounds, roughly 11% body fat. I am a moderate athlete. I run regularly but not competitivley anymore. I eat a healthy diet with a significant amount of junk food on top of the nutrients. My parents and relatives all have very low blood pressure (my mom has 110/65 for example). Even my two brothers have low blood pressure so I don't think it's genetic.

I have mild sleep apnea (6cm H2O) but I rarely use my CPAP because I can't stand it. Nevertheless I am rarely tired in the morning and I dont wake up more than once or twice a night (as far as I'm aware).

I have an enlarged left ventricle but the doctor says it's "normal". My echo and electrocardiagrams were normal.

My blood pressure is between 150/90 and 140/60 ALL the time. My doctor isn't concerned because my diastolic is usually good. My pulse is 50-70 bpm.

No stress, no smoking, mild alcohol use, and no drugs. Why is my blood pressure so high? What can I do to lower it?

Thanks.
No meds. My left ventrical is the "upper limit of normal" and that was 5 years ago...

My doctor does not seemed concerned and it worries me...

• ANSWER:
  I say it's the sleep apnea, I know from both clinical experience and personal experience. Clinically there is a relationship between sleep apnea and higher than normal blood pressures... Just google "Sleep apnea and high blood pressure" and you'll see the results. My personal experience is from my mother who had severe sleep apnea that is controlled formerly with a CPAP and now a BiPAP had out of control blood pressure. The idea behind the medicine is that somehow sleep apnea impairs blood pressure regulation. Here's an article that I find sortof has a little bit about the relationship and how it effects blood vessels. http://www.talkaboutsleep.com/sleep-disorders/archives/Snoring_apnea_bloodpressure.htm

  and of course wiki :http://en.wikipedia.org/wiki/Sleep_apnea

  check out the section: OSA symptoms, signs and sequelae

QUESTION:
Should I be concerned about my husband?
My husband is 24 and has gained some weight in the last two years. He drinks and smokes. His grandfather died at the age of 40, his heart exploded in his sleep. His grandfather wasn't overweight and didn't drink. I am freaked out that my husband is going to have a heart attack at 30 because of his bad behavior. My question is should he go to the doctor and have his heart checked out? Is this genetic? He snores and sometimes I notice he isn't breathing during sleep. Sleep apnea?

• ANSWER:
  You have every right to be concerned. Although with your husband only being 24, he still feels invincible so he will most likely not go to the doctor. I would protect your future and take out a very large life insurance policy out on him now, that way when his health fails you will have the insurance in place and will be financially set if he does follow in his grandfathers foot steps. Good luck.

QUESTION:
Am i going to Die soon from to may prescription drugs? Good Question For Docs, Med students, Nurses?
Ok im a male here are my health problems, when i was in my teens i slipped on a wet floor at work, came right down on my rear end hard, it crushed a disk at L5 and pinched a nerve during surgery the disk was removed, and the non bending metal rods put in, now days they have rods that flex but back then they didn't (Oh well) Ok lets move forward, Depression and high blood Pressure, and heart Disease run in my family, both parents died from Congestive heart failure, my State Trooper brother killed himself in his 20s because of the Genetic history of Depression in my family. I also have sleep apnea, and often forget my mask at night, i also have major Depression. Ok here is a list of my Prescription drugs my Doctor has me on and most like pain meds and xanix i have been on for many years im 54 years old now. The List: Oxycontin 1 Tablet a day 20 Mg, Vicodin 1 Tablet a day 500 Mg. Prozac 1 capsule a day 20 Mg. Xanax 3 capsules a day 1 Mg. Prilosec 1 capsule a day 20 Mg. Norvasc 1 Tablet a day 10 Mg. Triamterene (water Pill) 1 Tablet a day 25 Mg. Zocor 1 Tablet a day 20 Mg. Legal med marijuana once a day non smoked, so my Question is with all my health and breathing problems, is this combination of Drugs im taking unsafe? and no i don't by into well if they came from the Doc your safe? lots of people die every year at the hands of there Doctors... Thanks for your answers.

• ANSWER:
  The list seems reasonable to me, but I never had a patient on medical approved marijuana to add in the list. With the exvpetion of the xanax being a little high most are low to moderate doses and make sense given that except bp and pain, your on 1 drug per ailment. I would think your oxy is long acting and the vicodin is short acting to give you consistent pain releif. The Norvas and triam work together to control your bp.

QUESTION:
My 4r. old daughter has huge tonsils?
She snores. We are afraid she might have sleep apnea.

She is not overweight. She has no other health problems.

We do not know if the huge tonsils and snoring are genetic conditions, she is adopted from China.

We will see her doctor soon, just wanted to know if others had the tonsils removed at at what age?

• ANSWER:
  i have a 4yr old son...he has huge tonsils also....the doctors do not seem to b to concerned with this....i feel like they should b removed...but what d i know im just a mom...

QUESTION:
Do I have dysthymia (or dysthymic depression)?
I've been reading online but not all of the symptoms fit me, and I am not sure if I have depression or not. If you work in the psychiatric or medical field, your advice would be really beneficial.

First of all, depression is genetic in my family through my father's side. He was diagnosed with depression when he was 21 and takes medications for it. He has night time panic attacks and sleep apnea, and thus has done some crazy things because of it (when he becomes severely depressed he almost acts catatonic, and he has had panic attacks at night and kicked the dresser, thinking it was a horse standing in his room).
Schizophrenia is also genetic, if that offers any more clues. My great-uncle was a schizophrenic.

I am currently 18, and will be 19 in September. I'm a high school student and my grades are good and I am enrolled for a university this fall. Life is good, to put it shortly.

Recently, over the past six or seven months I've begun to notice a trend psychologically. I will be living life how I always do, and suddenly I will hit a rough spot. Even though nothing changes in my life, I become severely depressed for several days. I feel terrible, like I have no friends, and no one cares about me, and I have nothing to show for 18 years of my life. I talk myself out of everything, and though I feel like suicide is the answer I talk myself out of it as well, but the 'terrible' feeling doesn't go away. Usually during this time I cry at nights for no apparent reason, and cry when I am alone in my car or in class when no one can see me. If no one is interacting with me or if I am not in any way distracted, I usually feel quite terrible and wish that I could cry or put my head down. I don't want anyone to see my with tears in my eyes at school or home though, so I often bottle the feelings. I feel tired and only wish to lie down, and I don't feel hungry or don't feel like it's really worth it to eat anything when I could just have water and sit. I feel the worst during the lunch hour 12-1 PM, and at night, from 7 until I go to sleep. Sometimes I would rather just sleep than continue feeling so sad. Like tonight for example, though instead of sleeping I chose finally to do something about it.
I have difficulty concentrating, and I have a fear of showing or telling anyone (though I do reach out to a close friend) about how I feel, I get tired eyes, my arms sometimes feel heavy or sore like I've been sleeping on them, and I sigh and slouch often enough for others to notice and ask what's wrong.

I would really like to know what's wrong and to know if this is normal or if something else is going on. I can safely say that I am not at risk for suicide, but rather I feel that it is still unusual for me to think of it so often and to daydream about what I would say or do. I don't know if 18 is too early to have depression and what even can be done about it.

• ANSWER:
  The primary symptom of dysthymic disorder is chronic depression. However, it is less severe than major depression. Dysthymic disorder consists of a depressed mood on a daily basis for at least two years. This is usually accompanied by low self-esteem, low energy and sleep disturbances. Look for the symptoms to be present for at least two years when diagnosing dysthymic disorder. Be aware that the individual will be in a depressed mood for most days and will feel depressed more often than not.

  Determine if the chronic depression is accompanied by at least two of the following symptoms: change in appetite, low energy, change is sleep patterns, lack of focus and concentration, low self-esteem, feelings of hopelessness or difficulty with making decisions.

  Know that manic episodes cannot be present in order to diagnose dysthymic disorder.
  Major depressive episodes cannot have taken place during the first two years that symptoms were present. If they have, you do not have dysthymic disorder.
  Good luck & Take care as Always!!

QUESTION:
Help? Multiple conditions, looking for diagnosis? (cancer/autoimmune?)?
Hello all,

I have come to the internet in desperation after years of constant medical problems that seem to have no end. My GP is not very helpful. It is getting to the point where my medical problems have taken over my life and I would like to just know what is wrong (if anything).

I am an obese 20 year old female. I had multiple ear infections as a child; my ear drum popped twice so I have slight hearing problems in one ear. At seven, my tonsils and adenoids were so large that I suffered from severe sleep apnea, so they were removed as the ENT was worried about brain damage. When I was six, they discovered that I was missing 9 adult teeth and they considered it to be a genetic defect of some sort, the cause was never investigated. Aside from cholestrol issues at 8 (solved through the Atkins diet, ironically enough), I was very healthy from about age 7 to puberty. At this point, I was just a little chubby. Puberty hit, and I gained probably 70-80lbs in a year. Although I developed in all other ways, I never produced a period. This was not dealt with until last year. Around this time, I started suffering from gastro-intestinal distress but it was tolerable, so life continued.

Around 14, I noticed that my left pupil was constantly dilated. I had multiple test and was referred to many doctors before I was diagnosed. They had suspected a brain injury/tumor (cancer was brought up), but it turned out to be Adie's tonic pupil. Adie's can be caused by lesions on the neurons/muscles that contract the pupil, or it has no cause (like in my case). There is also no cure.

Then I discovered a large lump on my right foot. Doctors orginally thought it was osteomyelitis, or sarcoma/similar cancer. I underwent multiple tests. They still weren't positive what it was, but they decided surgery was the best option so it was removed in January. It turned out to be an ostechondroma, so they removed it, I spent 3 mos on crutches and they told me that there was less than 5% chance that it would ever recurr. It had recurred by the time I went back for a checkup. Because of it's incredibly fast regrowth, they were worried it had come back as a malignant lesion so I underwent surgery again in August of the same month. Turned out it was just a regrowth of the osteochondroma, so they removed a ton of bone from the surrounding areas as well, so I was non-weight bearing and on crutches for nearly 6 months this time. By the time I went for my 3 month checkup, it had regrown. I was referred to a new, younger orthopaedic surgeon for another surgical option but it was an extreme idea so I declined. The foot is just xrayed 3x a year to make sure it doesn't become malignant.

At this same time, I also had dental implant surgeries to try and correct my missing adult teeth. Also, my gastro-intestinal distress became so severe that I couldn't function properly so I was sent to a gastro-entrologist as my mother sufferes from Crohns disease and they were afraid I did too. My GP sent me for a blood test for Celiac, but it came back as negative. She suggested I go gluten-free anyways because sometimes the blood test is wrong. I went gluten free and almost all my gastro symptoms disappeared. I went for an endoscope and colonscopy approximately 8 months after I went gluten free, but by then (as the gastro-enterologist explained to me) any damage to the villi from Celiac would have been healed, so no problems were found.

I had to have my gallbladder removed in Feb of this year due to gallstones, after which I developed GERD. I went to an OBGYN because I was 19 and had never had a period, and testing concluded that I have PCOS, or poly-cystic ovarian syndrome, which explains my excessive weight gain and lack of period. (I do have bad eating habits, but I should not be as large as I am - I have always been a very active person so the PCOS/hormonal imbalance explains some of that).

Finally, for the last year or so, I have been overwhelmed by all consuming exhaustion. I need about 12 hours of sleep to function, and the, and then that can usually get me through class or a bit of work, but then I need about a 3 hour nap if I want to do something in the evening. I was given 2 at home sleep apnea tests - the first came back as indictiative for central apnea (not obstructive!), the second test came back as inconclusive. I am currently on a 2 year wait list to get into our local sleep clinic.

Recently, I found a lump in my throat. The week later, I fainted at work. The ER doc performed blood work and an EMG, said it was probably heat exhaustion, which doesn't make sense at all. He also checked my throat lump, and said it was likely a cyst so he sent me to an EMT who said tonsil regrowth. I also have frequent dizzy spells, incidents where my eyes shake, recurrent headaches and a recurrent rash in my inner elbows and across my abodomen (not weight related). I am always incredibly flushed and hot & awake sweaty.

• ANSWER:

QUESTION:
Help: seemingly unrelated disorders, possible underlying condition? (cancer/autoimmune, etc)?
Hello all,

I have come to the internet in desperation after years of constant medical problems that seem to have no end. My GP is not very helpful. It is getting to the point where my medical problems have taken over my life and I would like to just know what is wrong (if anything).

I am an obese 20 year old female. I had multiple ear infections as a child; my ear drum popped twice so I have slight hearing problems in one ear. At seven, my tonsils and adenoids were so large that I suffered from severe sleep apnea, so they were removed as the ENT was worried about brain damage. When I was six, they discovered that I was missing 9 adult teeth and they considered it to be a genetic defect of some sort, the cause was never investigated. Aside from cholestrol issues at 8 (solved through the Atkins diet, ironically enough), I was very healthy from about age 7 to puberty. At this point, I was just a little chubby. Puberty hit, and I gained probably 70-80lbs in a year. Although I developed in all other ways, I never produced a period. This was not dealt with until last year. Around this time, I started suffering from gastro-intestinal distress but it was tolerable, so life continued.

Around 14, I noticed that my left pupil was constantly dilated. I had multiple test and was referred to many doctors before I was diagnosed. They had suspected a brain injury/tumor (cancer was brought up), but it turned out to be Adie's tonic pupil. Adie's can be caused by lesions on the neurons/muscles that contract the pupil, or it has no cause (like in my case). There is also no cure.

Then I discovered a large lump on my right foot. Doctors orginally thought it was osteomyelitis, or sarcoma/similar cancer. I underwent multiple tests. They still weren't positive what it was, but they decided surgery was the best option so it was removed in January. It turned out to be an ostechondroma, so they removed it, I spent 3 mos on crutches and they told me that there was less than 5% chance that it would ever recurr. It had recurred by the time I went back for a checkup. Because of it's incredibly fast regrowth, they were worried it had come back as a malignant lesion so I underwent surgery again in August of the same month. Turned out it was just a regrowth of the osteochondroma, so they removed a ton of bone from the surrounding areas as well, so I was non-weight bearing and on crutches for nearly 6 months this time. By the time I went for my 3 month checkup, it had regrown. I was referred to a new, younger orthopaedic surgeon for another surgical option but it was an extreme idea so I declined. The foot is just xrayed 3x a year to make sure it doesn't become malignant.

At this same time, I also had dental implant surgeries to try and correct my missing adult teeth. Also, my gastro-intestinal distress became so severe that I couldn't function properly so I was sent to a gastro-entrologist as my mother sufferes from Crohns disease and they were afraid I did too. My GP sent me for a blood test for Celiac, but it came back as negative. She suggested I go gluten-free anyways because sometimes the blood test is wrong. I went gluten free and almost all my gastro symptoms disappeared. I went for an endoscope and colonscopy approximately 8 months after I went gluten free, but by then (as the gastro-enterologist explained to me) any damage to the villi from Celiac would have been healed, so no problems were found.

I had to have my gallbladder removed in Feb of this year due to gallstones, after which I developed GERD. I went to an OBGYN because I was 19 and had never had a period, and testing concluded that I have PCOS, or poly-cystic ovarian syndrome, which explains my excessive weight gain and lack of period. (I do have bad eating habits, but I should not be as large as I am - I have always been a very active person so the PCOS/hormonal imbalance explains some of that).

Finally, for the last year or so, I have been overwhelmed by all consuming exhaustion. I need about 12 hours of sleep to function, and the, and then that can usually get me through class or a bit of work, but then I need about a 3 hour nap if I want to do something in the evening. I was given 2 at home sleep apnea tests - the first came back as indictiative for central apnea (not obstructive!), the second test came back as inconclusive. I am currently on a 2 year wait list to get into our local sleep clinic.

Recently, I found a lump in my throat. The week later, I fainted at work. The ER doc performed blood work and an EMG, said it was probably heat exhaustion, which doesn't make sense at all. He also checked my throat lump, and said it was likely a cyst so he sent me to an EMT who said tonsil regrowth. I also have frequent dizzy spells, incidents where my eyes shake, recurrent headaches and a recurrent rash in my inner elbows and across my abodomen (not weight related). I am always incredibly flushed and hot & awake sweaty
In case it helps, I am on medication for GERD and depression. I apologize for writing such a lengthy question but I seriously hope someone can help!

Is it possible the throat lump is not a tonsil but lymphoma?

• ANSWER:

QUESTION:
Yuck...I'm having surgery...?
In March I'm having UPPP surgery. It stands for uvulopalatopharyngoplasty, and it's throat surgery. I'm having this in hopes to cure my sleep apnea (it's really severe--I'm not overweight, but I have a lot of excess throat tissue--it's a genetic defect). They will be taking out my tonsils as well as the remains of my adenoids (I originally had them removed when I was 6, but they grew back partially). They will also trim my soft palate and remove most of my uvula.

I've talked this over with three different doctors and all think that this is a good thing to do, as do I. The drawback is that it's only a 50-50 chance at curing me, otherwise I'll have to use a BiPAP machine for the rest of my life.

What are some possible side effects from this, if you know someone who has had it? I've been warned by each doctor that the recovery period is a minimum of two weeks and it can easily be 2 months before I'm back to normal...
Okay, thanks. I'm 17 if it helps.

• ANSWER:
  My friend had this a few years ago. The pain the few few days was bad. Any motion caused pain and that's hard to avoid! (swallowing and such) You are also on total voice rest, I believe, for the first few days after surgery for the same reason. My friend later developed a granuloma at the surgical site that led to more voice rest and down-time. All that said she's glad she had it done.

QUESTION:
my MIL keeps insisting that there are serious problems with my month old daughter, who seems pretty normal?
every day its something new...today she tells my hubby that she thinks the baby has sleep apnea because she woke herself up while sleeping on the couch...can babies even get sleep apnea? She isn't overweight and she seems fine to me. Also she has suggested that the baby may have a serious condition called MEN (dunno what that stands for) that she read about on the computer and she thinks she has it, and since its genetic...the baby now has it. I think she's a hypercondriac (sp?) and she's driving me mad! Any suggestions?

• ANSWER:
  tell her to mind her own beewax

QUESTION:
Sleep Apnea treatment: Dental device that allows you to breath through your mouth at night?
I've been officially diagnosed with sleep apnea in the mild to moderate range. I also suffer from depression (probably sleep deprivation induced) and insomnia (late to bed/early to rise). I sleep for between 3 to 5 hours a night. Obviously this isn't enough sleep.

I've tried CPAP, but can't get used to it, mainly due to my problems with insomnia (my mind has trouble being "quiet"). I have a hard time sleeping without the distraction of a CPAP, and WITH it.... it's impossible for me to sleep. I litterally just DON'T SLEEP with it on. I've been trying for 2 months (seriously).

I know there are dental devices that relocate your jaw and tounge, but I seem to have problems mainly with my "soft palette". I notice that if I breath through my mouth, it's impossible for it to close off. SO, I was wondering if anyone uses or knows of a dental device that would have holes in it to allow you to breath through your mouth at night? Something like a mouth guard with a tube coming out... THANKS!

• ANSWER:
  My husband has the same problem...It takes longer than 2 months to get use to the CPAP....he had to change the device that covers your nose to a more comfortable one.
  I don't think its the CPAP you are having trouble with..Its falling asleep and staying asleep.
  Could be hormones making you stay awake and waking up early

  Out of wack Hormones can make you stay awake and wake up every hour.
  Check with your Doctor, antidepressent pills helped me sleep

QUESTION:
Where can I get a dental device for sleep apnea without going to a doctor/dentist?
I've been diagnosed with it, and cant afford further doctor visits.

• ANSWER:
  There are athletic mouth guards that fit the top and bottom teeth. These have a hole in the middle to allow breathing, you may need to widen the hole a bit, but they only cost five bucks. There are other tips at www.sleepydreams.com

  ~Nick

QUESTION:
Has anybody had any sucess getting a SnoreGuard device for their sleep apnea, rcving full benefit frm insurnc?
I have Aetna insurance and they have been giving me the run around in not being clear with me on how I get full benefit if I get a SnoreGuard sleep apnea device created. They have told me I will get 90% coverage if it is billed under medical. All dentists I go to only bill under dental which Aetna only gives a 50% coverage to me. I have yet to find a dentist or oral surgeon who bills under medical and I find myself at point A, after going to 2 separate dentists/oral surgeon in search of them creating this device for me. This is ridiculous. All I want is a Snoreguard for my sleep apnea. Use of the CPAP machine is nuts in my case.

• ANSWER:
  The problem you face is SnoreGuard has been approved by the FDA as a "dental device." As long as it has that term applied to it, you are never going to find a dentist or oral surgeon who will call it a "medical device." Any dentist or oral surgeon worth their salt will never agree to bill it out as a "medical device" because they risk committing fraud if they do. If you are determined to get this device, then you probably need to prepare to pay 50%.

  One more thing, sleep apnea can kill. The SnoreGuard claims to be effective in mild to moderate cases of apnea. If you have not been through a sleep study, you probably should participate in one. They can tell you the extent of your apnea. As the previous responder stated, the CPAP is not a bad way to go. I have used one for four years and it has worked wonders for me.

  The bottom line - if you have mild to moderate sleep apnea and you want the SnoreGuard, you will probably have to pay the 50% because it is a dental device. Sorry.

QUESTION:
What alternatives are effective for sleep apnea, besides CPAP?
I can't afford a CPAP machine right now. Are there any other alternatives that help with sleep apnea? I've tried a dental device before, but it hurts my jaw and teeth too much. Surgery is also not an option right now due to the cost. Is there anything else that can be done? I'm trying to lose weight, so no need to tell me that, either.

• ANSWER:
  It may be worth revisiting the sleep apnea mouthpiece option. If you can get it into hot water before putting it in for the first time it should mould to your features better and be less uncomfortable

QUESTION:
What are some alternative treatments for sleep apnea?
I was diagnosed with a mild form of sleep apnea. I have tried a CPAP machine and couldn't adjust to it. My doctor said I wouldn't be a good candidate for surgery. I'm considering a dental device (mouth piece), but wanted to know if there are alternative methods.

• ANSWER:
  I'm in the same situation as you. I would see about the dental device. Anything has to be better than the CPAP.

QUESTION:
Anyone tried dental device for snoring/apnea?
There is a dental device you can get molded to fit your teeth & mouth that will place your lower jaw forward while you are sleeping. If you have problems with your muscles in the back of your throat relaxing and making you snore or have apnea, then this should help open the airway so you can breathe better.

I know there are cheap molds you can buy online, but they don't last long and may be tricky to get the right fit (you have to boil the plastic in water to soften it and then put it in your mouth to mold it). I'm thinking of getting it professionally done by my dentist. It would be about 0 and would last for years. It could also be adjusted in increments.

I have had a sleep study done and the test was inconclusive or my apnea wasn't severe enough for the insurance to pay for a CPAP. I desperately need a good night's sleep!

Has anyone tried this for snoring or apnea and were you pleased with the results? If there's any dentists (or assistants) out there, do you know of patients that have had success?
Nasal strips wouldn't work in my case. The snoring is coming from the muscles in the back of my throat relaxing and closing the airway. I am already used to wearing a device for protecting my upper teeth from grinding, etc., and I know this would replace that as well. It wouldn't be hard for me to get used to something, I don't think.

• ANSWER:
  Yes, it works well for mild apnea cases. My husband has one and we're both dentists.
  Beware of jaw pain though. After a while of using it, your jaw joints tend to get sore and you feel like your bite is "off" in the mornings.
  If this happens, you have to keep it out for a while until your mouth feels better, then you can resume using it.
  I don't think it's worth it to get a cheap one yourself because it is very important to get the right fit and future adjustments may need to be made to your bite which only your dentist can do.

  Good luck!

QUESTION:
Does anyone have any information regarding tongue retaining devices for use with sleep apnea?
Although my sleep study showed that the AHI was reduced to around 10 an hour, the dental appliance is causing TMJ pain and my bite is totally off. Since my problem is that my tongue slides back closing the airway, I wonder if a device such as the Aveo might work. Any ideas??

• ANSWER:
  Thats a tough one. Three people in my family have sleep apnea but I haven't heard any of them talking about there tongue assisting in causing the problem. I would talk to your dentist and your physician about what you can get. You could probably even go to Walgreens for advice. You could try getting a mouth guard to sleep in. Helps to prevent grinding and such. Hope you find something to help you!

QUESTION:
Can surgery cure sleep apnea?
I know that you can use those air tanks and use dental devices, but is surgery a full proof option?

• ANSWER:
  it is not fool proof, but it can help depending on what is causing the problem.

QUESTION:
Questions about Sleep Apnea?
I was diagnosed with sleep apnea a couple years ago. I was doing well on the CPAP machine in the beginning, but lately it seems like its not putting out air as powerfully as it did in the beginning. Although I told my doctor that I believe the problem is the machine, he says that I still need to be "retested" since its been a while since I was diagnosed. I have a new insurance, well, a Health Savings Account with a ,500 deductible awaiting. Retesting will cost a minimum of a few thousand dollars. I wanted to try to purchase the machine myself online, but you need a prescription to purchase one. Is there a way around this? Also, I once heard someone mention they were using a CPAP machine but were unable to get use to wearing it at night. Instead, they were fitting with some type of "dental device" that they insert during the night to keep their airway open. They said they haven't used their CPAP machine since. Has anyone ever heard of such a device? Do you know what the name of it is?

• ANSWER:
  It's called a Mandibular Advancement Device (MAD).

  The retesting is required for the CPAP, as to determine the severity of your symptoms. too little pressure, and your airway doesn't stay open. Too much pressure, and the air can actually damage your airway, causing other problems.
  I've prescribed the MAD for many of my patients, but I still find that the CPAP tends to work much better.

  If the MAD works for you, I would encourage you to try it out!

QUESTION:
Anybody with Sleep Apnia had any success with dental devices instead of CPAP machines?
Sleep apnea causes snoring so bad that my GF and I have to sleep in separate rooms. The sleep study only recommended a CPAP, no other alternatives were given. Right now a CPAP is way out of our budget, so we have been looking at Mandibular Advancement Devices -(MAD's). Looking online I see a lot of places that will make them for you, but I am not finding reviews from people who actually use them. What are the Pro's vs. Con's of these devices? Has anybody had success or failure using them?

• ANSWER:
  I would suggest maybe trying a snoring product before going with a CPAP. There are numerous products on the market that offer money back guarantees. My wife used to snore horribly and I bought her the My Snoring Solution jaw support and that worked wonders. Hope this helps

QUESTION:
sleep apnea mouthguards, do they work ?
I quit drinking a little bit ago and am having trouble sleeping. I have been noticing that I find myself gasping right before I fully fall asleep which leads me into a hypnogogic hallucination (creepy stuff lol!!) Anyway I was curious about the sleep apnea mouth guards and their effectiveness. I could only find "sales pitch" opinions online.

oh and i understand sleep apnea is a very serious condition i am just trying to beat it with weight loss throat exercises and maybe this device. Give it 2 months (until I get health insurance)and if no improvement seek sleep professionals and dental help

• ANSWER:

QUESTION:
Is it possible to have sleep apnea and insomnia at the same time?
I have been suffering with sleep apnea for months now. After waiting three stressful weeks for the machine to arrive, I used it but only managed to get 3 hours of sleep. I also noticed, that before I had the machine my average time spent sleeping decreased. Tonight I am fully awake and I cannot sleep at all. Is it possible to have sleep apnea and insomnia together? I have serious depression already, so I think that this is a logical explanation. What do I do?

• ANSWER:
  Your not alone friend. I have both as you do and what I suggest is now that you have the machine, you go to your doctor and get a sleep aid that can be accompanied by an antihistamene. Let me tell you I am on Trazadone for sleep and hydroxyzine which is the antihistamene. Together they work wondurfully. Also you may be overweight which many are who have apnea. Try not to drink too much water and if you are getting up in the night to urinate often then ask your doctor for a diuretic which will reduce the overall body fluid in the body. You may want to look into the possibility of type 2 diabetes. Hope this helps. Hang in there it gets better.
  p.s. I am awake by choice as i was off yesterday catnapping all day in the rainy weather. Just so you don't ask yourself, Why is he not asleep then?" LOL

QUESTION:
What do you know about sleep apnea surgeries?
I hate the mask (as many people do). I have severe obstructive sleep apnea. I am considering surgical options but I've been told the only one that may work for me is the mandibular advancement (when they break your jaw and move it forward). Has anyone had this before? What were your experiences? Did it work? Do you know of any other surgery that may help? Oral appliances?

• ANSWER:
  I had a mandibular advancement back in the day when they still wired your mouth shut for 6 weeks. (Many surgeons now opt for a screw and plate closure along with tight rubber bands that allow more mouth movement and a little more eating options!)

  I did have about a year of orthodontics before I could have it done, incidentally, so it was not a quick fix by any means.

  The surgery itself sounded far worse than it actually was. The most pain I had was like a dull headache in my jaw area. Pain management was not a problem at all. I did miss eating what I wanted and lost significant weight. (What I would do to have that happen now!!!) I missed yawning the most, though!

  It did fix my sleep apnea completely. I have never even snored since. It was well worth it for me.

  My 5 year old had tonsils and adenoids removed for the same reason (sleep apnea) with good results as well. I had previously had that surgery, and it was much more painful than the mandibular advancement.

  I hope this helps! Best of luck to you!

QUESTION:
I have sleep apnea,bi polar,personality disorder just put in a appeal with si am I wasting my time?
I just received my 1st denial letter from ssi. Do you think I have a chance with sleep apnea,bi polar, personality disorder, panic attacks and I receive lots of meds for these conditions.

• ANSWER:
  Can"t say if your wasting your time or not, however I do know that SSI ALWAYS denies you the first time around. Its procedural. My Father In Law suffered a massive stroke and through the process I found out that they always do that.

QUESTION:
What is the best solution for sleep apnea?
I have sleep apnea but Im sure i do not want to use a c-pap or an a-pap machine. Just looking for the next best solution.

• ANSWER:
  Someone else already said it, but it should be repeated. Get the CPAP.

  I never thought I would be able to sleep with one. For about a year I told myself that it would not help me sleep, that it would make it more difficult for my wife to sleep, that it would be uncomfortable...

  The very first night I used CPAP it felt a little akward, but by the end of the first week ALL of my symptoms had disappeared. It has been three years now and I have no more headaches, no more muscle cramps, no more waking up several times a night with horrible heartburn or horrible sweating. My blood pressure and cholesterol have returned to normal. In one week I went from a 25 year old in danger of having a heart attack to a well rested guy who can just enjoy life again. I cannot even begin to explain how much better you will feel.

  Get the CPAP and try it for a week. Just 7 days. If you can't do it, talk to your doctor. There is a surgical procedure that can reduce apnea, however less then 30% of the people who have it see any significant change and most people must have the surgury repeated throughout their lives to stay symptom free.

  Most importantly, do not ignore this condition. If you do you will continue to gain weight, the headaches will get worse. Your blood pressure will continue to skyrocket. You will develop holes in your stomach and esophogus from the acid. You will have a potentially fatal heart attack. Left untreated and supervised by a doctor this condition will kill you.

  Get the CPAP.

QUESTION:
this is for those that have sleep apnea. How do you get used to the cpap machine?
I am having a sleep apnea test done soon and may have to use the machine. I had the sleep apnea long time ago but I couldn't get used to the machine so I sent it back.

• ANSWER:
  Sleep apnea machines and masks have come along way in the last 2 years. 1st make sure that the home care co. that is setting up the equipment will work with you, if they aren't willing to, go to another company! You are the customer and they CAN get you comfortable with something. There are so many different masks & nasal pillows available, not to mention what they are doing with the machines now! Puritan Bennett has a machine that is about the size of the 1st personnal CD players they came out with in the 80's, and Respironics has machines that work with your breathing pattern!(check out their web sites)
  This is something you need to be pro-active about. Lack of sleep does so many bad things to your body- poor memory, weight gain, depression, etc. Not to mention what the lack of oxygen in your body when you don't breath at night does to your brain and heart.
  Good Luck!

QUESTION:
How do you turn the pressure down on a Sleep Apnea Machine?
I have Sleep Apnea and need to adjust the air pressure on the machine. I have lost my insurance and can not afford to have it professionally adjusted. If you know how please answer this question. Thanks!

• ANSWER:
  There are 275,000 different kinds of machines... Ok, not really. But there are so many different kinds, you should include the make of machine. However, a lot of 'home machines' are locked in to a specific setting by the company and cannot be adjusted - without knowing how to unlock it.

  And, why do you think the air pressure needs to be adjusted? Without a formal sleep study, it's almost impossible to know what pressure you need.

QUESTION:
How can I remove mental fog due to years of sleep apnea?
I feel like my mind is weak because I had sleep apnea all through school. I am in my mind 20's and have sleep apnea due to the structure of my body (I am not overweight which is the usual cause). I did ok in school but I just feel like I didn't absorb everything I needed to. What would you do? I know use C-PAP and have been for a few month and am feeling a lot better. Any advice would help. Thanks.

• ANSWER:
  yoga or martial arts(from a good school where they teach mind to focus and not only combat)

QUESTION:
How do you know if you have Sleep Apnea ?
I was wondering if anyone on here has sleep apnea and how do you feel when you have it ? The reason I ask is because I was wondering if I had sleep apnea a perfect example is: There are times when I will wake up gasping and choking and continuous coughing and my throat feels a bit rare and sore. Are these some symptoms for people with Sleep Apnea?

• ANSWER:
  Common symptoms of sleep apnea;
  Snoring
  waking up often
  weight gain
  feeling tired most of the time
  gasping/choking (which means your breathing stopped momentarily)
  falling asleep involuntarily during the day

  more severe symptoms of sleep apnea;
  falling asleep while driving
  waking up needing to urinate urgently (several times a night)
  thrashing about while sleeping
  grinding your teeth while sleeping

  I strongly urge you to get a sleep study done. It is painless and only takes one evening to do. Sleep apnea deprives the brain and body of oxygen. The standard treatment for sleep apnea is that you get to sleep using a C-PAP or Bi-PAP machine. You wear a mask to bed and the machine pressurizes the oxygen flow while you sleep. No more snoring, sore throat, waking up multiple times, etc. etc. etc.

  I have been using my machine for almost 3 years. Insurance paid for it & the sleep study. I have great energy now, feel more alert than ever. It did not take long to get used to the mask and I love the long term benefits.

  If you snore, chances are you have some form of apnea. Get a sleep study done ASAP

QUESTION:
MEB Disability do I get compensated for the pacemaker and sleep apnea or just one or the other?
I have recently got a pacemaker installed I was diagnosed with sleep apnea two years ago and found fit for duty for just the sleep apnea. I was told I will have to get another MEB done because of the pacemaker. My question is when they are considering a percentage from the Air Force will they consider both the pacemaker and the sleep apnea or just the pacemaker because they found it unfit for duty but found the sleep apnea fit for duty?

• ANSWER:
  When the Military does the MEB, it will be for the ONE condition that makes you unfit for duty.
  They will rate you on that one condition to determine amount of retired pay.
  It will be either the % of rating or standard formula, whichever is higher.
  Then you can apply to VA for disability and they will consider all conditions for their rating.

  http://www.af.mil/shared/media/epubs/AFI36-3212.pdf

  http://www.medicalcorpse.com/medstandardsbrief1.ppt#349,3,Overview

QUESTION:
Are there any natural ways to treat sleep apnea?
I have just been diagnosed with sleep apnea, and I;m awaiting the appointment with the pulmonologist. Just wondering what to do in the meantime.

• ANSWER:
  Natural cures for sleep apnea

  There are several natural medicines for sleeping problems that might help with sleep apnea. However, it’s best to consult someone – such as a homeopathic physician -- about taking any of these. He or she might recommend one or several of them in some combination

  Here are some natural treatments that could work if you have only a mild case of sleep apnea.

  *Minimize your use of alcohol, antihistamines, or tranquilizers.
  *Make sure you get treatment for allergies and colds or sinus problems.
  *Develop regular sleep habits, and especially make sure you get enough sleep at night.
  *Gargle with salt water to shrink your tonsils
  *Try sleeping on your side or sitting up rather than sleeping on your back.
  *Don't smoke or expose yourself to other irritants (such as dust or perfumes).
  *Use an air humidifier by your bed side.
  *Place bricks under the head of your bed to raise it
  *Try eliminating mucus-producing foods (such as dairy and bananas) for two weeks. Then begin eating themn again and see if you notice any differnces.

  There are also small devices which can be inserted into the mouth to help keep the airway open during sleep. These devices help by either bringing the jaw more forward or by keeping the soft tissues up to avoid them collapsing and blocking the airway. These devices do not cure sleep apnea and it likely to get worse if left untreated.

QUESTION:
What can I do while I wait for my sleep apnea test results?
I am scheduled to have a sleep apnea sleep study next Saturday, but I was wondering, since it takes three weeks for the results of the study, what can I do to improve my sleep and breathing until then. I am fairly certain I have sleep apnea but I cannot get the mask until we are for sure about it. I am tired all the time, what can I do about this?

• ANSWER:
  Here is what you can do, but I don't know how much will help you:

  * try sleeping on your side rather than sleeping on your back as it can produces loud snores because of blockages.

  * elevate the head when you sleep. This measure can alleviate snoring and make breathing easier.

  * Use an air humidifier at nighttime to make the air moister.

  * don't smoke for at leas several hours prior to bedtime. Doing so, the smoke can cause the airways to tighten in the neck, worsening sleep apnea.

  * maintain regular sleep hours. In my case, I had to quit my shift work job, to have a normal sleep.

  * use a nasal dilator, saline nasal spray or breathe right strips to help open nasal passages.

  I hope it helps!

QUESTION:
How can I repair damage to my mind from years of sleep apnea? I have had it my whole life and didn't know?
I feel like my mind is weak because I had sleep apnea all through school. I am in my mind 20's and have sleep apnea due to the structure of my body (I am not overweight which is the usual cause). I did ok in school but I just feel like I didn't absorb everything I needed to. What would you do? I know use C-PAP and have been for a few month and am feeling a lot better.

• ANSWER:
  Sleep Apnea is a serious condition and can cause or worsen lots of physical problems like high blood pressure and hart disease but has not been shown to have any long-term effects on brain function. Stay with your C-PAP though because it could save your life over the long run.

QUESTION:
How can you tell if you have sleep apnea?
I have serious sleeping problems. I'm ALWAYS tired and usually sleep through the alarm, and when I wake up, I don't even feel "awake." I think I might have sleep apnea, but how can I know for sure? Do I just film myself sleeping?

• ANSWER:
  I think it would be helpful to film yourself sleeping. Don't make the mistake of trying to hold the camera yourself though. You will need a tripod.

QUESTION:
Is there a more comfortable maks for sleep apnea?
I have a full face mask for sleep apnea. I chose it because I frequently get sinus congestion and need to be able to breathe from my mouth when that happens. The problem is when I wear it I get sores on the bridge of my nose and I can't sleep on my side because the mask get pushed aside and begins to leak. How much do masks cost? My insurance paid for the first one, but I doubt they'll pay for two.

• ANSWER:

QUESTION:
Can you get a driver's license if you have sleep apnea?
I was recently diagnosed with sleep apnea ( a moderate one). I was planning to get my driver's license since I'm 18, but then the doctor didn't recommend it...

Does anyone know whether or not you can get a driver's license if you have sleep apnea? (Oh, I live in California by the way, if there are different laws...)

Also, if you do have sleep apnea, and you do drive, do you have any problems? Or have anyone ever told you that it's better if you don't drive because you're constantly sleepy?

• ANSWER:
  I have know a couple of people with sleep apnea who did have licenses so it might be a state to state difference in laws.

  I also have know 2 guys with narcolepsy.....and NO WAY will they ever get a license. I was driving with one of them....I was driving!....and he simply feel asleep while talking to me. Very weird the 1st time that happens.

  You might want to check with the agency in your state that issues driver's licenses. Good luck.

QUESTION:
Can sleep apnea cause headaches during the day?
I have sleep apnea...or atleast I think I do. People tell me that when I sleep, I stop breathing for awhile and make noises like I am choking. Is this sleep apnea? And if it is, does it cause headaches throughout the day? Because I have headaches almost everyday and I can't think of what causes them.

• ANSWER:
  You kind of have 2 questions here so to answer, yes, when you stop breathing when you're sleeping it is typically referred to as sleep apnea. The noise may be you 'catching' your breath when you do start breathing again. Also, since the brain/body is being deprived of oxygen AND you don't sleep near as well with apnea as you would without this condition, your headaches could be caused by either the lack of oxygen, or the severe lack of sleep, or a combination of both. You should see your doctor and have a sleep study done. Then you can take steps to resolve the problem.

QUESTION:
Should I go to the doctor to see about snoring/sleep apnea?
I'm fifteen years old and my friends tell me I sleep really weird.. I stop snoring for like 3 minutes then I start doing this whistling thing and this goes on all night long. I have super bad sinuses so could it be sleep apnea? What can doctors do if it is sleep apnea?
Oh, and after three minutes, I gasp for air they say. My family even notices.

• ANSWER:
  Go to your doctor and see about a referral to a sleep clinic. They hook you up to a whole bunch of wires that monitor you as you sleep. Afterwards, they may suggest a c-pap machine which consists of a mask that you wear to bed and it forces oxygen into your lungs while you sleep. Also, if you quit breathing at night while you are sleeping, not good - that is what the c-pap machine is for.
  Ask your parents to schedule you an appt and go and talk to the doctor!!
  Good luck!

QUESTION:
Obstructive Sleep Apnea. How do you feel about surgical option?
I have severe obstructive sleep apnea that caused mu oxygen levels to drop in the 60% range. The condition was bad enough that surgery was offered.

My question: If you had surgery to correct you obstructive sleep apnea, what were your side effects (if any) and how long did it take to recover.

• ANSWER:
  I've not had the procedure done (yet) but one of my coworkers had it done and it improved her whole life so much. Now that it's been 10 years (she's gotten older, plus she's gained weight) she started to have difficulty staying asleep again so badly that she asked her doctor if she could have a second procedure but instead he has her on one of those ventilating machines--which she detests (but maybe her condition hasn't progressed far enough to suggest surgery again yet). If your condition is bad enough your doc is recommending surgery, you ought to think about it--maybe get a second opinion. Surgery recovery may be painful but if it'll allow you to breath (and avoid developing other health problems related to oxygen depravity), then it is well worth it--and whatever pain there is is transitory, it'll go away once the incisions have healed and you['ll feel so much better.

QUESTION:
How do I know if I have sleep apnea?
My wife says I drive her crazy because I snore so much. Her friend said I might have sleep apnea. Anybody know what it is and what are the symptoms?

• ANSWER:
  Sleep apnea is like everyone said, you stop breathing throughout the night. The symptoms are really loud snoring. Some basic information about sleep apnea is found in the article below. My father has it and he has to wear a breathing mask if he sleeps. The best way to find out if you have it is to consult your doctor but before you do it couldn't hurt to do some background info on sleep apnea to compare your symptoms. Just know there's a very good chance you're perfectly fine no matter what the internet says!!!

QUESTION:
Do I have sleep apnea or should I stop smoking?
I can get 10 hours of sleep and still feel very tired in the morning, come to think about it, I don't think I've woken up feeling refreshed in years. I had my tonsils out to prevent 'obstructive sleep apnea' and it has helped with sore throats but hasn't made my sleeping patterns any different. When I fall asleep, I stay asleep, rarely wake up and rarely move even though I am an extremely light sleeper always. I try to go to bed and wake up at the same times. It's like I'm exhausted every single evening from a normal day. Do I have sleep apnea or could it be caused by smoking cigarettes?

• ANSWER:
  Could be both, easier/cheapest thing to do to get somewhat of an idea as to what is going on is to quit smoking and see if that makes a difference.

  I recently quit smoking and noticed a huge difference in breathing but has not helped my sleep apnea (still wake myself up snoring) but I do feel more refreshed on a daily basis.

  (I quit smoking with the laser procedure)

QUESTION:
What kind of skills or qualifications would you need to do reseach on Sleep Apnea?
I am doing a research paper on sleep apnea and I have to answer the 10 question research plan and this one stumped me.

• ANSWER:
  I have sleep apnea...ask me anything you want to...send me your email address via IM and I'll send you a note

QUESTION:
Is there anyway to test for sleep apnea without sleeping over somewhere?
I can't do the sleeping over bit due to agoraphobia, but my roommate said I stop breathing at night and last time I went to my doctor she mentioned that I might have apnea. So is there a test that doesn't involve sleeping somewhere?

• ANSWER:
  No.

QUESTION:
How much do you know about Sleep Apnea?
Did you know that Sleep Apnea is a serious and deadly disease which affects many Americans who aren't even aware of it? The symptoms include snoring, daytime drowsiness/sleepiness, cessation of breathing during sleep, night sweats, morning headaches, loss of concentration and many others. I have lost two friends in the past two years to Sleep Apnea. Both were diagnosed and refused to use their CPAP machines. I was diagnosed in 2000 and use a CPAP every time I sleep.

• ANSWER:
  Dear 70's ,

  Thanks for the post. I applaud your effort to education and enlightenment of the Yahoo community about the serious consequences of sleep apnea. I really applaud your effort to stay on your treatment and educate others about the profound effects sleep apnea has physiologically and psychologically.

  Many people are not aware of the psychological consequences of the disease and remain untreated, grouchy, sleep-deprived and progress into depression secondary to the disease itself.

  With the improvement in equipment (CPAP/BI-LEVEL), Masks and humidifiers, I only hope that patients are taking advantage of their insurance benefits and getting replacements regularly. I always found the better fit and benefits of the equipment, the greater success a patient had to continue. Insurance companies generally will replace such items every six months with a prescription from a physician. Support groups are also a Hugh success and continue to help people through the difficult transition of learning about the disease.

  Humidifiers increase the comfort level of the CPAP/Bi-level and many patients who swore they could NEVER use CPAP have became faithful Bi-level users.
  Communication with the physician over problems is critical to using any medication or device successfully.
  In my profession, we were taught the more informed a patient is, the more likely they will comply with treatment options. We developed the first non-profit school in the world to train physicians and technologists how to give patent's options, education and participation in their treatment of sleep-related disorders.

  As in every profession, not all physician's are great sleep physicians nor all sleep centers "good centers". Many times that can attribute to failure for patients. The ASDA "American Sleep Disorder Association" has lists of all credentialed physician's, technologists and centers in the world. It is in anyone's best interest to make sure the people who are caring for them have the proper credentials and the center has met full accreditation standards.

  I have enclosed some links for you and anyone else interested in sleep related disorders as well as a patient conference coming up soon for patients with sleep disorders.

  Thanks for taking the time to talk about a subject so dear to my heart and profession.

  Regards!

  http://www.nlm.nih.gov/medlineplus/sleepapnea.html

  http://www.stanford.edu/~dement/apnea.html

  http://sleepdisorders.about.com/cs/sleepapne1/a/sleepapnea.htm

  http://www.sleepapnea.org/info/

  http://www.sleepfoundation.org/sleeptionary/index.php?id=10

  http://www.americansleepassociation.org/

  http://www.healthfinder.gov/orgs/HR2093.htm

  http://www.talkaboutsleep.com/sleep-disorders/archives/Snoring

  _apnea_AASM.htm
  Dr. William C. Dement Joins in the National Patient Sleep ConferenceTalk About Sleep Founder and President Dr. James C. O'Brien announced today that the world renowned sleep authority, Dr. William C. Dement, will be the honored keynote speaker at the inaugural National Patient Sleep Conference on October 27-29th in Minneapolis.

QUESTION:
if you have sleep apnea, how long do you sleep each day without a CPAP machine?
i have recently been diagnosed with sleep apnea and i sleep a lot each day. my husband doesn't understand and thinks i just don't 'do' anything all day. i haven't got my CPAP machine yet. if you have sleep apnea and don't yet have a CPAP or remember what it was like before you had yours, how long did you sleep each day, assuming you were able to sleep as long as you wanted?

thanks.

• ANSWER:
  My uncle had sleep apnea and slept an average of 6-7 hours, however he woke frequently. Excessive daytime sleepiness is a symptom of sleep apnea. Other associated symptoms may include:
  - loud snoring
  - morning headaches
  - unrefreshing sleep
  - a dry mouth upon awakening
  - chest retraction during sleep in young children (chest pulls in)
  - high blood pressure
  - overweight
  - irritability
  - change in personality
  - depression
  - difficulty concentrating
  - excessive perspiring during sleep
  - heartburn
  - reduced libido
  - insomnia
  - frequent nocturnal urination (nocturia)
  - restless sleep
  - nocturnal snorting, gasping, choking (may wake self up)
  - rapid weight gain
  - confusion upon awakening
  I would gather more info on apnea and let your husband read up on this and understand exactly what it is as this is a real sleeping disorder. I do know that the CPAP machine has helped my uncle immensly. I do hope that the machine will help you as well.

QUESTION:
what can help my sleep apnea?
I have sleep apnea, and I am going to my doctor friday to have it checked out. Besides trying to lose weight and such, what are some things I can do for now to help control my sleep apnea?

• ANSWER:
  It looks like I might have sleep apnea too, and they can't schedule me for testing/masks immediately. So, I've been looking on the web for stuff. (-: The didgeridoo sounds like a fun way to combat the problem!

  However, what I found on e-how was a list of 6 exercises. One exercise was saying the vowels (a-e-i-o-u) for three minutes. I do voice exercises in the morning for my classes anyway, but I was usually just doing "ah." However, I started doing a-e-i-o-u, and I think it might be helping. The voice exercises (which I got from a musical improv book/CD) are 2 minutes and 40 seconds. I do one round of "ahs" to warm up, and two rounds doing the vowels.

  There are other tongue motions involved, too. Anyway, it certainly can't hurt, and I feel my voice has gotten much stronger, thanks to the exercises (I'm on day 2).

QUESTION:
My dad jus got diagnosed with sleep apnea what should i worry about?
My dad is 65 and I was just told today that he has sleep apnea and I worry about my dad a lot can this cause him to not wake up from his sleep? What do I have to kno about this??

• ANSWER:

QUESTION:
Is exercising advisable when you have sleep apnea?
I have symptoms of sleep apnea like feeling very sleepy throughout the day, frequent urination, waking up suddenly at night (though i do not feel short of breath at such times. but i do feel that way couple of times a day). I am a smoker and drinker, although i am cutting down on both and trying to quit (no, thats not supposed to sound like m doing a great job) i want to lose some weight as well, and am thinking of rejoining the gym. would it be advisable?

• ANSWER:
  Absolutely. Exercise will definitely help. I'd like to point out 2 things. 1) sleep apnoea is associated with a higher incidence of heart disease, 2) it's commoner in sedentary people.
  apparently you are overweight also, and coupled with your smoking that's three risk factors going against you. Suggest you consult your health provider and get your blood sugar and blood pressure checked.

QUESTION:
What should I do about sleep apnea?
I have mild sleep apnea and I have tried every kind of cpap mask there is, but I can't sleeping with one on. Are there any other options besides a cpap?

• ANSWER:
  There's oral appliances that push your lower jaw forward and keep your airway open. Try the link below..

  http://www.ihatecpap.com/oral_appliance.html

  Hope this helps.

QUESTION:
Do sleep apnea treatments help someone if their sleep apnea is caused by chronic phlegm?
My husband says I snore sometimes and don't sleep sound. Due to allergies, I have phlegm quite frequently and I think that is my problem. Will the c-pap machine do any good if that is the problem?

• ANSWER:
  CPAP can help of course. However until you start using this machine you can not imagine how much discomfort it brings to its users. What is more, there may be no need for using it as other more comfortable treatment may well work.

  I'd suggest visiting http://snoringremediescenter.com/ - there you can get a free online questionnaire that can determine what is the type of your snoring and afterwards give suggestions - which of the treatments can work for your particular case best.

  You can also use the free service of online consultation offered by the website.

QUESTION:
I need to buy a baby monitor for sleep apnea but have no idea which one to get and what it would do?
I need to buy a baby monitor for sleep apnea but have no idea which one to get and what it would do?
What monitor would you recomend?
Not sure why bubs is having apnea episodes but it could just be from relux?
Bubs is 4 days old.
*sorry, its ment to say reflux*

• ANSWER:
  get the one that has the video monitor

QUESTION:
how do you know if your infant has sleep apnea?
its really humid and stuffy down in the south and i am allergic to molds and ragweed. well i also have noticed when my son falls asleep it is as he snores a bit then he stops for like 3 seconds and then he breathes again? can this be sleep apnea or something? sometimes he cries for a second or two then he goes to sleep. what do you think it is?

• ANSWER:
  Yes it is possiable and he might go out of it. my nephew was like that for a while. we just laid him on his stomach when he slept at night and it seemed to work. he didn't wake up in the night and he stopped snoring eventually. There isn't anything to worry about, but if you want to double check the next time you take him to the doctor, ask the doctor.
  Hope this helps

QUESTION:
How well does a tonsillectomy cure sleep apnea?
I have sleep apnea and have a tonsillectomy scheduled for later this year. How well does this fix sleep apnea?

• ANSWER:
  Tonsillectomies alone do not 'cure' sleep apnea. Surgical remedies for sleep apnea usually are for those patients that do not respond well to other treatments, usually surgery is a last resort.

  The correct term for the surgery is called a Uvulopalatopharyngoplasty, it removes parts or all of the uvula, soft palate, tonsils, adenoids, and pharynx. Its success rate is about 50%. Basically its a coin flip.

  The tonsillectomy could work, only if its enlarged. Same goes with the other parts that I listed above. The enlarged tissue(s) tend to obstruct your airway when you sleep, especially when you lie on your back.

  I would recommend getting a second opinion and see if your doctor would recommend a sleep study performed on you. Also check with your insurance if it is covered.

  Usually, sleep apnea can be resolved with diet and treatment using a CPAP machine (Continous Positive Airway Pressure). It can significantly improve your sleep.

  Good luck and have a good night's sleep!

QUESTION:
Why does sleep deprivation make the symptoms of sleep apnea worse?
I recently did a sleep study and found that I have obstructive sleep apnea and it causes me to wake up during the night - often many times. I go through cycles where the problem gets much worse, one night of poor sleep leads to another worse night of interupted sleep, and so on - sometimes for a month or even more. I have heard that sleep deprivation makes the symptoms of sleep apnea much worse, and as I am searching for the right treatments, I was just interested in finding out why - what is the mechanism that causes this? Very strenuous exercise during the day or early evening can have the same effect. Thank you for any insights.

• ANSWER:
  Actually, sleep apnea is a condition where you actually stop breathing during sleep. For most people, this causes them to wake up quickly; for others, it's a life-threatening situation (especially for babies and small children). I imagine if you're not getting much rest, when you do finally get to sleep your body is so tired it's hard for your body to wake up when you stop breathing. Also, even though your body eventually trains itself to sleep lightly in order potentially avoid apnea, when YOU finally get some sleep your body falls into a deeper sleep. This makes it harder for your body to avoid apnea. I would advise you to get plenty of rest whenever possible. I believe you should obtain a sleep apnea monitor from your physician. This will sound an alarm to wake you up when you stop breathing, or if your oxygen saturation level drops below a certain percentage. This may alleviate some of your anxiety and help you sleep better at night. Just a thought. Good luck.

QUESTION:
Do I have sleep apnea or is it my anxiety making me feel like this?
I have bad anxiety, I get attacks every day and I'm starting to obsess over them. When I go to bed and lie down I have a hard time catching my breath and it almost feels like I can't breath and I start to panic, well I wanna know if this is sleep apnea or just my anxiety?

• ANSWER:
  I had the same thing. It happened to me when I was little. The doctor said it was anxiety but he didn't give it much thought so he could have been wrong. But the main thing is that it went away in a few years so I recovered fully. I guess I just got used to it and it didn't bother me anymore.

QUESTION:
what is the treatment for central sleep apnea?
im on cpap. doesnt work. cant get enough pressure to go thru my nose. only my mouth. i sleep using my nose only. sleep study says negative for obstructive sa. do i have central. what can i do. doc is no help.

• ANSWER:
  This article might help. Its about a person who went through the same stuff you are.

  http://www.parade.com/health/2010/05/16-the-end-of-snoring.html?index=2

  Hope this helps

QUESTION:
How do i cope with an epileptic who has sleep apnea?
My partner was recently diagnosed with epilepsy. After witnessing all three of his seizures I'm pretty scared. He also has sleep apnea which is the main cause of his epilepsy. At this point, I'm too scared to sleep. Considering he had his seizures in his sleep and he always stops breathing and the twitching I'm so terrified. How do I cope with this. I haven't slept in weeks. I know he gets annoyed with my constant worry so could someone please help me?

• ANSWER:
  Sleep is one of those things that is absolutely necessary for people to live full and healthy lives. It is supposed to be a source of rest as well as a way to repair the body to take on the activities the following day. However, there are some people who do not experience the kind of slumber others do. One of the disorders that is associated with sleep is a condition known as apnea seizures.

  Basics
  Sleep apnea is caused by the body's inability to breathe properly during sleep. This can be caused by various factors such as obstruction of the air passages. When this occurs, the person has trouble breathing and the sleep is disturbed. Another cause for sleep apnea is the inability of the central nervous system to perform its function of regulating breathing properly. When this occurs, one of the symptoms that can manifest is seizures. The signs of seizures can range from feeling disoriented to involuntary muscle movement.

  Epilepsy
  Sleep apnea and epilepsy are two medical conditions that are often connected by their tendency to exacerbate the manifestation of each other. When a person experiences sleep apnea, the person is deprived of sleep because he or she tends to wake up at various times. The constant lack of sleep can decrease an epileptic patient's ability to fight off the occurrence of a seizure. On the other hand, the medication taken to treat epilepsy has side effects that affect the respiratory functions of the central system as well as relaxing the air passages. Thus, this can cause a predisposition to sleep apnea. Both of these conditions tend to cause seizures for people.

  Evaluation
  Apnea seizures can happen to anyone and at any particular point. However, there are some people who are more prone to experiencing it. For example, apnea more commonly occurs in men. People who snore or are overweight also have a higher risk of experiencing apnea seizures. The reason behind this is that they are the ones who have more trouble getting enough oxygen in their systems while they sleep.

  Effects
  Sleep apnea seizures can take a major toll on the body. People who experience involuntary movement while they sleep tend to wake up tired and without energy in the morning. A headache is also most likely to set in. Besides the inconvenience of exhaustion, the effects of apnea seizures can also be life-threatening. The deprivation of sleep over prolonged periods of time can cause cardiac arrhythmia, or the irregular beating of the heart.

  Treatment
  Doctors recommend an overall healthy lifestyle when it comes to lessening apnea seizures. Weight loss and regular exercise is needed because it will help the body regulate the oxygen it uses. Thus, the cause of sleep apnea, which is abnormal respiration, can be eliminated or lessened. In some extreme cases, surgery may be resorted to in order to tear sleep apnea and the seizures that accompany it. A procedure called the tracheostomy, which involves the removal of any obstructing uvula, can be performed.

QUESTION:
What are some treatments for sleep apnea?
My boyfriend has sleep apnea and snores. It has gotten progressively worse. I am not sure what to do. it seems when i elbow him, he stops temporarily but not long enough for me to fall alseep. It is often so back that it not only prevents me from sleeping but, once i fall asleep, it wakes me up again. HELP!

• ANSWER:
  Sleep apnea should be diagonsed from a reputable sleep clinic. There may be another reason for his snoring such as weight etc.
  The usual treatment is sleeping with a positive air flow machine (I think it is called Cpac. If he stops breathing his oxygen level goes down and it can be a very dangerous health condition. Have him see a Dr. that specializes in sleep problems.

QUESTION:
Do you have sleep apnea? How have you delt with it? Is it expensive to treat?
I'm pretty sure I have sleep apnea. I'm getting a study done next month, but all the symptoms are there. I'm scared it's going to cost me a ton to treat it. Does insurance cover CPAP machines? If so, how much usually? I have Blue Cross Blue Shield PPO. I so desperately wish for a good night's sleep.
Sorry.. spelled dealt wrong.

• ANSWER:
  I was recently diagnosed with sleep apnea. While I knew that I snored, I didn't know that I had times that I stopped breathing. I hae had my cpap machine for about 4 weeks and am very pleased with the improvement I've made.
  The first night in the lab they study how you sleep. Then if you do stop breathing while asleep, you will go back for a second night and try out a cpap machine. They control it remotely. Then they examine the results and if you need it, prescribe a cpap machine for you.
  That you have a PPO is a good thing. Call Blue Cross or look at their website and ask what your coverage is for Durable Medical Equipment. PPO coverage tends to pay for more than the standard plans.
  Over on Yahoo Groups, you may wish to check out the groups for cpap users and sleep apnea. It helps to have the support of folks who share your concerns. Best Wishes.

QUESTION:
What to expect at apnea overnight sleep clinic test?
I've been given this overnight appointment with no info so I don't know what to expect at all. Can anyone advise please and does anyone out there have experience of sleep apnea?

• ANSWER:
  I have sleep apnea, a serious case of it too boot.

  Like you I went in "blind" to my sleep study. I was told to bring clothes, morning ritual stuff, and whatever else that helps you sleep. They usually ask you to be there around 8 or maybe 9p.m. so they can start putting the electrodes on varies part of your body. I had like one on each side of my calves and couple on my chest and 10 various points on my head.(don't worry the goop does wash out of your hair)

  When you are ready too sleep they will hook up the electrodes to the monitor. All you do is sleep and they will watch you on the camera while they watch your heart beat and breathing. If your wake up sometime in the night and have to use the bathroom,, well its kinda awkward but you have tell them you need to use the bathroom. You just can't get up because you are hooked up to the monitor. They come in, unhook you, go do your business, come back, they hook you back up and you go back to sleep.

  In the morning they come unhook you and take the electrodes off and you shower and go to work or home if you want. It takes them a couple days come back with a diagnosis.

  There are different levels of sleep apnea. You are only allowed 15 interruptions an hour for it too not be a problem. Interruptions can be you snoring, tossing and turning, not breathing, heart doing goofy stuff, it goes on but those are the basics.

  I had an average of 55 interruption's an hour. My brother was 66. I had stopped breathing at one time for about 45 seconds.

  The way I understand sleep apnea is when you are not going into R.E.M. enough to be getting good sleep. Basically R.E.M. is the time your brain shuts down to get the much needed down time and your body goes into auto mode. Sometimes your body may forget to do the basics when in auto mode and your brain has too wake up and tell you to do them. Don't let this scare you because you would be surprised how much of this actually goes on when we sleep. I also found out through my doctor that sleep apnea does run in family's. My Grandpa, Dad, and Brother all have it and so do I. One thing that contributes to my problem is a small jaw. It's half an inch smaller than should be. Some people go do that thing to their nose to help with the snoring when in fact it is probably the jaw. You might ask about that when you talk to your doctor. I hope I helped and good sleeping.

QUESTION:
What are some books I can read to research the mental issues caused after a person has sleep apnea?
I am doing an assignment on the mental conditions caused after a person is diagnosed with sleep apnea. This means what type of issues they mentally encounter as a result of sleep apnea (such as depression, changes the must do in their environment etc.) And I would like some literature to read and information that Sleep Apnea causes that most would not be aware to know about.

• ANSWER:
  there are tons of sites dedicated to sleep ( after all you spend like 1/3 of your life doing it.)

  jsut google " sleep book"
  or "sleeping disorder"

  you will have more than you can read .

QUESTION:
What exactly is scarring from a septoplasty that causes sleep apnea?
I had septoplasty they think I have scarring that is now causing sleep apnea how is that possible my roof of my mouth vibrates and my snoring increased after the septoplasty. What happened? He is doing a sleep study but cant you tell some other way?
Is this a sign of a bad surgeon? Move septum vibrates too and the roof of mouth only when I sleep? Im not fat it was the surgery

• ANSWER:
  Sleep apnea is an obstruction somewhere in the airway. It can be caused by a number of things. Scar tissue is very likely cause. Sleep apnea surgery does not work for many people because the scarring is actually worse than the original problem

  My question to you is did you snore before your nose job. If so you probably had OSA previously. Many people do.

  Sleep apnea is found in people of all sizes and shapes. Kids get SA as well.

  When you have the sleep study, you can ask many questions to the sleep techs and the doctor at the follow up.

  Best wishes

QUESTION:
How do temporal lobe seizures affect sleep apnea?
Can temporal lobe seizures cause severe sleep apnea? Or is it more likely that seizures of this nature are a result of chronic uncontrolled sleep apnea? I have both diagnoses, but my chief complaint is excessive daytime fatigue that is not relieved by CPAP, UPPP surgery, septoplasty, or medications for seizures.

• ANSWER:
  that's terrible for you=all I have is sleep apnea and am so tired all the time =I don't know how you can take it with the seizures on top of it

QUESTION:
What do you do when your husband has been diagnosed with sleep apnea and won't use the machine?
My husband has sleep apnea and will not use the machine. He also has diabetes. He goes to work, comes home sleeps for about two hours, goes to bed at 12:00 AM and gets up about 4:30 for work. On the weekends he will sleep if you let him about 14 hours a day. He would do this during the week but he has to go to work. I just don't know what to do. I'm very concerned.

• ANSWER:
  Unfortunately, there's not much you can do... You can show him all the information about sleep apnea and its deleterious effects on health, how improved sleep can actually improve diabetes, etc etc, but until he decides to do what he needs to do, he'll probably just hear it as "nagging" and ignore you even more industriously.

  If it gets to be that bad, you could lay down an ultimatum: That if he doesn't start taking better care of himself, you'll leave because you can't stand to watch him take such risks with his health. I would certainly not recommend that, unless the marriage is already irretrievably broken and you would actually be okay with it if he said, "All right, bye then."

  My sympathies are with you; it's very frustrating to watch someone you care about neglect themselves. Unfortunately, your options are rather limited. I hope someone else has a more productive answer for you. Good luck.

QUESTION:
Do I have sleep apnea or is this something else?
Whenever I sleep, I sleep more comfortably if I breath through my mouth. It feels to me like I receive more air that way. Anway, lately I've been waking up in the middle of the night coughing and weezing so loud that it wakes me up. I can hardly breath when I wake up. When I sit up I can breath normal again. Is this sleep apnea or is it something else?

• ANSWER:
  Hi There,
  My husband experianced the same thing, he went to the doctors and is being refered to a specialist as he thinks he has sleep apnea, it may be worth you contacting your gp.

QUESTION:
Is removal of tonsils a must for sleep apnea?
My kid has a mild sleep apnea that is 5 episodes that lasts about 10 second in the hour on average. The ENT specialist is recommending a surgery to remove tonsils. My question : Is this absolutely required given it is a mind case(as I have been told)? Any side effect/longterm effect if I don't get this done? Will this surgery absolutey cure the sleep apnea?
Thanks in advance for your kind advice.

• ANSWER:
  In most cases for children, yes, having the tonsils removed will fix the apnea issues. Surgery is never a 100% guarantee. Not having it done could result in possible continuation of the airway being blocked, which will lead to future health issues. Anything from just being extra tired, feeling like there's a lack of rest although you have a full nights sleep, to serious issues, like Hypertension, Heart Disease, Stroke, Obesity, Depression and so on.

  If you still have serious concerns, you can always get a second opinion. I would just talk to your EMT again and express you're concerns.

  Hope it works out well for your kid : )

QUESTION:
How do I find free study to diagnose sleep apnea?
I know my bf has sleep apnea pretty bad, but there's no way we can afford to pay anything right now or any time soon. Does anyone know where we can get a free diagnosis in Phoenix or the surrounding area?
Thanks for any info

• ANSWER:

QUESTION:
Anyone know how to help with sleep apnea?
Ok I've got asthma and sometimes I wake up at 2-3AM and I can't breathe and move at all. At first I thought this was my asthma but it was actually sleep apnea. Please help I'm only 15 and I feel like nearly every night I have a chance of "kicking the bucket". What can i do to stop it?

• ANSWER:
  Hello.

  First the most traditional method of treating Sleep Apnea is with a CPAP (Continuous Positive Air Pressure) machine. Its a mask that goes on your face at night and helps keep your throat open so you can get some real airflow back there instead of having it be interrupted like it is now.

  To get one is no easy task since you'll need the right pressure in order to utilize it correctly.

  You'll want to go to your primary doctor and tell him your situation. If he feels it is appropriate than he will get you a sleep study and refer you to a doctor who specializes in respiratory care. Without insurance these can be from 0 - 0 dollars (insurance covered my 900 dollar bill!)

  The sleep study will have you sleeping over at the hospital for one night. They will hook up electrodes and what nots to you and study your brain , eye and leg activity (and a few more, pulse etc). It doesn't hurt but its super uncomfortable since I sleep on my side and there were about 50 or so wires!

  Afterwards the sleep doc will take a look at your charts and take the appropriate action. If you are overweight, he will probably assign you a CPAP machine but stress that you need to lose weight.

  If you are uncomfortable with the CPAP machine you can get a dental device which will help keep the airways open, but this is a much more costly option. I didn't really ask how much, since the CPAP alone is around another 1000 dollars (!).

  Anyway it sounds like you probably just need to lose weight. If you think that you are actually pretty healthy it is still possible for you to suffer sleep apnea because your throat may just naturally relax. In either case if you have the means START THIS PROCESS NOW as sleep apnea is a very common but undiagnosed issue. People think its cute to snore, but it's actually very dangerous!

QUESTION:
How much does it cost for a Oral Mandibular Advancement Device for sleep apnea?
I have tried a cpap for sleep apnea and I just cant get used to it. I have made an appointment with a dentist for the oral device. Has anyone gotten? How much does it cost?

• ANSWER:
  More than you can imagine.

QUESTION:
How do I know if I have sleep apnea or similar?
I get a full night's sleep practically every night, but I don't wake up refreshed much. My wife tells me I snore pretty loud sometimes, which is why she wears ear plugs to bed.....which I think kinda sucks for her.

• ANSWER:
  Indeed as suggested, a sleep study is the only way to find out for real. But as someone who has helped out thousands of sleep apnea sufferers, I can tell you a few things that may help you in the meanwhile.

  Snoring and excessive daytime sleepiness are indeed the prime symptoms. Having a BMI over 25 and a neck circumference over 17inch are also key factors. Search online for the Epworth Sleepiness Scale and if you score well over 12 on this simple survey, you are indeed expected to have at least some sleep disorder. I've linked to the one we use as that also includes the Berlin questionnaire which gives further insight as to whether your symptoms correspond with those of known sufferers.

  Also linked to an article we wrote about feeling tired despite a full night's sleep, which is exactly what you ask about. A couple of video's there explain things further.

  You could ask your wife to stay up for a while when you've nodded off, just to see whether she can verify actual apnea events happening. In between the snoring, you will stop breathing briefly, or some as long as a minute, and your chest will move trying to breathe. After a few seconds, you will gasp/choke and take a big breath of air in, after which the cycle repeats. Snore, stop breathing, gasp/choke, breathe, snore. If she can witness such an apnea event, that is very valuable information for the sleep consultant you'll see for your sleep study.

  Not all sleep studies are at the lab these days, if you don't have any other health issues, they may well send you home for an in-home sleep study with some portable equipment. Once a diagnosis is confirmed and you get treated, your wife can ditch the earplugs and you will feel much better again in the day.

QUESTION:
What is your personal experience with sleep apnea?
At my doc's request, I did a sleep study last week.

Doc called me today, said I have "severe sleep apnea."

I said, can't I just lose weight? (I could lose 60 pounds before I get near "normal" sized.) He said it is "not enough" right now.

Got an appt to see him next week.

Anyone had any personal experience with this? Any advice comments or suggestions?

• ANSWER:
  In addition to being a Respiratory Therapist, I also have to wear CPAP every night. It does take a little getting used to... I woke up several nights with having pulled the mask off. It took me approximately a little over a month to get used to it. It takes effort but it is well worth it. I now cannot even nap without my cpap on because I feel so much better with it.

  The reason why I choose to wear CPAP is because of the damage sleep apnea has been shown to do to one's heart. Obstructive Sleep Apnea, if left untreated can cause right sided heart failure. Currently, there is no proven treatment for right sided heart failure (cor pulmonale).

  It might be a pain to get used to, but it is well worth it, in my opinion as a CPAP wearer and an RRT.

QUESTION:
What are natural cures for sleep apnea?
The guy I work for is 90 years old, his family doesnt want to "waste" the extra cash on him for the tests ect. He's definately got sleep apnea ive seen it before. will Vervain help? any other natural treatments i can pay for outta my own pocket for him?

• ANSWER:
  Obstructive sleep apnea in elderly is treated symptomatically very successfully by the use of CPAP(continuous positive airway pressure) machine. This is an expensive machine but is worth the expense. Person has to use this machine everyday through the night where the machine maintains an optimal breathing pressure and the patient does not get choked because of sleep apnea nor is his sleep disturbed. It is best to consult a Pulmonologist (respiration specialist). The family of the patient does not want to spend the money is a serious problem. You may look for funding from voluntary organisations or health agencies who work for the elderly depending upon where you live. You are doing a good cause and people will support you on this. Hats off to you.

QUESTION:
My doctor told me I need a cpap. Is there any breathing exercises or natural cures for sleep apnea?

• ANSWER:
  if your dr thinks you need cpap, then do it. no one knows why apnea happens, but it can be serious.

QUESTION:
What are the possible side effects of a cpap machine? Does anyone know any natural cures for sleep Apnea/?

• ANSWER:
  The machine is noisy -- it might effect anyone sleeping with you. I found the mask itself to be very uncomfortable and that prevented me from sleeping until I got used to it.

QUESTION:
natural cure for sleep apnea?
i am a poor man froom india mumbai and cannot affort to buy a cpap machine and in very bad health i will be thankful to anyone who can donate or help me to buy this machine

• ANSWER:
  try to modify your sleep position
  alby

QUESTION:
Does sleep apnea equipment increase your sex drive?

• ANSWER:
  I doubt it. My hubby has sleep apnea an his sex drive is practically not even there. He's always had a low sex drive. And he's had a machine since he was 20.

QUESTION:
does insurance cover sleep apnea equipment?

• ANSWER:
  That depends on your 'coverage' ... but my husband was prescribed a 'CPAP machine' to help him breathe at night (we found out that the sleep apnea caused him to have a stroke) and they paid for MOST of that ... so CHECK TO SEE if your insurance company doesn't cover at least part of the cost ... and even if they don't you need to get the 'stuff' ... it can SAVE YOUR LIFE!

QUESTION:
Sleep Apnea?
How much is the sleep apnea machine?All equipments?Total?

• ANSWER:
  The average CPaP machine that also provides warm humidification will run approximately 00.00. This is a complete setup including hoses, mask, and water chamber. A machine that is capable of supporting BiPaP or Bilevel pressures will cost as much as 00.00 for a complete setup. Co-pays are dependant on your personal insurance.

QUESTION:
I REALLY need CPAP equipment for my sleep apnea!?
I had a sleep study done, and I stop breathing 35 x per hour. That's not too bad (yet), but it's not easy to function some days when I'm tired from lack of QUALITY sleep. Of course, my insurance, doesn't cover medical equipment (great, huh? - they'll diagnose ya, but they won't help cure ya!!).Does anyone have any info on who I can contact for free / used / deep discounted CPAP equipment? I know I need to get a new mask, and hoses. I've tried hospitals, and American Red Cross, with no luck.

• ANSWER:
  Try contacting sleep centers and durable equip providers. Many times they have patients who are selling their machines, because they got new ones and so on. Or they have some that they sent out for backup use that they no longer need. Many times you can pick them up for significantly cheap. Just call around and see what you find. Odds are someone will have a decent deal for you. Just make sure, if you are not a smoker, that you ask if the previous user was. The machine will have that smell forever and is not very pleasant.
  If you cannot find any in your area... send me an email and ill give you a number for my center, so you can see what is available here. We usually have people selling used units. Good luck

QUESTION:
Have you ever had a sleep apnea test (if so what type of equipment did you have to wear)?

• ANSWER:
  When i had it done, it required 2 overnight studies. The first night was to determine if you actually had sleep apnea and if you did, how bad it was. They put electrodes on your head and face, pulse oximitry on your finger and EKG electrodes. Then you sleep, or try to at least. The second overnight, same hook-ups but they add a CPAP mask to the party.

QUESTION:
Is sleep apnea considered a pre-existing condition that is not covered by CareFirst BlueCross BlueShield?
I am considering switching insurance during open enrollment to CareFirst, from Kaiser. I have sleep apnea and am on a CPAP machine. Is this considered a pre-existing condition that would nto be covered, or can it be transferred to the new insurance as durable medical equipment?

I am waiting on an answer from CareFirst, but need to make a decision by next week.

• ANSWER:
  The only time you should be penalized for a pre-existing condition is if their is a gap in your coverage. If there's a period in between switching ins where you do NOT have coverage then yes sleep apnea is a pre- existing diagnosis. Most of the time you will have to provide documentation to your new isns company that you have not had a gap in coverage.
  You sould be okay to switch.

QUESTION:
How fast is the growth of sleep apnea treatment (mainly via CPAP)?
I'm trying to figure out how many people are buying CPAP systems and masks today and how much this is changing.

I see number like 18M people have OSA (up to 50-60M with some type of sleep issue), and the industry is growing at 8.4%, but what's driving this? Increase diagnosis & treatment, shift demographics, more marginal suffers seeking treatment, or just newer, more expensive equipment?

Any help would be great. Cited sources would be even better!! Thanks!!

• ANSWER:
  Sleep Apnea effects more than 12 million Americans! More over weight people and diabetics have sleep apnea. It usually effects men over 40 who are over weight. There are 3 types of Sleep Apnea:
  1.) Obstructive...soft tissue in the back of the throat collapses and closes during sleep.
  2.) Central...The brain fails to signal the muscles to breathe.
  3.) Mixed...Combination of both of the
  above.
  You can learn more on the American Sleep Apnea Association website:
  www.sleepapnea.org
  This whole nation is over weight or diabetic so go figure why everyone has sleep apnea!
  Being over weight is the norm now.

QUESTION:
Have you tried a CPAP machine for Sleep Apnea?
I had a sleep study a week ago and found out that I have moderate sleep apnea. So last night I had another sleep study to find out what pressure I need to use on the cpap machine to fix my sleep apnea.
It was HORRIBLE!
They used the one that just goes in/under your nose. They said they used the lowest pressure possible.
It felt like a really strong flow of wind was forcing it's way into my nose/throat all night, and I had to use a lot of effort and muscle to exhale. It was exhausting and scary. It felt like I was being pumped up like a balloon and was going to suffocate.
It also made me swallow a lot of air so I as burping and felt like I was going to throw up.
I don't have any idea how long I actually slept. But I do know that I kept waking up in a panic feeling like someone was smothering me.
The tech kept tell me it was just a mental thing and I had to make a mental decision to not panic.
Yes the feeling like I was going to suffocate was a mental thing. I know that I wasn't in any real danger.
But I don't think that I imagined the pain and pressure on/in my nose, throat. And the strain I was putting on my lungs and torso trying to force exhale against the air flow.
Also, I'm only ever able to breathe out of one nostril at a time (just a generally congested person I guess, cuz it switches from one nostril to the other every day or so)
So the air flow was all going into my left nostril, which is currently stinging and throbbing in pain.
They ended up having to give me an ambien at like 3am or something to help me actually get to sleep.

Ugh..... it was seriously the worst night I've ever had.

What was/is your experience? Am I just overly sensitive? Did the tech/doc possibly not use the right equipment/ pressure? Should I even bother trying to get the doctor to prescribe me one?

OH and they didn't offer any choice of sizes for the nose piece. I didn't know there were different sizes till just now when I've been researching it.

• ANSWER:
  no, I haven't, but my former boyfriend, another friend and my brother all use them and they make a huge difference. The one guy I saw used to be really pale--cyanotic; meaning he was really not getting enough oxygen into his system.

  The first morning I saw him after he had used the CPAP he was actually PINK for the first time I ever saw. I'm a nurse who used to work on a cardiac floor and I notice these kinds of things. I was amazed! I had not realized just how cyanotic he had been until he showed up that morning so full of red blood in his system!

  So, they really do work. It sounds like you just need to get the right fit. Good luck!

QUESTION:
I have recently been diagnosed with sleep apnea. Am I still deployable for the military?
I am 28 years old, and have been diagnosed with sleep apnea. I received my CPAP machine yesterday. I know I am still in the Army. According to AR 40-501, I am deployable under certain conditions: readily available re-supply source; readily available power source; absence of environmental factors that would render the equipment inoperable or unreliable. It doesn't say this in the reg, but I also need distilled water to run the machine. I can not use tap water, and regular bottled drinking water is not distilled. I know regulations are a matter of interpretation, but has anyone out there dealt with this issue? How is this going to affect my deployability? (by the way, one is coming up)

• ANSWER:
  I'm not sure about the military aspect of it, but distilled water isn't an absolute requirement. I don't put any water at all in my reservoir. And when I did I would use regular water. The only thing that happens is you get the calcium deposits on the inside of your reservoir. Ignore them. Or get a new reservoir someday. Not a big deal.

QUESTION:
Can you please tell me if there is a medical equipment blog website?
My father works at a major medical equipment company and wants to know if there is a website or blog where he can chat about the industry. he specializes in oxygen and sleep apnea.
Go Mister- your are gay

• ANSWER:
  okay, I will tell you there is a medical equipment blog website.

  "There is a medical equipment blog website."

  Does that help?

QUESTION:
do anybody no somebody that as a cpap equipment that they are not using?
i have been tested positive for obstructive sleep apnea cant aford tha equipment

• ANSWER:
  yes i hknow of one that is not being use
  butch k.

QUESTION:
Is it possible to get CPAP equipment for less than ,000?
A sleep study revealed that I had severe apnea, requiring a pessure of 18. But the technician at the sleep lab said buying the equipment myself would cost well over ,000 (machine, mask, hoses, humidifier etc). As my insurance doesn't cover it, does anyone know if cheaper CPAP equipment can be bought?

Thanks

• ANSWER:
  look here http://www.cpap-supply.com/ProductDetails.asp?ProductCode=ds100&e=Y i know sounds little off but try ebay as well

  http://www.cpap.com/cpap-machines/apap-machine.php

QUESTION:
Purchase of durable medical equipment?
My health plan is very specific that If I need a durable medical equipment and it is cheaper to purchase than to rent, then that durable medical equipment should be purchased.

However, my insurance company says that my device, a Bi-Pap machine to treat sleep apnea requires "substantial and signficative servicing" and it is must be a rental to protect my health.

This sounds very bogus. The machine has a 2 year warranty, and it is more expensive to rent 2 year than to purhcase the Bi-pap machine now.

I filed a complaint, but my insurance company is saying they will not change this because it is their own internal policy.

My insurance says this machine is a "continous rental". Since I have this medical condition for all my life, this means an astronomical amount of money. (at least, in my perception).
How come the insurance's "internal policy" can be against what is determined in the text of my own policy? (If it is cheaper to purchase, then it should be purchased).

• ANSWER:
  The reason your insurance company wants you to rent your Bi-PAP instead of buying it is because your machine can't be out of service waiting for repairs.

  With it being a rental, if your machine breaks, you call your home care company, they bring out another unit, and take yours away to be fixed. So, you have another machine for a while or your old on gets replaced entirely.

  Now, lets say that you own your Bi-PAP machine. If it breaks, you have to find someone willing to fix it. Then, you have to find another machine to use until yours is repaired. You would buy the machine and the home care company would have no obligation to service or repair it, if needed.

  My home care instructor taught that it is safer and more practical to rent equipment. Yes, the home care company makes more money when you rent. But, you have 24 hour support from them and plentiful parts supplies.

  Certain parts on your BiPAP machine are replaced routinely. The hose may be disposable. The mask is definitely disposable. Having a home care company available 24/7 to help you keep your machine running safely and keeping you with parts is important for your continued health care.

  I do not support companies making money off people who need medical equipment. If they do, then good for them. My concern is about people getting and staying healthy.

QUESTION:
Why did my doctor have me do a sleep study and not follow up with it?
I did a sleep study for my doctor because he thought I had sleep apnea. Well I did it, and the sleep apnea doctor called me back the same night after I did it, and told me I had Mild sleep apnea, but his concern was with my low oxygen levels. He said he wanted me to stay at my house and sleep with a cpap machine and check my oxygen levels for a night, and he said my doctor would call me back or the company that does the equipment, well low and behold noone calls me for over a month, so I called the office and they said they hadn't received the results yet. So anyway I had to take my daughter to the same doctor today and while I was there I asked him if he received the results yet, and he told me to ask the office girls? (what a doctor) so I go out there and ask the office workers if they received them, well low and behold they had received them the day after I had it done, and the doctor I guess just doesn't look at his patients info when it is faxed in. I guess the dumb office workers just glance at it and file. So anyways they gave me a copy of this fax and the sleep doctor has all this stuff he suggests that my doctor do like have done what he told me with the cpap machine, and also maybe look into surgury, and he suggested a pulmonary and cardiac evaluation since I'm only 30. I don't understand why my doctor just doesn't do anything about this, The sleep doctor said on this report my lowest saturation of sleep oxygen was reduced to 63.1%. I think that is pretty bad. I have trouble breathing when I try to go to sleep without taking something to sleep, because when I take something I don't have to think about it, I just get zonked out. What should I do? I want to defiantly change doctors, but can he get in trouble for this, or since this doctor just suggested it would it not matter. I feel so uncared for at this doctors office, why have me do a sleep study and not even look at my results. Someone please give me info and advice I need so badly. If I change doctors and give them these results will the insurance still go by them and let my new doctor help me?

• ANSWER:

QUESTION:
Why did my doctor have me do a sleep study and not follow up with me?
I did a sleep study for my doctor because he thought I had sleep apnea. Well I did it, and the sleep apnea doctor called me back the same night after I did it, and told me I had Mild sleep apnea, but his concern was with my low oxygen levels. He said he wanted me to stay at my house and sleep with a cpap machine and check my oxygen levels for a night, and he said my doctor would call me back or the company that does the equipment, well low and behold noone calls me for over a month, so I called the office and they said they hadn't received the results yet. So anyway I had to take my daughter to the same doctor today and while I was there I asked him if he received the results yet, and he told me to ask the office girls? (what a doctor) so I go out there and ask the office workers if they received them, well low and behold they had received them the day after I had it done, and the doctor I guess just doesn't look at his patients info when it is faxed in. I guess the dumb office workers just glance at it and file. So anyways they gave me a copy of this fax and the sleep doctor has all this stuff he suggests that my doctor do like have done what he told me with the cpap machine, and also maybe look into surgury, and he suggested a pulmonary and cardiac evaluation since I'm only 30. I don't understand why my doctor just doesn't do anything about this, The sleep doctor said on this report my lowest saturation of sleep oxygen was reduced to 63.1%. I think that is pretty bad. I have trouble breathing when I try to go to sleep without taking something to sleep, because when I take something I don't have to think about it, I just get zonked out. What should I do? I want to defiantly change doctors, but can he get in trouble for this, or since this doctor just suggested it would it not matter. I feel so uncared for at this doctors office, why have me do a sleep study and not even look at my results. Someone please give me info and advice I need so badly. If I change doctors and give them these results will the insurance still go by them and let my new doctor help me?

• ANSWER:
  It's time for a new doctor. There are people who are good at their jobs and people who are bad at their jobs. Unfortunately, you found a lousy doctor.

  Your oxygen saturation is dangerously low, and you need someone who is going to look into that very seriously. Having oxygen saturation levels that low can cause serious harm to your body's organs.

QUESTION:
Can someone please tell me what these sleep study results mean?
Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation:
Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present.

His impression is Obstructive sleep apnea syndrome and Hypoxemia

His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order.

Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.

• ANSWER:
  your oxygen level sould be in the 90's, at 70 percent you are not getting enough oxygen for your body, its natural response is to rouse. so you dont sleep well you end up waking up. It sound as if you may be overweight, this means your body has to work harder to get the oxygen to you and make everything work smoothly. it soumds as if you may need to consult a new doctor and see what they have to say.
  at the end of the letter it seemed that a breating device should be used at night to increace your percent oxygen. it seems that he suggested a re asessment of your 02 percentage after a few weeks of assisted night breathing.
  i would suggest loosing weight if you can, it will help with the breating. and getting someone else to look at the doctors notes.
  good luck.

QUESTION:
I just took a sleep test at a local hospital. There were all sorts of things wrong; for one my pulseox ...?
dropped from 99 to 91 when I was asleep. Also I had 211 jerky leg movements during the night. Yet the doctor said I don't have sleep apnea and could not get a CPAP: He did write me a prescription for one but said Medicare would not pay for it.

My wife and I very frustrated by this; she pointed out to him that I wake up several times during the night gasping for air and my snoring is very bad; we have been sleeping in separate rooms over the past year.

Yet the doc said I don't have sleep apnea because "there weren't enough arousals during the night" (or something like that) so again, Medicare would not pay for CPAP equipment.

My question is: are these tests subject to interpretation. Is the distinction between having apnea and not having it all THAT clear? Should I see a pulmonologist? (My doctor is only an internist)

Thanks

P.S. In any case, would it be worth submitting it to Medicare anyway?

• ANSWER:

QUESTION:
We would like to celebrate our anniversary by going on vacation, but we have a newborn, where should we go?
Our anniversary is coming up this week and we would like to go somewhere on vacation. However, we have a 3 month old who needs to be hooked up to a machine that monitors her breathing (she's fine, she has sleep apnea related to her reflux.) It can't be too expensive, I haven't worked since March because of maternity leave and will not get another paycheck till October so the money is kind of tight. We love camping, but can't hook up her equipment if we are camping. She spends the night at her grandparents all the time, but I would kind of like her to share our anniversary, but it's not needed. Thank you for your help.
We don't need specific places, just ideas. But if you have any great ideas near Seattle we would love to hear to hear them

• ANSWER:
  I think the best thing you can do is celebrate your anny with just you & your husband. If the baby can stay with grandma with no problem then do it. Don't forget that you guys need alone time. And you deserve to be able have tons of sex & stay up late or sleep in late or whatever it is that YOU want to do, not what the baby requires you to do. The best thing you can do for her is keep a happy, healthy relationship between you two.

  Now I don't know where you live, but I'm in Fort Lauderdale. My son was born 2/24 & our wedding anny was on 5/10, so my son was 2 & 1/2 months old. Basically, we were in the same boat as you. What we did was drop the baby off at my mom's & we took a little shitty cruise to the Bahamas for only 3 days & 2 nights. It wasn't Carnival Cruises or anything like that but we had a blast just being together on a little mini vacation. Now, from where we live it was only like 0 each. If that's too much or your far away, then go camping. You guys like it & without the baby, you can do it. Also, if you live close to a coast or any beach area or even lake area, even if its only a few minutes away, go rent a hotel room for 2 or 3 days. No reason you can't be on vacation right where you live. No chores, no cleaning up, you guys can drink & not worry about driving. Things like that.

  I hope this helps & happy anniversary!!!

QUESTION:
what is the best and/or most popular cpap machine?
I was recently diagnosed with a sleep disorder--apnea. I am unsure of what type pf equipment to purchase---c-pap mask etc? thanks

• ANSWER:
  I doubt that there is a bad CPAP machine on the market! Every machine that I personally tried was excellent. I myself choose was Respironics, it is extremely quite. Some are quite noisy. As stated earlier, go by the guidance of your technician. He or She has helped many others, and knows many of the problems that you may face on your headgear.

  Actually in realility you will face few problems, if you keep the equipment clean and FOLLOW DIRECTIONS. You will get use to the device within a few short months. I promise you it works! Its for real. NOT WITCHCRAFT!

  I am 61 years old and it took me this long to realize that I was not really sleeping good! I feel 20 years younger and have lost all sorts of weight! Man this is a miracle machine in my life hint ... ask my wife!

  GOOD LUCK, GO WITH IT !

  APS

QUESTION:
I have some questions about my CPAP. I just got one so any advice would be much appreciated.?
Ok so my biggest question is how do you clean it, what parts do you clean, and how often should you clean them? Am I supposed to clean my hose as often as I clean my mask?
I heard horror stories about people developing asthma/other lung problems because they didnt clean their equipment enough. Is that true?

Also, I'm set on level 5. I'm 18, 5'11" and 140 pounds. My doc told me the common reasons why people have sleep apnea (weight, age, etc) and I have none of them. Should I expect my apnea to get significantly worse as I age?

Thanks so much.

• ANSWER:
  i also have sleep apnea at 23. i am set at a 11 pressure down from 14. to clean the cpap you should take it apart and use warm water and if you want you can use a mild soap such as ivory as rinse the pieces of the mask such as the nasal mask. you should also run water through the hose just turn it upside down and let it drain over a shower. if you have a place for water take that off empty it and clean it as well. after all of this put the dry pieces back together and you will be good. also their are filters thst should be cleaned on the actual machine in the back. they say clean them every 2 days or so but i normally clean them around every 2 wks. i think if you are more prone to allergies then try to clean it more but it will not cause problems. sleep apnea may get better with age and condition. there is really no way to tell but since you don't have the typical body type the only thing you can do is wait and see. talk to your doctor about it they may be able to answer that question better.

QUESTION:
First time buying a CPAP machine, just diagnosed. Any recommendations?
Hello,
I was just diagnosed with sleep apnea after 2 sleep studies. The 2nd night I used a nasal cpap thing. So I go tomorrow to buy a machine and mask and start with the treatment.

My insurance usually pays 70% for most things, and I'm not sure if they are with this (they're paying something, just not sure how much). When I talked to the place I'll be buying from, they said my portion after insurance will be 3. So if they are paying 70% (again I don't know, maybe it's different with this) that would mean I'm getting almost ,500 worth of equipment.

But from looking online at cpap machines, they tend to run even on the high end for about -900 at the most that I saw. And the masks were only at most 0 (that I saw). So is there something I'm missing? This seems ridiculously expensive.

Either way, does anyone have a good recommendation for the best machine and nasal "pillow" type mask? If money wasn't an obstacle, what would be the "best"? I'm new to this, so thank you!

• ANSWER:
  Most of the machines nowadays are very quiet and quite easily adjusted to. Make sure that you're consulting a reputable dealer and take a test run before you commit to buy-cut it on in the store and gauge the noise level before you take it home.
  As for nasal masks, most of my patients still have the old "pig nose" masks, the nasal pillows are the newest technology and it is all about personal preference. See if you can try them and get ready for a rough couple of days-your body has to adjust to this new therapy and the sleep that you'll recoup will be worthwhile.
  Good luck, I'm glad that they've discovered your problem.

QUESTION:
Older Men and Anger, Is It Normal For Older Men To Be Mean?
My husband is mean all the time, and he's only 55. When he was younger, he was the most passive and pleasant person to be around. Now he taking on a personality of being almost, well evil, and he do not see it. He is very aggressive with people working in the businesses in our area such as fast food, stores, work subordinates etc. He was shy, passive and did not talk much when I first meet him, back then he would not ask a clerk in the store how to find an item, he was so shy, but now I can't get him to be quiet he's so loud, but he's still passive about important things. At one point if I would say good morning to him, he would say what!!, as if he thought I was saying something offensive. I have convinced him to go to the doctor twice for an Alzheimer check ups, doctor said he does not have it. He does have sleep apnea, but will no longer use the equipment, so he dose off even at stop lights now. He said until he hurt somebody or worse while driving, I should just be quiet. Plus his cholesterol is over 300 and LDL over 200, his tryglidceride is high, and HDL is 59. He goes insane when I bring these things to his attention, the doctor tried to scare him straight about the cholesterol, he refuse to listen. I am 10 yrs younger than him so I do not understand what his mind is going through. I had a phone consult with a therapist and we concluded it was midlife crises, but that was a few years back. Can somebody tell me, "What is wrong with him"?

Note: His mother is in the final stages of Alzheimer at age 91, and his grandmother on his mom side had it to. He is very active with me playing tennis 2-3 days a week and ping pong, and bowling on a league.

• ANSWER:
  My father is in his 50's and has turned quite nasty. He used to be very patient and passive (like your husband) but now he will snap at me out of no where and say mean things and just not think about what he says. He still has good moods but they are random and can last for a whole day or just an hour. Then my dad was looking to buy a red sports car so me and my mum thought he was going through a mid life crisis to (yes I am being serious he was going to get a little red sports car, luckily he didn't!) After that I started looking at things online and found out that men can also go through the menopause like women and this could maybe be why he has changed so much. I also read that exercise, eating right and a mixture of vitamins and herbal pills can help stabalise moods and help things, but my dad is very stubborn and wont listen if me or my mum try to explain this to him. I do believe that men go through a male menopause, I do not understand it fully but what I do know is that it difficult to live with sometimes and he can bring others down around him. I would try introducing healthy meals slowly and more exercise and some multivitamins and herbal tablets for you both as if you take part in those things with him as if they are normal he is more likely to go along with it. Good luck! Xx

QUESTION:
Need help paying for CPAP machine?
I've diagnosed with sleep apnea and given CPAP machine but temporary medical card will expire soon-can anyone help me find someone to help me keep the machine? It is a life neccessary piece of equipment for me

• ANSWER:
  Bearcub,

  First get on the phone and see if the manufacturer has a program like the free prescription program just give them a call directly and ask!

  Second call your doctors office and ask the nurse surely there are other patients who cannot afford their machines! They might even have some machines in the office or know of salesmen who have demo units of last year units!

  Those would be the only two places where I would know to go because you would have to have it set to your pressure and everything!

  I bet that the doctor knows where there are some units that are no longer being used! Like patient who do not use theirs!

  It is worth a try! Good Luck! I know I love My CPAP!

  TRY CALLING

  APS

QUESTION:
Why is my daughter a whiny, tired, rude, child all of a sudden?
My daughter started kindergarten this year and she is utterly exhausted all the time. She was recently diagnosed with sleep apnea about 1 yr ago and she was sent to a specialist. Her adnoids and tonsils were then removed. After starting school, she has become rude, exhausted, "mean faces" all the time, and hardly smiles or laughs any more. She gets about 10 hrs sleep a night, and the school doesn't allow for naps. She gets home and has started with seriously whiney, rude statements until we let her know that is not allowed in the house. She moves with no motivation or speed. Everything takes forever. If we aren't given her constant prompts, she never does anything on time. Kindergarten doesn't seem to be about fun anymore. It seems like it is trying to create little robots and pushing kids a little early. No naps and more of the play equipment has been removed from the school to lessen lawsuits. Lack of rest and fun seem to cause distress. Any suggestions? Thanks!

• ANSWER:
  she is tired. period. is there another school you can transfer her to?

QUESTION:
Where to sell a used cpap machine?
My husband has mild sleep apnea...his Dr. put him on a cpap machine...he tried to use it for maybe 2 mo...he hated it and would take it off soon after going to sleep, so it basically done him no good...it's setting in it's case practically new...it was kept very clean...i cleaned it daily...he has everything that goes with it as well...my questions is, where can I go to sell it on the internet? I don't think Ebay will allow the sale of used medical equipment....any suggestions would be appreciated...thanks!

• ANSWER:
  First, its possible it is not yours to sell. I know many home care companies that RENT the machine to the patient. So if you sell it, you maybe selling something that doesn't belong to you.

  Second. A cpap is a machine that has to have a prescription. Selling it is like selling medications. You can not do it.

  Third. If he has been diagnosed with OSA, and he refuses to use the prescribed treatment and dies in his sleep, His life insurance has the grounds not to pay on any policy he has.

  I suggest you contact the home care company that provided it and tell them if they cant find a way for him to use it comfortably, then you are going to switch companies to one that will. You insurance will pay be paying for supplies every month. They are required to have a respiratory therapist on staff to help him become compliant with the therapy. Switching companies is as easy as signing a piece of paper. They will want to keep your business.

QUESTION:
I need advice about a family member/roommate..?
So I am living with my brother who is seven years my senior, me being 21 years old we share an apartment together. Recently we both purchased about five thousand dollars on a living room set together. I bought a expensive LED tv, ps3 the works.. I paid cash that day put the rest on a store credit card too establish credit.
He on the other hand confessed to my mother that he will stop drinking if she would help him purchase couches of equal value ( about 2500 dollars ). She agreed because she was happy he would stop abusing alcohol. Now a little background about my brother... He has milked my parents for over 60k dollars in cash alone for different vehicles. Since he was a teen in highschool till now he has had about 4 different cars from my parents, two of which he crashed on purpose because he wanted a new one. He's worked a job almost always since he was 16.. has nothing to show for it, paying off a vehicle now with 18% APR. Made over 500k dollars estimated since the day he started working till now and doesn't even own his own TV. I work two jobs and go to school full time. One job is pro bono at a electronic recycling company refurbrishing computer and other IT equipment, the second is a minimum wage dead end job. And I go to school. He lost his job because hes an alcoholic, got lucky because they fired him instead of offering him another job other than driving trucks and now hes collecting 500 a week. He watches tv all day "On my tv" goes to sleep on the couch watching TV keeps it running 24/7 almost and wakes up watches tv.. doesn't do shit except drink and smoke pot. I am tempted to just beat him to near death. This f****** loser brings home "friends" too drink smoke and watch nascar,baseball what ever is on TV friends that live hotel to hotel doing the same shit he would be doing if my mother wasn't so far up his ass she could hear what hes thinking. What should I do? I tried to help him get into a rehab clinic, but he said no he'll be fine. I tell him to find something to do even an under the table pizza job he quit it because he was racking on miles... He is telling me he is RACKING UP MILES on his car while getting paid for it... while I rack up miles driving 50 miles back and forth for my internship every day and I don't even get gas money.

What should I do before I smother him with a pillow when hes gasping for air because the fat ass has sleep apnea from drinking 20-30 dollars worth of beer and peppermint shnaps every day.
Forgot to mention, this is one of my mothers apartments that were renting.

• ANSWER:
  Take the TV , whatever you bought , make an excuse and move out !

QUESTION:
Please help me win a treadmill and change the quality of my life. (vote 1x day thru 8/2)?
I am a finalist in a contest to win a treadmill. You can vote 1x day through August 2nd. This boils down to a popularity contest, and I don't have enough friends to help me win so I'm appealing to you for help.

http://bit.ly/simplydab (my name is simplydab)

Some of the people are trying to win because they have 30 pounds to lose. Some are trying to win because it's what they do. I'm trying to win to literally change my quality of life. I'm morbidly obese (I have to lose more than 1/2 my body weight). In addition, I have rheumatoid arthritis in both knees, asthma, fluid retention problems and sleep apnea. I need to exercise more to lose weight, but I can't do a lot of exercise because of my weight, asthma and knees - and I can't walk outside in this heat/humidity. I was scheduled to have WLS this summer but it was postponed due to concerns about my legs (the fluid and also blood clots). It's now been rescheduled for late fall.

Owning this treadmill would mean I could walk in my home (where it's cool!) for short periods of time multiple times a day, improving my lung function, leg circulation, etc. As my health improved I could walk for longer periods of time, and after my WLS this would be a vital piece of equipment for me to not only help lose my excess weight, but tone my body and sustain the weight loss.

Please don't use this appeal as an opportunity to publically bash me - I get it all day, every day from the time I get out of bed in the morning until the time I go to sleep at night. You can not make me feel worse about myself than I already do. I'm hoping that there are still people out there that would lend a virtual hand to a complete stranger and help someone who is trying to help themselves, but can't do it on their own.

Note, this is a once-a-day vote - you can come back after 24 hours and vote for me (simplydab) again. Also, if you have multiple computers/internet devices, you can vote on each of them so please put those laptops, smartphones, etc. to work!

I appreciate you taking the time to read all this, and any help you give me. If I can ever return the favor, please let me know.
Here is a clickable link, which takes you directly to the page. http://www.mamavation.com/2010/07/top-20-smooth-fitness-nominees-go-vote.html

• ANSWER:
  OK..

QUESTION:
A Uninterrupted Power Supply (UPS) for things other than a computer.?
There has been a lot of times where the power has flickered in my area and I am considering buying a UPS device for things other than computers. I have satellite TV which reboots every time the power flickers (sometimes I have to replace the HD filters after the power flickers) and a CPAP machine (for sleep apnea) that doesn't turn back on after a power flicker. Has anyone tried using a UPS for devices other than computers? Are there special UPS devices that work with electronic gear other than a computers? Are there any electronic devices that should never be connected to a UPS such as laser printers in the case of computer equipment? I have my computer connected to a UPS but my TV, CPAP machine, game consoles, satellite TV and other items could benefit from a UPS since I have to reset my TV every time the power flickers, my CPAP machine doesn't turn back on and the satellite TV system takes at least 10 minutes to restart after the power flickers resulting in me not seeing TV for 10 or more minutes for the few times I watch TV such as football games. Are there any UPS devices designed for devices other than computers? I would rather not buy a UPS device but it has started to become a big problem with the frequent times that the power has flickered in my area. The computer UPS devices are expensive and some require installing software on a computer but what about using one for devices other than computers?
Not sure if a power generator would do any good during brief flickers unless you have it on all the time. A generator is good for extended power outages but not for an interruption in power for a few seconds.
I don't plan to use a UPS for a high powered appliance such as a fridge especially if the outage is only a few seconds.

• ANSWER:
  There is no reason you can't hook other devices up through a UPS.

  The more reliable UPS will use the AC power from your wall outlet to charge a battery only. The AC is not passed through to the device being powered. There is a circuit which chops the guaranteed constant 12 volts back into 60 hz, and steps the voltage back up to 115 AC.

  So... Be sure the UPS can handle the load (watts or amps). You want the maximum output of the UPS to be greater than the device it's powering. That should be on a tag on the equipment or in the books that came with the device. When you make the comparison, use watts to watts or amps to amps.

  The UPS hooked to your PC may or may not be able to run your CPAP. I almost guarantee it won't run something like a refrigerator that would require considerably more power.

QUESTION:
How can I move a disabled veteran across states?
My wife and I are going to be stationed in Killeen Texas at Fort Hood in a about a month. Her father is is a disabled senior and a veteran of the U.S. Army. He's in poor physical condition and we want to be able to look after him by moving him with us. But there are a lot of things in the way. He has all his oxygen tanks, and sleep apnea machines, and special bed etc... If we don't have a house available immediately, it would be risky to have him staying in a hotel, without all of his equipment. It would be easier to have the army move all his properties along with ours, but just too risky. Any ideas? VA benefits maybe?

• ANSWER:
  Call his Primary Care Physician and set up an appointment to talk it over with them. Depending on who is providing the oxygen and maintenance on his CPAP (in my state it is Roth Medical) they should be able to transfer all that fairly quickly. I, myself just moved about 200 hundred miles and made one phone call to the VA hospital call center and talked to a Registered Nurse. She forwarded the info to Respiratory Therapy and I got a call about a week later to set up a service call.
  Looks like the nearest VA is in Temple.
  Olin E. Teague Medical Center
  1901 Veterans Memorial Drive
  Temple, TX 76504
  254-778-4811
  or Toll-Free within Texas only 1-800-423-2111
  Here are the links for that hospital and for the Texas state VA Healthcare System.
  Once you get an appointment with his Dr. do not leave his office until you have EVERYTHING set up. Write down any questions you have about his care. Also, once you get settled, call the DAV office at the hospital and have them check to see if he is getting all the benefits he is entitled to. You can also request copies of all his medical records from the Release of Information office at the hospital. Go though these and look for anything questionable about his care. Write it down and discuss it with his DR. If there is one thing the VA is good at doing is screwing over Vets (ask me how I know).
  He can order his medication refills online. https://www.myhealth.va.gov/mhvPortal/anonymous.portal?_nfpb=true&_nfto=false&_pageLabel=mhvHome. He will have to watch a short video online and fill out a short form at the ROI office (see above). The VA will mail out his 'scripes to your house. If he is taking any narcotic or controlled meds they come by UPS and have to be signed for. He can also get reimbursed for mileage to and from the hospital. I hope I have helped answer your question.

QUESTION:
10 points!!!!!!!!summarize please?
With no magic weight-loss pill available and more focus on the increasing rate of obesity among adults, people struggling with obesity are turning to surgery, especially procedures that have become less invasive.

For local surgeons and hospitals, that demand translates into a growing business for bariatric — stomach reduction — surgery. Some Bay Area hospitals and medical groups that have performed the surgery for a few years are now expanding, hiring more surgeons and buying more equipment geared for operating on people who weigh as much as 600 pounds.

"There are more people understanding the significance of the health risk," said Dr. Mary Estakhri, director of minimally invasive surgery for ValleyCare Health System in Pleasanton. "Years ago, it was seen as incredibly drastic or it was seen as taking the easy way out. But now, frequently patients know other people who have had it, and it's more of a reality."

Since 2000, Estakhri has performed stomach reduction surgeries at ValleyCare with laparoscopic surgery, a technique that is less invasive. The health system recently hired another surgeon since officials expect a 25 percent increase in bariatric patients over the next year.

The procedure involves inserting a small camera in the surgical area through a small incision, and surgeons view the area on a video screen. They operate with instruments inserted through other small incisions.

In the last three years, stomach reduction surgeries have almost doubled, increasing from almost 37,000 in 2000 to over 63,000 for the year ended in June, according to the American Society for Bariatric Surgery. About 90 percent of those surgeries were performed in this country.

Given average surgery costs of ,000, that translates to more than .4 billion spent on bariatric surgery in the United States in the most recent year. And though many insurers cover it, some only cover a specific type of bariatric operation.

It is not uncommon for patients to foot the bill themselves, hospital administrators say. For instance, 20 percent of the patients who have had stomach reduction surgery by Drs. Robert or John Rabkin in San Francisco pay for the surgery themselves, according to their office.

Demand for surgeries in the future is expected to remain strong, though it's hard to say what it will be exactly since the decision to undergo the procedure is a personal one. The surgery is meant for morbidly obese people or those people at risk for diseases such as diabetes, hypertension and back problems. About 16 million people in this country are morbidly obese, or at least 100 pounds overweight.

"It's a service line that for most hospitals is profitable at this time," said Ken Steele, CEO of St. Mary's Medical Center in San Francisco.

A combination of factors make the surgery more popular now, Estakhri and others say. In the last few years, celebrities including singer Carnie Wilson and NBC weather forecaster Al Roker have had stomach reduction surgery.

And national attention has spotlighted the fact that more Americans are obese and that obesity is a high risk for diabetes, hypertension, a host of back problems and ailments like sleep apnea.

Dr. John Feng, part of Laparoscopic Associates, a practice in San Francisco headed by Dr. Gregg Jossart, frequently sees patients at satellite offices in Petaluma and Eureka. Three surgeons in the practice perform three kinds of laparoscopic surgery on at least 200 patients a year, mostly at California Pacific Medical Center. The surgeons hold online chat sessions with patients to help them with questions about their recovery.

"It's such a growing field right now that I think it will drive a lot of doctors to get this expertise especially in laparoscopic surgery because patients specifically look for that," Feng said. "It's not unusual to have patients come into the office who have read a lot about this surgery and they come into the office and ask" for a specific kind of surgery.

"Unless we can find the underlying problems causing obesity, and those are multifactorial, I think it will only grow," Feng said of the demand.

The surgeries reduce the size of the stomach and the rate at which calories are absorbed. So after surgery, a person does not want to eat as much. Results of the surgery vary but a person can lose anywhere from half to at least 70 percent of their excess body weight over a period of a year or two following surgery.

The surgery can be especially beneficial for adults under age 60, Feng said, because it often enables them to get off expensive medication.

Earlier this year, St. Mary's Medical Center in San Francisco spent about 0,000 to equip an operating room with special tables and equipment. CEO Ken Steele has been engineering a turnaround for the Catholic Healthcare West hospital, which is close to breaking even after losing more than million in 2001.

Steele estimates that about 160 bariatric opera

• ANSWER:
  I'm not going to read all of that and write a summary about it when you are perfectly capable of doing it yourself. Stop trying to get other people to do your work for you, it's not helping you any.

QUESTION:
Why did my doctor have me do a sleep study and not follow up with it?
I did a sleep study for my doctor because he thought I had sleep apnea. Well I did it, and the sleep apnea doctor called me back the same night after I did it, and told me I had Mild sleep apnea, but his concern was with my low oxygen levels. He said he wanted me to stay at my house and sleep with a cpap machine and check my oxygen levels for a night, and he said my doctor would call me back or the company that does the equipment, well low and behold noone calls me for over a month, so I called the office and they said they hadn't received the results yet. So anyway I had to take my daughter to the same doctor today and while I was there I asked him if he received the results yet, and he told me to ask the office girls? (what a doctor) so I go out there and ask the office workers if they received them, well low and behold they had received them the day after I had it done, and the doctor I guess just doesn't look at his patients info when it is faxed in. I guess the dumb office workers just glance at it and file. So anyways they gave me a copy of this fax and the sleep doctor has all this stuff he suggests that my doctor do like have done what he told me with the cpap machine, and also maybe look into surgury, and he suggested a pulmonary and cardiac evaluation since I'm only 30. I don't understand why my doctor just doesn't do anything about this, The sleep doctor said on this report my lowest saturation of sleep oxygen was reduced to 63.1%. I think that is pretty bad. I have trouble breathing when I try to go to sleep without taking something to sleep, because when I take something I don't have to think about it, I just get zonked out. What should I do? I want to defiantly change doctors, but can he get in trouble for this, or since this doctor just suggested it would it not matter. I feel so uncared for at this doctors office, why have me do a sleep study and not even look at my results. Someone please give me info and advice I need so badly. If I change doctors and give them these results will the insurance still go by them and let my new doctor help me?

• ANSWER:

QUESTION:
Can someone please tell me what these sleep study results mean?
Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation:
Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present.

His impression is Obstructive sleep apnea syndrome and Hypoxemia

His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order.

Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.

• ANSWER:
  Bottom line here is that the doc who examined you found that you are not getting enough oxygen when you are sleeping - your oxygen saturation is low enough to be a health risk. Oxygen saturation below 73% is very risky, and it looks like you dropped below this level for a very small percentage of the time, so your are just slightly below the borderline for high-risk. It looks like the doc recommends a four-prong-prong approach for treatment: (1) use an oxygen machine at night; (2) lose weight (excess weight makes it easier for the airway to become blocked); (3) make an appointment throat specialist to see about surgery to prevent blockage; and (4) see a cardio-pulmonary specialist to make sure that some type of heart problem is not contributing or causing the low oxygen saturation (instead of apnea alone).

  Your apnea is making your heart work over time, and if you are overweight, you have a moderate to high risk that the apnea will cause a heart attack with your levels of oxygen saturation. I have no idea why your doc hasn't contacted you - maybe they just lost track. If you are not using oxygen at night, you need to make an appointment with you doc to get an oxygen machine and possibly discuss the other docs you need to see. If you already have your oxygen machine, you could circumvent your doc and follow up with the throat and heart docs on your own (but finding the right specialist can be a little confusing).

QUESTION:
Can someone please tell me what these sleep study results mean?
Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation:
Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present.

His impression is Obstructive sleep apnea syndrome and Hypoxemia

His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order.

Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.

• ANSWER:
  When you sleep, you have episodes where you quit breathing and your blood oxygen levels get pretty low, sometimes as low as 70%. As a result, your sleep isn't normal. The doctor suggests an oxygen machine and weight loss. He also wants your lungs and heart evaluated. You might need to have surgery to get rid of some of your flesh that's blocking your airway.

QUESTION:
Can someone please tell me what these sleep study results mean?
Ok. Long story, I had a sleep study in November of Last year in which my doctor never talked to me about it. Well anyways I have the paperwork here with me and I have Mild Sleep Apnea, and it say's possibly hypoxemia. Let me tell u what my results say on my oxygen saturation:
Initial oxygen saturation was 98% with the lowest saturation reached being 70%. The mean oxygen saturation during sleep study was 89.5%. During 38% study of the study, her oxygen saturation was greater than 90%, during 60.8% of the study her oxygen saturation varied between 80-89%, and during 1.2% of the study her oxygen saturation varied between 70-79%. Her sleep efficiency was severely reduced to 63.1% with a decrease in the amount of REM sleep to 11% of total sleep and no deep sleep was noted. Her sleep onset latency was prolonged to 127 minutes and her REM onset latency was prolonged to 210 minutes. Ambien 10 mg was taken. Her combined apneic and partial apneic index was very mildly elevated at 5.7 with an apneic index of 2.0 and partial index of 5.5 .The vast majority of the esisodes were obstructive in type with the longest partial apneic episode being 16 seconds and the mean length being 11 seconds. The total study time was 6.5 hours and the total sleep was 4 hours. No arrhythmias are noted, no periodic limb movements are present, and snoring was moderately loud, intermittent and present.

His impression is Obstructive sleep apnea syndrome and Hypoxemia

His recommendation for my doctor is this: (my doctor has never talked to me about this or done anything about it): I recommend supplemental oxygen for sleep at a flow rate of 2 liters per nasal cannula. I would recommend an overnight oximetry on supplemntal oxygen in two to three weeks and hopefully note normalization of her oxygen saturation. I also recommend weight loss of 25 pounds. Lastly I recommend an otolaryngology evaluation as in a 30 year old patient a possible surgical approach would be indicated. I will obtaining the home equipment and followup care to dr. phillips. I am not sure why her oxygen saturation remains low other than being overweight, but if appropriate, a cardiac and pulmonary evaluation would be in order.

Note by me the patient: I am having trouble breathing all the time and can't sleep even on sleeping pills because I can't breathe even worse when I lay down. Please let me know why my doctor hasn't gotten in contact with me about these results. His nurses told me I'm fine, but I'm not so sure, This was the stupid nurse who doesn't care about anyone.

• ANSWER:
  It pisses me off that your own doctor has not mentioned those results to you. Are you sure he's seen them? Something should have been done last year! When I was having trouble breathing like you are it turned out to be congestive heart failure! Your doctor is negligent and should be replaced!