Tag apnea

Sleep 7+ Hours to Live a Long, Healthy, & Happy Life


Consensus Statement (published in June 2015 issue) from American Academy of Sleep Medicine and Sleep Research Society recommends 7 or more hours of sleep every night.

1. Sleeping less than 7 hours per night on a regular basis is associated with adverse health outcomes, including weight gain and obesity, diabetes, hypertension, heart disease and stroke, depression, and increased risk of death. Sleeping less than 7 hours per night is also associated with impaired immune function, increased pain, impaired performance, increased errors, and greater risk of accidents.
2. Sleeping more than 9 hours per night on a regular basis may be appropriate for young adults, individuals recovering from sleep debt, and individuals with illnesses. For others, it is uncertain whether sleeping more than 9 hours per night is associated with health risk.
3. People concerned they are sleeping too little or too much should consult their healthcare provider.

Sweet Dreams! God Bless!

– Yatin J. Patel

Sleep Doc’s 5 Tips if You Feel Sleepy Despite Using CPAP


dreamstime_sleepy

Majority of my patients feel more alert and energetic when they start using CPAP, but a substantial number of patients do continue to feel “no different than before.” If you happen to fall in the later group, follow these tips and talk to us or your doctor.

1. Ask your spouse if you snore or stop breathing with the CPAP on especially in the early morning hours. This would mean that the CPAP setting need to be adjusted.

2. Make sure you are using CPAP at least 7 hours every night. Studies by Antic et all published in Sleep journal (Volume 34, Issue 01) have shown that CPAP use of more than 7 hours provides the greatest chance of curing excessive daytime sleepiness.

3. Check with your pharmacist and your doctor to see any of the medications you take for your medical conditions can contribute to your fatigue, tiredness, or excessive daytime sleepiness. Further, ask them if these medications can be taken in the evening or at bedtime.

4. Make you sure you are not depressed. When I ask my patients if they are depressed, I often get, “I already am taking anti-depressant medication.” I tell them it is still possible to have residual depression symptoms including fatigue, tiredness, and sleepiness.

5. If you continue to feel sleepy even after going through above checklist, talk to your doctor about Nuvigil, a stimulant medication.

I do stress to my patients that the CPAP use reduces the risks of stroke, heart attack, uncontrolled blood pressure, uncontrolled diabetes, and of drowsy driving death whether they feel better or not. CPAP in this regard is similar to cholesterol medication, which reduces the risk of stroke and heart attack, but does not make you feel better. You still keep on taking cholesterol pill to maintain your health. Same way, you should keep on using CPAP every night for seven or more hours.

Best Wishes. Sleep Well, Live Well.

Your Valentine Wants You to Get Treated for Sleep Apnea!


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She has been telling you for months to get your sleep apnea diagnosed and treated, but you have been putting it off. You have argued, “I don’t snore. I am not tired. It is just stress. I have been working too much.”

But, you have been dozing off in the recliner. You are cranky, nervous, and irritable. You are inattentive to her needs. Your sex drive is down. Your problem-solving skills, innovative ability, interpersonal skills, and your energy level are down. It is about time you listened to her and got treated. That would be the true Valentine’s day gift that will keep on giving for the rest of your life.

Sleep apnea, a serious and fatal yet severely under diagnosed disorder affects approximately 20 percent of the adult population. Snoring, daytime fatigue, witnessed apnea (cessation of respiration for more than ten seconds), morning headaches, dry throat, and waking up gasping for air are common features of this disorder, which is being increasingly recognized as a formidable enemy of a full and joyous life. It prevents the person from reaching deep and restorative stages of sleep, making the person grumpy, irritable, nervous, forgetful, inattentive, and tired.

It also increases your risk of stroke, heart attack, and early death because of nightly struggle to breathe, which causes frequent elevation of blood pressure and sustained drop in blood oxygen level while simultaneously increasing the oxygen consumption of the heart muscles. Untreated, the sleep apnea increases the risk of motor vehicular and industrial accidents. It can also contribute to erectile difficulties.

Use the STOP questionnaire to determine your risk for obstructive sleep apnea.

  • S … Do you snore loudly?
  • T … Do you often feel tired, fatigued, or sleepy during the daytime?
  • O … Has anyone observed you stop breathing during sleep?
  • P … Do you have or are you being treated for high blood pressure?

If you answer yes to two or more of these questions, then you are at high risk for obstructive sleep apnea, and you should talk to your doctor.

To make an accurate diagnosis, you may need an overnight sleep study in a sleep lab where your respirations, the oxygen level, heart rate, EKG, leg movements, and sleep stages will be monitored all night long without using needles. Now, there is also a convenient and economical alternative in Apnea Link, a home sleet test. Talk to your doctor about it.

The commonest and most successful treatment includes wearing a mask hooked to a machine, continuous positive airway pressure (CPAP), which acts as a pneumatic splint and prevents your throat from collapsing at night. Weight reduction, oral appliance (a customized denture that keeps your lower jaw pulled forward), and ENT surgery are the other options.

It is extremely rewarding to be treated for sleep apnea. Patients tell me:

  • “Doc, I did not know how sleepy I was until I started wearing CPAP.”
  • “A hazy screen has been lifted off from my eyes.”
  • “I thought it was all stress and aging, but now I feel young again.”
  • “I am thinking clearer. I am planning better. I am getting more done at work and home.”
  • “I have so much energy that I don’t know what to do with it.”
  • “My blood pressure is better; my sugars are better controlled.”
  • “I should have done this a long time ago.”

Listen to your Valentine and please talk to your doctor and get treated. It will give you a new life.

If you need additional information, please visit http://www.md4lungs.com. If you are in Michiana, please call our clinic at 574-534-9911.

Happy Valentine’s Day!

Untreated Sleep Apnea is Bad for Fetus; a New Study.


Pregnant woman lying in bed sleeping
 
 
“In this month’s SLEEP journal, Blyton and colleagues report a series of three small studies of fetal activity in women with and without preeclampsia. They found objective evidence of reduced fetal movements in women with preeclampsia, many of whom had sleep disordered breathing (SDB), and improvement in fetal movements following intervention with continuous positive airway pressure (CPAP).
 
… it raises the possibility that a simple, noninvasive therapy for SDB may improve fetal well-being.
 
These findings are clinically important and very timely.
 
 
There has been a marked rise in publications in recent years showing that the frequency of SDB is increased during pregnancy and is independently associated with gestational hypertension and preeclampsia. In addition, a large proportion of pregnant women with gestational hypertension and preeclampsia appear to have unrecognized SDB.”
 
– Louise M. O’Brien, PhD, MS
 
Why does sleep apnea occur with greater frequency during pregnancy?
 
Hormonal changes of pregnancy relax your upper airway muscles causing a narrowing of the airway during inhalation, which  in turn causes snoring and sleep apnea (repeated cessation of respirations lasting for ten or more seconds and robbing you of your deep sleep, causing severe daytime sleepiness and fatigue). Untreated, sleep apnea also increases the risk of gestational hypertension, preeclampsia, and low birth weight.
 
How do you know if you might have sleep apnea?
 
You can watch my 90 sec video clip from PBS to learn about the symptoms of sleep apnea.
 
 
 
Answer the following questions; if you reply yes to two or more, you are at high risk for obstructive sleep apnea and should talk to your doctor. 
 
S—Do you snore loudly?
T—Do you often feel tired, fatigued, or sleepy during the daytime?
O—Has anyone observed you stop breathing during sleep?
P—Do you have or are you being treated for high blood pressure?

 

A simple home sleep test can diagnose this serious disease. You can learn more about it by watching this 90 sec video clip from PBS.
 
 
 
There is a safe, easy, and very effective treatment called continuous positive airway pressure (CPAP). CPAP hooks to a nasal mask or cannula, which acts as a pneumatic splint that keeps the airway open, thus eliminating snoring, sleep apnea, sleep disruption, and the apnea-related complications. So, please get it diagnosed and treated promptly. 
 
Sleep Well, Live Well. God Bless You.
 

Celebrities With Sleep Apnea: Rick Perry And 7 Others With The Condition


Celebrities With Sleep Apnea: Rick Perry And 7 Others With The Condition.

You (don’t) snooze, you lose. The 53-second “oops” heard ’round the world — when Rick Perry hesitated and then admitted that he couldn’t remember the third government agency he’d eliminate as president — may have been caused by severe sleep deprivation from insomnia and sleep apnea, according to a new book, Reuters reports.

English: The Cycle of Obstructive Sleep Apnea ...

English: The Cycle of Obstructive Sleep Apnea – OSA (Photo credit: Wikipedia)

 

Sleep apnea is a chronic condition that can cause shallow breathing, or even a stop in breathing, during sleep, according to the NIH. Left untreated, the condition can lead to a host of serious medical problems, including high blood pressure, heart attack, stroke and diabetes.

According to the report, Perry’s sleep apnea had gone undiagnosed for years, but a machine ultimately helped him to, quite literally, breathe easier in his sleep.

Perry certainly isn’t alone — he joins more than 18 million Americans who struggle with sleep apnea, including some other famous faces.

Read more at
Celebrities With Sleep Apnea: Rick Perry And 7 Others With The Condition

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