Tag fatigue

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.

How You Can Help Your Husband Use CPAP – a Study


Continuous positive airway pressure (CPAP) improves sleep and quality of life for both patients with obstructive sleep apnea (OSA) and their spouses, but adherence to CPAP therapy can be a challenge.

A study by Dr Baron and colleagues at Northwestern University (the Journal of Clinical Sleep Medicine 2012) assessed the effect of spousal involvement in CPAP adherence in 23 married male OSA patients after the first week of treatment. At 3 months, 16 participants completed a second assessment of spousal involvement. Types of involvement assessed included positive (e.g., encouraging), negative (e.g., blaming), collaboration (e.g., working together), and one-sided (e.g., asking).

Spousal collaboration improves CPAP adherence

 

The result showed that collaborative spousal involvement was associated with higher CPAP adherence at 3 months.

CPAP adherence can eliminate excessive daytime sleepiness and reduce the risk of drowsy driving, uncontrolled blood pressure, blood sugar elevation, stroke, heart attack, congestive heart failure exacerbation, atrial fibrillation, and chronic lung disease exacerbation, but it can be difficult treatment to comply with the night after night. You can help your husband by collaborating from the beginning.

1. Tell him that you are happy he is trying to use CPAP.

2. Help him arrange the CPAP and supplies on the lampstand.

3. Repeatedly remind him to use CPAP.

4. Persuade and bargain with him to use CPAP. 

Remember that this is a major lifestyle change and it can be difficult to adjust to CPAP. Your support can get him started on this life-saving treatment.

Thanks.

God bless you.

 

 

 

3 Tips to Help You Meditate When Sick


Maintaining an uninterrupted and a pleasant, relaxed focus during meditation can be a challenge when you are achy, tired, or sick. Ironically, these are the times you need the rejuvenating effect of meditation the most. Here, are the tips to help you meditate under those trying circumstances.

1. Modify your posture (asana) to minimize pain and discomfort. I have found the Savasana (corpse) posture helpful. If the situation does not allow that, then sitting upright in a chair is another option.

Photo Credit: yogasportsdallas.com

Photo Credit: yogasportsdallas.com

 

2. Practice Pranayama. Close your eyes and be pleasantly aware of your inhalation. Feel your body relaxing as you exhale out. Do this 10-15 times.

3. Focus on a pleasant area of the body. First, scan your body from head to toe looking for uncomfortable areas. Accept the pain without any negative emotions and move on. After that, find and focus on a pleasant spot in your body. Maintain an uninterrupted focus on that pleasant spot in the body. If your mind wanders of, use breath awareness as an anchor and bring the focus back to that pleasant spot. If you do this for a total of 15 minutes, you will find the pain abating and energy level increasing.

In summary, aches and pains are an obstacle to a successful practice of meditation. The above mentioned tips will help you get started in the right direction such that you can benefit from the rejuvenating effects of meditation even when sick.

Peace.

 

Insomnia may cause pain in people over 50: Research | NEWS.am


Insomnia may cause pain in people over 50: Research | NEWS.am

In a study published in the journal Arthritis & Rheumatology, researchers collected data from 4,326 people over age 50 in order to analyze their psychological and physical health, lifestyle and levels of pain. Though all patients were free of widespread pain at the start of the study, 2,764 reported some pain, Fox News reports.

Researchers found that people who experienced non-restorative sleep, anxiety, poor physical health or cognitive complaints were more likely to have developed widespread pain.

To read  more, please click on the link above.

 

Obstructive Sleep Apnea leads to Cardiac Dysunction even in Patients without Congestive Heart Failure; a Study


A study published in this month’s Journal of Clinical Sleep Medicine indicates that Obstructive Sleep Apnea is associated with cardiac dysfunction even in the absence of Congestive Heart Failure.

A total of 79 patients with sleep disordered breathing, but preserved systolic function, and normal pro-brain natriuretic peptide level were enrolled. Sixty-five patients were classified to have moderate to severe OSAS (apnea-hypopnea index [AHI] ≥ 15/h), while the other 14 patients with mild or no OSAS (AHI < 15/h) served as control subjects.

The left atrial size, mitral A-wave velocity, and left ventricular end-diastolic volume were significantly larger, while E/A ratio was lower in patients with moderate to severe OSA than those without (p < 0.05). Notably, Apnea Hypopnea Index (number of times a patient stops breathing per hour) in Rapid Eye Movement sleep was significantly correlated with the aortic root size, E/A ratio, left ventricular volume, and stroke volume. In addition, the area under the receiver operator characteristic curve for AHI in REM sleep ≥ 32.3/h was 0.647 (95% CI [0.525, 0.769]) in predicting the development of left ventricular diastolic dysfunction. 

Patients with moderate to severe OSAS tend to have cardiac dysfunction revealed by echocardiography. High AHI in REM sleep is significantly associated with cardiovascular remodeling and ventricular diastolic dysfunction, and may be a potential variable to predict cardiac dysfunction.

JCSM – Influence and Predicting Variables of Obstructive Sleep Apnea on Cardiac Function and Remodeling in Patients without Congestive Heart Failure.

If you snore, please talk to your physician or us about a convenient and cost-effective home sleep test to diagnose sleep apnea.

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