Ask Dr. Park Teleseminar on Obstructive Sleep Apnea (4/12/11)

In this month’s (April 12, 2011) Ask Dr. Park Teleseminar I answer your questions on anything related to obstructive sleep apnea:

1. Do UARS patients progress into obstructive sleep apnea?

2. Given how common sleep apnea is, why hasn’t universal screening been implemented?

3. Despite using CPAP 5 to 8 hours every night, why am I still tired?

4. What do you think about the Pillar implants for snoring and sleep apnea?

5. How do I know when I can come off my CPAP machine as my sleep apnea improves?

6. What comes first, depression or sleep apnea?

7. How do you know if your sleep apnea machine is set for you correctly for you?

8. What surgery is recommended for nasal congestion?

9. Is it possible to underdiagnose sleep apnea in a sleep study?

10. What tips do you have for us dentists regarding UARS?

11. Can nasal congestion alter other areas of the upper airway?

12. Do you do turbinate reduction with the microdebrider?

13. What is UARS?

14. How much does lack of understanding of OSA and its’ consequences play in poor compliance? Are sleep doctors to blame?

15. Where are the best doctors or medical centers to go to on the West coast for fibromyalgia and UARS?

16. Why not add a hyoid procedure to the UPPP?

17. Can white matter lesions on DTI scans be responsible for sleep apnea patients’ symptoms?

18. Can hyperbaric oxygen therapy have a role in treating complications of sleep apnea?

19. What is expiatory sleep apnea?

20. Is bi-level use becoming more common?

21. Does high altitude make sleep apnea worse?

22. Is it worth trying the oral appliance for sleep apnea?

23. Is there any connection between cervical stenosis and sleep apnea?

24. What’s an SV Unit?

 

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7 thoughts on “Ask Dr. Park Teleseminar on Obstructive Sleep Apnea (4/12/11)

  1. I believe I have sleep apnea, alhough not tested for it despite doctror’s recommendation. Always felt It would be impossilbe for me to sleep whith the current machine. However, I am very fatigued, even after a full night’s sleep so am curious about other approsches such as somnoplasty and dental devices.- although Dr. Park notes that these surgeries are geared to improving snoring but are not treatments for sleep apnea; this leaves me confused as to what approach to take.

    Is a sleep study required for diagnosis before one can apply for treatment? HOw about dental devices in lieu of surgery?

  2. In general you need a formal diagnosis of sleep apnea before formal treatment can be started, whether it through CPAP, dental devices or surgery. A home sleep study can also be ordered in some cases, with CPAP titration using an autoPAP machine.

  3. After completing a home sleep study, the “impressions” were Severe Obstructive Sleep Apnea Hyponea Sysndrom (Overall AHI was 37.1) and Severe Oxygen Desaturations with a diagnosis of Obstructive Sleep Apnea 327.23 (what ever that number means). I am being fitted for an AutoPap. What is the difference between the AutoPap and the CPap?

  4. I wake up almost every morning around 5 a.m. with a stuffy nose and notice that sometimes I am having trouble breathing. This seems to happen whenever a storm is coming in or leaving. We moved to Utah 9 mos. ago and live at 5,300 ft elevation and it is very dry here. I take Flonase and Zyrtec daily and do the sinus rinse occasionally. When a storm is coming in I get a headache with sore cheeks and sometimes sore teeth. To get rid of my headache I take the low dosage, non-time release Mucinex plus 2 Tylenol, but have to take every 4 hours when a storm is arriving, which makes it hard to get a good night’s sleep, but that does get rid of the headache for 4 hours. If I use 12-hour nose drops, I sleep really well, but don’t want to get addicted. I told my doctor about this and she wants me to get a sleep study. I also have a narrow upper jaw and may have the nose problems you described in your “Stuffy Nose” article. Should I see a nose specialist next or get the sleep study done or try the nose inserts? I am just overwhelmed with symptoms. Thanks for your help.