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	<title>Comments on: New Sleep Apnea Treatment: Hypoglossal Nerve Stimulation</title>
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	<link>http://doctorstevenpark.com/new-sleep-apnea-treatment-hypoglossal-nerve-stimulation</link>
	<description>How You Can Breathe Better, Sleep Better, And Live Better1</description>
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		<title>By: Steven Park</title>
		<link>http://doctorstevenpark.com/new-sleep-apnea-treatment-hypoglossal-nerve-stimulation/comment-page-1#comment-22199</link>
		<dc:creator>Steven Park</dc:creator>
		<pubDate>Tue, 09 Feb 2010 11:21:34 +0000</pubDate>
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		<description>&lt;p&gt;Ann, that&#039;s great question. I don&#039;t remember from the paper if arousals were mentioned, but subjective results were generally positive. Any device, whether a nerve stimulator, oral appliance or CPAP, will cause increased arousals. These are questions that will be answered more fully in the initial upcoming clinical trials.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Ann, that&#39;s great question. I don&#39;t remember from the paper if arousals were mentioned, but subjective results were generally positive. Any device, whether a nerve stimulator, oral appliance or CPAP, will cause increased arousals. These are questions that will be answered more fully in the initial upcoming clinical trials.</p>
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		<title>By: Ann Emerson</title>
		<link>http://doctorstevenpark.com/new-sleep-apnea-treatment-hypoglossal-nerve-stimulation/comment-page-1#comment-22158</link>
		<dc:creator>Ann Emerson</dc:creator>
		<pubDate>Tue, 09 Feb 2010 04:36:07 +0000</pubDate>
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		<description>Just wondered whether the AHI was lowered without lowering the totalnumber of arousals from sleep? That is, did the stimulation of the hypoglossal nerve disrupt the patients sleep in and of itself? I think it&#039;s important to lower the AHI, obviously. But if a treatment creates arousals of a different type, then the patients&#039; sleep won&#039;t be any more restful. Any idea whether this data is available Dr. Park? Thanks for sharing this research.</description>
		<content:encoded><![CDATA[<p>Just wondered whether the AHI was lowered without lowering the totalnumber of arousals from sleep? That is, did the stimulation of the hypoglossal nerve disrupt the patients sleep in and of itself? I think it&#39;s important to lower the AHI, obviously. But if a treatment creates arousals of a different type, then the patients&#39; sleep won&#39;t be any more restful. Any idea whether this data is available Dr. Park? Thanks for sharing this research.</p>
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		<title>By: Dr. Steven Y. Park</title>
		<link>http://doctorstevenpark.com/new-sleep-apnea-treatment-hypoglossal-nerve-stimulation/comment-page-1#comment-14556</link>
		<dc:creator>Dr. Steven Y. Park</dc:creator>
		<pubDate>Sat, 14 Nov 2009 11:33:17 +0000</pubDate>
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		<description>Victor,

You&#039;re right. By itself, it won&#039;t &quot;cure&quot; your sleep apnea, unless it&#039;s performed in combination with procedures that address other areas of obstruction.</description>
		<content:encoded><![CDATA[<p>Victor,</p>
<p>You&#8217;re right. By itself, it won&#8217;t &#8220;cure&#8221; your sleep apnea, unless it&#8217;s performed in combination with procedures that address other areas of obstruction.</p>
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		<title>By: Victor H.</title>
		<link>http://doctorstevenpark.com/new-sleep-apnea-treatment-hypoglossal-nerve-stimulation/comment-page-1#comment-14440</link>
		<dc:creator>Victor H.</dc:creator>
		<pubDate>Fri, 13 Nov 2009 15:04:11 +0000</pubDate>
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		<description>I would not consider the procedure because the results are poor. Maybe the procedure would lower my AHI to 20.0. I know from my own experience that life is miserable with an AHI of 20.0 and your health is being slowly destroyed. 

My AHI is 57.0 without CPAP and around 1.0 with CPAP. If I have problems with CPAP and my AHI moves up to anything above 3.0 or so, I feel very tired and sleepy the entire day. It makes sense if you consider that an AHI of 3.0 over seven hours of sleeping, means 21 awakenings and maybe 21 oxygen desaturations plus unhealthy increases in cortisol and adrenaline.

I was first excited when these devices were announced, but now I am skeptical that they will ever be very effective.</description>
		<content:encoded><![CDATA[<p>I would not consider the procedure because the results are poor. Maybe the procedure would lower my AHI to 20.0. I know from my own experience that life is miserable with an AHI of 20.0 and your health is being slowly destroyed. </p>
<p>My AHI is 57.0 without CPAP and around 1.0 with CPAP. If I have problems with CPAP and my AHI moves up to anything above 3.0 or so, I feel very tired and sleepy the entire day. It makes sense if you consider that an AHI of 3.0 over seven hours of sleeping, means 21 awakenings and maybe 21 oxygen desaturations plus unhealthy increases in cortisol and adrenaline.</p>
<p>I was first excited when these devices were announced, but now I am skeptical that they will ever be very effective.</p>
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		<title>By: Sara</title>
		<link>http://doctorstevenpark.com/new-sleep-apnea-treatment-hypoglossal-nerve-stimulation/comment-page-1#comment-14435</link>
		<dc:creator>Sara</dc:creator>
		<pubDate>Fri, 13 Nov 2009 13:53:34 +0000</pubDate>
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		<description>Just to clarify...the nerve stimulation treatment would be an ongoing lifelong intervention (similar to the use of CPAP)?</description>
		<content:encoded><![CDATA[<p>Just to clarify&#8230;the nerve stimulation treatment would be an ongoing lifelong intervention (similar to the use of CPAP)?</p>
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