Tired of Being Tired?
August 28, 2008
Upper airway resistance syndrome (UARS) is very common condition that could explain chronic fatigue in many people. In most cases, it goes undiagnosed. It’s been associated with chronic fatigue syndrome, depression, attention deficit disorders, fibromyalgia, cold hands or feet, irritable bowel syndrome, migraines, TMJ, and acid reflux. Hear Dr. Park talk about this newly described syndrome, and how you can possibly begin to wake up more refreshed every morning. http://www.doctorstevenpark.com Media files Click Here to listen! (MP3 Format Sound, 10.9 MB)
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I am a patient of Dr. Li’s and I am interested in hearing your interview with the respiratory therapist. When can I find this on your site, or other site?
Thanking you in advance for your assistance.
James Noah
[...] The last myth has to do with the actual sleep study itself to determine the degree of sleep apnea you have. Many patients preempt these formalized tests by saying "I won’t be able to sleep in a sleep lab." Being in a strange bed with multiple monitors and leads attached to your body is an uncomfortable and annoying experience, but it’s rare when I have someone that really could not sleep enough to gather useful data. We don’t need an entire night’s sleep; we only need about 3-4 hours of continuous or even interrupted sleep. Some even complain that they did not sleep at all. But the brain waves on their sleep study results, by definition, shows that there was significant sleep present. Another frequent scenario I run across is when a patient undergoes a sleep study and the test does not reveal any significant obstructive sleep apnea. But just because the sleep study did not reveal any apneas does not mean that the quality of your sleep is still good. The reason for this is that an "apnea" is defined as a total stoppage of breathing due to obstruction in the throat for 10 seconds or longer. There is a lesser form of an "apnea" where there is still some airflow, but greatly diminished, yet it lasts more than 10 seconds (hypopneas). If the minimum threshold for obstructive sleep apnea is 15 "apneas" every hour. and if you stop breathing 30 times every hour, but if each episode lasts for only 8 seconds, then you will have zero apneas and hypopneas. As confusing as that sounds, in this case, you are told that you don’t have sleep apnea, but you still feel lousy when you wake up in the morning. This is a common situation with patients who have upper airway resistance syndrome, which is a preliminary stage before they proceed to having OSA (To learn more about UARS listen to our podcast on this topic by clicking here). [...]
[...] In my attempt to locate more information, I came across your journal entry “Tired of Being Tired” to learn more about UARS. My main question, is how possible is it that I have a [...]