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Author Topic: Relief for sleepless nights  (Read 381 times)

Curelom

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Relief for sleepless nights
« on: January 12, 2020, 12:25:14 am »
If the forums ever get reorganized, there should be one for health, & it would fit it into this category if it were renamed the 5H Club, for Head, Heart, Hands, Health, & Home. Just a thought. :)

Anyway, here is the latest in health news. If you have sleep apnea, it might be time for a diet - but how do you slim down part of your body that can fit in the palm of your hand?

https://www.deseret.com/2020/1/10/21060578/cpap-sleep-apnea-tongue-insomnia
 

dyany

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Re: Relief for sleepless nights
« Reply #1 on: January 12, 2020, 02:48:02 pm »
Curelom, please put your suggestions for reorganization up in the thread about possible reorganization.

As to particular weight loss for apnea--I know there are surgeries to remove extra...'flesh' that can contribute to apnea and snoring. Often losing weight (especially as we get older) doesn't help much because the skin/tissue is stretched out and won't just bounce back (sometimes EVER).
 
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LMAshton

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Re: Relief for sleepless nights
« Reply #2 on: January 13, 2020, 02:52:26 am »
Plus there's a common misunderstanding that only fat people get obstructive sleep apnea. Nope. Skinny people get it, too.
 
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Jana at Jade House

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Re: Relief for sleepless nights
« Reply #3 on: January 13, 2020, 11:38:35 am »
AND some people lose weight and discover apnea will tether them to a CPAP til death do us part because the soft tissue collapses, nothing to do with weight. 

I wish I knew a physiology research person because I wonder if going from singing all the time to singing 3 songs on a Sunday caused muscle flab in the vocal area and thats what caused the apnea along with menopausal weight.

I will never know but I sure hate lugging that machine around the world.
 

Iggy

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Re: Relief for sleepless nights
« Reply #4 on: January 13, 2020, 01:33:58 pm »
Plus there's a common misunderstanding that only fat people get obstructive sleep apnea. Nope. Skinny people get it, too.

My father was one very skinny man. He snored so loud that us kids thought the cracks in the ceilings & exterior walls was because of his snoring. He also stopped breathing. Mom could not sleep with him because of that - she would shake him awake and then neither of them could get back to sleep.

He was never diagnosed with sleep apnea - methinks that was before it was commonly known & treatable. He died at age 60 from his one and only heart attack. ALL of us kids believe he suffered from sleep apnea.

ALL of his children have sleep apnea. His baby boy was the first to be diagnosed and is still on BPap. The rest of us are users of CPaps. Half of us are overweight. All of us are Type II Diabetics. Dad was never diabetic.

That article, in my opinion, is a lot of hooey. Losing weight is NOT going to cure you of sleep apnea.
 

Curelom

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Re: Relief for sleepless nights
« Reply #5 on: January 13, 2020, 02:05:01 pm »
The story is NOT about weight loss to cure sleep apnea.

It is about slimming one's tongue as a possible remedy.
 

Jason

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Re: Relief for sleepless nights
« Reply #6 on: January 26, 2020, 11:16:46 pm »
When I induce someone for anesthesia, they are laying on their back. With my combination of various induction agents, breathing will stop and I must be prepared to breathe for the patient for 2-3 minutes before I put the breathing tube in. I can often accomplish ventilation by placing a mask over their mouth/nose, form a good seal, and then squeeze a bag to force air into their lungs. Obese patients are not just obese on the outside, but also on the inside of their mouths and their airways. It is much harder to bag mask ventilate them. I will often need to perform chin lift and jaw thrust to pull the mandible upward. Even then, I still often need to place an oral airway to stent open the route to wind pipe (glottic opening).

Then I place an endotracheal tube (ETT) into their wind pipe. I view their vocal cords with a large lighted retractor we call a laryngoscope. I then place the ETT between the vocal cords. Those that are obese can have ample redundant tissue along the way. Finding the vocal cords can be very difficult, as folds of extra flesh can cover the typical route. If you have ever seen a child with enlarged tonsils that touch across the middle, that can be what it is like the entire way down.

We have a classification system that helps us identify people who might be more difficult to intubate. If you open your mouth can you see the uvula hanging down in the back? All of it, grade 1, some of it grade 2, none of it, but still see the soft palate, grade 3, and only the hard palette, grade 4. Large necks, large tongues, narrow palettes, buck teeth, large teeth, and small chins are other physical signs that the patient may have a difficult airway.

After induction, the other place where I deal with obstructive sleep apnea is emergence and the recovery room. I want to take out the breathing tube before they are awake enough to remember it. But once it is out, then they may obstruct. So I may wait until they are more awake to remove it (it isn't actually painful once it is in place, just weird). Or I might put an oral airway in.

I can tell you that plenty of "skinny" people have obstructive sleep apnea in the recovery room. But obesity is definitely a prompt to keep your guard up.
 

 


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