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Obstructive Sleep Apnea


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CPAP is an acronym for  Continuous Positive Air Pressure, and is the word used for the machines that apneacs use when they sleep to get REM sleep.

Update 21-Nov-05:  Below is sort of like the device I sleep with.  My head mask with nasal pillows does not actually touch my face, so it is less claustrophobic and does not contribute to acne.  The nasal pillow puts the mask in place and it wraps around to the back of the head over the top for a nice snug fit.

Obstructive Sleep Apnea is a very under-diagnosed sleeping disorder which I was diagnosed with in December 1995.   Apnea is not realistically a life or death issue but it is very much about quality of life.  Since my diagnosis I have been getting treatment.  To find out more about the condition, which is most noticeable in those who snore, see the following: Apnea: The Sleep Well

Sleep Apnea -- IF YOU CAN ANSWER YES TO MORE THAN ONE OF THESE you should tell your doctor to check you out for sleep apnea:
1.    I’m heavy.
2.    My neck size is 17 or over
3.    I fall asleep in inappropriate places
4.    I feel way below par much of the time
5.    Someone who can hear me sleep has noticed that I snore very loudly, then stop breathing and then start breathing again with a gasp.

Common Symptoms of Sleep Apnea:

  • Snoring
  • Afternoon Drowsiness/Nodding Off
  • Erratic Sleep Patterns
  • Headaches in the Morning
  • Nodding Off
  • Gasping for Breath During Sleep
  • High Blood Pressure

Other Sleep Links:

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Schools

Snoring May Be a Sign of Sleep Apnea

Article reprinted with permission from my friend Jerry Weiss

This is Jerry Weiss in New York City.  I am a person with obstructive sleep apnea and also the chairman of A.W.A.K.E. New York, a support group for those with sleep apnea, and also a former board member of the American Sleep Apnea Association.

Large people like myself should be aware that sleep apnea is quite prevalent in big people, especially those with oversized necks.  You can think of sleep apnea as a kind of post graduate snoring.  In snoring, the obstruction in the airway is partial, and the sound we all know is produced.  In apnea, the airway completely closes, temporarily, and the person stops breathing. Somewhere between seconds and a minute later, the brain senses the low oxygen level and “wakes you up” subconsciously, enough to get you to take a breath.  This is characterized by a choking sound that is quite frightening to any bed partner.  For that matter, so are the moments of silence when you are not breathing.

In most cases of apnea, the collapse of the airway is caused by weakened muscles in the neck which, when relaxed, completely obstruct you from taking a breath. While there is small danger of you stopping breathing permanently—the most rudimentary part of your brain will get you to take a breath if you have an adult nervous system—the result of this cycle, which can be repeated hundreds of times a night, is a night
without any real deep REM sleep, because you are sleeping minutes at a time.  The next day you feel groggy and testy, and are prone to fall asleep in unlikely places, such as at your desk at work, or -- and this is a real danger that takes lives—in your car.

If the doctor thinks it appropriate, (s)he will refer you to a sleep clinic. Most people who are positively diagnosed are given a machine to use when you sleep called a CPAP.  This device can change your life!  I speak from experience.  In other cases, surgery might be recommended, or a dental device.

To continue with untreated sleep apnea, in addition to the symptoms noted above, taxes your heart and brain greatly, as you are in effect jump-starting yourself over and over during the night.  Eventually, disease will result.

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