4 Days, 11 Pounds
Notes from Dr. Norman Blumenstock If you are looking to lose weight you might find this of interest. Loss of weight is usually a help in managing obstructive sleep apnea. By GRETCHEN REYNOLDS MAY 22, 2014 12:01 AM This article appeared in the May 25, 2014 issue of The New York Times Magazine. Losing weight is simple: Ingest fewer calories than your body burns. But how best to do that is unclear. Most experts advise small reductions in calories or increases in exercise to remove weight slowly and sensibly, but many people quit that type of program in the face of …
Train Derailment Fuels Sleep Apnea Screening Talks
Notes from Dr. Norman BlumenstockScreening of truck drivers is another area of concern. WHITE PLAINS, N.Y. (AP) — A deadly Metro-North train derailment last year in which the “dazed” engineer was found to have sleep apnea has pushed the commuter railroad to look into establishing screening for the condition, which could include measuring operators’ necks and asking them and their spouses about snoring habits. Metro-North spokesman Aaron Donovan confirmed that the railroad that serves New York City’s northern suburbs is working with unions on sleep apnea screening, but he cautioned nothing has been decided. Any program, he said, “would be …
‘Fed Up’ Asks, Are All Calories Equal?
Notes from Dr. Norman Blumenstock Since obstructive sleep apnea gets worse with weight gain, I thought that this would be an interesting article about dealing with obesity. By ANAHAD O’CONNOR MAY 9, 2014, 8:17 AM Americans have long been told that the cure for obesity is simple: Eat fewer calories and exercise more. But a new documentary challenges that notion, making the case that Americans have been misled by the idea that we get fat simply because we consume more calories than we expend. The film explores what it sees as some of the more insidious corporate and political forces behind …
Is it ADHD, or does your child have sleep apnea?
Notes from Dr. Norman BlumenstockOlder research from Children’s Hospital of Philadelphia (CHOP) confirm that there seems to a ADHD connection with obstructive sleep apnea. Not much is understood by parents about snoring or sleep apnea, especially in their children. (istockphoto.com)iStockphoto Lana B. Patitucci, D.O., Doctor of Osteopathy, Pennsylvania Snoring & Sleep InstitutePOSTED: Wednesday, May 7, 2014, 2:23 PM Not much is understood by parents about snoring or sleep apnea, especially in their children. The Stanford School of Medicine states that about 10% of children 10 years of age and younger snore and, of those children who snore, about 20% will …
Crystalline Obstructive Sleep Apnea and the Eye
Notes from Dr. Norman Blumenstock A recent study by the University of North Carolina, adds ocular diseases to the long list of obstructive sleep apnea associations. By Matheson A. Harris, MD, Syndee J. Givre, MD, PHD, and Amy M. Fowler, MDEdited by Ingrid U. Scott, MD, MPH, and Sharon Fekrat, MD Sleep is something we all need and, especially as physicians, often cherish. While eyelids that are tired and droopy may be one of the first signs to herald sleepiness, sleep disorders such as obstructive sleep apnea (OSA) actually have many ocular sequelae, some of which are vision-threatening. It is …
The Comparison of CPAP and OA in Treatment of Patients with OSA
Li W, Xiao L, Hu J. Respir Care. 2013 Jan 3 A systematic review and meta-analysis was performed to compare the outcomes of oral appliances (OA) with those of continuous positive airway pressure (CPAP) in treatment of patients with obstructive sleep apnea (OSA). Relevant studies were retrieved from the following electronic databases up to and including September of 2012: MEDLINE, PubMed, EMBASE, and Central Register of Controlled Trials. The main variables were epworth sleepiness scale (ESS), health-related quality of life, cognitive performance, blood pressure, apnea and hypopnea index (AHI), arousal Index (AI), minimum saturation (Min SaO2), rapid eye movement sleep, …
How Snoring Can Cause Weight Gain
Notes from Dr. Norman Blumenstock This is true especially if the snoring is related to obstructive sleep apnea. Dr. Donald M. Sesso, For Philly.com/Health Posted: Tuesday, April 22, 2014, 4:14 AM As a sleep specialist, my patients often ask about the relationship between snoring and weight gain. The National Center for Biotechnology Information (NCBI) has demonstrated that obesity is a risk factor for snoring and sleep apnea and that snoring may cause weight gain or the inability to lose weight. The relationship between snoring and weight gain is linked to alterations in our metabolism, increased appetite and decreased energy expenditure. In other …
Definition of an Effective Oral Appliance for the Treatment of Obstructive Sleep Apnea and Snoring: A Report of the American Academy of Dental Sleep Medicine
Notes from Dr. Norman Blumenstock In response to the demands of an emerging profession to set standards of care, the Board of Directors of the American Academy of Dental Sleep Medicine (AADSM) brought together leaders in the profession to develop the definition of an effective oral appliance for the treatment of sleep disordered breathing based on current research and clinical experience. On February 15-17, 2013, a consensus conference was held in Tampa, Florida. Fifteen leaders in the profession used the modified RAND/UCLA Appropriateness Method to craft an empiric definition of an effective oral appliance with emphasis on purpose, physical features …
Sleep Apnea Boosts Risk of Pneumonia
Notes from Dr. Norman Blumenstock Sleep apnea appeared to confer a higher risk for future pneumonia, possibly in a severity-dependent manner. The risk was even higher among patients who received CPAP therapy. No mention of oral appliances in this study. A study published in the Canadian Medical Association Journal (CMAJ) titled “Sleep apnea and risk of pneumonia: a nationwide population-based study” analyzed evidence to determine the risk of pneumonia in patients with obstructive sleep apnea. Researchers explored the risk of incident pneumonia among adults with sleep apnea, either with or without the need of CPAP therapy. According to the article, …
Train engineer suffered from severe sleep apnea
Notes from Dr. Norman Blumenstock: An investigation shows the train engineer who was at the controls of a fatal commuter train crash in New York in December suffered from “severe” sleep apnea. Updated: Tuesday, April 8 2014, 08:17 AM EDThttp://www.wwmt.com/shared/news/features/national/stories/wwmt_-train-engineer-suffered-severe-sleep-apnea-7403.shtml#.U0a5nq1dVuC NEW YORK (NEWSCHANNEL 3) – An investigation shows the engineer who was at the controls of a fatal commuter train crash in New York in December suffered from “severe” sleep apnea.A report from the National Transportation Safety Board says William Rockefeller didn’t know he suffered from the condition.The report also says he took an antihistamine the day of the crash …
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