Obstructive Sleep Apnea and CPAP

PERSONAL INTRODUCTION

–>”snoring” versus “gasping” at the beach and in other situations when people witness me sleeping

–> sleep study

–> mixed feelings (fear? shame? loss of control?)  regarding diagnosis

–> analogies … finding a dagger in my back … finding a rat in my bed

–> “things I learned” as a form of therapy and compliance

SELF-DIAGNOSIS

–> Epworth Sleepiness Scale

0 = no chance of dozing
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

SITUATION CHANCE OF DOZING
Sitting and reading
Watching TV
Sitting inactive in a public place (e.g a theater or a meeting)
As a passenger in a car for an hour without a break
Lying down to rest in the afternoon when circumstances permit
Sitting and talking to someone
Sitting quietly after a lunch without alcohol
In a car, while stopped for a few minutes in traffic
1 to 6 Congratulations, you are getting enough sleep!
7 to 8 Your score is average
9 and up Seek the advice of a sleep specialist without delay

… or if people tell you you gasp in your sleep

PHYSICAL CAUSES AND SOLUTIONS

–> OSA versus cognitive

–> the physical negative effects of low SPO2 (oximeter) where you stop breathing for 20 to 30 seconds and your SPO2 drops below 80% … normal AHI is <5 per hour versus 30+ for severe AHI

–> deadliness (heart disease, stroke, weight gain, heart failure) and

–> how CPAP works

–> positive side effects of CPAP

–> possibly negative side effects of CPAP (bloating due to air in stomach, dry mouth due to moving air and lack of humidity, having to remain supine, effects on airways, poor mask fit et al)

–> treatment alternatives (surgery, dental, positional therapy)

–> Common makers of CPAP devices (Resmed and [Phillips] Respironics)

–> Expensiveness and Insurance coverage.

COMPLIANCE

–> Mask Fit (nasal, full) esp with a beard

–> daily, weekly, and monthly care of equipment

–> ResMed gamification

NERDY STUFF

–> sleepyhead software

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