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Overview

Questions & Answers About Sleep Apnea by Sudhansu Chokroverty, New Jersey Neuroscience Institute at JFK Seton Hall University Staff

Acknowledgments
Preface
Part1: Sleep Basics
Part2: Sleep Apnea
Part3: Diagnosing Sleep Apnea
Part4: Treating Sleep Apnea
Part5: Living with Sleep Apnea

Product Details

ISBN-13: 9780763763770
Publisher: Jones & Bartlett Learning
Publication date: 12/04/2008
Edition description: 1E
Pages: 112
Product dimensions: 5.90(w) x 8.90(h) x 0.30(d)

About the Author

New Jersey Neuroscience Institute at JFK Seton Hall University, New Jersey

Table of Contents

Preface vii

Acknowledgments ix

Introduction xi

Andy's Story xiii

Part 1 Sleep Basics 1

1 What is sleep?

2 What is the purpose of sleep?

3 How much sleep do I need?

4 How common are sleep problems?

5 I was told by my wife that I snore a lot. Why do I snore? Does snoring mean that I have sleep apnea? Or is it just a nuisance?

6 My wife tells me I snore loudly, driving her crazy. I also feel sleepy in the day-time. Should I use a snore guard or see a doctor?

7 How does sleep affect breathing in a normal person?

8 Is snoring related to any physical defect? Can snoring cause any physical illness or memory impairment?

9 I am a 65-year-old man falling asleep in the daytime in inappropriate places and under inappropriate circumstances. I have been in one minor car accident and have almost been in two other car accidents because of the excessive sleepiness. Should I see my primary physician or a sleep specialist?

Part 2 Sleep Apnea 17

10 What is sleep apnea?

11 What are the clues that I should look for if I think I have sleep apnea?

12 Can sleep apnea run in the family?

13 How are the normal breathing events during sleep changed in sleep apnea?

14 Why is snoring or sleep apnea worse after drinking alcohol or taking a sleeping medication?

15 My friend told me that sleep apnea is a serious condition that may cause both short- and long-term serious consequences. Is my friend correct?

16 I have heard that people with sleep apnea may die suddenly in the middle of the night. Is this true?

17 My doctor recently noted that I have high blood pressure. She began treatment but is having difficulty controlling the blood pressure level. I also snore. Can this problemwith my blood pressure be due to sleep apnea?

18 Can stroke cause sleep apnea or sleep apnea cause stroke?

19 What is central apnea and how common is it?

20 If I have a neurological problem, can I also have sleep apnea?

21 Can a medical disorder other than a neurological disorder cause sleep apnea?

22 I cannot concentrate well. I become irritable and angry easily and I cannot remember things as well as I used to. I also snore during sleep at night. Can these symptoms be due to sleep apnea?

23 I snore and I feel tired all day. On several occasions, I missed my exit on the highway while driving. Can this be due to sleep apnea?

24 I am a 62-year-old man and rarely suffer from headaches, but recently I noticed that on many mornings I feel groggy on awakening from sleep and have a headache. Can my headache be due to sleep apnea?

Part 3 Diagnosing Sleep Apnea 37

25 How does a sleep specialist diagnose sleep apnea?

26 What are some important laboratory tests for evaluating sleep apnea?

27 What is an overnight sleep study?

28 What is a multiple sleep latency test (multiple daytime sleep study)?

29 What is the maintenance of wakefulness test?

30 Do I have to have an overnight sleep study in the sleep laboratory, or can I have the test done in my own home?

31 What happens if I decline treatment?

32 I have been told by my sleep specialist that I have mild sleep apnea based on the history and overnight sleep study, but I feel fine. Sometimes I feel a little sleepy in the afternoon and I snore loudly, which does not bother me. Do I still need treatment?

Part 4 Treating Sleep Apnea 55

33 How is sleep apnea treated?

34 My sleep specialist diagnosed sleep apnea for my daytime sleepiness and snoring and recommended positive airway pressure therapy (PAP). What is PAP and what does this do to my sleep apnea?

35 What is CPAP titration and how is it done?

36 Where do I get my CPAP equipment?

37 Are there positive pressure devices other than CPAP?

38 Does CPAP help central apnea?

39 I am symptom free now after using the CPAP. Can I stop CPAP? How long do I have to use it?

40 What are some of the problems related to CPAP therapy?

41 My sleep specialist told me that there is an initial period of adjustment to get used to the CPAP therapy. What is this adjustment?

42 Who do I consult for the problems related to CPAP?

43 How do I take care of mask-related problems?

44 How do I take care of pressure-related problems?

45 How do I take care of problems related to the nose?

46 How do I take care of other (miscellaneous) problems?

47 My mouth and throat feel dry when I wake up in the morning. What can I do about it?

48 My friend told me that if you use a humidifier, bacteria may grow inside the water container, which may cause respiratory infection. Is this true?

49 I wake up in the morning and often find that my mask is off my face. It seems that I remove it subconsciously. Can I do something about it?

Part 5 Living with Sleep Apnea 85

50 I was told by a friend that about 25% of patients do not use their CPAP long term. Why is this?

51 I am going to have surgery. Do I need to tell my surgeon about my sleep apnea and CPAP therapy?

52 Should I take my CPAP unit with me when I travel, including foreign travel?

53 Do I need a regular follow-up visit with my sleep specialist? If so, for how long?

54 Despite using my CPAP regularly on a nightly basis, I have persistent sleepiness in the daytime. Why is this, and what should I do?

55 If my sleepiness improves after taking stimulant medication, why do I have to keep using my CPAP?

56 Do I need retitration and retesting? If so, when and how would I know?

57 How do I know if I am better after surgery or oral appliance?

58 How do I take care of my CPAP equipment?

59 Does sleep apnea occur in children, and does it have similar symptoms and consequences as in adults?

60 I am a pregnant woman in the second trimester of my pregnancy. Do I have an increased risk of developing sleep apnea?

Appendix 99

Glossary 103

Index 107

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