A cure for sleep apnea?

[ronin17]

“In adults the MCC of obstructive sleep apnea is excess weight and obesity” a direct quote from Web MD (and there’s a plethora of research to support their comment —- just Google sleep apnea and obesity )

Moreover there are several indications for a CPAP machine
exclusive of “sleep apnea”.

Just one of several reasons why medical information of this nature is best obtained from a web based medical board
rather than a PED forum IME

Ha! What do you mean? Everyone with Anonymous and anecdotal evidence shouldn’t be considered legitimate?

 

[Dr JIM]

Will insurance deny a claim if the data is non-existent? Interesting subject...

Some on PED boards know absolutely nothing about the subject matter they so willingly offer as "advice".

So someone has Chest Pain ---- heck no need to be a doctor when a "heart attack" diagnosis is so straightforward.

There's also little need to submit standardized evidence based documentation such as an ECG, serum enzymes, history, physical etc, especially when such a diagnosis is rendered by those wo a professional degree or a license to practice medicine

Sure try to submit that claim (OR a Sleep Apnea DX confirmed by some mail order OSA KIT) to ANY insurance company.

Heads up, I'd suggest you submit the correct CPT code for Acute Myocardial Infarction, or risk being accused of submitting a fraudulent insurance claim!

 

[TRT]

The people I know with CPAPs are heavy. But I have one and everyone thinks I'm thin. At 6'2" with weight between 158 to 178 doesn't seem fat ... but never had muscle (ectomorph?). Now at 190 with less fat - CPAP usage is the same. Only with PT does it change.


170 at your height should not be considered obese, and no way with visible 6 pack


After my back/neck got resolved, I couldn't nap in a chair for this very reason (yes, am getting old and like me naps). Thankfully it resolved.

When having a sleep study, they put a whole set of EEG and EKG probes on. Wondered how one was to fall asleep with all that crap on me ... but I did. Fortunately wasn't abducted by aliens so avoided the anal probing thing (nothing quite like testimonials).

I was diagnosed "Moderate". To put that in perspective, they recorded 278 obstructive apneas and 7 'brain' apneas for that night. Wonder what "Severe" would require. Yet my CPAP setting is so low its almost not on.



This goes along with the home vasectomy kit

But if you are squeamish, you can contract to a low bidder

I ment to say over weight not obese. Big difference, I know. Lol

 

[miketee]

Some on PED boards know absolutely nothing about the subject matter they so willingly offer as "advice".

So someone has Chest Pain ---- heck no need to be a doctor when a "heart attack" diagnosis is so straightforward.

There's also little need to submit standardized evidence based documentation such as an ECG, serum enzymes, history, physical etc, especially when such a diagnosis is rendered by those wo a professional degree or a license to practice medicine

Sure try to submit that claim (OR a Sleep Apnea DX confirmed by some mail order OSA KIT) to ANY insurance company.

Heads up, I'd suggest you submit the correct CPT code for Acute Myocardial Infarction, or risk being accused of submitting a fraudulent insurance claim!

You are rambling Jim. The OP DOES NOT HAVE INSURANCE so there is no need to submit the correct code.

If he had insurance than he would follow their protocol to get diagnosed and not need to post up a discussion.

 

[mghoward74]

I find this hard to believe... I can't even adjust my pressure without a doctor getting involved.

What kind of machine is it? Shouldn't be that hard to adjust the pressure when you decide to. I adjust everything from ramping, humidity, to pressure on mines. Can even set the alarm

@Old CSA can be treated with SA machine

@miketee home sleep study kits are full if pitfalls. If a sleep study is done properly, there'll be all types of probes that have to beconnected to the body. Probers that attach to the cranial (front, top, side & rear). Aside from cranial sensors, there'll be sensors of over the body. There roughly 150-200 sensors that can be placed to determine everything related to SA.

I don't see how one can do it all at home...correctly.

Respectfully

 

[Eman]

What kind of machine is it? Shouldn't be that hard to adjust the pressure when you decide to. I adjust everything from ramping, humidity, to pressure on mines. Can even set the alarm

Phillips something... I'll have to look. Maybe there's a trick to doing it but it's not meant to be adjusted by me.

 

[Dr JIM]

You are rambling Jim. The OP DOES NOT HAVE INSURANCE so there is no need to submit the correct code.

If he had insurance than he would follow their protocol to get diagnosed and not need to post up a discussion.

And your another Meso idiot, that I've learned are a part of ALL "PED" forums.

God forbid anyone listen to clowns like yourself!

 

[Dr JIM]

If your diagnosed with sleep apnea while in the military (or can prove it happen in service) its considered service connected. A sleep study has to be conducted 1st or some form of entry in one's military service record. The military failure to pre screen service members is its own fault. The military assumes your fit for duty before entering.

Since they fail to do the proper Pre screening, theyre literally paying for their mistakes. Prior to 2004, SA was not a compensatable disability. Since then the VA has been overrun by both real and bogus SA claims. Everyone I know is somehow trying to get an SA claim.

Until they come up with a better Pre screening, the problems going to get worst.

Ive also worked at the VA on a PRN basis and while I love helping those with a service connected disability (define as "a illness or injury that was incurred or aggravated during active military service) I've been shocked by the number of "vets" who are trying to bend the definition of service connected.

Here's one OF MANY straightforward example I saw just recently

After spending only 18mo's in the military this 26 year old received an honorable discharge for PTSD ----- the PTSD resulted in depression ----- the depression resulted in him sitting on his keister for years ------ which resulted in obesity ------ and now OSA!

He was already receiving a 50% disability for PTSD and has filed a 100% claim bc of OSA

Is it any wonder our VA system is overrun when ailments from DM, HTN, OSA, many of which are the direct result of a maladaptive lifestyle are being considered "service connected".

JIM

 

[Dr JIM]

I don't see how one can do it all at home...correctly.

The colloquialism "just bc you can doesn't mean you should", is meaningless to many on this forum! I mean crap does it really matter if a "test" is done correctly, LMAO

 

[miketee]

Jim did you freak out once home pregnancy tests came on the market? I bet you really lost it when home DNA kits came out. God forbid an idiot having to give their child a nebulizer treatment! Did you even look at the home test? WTF do you need EKGs for when testing for SA. You are either having apneas or you are not. The frequency of apneas are measured in both situations. Sure an in office test is going to detect other ailments, and had I been insured, I would have taken this route, but that wasn’t the case. I won’t argue the idiot part.

 

[mghoward74]

Ive also worked at the VA on a PRN basis and while I love helping those with a service connected disability (define as "a illness or injury that was incurred or aggravated during active military service) I've been shocked by the number of "vets" who are trying to bend the definition of service connected.

Here's one OF MANY straightforward example I saw just recently

After spending only 18mo's in the military this 26 year old received an honorable discharge for PTSD ----- the PTSD resulted in depression ----- the depression resulted in him sitting on his keister for years ------ which resulted in obesity ------ and now OSA!

He was already receiving a 50% disability for PTSD and has filed a 100% claim bc of OSA

Is it any wonder our VA system is overrun when ailments from DM, HTN, OSA, many of which are the direct result of a maladaptive lifestyle are being considered "service connected".

JIM

Lol...

I know what you mean. I work with a guy who got PTSD. He worked in supply during his service. He tells everyone he never got injured, never had trauma, never been in combat. He just took advantage of an opportunity.

Another coworker of mines was ambushed and had his Hmmvee blown up, while he was in it. He never filed for PTSD, although he knows he has it.

Actions from both theses two really paints The Big Picture.



I've read court case where the VA really tries to take care of veterans, and on the flipside see where they will screw them over unjustly. I guess it depends on whos doing the paperwork that day.

Really mind boggling...

Respectfully

 

[Switcher]

Ive also worked at the VA on a PRN basis and while I love helping those with a service connected disability (define as "a illness or injury that was incurred or aggravated during active military service) I've been shocked by the number of "vets" who are trying to bend the definition of service connected.

Here's one OF MANY straightforward example I saw just recently

After spending only 18mo's in the military this 26 year old received an honorable discharge for PTSD ----- the PTSD resulted in depression ----- the depression resulted in him sitting on his keister for years ------ which resulted in obesity ------ and now OSA!

He was already receiving a 50% disability for PTSD and has filed a 100% claim bc of OSA

Is it any wonder our VA system is overrun when ailments from DM, HTN, OSA, many of which are the direct result of a maladaptive lifestyle are being considered "service connected".

JIM

I don't argue the craziness. Your response regarding the combined ratings suggested two disabilities, each at 50% would result in 100%. If there are only those two disabilities, the combined rating would be 75%, not 100%. A Veteran does not actually file a claim for any percentage, they file a claim for a disability and the VBA has to determine whether to allow and to what extent based on the evidence in the file.

Frankly, I am amazed that sleep apnea would get 50%. I mean a person basically has to lose a limb to get 50% off one disability. It is the percentage given though and that is what it is. If it is available and being used by others, a Veteran has every right to take advantage of it.

As far as how Sleep Apnea could be determined as a service related condition, mghoward74 beat me to it and I don't think I could say it much better.

 

[Brolloks]

I also have to sleep on my back. I can't sleep on my side cause my back is too big.

How can your back be too big if you only weight 170lbs? Trying to picture it, but failing.

 

[Brolloks]

You could have UPPP surgery, no guarantee but works for some. It helped me but I wasn't able to quit using the cpap.

I almost went crazy from the pain after UPPP surgery. Wouldn't recommend it as a first treatment option to anyone

 

[TRT]

How can your back be too big if you only weight 170lbs? Trying to picture it, but failing.

I have a small frame and I have a genetically gifted back and shoulders. I get compliments all the time. Not trying to brag but it's the truth.
Laying on my side is not an option. When I finish this next cycle I'll tag you in the biggest most shredded member thread when I post before and after pics. Can't see posting pics now after seeing all the monsters on there. Lol
I don't like myself right now. Working too much to put the time in I need at the gym.
Your criticism is welcomed though.

 

[Brolloks]

I have a small frame and I have a genetically gifted back and shoulders. I get compliments all the time. Not trying to brag but it's the truth.
Laying on my side is not an option. When I finish this next cycle I'll tag you in the biggest most shredded member thread when I post before and after pics. Can't see posting pics now after seeing all the monsters on there. Lol
I don't like myself right now. Working too much to put the time in I need at the gym.
Your criticism is welcomed though.

Looking forward to it, and I wasn't doubting your claims at all, although I'm around your height and at least 100lb heavier. It only takes a bit of an odd sleeping position to make things go numb, but I get away with sleeping on my right side most nights. Occasionally I get a numb hand, which is a small price to pay to be able to spoon with the mrs

I'm not sure how the width of one's back would play a role. It's probably more about weight than anything else.

 

[TRT]

Looking forward to it, and I wasn't doubting your claims at all, although I'm around your height and at least 100lb heavier. It only takes a bit of an odd sleeping position to make things go numb, but I get away with sleeping on my right side most nights. Occasionally I get a numb hand, which is a small price to pay to be able to spoon with the mrs

I'm not sure how the width of one's back would play a role. It's probably more about weight than anything else.

A 100lbs! Wtf?! See that's the shit I'm talking about. Got all these Giants up in here and got to be on my A game for pics to try and keep up. Ha My arms go numb and it wakes me up and that's already an issue with me waking up.

 

[Vita]

@TRT Just over four year ago I was diagnosed with Sleep Apnea. Prior to that I couldn't figure out what was going on, I would just get so tired all of a sudden and nod off, and Saturday was mostly spent sleeping to catch up.

The Sleep Apnea place sent me off with a clamp that went on my finger. The next day they printed out the data and showed me the graph where I would stop breathing hundreds of times during the night and had blood/O2 levels in the mid 60's.

Then they set up a trial machine and sent me off again with the finger clamp for another night. The next day they did a comparison and it was amazing the difference in uninterrupted sleep. I took that data into the MD and he wrote a script without even having to ask a question.

Well the first week I would rip the mask off every night. The following three weeks I stopped ripping the mask off but was not liking the fact that I had this thing attached to my face. Now I can't imagine sleeping without a machine.

Getting diagnosed and receiving the proper treatment was literally a life changing experience for me.

 

[TRT]

@TRT Just over four year ago I was diagnosed with Sleep Apnea. Prior to that I couldn't figure out what was going on, I would just get so tired all of a sudden and nod off, and Saturday was mostly spent sleeping to catch up.

The Sleep Apnea place sent me off with a clamp that went on my finger. The next day they printed out the data and showed me the graph where I would stop breathing hundreds of times during the night and had blood/O2 levels in the mid 60's.

Then they set up a trial machine and sent me off again with the finger clamp for another night. The next day they did a comparison and it was amazing the difference in uninterrupted sleep. I took that data into the MD and he wrote a script without even having to ask a question.

Well the first week I would rip the mask off every night. The following three weeks I stopped ripping the mask off but was not liking the fact that I had this thing attached to my face. Now I can't imagine sleeping without a machine.

Getting diagnosed and receiving the proper treatment was literally a life changing experience for me.

Thank you for sharing that with me. I appreciate any feedback I can get on this subject.
My blood pressure is high now on both sides. Never had that issue before.
After the following Friday I should start to get regular sleep again. I'll be able to sleep in and for 5 days I'll see if my sleep gets better. I use to dream a lot but I don't anymore.
I really hope I can get this thing under control and fast. Last thing I need to do is end up like one of my parents and taking a dirt nap from problems just like this that weren't addressed.

 

[HIGHRISK]

@XKawN If people are not in the industry they don't understand. All they do is repeat absolute bullshit lies and propaganda fed to them by main stream America. Just like the points @Eman has said "no disrespect" but you sound just like many of the main stream public repeating the same bullet points about driver falling a sleep because of sleep apnea and killing a bus load of nuns with kids on there way to Disney land. Please show me the days on sleep apnea and truck driver related AT FAULT accidents? I would love to see them.

Maybe you can show me where all these trucker related accidents are because the driver fell asleep from sleep apnea? Or maybe it's because we are fucked with this bullshit hours of service which forces you to drive when your tired because you sat at a shipper or receiver all day and was napping on and off but your now out of hours when you get loaded. So now I have to take a ten hour break and do what? Sleep?? Lol I've been sleeping all day at the dock. So guess what happens next?? I stay up most of my ten hour break watching tv or talking on the phone or whatever and finally fall asleep around hour 6 or 7 and only get 3-4 hours of sleep. Now with almost no sleep I have to get up and drive tired ALL 11 of my driving hours because I have no time to take a nap because I'm running late from the day before sitting at the dock all day using up all my hours!

So here we are finally at the delivery warehouse and guess what?????? It starts all over again with the waiting game and burning up my hours and now I'm tired and will sleep while getting unloaded instead of my ten hour break. It's a vicious cycle that we deal with daily and why we drive tired most of the time.

So before someone spouts absolute bullshit about a fucking sleep apnea test so a truck driver won't kill you. Maybe you should educate yourself or have a pulse in the industry besides what you fucking read or see on Cnn about this fucking money grab in our industry that's going on!! Maybe you should be required to have a mandated sleep apnea test and monitored daily activities to make sure you don't fall asleep on the way home and hit me in my semi truck and cause me to kill you or someone else???! Just because I drive a semi doesn't mean I'm a law breaking fat ski that cheats at life and smokes cigarettes and doesn't have anyone that cares about me or I don't care about anyone else!

Remember people WITH OUT trucks America stops! The world for that matter. One day we're gonna have enough and park are fucking rigs and see how we get respected then! No gas,food,medicine,clothes ect... Don't think you can just order it from Amazon either lol guess how Amazon and eBay move there products??? That's right trucks! You can't think of ONE thing that doesn't go on a truck at one point or another!

We do a thankless job and people hate us. We're big slow moving trucks in everyone's way in this fast paced world we live in. We can't go or stop or turn or anything fast! Shippers and receivers are pissed when we're late pissed when we're early and when we're on time they'll "get to us when they can" .
For Christ sakes how about let us have input on hours of service and rules and regulations! Not some fucking suit that's never been in a truck and doesn't have a CDL!