Snoring in children may be
related to ADHD
of snoring: A new approach for primary care providers
Let's say you snore and you mention this
to your doctor during your annual physical. Chances are he/she will brush
aside your complaint with a recommendation that you lose weight or cut
down on alcohol before bedtime. For a few people, that's good advice.
But you persist: you snore AND you feel tired all the time. Your physician
will, we hope, probe further for signs of obstructive sleep apnea (maybe
not... this potentially lethal condition remains widely undiagnosed). Your
doctor may then recommend a sleep study, known as a polysomnogram, which
will be conducted overnight at a sleep clinic. Based on the results, your
doctor or otolaryngologist may recommend treatment for your OSA or
snoring, which may include use of a CPAP system or surgery to reduce or
stiffen your throat tissue.
There are at least two problems with this scenario. One is time: most
sleep clinics have long waiting lists. The other is money: sleep studies
are expensive (the writer of this newsletter, who has pretty good health
insurance, paid about $300 out of pocket for his polysomnogram and related
consultations.) Wouldn't it be better if your primary care physician was
able to provide a more immediate analysis and treatment of your snoring
That's the basis for a new model for primary care management of snorers
proposed by researchers at Christchurch School of Medicine and Health
Science in New Zealand. The authors identify two basic metrics that can be
performed from the doctor's office. First is your daytime sleepiness,
assessed by giving you an 8-question test called the Epworth Sleepiness
Scale (ESS). Second is a measurement of the pattern of how much oxygen is
in your blood while you sleep. This is measured on a small pulse oximeter
you can take home. You only need to sleep with one sensor on your finger,
rather than the many sensors (and the associated leads) over your head and
body when using polysomnography.
The next day, your doctor could easily download the oxygen data onto a PC
and count how many times the oxygen levels 'dipped' during the night. The
analysis process can be performed automatically within minutes. Each dip
corresponds to a short period of choking or 'apnea'. Armed with your ESS
score and oxygen desaturation index (the average number of times your
oxygen dipped per hour), your doctor can use the chart above to quickly
tell whether your snoring is serious enough to warrant immediate treatment
such as CPAP or surgery or whether you have time to investigate less
invasive snoring remedies. If you are in Group B, for example, you're both
sleepy and have many dips per hour and you need urgent attention from a
sleep specialist. Snorers in Group D -- not sleepy, with normal oxygen
levels -- can be directed to other snoring treatments and do not need to
be referred for polysomnography.
What does this mean for patients? Simply that your primary physician can
make a rational decision on how to treat your snoring condition. And
remember, you should never ignore your snoring. Apart from the social
impact on your roommate or bed partner, even light snoring has been
associated with increased blood pressure.
Source: Assessment of Snorers in
Primary Care. Sparks, Bartle and Beckert,
New Zealand Medical Journal,
June 2002, Vol 115, No 1155
Find more information on
our website: sleep apnea,
Epworth Sleepiness Scale. And remember,
provided by PutanEndtoSnoring does not substitute for the
advice of your physician.
Anything we can find that would interest snoring sufferers
Snoring basics: why is it important to deal with your snoring?
Snoring remedies: numerous ways to address your snoring problem
Snoring types: are you socially incorrect?
Glossary: quick definitions of snoring-related words you'll run into.
Message board: Discuss remedies on the
|A web site we have found
useful in keeping up with snoring news is
FindArticles.com. How did we ever stay informed prior to the
How did teachers manage before the
Internet? Actually, my experience is that many teachers are
wary of computers. A pity, because there are so many wonderful
resources on the net for schools.
This site helped my 4th
grader devise a weather experiment.
with any $15 non-prescription purchase at
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This Newsletter's Featured Product is the Sleep Angel
The Sleep Angel
is a lightweight device that supports
your jaw while you sleep, keeping your mouth closed while you're sleeping.
Sleep Angel can help you “retrain” the skin and tissue in your mouth and
throat, so that they return to the size and shape they once were. The result
is that, with continued use, Sleep Angel can help you stop snoring and get a
better night’s sleep.
Touched by an Angel
new product is generating a lot of sales and some controversy: it's called
Sleep Angel and is a headgear device that keeps your mouth closed while
you sleep and also keeps your jaw forward, preventing your tongue falling
back in your throat. The controversy arises from the implication that it
can treat apnea; OSA treatments need FDA approval. Certainly, we at
believe that anyone with the
Killer snoring type should not risk their lives with untested products
but should head straight for their doctor. But in principle, Sleep Angel
might prevent snoring and mild apnea, because, like dental mouthpieces, it
repositions the jaw, helping keep the airways open at night.
One Sleep Angel enthusiast is Joe Stamler, who has contributed this
first person account:
I'm a 60-year-old graphic designer and I love the work I do; it's a job
that demands that I function at my best as to both my imagination and my
technical skills. The first apnea symptom I was aware of and that began to
concern me was when I began falling asleep in my chair almost every time I
sat down at the computer to work. I was afraid to get behind the wheel. A
few days later, I was using an X-Acto knife to trim a poster, something I
had done hundreds of times before without any problem; but this time I
accidentally slashed my index finger, requiring nine stitches. I consider
myself very lucky to have had that progressive wake-up call.
My doctor suggested a sleep study to see if I need a CPAP system, but I
dreaded the thought of having to go to sleep every night having oxygen
forced into me through an intrusive mask. And I certainly didn't want to
undergo surgery. That was when someone forwarded
me an inventor's personal account of how he came to design what he called
the "Sleep Angel", described as a non-intrusive and inexpensive aid one
could wear at night and which would prevent obstructive sleep apnea by
keeping the lower jaw from sliding back into the position that allows for
the obstructive sleep apnea. The timing certainly couldn't have been more
When my Sleep Angel arrived, I tried it on, crossed my fingers and wore it
to bed for the first time. The next morning, my wife told me she
definitely had noticed a big difference; the apnea wasn't completely gone,
but the episodes were much less often and less intense; she said my
snoring was also much quieter. Over the next few nights, as I experimented
with the position and tightness of the Sleep Angel, my wife happily
reported that not only could she not hear a trace of the apnea during the
night, but my legs had stopped thrashing while I slept.
That was more than three months ago. I am definitely getting more and
better sleep now at night, and I really feel the difference during the
day, both in my work and in my enjoyment of life.
Joseph Stamler's company,
Visual Transformations, provides
logos and visual identity services for small businesses and professionals.
Joe invites readers to join his Yahoo newsgroup for Sleep Angel users,
Send me your experiences with this or other snoring cures and we'll use it in this slot.
This section features a
current posting to our forum.
We welcome all readers experiences with snoring remedies of all types.
Says LK, on September 10:
Last year I underwent an LAUP procedure. It
didn't work, was not covered by insurance and was the worst pain I have
had which lasted for two weeks. Instead of surgery, lose the weight!
Good advice, LK, but not that easy for most
Add your comments!
Advertisement -- snoring remedies available here, incl. Breathe Right
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