>> ARE YOU OR YOUR PARTNER SNORING? WELL, IT COULD BE A SIGN OF OBSTRUCTIVE SLEEP
APNEA, DANGEROUS CONDITION
THAT AFFECTS YOUR HEART AND
COULD AFFECT NOT JUST THE
QUALITY OF YOUR SLEEP, BUT
COULD ALSO AFFECT YOUR LIFE
AND YOUR PARTNER’S LIFE AS
WELL. WELL, HERE TO TALK ABOUT
SNORING, AKA, SLEEP APNEA IN
ITS SIGNS AND SYMPTOMS AND
TREATMENT OPTIONS IS HCA.
FLORIDA MEMORIAL HOSPITAL
OTOLARYNGOLOGIST DOCTOR DAVID
CALL. SO IT’S A GOOD MORNING.
THANK YOU FOR BEING GREAT TO
BE HERE. HAPPY. SO MY FIRST
QUESTION IS WHAT IS
OBSTRUCTIVE SLEEP APNEA FOR
THOSE SO GREAT QUESTION START
OFF WITH. I THINK IT’S
IMPORTANT FOR US TO
DIFFERENTIATE BETWEEN SLEEP
APNEA. AND SNORING SNORING IS
THE NOISE THAT WE’RE ALL
CUSTOM TO, ESPECIALLY THE LAST
2, 2, YEARS.
>> WITH THE PANDEMIC THAT’S
COMING FROM BED PARTNER OR
SPOUSE. A MONDAY, A HOME
THAT’S CAUSING SOME
DISRUPTION. OUR OWN SLEEP
SLEEP APNEA HOURS A LITTLE BIT
DIFFERENT. SO THIS IS AN
ACTUAL CESSATION OF BREATHING
OR BLOCKAGE OF AIRFLOW FROM
COLLAPSE OF SOFT TISSUE IN OUR
AIRWAYS. THIS CAN OCCUR FOR
PERIODS OF HIS LONGEST 10
SECONDS. THOSE PERIODS
TYPICALLY WILL CAUSE A DROP IN
HER OXYGEN LEVELS ARE CARBON
MONOXIDE LEVELS WILL GO
THROUGH THE ROOF AND OUR BRAIN
WILL FINALLY GO ON ALERT AND
WAKE US UP. SO THESE
SITUATIONS WILL CAUSE A VERY
DISRUPTIVE OR FRACTURED SLEEP
PARENTS. SO PATIENTS DON’T GET
RESTORED OF SLEEP. SO THESE
REPETITIVE CYCLES CAN HAPPEN.
NUMBERS OF 30, 40 OVER 60
TIMES AN HOUR. SO PATIENTS
WITH THIS SORT SITUATION ARE
DEALING WITH SOME VERY
SIGNIFICANT CHALLENGES IN
THEIR SLEEP. SO THESE
BLOCKAGES OF OF AIRFLOW, THESE
DROPS IN OXYGEN, THE CARBON
DIOXIDE LEVELS GOING THROUGH
THE ROOF OR WHAT WERE CALLED
>> WOW. SO IS A STORY ONE SIDE
OR THE OTHER SIGNS AS WELL.
IT’S A GREAT QUESTION. SO
TYPICALLY THE CLASSIC SIGNS OF
SLEEP APNEA SNORT, BUT THERE
COULD BE OTHER SIGNS OR
SYMPTOMS CAN BE CHOKING OR
GASPING EPISODES. SOME OF MY
PATIENTS DO WITH A LOT OF
DAYTIME. SOME US ARE SLEEPING.
US CAN CREATE SOME SIGNIFICANT
CHALLENGES FAR AS THEIR WORK
DRIVING. A LOT OF PATIENTS ARE
AT RISK FROM MOTOR VEHICLE
ACCIDENTS BECAUSE OF THIS. WE
HAVE PATIENTS WHO DEAL WITH
MORNING HEADACHES DIFFICULTY
CONCENTRATING COGNITION IS A
REAL PROBLEM. FOR PATIENTS
WITH SLEEP APNEA IS HARD TO
THINK RAYNE FROG. A LOT OF
PATIENTS WILL END UP WITH LACK
OF DRIVE. WE HAVE SOME
PATIENTS WHO CAN’T CONTROL
THEIR DIABETES BECAUSE IT’S
LIKE THAT ALL THESE OR OTHER
POTENTIAL SIGNS OR SYMPTOMS OF
SLEEP APNEA. WOW. SO I KNOW A
LOT OF PEOPLE MIGHT JUST
THINK, YOU KNOW, MAYBE I’M
JUST SLEEP DEPRIVED BECAUSE
WE’RE COURT. I’M JUST DOING
TOO MUCH.
>> HOW DO YOU KNOW
SPECIFICALLY IF YOU HAVE SLEEP
APNEA? LOOK, WHEN SHOULD
SOMEONE DECIDE TO GET TESTED?
>> YEAH. SO I THINK IF YOU’RE
SUFFERING FROM SOME OF THESE
SYMPTOMS, YOU’RE SAYING I’M
HAVING TROUBLE SLEEPING,
STAYING ASLEEP ON CONSTANTLY
TIRED THROUGHOUT THE DAY. IT’S
TIME TO COME IN AND GET A TEST
THAT CAN LOOK AT WHETHER OR
NOT YOU’RE JUST DEALING WITH
SLEEP APNEA. SNORING?
>> WELL, OK, SO IS THERE AN
AGE GROUP THAT THIS MAINLY
AFFECTS OR THIS HAPPEN TO
ANYBODY? THIS COULD HAPPEN TO
ANYBODY. WE HAVE PEDIATRIC AGE
PATIENTS ARE COMING IN AND
DEALING WITH SLEEPINESS AND
TIREDNESS AND FATIGUE AND ARE
DEALING WITH SLEEP PATIENTS IN
THEIR 90’S. WE’RE DEALING WITH
THE SAME SORT OF SCENARIO.
WOW. AND I’M CURIOUS TO KNOW,
COULD AFFECTS OF SLEEP
PARALYSIS, BE TIED TO SEE THAT
THE AS WELL. ARE THOSE
COMPLETELY 2 SEPARATE THINGS
LITTLE BIT DIFFERENT. SO IT’S
SLEEP TEST WILL TYPICALLY BEAR
OUT WHAT TYPE OF SLEEP APNEA
YOU HAVE.
>> BUT PATIENTS, A LOT OF TIME
WILL COME TO US SAYING THAT
THEY HAVE INSOMNIA WHEN REALLY
IT’S UNDERLYING SLEEP APNEA.
WOW. SO WHAT ARE SOME OF THE
TREATMENT OPTIONS FOR SLEEP
APNEA? SO THIS IS AN
INTERESTING TOPIC THAT’S BEEN
ON THE NEWS A LITTLE BIT MORE
CLASSICALLY THE THE WAY THAT
WE TREAT SOME BAD NEWS WITH C
PAP THAT’S THE HOSE AND MASK
THE KIT TO TEST YOUR NOSE AND
MOUTH PUMPS AIR INTO YOUR
WEIGHT HELPS KEEP THOSE
BLOCKED AIRWAYS OPEN. WORKS
TREMENDOUSLY WELL, ONLY ABOUT
30 TO 40% OF PATIENTS CAN
ACTUALLY TOLERATE THAT MASK,
THOUGH. THIS DEVICE IS ALSO IN
THE NEWS RECENTLY BECAUSE OF A
RECALL OF ONE OF THE THE
COMPANIES BECAUSE THE DEVICE
IS ACTUALLY BREAKING DOWN
PUSHING PARTICLES IN THE
PATIENT’S AIRWAYS AND
WINDPIPES. SO WE HAD A
TREMENDOUS AMOUNT OF PATIENTS
HAVE BEEN COMING TO THE
OFFICE. WE’VE BEEN ASKING FOR
ALTERNATIVES TO C PAP.
>> OK, SO IS THERE ANY WAY AT
ALL TO PREVENT IT OR DOES IT
JUST HAPPEN?
>> FOR SOME PATIENTS,
PREVENTION CAN COME IN WEIGHT
LOSS OR SOME SIGNIFICANT
CHANGES AND HABITS FOR A LOT
OF PATIENTS. THERE’S REALLY
NOT MUCH ELSE THEY CAN DO IS
AN ANATOMY ISSUE. THEY’RE
DEALING WITH BLOCKAGES ALONG
THE TONSILS, THE NOSE, THE
BACK OF THE THROAT, THE BACK
OF THE TONGUE. AND THOSE ARE
SCENARIOS WHERE THEY’RE NOT
GOING TO REALLY BE ABLE TO DO
TOO MUCH.
>> OK, SO YOU KIND OF JUST
HAVE TO TAKE IT DAY BY DAY AND
JUST REALLY BE IN TUNE WITH
YOUR BODY ESSENTIALLY. YEAH,
IT COMES DOWN TO POINTS IF
YOU’RE HAVING TROUBLE, YOU’RE
HAVING A LOT OF FATIGUE.
YOU’VE HAD SLEEP APNEA. CAN’T
TOLERATE THAT C PAP YOU BECOME
TIRED OF DRAGON. THAT THING ON
VACATION WITH IT’S TIME TO
LOOK FOR SOME ALTERNATIVES.
ALL RIGHT. THANK YOU SO MUCH
OF THE CROSSING WAS A PLEASURE
HAVING ON THIS MORNING. AND I