♪ Bob and Brad, the two most famous physical therapists ♪
♪ On the Internet ♪
- Well hi there folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist
- And we are the most famous physical therapists
on the Internet.
- In our opinion, of course. - So the topic of today
is do you have sleep apnea.
We're gonna show you an easy self test you can do at home.
It's a beginner test.
I mean it doesn't confirm that you have it,
but if you answer these questions positively,
there's a good chance that you should see your doctor
and have it checked out further.
- Exactly. - By the way,
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- That was smooth Bob.
- I thought so. - Outstanding work.
- Not bad for starting
the week, right? - That's right.
- Okay, so we're talking about mainly, when we talk
about sleep apnea, we're talking mainly about
obstructive sleep apnea.
There's other types Brad,
but this is the one we're talking about.
This is the one that occurs when the muscles
in the back of your throat relax
and your airway closes as you breathe in.
So, you're sleeping on your back,
and all of a sudden (snorting) your sleep is interrupted
and you actually wake up.
It's only for a brief period of time,
you won't even remember that it happened,
but it interrupts your sleep.
It doesn't allow deep sleep
to occur. - But, doesn't your breathing
actually stop for a
certain period of time? - Yes, it does.
- And then, yeah. - Yeah, it can happen like
five to 30 times an hour,
so it's very disruptive,
and the brain senses when you're not breathing, obviously,
and that's why it briefly arouses you from your sleep,
but the problem with this is,
because you never reach deep sleep,
if, you know, I've mentioned this book before,
"Why We Sleep" by Matthew Walker,
I mean this'll scare the beegeebess out of you
if you read this thing and you're like,
you're gonna make sure you get your sleep
the rest of your life as you read this thing,
but something like sleep apnea can be so dangerous
from a medical standpoint, because again,
you're not getting in to the REM sleep,
you're not getting the deep sleep,
so it's just disrupting everything,
and there's just a whole host of medical problems
that can result of that.
I'll mention a few of 'em here.
So, daytime fatigue, that's a obvious one.
You're just gonna be tired.
- Right, and I've talked to patients who've had this
and they said, wow, you know,
and then they've had it corrected,
and then they've said what a difference it makes.
- That was a neighbor of mine that he went through that,
and I mean you just think about with driving,
like some of you now, we started this new podcast
if you listen to us when you're driving,
hopefully we're keeping you awake
here so we got to talk with a louder voice here so.
Hi blood pressure or heart problems
can lead to that. - Sure.
- Type II diabetes, metabolic syndrome,
linked to increased risk of heart disease.
Lots of bad things.
It can be complicated with medications and surgery,
I mean it can make complications in that case with surgery.
- Well, you think about it Bob, if you're not breathing more
you're not getting the oxygen in.
If your blood oxygen levels drop down,
nothing in your whole body works as efficiently
as it's supposed to, and then these are the side effects.
- Yeah to me it's the lack of sleep though.
I mean it just, again, there's so many things they talk
about in this book, I can't even begin to talk about,
but it's just, no sleep, bad, plenty of sleep, good,
let's put it that way.
So and liver problems, it can result in that,
but what are some of the risk factors.
We're gonna do the test at the end.
We'll go through it all together,
but I wanted to make sure we're doing a complete job here.
Some of the risk factors that you may want to look at,
and I think a lot of people know these.
If you have excess weight, especially, you know,
you can see people have that thick neck
and they have fat deposits around the upper airway,
they're just more at risk.
So, I tell you, I have a cabin and I invited three friends
to come there one weekend, and this was like five years ago,
everyone of them came walking in with their CPAP (giggles).
I go, I'm sorry guys, I'm not part of this CPAP club,
but-- - They let you stay?
- They let me stay, yeah, so.
You could have an inherited narrow airway,
and you know, you might be born with it.
If you're male, always pickin' on the males,
aren't they? - Well, of course.
- Two to three times more likely than women.
- Well we deserve it. - Yeah we deserve it,
that's right.
Although women are more likely, if they're overweight
and after menopause, so, they're not completely out
of the (mumbles).
Number five, always if you're older.
Again, Brad as we enter into our twilight years.
- Yeah well, don't jump the gun, you know,
we're still got a good 20 years to go I look at it.
- I hope 20 years. - Before the twilight,
and then we can settle down a little bit.
- Family history, if you take alcohol, sedatives,
tranquilizers, obviously that could cause things
to relax more. - Sure.
- I know my brother, he says that the only time he snores
is after, you know, when he drinks.
- Right. - He's always drinkin'
when I see him, so he's always snoring (giggles).
- Oh my, it's a family show Bob, let's keep it.
- Well that's family oriented, he's family, my brother.
So smoking, you're three times more likely,
and if you have nasal congestion, you know,
trouble breathing through your nose
you're gonna obviously have to breathe (mumbles).
So let's take the test Brad.
- Oh sure. - Okay this is kind of
an unsual name.
It's called STOP-BANG,
yeah, and the rea-- - Is this an official test?
- Yeah, S-T-O-P-B-A-N-G,
and each letter stands for something.
That's why, - Okay.
- That's why I remember it. - Oh I see.
- So acronym. - Yeah, an acronym.
So the STOP is snore, tired, observed, pressure.
I'll tell you the questions.
So let's, each question that you answer yes,
you got to mark down a point for you, okay.
So, do you snore loudly?
Louder than talking - (giggles)
or loud enough to be heard
through closed doors? - I was gonna say that's kind
of subjective, but I guess when you put those disclaimers
in there, yeah.
I'm very quiet, everyone agrees.
- So how about no also
on that one? - Yeah, right.
- I had a friend (giggles) again, at the cabin,
literally, he said you're gonna have to put me in a room
because I snore so loud, and then he fell asleep
on the couch, oh my God, it was like a grizzly bear,
I'm not kidding you. - Why didn't you just
put a pillow over him. - Yeah, I know I
should have (giggles).
It was a phenomenon.
I mean it was like, I wanted to get some popcorn
and watch him snore, and then he ended up
getting a CPAP machine too. - Well you get
ear plugs is all.
- Oh I don't know if ear plugs would have worked
on this guy (giggles), it's bad.
All right, do you often feel tired, fatigued, or sleepy
during the day?
That was a tough one for me, sometimes I do.
Not often, I wouldn't say often.
- Well, let's go on, let's go to the next one.
- Okay. - Nobody cares
about you anyways. - Well I care about me.
Has anyone observed you stop breathing during your sleep?
- Well, someone would have to be there.
It'd probably have to be your wife.
- Right, right, my wife has seen me,
if I like, we're having drinks,
and I fall asleep on the couch on my back,
she goes, you stopped breathing there (snorts).
I apparently got the same thing as my brother
if I drink alcohol that is.
- Right, well you just got to sit up
straight or something. - Yeah, that's right,
right, exactly, so I'm gonna put yes on that one.
Do you have or are you being treated
for high blood pressure?
Well, I don't need to know Brad,
that's a personal question, but,
I'm not, so, okay that's the STOP,
S-T-O-P. - Oh, okay, yeah.
- Okay, now the BANG is if you have a BMI over more
than 35 kilograms per-- - Body mass index.
- Yeah, body mass index.
- Yeah, you could look that up on the Internet.
- We had a video on that, remember, we just, you know,
they said we were like-- - Almost obese, right.
- Almost obese. - Yeah.
- I don't think we would be anymore,
we lost weigth since then.
- Right, but still, I mean for this test,
evidently they're using that. - A high one, right.
So I know we're no on that.
Age over 50, yeah probably-- - I think so, I have to
do the math again. - Have to lie about that one.
So that's the BA, so we got another yes,
I got another yes.
Neck circumference greater than 16 inches.
- Oh. - I know mine isn't,
'cause I took, I used to be, I used to be 16 and a half.
- Really. - And now I'm like a pencil
neck geek, I mean, it all-- - Well I noticed.
- My neck got thinner. - I wasn't gonna say anything.
- (giggles) you weren't gonna say anything.
- No way. - Well, the positive thing
is I get a no on this now. - Oh good, okay, so yeah.
All right, what's next? - And another one, we're male,
you know, we're male, gender. - Right.
- So we're gonna lose out on that one.
- Yep, what'd ya get?
- Well I got three if you, you know,
if you want to count the alcohol induced
not breathing (giggles) - Well yeah, but if you don't
have a drink then you're fine.
- Right, then, right.
- So that one's easily, well,
maybe not. - So I said I'm probably
a two, so, if you had a total between five and eight,
you're at a high risk of OSA.
- Obstructive sleep apnea.
- If you're have between three and four,
you're at an intermediate risk of OSA,
and if zero to two you're at a low risk.
So, I'm at like a two to three,
so I'm a low to intermediate.
I would definitely, if you're in the high risk category,
I'd definitely go see the doctor at that point,
if (mumbles). - Again, this is not
professionally done, but, you know,
may give you an idea.
- It was done by professionals.
It was done by the Ohio Sleep Medicine Institute.
- Right, but there may be some other things.
- It's a screening test. - My sister's, she's a speech,
no a respiratory therapist, and this is what she does,
she watches people sleep.
- Oh she does.
- For 12 hours and takes notes.
- Wow. - Yeah, she just started
a few months ago, so I've talked to her a little bit,
I'll talk to her more about it.
- Yeah, ask her about that.
So, what are the treatments for CPAP, for OSA,
obviously CPAP, continuous airway,
continuous positive airway pressure.
- Oh sure.
- You know, the CPAP, that's obviously the most common one.
- Right, you hook that mask up to your face
while you breathe, while you sleep,
and it has positive pressure forcing
that air and oxygen to your lungs,
so that they continue to work efficiently.
- The other thing, one simple change Brad
is to sleep on your side.
- Sure. - I mean, if you can sleep
on your side, generally your airway's gonna stay open.
- And you have less chance of snoring,
is that correct? - Yeah, yeah, yeah.
- Okay, that gets two birds with one stone.
- Right, there you go. - Two breaths with one stone.
- Other lifestyle changes you can make is
don't smoke, avoid alcohol, tranquilizers, sleeping pills,
obviously all of those
can play a role. - Those things that allow
the muscles to relax or depressants.
- Yeah, lose weight, exercise, lot of things
that, you know, we're gonna harp on
all the time no matter what,
but they do help, they do, but--
- Yes, often times it's just not one thing.
- So, you know, take the test.
If you score high, we do highly recommend you go in
and talk to your doctor about this
'cause this is not something to be taken lightly,
this'll effect your health,
and you can make a big difference in your life
and maybe you won't be so cranky during the day.
- Right, and they'll put, you'll go in a sleep room
and they'll hook ya up and they'll observe ya sleep
for a number of hours and you can get
to see what they say. - We're out of time Brad, so.
- Oh yeah, my goodness.
- Adios. - Take care, sleep well.