Aha, cool then!~ I thought he was selling something. Welcome!

CREO QUE USTEDES TIENEN UNA GRAN IDEA AL TENER ESTE TIPO DE ASOCIACIONES Y ESTA ENFERMEDDA NO DISTINGUE LENGUAJES. PÓR LO QUE AQUI ESTAMOS PARA AYUDAR. GRACIAS

I BELIEVE THAT ALL YOU HAVE A GREAT IDEA WITH THESE KIND OF ASSOCIATION. SLEEP APNEA DONT HAVE PREFERENCE FOR ENGLISH OR SPANISH POPULATION. THAT IS WHY IAM HERE TO HELP. THANKS TO ALL FOR YOUR WELCOME


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.

Hola Doctor, Bienvenido.

HOLA
MUCHISIMAS GRACIAS A TODOS ESPERO SUS PREGUNTAS


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.

First question.  I will be the first to approach this fine person who is qualified to help in this group.  Does anyone ever get better that you have seen?  When you feel better, does someone's system get used the CPAP and eventually need higher amounts?  For example, do we become dependant on the machines?  What have you seen as the best treatment of SOSA?

Thank you and I really appreciate you being in this room!

I will tried to answerd all yoru cuestions.

1.- Does anyone ever get better that you have seen?
R: Yes anyone how need a cpap and use it. it will get a benefit. the benefit will be greater as the sleep apnea is more severe. Like we see a patient who fall sleep in any situacion like driving. That patient can expect to fell awake since the first nigth of cpap use.

2.-When you feel better, does someone's system get used the CPAP and eventually need higher amounts?
Even is possible to use less cpap presure. becouse the soft tissue in the throat are sewll due to frecuent snoring, so once you star using the cpap. maybe you will need some 1 to 2 cm of presure less. But if you increase weigth or get older, you may need more presure. Some times afther monts of use the cpap you will get use to the presure and almost fell like your machine give less presure.

3.-do we become dependant on the machines?
We need to breath every day, and that machine help to do that. If you losso weithg to ypur normal weithg for your high you will need less presure or your doctor can change to one oral apliance. But only 10% of the population with sleep apnea losse wetihg. So the smart thing to do is use every nigth the cpap and star loosing weitgh


4.- What have you seen as the best treatment of SOSA?
The cpap is the best option. works since the first nihtg of use, any doctor will triend diferents cpap machine and diferent mask, becouse is the best option at the moment.

I hope i answer ypur cuestion, fell free to ask more if you need

alberto


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.

Thank you so much for all your answers.  I am having another study on Wednesday.  I had a oxygen test throughout the night and my oxygen still went down to 89 even with the machine.  But the doctor is very concerened that with the CPAP, I still was aroused 8-10 times and I do not remember these arousals.  He want to switch me to Bi-Pap.  He is also very concerned that I have this restless leg syndrome that is not being treated.  Restless leg also causes apneas too correct?

One more question then I will leave you alone.  What is your take with Chronic Fatigue Syndrome?  DO you think that majority of the patients, like me, with Chronic Fatigue Syndrome really suffer with OSA?  I am a student and taking surveys to see what the medical profession thinks about this.  Many years I have been diagnosed with Chronic Fatigue Syndrome and doctors are now thinking that my SOSA was not diagnosed and this may be the reason I am so tired.

Thanks so very much for all your answers to these questions and the ones above!

HY sandra


1.- Restless leg also causes apneas too correct?
Restless leg sindrome dont cause sleep apnea. Cause that you awake in the nigth so often and then you feel tired in the day.  Patients with sleep apnea can have both diseases, and some times the sleep apnea cause movement of the legs similar to restless leg syndrome. A full Polysomnography will tell you exactly wny the legs are moving.

2.- He want to switch me to Bi-Pap?
Yes that can be the solution. maybe the cpap is not fully helping you.

3.- majority of the patients, like me, with Chronic Fatigue Syndrome really suffer with OSA?
well is hard to be so sharp. I will say there is a relation.
If a patient have Chronic Fatugue Syndrome and sleep apnea, the fatigue syndrome will be more severe.
and Often patients with sleep apnea are diagnos with depresion, narcolepsy, chronic fatigue syndrome. The key is to know how long do you snore and stop breathing. If you have the simtomps maybe you have the sleep apnea.

Usually a patient how go to a sleep clinic have 2 or more years of sleep apnea before looking for profesional sleep consultation.

thanks for asking

sincerely alberto
I hope that these information help you


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.

Thank you very much.  That clarifies a lot for me.  I think I have both.  I had studies in the past and they were negative.  I just received the diagnosis a few years ago and I believe some of that is due to my weight.  I am almost always tired.  I went down that road of a wrong diagnosis of Manic Depression and that messed me up and scared the heck of me and the competence of our medical field.  I have been through the ringer with many incorrect diagnosis'.  I also have severe back problems which are not allieviated either.  That is another bag of worms, SI joint problems due to a fall.

DOes everyone have some form of sleep apnea? Do you think it may be overdianosed or under diagnosed?

I promise....that is all my questions?

Is it late night there and is it Winter?  I bet it is always warm there!!!

P.S.  I think it is an awesome tool to have a docotr as knowlegeable as you are!

hy SANDRA LEE

1.- DOes everyone have some form of sleep apnea? Do you think it may be overdianosed or under diagnosed
30% of men and 10% of women snore, 9% of men and 4% of women have sleep apnea. so the problem is very often. When I go to univertisty like a general doctor the sleep medicine was very rare, due to the spensive of the sleep lab and very few doctors. In mexico we are only 20 sleep specialist. So you can imagine how severely under diahgnosed are the disease. But sleep medicne is growing very fast.

Here in tijuana star to warm up, i will say the wether is nice almost all the year, now is 2.55 pm
 
i really apreciate all your coments thanks
iam here to help every one

thanks
alberto


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.

Dr. Servin,

I would like to welcome you to the forum and to say thank you for being here. You say there are only 20 sleep specialists in Mexico. With such a huge population, you must be run off your feet trying to keep up. That you also find time to contribute your expertise to us is nothing short of amazing.

Brian

Brian

I am in my office almost all day and betwen patients i can look the forum. BUt the problem with so litte sleep doctors is becouse is there are not such demand. In mexico still snore and sleep apnea are manega like something normal or funny. The mayority os doctors in Mexico dont recieve information of sleep medicine and dont ask to patients if the snore or stop brething. So Iam here lo help and learn from these wonderful asociation and increase the awrnes of the dissease in Mexico and to all spanish population. Like you can see i write in english becouse i have a few comnets in spanish.
thnks

Hola a todos mi principal intencion es dar informacion en esapnol, asi que por favor hagan cualquier tipo de pregunta sobre esta enfermedad, gracias

gracias


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.

Hola doctor Servin

Mi abuelo vive en San Miguel de Allende. El tiene problemas con su garganta y problemas del sueno.  Yo puedo decir mi abuela sobre Ud.  El necessita un doctor del sueno.  El nombre de mi abuelo es George Harris.  Yo quiero ir visitar el este verano con mi padre.

Yo tengo una pregunta del hypertension.  ?Como se escribe hypertension segunda en espanol?  No, una broma.  Yo necissito sacar ocho pilletas todos dias de mi vida..  yo soy muy triste porque yo tengo veintiseis anos con muchas problemas.  Es possible que CP maquina ayuade me mucho y no mas pilletas.  Contesta me en espanol-no ingles porque yo no entiendo muy bien con los palabras medicos en espanol.  Yo puedo practicar.  Cuando yo tengo no mas problemas dddel sueno, Yo puedo ir a Mexico estudiar mas en espanol. !!!!!!!!!!!!!!!!!VIVA MEXICO FIESTA FIESTA!!!!!!!!

Lo siento si mi espanol es no muy buen.  Yo tuve apnea del sueno cuando aprende espanol.  

Gracias.

snoring beauty

Como se escribe hypertension segunda en espanol?

Hipertension secundaria es la forma correcta de escribirlo.

Es possible que CP maquina ayuade me mucho y no mas pilletas
CPAP ayudara a dormir de forma adecuada y esto mejorar sus condiciones. Aun existen articulos a favor y en contra si usar CPAP baja o no la presion arterial. Lo que si es un hecho es que ayuda a dormir de forma adecuada y yo lo recomendaria como un manejo integral, como es dieta, ejercicio. Dificilmente utilizar CPAP hara que no tome mas medicamento. podra mejorar su control, pero no remplazar el uso de medicamentos.

admiro su esfuerzo por escribir en espanol si tiene alguna duda puede escribirme en ingles, fell free to write in english if you need.

Gracias


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Dr. Alberto Serv?n D?az, Medico Especialista en Trastornos del Dormir, Neumolog?a, Medicina Interna.