melhajj wrote:that raises another question mark, since i have read that only HELPS to people with mild sleep apnea NOT SEVERE
Statistically, appliances alone average a 50% reduction in AHI or RDI, so this is the reason some say it is for mild OSA. However, I have treated quite a few severe OSA sufferers to an AHI under 10, so it is certainly possible.
; we asked for nasal pillows to see if they are less annoying that the full cpap mask, any comments about these comments that i wrote?
It's always good to try different masks, and the nasal pillows seem to be the most comfortable for the average patient. There are recent studies (on rats) to show that these can cause inflammatory reactions in the nose, but they are still the easiest to tolerate.
also, if any of you have UNITEDHEALTHCARE, what code have you used in order to approve an oral appliance? because until now unitedhealthcare has refused to approve the payment of an oral appliance, claiming that this is under a dental insurance, which i do disagree, since the problem is in the upper airways.
I agree with you...this is a medical condition, and IF you have at least moderate sleep apnea, medical insurance at least SHOULD cover it. You also need to ask the dental office that will supply the appliance to give you the best code.
i have been reading here that you mention the TAP oral appliance, any comments about it and also about the surgery results; just trying to figure out what other posibilities i have.........
The TAP is a good appliance, as are most mandibular advancement devices. The MOST important thing is compliance. The best appliance is the one the patient will wear.
my ENT seems knowledgeable JUST ABOUT SURGERY but not about anything else; i also asked about playing the didgerodoo he says that it might help to strengthen theupper airways muscle but that does not help with the sleep apnea; just wondering if that is really true, i wonder if people playing a musical instrument also suffer from sleep apnea, any inputs?
I have a didgeridoo, and it would be a good thing for anyone with a breathing disorder to learn to play. It does strengthen the pharyngeal muscles, but my belief is that you must learn the circular breathing technique, or it won't help much. This takes much practice!
i have noticed also that this disease is an epidemic, you can ask ANYBODY, and you will find out that an amazing number people do have this problem or have not have a test to realize that he or she has it. wonder what is the cause of this disease: the food that we eat, full of preservatives, pesticides, hormones,etc? the polluted air? the water? the heavy weight? why are we suffering this disease?
Odd that you mention this. I have a peer-reviewed paper yet to be published entitled "Sleep Breathing Disorders - a 21st Century Epidemic". Yes, weight (with neck size being the biggest culprit) is the #1 factor, and this country is growing more obese every year. The statistics are amazing. After that, there's the allergy rise, more baby boomers with their tonsils, increase in sedative sleep aids being used, less sleep for everyone trying to burn candles at both ends, the "graying" of America, genetics and a growing number of insomniacs. Too much to discuss here, but by my calculation, by 2045, 100% of America will have OSA
If you have the chance read the book ULTRALONGEVITY by dr. mark liponis, he treats patients and has lowered the CRP (c reactive protein, which is a heart enzyme predictor for heart attacks and stroke) which is usually elevated in people with sleep apnea; his treatment consists of some specific vitamins, tai chi, qijong, walking, etc. VERY INTERESTING FOR EVERYBODY WITH THIS DISEASE.
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