Obstructive Sleep Apnea versus Central Sleep Apnea
Obstructive sleep apnea is when the airwaybecomes narrowed or obstructed and you're making the effort to breathe but we do notsee any flow in air movement coming from your nose or mouth. Where central sleep apnea occurswhere your brain forgets to tell your body to breathe. If we're looking at it from avery simplistic term and so we do not see the drive to breathe. So the first step isto come into the and be seen by one of our physicians in the sleep medicine .We'll go through a questionnaire and try to determine what risk factors we think you havefor sleep apnea such as obesity, snoring, daytime sleepiness and then if we think thatyou have a high risk for meeting those criteria
then we would set you up for a sleep studyeither in your home to do an overnight sleep study or in our laboratory, depending on yoursituation. The CPAP can be used to treat both conditions and, in some patients, that isenough. However, there are some patients that have more complex types of central sleep apneathat require more complicated types of machines to treat that condition. Obstructive sleepapnea actually has been linked to a lot of other problems such as high blood pressureand then, you know, difficulty functioning during the day. If it goes untreated for along period of time there's an increased risk of early heart problems and those types ofthings.
Winning Strategies for Back Pain Disability Cases
Hi there, this is Jonathan Ginsberg and today I'd like to talk to you about how I approach a case where the primaryimpairment is back pain As you might expect SocialSecurity judges see a lot of back pain cases its probably the mostcommon physical ailment that Social Security judges are going to see and as such you really need to keep in mind that you've got to stand out a little bit because
a lot of people come in withosteoarthritis and pain in their lower back and again because judges see it sooften how they tend to sometimes discount the severity of it and whether in fact it is truly disabling. Further you have to realize and this issomething you probably wouldn't think about, but it's actually the case
some of the judges that I've beenin front of have actually had back surgery because again back problems are prettycommon in the population and of course a lot of these judges have very goodinsurance they have physical therapy afterwards, they have good s and soforth and so their recovery might be more uneventful than yours. Again, a judge is not doing physical labor
and again he has got typically real goodhealth care. If you've done physical labor or if your health care is not as good youdon't have access to physical therapy or or medication or as much follow up then you may not have gotten the same resultsas the judge but again the judge who's deciding your case is looking at yousaying quot;I went through the same surgery and I'm fine. You know I can't play basketball anymore but but I can play golf and I can do a lot of different thingsquot; and
he or she you may feel likewell you know I've recovered how why can't youé And, again, that's just human nature but just beaware of it. I'm not saying that makes the judge not sympathetic to you butjust be aware that you need to do something to stand out a little bit andshow the judge that your situation is one that did not resolve as easily as his or hers may have. I think that when you deal withback pain cases like in any Social Security case
number one you want to emphasize ifyou've got a long work history. I think this is a factor that you may not think about but this is i think a factor that many judges find it very verycompelling. If you have a long consistent workhistory where you've been in a job, you've performed admirably at the job you've madegood money at the job. people don't give up good jobs and opportunity for retirement, a pleasant retirement, to collect $1,500 or
Sleep Apnea and Hypertension Sleep Apnea Thousand Oaks Malibu Westlake Village Ronald Popper
When a patient stops breathing, the oxygen level drops. In an effort to increase oxygen levels, blood vessels constrict, thereby increasing blood pressure and blood flow and oxygen to the brain and the heart. In addition, when a sudden arousal from sleep occurs, there is a release of adrenaline and other mediators that, over time, will narrow and stiffen blood vessels
thus leading to high blood pressure. Successfully treating obstructivesleep apnea can reverse these changes and result in lowering the blood pressure. If you suffer from high blood pressure and a sleep disorder such as Obstructive Sleep Apnea Syndrome, the two conditions may be related. Hello, I'm Ronald Popper. Thank you for watching.
If you or a loved one needs moreinformation on sleep disorders please visit our web site at sleepmd4u where you'll find more tutorials in this series as well as our white paper on obstructive sleep apnea that is free for you to download. For a direct consultation you canreach us through our web site or by calling the number on your screen. Always remember,
sleep well tonight for a better day tomorrow.