Is surgery the only option for treating sleep apnea or snoring
I do predominantly the line share of sleep apnea surgery in our department. I collaborate closely with the pulmonologists, who are the sleep medicine s. Those are the s that help diagnose and treat sleep apnea, as well. If those patients fail their, their medical or their conservative therapy, that's typically when they get sent to see me for surgical considerations to, to look at potential cures for their apnea. It's not uncommon for me to see a lot of patients for, who come in for snoring complaints and, you know, are wondering whether or not they have sleep apnea. So sleep apnea is condition where you actually stop breathing at night.
Snoring is somewhere on that spectrum, towards the more mild, you know, milder end of that spectrum. But, you know, really the only way to determine if you have sleep apnea, the gold standard of testing, is really getting a sleep study. And that's an overnight, monitored study where patients, you know, sleep in a room that's similar to a hotel room but they're being monitored and they're hooked up, you know, for sound so to speak with different monitors and cables on them. And that's really our best test to diagnose sleep apnea. The treatment for sleep apnea is typically a nonsurgical therapy; something called CPAP,
which stands for Continuous Positive Airway Pressure. And it's the patients that don't tolerate their CPAP who end up seeing me for surgical considerations. And there's a number of reasons why patients may not tolerate their CPAP. But there are some surgeries that can be helpful in patients who are not tolerant of their medical therapy. And I offer a variety of surgeries including nasal surgery, a variety of palatal surgeries for the kind of tonsil and soft pallet region and then also a variety of tonguebased procedures, as well. But we typically see a patient back after their procedure in about three weeks to recheck everything, make sure that they're healing okay.
After that, I normally recheck a sleep study in about three months after their surgery, just to give everything a chance to heal and to scar. And we, you know, make further recommendations based on the result of their followup sleep study after their surgery. We're exploring the, a new technology now which is actually a nerve stimulator for sleep apnea. It's an implantable device, very similar to a pacemaker that goes into the patient's chest. And there's an electrode that will actually stimulate the nerve that goes to the tongue to provide the tongue with a little bit of more tone when they're sleeping at night, and thereby eliminating their sleep apnea.
How to Deal with Congestion On Call with the Prairie Doc Jan 21 2016
gt;gt; RUNNY NOSES, NEXT quot;ON CALL WITH THE PRAIRIE DOC.quot; gt;gt; GOOD EVENING, AND WELCOME TO quot;ON CALL WITH THE PRAIRIE DOC.quot; I AM DR. TOM LUZIER OF ABERDEEN ASTHMA AND ALLERGY. DR. HOLM IS ON ASSIGNMENT AND WILL BE BACK NEXT WEEK. MOST OF US TEND TO TAKE BREATHING FOR GRANTED. WE DO IT 12 TO 20 TIMES EACH MINUTE IF WE ARE A HEALTHY ADULT. BUT THE MOMENT SOMETHING INTERRUPTS THAT PROCESS, WE EITHER LOWER OR UPPER AIRWAY, WE NOTICE IT. THE MOST COMMON INTERRUPTION IS SOME FORM OF NASAL CONGESTION, AND IT MAY BE CAUSED BY A VARIETY OF SOURCES.
TONIGHT'S PROGRAM WILL FOCUS ON NASAL CONGESTION IN ITS MANY FORMS. OKAY, LET'S TAKE A LOOK AT THIS WEEK'S PRAIRIE DOC QUIZ QUESTION. IT IS MULTIPLE CHOICE TONIGHT. THE MOST COMMON ALLERGY IS FROMé 1. CAT DANDERé 2. DUST MITE BUG DUSTé 3. TREE POLLENé 4. GRASSES POLLENé 5. WEED POLLENé
VIEWERS WHO CALL IN THE CORRECT ANSWER WILL BE ENTERED INTO A DRAWING TO WIN A SIGNED COPY OF quot;A PICTURE OF HEALTH.quot; THIS BOOK WAS WRITTEN BY DR. HOLM WITH ACCOMPANYING PHOTOGRAPHS BY DR. JUDITH PETERSON. WE WILL ANNOUNCE THE ANSWER AND THE WINNER AT THE END OF THE SHOW. REMEMBER, YOU ONLY HAVE 10 MINUTES TO GET YOUR ANSWER IN! WE ANSWER YOUR MEDICAL QUESTIONS ABOUT HOW TO DEAL WITH CONGESTION AS THEY ARE CALLED IN OR SENT TO US VIA FACEBOOK OR EMAIL. CALL IN QUESTIONS TO 18883766225. OR SEND US AN EMAIL. JOINING US TONIGHT IS BOB SMITH OF THE ALLERGY AND ASTHMA CLINIC OF SIOUX FALLS AND JERED MANCELL OF THE PRAIRIE LAKES HEALTHCARE SYSTEM IN WATERTOWN, SOUTH DAKOTA. BOB, TELL US A LITTLE BIT ABOUT YOUR BACKGROUND.
gt;gt; I GREW UP IN IOWA CITY, IOWA, AND ATTENDED UNIVERSITY OF IOWA, DID MY TRAINING, MY ALLERGY TRAINING, AT UNIVERSITY OF IOWA. AND TO BE AN ALLERGIST, USUALLY HAVE TO DO NOT ONLY FOUR YEARS OF MEDICAL SCHOOL BUT THREE YEARS OF EITHER PEDIATRICS OR INTERNAL MEDICINE AND THEN YOU DO ANOTHER TWO TO THREE YEARS OF SUBSPECIALTY TRAINING AFTER THAT. AND THEN YOU TAKE A TEST AND YOU BECOME A BOARDCERTIFIED ALLERGIST. SO WE PRIMARILY ARE FOCUSED ON WHAT'S CALLED TYPE ONE HYPERSENSITIVITY, WHICH WOULD BE THINGS LIKE ALLERGIC RHINITIS, ALLERGIC ASTHMA, BUT SKIN DISEASE THINGS AS WELL. gt;gt; HOW DID SOUTH DAKOTA GET SO LUCKY TO GET AN IOWA GUYé gt;gt; WELL, I JUST FOLLOWED MY WIFE UP HERE. AND THEN I ENDED UP STAYING. SO I THOUGHT I WOULD ONLY BE HERE FOR FOUR YEARS, BUT, HERE I AM, 28 YEARS LATER.
gt;gt; HE IS A HAWKEYES FAN, I WILL ATTEST TO THAT. AND ALSO WITH US IS JERED MANCELL. JERED, TELL US A LITTLE BIT ABOUT YOU. gt;gt; THANK YOU. I GREW UP IN SOUTHERN MINNESOTA, I ATTENDED UNIVERSITY OF ST. THOMAS FOR MY UNDERGRADUATE, MEDICAL SCHOOL IN MISSOURI, AND THEN MADE THE TRIP TO MICHIGAN FOR THE THIRD AND FOURTH YEAR OF MEDICAL SCHOOL AND MY FIVEYEAR RESIDENCY PROGRAM IN OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY. gt;gt; HOW DID WE GET SO LUCKY TO GET YOU IN SOUTH DAKOTAé gt;gt; MY WIFE'S FAMILY IS FROM THE FARGOMOORHEAD AREA, MY FAMILY IS FROM SOUTHERN MINNESOTA, SO IT WORKED OUT PERFECT. gt;gt; SOUTH DAKOTA IS IN THE MIDDLE. gt;gt; EXACTLY. gt;gt; EXACTLY. WE'RE GOING TO TALK A LITTLE BIT ABOUT NASAL CONGESTION. YOU KNOW, FROM MY PERSPECTIVE, AS AN ALLERGIST, I DEPEND HEAVILY ON MY E.N.T. COLLEAGUES TO KEEP THE UPPER AIRWAY OPEN.
TELL ME A LITTLE BIT ABOUT THE THINGS THAT YOU SEE THAT THE AUDIENCE MIGHT BE INTERESTED IN IN REGARDS TO NASAL OBSTRUCTION AND CONGESTION. gt;gt; SO, WHEN I EVALUATE A PATIENT FOR NASAL OBSTRUCTION, THE FIRST DIFFERENTIATOR I'M LOOKING FOR, IS IT A STATIC OR ALWAYS THERE PROBLEM OR IS IT A FLUCTUATING PROBLEMé gt;gt; IS THIS LIKE THE PEOPLE WHO GET UP IN THE MORNING AND I'M STUFFY THEN, THEN THEY FEEL LIKE THEY'RE OKAYé gt;gt; THAT COULD BE THE FLUCTUATING SIDE OF THINGS. BUT THE STATIC THINGS ARE PROBLEMS WITH CONGESTION THAT JUST WON'T GO AWAY. THEY'RE THERE MOST OF THE TIME, IF NOT ALL OF THE TIME. THOSE ARE ANATOMIC PROBLEMS THAT TYPICALLY NEED SOME SORT OF CORRECTION. EITHER MEDICAL ANDOR SURGICAL. gt;gt; HOW DO YOU SEE UP IN THAT AIRWAY OF OURSé gt;gt; SO YOU DO NEED SPECIAL INSTRUMENTS.