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.
Fatigue and Low Testosterone part 1
31 Fatigue and Low Testosterone Part 1Podcast published to the internet on May 12, 2011 Maupin: This is episode 31 of BioBalanceHealthcast and I'm Kathy Maupin. Newcomb: And I'm Brett Newcomb and todaywe're talking about fatigue. Maupin: Fatigue is the most common thingI hear about all day. It was more common when I was in my GYN practice. But now, I stillhear it as my second most common problem for menopausal women and premenopausal women. Newcomb: I think it's a chronic problem in the United States. People are always stressedout, they're always tired, they're always
exhausted. In my practice I hear constantlyfrom people about how tired they are and how much they don't have the energy to do thethings that they are supposed to do. And there are lot of reasons for that. Maupin: They're over booked. Newcomb: They're over booked, they'reover scheduled, they're over connected, constantly checking their emails. Maupin: That's a pervasive problem. Newcomb: And people argue about it. Imean even in sessions, husband and wife will be sitting there arguing about something andone of them will check their messages. Somebody just got a text from the kid, or somebodyjust got an email. And you need to separate
this out. You need some time when you turnthat stuff off and pay attention to each other. And you won't be as stressed or as tired.So I come at it from a perspective that involves stress and overbooking and over commitment.You come at it with other information that I don't necessarily have. Maupin: That's true. And if you look at the medical information, the medical journals,the medical books, fatigue is the biggest differential diagnosis. Now differential diagnosismeans what are the many things that can cause this one symptomé And that's how slook at it. Now let me see this list. Well the list is like 25 things that can causefatigue and there are some big diseases that
can cause fatigue. Before I address it, Iusually send people to their internist to make sure there are no medical illnesses.If I think there is a psychological issue I have them go to counseling. Or I suggestthat they learn to say no, which is much cheaper than counseling. When they get called by churchto do yet one more thing, learn how to say no, I don't have time, I'm tired. Newcomb: People need counseling to learn how to say no. It's a big issue. And notgive too much information. Say no and shut up. Don't say no because or no maybe. Justsay no and shut up. Maupin: That's your best advice. Justsay no and shut up.
Newcomb: â€œNoâ€� and shut up. And that'swhat I tell people. You need to learn how to say no and then don't give any more information. Maupin: Absolutely cause that's the lead in. Newcomb: We have the same issue in my business because we talk about cluster symptomsand there're are so many overlapping symptomologies that you have to differentiate or distinguishamong to say is this more OCD, is this more anxiety, is this more depressioné Maupin: Even ADD in your business. People who have ADD, that haven't been treatedand they get to 40 and they've always worked really hard at managing their ADD and they'restarting to lose their hormones, they're
getting tired. Newcomb: Yes, and then they're reluctant to take medicine or they're reluctant toallow their child who has ADD to take medicine because they say â€˜well I survived and Ididn't take medicine' like the old guy that says â€˜well I didn't go to schooland look at me'. Maupin: Well if they had diabetes wouldyou keep them from taking insuliné That's exactly the same thing. Newcomb: That's the question I always ask every time. Or if they had cancer wouldyou avoid treatments for that just because it's a medicineé Maupin: Most children want to be good