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 Stop Snoring or Sleep Apnea Symptoms
two causes of snoring and sleep apneaand how to alleviate both loud snoring and sleep apnea are causedby two simple fact sleeping in a horizontal supine positionwhere gravity pulls all relaxed mouth and throat components downward when sleeping on a horizontal bad that that eight issues of the throatsoft palate an attack structure fall downward which blocked the breedingairway causing loud snoring in apnea most snoring in apnea problems are dueto excessive baddy tissues and enlarge
soft palate tom structure due to beingoverweight according to webmd dot com sleep apnea and loud snoring are themain causes for seven major health problems high blood pressure heartdisease type two diabetes weight gain adult asthma g_e_ r_d_ and car accidentsdue to daily petite from not getting enough rest falsely to overcome the effects of gravitys recommend sleeping in a recliner uncomfortable or adjustable bed veryexpensive or a bed
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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