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Re: Finding a sleep doctor


Posted by SleepyActor on October 18, 2002 at 17:12:57:

In Reply to: Re: Finding a sleep doctor posted by Rebecca on October 18, 2002 at 16:49:05:

Hi Rebecca-

Well, it's a gray area. 2 of the 4 sleep doctors that I ended up seeing in total told me that young people don't respond as well to CPAP as older people. Now, part of that may just be because we're less willing to commit to wearing it all night every night, but I imagine there are other factors too. And in an obese person who has lots of redundant tissue in the throat, the CPAP helps because the problem is directly related to that tissue collapsing in sleep. However, I also had a pretty unremarkable airway, which contributed to CPAP not doing much for me. In fact, I was one of those rare cases where raising the pressure made me worse instead of better.

I don't want to discourage you - *CPAP will probably help you!* It helps/fully treats the majority of cases. I just turned out to be a really unique and confusing case, one that seven months after being diagnosed w/ OSA we're still trying to iron out. I tried CPAP to no avail, and then a Klearway dental device to no avail. We talked about surgery but agreed it wasn't right for me.

Now, it appears I may have fibromyalgia in addition to OSA, and definitely do have generalized anxiety disorder, which can manifest itself in symptoms such as fatigue, and can even influence the presence of sleep disorders! So although I do definitely have OSA, I didn't respond to the usual treatments and it looks like my root problem, whatever it turns out to be, is not OSA alone.

Sorry for that mouthful. Bottom line. CPAP will probably help you, and hopefully it'll be all you need. Do be patient with it - it may be a day or several weeks before you can determine if your pressure (or CPAP at all) is sufficient. But while you're being patient, do be informed -- educate yourself from sites like this, Dement's "The Promise of Sleep," and so forth. Question your doctor, don't just accept whatever he says as instantly true, seek out second opinions - in general, be proactive about your own health because even the best-intentioned doctors may not be pursuing the correct path.

Hope that helped.

Best of luck,
Rich

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