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Sleep Apnea/Dave J. (Scoop0901)

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    Column Headings:

      K = Knowledgeability    C = Clarity of Response    T = Timeliness    P = Politeness
      N = Nominated for Expert of the Month

DateUserKCTPNComments
2009-10-22Ally10101010NoThank you Dave, I have to admit my attitude is negative. I feel like I am older than I ought to be by having to use the machine and I am at that delicate age (I turn 50 next year. I did talk to the sleep specialist and they lowered the pressure and recommended that I take Gas-Ex before bed, this seems to be helping but the mask is cumbersome and I guess I need to do an attitude adjustment at this point. Thank you for your response, I will follow your recommendations. Peace and Blessings-Ally
2009-09-28verne10101010YesI want to thank you for your response. Now I know which direction to follow.
2009-09-27Murphy10101010YesDave: Thank you vey much for the excellent advice.
2009-09-22TH10101010NoThank you - and that WAS helpful, I truly appreciate your response.
2009-09-10Matt10101010NoThis was very helpful. I did not expect a diagnosis but merely suggestions which you gave plenty. Thank you for your timely response.
2009-08-07HEIDI1081010NoThanks for sharing your wisdom with me. Unfortunatly, my husband's employment was officially terminated because he did fall asleep on the job, which was determined to be caused by sleep apnea after the fact. Even with written documentation from the dr, and a complete copy of the sleep study report indicating SEVERE obstructive sleep apnea, his employer didn't care. We hope there are brighter days ahead?! The ADD act would not apply to us, because my husband did not have a chance to notify his employer.
2009-08-07james10101010No 
2009-06-28Murphy10101010YesThank you Dave.
2009-05-21Martin10101010NoThanks, I understand your reasoning, and agree completely. I've ordered one of the mouthguard style "appliances" just to try it, but I'm being tested and fitted for a CPAP by a company that my doctor recommended as reputable. I'm encouraged by your advice.
2009-02-22bud10101010No 
2009-02-21eddie10101010Nothank you so much!
2009-01-24don stanciu10101010NoI found the info very he;pful and I got the answer quickly. THis seems to be a good site. Thank you
2009-01-24Joy10101010Noi don't mind sugar-free answers. i appreciate it! and thank you for being so quick! i hear you loud and clear and will follow my doctor's advice. i look forward to feeling better. thanks!
2009-01-17Anu10101010NoThanks a lot!!!
2008-12-29Robert10101010Yes 
2008-12-11Kristy7598No 
2008-11-28Geoffrey10101010YesAnswered my question as far as possible - thank you
2008-11-11Frieda1010710NoVery informative and helpful! Thank you.
2008-10-02Kira10101010NoTHANK YOU
2008-10-02Michael10101010NoThanks for the help. It is much appreciated. - Michael
2008-09-22Carla10101010No 
2008-08-24Heidi10101010Yes 
2008-08-05bill10101010No 
2008-06-27james10101010No 
2008-06-26Jeff97710No 
2008-06-05james10101010No 
2008-04-04james10101010YesFriendly and helpful
2008-03-09Diane10101010YesThanks Dave....good advice
2008-03-08Fred10101010YesThanks
2008-03-07Kevin10101010NoExcellent response/info. Currently researching VA law to non-CPAP solutions with attorney - VA there is precedent for oral appliances to override the CPAP "gold standard" if taking positive action under physicians care and tried CPAP alternative. If Physicain certifies CPAP causes undue stress worsening problem and oral appliance is showing positive porgress via sleep study results, ADA protection applies and employer must provide accomdation until there is no progress shown (via sleep study/abandonment of care)..at that point then CPAP "gold standard" applies. Since I am showing very positive progress/significant improvement in apnea (from severe to moderate, to borderline mild) the attorney says a very valid case and ADA accomdations while under this care apply. He is currently co-writing a letter with physician asking for that accomodation for a 6 month period. By the way, the improvement has been dramatic. In the last 3 months, I've gone from 3-5 days a week of being drowsy and nodding of for a minute or two inmeetings to only once in a 3 week period...and witness tell me that was for lless then 30 seconds. Of course, since I am not under a current ADA accomdation, I was given a reprimand and .....

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Dave J. (Scoop0901)

Expertise

I can answer questions on sleep disorders, in general, and sleep apnea, specifically. I've been actively involved in providing direct support to individuals, family members, employers, and others on the topics of sleep and sleep disorders for more than six years, keep up-to-date on valid, peer-reviewed research, as well as treatment options.

I can answer general questions including, but not limited to polysomnography (PSG or sleep study) techniques; health issues associated with sleep apnea; compliance with a CPAP or BiPAP machine, mask selection and fitting; insurance coverage; ADA issues; and more, but cannot provide diagnosis over the internet.

Why can I answer only general questions? The question would be better asked why I will not answer specific questions. That's the easy part. Your health is unique, or, in redundant terms, "individually unique," meaning that while there's a lot of research that has been conducted in the world of sleep over the past few decades, there is none that can foretell any specific individual's future. What may hold true for your friend, for instance, may not be true for you. It's just like if both you and your best friend like to drive. You both want to own your own vehicles, having the freedom to move about a will, but your taste, your selection in vehicle is vastly different. For example, you may prefer an environmentally-friendly sub-compact car that gets 50 miles to the gallon, but your neighbor may prefer a H2 Hummer. The same holds true with health care issues. While one person may suffer issues X, Y, and Z, as fully supported by research, you may suffer issues D, T, and S, never experiencing anything the other person experienced.

Experience


As to my experience, let's start back on January 1, 2000, one of nine days I spent in an Intensive Care Unit (ICU) unit of a Northeast Philadelphia hospital. I was diagnosed with sleep apnea, along with a couple other sleep disorders, not to mention some very serious, very nasty health conditions related to many years of undiagnosed, therefore, untreated sleep disorders.

After somewhere around three months of fiddling with the equipment, adding a heated humidifier to the gear, and finding the right mask for me, I became 100 percent compliant with my BiPAP therapy. I have seemingly experienced what seems to be all the same, nay, all the classic problems everyone else who's ever used a CPAP, BiPAP, or other xPAP device has experienced, suffers. Things such as mask problems, humidification problems, among others.

I established a community education and support group, Awake in Philly, in Philadelphia, PA (USA), in May 2000, to help support and educate others about the true costs of sleep issues, including sleep disorders, sleep deprivation. We also work to educate the public, employers, and government and elected officials, as well as health care professionals about the dangers of these issues.

Since getting diagnosed, I've become a very vocal, very pro-active sleep activist, dedicated to helping others before they suffer the many woes that too often accompany untreated and undiagnosed sleep disorders and sleep deprivation.

In addition to working locally, I always think globally, yet act responsibly in all I do, yet have managed to extend the reach of my work nationally. I am involved with Awake In America, Inc., an all-volunteer national non-profit focused on sleep and sleep disorders. An all-volunteer organization is one where the people involved are committed to the efforts, and one in which no one is paid or compensated for their work with the organization, where all funds may be used for operations and actual work to fulfill the organization's missions. I know of no other non-profit corporation that can make that bold statement.

Awake In America was organized to assist others around the country to quickly and effectively launch support groups, but also to work on community awareness of sleep disorders, serve as an outreach source, among other issues. Awake In America also launched the only national xPAP Donation and Relief Program, which is designed to assist individuals without insurance or the financial means necessary, obtain equipment and supplies essential to treating diagnosed sleep apnea. We also have a national Sleep Study Relief Program, again, the first in the nation, and the only one of its kind in the nation.

Having spent more than 20 years as an investigative journalist and editor, I do careful, tedious research on all issues involving sleep and sleep disorders. I question everything in studies and reports, challenging findings, wanting to see if everything using strict scientific methods, uninfluenced by funding flowing from specific interest groups.

In the almost nine years of helping others, through Awake In Philly and Awake In America, as well as my personal blog on sleep, The Sleep Blog, I've done a tremendous amount of reading, much of which in the same books used to train sleep techs, as well as many of the same books that are on the shelves of many sleep specialists.

I've dealt with countless people, via email, instant messaging (IM), and on the phone, sometimes, basically doing the equivalent of providing a shoulder for them to lean or cry on. In the end, I offered ideas to help them overcome their challenges, and fortunately, I've been able to help a large majority of those people, but some required the hands-on, in-person approach of a physician or sleep specialist.

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