Friday, October 8, 2010
Snor'n' in the USA
I'm not a drum-banger for the latest "epidemics" to come to media attention, whether it's H1N1, Vitamin D, or getting your kids CAT-scanned routinely.
But there comes a time in every blogger's life when he must comment on something that does bubble up into consciousness a tad, shall we say, often.
I'm talking here about an epidemic that we are learning more about each passing day. Something that you or someone you know or sleep with may be diagnosed with, and ultimately treated for (an interesting national problem in its own right): Obstructive Sleep Apnea (OSA).
What is it, you ask?
A new national scourge? Stop the presses! Can I catch it?
Well, the main thing you should know is that the rise in prevalence of OSA is directly proportional to two main factors:
--We now have a treatment that works, thus making us look to diagnose the condition more.
--Probably the key factor: OSA is most often (note not always, for there are variants) correlated with being overweight or obese. As we are a nation of expanding waistlines, you can see the correlation.
Do you snore? Is your sleep fitful, and are you tired a lot of the time? Ever fallen asleep at the wheel? Has a bed partner ever commented that even through your snoring, you sometimes stop breathing?
A yes to any of those (even basic old snoring) can be suggestive of sleep apnea.
To get tested, of course: "Talk to your doctor or health care professional."
You'll spend the night in a sleep lab, hooked to a polysomnogram (poly=many, somno=sleep, gram=tracing or recording): a device that records your pulse, heart rhythm, blood oxygenation, breathing, muscular contraction and brain wave activity while you sleep. If you stop breathing or "under breathe," resulting in a loss of blood oxygen, you test positive.
How can we treat it? Lose weight! Exercise!
What do we really do?
Welcome to CPAP-land. CPAP stands for Continuous Positive Airway Pressure. In a nutshell, you use a machine that blows air into your nose or mouth, keeping your airway open.
Volia. No more snoring. No more apnea (stopping breathing). Better sleep. Less fatigue. More energy.
Since this is now a well-recognized medical problem, health insurers pay for this equipment. Hello another billion dollar medical industry.
So classically American: Using technology to work around the underlying problem--our inability to lead less sedentary, gluttonous lives.
I'm scared we're evolving into the blobby people portrayed in the film Wall-E.
What is the endpoint of all this? Are we destined, as a people, to hook ourselves to machines all night so that we can sleep better? If you're an insomniac, it'd be a worthy tradeoff.
Can the day be not too distant when we hook machines to us all the time (I don't just mean iPads.)? Will we be able to implant electrodes in our head so that we can e-learn without having to crack the books?
What other bodily functions can be augmented by hook-on machines that work while we sleep?
All right, then. Sleep tight!
This post originally appeared at GlassHospital. John Henning Schumann is a general internist in Chicago's south side, and an educator at the University of Chicago, where he trains residents and medical students in both internal medicine and medical ethics. He is also faculty co-chair of the university's human rights program. His blog, GlassHospital, provides transparency on the workings of medical practice and the complexities of hospital care, illuminates the emotional and cognitive aspects of caregiving and decision-making from the perspective of an active primary care physician, and offers behind-the-scenes portraits of hospital sanctums and the people that inhabit them.
Labels: CPAP, diet, Glass Hospital, obesity, sleep apnea
posted by Ryan DuBosar at
8:00 AM
Contact ACP Hospitalist
Send comments to ACP Hospitalist staff at acphospitalist@acponline.org.
Previous Posts
- Nurses tapped for more training, bigger role in he...
- When doctors opt out of Medicare
- Life at Grady: A super infection
- Boarding patients prompts others to leave without ...
- Fundamental question
- Health care reform explained plainly and simply
- Life at Grady: Reach out and touch someone
- Life at Grady: What would Oprah do?
- Life at Grady: The "Healthy" Patient
- More acute-care patients seeking help at hospitals...
Blog log
Members of the American College of Physicians contribute posts from their own sites to ACP Internist and ACP Hospitalist. Contributors include:
Albert
Fuchs, MD
Albert Fuchs, MD, FACP, graduated from the
University of California, Los Angeles School of Medicine, where he
also did his internal medicine training. Certified by the American
Board of Internal Medicine, Dr. Fuchs spent three years as a
full-time faculty member at UCLA School of Medicine before opening
his private practice in Beverly Hills in 2000.
Zackary
Berger
Zackary Berger, MD, ACP Member, is a primary care
doctor and general internist in the Division of General Internal
Medicine at Johns Hopkins. His research interests include
doctor-patient communication, bioethics, and systematic reviews.
CasesBlog
Ves
Dimov, MD, ACP Member, is an allergist/immunologist and Assistant
Professor of Medicine and Pediatrics at the University of Chicago,
where he evaluates and treats both pediatric and adult patients.
David
Katz, MD
David L. Katz, MD, MPH, FACP, is an internationally
renowned authority on nutrition, weight management, and the
prevention of chronic disease, and an internationally recognized
leader in integrative medicine and patient-centered care.
db's
Medical Rants
Robert M. Centor, MD, FACP,
contributes short essays contemplating medicine and the health care
system.
DrDialogue
Juliet
K. Mavromatis, MD, FACP, provides a conversation about health topics
for patients and health professionals.
Dr.
Mintz' Blog
Matthew Mintz, MD, FACP, has practiced internal
medicine for more than a decade and is an Associate Professor of
Medicine at an academic medical center on the East Coast. His time is
split between teaching medical students and residents, and caring for
patients.
Everything
Health
Toni Brayer, MD, FACP, blogs about the rapid
changes in science, medicine, health and healing in the 21st century.
FutureDocs
Vineet
Arora, MD, FACP, is Associate Program Director for the Internal
Medicine Residency and Assistant Dean of Scholarship & Discovery
at the Pritzker School of Medicine for the University of Chicago. Her
education and research focus is on resident duty hours, patient
handoffs, medical professionalism, and quality of hospital care. She
is also an academic hospitalist.
Glass
Hospital
John H. Schumann, MD, FACP, provides
transparency on the workings of medical practice and the complexities
of hospital care, illuminates the emotional and cognitive aspects of
caregiving and decision-making from the perspective of an active
primary care physician, and offers behind-the-scenes portraits of
hospital sanctums and the people who inhabit them.
Gut
Check
Ryan Madanick, MD, ACP Member, is a gastroenterologist
at the University of North Carolina School of Medicine, and the
Program Director for the GI & Hepatology Fellowship Program. He
specializes in diseases of the esophagus, with a strong interest in
the diagnosis and treatment of patients who have difficult-to-manage
esophageal problems such as refractory GERD, heartburn, and chest
pain.
I'm
dok
ACP Member Mike Aref, MD, PhD, ACP Member, is an academic
hospitalist with an interest in basic and clinical science and
education, with interests in noninvasive monitoring and diagnostic
testing using novel bedside imaging modalities, diagnostic reasoning,
medical informatics, new medical education modalities, pre-code/code
management, palliative care, patient-physician communication, quality
improvement, and quantitative biomedical imaging.
Informatics
Professor
William Hersh, MD, FACP, Professor and Chair,
Department of Medical Informatics & Clinical Epidemiology, Oregon
Health & Science University, posts his thoughts on various topics
related to biomedical and health informatics.
Just
Oncology
Richard Just, MD, ACP Member, has 36 years in
clinical practice of hematology and medical oncology. His blog is a
joint publication with Gregg Masters, MPH.
KevinMD
Kevin
Pho, MD, ACP Member, offers one of the Web's definitive sites for
influential health commentary.
MD
Whistleblower
Michael Kirsch, MD, FACP, addresses
the joys and challenges of medical practice, including controversies
in the doctor-patient relationship, medical ethics and measuring
medical quality. When he's not writing, he's performing
colonoscopies.
Medical
Lessons
Elaine Schattner, MD, ACP Member, shares
her ideas on education, ethics in medicine, health care news and
culture. Her views on medicine are informed by her past experiences
in caring for patients, as a researcher in cancer immunology, and as
a patient who's had breast cancer.
More
Musings
Rob Lamberts, MD, ACP Member, a med-peds and general
practice internist, returns with "volume 2" of his personal
musings about medicine, life, armadillos and Sasquatch at More
Musings (of a Distractible Kind).
Musing
of an Internist
Justin Penn, MD, ACP Associate Member,
attended medical school at the University of Washington School of
Medicine and trained in internal medicine at the University of
Rochester, where he is serving as Chief Resident.
Prescriptions
David
M. Sack, MD, FACP, practices general gastroenterology at a small
community hospital in Connecticut. His blog is a series of musings on
medicine, medical care, the health care system and medical ethics, in
no particular order.
Reflections
of a Grady Doctor
Kimberly Manning, MD, FACP,
reflects on the personal side of being a doctor in a community
hospital in Atlanta.
Technology
in (Medical) Education
Neil Mehta, MBBS, MS, FACP,
is interested in use of technology in education, social media and
networking, practice management and evidence-based medicine tools,
personal information and knowledge management.
White
Coat Underground
Peter A. Lipson, MD, ACP Member, is a
practicing internist and teaching physician in Southeast Michigan.
The blog, which has been around in various forms since 2007, offers
musings on the intersection of science, medicine, and culture.
Other blogs of note:
American
Journal of Medicine
Also known as the Green
Journal, the American Journal of Medicine publishes original clinical
articles of interest to physicians in internal medicine and its
subspecialities, both in academia and community-based practice.
Clinical
Correlations
A collaborative medical blog started
by Neil Shapiro, MD, ACP Member, associate program director at New
York University Medical Center's internal medicine residency program.
Faculty, residents and students contribute case studies, mystery
quizzes, news, commentary and more.
Interact
MD
Michael Benjamin, MD, ACP member, doesn't accept
industry money so he can create an independent, clinician-reviewed
space on the Internet for physicians to report and comment on the
medical news of the day.
PLoS
Blog
The Public Library of Science's open access
materials include a blog.
White
Coat Rants
One of the most popular anonymous blogs
written by an emergency room physician.
0 Comments:
Post a Comment
Subscribe to Post Comments [Atom]
<< Home