News

My Child Doesn't Sleep

My Child Doesn't Sleep

Several times a month I meet a very distraught parent for the first time with the complaint “my child just doesn’t sleep”. They are always accompanied by a child that is conscious and breathing. I reply that their child must be sleeping because if the child wasn’t sleeping at all they would be dead within two weeks.

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Choosing a CPAP mask

Choosing a CPAP mask

There are hundreds of CPAP masks available in all shapes and sizes. Patients with sleep apnea frequently ask me which is the best one.  If you ask 100 different patients you will probably get dozens of different answers so don’t make a decision based on what other people wear.

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Read this if you cannot sleep

Read this if you cannot sleep

The good news is if you think you cannot sleep you are probably wrong.  It's not that you can't sleep - it's that you are not sleeping like you want or you are not getting the results from sleep like feeling refreshed that you expect.

The reality is if you cannot sleep you die.  If you are reading this then that has not happened yet.

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The Beginning

The Beginning

Medicine in 2018 is tough.  The ultimate decision maker in your care is your insurance company - not me.  In fact I have to spend considerable time arguing with insurance companies for testing and treatments that are the standard of care for sleep disorders and lung disorders. One of the common questions I get is from people who present for an assessment for sleep apnea is "If I know I have problems breathing at night why do I have to get a sleep test?".  That is a very valid question because the cost of sleep testing will often exceed the...

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Is it necessary to sterilize your CPAP?

Is it necessary to sterilize your CPAP?

I have been fielding a lot of questions lately about the new gadget on the market that sterilizes your CPAP machine.  Patient's want to know if 1) the CPAP sterilizing machine works 2) if CPAP sterilizing machines prevent infection and 3)if health insurance plans pay for the machine.   CPAP sterilizing machines do work.  The most popular version on the market generates ozone which circulates through the CPAP unit.  Ozone is bactericidal. White vinegar is also bactericidal.  I will never forget when I was a medical student rotating through the vascular surgery service at the VA.  Every morning we would change...

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