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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

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

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 cost of treatment.  It costs between $700 and $2500 to get a sleep study in a sleep lab depending on...

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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 dressings on veterans with chronically infected leg wounds.  The wounds would be weeping pus even after several weeks of oral...

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Fake News!!

Politicians are not the only people who have to deal with fake news.  Physicians deal with it on a regular basis as well.  The source is the same - the main stream media and the internet.  If you believed advertisements for supplements, FDA approved drugs and devices there would not be a need for physicians.  One of those 3 things can cure whatever afflicts you - whether it's obesity, insomnia, depression, anxiety, wrinkles or sexual dysfunction. The ads can be convincing.  The problem is they prey on desperate people. After trying years of things that don't work they will stumble in my door.  What greets them is not what they want to hear.  It's called reality. There are a couple...

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