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    Home Archives Sleep problems could lead to bigger problems
    Sleep problems could lead to bigger problems
    Archives
    SANDRA RHODES  
    June 13, 2007

    Sleep problems could lead to bigger problems

    People shouldn’t lay down on the job when it comes to getting a
    good night sleep.

    “It’s just like diet and exercise,” said Dr. Nancy Collop, a
    native of Bradford, associate professor of Medicine at Johns
    Hopkins University, and director of the Johns Hopkins Sleep
    Disorders Center.

    Collop spoke recently about sleep disorders, especially sleep
    apnea, at Bradford Regional Medical Center.

    “People are not as effective if they’ve been up all night,”
    Collop said. “People don’t take sleep seriously. They think it can
    be put off. It can’t.”

    Sleep apnea is when a person’s breathing stops or gets very
    shallow while they are sleeping. Each pause in breathing typically
    lasts 10 to 20 seconds or more; these pauses can occur 20 to 30
    times or more an hour. It’s a common disorder, but can lead to
    serious consequences.

    “If you’re not breathing, you’re not getting the oxygen,” Collop
    said. “There’s chronic oxygen deprivation.”

    This can lead to serious problems such as high blood pressure
    and possibly diabetes.

    Those typically affected by sleep apnea are obese, middle-aged
    males. Seventy percent of those diagnosed are obese.

    And people don’t realize how important sleep is.

    “People seem to put it off,” Registered Respiratory Therapist
    Ken Vosler said of sleep. “They don’t make sleep a priority … It
    connects to everything, especially mood.”

    The group suggested sleeping in a dark room with a fan running
    to keep out the noise.

    But if that doesn’t work, a trip to the sleep lab may be in
    order.

    People are not aware if they have problem, Collop said, because
    “they are asleep.”

    How do people know they have a problem and aren’t just
    tired?

    “That’s why they do sleep studies,” Vosler said, adding that if
    someone doesn’t feel refreshed even though they’ve slept six to
    eight hours, “something is wrong.”

    “They can sleep 10 hours and never feel refreshed,” he said.

    Some patients had been tired for 20 to 30 years, but didn’t know
    what it was like to feel refreshed.

    Some signs to look for include:

    – using the bathroom a lot

    – waking up in the middle of the night

    – gasping for air

    – waking up with a headache.

    The most important thing, however, is to have it diagnosed and
    treated.

    Doctors order continuous positive airway press (CPAP) machine
    for those with sleep apnea. This provides a “close connection
    between the machines and lungs.” Forced air allows the person to
    breath.

    The machine can be adjusted to fit the person’s needs, the group
    said.

    “They get better immediately after the first night,” Collop
    said.

    The units are portable and can be taken anywhere.

    “Most patients say, ‘this is the best night sleep I’ve had in
    years,'” Vosler said.

    Over time, the patients not only get a good night’s sleep, they
    can also have better blood pressure and diabetes control.

    Therapy reduces the risk of sudden death or someone dying in
    their sleep.

    Penny Oyler, director of cardiopulmonary services at BRMC, said
    one example is someone who could be on three medications for high
    blood pressure and once they are diagnosed, they are taken off of
    some medications.

    Dr. Frank Arnal, a pulmonologist at BRMC, said he has people who
    come to him for other symptoms, including congestive heart failure
    and leg swelling, but can also be treated for sleep apnea.

    Sleep apnea is treated more often, Arnal said, because there’s
    more obesity, plus there’s more awareness, including more sleep
    labs.

    The sleep clinic has been open for four years. It’s equipped
    with two beds and is open Monday through Thursday.

    “There’s more awareness,” Oyler said.

    It’s also a disorder that affects people of all ages.

    “It’s just education,” Collop said. “Educate patients this is to
    give them a better quality of life.”

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