Philip was seen today as ongoing management of his sleep difficulties. Very pleasingly with the help of Frank Cahill, sleep psychologist, and a significant reduction in his life’s stressors, his sleep is much better and he is sleeping very well from about 11.00pm to 6.30am. He is still waking slightly unrefreshed and of note, his most recent sleep study did reveal borderline obstructive sleep apnoea which is predominantly in supine sleep. Given this we have discussed a positional modification device which he will go ahead and trial. He will keep me updated on his progress and we will direct our management from there.
A precious trial of a temporary mandibular advancement splint was unsuccessful in eliminating the sleep and improving his symptoms. James is now receptive to the idea of trialing CPAP.
Dr Avi Weisfogel is a sleep specialist and dentist. He researches and treats sleep apnea using dentistry as a technique. Sleep apnea is condition that causes a person to seize breathing while sleeping for a short period of a few seconds up to a minute. Patients with sleep apnea find it hard to relax and feel refreshed after sleeping due to the interruption of their breathing pattern and it mostly cause by repeated sleep deprivation. More and more people are suffering form it due to the unhealthy culture of people consistently failing to get at least seven to nine hours of uninterrupted sleep each night. As a dentist Dr. Weisfogel is a pioneer in the research and progress of many sleep
Dr. Avi Weisfogel is the founder of Dental Sleep Masters. He is highly experienced in the treatment of sleep and sleep disorders. Old Bridge Dental Care was his first established dental practice in 1999. After 15 years in office, he received tributes from the public. He has been the best-known dentist over a long time. He uses the opportunities that come his way in learning about how dentists and doctors help patients grieved with sleeping illnesses. He established a Dental Sleep Masters to assistance dentists through the aid of oral appliances. Through his company, he has been able to understand sleeping apnea. This information has helped dentists find latent patients and assist them in getting treatment. Dr. Weisfogel got his BA in biology
He will therefore contact me in the next couple of weeks and we will discuss our management from
Dr.Avi Weisfogel together with his team of experts at Dental Sleep Masters aims to provide a long lasting solution to sleep apnea.Currently, dentists can devote some of their time in the diagnosis and treatment of sleep apnea which will eventually help many patients who suffer from this condition.Patients who suffer from this condition suffer in pain since they may end up waking up nearly thirty times at night.
Thank you very much for referring Neil along for further investigation of likely obstructive sleep apnoea. As you are aware, his wife who I work with at Warringal has been noticing witnessed apnoeas for many years now and has talked Neil into coming along today. Neil in himself sleeps reasonably well and is currently going to bed at around 10.00pm. He will awake between 2.00am and 4.00am and be awake for a short amount of time but will then fall back to sleep until about 7.30am or 8.00am. He wakes reasonably refreshed but of note does have some drowsiness in the afternoon. He will occasionally have an afternoon nap and quite regularly falls asleep on the couch at night. He has been retired for the last 18 months, but prior to that, he
Such patients endure a long list of sleep issues including insomnia, alpha wave intrusions, obstructive sleep apnea (OSA), narcolepsy, and restless leg syndrome.
He is a Dentist of wide renown, having been practising for over 15 years, and have received many accolades and marks of distinctions for his work in the progress of dentistry. But, he had always been more inclined towards figuring out the reasons behind the advent of sleep and sleep-related disorders. In this quest of his to seek answers, he began lecturing would be dentists on sleep and sleep disorders. And, in the year 2014 established Dental Sleep Masters, a society aimed towards aiding dentists in inducing sleep in their patients using oral supplementation.
Commonly known as Delayed Sleep Phase Disorder (DSPD) and other names, is a disorder in which the persons internal body clock is not in sync with the morning-rise evening-sleep pattern of the majority of people. Individuals with this disorder are not able to sleep and wake at the times that are regulated by normal work and school hours. They usually get enough sleep to keep them at a functional level through the day but not enough to be considered “well rested”. Polysomnography and actigraphy are tests commonly ordered for some sleep disorders to determine the illness. The cause of Delayed Sleep Phase can include a variety of reasons; puberty being one of the main causes, but some people are born with the disorder. The short term and long term effects of this illness is unfortunate for a person’s overall health. Overall cures to this disorder have not been found yet. Doctors have suggested sleeping pills to help or other alternatives. The disorder affects the timing of sleep, peak period of alertness, the core body temperature rhythm, hormonal and other daily cycles.
Sleep is essential to life; it is one of several components, including food and water, which keep the living alive. However, a significant percentage of the human population has considerable difficulty reaching and maintaining Stage IV within their sleeping patterns, the stage that allows the mind and body to fall into a deep and restorative sleep, otherwise known as REM sleep. At the core of this difficulty is a condition known as obstructive sleep apnea, a "serious, potentially life-threatening condition that is far more common than generally understood" (Sleep Apnea). Indeed, obstructive sleep apnea can be very dangerous if it is not properly detected and treated.
The sleep assessment conducted on the patient had an interesting dynamic in how we think we sleep opposed to how our partner says we sleep. The patient wakes up every morning at 6 a.m. and takes a nap right after lunchtime approximately at 1 p.m. The daily naps, according to the patient, last about forty-five minutes to an hour. When asked about restlessness when waking up the patient with a stern voice and pointed finger says, "When I'm up I'm up and ready to go." The patient also explained that they have no trouble staying asleep; however going to sleep can be challenging depending on if anything troubling is on her mind.
Thank you very much for referring John along for further investigation of likely obstructive sleep apnoea. I agree that he has a very high likelihood of obstructive sleep apnoea given his long history of snoring and waking unrefreshed despite what he perceives to be a good amount of time in bed. He has symptoms of excessive daytime sleepiness in passive situations but has no trouble maintaining concentration at work in his work as a builder's labourer. Concerningly though, he is noticing some occasional drowsiness on driving home, but has never fallen asleep at the and has not been involved in any near misses or accidents. He invariably needs a sleep when he gets home from work of between an hour and an hour and
A Sleep Apnea Procedure Could Be The Best Way To Treat Your Condition For Restful Sleep And Improved Health
She describes a lifelong history of sleep difficulties, even being told my her mother that from her being a baby, that she has always had a lot of difficulty with sleep. She believes that things came to a head about ten years ago when she was working night shift in the emergency department at The Northern Hospital and was undergoing separation from her partner whilst looking after a young child. Since that time, she has trialled numerous treatments without much sustained success, and she is now at the point that she believes her sleep is the worst it has ever been. She did have a sleep study at the Austin Hospital in 2008 and I was able to access the study. This was a good sleep study with a good amount of total sleep time seen of 3.5 hours with good amounts of time seen in supine and non-supine sleep. Overall it revealed mild obstructive sleep apnoea with an AHI of 10 events/hr and this was REM predominant. There was no evidence of periodic limb movement sequences. She had trialled CPAP therapy the following year, but was unable to tolerate the therapy at that time. She has been on numerous medications for her sleep difficulties with the only benefit that she noticed was when she was on Endep at 60mg. This was however stopped in February 2015 post-operatively as she had a tachycardia in the
Sleep disorders alter ones sleep pattern and often results in the inability to either sleep or sleep soundly. They often cause you to feel restless, tired, fatigued, and irritable. It is estimated that nearly 75 percent of adult Americans experience sleep disorder symptoms at least a few nights per week. At the same time, sleep disturbances in some form are seen in as many as 25 to 30 percent of infants and children (“Sleep Disorders” 2013). Clearly a huge conundrum in the world, sleep disorders affect an inordinate amount of people. Millions of people suffer or have suffered from a sleep disorder at one point in their lives and if mistreated can impact organ systems functioning negatively. Physical disturbances, medical issues,