|
|
What Is This Book About? |
This
Book Is Revised and Rewritten (more than doubled in
size) in 2023.
Added 100 Pages of New Information. New Paperback Is
194 Pages Long!
|
This book “Reversing Sleep Apnea" provides the very practical proof that
sleep apnea
can be reversed by losing weight.
The author of this book Dr. RK provides
all the real-time data
on how he successfully
reversed
his obstructive sleep apnea once and for
all.
He reported
that his Desaturation Index dropped
from a high-risk 28 events/hour to a stunning 0.6 event/hour
when he lost 40 pounds
of his body weight, and when he lowered his body
mass index (BMI) to perfectly normal.
When his body resumed normal weight, his sleep apnea
amazingly
disappeared!
See below an Excel table with all scientific details, and the data he
collected and recorded.
|
|
Go to the Top |
|
|
The Following Excel Table Tells The Whole Story About
How Dr. RK Reveresed His Obstructive Sleep Apnea!
Proof That Sleep Apnea Can Be Reversed By Losing Weight!
|
Date |
Desat Index |
Highest SpO2 |
Lowest SpO2 |
Mean SpO2 |
Waist |
Weight |
Weight |
BMI
(Kg/m 2) |
Assessment |
Normal |
0 to 4 Events/hr |
96% to 99% |
90% to 99% |
96% to 99% |
< 34" |
< 70 Kg |
< 155 Lb |
18.5 to 24.9 |
|
|
|
|
|
|
|
|
|
|
|
Overnight Pulse Oximetry Test Results Without CPAP by Independent
Respiratory Services (IRS), Burnaby, BC, Canada |
07-Feb-2015
|
First
Diagnosed With Moderate Sleep Apnea (Desaturation Index=22.7
Events/hr). |
07-Feb-2015 |
22.7 |
98% |
75% |
94.60% |
44" |
86 Kg |
191 Lb |
30.5 |
Obese |
19-Feb-2015 |
17.3 |
98% |
71% |
94.10% |
44" |
86 Kg |
191 Lb |
30.5 |
Obese |
16-Mar-2015 |
CPAP Therapy started seriously! |
|
|
|
|
|
|
|
|
|
|
|
Overnight
Pulse Oximetry Test
Results Without CPAP by Mainland Sleep Diagnostics Ltd, Burnaby,
BC, Canada |
06-Apr-2015 |
23.6 |
100% |
69% |
94.90% |
44" |
86 Kg |
191 Lb |
30.5 |
Obese |
07-Apr-2015 |
28.0 |
99% |
76% |
95.10% |
44" |
86 Kg |
191 Lb |
30.5 |
Obese |
|
Approaching
Severe Sleep Apnea (very dangerous)! So I took Action, and
started controlling sleep apnea! |
|
|
|
|
|
|
|
|
|
|
28-Dec-2015 |
6.9 |
98% |
87% |
95.90% |
37" |
78 Kg |
173 Lb |
27.6 |
Overweight |
|
When I lost 18 pounds, my
Desaturation Index dropped from 28 to 6.9 events/hr (excellent
progress!) |
|
|
|
|
|
|
|
|
|
|
|
29-Dec-2015 |
7.2 |
100% |
84% |
96.10% |
37" |
78 Kg |
173 Lb |
27.6 |
Overweight |
30-Dec-2015 |
8.4 |
99% |
83% |
95.90% |
37" |
78 Kg |
173 Lb |
27.6 |
Overweight |
|
|
|
|
|
|
|
|
|
|
Overnight Pulse Oximetry Test
Results Without CPAP by Mainland Sleep Diagnostics Ltd, Burnaby,
BC, Canada |
29-Mar-2016 |
4.8 |
100% |
88% |
96.30% |
36" |
77 Kg |
171 Lb |
27.3 |
Overweight |
30-Mar-2016 |
2.9 |
99% |
89% |
96.20% |
36" |
77 Kg |
171 Lb |
27.3 |
Overweight |
31-Mar-2016 |
4.6 |
99% |
86% |
95.70% |
36" |
77 Kg |
171 Lb |
27.3 |
Overweight |
|
|
|
|
|
|
|
|
|
|
18-Nov-2016 |
1.2 |
100% |
91% |
97.00% |
33" |
68 Kg |
151 Lb |
24.1 |
Normal |
19-Nov-2016 |
1.3 |
100% |
86% |
97.00% |
33" |
68 Kg |
151 Lb |
24.1 |
Normal |
|
|
|
|
|
|
|
|
|
|
Overnight Pulse Oximetry Test
Results Without CPAP by Clinical Sleep Solutions, Burnaby,
BC, Canada |
29-Nov-2016 |
0.6 |
99% |
89% |
96.20% |
33" |
68 Kg |
151 Lb |
24.1 |
Normal |
|
When I lost 40 pounds, my Desaturation Index dropped to 0.6
event/hr (My sleep apnea wiped out!) |
|
|
|
|
THE
END-RESULT
WHEN I LOST 40 POUNDS, MY BODY RESUMED NORMAL
WEIGHT.
WHEN MY BODY RESUMED NORMAL
WEIGHT, MY SLEEP APNEA DISAPPEARED! |
|
|
|
|
|
|
|
|
|
|
|
|
Desaturation Index |
Assessment |
|
|
|
BMI
(Kg/m
2) |
Assessment |
|
0
- 4 Events/hr |
Normal (No Sleep Apnea) |
|
|
<
18.5 |
Underweight |
|
5 -
14 Events/hr |
Mild Sleep Apnea |
|
|
|
18.5 to 24.9 |
Normal |
|
15 - 29 Events/hr |
Moderate Sleep Apnea |
|
|
|
25.0 to 29.9 |
Overweight |
|
≥
30 Events/hr |
Severe
Sleep Apnea |
|
|
|
≥ 30 |
Obese |
|
Body Mass Index (BMI) Sample Calculation:
When I was diagnosed with sleep apnea, My Weight= 86 Kg, My
Height = 1.68 m
BMI = Weight (Kg) / Height (m)
2
= 86 / 1.68 2
= 30.5 Kg/m 2
= Obese
|
P.S.:
CPAP discontinued for 1 to 2 weeks prior to all overnight pulse
oximetry tests.
|
|
|
Synopsis: Reversed
Obesity & Sleep Apnea Simultaneously
|
INTERPRETATION OF THE OVERNIGHT PULSE OXIMETRY TEST RESULTS
OF Dr. RK |
|
WHEN I LOST 40 POUNDS, MY BODY RESUMED
NORMAL WEIGHT.
My Body Mass Index (BMI) dropped to perfectly normal
value.
WHEN MY BODY RESUMED NORMAL WEIGHT, MY
SLEEP APNEA DISAPPEARED! |
As shown in the aforementioned table, when I was first
diagnosed with obstructive sleep apnea, my overnight pulse
oximtetry test done on 07-Feb-2015 showed that my desaturation
index was 22 events/hr. When I repeated the test on 07-Apr-2015,
my desaturation index went up to 28 events/hr, which means I
would soon be diagnosed with severe sleep apnea (if the
desaturation index is ≥ 30 events/hr, that indicates severe
sleep apnea).
With severe sleep apnea, I knew that I could
suffocate myself due to the blocked airway and could die in my sleep.
It could happen any time if I live with negligence. I
therefore took action and awakened the giant within myself. My
extensive reading and research suggested me that "I need to lose
weight fast." I was then committed to losing weight and
created my very own weight-loss diet incorporating daily
exercise (running on a treadmill every day). It was like an uphill battle.
It was exactly like fighting
against a devil because sleep apnea prevents weight loss. Even
if I went to gym and ran on a treadmill twice a day, the stubborn
fat refused to melt away for a long time.
But my further reading and research suggested me that I
needed to do some adjustments to my diet and lower the
calories being consumed from junk foods. I learned that when
calories being burned by my body are more than the calories
being consumed, I would lose weight. I then created a new
weight-loss diet, by making drastic changes to my diet by
incorporating whole foods only, and by removing all
processed foods and refined foods. As a result, my weight
started melting away day by day right in front of my eyes,
and I accomplished my weight loss goal.
After losing 40 pounds of weight and 12 inches around the waist,
naturally without ever using drugs or supplements, my weight
dropped from 190 pounds to 150 pounds, my Body Mass
Index (BMI) dropped from 30.5 (obese) to 24.1 (perfectly
normal). The Oxygen Desaturation Index (ODI) from an overnight
pulse oximetry test dropped from a high-risk 28 events/hr to a
stunning 0.6 event/hr in 22 months, and I completely
reversed my obstructive sleep apnea.
The CPAP therapy, being the best treatment
available currently, controls sleep apnea and keeps the SpO2
level (percentage saturation of blood oxygen level) and
desaturation index perfectly normal only
during the time you wear the CPAP machine correctly and use it
correctly. It is important to note here that CPAP therapy does not
heal, cure or reverse sleep apnea. But weight loss gradually
heals, cures and reverses obstructive
sleep apnea.
However I must watch my weight constantly and prevent it from
regaining through caution, care, self-discipline and willpower.
As long as I maintain the normal body weight, and maintain
normal body mass index (BMI), my obstructive sleep apnea should remain reversed
for the rest of my life.
|
WHAT IS CPAP THERAPY?
CPAP means “Continuous Positive Airway Pressure,”
which further means that the CPAP machine pumps air into
your throat, and helps maintain continuous, positive, very
low and comfortable air pressure in the airway of your
throat, keeps the airway open all the time, and stops
snoring whenever you sleep with it.
The CPAP machine has a mini compressor in it, which blows
air into the mouth and/or nose at a very low and comfortable
pressure, and keeps the airway always open by preventing the
soft tissue of the throat muscles from collapsing onto the
airway, thereby unblocking, abolishing snoring, shallow
breathing and oxygen desaturation events.
As long as you wear the CPAP machine during the night while
sleeping, the CPAP machine kills most apneas and hypopneas,
and keeps your AHI (Apnea Hypopnea Index) perfectly normal,
under 5.
As the airway remains always open, sufficient amount of air
passes into the lungs freely, and maintains normal blood
oxygen level (SpO2 = 96% to 99%) all the time during sleep.
You wake up in the morning fully satisfied with your sleep
and completely refreshed. You would not experience any
symptoms of obstructive sleep apnea such as tiredness, low
energy or lack of breath when you wake up in the morning.
As you sleep all the night with perfectly
normal SpO2 levels, your overall health
improves. If you take appropriate steps to
lose your excess body weight, your
obstructive sleep apnea will progressively
be healed and even reversed.
|
AMAZON REVIEW |
Jade
5.0 out
of 5 stars
Scientific Proof Exists on Reversing Obstructive Sleep Apnea!
Reviewed in the United States on February 2, 2021
Verified Purchase
This inspirational guidebook
provides us with the scientific proof that exists to reverse
sleep apnea. There are scientific journal publications
revealing the fact that sleep apnea can be reversed by losing
weight. Whether you are obese or overweight and diagnosed with
sleep apnea, you must refer to this book and I bet you will
certainly get inspired and benefited!
Dr. Gary Foster, a clinical psychologist and obesity
investigator, the former founder and director of the Center for
Obesity Research and Education at Temple University in
Philadelphia, Pennsylvania, USA where he was the Professor of
Medicine, Public Health and Psychology, published several
research papers confirming that the symptoms of obstructive
sleep apnea and the desaturation index (defined as the number of
sleep apnea events or episodes per hour) can significantly be
reduced among obese people by losing at least 10% of the body
weight. The more weight a sleep apnea patient loses, the more
effective and successful the reversal of obstructive sleep apnea
could be.
Dr. Erik Hemmingsson and Dr. Kari Johansson along with their
fellow-researchers of the Karolinska Institute, Sweden published
a paper in December 2009 in the British Medical Journal,
concluding that weight loss can definitely help cure moderate
sleep apnea and severe sleep apnea.
Dr. RK in this book “Reversing
Sleep Apnea: Proof that sleep Apnea Can be Reversed By Losing
Weight” provides us with the real time data of his weight loss
results and the procedures he developed and adopted on how to
lose weight fast and how to reverse sleep apnea by losing
weight. When he lost 40 pounds of his body weight, his body mass
index (BMI) was calculated to be perfectly normal. He reported
that when his body resumed perfectly normal weight, his
obstructive sleep apnea and other health disorders disappeared
once and for all.
|
|
Please visit "Reversing Obesity" website
here:
https://www.reversingsleepapnea.com/ebook2.html |
|
Go to the Top |
|
|
This Book Is Also Available on Amazon
|
To
Purchase "Reversing Sleep Apnea" on Amazon,
Click Below:
Kindle eBook has 396 pages with 69 Figures & 23 Tables.
Paperback has 194 pages with 69 Figures & 23 Tables.
Kindle eBook & Paperback
|
|
|
Go to the Top |
|
TESTIMONIALS |
|
TO WHOM IT MAY CONCERN
RE: Dr. Rao Konduru’s Publications:
Reversing Obesity
Reversing Sleep Apnea
Reversing Insomnia
Dr. Rao Konduru, PhD
is a patient of mine who has suffered from chronic diabetes for
most of his life. He also suffered from uncontrollable obesity,
sleep apnea and chronic insomnia for the past 3 to 4 years. He
has managed to reverse all of these conditions by taking
non-pharmacological and science-based natural measures with
great success. He has created 3 how-to user guides/books with
regard to how he achieved this, and I recommend these books for
anyone suffering from these conditions.
Sincerely,
Dr. Ali Ghahary, MD
Brentwood Medical Clinic
4567 Lougheed Hwy
Burnaby, British Columbia, Canada
|
|
Dear Rao,
I read your book this weekend and it is an
impressively comprehensive and extremely
well-documented review of the broad spectrum of
therapies available to treat and help relieve sleep
apnea. You are to be heartily congratulated on a
finely-researched and very practical work that will
be accessible and useful to a wide audience of
readers. I wish you every success.
Best regards,
Mr. Martin R. Hoke
President
The Creator and Owner of Navage.com
RhinoSystems, Inc.
Brooklyn Heights, OH-44131
USA
|
|
This book “Reversing Sleep Apnea” is the true story
of Dr. RK’s yet another victory, this time over
obstructive sleep apnea. We have read the book cover
to cover. We were blown away by its extremely
impressive contents, the breathtaking performance of
Dr. RK and by the successful results he achieved.
Obstructive Sleep Apnea is one of the most difficult
sleep disorders that can ever be reversed by anyone
in a lifetime. But Dr. RK did it in 22 months with
courage, wisdom, diligence and discipline. Perhaps
he is the only one in the entire world who did it to
this perfection. His extensive scientific research
experience and his powerful knowledge have helped
him battle and combat this dangerous life challenge,
and emerge a winner. This victory came along with
his glorious victory over obesity, for which we all
should be proud.
This book has all the information about therapies,
resources and research that every sleep apnea
patient, practicing doctor, nurse or technician
would ever need, in a quick glance. Grab your copy
sooner rather than later.
- Prime Publishing Co.
New Westminster, British Columbia, Canada
|
|
If you are suffering from obstructive sleep apnea, this
book “Reversing Sleep Apnea” ought to be your go-to
guide. After living with this disorder for 22 months,
Dr. RK invented a cure for his obstructive sleep apnea
by identifying and removing the root cause of it. It is
indeed the right way to do it.
I really appreciate the
time and effort he has put into explaining the
fundamentals of snoring, sleep apnea and various helpful
home-based therapies with easy-to-follow and
step-by-step instructions. More interestingly, he
teaches us how to know if a therapy is working or not.
A must-read book for anyone with sleep apnea!
- Ms. Muriel D'Souza, Advertising
Copywriter, Vancouver, British Columbia, Canada
|
|
|
|
Go to the Top |
LOOK
INSIDE THE BOOK
|
|
TABLE OF
CONTENTS
194 Pages, 69 Figures
& 23 Tables
|
CHAPTER
1 |
SLEEP APNEA
STATISTICS |
CHAPTER
2 |
SNORING AND SLEEP
APNEA |
CHAPTER
3 |
SLEEP APNEA
TREATMENT Section I
The CPAP Therapy & The CPAP Machine |
CHAPTER
4 |
SLEEP APNEA
TREATMENT Section II
ORAL APPLIANCES/MOUTHPIECES |
CHAPTER
5 |
SLEEP APNEA
TREATMENT Section III
Use of Breathing Strips |
CHAPTER
6 |
SLEEP APNEA
TREATMENT Section IV
Use of Nasal Sprays |
CHAPTER
7 |
SLEEP APNEA
TREATMENT Section V
POSITIONAL THERAPY |
CHAPTER
8 |
SLEEP APNEA
TREATMENT Section VI
NATURAL THERAPY: LifestyleChanges |
CHAPTER
9 |
SLEEP APNEA
TREATMENT Section VII
SURGICAL PROCEDURES |
CHAPTER
10 |
SLEEP APNEA
TREATMENT Section VIII
WEIGHT LOSS
REVERSES OBSTRUCTIVE
SLEEP APNEA (SCIENTIFIC PROOF EXISTS) |
CHAPTER
11 |
RECOMMENDATIONS ON
How to Reverse Obstructive Sleep Apnea |
|
|
|
Go to the Top |
|
CHAPTER 1
SLEEP APNEA STATISTICS
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 1 SLEEP APNEA STATISTICS |
11 |
Nearly
1 Billion People Worldwide Have Sleep
Apnea |
13 |
Star
Wars Actress “Carrie Fisher” Died from
Sleep Apnea |
13 |
Supreme
Court Justice “Antonin Scalia” Died in
His Sleep |
13 |
Statistics
Posted By ResMed |
14 |
Statistics
Posted By Men’s Health |
14 |
The
University of Wisconsin Statistical
Survey |
14 |
Sleep
Apnea Sufferers Caused Car Crashes |
14 |
Sleep
Apnea Sufferers Developed Diabetes |
14 |
Pregnant
Women Developed Gestational Diabetes |
14 |
A
Lot of Women Also Have Sleep Apnea |
15 |
Archives
of PHAC & Statistics Canada |
15 |
Statistical
Survey From 9523 Canadians |
15 |
Scientific
Study: Sleep Apnea Linked to Cancer |
16 |
The
University of California Statistical
Survey |
16 |
Statistics
Posted by ENT Medical Center |
17 |
5
Surprising Facts About Sleep Apnea |
17 |
Statistics
From Randomized Research Studies |
17 |
Mortality
Risk Doubled Among People with Sleep
Apnea |
18 |
REFERENCES |
19 |
|
1. Statistics Reported By NCBI, ResMed and Others
[1, 2, 3]
Nearly 1 Billion People Worldwide Have Sleep Apnea
Researchers
most recently analyzed prevalence studies from 16
countries, together with data from the World Health
Organization and United Nations World Population
Prospects, and concluded that “Nearly 1 Billion
People Worldwide Have Sleep Apnea.” The previous
estimation of 100 million by World Health
Organization in 2007 was proved to be false. The
current analyses included only people aged 30 to 69
years, which obviously means that
the real number could be a lot more than 1 billion
people.
China had the highest prevalence of obstructive
sleep apnea (OSA), followed by the United States,
Brazil and India. Pakistan, Russia, Nigeria,
Germany, France and Japan were also in the top 10
list. These numbers reflected the population size of
each country.
2.
Star Wars Actress “Carrie Fisher” Died from Sleep
Apnea in 2017
[4, 5]
The American Academy of Sleep Medicine (AASM) has
issued a warning emphasizing how dangerous sleep
apnea is after confirming the cause of death of the
60-year old Star Wars actress Carrie Fisher, who
died on December 27, 2017, as “severe sleep apnea.”
The doctors determined that the actress Carrie
Fisher died after suffering from “Untreated
Severe Sleep Apnea,” for a long time.
The word apnea means “breathing stopped.” When a
person suffers from obstructive sleep apnea, the
airway in the throat is either partly or fully
obstructed or blocked several times in an ongoing
manner throughout the night, thereby lowering the
oxygen concentration in the blood to below normal.
This sleep disturbance contributes itself to various
health consequences, including but not limited to
excessive daytime sleepiness, tiredness, fatigue,
heavy snoring, and non-refreshing sleep.
Obstructive
sleep apnea, when left untreated, increases the
risk of atherosclerotic heart disease (coronary
artery disease), heart attack, heart failure, high
blood pressure, type 2 diabetes, stroke, depression,
and other ailments.
|
|
Star Wars
Actress "Carrie Fisher" died from
Untreated Obstructive Sleep Apnea (OSA). |
Supreme
Court Justice “Honourable Antonin Scalia”
died in his
sleep when he forgot to hook himself up
to his CPAP
machine and slept without CPAP. |
3.
Supreme Court Justice “Antonin Scalia” Died in His
Sleep in 2016
[6, 7]
At the age of 79 on Feb 13, 2016, supreme court
justice “Honourable Antonin Scalia” died in his
sleep when he forgot to hook himself up to his CPAP
machine and slept without CPAP. Doctors figured out that justice Antonin Scalia has been living with numerous serious
health problems such as heart disease, type 2
diabetes and high blood pressure for years as a
consequence of obstructive sleep apnea. Justice
Antonin Scalia is one of an estimated 22 million
Americans who have sleep apnea.
There are very many other actors, athletes and
celebrities, around the world, living with and
battling sleep apnea.
Millions of men and women with sleep apnea are
unaware of the aforementioned serious risk factors,
and naively remain undiagnosed and untreated for a
long time. Many people don’t realize that with an
early diagnosis and appropriate treatment, the risk
factors and complications of sleep apnea can be
minimized and even reversed.
Obstructive sleep apnea is a common but serious
sleep disorder that repeatedly causes a person to
stop breathing during the sleep, thereby lowering
the oxygen saturation in the blood (SpO2 level)
significantly. The stress that sleep apnea causes on
heart and brain of a person can be so severe and
harmful that long-term health consequences could be
fatal, unbearable and dangerous, and could
eventually lead to death.
|
|
Go to the Top |
|
CHAPTER 2
SNORING AND SLEEP APNEA
|
|
TABLE OF CONTENTS
|
Page |
CHAPTER 2 SNORING AND SLEEP APNEA |
21 |
SNORING
EXPLAINED |
23 |
Causes of Snoring |
23 |
How Snoring Occurs? |
23 |
Treatment of Snoring
|
24 |
Difference Between Snoring & Sleep Apnea |
24 |
SLEEP
APNEA EXPLAINED |
25 |
Types of Sleep Apnea |
27 |
Symptoms of Sleep Apnea |
28 |
Causes of Sleep Apnea |
28 |
Risk Factors, Side Effects and
Complications |
30 |
Complications of Obesity |
30 |
Sleep Apnea Versus COPD |
31 |
Blood Oxygen Saturation (SpO2) |
33 |
Spot Check Oximeters |
34 |
The Principle of Pulse Oximeter |
35 |
Oxygen Desaturation Index (ODI) |
35 |
Apnea and Hypopnea Index (AHI) |
35 |
Oximeters for Continuous Monitoring |
36 |
Respironics Oximeter & Nonin Oximeter |
36 |
How to Use ResMed
ApneaLink™ Air Home Testing Device
|
38 |
How to Purchase A Pulse Oximeter from
Resellers? |
41 |
List of Resellers to Purchase A Pulse
Oximeter? |
43 |
|
|
VISITING
A SLEEP APNEA SPECIALIST |
47 |
Physical Examination & Diagnosis |
47 |
Polysomnogram Test for Sleep Apnea |
48 |
Is Polysomnogram Test Necessary? |
49 |
REFERENCES |
51 |
|
Snoring
Explained
[1, 2, 3, 4]
Not all people who snore have sleep
apnea, but almost all sleep apnea patients do snore.
Snoring affects all people including adults and
children. An estimated 10% to 12% of children snore.
Habitual snoring affects 24% of adult women and 40%
of adult men. The likelihood of snoring increases by
unhealthy lifestyles such as the smoking, alcohol,
sedatives and muscle relaxants if consumed a few
hours before going to bed.
CAUSES OF SNORING:
Snoring occurs when the flow of
inhaled air through the mouth and/or the nose is
physically obstructed. The obstruction of the
airflow through the nose and/or the mouth is caused
due to several factors such as:
a. Obstructed nasal airway,
b. Poor muscle tone in the throat and tongue,
c. Bulky throat tissue,
d. Long soft palate and/or uvula,
e. Large tonsils,
f. Unusually shaped or small mouth.
HOW SNORING OCCURS?
When you breathe, air is forced into the airway
through your nose, mouth and throat. If the airway
in your throat is restricted, several tissues such
as the soft palate (the back of the roof of the
mouth), uvula, tonsils, adenoids and tongue vibrate
against each other,
emitting the iconic, rather hoarse, harsh, rattling
or choking sound, called snoring.
In other words, snoring occurs
when the upper airway is partially blocked. It was
also determined that snoring occurs only during the
Non-REM sleep stage, meaning that it is impossible
to dream while you are snoring, as dreaming occurs
during REM stage of sleep.
|
Figure
2.1 Snoring diagram (upper airway opened & upper
airway partially closed). |
|
As shown in the figure below, the soft palate is the
muscles structure at the back of the roof of the
mouth.
The uvula is a small, finger-shaped piece of tissue
that hangs down
from the soft palate in the back of the throat.
Tonsils are balls of tissue in the throat. Tonsils
play a small role in helping your body defend
against and recover from the illnesses from which
you suffer. The tongue helps you talk, chew and
swallow. |
|
Figure 2.2 The soft palate, uvula, tonsils and
tongue vibrate together, emitting snoring. |
Go to the Top |
Sleep Apnea
Explained
[5, 6, 7]
Obstructive sleep apnea develops due to the
airway blockage in your throat, usually when
the soft tissue in the rear of the throat
relaxes too much and collapses during sleep.
When the muscles relax, your airway narrows
or closes as you breathe in, interrupting
the breathing process for 10 seconds or
longer, thereby lowering the blood oxygen
level (SpO2 level drops).
Obstructive sleep apnea is a common but serious
sleep disorder that repeatedly causes a person to
stop breathing during the sleep, thereby lowering
the oxygen saturation in the blood (SpO2 level)
significantly. The stress that sleep apnea causes on
heart and brain of a person can be so severe and
harmful that long-term health consequences could be
fatal, unbearable and dangerous, and could
eventually lead to death.
SYMPTOMS OF SLEEP
APNEA
[11, 12, 13, 14, 15, 16, 17,
18, 19, 20, 21, 22]
Table 2.2 Symptoms of sleep apnea.
Sleep apnea
develops due to airway blockage
in the throat, and causes low
blood-oxygen levels while
sleeping (SpO2 level falls below
normal), and affects the heart
and brain function either
moderately or severely, leading
to cognitive deficits. As a
result, a person with sleep
apnea feels some or all of the
following symptoms:
|
Loud
snoring, sudden gasping or a
choking sound during sleep
Observed
episodes of stopped breathing
during the sleep
Abrupt
awakenings accompanied by
gasping or choking
Night
sweats and frequent urination in
the night (Nocturia)
Waking
up suddenly, sometimes with a
racing heart and shortness of
breath
Waking
up with dry mouth
Waking
up tired because of insufficient
sleep
Tiredness
and exhaustion during the day
Drowsiness
and fatigue during the day
Poor
concentration, and
impairment
of intellectual capacity
Falling
asleep unexpectedly during the
day
Early
morning headache
Disoriented,
act grumpy, impatient, forgetful
and moody in the day
Difficulty
concentrating during the day,
poor performance at work
Sudden
mood changes, depression or
irritability
Decreased
libido, erectile dysfunction,
and/or impotence
High
blood pressure,
depression, memory loss, and
irritability
Weight
gain, obesity or heaviness
Falling
asleep while working, watching
television or even while driving
a vehicle
Did you know sleep apnea
sufferers caused (and are still
causing) car crashes? |
|
|
SLEEP APNEA
VERSUS COPD
[26, 27, 28, 29, 30]
While this book’s purpose is to teach all
about sleep apnea, this section talks about
COPD.
WHAT IS COPD?
COPD
stands for chronic obstructive pulmonary
disease. COPD is closely related to
cigarette exposure in those who smoke or
those who have secondhand exposure to smoke.
Long-term exposure to air pollution
(including smoke, dust, fumes and chemicals)
also causes COPD, and directly damages the
lungs.
COPD
causes permanent damage to the lungs and
worsen breathing day by day, and develops
airway obstruction.
A person with advanced COPD may be unable to
climb the stairs, and may not even cook.
They may need medications and supplementary
oxygen.
Obstructive
sleep apnea (OSA) occurs when the breathing
stops and starts repeatedly throughout the
night, thereby creating the episodes of
apneas and hypopnes. Chronic obstructive
pulmonary disease (COPD) is a group of lung
conditions that make breathing difficult by
blocking airflow in the lungs as the lungs
structure many have been seriously damaged.
These two conditions are different, but they
may occur together and worsen each other’s
symptoms. When OSA and COPD occur
simultaneously, overlap syndrome (OS)
develops. Many people suffer from overlap
syndrome (OS).
COPD STATISTICS
More
than 65 million people around the world have
moderate or severe COPD, and experts predict
that this number will continue to rise
worldwide over the next 50 years.
In
2015, 3.2 million people died from COPD
worldwide, an increase of 11.6% compared
with 1990. During that same time period, the
prevalence of COPD increased by 44.2% to
174.5 million individuals.
In
the United States alone, at least 16 million
adults have COPD.
The American Lung Association (ALA) thinks
there may be as many as 24 million American
adults living with COPD.
TYPES OF COPD
COPD is associated with two types (i)
Emphysema and (ii) Chronic Bronchitis.
Emphysema
damages the air sacs in the lungs and makes
them less efficient.
Chronic bronchitis
causes inflammation of the airways called
bronchial tubes, which can result in a
buildup of mucus.
SYMPTOMS OF COPD
Chronic
coughing with or without sputum
Wheezing:
Wheezing is a high-pitched whistling sound
made while breathing
It's often associated with difficulty
breathing and painful breathing
Constant
tiredness, fatigue, and lack of energy
Shortness
of breath (an inability to breath easily or
take a deep breath)
Frequent
respiratory infections
Rapid
heart beat
Reduced
mental alertness
TREATMENT OF COPD
Stop
smoking immediately
Use
CPAP therapy or BiPAP therapy every single
night
Never sleep without hooking up to
your CPAP or BiPAP machine
See next Chapter for the CPAP or BiPAP
therapy.
Use
supplemental oxygen and medications if
necessary
Work
out every day in the gym
Learn
and practice how to
boost exercise tolerance
Join
a pulmonary rehabilitation course
Do
breathing exercises daily to improve lungs
function
Practice
yoga and meditation focussing on breathing |
|
OXYGEN DESATURATION INDEX (ODI)
Oxygen Desaturation Index (ODI), or simply
called Desaturation Index,
is the number of times the SpO2 level drops
per hour by at least 4% (recently it was
reduced to 3%) and stays like that for at
least 10 seconds. [35] The ODI
is also measured in the sleep study
laboratories by carefully generating
diagnostic polysomnogram,
in which a sleep apnea
patient is hooked up with many sensors and
then the patient is asked to sleep
overnight.
Normal/Healthy SpO2 level at sea level
should be between 96% and 99%.
The severity of the sleep apnea is
determined from the reduction in the SpO2
levels, and the reductions are classified as
follows:
[37]
Table 2.7
Assessment
guidelines of sleep apnea using desaturation
index.
SpO2 Level |
Desaturation Index |
Assessment |
(%) |
(Events/hr) |
|
96% - 99% |
0 - 4 |
Normal |
90% - 95% |
5 - 14 |
Mild Sleep Apnea |
80% - 90% |
15 - 29 |
Moderate Sleep Apnea |
< 80% |
≥ 30 |
Severe Sleep Apnea |
|
SPOT CHECK OXIMETERS
Spot check
oximeters are used to monitor SpO2 level and
pulse rate instantly.
But they cannot
be used to monitor the Desaturation Index
for sleep apnea patients.
To monitor Desaturation Index, you need to
use an oximeter for continuous monitoring,
and you must do the "overnight pulse
oximetry text." |
|
|
SpO2 = 98%; Pulse Rate = 68 |
SpO2 = 97%; Pulse Rate = 84 |
Courtesy of 123CHECKUP.Com |
|
|
FINGER PULSE OXIMETERS FOR
CONTINUOUS MONITORING
Pulse oximeters are used to monitor the
severity of the sleep apnea (mild, moderate
or severe).
They monitor and record Desaturation Index
(events/hour) and the SpO2
level (minimum, mean & maximun).
LIST OF RESELLERS TO PURCHASE A PULSE
OXIMETER
This book
provides a list of resellers and teaches
how to purchase a pulse oximeter for continuous
monitoring, and
how to do
the "overnight pulse oximetry test" at home.
If you learn how to do the overnight pulse
oximetry test at home on your own,
you will be victorious in improving or
even reversing your obstructive sleep apnea.
|
|
|
Courtesy of Philips Resipironics
Respironics Pulse
Oximeter |
Courtesy of Nonin
Nonin Pulse Oximeter |
WARNING &
CAUTION ABOUT Wrist Pulse Oximeters
THE TRUTH ABOUT
WRIST PULSE OXIMETERS:
WRIST PULSE OXIMETERS ARE UNTRUSTWORTHY!
There are many Wrist Pulse Oximeters being
sold online for continuous monitoring.
Whether you suffer from sleep apnea or COPD,
by wearing this kind of device to your
wrist, you can do your own “overnight pulse
oximetry test” anytime you want without
depending on your sleep clinic doctors,
therapists, or CPAP vendors who can do the
test for you once a year.
It
would be wonderful if there is such a
comfortable mini device available
for such a low price ($100 to $200).
By self-monitoring frequently,
a patient can control and manage in an attempt
to improve or even reverse his/her sleep disorder.
However, before using this kind of Wrist
Pulse Oximeter, please test it
by comparing the result with that of a
high-precision oximeter,
and find out
if the Wrist Pulse Oximeter is reliable or not. It could generate
misleading results.
WARNING & CAUTION:
We have tested several Wrist Pulse Oximeters
by comparing the test result
(Desaturation Index) with that of a
high-precision Philips Respironics Pulse
Oximeter or Nonin Pulse Oximeter, and we
have determined that
the
Wrist Pulse Oximeter gives an error of 50%
to 70%,
and therefore it is unreliable and
untrustworthy.
So please be careful, and please always test the
device by comparing the Desaturation Index
with that of a high-precision oximeter, and make sure that the device is
reliable and trustworthy before using it for your sleep apnea
test, and for your sleep apnea progress. |
|
ResMed ApneaLink™ Air Home Sleep Testing
Device
MOST RECENT CONTINUOUS MONITORING DEVICE TO
DO THE
OVERNIGHT PULSE OXIMETRY DIAGNOSTIC TEST FOR
SLEEP APNEA |
Courtesy of ResMed
Figure 2.8
ResMed ApneaLink™ Air
Home Sleep Testing Device.
|
|
Courtesy of ResMed
Figure 2.9 A sleep apnea patient is
taking the overnight pulse oximetry test at
home
using
“ResMed ApneaLink™
Air” device.
This book will
teach you how to use this device correctly
and how to understand
the test results!
|
|
Read the remaining contents of Chapter 2 in the eBook
(PDF file) |
|
|
Go to the Top |
|
CHAPTER 3
Sleep Apnea
Treatment
Section-I
The CPAP Therapy & CPAP Machine
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 3 SLEEP APNEA TREATMENT
Section-I |
55 |
WHAT IS THE CPAP THERAPY? |
57 |
TYPES OF CPAP MACHINES |
59 |
WONDERFUL HEALTH BENEFITS OF THE CPAP
THERAPY |
60 |
ADAPING TO THE CPAP THERAPY: AN UPHILL
BATTLE! |
61 |
SIDE EFFECTS OF THE CPAP THERAPY |
61 |
DISADVANTAGES OF THE CPAP THERAPY |
62 |
CPAP MACHINES:
ResMed, Respironics & Fisher & Paykel |
63 |
CPAP MASKS: Full Face Masks & Nasal
Pillows Masks |
68 |
Important Tips On Nasal Pillows Masks |
70 |
HOW TO USE THE CONNECTOR (Swivel
Adapter)? |
71 |
REASONS OF AIR LEAKS |
72 |
CPAP AIR PRESSURE & RAMP PRESSURE |
72 |
HOW TO USE THE RESMED CPAP MACHINES |
73 |
(Everything On How to Use The CPAP
Machine & Mask) |
|
Overnight CPAP Performance Report & SD
Card |
85 |
Drawbacks of the CPAP |
85 |
ResMed's Myair Report |
86 |
Drawback of the ResMed's Myair Report |
86 |
How to Know If the CPAP Machine Is
Working or Not? |
86 |
How to Know If the CPAP Therapy Is
Working or Not? |
87 |
How to Know If Your Sleep Apnea Is
Improved or Worsened? |
87 |
AHI Versus OXYGEN DESATURATION INDEX |
88 |
Important Notes About the CPAP Therapy |
88 |
REFERENCES |
89 |
|
WHAT IS THE CPAP THERAPY?
CPAP means “Continuous Positive Airway
Pressure,”
which further means that the CPAP machine
pumps air into your throat, and helps
maintain continuous, positive, very low and
comfortable air pressure in the airway of
your throat, keeps the airway open all the
time, and stops snoring whenever you sleep
with it.
The CPAP machine has a mini compressor in
it, which blows air into the mouth and/or
nose at a very low and comfortable pressure,
and keeps the airway always open by
preventing the soft tissue of the throat
muscles from collapsing onto the airway,
thereby unblocking, abolishing snoring,
shallow breathing and oxygen desaturation
events.
As long as you wear the CPAP machine during
the night while sleeping, the CPAP machine
kills most apneas and hypopneas, and keeps
your AHI (Apnea Hypopnea Index) perfectly
normal, under 5.
As the airway remains always open,
sufficient amount of air passes into the
lungs freely, and maintains normal blood
oxygen level (SpO2 = 96% to 99%) all the
time during sleep. You wake up in the
morning fully satisfied with your sleep and
completely refreshed. You would not
experience any symptoms of obstructive sleep
apnea such as tiredness, low energy or lack
of breath when you wake up in the morning.
As you sleep all the night with perfectly
normal SpO2 levels, your overall health
improves. If you take appropriate steps to
lose your excess body weight, your
obstructive sleep apnea will progressively
be healed and even reversed.
CPAP was first invented by an “Australian
Professor Colin Sullivan” in 1980 when he
was a Senior Lecturer in Medicine at the
University of Sydney, and Honorary Physician
at the Royal Prince Alfred Hospital.
Continuous positive airway pressure (CPAP)
has since become “gold standard” treatment
for patients with obstructive sleep apnea
all over the world.
[1, 2, 3] |
|
|
Courtesy of ResMed
Figure 3.1 A sleep apnea patient
is sleeping with the ResMed CPAP machine. |
|
Courtesy of Philips Respironics
Figure 3.2 A sleep apnea patient is sleeping
with the Respironics CPAP machine. |
|
Courtesy
of ResMed
Figure 3.3 A sleep apnea patient is sleeping
with the ResMed CPAP machine. |
ADAPTING TO THE CPAP THERAPY WOULD BE AN
UPHILL BATTLE!
♦
Adapting and getting accustomed to the CPAP
therapy is a daunting and challenging task,
as very many people with sleep apnea most
commonly do not adhere to the recommended
method of the CPAP therapy. Up to 50% of the
people discontinue the use of the CPAP
machine in the first year, and look for an
oral appliance or mouthpiece because the
CPAP therapy in the beginning stage requires
a lot of patience, high self discipline and
high willpower.
PLEASE DO NOT GIVE UP THE CPAP THERAPY
ALWAYS REMEMBER that
the
CPAP therapy is the best treatment for obstructive
sleep apnea. No matter how severe your sleep apnea
is, whether it is mild, moderate or severe,
you can protect yourself from the unbearable and yet
dangerous symptoms of the obstructive sleep apnea,
and can live like a normal person by means of the
CPAP therapy. There is no other therapy that comes
even close to the CPAP therapy to treat obstructive
sleep apnea.
Most importantly, the
CPAP therapy maintains your SpO2 level and the
oxygen desaturation index (events per hour)
perfectly normal throughout the night as long as the
CPAP machine is working perfectly. There is no other
therapy or mouthpiece that can do you such a wonder.
Broken or defective CPAP machines look like working
by blowing air into the mask but generate weird
sleep report by the end of the night (some patients
do not even notice it). You therefore must be
vigilant, wise and knowledgeable, and should check
it every day, and make sure that your CPAP machine
is working perfectly and generating the sleep report
that makes sense.
Never sleep without hooking up to the CPAP
machine if you have sleep apnea. Be patient and
persistent, and please do not give up the CPAP
therapy by being frustrated due to the complexity of
using the CPAP machine. Learn how to use it with
confidence. With diligence, patience,
self-discipline and will power, you can get used to
the CPAP therapy. This guide will teach you
everything you need to get used to the CPAP therapy
and to master the topic. |
|
|
Courtesy of ResMed
Figure 3.4 The components of a typical CPAP
machine. |
|
Courtesy of ResMed
Figure 3.12 The front view of the ResMed
AirSense 10 CPAP Machine. |
|
Courtesy of ResMed
Figure 3.13 The front view of the ResMed
AirCurve 10 CPAP Machine. |
|
Courtesy of ResMed
Figure 3.18 How to access the Clinical Menu
/ Settings Menu. |
|
|
Go to the Top |
|
CHAPTER 4
Sleep Apnea
Treatment Section-II
Oral Appliances (Mouthpieces)
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 4 SLEEP APNEA TREATMENT
Section-II |
93 |
Oral Appliances or Mouthpieces |
95 |
Tongue Retaining Devices (TRDs) |
96 |
Mandibular Advancement Devices (MADs) |
96 |
Difference Between TDRs & MADs |
96 |
A LIST OF 41 ORAL APPLIANCES (FDA
Cleared) |
97 |
A LIST OF BEST ANTI-SNORING DIVICES
|
97 |
How to Know If This Treatment is Working
or not? |
98 |
How to Select An Appropriate Oral
Appliance? |
98 |
REFERENCES |
99 |
|
There are two types of
oral appliances:
a. Tongue Retaining Device
(TRD)
b.
Mandibular Advancement Device (MAD)
|
|
Tongue Retaining Device (TRD) |
Mandibular Advancement Device (MAD) |
This book provides you with a list of 41 Oral
Appliances (FDA Cleared),
and a list of best anti-snoring devices,
and teaches you how to select an appropriate
oral appliance.
You can research and find out a device that best
suits your sleep disorder.
You will also learn if the device is working or
not to improve your sleep disorder.
|
|
Go to the Top |
|
CHAPTER 5
Sleep Apnea
Treatment
Section-III
Use of Breathing Strips
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 5 SLEEP APNEA TREATMENT
Section-III |
101 |
Nasal Strips to Improve Breathing |
103 |
Breathe Right Strips |
103 |
Sleep Right Strips |
104 |
How to Know If This Treatment is Working
or not? |
105 |
REFERENCES |
107 |
Courtesy of SleepRight.Com
Figure 5.2 The pictures of
sleep right strips to treat mild sleep apnea.
Research proved that nasal strips instantly open and
enlarge your nose up to 38% so that
you would breathe in 38% more air, thereby improving
your SpO2 level
in order to treat and control mild sleep apnea.
This book teaches how to use those nasal strips to
improve your SpO2 level,
and how to know if this treatment is working or not.
|
|
|
Go to the Top |
|
CHAPTER 6
Sleep Apnea
Treatment
Section-IV
Use of Nasal Sprays
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 6 SLEEP APNEA TREATMENT
Section-IV |
109 |
Nasal Sprays to Improve Breathing |
111 |
Nasal Congestion & Sinus Infection |
111 |
General Treatment with Nasal Sprays |
111 |
Neti Pot |
112 |
Flonase Nasal Spray |
113 |
Obstructive Sleep Apnea in Children &
Adolescents |
113 |
Can Sleep Apnea in Children Be Treated |
113 |
By Using Nasal Sprays to Avoid
Surgery? |
|
Navage Nose Cleaner |
114 |
MyPurMist Handheld Steam Inhaler |
115 |
Other Nasal Sprays to Improve Breathing |
116 |
How to Know If This Treatment Is Working
or Not? |
118 |
REFERENCES |
119 |
Obstructive Sleep Apnea in
Children and Adolescents
[10] |
|
Obstructive sleep
apnea in babies, children and
adolescents is actually different than
the sleep apnea we find and experience
in adults.
While adults usually have tiredness and daytime sleepiness, children are
affected by allergy symptoms such as
noisy breathing, sneezing, runny nose
with clear mucus, itchy and watery eyes,
nasal congestion & sinus pressure.
Eventually some children develop
snoring, “Obstructive Sleep Apnea (OSA),”
and
behavioral problems.
Medications such as steroid nasal
sprays, saline nasal rinses, and allergy
medications, may help relieve mild sleep
apnea symptoms. These medications can
reduce airway constriction, and poor
tongue posture caused by constantly
breathing through the mouth. |
Figure 6.6 Allergy medications (OTCs) may help
relieve mild obstructive sleep apnea.
This book teaches how to use those nasal sprays to
prevent the nasal congestion,
and to improve the SpO2 level, and how to know if
this treatment is working or not.
|
|
|
Go to the Top |
|
CHAPTER 7
Sleep Apnea
Treatment
Section-V
POSITIONAL THERAPY: SIDE SLEEPING WORKS!
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 7 SLEEP APNEA TREATMENT
Section-V |
121 |
POSITIONAL THERAPY |
123 |
Four Sleeping Positions Explained |
123 |
Clinical Study-I |
123 |
Tennis Ball Technique for Side Sleeping |
123 |
Clinical Study-II |
124 |
Pros & Cons of the Positional Therapy |
124 |
Clinical Study-III and Clinical Study-IV |
124 |
Side Sleeping Positions Illustrated |
125 |
Side Sleeping Device-I |
127 |
Side Sleeping Device-II |
128 |
Raise the Head Side of Your Bed |
129 |
How to Know If This Treatment Is Working
or Not? |
130 |
REFERENCES |
131 |
Figure 7.9 Pictures showing “raise the head side of
your bed.”
This book teaches how to use a variety of sleeping
positions to prevent airway blockage,
and to improve the SpO2 level, and how to know if
this treatment is working or not.
|
|
|
Go to the Top |
|
CHAPTER 8
Sleep Apnea
Treatment
Section-VI
NATURAL THERAPY: Lifestyle Changes
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 8 SLEEP APNEA TREATMENT
Section-VI |
133 |
NATURAL THERAPY: LIFESTYLE CHANGES |
135 |
Quit Smoking |
135 |
Quit Drinking Alcohol |
136 |
Side-Sleeping |
137 |
Lose Excess Body Weight |
137 |
How to Know If This Treatment Is Working
or Not? |
137 |
FURTHER GUIDANCE |
138 |
REFERENCES |
139 |
|
Figure 8.1
Smoking is not only harmful to your
general health, but also intensifies
sleep apnea. |
|
Figure 8.2
Alcohol consumption not only ruins your
heart and liver, but also intensifies sleep apnea. |
This book teaches that by adopting lifestyle
changes, it is possible to treat and control
mild or moderate sleep apnea without using the CPAP
therapy. This book also teaches
how to improve the SpO2 level, and how to know if
this treatment is working or not.
|
|
|
Go to the Top |
|
CHAPTER 9
Sleep Apnea
Treatment
Section-VII Surgery & Surgical Procedures
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 9 SLEEP APNEA TREATMENT
Section-VII |
141 |
SURGICAL PROCEDURES |
141 |
OBSTRUCTIVE SLEEP APNEA IN CHILDREN |
143 |
Sleep Apnea Symptoms in Children |
143 |
Clinical Diagnosis of Obstructive Sleep
Apnea |
144 |
Tonsils, Adenoids, Tonsillectomy and
Adenoidectomy |
145 |
UPPP (Uvulopalatopharyngoplasty) |
146 |
The Pillar Procedure |
147 |
IMDO™ for Small Lower Jaw Surgery |
148 |
Hyoid Advancement Surgery |
149 |
Tongue Advancement Surgery |
149 |
Surgical Tracheostomy |
150 |
Inspire Implant Therapy for Sleep Apnea |
151 |
How to Know If Surgery Is Working or
Not? |
153 |
REFERENCES |
155 |
|
Sleep Apnea Symptoms in Children and
Adolescents |
♦
Noisy breathing,
hyperactivity,
snoring,
mouth breathing, coughing, headaches,
♦
Upper airway
infections, trouble falling asleep at
night, cessation of breathin,
♦
Restlessness, nightmares,
strange sleeping positions, sweating in
sleep, teeth grinding,
♦
Obesity, chronic
nose running, bedwetting, frequent
wakings at night, early rising,
♦
Poor performance in school, difficulty
concentrating,
failure to thrive. |
Figure 9. 1 Obstructive sleep apnea
in children.
SURGICAL TREATMENTS FOR
OBSTRUCTIVE SLEEP APNEA
Surgery must be the last resort if the airway
blockage is an issue deep in the throat. If the CPAP
therapy does not work, and neither do the other
alternative treatments, then and only then, a
patient may have to undergo an extensive surgical
procedure to have the airway opened in the throat in
order to re-establish normal SpO2 levels during
sleep. A surgical procedure at doctor’s clinic or in
a local hospital can be done to remove the excess
tissue in the mouth, throat, nose and in the lower
jaw. The purpose of this surgery is to remove the
excess soft tissue and to shrink or stiffen the soft
tissue that is hanging in the mouth, throat and nose
obstructing the inhaled and exhaled air.
TONSILS AND ADENOIDS:
Surgical removal of tonsils and adenoids is the
most commonly used procedure for pediatric
obstructive sleep apnea. Removing elongated
tonsils and adenoids could also improve the airway
in the throat, allowing more air to pass when you
inhale and exhale. With simple surgical procedures,
it is possible to remove tonsils and adenoids in
order to re-establish the normal Mean SpO2 level and
the normal Desaturation Index (events/hr) of a
pediatric obstructive sleep apnea patient (a child
or an adolescent). Outlined below briefly are the
most commonly used surgical procedures for
obstructive sleep apnea.
INSPIRE IMPLANTATION SURGERY
Courtesy of
Inspiresleep.com
|
Inspire is the
only FDA approved obstructive sleep apnea
treatment that works
inside your body to treat the root cause of
sleep apnea with just the click of a button.
It keeps your airway open with remote
control.
|
|
Courtesy of MetroHealth.org
[22]
Figure 9.6
Inspire Implantation Surgery (Upper Airway
Stimulation). |
|
Courtesy of InspireSleep.com
Figure 9.8 Simply click the remote to
turn Inspire on and to keep your airway
open. |
|
|
Go to the Top |
|
CHAPTER 10
Sleep Apnea
Treatment Section-VIII
Weight Loss
Reverses Obstructive Sleep Apnea
SCIENTIFIC PROOF EXISTS
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER
10 SLEEP APNEA TREATMENT Section VIII
WEIGHT LOSS
REVERSES OBSTRUCTIVE
SLEEP APNEA (SCIENTIFIC PROOF EXISTS) |
157
|
WEIGHT LOSS REVERSES OBSTRUCTIVE SLEEP
APNEA |
159 |
IMPORTANT JOURNAL PUBLICATIONS DISCUSSED |
159 |
Study Published by Dr. Gary Fisher, USA
|
159 |
Study Published by Karolinska Instituite,
Sweden |
160 |
|
|
HOW DR. RK REVERSED HIS OBSTRUCTIVE
SLEEP APNEA? |
161 |
SLEEP APNEA & WEIGHT LOSS JOURNAL OF Dr.
RK |
162 |
Using Weight-Loss Diet Level-I (2000
Calories) |
|
SLEEP APNEA & WEIGHT LOSS JOURNAL OF Dr.
RK |
165 |
Using Weight-Loss Diet Level-II (1000
Calories) |
|
|
|
PULSE OXIMETRY TEST RESULTS FOR OSA OF
Dr. RK |
166 |
INTERPRETATION OF THE OSA RESULTS OF Dr.
RK |
167 |
AUTHOR’S UPDATE |
168 |
REFERENCES |
169 |
|
RESEARCH WITH SEVERAL REAL-LIFE CASES
AND RANDOMIZED STUDIES
HAS PROVED THAT
WEIGHT LOSS CURES AND REVERSES
OBSTRUCTIVE SLEEP APNEA.
|
A scientific
research paper titled “A Randomized Study on
the Effect of Weight Loss on obstructive
sleep apnea Among Obese Patients With Type 2
Diabetes” is discussed in this book. The
randomized study investigated the effect of
weight loss on obstructive sleep apnea in
264 obese adults who were previously
diagnosed with obstructive sleep apnea and
also with type-2 diabetes. The average
weight of the people in the study was 224
pounds. They randomly divided the
participants into two groups. The first
group participated in the weight loss
program with portion-controlled diet and
exercise. The second group did not
participate in the weight loss program, but
received diabetes-management assistance.
After one year, the participants in the
first group lost an average weight of 24
pounds. But the second group maintained
almost the same weight. The research showed
that there was a significant reduction of
sleep apnea symptoms and severity of sleep
apnea among the participants of the first
group who lost 24 pounds. Their average
desaturation index was reduced from 23
events/hr to 13 events/hr. That means that
their sleep disorder switched from moderate
sleep apnea to mild sleep apnea, which is a
significant accomplishment towards curing
obstructive sleep apnea.
At the same time, the sleep apnea symptoms
worsened among the participants of the
second group who did not lose weight. |
AMAZON REVIEW: Reversing Sleep Apnea
|
Jade
5.0 out
of 5 stars
Scientific Proof Exists on Reversing Obstructive Sleep Apnea!
Reviewed in the United States on February 2, 2021
Verified Purchase
This inspirational guidebook
provides us with the scientific proof that exists to reverse
sleep apnea. There are scientific journal publications
revealing the fact that sleep apnea can be reversed by losing
weight. Whether you are obese or overweight and diagnosed with
sleep apnea, you must refer to this book and I bet you will
certainly get inspired and benefited!
Dr. Gary Foster, a clinical psychologist and obesity
investigator, the former founder and director of the Center for
Obesity Research and Education at Temple University in
Philadelphia, Pennsylvania, USA where he was the Professor of
Medicine, Public Health and Psychology, published several
research papers confirming that the symptoms of obstructive
sleep apnea and the desaturation index (defined as the number of
sleep apnea events or episodes per hour) can significantly be
reduced among obese people by losing at least 10% of the body
weight. The more weight a sleep apnea patient loses, the more
effective and successful the reversal of obstructive sleep apnea
could be.
Dr. Erik Hemmingsson and Dr. Kari Johansson along with their
fellow-researchers of the Karolinska Institute, Sweden published
a paper in December 2009 in the British Medical Journal,
concluding that weight loss can definitely help cure moderate
sleep apnea and severe sleep apnea.
Dr. RK in this book “Reversing
Sleep Apnea: Proof that sleep Apnea Can be Reversed By Losing
Weight” provides us with the real time data of his weight loss
results and the procedures he developed and adopted on how to
lose weight fast and how to reverse sleep apnea by losing
weight. When he lost 40 pounds of his body weight, his body mass
index (BMI) was calculated to be perfectly normal. He reported
that when his body resumed perfectly normal weight, his
obstructive sleep apnea and other health disorders disappeared
once and for all.
|
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Deanna Maio
5.0 out of 5 stars Impressively Comprehensive Sleep Apnea Book!
Reviewed in the United States on August 27, 2020
Verified Purchase
Scientists from Karolinska Institute, Sweden (a research-led
medical university in Solna within the Stockholm urban area of
Sweden) published a paper in Dec 2009 in the British Medical
Journal, concluding and revealing the scientific fact that
weight loss can definitely help cure moderate sleep apnea and
severe sleep apnea.
This book “Reversing Sleep Apnea” provides the very practical
proof that sleep apnea can be reversed by losing weight. The
author of this book Dr. RK provided all the real-time data on
how he successfully reversed his obstructive sleep apnea. He
reported that his Desaturation Index dropped from 28 events/hr
to 0.6 event/hour when he lost 40 pounds of his body weight, and
when he lowered his body mass index (BMI) to perfectly normal.
If you have any physical obstruction or blockage in your throat,
nose or mouth, it is not possible to fully reverse your sleep
apnea. However, depending on how much excess body weight you
have, you can always improve your Desaturation Index (number of
sleep apnea events/hour) by losing weight, and feel good. If you
developed obstruction sleep apnea caused due to excessive weight
gain, you can fully reverse your sleep apnea and lower your
Desaturation Index to normal by losing all that excess body
weight. There are many scientific papers revealing this fact.
This book discusses about those scientific publications.
This is the only book that has
everything a sleep apnea patient needs to learn and gain concept
regarding this dangerous sleep disorder. This book is very
resourceful and so every sleep apnea patient should benefit from
it by reading and understanding all the therapies so nicely
explained.
One of those therapies could suit your
disorder and could free you from sleep apnea, or improve your
sleep disorder. You need to try and stick to the therapy that
suits your body and your sleep disorder. |
|
|
|
Go to the Top |
|
CHAPTER 11
RECOMMENDATIONS ON
HOW TO REVERSE OBSTRUCTIVE SLEEP APNEA
|
|
TABLE OF
CONTENTS
|
Page |
CHAPTER 11 RECOMMENDATIONS |
171 |
Short List of Recommendations |
173 |
Master the "Terminology" of the Sleep
Apnea |
174 |
Learn How to Purchase & Use An Oximeter
Confidently |
176 |
Learn How to Do the "Overnight Pulse
Oximetry Test" |
176 |
Learn How to Understand the Test Results
Confidently |
176 |
Learn How to Use the CPAP Machine
Confidently |
176 |
Learn How to Minimize Wide Fluctuations
of SpO2 Level |
177 |
Learn How to Calculate Your Excess Body
Weight |
178 |
Learn How to Lose Weight Until Your BMI
Is Normal |
179 |
Weight-Loss Tips to Reverse Obstructive
Sleep Apnea |
181 |
FURTHER GUIDANCE |
182 |
|
|
About
The Author |
183 |
|
By following the
recommendations detailed in this Chapter 11,
you can either improve or even reverse your sleep
apnea.
|
|
Go to the Top |
|
|
REVIEWS
Link to Amazon:
https://www.amazon.com/dp/0973112026 |
AMAZON REVIEW: Reversing Sleep Apnea
|
|
Steve_M
5.0 out of 5 stars Impressively Comprehensive All-In-One Sleep
Apnea Guide!
Reviewed in the United States on June 13, 2021
Verified
Purchase
This book is awesome, well-organized, well-written, and filled
with interesting facts, anecdotes and worth-reading quotes and
paragraphs. Given below is a worth-reading paragraph:
Obesity is the major cause of obstructive sleep apnea. When a
person is overweight or obese, the fat cells infiltrate the neck
and throat tissues so they lose firmness and are more likely to
collapse on to the upper airway of the throat, thereby blocking
the airway. At the same time, the neck and chin become enlarged
and the airway becomes narrower. Too much weight gain also
compresses the chest and makes it difficult to inhale deeply and
freely. Sleep apnea statistics indicate that not only can
obesity cause obstructive sleep apnea (OSA), obstructive sleep
apnea (OSA) can also worsen obesity. Disrupted sleep due to
apneas causes the ghrelin level to go up, and leptin level to go
down. Leptin produces the feeling of satiety whereas ghrelin has
the opposite effect. When this happens, low leptin levels make
you eat more and as a result you gain weight. Weight gain and
obstructive sleep apnea go hand in hand.
If you are diagnosed with obstructive sleep apnea as a result of
severe weight gain, this book can save your life, and help you
reverse your obstructive sleep apnea in a matter of months if
not years.
Prescribe this book to your sleep apnea doctor, and tell your
doctor to read this book before he prescribes you and puts you
on CPAP therapy for decades, or until the end of your life. |
AMAZON REVIEW: Reversing Sleep Apnea
|
Wellness Books
5.0 out of 5 stars
Principal Guide for Sleep Apnea Sufferers!
Reviewed in Canada on March 4, 2020
Verified Purchase
I recommend this “Reversing Sleep Apnea” book to all sleep
apnea patients.
Dr. RK’S BOOKS ARE ALL MUST-READ HEALTH BOOKS: I have read
his intriguing book “Drinking Water Guide”. His book
“Permanent Diabetes Control” is wonderful. All his health
books are extremely impressive, extremely interesting,
extremely useful, and directly applicable to current-day
health problems that many people face today. I recommend
that both medical doctors and naturopathic doctors should
read these books, and benefit from the contents. All his
books are science-based and practical guides. His extensive
scientific research experience is clearly visible in these
books.
He teaches everything so nicely step-by-step by dividing the
book’s contents into many headings, sub-headings and
paragraphs so that a layperson can easily understand his
teachings. He always convinces the reader with logic by
making simple calculations that make sense. All his
teachings are science-based with simple mathematics and
attractive tables, showing the innovative experiments he
conducted at the comfort of his home on his own body,
resolving his own complex health issues with natural
methods, without ever using traditional prescription drugs
being prescribed by doctors. This book is no different.
I have read and enjoyed his
three well-written and well-organized books “Reversing
Obesity, Reversing Sleep Apnea, and Reversing Insomnia.”
These books are extremely useful to medical community.
All contents are directly applicable to my own health
problems I have been facing for years, and extremely useful.
I am now using his books and am sure these books will help
me controlling my weight gain, my mild sleep apnea and help
cure my insomnia (sleeplessness) as well. I offer my hearty
congratulations to the author Dr. RK. |
AMAZON REVIEW: Reversing Sleep Apnea
|
Rosie B.
5.0 out of 5 stars Lower
Your Oxygen Desaturation Index Using This Book!
Reviewed in the United Kingdom on October 13, 2021
Verified Purchase
This book has many treatment methods to relieve and reverse
obstructive sleep apnea, very beautifully explained in a very
convincing way with scientific details. Doctors don’t teach you
how to lower your Oxygen Desaturation Index (ODI), but this is
the only book that shows you everything about improving and
reversing obstructive sleep apnea (OSA).
Many people with type 2 diabetes are also likely to develop
sleep apnea, and the sleep apnea disease over time can lead to
type 2 diabetes. I have lowered my Oxygen Desaturation Index (ODI)
at least by 10 points by losing excess body weight exactly as
recommended in this book. This book is packed with colossal sums
of information to understand the fundamentals of sleep apnea
topic, and is quite accommodating, impressive and enjoyable. I
enjoyed the writer's methodology, well-researched and blended
with knowledgeable information in every chapter. Everything in
this book unquestionably makes sense and I found it useful in
all respects. I realized that this book indeed would be helpful
in every possible way to improve and reverse sleep apnea.
|
AMAZON REVIEW: Reversing Sleep Apnea
|
rajinder saini
5.0 out of 5 stars
This book is extremely helpful to cure my sleep apnea!
Reviewed in India on May 18, 2020
Verified Purchase
I have been living naively without taking proper care of my
sleep apnea. The sleep apnea doctors and CPAP vendors never
teach their patients on “how to reverse sleep apnea” but rather
keep their patients hooked up to the CPAP machine for the
lifetime. My doctor took overnight pulse oximetry test for me
many times, and he never discussed with me about the results. I
never understood those test results because I have been living
naively.
After reading this book, I
understood clearly what the Desaturation Index is, and what the
percentage oxygen saturation (SpO2) is. As recommended in this
book, I purchased the “wrist pulse oximeter for continuous
monitoring” online, and started doing my own “overnight pulse
oximetry test” once every few months.
After doing this
test overnight, early in the morning, I upload the data from my
wrist pulse oximeter to my computer, and the software installed
on my computer displays the test results on my computer such as
Desaturation Index, Mean SpO2, Lowest SpO2, Highest SpO2. By
comparing the previous test results with the current test
results, I can understand my sleep apnea progress.
When I lost close to 20 pounds, my
Desaturation Index decreased significantly but it is still not
normal (it is not yet under 5). I still have to lose a lot more
weight to lower my Desaturation Index to perfectly normal. I am
now feeling now a lot better than before. Since I don’t have any
blockage in my throat, nose or mouth, and as I have excess body
weight, I should be able to fully reverse my obstructive sleep
apnea. I am now inspired to fully reverse my sleep apnea, and I
will do it. Thanks to this wonderful and extremely useful book
“Reversing Sleep Apnea: Proof that Sleep Apnea Can be Reversed
by Losing Weight”.
|
|
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Radpaikr
5.0 out of 5 stars
Do-It-Yourself Sleep Apnea Guide!
Reviewed in India on June 10, 2021
Verified Purchase
After I read this book, I purchased a wrist pulse oximeter on
the Internet, I learned and
started doing my own overnight pulse oximeter test independently
at home without depending on sleep clinics in hospitals, CPAP
vendors, or doctors. By monitoring and record-keeping frequently
all by myself, I improved my mean SPO2 level and Desaturation
Index significantly simply by losing my excess body weight.
Even though I could not reverse my sleep apnea completely, I
feel a lot better than ever before. I am certain that this
comprehensive guide would help many sleep apnea patients. Thanks
to this wonderful Sleep Apnea Guide!
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Akash
5.0 out of 5 stars
Scientists said it is possible to reverse sleep apnea!
Reviewed in India on February 4, 2021
Verified Purchase
Very many people, and very many patients, including very many
doctors, think that sleep apnea can never be reversed. But this
book provides the valid scientific proof that obstructive sleep
apnea can be reversed by losing weight. There are scientific
journal publications. I have verified those publications as
discussed in Chapter 10. They are true publications. IT IS TRUE
that randamized research studies revealed the fact that both
severe sleep apnea and moderate sleep apnea can be reverse by
losing at least 10% of body weight.
This book “Reversing Sleep
Apnea: Proof that Sleep Apnea Can be Reversed By Losing Weight”
gives us the real data, weight loss results, and reversal of
sleep apnea results of a successful sleep apnea patient who
completely reversed his obstructive sleep apnea from its root
causes.
The recommendations presented in the last chapter of this book
are very important for all sleep apnea patients. All sleep apnea
patients must refer to this book.
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Sunil Chandel
5.0 out of 5 stars Covering
A to Z of Sleep Apnea Topic!
Reviewed in India on October 10, 2021
Verified Purchase
The individual who composed this remarkable book has done a
superb job indeed. I can easily imagine as my instinct tells me
that the author who composed this book must be a highly educated
individual who is trying to help sleep apnea victims. This book
could save your life like a miracle.
I will most likely refer this
book to all my family members and to all my friends who have
been suffering from dangerous sleep apnea disease for many years.
Energetic, dynamic and extremely helpful contents covering A to
Z of sleep apnea topic are in this guide. There is a unique
importance in the book that will assure you an unprecedented
cure for all those who suffer from chronic sleep apnea. This
guide will abolish and relieve all those underlying vicious
sleep apnea symptoms in a timely fashion. Much obliged to the
writer for giving the sleep apnea community such a wonderful
book.
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Good quality,
Totally satisfied!
5.0 out of 5
stars Extremely
Useful Book Indeed!
Reviewed in
India on 23 April 2023
Verified Purchase
I found this book extremely useful as it is the must-read-book
for every sleep apnea patient. What I learned from this book is:
“Reversing sleep apnea does not mean that sleep apnea is fully
wiped out.” Reversing sleep apnea means that the desaturation
index (number of sleep apnea events per hour) lowered
significantly when the sleep apnea patient lost his/her excess
body weight significantly.
When I lost my excess body weight significantly by using the
methods illustrated in this book, my desaturation index (number
of sleep apnea events per hour) lowered significantly switching
me from moderate sleep apnea to mild sleep apnea. Without this
book, I could not have achieved this reversal. If you have sleep
apnea, you must read and use this book!
|
|
AMAZON REVIEW: Reversing Sleep Apnea
|
RhinoSystems
5.0 out of 5 stars
EVERYTHING YOU EVER
WANTED TO KNOW ABOUT SLEEP APNEA - ALL IN ONE PLACE!
Reviewed in the United States
on November 26, 2018
This is an impressively comprehensive and extremely
well-documented review of the therapies available to
treat and help relieve sleep apnea. It is
well-researched and very practical, and it will be
accessible and useful to a wide audience of readers.
|
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Carolyn
Grigsby
5.0 out
of 5 stars
Well Written Book!
Reviewed in the
United States on December 13, 2019
Verified Purchase
Reversing Sleep Apnea is the book of that kind which am reading
for the very first time and this book makes me very clear about
this topic.
|
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Pam Barnes
5.0 out
of 5 stars
This book is very helpful!
Reviewed in the United States on December 13, 2019
Verified Purchase
This book contains a lot of valuable information that is very
useful to us. I enjoyed reading the book. The book has many
important points that I like a lot. |
|
AMAZON REVIEW: Reversing Sleep Apnea
|
Elizabeth Wiggins
5.0 out of 5 stars
Great Book !!!
Reviewed in the United States on October 18, 2019
Format: Kindle Edition
Verified Purchase
Really, this book
provides very good guidance about Reversing Sleep
Apnea. I express my sincere gratitude to have this
book. I learn so many new things from this book. If
you have been diagnosed with obstructive sleep apnea,
whether severe, moderate or mild, it is a life
challenge to deal with and battle with because of
the careless and unhealthy living habits you have
adopted. You have been eating out way too often, not
exercising enough, and have been adding pounds to
your weight. Obesity is the major cause of
obstructive sleep apnea. It is your responsibility
to accept this challenge, and take quick action
against this sleep disorder you have developed. If
you want to know about all these things then I think
this book will be best for you.
I think everyone
should read this book, that's why I highly refer
this book for everyone..!!!
|
|
Read More Reviews by Clicking Here!
|
|
|
Go to the Top |
|
|
This Book Is Also Available on Amazon
|
To
Purchase "Reversing Sleep Apnea" on Amazon,
Click Below:
Kindle eBook has 396 pages with 69 Figures & 23 Tables.
Paperback has 194 pages with 69 Figures & 23 Tables.
Kindle eBook & Paperback
|
|
|
Go to the Top |
|
Please visit, like and follow Facebook
page here:
|
Author's Other Publications
|
|
|
|
|
The author of this book titled “Reversing
Sleep Apnea” assumes no liability or responsibility
including, without limitation, incidental and consequential
damages, personal injury or wrongful death resulting from the
use of any treatment method presented in this book. Misusing the
sleep apnea treatment procedures with inexperience and
carelessness could lead to adverse side
effects. For example, the misuse of a fingure-pulse oximeter for the
overnight pulse oximetry test at home with carelessness could
lead to erroneous and misleading results. The misuse of CPAP
machine and mask without appropriate knowledge, caution and care
could develop air-leaks during the sleep. A reader should seek appropriate
medical advice when using the methods illustrated in this book.
All contents of this book are for educational purpose only and
do not in any way represent professional medical advice. |
|
|