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Re: sleep apnea From: Henry Gregor (henrygregor@yahoo.com) Mon Aug 14 17:11:03 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: OBGYN.net Newsletter: "Have you received your Menopause Basics 2006 CME yet?" Previous message: Joanne Bulley, MD: "Re: DepoProvera for vasomotory symptoms" In reply to: Joanne Bulley, MD: "Re: DepoProvera for vasomotory symptoms" Next in thread: Kokumo Oyakhire: "Re: DepoProvera for vasomotory symptoms" Agree. Since this thread began, I've been in touch with a friend who had sleep apnea. After not doing well on CPAP, he underwent a uvulopalatopharyngoplasty (fancy term for cutting out that soft thing that hangs down in the oropharynx, along with part of the soft palatte). He now has a nice arched appearance to his oropharynx. This had the desired effect of clearing his sleep apnea, and also of lowering his blood pressure, presumably from decreasing the chronic adrenal stress his hypoxia was creating. So, sleep disturbance is indeed a significant med issue. Let us know...dumb comment...I'm sure you'll let the list know, how the patient does. Hank "Joanne Bulley, MD" <islesannie@yahoo.com> wrote: Thanks, Hank. I agree with the fact that vasomotor symptoms are not just a nuisance for many women. Ye there are those wome for whom they are - but not most by any stretch of the imagination. There are numerous studies out there currently on the effect of sleep disruption on driving (more accidents / equal to 203 alcoholic beverages), increase risk of myocardial events / cognitive function / focus at work and depression to name a few. I did the research as the patient had brought in her women's magazine tidbit and I promised her I would get back to her ... so I did get my fingers in action and found the article. Joanne At Wed, 9 Aug 2006, Henry Gregor wrote: > >Interesting research JoAnne. I should have thought to do a search too, as for years one hears of progesterone used in women with histories of breast cancer, etc. However, I am a firm believer that hot flashes are not only a nuisance but can just about wreck quality of life. I also believe they can be life threatening too, and not something that is just said in jest....when someone's sleep disturbance is such that they get highway hypnosis just driving a few miles around town, there is a definite potential for serious injury. Sooo...I guess if an informed patient wanted to try this I would work with her, even though 400 mg does sound like quite a dose. Like you, I wonder how long, how often and I'm also wondering if lipid changes would be an issue for some patients that would bear close scrutiny. > > Hank > -- Joanne Bulley, MD Keene, NH, USA Everyone is raving about the all-new Yahoo! Mail Beta. Next message: OBGYN.net Newsletter: "Have you received your Menopause Basics 2006 CME yet?" Previous message: Joanne Bulley, MD: "Re: DepoProvera for vasomotory symptoms" In reply to: Joanne Bulley, MD: "Re: DepoProvera for vasomotory symptoms" Next in thread: Kokumo Oyakhire: "Re: DepoProvera for vasomotory symptoms"

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