Helena Schotland MD Tutorial Profile
gt;gt; I like to connect with people, I think that'spart of the appeal of being an internist and, you know, internal medicinesubspecialist is I like talking to people. I like hearing their stories,I like interacting with them and I like helping them feelbetter and achieve better health. A typical patient for us is someone whocomes in who says they're feeling tired, they may be snoring at night, they may wakeup gasping, they are tired during the day, it interferes with their ability to work andtheir ability to sort of enjoy themselves. They're often disrupting their bed partner'ssleep, that is a very typical patient for us.
My patient care philosophy is really I guessit centers on really listening to the patient, listening to what their needs are, what theyare able to do, what kind of approach they want to take rather than saying, you know,this is what I think you should do. I like telling them that they're here for myexpertise and they obviously should listen to what I have to say butultimately the decision is theirs, all I can do is offer them thebest information that I can and then they decide what's best for them.
Newingham on Sleep Apnea Newingham Dental Center Birmingham MI
Snoring and sleep apnea is a hot topic right now, a big area of research. It's growing. It's growing. I think we need to listen to what the research is telling us about how it's increasing our risk for heart attack and stroke, significant increases. So if you know a loved one that snores, usually we hear from the spouse, â€œYou need to do something about my husband. He's snoring.â€� First and foremost we recommend that you see your physician and go get a sleep study done. You need a sleep study done to see if there is, if it's just snoring or if it's sleep apnea.
If it is sleep apnea what kind of sleep apnea is it. Is it a central mediated sleep apnea where there is something in your body in your brain that tells you to stop breathing, or is it an airway problemé We can help if it's an airway problem. The best possible treatment oftentimes for our patients and the most conservative is to use a CPAP machine. Compliance is a major issue with that CPAP machine so sometimes patients are looking for alternatives.
Maybe they're considering surgery. We have another conservative option that is maybe the second best thing to the CPAP machine and that's an oral appliance that repositions your jaw forward to open the airway. It's analogous to when you are getting CPR training and they tilt the head back and tilt the chin. It's the same thing. When you're trying to open the airway so that you can breathe so you don't have those events at night where you stop breathing. We've seen their sleep apnea events be cut in half. We've seen their sleep apnea events be cut by 80%.
We never see them cut by 100%. The CPAP machine is probably the only thing that can do that, depending on the severity of the sleep apnea problem, but we have an oral appliance that significantly reduces your risk.