Do CPAPs Even Work for Sleep Apnea?

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SciShow

SciShow

26 күн бұрын

If you've been prescribed an expensive, cumbersome CPAP machine, you might want to know if it actually works. And while sleep doctors insist CPAP is the standard of care, out there in the real world, it's a little more complicated.
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Sources: drive.google.com/file/d/1rs49...

Пікірлер: 2 100
@SciShow
@SciShow 24 күн бұрын
Note: Upon upload this video had a misread of a line saying CPAPs are "Not much better than nothing" when the line was supposed to be "Much better than nothing." We've edited the video to remove that mistake!
@PTNLemay
@PTNLemay 24 күн бұрын
Props on that due diligence
@gautamdutta630
@gautamdutta630 24 күн бұрын
Deleting as replying to wrong comment
@LemurWhoSpoke
@LemurWhoSpoke 24 күн бұрын
Simpler solution than a CPAP: force yourself to sleep on your side and eliminate carbs from your diet. I heard a military story recently where snoring soldiers risked giving their position away to their enemies. The solution was to make them sleep with their heavy rucksacks on their backs. This prevented them from sleeping on their backs. FYI, it is unnatural for primates (including humans) to sleep on their backs. Pillows are the only reason we can do so. Most people don't realize that pillows are an unnecessary comfort/luxury. Not surprisingly, sleeping on your backs causes a lot of health problems. As for the carbs, that's another case where one of civilization's "great inventions" causes more harm than good. Aside from genetic and microbiome factors that help some people stay thin, carb consumption is the primary reason why people are overweight. Simple starches and sugars are not a normal part of a human diet. You shouldn't eat any at all. (This includes white rice, bread, etc.) If you're going to eat carbs, eat vegetables and fruits with high fiber content, like pears. So, in short, the best ways to prevent snoring and sleep apnea is to sleep on your side like a normal primate/human and stop eating the carbs that make us fat and unhealthy.
@dylangergutierrez
@dylangergutierrez 24 күн бұрын
Yikes; pretty big meaning shift from one extra word. I was genuinely surprised and confused when I heard this; gives the impression CPAP are snake oil or something
@susanfarley1332
@susanfarley1332 24 күн бұрын
Is there a surgery that can help sleep apnea?
@McMintyMP
@McMintyMP 24 күн бұрын
My sleep apnea was so bad the doctor seemed legitimately concerned about me dying and I was 29 at the time. I can't live without my CPAP it's the best thing ever.
@T0asty-
@T0asty- 24 күн бұрын
That's what my doctor said lol
@GTaichou
@GTaichou 24 күн бұрын
Same, I was told if it had gone unchecked for another 10 years I'd be stroking out and having heart attacks
@helenTW
@helenTW 24 күн бұрын
What was your AHI? I know someone who has an AHI of 65. I am glad you got to start the therapy before it did major damage. If you waited longer you could have developed type 2 diabetes, constantly high blood pressure, depression, coronary heart disease and heart failure. I am proud that you faced it head on and went to see a doctor. I'm happy for you!
@abbyz13
@abbyz13 24 күн бұрын
@@helenTWAHI is irrelevant to severity when it comes to health issues; people with mild apnea are just as at risk of heart problems as people with AHIs of 160/hr. the best option is always to use your CPAP.
@helenTW
@helenTW 24 күн бұрын
@@abbyz13 I was just curious and not referring to severity.
@MrCharkteeth
@MrCharkteeth 24 күн бұрын
CPAP is great because I can pull the covers over my head for extra cozy warmth in the cold dry winter while still getting fresh slightly-warmed humidity-controlled air.
@KyahTheAuthor
@KyahTheAuthor 23 күн бұрын
Yes sssniperwolf! I often wake up under the covers to hide from the sun 😅
@DonnaMilliron
@DonnaMilliron 23 күн бұрын
Exactly!! Not only has my life improved a thousand percent, but I can pull the overs over my head and block out the light while staying warmer too! I sleep longer and way better!!! 🫶🏻
@Verity2true
@Verity2true 22 күн бұрын
I do this too ❤ It's like a snorkel for in your bed haha 😂
@kellymahar6780
@kellymahar6780 22 күн бұрын
I have pet birds in my living room which is right next to my bedroom. So every morning, I put in ear plugs and put a pillow over my head so I can sleep in until 7am and I can still breathe, its great!
@drcatspaw
@drcatspaw 21 күн бұрын
Yeah, doing this is great.
@danicamargarit6832
@danicamargarit6832 22 күн бұрын
I've been with my husband for over 15 years...he's been snoring LOUDLY and choking in his sleep the entire time. He got diagnosed with OSA years ago, we got a cpap machine, and he never used it... until 6 months ago. He got dx with high blood pressure. I told him that he now MUST use the machine. I didn't care how uncomfortable it was. I got used to sleeping while pregnant and/or breastfeeding so he could get used to breathing all night with a mask. The difference has been INCREDIBLE. Not only is HE sleeping better, but I do too!!! I didn't even realize it, but I spent most of my night monitoring his breathing, kicking him when he didn't take a breath for over 10 seconds. We both sleep soundly now.
@uweschroeder
@uweschroeder 19 күн бұрын
If it's uncomfortable for him, he should try different masks. That's often the problem. He needs a mask that fits his sleep patterns like does he move a lot, is he a mouth breather etc. For me a simple nasal pillow works perfectly - but I'm neither a mouth breather nor do I move much (or at all) - so a nasal pillow stays in place. There's so many different masks out there, I bet he just has to find the one that works for him.
@vjr5261
@vjr5261 17 күн бұрын
Thank you
@rdj0981
@rdj0981 14 күн бұрын
Yes, you were existing, not actually resting or sleeping because of anxiety. I understand. Great that he's using it now. I've gone through a few masks throughout the years and have settled on a large. I'm 43, 6' 210lbs
@danicamargarit6832
@danicamargarit6832 14 күн бұрын
@uweschroeder he has the nasal pillows now and that's been the best one for him. He just gets annoyed with the hose and all that, but he can deal with it 😂
@danicamargarit6832
@danicamargarit6832 14 күн бұрын
@@rdj0981 💯 and it only got worse for me once we had kids because then I had mom-sleep mode activate. So then I was really just existing and not resting!
@cosumel
@cosumel 23 күн бұрын
I had undiagnosed apnea for decades. I almost died twice from seizures in my sleep. Now that I have a cpap, I don’t have to stay caffeinated all day just to stay awake, and don’t wake up a dozen times a night. Your mileage may vary, but it has been a huge improvement in my life. To put a fine point on it, before the cpap, I stopped breathing for at least ten seconds at a time 61.5 times per hour. After, it is 0.6 times per hour.
@AluminumHaste
@AluminumHaste 24 күн бұрын
I personally know 5 people who are on CPAP, and they ALL had their quality of sleep DRASTICALLY improved. One guy was so bad, he would fall asleep while on support calls, while waiting for peoples' routers to reboot. Since getting his CPAP he's back to normal.
@McMintyMP
@McMintyMP 24 күн бұрын
I used to regularly start falling asleep while driving most of my life. Got on a CPAP two years ago and I've gotten tired while driving once.
@Tim3.14
@Tim3.14 24 күн бұрын
My wife her parents and several aunts and uncles use them, and it's been life changing for all of them.
@dakkonfury
@dakkonfury 24 күн бұрын
Hey that’s me! Well not quite, but there was audio evidence of me providing tech support over the phone while 100% unconscious. And I did a good job according to my manager at the time. I’m now on a cpap and while I still have some episodes of sleepiness during the day my QoL is much better.
@wesleywalker4709
@wesleywalker4709 24 күн бұрын
I used to fall asleep driving all the time. I'd fall asleep at red lights. I'm surprised I wasn't killed prior to CPAP treatment.
@Fomites
@Fomites 24 күн бұрын
​@@dakkonfuryWow!
@thebadbuttonbespokecorsets7131
@thebadbuttonbespokecorsets7131 24 күн бұрын
My spouse has finally stopped snoring and it lowered blood pressure for us both. Him, because he's actually getting real sleep, and me, because his snoring was keeping me from sleeping.
@sherilynn1310
@sherilynn1310 24 күн бұрын
There's no question at all that the partner's sleep is improved. Unless, of course, both are on CPAP. Plus we got suckered into buying adjustable beds that constantly migrate away from each other. Sleeping is hell! Bespoke, stay healthy so that you don't need to add another hose to your bed!
@MazaB
@MazaB 23 күн бұрын
Yes for us too ! And also I used to be woken up when I couldn't hear him breathe 😞
@plantyfan
@plantyfan 23 күн бұрын
YES I second this for the spouse's snoring! It's also nice to no longer hear the pause in breathing and wonder if this is "it" for real 😱 If I never again experience the lack of breathing in my partner while he sleeps, it will be too soon.
@Kotapises
@Kotapises 18 күн бұрын
I don't have sleep apnea but still snore pretty bad, but my lovely boyfriend never complains and have gotten so used to it that he says it feels weird when he's sleeping alone and he doesn't hear my "sleep sounds" (His words, not mine!)
@bryonslatten3147
@bryonslatten3147 13 күн бұрын
OSA and snoring are different problems. CPAPs help with snoring but do not necessarily eliminate it.
@entercreativename
@entercreativename 19 күн бұрын
Nurse here! One of my earliest patients during nursing school was a gentleman who had sleep apnea. After losing almost 100 pounds (he did great on that!), he decided that he no longer needed his CPAP machine without having another sleep study. Problem was, by that point, even with the weight loss, his sleep apnea had worsened enough to have made his heart rhythm change to atrial fibrillation, which is where the first chamber of the heart just jiggles, and it can cause the blood in that chamber to clot, leading the clot to break off causing heart attacks, strokes, and the same in the lungs (known as pulmonary embolism). He unfortunately had that clot break off and landed in the hospital after a heart attack. So, for now, if you're someone who was told to use a CPAP, even with lifestyle changes and improvements, it's still good to get a follow-up sleep study to see what changes happened with the lifestyle improvements.
@Nino-xp5df
@Nino-xp5df 24 күн бұрын
My partner uses a CPAP and it has improved both our lives so much! I used to wake up because he practically stopped breathing, it was scary. Few years ago, he had to have some surgery and the anaesthesiologist asked a bunch of questions beforehand and basically urged him to get this checked out in a sleep laboratory. That's how we found out it was a rather severe issue. I'm forever grateful to that doctor for taking the time!
@4g4m3n0n
@4g4m3n0n 24 күн бұрын
I scored 97 events per hour when I got mine. I was falling asleep while driving, which was extremely dangerous. The change was instantaneous. I've been using it for a couple of years now and I don't care what any study can say, for me it's a life saver.
@harmonicaveronica
@harmonicaveronica 24 күн бұрын
I'm glad you got treated before anything terrible happened! My husband's best friend got in a really nasty wreck from falling asleep at the wheel due to untreated sleep apnea. He's lucky to be alive, let alone be able to walk. Also he couldn't see his dog for like 2 months because he was in the hospital and then a rehab center, and I think he loves that dog more than his mom lol
@deliaguzman1138
@deliaguzman1138 24 күн бұрын
Same for me. Driving and falling asleep on a daily basis-it ended when I got my CPAP.
@temporalTechnologist
@temporalTechnologist 24 күн бұрын
yeah i was having many events and also falling asleep while driving before i got my cpap. thank god i got it
@aerocarnie
@aerocarnie 24 күн бұрын
Holy moly! I'm on the "severe" end of the scale with 36 events per hour, which was more than any of the other patients I spoke to... until now! No wonder you were falling asleep at the wheel! Glad it's helped you so much! (I love mine, too!)
@jessebob325
@jessebob325 23 күн бұрын
My spouse had 70ish events per hour. CPAP took care of all that. She uses it religiously. She even has a battery backup for travel.
@miribmakesitbetter5269
@miribmakesitbetter5269 24 күн бұрын
I was diagnosed with OSA in 2016. You can pry my cpap out of my cold, dead hands. I don't even care that much about the long term health benefits, it fixed a symptom that had been attributed to my depression for 20 years -- lethargy, difficulty accomplishing things, which turned out to be caused by daytime sleepiness, not depression. I just last week had to do a new sleep study to qualify for insurance to pay for a new cpap machine. I slept without cpap for one night and was exhausted for almost a week. The sleep I got the night after that sleep study was heavenly. So even if cpap doesn't fix long term health issues it still makes a massive difference for me. I travel with it. I went camping last summer and bought a battery backup and a solar panel to recharge with for the camping trip. It's incredible. And yes it was annoying for the first week or two, and occasionally still is. But I get good, restful sleep that refreshes me, which is priceless.
@TiredKnitter
@TiredKnitter 19 күн бұрын
Same
@metallikat05
@metallikat05 21 күн бұрын
I had terrible apnea when I was 20. I finally got hired into my job and got insurance, got a sleep study, and a CPAP, and I got to feeling so much better. 20 years later, I could NEVER go without it.
@DbeeSapphire
@DbeeSapphire 21 күн бұрын
Using a CPAP with the Resmed AirFit P10 nasal pillows makes an amazing difference in comfort and non leakage for me. I also customized the strap using a thin tubular stretch material. This lessens the overwhelming feeling of too much apparatus on one’s head. And it comes in pretty colors 😊
@ArbitraryConstant
@ArbitraryConstant 24 күн бұрын
Anecdotal but after I got my CPAP I went from barely squeaking by at work, barely staying awake in the afternoons or in meetings, to completely crushing it. I got a promotion and an award for one of my projects. I also had neighbors that used to bang on the wall because I was snoring so loud and that stopped. I use it consistently and I really feel awful if I miss a night.
@sashamoore9691
@sashamoore9691 21 күн бұрын
Ur insurance will go up tremendously when u age! Sad but true
@Miata822
@Miata822 21 күн бұрын
Same story. Getting a decent night's sleep completely changed my attitude and attentiveness at work and in my personal relationships. 2 decades on and I am living a life I couldn't even imagine for myself pre-CPAP.
@WatchTowerJ
@WatchTowerJ 24 күн бұрын
Hi, Registered Polysomnographic Technician here. I found this video very insightful, but I will say I see a loooooooot of people that initially struggle with CPAP treatment. As the person directly running the studies and titrating the machines though I can tell the extreme improvement in sleep depth and consistency as well as the maintaining of oxygen levels at night. I have patients regularly desatting into the mid 70s to high 60s at night which is extremely dangerous to their overall health. I throw a CPAP machine on them and boom fixes it like nobodies business. They work! New mask technologies and CPAP machines also have dealt with the noise issues as well. Any CPAP you get at home medical now will be whisper quiet. It is well understood in the world that if you don't follow a treatment plan prescribed by your doctor you will have a worse outcome. If anyone reading this comment is having trouble getting used to their machine one effective way of acclimating to it is by trying it out while you are sitting at the couch watching TV or a movie. Let your body sit and relax with it in a low pressure environment. If you are still struggling, I would try a different mask, home medical companies are there to help you through your journey and making sure that the treatment is an effective one for you.
@goodguyaus
@goodguyaus 21 күн бұрын
Thank you for the work you do (& the tips)
@Aaron-ui9tj
@Aaron-ui9tj 20 күн бұрын
HME respiratory tech here, this is great advice. We spend a lot of time on our new CPAP setups, and this makes a huge difference in achieving adherence. Make sure you choose a well respected HME provider.
@cammystorm
@cammystorm 20 күн бұрын
Fellow Registered Polysomnography Technologist here and I approve of this message. 😊 For many of my patients who have anxiety with the CPAP, I have them watch a show that they love while wearing the device and after a bit, they do great! Their mind is taken off of their anxiety and their body can acclimate. This is while I do CPAP training with them. Also, I would suggest that people talk with their technologists the night of the study. Let us know if you are having trouble exhaling or the mask is pinching your nose. We often have solutions!
@kathrynmceachern9503
@kathrynmceachern9503 19 күн бұрын
My only struggle is a lack of access.
@amypetersen1668
@amypetersen1668 19 күн бұрын
Thank you for this answer. My dad uses a CPAP and it’s very quiet. He also doesn’t seem to have a full mask, more like a nasal cannula type thing. Hearing this is also comforting because my doctor is concerned I may have sleep apnea and says maybe we will schedule a sleep study for me. I actually have trouble falling asleep and I’m afraid a CPAP would keep me up. But if there are tips and tricks to make it work better for people that makes me feel better. But yes, my dad’s CPAP is very quiet, you would never know he has it on
@spudd86
@spudd86 24 күн бұрын
I actually like my CPAP. It made an immediate and massive difference in my sleep. I went from falling asleep all the time to functioning normally.
@anaisabelquiros1344
@anaisabelquiros1344 19 күн бұрын
Throat surgery is a better option than any machine. I had mine 5 years ago and my quality of sleep and life overall changed dramatically. You should do a follow up video on this.
@Eontologist
@Eontologist 24 күн бұрын
My CPAP has greatly improved my quality of life!! I have very severe OSA and putting the mask on/feeling the pressure has become part of my nightly wind down routine. It’s somehow very comforting/relaxing and I fall asleep so much faster now too which is wild!
@nickgjenkins
@nickgjenkins 24 күн бұрын
Yep. I've only missed one night in the last 5 years (my CPAP was lost by an airline... my own damn fault for checking it). That one night was HORRIFYING.
@DrRyguy24
@DrRyguy24 24 күн бұрын
Same for me. I would feel like crap without mine.
@EmilySmirleGURPS
@EmilySmirleGURPS 24 күн бұрын
I went to 100% usage on my first night. I apparently don't mind stuff being strapped to my head when I sleep, or something? As far as daytime sleepiness and function, I've got a significant improvement. Can't comment on anything else.
@greenyjess
@greenyjess 24 күн бұрын
Saaaaame. I can't really sleep at all without mine.
@Furryicecream
@Furryicecream 24 күн бұрын
With CPAP, I don't snore as loudly or erratically, allowing both myself and my partner a full night's sleep!
@gigaherz_
@gigaherz_ 24 күн бұрын
Whatever the case may be for the science. My friend was given one of these machines, and he's noticed a massive change in the quality of his sleep and his ability to focus while working.
@Iowapictures
@Iowapictures 24 күн бұрын
Mine works great.
@N1RKW
@N1RKW 24 күн бұрын
After starting using CPAP, I stopped falling asleep at the wheel in the middle of the day. I can't speak for anyone else, but it works well for me.
@FacePlantJan
@FacePlantJan 24 күн бұрын
​@@N1RKWI got used to slap myself across the face to stay awake. After two nights of use, I came home from work and went for a walk instead of falling asleep on the couch. Even if long term effects may not be solved by CPAP, my daily quality of life has improved immensely.
@skinned66
@skinned66 24 күн бұрын
First thing I noticed is I stopped waking up to go to the bathroom almost immediately. I still don't, and definitely sleep a lot better overall.
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
@@N1RKW When it works it works, the problem is that other options aren't typically provided for patients that can't make it work. I tried it for nearly 2 months and couldn't sleep with it in. The amount of pressure that was required to push my tongue out of the way was significant and it forced me onto my back due to none of the masks being appropriate for side sleepers. If I knew then what I know now, I would have demanded some other form of treatment. But, the only one that I was offered was some form of CPAP and it doesn't work for everybody and unless they specifically look at what's causing the airway to become blocked, it's just a guessing game.
@BeautifulMidniteRose
@BeautifulMidniteRose 18 күн бұрын
My spouse just started using a CPAP about three months ago. I deal with insomnia, so his constant snoring was making both of our sleep quality terrible. Him using his CPAP fixed this issue, and my insomnia has greatly reduced. I help him out by reminding him to put on his CPAP before he falls asleep, which has greatly help the effectiveness given his forgetfulness from ADHD. I've also noticed that he is much happier after work and has more energy. It's been a lifesaver in this household.
@tridoc99
@tridoc99 20 күн бұрын
I am a dentist and my wife is a dentist board certified in dental sleep medicine. This is a really great video, especially on your discussion of efficacy versus effectiveness as it applies to the two options. Nice work!
@polythewicked
@polythewicked 24 күн бұрын
My husband snored like a chainsaw and had so many episodes a night where I’d hear him choking for a moment. It took years to convince him to have a sleep study which showed he has severe sleep apnea. His CPAP has helped immensely.
@paulrector3299
@paulrector3299 24 күн бұрын
Anecdotally, my bipap makes a HUGE difference in my sleep quality and eliminates my sleepiness during the day.
@Kempeth
@Kempeth 22 күн бұрын
I have pretty severe OSA and over the years found out from numerous coworkers and acquaintances that they too were diagnosed and put on CPAP therapy. Aside from me and my father I have yet to meet anyone who uses the machine consistently for a full night's sleep. It's very obvious to me that there is a MASSIVE "compliance" problem in their application. At the same time, that 4+h / night counts as "adherent" seems absolutely bonkers to me. It doesn't surprise me at all that you would get mixed results when you use such a low bar. If someone told me "I am constantly tired and don't know why, I mean I do sleep a full 4 hours every night!" I would laugh them out of the room. (I know, because that actually happened.) I can't weigh in on their effectiveness with anything more than my personal anecdote: In my over 10 years of CPAP therapy I've slept like 3 nights without it, one was an overnight flight and the other two I forgot to bring it and swore I would never do that again. I am probably as close to the ideal CPAP patient as you can be. I took to it like a fish to water and am miserable without it. Obviously more research is always a good idea! And alternatives are always great! I just wanted to say that if you have OSA don't let other people's problems discourage you from giving it a shot. The machines have gotten a lot quieter over the years. New models no longer sound like Darth Vader, but fainter than a gentle Dyson fan. The 6 months between replacement parts seems also pretty excessive in my experience. Each of my machines has held up without fault for 4 years before being preemptively replaced by my healthcare provider (due to running over the 10k h mark). My biggest cause for parts replacement is my cat chewing on the tubes when I don't hide them well enough.
@jemm113
@jemm113 21 күн бұрын
I have to thank my orthodontist for averting my developing sleep apnea! I was discovered by a local dentist to have events at night. Thankfully at the same time my brother had discovered an orthodontist in New Port, CA that specialized in palatal expansion. After the many months getting it expanded, I had been getting perfect sleep! And I even started breathing primarily through my nose AND stopped breathing through my mouth at night which DRASTICALLY reduced my plaque buildup! Definitely get informed about all your options!
@geography_guy335
@geography_guy335 24 күн бұрын
Yes. The danger of sleep apnea isn't suffocation. It's the damage it does to your heart. With less oxygen coming into the body the heart has to work harder to keep your body oxygenated. After I started using mine I felt so much more rested and my blood pressure improved
@Fomites
@Fomites 24 күн бұрын
I think the apnea affects the brain more than heart.
@geography_guy335
@geography_guy335 24 күн бұрын
@@Fomites it's part of the same issue. The heart has to work harder to keep the body oxygenated. The body's cells are slowly suffocating, the brain included
@sagaravn1107
@sagaravn1107 24 күн бұрын
See, this is an issue I've been wondering about myself. When my body was struggling to get enough oxygen 54 times an hour, how can it not have been affecting my brain as well? Am I this low functioning because I have had stress breakdowns, or because there's loads of small areas that was damaged?
@mjinba07
@mjinba07 24 күн бұрын
The heart's been focused on but, of course, low blood oxygen will affect all the organs. Including blood pressure, and including the brain. It can absolutely impact mental clarity and mood.
@geography_guy335
@geography_guy335 24 күн бұрын
@@mjinba07 one weird thing that CPAP therapy has caused is my voice to change. I used to have a much more nasal speaking voice. Now it's more similar to my bass singing voice. My doctor said that chronic snoring can cause inflammation of tissues affecting the voice. Now that the inflammation has healed my voice is closer to what it should be
@aerathor
@aerathor 21 күн бұрын
Pulmonologist and CPAP user here - the biggest issue with the studies (particularly the SAVE trial that was touted as proof it didn't really work) is the adherence piece. As you'd noted it also depends on your definition of severity. Another piece you didn't really touch on is how hypoxemic people get overnight (which correlates with severity but not fully). The problem isn't the floppy airway per se but what it causes: 1) large swings in intrathoracic pressure which leads to changes in blood pressure, cardiac output, and heart rhythm control, and 2) low oxygen. We know from fairly good data that the machines are efficacious to help these problems. It's also hugely beneficial for sleepiness (as many commenters note). In studies the issues can be that many OSA patients have comorbid insomonia or other reasons to be sleepy. In people with an AHI>30 who are symptomatic (and especially hypoxemic) we have reasonable equipoise that it's effective. For people with an AHI 30 and no symptoms it's tricky. We'll usually still recommend it for the theoretical benefits but it's much murkier. AHI
@pirobot668beta
@pirobot668beta 23 күн бұрын
My sleep apnea 'vanished' a few months after I divorced and moved into my own place. Was it the decrease in stress? Did 'happy me' sleep better than 'grouchy me'? Turns out I was allergic to her skin-cream and hair-products. That was 8 years ago. Don't get me wrong: when I needed CPAP, it was a genuine life-saver! All I'm saying is that the causes of apnea are sometimes hard to determine. 4 sleep-studies, Doctors never asked about allergies...despite me mentioning that I got itchy eyes just before bed every night.
@xyzxyzxyzxyzxyzxyz
@xyzxyzxyzxyzxyzxyz 24 күн бұрын
Without CPAP, I have 50 breathing stops per hour. With, I have 4. Within a day, I stopped falling asleep at work or while sitting down. I lowered my blood pressure. My stress levels improved, heart variability improved. Life quality improved radically. I use my CPAP machine extensively and at every opportunity. It took some time to get used to, but now I won't try to sleep for a minute without it. I don't care that I get allergic reactions to the medical silicon in the face mask. I simply will not try to sleep without it. When I accidentally falls asleep without my mask, I will wake up jetlagged and stay in a really bad mood for several day. A CPAP machine is the signle greatest improvement for my life out of all modern inventions I know.
@crowsong8097
@crowsong8097 24 күн бұрын
You can get cotton covers for the silicone, and they are machine washable. I love those things.
@FlesHBoX
@FlesHBoX 24 күн бұрын
When I got my sleep study done, the technicians were scared for me. Apparently I had around 300 events per hour... I spent a tiny fraction of my sleep actually breathing, lol. Best thing that has ever happened for me was getting my cpap.
@DekarNL
@DekarNL 24 күн бұрын
There are antiallergic mask covers, foam masks, and ones that only go up your nostrils. Might be worth a shot.
@xyzxyzxyzxyzxyzxyz
@xyzxyzxyzxyzxyzxyz 24 күн бұрын
@@DekarNL thanks! I have tried a few my hospital provided that minimizes the amount of silicon, but they all still leave red marks and peeling skin around the nose. I have come to accept my fate. At least, I get to sleep. A lot of people don't have access to these machines. I have tried making cloth coverings, but my autism sensitivity issues are too much to handle with them. And the allergic reaction only seems to happen on dead skin. So once I have peeled off all the dead skin, there's no longer any reaction. So I'm basically constantly walking around with fresh baby-soft pinkish skin around my nose and cheeks. It really doesn't bother me any longer. I'm too old (and autistic) to be bothered by my appearance.
@Brockzillagaming
@Brockzillagaming 23 күн бұрын
​@@xyzxyzxyzxyzxyzxyzyou don't have to make your own, I bought mine on Amazon. Very inexpensive too.
@adrianmoss7515
@adrianmoss7515 24 күн бұрын
I can't overstate how much my wife's CPAP machine has helped her. But she DOES do what the doctors tell her and uses it for 8 hours a night. She's kept that up for some 5 years now and I'm so proud of her. Oh, and it costs her nothing, as we've got our NHS here in the UK (SFUUSA).
@KyleJMitchell
@KyleJMitchell 22 күн бұрын
Does the machine still need maintenance on the order of every six months as the video mentioned? Glad to hear that it doesn't cost anything in any case. The dream of an eventual American equivalent to the NHS is one of the things that keeps me going, so long as I don't think about the reality too much.
@rougesunset
@rougesunset 22 күн бұрын
Gotta buy distilled water though, yea?
@jessemanning5409
@jessemanning5409 22 күн бұрын
(SFUUSA) 🤣
@WarningStrangerDanger
@WarningStrangerDanger 21 күн бұрын
​@KyleJMitchell The US has the best available options in the world. With my insurance, I get everything for free and at a higher standard than anywhere else in the world. I know there are a lot of young people without insurance (I'm in my 30s) and blame the economy biased towards the old and well-established at the expense of the young. I've had both public and private healthcare. You will always get a faster, higher, standard of care from private over public.
@KyleJMitchell
@KyleJMitchell 21 күн бұрын
@@WarningStrangerDanger I'm glad you've been fortunate in the American system as it is currently. But because the standard of care you describe isn't available to literally everyone in the country, it's not a very good standard of care. I am not concerned whether it's great for you or for any one individual if it doesn't work (read: is inaccessible) for others; as being alive and healthy is a fundamental right of humanity, the fact that we lock even mediocre healthcare behind a paywall that many can't get past makes our system one of the worst possible. And if this situation is caused by the system being privatized, then that's the first aspect that needs to be thrown in the garbage and forgotten forever. Once you've expanded your perspective to include other people and the needs of society, I know you'll agree.
@y_fam_goeglyd
@y_fam_goeglyd 23 күн бұрын
My son has one (fortunately being in Britain, it was given to him). It's made a huge difference to him. One thing we quickly learned regarding keeping it clean if you're in a hard water area is to get deionised water. It's made a big difference in how clean it gets.
@P4Stalot
@P4Stalot 14 күн бұрын
What is deionized water, and how did you get it?
@alexisflory6496
@alexisflory6496 12 күн бұрын
​@@P4Stalotit's basically pure water. No minerals, neutral acidity. You can buy it at some grocery stores.
@yosemiteanemone4714
@yosemiteanemone4714 21 күн бұрын
Missing from this video (and the comments so far) is the Pillar procedure. It was tremendously effective for me. Best alternative to CPAP IMHO.
@batintheattic7293
@batintheattic7293 20 күн бұрын
Pillow procedure?
@itsROMPERS...
@itsROMPERS... 20 күн бұрын
Explaining it would be valuable.
@cammystorm
@cammystorm 20 күн бұрын
It is a surgery that places implants in the soft palate. It is only approved for mild to moderate sleep apnea. So anyone with an AHI over 30 would not qualify. Also, with any surgery, the ENT has to make sure it will help with the obstruction. It can be a great tool, but it only works for those who meet certain criteria. There are over 100 surgeries that can be done for sleep apnea.
@itsROMPERS...
@itsROMPERS... 20 күн бұрын
@@cammystorm wow, thanks! My doctor never even mentioned surgical options.
@SinisterMD
@SinisterMD 24 күн бұрын
As a primary care physician OSA is quite a bit more common than people think and once treated can have significant beneficial effects for the patients. There is even something referred to as a "CPAP high" when people who use it finally get a good night's sleep and feel fantastic the next day. Thanks for explaining the differences in the studies and why we see those.
@FacePlantJan
@FacePlantJan 24 күн бұрын
Turned out I averaged 85 breathing stops an hour during testing. After two nights on CPAP, I came home from work, looked at the nice weather and went for a walk instead of crashing onto my couch. CPAP High is real😂
@CheatOnlyDeath
@CheatOnlyDeath 24 күн бұрын
I occasionally have those great days, but most are not. And having a contraption on your face is not good for sleeping or your stress. And the efficacy is not great. I still have to sleep in a very particularly head position of I'll wake up gasping, in afib, chest pain etc. Doctors say that's normal.
@Echo81Rumple83
@Echo81Rumple83 24 күн бұрын
oh, baby, you have NO IDEA how high [elated with jubilation] i was when i saw the immediate benefit from it inna few nights. now if i can only get my bedtime routine and sleep hygiene ironed out to an exact science, but ADHD is a five-letter harsh mistress X3
@GaleneIanthe
@GaleneIanthe 24 күн бұрын
​@@FacePlantJan85?! Mine only averaged about 30 and my OSA was labeled "severe". And the CPAP high I felt was amazing. I can't even imagine the relief you must have felt from getting treatment!
@FacePlantJan
@FacePlantJan 24 күн бұрын
@@GaleneIanthe I'll make it better. The longest breathing stop was 48 seconds. So rough math, 85/hour= 1,5 each minute, and somewhere along the night I stop breathing for 48 seconds, and then I need to do another half breathing stop🤯 Pretty sure the CPAP is saving my life, even if it's just by preventing my car from hugging a tree because I fell asleep driving.
@MindlessFocus
@MindlessFocus 24 күн бұрын
My wife would not be here without one. Her apnea was at a dangerous level. With a CPAP. She does not snore at all.
@PotatoBVBQueen
@PotatoBVBQueen 23 күн бұрын
This was such a great video. My mom was prescribed a CPAP machine this year. I love that she will get better health and sleep better. I love learning about the CPAP machine since I will be around it at night.
@andreamiller3578
@andreamiller3578 20 күн бұрын
I was living with brain fog and couldn't stay awake. I was a danger to myaelf and others while driving. I was so exhausted and slept all the time but never got any rest because i stopped breathing over 100 times an hour. CPAP saved my life. It's truly amazing how much better i feel after a good night's rest.
@BreakChannelZero
@BreakChannelZero 24 күн бұрын
Mine literally keeps me alive. Been using one for most of my life.
@timbocf76
@timbocf76 24 күн бұрын
Same. I would be dead without my cpap
@-aku2805
@-aku2805 24 күн бұрын
To be honest, I was scared seeing the title of this video. But I'm relieved to hear that they do work when used correctly.
@-aku2805
@-aku2805 24 күн бұрын
My OSA is extremely severe and I would have been devastated to hear if my CPAP was doing nothing. I do feel the effects though - if I stop using it I feel very hungover and dry the next morning.
@ghoulia7657
@ghoulia7657 24 күн бұрын
It's verging on an irresponsible title. The participants didn't even follow the recommended guidelines of 4 hours a night.
@-aku2805
@-aku2805 24 күн бұрын
@@ghoulia7657 Yeah exactly. For a treatment to work, you actually have to use it. Who knew?
@ghoulia7657
@ghoulia7657 24 күн бұрын
@@-aku2805 Haha, right. I use mine 90-100% a night. I want to see this studied. There was a brief mention of the few who followed recommendations had better results. To me, that's the headline.
@daveh7720
@daveh7720 24 күн бұрын
Yeah, they turned that old trope of "If a headline asks a question, the answer is always NO" on its head.
@Kunabee
@Kunabee 24 күн бұрын
I'm Autistic with a lot of sensory issues, and my sleep quality got worse after using the CPAP. I couldn't fall asleep at all with it on, and I was avoiding going to bed. The doctor, "helpfully", just told me to not use it since my sleep apnea was mild enough. However, it has helped both of my parents sleep better.
@MagicDannyHypno
@MagicDannyHypno 23 күн бұрын
CPAP machine saved my life. i couldn't stay awake more than 5 mins sitting down.. went almost 2 year without a full night of uninterrupted sleep.. now i sleep great.. i honestly don't think i could live without it,.
@apriladams7119
@apriladams7119 24 күн бұрын
I don't ever want to go back to feeling the way I did before I got my CPAP. What a HUGE improvement it made.
@arfaust1150
@arfaust1150 24 күн бұрын
My husband's CPAP has greatly improved my quality of life!!
@RaquelFoster
@RaquelFoster 24 күн бұрын
Yeah, where's that study? As long as it keeps people from snoring, it keeps their partners from going crazy and murdering them!
@grantbaugh2773
@grantbaugh2773 22 күн бұрын
I haven't noticed much of an improvement since using my CPAP (despite using it regularly and for the full 8 hours) but my snoring has basically disappeared so that's a win. Plus now I'm used to sleeping with it so going without would be another difficult adjustment
@ashleyfwtx
@ashleyfwtx 18 күн бұрын
My husband has sleep apnea, which he only figured out because I noticed he would regularly stop breathing for several seconds at night and then gasp back into breathing. Home study didn’t show anything. We insisted on a lab study, which showed 40+ incidents an hour and oxygen sat levels in the 70’s. He’s had a CPAP for a few months now and it’s made a world of difference for both of us. He’s way less tired throughout the day. Incidents are down to one or two per hour. And I’m sleeping way better because he isn’t snoring.
@amylsmith
@amylsmith 23 күн бұрын
My husbands dad actually used one of the first iterations of a CPAP machine in Australia. It was essentially a modified vacuum cleaner. He unfortunately died young, but the technology has improved immensely since then.
@LemosNorway
@LemosNorway 24 күн бұрын
I've been using a CPAP machine for the past six months, and my life has completely changed. I'm much more awake now, my weight has gone down, and I can think more clearly. It's just awesome!
@buzzsaw64
@buzzsaw64 24 күн бұрын
And as your weight goes down you might not need to be on as high an air pressure for you CPAP
@michachyra3513
@michachyra3513 22 күн бұрын
​@@buzzsaw64 unlikely. Supposedly cutting weight by 10 kilos lowers ahi by half so unless they dropped 30 kilos(unlikely) or had low AHI, in which case it shouldn't be that major anyway and qualification for using CPAP is borderline.
@aleksanderlenartowicz5659
@aleksanderlenartowicz5659 24 күн бұрын
My CPAP is one of the best things that happened in my life. My apnea was horrible. 72 AHI. Saturation as low as 70% (YES! SEVENTY). Now I can live normally. I dont get sleepy. I dont have constant headaches. No grumpy "dont talk to me before my third coffee" attitude. I lost weight.
@aleksanderlenartowicz5659
@aleksanderlenartowicz5659 24 күн бұрын
It is REALLY hard to get used to though. Its loud, uncomfortable. But it works.
@BradiKal61
@BradiKal61 24 күн бұрын
I can't imagine anyone being instantly used to using a CPAP, but for me the secret is using the style that is just nasal, and also using a head strap to keep my jaw closed so I don't accidentally breathe in through my mouth. I put a towel on my headboard so when I run the hose over it it doesn't make a ratcheting sound if I move around and pull the hose in my sleep. Little tricks like that help you to adjust as you remove the annoying things one at a time.
@aleksanderlenartowicz5659
@aleksanderlenartowicz5659 24 күн бұрын
@@BradiKal61 i use the full face mask, it feels better and I sleep with earplugs which makes it very manageable
@TheTruePhoenixAU
@TheTruePhoenixAU 21 күн бұрын
Mine dropped consistently below 65 :p who needs oxygen anyway, so over rated :p Never drops below 90 now with a good APAP machine. I don't get why people wouldn't use them though. I know I bought a fairly expensive model but it's super quiet and after a few nights you don't even notice it. Plus you get a free extra carry on when travelling as they aren't allowed to store it in luggage as you can't afford for them to lose it. Down side is lugging it around the entire airport but still worth it.
@NickC84
@NickC84 21 күн бұрын
My saturation was as low as 64%!!!!!! I was like "Isn't that clinically hypoxic? Like... aren't I dying at that point?" they were like "It's transient so it would have to STAY like that but in general.. Yes". I was shocked.
@punchpineapple
@punchpineapple 24 күн бұрын
This coming into my feed the day after I did a sleep study. Good to know this for when I get my results.
@bigyeticane
@bigyeticane 23 күн бұрын
I have moderate sleep apnea and I use a CPAP machine every night that I can. For my part, I do appreciate the machine in theory. I no longer wake up having a panic attack anymore because my airway has become blocked and my brain wakes me up. But I also can't stay asleep for more than 3 hours at a time because the mask and hose bother me when I am sleeping. After you fall asleep, your jaw actually relaxes and slips down even lower than when you are relaxed and awake. This causes my mask seal to break, and air begins hissing in. Apparently when this happens, my sleeping self just takes the whole mask off and rolls over. I also have problems rolling over and pinching off the hose, or jerking the machine onto the floor by rolling too far. There are a LOT of factors to using a CPAP for different people. Thanks for mentioning the OAT device. I will ask my doctor. Thank you for the video too!
@sarastredulinsky4243
@sarastredulinsky4243 20 күн бұрын
I'd honestly recommend talking to your sleep technician if you have one about different mask/headgear options. If you don't breathe through your mouth much when you sleep then you might want to try a nasal or nasal pillow mask. Heck, even just another brand of full-face or hybrid mask might provide you with a better fit and seal! There's also head gear where the hose attached on a swivel at the top of the head, so turning over doesn't actually effect the hose position (though that might not help if you're rolling too far. How wide is your bed? Do you need a longer hose? I'm pretty sure my hose would stretch most of the way from one side of a queen-size mattress to the other.) I had an AirFit N30i for years and then swapped it for an F30i when I started having mouth-leak issues. I toss and turn a lot when I'm falling asleep and I never had trouble with hose tangling with the top-of-head attachment. There are a lot of different styles of masks/headgear out there, so I would absolutely recommend talking to a specialist about options that might better fit your sleep style before giving up on the CPAP!
@UndyingShadow83
@UndyingShadow83 24 күн бұрын
Yeah, as someone with severe OSA, CPAP therapy failed for me, THE FIRST TIME. I couldn't get it to fit right, it never got used for more than a few hours, and I abandoned it. When I was bone tired after 10-12 hours of sleep 10 years later, I tried again, and made myself FULLY commit. I now can't even sleep without it, it gets used 8 hours a night, and my life is so much better every day. Treatment compliance is a huge risk-factor in CPAP therapy and might explain why its so dang hard to draw conclusions on.
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
The fact that compliance is so hard to get ought to be a reason to offer patients other options. It takes the stress out of the equation, the CPAP doesn't have to work, because we have other options. From what I understand, it's mostly just severe cases that have to use CPAP, other cases may have better treatment options.
@michaelme1548
@michaelme1548 24 күн бұрын
My first overnight sleep study was a failure.They put the mask on me, along with the sensors, and I stayed awake all night. Whenever I would relax enough to forget what was on my face I would panic because something was on my face.
@Dietconsulting
@Dietconsulting 23 күн бұрын
​@@michaelme1548 I send people like you to a hypnotherapist to see if we can help you deal with the claustrophobia
@Verity2true
@Verity2true 22 күн бұрын
Thanks for your insight and congrats on trying again. I feel some cognitive therapy support and coaching for first time use would improve compliance rates. I think all the therapy I had before I was diagnosed with OSA helped immensely. I used acceptance therapy and frustration tolerance techniques to help me in the first few weeks. Now been using one for 3.5 years
@BadInfluenceMan
@BadInfluenceMan 21 күн бұрын
How did you overcome the headaches? To create enough pressure to keep my throat open, it also pushes against my sinuses, resulting for me in longer periods of trying to get to sleep and issues with said sleep quality as a result. Does anyone else have / had that issue, and if so, did you find a fix?
@algarcia689
@algarcia689 24 күн бұрын
I have severe sleep apnea along with a minor heart condition which shouldn’t be a problem without the apnea, before using CPAP I couldn’t even walk 20 minutes without suffering cardiac symptoms similar to a cardiovascular disease, and my cardiologist was of no use for almost 3 years, immediately after I started using my CPAP I felt better and with more energy than when I was in high school.
@darrenjurme7231
@darrenjurme7231 23 күн бұрын
Pithy, superb critique of the study designs, & ID’ing the needs in study designs now to make the data of more practical, clinical & personal utility. Nicely done.
@Commandamanda
@Commandamanda 20 күн бұрын
There's also a surgical procedure to remove parts of the throat that relax too much - a coworker had it done, and he reported getting better sleep the night after the surgery, even as he was healing from it. He described it as feeling like he'd had a tonsillectomy, but with really great results!
@lavender-hearts
@lavender-hearts 24 күн бұрын
I've had a CPAP machine for about a decade now. Regardless of whether it helps with my cardiovascular health and blood pressure, it MASSIVELY improves my quality of sleep. I leave it on for a full night each night, and even with my insomnia, it's still far easier to keep it on and when I eventually do get back to sleep, I don't have to worry about waking up (again) because I can't breathe
@eosborne6495
@eosborne6495 24 күн бұрын
It took a few months for me to be able to use my CPAP every night and keep it on all night. There really is a big learning curve. But once I got used to it, I started sleeping more deeply, feeling better during the day, having more energy at the gym, better mood, lower blood pressure… it’s absolutely life changing. If anybody out there is struggling with a CPAP or doubting whether it’s worth it, don’t give up.
@KeithCooper-Albuquerque
@KeithCooper-Albuquerque 22 күн бұрын
I have been using a CPAP since 2000. I can't sleep without it, but it did take a little time to get used to it. It has helped my quality of sleep immensely!
@yensid4294
@yensid4294 22 күн бұрын
I'm happy to see that you included oral appliance as an alternative but nothing about the new sleep apnea implants. Would love to know about those.
@MatthewMakesAU
@MatthewMakesAU 24 күн бұрын
Mine makes a massive difference
@amylynn5153
@amylynn5153 24 күн бұрын
When I had one I never slept so good before then.
@k7iq
@k7iq 24 күн бұрын
Mine too ! Been using for about 20 years now
@cherrymountains72
@cherrymountains72 24 күн бұрын
The difference is so great... no longer do I wake up with massive headaches and no longer am I tired throughout the day.
@artsytype
@artsytype 24 күн бұрын
Yes! They can work wonders for people!
@eosborne6495
@eosborne6495 24 күн бұрын
My takeaway from this is CPAPs only work if you use them, which is truly groundbreaking.
@RD-vf6nx
@RD-vf6nx 24 күн бұрын
I am very dependent on my CPAP. Couldn’t live without it.
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
That's potentially one of the issues that doesn't get talked about as much as it should. I don't know if it's been adequately settled what happens after years on CPAP if you decide to stop or don't have access to the medical care for continued use.
@FraserElphick
@FraserElphick 22 күн бұрын
PLEASE DONT LET THIS VIDEO PUT YOU OFF A CPAP OR PERSEVERING WITH IT! It changed my quality of life massively for the better! I couldn't get by without my CPAP! If I fall asleep without it im screwed the next day! I will struggle to work, with terrible brain fog and a pounding headache in the morning. I sleep with it with no issues all night. Typically 6-7 hours.
@georgedunkelberg5004
@georgedunkelberg5004 20 күн бұрын
AGREED! WAS MY USEABILITY JUST LUCK? ALSO HAVE SCIENCES' LIFE- LUCKS! HAPPY WITH VACS TOO AND THROUGH THE VIETNAM NAVY SERVICE TIMES.
@johnnystir9796
@johnnystir9796 21 күн бұрын
My CPAP has absolutely 100 percent helped me.
@MrIansmitchell
@MrIansmitchell 24 күн бұрын
There’s no inherent reason for oral appliance therapy to cost more than a CPAP machine. Anti-bruxism mouthguards cost under twenty dollars. The only reason OAT costs what it does is lack of price transparency and insulation from competition.
@blondecardsncrafts
@blondecardsncrafts 24 күн бұрын
I got the oral mouthpiece Joe Rogan recommends and it was only €36 euro. Works brilliantly for me and I was diagnosed with severe sleep apnea.
@Dan-Simms
@Dan-Simms 24 күн бұрын
Yeah I bet the cost to produce something like that is about $5
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
It's because you go through a dentist and they're made custom for the patient so that they get the jaw and tongue in just the right position. The nightguard that I wear was hundreds of dollars and I had to get a second one because I literally chewed through the first.
@starsINSPACE
@starsINSPACE 19 күн бұрын
The anti-bruxism night guards that cost 20 dollars or less are nowhere near the quality and usefulness of the more expensive ones made by dentists (mine cost 300USD). I've used cheap ones from the drug store and they hardly worked, although I suppose if your bruxism is very mild it might be okay. I had a lot better night guard that I sent away for after a self-made tooth impression. It cost 80 USD. That one was a big jump in quality. But the night guard from my dentist was way better. I do find it hard to wear any night guard though because I have very bad TMJ (jaw joint dysfunction and pain). Some people only have TMJ because of their bruxism. I have TMJ for other reasons so treating bruxism with a night guard doesn't work for me. I just have too much jaw pain.
@garthholden9885
@garthholden9885 24 күн бұрын
I have severe sleep apnea, and I can tell you that these machines are lifesavers.
@peppermintmoon7354
@peppermintmoon7354 23 күн бұрын
Thanks for talking about OAT. I didn't know this existed. I will definitely be asking my doc about this.
@bswd
@bswd 23 күн бұрын
There was a YT video a few years ago with some of the world's top strongmen (e.g. Brian Shaw, Eddie Hall) where they mentioned that they consider CPAP to be a "performance enhancing device" rather than a medically necessary tool. It doesn't just keep you alive, but it actually allows you to perform better the following day, both physically and mentally. That completely changed my mindset on CPAP from annoying to beneficial, and I now use CPAP 100% of the time when sleeping with great results.
@kpl-CA
@kpl-CA 7 күн бұрын
External ventilation is ABSOLUTELY a vital medical treatment. How ridiculous to base evaluation of Medical treatments on the ignorant opinions of Gym Bros. Gym bros are NOTORIOUS for stealing legitimate, vital MEDICAL treatments to abuse and misuse for their own selfish benefit. Some random Gym Bro using canned supplementary O2 is NOT an "expert" on Pulmonology or oxygen therapies for those with legitimate lung, heart & leukemia issues. And frankly, if some Gym Bro pretended to understand the complex, diverse MEDICAL NEEDS of millions, that simply reveals their ableism, ego & bigotry.
@droger1448
@droger1448 24 күн бұрын
As a RPSGT who has titrated 100s of patients with CPAP for 10+plus years I enjoyed this video.. I been watching SciShow for years and I'm happy that they made a video relevant to my life's work. I have so much input I would like to add.. but the main take away is that I have done sleep studies on before and after and for the most part.., leaving OSA untreated for years will be a huge detriment to your cardiovascular system. CPAP, in conjunction with weight loss, will help improve your quality of life for SURE
@mikecrawford7352
@mikecrawford7352 24 күн бұрын
My sleep study showed an AHI of 124. I have Complex Sleep Apnea. Obstructive and Central (Brain forgets to breathe) I’m mildly over weight. Since my diagnosis 10 years ago I have used my machine nightly, once I got used to it I fall asleep with it and wake up with it on. If I get out of bed I will put it back on when I return. I didn’t realize how bad I felt until I started to get proper sleep. Prior to my cpap diagnosis I never slept more than 3 hours because I felt 10 times worse if I did. I truly believe the cpap machine saved my life.
@BradiKal61
@BradiKal61 24 күн бұрын
Good for you! I can get why some people don't think they have much of an effect, but those of us who know the difference no they can be lifesavers!
@mikecrawford7352
@mikecrawford7352 24 күн бұрын
@@BradiKal61 nicely said. I think for the mild to some moderate sleep apnea people truthfully don’t understand how well they work. Cpap machines seem to be progressive in their effectiveness. In other words the more severe your symptoms are the greater the benefits are. Unfortunately the vast majority of people fall in the mild to moderate category there for the biggest voice are the ones that think its not worth it or benefit much from it
@chemiscool101
@chemiscool101 19 күн бұрын
I have struggled with OSA for years without knowing it. This year I was finally approved for a machine. I would have daytime fatigue so severe I would fall asleep sitting down, driving, or even typing on the computer. I didn’t wear it for a week due to a sinus infection and all the fatigue came back. Amazing how much this machine does for me.
@TerminusVox
@TerminusVox 20 күн бұрын
I've been using CPAP and now VPAP (where the V is for variable) for twenty years. I don't intentionally sleep without my machine. Before treatment I literally fell asleep in just about any circumstance where you might think sleep is impossible. My quality of life is measurably better. The machines are worth the cost.
@edgray4471
@edgray4471 24 күн бұрын
I love my CPAP and use all the time. Got a portable battery a month ago so I could take my CPAP and go camping first time in 10 years. Slept better camping than I ever did before.
@rhondahuggins9542
@rhondahuggins9542 24 күн бұрын
20 years on CPAP...I cannot sleep without it.
@sagaravn1107
@sagaravn1107 24 күн бұрын
Have you had any issues with your nose going dry through all these years?
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
@@sagaravn1107 You can get devices that will humidify or warm the air going through the machine if that's an issue.
@danmallery9142
@danmallery9142 23 күн бұрын
@@sagaravn1107 They have built in humidifiers. If you have a dry nose, increase the humidification. I have no issues and I live in AZ.
@georgedunkelberg5004
@georgedunkelberg5004 20 күн бұрын
@@sagaravn1107 ONLY SLIGHTLY UPON AWAKANING. USE DISTILLED $1BUCK/ GALLON STEAM DISTILLED! KEEPS ZERO MINERAL BUILDUPS.
@PicoriPi
@PicoriPi 18 күн бұрын
A year into APAP and I’m still tired as hell all day every day. Even so looking closely at my life it’s undeniable that it’s had a dramatic impact. All of the measurable metrics I can think of show clear improvement. Part of the issue for me and many others is that my sleep isn’t impacted by just the one condition so it can’t be solved by just the one treatment.
@AHumanMale
@AHumanMale 24 күн бұрын
Thanks!
@LarsSveen
@LarsSveen 24 күн бұрын
They may be overprescribed, especially for people with mild cases, but for some people (like me) they are a life-changer. I started to notice that I was having trouble functioning, focusing at work, staying awake while driving, etc. It was pretty scary. I honestly thought I might have to give up my license, since I had trouble driving for more than 15 minutes. I went to my doctor and was like "what the hell is wrong with me?" He sent me off for a sleep study and they were like "this is one of the worst cases we've ever seen." Once I started using a CPAP, I felt like a new person. It's been 10 years and on the rare occasion when I fall asleep without it (or forget it when I travel) I'm miserable.
@DianeRuotsalainen-ne8cr
@DianeRuotsalainen-ne8cr 24 күн бұрын
It is my impression that pap therapy is probably most acceptable and helpful for people with severe OSA (based on 29 years of cpap treatment).
@kevinwhite6176
@kevinwhite6176 24 күн бұрын
I have very mild OSA (probably more like UARS), like my AHI is 7 and I only have hypopnea events, and I was prescribed a CPAP. It ultimately didn't do much for me, except using the nasal pillows mask made me realize I could suddenly breathe, and led me to find out I have nasal valve collapse. That's where the part of your nose that is narrow between your fleshy nostrils and the rest of your nasal cavity, is too narrow and collapsed inward. for people I know who have much more severe OSA, the CPAP is amazing for them.
@LarsSveen
@LarsSveen 24 күн бұрын
@@kevinwhite6176 Perfect example. My AHI was over 100, so the CPAP was a big help for me.
@Laeiryn
@Laeiryn 24 күн бұрын
Sleep deprivation is one of those things where you don't notice your cognitive decline, just the literal inability to remain awake...
@eleksitia
@eleksitia 24 күн бұрын
my case is one where i don't notice *much* of a difference wearing a mask. But there is certainly *A* difference. (Edit: Aka its helping me sleep better some, but its not a huge difference in sleep quality) (when i first got my cpap machine i was just above the minimum levels of events per night required for my Medicare and Medicaid to cover it. Although the doctors wanted to give me one about a year prior to that. I just wasn't above the minimum events per night for insurance to cover it at that time.)
@massukka
@massukka 24 күн бұрын
When I got my CPAP-machine my life changed. Sleep apnea caused so many problems in my life: depression, self hate ("why am I not able to do all these things other ppl do?!") pain, and ofcourse tiredness and poor sleep. Now I'm totally fine with only 6hours of sleep when before even 12hours wasn't enough. My sleep apnea was pretty bad. Have to use it every time you sleep.
@TheCorgayArts
@TheCorgayArts 21 күн бұрын
Can confirm. My CPAP resupply company decided to just stop sending me stuff even tho I had insurance for it and a subscription service, due to a clerical error. They never called me, and while I waited for them to fix it, my equipment was not able to be used (since the nose pillows were beyond using). I started having more seizures, worsening anxiety, and I wasn't able to sleep properly so I was beyond tired. This was over a 4 month period. I have it back on again and following doctors orders and it is so much better.
@roberteskew7320
@roberteskew7320 23 күн бұрын
Love my CPAP. It saved my life! And I finally became stable and able to hold down a job.
@aceofspades3973
@aceofspades3973 24 күн бұрын
My understanding has always been that CPAP helps when you're using it, and only when you're using it. The way that it works is by forcing air into your airways, and it DOES do that, which is indeed helpful (and potentially life-saving for those with severe sleep apnea). But it doesn't actually solve the underlying problem of your airways naturally closing up in the first place. It's a treatment, not a cure.
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
Yes, and for some people that is a worthwhile trade off. However, I don't care if it is the "gold standard" of care, I deeply resent that when I had my sleep study done that nobody bothered to offer any other options or look at what was blocking the airway. Had they done that, I would likely have wound up with an OAT to hold my tongue in place out of the way of my airway and not the CPAP machine that I can't use because it won't let me sleep on my side due to the mask. Or, possibly something to keep me from sleeping on my back, which is another issue, for side sleepers, the sleep lab can come up with incorrect results as it's incredibly hard to fall asleep in a sleep lab on your side just due to all of the wires that are involved.
@marycarlson8837
@marycarlson8837 24 күн бұрын
@@SmallSpoonBrigade My sleep test was done in my own house. They don't have to actually have a person watching you - just a way to send the info to the computer. No wires, no weird stuff. You tape the thing on your hand. No, I don't know how it works. Ask about it.
@marycarlson8837
@marycarlson8837 24 күн бұрын
@@SmallSpoonBrigade Also, if you can find a way to put the machine at the head of your bed instead of the side, then you can sleep in any position you want. My breathing tube is quite long and I never feel constrained.
@SmallSpoonBrigade
@SmallSpoonBrigade 24 күн бұрын
@@marycarlson8837 That wasn't really an option, my bed didn't really have that option, it was specifically the mask that wouldn't allow me to sleep the way that I wanted to, I had plenty of hose. I did my sleep study at an actual sleep clinic because there were other possible issues with my sleep. They found the sleep apnea, but in hindsight it was because the wires forced me to sleep the way that I never do and the doctors came to the conclusion that it was sleep apnea, but couldn't be bothered to see what was actually blocking the airway. These days, I know that I have an abnormal sleep architecture that involves me being semi-awake while asleep and that I generally tend towards being burned out due to sensory overwhelm issues rather than the result of sleep apnea.
@batou1468
@batou1468 24 күн бұрын
your body needs good sleep and REM cycles. if you deprive your body from good sleep every day, it can lead to a million different physiological and mental issues long term. yes it is not a cure, but to say it only helps only when you are sleeping isn't very accurate either.
@manso306
@manso306 24 күн бұрын
I suffered from unrecognized OSA for a decade or more. My quality of sleep was so consitently bad that I didn't even recognize it was a problem; there was all-pervading exhaustion but I (and my doctors) thought it was just my psyche. Did countless hours of psychotherapy (mainly for "depression" of which I never knew where it came from), tried various medications, got diagnosed with ADHD, tried stimulant medication, and STILL I couldn't get my life in order. One night with my CPAP machine, and I felt basically cured. No more depressive episodes, can keep up with household chores, was able to finish an education, and recently started on my first full-time job. But I recognize that I'm lucky that my pressure-settings were suitable for my needs from the start, and I got a suitable mask and everything at the very beginning.
@georgedunkelberg5004
@georgedunkelberg5004 20 күн бұрын
MY LUCK WAS WITH SYSTEMIC PROVIDER ASSESMENTS, AND "TUNEINGS"!
@macbuff81
@macbuff81 23 күн бұрын
It's nice to see you recovered so well after your battle with cancer
@RadioFace360
@RadioFace360 21 күн бұрын
Both my parents use CPAPs and honestly we're all confident it saved thier lives since theyd both stop breathing during the night at multiple times, i very clearly remember being able to hear them snoring with all the bedroom doors closed when they got them and i no longer heard them i was shocked and had to start playing white noise since i wasn't used to quiet nights lol But in all seriousness im extremely grateful for the doctors and everyone else who made CPAPs possible 🙏
@GaleneIanthe
@GaleneIanthe 24 күн бұрын
I was diagnosed with severe OSA in 2022, and was recommended an APAP machine (which is just like CPAP except it will automatically adjust the air pressure depending on what you need as you change position throughout your sleep; it tends to be gentler on your airways so less chance of waking up with sore nose and throat). I adore it. My obstruction events are nearly non-existent when I wear it. I suffer from fatigue issues due to other health problems, but the difference in alertness and restfulness I've had since starting treatment for sleep apnea has made my life so much better. The morning after my first use, I realized I'd been waking up with some level of mild headache nearly every day for years because it was the first morning that I didn't. There is an adjustment period when you first start wearing it, because most of the different mask types don't feel comfortable. The best things you can do are to keep trying and to find other CPAP users you can talk to for support. Don't give up; it's so worth it once you get it to work for you!
@BradiKal61
@BradiKal61 24 күн бұрын
I totally agree with you! I used to wake up with headaches, which I attributed to caffeine, although they weren't. I also used to shred my sheets by kicking my legs during those periods when I was choking in my sleep. After over 10 years of using a CPAP that initial difficulty about waking up with it on my face is gone, but I do sympathize with people that are having trouble making the adjustment, because it just seems like it's never going to happen in those early days.
@cyclopsboi
@cyclopsboi 24 күн бұрын
been using my cpap daily for 10+ years without issue
@LordMerji
@LordMerji 22 күн бұрын
My CPAP is an absolute lifesaver. My sleep and daytime awakeness has improved so much since using it.
@thecraftycyborg9024
@thecraftycyborg9024 24 күн бұрын
I have moderate OSA but I also have Central Sleep Apnea, pulmonary fibrosis, and RAD, so I flunked CPAP spectacularly a few weeks ago. So I’m being fitted with a device called a ASV, a new form of ventilator that looks to be a fantastic option. I’m excited to get one and be able to breathe in my sleep.
@uweschroeder
@uweschroeder 19 күн бұрын
For CSA a ASV machine is a good option. You don't have a obstructive problem, you have a central nervous problem where your brain simply forgets to breathe. AS Ventilators force you to breathe. Good option for your problems, not much of an option for someone with a obstructive apnea issue.
@rudolphpyatt4833
@rudolphpyatt4833 24 күн бұрын
Mine absolutely makes a HUGE difference. I am so much better since CPAP treatment that I can’t overstate the difference.
@jslferrell
@jslferrell 23 күн бұрын
My husband has been a BiPap user for 20 years, at times with additional oxygen and/or humidity. I just started using an APaP and am grateful.
@thecompguy
@thecompguy 24 күн бұрын
Lots of crunchy data in that! Thanks Hank!
@jadedcatlady
@jadedcatlady 24 күн бұрын
I think mine helps. That, and the fact that it keeps me from super-loud snoring that disturbs my husband, means it’s essential for me!
@Whateverhasbeenmynameforyears
@Whateverhasbeenmynameforyears 24 күн бұрын
I don’t understand. I love my CPAP. It has tons of hidden silver linings. Like when the only comfortable place is fully under your covers but the air gets too hot and you can’t breathe under your covers anymore. Not a problem when you have a CPAP it gets the air from outside of your covers. When you have a cold and you can’t fall asleep because you have to breathe through your mouth CPAP let you breathe through your nose unless it’s really clogged. And it helped me acclimate to high altitude and I didn’t get altitude sickness for the first time. I honestly found the full face mask more comfortable and less stressful than the nose one. But I was very worried about trying it so don’t be afraid of the full face mask.
@FlesHBoX
@FlesHBoX 24 күн бұрын
ooh, I hadn't even thought about high altitude. This is good news, since next month I will be heading to CO for an event.
@RaquelFoster
@RaquelFoster 24 күн бұрын
I don't even snore and now I want one. Cuz who doesn't want to hide all the way under the covers now and then?
@riveramnell143
@riveramnell143 24 күн бұрын
I love being able to pull the covers over my face with my cpap. For me it’s because I’m light sensitive and if any light is showing, I can’t sleep. Also when I have migraines and the light hurts, I just bury myself. I have the full face mask too and at first I had dreams of an octopus being stuck to my face 😂. Now I’m used to it and love it but at first my brain didn’t know how to process it lol.
@Whateverhasbeenmynameforyears
@Whateverhasbeenmynameforyears 23 күн бұрын
@@riveramnell143 lol
@Domdrok
@Domdrok 24 күн бұрын
I have a VPAP, been using it 99% of nights for the past 8 years or so. Made a huge difference.
@thingsido6303
@thingsido6303 22 күн бұрын
I was tired all the time. My girlfriend at the time told me I needed a sleep study. Did the study and a week later I received my CPAP machine. I've been getting awesome sleep for over 10 years now! Love my CPAP and would be lost without it!
@user-xg3ne3fd8v
@user-xg3ne3fd8v 24 күн бұрын
Love the post-chemo curly hair and the bouncy adolescent energy, Hank! So glad to see you looking so healthy!
@mlmmt
@mlmmt 24 күн бұрын
As somebody who started using a CPAP a few months ago, it has made a massive difference in how well I sleep, and I would never even consider not using it!
@superbeefus
@superbeefus 18 күн бұрын
I was nearly asphyxiating every night. I felt like crap every day, and my bipap has actually helped improve my quality of life. I can't sleep without it now, and on the extremely rare occasions that I do, I feel like death for days after, and I remember what life was like pre-bipap.
@mblogger1948
@mblogger1948 24 күн бұрын
My mother has Severe OSA, her sleep analysis produced a result of 80 something of which normal criteria is 5, her symptoms were loud snoring, halted breathing patterns and most difficult one was irritable bladder which caused her to run to bathroom several times a night, since CPAP most of that was averted and she is not so sleepy during the day. Also i recently heard about this INSPIRE THERAPY, but don't know much about it.
@PoniesNSunshine
@PoniesNSunshine 24 күн бұрын
The cpap is great. The suggested cost of replacing all the functional parts every month is completely insane.
@DianeRuotsalainen-ne8cr
@DianeRuotsalainen-ne8cr 24 күн бұрын
Manufacturer hype aside, they don't have to be replaced until they don't work anymore
@catatonicbug7522
@catatonicbug7522 24 күн бұрын
Only the cushion (the part that seals air against your face) needs to be replaced monthly. The rest (tubing, headgear, water chamber) only need to be replaced quarterly. With insurance, it's not that expensive.
@eleksitia
@eleksitia 24 күн бұрын
@@catatonicbug7522 with my insurance (medicare + medicaid) it doesn't cost me anything.
@danmallery9142
@danmallery9142 23 күн бұрын
Totally agree. They charge my insurance over 125 bucks for my headgear. It is an elastic strap and some velcro. It shouldn't cost more than 5 bucks.
@sarastredulinsky4243
@sarastredulinsky4243 20 күн бұрын
@@catatonicbug7522 Monthly?? Quarterly??? I've been using my CPAP for 7 years and I've only ever gotten new headgear (never replaced the cushion/mask separately) ~yearly, usually when part of it broke. Only ever replaced the hose/water chamber when I got a whole new machine after my first started giving me 'exceeded motor life' warnings. Legitimately, if it ain't broke don't fix it. The manufacturers are clearly just trying to wring as much money as they can out of people.
@GeekmanCA
@GeekmanCA 24 күн бұрын
Well, here I go again disagreeing with the majority of commenters. I have mild-moderate sleep apnea and my year spent trying to use CPAP was a nightmare - the cure was almost as bad as the disease. I went through probably 5 different types of masks. I was lucky if I used it for more than 4 hour a night. It would take longer to fall asleep. And at the end of the day, I felt that for the huge investment I made, it wasn't making a huge difference. I ended up making a concerted effort to sleep on my side more often (instead of on my back), keeping adequately hydrated, and avoiding foods and drinks before bed that dehydrated me (ie: alcohol, sugary stuff). That alone made a huge difference and has increased my quality of life. I wish my primary care givers had made such basic suggestions before steering me towards a one-size-fits-most expensive device.
@jaredsynn9490
@jaredsynn9490 24 күн бұрын
If you haven't already, look into an oral appliance. I also found CPAP intolerable, but the appliance was vastly better for me. Hope you find a treatment that works for you!
@maccadole
@maccadole 24 күн бұрын
Yeah, if I'd only had the option of a standard CPAP I would've chucked it out the window. I switched to a BIPAP with a lot of specific settings available and have never looked back since. It's the best thing in the world. Perhaps if you'd had the chance to switch that could've been better fit for you as well.
@atomicvinylreviews3420
@atomicvinylreviews3420 24 күн бұрын
Same here... I tried for manny months, multiple masks aswell... but it genuinely made every attempt at sleep a torture session.
@blondecardsncrafts
@blondecardsncrafts 24 күн бұрын
Try the mouthpiece OAT. Works great for me, and I was diagnosed with severe sleep apnea. My issue was Aerophagia... I got terrible wind pain from the cpap machine and would wake up after 3 to 4 hours on it. Joe Rogan (on KZfaq) used a cpap machine and struggled on it, so he changed to a mouthpiece, and I got the type he recommended. Works brilliantly for me. Hope this helps ❤
@JohnBaran-kw5jf
@JohnBaran-kw5jf 24 күн бұрын
I had the same problems. I spent a lot of money on masks but none of them improved my CPAP experience. The replacement hoses were also ridiculously expensive. In the end I decided it wasn't worth the effort or the money. I agree that consistently sleeping on your side throughout the night makes a huge difference.
@saltpot
@saltpot 15 күн бұрын
Shout out to SciShow for covering the messy and complicated topics, even when it goes against the traditional knowledge and accepted conventions!
@frankmalenfant2828
@frankmalenfant2828 23 күн бұрын
I have been diagnosed with severe sleep apnea and it took me almost a year getting used to the machine and getting the right mask. The problem being that I have never slept on my back and am mostly unable to fall asleep in that position. Still! Once I had everything just right, my snoring stopped (my wife and I can finally share the same bedroom) and I was well rested after almost 2 hours less in bed instead of waking up all groggy. Needless to say that I wouldn't think of falling asleep without it or removing it during the night. When I do forget about it, a very bad quality of sleep will remind me about it quite soon. For me CPAP machines are a blessing.
@BlaineNay
@BlaineNay 24 күн бұрын
I've been using a CPAP for over 10 years now. The difference is astonishing. I used to wake up multiple times each night with my body full of adrenaline. My body would decide that the adrenaline was necessary to keep me alive and give me a shot. Then, it would take a couple of hours for the adrenaline to subside so i could get back to sleep. I simply wasn't getting the rest I needed -- a problem for an airline captain. With diagnosis of sleep apnea and religious all-night use of my CPAP, I now am fully alert all day long. No more drowsy driving, no more sleeping in church, and no more in-flight naps. I wish I'd done the sleep study 15 years earlier.
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