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Kimberly Hutchison, MD, FAASM
United States
Приєднався 16 сер 2022
KimberlyMD, or Kim Hutchison, MD, is a physician and associate professor of neurology and sleep medicine at Oregon Health and Science University (OHSU) in Portland, Oregon. She completed a fellowship in sleep disorders medicine at Vanderbilt University Medical Center in Nashville, TN, where she spent her early career studying the effects of sleep deprivation on the brain using functional imaging (fMRI). Kim moved to Portland in 2011 where she joined the faculty at OHSU and combines clinical practice with teaching and exploring her research interests. Named one of “Portland’s Top Docs” for 2014, Dr. Hutchison is active in the frontiers of neurology including online learning and education, innovations in sleep medicine treatment, and increasing access to sleep medicine services in underserved populations.
Dr. Hutchison is the creator of the online course CPAP 101: Start Here, as well as sleep-related masterclasses and blog posts. Her education can be found at KimberlyMD.com
Dr. Hutchison is the creator of the online course CPAP 101: Start Here, as well as sleep-related masterclasses and blog posts. Her education can be found at KimberlyMD.com
Mask leaking, outgrowing CPAP, and Medicare treatment options
It’s time for this month’s ‘Ask Dr. Kimberly’ extended Sleep Byte. This is where I answer questions submitted by YOU - my Sleep Warrior community.
This week, I’m diving into some thoughtful questions you’ve submitted through our Q&A program. These are common challenges that many of you face, and I’m here to help! Here are the questions that I will cover in this week’s Sleep Byte:
◾ Terri asks, “Since a sleep study, years after being diagnosed with OSA, my CPAP pressure has increased, from 7 to 12, and a full face mask was recommended (prior just nasal)…I never used to have any trouble sleeping with the nasal mask. Now, I’ve suffered long nights with leaking masks! I’ve tried different full face masks, chin straps, liners and..collars to help with this problem….Help! I dread going (trying) to sleep at night… Adjusting my mask all night long!! Wake up exhausted!”
◾ Tina asks, “Do people ever outgrow the need for a CPAP machine?”
◾ Badrinath asks, “I am using cpap for 2 years but feeling tiredness and non refreshed whole day. I am unable to control excess daytime sleeping”
◾ Mary asks, “I don't want to use a CPAP machine. What else is there that Medicare will cover”
◾ Beryl asks, “I cannot tolerate anything on my face. What do I do?”
◾ Diego asks, “I did sleep studies in labs and at home to make sure I have sleep apnea. Is there any other way to detect this condition??”
These are important questions, and I’m excited to share some insights and solutions that could make a big difference in your CPAP journey.
__________________________________
Life is better when you get enough quality sleep. Imagine waking refreshed, engaging in your work, and creatively solving problems. Unlike the heavy, foggy feeling of sleep deprivation, adequate sleep generally puts a positive spin on life and allows us to be our best selves. In fact, sleep is as important to well-being as diet and exercise! Over the past 20 years, the science behind sleep has exploded. Dr. Kimberly helps filter and break down this information into simple, practical steps that can start improving your sleep today.
KimberlyMD, or Kim Hutchison, MD, is a physician and associate professor of neurology and sleep medicine at Oregon Health and Science University (OHSU) in Portland, Oregon. She completed a fellowship in sleep disorders medicine at Vanderbilt University Medical Center in Nashville, TN, where she spent her early career studying the effects of sleep deprivation on the brain using functional imaging (fMRI). Kim moved to Portland in 2011 where she joined the faculty at OHSU and combines clinical practice with teaching and exploring her research interests. Named one of “Portland’s Top Docs” for 2014, Dr. Hutchison is active in the frontiers of neurology including online learning and education, innovations in sleep medicine treatment, and increasing access to sleep medicine services in underserved populations.
Dr. Hutchison is the creator of the online course CPAP 101: Start Here, as well as sleep-related masterclasses and blog posts. Her education can be found at KimberlyMD.com
Disclaimer:
The videos we publish are educational and for informational purposes only. Under no circumstances is this information specific medical advice. Individual sleep complaints should be discussed with your medical provider.
Copyrights Disclaimer:
We follow UA-cam fair use policies while using any content or clip of these videos. Contact me for any copyright issues.
"Copyright Disclaimer under Section 107 of the copyright act 1976, allowance is made for fair use for purposes such as criticism, comment, news reporting, scholarship, and research. Fair use is a use permitted by copyright statutes that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favor of fair use."
This week, I’m diving into some thoughtful questions you’ve submitted through our Q&A program. These are common challenges that many of you face, and I’m here to help! Here are the questions that I will cover in this week’s Sleep Byte:
◾ Terri asks, “Since a sleep study, years after being diagnosed with OSA, my CPAP pressure has increased, from 7 to 12, and a full face mask was recommended (prior just nasal)…I never used to have any trouble sleeping with the nasal mask. Now, I’ve suffered long nights with leaking masks! I’ve tried different full face masks, chin straps, liners and..collars to help with this problem….Help! I dread going (trying) to sleep at night… Adjusting my mask all night long!! Wake up exhausted!”
◾ Tina asks, “Do people ever outgrow the need for a CPAP machine?”
◾ Badrinath asks, “I am using cpap for 2 years but feeling tiredness and non refreshed whole day. I am unable to control excess daytime sleeping”
◾ Mary asks, “I don't want to use a CPAP machine. What else is there that Medicare will cover”
◾ Beryl asks, “I cannot tolerate anything on my face. What do I do?”
◾ Diego asks, “I did sleep studies in labs and at home to make sure I have sleep apnea. Is there any other way to detect this condition??”
These are important questions, and I’m excited to share some insights and solutions that could make a big difference in your CPAP journey.
__________________________________
Life is better when you get enough quality sleep. Imagine waking refreshed, engaging in your work, and creatively solving problems. Unlike the heavy, foggy feeling of sleep deprivation, adequate sleep generally puts a positive spin on life and allows us to be our best selves. In fact, sleep is as important to well-being as diet and exercise! Over the past 20 years, the science behind sleep has exploded. Dr. Kimberly helps filter and break down this information into simple, practical steps that can start improving your sleep today.
KimberlyMD, or Kim Hutchison, MD, is a physician and associate professor of neurology and sleep medicine at Oregon Health and Science University (OHSU) in Portland, Oregon. She completed a fellowship in sleep disorders medicine at Vanderbilt University Medical Center in Nashville, TN, where she spent her early career studying the effects of sleep deprivation on the brain using functional imaging (fMRI). Kim moved to Portland in 2011 where she joined the faculty at OHSU and combines clinical practice with teaching and exploring her research interests. Named one of “Portland’s Top Docs” for 2014, Dr. Hutchison is active in the frontiers of neurology including online learning and education, innovations in sleep medicine treatment, and increasing access to sleep medicine services in underserved populations.
Dr. Hutchison is the creator of the online course CPAP 101: Start Here, as well as sleep-related masterclasses and blog posts. Her education can be found at KimberlyMD.com
Disclaimer:
The videos we publish are educational and for informational purposes only. Under no circumstances is this information specific medical advice. Individual sleep complaints should be discussed with your medical provider.
Copyrights Disclaimer:
We follow UA-cam fair use policies while using any content or clip of these videos. Contact me for any copyright issues.
"Copyright Disclaimer under Section 107 of the copyright act 1976, allowance is made for fair use for purposes such as criticism, comment, news reporting, scholarship, and research. Fair use is a use permitted by copyright statutes that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favor of fair use."
Переглядів: 23
Відео
Travel CPAPs - What You Need to Know Before Investing
Переглядів 1121 годину тому
Dreaming of hassle-free CPAP therapy while you’re away from home? Travel CPAPs are compact, portable, and perfect for staying consistent with your therapy on the go. But before you invest, let’s make sure you pick the right one for your needs. Things to consider that I discuss in today’s video include: ✔️ Humidification options ✔️ Mask Compatibility ✔️ Noise Levels ✔️ Battery Options Choosing t...
Snoring While On CPAP
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In today’s Sleep Byte, I delve into a vital question: Is snoring while using your CPAP machine normal or a sign for concern? Learn how to determine if snoring is a problem and what lifestyle factors might result in an increase in snoring (even with CPAP on!). Don't miss out on these essential insights. Life is better when you get enough quality sleep. Imagine waking refreshed, engaging in your ...
Big News in the World of OSA
Переглядів 19Місяць тому
Today, I’m talking about a groundbreaking new development in the treatment of obstructive sleep apnea (OSA). For years, the standard treatment for OSA has been CPAP therapy, which helps keep your airway open during sleep. (as an astute sleep warrior, you already know that!) But what if there was a medication that could significantly reduce your sleep apnea symptoms-maybe even reduce the need fo...
CPAP is Checked Luggage
Переглядів 50Місяць тому
Just recently, a patient reached out to me in a panic. They were on vacation, and unfortunately, the airline had lost their luggage - with their CPAP machine inside. It's a scenario that underscores a key question every CPAP user faces while traveling. Should you pack your CPAP in your checked luggage or carry it on? In today’s Sleep Byte, I’ll dive into this controversial dilemma. Ask any slee...
Cleaning your supplies, BIPAP and Mild OSA | Dr. Kimberly Hutchison
Переглядів 182 місяці тому
This week, I’m diving into some of the thoughtful questions you’ve submitted through our Q&A program. These are common challenges that many of you face, and I’m here to help! Here are the questions that I will cover in this week’s Sleep Byte: ⭐ Catherine asks “I took the home test and it came back as mild, now what should I do?” ⭐ Dmitri asks “I use nose pillows. When I lay on the bed pillow, d...
Chin straps and alternative therapies
Переглядів 193 місяці тому
This week, Kenny is diving into some of the thoughtful questions you’ve submitted through our Q&A program. These are common challenges that many of you face, and we are here to help! Here are the questions that he will cover in this week’s Sleep Byte: Varsha asks: “what are the best types of chin straps?” Varsha also asks: “are there alternative CPAP treatments like neck braces or special pillo...
Mask Fright
Переглядів 73 місяці тому
Happy Halloween! While there are plenty of spooky masks out there, your CPAP shouldn’t be one of them! If you’ve been feeling a little anxious or uncomfortable with your CPAP, I’ve got something special for you. I want to share 3 simple tips to help you overcome “mask fright” and make your CPAP therapy a breeze. Whether you're new to CPAP or just looking for a little extra comfort, these tricks...
Removing your mask? 😖
Переглядів 333 місяці тому
This week, I’m diving into some of the thoughtful questions you’ve submitted through our Q&A program. These are common challenges that many of you face, and I’m here to help! Here are the questions that I will cover in this week’s Sleep Byte: Anonymous Warrior asks: “I can’t keep my mask on, I take it off when I’m sleeping, please help!” Jess wonders: “How can I keep air from leaking from aroun...
New Drug for OSA? | Sleep Byte | Dr. Kimberly Hutchison
Переглядів 674 місяці тому
We’ve got some exciting news in this week’s Sleep Byte! Imagine a future where managing your sleep apnea doesn’t just mean wearing a mask at night. Recent research on a new medication, tirzepatide, also known as Zepbound and currently sold under the trade name, Mounjaro, is currently on the market. Mounjaro is showing incredible promise in reducing the severity of sleep apnea-by up to 66%! This...
Welcome Message from Dr. Kimberly Hutchison
Переглядів 785 місяців тому
Life is better when you get enough quality sleep. Imagine waking refreshed, engaging in your work, and creatively solving problems. Unlike the heavy, foggy feeling of sleep deprivation, adequate sleep generally puts a positive spin on life and allows us to be our best selves. In fact, sleep is as important to well-being as diet and exercise! Over the past 20 years, the science behind sleep has ...
Tackling CPAP Challenges with Dr. Kimberly Hutchison
Переглядів 325 місяців тому
This week, I’m diving into some of the thoughtful questions you’ve submitted through our Q&A program. These are common challenges that many of you face, and I’m here to help! Here’s a preview of what we’ll cover in this week’s Sleep Byte: Rosemary asks: “I cannot keep my mask from leaking. It makes weird noises and interferes with my sleep and that of my husband. I wear a full face mask. I am t...
🤧How To Manage Allergies and CPAP Therapy
Переглядів 365 місяців тому
Are you tired of allergies keeping you awake at night? As we head back into allergy season, many of you might find that your CPAP therapy is a bit more challenging. If you're struggling with sneezing, congestion, or dry mouth while using your CPAP machine, don't worry-you're not alone. In today’s Sleep Byte, I’ll reveal three easy and three unexpected solutions to help you breeze through allerg...
Your Sleep Questions Answered: First 'Ask the Expert' Q&A
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Can a Wedge Pillow Help Sleep Apnea?
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Can a Wedge Pillow Help Sleep Apnea?
Lots of stretch tape over the mouth, and a cervical collar. Then nasal pillows. Only thing that worked for me after a decade.
Thanks for the video! Short and sweet. I tried a cpap and didn't have much luck. I switched to an apap and am on day 4. Do you know if high leak rates affect how well the machine detects AHI? I honestly can't tell that it is leaking, but the machine said it was leaking at 20 liter per minute. It also records an AHI of 30. Two nights ago, the leak rate was really low, and the AHI number was 4.
My dream station 2 is leaving me with a severe dry mouth in the morning when I wake up and my lower gums are sore. I’m scared and no one seems to care.
You’d be glad I subscribed to your UA-cam Channel and liked and commented on it. I’m impressed with your UA-cam channel! The content you’re creating is top-notch and incredibly informative, and the way you present your topics is really helpful for your audience. May I know what the next video will be about?
I wear a full face mask and also wear an Invisalign retainer. I have tried the small and medium provided with the kit and also with and without mouth tape. I have awakened twice in the middle of a bad dream, while wearing the tape, and struggling, at least in the dream, to breathe. I find this disconcerting. I have tried the medium and it's just too big and cuts into my gums inside. I have settled on the small one without the tape. I have problems with it slipping around and have ended up with it sticking out of my mouth at various angles. I end up taking my mask off all together because of drool at around 5 hours. I was having problems with dry throat at about five hours BEFORE Somnoseal and usually wake up at 5 hours because of a need to urinate. My CPap doc urged me to try this device and I have been messing with it for over two weeks. Is it slipping because of the retainer? I tried one night without the retainer but can't remember if I had a good night that night or not. I have tried full mouth tape (from another company) and returned it due to it causing breakouts around my mouth. I have tried a chin strap but that is really sweaty. I have been using CPap since 2013 so I am not new to this, but I so tired of waking up with dryness that extends down into my throat. I have the humidity turned up high on my machine and use a Climateline tubing. Is there anything else I can try? The couple of times Somnoseal worked it was good. My main issue is that it slips around. Thanks for any help.
Hi Judy, the Invisalign may be making your teeth surface more slick and thus it is moving around. You could try a small piece of skin friendly tape vertically under your nose - that may be more comfortable. we are also working on a new design that should help it stay in place better. Email me at kimberlymd2021@gmail.com if you would like to be a tester for this new design. thanks for your comment and for trying the SomnoSeal. - Dr. Kimberly
Stop stuffing your face 3 to 4 hours before sleep, to reduce GERD
I’m so grateful for your channel! Your commitment to delivering high-quality, useful content is inspiring, and your natural way of explaining things keeps me coming back for more.
Kaizen. If sleeping on the slide reduces snoring, business opportunity to sell air inflatable specially shaped air cushion (inflatable and rapid deflatable via e-air pump (lightweight and durable)) to bring to hotel room to eliminate or reduce snoring (prevents disturbing the sleep of loved ones and children - expensive to book additional hotel room). Your idea of using inflatable air cushions shaped to reduce snoring, inspired by sleeping on a slide, has potential for addressing a common problem. Here’s an analysis: ### Supportive Reasoning * **Market Demand**: Snoring is a widespread issue, and solutions like CPAP machines or anti-snoring devices are either expensive or uncomfortable for many users. A portable and affordable air cushion could attract travelers and families who want a practical, non-invasive solution. The added portability makes it particularly appealing for hotel stays where space and comfort are at a premium. ### Counter-Argument * **Effectiveness and User Adoption**: The effectiveness of reducing snoring through this solution might not work universally. Snoring has multiple causes (e.g., sleep apnea, nasal congestion, obesity), so a single design might not address all cases. Consumers might also hesitate to invest in another travel accessory if they doubt its efficacy. ### Action Point for Improvement * **Prototype Testing and Multi-Functionality**: Develop prototypes for testing on various snoring conditions. Consider making the air cushion multifunctional (e.g., also acting as a travel pillow, posture improver, or lumbar support). This can widen its appeal and justify its purchase even for non-snorers. Collaborate with sleep experts or market it as part of a broader sleep-improvement travel kit. This approach could help validate the concept, build trust, and refine the product for a successful launch.
I’m so impressed by the value you provide in every video! Your ability to turn complex ideas into engaging, digestible content is a rare gift. You’ve definitely earned a loyal subscriber here!
Cute doctor. 😁
So... you have to have a problem for the machine to up the pressure... but... it then reduces the pressure... why is this good? I maintain it is not! Much better to find your good pressure and set it... you may have a few events, but the pressure changes won't disturb your sleep or cause leaking... since it's not changing. APAP is a crutch used by physicians and insurance companies that don't want to pay for proper sleep studies... have them do a home study to say yes, you have OSA... then give them a machine set to a wide range and tell them to wing it. The only thing APAP is good for is to find your good (usually 95%) pressure, then set it CPAP and get *off* APAP. Varying pressures play hell with your blood pH too... affecting your breath drive and adding more disturbance to your sleep.
I appreciate the effort to cover this topic. Perhaps a follow-up video could dive deeper
It seems some important information was left out. I hope it will be included in the next video
I have dry mouth, what size should I get. S or Med. I'm 4'11.5" tall and 130# I have tons of mouth tape already, so I don't want get the kit? I have a stand. I'd rather pay 1/2 price at $20.00
Most likely a size small. The Starter Kit includes both sizes (similar to ear buds) that allows for at-home sizing. But if you want to start with just one, a small has a better chance of fitting for you.
I hope this works. I can’t always wear my mask as it’s very uncomfortable. When I wear it I feel fine the next day when I don’t I feel like calling it quits.
Thank you for your valuable information
I don’t use a cpap, I use an mra. Way better and less intrusive, at least in my case.
What's a mra?
They need to make a spray for your throat that “paralyzes” or keeps your tongue taut keeping it from falling back into your airway.
Fun fact: the word “mariposa” in Spanish means butterfly.
Where can I purchase one of them. Thanks
No. I tried one and it took months to get my neck back into place. Don't do it!
Your house looks amazing
Thank you for addressing this.
Objects like mouth guards have created more saliva. So will this type of device create drooling? Do your lips get dry because they're not together and in contact with the mouth or tongue?
Hi, there is an increase in saliva and potential drooling for the first several nights but typically resolves as your mouth gets used to it. There is minimal dry lips since there isn't air flowing across them, plus they stay pretty close together despite the tab. I hope this helps!
We bought a wedge pillow as newlyweds but not for apnea
Lol
I tried something similar by combining a Breathe Right strip, Flonase, and a muscle relaxant.
I hate taking medicine but I really don’t want to be chained to a machine for life.
How does that AirFit F-40 work on folks who go to bed without dentures?
I will wait to see who gets sick off it
I use a wedge pillow, helps reduce reflux and sinus congestion. I sleep on my side with no problems but I use a longer wedge. I initially tried one of the more common wedges about 60cm long, but found it uncomfortable and made my lower back sore.
Aerophagia was an issue for me at the outset of CPAP therapy back in 2006. At that time, the pressures were indeed high. I also was using machines that compounded the problem (e.g., biPAP). After switching to APAP, my problems ceased, even with a full-face mask. For me, nasal masks did not perform well, due to nasal morphology, chronic stuffiness. One trick that I employed when aerophagia hit was to lay on my back upon waking up with knees bent for a few minutes. Seemed to move the gassiness along expeditiously! Another point - aerophagia did not feel like gas. It felt more like stomach pain - was alarming until I learned what was happening. Always work with your sleep medicine team until you get things resolved. It is so important to receive the adequate treatment, though it is hard to feel that way when you are sleep-deprived and perhaps not totally loving the CPAP treatment initially. I have used mine every night, all night since starting, and do not even think about it anymore. It was life-changing. Medical issues related to severe obstructive sleep apnea went away. Functioning went way up. So worth it. Good luck to all!
Good stuff. Thanks for offering this, and for your other work. I've been recently diagnosed with severe apnea (sleep study), so I'm searching for solutions.
Thanks, Joe! You may want to check out my CPAP 101 course (www.kimberlymd.com) geared for new sleep apnea patients getting started. Good luck to you.
Like it except it makes the bottom of my nose sore. I'm 2 weeks in.
It's a pill for weight-loss.
Hi, it's not a pill for weight loss. There is a different pill that is doing studies with sleep apnea and will be available in the future as well. Likely sooner than this medication.
@@peterg2yt hardly. Since OSA seems largely a problem of muscular laxity, I'm having trouble seeing where muscle relaxants will be a solution, but this wouldn’t be the first time ‘obvious’ isn’t correct
It's actually a med for ADHD combined with a med for UTI, and somehow they decided to use it for OSA.
Smiling doctors who are proud of how long they take to evaluate new medicines discuss most of us.
Are you seriously suggesting that a slow approach to medication development is a bad thing? (I’m assuming ‘discuss’ should have been ‘disgust’ - but I maybe misreading this entirely)
I wish. I have severe apnea trying my best using this machine 😢
Stay focused. I have been on a machine for 24 days now. Aside from just getting used to the machine, there is a giant difference in my energy and focus.
@@alangates5941I hope in a good way.
For those with severe sleep apnea this could likely complement well the cpap or asv machines.
Wonder if it’ll work for people with complete concentric collapse level 2?
I use mine as it clears up my nose and I sleep fine.
Yes I’ve used my cpap through sickness and through health, can be challenging for sure, but wonderful for your heart, lungs ect. ❤🧑🦰✅
I would go for it straight away looks great, but alas magnets,please do the same with the clips. Don’t forget about us. 🥹
And what laundry list of side effects will accompany this magic pill AD109? Now, you're taking more pills for those side effects. No, thanks. I'll stick to my AirSense10. I sleep like a baby with it.
Respectfully test subjects are the people taking medication . I continue finding ways to improve my heath and reduce the uncomfortable side effects of blood pressure medication . CPap is a extremely useful device . Was short of breath working in the yard after showered rested with CPap and felt better .
I just tried the F-30 that looks the same. I considered it a joke and sent it back!
My mask has a small hose that comes with it...
Ive started to get this over the last month or so, at least once a week.I find it happens if I'm nodding off sitting on the sofa. I 'hear' a crash as if 2 saucepan lids have been banged together just once right against my ear. I've got an ICD implant and initially I thought it was that firing at first but it isnt. ( its fired off before and I know the difference, the ICD is far more intense), but I looked it up and was amazed to find its called Exploding Head Syndrome - very apt, lol. At least I know now that its not dangerous. Thanks for your video. 🇬🇧
Im a recent new user, and got the F40 with my ResMed. It looks a bit different than the one in the video. It cover the nose and mouth. Not just under the nose. It was a hit from day one. I had no problem sleeping with it. Sleeps better too.
They need to work on sizing.
Thank you.
I’m new to CPAP, less than a month. The first mask they sent me was a Siesta full-face hard plastic monstrosity. It was a horrible experience causing me to despair of being able to use CPAP. I complained and they sent me the F40. What a difference! I can sleep in any position, even on my stomach.
How does it differ from an F30 or F 30i. It looks identical to an F30 but there must be a difference I am not understanding
It's a little smaller and the cushion material is a little softer