'CPAP Chat’ Is in Its Second Year
Nobody slept through it.
Sleep sufferers from 10 states joined the fact- and fun-filled conversation during the February edition of ‘CPAP Chat,’ the world’s only virtual support group for people with sleep apnea, health professionals and anyone interested in the topic. Now in its second year, ‘CPAP Chat’ is free and anonymous.
While most participants were New Englanders, callers also hailed from as far as Texas, California, Florida and Nevada. Jody Breton, a Registered Respiratory Therapist at National Sleep Therapy (www.nstherapy.com) which sponsors the forum, joined guest host Stanley Hurwitz. A Maine resident, Breton has 35 years of clinical respiratory experience.
The discussion centered around proper CPAP equipment use and maintenance and issues related to mouth and nasal dryness, and skin irritation that can result from improperly fitting masks. Questions also focused on proper humidification, equipment sanitizing, and using CPAP in cold weather, and when you have a cold. Callers shared anecdotes about their sleep apnea and how spouses have dealt with their snoring, and how new, small CPAP units travel well on planes and ships.
According to the Centers for Disease Control and Prevention (CDC), obstructive sleep apnea (OSA) is one of the largest health issues facing America today affecting some 43 million people, yet the vast majority of sufferers remain undiagnosed. Snoring is a major indicator of sleep apnea, and is often the tipping point for people to have a sleep test. The therapy of choice is CPAP (pronounced see-pap), Continuous Positive Airway Pressure, in which a steady airflow keep air passages open for uninterrupted sleep.
The March edition of CPAP Chat will be Wednesday, March 2 from 7 – 8 p.m. (ET). To participate, just prior to the session, call 1-800-204-6655, and enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . (Free sessions are the first Wednesday of each month at 7 pm – ET. ) One participant in this session will be randomly drawn to receive a $25 Amazon gift card. For more info and to register to win a mask, visit www.cpapchat.org
Positive Airway Pressure Systems Side-by-Side Comparison Guide
Sleep Review’s PAP matrix compares features such as operating modes, dimensions, noise level, ramp time, data recorded, and features such as leak compensation for the following products: 3B Medical Inc Luna CPAP & Auto-CPAP, Drive DeVilbiss Healthcare IntelliPAP AutoAdjust, Fisher & Paykel Healthcare ICON+ Series, Human Design Medical, LLC The Z1 Auto,Human Design Medical, LLC The Z1 CPAP, Philips Respironics DreamStation, ResMed AirSense 10 AutoSet, and Somnetics International Inc Transcend Auto.
Find out about the latest product releases at www.sleepreviewmag.com/products.
Courtesy of Sleep Review Magazine.
What’s In Your Sleep Arsenal?
What do a contoured pillow, a 10-minute sleep device sanitizer, and a moisturizing /hydrating nasal gel have in common? They’re all used to help sleep apnea sufferers get a sound night’s sleep. And they’re certain to be among discussion topics – along with latest research on sleep -- during the February 3 edition of ‘CPAP Chat,’ the world’s only virtual support group for people with sleep apnea (or anyone who thinks they may have it). The free monthly session, now in its second year, attracts participants from many states who exchange sleep tips, ask questions of guest experts, and share sleep-related anecdotes.
The ‘CPAP Chat’ February edition will be held Wednesday, February 3 from 7 to 8 pm (ET). Sessions (www.cpapchat.org) are anonymous and open to all.
According to the Centers for Disease Control and Prevention (CDC), Obstructive sleep apnea (OSA) is one of the largest health issues facing America today, yet the vast majority of sufferers remain undiagnosed. Approximately 43 million people suffer from sleep-disordered breathing. Snoring is a major indicator of of sleep apnea, and is often the tipping point for people to have a sleep test.
To participate in the February 3rd edition of CPAP Chat, just prior to the session, call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org. (Free sessions are always the first Wednesday of each month at 7 pm – ET. One participant in this session will be randomly drawn to receive a $25 Amazon gift card, and one pre-registered participant will win a free ResMed CPAP mask. For more info and to register to win a mask, visit www.cpapchat.org
Nasal Congestion Keeping You Up at Night?
Patient Question of the Month:
I've been experiencing nasal congestion and discomfort at night while using my CPAP. What can I do to alleviate this?
Answer:
About
50% of patients experience difficulties with stuffiness and congestion
which is usually due to a nasal reaction to the airflow. These symptoms
often decrease with continued use. You might also experience: itching,
runny nose, nose bleeds, and nose dryness.
Some treatments you may want to consider include:
- Making sure your humidifier is working as it adds moisture to the air minimizing the irritation to the nasal lining. Saline nasal spray or gel can further help with moisturizing the nasal passages.
- Using Nasal/Sinus Irrigations using prepackaged solutions and irrigation bottles (such as SinuRinse), or using something like a Neti Pot.
If these don't help, talk with your doctor about:
- Nasal sprays (eg: Flonase, Nasacort, Rhinocort, Nasonex) which have anti-inflammatory effects and can reduce swelling and congestion.
- Oral antihistamines such as Claritin, Benadryl or Allegra, etc as these can be especially helpful in individuals with allergies.
- Oral Decongestants such as Sudafed.
What to do When You Have a Cold
CPAP
use can be problematic when you have a cold, especially if nasal
congestion and/or cough are severe. Decongestants can be helpful
temporarily, but if symptoms are severe and refractory, then going
without CPAP for a few days may be the only option.
Questions? Please call us at 888-867-8840 or send email to support@nstherapy.com.
Attacking Sleep Apnea: “It’s All About the Mask”
A large number of individuals with sleep issues from six states kicked off the new year by participating in the January edition of ‘CPAP Chat’ – the world’s only free monthly virtual support group for people with sleep apnea. In addition to the New England states, participants hailed from as far away as Nevada, Florida and Georgia.
‘CPAP Chat’ is a unique town hall style conference call where people with sleep apnea (or has an interest in the topic) share tips on how to get a better night’s sleep and learn about the latest sleep technologies and equipment.
Eric Cohen, ‘CPAP Chat’ host and president of National Sleep Therapy (www.nstherapy.com) , welcomed guest Amy Michaud, a territory manager for ResMed (www.resmed.com) , a maker of devices for sleep-disordered breathing. She emphasized the importance of using a proper-fitting CPAP facial mask. “The biggest challenge for many patients is to find one that provides the perfect fit and seal without irritating the skin,” she said. “Unfortunately, there is no one size that fits all.”
Participants discussed ways to combat mouth dryness – often a result of using a CPAP mask – and learned of fellow patients’ success with Biotene gel or Xylimelt. Michaud talked about the new humidifiers whose water reservoir can last throughout the night. She also described the new ResMed AirSense 10 with a cloud-based patient management system so therapists can access nightly therapy data, troubleshoot and change device settings remotely. “It can be programmed to make the patient more comfortable and sleep more soundly -- which is everyone’s goal,” Michaud said.
Eric Cohen, an engineer who has invented and developed CPAP masks, knows the importance of how the mask is positioned on the face. “Tightening the straps too much can actually decrease the sealing performance,” Cohen says. “If you compress the cushion too much, you change its shape and ability to expand against your face, which is what creates the seal. This can also lead to red marks, sores, and even bruising and broken skin.” Cohen suggests that anyone who has any of these symptoms, or an ill-fitting mask, loud mask leaks, or is kept awake by a whistling or flatulence sound should first make sure they are regularly cleaning and changing their supplies, and then seek advice from a therapist if a new mask doesn’t solve the issue.
The Centers for Disease Control calls sleep apnea a national epidemic. Over 20 million Americans suffer from it, yet most have yet to be diagnosed. Often chronic fatigue can lead to depression, high blood pressure, diabetes, heart disease, even death. The Department of Transportation estimates drowsy driving is responsible for 1,550 fatalities and 40,000 injuries annually.
To participate in the next edition of CPAP Chat on Wednesday, February 3, 2016, from 7 – 8 pm (ET), just prior to the session, call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . (Free sessions are always the first Wednesday of each month at 7 pm – ET. One participant in this session will be randomly drawn to receive a $25 Amazon gift card, and a pre-registered participant will win a free ResMed CPAP mask. For more info and to register to win a mask, visit www.cpapchat.org
‘CPAP Chat’ is a unique town hall style conference call where people with sleep apnea (or has an interest in the topic) share tips on how to get a better night’s sleep and learn about the latest sleep technologies and equipment.
Eric Cohen, ‘CPAP Chat’ host and president of National Sleep Therapy (www.nstherapy.com) , welcomed guest Amy Michaud, a territory manager for ResMed (www.resmed.com) , a maker of devices for sleep-disordered breathing. She emphasized the importance of using a proper-fitting CPAP facial mask. “The biggest challenge for many patients is to find one that provides the perfect fit and seal without irritating the skin,” she said. “Unfortunately, there is no one size that fits all.”
Participants discussed ways to combat mouth dryness – often a result of using a CPAP mask – and learned of fellow patients’ success with Biotene gel or Xylimelt. Michaud talked about the new humidifiers whose water reservoir can last throughout the night. She also described the new ResMed AirSense 10 with a cloud-based patient management system so therapists can access nightly therapy data, troubleshoot and change device settings remotely. “It can be programmed to make the patient more comfortable and sleep more soundly -- which is everyone’s goal,” Michaud said.
Eric Cohen, an engineer who has invented and developed CPAP masks, knows the importance of how the mask is positioned on the face. “Tightening the straps too much can actually decrease the sealing performance,” Cohen says. “If you compress the cushion too much, you change its shape and ability to expand against your face, which is what creates the seal. This can also lead to red marks, sores, and even bruising and broken skin.” Cohen suggests that anyone who has any of these symptoms, or an ill-fitting mask, loud mask leaks, or is kept awake by a whistling or flatulence sound should first make sure they are regularly cleaning and changing their supplies, and then seek advice from a therapist if a new mask doesn’t solve the issue.
The Centers for Disease Control calls sleep apnea a national epidemic. Over 20 million Americans suffer from it, yet most have yet to be diagnosed. Often chronic fatigue can lead to depression, high blood pressure, diabetes, heart disease, even death. The Department of Transportation estimates drowsy driving is responsible for 1,550 fatalities and 40,000 injuries annually.
To participate in the next edition of CPAP Chat on Wednesday, February 3, 2016, from 7 – 8 pm (ET), just prior to the session, call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . (Free sessions are always the first Wednesday of each month at 7 pm – ET. One participant in this session will be randomly drawn to receive a $25 Amazon gift card, and a pre-registered participant will win a free ResMed CPAP mask. For more info and to register to win a mask, visit www.cpapchat.org
One of Your New Year’s Resolutions Should Be ‘More Sleep’
“It’s All About the Mask”
Taking care of your sleep issues may be a good a New Year’s resolution to make sure your CPAP is as comfortable as it can be.
Eric Cohen, President of National Sleep Therapy (www.nstherapy.com) based in Norwood, Mass. and Concord, NH, says the start of the new year is the ideal time to address one often-overlooked, misunderstood condition: sleep apnea. “If you use a CPAP device to help you sleep better, this is a good time to update your equipment and make sure you have the best mask possible.” For example, he says there are new CPAP’s that send data to your iPhone to warn of air leaks and help fine-tune and improve sleep therapy. CPAP (Continuous Positive Airway Pressure) is the most popular therapy prescribed for those with obstructive sleep apnea (OSA).
Cohen hosts ‘CPAP Chat,’ (www.cpapchat.org), a one-of-a-kind monthly virtual support group for people with sleep issues. Sessions are free, anonymous and open to all. During the January edition “It’s All About the Mask”– Wednesday, January 6 at 7 pm (ET) -- participants will be invited to discuss one of the most common CPAP usage issues- How to find the right mask. CPAP users will learn how to eliminate mask discomfort and marks on the face, and have an opportunity to ask about latest CPAP equipment and therapy With CPAP product expert, Amy Michaud from ResMed. CPAP users can learn about the latest CPAP machines and benefits, as well as myAir™, a new web program that syncs with the CPAP machine, tells users how they slept, and helps them stay on track during sleep apnea treatment.
Some 20 million Americans have sleep apnea, but only a small percent have been diagnosed. The National Sleep Foundations says adults need 7-9 hours of sleep every night. Left untreated, chronic fatigue can lead to serious conditions such as anxiety, high blood pressure, heart disease, memory loss, and diabetes, as well as workplace or highway accidents.”
“For questions about sleep and CPAP therapy, make a New Year resolution to join the conversation January 6th at 7 pm (ET),’” says Cohen.
To participate in the next edition of CPAP Chat on Wednesday, January 6, 2016, from 7 – 8 pm (ET), just prior to the session, call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . (Free sessions are always the first Wednesday of each month at 7 pm – ET. One participant in this session will be randomly drawn to receive a $25 Amazon gift card, and two pre-registered participants will win a free ResMed CPAP mask. For more info and to register to win a mask, visit www.cpapchat.org.
Do you Suffer from Dry Mouth?
Mouth dryness when using a nasal mask is usually caused by air escaping through an open mouth. This can helped by using a chin strap, or if this is not effective, switching to a full face mask (which covers the nose and mouth).
In patients using a full face mask, some mouth dryness can also be felt especially at higher CPAP levels. This can be alleviated by use or increase in the heated humidification, and ensuring that there is not excessive mask leak.
In addition to these equipment changes, you may want to use oral tablets of gel that keep your mouth moist throughout the night. Two such products that patients swear by are Xylimelt tablets and Biotene gel. Both of which are slow-release saliva stimulants and oral lubricants that provide hours of relief from dry mouth. These can be found at your local Walgreens, CVS or other well stocked pharmacy.
It's Time to Take Advantage of Deductibles and FSA Accounts
If you need supplies and want to use your insurance benefit to pay for them, you might want to order them today. Many deductibles reset January 1.
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If you have an HSA or FSA account, you might have a "use-it, or lose-it "plan. Use your health benefit before it's gone.
This will be our last reminder of the year regarding deductibles and the new year. If you already filled out this form, there is no need to do it again.
If you haven't ordered anything for over 2 months and may need something in January, Feb, or March, you should order what you might need now before your large deductible takes effect and you have to pay for your own supplies.
Keep in mind: Ordering supplies can involve your sending compliance data, and NST getting a Prior Approval from your insurance company. Please allow sufficient time for all of this to be completed. We work like the Dickens to get your orders shipped asap, but receiving data and approvals can take some time.
If you want to order supplies, click the button and we'll check your insurance benefits and get your order going.
Thank you for choosing to work with National Sleep Therapy. We always appreciate it!
Surprising List: Some Foods Keep You Up. Others Help You Sleep.
People from five states in search of ways to get a better night’s sleep joined in the December edition of ‘CPAP Chat.’
One individual who didn’t sleep well the night after the program was host Eric Cohen who wanted to test research that says eating ice cream before bedtime would disrupt his sleep. Cohen confirms that he “took one for the team,” devouring a generous serving of chocolate cake and ice cream before going to bed. “I went to bed very happy, but that gluttony did indeed lead to a restless night’s sleep,” he smiled.
CPAP Chat is a town meeting-style virtual support group (www.cpapchat.org) -- the only program of its kind for people suffering from sleep apnea. Held on the first Wednesday of each month at 7 pm (ET), sessions are free and open to all. During the recent session – the 21st -- Cohen, president of National Sleep Therapy, asked participants about their New Year resolutions related to more restful sleep – such as diet, exercise and proper use of CPAP and other sleep therapy devices. Cohen shared a surprising list of foods that may interfere with sleep, including:
- Wine – prevents entering deep REM sleep stages (drink 4 – 6 hours before bedtime!)
- Green Tea – Its caffeine can trigger your nervous system. Also increases frequency of nighttime bathroom breaks.
- Chicken –High-protein foods can interfere with circadian rhythm.
- Ice cream – Your body needs time to burn the fat in fatty foods. You’ll be restless.
**A good rule of thumb: Finish eating three hours before bedtime.**
Also discussed were foods that can help you get a good night’s sleep:
- Warm milk – Contains tryptophan which becomes serotonin, producing a calming effect (not too much or you’ll need to interrupt your sleep for a bathroom break!)
- Cherries – Contains melatonin that controls the internal body clock
- Bananas – Contain magnesium and potassium, natural muscle relaxants. The carbs make you feel sleepy.
- Almonds – Contain magnesium, and help regulate blood sugar while asleep.
The next edition of CPAP Chat is set for Wednesday JANUARY 6, from 7 – 8 pm (ET). To join the conversation, just prior to the session (always on the first Wednesday of each month,) call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org.
-Stanley Hurwitz / stanhurwitz@gmail.com
Telltale Signs You May Have Sleep Apnea Is Focus of Unique ‘CPAP Chat’ Virtual Support Group on Dec. 2
National Sleep Therapy Asks Callers & Staff to Share Their New Year’s Resolutions
For many, a New Year’s resolution might involve a promise to do one or more acts of self-improvement: eating healthier, exercising, thinking more positively, changing bad habits.
“If you’re always tired, the start of the new year is an ideal time to resolve to find out if you have sleep apnea,” says Eric Cohen, President of National Sleep Therapy (www.nstherapy.com). It’s estimated that 20 million Americans have sleep apnea -- yet most have yet to be tested.
Cohen hosts the popular ‘CPAP Chat,’ the world’s only monthly virtual support group for anyone interested in sleep issues. The 21st monthly edition of CPAP Chat is set for Wednesday, December 2nd from 7 – 8 pm (ET). For this session, participants will be asked to share their resolutions, and will have a chance to ‘meet’ NST staff who will share what they hope to do better in 2016.
Cohen says if a person has any two of these symptoms, chances are they have sleep apnea:
If sleep apnea is suspected, a person should contact their doctor and discuss whether to have a sleep study. National Sleep Therapy is locally owned and works closely with local doctors to provide the best sleep therapy possible. The most popular treatment for sleep apnea is CPAP therapy.
Studies show that prolonged lack of regular, deep sleep can lead to heart diseases, hypertension, memory loss, diabetes, and can result in workplace or highways accidents. Eric Cohen says “Taking care of your sleep apnea is a great New Year’s resolution and a wonderful holiday gift to yourself and your loved ones.”
To join the conversation during the next edition of CPAP Chat on Wednesday, December 2 from 7 – 8 pm (ET), just prior to the session, call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . (Sessions are always the first Wednesday of each month at 7 pm - ET), For more info, visit www.cpapchat.org
For many, a New Year’s resolution might involve a promise to do one or more acts of self-improvement: eating healthier, exercising, thinking more positively, changing bad habits.
“If you’re always tired, the start of the new year is an ideal time to resolve to find out if you have sleep apnea,” says Eric Cohen, President of National Sleep Therapy (www.nstherapy.com). It’s estimated that 20 million Americans have sleep apnea -- yet most have yet to be tested.
Cohen hosts the popular ‘CPAP Chat,’ the world’s only monthly virtual support group for anyone interested in sleep issues. The 21st monthly edition of CPAP Chat is set for Wednesday, December 2nd from 7 – 8 pm (ET). For this session, participants will be asked to share their resolutions, and will have a chance to ‘meet’ NST staff who will share what they hope to do better in 2016.
Cohen says if a person has any two of these symptoms, chances are they have sleep apnea:
- Daytime sleepiness / Chronic fatigue
- Hypertension
- Snoring (especially if it disturbs others)
- If someone has witnessed that you stop breathing during the night
If sleep apnea is suspected, a person should contact their doctor and discuss whether to have a sleep study. National Sleep Therapy is locally owned and works closely with local doctors to provide the best sleep therapy possible. The most popular treatment for sleep apnea is CPAP therapy.
Studies show that prolonged lack of regular, deep sleep can lead to heart diseases, hypertension, memory loss, diabetes, and can result in workplace or highways accidents. Eric Cohen says “Taking care of your sleep apnea is a great New Year’s resolution and a wonderful holiday gift to yourself and your loved ones.”
To join the conversation during the next edition of CPAP Chat on Wednesday, December 2 from 7 – 8 pm (ET), just prior to the session, call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . (Sessions are always the first Wednesday of each month at 7 pm - ET), For more info, visit www.cpapchat.org
Expert Describes How Laser Treatment Can Eliminate Snoring
The 20th edition of ‘CPAP Chat,’ the world’s only virtual support group for people with sleep apnea, drew participants from six states who learned about a technique that uses lasers to eliminate snoring.
‘CPAP Chat,’ (www.cpapchat.org), a phone-in version of a town hall forum, is free and anonymous. Anyone can join the conversation during sessions on the first Wednesday of each month at 7 p.m. (ET). Host Eric Cohen, president of National Sleep Therapy, leads discussions about latest sleep research, how to sleep better, and tips about CPAP devices and therapy. Guest experts are a monthly draw. (CPAP is an acronym for Continuous Positive Airway Pressure.)
November’s featured guest, Dr. Linda Kronick of Laser Dentistry LLC in Bozrah, CT, described how she uses low-energy lasers to tighten throat collagen which widens airways and eliminates snoring, often a sign of sleep apnea. Asked by a participant about the treatment, Dr. Kronick said, “There’s no anesthesia, cutting or bleeding – no sore throat or downtime.” She said three sessions are required, each 30 days apart, and she noted that collagen returns and the treatment must be repeated after a year. She noted that 40 of 42 patients she treated have been totally successful.
Session participants also discussed SoClean, a CPAP sanitizing system that takes about 10 minutes to kill 99% of germs and bacteria in a person’s CPAP mask, hose and reservoir with no disassembly, no water, and no chemicals. One user said it makes her equipment “squeaky clean.” Another said his dentist recommended it because he uses it himself.
Extensive research shows that sleep apnea doesn’t just prevent you from getting a good night’s sleep. Lack of sleep affects many body systems that puts a person at increased risk for disease. Chronic fatigue can also lead to anxiety and dementia, as well as workplace and highway accidents. Anyone who is always tired despite getting a good nights’ sleep, should tell their doctor who may prescribe a sleep test. Most sleep apnea sufferers aren’t aware that this could explain their chronic fatigue. Some 20 million Americans have sleep apnea, though most have yet to be diagnosed.
The next edition of CPAP Chat is set for Wednesday, December 2 from 7 – 8 pm (ET). To join the conversation, just prior to the session (always the first Wednesday of each month at 7 pm - ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org.
- By Stanley Hurwitz / stanhurwitz@gmail.com
Attention Editor: For an interview with host Eric Cohen: call 617-281-5330 or email ecohen@nstherapy.com
Attention Editor: For an interview with host Eric Cohen: call 617-281-5330 or email ecohen@nstherapy.com
Can Lasers Eliminate Snoring?
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| Dr. Linda Kronick |
Now loud snorers – and their significant others – have a new option in the search for a peaceful night’s sleep: NightLase.
Connecticut’s Dr. Linda Kronick, one of the first dentists in New England to use the NightLase system to reduce snoring, will be the featured guest on the November 4th edition of ‘CPAP Chat.’ The hour-long session is free and anonymous.
Now in its second year, CPAP Chat (www.cpapchat.org) is the world’s only virtual support group for people with sleep apnea. On the first Wednesday of each month, the session attracts sleep apnea sufferers and health care professionals from about 10 states for the town hall forum style conference call. Participants share their stories while expert guests offer tips, discuss new products, and answer questions about sleep apnea. The host is Eric Cohen, president of National Sleep Therapy, CPAP Chat sponsor. (www.nstherapy.com)
While his company’s focus is on providing CPAP devices, respiratory therapy, and patient education and compliance tips, Cohen says the role of CPAP Chat is 100% education and information. “Our mission for CPAP Chat is to provide a forum for people to learn about their healthcare options and have the chance to discuss them with their peers and experts whenever possible,” he says. “NightLase is just such an example and suggests a possible option to treat snoring and sleep apnea that people may want to investigate further and discuss with their treating physician.”
Dr. Kronick of Laser Dentistry, LLC, in Bozrah, CT, says the NighLase treatment provides a gentle, laser-induced tightening effect caused by the contraction of collagen in the oral mucosa tissue. “It’s painless but isn’t for everyone. A patient with mild to moderate obstructive sleep apnea needs three treatments every two weeks, and the cycle must be repeated every 18 months. The cost is about $1,000 and isn’t covered by insurance.”
“Sleep apnea doesn’t just prevent you from getting a good night’s sleep,” says Dr. Kronick. “Lack of sleep affects many body systems including cardiovascular; GI tract -- putting a lot of other systems at increased risk for disease.” Chronic fatigue can also lead to anxiety and dementia, as well as workplace and highway accidents. It’s estimated that 20 million American suffer from some form of sleep disordered breathing.
The 20th edition of CPAP Chat is set for Wednesday, November 4 from 7 – 8 pm (ET). To join the conversation, just prior to the session (always the first Wednesday of each month at 7 pm - ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org .
- By Stanley Hurwitz / stanhurwitz@gmail.com
For Many, Finding Out You Have Sleep Apnea Can Be A Rude Awakening
With CPAP Therapy, Thorough Training Leads to Patient Compliance
A few years ago, Eric Cohen, an engineer, inventor and president of National Sleep Therapy (www.nstherapy.com) noted that there’s a dramatic improvement in patient compliance when they understand CPAP therapy, and are properly trained, monitored, and encouraged through self-reliance and awareness. “We encourage patients to take responsibility for their own care. Properly trained and engaged patients are about 84% compliant, versus the general average of about 50% who are non-adherent, getting less than 4 hours of CPAP use per night. Many who don’t receive proper guidance give up too soon.” Studies indicate and adult needs 6+ hours of sleep for reduced daytime sleepiness plus significantly improved memory and daily functioning.
CPAP is the most popular therapy prescribed by doctors for patients whose sleep test indicates obstructive sleep apnea (OSA). It’s estimated that 18 million Americans have sleep apnea, though most have yet to be diagnosed. Long-term sleep deprivation can lead to serious health issues and accidents.
New NST patients are added to a computerized CPAP tracking system. They get a training course – including in-person set-up, a video and access to NST’s website with more tips. Using an iPad, Respiratory Therapists train every patient in a methodical manner. “Patients can log in and view their own sleep data. There’s a 22% higher compliance for patients who track their own data,” says Cohen.
Non-compliance can result in cancellation of CPAP insurance coverage. For example, under Medicare, after 3 months, if a patient doesn’t prove nightly usage, Medicare will not cover the cost. Then, if the patient wants Medicare to cover CPAP again, they must start with a new face-to-face evaluation. Cohen says, “Doctors don’t have 60-90 minutes to train a patient. Our set-up process maximizes engagement and retention. The result is patients who internalize the importance of CPAP and know how to use and maintain their machine. Using the iPad app, our RTs guide patients through each training stage until they’re comfortable with each section.”
Cohen hosts the popular monthly ‘CPAP Chat’ virtual support group – the only one of its kind – that attracts CPAP users and health care professionals from 10 or more states each night. Held on the first Wednesday of each month from 7 – 8 pm (ET), sessions are free, open to all and anonymous. To join in: Just prior to the next session on Wednesday, November 4 at 7 pm (ET), call 1-800-204-6655, enter access code 342-2187#.) To submit questions in advance or for more info, visit www.cpapchat.org .
View this chart: Sleep duration recommendations from the National Sleep Foundation: https://sleepfoundation.org/sites/default/files/STREPchanges_1.png
Expert Advises Busy People: Simple Nutrition and Fitness Changes Will Help You Feel Better, Sleep More Soundly
Did you know that carbohydrate-laden snack you enjoy so much each night before going to bed turns into energy that can wind you up right before you should be winding down?
That was one lesson provided by fitness and nutrition guru Tim Mills during the October edition of ‘CPAP Chat’ – the world’s only virtual support group for people with sleep apnea and health professionals..
Individuals from 10 states with sleep issues joined in the unique town meeting-style forum to explore tips and tricks to help them get the deep sleep one’s body and mind need to rejuvenate and prepare for the next day. The session was hosted by Eric Cohen, president of National Sleep Therapy (www.nstherapy.com) based in Concord, NH, and Norwood, Mass.
For Mills this was a return visit follow-up to the Fitness Challenge he extended in July. Mills’ philosophy (http://timsfit.com/) includes simple, common-sense fitness and nutrition ideas whereby busy people can lose weight, feel better -- and sleep more soundly. Mills advises people to start with a range of simple changes which can have a dramatic impact and motivate them to do more. “Start small,” he advises. For exercise, he says walk faster, take the stairs, park a distance from your destination. On nutrition, Mills advises to: Cut out all sodas (“Diet soda can be less healthy than regular”); Eliminate fast foods (“Make your own healthy version”); Drink half your weight in pounds, in ounces of water each day (“If you weigh 200 lbs., drink 100 ounces of water.”)
CPAP (pronounced see-pap) helps people to sleep using air pressure to keep airways open which allows uninterrupted sleep. CPAP is prescribed by a physician following a sleep test. Some 20 million Americans suffer from sleep apnea. Early signs may be chronic fatigue and loud snoring.
The 20th edition of CPAP Chat is set for Wednesday, November 4 from 7 – 8 pm (ET). To join the conversation, just prior to the session (always the first Wednesday of each month at 7 pm - ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org . CPAP Chat is free and anonymous.
That was one lesson provided by fitness and nutrition guru Tim Mills during the October edition of ‘CPAP Chat’ – the world’s only virtual support group for people with sleep apnea and health professionals..
Individuals from 10 states with sleep issues joined in the unique town meeting-style forum to explore tips and tricks to help them get the deep sleep one’s body and mind need to rejuvenate and prepare for the next day. The session was hosted by Eric Cohen, president of National Sleep Therapy (www.nstherapy.com) based in Concord, NH, and Norwood, Mass.
For Mills this was a return visit follow-up to the Fitness Challenge he extended in July. Mills’ philosophy (http://timsfit.com/) includes simple, common-sense fitness and nutrition ideas whereby busy people can lose weight, feel better -- and sleep more soundly. Mills advises people to start with a range of simple changes which can have a dramatic impact and motivate them to do more. “Start small,” he advises. For exercise, he says walk faster, take the stairs, park a distance from your destination. On nutrition, Mills advises to: Cut out all sodas (“Diet soda can be less healthy than regular”); Eliminate fast foods (“Make your own healthy version”); Drink half your weight in pounds, in ounces of water each day (“If you weigh 200 lbs., drink 100 ounces of water.”)
CPAP (pronounced see-pap) helps people to sleep using air pressure to keep airways open which allows uninterrupted sleep. CPAP is prescribed by a physician following a sleep test. Some 20 million Americans suffer from sleep apnea. Early signs may be chronic fatigue and loud snoring.
The 20th edition of CPAP Chat is set for Wednesday, November 4 from 7 – 8 pm (ET). To join the conversation, just prior to the session (always the first Wednesday of each month at 7 pm - ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org . CPAP Chat is free and anonymous.
Fitness Guru’s Challenge to Sleep Apnea Patients: "Small changes Make a Big Impact"”
Two months ago, during his appearance on ‘CPAP Chat,’ the world’s only sleep apnea virtual support group, noted motivational fitness and nutrition guru Tim Mills challenged participants to take his ‘Fitness Challenge’ -- and report on their successes during the October 7 edition of ‘CPAP Chat.’
Prepping for the upcoming session, Mills says, “It will be fun and informative to see how many followed my advice about easy, common-sense dietary changes and a low-impact exercise regimen.” The founder of Tim Mills Fitness based in New Hampshire (http://timsfit.com/) says this is the first online group fitness challenge of its kind. He says, “A range of simple changes can make a huge difference and get people motivated to do more. It’s easier when you start small and work up to more.”
‘CPAP Chat,’ held on the first Wednesday of each month at 7 pm (ET), is the brainchild of Eric Cohen of Wellesley, Mass., an engineer, inventor and co-founder of National Sleep Therapy, a New England firm that specializes in finding the right CPAP device for anyone diagnosed with sleep apnea. (www.nstherapy.com )
CPAP (pronounced see-pap) helps people to sleep using constant air pressure to keep airways open, which results in deeper sleep. CPAP is prescribed by a physician following a sleep test. Some 20 million Americans suffer from sleep apnea. Early signs may be chronic fatigue and loud snoring.
During the September ‘CPAP Chat’ session that drew participants from 10 states, Cohen led a discussion about latest compact CPAP devices and tips on traveling with CPAP in order to stay wide awake whether on a vacation or business trip. He described best practices for transport and use of CPAP units on planes, cruise ships and for camping. The group learned about long-life, solar, car and marine battery options. Cohen noted that insurance may cover the cost of a travel CPAP if the individual is eligible for a new unit. Other topics included Provent, a convenient option that goes over the nose and creates back pressure to treat sleep apnea, and oral appliances for those who can’t tolerate CPAP. Cohen noted that about 60% of CPAP users have dry mouth; participants recommended favorite remedies.
For those wishing to join the conversation on October 7, just prior to the session (always the first Wednesday of each month at 7 pm /ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org . CPAP Chat is free and anonymous. By Stanley Hurwitz / stanhurwitz@gmail.com
Simple Lifestyle and Dietary Changes Can Help People Sleep Better, Live Longer Says Fitness Expert
A series of simple lifestyle changes can help sleep apnea sufferers get more restful sleep – and improve their overall quality of life – and perhaps even extend their life.
Motivational fitness and nutrition guru Tim Mills, based in Concord, NH, feels so strongly about his philosophy that he’s challenging anyone with sleep issues to talk to him and commit to slight adjustments to their daily activities and eating habits. He’s offering a free 10-minute one-on-one call to help people get on the right track, then asking them to share their progress with participants in the free monthly ‘CPAP Chat’ virtual support group on Wednesday, October 7 at 7 pm (ET). To set a time, visit Mills’ website at timsfit.com.
Among Mills’ typical lifestyle adjustments: Take the stairs whenever possible, park a little further from the store, avoid high calorie snacks before bed, and walk your dog a little farther and more briskly a few times each day. Mills says, “These simple changes can make a huge difference and get people motivated to do more. I say start small and work up to more.”
Obstructive sleep apnea (OSA) has been called a national epidemic with an estimated 20 million sufferers. Most of these people have yet to be diagnosed but endure chronic fatigue. Left untreated, sleep apnea can lead to anxiety, high blood pressure, stroke, heart diseases, diabetes, depression and dementia -- even marital tension and workplace and highway accidents. According to a report from Harvard Medical School, the economic cost of unmanaged OSA in the US is as high as $165 billion in lost productivity, accidents and errors. Research shows that regular deep sleep is a critical so the body and brain can repair and balance.
‘CPAP Chat,’ held on the first Wednesday of each month from 7 – 8 pm (ET), regularly attracts people from some 10 states. Sessions are hosted by Eric Cohen, inventor/engineer and president of National Sleep Therapy (www.nstherapy.com). CPAP Chat is free, anonymous and open to all. To join the conversation on Wednesday, October 7 at 7 pm (ET): Just prior to the next session call 1-800.204.6655, enter access code 342-2187#.) With questions about CPAP therapy and/or for the session, visit www.cpapchat.org . By Stanley Hurwitz / stanhurwitz@gmail.com
Yes, There Are Ways for Sleep Apnea Sufferers to Count Sheep While Traveling…
People who have difficulty getting a good night’s sleep at home often find it’s even trickier to get that all-important shuteye when traveling.
Individuals with sleep apnea from eight states joined in the September edition of ‘CPAP Chat,’ the world’s only virtual support group for individuals with sleep apnea. One caller said she’s planning a vacation in California. Another will be visiting relatives in Scotland. A third, who travels for business, wanted to know which devices run on both U. S. and European current, plus alternatives to bringing his CPAP unit. CPAP is an acronym for Continuous Positive Airway Pressure, the preferred treatment by doctors who prescribe sleep apnea therapy.
During the recent session, host Eric Cohen, an engineer/inventor and president of National Sleep Therapy, discussed best practices for transport and use of CPAP units on planes and cruise ships and for camping, plus the latest in travel CPAP devices. He described long-life, solar, car and marine battery options. Cohen noted that insurance may cover the cost of a travel CPAP if the individual is eligible for a new unit.
Cohen described Provent, a convenient option that goes over the nose and creates back pressure to treat sleep apnea, usually prescribed for short term use. It’s inconspicuous and doesn’t require electricity or batteries. He said, “Even in patients for which Provent isn’t 100% effective, they will at least be getting a better night’s sleep than if they’re using nothing.” He said he knows of many patients using it successfully with their doctor’s prescription.
The group also discussed oral appliances for people who travel but can’t tolerate CPAP or have mild/moderate sleep apnea. Oral appliances have limited durability and aren’t ideal as a long-term solution. Another topic: About 60% of CPAP users have dry mouth, and participants recommended three remedies.
Over 20 million Americans suffer from sleep apnea, though 80% remain undiagnosed. Left untreated, sleep apnea can lead to high blood pressure, chronic heart failure, stroke, and other cardiovascular problems. Chronic fatigue is associated with type 2 diabetes and depression, and is a factor in many traffic and workplace accidents. Studies also show that insufficient quality sleep can be as much a factor in obesity as too much food and too little exercise.
CPAP Chat, marking its second anniversary, is held the first Wednesday of each month, and is free and open to all. The unique town meeting-style conference call enables participants to ask questions, share tips, and get advice from noted sleep and health experts. The next CPAP Chat is Wednesday, October 7 from 7 – 8 pm (ET). Fitness and nutrition guru Tim Mills returns to see how participants have done with his ‘Better Health Challenge’ after their free, no-obligation 10-minute one-on-one consultation to help get on the right track. Anyone is invited to email him to set-up a call: timsfit@gmail.com . Those who take the challenge are invited to share their progress with the group.
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To join the conversation, just prior to the October 7 session at 7 pm (ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org.
By Stanley Hurwitz / stanhurwitz@gmail.com
‘Sleep Apnea Travel’ Is Topic of Sept. 2nd ‘CPAP Chat’ Virtual Support Group
For People with Sleep Apnea, Compact Devices Can Help Travelers Sleep Better
Being too tired to go to a show, to join in your bus tour’s next excursion, or to play with grandchildren can ruin a vacation.
For people who suffer from sleep apnea, CPAP therapy can be a godsend. But traveling with a CPAP device can be cumbersome. There are other choices.
‘Sleep Apnea Travel’ is the subject of the September edition of CPAP Chat set for Wednesday, September 2 from 7 – 8 p.m. (ET), hosted by Eric Cohen, inventor/engineer and president of National Sleep Therapy.
While there are a few lightweight, portable travel CPAP devices on the market, Cohen says some people prefer not to bring CPAP on trips. He will discuss two effective short-term options that may work for some:
Although CPAP is the gold standard for treating OSA, some people use one of these options in place of CPAP while traveling, or take them along as a backup.
CPAP Chat, marking its second anniversary, is the world’s only virtual support group for individuals with sleep apnea. The monthly sessions, on the first Wednesday of each month, are free and open to all. The unique town meeting-style conference call regularly attracts participants from about 10 states who ask questions, share tips, and get advice from noted sleep and health experts.
Cohen says airlines, cruise ships and train and tour operators will make special accommodations if a CPAP user needs to transport and/or use their machine on route. There’s a portable, lightweight model with multi-night batteries, and a model with a solar-powered charger.
Over 20 million Americans suffer from sleep apnea, though 80% remain undiagnosed. Left untreated, sleep apnea can lead to high blood pressure, chronic heart failure, stroke, and other cardiovascular problems. Chronic fatigue is associated with type 2 diabetes and depression, and is a factor in many traffic and workplace accidents. Studies also show that insufficient quality sleep can be as much a factor in obesity as too much food and too little exercise.
CPAP Chat has extended a challenge to participants between now and the October 7th session when fitness and nutrition guru Tim Mills will pay a return visit to check their progress. Mills is offering a free, no-obligation 10-minute one-on-one consultation to help people get on the right track. Those who take the challenge are invited to share their progress with the group. To join the better health challenge at no cost, email timsfit@gmail.com.
Just prior to the session on Wednesday, September 2nd at 7 pm (ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org.
By Stanley Hurwitz / stanhurwitz@gmail.com
For people who suffer from sleep apnea, CPAP therapy can be a godsend. But traveling with a CPAP device can be cumbersome. There are other choices.
‘Sleep Apnea Travel’ is the subject of the September edition of CPAP Chat set for Wednesday, September 2 from 7 – 8 p.m. (ET), hosted by Eric Cohen, inventor/engineer and president of National Sleep Therapy.
While there are a few lightweight, portable travel CPAP devices on the market, Cohen says some people prefer not to bring CPAP on trips. He will discuss two effective short-term options that may work for some:
- Provent – Works without batteries or electricity – fits over the nose and creates back pressure to treat sleep apnea. Must be fitted and can take a week to get accustomed to.
- Oral appliance – Moves the jaw to aid air passage while asleep; resembles a sport mouth guard; an alternative when a patient can’t tolerate CPAP.
Although CPAP is the gold standard for treating OSA, some people use one of these options in place of CPAP while traveling, or take them along as a backup.
CPAP Chat, marking its second anniversary, is the world’s only virtual support group for individuals with sleep apnea. The monthly sessions, on the first Wednesday of each month, are free and open to all. The unique town meeting-style conference call regularly attracts participants from about 10 states who ask questions, share tips, and get advice from noted sleep and health experts.
Cohen says airlines, cruise ships and train and tour operators will make special accommodations if a CPAP user needs to transport and/or use their machine on route. There’s a portable, lightweight model with multi-night batteries, and a model with a solar-powered charger.
Over 20 million Americans suffer from sleep apnea, though 80% remain undiagnosed. Left untreated, sleep apnea can lead to high blood pressure, chronic heart failure, stroke, and other cardiovascular problems. Chronic fatigue is associated with type 2 diabetes and depression, and is a factor in many traffic and workplace accidents. Studies also show that insufficient quality sleep can be as much a factor in obesity as too much food and too little exercise.
CPAP Chat has extended a challenge to participants between now and the October 7th session when fitness and nutrition guru Tim Mills will pay a return visit to check their progress. Mills is offering a free, no-obligation 10-minute one-on-one consultation to help people get on the right track. Those who take the challenge are invited to share their progress with the group. To join the better health challenge at no cost, email timsfit@gmail.com.
Just prior to the session on Wednesday, September 2nd at 7 pm (ET), call 1-800-204-6655, enter access code 342-2187#. Questions may be submitted in advance either via Facebook or email info@cpapchat.org . For more info, visit www.cpapchat.org.
By Stanley Hurwitz / stanhurwitz@gmail.com
Fitness Guru Offers First Online Group Fitness Challenge for Sleep Apnea Sufferers
The unique offer is an outgrowth of Mills’ appearance on the July edition of ‘CPAP Chat,’ the only virtual support group in the world for people with sleep apnea. Host Eric Cohen, president of sponsor National Sleep Therapy, said, “We put participants to a challenge between now and our October 7th session when Tim will return to check everyone’s progress.”
Mills is offering a free 10-minute one-on-one call to help people get on the right track, asking each participant to share their progress with the group during October’s CPAP Chat. He coaches people to make small adjustments in their everyday routine: taking the stairs whenever possible, parking a little further from the store, avoiding high calorie snacks before bed, and even walking your dog a little farther and more briskly. “These simple changes can make a big difference and get people motivated to do more. It’s great to start small and work up to more,” Mills says.
To help people change habits and “eat healthy,” Mills suggests his ‘6-Day Clean Eating Reset,’ a meal plan and grocery list available on his website and mobile app. “This is where I send people who need help with the eating part before we invite them to the online challenges.” His foods are entirely optional. He also has healthy recipes and tips for good eating.
For questions or to arrange a free 10-minute support call with Tim, contact him directly at timsfit@gmail.com. For more about his program, click here.
“Many of us also have weight issues,” Mills says. “Lack of sleep and low energy and motivation to exercise can lead to depression, low self-esteem, and a reduced quality of life – even a shorter life. Several years ago, after I ballooned to 225 pounds and my doctor called me a ‘ticking time bomb,’ I pledged to turn things around. I wanted to live to watch my young son and daughter grow up. Now, I have a proven track-record of helping people reach their goals and get their nutrition in order. That’s where 90% of us struggle the most.”
It’s estimated that 20 million Americans have sleep apnea, though most have yet to be diagnosed. The Centers for Disease Control and Prevention has called it an epidemic.
Mills says, “I help people unlearn bad habits and give them emotional reasons to get motivated to achieve their goals. It’s more about WHY power rather than will power. Many can eliminate or improve their sleep issues once they change their lifestyle using my Beachbody Challenge, simple meal plans, fitness program, and a supportive coach who’s been through it. Once you find your motivation, everything falls into place.”
‘CPAP Chat,’ held on the first Wednesday of each month from 7 – 8 pm (ET), attracts participants from many states. Participants and experts provide tips for people with sleep apnea and anyone else interested in the topic of sleep. Sessions are hosted by Eric Cohen, inventor/engineer and a founder of National Sleep Therapy (www.nstherapy.com). CPAP Chat is free, anonymous and open to all. To join in: Just prior to the next session on Wednesday, September 2nd at 7 pm (ET), call 1-800.204.6655, enter access code 342-2187#.) Visit www.cpapchat.org.
-Stanley Hurwitz / stanhurwitz@gmail.com
Noted Researcher Discusses Link Between Sleep Apnea and Alzheimer’s Disease
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| Dr. Ricardo Osorio |
“CPAP treatment of sleep apnea may delay progression of cognitive impairment,” Dr. Ricardo Osorio, a world-renowned expert on the correlation between sleep apnea and various forms of dementia, discussed as the featured guest during the August edition of ‘CPAP Chat,’ the world’s only virtual support group for people with sleep apnea and for health care professionals.
He added, “The presence of sleep disordered breathing is associated with an earlier age of cognitive decline.” (CPAP is the therapy of choice to treat sleep apnea – an acronym for continuous positive airway pressure.) These are among conclusions in a study co-authored by Dr. Osorio that appeared in the journal Neurology.
Dr. Osorio told participants, “Because people are living longer due to healthier habits, Alzheimer’s disease and other forms of dementia are occurring at a later age. Also because people are living longer, the total number of people with Alzheimer’s is expected to rise dramatically.”
Each month ‘CPAP Chat’ features guests with unique personal stories, motivational tips, or sleep-related research. This session drew participants from 9 states, including from as far away as Washington state. Held on the first Wednesday of each month from 7 – 8 pm (ET), sessions are free and open to all. The host is Eric Cohen, President of National Sleep Therapy. Past guests have included a retired NFL football player and professional body builder who defeated his sleep apnea, a mindful meditation guru, and a nutrition and fitness expert, among others.
During ‘CPAP Chat,’ Dr. Osorio, a researcher and faculty member at the New York University Medical School’s Center for Brain Health, described one experiment in which mice who were deliberately sleep deprived lost much of their memory, but when they started to get adequate sleep, their memories improved. He said that 70% of the people in his sleep study at NYU – ages 60 – 85 -- had some degree of sleep apnea, with 20% severe cases.
Research shows that too little sleep leaves us drowsy and unable to concentrate the next day. It also leads to impaired memory and physical performance. Some experts believe sleep gives neurons used while we are awake a chance to shut down and repair themselves. Without sleep, neurons may become so depleted or polluted that they begin to malfunction. Sleep also may give the brain a chance to exercise important neuronal connections that might otherwise deteriorate from lack of activity.* It’s estimated that 20 million Americans suffer from some form of sleep disordered breathing such as sleep apnea. Left unchecked, chronic lack of proper sleep can result in dementia, anxiety, high blood pressure, heart disease, diabetes, and highway and workplace accidents – and an all-around lower quality of life.
CPAP Chat is free, anonymous and open to all. To join the chat: Just prior to the session on the 1st Wednesday of each month at 7 pm (ET), call 1-800.204.6655, enter access code 342-2187#.)
By Stanley Hurwitz / stanhurwitz@gmail.com
*Source: National Institute of Neurological Disorders and Stroke (an agency of the National Institutes of Health).
*Source: National Institute of Neurological Disorders and Stroke (an agency of the National Institutes of Health).
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