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Q&A with Australian Health Practitioners
Can you help somebody with severe sleep apnoea?
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Has been diagnosed for several years with sleep apnoea but the only solution provided was a continuous positive airway pressure (CPAP) which he can't sleep with. -
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Thanks
Dr Nicholas Wilsmore
Respiratory & Sleep Medicine Physician
Dr. Wilsmore in an Australian trained specialist, with International fellowship expertise in Interventional Pulmonology. Nick has unique expertise in the interventional diagnosis and management of … View Profile
Whilst CPAP is often recommended as the gold standard for management of severe obstructive sleep apnoea, some patients cannot tolerate this, as you point out. It is important however to recognise that there are often new CPAP masks and machines, that are better tolerated than older equipment, so if it has been a long time since he last trialled CPAP, then a sleep physician assessment and discussion is worth pursuing. Alternatives to CPAP, such as a mandibular advancement splint are also worth considering. Other options, such as position modification devices may also be an option, depending upon the specific features on his diagnostic sleep study.
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Dr Jason Wong
Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)
Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general … View Profile
If obesity is present, I recommend considering bariatric surgery as an option for weight loss and improvement or remission of obstructive sleep apnoea.
Gastric bypass, and even the sleeve gastrectomy, are very good options to consider. If you had never considered bariatric surgery before but it is something that you would like to find out more about with regard to improving your sleep apnoea, many bariatric practices will see patients for a no obligation consultation.
Kind regards,
Dr Jason Wong
Weight & Metabolic Solutions Australia
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