Category: Professional

Apnea – A Word with Many Uses

Obstructive Sleep Apnea is a very common malady. It is familiar to many and is frequently a subject of both social and medical conversations. Individuals not engaged in frequent work with Apnea conditions may be confused by its usage and rightly so. Discussions and writings about the subject can use the term with different meanings.  When… Read more »

Science’s Ugly Face and Coronavirus, Spring 2020

I am reminded of a cartoon from the 1960’s.  People can be seen bowing before an altar, an empty altar, with the name ”Nothing” on it.  On the top of the altar, there is nothing.  It is empty. In the rear looking towards the altar, one person whispers a question to a second person,  “Is nothing sacred?” Science is not… Read more »

Five Z’s – Journal Review – Case Report – AHI variability

Article:  Long-term variability of the apnea-hypopnea index in a patient with mild to moderate obstructive sleep apnea. Date of Publication: February 15, 2020 Reference:  Fietze I, Glos M, Zimmermann S, Perzel T.  Long-term variability of the apnea-hypopnea index in a patient with mild to moderate obstructive sleep apnea.  Journal of Clinical Sleep Medicine Vol 16 (2);2020. Reason/Problem/Purpose:Demonstrate the variability of… Read more »

The Five Z’s – Journal Review – Nasal vs Oro-nasal PAP

Article:   Transmission of Oral Pressure Compromises Oronasal CPAP Efficacy in the Treatment of OSA Date of Publication:  Dec 2019 Reference: Madeiro F, Andrade RGS, Piccin VS, Pinheiro GDL, et al. Transmission of Oral Pressure Compromises Oronasal CPAP Efficacy in the Treatment of OSA.  Chest 2019; 156(6):1187-1194 Reason/Problem/Purpose:  The authors point out reports that in general patients on oral/nasal mask… Read more »

The Five Z’s – Content and Tags

The Five Z’s is a professional blog directed towards the field of sleep medicine. While the content will vary, the focus will be primarily on the area of sleep medicine and related subjects. There will be commentaries on timely topics and reviews of journal articles . Journal Reviews are labeled with the orange tag. General… Read more »