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From: c palmer on 4 Jun 2008 19:06
Need the detailed study (5-6 pages with graphs usually). If you are in
the US you have a legal right to a copy of that study (HIPAA).

===> sorry sue, the study was done at the VA hospital in st. louis and
i requested a copy of what they had and that's all that was in my
records.

~ curtis

now, for the lighter side.....

on retirement...

I've often been asked, "What do you old guys do now that you're
retired?" 

Well...I'm fortunate to have a friend who has a chemical engineering
background, and one of the things we enjoy most is turning beer, wine,
bourbon, and martinis into urine. 
 
And, we're pretty damn good at it!!"
 

knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc

From: Sue Morton on 4 Jun 2008 21:22
No need to apologize to me :-) You're the one who was asking questions about
your study. Can't tell you anything in detail from your summary letter.

The sleep doctor (or someone) at the VA has/had the detailed study. Someone
reviewed the detailed data and wrote the summary letter for you, from it.
--
Sue Morton

c palmer wrote:
> Need the detailed study (5-6 pages with graphs usually). If you are in
> the US you have a legal right to a copy of that study (HIPAA).
>
> ===> sorry sue, the study was done at the VA hospital in st. louis
> and i requested a copy of what they had and that's all that was in my
> records.
>
> ~ curtis


From: tension_on_the_wire on 6 Jul 2008 23:58
On Jun 3, 1:12 am, PALMER_...(a)webtv.net (c palmer) wrote:
> On Jun 1, 5:44 am, "Sue Morton" <867-5...(a)domain.invalid> wrote:
>
> i'm learning a lot about eyes since passing the 60 year mark and heading
> down on the fast slope down the mountain of life and i'm picking up more
> and more speed as i go.  now, if i could only find a brake to slow down
> some............. you learn a lot about your body in ways that you never
> thought of before.  
>
snip

> it seems that i'm starting to have made the list on medical disasters of
> aging, but i'm still on this side of the dirt and enjoying each day as
> if it is borrowed.
>
snip

> they say that this can cause other health issues and when i had an
> echocardiogram done about 4 years ago,  they found an enlarged heart
> chamber as well as a leaking heart valve.
>
>
> i like to look on the lighter side of things.  it makes the life a lot
> more fun.  so, i will part with this little joke for everyone.
> enjoy.......
>
> ---
>
> A man went fishing one day. He looked over the side of his boat and saw
> a snake with a frog in its mouth. Feeling sorry for the frog, he reached
> down, gently took the frog from the snake, and set the frog free.
>
> But then he felt sorry for the snake. He looked around the boat, but he
> had no food. All he had was a bottle of bourbon. So he opened the bottle
> and gave the snake a few shots. The snake went off happy, the frog was
> happy, and the man was happy to have performed such good deeds.
>
> He thought everything was great until about ten minutes passed and he
> heard something knock against the side of the boat. With stunned
> disbelief, the fisherman looked down and saw the snake was back with two
> frogs!
>
> ~ curtis


LOL excellent! And I promise, I just saw it today, it did NOT take me
this long to get the joke, hahah!

I'm not sure why I missed this post, Curtis, but I did enjoy it, and
not just for the joke. I think you have a healthy attitude, indeed,
and it will get you a long way down the road, even if that road is
littered with potholes. I will tell you one little thing that is
becoming clear in medicine now with respect to almost every organ
system, but most especially the musculoskeletal system and the brain.
It may not be in your original manual, but they are thinking of adding
a supplement warning people to use it, or lose it. They have
discovered that about the muscles and bones a long time ago, of
course, but now it's become evident that the brain falls in the same
category and a list of activities was printed out that were strong
contributors to the prevention of Alzheimer's, including reading,
crossword puzzles, and dancing (requires a great deal of brain co-
ordination)! I assume maintaining master chess player status works
too, but almost anything which involves prolonged exercise of neurons
and synapses keeps them wired and healthy and co-ordinated. I wish I
could find the citation for you to read it directly, I'll see if I can
scare it up. Maybe regular posting on the newsgroups would qualify as
well!

By the way, in terms of that echocardiographic study, without knowing
more details I couldn't say specifically, but I can tell you that yes,
prolonged untreated OSA can have an effect on the heart. It is similar
to the effect of hypertension on the left side of the heart, but this
effect is on the right side. When the ribcage spends a significant
percentage of the night hauling to its very limit to get air against a
fixed obstruction, it generates massive amounts of negative internal
thoracic pressure which translates throughout all the organs in the
chest, including the heart. The right ventricle of the heart is the
chamber which supplies the arteries to the lungs, and it has to work
very hard indeed to compensate for the multiple fluid dynamic effects
that take place during this time, and the harder a muscle works, the
bigger and bulkier it gets, causing an enlarged heart. A vicious
cycle tends to result from that so that even during the daytime, that
bigger and bulkier right heart tends to pump inordinately high blood
pressure into the arteries of the lungs, causing the vessels to
tighten up, making the heart have to work even harder, and sometimes
even impairing the ability of the blood to draw oxygen from the lungs
etc. The force with which it needs to pump can cause backlog and
leaking through the tricuspid valve, which would be consistent with
what you said about your echo.

This is the number one reason for catching OSA early in life, you were
absolutely right about that, not the risk of suffocating in one's
sleep which almost never happens. But it is worth asking your
physician to tell you the actual findings (right ventricular
hypertrophy with tricuspid valve leak) to be sure that what I am
talking about applies to you. In a way, however, it is moot now that
you are on CPAP treatment since that is the definitive prevention for
worsening of that condition if it is secondary to OSA so you are, as
you know, doing the right thing.

Anyways, sorry if that's more information than you wanted to know!

--tension
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