drpat @live.ca
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      • Finasteride cuts Prostate Cancer Risk
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    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
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  • Mind-Body Links
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    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
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  • The hearts electrical system
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  • Old Fart Fitness
  • Guidelines vs. Reality
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  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
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  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
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  • Science of depression
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  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list
  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list

Obstructive Sleep Apnea (OSA) 
​ - Dr. Patrick Nesbitt

Picture
Laugh and the world laughs with you.   Snore and you sleep alone.  And if you snore  and / or do not get restful sleep you may have   Obstructive Sleep Apnea ( OSA ) .

What is Obstructive Sleep Apnea ?

Picture
Suffocating in your sleep !  
Which obviously is not good for you.  
Ii causes weight gain, sleepiness, low T, a bunch of other health problems.   
Once diagnosed it is usually easy to treat.
Click on the pic at the right for a testimonial from a Good Old Boy about how OSA treatment works !
If you fall a sleep a lot during the day - like the guy in this pic - then you may have
Obstructive Sleep Apnea.  

Picture
Picture

What are the effects of Obstructive Sleep Apnea ?

Everything from car accidents to sudden death in your sleep.
Many night time sudden deaths may be triggered by strokes or heart attacks aggravated by OSA.  
I see a lot of men who have "Low T" as a direct result of OSA

How is Obstructive Sleep Apnea diagnosed ?

se first , and the most difficult part, is thinking of it.
After that there are a series of questions that help me to diagnose it.
And some associated physical examination findings.
And finally, some specialized testing.
Plus - as with a lot of medical conditions - we try treating it.
If the treatment changes your life, then you probably had the disease !
Picture

Obstructive Sleep Apnea - Treatment

Picture

Treatment of Obstructive Sleep Apnea can be very simple or very complicated.
Some people only have OSA if they sleep on their back.
We  keep them from sleeping on their back !  Something as simple as a tennis ball sewn into the back of their pyjama top can keep them from sleeping on their back.  ( Or a wife who diligently gives them the elbow ! ) 
​Other pe0ple need some fancy gadgets.

Not everyone knows they have OSA
One one the quirks of OSA that many people are unaware that they have it.  And some of them are doctors..​

Case examples of OSA
The The Skinner Doctor

There was a skinny doctor that I worked with.
He developed ATTRIAL FIBRILLATION which is a synptom of OSA...

Continuous Positive Airway Pressure   (CPAP)

CPAP mask
Picture
CPAP is a mask that you wear at night.  It uses mild air pressure to keep the airways open while you are asleep.
Just like mild airway pressure keeps the roof of BC Place from falling in.
Getting the right mask can be like buying a pair of shoes.
You may have to try a few to get the best fit for you.
An advantage is that you can try it out an tweak it a bit before you have to buy a device
Most local CPAP companies will rent you a mask to test drive for a few weeks.  

Mandibular Repositioning Device  ( MRD ) 

Picture
This is like a boxing mouth guard.  
You stick it in your mouth when you go to bed at night.
It holds your tongue and jaw a bit forward, and keeps your airway from blocking off. 
These are custom made, by dentists, at dentist prices.
They are less annoying than CPAP, but because they are custom made you can't try them out. 

Dentists in Vancouver who specialize in
"sleep dentistry"


​Dr. Sharnell Muir                 snoredentist.ca
Dr. L Wayne Halstrom     604 876 8993   1 800 399 4659
​

Consequences of OSA

Logically it should decrease OSA related Cardiac Deaths....
​But it may not do it...


SAVE: No CV Event Reduction With CPAP

​

Medical marijuana for treating
​ Obstructive Sleep Apnea  ( OSA) 

For information on medical marijuana generally, check out the page here.  
A derivative of medical marijuana can be used to treat OSA.
The drug dronabinol is a synthetic type of marijuana that has been used for years for treating people with nausea from cancer.  It does not have any of the psycho active effect that people associated with
 Tetrahydrocannabinol  ( THC )
, and can be useful for treating Obstructive Sleep Apnea.
For a review article on using marijuana for treatment of Obstructive Sleep Apnea, click here  .....
​Dr. Pat  Nesbitt, Vancouver, Canada ..... [email protected]
  • Welcome page
  • Walk In / One time patient form
  • New Patient Form
  • Virtual Visits
  • Bio
    • About...
    • Competence
  • Best bang for your buck
  • Fascinating Folk
    • Farewell to Flatass
  • Old Old Newspaper articles !
    • Nishga news
    • Hijacked
    • Whiplash and Train-Neck
    • ARTICLE STUFF
  • Covid
    • Covid Controversies
  • Medical Bloggy stuff
  • Testosterone
    • How to tell if you have low T
    • Testosterone for Geezers
    • Testosterone for twits
    • Trump Teeny T hands
    • T questions & answers
  • For Men Only
    • Touch me !
    • Deadpool talks balls
    • Dear Penis
    • Napoleon's Penis
    • Vasectomy
    • Sick Dick Pics
    • MAN STUFF
    • MEN & DEPRESSION
      • Depression & Exercise
      • Depression in men is different
      • Depression & Exercise
      • Cognitive Therapy
      • St. Johns Wort for Depression
      • Depression, Exercise, and the Internet
      • Stress
  • Prostate watching increases mets but not death
    • Prostate Puzzles
      • Prostate Ca Overview
      • If I were Tom
      • Prostate Ca Overview
      • Prostate Ca Overdiagnosis
      • Prostate Ca treatment works
      • PSA Testing
      • Prostates 101
      • Prostate Cancer
      • Prostate biopsy
      • PSA Staging
      • Balding and PSA
      • Finasteride cuts Prostate Cancer Risk
    • If you are male and fifty ....
      • Balding
      • Premature ejaculation
      • Erectile Dysfunction
      • Erectile Dysfunction Slideshow
      • Ken & Barbie
      • The "Slut" Gene
  • A Tale of Two Speeches
  • A Tale of Two Goats
  • Benefits of alcohol
  • Obstructive Sleep Apnea
  • Covid
    • Mask Crazyness
    • Covid Phone App
    • Sex and glory holes
    • Covid 19 answers
    • Covid 19 videos
  • To Statin or not to Statin
    • Cardiac risk stratification
    • Coronary Artery Calcium
    • Non Fasting Cholesterol Testing
  • Acupuncture
  • Sex before hockey ?
  • Amazing ASA
  • Strep Throat,Mozart &Darwin
  • Columbus & Syphilis
  • Diabetes / Pissing Evil
    • Treatment of Prediabetes
    • Sugar bad for your seahorse
    • Diabetic Eating
    • Type 2 Diabetes Slideshow
    • Diabetic Neuropathy
  • Love and Armpits
  • Internet Addiction
  • Flu Vaccines
  • Sunburned Vikings
  • Vaccines & Cows
  • Coffee and stupidity
  • How Low is Low Enough ?
  • The SkepDoc
  • Up To Date
  • Poop transplants
  • Cancer Prevention
  • BRAINY STUFF
    • Brain Attacks
    • Autism
    • Tourette's
    • Prevent Alzheimer's
    • Exercise boosts old brains
  • FOODY STUFF
    • Weight loss - truths and myths
    • Fat Facts
    • Food Allergies
    • Vitamins - Men
    • Heart & chocolate
    • Vitamins - Women
    • Chocolate for Heart Failure
    • Brain & chocolate
    • Chocolate
    • Fruity Heart Health
    • Clear fluids diet
    • Healthy Cholesterol Eating
    • Tumeric
    • Evil Grapeffruit
    • Orphan Vitamin
    • Calcium hates men
  • SEXY STUFF
    • Contraception
    • Sexy Infections
    • Infidelity #2
    • Top Ten Men's Health Risks
    • Penis practices
    • Senior Sex ?
    • Sex Drive Killers
    • How Men Love
  • ACHEY STUFF
    • Osteoarthritis 2012
    • Achey Stuff
    • ITB Stretches
    • Patellofemorol Syndrome
    • Rotator Cuff Stuff
    • Shoulder exercises
    • Nocturnal Calf Cramps
    • Organic Steroids
    • Poppy Medicine
    • Scoping knees
  • QUIRKY STUFF
    • Jargon for Dummies
    • e-medicine
    • Cosmetic surgery
    • Medical Privacy
    • Halloween medicine
    • Healthy Honey
  • HYPNOSIS STUFF
    • What is Hypnosis ?
    • Hypnosis for Weight Loss
    • Questions and Answers About Hypnosis
    • Talking to the Almond - Hypnosis
    • Hypnosis and Pain Reduction
    • Hypnosis & Healing
    • Hypnosis to Stop Smoking
  • PREVENTION STUFF
    • Flu Shots
    • Wart Virus Vaccine
    • Stopping Smoking
    • Cell-phone brain
    • The "Checkup"
    • Cancer prevents Altzheimer's
    • Avoiding Old Age
  • Sleep
    • Video game sleeps
    • Causes of fatigue slideshow
    • Sleep Disorders Sideshow
    • Sleep Apnea
  • Secrets of Fire and Ice
  • Mind-Body Links
  • Breast Boats
    • Thermography extinguished
  • Secrets of the Placebo Effect
  • Germs Triumphant
  • Why your pancreas is amazing
  • FEVER STUFF
  • Puberty
  • The hearts electrical system
  • Exercise for your mind
  • Old Fart Fitness
  • Guidelines vs. Reality
  • Canada Ranks Last
  • Cannibis
  • Depression & Anxiety
  • Good videos
  • Kidney stones
  • Flu shots
  • Physical Debate
  • Chronic Pain
  • Porn
  • Whiplashes & Car Crashes
  • Medical Marijuana
  • Physician Assisted Death
  • Alcoholism
  • Light for Prostate
  • Homocysteine
  • Therapeutic needling
  • Trigger Point Injections
    • Trigger point injections
  • Chiropractic
  • Quack stuff
  • Atrial Fibrillation
  • Tired all the time
  • Antibiotic apocalypse
  • Malaria
  • Lung testing
  • Expired Drugs
  • Acupuncture
  • Science of depression
  • TMJ
  • Back Pain
  • Smoking California
  • My favorite sexual complaint
  • Covid 19 - Vaccination vs Natural Immunity
  • Links
    • BriansBoardDelay
    • 38 Psych assessments
  • Book Info
  • Mailing list