Research on UPPP (VERY long)
Question:
On Fri, 22 Mar 2002 22:48:51 GMT, Tony Johnson <TonyJohnson…@hotmail.com> wrote: >Good point. The biggest problem is going to be deciphering the >medical jargon which is most understandable by those in the >profession.
Most of it I’ve seen is based off of Greek/Latin, and knowing a handful of prefixes and suffixes help greatly. The Home Edition of the Merck Manual has a list of ones that you’ll run into: http://www.merck.com/pubs/mmanual_home/front/medterm.htm — Things would be a lot happier on Sesame Street if they’d just toss some Zoloft in Oscar the Grouch’s trashcan. 
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On Thu, 21 Mar 2002 02:39:15 -0500, "Lori&Mike" <mpow…@the-beachnospam.net> wrote: >Why not use the "two dollar words". They know that most doctors don’t crack >a book after medical school/residency Mike
That’ll change momentarily… they stopped letting them "board for life" around 1990. Of course, nowadays, who really needs paper? Most everything can be put on the Net and a few million trees can be saved. They can even put the highlights in a PowerPoint file that can be printed out and scribbled over. — Things would be a lot happier on Sesame Street if they’d just toss some Zoloft in Oscar the Grouch’s trashcan.
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On Thu, 21 Mar 2002 03:10:55 -0500, "Lori&Mike" <mpow…@the-beachnospam.net> wrote: >I saw a apnea text book on Amazon for $495.
For that price, you can buy a CPAP and write your own. — Things would be a lot happier on Sesame Street if they’d just toss some Zoloft in Oscar the Grouch’s trashcan.
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Tony Johnson wrote: > Time to search the university library or the big city library.
You really need a medical library. So check your university’s medical library.
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On Fri, 22 Mar 2002 14:32:00 GMT, Otter Perry <otter…@earthlink.net> wrote: >> Time to search the university library or the big city library. >You really need a medical library. So check your university’s >medical library.
Good point. The biggest problem is going to be deciphering the medical jargon which is most understandable by those in the profession. That said I do now have an appt with a sleep lab. The doctor is, apparently, one of the leaders in the field and has written papers. I have to pay $600 but that isn’t a problem at all. The downside is its in two months. <sigh> Tony
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How about university medical school libraries and hospital libraries? If you find something, you can request that the library buy it. – Hide quoted text — Show quoted text -Lori&Mike wrote: > I usually do a search on Amazon www.amazon.com and Barnes and Noble > www.bn.com to get some new book titles and then go the library (usually I > just don’t care to read older information). I think you’ll find most > libraries don’t carry the newer stuff on apnea because 1) some of the > medical books are really expensive and 2) the sales for purely apnea books > are horrible. Most (not all but most) of the newest books are fluff pieces > primarily about snoring. Sounds like a good idea to hit the university or > medical library. Let us know if they have discovered a permanent cure > Mike > "Tony Johnson" <TonyJohnson…@hotmail.com> wrote in message > news:j0pi9u83a3t44gvsr2udv48kbtafqku5bt@4ax.com… >>I’m doing a search on sleep apnea/disorders at the local library and >>throughout the region. Any book more than two or three years old I’m >>ignoring. Guess what? No books newer. >>Except for one on alternative medicines and how to sleep better. >>Which I didn’t realize what it was until I got it. Randomly sampling >>through pages brought such enlightening topics as a coffee enema. I >>kid you not. >>To their credit they did have two pages on sleep apnea and the proper >>treatment including CPAP machines. >>Time to search the university library or the big city library. >>Tony
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On Thu, 21 Mar 2002 07:15:46 GMT, NormC <no…@socal.rr.com> wrote: >How about university medical school libraries and hospital libraries? If you >find something, you can request that the library buy it.
Gee, I thought the computer industry used a lot of jargon. Medical oriented texts are even worse. <chuckle> Tony
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Good idea! That’s kinda what my "medical library" idea was referring to but wasn’t as clear. Mike "NormC" <no…@socal.rr.com> wrote in message
news:3C9988B1.7020102@socal.rr.com… – Hide quoted text — Show quoted text -> How about university medical school libraries and hospital libraries? If you > find something, you can request that the library buy it. > Lori&Mike wrote: > > I usually do a search on Amazon www.amazon.com and Barnes and Noble > > www.bn.com to get some new book titles and then go the library (usually I > > just don’t care to read older information). I think you’ll find most > > libraries don’t carry the newer stuff on apnea because 1) some of the > > medical books are really expensive and 2) the sales for purely apnea books > > are horrible. Most (not all but most) of the newest books are fluff pieces > > primarily about snoring. Sounds like a good idea to hit the university or > > medical library. Let us know if they have discovered a permanent cure > > Mike > > "Tony Johnson" <TonyJohnson…@hotmail.com> wrote in message > > news:j0pi9u83a3t44gvsr2udv48kbtafqku5bt@4ax.com… > >>I’m doing a search on sleep apnea/disorders at the local library and > >>throughout the region. Any book more than two or three years old I’m > >>ignoring. Guess what? No books newer. > >>Except for one on alternative medicines and how to sleep better. > >>Which I didn’t realize what it was until I got it. Randomly sampling > >>through pages brought such enlightening topics as a coffee enema. I > >>kid you not. > >>To their credit they did have two pages on sleep apnea and the proper > >>treatment including CPAP machines. > >>Time to search the university library or the big city library. > >>Tony
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Why not use the "two dollar words". They know that most doctors don’t crack a book after medical school/residency Mike "Tony Johnson" <TonyJohnson…@hotmail.com> wrote in message
news:mu2j9uc16bemajfn0593fru0cmbfpggutv@4ax.com… – Hide quoted text — Show quoted text -> On Thu, 21 Mar 2002 07:15:46 GMT, NormC <no…@socal.rr.com> wrote: > >How about university medical school libraries and hospital libraries? If you > >find something, you can request that the library buy it. > Gee, I thought the computer industry used a lot of jargon. Medical > oriented texts are even worse. <chuckle> > Tony
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Lori&Mike wrote: > Good idea! That’s kinda what my "medical library" idea was referring to but > wasn’t as clear. Mike
Oh, it was clear. But you know me, when it comes to reading things. I missed it first time around, as usual! Sorry. Let me be the first to say, "Hey, that’s a good idea." I had to do this once. – Hide quoted text — Show quoted text -> "NormC" <no…@socal.rr.com> wrote in message > news:3C9988B1.7020102@socal.rr.com… >>How about university medical school libraries and hospital libraries? If > you >>find something, you can request that the library buy it. >>Lori&Mike wrote: >>>I usually do a search on Amazon www.amazon.com and Barnes and Noble >>>www.bn.com to get some new book titles and then go the library (usually > I >>>just don’t care to read older information). I think you’ll find most >>>libraries don’t carry the newer stuff on apnea because 1) some of the >>>medical books are really expensive and 2) the sales for purely apnea > books >>>are horrible. Most (not all but most) of the newest books are fluff > pieces >>>primarily about snoring. Sounds like a good idea to hit the university > or >>>medical library. Let us know if they have discovered a permanent cure >>>Mike >>>"Tony Johnson" <TonyJohnson…@hotmail.com> wrote in message >>>news:j0pi9u83a3t44gvsr2udv48kbtafqku5bt@4ax.com… >>>>I’m doing a search on sleep apnea/disorders at the local library and >>>>throughout the region. Any book more than two or three years old I’m >>>>ignoring. Guess what? No books newer. >>>>Except for one on alternative medicines and how to sleep better. >>>>Which I didn’t realize what it was until I got it. Randomly sampling >>>>through pages brought such enlightening topics as a coffee enema. I >>>>kid you not. >>>>To their credit they did have two pages on sleep apnea and the proper >>>>treatment including CPAP machines. >>>>Time to search the university library or the big city library. >>>>Tony
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Aahh! Music to my ears 
) I saw a apnea text book on Amazon for $495. Forget that! With cable modem speed and the net, I am the library Mike "NormC" <no…@socal.rr.com> wrote in message
news:3C9990DB.8060804@socal.rr.com… – Hide quoted text — Show quoted text -> Lori&Mike wrote: > > Good idea! That’s kinda what my "medical library" idea was referring to but > > wasn’t as clear. Mike > Oh, it was clear. But you know me, when it comes to reading things. I missed > it first time around, as usual! Sorry. > Let me be the first to say, "Hey, that’s a good idea." I had to do this once. > > "NormC" <no…@socal.rr.com> wrote in message > > news:3C9988B1.7020102@socal.rr.com… > >>How about university medical school libraries and hospital libraries? If > > you > >>find something, you can request that the library buy it. > >>Lori&Mike wrote: > >>>I usually do a search on Amazon www.amazon.com and Barnes and Noble > >>>www.bn.com to get some new book titles and then go the library (usually > > I > >>>just don’t care to read older information). I think you’ll find most > >>>libraries don’t carry the newer stuff on apnea because 1) some of the > >>>medical books are really expensive and 2) the sales for purely apnea > > books > >>>are horrible. Most (not all but most) of the newest books are fluff > > pieces > >>>primarily about snoring. Sounds like a good idea to hit the university > > or > >>>medical library. Let us know if they have discovered a permanent cure > >>>Mike > >>>"Tony Johnson" <TonyJohnson…@hotmail.com> wrote in message > >>>news:j0pi9u83a3t44gvsr2udv48kbtafqku5bt@4ax.com… > >>>>I’m doing a search on sleep apnea/disorders at the local library and > >>>>throughout the region. Any book more than two or three years old I’m > >>>>ignoring. Guess what? No books newer. > >>>>Except for one on alternative medicines and how to sleep better. > >>>>Which I didn’t realize what it was until I got it. Randomly sampling > >>>>through pages brought such enlightening topics as a coffee enema. I > >>>>kid you not. > >>>>To their credit they did have two pages on sleep apnea and the proper > >>>>treatment including CPAP machines. > >>>>Time to search the university library or the big city library. > >>>>Tony
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mercedm…@aol.com (MercedMike) wrote: ><< Did you happen to pick up any dates for the info on UPPP? I think that >the age of the info would be important to anyone considering this particular >surgery. >> >Most of it seemed to be from up to date sites but I did not see any particular >dates. I’m not quite sure I see why the dates are critical?
Most of the data, including almost everything cited by ENT sites, dates back a number of years and has no real follow-up. The few recent studies I’ve located that included long term results tend to make my "one person in six" look a little too optimistic. 
Tom
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You know, it is much easier on the boards if people try to be friendly. I posted some information I thought people might like to know, and you have to post a snotty answer … and then do it FOUR times!! I don’t need you. Killfiled!! Mike
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In article <20020317121508.14732.00002…@mb-ba.aol.com>, mercedm…@aol.com says… > You know, it is much easier on the boards if people try to be friendly. > I posted some information I thought people might like to know, and you have to > post a snotty answer … and then do it FOUR times!!
The multiple posts might be due to his ISP; sometimes servers multiply posts for no apparent reason. But your complaint is justified. Thanks for the info, and I think I’ve come across some of your references myself. It would also help those who want to chase it up further if you can supply the site addresses. – Hide quoted text — Show quoted text -> I don’t need you. Killfiled!! > Mike
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> I posted some information I thought people might like to know, and you have to > post a snotty answer … and then do it FOUR times!! > I don’t need you. Killfiled!!
Norm seems to be having a problem with his server….serveral of his posts came through multiple times, i think you’ll find he’s one of the more friendly ones on this newsgroup and your willingness to killfile him so quickly is sad.
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On Sun, 17 Mar 2002 08:05:54 GMT, NormC <no…@socal.rr.com> wrote: >If you don’t know why the dates are important, I doubt that I could begin to try >to explain; however, I’ll try. The dates are important because the >cures/treatments for aleep apnea are changing at a very fast rate. I don’t know >if the information you presented was even valid today, without a date. As a >result, I __DID NOT__ read it what you presented. There is so much dated >information on the web, I haven’t got time to read something that may be 10 >years old…. or even three years old. That’s just my way.
I’m doing a search on sleep apnea/disorders at the local library and throughout the region. Any book more than two or three years old I’m ignoring. Guess what? No books newer. Except for one on alternative medicines and how to sleep better. Which I didn’t realize what it was until I got it. Randomly sampling through pages brought such enlightening topics as a coffee enema. I kid you not. To their credit they did have two pages on sleep apnea and the proper treatment including CPAP machines. Time to search the university library or the big city library. Tony
Response:
I usually do a search on Amazon www.amazon.com and Barnes and Noble www.bn.com to get some new book titles and then go the library (usually I just don’t care to read older information). I think you’ll find most libraries don’t carry the newer stuff on apnea because 1) some of the medical books are really expensive and 2) the sales for purely apnea books are horrible. Most (not all but most) of the newest books are fluff pieces primarily about snoring. Sounds like a good idea to hit the university or medical library. Let us know if they have discovered a permanent cure Mike "Tony Johnson" <TonyJohnson…@hotmail.com> wrote in message
news:j0pi9u83a3t44gvsr2udv48kbtafqku5bt@4ax.com… – Hide quoted text — Show quoted text -> I’m doing a search on sleep apnea/disorders at the local library and > throughout the region. Any book more than two or three years old I’m > ignoring. Guess what? No books newer. > Except for one on alternative medicines and how to sleep better. > Which I didn’t realize what it was until I got it. Randomly sampling > through pages brought such enlightening topics as a coffee enema. I > kid you not. > To their credit they did have two pages on sleep apnea and the proper > treatment including CPAP machines. > Time to search the university library or the big city library. > Tony
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From: NormC <no…@socal.rr.com> MercedMike wrote: > << Did you happen to pick up any dates for the info on UPPP? I think that > the age of the info would be important to anyone considering this particular > surgery. >> > Most of it seemed to be from up to date sites but I did not see any particular > dates. I’m not quite sure I see why the dates are critical? > Mike
Although I didn’t say it was critical, if I had any reason to consider a UPPP, it would be, to me. If you don’t know why the dates are important, I doubt that I could begin to try to explain; however, I’ll try. The dates are important because the cures/treatments for aleep apnea are changing at a very fast rate. I don’t know if the information you presented was even valid today, without a date. As a result, I __DID NOT__ read it what you presented. There is so much dated information on the web, I haven’t got time to read something that may be 10 years old…. or even three years old. That’s just my way. Perhaps someone else can explain it better, in their way. One great thing about this particular newsgroup, for the 16 months I’ve been reading and posting, is that people go out of their way to provide clickable links. This way new, and old, readers will be able to determine for themselves if the information is new or old, without having to ask…. as I did. Greg "Thorny" Thornhill, SYstem OPerator ICQ #29210278 ——————————————————- Thorny’s BBS, Lawrence, Kansas, USA. Online since 1996 TradeWars, 25 other multiplayer games, FIDOnet, Usenet, chat, 20 nodes. Totally free unlimited access 24/7/365. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ http://thorny.cscnt.com You may substitute telnet://thorny.cscnt.com thorny.synchro.net ftp://thorny.cscnt.com or gopher://thorny.cscnt.com 24.124.39.137 for news://thorny.cscnt.com thorny.cscnt.com ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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> Most of it seemed to be from up to date sites but I did not see any particular > dates. I’m not quite sure I see why the dates are critical?
I think dates would be extreemly critical in determining long term effectiveness and side effects etc.
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MercedMike wrote: > << Did you happen to pick up any dates for the info on UPPP? I think that > the age of the info would be important to anyone considering this particular > surgery. >> > Most of it seemed to be from up to date sites but I did not see any particular > dates. I’m not quite sure I see why the dates are critical? > Mike
Although I didn’t say it was critical, if I had any reason to consider a UPPP, it would be, to me. If you don’t know why the dates are important, I doubt that I could begin to try to explain; however, I’ll try. The dates are important because the cures/treatments for aleep apnea are changing at a very fast rate. I don’t know if the information you presented was even valid today, without a date. As a result, I __DID NOT__ read it what you presented. There is so much dated information on the web, I haven’t got time to read something that may be 10 years old…. or even three years old. That’s just my way. Perhaps someone else can explain it better, in their way. One great thing about this particular newsgroup, for the 16 months I’ve been reading and posting, is that people go out of their way to provide clickable links. This way new, and old, readers will be able to determine for themselves if the information is new or old, without having to ask…. as I did.
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<< Did you happen to pick up any dates for the info on UPPP? I think that the age of the info would be important to anyone considering this particular surgery. >> Most of it seemed to be from up to date sites but I did not see any particular dates. I’m not quite sure I see why the dates are critical? Mike
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Mike – Did you happen to pick up any dates for the info on UPPP? I think that the age of the info would be important to anyone considering this particular surgery. – Hide quoted text — Show quoted text -MercedMike wrote: > There has been a lot of discussion on this board about UPPP but very little > actual medical information posted. Here is some very interesting stuff I found > while surfing: > Patient Information > Uvulopalatopharyngoplasty (UPPP) is an operation to improve certain sleep > disorder symptoms such as obstructive sleep apnea and snoring. Because there > may be several causes occurring at the same time, this procedure may only give > partial relief depending on the relative importance of palate and uvula size. > The success rate in treating apnea cases has been reported to be greater than > 50%, and the expectation for snoring improvement may be greater than 80%. The > most common complications include bleeding after surgery, infection, and > temporary airway obstruction due to post operative swelling. Occasionally > patients with severe obstruction or added risk due to obesity may require a > temporary tracheostomy. Some patients also have complaints due to an inability > of a shortened palate to make contact with the back of the throat. This may > cause some nasal regurgitation and a hyponasal or hollow-sounding voice. The > opposite effect due to narrowing of the space behind the nose (nasopharynx) is > even less likely. As a general rule, the more carefully patients with sleep > disorders are studied and selected, the greater the likelihood of improvement > after UPPP. > American Academy of Otolaryngology-Head and Neck Surgery. > LACK OF EFFECTIVENESS OF UVULOPALATOPHARYNGOPLASTY (UPPP) AND LASER ASSISTED > UVULOPALATOPLASTY (LAUP) IN SLEEP DISORDERED BREATHING > Helmut S. Schmidt1, Brian P. Berendts1, and Robert M. Hinkle2 > Ohio Sleep Medicine Institute1, and Dublin Oral & Facial Surgery Inc.2 > Surgical treatment for sleep disordered breathing remains controversial. > Success rates, defined as a 50% reduction in apnea + hypopnea index (A+HI) pre- > to postoperatively, are generally described as being less than 40% for UPPP and > LAUP4. > The Medical Consumer’s Advocate: > Uvulopalatopharyngoplasty (UPPP) for obstructive sleep apnea > This letter originally appeared in Dr. Hoffman’s column on allHealth.com. > <large parts snipped> > …Nevertheless, it is important to underline that CPAP is the treatment of > choice and should ALWAYS be tried before resorting to surgery. Unlike CPAP, the > surgical "fixes" for OSA do NOT have a 100% success rate and are NOT risk-free. > (In the best published studies on UPPP, the success rates are around 85%.) > …Needless to say, if CPAP has not been offered to you, or if your airway has > not been appropriately evaluated ("just say AH" is NOT a good enough > examination), then the decision to undergo a UPPP is premature. > …How painful is it, and how long is the recovery? This is a tough thing to > predict. I am constantly surprised by my patients
