Page 19 - Scene Magazine 45-03 March 2020
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refer you to a sleep specialist to undergo a sleep study.
If the sleep specialist confirms that you have sleep apnea, there are a number of treatment options available.
Sometimes, lifestyle changes such as weight loss, smoking cessation,
and regular exercise may help. In other cases, an oral appliance, airway therapy, or a surgical procedure is used to correct physical causes. Two options most commonly proposed by providers include wearing a mouthpiece or using
a continuous positive airway pressure (CPAP) device.
A mouthpiece repositions the tongue and jaw to maintain an open airway, where CPAP involves wearing a mask that is attached via a hose to a machine. The CPAP machine provides a constant flow of air throughout the night. The flow of air helps to keep your airway open while you sleep.
While these options work well for some, they can prove problematic or ineffective for others.
Since 2017, Bronson has offered an alternative treatment, Inspire, for those who cannot wear a mouthpiece and for whom the use of CPAP has proven to be ineffective. Inspire is a small surgically implanted device that works inside
the body to treat moderate to severe obstructive sleep apnea. During sleep, Inspire monitors breathing patterns
and delivers mild stimulation to key
airway muscles, allowing the airway to remain open during sleep.
The patient uses a small handheld remote to turn Inspire on before bed and off in the morning. Unlike CPAP, no mask or hose are needed
The Inspire system consists of a small pulse generator and two thin wires. Inspire is placed deep under the skin of the neck and chest through three small incisions during an outpatient procedure. Most patients return home the same day and can return to non-strenuous activities within a few days. Over-the-counter pain medication is typically used for a few days after the procedure for any discomfort the patient may feel.
Inspire is for people who:
• have been diagnosed with moderate to
severe obstructive sleep apnea
• are unable to use or get consistent
benefit from CPAP
• are not significantly obese • are age 22 or older
Speak with your doctor for more information about risks and conditions that may affect whether you qualify for Inspire. Individuals who receive the device will be monitored one to two times a year.
Schedule an appointment with your primary care provider. They can evaluate your symptoms, perform a physical exam and send you to a sleep specialist for a sleep test if they determine that you may have a sleep disorder.
Find out more about sleep health and the Bronson Sleep Lab at bronsonhealth. com/sleep. You can reach Bronson Sleep Health Specialists at (269) 324-0799.
 Who is a candidate for this procedure?
 Bronson now offers Inspire for sleep apnea
  Concerned that you might have sleep apnea?
    DR. SZELES is a surgeon at Bronson Otolaryngology,
Head & Neck Surgery Specialists in Battle Creek and Kalamazoo. He is the currently the only physician in the region offering Inspire Upper Airway Stimulation as a treatment option. He can be reached by calling Bronson Otolaryngology, Head & Neck Surgery Specialists at (269) 245-8590 or (269) 381-0180.
  Patient Stor y
I struggled with sleep apnea all
of my life. As a child, I had surgery to try to correct the problem,
but got little relief. Using a CPAP (continuous positive airway pressure) machine eased some of the symptoms, but I found it difficult to incorporate into my everyday life.
Over time, the sleep apnea began to interfere with my quality of life.
I was barely getting any sleep, so
I was constantly fatigued and just didn’t feel well.
After participating in a sleep study, my family doctor suggested I consider a new procedure known as Inspire therapy. Steven Szeles, MD, of Bronson Otolaryngology, Head & Neck Surgery Specialists was among the handful of doctors statewide
who performed the procedure,
which involves implanting a device under your skin that helps keep
your airway open while you sleep. Although we live in mid-Michigan, we chose Bronson because of its great reputation.
Throughout the entire process, Dr. Szeles and his staff were amazing. They were so positive
and informative, and were always receptive to any questions I had. Since having the surgery, my life has done a complete 180. I am finally sleeping through the night and have the energy I need to enjoy life!
   BRYAN SMALLEY, PATIENT
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