×

8 Comments

  1. Steve Madden

    Thank you for the insight into PAP therapy. I don’t see much about oral appliances though?

    Reply
    • Adrian Zacher

      Thanks Steve for commenting. I try to provide a balanced assessment, yet I appreciate at this point I need to add the new oral appliance patient’s experience. This will come when the patient is permitted to visit the hospital (sadly CV19 has slowed things down).

      Reply
  2. Frank P Quinn

    Thanks for this assessment.

    I can see that CPAP manufacturers had it all their own way for many years. Times they are a changing!

    Reply
    • Adrian Zacher

      They are indeed! Thanks Frank for commenting.

      Reply
  3. Edward F Grandi

    Adrian, your analysis of the situation is spot on. As someone who gained an understanding of this serious, debilitating, and life-threatening condition under the tutelage of pulmonary physicians I was a preacher of PAP as the most effective for the most patients.

    That and during my tenure at the American Sleep Apnea Association it was the PAP manufacturers that provided significant financial support to our educational mission (full disclosure here).

    Over time I came to understand that treating sleep apnea is more nuanced than just “CPAP for everyone”. You rightly say it is the patient that is paramount and the treatment should fit the patient and not the other way around. Oral appliance and even surgery have a role to play in treating/managing this condition.

    The sleep space continues to evolve with an increasing appreciation of how important the quality of sleep is as much as the quantity of sleep. Thank you for your continuing contribution to education.

    Reply
    • Adrian Zacher

      Hi Ed. Thank you for taking the time to comment. It will be very interesting to see what the next 10 years offers patients.

      Reply
  4. Shouresh Charkhandeh

    Another great article Adrian!! Really enjoyed the very logical and step by step approach in considering all the important variables. It will be interesting to see what the next decade brings, and how consumers’ choice would impact the field.

    Reply
    • Adrian Zacher

      Thanks Shouresh. Yes, it will be interesting to see how the next decade plays out. You never know we may have a once-a-day pill to ‘cure’ OSA! That would change things…

      Reply

Submit a Comment