Ask The Sleep Doctor

Ask The Sleep Doctor – Topics: Atrial Fibrillation, ADD, CPAP, and More

Dear Dr. Rosenberg,

My dad has been in and out of atrial fibrillation for several years. His cardiologist wants him to have a procedure called an ablation. He said this could potentially cure his fibrillation and allow him to get off blood thinners. My mom mentioned he snores and now they want him to have a sleep study. Why?

Answer:

Up to 59% of patients with atrial fibrillation have sleep apnea. Untreated, it is a major cause of recurrent fibrillation and significantly decreases the chances of procedures such as ablation to work.

Dear Dr. Rosenberg,

My grandson is 11 years old. He does not fall asleep until 11p.m. and has to be up for school by 6:30. He is doing poorly in school. I tell my daughter he is not getting enough sleep but she wants him evaluated for ADD. What do you think?

Answer:

I think grandma knows best. An 11-year-old needs a minimum of 9 to 10 hours of sleep. 7 1/2 is insufficient and may be the cause of problems with focusing and paying attention. I would first ensure he is getting enough sleep before anything else.

Dear Dr. Rosenberg,

I was diagnosed with severe sleep apnea. I wear my CPAP faithfully. They tell me I have no more apneas when my machine is checked. Despite that, I am still having a very hard time staying awake. Any ideas?

Answer:

Yes, about 8% of people with sleep apnea after treatment still have a hard time with sleepiness. There are several medications approved by the FDA for just such circumstances. I would speak to your health care provider or sleep doctor and see if you are a candidate.

Dear Dr. Rosenberg,

My 4-year-old has a hard time falling asleep. I am wondering if the movies on a laptop he watches before bed could be contributing?

Answer:

Yes, they probably do. A recent study showed preschool children’s eyes are much more sensitive to light than at any age. In the study, the suppression of melatonin by light was greatest in this age group. Melatonin is the hormone we produce to induce sleep. The study found even brief exposures suppressed melatonin for up to 90 minutes.

Dr. Robert Rosenberg, D.O., FCCP, DABSM

Robert S. Rosenberg, DO, FCCP, is the medical director of the Sleep Disorders Center of Prescott Valley, Arizona and sleep medicine consultant for Mountain Heart Health Services in Flagstaff, Arizona. Dr. Rosenberg is board certified in sleep medicine, pulmonary medicine, and internal medicine. His book Sleep Soundly Every Night, Feel Fantastic Every Day  is a best seller. Dr Rosenberg’s latest book is The Doctor’s Guide to Sleep Solutions for Stress & Anxiety. Visit Dr Rosenberg’s website WWW.AnswersForSleep.com which is a wealth of information on sleep topics.

Leave a comment or a question below – Or ask a question at Ask the Sleep Doctor,we might answer it in our next session.

Leave a Reply

Your email address will not be published.