Ear Nose Throat ENT Information

Ear Nose & Throat ENT Doctors Philadelphia - For over 30 years Berger/Henry ENT Specialty Group has provided complete specialized ear, nose and throat care in Philadelphia and the Delaware Valley. 610.279.7878.

http://www.bergerhenryent.com/book-appointment/ Request an Appointment | BergerHenry ENT Specialty Group - Contact BergerHenry ENT @ 610.279.7878. We proudly serve East Norriton, Roxborough, Chestnut Hill, Willow Grove, and Lansdale. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/cancel-appointment/ Cancel Appointment - Berger/Henry ENT Specialty Group - BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/#main-navigation Ear Nose & Throat ENT Doctors Philadelphia - For over 30 years Berger/Henry ENT Specialty Group has provided complete specialized ear, nose and throat care in Philadelphia and the Delaware Valley. 610.279.7878. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/snoring-sleep-apnea-philadelphia/ Sleep Apnea, Snoring and Sleep Disorder Doctors Philadelphia - BergerHenry ENT specializes in all aspects of ENT otolaryngology including the surgical treatment of obstructive sleep apnea and sinus disorders. 610.279.7878. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/balloon-sinuplasty-philadelphia/ Balloon Sinuplasty Philadelphia | Sinusitis Relief - ENT surgeons from across the US come to the Balloon Sinuplasty Center to learn this state-of-the-art procedure from its medical director, Dr. Morehouse. Call today. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/chronic-post-nasal-drip-philadelphia/ Chronic Post Nasal Drip | Symptoms and Treatment - Are you suffering from the recurrent feeling of mucus in your throat? Do you have difficulty clearing your nose or throat of mucus? You may have post nasal drip. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/do-your-sinuses-hurt/ Do Your Sinuses Hurt? You May Have a Sinus Infection or Chronic Sinusitis - Berger/Henry ENT Specialty Group - Learn about your sinuses, the triggers that may cause them to pound, ache, and become inflamed, and the treatment options available to relieve your sinus pain. A wise person once asked, "On a scale of 1 to stepping on a Lego, how much does it hurt?" When your sinuses hurt you know it. They pound and ache, creating pressure and pain in your face and head. You can’t breathe or sleep. Sometimes you can’t taste anything and it hurts just to clench your teeth. Sinus infections and chronic sinusitis are just plain miserable. In fact, one of every eight people suffers with them and they are considered to be one of the most common health ailments in the U.S. The sinuses are rather amazing things- cavities really - in the skull. You can see an illustration of them here. They are all connected and that is why when one sinus cavity becomes congested they all tend to hurt. The special properties of sinuses require an exacting diagnosis for proper treatment. The best way to figure out what is causing your sinus pain is to see an Ear, Nose, Throat (ENT) specialist. Chronic sinusitis occurs when the sinus linings swell, preventing proper drainage. That causes congestion which can lead to a sinus infection and/or chronic post nasal drip. An ENT physician can determine exactly what is causing the sinusitis and blocking the air flow through your nose and sinuses in order to treat it. A sinus infection, referred to as Acute Sinusitis, is caused when viruses and/or bacteria infect the sinuses Chronic sinusitis is more than just an infection; the sinuses remain consistently inflamed with little relief from the symptoms Allergies to pollen, pets, and dust can also cause the symptoms of Acute Sinusitis Other conditions can affect the air flow through the sinuses including a deviated septum, nasal polyps and Turbinate hypertrophy, a condition in which the ridges inside the nose enlarge Treatment for Sinus Infections Thankfully there are many different treatments for sinus infections and chronic sinusitis. Sinus infections are generally treated with antibiotics. Antihistamines can be used to reduce symptoms and improve breathing. Decongestants reduce sinus congestion and post nasal drip and nasal saline sprays and washes help the nose, as well. For people who suffer from chronic sinus pain, minimally invasive, outpatient procedures offer long-lasting relief. They are conducted safely and effectively in our office with medical devices so tiny that no one will be able to tell you have had surgery. Chronic symptoms and pain subside without bruising, swelling, or the need for nasal packing, and you no longer have to live every day feeling like you have a bad cold. Minimally Invasive Surgery For Maximum Relief The minimally invasive procedure that addresses chronic sinusitis is called Endoscopic Sinus Surgery and it’s performed on an outpatient basis under local sedation/anesthesia. For the majority of patients there is little discomfort and patients rarely see any post-surgical bruising or swelling. The beauty is that you don’t have to be in the hospital for the surgery and it is covered by medical insurance. In most cases, your nasal cavity doesn’t have to be packed after surgery, either. It’s easy to have the procedure and then return to work and daily activities. Here is the amazing part. Once the surgery is conducted, an implant can be inserted into the sinuses that not only keeps them open, but continually delivers medication into them. It’s called the PROPEL® Mometasone Furoate Implant and you can read all about it here. Once it has done its work, it dissolves. Now that’s a medical advance for chronic sinus sufferers! We all have sinuses and despite the congestion and pain they may cause we need them for breathing, taste and smell. If your sinuses are giving you a hard time, most of the time, our specialists can help you get them under control. Whether it’s a sinus infection, chronic post nasal drip or the misery of chronic sinusitis, our board certified Ear, Nose and Throat specialists at Berger Henry ENT Specialty Group will get you relief.

http://www.bergerhenryent.com/can-hurricane-season-make-allergies-worse/ Can Hurricane Season Make Your Allergies Worse? - Berger/Henry ENT Specialty Group - In a word, yes, if they are close to you. Weather of all types can make allergies worse, and hurricanes are no exception. Wind, rain, and humidity can kick... In a word, yes, if they are close to you. Weather of all types can make allergies worse, and hurricanes are no exception. Wind, rain, and humidity can kick up pollen and keep them swirling through the air. When you consider the terrific winds and low barometric pressure that make up a hurricane, they certainly are a "perfect storm" that can trigger bad allergies. Sudden changes in temperature and humidity can aggravate all sorts of allergies, as well. Even conditions that like to act like allergies, but actually are something completely different will raise their ugly head when the weather changes. Non-allergic rhinitis is just such a condition. It’s irritating and carries all the typical symptoms of runny nose, congestion and post nasal drip, however, it will test negative for specific allergies. The American Academy of Allergy, Asthma and Immunology (AAAAI) provides a simple guide to understand the difference between the two: Seasonal allergic rhinitis, "hay fever", is typically caused by outdoor allergens like pollen. Year round allergies can be caused by things like pets and dust mites. However, some people with allergic rhinitis symptoms don’t suffer from allergies. The symptoms may be similar, but the causes are different. That condition is called non-allergic rhinitis and it can be caused by changes in weather, as well as strong odors, pollution, smoke, medications and chronic health conditions. The only way to figure out which is causing your allergy symptoms is to consult an ear, nose, and throat specialist who can untangle the signs and symptoms. Once a diagnosis is reached, a treatment plan can provide relief. Of course, some allergy sufferers would say the best answer is to control the weather! Short of that, there is a way to reduce the havoc that it wreaks on your allergies. Most of us close the windows so the wind won’t blow pollen into the house and clean pollen off the car, but there are some other tips to consider as well: Don’t rake the leaves. It just stirs up dust and allergens. Wear a mask when you mow the lawn. You may think you are allergic to the grass but in many cases you are allergic to the pollen in the grass or the mold growing in damp areas. Don’t bring fall leaves inside. They are beautiful but they will bring the allergens directly into your home. Don’t make the bed too quickly. (Finally, an excuse!) Indoor allergens like dust mites love your warm bed. Let the sheets air out in the natural sunlight because moisture keeps dust mites alive. Check if the products you buy for your bedroom are hypo-allergenic- pillows, mattress covers, cleaning products and even candles. Track the weather. Weather.com allows you to track storms and allergies. No one can predict how bad your allergy symptoms may be on any given day, but it will give you an idea of the convergence of weather-driven factors like wind and rain that may make your allergies worse. Even with your best efforts, during your worst allergy season you are probably going to need medications to feel better. Nasal sprays and pills like Flonase, Nasonex, Allegra, and Claritin are considered front line treatments in the battle against allergies. Immunotherapy, including allergy shots or sublingual drops, provide relief for many patients. If feel you have tried everything, including nasal surgery, and still suffer from stuffy nose, post nasal drip or a runny nose there is still hope for relief. Advanced, minimally invasive treatments conducted in the physician’s office are safe and very effective in treating chronic allergies. We don’t usually toot our own horn, but it’s important for chronic allergy suffers to know that our own Dr. Berger, a Board Certified Otolaryngologist, was one of the first physicians in the Delaware Valley to conduct Endoscopic Sinus Surgery, and it offers a long-lasting and gentle cure for chronic sinusitis. If you suffer from allergies you are not alone. The AAAAI says that more than 17 million adults and 7 million children suffer from them. When your triggers are identified, sinuses examined, and a treatment plan designed specifically for you, you can find relief. We can’t prevent hurricanes from blowing up the East Coast, but we can prevent how they make you feel. At Berger Henry ENT Specialty Group, our board certified Ear, Nose and Throat specialists are here to diagnose and treat your allergy symptoms in every season of the year.

http://www.bergerhenryent.com/searching-for-ent-medical-symptoms-on-google-made-easier/ Searching for ENT Medical Symptoms on Google Made Easier - Berger/Henry ENT Specialty Group - There will be 20 trillion searches performed on Google this year, of which, 1% are performed on medical symptoms. That's 20 BILLION searches alone! There will be 20 trillion searches performed on Google this year, of which, 1% are performed on medical symptoms. That's 20 BILLION searches this year dedicated to medical symptoms alone! So Google dug deep to analyze those symptoms and then re-organized its search engine results page layout to display the most common causes of those symptoms. Google worked with a team of medical doctors at Harvard Medical School and Mayo Clinic to review and evaluate medical symptom information on the internet in order to produce a sample of searches to help improve its results. The reformatted and, hopefully, more concise and accurate search results page listings do not intend to diagnose. They are there to simplify medical terms, consolidate the best information the web has to offer, to make navigation easier, and to prevent unnecessary worry by the user when confronted with websites listing disparate diagnoses. It is always suggested, as Google states, that you should always consult with an ENT specialist for diagnosis and, if necessary, treatment. The reformatting of medical symptom search engine results pages has mostly taken effect on Google's mobile app. We conducted a search for sinus pain to give you an idea of how it looks. A list of related causes of sinus pain include: the common cold nasal polyps middle ear infection nasal septum deviation seasonal allergies laryngitis upper respiratory infection migraine allergic asthma astham tonsillitis tension headache pneumonia flu allergy to mold acute bronchitis strep throat Each potential causes of sinus pain offers a description, treatment options, and when you might want to consider scheduling an appointment with an ENT Specialist. References https://googleblog.blogspot.com/2016/06/im-feeling-yucky-searching-for-symptoms.html

http://www.bergerhenryent.com/how-do-i-know-if-i-have-mono/ How Do I Know If I Have Mono? - Berger/Henry ENT Specialty Group - Mono is an illness that's caused by the Epstein-Barr virus. It can't be cured but learn the many ways that you can successfully manage the virus. School is beginning this month and, with it, comes a transition from a relaxed summer routine to a new, more rigid (and familiar) school routine. Soon enough, students of all ages will getting up early, attending classes, going to sports, music, and extracurricular activity practices, coming home, eating dinner, and doing homework. It's a full day that hasn't even included video game playing, TV watching, or social media interaction! Repeating this new routine over and over can leave students tired and exhausted before the month of September has come to a close. Tired and exhausted is not a healthy way for students to live their lives. Safeguards must be established to prevent illnesses from setting in. The most important of these is sleep. Students must ensure that they get plenty of it. As we suggested in Why The Lack of Sleep Is Hurting Your Child, insufficient sleep leads to breakdowns in attentiveness, memory, immunity, and mental and physical health. The Number of Hours of Sleep We Recommend for Kids and Adults Kids, from kindergarten through early teen years: 9-12 hours per night Teenagers, from middle school through high school years: 8-10 hours per night College students: 6-7 hours per night* Adults: 7.5-8 recommended per night although some people experience restorative sleep in 6 hours and others in 9 hours What Happens If I Don't Get Enough Sleep? Not getting enough sleep leads us to our secondary topic: mononucleosis, otherwise known as mono. Mono is an illness that's caused by the Epstein-Barr virus. It's very rarely a serious illness but the symptoms may make you wish you never contracted it. One way to prevent or manage symptoms of mono is to make sure that you get plenty of sleep! Those who have a weakened immune system are susceptible to mono. How Do People Contract Mono? The Epstein-Barr virus that causes mono is typically spread through saliva which is why it's referred to oftentimes as the "kissing virus." Of course, there are other ways to come into contact with saliva so you should be wary of sharing drinks and toothbrushes, and taking a bite of another's food. Mono can also be contracted through mucus, tears, blood transfusions, organ transplants, and sexual contact. It's also possible to contract mono from a person who doesn't seem to have it. The reason is that mono, once contracted, stays in the body forever and can reactivate at any time. During the reactivation period, even if the person does not look sick, the virus can spread. The best way to avoid getting mono is to always wash your hands before you eat, after you use the bathroom, and after you sneeze or cough. Also, try not to share objects that have come into contact with someone's mouth (easier for adults, tougher for children). How Mono Is Diagnosed A physical exam starts the process of diagnosing mono but, oftentimes, children and adults don't exhibit the obvious symptoms. As a result, blood tests will follow and thus indicate if a person is currently infected with the Epstein-Barr virus or has had it in the past. Is Mono Treatable? Mono cannot be cured. It can only be managed. Because it's a virus, antibiotics won't work. There is no vaccine available for it, either. Mono can be managed in the following ways: Get lots of sleep Ibuprofen* (a pain reliever and anti-inflammatory drug) Acetaminophen* (also a pain reliever) Gargle with salt water Avoid playing sports * please consult with your physician before taking any drug. How Do I Know If I Should Call My Doctor? Call your doctor if: you or your child becomes inordinately fussy and sleepy you or your child has a severe headache you or your child has a sore throat you or your child breaks out in a rash for no discernible reason your child has a temperature of 100.4 degrees Fahrenheit or above (for all people, 104 degrees Fahrenheit or higher) you or your child has a seizure References https://www.uhs.uga.edu/sleep http://www.webmd.com/sleep-disorders/features/adult-sleep-needs-and-habits#1 http://www.medicalnewstoday.com/articles/311932.php http://www.webmd.com/a-to-z-guides/infectious-mononucleosis-cause

http://www.bergerhenryent.com/the-rainbow-passage-detecting-vocal-cord-paralysis/ The Rainbow Passage - Detecting Vocal Cord Paralysis - Berger/Henry ENT Specialty Group - When we suspect that a patient is suffering from Vocal Cord Paralysis or Vocal Cord Paresis, we ask them to read all or portions of The Rainbow Passage. When we suspect that a patient is suffering from Vocal Cord Paralysis or Vocal Cord Paresis, we ask them to read all or portions of The Rainbow Passage. BergerHenry ENT's can assess bulk and mobility in vocal cords as it is read. The Rainbow Passage When the sunlight strikes raindrops in the air, they act like a prism and form a rainbow. The rainbow is a division of white light into many beautiful colors. These take the shape of a long, round arch, with its path high above and its two ends apparently beyond the horizon. There is, according to legend, a boiling pot of gold at one end. People look, but no one ever finds it. When a man looks for something beyond his reach, his friends say he is looking for the pot of gold at the end of the rainbow. Throughout the centuries men have explained the rainbow in various ways. Some have accepted it as a miracle without physical explanation. The Greeks used to imagine that it was a sign from the gods to foretell war or heavy rain. The Norsemen considered the rainbow as a bridge over which the gods passed from earth to their home in the sky. Other men have tried to explain the phenomenon physically. Aristotle thought that the rainbow was caused by reflection of the sun's rays by the rain. Since then, physicists have found that it is not reflection, but refraction by the raindrops, which causes the rainbow. Many complicated ideas about the rainbow have been formed. The difference in the rainbow depends considerably upon the size of the water drops, where the width of the colored band increases as the size of the drops increase. The actual primary rainbow observed is said to the effect of superposition of a number of bows . If the red of the second bow falls upon the green of the first, the results is to give a bow with abnormally wide yellow band, since red and green lights when mixes form yellow. This is a very common type of bow, one showing mainly red and yellow, with little or no green or blue.

http://www.bergerhenryent.com/the-husband-that-fell-asleep-in-the-exam-room/ The Husband That Fell Asleep In The Exam Room - Berger/Henry ENT Specialty Group - As we age, our sleep requirements and energy levels change. However, it is not normal to fall asleep whenever you are at rest. During a recent office-based sinus surgery, the husband of my patient fell asleep in the exam room. She told me that he often falls asleep when he sits down. He was a bit embarrassed when we woke him but we assured him that he need not worry. I asked him if he is frequently tired during the day, to which he responded "Doc, I’m 70 years old. Of course I get tired!" His wife interrupted to add that they haven’t slept in the same bed for years due to his snoring. The interesting thing is that he is a hearing loss patient of BergerHenry ENT but never mentioned his daytime fatigue or snoring. We discussed a sleep study but he decided against it. Eight weeks later, his wife returned for a post-operative visit. She told me that she came alone this time because her husband had recently been hospitalized for atrial fibrillation. Atrial fibrillation (AFib) is an abnormal heart rhythm that makes the upper chambers of the heart (the atria) quiver instead of contracting properly. AFib can cause a clot to form and if it ever breaks free, it can enter the bloodstream and cause a stroke. It is estimated that half of all patients with AFib also have sleep apnea and that patients with sleep apnea have 4x the risk of developing AFib. In addition, studies suggest that untreated sleep apnea impairs the ability to control AFib because it reduces the effectiveness of certain AFib treatments. Fortunately, people with both AFib and sleep apnea are less likely to have a recurrence of the heart rhythm disorder if they use continuous positive airway pressure (CPAP) therapy. Her husband was eventually stabilized and discharged home. At his wife’s request, this time he agreed to participate in a sleep study. The test diagnosed a moderate degree of sleep apnea and he consequently started CPAP therapy. As of this writing (several months later), he has remained free of any complications related to AFib. Equally as important, he is sleeping in the same bed as his wife for the first time in years and is no longer snoring. This case really underlines issues with aging and fatigue. As we age, our sleep requirements and energy levels change. However, it is not normal to fall asleep whenever you are at rest. Just because you are aging, it doesn’t mean that your quality of life should suffer. Also, as we age the risk of heart disease increases. In many instances, sleep apnea may be linked to heart disease. If you or your partner suffers from heart disease, snoring, or fatigue, consider seeking treatment. Improving your sleep may improve your life. Learn more about Sleep Apnea and Snoring.

http://www.bergerhenryent.com/sleep-apnea-statistics-2016/ Sleep Apnea Statistics and Facts 2016 - Berger/Henry ENT Specialty Group - Sleep apnea has become more prevalent in our society. It can worsen over time and, contrary to popular belief, obese people are not the only ones at risk of OSA. The word "apnea” literally means "without breath." There are three types of apnea. Obstructive sleep apnea is the most common. It is caused by a blockage of the airway, usually when the soft tissue in the rear of the throat collapses and closes during sleep. Central sleep apnea is caused by a blockage in the airway. However, in central sleep apnea, the brain fails to signal the muscles to breathe. Mixed sleep apnea, as the name implies, is a combination of the two. With each apnea event, the brain briefly arouses people with sleep apnea in order for them to resume breathing, but consequently sleep is extremely fragmented and of poor quality. When left untreated, sleep apnea can cause high blood pressure and other cardiovascular disease, weight gain, memory problems, impotency and headaches. Untreated sleep apnea may also cause job impairment and vehicle accidents. Fortunately, sleep apnea can be diagnosed and treated. Both medical and surgical options are available. Approximately 42 million American adults suffer from sleep-disorderd breathing (SDB) 1 in 5 adults has mild OSA 1 in 15 has moderate to severe OSA (75% of severe SDB cases remain undiagnosed) 9% of middle-aged women suffer from OSA 25% of middle-aged men suffer from OSA According to research conducted at the University of California - San Diego, African Americans have a higher risk of obstructive sleep apnea than Caucasians. If you have sleep apnea, you tend to be more sleepy and lack concentration. As a result, your chances of being in a car accident increase and you are 6x more likely to die in a car accident. People who drive sleepy are responsible for 100,000 car accidents, 40,000 injuries, and 1,550 deaths annually. Over a quarter of a million children have tonsillectomies each year and most undergo these operations because their tonsils cause an obstruction of the airway which, in turn, cause sleep apnea. Bed mates of people suffering from sleep apnea lose up to one hour of sleep nightly. If you think you have sleep apnea, see a sleep specialist right away. The consequences of leaving it untreated can be dire in that your chances of stroke are 4x greater than those who do not have sleep apnea, and 3x greater to have heart disease than those who do not have sleep apnea. The average OSA sufferer can experience 400 apneas nightly. Apnea means "without breath." Approximately 50% of hospital patients with hypertension also have sleep apnea. Approximately 50% of those with sleep apnea suffer from hypertension. Approximately 38,000 annual cardiovascular deaths (high blood pressure, hypertension, stroke, etc.) are related to sleep apnea. You Are At A Higher Risk For Sleep Apnea If You Are: Male Obese (BMI >30) Diagnosed with hypertension Use alcohol or sedatives excessively Have upper airway or facial abnormalities Smoke Have a family history of OSA Have a large neck circumference (>17” men; >16” women) Suffer from endocrine and metabolic disorders References Sleep Disorders Guide, Sleep Apnea Statistics | The Statistics Of Sleep Apnea ResMed Sleep Apnea Facts and Figures

http://www.bergerhenryent.com/why-the-lack-of-sleep-is-hurting-your-child/ Why The Lack of Sleep Is Hurting Your Child - Berger/Henry ENT Specialty Group - Do you know that improper sleep patterns can have disastrous effects on your child's attention, behavior, and learning? Sleep is essential for good health in children and adolescents. Our modern society emphasizes healthy nutrition, physical exercise and quality education for our children. However, is the same concern placed on how much time our children sleep? Surprisingly, no. In many situations losing sleep to accomplish other goals is often worn as a "badge of honor." It is not unusual to hear from my patients that "they pulled an all-nighter" to study for an exam or that they don't sleep very much at night because they text with friends. Technology has become pervasive in our society and we seem to be consistently connected to our smartphones, tablets, computers, and televisions. Unfortunately, sleep is not a priority. Any parent can recall the temper tantrums or bad behavior exhibited when their infant or toddler hasn’t slept enough. We tend to enforce better sleep behaviors when children are young, but lose this focus as our children age. The #1 reason people (including children) are tired is due to insufficient sleep time. This is the first question I ask when a parent brings their child for an evaluation of sleepiness or a sleep disorder. This raises the question: how many hours of sleep does your child need? This month’s issue of Journal of Clinical Sleep Medicine answers this question. For the first time, the American Academy of Sleep Medicine (AASM) has released official consensus recommendations for the amount of sleep needed to promote optimal health in children. The recommendations in the consensus statement are as follows: Infants 4 months to 12 months should sleep 12 to 16 hours (including naps) Children 1 to 2 years of age should sleep 11 to 14 hours (including naps) Children 3 to 5 years of age should sleep 10 to 13 hours (including naps) Children 6 to 12 years of age should sleep 9 to 12 hours Teenagers 13 to 18 years of age should sleep 8 to 10 hours This may be a challenge for both children and their parents. Kids today are busy with homework, sports, school and extracurricular activities. This may require a change in parents as well as educators mindsets to prioritize sleep. Good habits are learned in childhood. Also, children learn by watching or modeling their parents’ behaviors. Thus, establishing good sleep habits early in life can translate to better health and performance in the long term. This study demonstrated that adequate sleep resulted in better mental and physical health as well as better performance at school and better relationships at home. Unfortunately, children who are sleep deprived have a greater risk of suffering mental and physical health problems. In addition, lack of sleep has been associated with tobacco, alcohol and illicit drug use and a higher risk of getting into car accidents. Specific findings of the study include: Sleeping the number of recommended hours on a regular basis is associated with better health outcomes including improved attention, behavior, learning, memory, emotional regulation, quality of life, and mental and physical health. Regularly sleeping fewer than the number of recommended hours is associated with attention, behavior, and learning problems. Insufficient sleep also increases the risk of accidents, injuries, hypertension, obesity, diabetes, and depression. Insufficient sleep in teenagers is associated with increased risk of self-harm, suicidal thoughts, and suicide attempts. Regularly sleeping more than the recommended hours may be associated with adverse health outcomes such as hypertension, diabetes, obesity, and mental health problems. Lack of sleep is a public health concern for both children and adults. The good news is that sleep deprivation is completely treatable. Many parents and students will say that they are performing well or are high achievers despite lack of sleep. However, the truth is chronic lack of sleep is not good for your child’s long-term health and quality of life. If your child suffers from sleep issues, snoring, or fatigue you should contact your sleep physician.

http://www.bergerhenryent.com/don-shula-hospitalized-due-to-complications-associated-with-sleep-apnea-osa/ Don Shula and Sleep Apnea (OSA) - Studies in the 1990’s show that nearly 25% of middle-aged men and 9% of middle-aged women in the US are afflicted with obstructive sleep apnea. Pro Football Hall of Famer, Don Shula, has been hospitalized recently due to complications associated with sleep apnea (OSA). The Miami dolphins legendary coach has suffered from fluid retention likely related to sleep apnea. Sleep apnea is a common condition. Studies in the 1990’s show that nearly 25% of middle-aged men and 9% of middle-aged women in the United States are afflicted with this condition. This number continues to escalate due to ever increasing rates of obesity. Furthermore, the prevalence of sleep apnea increases with aging. (1-3) Manifestations of sleep apnea range from daytime fatigue and snoring, to life-threatening conditions such as high blood pressure, heart attack, stroke, obesity, and diabetes. Sleep apnea was implicated in the premature death of Green Bay Packers defensive end Reggie White in 2004. While the medical profession is quite aware of the dangers associated with sleep apnea, it is estimated that 80-90% of adults with sleep apnea remain undiagnosed. (4) This number is staggering and presents a serious public health burden to our society. Many patients believe that snoring and fatigue are a normal part of aging or do not pose a threat to their health. However, this is not the case. Cardiovascular disease or heart disease has been the number one cause of death in the United States for decades. (5) High blood pressure, heart failure and arrhythmias (irregular heart patterns such as atrial fibrillation) are linked to sleep apnea. In addition, the presence of sleep apnea may result in a progression of these medical conditions. Left untreated, sleep apnea results in a higher rate of death in patients with heart disease. The good news is that prompt diagnosis and treatment of sleep apnea may lower your risk for developing these health problems. Also, if you have already been diagnosed with heart disease, treatment of sleep apnea can reduce your risk of death, complications and hospitalizations. As sleep specialists, we are constantly trying to raise patients’ awareness of the risks of sleep apnea. Sleep apnea is treatable. Unfortunately, the majority of patients with sleep apnea are not being treated. Our hope is that the public’s desire to seek treatment may be increased by the dialogue created by a prominent figure’s health problems, such as Mr. Shula’s recent hospitalization. If you or a loved one suffers from snoring and fatigue, please consult your sleep specialist. REFERENCES 1. Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Eng J Med 1993;328:1230-1235. 2. Bixler E, Vgontzas A, Ten-Have T, et al. Effect of age on sleep apnea in men. Am J Respir Crit Care Med 1998;157:144-148. 3. Santos-Silva R, Tufik S, Conway S, et al. Sao Paulo Epidemiologic Sleep Study: rationale, design, sampling, and procedures. Sleep Med 2009;10:679-685. 4. www.aasmnet.org/resources/.../sleepapnea.pdf 5. American Heart Association. Heart disease and stroke statistics-2009 update. Circulation 2009;119:e1-161. Authors: Donald M. Sesso,M.D. Alan S. Berger, M.D.

http://www.bergerhenryent.com/hearing-loss/ Hearing Loss Doctors Philadelphia - BergerHenry ENT offers the safest and most advanced equipment and technology available today for the hearing impaired. We will advise and guide you through each step. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/lana-patitucci-do/ Lana Patitucci, D.O. | ENT Specialist Philadelphia - Dr. Patitucci is trained in all aspects of of general and pediatric otolaryngology including endoscopic sinus, otologic, head/neck, and facial plastic surgery. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

http://www.bergerhenryent.com/faq-ear-nose-throat/ Ear Nose Throat ENT Information - Berger Henry ENT answers many of the most commonly asked questions regarding chronic sinus pain, cosmetic rhinoplasty (nose jobs), sleep apnea and sleep disorders. BergerHenry ENT allows you to create and participate in online help forums and experience rich ENT-related community conversations.

Country: 37.60.247.202, North America, US

City: -87.6441 Illinois, United States

M.Hager - Not going to play it on-line.

It has been one week sense its release and this game is still not able to find online games, or connect to your friends on live. I would save my money and wait until the title drops into the $20 classics category maybe by then they will have it out of consumer beta testing.

Randall L Ray - Zija SuperMix - You're probably drinking mostly fluff

My husband and I purchased the SuperMix from a friend. It was quite expensive but wanted to help her out. I didn't notice any physical benefits from drinking it daily...but I'm not overweight or in particularly bad health. That said, I began to wonder about the ingredients and how much of what vitamins and minerals I was ingesting by drinking SuperMix so I looked online for the values of these nutrients that is in each pack of the SuperMix. I couldn't find that info anywhere. So, I called customer service and asked them where I could find the nutritional values of each pack of SuperMix. They couldn't tell me...just said it's a 'Proprietary Blend so they don't post it'. Question...Am I supposed to just drink this stuff on trust that it's good for me and has good nutrition in each packet? How do I know I'm not just drinking fluff?