For more information, please visit. These include: You can also try oral breathing devices or nasal devices. The CPAP machine will have one of the following: CPAP is usually the best treatment for obstructive sleep apnea. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. There are risks with all kinds of surgery, including infection, bleeding, and a bad reaction to anesthesia. CPAP stands for "continuous positive airway pressure." The CPAP machine will have one of the following: When you have sleep apnea, this can help you sleep better, feel better, and avoid future health problems. I want to try surgery even though I know I may have to go back to using CPAP afterward. ", "Since I have been using CPAP, my sleep apnea symptoms have disappeared. It's a small device placed during a same-day, outpatient procedure. Conditions such as periodic limb movement disorder. It senses pauses in breathing and adjusts air pressure. For some, sleeping with a CPAP machine is impossible. A doctor trained on the Inspire procedure can discuss the qualifications with you during an office visit. 1. Inspire is a popular alternative to the CPAP machine. Bone deformities of the nose, mouth, or throat can interfere with breathing, causing sleep apnea. I have been using CPAP. It senses the breathing pattern and mildly stimulates the airway muscles to keep the airway open. A device is implanted in the upper chest. Be sure the mask, nasal mask, or nasal pillow fits well. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. You or your bed partner snores loudly and heavily and feels sleepy during the day. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. This prevents the tongue from relaxing and blocking your airway during sleep. Bilevel positive airway pressure (BPAP). Lifestyle changes can help treat obstructive sleep apnea. Delivered on weekdays. If you don't smoke, those muscles are less likely to collapse at night and narrow the airways. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. How does Inspire work? Follow us on these external social media sites that will open in a new browser window. Inspire is available for veterans at select VA and military hospitals across the US, Visit the Find a Doctor page or chat with an Inspire Advisor to see if there is an VA or military hospital near you that offers Inspire, If there is not a center near you, you can possibly utilize a program called the Community Care Program. Yes, you're right. I don't want to go through surgery if there's a chance I'll have to go back to using CPAP anyway. Excessive snoring. Have personality changes, anxiety, and depression. Getting up often during the night to urinate. My appearance after a tracheostomyhaving a hole in my throatwon't bother me. It may take time for you to be comfortable using CPAP. Kaiser Permanente is not responsible for the content or policies of external websites. These studies usually are done in a sleep lab. Appointments are strongly recommended. My nose is always dry, and my sleep is not improving. Other types of surgery that may be used to treat sleep apnea include: Maxillo-mandibular advancement, which moves the upper and lower jaw forward to increase the size of the airway. It happens when the brain has trouble controlling breathing. To start, let's talk about what sleep apnea is. 3100 Seattle, WA 98101. 100 Portland, OR 97232. Instead, you can remote control it. Oral or nasal breathing devices may also help. Since I travel a lot, CPAP isn't very convenient for me. Inspire should not limit your normal activities, The current version of Inspire can undergo MRI scans provided specific conditions are followed, Having a pacemaker should not disqualify you from becoming a candidate for Inspire, The current version of Inspire (Model 3028) is eligible for MRI scansprovided specific conditions are followed. Your use of this information means that you agree to the Terms of Use and Privacy Policy. I have apnea and the restmed that I have been using has been difficult at best to keep on my face, I just move around way too much at night. Each patient will have one incision under the chin and one below the collarbone. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Surgery can sometimes correct the blockage and improve sleep apnea. It's recommended that you turn it on at night and turn it off when you wake up for your day. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. This makes the airway larger and improves airflow. This uses different air pressures when you breathe in and out. Obstructive sleep apnea is the most common type. It's also a good idea to keep a list of the medicines you take. If you don't use it, your symptoms will return right away. Don't use sprays, oils, or gels on your hair. Lower daytime and nighttime blood pressure. The Health Encyclopedia contains general health information. The risk increases for a man whose neck measures more than 17 in. It also reduces the chance that tissue will collapse and narrow the airway when you breathe in. Do you understand the options available to you? I talked with my doctor, and we agreed that surgery might be a good option to treat my sleep apnea. Starting August 1, UnitedHealthcare is covering a specific therapy for obstructive sleep apnea, a medical implant developed by Inspire Medical Systems. This most often occurs because your airways are blocked or partly blocked. or Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. The risks and cost of the surgery and the possibility that I might still have to be on CPAP are not worth it.". Follow us on these external social media sites that will open in a new browser window. Disorders that may increase your risk include hypothyroidism and acromegaly. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Other oral breathing devices supply . Tonsillectomy and Adenoidectomy for Obstructive Sleep Apnea and Snoring, Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea, Oral Breathing Devices for Sleep Apnea and Snoring, Request for confidential communications forms. Or it might take place at a sleep center, where you will spend the night. Sleep apnea means that breathing stops for short periods during sleep. Central sleep apnea is less common. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. That eliminates an incision and, according to Inspire, reduces the procedure time by 20%. That in turn may: Watchful waiting is a wait-and-see approach. Register. Make it harder for people with diabetes to control blood sugar. No, that's wrong. Be safe with medicines. Do you have enough support and advice from others to make a choice? It's important to treat obstructive sleep apnea, because sleep apnea makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. In younger children, other symptoms include: In older children, other symptoms may also include: In rare cases, sleep apnea in children can cause developmental delays and failure of the right side of the heart (cor pulmonale). or All Rights Reserved, Inspire works inside your body with your natural breathing process. Obstructive sleep apnea causes your airway to narrow or close off, reducing or stopping breathing for short periods during sleep. But they may not give the same results as a sleep lab. The main symptoms of sleep apnea are feeling extremely sleepy during the day, not feeling rested after a night's sleep, or waking up with a headache. Does Medicare Cover Inspire For Sleep Apnea? Some lifestyle changes can help sleep apnea. Consultas sobre citas y consejos de salud : Copyright 2017 Kaiser Foundation Health Plan, Inc. Woodland Hills and surrounding areas (including western Ventura): Antelope Valley: 1-877-554-4404 (TTY 711), Baldwin Park y alrededores: 1-800-780-1277 (TTY 711), Downey y alrededores: 1-800-823-4040 (TTY 711), Fontana, Ontario y alrededores: 1-888-750-0036 (TTY 711), Condado de Kern: 1-877-524-7373 (TTY 711), rea metropolitana de Los Angeles: 1-800-954-8000 (TTY 711), Condado de Orange: 1-888-988-2800 (TTY 711), Panorama City y alrededores: 1-888-778-5000 (TTY 711), Riverside y Coachella: 1-866-984-7483 (TTY 711), Woodland Hills y alrededores (incluido el oeste de Ventura): 1-888-515-3500 (TTY 711). Inspire is an alternative to CPAP that works inside your body while you sleep. 2. But unlike adults with sleep apnea, they may not seem very sleepy during the day. It increases air pressure in your throat to keep your airway open. Request for confidential communications forms, A nasal pillow that covers only the openings of your nose. Have nighttime choking or gasping spells. There are symptoms of sleep apnea that you may notice and symptoms that others may notice when you're asleep. According to Inspire's website, it's covered by most insurance providers. Author: Healthwise StaffMedical Review: Anne C. Poinier MD - Internal MedicineE. Certain things increase your risk for obstructive sleep apnea. Your condition is easy to fix, such as very large tonsils. You're right. The impulses sent to the hypoglossal nerve keep your muscles and tongue from collapsing into the airway, which dramatically reduces breathing interruptions. You can go back to your usual activities. Since I have been using CPAP, my sleep apnea symptoms have disappeared. To get the implant, you must have moderate to severe OSA and not benefit from a CPAP machine. Even though that might sound intimidating, it's an. Inspire - Obstructive sleep apnea treatment option - VA News Clarksburg VA performs the Inspire procedure, an obstructive sleep apnea treatment that works inside the body with the natural breathing process. Not growing as quickly as they should for their age. If you need help with Kaiser Permanente services or have questions, please see the phone numbers by state/area below. Most sleep apnea patients who meet eligibility requirements for Inspire have access to insurance coverage. Surgery is a first choice only if the sleep apnea is caused by a blockage that is easily fixed. What else do you need to make your decision. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Sign In For recommended treatments, please consult with your health care provider. Ongoing problems that have not responded to treatment. Your doctor will probably have you try lifestyle changes and CPAP (continuous positive airway pressure) first. For adults, breathing may stop as few as 5 times an hour (mild apnea) to 30 or more times an hour (severe apnea). All Rights Reserved, Most major US insurance companies cover Inspire, An Inspire trained doctor can discuss insurance coverage requirements during an initial consultation, Typically, you can expect to pay any unmet deductible for the year, along with any copay or coinsurance fee for a surgery. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Navigation Menu - Opens a Simulated Dialog, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Request for confidential communications forms. Radiofrequency ablation, which reduces the size of the tongue or other tissue that may be blocking airflow to the lungs. To learn more about Healthwise, visit Healthwise.org. Your blood oxygen levels will be checked by a small clip (oximeter) placed either on the tip of your index finger or on your earlobe. Instead, use lifestyle changes to try to improve sleep. Obstructive sleep apnea is the most common type. Now it's connected only to your hypoglossal nerve, which stimulates the tongue and airway muscles that open your airway. The oxygen levels in your blood may go down, and carbon dioxide levels go up. If you are overweight and have sleep apnea, nutritional counseling, daily activity, and other treatments may help. Nose strips widen the nostrils and improve airflow. You will probably be asleep during surgery. If you use portable sleep monitoring, follow the instructions your doctor gave you. Your doctor will probably have you try lifestyle changes and. Uvulopalatopharyngoplasty (UPPP) surgery (which removes tissue from the back of your throat) may reduce sleep apnea and snoring for some people. But it leaves a hole in your throat where the breathing tube sits. Conditions such as periodic limb movement disorder. Reddit and its partners use cookies and similar technologies to provide you with a better experience. A device called a mandibular repositioning device pushes the jaw forward, improving airflow. If you're interested in Inspire, it's best to speak to your provider to discuss your options. Here's a record of your answers. Previously it was connected to two places in your body -- the hypoglossal nerve and your ribs. Learn How this information was developed. Or try using a humidifier. Do not use the medicine longer than the label says. Bone deformities or enlarged tissues block your airways. Health Tools help you make wise health decisions or take action to improve your health. Snore loudly. By stimulating the tongue and airway muscles, Inspire aims to treat the underlying cause of sleep apnea, not just the symptoms. See if your doctor can adjust the pressure of your CPAP. Decision Points focus on key medical care decisions that are important to many health problems. BCBS of Kansas City, March 1, 2019 . I can't say exactly how much you'll end up paying -- it depends heavily on your insurance plan and deductible. It is approved to treat mixed sleep apnea, as long as central sleep apnea does not account for more than 25% of events. Are you clear about which benefits and side effects matter most to you? Kaiser Permanente is not responsible for the content or policies of external websites. That's called complex sleep apnea. According to Inspire, the stimulation is subtle and is designed to not wake you up, meaning it shouldn't be painful or uncomfortable. The HGNS device monitors your breathing and activates the nerve that controls the tongue muscles. Wear compression stockings if your doctor recommends them. Sleep Apnea: Should I Have a Sleep Study? The main side effect of tracheostomy is that you have a hole in your throat where the breathing tube sits. Sorry, that's wrong. Taking certain medicines or drinking alcohol before bed. These studies can help find sleep problems, such as: Follow-up care is a key part of your treatment and safety. Sometimes medicine that helps you stay awake during the day may be used along with CPAP. It's important to treat sleep apnea, because it makes you more likely to have other serious problems. Inspire therapy is approved to treat a subset of people with moderate to severe OSA who are unable to use CPAP therapy. There are three main types of sleep apnea: Inspire is only for treating obstructive sleep apnea; it will not treat central sleep apnea. Spanish: 1-800-788-0616Chinese: 1-800-757-7585, After 7 p.m., call 1-833-KP4CARE (1-833-574-2273) (TTY 711), Monday through Friday.Call anytime Saturday and Sunday, 1-800-464-4000 (TTY 711)Spanish: 1-800-788-0616Chinese: 1-800-757-7585, Medicare Advantage plans are not currently available in the Colorado Mountain area, Member Services outside metro area 1-800-777-7902 (TTY 711). Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. How sure do you feel right now about your decision? Children may need to see a specialist if they have sleep apnea. Navigation Menu - Opens a Simulated Dialog. Details. It may lead to other problems, such as high blood pressure and heart disease. Inspire is an alternative sleep apnea treatment to a traditional CPAP machine. But other treatments work almost as well in most people. Make these other problems worse and harder to treat. 2011-2023 Healthwise, Incorporated. Here's how it works and who should use it. This causes a little back-pressure in the airways that may help keep them open. You are age 18 or above. You can use it to talk with your doctor or loved ones about your decision. Depending on the type of test, you will be allowed to sleep through the night or you'll be awakened periodically and asked to stay awake for a while. What is involved in the Inspire procedure and recovery? Sleep labs are often located in hospitals. As with any surgery, there's also the risk of pain, swelling or infection after the device is initially implanted. Radiofrequency ablation for sleep apnea can cause: Damage to tissue near the area being treated. My doctor said that even if I have the surgery, I still might have to use CPAP. Does tracheostomy almost always cure sleep apnea? Sleep apnea and coronary artery disease (CAD). This makes your heart and blood vessels work harder and can affect your heart rate and nervous system. You are unable to use or get consistent benefit from CPAP. Does UPPP always work well for sleep apnea? You may not sleep well during the test and may be tired the next day. Changing the position of the lower jaw enlarges the airway and decreases the chance that it will collapse when you inhale. Before you speak with an Inspire Advisor, please make sure you've read about insurance coverage and viewed the Frequently Asked Questions. This is repeated muscle twitching of the . Almost all people who have sleep apnea snore. Treatment Options for Obstructive Sleep Apnea, Inspire Medical Systems, Inc. 2023. Because sleep apnea disturbs your sleep, it can make you very tired during the day. If a patient falls outside the coverage criteria of their insurance, a team of insurance specialists at Inspire will assist in gaining approvals. Kaiser Permanente is not responsible for the content or policies of external websites. Sign In The more often it happens, the more serious the apnea is. If your tonsils or other tissues are blocking your airway, your doctor may suggest surgery to open the airway. You might be a candidate for Inspire if. Navigation Menu - Opens a Simulated Dialog, E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Sleep apnea tends to occur more often in women who have been through menopause than in women who have not. It happens when the brain has trouble controlling breathing. Now there's a new alternative to CPAP machines. Even though Inspire is approved by the FDA and by more and more insurance companies, there are multiple steps the patient and their physicians must go through before getting Inspire therapy for sleep apnea covered. A Continuous Positive Airway Pressure (CPAP) machine is also known as a respiratory assist device. Sign In Use this Prior Authorization Guide to assist you in determining if your patient meets criteria.. After three months, there is a sleep study for the inspire reps to jack with settings to hone in the best setting. For recommended treatments, please consult with your health care provider. Small pads or patches called electrodes will be placed on your head and body with a small amount of glue and tape. It may help to go back and read "Get the Facts." "In general, most patients will only be required to pay the applicable deductibles and copayments that exist for their insurance plan.". They push the jaw or hold the tongue forward. This most often occurs because your airways are blocked or partly blocked. These can relax your throat muscles and slow your breathing. It's also not recommended for anyone with ". My wife can't believe the change in my attitude during the day. It may help to go back and read "Compare Your Options." What are the risks of untreated sleep apnea? Apnea episodes and snoring may return over time. In some cases, a dental device that widens the mouth can help. Apnea episodes may be more frequent when you have not had enough sleep. Problems with nighttime behaviors. To learn more about Healthwise, visit Healthwise.org. Monday through Friday,7:30 a.m. to 7 p.m.Saturday and Sunday,8 a.m. to 4:30 p.m. Estamos trabajando para restaurar el sitio kp.org/espanol lo antes posible. Because of the need for surgery to place the Inspire implant, it likely isn't most people's first choice. People who are overweight may have extra tissue around their neck, adding to their risk for sleep apnea. 2006-2023 Healthwise, Incorporated. If you have moderate to severe sleep apnea, you may need to use a breathing device (continuous positive airway pressure CPAP) that prevents your airway from closing during sleep. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. A sleep study may take place in your home. We talked about my having surgery to treat my sleep apnea so I wouldn't have to use CPAP anymore. 3100 Seattle, WA 98101. The Inspire system is controlled by a small handheld sleep remote. Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. You might be able to try another type of mask or make other adjustments. I want to discuss the options with others. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Register. CPAP: If you have a bed partner, they may also sleep better when you use a CPAP. If you're interested in Inspire for treating your obstructive sleep apnea, I recommend that you speak to your doctor to assess your needs and if it's a good fit for you. This is repeated muscle twitching of the feet, arms, or legs during sleep. Medicare is covering Inspire for those who qualify. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. My doctor said that even if I have the surgery, I still might have to use CPAP. For more information on MRI Guidelines, please, To find out what Inspire Model you have, please contact your doctor or refer to your Patient ID card. The information contained in this article is for educational and informational purposes only and is not intended as health or medical advice. It really isn't that much of a bother for me to use. Our team of advisors are here to help. Sleep apnea occurs when you often stop breathing for 10 seconds or longer during sleep. 1. Does UPPP always work well for sleep apnea? Details. For example, you may have enlarged. De lunes a viernes, de 7:30 a. m. a 9:00 p. m. Lnea de consejos fuera del horario normal, De lunes a viernes, de 5 p. m. a 8 a. m. del da siguiente; fines de semana y das festivos, las 24 horas del da Oahu: 1-808-432-7700 Islas vecinas: 1-800-467-3011, De lunes a viernes, de 8 a. m. a 5 p. m. y sbados de 8 a. m. a medioda, Servicio a los Miembros (rea metropolitana de D.C.), Servicio a los Miembros (fuera del rea metropolitana de D.C.), De lunes a viernes,de 7:30 a. m. a 9:00 p. m, Portland: 503-813-2000Todas las dems reas: 1-800-813-2000, Servicio a los Miembros (fuera de Portland) 1-800-813-2000 (TTY 711), Washington (rea de Vancouver/Longview) Direccin, Kaiser Foundation Health Plan of the Northwest 500 NE Multnomah St., Ste. Based on FDA indications and insurance requirements, an Inspire trained doctor will determine if you meet the four criteria. Most U.S. insurance companies cover Inspire; Over 400 insurance companies have covered the cost of Inspire for patients who meet the eligibility requirements; . Take a small overnight bag with personal items, such as a toothbrush, a comb, favorite pillows or blankets, and a book. You may be able to help treat sleep apnea by making some lifestyle changes. Obesity is the factor most likely to lead to sleep apnea. Other problems may include pain, infection, speech problems, and a narrowing of the airway in the nose and throat. Medicines to avoid include sleeping pills, opioids, and sedatives. Designed to make shopping easier. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Details. TRICARE may cover CPAP machines for: Obstructive sleep apnea syndrome. Learn more at. Some people have both types. If the sleep study will be done in a sleep lab, you will be asked to shower or bathe before your test. It's a sleep disorder marked by frequent breathing interruptions that can last between 10 to 30 seconds. The Inspire sleep apnea device is aFood and Drug Administration-approved surgical implant that's placed under the skin on your chest. It's important to treat sleep apnea, because it makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. Cookie Notice Being able to feel the nerve being stimulated. You can expect to see a total bill of around $30,000 to $40,000 for both the surgery and device cost, but that'sbeforeyour insurance kicks in. Oral devices (also called oral appliances) are sometimes used to treat obstructive sleep apnea. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. My wife can't believe the change in my attitude during the day. The nicotine in tobacco relaxes the muscles that keep the airways open. Sleep apnea is often treated with a CPAP machine or other machine that prevents your airways from closing during sleep. To improve the airflow during sleep and reduce sleep apnea, inspire sleep therapy is the most ideal way. This may happen many times during a night. Sleep studies are tests that watch what happens to your body during sleep. If your breathing stops, you may make grunting, gasping, or snorting sounds and restless body movements. Apnea episodes and snoring may return over time. Health Insurance Inspire is covered by most major insurance providers. The stimulation is very gentle and designed to move the tongue forward without disturbing your sleep. I am willing to have surgery to treat my sleep apnea if it can help. Sore throat, incision pain, and muscle soreness. Is surgery usually a doctor's first choice in treating sleep apnea? But watchful waiting may not be right if you notice that your sleep partner snores loudly and heavily, is restless during sleep, and is sleepy during the day. Medicare is covering Inspire for those who qualify. Problems with memory and concentration, or mood changes. Here are some things you can try: Talk to your doctor if you're still having problems. Is surgery usually a doctor's first choice in treating sleep apnea? Nota: Si necesita ayuda para un miembro de Kaiser Permanente que no es usted, seleccione el estado o rea donde reside esa persona. If your nose is runny or stuffy, talk to your doctor about using a decongestant medicine or steroid nasal spray. Try losing weight if needed, sleeping on your side, and avoiding alcohol and medicines like sedatives before bed.

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