Medications are not always the answer.
Having a good comprehensive evalauation is the answer.
A comprehensive evaluation can help you & your loved one(s) avoid intenssive treatments.
You might just be a candidate for a sleep study referral instead of having to start medications for your focus problems or low energy.
The right treatment should match the right person. Personalized medicine versus cookie cutter service is a much better way to patient care.
Our perspective at FBH is, "let the clinical situation justify the need for any intervention."
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M.Parvin,MD and the Entire Treatment Team at FBH
CHECK OUT THIS NATIONAL LIBRARY OF MEDICINE ARTICLE
It is a HUMAN CLINCAL TRIAL Done in the past 5 years. Very releveant and current.
Prognosis for Spontaneous Resolution of OSA in Children.
Adenotonsillectomy (AT) is commonly performed for childhood OSA syndrome (OSAS), but little is known about prognosis without treatment.
The Childhood Adenotonsillectomy Trial (CHAT) randomized 50% of eligible children with OSAS to a control arm (watchful waiting), with 7-month follow-up symptom inventories, physical examinations, and polysomnography. Polysomnographic and symptomatic resolution were defined respectively by an apnea/hypopnea index (AHI) <2 and obstructive apnea index (OAI) <1 and by an OSAS symptom score (Pediatric Sleep Questionnaire [PSQ]) < 0.33 with ≥ 25% improvement from baseline.
After 194 children aged 5 to 9 years underwent 7 months of watchful waiting, 82 (42%) no longer met polysomnographic criteria for OSAS. Baseline predictors of resolution included lower AHI, better oxygen saturation, smaller waist circumference or percentile, higher-positioned soft palate, smaller neck circumference, and non-black race (each P < .05). Among these, the independent predictors were lower AHI and waist circumference percentile < 90%. Among 167 children with baseline PSQ scores ≥ 0.33, only 25 (15%) experienced symptomatic resolution. Baseline predictors were low PSQ and PSQ snoring subscale scores; absence of habitual snoring, loud snoring, observed apneas, or a household smoker; higher quality of life; fewer attention–deficit/hyperactivity disordersymptoms; and female sex. Only lower PSQ and snoring scores were independent predictors.
Many candidates for AT no longer have OSAS on polysomnography after 7 months of watchful waiting, whereas meaningful improvement in symptoms is not common. In practice, a baseline low AHI and normal waist circumference, or low PSQ and snoring score, may help identify an opportunity to avoid AT.