Pain on Pinky Side of Wrist – Exploring Orthopedic Continuum of Care

A colleague of mine recently developed a wrist brace for ulnar-sided wrist pain — pain on the pinky side of the wrist.
In our discussions we learned what I often learn when discussing health care issues, the continuum of care is very similar, at least in the early stages, as the sleep apnea continuum. Ulnar-sided wrist pain is something that is best dealt with at the primary care level, but PCPs frequently don’t understand the issue which is usually due to TFCC (triangular fibrocartilage complex) tendonitis or how to treat it.
I think Jeff has a great product that will do very well, and I hope we get to explore building a care continuum program for joint pain!
Here is a link to an article that discusses pain on the pinky side of the wrist…
To learn more about this brace for ulnar-sided wrist pain / TFCC injuries, please visit the Bullseye Brace home page.

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CPAP Problems and Solutions

CPAP problems are not unusual. Although the therapy is 100% effective for sleep apnea, it can also sometimes be challenging. This list of common CPAP problems and their solutions might help you get more out of your therapy.

The TotalCare Sleep Apnea disease management program is available free to any CPAP user and supported by qualified, professional, CPAP therapists. If you want help with your CPAP problems and help getting better sleep, click here to create your free account, complete an interactive CPAP therapy checkup, and to give us some details about your CPAP equipment.

CPAP Problem: Bloating, Burping & Gas

CPAP side effects bloating, burping and gas are some of the common side effects of CPAP therapy. The medical term for these side-effects is Aerophasia. Fortunately this CPAP problem can usually be managed with persistence and help from your CPAP therapist.

If your stomach feels bloated or you burp a lot after using your CPAP, you may be swallowing excess air during your sleep. Sometimes it’s simply a matter of getting accustomed to relaxed, regular breathing with your CPAP. This is especially true if you are new to CPAP therapy.

CPAP Problem: Vivid Dreaming During CPAP Use

Yes ‘CPAP Dreams’ are a normal and common ‘side effect’ of CPAP therapy. Quite often, untreated OSA disrupts sleep so severely that the dream stage is constantly interrupted or never reached at all. When the OSA is suddenly eliminated by CPAP, dreams will often be more intense , memorable, and frequent as sleep is restored.

Early in therapy, CPAP dreams may occupy much of your sleep time for the first week or so. After that, the dreams will taper off toward the levels seen in normal, healthy adults.

  • ‘CPAP dreams’ are a normal and common side effect
  • Untreated OSA disrupts sleep constantly interrupting the REM sleep stage
  • When OSA is eliminated by CPAP, dreams will become intense, memorable, and frequent
  • These dreams will eventually taper off and you will dream like a normal healthy adult

CPAP Problem: Claustrophobia

There is an adjustment period for most CPAP users as they get used to sleeping with any mask on the face. While your goal is to be able to sleep all night on CPAP, using it as long as you can tolerate it each night is better than nothing.

To reduce or eliminate feelings of claustrophobia, use your mask while you’re awake. Practice by first just holding the mask up to your face without any of the other parts attached. Once you’re comfortable with that, try wearing the mask with the straps and without the hose connected. Then attach the hose and turn your CPAP machine on at a low-pressure setting (with ramp feature turned on) and try holding the mask to your face and breathing without using the straps. And, finally, wear the mask with the straps and with the machine turned on.

CPAP Problem: Dry Mouth

If you wake with a dry mouth, chances are that you sleep with your mouth open – don’t worry, a lot of CPAP users do this. CPAP therapy can cause slight dry mouth on it’s own, but if you sleep with your mouth wide open, the problem can be seriously exacerbated. In this case, you might benefit from getting a chin strap if you use a nasal mask or nasal pillows mask. You can also use a full-face mask to accommodate mouth breathing.

CPAP Problem: Dry or Stuffy Nose

Having a dry or stuffy nose as a result of wearing a CPAP mask is never fun. Doctors recommend that you use the heated humidifier function on the CPAP machine to raise the humidity levels. If the humidity levels are too low, your mucous membranes react by becoming inflamed and swollen, which creates dryness and stuffiness. If using the heated humidifier doesn’t work, try using a saline spray right before you go to bed. If the dryness and stuffiness continues, you ask your doctor about using a steroid nasal spray.

CPAP Problem: Skin irritation, Sores and Bruises from Mask

No mask should cause pain nor discomfort if sized correctly and fitted properly. One of the most common mistakes CPAP users mask, is over tightening their CPAP mask, which leads to marks. Try loosening the straps and bit and let the mask form a seal when the air starts to flow. If you have to over tighten your mask to get a good CPAP Mask seal, your mask cushion may be worn out and need replacing. Or, you may need something to help with CPAP Mask Leaks

CPAP Problem: Bloody Nose

A bloody nose during CPAP use is a common problem, especially in the beginning of CPAP therapy. If you have a heated humidifier, try adjusting the level of humidity to make sure you are getting maximum humidity without creating condensation in your tubing or CPAP Mask. You might also try using a nasal saline spray or a ‘neti pot’ before bedtime to moisten your nasal airway. To maximize humidity in your airway without causing ‘rainout’ in your tube, upgrade to a heated tube. Talk to your doctor if you continue to experience a bloody nose during CPAP use.

 

Read more about mask problems at this post – Sleep Apnea Mask Problems and Solutions

 

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Immediate Opportunity for Independent CPAP Therapist and Sleep Educator – Boulder / Denver Colorado

Become an Independent TotalCare Therapy Associate

 

We recently announced the launch of our first OSA Continuum of Care pilot in Lafayette, Colorado and have an immediate opportunity for an independent CPAP Therapist and Sleep Educator to support this program and develop others in surrounding areas.  The program is currently being supported remotely, and we prefer to have someone local provide the needed services.

The first active primary care location to implement our program represents a significant opportunity for the right person to earn a commission while helping to support sleep apnea screening, home sleep testing, new CPAP patient set-ups, ongoing follow-up and support.

We also have an active ‘legacy’ patient recruitment process that helps you recruit patients from anywhere and manage them remotely.

If you are a qualified and experienced CPAP therapist who lives in the area and can begin seeing patients immediately, please create a demo account today and get in touch with us.  You can learn more about our Independent Therapy Associate program and create a demo account here.

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Sleep Apnea Continuum of Care Program from TotalCare eHealth Launches into First Primary Care Pilot

BROOMFIELD, Colorado June 25th, 2016 – TotalCare eHealth announced today that it has completed the development of it’s Sleep Apnea Continuum of Care Program and launched it’s first primary care pilot location. The program improves the efficiency and effectiveness of obstructive sleep apnea (OSA) screening, diagnosis, and therapy for patients and their healthcare providers.  TotalCare is the first to provide a single, digitally-connected patient experience throughout the complete continuum of care. The TotalCare eHealth platform combines outcomes-based patient management protocols and a proprietary ‘eHealth operating system’ to increase patient engagement, improve outcomes, and reduce cost.

“We’re very excited to launch our OSA continuum program in our first primary care pilot location, South Pointe Clinics in Lafayette, Colorado” says Doug Hudiburg, CEO of TotalCare eHealth, a Broomfield Colorado startup technology company.  “We’ve always known that the key to effective sleep apnea management is at the primary point of care and we are thrilled to have an enthusiastic partner in this pilot. South Pointe understands the importance of reaching the un-diagnosed sleep apnea population within their current patient population and within their community in general.”

Sleep Apnea Continuum of Care

There are approximately 40 million sufferers of sleep apnea in the United States (about 20% of the adult population). People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times during the night and often for a minute or longer.  When the brain detects a lack of oxygen, it rouses the sleeper, usually only partially, to signal breathing to resume. As a result of restricted breathing, the sleep apnea sufferer’s blood oxygen dips below healthy levels with enough frequency to impact the health of their heart and other vital organs.  Also, sleep apnea causes extremely fragmented and poor quality sleep.  Untreated sleep apnea is a serious condition that can lead to diabetes, high blood pressure, depression, heart disease, obesity and stroke.

The vast majority (approximately 75%) of sleep apnea sufferers remain undiagnosed and therefore untreated. Sleep apnea is most commonly treated with Continuous Positive Airway Pressure (CPAP) therapy, or Oral Appliance Therapy.

“As a new owner of a community primary care clinic, as well as a practitioner, I know that 30% or more of my adult patients are likely to suffer from sleep apnea. With the TotalCare sleep apnea continuum of care program we can screen every adult patient, manage consultations and evaluations efficiently, provide quick access to low-cost home sleep testing, and easily prescribe the appropriate therapy for patients who test positive for sleep apnea.” Says John Hundley, PA-C, owner of South Pointe Clinics.

The goals of the TotalCare Sleep Apnea Continuum of Care program are as follows:

  • Digitally-connect patient, physician, diagnostics provider, and sleep apnea therapy provider under one HIPAA, HI-TECH, and MARS-E compliant continuum of care
  • Improve key outcomes: hospital re-admissions, patient satisfaction, physician & provider ratings, profit per patient, and others
  • Reduce ‘net cost’ and ‘time to therapy’ for patients with OSA
  • Improve OSA continuum of care and maximize patient adherence to therapy
  • Collect usage and outcomes data and provide summary and detail reporting
  • Ensure effective follow-up, patient communications, and support with participating providers

For more information about TotalCare eHealth and the TotalCare Sleep Apnea Continuum of care program, visit https://TotalCareEHealth.com

If you have a sleep issue, or think you may be suffering from a sleep disorder, visit https://totalcareehealth.com/sha for a free sleep health assessment.

South Pointe Clinics

South Pointe Clinics is a multi-specialty primary care clinic in Lafayette, Colorado. South Pointe serves their community with a variety of healthcare services including family practice, walk-in urgent care, occupational health and certified physicals, chiropractic, physical therapy and holistic health. South Pointe’s experienced providers have expertise in a wide range of medical treatments.

‘South Point Clinics’ is a trademark of South Pointe Clinics.

Contact

South Pointe Clinics
380 Empire Rd #120
Lafayette, CO 80026
http://southpointeclinics.com/
Tel: (303) 665-8444
Fax: (303) 665-8448
Lisa DuBord,  Clinic Manager

TotalCare eHealth

TotalCare eHealth is a technology-based healthcare company that is focused on improving healthcare in the United States through a patient-centered approach. The first commercial implementation of the TotalCare platform is the TotalCare sleep apnea continuum of care program. The company is headquartered in Broomfield, Colorado with a growing network of therapy providers and clinicians throughout the US.

‘TotalCare eHealth’ is trademark of TotalCare eHealth.

Contact

TotalCare eHealth
3001 Industrial Lane, Unit 4
Broomfield, CO 80020
https://TotalCareEHealth.com
Doug Hudiburg, CEO

#cpap #sleepapnea #sleep #healthcaretechnology #digitalhealth #primarycare

Sleep Apnea Continuum of Care Program from TotalCare eHealth Launches into First Primary Care Pilot

Press+Release+TotalCare+OSA+Continuum+Pilot_06-27-2016

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connect1mill

Goal: Help One Million Sleep Apnea Sufferers Connect With Better Health

 

A few years ago, I think it was early 2012, I attended an event in Denver put on by my friend Ken McArthur called The Impact Event.  At that event, Ken asked all of the attendees how they could positively impact the lives of 1 million or more people. It’s an exciting question and a great framework around what Ken does.

At that meeting, and after hearing the stories of dozens of inspiring people (Ken included) who were already positively impacting millions of people, I set my goal my next big goal — to help one million sleep apnea sufferers connect with better health.  Since then, this one overriding goal has driven my actions in my business life.

In the intervening time, we created the TotalCare eHealth platform and the TotalCare CPAP therapy program.  Now we have the mechanism and program to reach that goal.

There is a lot to say about the story that lead us to this point, perhaps I’ll blog about it, but today we are looking forward.

Here’s how the TotalCare platform connects Sleep Apnea Sufferers with better health. We connect people with…

  • Online screening & sleep disorder risk assessment
  • Easy access to home sleep testing and sleep physician consultations
  • CPAP and health data
  • Physicians and other clinical resources
  • CPAP Therapists and therapy providers
  • More effective CPAP therapy

We’re just getting started, but the entire TotalCare team is committed to our big goal.

We’ve started calling it our ‘Connect 1 Million’ campaign, and you will be hearing more about it in the coming days.

Want to get involved now? Visit our home page and select the account type that is right for you.

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