MADISON, Wis. – Sleep apnea is one of the most common sleep-related breathing disorders and affects about 7 percent of the U.S. adult population.

But it is a very treatable problem, commonly with CPAP therapy.

Claudia Korcarz, who manages the University of Wisconsin Atherosclerosis Imaging Research Program, says usually you find out if you have sleep apnea from your partner, who is bothered by your heavy snoring and interrupted breathing during sleep.

"Patients are typically hyper somnolent,” she says. “They are very sleepy during the daytime, so bad that you're talking to somebody and they fall asleep in front of you, and this increases the risk of motor vehicle accidents, and that's one of the public health problems of obstructive sleep apnea."

Korcarz, who recently completed a study of obstructive sleep apnea, says upwards of 25 percent of all sleep apnea patients are unable to comply with or tolerate CPAP therapy.

Many say they just can't deal with wearing a mask all night, while the CPAP machine forces air through their nose.

Korcarz says even using a CPAP machine four hours per night will dramatically improve the patient's cardiovascular health.

She also points out that there have been big improvements in treating sleep disorders. Tests to determine if a person has sleep apnea can even be conducted in a patient's home now, and the design and function of CPAP machines has taken huge strides forward.

"We need to let people know that the equipment has improved dramatically in the last 10 years or so,” she states. “They're quieter, they're more comfortable, the hoses are more flexible so you can move around."

Korcarz says ignoring sleep apnea comes with huge consequences.

"Your risk of cardiovascular events is two to threefold higher,” she points out. “Stroke or heart attacks or sudden cardiac death, for example, in the middle of the night. The risk of having a cardiac event, an arrhythmia that could be fatal, is two times higher than the regular population."

Korkarz advises partners of people who have untreated sleep apnea to insist that they discuss it with their doctor.





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Health-care advocates are vowing to continue their fight to expand Medicaid in Kansas - despite this week's election, which expanded the Republican supermajority.

Gov. Laura Kelly, D-Kansas, supports expanding the program to more low-income families under the Affordable Care Act - but conservative lawmakers passed a law forbidding the move.

April Holman, executive director of the Alliance for a Healthy Kansas, is among those calling for change.

"I think the bottom line is we have really been focused on building a grassroots movement that is too large and too loud for policymakers to ignore, and that's what we're going to continue to do, even with the most recent election results," she said.

Data from the Kansas Department of Public Health shows a maternal mortality rate of 11 deaths per every 100,000 live births. The agency found 13 maternal deaths from 2016 to 2018 and found all but one were preventable. And two-thirds of mothers were racial and ethnic minorities.

Holman noted that more than 14% of babies born to Black mothers in Kansas have low birth weights, and Black mothers are 200% more likely to have a low-birthweight baby.

"We think that in part that has to do with access to affordable health care, not only later in their pregnancy but also at the beginning and even pre-pregnancy," Holman continued.

The Kansas Health Institute estimates that almost 152,000 Kansans - including more than 45,000 children - would enroll in KanCare if Medicaid were to be expanded.


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Amid a nationwide shortage of respiratory therapists, an "earn while you learn" initiative is underway to build a skilled workforce in Virginia to meet growing respiratory care demands.

Sentara Health and Tidewater Community College have launched a respiratory therapy apprenticeship program, which covers educational expenses of nearly $18,000 over two years, while providing hands-on experience at Sentara Norfolk General Hospital.

Kristian Vasconcellos, one of the program's first apprentices, likes the linking of the classroom to the workspace.

"You know, us cleaning the vents or cleaning the machines or the equipment, I do get that experience of being in school and saying, 'Oh my gosh, I know what that is, I know how this works,'" Vasconcellos explained.

Students spend 32 hours each week in academic and clinical training and an additional eight hours working at the hospital, where they encounter a range of real-world medical situations involving asthma, sleep apnea and others. Industry experts have noted a growing need for respiratory therapists, especially following the COVID-19 pandemic, which has led to increased worker burnout and hospital staffing shortages.

Tara Almony, manager of respiratory care and pulmonary diagnostics at Sentara Norfolk General Hospital, expressed enthusiasm about the program's potential to ease the staffing shortage and prepare students for the realities of the job.

"We were looking and thinking outside the box of how we could be creative and how to bring respiratory therapists in, help them," Almony outlined. "Then also, how we as a Norfolk General could help them grow and kind of create a pipeline for ourselves in a way. "

The demand for respiratory therapists has surged, with the U.S. Bureau of Labor Statistics projecting a 14% increase in job openings by 2031. The median annual salary for a respiratory therapist is currently $77,960.


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A Wyoming helpline connects callers to a variety of health and human services, including help with health insurance during open enrollment.

Olivia Schon, deputy director of Wyoming 211, said the service fields 20 to 30 calls a day. Specialists then connect callers with appropriate resources from a database of nearly 3,000 options, ranging from small nonprofits to state and federal programs.

Schon pointed out the top issues people call about are rent and utility payment assistance programs, food insecurity and transportation to health providers. She noted initial conversations often unveil more areas in which the caller can use assistance.

"We average four times the amount of referrals going out based on phone calls coming in," Schon reported. "They call with what their first issue is and then they leave with more than one solution to other problems that they also have going on."

When callers need assistance enrolling in health insurance, they're connected with Wyoming 211's "sister program," Enroll Wyoming. Open enrollment starts Friday.

The rate of health insurance enrollment in Wyoming through the marketplace has increased 75% since 2020, according to KFF. In a round of federal funding announced in September for health insurance navigators, Enroll Wyoming received a $1.5 million grant to continue offering its services for free.

Caleb Smith, marketing director for Enroll Wyoming, said making important decisions around health care can be intimidating.

"It doesn't hurt to have somebody who's on your side," Smith explained. "Who's willing to act as an advocate for you to make sure that you have your questions answered, that you have what you feel like you need to be able to make an informed, empowered decision."

Wyoming 211 is available by dialing 211 from any phone in the state.