Tired of being called names and listening to complaints from your partner because you snore at night?

But more than that, it is important to keep a check on your snoring as an excess of it can be an indicator of many diseases, one of them being sleep apnea, says Dr Kaushal Sheth, ENT surgeon, "People develop sleep apnea when their airway collapses partially or completely during sleep due to various medical conditions. This causes the oxygen levels in the blood to decrease and can be potentially life threatening when it becomes obstructive sleep apnea."

Elaborating on it further, Dr Jayashree Todkar, bariatric surgeon and obesity consultant says "Snoring is an indication of obstacles in a person's breathing. When excessive fat accumulates around the stomach, the lungs do not get ample space to expand when we inhale oxygen; this in turn leads to obstacles in the process of inhalation-exhalation."

However, there are many myths surrounding snoring which is a very common problem. To sleep better one must get rid of the myths that surround snoring and only accept the facts, says Dr Viranchi Oza, BDS as he gives us a lowdown of some stories around snoring:

Myth: Everybody snores, therefore it's normal.

Fact: Snoring is not a normal condition. Labelling it as 'normal' diminishes the seriousness of the condition. Snoring is not just about annoying your partner, it is a sign that the body is struggling to breathe properly during the night. Snoring on a frequent or regular basis has been associated with hypertension and can also be an indication of sleep apnea (pauses in breathing). Sleep apnea sufferers have been reported to have diminished gray cells in their brains, most likely due to the oxygen deprivation of untreated sleep apnea. If left untreated, sleep apnea increases the risk of cardiovascular disease over time. In addition, insufficient sleep affects growth hormone secretion that is linked to obesity. As the amount of hormone secretion decreases, the chance of weight gain increases.

Myth: Snoring only affects the health of the snorer.

Fact: Snoring doesn't just negatively affect the health of the person snoring, but also the health of the person lying next to them in bed. A typical snorer usually produces a noise that averages around 60 decibels (about the level of vacuum cleaner), but with some people this can reach 80 or even 90 decibels (about the level of an average factory). Sleeping with a partner who snores during the night has been shown to increase the blood pressure in the other person, which may be dangerous for their health in the long term. Snoring also causes the partner to have fragmented sleep and lose up to one hour of sleep

every night.

Myth: Snoring comes from the nose, so if I unclog my nose, my snoring will stop.

Fact: Having a stuffy nose can definitely aggravate snoring and sleep apnea, but in it's not the cause. A recent study showed that undergoing nasal surgery for breathing problems cured sleep apnea in only 10% of patients. Snoring vibrations typically come from the soft palate, which is aggravated by having a small jaw and the tongue falling back. It's a complicated relationship between the nose, the soft palate and the tongue.

Myth: I know I don't snore, or have apnea. I am fine.

Fact: Don't ignore your wife when she tells you that your snoring doesn't let her sleep. When a partner snores it is very difficult for the spouse to sleep. There are people who snore excessively and suffer from sleep apnea, but feel absolutely normal. However, snoring increases their risk of getting a heart attack and stroke. The only definitive way to prove that you don't have sleep apnea is by taking a sleep test. Screening questionnaires like the GASP or the Epworth have shown high reliability in identifying patient risk for sleep apnea.

Myth: If I lose weight, I'll cure myself of sleep apnea.

Fact: Sometimes. It's definitely worth trying, but in general, it's very difficult to lose weight if you have sleep apnea. This is because poor sleep aggravates weight gain by increasing your appetite. Once you're sleeping better, it'll be easier to lose weight. This is the one ingredient with many dietary and weight loss programs that's missing or not stressed at all. It's not enough just to tell people to sleep more.

Myth: Health problems such as obesity, diabetes, hypertension and depression have no relation to the amount and quality of a person's sleep.

Fact: More and more scientific studies are showing a correlation between poor quality sleep and insufficient sleep with a variety of diseases. Blood pressure is variable during the sleep cycle, however, interrupted sleep negatively affects the normal variability. Recent studies have shown that nearly 80% cases of hypertension, 60% cases of strokes and 50% cases of heart failures are actually cases of undiagnosed sleep apnea. Research indicates that insufficient sleep impairs the body's ability to use insulin, which can lead to the onset of diabetes. Fragmented sleep can cause a lowered metabolism and increased levels of the hormone Cortisol which results in an increased appetite and a decrease in one's ability to burn calories.

Myth: Daytime sleepiness means a person is not getting enough sleep.

Fact: Do you feel very sleepy even during the day despite the fact that you had a long night of proper sleep? Excessive daytime sleepiness can occur even after a person gets enough sleep. Such sleepiness can be a sign of an underlying medical condition or sleep disorder such as narcolepsy or sleep apnea. Please seek professional medical advice to correctly diagnose the cause of this symptom.

Myth: Getting just one hour less sleep per night than needed will not have any effect on your daytime functioning.

Fact: This lack of sleep may not make you noticeably sleepy during the day. But even if you've got slightly less sleep, it can affect your ability to think properly and respond quickly. It can compromise your cardiovascular health and energy balance as well as the ability to fight infections, particularly if the pattern continues. Lack of sleep has also been associated with road accidents (up to 60% of road accidents involve lack of sleep) and air crashes (Air India Mangalore plane crash in 2010 was due to lack of sleep). Sleeping for less than six hours a night is equivalent to legal levels of alcohol intoxication.

Myth: Sleep apnea occurs only in older, overweight men with big necks.

Fact: Although the stereotypical description does fit people in the extreme end of the spectrum, we now know that even young, thin women that don't snore can have significant obstructive sleep apnea. Sleep apnea begins with jaw structure narrowing and later involves obesity. It's estimated that 90% of women with this condition are not diagnosed. Untreated, it can cause or aggravate weight gain, depression, anxiety, diabetes, high blood pressure, heart disease, heart attack and stroke.

Myth: Snoring can't be treated.

Fact: Have you given up on your snoring thinking that it cannot be treated? There are many different options for treating snoring.

Some treatment options are rather drastic, possibly requiring surgery or prescription drugs, but prior to exploring such options it would be wise to first seek out alternative treatments. You must visit a sleep specialist to get the right diagnosis.

Myth: Extra sleep at night can cure you of problems with excessive daytime fatigue.

Fact: Not only is the quantity of sleep important but also the quality of sleep. Some people sleep eight-nine hours a night but don't feel well rested as the quality of their sleep is poor. A number of sleep disorders and other medical conditions affect the quality of sleep. Sleeping more won't alleviate the daytime sleepiness these disorders or conditions cause. However, many of these disorders or conditions can be treated effectively with changes in behaviour or with medical therapies.

Myth: Insomnia is characterised only by difficulty in falling asleep.

Fact: There are four symptoms usually associated with insomnia:

- Difficulty falling asleep

- Waking up too early and not being able to get back to sleep

- Frequent awakenings

- Waking up feeling tired and not so fresh

Insomnia can also be a symptom of a sleep disorder or other medical, psychological or psychiatric problems. Sometimes, insomnia can really be a case of undiagnosed sleep apnea.Read more here:www.marieaustralia.com/long-formal-dresses | www.marieaustralia.com/bridesmaid-dresses

i dreamed a rattlesnake was loose in the closet i heard it rattling i was afraid to open the door



a man suffering a toothache goes to see his dentist the dentist administers laughing gas when the man comes to his numb tongue swooshes around his mouth he asks how long was i under the dentist answers hours i needed to pull them all out



he imagines when he grows old there will be a pencil grown into one hand and a paintbrush grown into the other they will look like extra fingers grown out from the palms extensions of his personal evolution little children will be horrified when they see mommy mommy look at that man’s hands!



what if we are each presented with a complete picture of a puzzle from the very start then as our lives proceed the pieces begin showing up out of context sometimes recognizable other times a mystery some people are smarter more intuitive than others and are able to piece together the bigger picture some people never figure it out



i wasn’t thinking i didn’t know to think nobody taught me to think maybe my teachers tried but i didn’t get it i wasn’t thinking i was running reacting doing whatever i needed to survive when you’re trying to survive you move fast by instinct you don’t think you just act



many children are relieved when their parents die then they no longer need to explain prove themselves live up to their parent’s expectations yet all children need parents to approve foster mentor teach love



she was missing especially when her children needed her most she was busy lunching with girlfriends dinner dates beauty shop manicure masseuse appointments shopping seamstress fittings constant telephone gossiping criticizing she was too busy to notice she was missing more than anything she wanted to party show off her beauty to be the adored one the hostess with the mostest



i dreamed i was condemned to die by guillotine the executioner wore black and wielded an axe just in case the device failed in the dream the guillotine sliced shallow then the executioner went to work but he kept chopping unsuccessfully severing my head this went on for a long time



1954 Max Schwartzpilgrim sits at table in coffee shop on 5th floor of Maller’s Building elevated train loudly passes as he glances out window it is typical gloomy gray Chicago day he worries how he will find the money to pay off all his mounting debts he is over his head in debit thinks about taking out a hefty life insurance policy then cleverly killing himself but he cherishes his lovely wife Jenny his young children and social life sitting across table Ernie Cohen cracks crass joke Max laughs politely yet is in no mood to encourage his fingers work nervously mutely drumming on Formica table then stubbing out cigarette in glass ashtray lighting another with gold Dunhill lighter bitter tastes of coffee and cigarettes turns his stomach sour he raises his hand calling over Millie the waitress he flirtatiously smiles orders bowl of matzo ball soup with extra matzo ball Ernie says you can’t have enough big ***** for this world Max thinks about his son Odysseus



when Odysseus is very young Dad occasionally brings him to Schwartzpilgrim’s Jewelers Store on Saturday mornings Dad shows off his firstborn son like a prize possession lifting Odysseus in the air Dad takes him to golf range golf is not an interest for Odysseus Dad pushes him to learn proper swing Odysseus fumbles golf club and ***** he loves going anyway because he appreciates spending time with Dad once Dad and Odysseus take shower together Dad is so life-size muscular hairy Odysseus is so little Dad reaches touches Odysseus’s ******* feeling lone ******* Dad says we’ll correct that make it right Odysseus does not understand what Dad is talking about at finish Dad turns up cold water and shields Odysseus with his body he watches Dad dressing in mornings Dad is persnickety to last details of French cuff links silk handkerchief in breast pocket even Dad’s fingernails toenails are manicured buffed shiny clear



Odysseus’s left ******* does not descend into his ******* the adults in extended family routinely want to inspect the abnormality Mom shows them sometimes Dad grows agitated and leaves room it is embarrassing for Odysseus Daddy Lou’s brother Uncle Maury wants to check it out too often like he thinks he is a doctor Uncle Maury is an optometrist the pediatrician theorizes the tangled ******* is possibly the result of a hormone fertility drug Mom took to get pregnant the doctor injects Odysseus with a hormone shot then prescribes several medications to induce the ****** to drop nothing works eventually an inguinal hernia is diagnosed around the age of 9 Odysseus is operated on for a hernia and the ******* surgically moved down into his ******* the doctor says ******* is dead warning of propensity to cancer later in life his left ball is smaller than his right but it is more sensitive and needy he does not understand what the doctor means by “dead” Odysseus fears he will be made fun of he is self-conscious in locker room he does not comprehend for the rest of his life he will carry a diminutive *****



spokin alloud by readar in caulkknee axescent ello we’re Biggie an Smally tha 2 testicles whoooh liv in tha ******* of this felloh Odys Biggie is the soyze of a elthy chicken aegg and Smally is the size of a modest Bing cheery



one breast ****** points northeast the other smaller breast ****** points southwest she is frightened to reveal them to any man frightened to be exposed in woman’s locker room she is the most beautiful girl/woman he will ever know



Bayli Moutray is French/Irish 5’8” lean elongated with bowed legs knobby knees runner’s calves slim hips boy’s shoulders sleepy blue eyes light brown hair a barely discernable freckled birthmark on back of neck and small unequal ******* with puffy ******* pointing in different directions Laura an ex-girlfriend of Odysseus’s describes Bayli’s appearance as “a gangly bird screeching to be fed” Laura can be mean Odysseus thinks Bayli is the coolest girl in the world he is genuinely in love with her they have been sleeping together for nearly a year it is March 11 1974 Bayli’s birthday she turns 22 today Bayli is away with her family in Southeast Asia Odysseus understands what a great opportunity this is for her to learn about another culture he knows Bayli plans to meet up again with him in late summer or autumn in Chicago Dad wants Odysseus to follow in his footsteps and become a successful jewelry salesman he offers Odysseus a well-paying job driving leased Camaro across the Midwest servicing Dad’s established costume jewelry accounts Odysseus reasons it is a chance to squirrel away some cash until Bayli returns it is lonely on the road and awkward adjustment to be back in Chicago Odysseus made other plans after graduating from Hartford Art School he is going to be an important painter after numerous months and many Midwestern cities he begins to feel depressed he questions how Bayli can stay away for so long when he needs her so bad the Moutray’s send Mom and Dad a gift of elegant pewter candleholders made in Indonesia Mom accustomed to silver and gold excludes pewter to be put on display she instructs Teresa to place the candleholders away in a cabinet Mom also neglects to write a thank you note which is quite out of character for Mom Bayli’s father is a Navy Captain in the Pacific he is summoned to Norfolk Naval Station in Virginia the Moutray’s flight has a stopover in Chicago Bayli writes her parents want to meet Odysseus and his family Odysseus asks Dad to arrange his traveling itinerary around the Moutray’s visit Dad schedules Odysseus to service the Detroit and Michigan territory against Odysseus’s pleas Odysseus is living with his sister Penelope on Briar Street it is the only address Bayli’s parents know Odysseus has no way to reach them when the Moutray’s arrive at the door Penelope does not know what to tell them Mom and Dad are not interested in meeting Bayli’s parents it is not the first sign of dissatisfaction or disinterest Mom and Dad convey regarding Bayli Odysseus does not understand why his parents do not like her is it because Bayli is not Jewish is that the sole reason Mom and Dad do not approve of her Odysseus believes he needs his parent’s support he knows he is not like them and will likely never adopt their standards yet he values their consent they are his parents and he honors Mom and Dad let’s take a step back for a moment to get a different perspective a more serious matter is Odysseus’s financial dependency on his parents does a commitment to Bayli threaten the sheltered world his parent’s provide him is it merely money binding him to them why else is he so powerless to his parent’s control outwardly he appears a wild child yet inwardly he is somewhat timid is he cowardly is he unsure of Bayli’s strength and sustainability is that why he let’s Bayli go whatever the reason Dad’s and Mom’s pressure and influence are strong enough to sway his judgment he goes along with their authority losing Bayli is the greatest mistake of Odysseus’s life



he dreams Bayli and he are at a Bob Dylan concert they are hidden in the back of the theater in a dark hall they can hear the band playing Dylan’s voice singing and the echoes of the mesmerized audience Odysseus is ******* Bayli’s body against a wall she is quietly moaning his hand is inside her jeans feeling her wetness rubbing fingers between her legs after the show they hang around an empty lot filled with broken bottles loose bricks they run into Dylan all 3 are laughing and dancing down the sidewalk Dylan is incredibly playful and engaging he says he needs to run an errand not wanting to leave his company Odysseus and Bayli follow along they arrive at an old hospital building it is dark and dingy inside there is a large room filled with medical beds and water tanks housing unspeakably disfigured people swarming intravenous tubes attach the patients to oxygen equipment feed bags and monitoring machines Dylan moves between each victim like a compassionate ambassador Odysseus is freaking out the infirmary is too horrible to imagine he shields his eyes wanders away losing Bayli searching running frantically for a way out he wakes shivering and sweating the pillow is wet sheets twisted he gets up from the bed stares out window into the dark night he wonders where he lost Bayli



these winds of change let them come sailor home from sea hunter home from hill he who can create the worst terror is the greatest warrior

I think sometimes, about what it means to be transgender. I probe and probe for answers, because as the possibility for a new age of enlightenment and safety increases, the others want to know. I’ve come up with many answers, but I can hold to none. I don’t deserve to paint the definition of a culture with the limited experiences I’ve had. I don’t see myself in the transgender identified people allowed on television. I don’t see myself in the transgender identified people making news feeds and giving high profile interviews. And as my nation’s exposure to our culture increases, likely will their curiosity. Am I transgender? Do I have the right? I’ve heard doctors, psychiatrists, may refuse transgender patients access to hormone therapy based on how dedicated or convincing their portrayal of their identified gender. If you want to be a man or woman, you’ll have to look like the women and men on TV. If you want to be transgender, you’ll have to look like the trans identified people on TV. Every single one of us who has an active role as either participant or observer in our society is prey to the crisis of validity. Am I pretty enough? Am I strong enough? Am I brave enough? Mom enough? Dad enough? Competitive enough? Successful enough? Rich enough? **** enough? Pious enough? It never ends. We’re, as a nation of people, being crushed and compartmentalized by this ever present lens, looming over us, exploiting our weaknesses and fears so it may grow wider, and support itself as it follows us, seemingly forever into the future. And one of the worst fears this camera of existential torment exploits, in most of us every day, is, “Do I have a reflection?” “What does it look like?” “Do I look like me?” What does it mean to be transgender? I can’t get away from that question. But I don’t have an answer. There are varying degrees of anguish, depression, panic, anxiety, and other wonderful emotional states that creep up on you and breathe down your neck nearly every waking day. Absolute contempt for the lie of a life you’ve lived till now, and contempt for the fragments still stuck to you, in memories, attached to your body and mind. Fear of those in your own community who would purposefully humiliate, invalidate, or attack you, choosing their own universal moral code over the innate urge and capacity to support the health and continued well being of another human. A ******* neighbor. A ******* pupil. A ******* employee. A ******* sister, brother, son, daughter, mother, father, cousin, ******* blood. What is being transgender like? By my experiences, it’s just like being anyone else in the country. But with a lot more fear, death, exclusion and medication.