What is the Cure for Cpap Intolerance?

Cpap intolerance is a serious thing.  Because, as wonderful as cpap is at treating sleep apnea, some people just can’t stand using it. And while cpap is the gold standard in treating obstructive sleep apnea, and does so quite effectively, there’s a whole range of responses to it. Some people fall in love with it, others hate it. And there’s a wide range of responses in between.

However, the average compliance rate is only 30-60%. But if cpap is so effective, why is cpap intolerance so high? And how can we more effectively treat sleep apnea? Let’s take a look at this subject. We’ll also lightly touch on a couple of technological advances that might eliminate cpap intolerance.

Cpap  Intolerance

It’s really amazing the number of people who go through all the trouble of having a sleep study. Then have a follow-up appointment. And after that, come in and get set up with an expensive cpap machine. Only to find they have what we shall call cpap intolerance.

That really says more about the cpap machine itself, then it does about the patients. It must be frustrating to go through the test, follow up, and cpap set up, only to not be able to tolerate the darn thing.

And yes, there might be patients who just don’t give themselves long enough time to adapt to cpap. There are also those patients who have tried to the point of ridiculousness and still haven’t adapted. And those patients might never adapt to it. That must be REALLY  frustrating!

And while we know that knowledge is power; we also know that it’s a bit more complicated than that. There’s that little issue of trust. But all the knowledge and all the trust in the world can’t overcome plain old cpap intolerance. Then there are those people who not only tolerate cpap, they adapt to it quite well. These people live a more enriched life.

Like the following patient.

You Saved my Life!!

I work for a Sleep Center in Fargo North Dakota called Precision Diagnostic Services. We have contracts with hospitals in several states, so we get to see many patients each week. And though I’ve heard of people who say their lives are better now that they’re on cpap, every now and then we get someone who’s especially thankful.

In fact, just recently, a patient called our main office, thanking us for literally saving their life. For that, they are “forever grateful”.  And their spouse is equally grateful.

Even the people at their workplace notice a difference. They drove the 3o miles to their workplace without getting tired once. They said they sat at their desk and were actually able to concentrate and get work done. In fact, they’re so awake, they “almost feel hyper”. And at one point in the conversation, they were so moved by the change in their life they actually got a bit teary-eyed.

Although most responses aren’t this exuberant, it does reflect the gratitude of many people whose lives have been changed by the use of cpap. Which brings us to the question of just why so many people can’t tolerate it.

A Full Range of Responses

When I see someone in the sleep lab, I have them try on a cpap mask or two. I do this before the study even starts because I want to know how they’ll respond to it. And I’ll get responses all the way from “Get this thing off me!!”, to “”Wow, this thing is awesome! Can I keep it on?”

However, the overall compliance rate with cpap is anywhere from 30-60%. Think about that. For every 10 people started on cpap, only 3-6 will continue with treatment.

But why is the overall success rate so low? And how do we improve those odds? Well, the good news is, that for those who can’t tolerate cpap, there are other ways to treat sleep apnea.  Although as of this writing, cpap remains the gold standard of treatment.

However, research is ongoing to find other, perhaps, better ways yet. And it’s fun to speculate what things will come out in the future.

The Future of Sleep Medicine

There are many factors to consider when looking into the future of sleep medicine. Things like the economy, insurance, peoples attitudes and belief systems. But the technology itself is quite fascinating. Let’s take a brief look into the future, shall we?

First of all, what kind of technology will we have 25-50 years from now? What new forms of treatment will come out? 2 things come to mind: Artificial intelligence and Nano-technology.

Artificial intelligence or AI is a machines’ ability to learn to reason, and problem solve. As well as the capability to perceive and use language. But while computers can be programmed to do some very complex tasks, they’re far from true artificial intelligence. But what does that mean for sleep medicine? Will the sleep technologist of the future be an android, like Lieutenant Commander Data on Star Trek?

Nanotechnology? , on the other hand, involves making ‘machines’ from individual atoms or molecules. These ‘machines’ can be programmed to perform different tasks. In fact, research is currently studying ways to use nanotechnology in the treatment of heart disease.

But how could these 2 technologies eliminate cpap intolerance? Let’s take a peek 50 years into the future, shall we?

Cpap Intolerance is History!

The year is 2067.  Your smart home alerts you to problems with breathing while you sleep, and notifies your Doctor. Their computer reviews the data and recommends a sleep study. Soon after,  you receive an alert asking you about this appointment. Do you wish to keep it? Change the date, or cancel it?

You’ve been feeling a bit tired and cranky lately, so you decide to keep the appointment. At your visit, your Doctor injects you with some nanobots that will monitor your brain activity, breathing, and oxygen levels. While your smart bed records your body position. Oh and don’t worry. All those nanobots will disintegrate when their tasks are complete.

During your sleep study, the information is downloaded to your Doctors computer. And by the time they see the data, their computer has already written up a care plan. Their computer recommends treatment for sleep apnea and sets up a follow-up appointment with your Doctor.

During your next Doctor visit, you’re injected with more nanobots that will monitor nerve and muscle activity. They’ll stimulate your nerves and muscles to activate as they should. Thus keeping your airway open, and assuring all muscles work to keep you breathing well. Therefore eliminating even the need for cpap itself.

Cpap intolerance
Me in my office

But, could cpap become a thing of the past? Or is this just fantasy? Advancements being made in technology lead me to believe it’s very possible.


Till next time…Blessings.

Can a Chin Strap Effectively Replace CPAP?

Perhaps you’ve seen the advertisements selling a chin strap to treat sleep apnea. A chin strap. To treat sleep apnea. Really? But does it work? Some people claim that it helps them. Others say it’s a scam. Which is it? Let’s take a no spin look at this, shall we?

The Chin Strap
Chin Strap
Women Wearing Chin Strap

Cpap remains the gold standard of therapy for sleep apnea. But unfortunately, many people can’t tolerate this form of treatment. The good news is, there are other forms of treatment available. One such device in the news recently is the chin strap. And while not new, it appears to have a ‘new’ function. It not only holds your mouth closed but claims it will keep your airway open as well.

But does it live up to its claim? Let’s take a no spin look into this. We’ll also see how it compares to other forms of treatment.

To begin with, there are several different styles of chin straps. But they all do 2 basic things: they hold your mouth closed, and support your jaw so it stays in place. With that, we’ll look at what holding your mouth closed does and doesn’t do. But first, let’s see why holding your mouth closed is actually healthier for you.

Mouth Breathing is bad for Your Health

When you breathe through your mouth, the air isn’t warmed and moisturized like it is with nasal breathing. This causes dry mouth, which encourages bacteria growth, leading to cavities. Nasal breathing not only warms and moisturizes the air, it also acts as a filter, reducing dust and allergens.

Also, when you breathe through your nose, Nitric Oxide is produced in small quantities. This gas actually makes you absorb more oxygen, which is even more important while you’re sleeping. This is because your breathing becomes slower and shallower in your sleep.

Keep in mind that many people see their Dentist more than their Doctor. Therefore it’s usually the Dentist that notices mouth breathing issues. Additionally, mouth breathing in children can actually cause abnormal facial and dental development.

However, holding your mouth closed by itself does not keep your airway open. But if you’re using cpap, and you can’t tolerate a full face mask, and you breathe with your mouth, a chin strap can be a good addition to your treatment.

Although, there are times when holding your mouth closed isn’t good.

When not to use a Chin Strap

Because a chin strap holds your mouth closed, you really shouldn’t use one if you have sinus congestion or anything else that makes it difficult to breathe just through your nose.

Also, a chin strap will only reduce snoring coming from your throat. There’s a flap of skin at the back of your throat called the soft palate. Air flowing across that can cause it to vibrate, resulting in a snore. A chin strap will have some effect in this case. However, it will have no effect on snoring originating from your sinuses.

Additionally, if you suspect that you have sleep apnea, or have been diagnosed with OSA, a chin strap might not be effective at all. Some symptoms to be aware of are:

  • Waking with a headache
  • Being REALLY tired all the time
  • Mood swings
  • Depression
  • High blood pressure
  • Snoring and/or pauses in breathing
  • Waking up choking

If you have any of these symptoms, you might have sleep apnea and should have a sleep study.

However, the chin strap also supports your jaw, keeping it from falling back against your throat. So you’d think that it would do some good,. right? But a study done on 26 adult patients with OSA, found that a chin strap alone was not effective in treating sleep apnea. Granted, this is a rather small study.

But what about oral appliances? Don’t they do the same thing as a chin strap? How do these 2 devices compare?

Let’s take a look.

Chin Strap vs Oral Appliance

Chin Strap Vs Oral ApplianceA chin strap holds your mouth closed, while oral appliances don’t to the same degree. And while both the chin strap and the oral appliance hold your jaw forward, oral appliances have been proven to do this more effectively.

So even though a chin strap is less expensive than an oral appliance, it’s also less effective. But please be aware, because while you can get cheap oral appliances online, they won’t work as well either. Why’s that? Because the most effective oral appliance is the one fitted and adjusted just for you. These types of oral appliances are adapted to you, preferably in a sleep lab, where the Technologist can fine-tune them to get you breathing well.

However, you can’t use an oral appliance if you have dentures or loose/missing teeth. So if that’s you, and you also can’t tolerate CPAP, talk with your Doctor. There are surgical procedures that may help.

Now let’s take a brief look at cost.

Cost Comparisons

CPAP can run anywhere from $1,500 to $3,500.

On the other hand, an Oral Appliance can range from $1,800 to$2,000. And oral appliances are favored over CPAP. Also, most insurance companies cover these devices. Of course, you can get less expensive devices online for Less than $50.00. But as we’ve seen, this really isn’t a good option.

Cost of Anti Snoring Chin Strap? Anywhere from $6.99 at Walmart, up to $59.99.

So then…

Is a Chin Strap right for me?

Remeber, there’s a difference between simple snoring, and snoring with sleep apnea. Talk with your Doctor about any concerns you have before buying anything.

And again, the cost is certainly a concern for most of us. Therefore there’s a tendency to take the cheapest route. So why not just buy a chin strap or oral appliance and be done with it. But is it that easy? If you haven’t even been diagnosed with sleep apnea, how do you know you’re giving yourself the right treatment?

Maybe all you do is snore.  But, where is your snoring originating from? Is it from the soft palate, that flap of skin at the back of your throat? Or is it coming from your sinus area? Or both? And what if your snoring is a sign of something worse, like sleep apnea?

And if you live alone, you have no one to tell you what you do in your sleep. Maybe you’ve woke yourself up snoring or snorting. If that’s the case, don’t take any chances with a simple chin strap or cheap oral appliance. That’s the time to have a talk with your Doctor.

Suspect sleep apnea especially if you have certain body characteristics that make you more likely to have OSA. The physical characteristics that you inherit make it either more or less likely that you’ll have this disorder. The 3 main physical traits are the shape of the bony structures of the skull and face, body fat distribution, and how the upper airway muscles function.

So then, CPAP machines and oral appliances are more expensive, but they also work the best. And while chin straps do serve a purpose, they work better in conjunction with CPAP.


We’ve taken a look at the chin strap, and also compared it with other devices for sleep apnea. We’ve discovered that the chin strap is limited in its function. And while there’s a tendency to ‘go the cheap route’, when it comes to your health, please don’t play with your life like that.

Till next time…Blessings.

Is a Home Sleep Test as Good as an in lab Sleep Test?

What is a Home Sleep Test, and is it as good as in lab sleep test?

Home Sleep Test

It’s exciting to see the advancements in sleep medicine.  Along with all the changes taking place in the insurance industry, Technology, and the economy in general. Many of these developments are changing how sleep studies are performed. For instance, a Home Sleep Test is becoming more common.

So, let’s take a rather brief look at a Home Sleep Test, and see how it compares with an in lab sleep study.

About Insurance

First of all, insurance is a major player in sleep medicine. And in order to keep premiums down, insurance companies push for the least expensive tests. The reason behind this is that the less the insurance company pays out, the lower your premiums will be; which makes sense. There’s also the economic pressure to keep costs down.

Now consider that one Technologist can do two, maybe three in lab sleep studies at a time. However, that same Technologist can handle more Home sleep tests at once. And a Home Sleeps test, or HST doesn’t cost as much. So you can see where this trend is going.

But, are HST’s as good as in lab sleep tests? Let’s first take a look at the type of sleep tests available. Then we’ll look at a typical Home Sleep Study. We’ll also compare costs and see who can have an HST. I’ll also explain why some people shouldn’t have an HST; in fact, can’t even qualify for one.

Types of Sleep Tests

The Centers for Medicare and Medicaid Services or CMS defines 4 types of sleep studies, based on what’s being monitored. A type 1 study is an in lab sleep study,  attended by a Technologist. This has been the gold standard of sleep tests, as it’s the most thorough.

Types 2-4 are home studies. These studies are defined by the number of channels recorded. Type 2 studies record more channels than type 3 studies. While type 4 studies record the fewest channels. And while an in lab study can test for a whole range of sleep disorders, an HST only monitors breathing.

Another downside to an HST is that something can come unhooked during the night while you’re sleeping. And that could make the study incomplete.

With that in mind, let’s take a look at a typical Home Sleep Test.

A Typical Home Sleep Test

You go into the sleep center the evening of your study and pick up the equipment needed for the night. The Technologist will go over everything with you; showing you how to put things on, and should answer your questions.

Then, in the comfort of your own home, you hook yourself up and (hopefully) go to sleep. In the morning, you bring the equipment back to the sleep center, where they’ll download your data. If it’s determined that you need CPAP, you’ll be set up with what’s called an auto-PAP machine. This type of device is set to automatically change pressures through the night based on how you’re breathing.

You can keep the auto-pap. But you might also have the option to get a CPAP machine. In that case, you’ll bring the auto-pap in and they’ll download the data. Then they’ll  use that to determine your optimal pressure. And they’ll give you a CPAP machine set to your best therapy level.

Other Home Sleep Test Information

Cost of a Home Sleep Test vs an in lab study

An in lab study can run anywhere from $600, to $5,000; with an average being around $1,000. However, a Home Sleep Test runs anywhere from $150 to $500. And insurance covers both.

Who should not have an HSAT?

A Home Sleep Test just monitors breathing. Therefore, it only detects sleep apnea, but none of the other sleep disorders. That’s why a careful assessment of your medical history is important. For example, if you have any heart or lung conditions, you might need an in lab study.

Other reasons you might need an in lab study

If your Doctor suspects you might have some other sleep disorder, he/she could order an in lab study. And anyone 18 years and younger would need an in lab study as well.

So, While A Home Sleep Test is becoming more common, it’s not for everyone. And even with all the advancements in sleep medicine, there might always be a place for in-lab sleep studies.


We’ve taken a rather brief look at a Home sleep test. We’ve seen the advantages of an HST. And also discovered why a Home Sleep Test isn’t for everyone. We’ve also seen why this type of test might become more common in the future.

How about you? Have you had a Home Sleep Study?  Would you like to share your experience? Or do you have questions about HST’s vs in lab studies? Please leave a comment and let me know what you think.

Till next time…Blessings.

Do you Have What it Takes to be a Sleep Technologist?

The life of a sleep technologist is far from boring. Are you one of the many that think we just sit there all night watching you sleep? Think againIn this article, I define what a Sleep Technologist is and does.

What is a Sleep Technologist?Sleep Technologist

I can’t speak for all Sleep Technologists, but when I first heard of this field of study, I was immediately interested. What’s so fascinating about staying up all night watching people sleep, you ask? I have no idea, I don’t do that. Although, it’s amazing how many people think I do.

Let’s clear this misconception up a bit shall we? But before I go into what a Sleep Technologist does, let’s define what one is.

First of all, not just anyone can be a Sleep Technologist. And I don’t think everyone would want to be one! For one thing, we’re up at night and sleep during the day. Also, many of us work alone and spend hours at a computer. Actually, we’re usually working 2 computers at the same time because we routinely test 2 patients each night.

But really, I enjoy working by myself; especially at night when it’s nice and quiet. And by quiet I don’t mean sitting there twiddling my thumbs…that would drive me crazy!

No, a quiet night just means a nice pace where I’m able to keep up with everything. And because not everyone’s the same, what works for one person might not work for someone else. So it’s good to keep ahead of things in case something unexpected happens. Thus, good time management, with an eye for detail, is a must.

And while you’d think it would get boring doing the same thing every night, it’s not at all. That’s because, even though I have the same routine every night, I deal with different people. And it’s the people that make my career most interesting.

Not that everything else isn’t interesting. As one of my patients put it “You have a really cool job!” And while that may be true, they were wrong about one thing. It’s not just a job. I’m helping people live a longer, more enriching life. It’s what I’ve become.

But just what does a Sleep Technologist do?

What Does a Sleep Technologist do?

One of the more frequent comments I get is ‘It must be boring watching people sleep.’ Another question people ask is ‘Did you have to go to school for this?’ It’s tempting to answer that question with, ‘No, I’m smart enough to have figured this out all by myself’. But I don’t. ’cause I’m not.

Of course, people who say such things just don’t understand the complexities of this position. And for the record, we don’t watch you sleep. That would be a silly, boring and quite useless job, no?  However, after I explain what I do, the question usually becomes “How much schooling did it take you to learn all this?”

With that, let’s take a look at some of the things that take place during your sleep study.

Let’s begin with the hookup. There’re a lot of wires attached to you. These sensors measure leg movement, breathing, oxygen levels, heart rate, and brainwaves; as well as muscle tension, eye movement, and snoring. And while I’m hooking you up to all these sensors, I like to explain what I’m doing as I go. I also explain what Obstructive Sleep Apnea, or OSA, is. And this naturally leads to a brief discussion of CPAP.

After you’re hooked up, I have you try on different CPAP masks, just in case I decide to start you on treatment. This not only gets you accustomed to the mask but also helps you relax, as you now know what to expect. Then, during your sleep study, I need to determine if you need CPAP or not. And if I start you on treatment, when to adjust pressure to get you breathing well.

Once I have your study up and running, you’re reduced to a bunch of crisp clear squiggly lines on my computer monitor. All these lines show me what your version of sleep looks like. At that point, I settle into my chair and began the process of helping you live a longer more enriching life…Literally.

But in order to do this, I need to be knowledgeable about a few things.

A Sleep Technologist Does Know Some Stuff

A Sleep Technologist wears many hats. And once we pass a board exam, our ‘official’ title is Registered Polysomnographic Technologist or RPSGT.

Among the many skills we possess are:

♦ Basic EKG interpretation One of the things I record is your heart rate and rhythm. It’s not a full EKG but still gives me a heads up if something isn’t right, that is as long as I know what I’m looking at. Additionally, when I’m at a lab in a hospital, I can always call the charge nurse and get a second opinion on anything questionable.

♦Charting. Accurate assessment of your condition. Knowing what’s significant and what’s not. And with proper spelling and medical terminology (so I don’t look dumb to the Doctor)

♦ Computer skills.

♦ Medical knowledge. Diseases, medicines, medical terminology. I need to know how different diseases affect sleep. Also, medications that are prescribed for these diseases have their own effects on the sleep-wake cycle. All these variables not only affect your sleep but also influence how you respond to CPAP.

♦ Pattern Recognition-When I look at the computer monitor, all I see are a bunch of squiggly lines. But each squiggle means something. And I need to be able to determine whether a squiggle is significant or not. By morning, I’ll have around 900 pages of data recorded on you, so I really need to know what I’m looking at. Therefore, I’m the eyes and ears of the Doctor.

♦ People skills-The hook up process is 1 on 1 time. Not only is that the time to gather information on your medical history. It’s also the time to help you relax and prepare for the night. Interpersonal skills are very important. Especially at this time.

♦ Troubleshooting both equipment and computer. Although I do have access to an on-call person, I need to be able to handle problems as best I can. Of course, experience alone helps there.

We also attend monthly classes that keep us up to speed on the ever-evolving fields of sleep.


I hope this rather brief description of what a Sleep Technologist is and does helps you better understand this complex and highly technical field.

I’m a Sleep Technologist and I love what I do. Helping people live a longer more enriching life is awesome!!

Till next time…Blessings.

There are different ways to qualify for a Sleep Technologist. Our exact titles are Registered Polysomnographic Technologist or RPSGT. And depending on your medical background, there are the various ways you can become one of us.

The Challenge of Life With Obstructive Sleep Apnea

Have you heard of Obstructive Sleep Apnea, but aren’t really sure what it’s all about? This article will help you understand it better. And although the following story is fictional, the events are taken from real life experiences. It’s about a fellow I’ll call Ron, who has Obstructive Sleep Apnea, or OSA.

This is his story.

Ron’s Story

“Honey, you’re gonna be late for work!! Hurry up!”  Once again, Ron drags himself out of bed, his head throbbing. ‘Why do I always wake up with these @#$% headaches?’ he wonders as he staggers to the bathroom in a daze.

Ron, a fairly overweight 54 year old, works down at the local factory. He’s on several medications for both high blood pressure and diabetes. And just like this morning, he usually wakes with a headache.

Sue, his wife, has been concerned about Ron for some time. His loud snoring eventually led them to sleep in separate bedrooms so that she can get some sleep. But it’s those anxious moments when he stops breathing that are especially alarming to Sue. She’s told Ron about these things, but he doesn’t believe her and says he’s just fine.

But Sue also notices that he’s just not himself lately. He easily becomes irritable, and she suspects he might be depressed.

Looking at himself in the mirror he groans ‘you can do this’. Although that little pep talk really doesn’t do much, it’s still better than nothing. Splashing some water on his face, he mentally prepares for the day. As he lumbers down the steps, he smells his favorite coffee waiting for him.

Coffee. “That’s what I need”. Just the thought lifts his mood a bit.

Slamming down his breakfast, he fills his mug with more Java and heads off to work. His headache is gone by the time he pulls into the parking lot, and the coffee is kicking in. But, he knows this level of wakefulness won’t last long. For some reason, this reminds him of a conversation he had with a co-worker. They had mentioned something about obstructive sleep apnea. But Ron just shrugged it off.

He drinks some more coffee at his morning break and has an energy drink with his noon meal. But by the afternoon, he’s struggling to stay awake. He got some more coffee, but it’s not doing much good at this point. Finally, after fighting sleep all afternoon, it’s time to clock out for the day.  He feels like he weighs a ton as he walks out to his truck. ‘I just wanna lay down’, he thinks to himself, blinking the sleep from his eyes.

But he has to drive home yet. Good thing he doesn’t have far to go. He climbs into his pickup and pulls out of the parking lot…The loud screech of car tires startles him, as he realizes he had just pulled out in front of someone. Ron’s not very alert at this point.

In fact, most of his drives home are performed with numerous battles to stay awake. There are even times he doesn’t remember parts of the drive home. ‘Funny I haven’t killed someone yet’, Ron thinks as he fights the strong urge to just close his eyes and drift off to sleep.

Does Ron Have Obstructive Sleep Apnea?

He hasn’t told his wife about those near accidents, and how he struggles to stay awake. He just doesn’t want her to worry. ‘Besides’, Ron says to himself, ‘I’ve done o.k. all this time.’ And actually, when he thinks about it, there are some days where he doesn’t feel bad at all. But Sue is all too aware. And she’s quite concerned. In fact, she finally convinces Ron to at least talk with his Dr. “You snore and sometimes you actually stop breathing. That scares me.” She says.

“O.K.”, Ron replied, “I’ll talk to him at my next check up”.

Ron visits his Doctor

Sue accompanies Ron to his next annual physical. And there she tells his Doctor all about Ron’s sleep habits. The Doctor asks Ron some pointed questions, which includes a sleep questionnaire. This assesses’s his level of sleepiness throughout the day. Ron’s answers are alarming. They show he’s bordering on dangerously sleepy.

Additionally, when his Doctor points out that obstructive sleep apnea can cause high blood pressure and lead to sudden death, Ron takes notice. He remembers how loud his dad would snore. And he passed away from a massive heart attack when he was only 50. Ron figures he’s already beating the odds.

His Doctor also explained how obstructive sleep apnea can cause numerous trips to the bathroom.

“What happens is this” Ron’s Dr. began. “Obstructive sleep apnea causes stress . And this stress makes your body think there’s extra fluid around your heart. So it flushes out what fluid is there. Hence the extra trips to the bathroom”.

Between his Dr. and his wife, Ron is beginning to see the seriousness of what he’s facing. So when his Dr. orders a sleep study, he actually feels some relief.

Ron has a Sleep Study

Ron’s sleep study shows that he stops breathing around 30 times an hour. He’s placed on a CPAP machine at a pressure of 9 CmH20.  It takes Ron a couple weeks to really start getting used to the machine, but he’s glad he didn’t give up. Now, he can’t believe how much better he actually feels. And no more waking up with a headache.Obstructive Sleep Apnea

Also, his blood pressure is coming down, so Ron’s Dr. decreased his blood pressure meds. His blood sugar number look better too! Not only that, but his wife notices that he’s in a much better mood lately. And they’re back sleeping in the same bed.


Is Obstructive Sleep Apnea something that you struggle with? Is there anything about Ron’s story that sounds familiar? If so, I’d recommend you talk with your Doctor. Or maybe you know someone that’s suffering from this disorder. If so, you could possibly save a life. Seriously.

Till next time…Blessings.