- The LIRR train crash in Brooklyn, NY on January 4, 2017
- The New Jersey Transit Train accident in Hoboken, which resulted in the death of a woman and the injury of 114 people.
- The Metro-North Crash in the Bronx on December 1, 2013, in which the engineer was found to have “severe obstructive sleep apnea.”
- The Exxon-Valdez Oil Spill of March 24, 1989
Regulators Abandon New Sleep Apnea Rules for Truckers and Railroad Engineers
On August 4, 2017, federal regulators in cooperation with the Trump administration scrapped a proposed regulatory plan which would have required all truckers & railroad engineers to be tested for sleep apnea, a fatigue-inducing disorder that has been blamed for many deadly rail and road collisions in NY and NJ, according to Bloomberg News.
In recent years, a number of studies have revealed that a number of mass transit accidents occurred as a result of sleep deprivation stemming from sleep apnea. Because of this, the Federal Motor Carrier Safety Administration (FMCSA) branch of the Department of Transportation has been considering updating its existing sleep apnea guidelines. The update could include recommendations for screenings based on Body-Mass Index (BMI,) which is has been connected closely to the occurrence of sleep apnea. Truckers, for example, with a BMI of 40 or higher would require sleep apnea screening by law if the new regulations were integrated.
The National Transportation Safety Board has long suggested sleep apnea testing for railroad engineers, though the move to suggest such testing for truckers is somewhat more recent. Metro-North and the Long Island Rail Road both integrated sleep apnea testing after the engineer of the 2013 Spuyten Duyvil crash was discovered to have fallen asleep at the controls because of a severe, undiagnosed case of sleep apnea. (Source)
Scrapping of the Plan
The latest announcement from the federal transportation experts, however, indicates that a decision has been made to abandon plans made based off of FMCSA committee recommendations on sleep apnea. The federal government will no longer pursue this regulation, choosing instead to address sleep fatigue by other means. As reported by Bloomberg:
"’The agencies have determined not to issue a notice of proposed rulemaking at this time and believe that current safety programs’ and other rules ‘addressing fatigue risk management are the appropriate avenues to address’ the issue, the Federal Motor Carrier Safety Administration and the Federal Railroad Administration said in a statement.” (Source)
The agencies set in place by the Trump administration are now arguing that it should be up to railroads and trucking companies to make final decisions on whether or not to test employees for sleep apnea.
The administration’s decision was criticized by New York Senator Chuck Schumer on Tuesday, and, additionally, New York Metropolitan Transportation Authority Spokesman Shams Tarek stated that, regardless of the federal decision, it “does absolutely nothing to change the MTA’s commitment to sleep apnea screening and testing.” Tarek also stated that “safety is the top priority at the MTA, and regardless of any federal requirements, we’re performing sleep apnea screening across all of our agencies, covering nearly 20,000 employees.”
The announcement from the federal government regarding sleep apnea screenings gives us an opportunity to directly and soberly discuss the dangers and loss of quality of life due to sleep loss, regardless of its root cause. Whether caused by poor sleep hygiene, sleep apnea, wakeups due to acid reflux, or simply staying up too late, fatigue caused by sleep loss can be deadly.
Sleep apnea is a bigger problem than most people realize! Approximately 22 million American suffer from sleep apnea, with 80 percent of the moderate-to-severe type cases going completely undiagnosed. (Source)
The University of Pennsylvania, in studies sponsored by the FMCSA and the American Transportation Research Institute, discovered that close to 28 percent of commercial truck drivers suffer from mild to severe sleep apnea. Additionally, Metro-North Railroad found that 11.6 percent of its engineers were suffering from sleep apnea! These reports are shocking when considering the possible negative outcomes!
Some additional reading for those who would like to know more about sleep apnea can be found here: Sleep Apnea Statistics and Facts 2016 !
How Can a Lack of Sleep Become Deadly?
Most Americans are used to driving cars, and not operating buses, trains, or trucks. Sleep and mental awareness are important in jobs that require the use of heavy, dangerous machinery, such as assembly lines, construction, and more, so why wouldn’t sleep be important when operating large vehicles? Much like when working with heavy machinery, sometimes all it can take is a single short moment of absent-mindedness for a terrible accident to occur.
For those who might doubt the seriousness of vehicular accidents caused by sleep deprivation, here are a few examples of major accidents that left the victims’ lives and families permanently affected:
Sleep loss and sleep apnea, as you can certainly see, have been tied to a number of major incidents that had severe repercussions.
Considering Quality of Life
Injuries as a result of an accident can severely affect the quality of life of the victims of a crash. While it is well understood by most everyone that injuries do happen from accidents, not many people are given the opportunity to see exactly how those injuries affect the daily lives of those who sustain them. Comedian Tracey Morgan’s vehicle was struck by a truck in June of 2014, which resulted in the death of his friend James McNair (aka Uncle Jimmy Mack) and the loss of his leg. Reading any of Morgan’s personal testimony, for example, is heartbreaking. Posted video clips reveal that Morgan had to relearn how to walk following his injuries, and was absolutely devastated by the loss of his friend.
Everyone desires to get up in the morning full of energy and ready for life. We know when we’re not feeling our best. This is why doctors ask us what we’re feeling, not the other way around. Most of the time, we know why we’re groggy in the morning. Maybe a late night of work kept us up, or maybe we were excitedly watching a sporting event that ran late into the night. Sometimes, though, fatigue isn’t always clear. One of the causes that can go unnoticed is sleep apnea. Sleep apnea often goes unnoticed because it rarely fully wakes the sufferer, simply causing them to struggle to breathe throughout the night resulting in chronic poor sleep. A sleep study from your doctor might help identify this.
Whether you are suffering from sleep apnea or not, there are a few steps you can take to improve your quality of life. Maintain a regular sleep schedule, and if you do get interrupted, don’t be afraid to take a quick power nap!
elevate head-of-bed for Sleep apnea and Acid Reflux relief see how
Are the Regulations Necessary?
This question is a tough one to answer, and is much to subject to personal viewpoint and philosophy for us to answer here. However, we will stress the importance of the actions that can be taken to ensure good sleep and healthy sleep habits. While some of these boil down to “common sense” advice, like not deliberately staying up late, avoiding caffeine before bed, and sleeping in a comfortable location, other actions might not be so simple. If you are having regular sleep issues or are feeling fatigued frequently, be careful and talk to your doctor. Thankfully, regardless of regulation, we can still take personal precaution for our own safety and the safety of those around us.
What do you think about sleep apnea screening? Should it be regulated?
Please share your thoughts below!Click here for the full post
You will soon understand why you need to give serious thought as a top priority to lifting the head of the bed with an under mattress bed wedge.
If you think you’re the only one who suffers from Acid Reflux don’t worry you’re not alone. A matter of fact it’s quite crowded. According to Healthline, 60% of adults suffer Acid Reflux in a 12 month period and 20% - 35% will suffer weekly. It also turns out esophageal cancer is the fastest growing cancer in the U.S.
Is this you with severe painful burning?
Last December 7, 2014, CNN politics reported that President Obama was complaining of a sore throat. President Obama underwent a CT scan Sunday afternoon while visiting Walter Reed National Military Medical Center because of a sore throat, according to the White House and his doctor. In addition, the president’s doctor said that the CT scan was normal and that Obama’s symptoms “are consistent with soft tissue inflammation related to acid reflux.
Washington is really a stressful place for this politicians. In a similar manner, these politicians are causing stress to each other as well as to its citizens. According to some studies, stress may very well be another trigger for heartburn. Heartburn is the most common symptom of acid reflux. How could this happen? A study entitled “The Effect of Auditory Stress On Perception of Intraesophageal Acid in Patients With Gastroesophageal Reflux Disease of Fass et al from 2008 supported this idea that stress contributes to acid reflux. When researchers exposed people with GERD to a stressful noise, they found that it increased their symptoms by making them more sensitive to acid exposure.
CNN chief medical correspondent Sanjay Gupta said acid reflux usually can be easily treated. “A lot of times, it may just be dietary changes,” he said. “Sometimes, you want to give medicines to reduce the amount of acid in the stomach.”
Acid reflux happens when the acid in the stomach moves up into your esophagus. This is due to the malfunctioning of a stomach valve called lower esophageal sphincter (LES). The LES normally closes as soon as food passes through it. The flushing back of acid can cause symptoms such as burning chest pain called heartburn. If acid reflux symptoms happen more than twice a week, you have acid reflux disease, also known as gastroesophageal disease (GERD).
With dietary and lifestyle modification, the discomfort brought by acid reflux disease can be alleviated. Lose some weight and watch your diet by avoiding alcoholic and oily foods. Elevation of the head is also important to inhibit the flushing back of acid. These are the two natural cures for acid reflux.
While we are on the subject of losing weight, there is a battle between weight gain and not sleeping well and that’s why elevating the head of the bed should be a priority. Do it once and it supports everything else – pun intended.
How to elevate your head during sleep? You will need acid reflux pillows to do this. You cannot just stack and pile pillows up as this may be displaced while you are sleeping. The acid will move up again, waking you to the pain in your chest area. Acid reflux patients look for lasting relief that will also assure them the freedom from pain brought by acid reflux.
That is what Reflux Guard© guarantees to its users. With its experts perfecting the best wedge for acid reflux, they are now manufacturing the bed wedge that will provide the long-lasting relief from acid reflux. Reflux Guard© is an effective and non-invasive solution to preventing stomach acid reflux when sleeping at night or during the daytime. The Reflux Guard© full mattress wedge allows you to sleep in any position because you are lying on your mattress, on your bed utilizing the entire sleeping surface - not a wedge. You buy Reflux Guard© today and it is yours - a one-time purchase for lasting relief from Gastroesophageal reflux disease.
Most everyone is fearful of consulting a doctor when one is sensing that something is wrong with his or her body. Primarily, we are afraid of the examinations we shall undergo because it might reveal serious ailments or the surprise of a terminal disease. We search the Internet for the symptoms we are experiencing, as well as look for natural cures and lifestyle modifications we can practice so that such symptoms will disappear in just a matter of time.
Fortunately, your awareness about acid reflux led you to become knowledgeable about its symptoms. Heartburn, regurgitation, and dyspepsia are a few of the most common symptoms. Heartburn, also called acid indigestion, is a burning pain or discomfort that can move up from your stomach to the middle of your abdomen and chest. The pain can also move into your throat. Despite its name, heartburn doesn’t affect you heart, but can be confused with a heart attack, Heartburn or Acid Reflux can be regurgitation or the sensation of acid backing up into your throat or mouth. Regurgitation can produce a sour or bitter taste, and you may experience a “wet burp” or even vomit some contents of your stomach. It feels like a delayed vomit which acid and stomach content reached splashing into your mouth and onto your teeth – this can be painful and damaging. Many people with acid reflux disease also have a syndrome called dyspepsia. Dyspepsia is a general term for stomach discomfort.
Symptoms of dyspepsia include:
♦ Nausea after eating
♦ Stomach fullness or bloating
♦ Upper abdominal pain and discomfort
Most of the symptoms may be felt when sleeping or attempting to sleep. This is due to the inappropriate position of the body that the acid flushes back to the esophagus. Choking while sleeping is common to patients with mild acid reflux. As you may notice, choking happens along with regurgitation. Basically, that’s what acid reflux is (the flushing of acid back to the esophagus when the lower esophageal sphincter (LES) failed to close or if it opens too often).
While you are searching the Internet about the acid reflux you are experiencing, you are surprised by the amount a hospital treatment of acid reflux costs. But you are delighted that there are two natural cures for acid reflux: Losing weight, and elevating the upper abdomen while sleeping. We know there is a wide array of information about losing weight. Let us skip that for now. Let us focus on how bed elevation lifts the upper abdomen.
Elevating the upper abdomen while sleeping is a crucial and sensitive task. If you did it wrong, it may result to pain and the continuing of its symptoms. Do not just stack pillows as it may be disarranged while you are asleep. If it is disarranged, you may be back to the position where the acids will flush back to the esophagus. Same goes with bed wedge pillows available in the market. Buyers of such low-quality wedge for a bed to elevate the bed complain of the frequent displacement of these products. What is the difference of buying such specialized bed wedges if they displace like the normal pillows and bed accessories.
It seems like it is hard to trust bed wedge products. But do not worry, RefluxGuard© is aware of such shortcomings of mattress wedge products from different competing companies. That is why RefluxGuard© perfected their acid reflux pillow and came up with a full, mattress-width sized wedge that fits under the mattress. The RefluxGuard© full mattress wedge allows you to sleep in any position because you are lying on your mattress and not a wedge. The best wedge acid reflux treatment while sleeping is the RefluxGuard© full, mattress-width sized wedge that will assure you the perfect and stable elevation that you need while getting your good night sleep.Click here for the full post
Isn’t Time to Start Sleeping on an Under the Mattress Bed Wedge for Acid Reflux and Stop the Suffering.
Isn’t it time to stop the suffering? Or to quote Mr. Wonderful, Kevin O’leary, from the Shark Tank, stop the madness!
How much does the treatment of acid reflux cost? Occasional acid reflux can be treated with over-the-counter medications, which typically cost $4-$25, depending on the quantity and whether the patient buys a name brand or its generic equivalent.
GERD patients seeking help for chronic symptoms should start with an office visit to a primary care physician, which is typically covered by health insurance. For patients without health insurance, an office visit typically costs $50-$200 or more.
Prescription GERD drug prices vary, depending on the dose needed, how frequently the drug must be taken, and whether the medicine is available in generic form. According to the Agency for Healthcare Research and Quality, prescription GERD drugs typically cost $24-$271 for generics, and $142-$414 for brand name medications.
Surgery may end up being an option for patients who do not find relief through more conservative treatments. The most common surgery for GERD is a nissen fundoplication, in which the upper part of the stomach is wrapped around the esophagus and stitched into place. According to the Comprehensive Center for Laparoscopic Surgery, average hospital charges for fundoplication range from $10,000-$25,000 or more with a typical surgical fee of about $3,000.
It’s important to note that neglecting acid reflux symptoms could lead to serious problems, and you want to be ahead of the curve on this one. Consult your doctor right away if the symptoms of acid reflux begin to surface.
The most common symptoms of acid reflux are the following:
1. Heartburn—also called acid indigestion, heartburn is a pain or discomfort that can move up from your stomach to the middle of your abdomen and chest. The pain and burning can also move into your throat, mouth, sinuses, and lungs.
2. Regurgitation—another common symptom of acid reflux is regurgitation, or the sensation of acid backing up into your throat or mouth. Choking while sleeping is an effect of regurgitation. Regurgitation while sleeping or while attempting to sleep can produce a sour or bitter taste, and you may experience a “wet burp” or even vomit some content out of your stomach up into your sinuses or lungs.
3. Dyspepsia—dyspepsia is a general term for stomach discomfort. Symptoms of dyspepsia include:
b. Nausea after eating
c. Stomach fullness or bloating
d. Upper abdominal pain and discomfort
Treating acid reflux is serious business. Financially, acid reflux may cost you dearly. Do not let acid reflux eat up the future of your family.
Acid reflux can be treated by lifestyle and diet modification. There are two natural cures for acid reflux: losing weight, and elevating the upper abdomen when you sleep. A disciplined exercise and dietary program is readily available in the Internet if you wholeheartedly wanted to lose weight. Everyone wants to be slim and sexy nowadays, which makes the information about losing weight prevalent almost everywhere.
Usually, bed accessories like a mattress wedge pillow is used to elevate the upper abdomen. Leave the problem with elevating the head of the bed in the hands of the makers of RefluxGuard©. Tested for about a decade, RefluxGuard© was developed by a team of medical, engineering, and business partners and is now available to everyone.
Why RefluxGuard©? RefluxGuard© is an effective and non-invasive solution for acid reflux when sleeping at night or during the daytime. Low quality mattress wedges restrict your sleeping position, sleeping area, and tends to fall on the floor. How uncomfortable is that? Unlike other mattress wedge pillows, the RefluxGuard© full width mattress wedge allows you to sleep in any position because you are lying on your mattress – not on a wedge.Click here for the full post
You are very convinced that you need a bed mattress wedge to ease the pain of your acid reflux. But you do not have any idea because this special kind of pillow has variants in the market. You are anxious to pick the wrong mattress bed wedge that will cost you some dimes hoping that it will help you with acid reflux but instead, there is no effect recognizable. Maybe worse, the wrong mattress wedge added pain to what you are experiencing.
We are very familiar of the mattress wedge and the under mattress bed wedge are the two pillows/bed accessories that dominate the market. This article will help you to choose the right wedge for acid reflux by comparing the two.
1. Mattress Bed Wedge
Usually, bed wedges are pillows that you can place under your bedsheet or over the bed. It will somehow serve as a pillow when you place it over your mattress. When you look at it, you will be confident that this will provide elevation for your head. Elevation of the head is one of the two natural cures for acid reflux.
Do not be persuaded right away. Pillow, bed wedges, and other bed additions do not stay in place while you are peacefully sleeping for the whole night. Even though you are telling yourself that you are a still sleeper, there is no assurance that these pillows will stay in place. Unless, you glue these soft cushions. What’s worse is if you’re a restless snorer. They will be displaced in just hours. What your conditions need is a support that will be sustained until you wake up in the morning.
Secondly, it is uncomfortable to rest on any position on these bed mattress wedges except on your back. There are only few people who do not change position while they are sleeping. In addition, lying on your back aggravates the problem for some acid reflux patients.
2. Under mattress bed wedge
An under mattress bed wedge is a full, mattress-width sized wedge that fits under the mattress. It is designed so that the elevation will not be displaced during your quiet sleep. Under mattress bed wedge addressed the first problem of a bed wedge discussed above. You do not need to worry because the elevation of the head will be maintained while you are sleeping no matter how restless and agitated you are while you are sleeping.
Secondly, in comparison to a bed wedge, a full, mattress-width sized wedge allows a sufferer of acid reflux to comfortably sleep in any position he or she wants. This will provide the patient basically the mental comfort from not having to think if you are sleeping in the right position or not. This is all because you are lying on a mattress—not a pillow wedge.
By this time, you should already know that the right bed mattress wedge to use for acid reflux is an under mattress bed wedge. Reflux Guard© offers a full, mattress-width sized wedge perfected to solve the issues of common mattress bed wedges. Perfected by experts and doctors, with the help of the suggestions and ideas from acid reflux sufferers, Reflux Guard© assures the comfort the no other brand of pillow wedges can offer. Plus, it will stay in place for years because Reflux Guard© offers a ten year warranty if you purchase this wedge.
Be critical with every products out there in the market. Test and compare Reflux Guard© with other products out there to know the difference.
We hope the article which mattress bed wedge works best for acid reflux was helpful.Click here for the full post
I took my son and his friend to see the movie “Southpaw”. Usually he goes with his friends, I was honored he invited me. Could it be because I paid? Nah, I always pay whether he invites me or not.
I’m the kind of dad that looks to catch him when he is doing something right, which I’m proud to say is quite often. I desperately look for teachable moments. I feel my job is to prepare him for the reality of adult life.
Now let’s get down to the movie “Southpaw” and what I learned and shared with my son. But first, I must say the movie was done so well that those punches to the gut reminded me of the nights I suffered from Acid Reflux and withered in pain.
The movie was about Billy Hope, a champion fighter, and his family. You see how a boxer’s buttons are pushed and how his angry response gets him into trouble, big time. How his wife was murdered, lost his daughter, lost all his riches, and came back. I guess it was like a modern ‘Rocky”. Why do I say modern? After all, Southpaw had newer cars and cell phones, Rocky was still using pay phones to speak to his coach. I almost forgot, he didn’t need a phone when he was yelling ADRIAN.
While Billy played by Jake Gyllenhaal made some bad mistakes, that cost him, you could do the same with regard to your Acid Reflux.
There are small things you could do like eating properly and stay away from certain offending foods, such as fatty greasy foods or overeating.
Then there are simple things you could do like lifting the head of the bed. While this is not simple, it can be done with an under the mattress bed wedge also known as a mattress wedge like the Reflux Guard©.
Billy Hope lost everything, Acid Reflux can do the same because if left untreated can lead to esophageal cancer.Click here for the full post
My reinvention and the journey I started many years ago. I woke up on a Saturday morning in the ICU and just missed the grim reapers calling the night before.
In the rehabilitation process I was dealing with PTSD and anxiety. You’d think this event might happen again but in truth it’s highly unlikely and it gets blown out of proportion. My doctor even told me the likelihood of what you had gone through is less then winning the lottery. Then why didn’t I just win the lottery? In a way I did, you can see from the rest of my story.
I was talking to a friend who was doing his orthopedic surgery residency. He was worried about sticking himself with a needle when it dawned upon me why not protect healthcare workers from sticking themselves.
My first invention was a retractable syringe patent # 4,900,311. Eventually President Clinton signed a law requiring the use of such types of syringes.
Over the years I noticed I was always coming up with ideas. This stunned me because it was becoming natural. I started looking for a pattern (no not a patent) as why this was happening to someone like me who wasn’t creative. I figured this was a pattern of the universe and humanity. Whenever mankind had a challenge we found solutions, that is how civilization developed.
I always look for problems (no I’m not a troublemaker) and better ways of doing things because there is always an opportunity in challenges.
This leads me to the second half of my story. Many years ago I started waking up and coughing. One day I was in the hallway of the hospital and saw my doctor who told me it was post nasal drip. I said are you sure? He said when I looked in your mouth I saw it drip. As it turns out it must have been postnasal drip and Acid Reflux.
I went to my doctor who gave me a litany of things to do and told me to lift the head of the bed. I did many of the things including the hard one, losing weight. I still suffered but not as bad.
As time went on I was getting these severe nocturnal Acid Reflux episodes, waking up choking, coughing, and burning in my mouth, sinuses, lungs, and esophagus.
It was getting so bad I had to figure out how to lift the head of the bed. The doctor told me just put it on cinder blocks. I had a few problems with that;
1. It wasn’t easy to do.
2. There was no way I could do it without removing my night table and lamp.
3. If I did remove the night table I would likely be stubbing my toe on the cinder block all the time.
4. How was I going to move my bed when I needed to? It would mean disassembling and reassembling the bed each time. No thank you.
5. The lifting of the bed would change the angle of the foot of the bed. The legs would be weakened by the angle and would eventually collapse.
6. Many large beds have a leg in the middle to support the center, how am I going to get a cinder block there?
Ultimately I started thinking about lifting the mattress and only then did I come up with the idea for a Reflux Guard© for myself. Since it worked so well I decided to help others. If I found a simple solution, why must others suffer for years before figuring it out?
Part of my reinvention philosophy comes from understanding that challenges are solutions, it’s the way the world works, and this has become my passion.
My passion started with the retractable syringe, how I treat and look to help people, and now I’m focused on Reflux Guard©, which I believe is the best under the mattress bed wedge on the market. Each challenge a customer has brought up has made the product much better.
Why building and selling Reflux Guards© is the best job in the world:
I get calls and letters from people thanking me for giving them back their quality of life. One such letter is from Mrs. Goldberg. Another, is a patient whose discharge from the hospital was dependent on receiving our product.
Take a look at the end result, How my Under Mattress wedge works, why it is so amazing and how different & most effective it is than all other solutions out there.Click here for the full post
I have been doing a lot of research with regard to the newest studies which indicate what Acid Reflux medications, may contribute to Esophageal Cancer, the fastest growing cancer in the United States.
These cryptic studies, which require further investigation, always begs the question, which comes first the chicken or the egg? So what is causing the cancer, the medication or Acid Reflux? Keep in mind only those with Acid Reflux use these types of medications.
We already know that the progression of Esophageal Cancer, starts with the constant assault of acid and stomach content, on the lining of the esophagus. If this is true it is also fair to say that perhaps it isn't the medication but it is Acid Reflux. In either case we need to do what we can to eliminate, or at the very least, mitigate the damage and progression of the breakdown of the esophageal lining.
We here at Reflux Guard believe the best way is to get to the source of the problem, which we discuss in our blogs and on our site.
We start with education, so we understand what got us into the cycle of Acid Reflux, thus damaging the esophagus. Your doctor will give you a strict died to adhere to, as well as tell you to lose weight if appropriate. This takes education and discipline, which is a challenge in itself.
Don’t waste time, start taking care of yourself and ask your doctor if raising the head of the bed is for you. If yes, an under the mattress bed wedge makes the job simple.
A Reflux Guard© is a great mattress bed wedge, which was designed to not only be easy to install but adjustable with a 10-year warrantee.
In my enthusiasm I went off track. In either case it is clear, whether medication causes cancer, Acid Reflux causes cancer, or both you have to take action to keep yourself healthy.Click here for the full post
More Coming Soon!