13 - Be Careful of Sleep Apnea Syndrome!

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SIGN    Comical Psychosomatic Medicine!
SIGN    Episode 13
    "Be Careful of
    Sleep Apnea Syndrome!"
[00:03] Asuna
    Hi, everyone! I'm Nurse Kangoshi Asuna!
[00:06] Himeru
    I'm Kangoshi Himeru.
[00:07] Ryou
    I'm the psychiatrist...
[00:09] Himeru
    U-Um, there's something I'd
    like to ask you about...
[00:12] Ryou
    And what's that?
[00:14] Himeru
    W-Well... I'm not sure if I should say it...
[00:17] Ryou
    You can ask anything.
[00:19] Himeru
    I want them in bed!
[00:20] Ryou
    What is this, a dating sim?!
[00:21] Ryou
    Your sister's right there, Onee-san!
[00:23] Himeru
    No, you see, someone in my family hasn't
    been getting enough sleep lately.
[00:27] Himeru
    I want them to get some sleep.
[00:28] Ryou
    Oh, that's what you meant?
[00:30] Asuna
    You're filthy, Doctor.
[00:32] Ryou
    Me?! This is because I'm filthy?!
[00:34] Ryou
    So who in your family isn't sleeping enough?
[00:37] Himeru
    Well, that would infringe
    on their privacy...
SIGN    The Kangoshi
    family's privacy...?
[00:39] Ryou
    I see... Then can you tell me
    if they're male or female?
[00:43] Himeru
    If I had to say, then male, I suppose.
[00:45] Ryou
    A man? And how did you find
    out that he isn't sleeping?
[00:48] Himeru
    Well, I sleep with him sometimes...
[00:51] Ryou
    You sleep with him?!
[00:52] Himeru
    And sometimes he licks me in his sleep.
[00:54] Ryou
    Licks you?!
[00:55] Himeru
    But sometimes he stops
    breathing in his sleep,
[00:57] Himeru
    and he looks like he's in pain,
[00:59] Himeru
    so I don't think he's sleeping very deeply.
[01:01] Himeru
    So he doesn't do much
    during the day, either.
[01:03] Ryou
    I see.
[01:04] Ryou
    Have you two heard of SAS?
[01:07] Asuna
    What?!
[01:08] Girl
    I'm into sadism.
[01:10] Guy
    We have a lot in common. So am I!
[01:12] Asuna
    Sadist and sadist?!
[01:13] Ryou
    Not even close!
[01:14] Ryou
    They have that in common,
    but they'd never work as a couple!
[01:16] Ryou
    SAS stands for "sleep apnea syndrome."
SIGN    Normal Breathing
[01:21] Ryou
    It happens when breathing
    stops during sleep,
SIGN    Sleep Apnea Syndrome Normal Breathing
[01:24] ---
    often due to an obstructed airway,
[01:25] Ryou
    and causes shallow sleep, earning it
    the nickname "Pickwickian syndrome."
[01:29] Himeru
    Pickwickian syndrome? Why is it called that?
[01:32] Ryou
    Nishimaru Shihou's book, Simple Psychology,
    explains it this way:
[01:37] Ryou
    "From the fat boy in The Pickwick Papers."
SIGN    Pickwickian Syndrome
    "From the fat boy in The Pickwick Papers."
[01:40] Asuna
    What does that mean?
[01:41] Ryou
    Um, well...
SIGN    The Pickwick Papers
    Charles Dickens
[01:43] Ryou
    There's a book called
[01:45] ---
    The Pickwick Papers by the
    English author Charles Dickens,
[01:48] Ryou
    and there's a boy named Joe in it.
SIGN    Nod Nod
SIGN    Snore
[01:50] Ryou
    He had a condition similar
    to sleep apnea syndrome,
SIGN    Choke
[01:54] Ryou
    so that's why it has the nickname
    "Pickwickian syndrome."
SIGN    Snore
[01:57] Asuna
    No one would understand that
    without an explanation!
SIGN    Choke
[01:59] Ryou
    SAS causes a shortage of oxygen
    while the patient sleeps,
SIGN    Hardening of Arteries
SIGN    Hardening of Arteries
    
    Heart Failure
SIGN    Hardening of Arteries
    
    Heart Failure
    
    High Blood Pressure
[02:03] Ryou
    putting strain on the
    heart and blood vessels,
[02:06] Ryou
    which can cause hardening of the arteries,
    heart failure, or high blood pressure.
SIGN    Gah, scary...
SIGN    Daytime Sleepiness
[02:08] Ryou
    And because sleep is shallow,
SIGN    Lack of Concentration
SIGN    Depression
[02:10] Ryou
    symptoms like daytime sleepiness, lack of
    concentration, and depression can occur.
SIGN    Today's Theme:
    "Sleep Apnea Syndrome"
[02:15] Ryou
    So some people diagnosed with
    depression due to these symptoms
[02:19] Ryou
    may actually have this condition instead.
[02:21] Himeru
    What causes it?
[02:22] Ryou
    One of the biggest causes
    is obesity, as seen in Joe.
[02:25] Ryou
    Having more fat makes it
    easier for airways to close.
[02:28] Ryou
    But it can also occur in people who aren't
    obese, so everyone should be aware.
[02:31] Himeru
    And how is is treated?
[02:33] Ryou
    The most important thing is to lose weight.
[02:35] Asuna
    "If it were that easy,
    I wouldn't have a problem."
[02:37] Asuna
    What should people who say that do?
[02:39] Ryou
    One other form of treatment
    is to use a mouthpiece.
SIGN    Clang
[02:45] Ref
    Fight!
[02:54] Guy
    Take a nap.
[02:55] Guy
    Get up! Get up, Joe!
[02:58] Asuna
    So you get them to sleep this way, huh?
[03:00] Ryou
    Not that kind of mouthpiece!
[03:02] Himeru
    He should have just lost weight...
[03:04] Ryou
    You mean for treatment, or for boxing?!
SIGN    Using a Mouthpiece
[03:07] Ryou
    Anyway, using a mouthpiece forces the
    jaw forward, keeping the airway open.
[03:11] Ryou
    But in serious cases, a treatment
    called CPAP is used.
SIGN    Shiver
[03:14] Himeru
    C-Cup?!
SIGN    C-cup...
    num, num...
[03:16] Ryou
    That's the worst sleep mask ever!
[03:17] Ryou
    His condition is serious
    on a different level!
SIGN    (Continuous Positive Airway Pressure)
[03:19] Ryou
    CPAP stands for "continuous
    positive airway pressure."
[03:22] Ryou
    The patient wears a mask that
    pushes air into the airway,
[03:25] Ryou
    forcing it open to allow breathing.
[03:27] Ryou
    Regardless, if you think you're sleeping
    fine, but feel tired during the day...
[03:30] Girl
    Your snoring was really loud.
[03:31] Girl
    You stopped breathing last
    night. Are you okay?
[03:34] Ryou
    ...or you've been told anything
    like this, take caution.
[03:36] Asuna
    Um, and if you have no one to
    tell you how you're sleeping?
[03:40] Ryou
    Use a tape recorder or something.
[03:42] Himeru
    But how do they diagnose this condition?
[03:46] Ryou
    A respiratory doctor would have
    to examine the patient in sleep.
[03:49] Girl
    I'll watch you all night to make
    sure you don't stop breathing.
[03:52] Ryou
    He's never gonna be able to sleep!
[03:54] Ryou
    Regardless, if any of these apply
    to you, see a respiratory doctor.
[03:57] Ryou
    If that doesn't work, visit a mental clinic.
[03:59] Ryou
    Whatever you do, don't worry about
    it alone. Consult with a clinic.
[04:03] Asuna
    Got it!
[04:04] Himeru
    That helped me a lot.
[04:06] Himeru
    He has looked a bit fatter lately.
[04:09] Asuna
    You might have to exercise him
    more and watch what you feed him.
SIGN    Him? Food...?
[04:12] Ryou
    Um, I have an idea of the answer,
    but is this family member a...
SIGN    Slither
[04:19] Himeru
    Spot!
SIGN    I-I knew it...
[04:19] Ryou
    Spot?!
[04:21] Asuna
    This is our pet, Spot.
[04:23] Himeru
    I don't know what he's been eating,
    but he's gotten so fat lately.
[04:27] Himeru
    So he couldn't breathe because
    his airway was blocked.
[04:30] Asuna
    Thank goodness!
[04:32] Grandpa
    Thank goodness I'm alive!
[04:34] Ryou
    Watching you people makes me feel like
    I'll stop breathing, asleep or not...
SIGN    If you're so stressed, you feel like you
    can't breathe, visit the mental clinic!!
SIGN    This program is a work of fiction. There is no guarantee that the treatments mentioned herein
    will work. Before having a medical exam, make sure the doctor deals in these treatments first.
[04:40] ---