13 - Be Careful of Sleep Apnea Syndrome! Source: Crunchyroll Translator: Editor: Timer: QC: (Please feel free to edit the speaker names if incomplete or inaccurate. Names are handled on a best-effort basis depending on the info on the source file. Dialogue is left as is.) 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] ---