My Coronavirus ICU Experience: Good & Bad [Podcast 90]

Originally at: https://doctorstevenpark.com/covidicu?utm_source=rss&utm_medium=rss&utm_campaign=covidicu

In this episode, I will reveal my positive and negative insights during the time I spent in our hospital’s intensive care unit (ICU). 

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Shownotes:

Alicia Keys Empire State of Mind Youtube video

 

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No Excuses: Get Your Sleep Study Done Now

Originally at: https://doctorstevenpark.com/no-excuses-get-your-sleep-study-done-now?utm_source=rss&utm_medium=rss&utm_campaign=no-excuses-get-your-sleep-study-done-now

During this COVID-19 pandemic, most “elective” medical care has come to a standstill. Sleep testing and various surgical options are also included.

Jennifer is a 53-year-old woman who made an appointment to see me this July. This was the earliest appointment she could get with me since my schedule is booked completely for many months. She recently called me to say that her snoring and apneas are getting worse and that her husband is complaining. 

The first good news is that due to the pandemic, our state (NY) changed the requirements to allow doctors to diagnose and treat new patients over the phone or by video. Insurers are now required to pay for this service. Now that our elective operative cases are canceled, I’m doing a lot of video telehealth sessions for new and follow-up patients. For the first time in years, patients are able to “see” me within 1-2 weeks.

The second good news is that the vast majority of testing for obstructive sleep apnea can be done at home using validated home sleep units. In most cases, this still involves going into a sleep lab to see a sleep physician and to physically take home the testing unit. You also have to bring back the unit to the sleep lab. If there’s a concern for other sleep conditions besides obstructive sleep apnea, then you may have to wait for an in-lab study.

The third good news is that there are a number of home sleep testing companies that will mail patients the home sleep testing equipment. The patient sleep with it as directed and mails it back the next day. This is definitely much more convenient, but a doctor still has to order the test. 

In the US, many of the common insurance carriers are requiring home sleep testing as the first-line test to see if you have obstructive sleep apnea. Numerous studies have validated home testing to be relatively reliable compared to in-lab testing. In general, home testing is equivalent to in-lab testing for people with moderate to severe obstructive sleep apnea, but may underestimate sleep apnea severity in patients with mild sleep apnea. So if your home sleep test is positive, it’s reliable. If it’s negative, it’s not as reliable, especially if you still can’t sleep. 

Once you’ve been officially diagnosed with obstructive sleep apnea through an in-lab study, then the next step in the traditional model is to go back to the sleep lab for a CPAP (continuous positive airway pressure) titration study. This is another sleep study using a mask with different levels of air pressure to calibrate the exact pressure …

The Link Between Zinc and COVID-19

Originally at: https://doctorstevenpark.com/the-link-between-zinc-and-covid-19?utm_source=rss&utm_medium=rss&utm_campaign=the-link-between-zinc-and-covid-19

One disturbing thing that I noticed as a result of the coronavirus pandemic is the main focus on mitigation and finding the cure, whether through a vaccine, hydroxychloroquine, or convalescent plasma. To date, not too many doctors in the media are talking about natural ways of preventing or treating COVID-19 infections. In many cases, they tend to be disdainful of natural remedies, including Dr. Fauci, Director of the CDC. Not too surprisingly, Dr. Mercola has lots to say about this issue, with a number of common-sense recommendations.

The Science Behind Zinc

Let’s start with zinc, which is a common essential mineral that we see in our vitamin tablets. It turns to that it’s vital when it comes to fighting viral infections. The Cochrane Database of Systematic Reviews is one of the most respected evidence-based reviewers of medical literature. In 2013, they reviewed 18 studies combining 1781 subjects comparing zinc vs. placebo. They found that taking zinc reduces the average duration of the average cold in healthy individuals by up to 2 days, depending on how it was taken and total dosage. They also concluded that prophylactic supplementation can significantly lower rates of common viral infections, school absences, and need for antibiotic use. 

Zinc Helpers

Zinc is an important messenger for immune cells and free zinc inside the cells is needed for signaling. It’s also known to have antioxidant and anti-inflammatory properties. The problem is that zinc has a hard time passing through the cell’s wall which is made of fat. To help zinc pass through the cell wall, substances called zinc ionophores are needed. Quercitin and epigallocatechin-gallate (EGCG). Quercitin is is a flavonoid antioxidant that’s found in plants, such as foods such as tomatoes, berries, leafy greens and broccoli. EGCG is found in green tea and various fruits and nuts. Both quercetin and EGCG have properties that inhibits the viral 3CL protease enzyme, which the SARS coronavirus  uses to infect cells. (Mercola 8-10). 

In 2010, researchers from Leiden, Netherlands and Chapel Hill, North Carolina showed that zinc plus and a zinc-ionophore (pyrithione) can effectively block viral replication, including polio, influenza, and SARS-corona viruses in cell cultures. The same researchers used MgEDTA (a zinc binding agent), to reverse the anti-viral effects of zinc + pyrithione.

How Hydroxychloroquine May Work

What else is a zinc ionophore? Hydroxychloroquine. Although still controversial for treating COVID-19, this anti-malaria drug has known zinc transporter properties, improving zinc uptake in your body’s cells. Although not verified, a NY physician claims to have successfully treated 699 COVID-19 positive patients with a cocktail of chloroquine, zinc, and azythromycin (an antibiotic).

I’m not recommending that everyone go …

The Fallacy of Test Results [Podcast 89]

Originally at: https://doctorstevenpark.com/tests?utm_source=rss&utm_medium=rss&utm_campaign=tests Medical tests

In this episode, Kathy and I will discuss an issue that everyone who sees a doctor will have to deal with. With any test, you have to take it with a grain of salt, and this episode will help you place test results in the right context.

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Show Notes:

  1. Sleep study
  2. Vitamin D – Gominak Interviews (2015 Part 1, 2015 Part 2, 2015 Part 3, 2018 Part 1, 2018 Part 2) Supplements podcast link
  3. Thyroid testing (TSH) Mary Shomon
  4. Ferritin Glyphosate podcast
  5. Hormones podcast
  6. Gluten/Celiac
  7. Radiology

The post The Fallacy of Test Results [Podcast 89] appeared first on Doctor Steven Y. Park, MD | New York, NY | Integrative Solutions for Obstructive Sleep Apnea, Upper Airway Resistance Syndrome, and Snoring.

from Doctor Steven Y. Park, MD | New York, NY | Integrative Solutions for Obstructive Sleep Apnea, Upper Airway Resistance Syndrome, and SnoringBlog – Doctor Steven Y. Park, MD | New York, NY | Integrative Solutions for Obstructive Sleep Apnea, Upper Airway Resistance Syndrome, and Snoring https://doctorstevenpark.com/tests?utm_source=rss&utm_medium=rss&utm_campaign=tests…

Sleep Talk: Episode 53 – Fly-in Fly-out Workers

Originally at: https://sleephub.com.au/podcast-53/

Episode 53: Fly-in Fly-out Workers

Fly-in fly-out (FIFO) workers, like many shift-workers, face significant problems with sleep and mental and physical health. To discuss the issues facing FIFO workers we interview Dr Ian Dunican of Sleep4Performance, Melius Consulting and University of Western Australia.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk – Talking all things sleep.

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Audio Timeline / Chapters:

  • 00:00 – 02:34 Introduction
  • 02:34 – 27:47 Theme – FIFO work
  • 27:47 – 28:34 Clinical Tip
  • 28:34 – 31:47 Pick of the Month
  • 31:47 – 32:56 What’s Coming Up?

Next episode: Sleep in healthcare workers

Links mentioned in the podcast: 

Presenters:

Guest interview:

Dr Ian Dunican has 20 years international professional experience in health, safety and business improvement in military, mining, rail, oil & gas, utilities. He is the Director of Melius Consulting and Sleep4Performance and a researcher with the University of Western Australia where he has worked with elite sporting organizations/athletes to optimize performance. Ian has led and guided health, safety and business improvement projects in a range of diverse international locations. Ian’s industry career has focused on the leadership of several significant projects where he utilised Lean/Six Sigma and scientific methodologies to drive a step change improvement in performance whilst ensuring sustainability through culture change.

Regular hosts:

Dr Moira JungeDr Moira Junge is a health psychologist working in the sleep field, who has considerable experience working with people with sleeping difficulties in a multidisciplinary practice using a team-based approach. Moira is actively involved with the Australasian Sleep Association (ASA) and a board member of the Sleep Health Foundation. She has presented numerous workshops for psychologists and is involved with Monash University with teaching and supervision commitments. She is one of the founders and clinic directors at Yarraville Health Group which was established in 1998. In addition to her expertise in sleep disorders, her other areas of interest and expertise include smoking cessation, psychological adjustment to chronic illness, and grief

Sleep Talk: Bonus Episode – Sleep in Uncertain Times

Originally at: https://sleephub.com.au/podcast-covid-19-1/

Bonus Episode: Sleep in Uncertain Times

During times of uncertainty, such as the current COVID-19 pandemic, sleep can be challenging. To help with sleep during this time, we discuss simple strategies you can implement to help your sleep and mental health.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk – Talking all things sleep.

Leave a review and subscribe via Apple Podcasts, Spotify, Stitcher, Google Podcasts or via your podcast app.

Links mentioned in the podcast: 

Presenters:

Dr Moira JungeDr Moira Junge is a health psychologist working in the sleep field, who has considerable experience working with people with sleeping difficulties in a multidisciplinary practice using a team-based approach. Moira is actively involved with the Australasian Sleep Association (ASA) and a board member of the Sleep Health Foundation. She has presented numerous workshops for psychologists and is involved with Monash University with teaching and supervision commitments. She is one of the founders and clinic directors at Yarraville Health Group which was established in 1998. In addition to her expertise in sleep disorders, her other areas of interest and expertise include smoking cessation, psychological adjustment to chronic illness, and grief and loss issues.

 

Dr David CunningtonDr David Cunnington is a sleep physician and director of Melbourne Sleep Disorders Centre, and co-founder and contributor to SleepHub. David trained in sleep medicine both in Australia and in the United States, at Harvard Medical School, and is certified as both an International Sleep Medicine Specialist and International Behavioural Sleep Medicine Specialist. David’s clinical practice covers all areas of sleep medicine and he is actively involved in training health professionals in sleep. David is a regular media commentator on sleep, both in traditional media and social media. David’s recent research has been in the area of non-drug, psychologically-based treatments such as cognitive behavioral therapy and mindfulness in managing insomnia, restless legs syndrome and other sleep disorders.

Connect with David on Twitter or Facebook.

Need more information about how you can sleep better?

At Sleephub we understand the struggle people endure with sleeping problems which is why we have created a comprehensive FAQs page …