A Tongue Pacemaker for Sleep Apnea: High Tech Hope or Hype?

Originally at: https://doctorstevenpark.com/a-tongue-pacemaker-for-sleep-apnea-high-tech-hope-or-hype?utm_source=rss&utm_medium=rss&utm_campaign=a-tongue-pacemaker-for-sleep-apnea-high-tech-hope-or-hype

Every few years, a revolutionary way of treating OSA comes out. Nineteen eighty (1981) was a pivotal year in sleep medicine when Dr. Colin Sullivan reported reversing a vacuum cleaner motor to provide positive pressure through a makeshift mask to treat severe obstructive sleep apnea. Dr. Shiro Fujita also described a palatal operation to treat obstructive sleep apnea in 1981. Later on, oral appliances were also introduced. Over the years, advances were made with positive air pressure as well as with multi-level soft tissue and jaw procedures.

In 2014, the Inspire hypoglossal nerve stimulation procedure received FDA approval for patients in the United States. In their pivotal trial with results published in the New England Journal of Medicine in 2014, they reported a 68% drop in the average apnea hypopnea index (AHI), 70% drop in the oxygen desaturation index (ODI), and with an overall “response” rate of 66% (more than 50% drop in the AHI and less than 20).

Having been involved years prior with similar technology through another company called Apnex, I was pleased to see that this technology had progressed to the point of being available to the general public. Due to the volatile nature of medical high-tech start-up companies, I was cautiously waiting to see how they would do and see what the results would show in the real world on a long term basis. In 2018, a  group of surgeons performing this procedure published their 5 year outcomes. One hundred and twenty six patients were followed for 5 years, and 97 were included in the study, with 71 available sleep studies. Comparing from baseline to 12, 36 and 60 months, improvements across all measurements remained stable. The pre-treatment AHI was 32, dropping to 15, 11 and 12, at 12, 36 and 60 months, respectively. The functional outcome of sleep questionnaire (FOSQ, a validated sleep quality of life tool) increased significantly from 14 to 17, 17 and 18. The Epworth Sleepiness Scale dropped from 11.6 to 7 at all follow-up periods. Now, this procedure is being performed at over 300 centers in the United States and more and more insurance carriers are covering it, usually after a preauthorization process.

Technically, the pacemaker is implanted under the skin beneath the right collarbone, as opposed to a heart pacemaker, which is implanted on the left side. It’s a similar sized container. A small incision is made under the right chin, and the nerve that supplies the tongue (hypoglossal nerve) is exposed. This technique is very similar to a common procedure we perform in our field to remove the submandibular gland for stones, infections, or cancer. …

Sleep Talk: Episode 51 – Sleep in Teenagers

Originally at: https://sleephub.com.au/podcast-51/

Episode 51: Sleep in Teenagers

Why do teenagers have trouble with sleep? What can be done about it? To help answer these questions we talk with Assoc Prof Margot Davey, Director of the Melbourne Children’s Sleep Centre at Monash Children’s Hospital.

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

Audio Timeline / Chapters:

  • 00:00 – 01:50 Introduction
  • 01:50 – 21:10 Theme – Sleep in Teenagers
  • 21:10 – 23:13 Clinical Tip
  • 23:13 – 26:57 Pick of the Month
  • 26:57 – 28:34 What’s Coming Up?

Next episode: Medication in Pregnancy

Links mentioned in the podcast: 

Presenters:

Guest interviews:

Margot DaveyAssoc Prof Margot Daveyis Director of the Melbourne Children’s Sleep Centre, Monash Children’s Hospital.  Margot is also an adjunct senior lecturer in the Ritchie Centre, Monash Institute of Medical Research, Monash University.  Her clinical practice is paediatric sleep medicine, and she works in public and private settings (Epworth Sleep Centre). Since 2006, Margot has been a chief investigator on numerous successful National Health and Medical Research Council (NHMRC) grants and an associate investigator on others. She has numerous peer-reviewed publications.

 

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 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 …

Tripple Trouble: Sleep Problems Before, During, and After Pregnancy [Podcast 85]

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

In this episode, Kathy and I will be discussing the importance of good health during all phases of pregnancy: before, during and after. Discover the following helpful tips:

  • What to do even before you think about conceiving
  • What to look for if you’re having pregnancy complications
  • An important thing to prepare for just after your delivery
  • A major reason why you’re having trouble breastfeeding
  • What to do for post-partum depression.

Download mp3  |  Subscribe


Shownotes:

50% lower sperm counts in men

Fertility problems and obstructive sleep apnea 

Gestational Diabetes and OSA 

Gestational high blood pressure and sleep apnea

Pre-eclampaia and OSA

Prematurity and risk of OSA 

Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired

Tongue Tied book interview with Dr. Richard Baxter

5 Best Korean Foods For Postpartum Recovery

Dr. Palmer and breast feeding podcast

The post Tripple Trouble: Sleep Problems Before, During, and After Pregnancy [Podcast 85] 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/pregnancy?utm_source=rss&utm_medium=rss&utm_campaign=pregnancy…

Exciting News! Giving a TEDx Talk in San Diego

Originally at: http://julieflygare.com/exciting-news-giving-a-tedx-talk-in-san-diego/

SO beyond excited to share this news: I’ll speak at TEDxSDSU on March 22, 2020 in San Diego, CA!

Giving a TEDx talk has been a major life goal for about 7 years now, when i put it in my art journal as one of my major aspirations. And I’ve applied to many over the years.

“Your dream doesn’t have an expiration date. Take a deep breath and try again.” —KT Witten

So securing this talk at San Diego State University was a huge surprise and surreal moment of pure joy — which definitely caused me to have cataplexy when i first opened the “congratulations” email.

You might’ve seen my somewhat secretive IG stories recently about working hard on a “important first draft.” This was for my TEDxSDSU talk.

Is my first draft perfect? NOPE.

But it WILL come together. It always does… even if the process is kind of intense and overwhelming to me, it will be worth it for the moment I walk onto that stage in two months.

As always, I hope to make you proud and to effectively share a message I believe in. Thank you for your incredible support — this community inspires me and gives me courage every single day!

I’ll share more details about the TEDxSDSU event as they become available and as tickets go on sale in February! For now, please send extra spoons and smart-thinking speech-revising vibes my way.

from Blog – Julie Flygare http://julieflygare.com/exciting-news-giving-a-tedx-talk-in-san-diego/…

5 Surprising Facts About Your Thyroid And Sleep [Podcast 84]

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

In this episode, Kathy and I will talk about thyroid diseases, a very common condition that’s not often addressed when you are seen for a sleep problem.

Download mp3  |  Subscribe


Show Notes:

Hypothyroidism

Hyperthyroidism

Hashimotos thyroiditis

Graves disease

Autoimmune thyroiditis

The Thyroid Diet Revolution: Manage Your Master Gland of Metabolism for Lasting Weight Loss by Mary Shomon

Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired

Thyroid and interaction with sleep

Ideal thyroid labs

TSH less than 2

Free T4 top 25%

Free T3 top 25%

Reverse T3, low end

Anti-thyroid antibodies as low as possible

Thyroid binding globulin

Vitamin D > 50

Ferritin > 60

Thyroid friendly foods

Health organic foods

Iodine in seafood and salt, as well other various foods

Selenium to help thyroid function

Vitamin D health chart

Omega-3

Zinc

Copper

Vitamin B Complex

Magnesium

Iodine

Ashwagandha

The post 5 Surprising Facts About Your Thyroid And Sleep [Podcast 84] 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/thyroid?utm_source=rss&utm_medium=rss&utm_campaign=thyroid…

How to Treat Your Sinusitis Without Medications [Podcast 83]

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

Sinus infections with pain and pressure are all-too-common this time of the year. Please join Kathy and me as we reveal:

  • Why your sinus infection may not be an infection al all
  • What many doctors (even ENTs) may miss when treating sinusitis
  • How to treat your sinus symptoms without using antibiotics
  • How sinus pain may be linked to anxiety
  • Alternative ways of treating your sinus condition.

Download mp3  |  Subscribe


Shownotes:

Heal Your Headache by Dr. David Buchholz 

Sinus And Migraine Study

Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired 

Reflux and chronic sinusitis 

OSA and reflux

CPAP reduces reflux

Pepsin in middle ear

Pepsin and H. pylori in maxillary sinus

Pepsin and lungs

Macrolide antibiotics and anti-inflammatory properties

Biaxin and chronic sinusitis in Japanese study

DISE in AHI < 5 study

Anxiety podcast

Why Zebras Don’t Get Ulcers by Dr. Robert Sapolsky 

Unstuff your stuffy nose free report 

Acupuncture studies

Myofunctional therapy studies

Janet Bennet of ijustwanttosleep.com

 

The post How to Treat Your Sinusitis Without Medications [Podcast 83] 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/sinusitis?utm_source=rss&utm_medium=rss&utm_campaign=sinusitis…

The Gut Biome and How It Can Affect Your Sleep & Weight [Podcast 82]

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

In this age of fecal transplants, the gut biome is a popular topic that everyone is talking about. What is the gut biome and how is it related to your sleep quality? How can the bacteria in your gut prevent you from losing weight? 

Please join Kathy and me as we answer the above questions and more.

Download mp3  |  Subscribe

Show Notes:

What is the gut biome?

How sleep affects the gut biome (good review article on Huffington Post)

Another article on sleep loss and gut bacteria

How stress affects the gut biome

Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired 

Melatonin/circadian rhythm and gut biome

How excessive exercise negatively affects the gut

Gut biome and insomnia and circadian disorders

Gut dysbiosis and Vitamin D

Glyphosate as an antibiotic

Glyphosate graph

Glyphosate affects Vitamin D conversion in liver by p450 enzyme

Antibiotics in young children linked with higher rate of obesity

Vaginal delivery vs. C-section gut bacteria

Breast fed vs. bottle gut biome

14 Steps

Reduce stress

Cut out children’s activities

Animal proteins are important 

7 hours of sleep

Eat high fiber foods – pre-biotics 

Timing of meals: Eat every 4 hours or intermittent fasting

Avoid fad diets

5 Korean foods to help you quit sugar

Avoid MSG

Minimize antibiotics

Eat healthy 

Probiotics / Fermented foods

Sweat every day

Eat dirt

Avoid processed foods

Dr. Mark Hyman:

Eat whole unrefined foods

Majority vegetable/plant based foods

Good fats

Supplement smartly

Add more coconut to diet

Remove inflammatory fat

Add fiber rich foods

Eat fermented foods

Call to action: Focus on your poop.

The post The Gut Biome and How It Can Affect Your Sleep & Weight [Podcast 82] 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/gutbiome?utm_source=rss&utm_medium=rss&utm_campaign=gutbiome…

Sleep Talk: Episode 50 – Sleeping in the Heat

Originally at: https://sleephub.com.au/podcast-50/

Episode 50: Sleeping in the Heat

When the weather gets warm it can be harder to sleep. But what does the heat actually do to sleep and what can be done to help sleep better on hot nights? To help answer these questions we talk with Dr Kazue Okamoto-Mizuno from Tohoku Fukoshi Univeristy, Sendai, Japan. Dr Okamoto-Mizuno has researched the relationship between sleep and temperature for 20 years.

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

Audio Timeline / Chapters:

  • 00:00 – 03:37 Introduction
  • 03:37 – 22:33 Theme – Sleeping in the Heat
  • 22:33 – 23:43 Clinical Tip
  • 23:43 – 28:50 Pick of the Month
  • 28:50 – 29:59 What’s Coming Up?

Next episode: Sleep in Teenagers

Links mentioned in the podcast: 

Presenters:

Guest interviews:

Dr Kazue Okamoto-Mizuno is a researcher from Tohoku Fukoshi Univeristy, Sendai, Japan. Dr Okamoto-Mizuno’s original research was on textiles, which led to researching the effect of temperature on sleep. Dr Okamoto-Mizuno has been researching the relationship between sleep and temperature for 20 years and published a number of peer reviewed papers on the topic. 

Links to Dr Okamoto-Mizuno’s research can be found via her Research Gate page.

 

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 and loss issues.

 

Dr David CunningtonDr David Cunnington is a sleep physician and director …

Sleep Apnea: An Aging Accelerator

Originally at: https://www.sleepdallas.com/blog/sleepapneaandaging/

Sleep apnea accelerates aging

Nearly 30 million adults in the United States experience disturbances in their sleep cycles as a direct result of obstructive sleep apnea, a condition marked by pauses in breathing during sleep. With many cases remaining undiagnosed and untreated, this sleep disorder poses a major threat to the overall health of affected individuals – including causing their cells to age more rapidly.

While sleep apnea tends to target older adults, men, postmenopausal women, and those who smoke or struggle with obesity, it does not discriminate and manages to affect a wide range of individuals.  A variety of factors, including lifestyle and environment, determine the risk of developing sleep apnea. Additionally, research links sleep apnea to a number of health complications within a multitude of individuals such as heart disease, stroke, high blood pressure, diabetes, and depression. Snoring, sometimes accompanied by choking sounds or pauses in breathing, as well as symptoms of sleep deprivation during the day signal that sleep apnea may be impeding on not only your rest but also your overall health. New research indicates that the myriad of disruptive symptoms related to untreated sleep apnea may now include accelerated cell aging, especially in women.

The Connection Between Aging and Sleep Apnea

In 2019 Harvard University conducted a study investigating the relationship between epigenetic age acceleration (early aging of DNA within the cells) and sleep-disordered breathing among 622 adults. The research consisted of polysomnography (a sleep study) and “DNA methylation [in which] a marker for epigenetic age acceleration was measured in blood samples.”

The study concludes that severe sleep-disordered breathing correlates with early aging of DNA within cells. Further, the results found that out of all sleep-related conditions causing airway blockage in the throat, the number of obstructive sleep apnea cases outnumbered all other chronic sleep disorder occurrences. This comes as especially unfavorable news for women, who demonstrated stronger associations between their sleep disorders and epigenetic age accelerations than their male counterparts, despite typically exhibiting lower sleep disorder related health risks.

According to the lead author of the study, the correct treatment of conditions like sleep apnea can not only help improve health and decrease the risk of developing other serious health conditions, but can also reverse the consequences of epigenetic age acceleration. The sooner that individuals receive a sleep apnea diagnosis, the sooner they can begin combating the wide range of health issues, including premature aging, that accompany obstructive sleep apnea. 

Symptoms of Sleep Apnea

Multiple variations of sleep apnea wreak havoc on sleep cycles, the most common of which is obstructive sleep apnea. Individuals who suffer from obstructive sleep apnea experience episodes

You’re Invited! Join Me for Project Sleep’s New Year’s Celebration

Originally at: http://julieflygare.com/youre-invited-join-me-for-project-sleeps-new-years-celebration/

Tune in this Saturday, Dec. 28th, 2019 at 12:00 noon ET for a very special  New Year’s Facebook LIVE—celebrating your amazing 2019 and looking ahead with a sneak peek of 2020! On behalf of Project Sleep’s leadership, I will broadcast live from Los Angeles to Project Sleep’s Facebook page this Saturday, Dec. 28th at 12noon ET.

You have accomplished SO much through Project Sleep’s awareness and advocacy programs this year. We can’t wait to share the story of your collective impact back to you because it’s a tremendous story of courage, hard work and making a difference!

To watch live, go to Project Sleep’s Facebook Page (https://www.facebook.com/ProjectSleepAwareness/) at 12:00 noon ET on Sat. 12/28. The live video will show up in our newsfeed shortly after 12noon ET.

Please spread the word to anyone interested. Happy Holidays, friends!

from Blog – Julie Flygare http://julieflygare.com/youre-invited-join-me-for-project-sleeps-new-years-celebration/…