How Mouth Breathing May Put You At Risk for Viral Infections

Originally at: https://doctorstevenpark.com/how-mouth-breathing-may-put-you-at-risk-for-viral-infections?utm_source=rss&utm_medium=rss&utm_campaign=how-mouth-breathing-may-put-you-at-risk-for-viral-infections

In his classic book, Shut Your Mouth and Save Your Life (1870), American painter George Catlin described a correlation between pre-civil war Native Americans who were mouth breathers and various chronic illnesses. In a 30 year span (1830 to 1860), he visited over 150 Native tribes in North, Central, and South America. 

Catlin observed that tribes with no Western influences had zero infant mortality, and no childhood deformities or diseases. He noted that Native American nose breathers tended to be much healthier compared to white “civilized” people who were more prone to mouth breathing and tended to be much more sickly in general. He also commented on how beautiful the natives’ smiles were with beautiful teeth.

An interesting story illustrates Catlin’s observation: Two Native Americans were in an argument and knives were drawn. Catlin and others were successful in calming the two men down and eventually, they were reconciled. Catlin later took aside one of the two men and asked if he was afraid of his opponent, who was much bigger and stronger. The man reportedly responded, “No, not in the least; I never fear harm from a man who can’t shut his mouth, no matter how large or how strong he maybe.”

Beautiful smiles and no cavities, but 100 years ago?

Almost 60 years later, Catlin’s observations were mirrored and expanded on in his classic book, Nutrition and Physical Degeneration (1939) by Dr. Weston Price. An active researcher in the Canadian and American Dental community, Price traveled to numerous remote areas of the world finding that cultures that ate completely off the land had broad faces, beautiful, full smiles, and minimal to no cavities. Only after the adoption of Western diets did their children’s teeth come in crooked with many more cavities and more chronic medical illnesses. 

Why mouth breathing may make you sick

So what does mouth breathing have to do with viral infections? I’ve written before that our nose and sinuses make a gas called nitric oxide. This gas has two important features: proven antimicrobial properties and the ability to increase oxygen uptake in your lungs. There have been many studies showing nitric oxide’s ability to kill viruses, bacteria, fungi and even parasites. In particular, nitric oxide was also found to lower SARS Coronavirus replication by 82% in this study from 2005. The study authors showed that nitric oxide inhibits viral protein and RNA synthesis. 

How nose breathing can increase oxygen in your lungs

This study found that blood oxygen levels were 10% higher in healthy volunteers who were nose breathing compared to mouth breathers. In ICU patients who were intubated, …

The Consequences of Sleep deprivation in the ICU

Originally at: https://doctorstevenpark.com/the-consequences-of-sleep-deprivation-in-the-icu?utm_source=rss&utm_medium=rss&utm_campaign=the-consequences-of-sleep-deprivation-in-the-icu

Imagine if you went to sleep at your normal bedtime, but 5 minutes later, the lights went on. You hear multiple peoples’ conversations right next to your bed. The TV turns on and stays on. A car alarm goes off just opposite your window,  and a siren-screeching ambulance drives by your house every few minutes. 

This may sound a bit far fetched, but this is essentially what most patients who are in the intensive care unit (ICU) experience. It’s not just at night, but 24/7. 

This is what I saw during my recent time spent in a COVID-19 ICU. Fluorescent lights are on constantly. Doctors, nurses, technicians, and various other staff members are repeatedly going in and out of the room. You’re being poked for blood samples on a regular basis. Invasive and noninvasive procedures are performed on a regular basis. You may even  have to be on a ventilator with a tube in your windpipe. 

This experience brought back memories of articles I read many years ago on the consequences of sleep deprivation in the ICU. In particular, there are many papers on delirium during or after time spent in the ICU. A good overview of this subject can be found in this review article in 2014. It’s highly technical in nature, but you can get an idea of the basic concepts just by looking at the figures and tables. 

In general, sleep studies on patients in the ICU generally have much higher  durations of light sleep and arousals, and much lower time spent in deep and REM sleep.

What all these review articles show is that you’re not really getting any quality or good quality of sleep in the ICU. Here are 6 main areas of concern:

Noise

This is the most obvious factor that prevents good sleep quality. The World Health Organization (WHO) recommends average background noise in hospitals not be higher than 30 decibels, with nighttime peaks not higher than 40 decibels. As you can see from this paper, average noise levels range from 55 to 70 decibels and can peak as high as 120 decibels. (A chainsaw or motorcycle reaches 100 decibels.) These levels stay the same at night as well as during the daytime. Staff conversations can reach 85 decibels and were found to be the most disruptive for ICU patients. Sleep studies in ICU patients have found that about 11% of all brain wave arousals and 17% of all awakenings are due to noise.

Light

Most ICU rooms are separated and closed off with a door, but with glass doors and walls. Even if the lights are off inside …

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). 

Download mp3  |  Subscribe


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.

Download mp3  |  Subscribe


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 …

The Power of Community: Supporting One Young Man with Narcolepsy Lifts Us All

Originally at: http://julieflygare.com/the-power-of-community-supporting-one-young-man-with-narcolepsy-lifts-us-all/

These are unprecedented times in the wake of COVID-19. I am sending virtual hugs, healthy vibes and restful nights to each of you. During a time when things feel pretty heavy, I wanted to share a heart-lifting story from my past week.

Background:

In late February/early March, Project Sleep (in conjunction with the Sleep Research Society) conducted a big “action alert” asking advocates to reach out to their Representatives across the US. The community rallied together incredibly, and as a result, a remarkable 41 Members of the U.S. House of Representatives signing onto an important letter advancing our sleep research and awareness priorities!

That was huge for the House side, but next we needed to work on the Senate side.

Team Missouri:

On the Senate side, we conducted a more “targeted” effort, preparing a letter to Senator Roy Blunt of Missouri, because he serves as the chairman of an important subcommittee that will make decisions regarding the possible CDC sleep awareness efforts. 

Last week, I contacted a few Missouri patient advocates to ask them to consider signing onto the letter to their Senator Blunt, and one advocate, Karin offered to gather additional Missouri advocates to sign on! She asked how many names might be impactful… I reported back that a dozen or two dozen would be amazing. 

Corresponding with Karin:

And then yesterday, I opened my email to find that Karin had rallied an incredible 47 individuals and families in Missouri to sign onto the letter, all in support of one young man in their community living with narcolepsy with cataplexy. Karin wrote:

Julie:  Please add the attached list of advocates from the state of Missouri in support of this letter. 

We have a young man in our lives who is living with narcolepsy with cataplexy, and any funds which can be obtained to educate professionals and the public about these types of disorders has our full support. 

I wrote back to Karin:

Karin,

Thank you so much for this message and incredible news!! WOW! You’ve collected so many names, you did such a tremendous job and this list of supporters will go so far with Senator Blunt’s office.

Getting your email also brings me to tears today, because, of course, it is such a challenging time for so many people and so much feels out of our control. So to see you and your community rally behind this young man’s experience this way, and organize with us to advance research and awareness for a brighter future, it truly means everything and lifts my heart. 

I was already feeling emotional when I received Karin’s reply:

Julie: 

10 Ways to Combat Coronavirus [Podcast 88]

Originally at: https://doctorstevenpark.com/covid19?utm_source=rss&utm_medium=rss&utm_campaign=covid19

During this coronavirus pandemic, Kathy and I will be discussing:

  1. Which vitamins and supplements everyone should be taking
  2. What is the easiest and best defense in fighting this infection?
  3. Which immune-boosting benefit most people are missing out on?

Download mp3  |  Subscribe


Shownotes:

  1. Good quantity and quality sleep.
    1. Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired
    2. NKC lower 73% with sleep deprivation study
  2. Good nasal breathing
    1. Nitric Oxide from nose increased oxygen uptake in lungs by up to 18%
    2. Nitric oxide and antimicrobial properties
    3. Dr. Weil’s Relaxing Breath video
    4. Curb your sugar craving podcast
    5. Unstuff Your Stuffy Nose ebook
  3. Vitamin D
    1. Dr. John CannellVitamindsociety.org
    2. Vitamin D and disease reduction chart
    3. Vit D Dr. Gominak interviews
    4. School children taking Vit D – lower flu and asthma rates study
    5. Vitamin D and lower cancer risk study
    6. Vitamin D activates genes to activate natural killer cells
  4. Vitamin C
    1. Linus Pauling Institute
    2. Reduce rates of colds
    3. ICU sepsis death rates much lower with Vitamin C, hydrocortisone and thiamine
  5. Vitamin K
    1. In Foods – Dr. Axe
    2. Fermented foods – Dr. Axe
  6. B complex vitamins
    1. B6  foods – Dr. Axe
    2. Folate (B9) foods – Dr. Axe
    3. B12 foods – Dr. Axe
  7. Environmental toxins
    1. Toxin podcast
    2. Honest Review of Branch Basics Cleaner
  8. Probiotics
    1. Fermented foods – Dr. Axe
    2. Probiotics – Dr. Axe
  9. Thymic Protein A (TPA)
  10. Wash your hands with soap and water.
    1. Alcohol based 60 to 80% range – Dr. Mercola
    2. Don’t touch eyes, nose or mouth
    3. College student touching face study
  11. Heat – Dr. Mercola

The post 10 Ways to Combat Coronavirus [Podcast 88] 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/covid19?utm_source=rss&utm_medium=rss&utm_campaign=covid19…