Dr. Christian Guilleminault on Upper Airway Resistance Syndrome Encore [Podcast 70]

Originally at: https://doctorstevenpark.com/guilleminaultencore

A Reason Why You May Be Chronically Sick and Tired

Dr. Christian Guilleminault

This week, I’m thrilled to play an encore of the interview I had in 2013 with one of the greatest sleep physicians of our time, Dr. Christian Guilleminault from Stanford University. He first described upper airway resistance syndrome (UARS) in 1993. Along with Dr. Dement, he co-coined the term, OSAS. Sadly, he recently passed as at the age of 80. This episode is a tribute to his incredible contributions and legacy to the sleep community.

Download mp3  |  Subscribe  

Shownotes

Original 1993 UARS paper

The post Dr. Christian Guilleminault on Upper Airway Resistance Syndrome Encore [Podcast 70] 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/guilleminaultencore…

How Sleep Affects the Brain at Every Age – Warning Signs to Look For

Originally at: https://doctorstevenpark.com/functional-oral-and-airway-health-summit

Watch My Interview on the Functional Oral and Airway Health Summit

Register now to watch my interview titled “How Sleep Affects the Brain at Every Age – Warning Signs to Look For” on the The Functional Oral and Airway Health Summit, August 19-25, 2019. There will be 28 experts over a course of 7 days. 

Who is this Summit For?  

It’s for YOU, if…

  • You worry that maybe you “don’t know what you don’t know” about your health
  • You worry that you snore – or wonder if you do.  
  • You worry about proper nutrition and eating for a healthy mouth – and body. 
  • You have kids with crooked teeth and wonder are braces the answer?  
  • You worry that you are always tired. Is it your sleep or a breathing issue?  
  • You’ve had heart problems and want to minimize your risk in the future.  
  • You’re worried about Alzheimer’s  
  • You’re worried about the cost of dental (and medical) care and the changes in insurance
  • You want to learn from experts who treat patients every day 
  • You want to learn from experts who teach in dental and medical schools
  • You’ve heard that ADHD is the result of a sleep breathing disorder 
  • You want all this information in easy-to-understand terms  

You will learn from 22 New + 6 past favorite expert speakers more about:

  • How sleep affects the brain through all ages and what warning signs to look for 
  • Why cancer patients should see a dentist before treatment to lessen side effects
  • How humming can reduce insomnia, depression, anger and much more
  •  Why your mouth may be giving you Alzheimer’s
  • The facts about oral cancer, what you can do and what your dentist should do 
  • Tips for dental office visit safety from an OSHA expert
  • What dentists and patients can do to combat antibiotic resistance
  • How to fix your gut microbiome, starting with your mouth 
  • Watch the documentary film Say Ahh- The Cavity in Health Care Reform 
  • And much more!  

Click here to register for free.

 

 

The post How Sleep Affects the Brain at Every Age – Warning Signs to Look For 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/functional-oral-and-airway-health-summit…

How To Find The Right Sleep Professional [Podcast 69]

Originally at: https://doctorstevenpark.com/sleepprofessional

One of the most common questions I get asked is, “Where can I find someone like you in my area to help me with my sleep problem?” Even in big cities like New York and Los Angeles, people are frustrated by not knowing where to even start.

In this episode, Kathy and I will give you my long answer, including who, why, how, where and what to look for when starting or troubleshooting your sleep-health journey.

Download mp3  |  Subscribe  |  Transcript


Shownotes

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

Cognitive Behavioral Therapy for Insomnia 

Totally CPAP: A Sleep Physician’s Guide to Restoring Your Sleep and Reclaiming Your Life

Inspire hypoglossal nerve pacemaker

Academy of Orofacial Myofunctional Therapy

Myofunctional therapy for OSA meta-analysis

Dr. Melvin Moss

Paula Fabbie, myofunctional therapist 

AHI < 5 sleep endoscopy study

American Academy of Dental Sleep Medicine

American Academy of Sleep Medicine Oral Appliance guidelines

Interview with Dr. Bill Hang

Interview with Dr. Kasey Li on maxilla-mandibular advancement

 

 

The post How To Find The Right Sleep Professional [Podcast 69] 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/sleepprofessional…

How Light Can Be Good, Bad, Or Ugly [Podcast 68]

Originally at: https://doctorstevenpark.com/how-light-can-be-good-bad-or-ugly-podcast-68

In this episode, Kathy and I have an enlightening discussion about the good, bad, and ugly aspects of light. Some of the topics covered will be:

  • How light exposure can affect your appetite hormones and cause weight gain
  • How sun exposure may lower your risk of cancer
  • Why working at night may increase your risk for cancer.
  • How new technology is ruining our sleep and making us fat
  • How to use natural sunlight to sleep better and stay thin.

Download mp3 |  Subscribe |  Transcript

Shownotes:

Lights Out book by TS Wiley

Blue blocking glasses

F.lux – Computer screen blue light filter

Bright light box for seasonal affective disorder

7 Ways Black Electrical Tape Can Help You Sleep Better

Nobel 2017 award in medicine and physiology

Vitamin D levels and risk of cancer study

Addressing the health benefits and risks, involving vitamin D or skin cancer, of increased sun exposure 

Sunscreen SPF guide on EWG

 

The post How Light Can Be Good, Bad, Or Ugly [Podcast 68] 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/how-light-can-be-good-bad-or-ugly-podcast-68…

A Sad Day for Sleep Medicine

Originally at: https://doctorstevenpark.com/a-sad-day-for-sleep-medicine Dr. Christian Guilleminault

I was extremely saddened to hear that Dr. Christian Guilleminault, one of the major pioneers in the field of sleep medicine, recent passed away at the age of 80. He was the first to coin the term, obstructive sleep apnea syndrome. A prolific researcher with countless publications, he was a mentor and friend to numerous sleep medicine and other related healthcare professionals. 

Dr. Guilleminault radically changed my perspective on how I look at sleep apnea when I read his landmark article on upper airway resistance syndrome (UARS). He showed in sleepy, thin young men and women that they can stop breathing and wake up dozens of time every hour without meeting the formal criteria for apneas. This was shown using esophageal pressure catheters, which detected progressively lower chest pressures with successive breaths, ending with brain wave arousals from deep to light sleep.

UARS patients present differently from classic sleep apnea patients, with severe chronic fatigue (but not drowsiness), headaches, anxiety depression, low blood pressure, cold hands and feet, hypothyroidism, or digestive issues. 

He was also one of the first to describe sleep apnea in young children, attributed sleep-walking to sleep apnea, and was instrumental in collaborating with surgeons at Stanford University legitimizing surgical options for sleep apnea. He was influential in shifting sleep doctors’ thinking from looking at sleep apnea mainly due to obesity to craniofacial factors. 

I was privileged to have interviewed Dr. Guilleminault about UARS many years ago on my podcast. To hear the recording, please click here.

Thank you Dr. Guillminault for opening my eyes to the importance of good breathing for good sleep. 

The post A Sad Day for Sleep Medicine 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/a-sad-day-for-sleep-medicine…

How Sleep Affects Your Hormones [Podcast 67]

Originally at: https://doctorstevenpark.com/hormones

In this episode, Kathy and I will talk about a very common topic, hormones. In particular, how lack of sleep can negatively affect all your hormones, which can potentially aggravate weight gain, poor energy, and increased stress.

Download mp3  |  Subscribe |  Transcript

Shownotes

Hormones covered:

  • Thyroid
  • Estrogen and progesterone
  • Cortisol
  • Melatonin
  • Atrial natriuretic peptide
  • Insulin
  • Grehlin and leptin
  • Vitamin D
  • Growth hormone

Feeling Fat, Fuzzy or Frazzled, by Dr. Richard Shames

Atrial Natriuretic Peptide article by Dr. Deb Wardly

Vitamin D interview with Dr. Stasha Gominak

Sicker, fatter, Poorer by Dr. Leo Trasande

Sleep, Interrupted by Dr. Steven Y. Park

Second Spring by Dr. Maoshing Ni

The Woman Code by Alyssa Vitti 

The Wisdom of Menopause by Dr. Christiane Northrup 

Keep Swimming Clip in Finding Nemo

https://doctorstevenpark.com/hormones

Breathe Better Sleep Better Live better Podcast 

The post How Sleep Affects Your Hormones [Podcast 67] 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/hormones…

How Better Sleep Can Help You Lose Weight [Podcast 66]

Originally at: https://doctorstevenpark.com/loseweight

Summer is in full swing and there’s no better time to get fit and get slim than now. And I know that a lot of our listeners are starting their Keto, Paleo, Whole30 or whatever diets that are really popular right now. And there’s nothing wrong with that. But in this podcast Kathy and I will talk about an issue that not a lot of people think about when they’re going on a diet or they’re starting off trying to lose weight.

And that issue is—are you sleeping well? Are you sleeping long enough? And that’s something that most of us don’t think about. We don’t connect sleep with weight, but that’s a huge, huge problem that one needs to address before you do any sort of diet regimen. 

Note that we now have transcripts available, which you can access by clicking on the link below the video player. 

Download mp3 | Subscribe | Transcript

Show Notes

Glamour article on weight loss

Glamour weight loss experiment

Youtube video on nasal dilators

Toxins podcast

Candlelight disrupts circadian rhythm study. News article

Knee LED study NYT article

How to optimize your bedroom for better sleep. mykoreanamericanhome.com

NOSTRILS post

Prescription medications podcast blogpost

The post How Better Sleep Can Help You Lose Weight [Podcast 66] 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/loseweight…

How to Sleep Better Without Medications [Podcast 65]

Originally at: https://doctorstevenpark.com/medications

In our last podcast, Kathy and I talked about how many commonly prescribed prescription medications can either make you gain weight or ruin your sleep. I this episode, we will discuss 7 steps you can take to prevent ever having to need them, or begin to wean off these medications. 

Download mp3 | Subscribe

Show Notes:

  1. Prioritize sleep like your most important appointment 
  2. Optimal breathing while awake and while sleeping
  3. Sleep hygiene 

Upper Airway Resistance Syndrome 

Obstructive sleep apnea 

  1. Eat a healthy, organic toxin-free diet

Fed-Up Movie

  1. Eliminate environmental toxins or allergies

Podcasts on home toxins (part 1part 2)

  1. Light toxicity
  2. Phone and email restrictions
  3. Vitamins and supplements

Reader Survey Link

doctorstevenpark.com/medications

The post How to Sleep Better Without Medications [Podcast 65] 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/medications…

12 Medications That Can Make You Fat or Ruin Your Sleep [Part 1, Podcast 64]

Originally at: https://doctorstevenpark.com/12-medications-that-can-make-you-fat-or-ruin-your-sleep-part-1-podcast-64

Prescription medications are the mainstay of modern medicine. But what we don’t realize is that many common medications have the potential to make you fat or ruin your sleep. Please join Kathy and me as we discuss 12 Medications that can Make You Fat or Ruin Your Sleep. This is Part 1, and in our next podcast, we will go over various ways to avoid prescription medications. 

Download mp3 | Subscribe

Shownotes:

3 reasons why we shifted from acute to chronic care for medications

3 pathways that medications aggravate sleep problems and weight gain 

  1. High blood pressure medications (lower melatoninand nasal congestion)
  2. Acid reducers (proton pump inhibitors)
  3. High cholesterol medications
  4. Antibiotics 
  5. Antihistamines
  6. Birth control pills

Estrogen dominanceDr. John Lee

Wisdom of Menopauseby Dr. Northrup

Estrogen promoting environmental toxins podcast

Endocrine disruption podcast (Trasande)

  1. Viagra and other medications for erectile dysfunction (nasal congestion)
  2. Oral steroids
  3. Antidepressants  

Reader comment about Paxil 

  1. Mood stabilizers

Upper airway resistance syndrome (UARS)

  11. Stimulants for ADHD

  12. Sleeping pills

Interview with Dr. Karkow on treatment resistant insomnia

Blog response on 7 Drugs That Can Cause OSA

https://doctorstevenpark.com/medications1

The post 12 Medications That Can Make You Fat or Ruin Your Sleep [Part 1, Podcast 64] 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/12-medications-that-can-make-you-fat-or-ruin-your-sleep-part-1-podcast-64…

12 Medications That Can Wreak Your Sleep or Make You Fat

Originally at: https://doctorstevenpark.com/12-medications-that-can-wreak-your-sleep-or-make-you-fat

Modern prescription medications are touted as a major advance in promoting health and keeping us alive longer. I beg to differ. What I observe instead is that in many cases, commonly prescribed prescription medications can wreak your sleep or make you fat, or both. As I have stated many times on this blog and in my book, Sleep, Interrupted, poor sleep promotes weight gain, and weight gain promotes sleep related breathing problems. Nasal congestion from medications may also ruin your sleep.

For example, Jane is a 51 year old woman who came to see me for her recurrent sinus infections and headaches. She took 5 courses of antibiotics this past year. Her doctor ordered a sinus CT which revealed that her sinuses were clear with no evidence of infection, except for a deviated nasal septum. Upon further questioning, she admitted that about 2 years ago, she gained about 15 pounds. Around the same time period, she was placed on a medication for high blood pressure, and was given another medication for chronic migraine headaches. She also started taking sleeping pills occasionally for insomnia. As expected, she admitted that her sleep quality had worsened and now wakes up to urinate about 2 times every night.

Looking back on Jane’s medical history, I noted four risk factors for weight gain and sleep loss. Besides the fact that she is in her pre-menopausal years (lower progesterone with lower tongue muscle tone), she was exposed to three medications which likely contributed to her weight gain in the past few years. What most patients (and many doctors) don’t realize is that a high number of prescription medications have the potential to cause weight gain, ruin your sleep, or both. If you’re taking a prescription medication, take a look at your package insert or look online for potential side effects. It’s more than likely that insomnia or weight gain will be on the list.

Here are 12 of the most commonly prescribed medications that can ruin your sleep or make you fat:

High Blood Pressure Medications and Weight Gain

Beta-blockers (such as atenolol, metoprolol, nadolol, propranolol) lower the effects of the hormone epinephrine, which constricts blood vessels. Alpha-blockers (prazocin, doxazocin or terazocin) help to relax muscles in the small vessels by blocking norepinephrine. Both of these classes of medications are known to promote weight gain. Other classes of antihypertensives including ACE inhibitors do not have this effect. 

Another way that high blood pressure medications can ruin your sleep is by blocking the pathway for making your sleep hormone, melatonin. Light stimulates receptors in the eye that stimulate nerves in …