Breathe Better, Sleep Better, Live Better Podcast (general)

An example video of the soft palate flopping back into the nose during mid-nasal exhalation. This can prevent CPAP or dental appliance use. It can also present as central apneas since there's no airflow through the nose and mouth, and no movement of the abdomen and chest.

Direct download: Expiratory_Palatal_Obstruction.mov
Category:general -- posted at: 10:29pm EST

Drug induced sleep endoscopy showing epiglottic obstruction with inhalation. Significantly improved with jaw thrust.

Direct download: epiglottis.m4v
Category:general -- posted at: 4:28pm EST

This is a short video of an endoscopic exam performed in the office. Initially, it’s with the patient sitting up after topical nasal decongestion and anesthesia. You can see the right and left nasal anatomy, and the Mueller’s maneuver in the middle of the video. Near the end, the patient is lying flat on her back, and you can see that the space behind the tongue base and epiglottis is much more narrow.

At the very end, I have the patient thrust her lower jaw forward, which pulls the tongue base forward significantly, allowing you to see the voice box more clearly. This is one maneuver I do to determine if a patient is potentially a good candidate for a mandibular advancement device. 

Direct download: Nasal_Endoscopy.mp4
Category:general -- posted at: 4:25pm EST

In this  episode, my special guest is Dr. Felix Liao, who  is a holistic dentist in Falls Church, Virginia, with a special focus on connecting the mouth with whole body health.

Dr. Liao is currently president of the International Academy of Biological Dentistry and Medicine, the editor of Biological Dentistry Journal. He is the author of the forthcoming book Six-Foot Tiger, Three-Foot Cage — a must read for anyone who has breathing and sleep problems.

In this 47 minute interview, Dr. Liao will reveal:

  • The link between tongue tie and crooked teeth and lack of c-spine curvature
  • Difference between mandibular advancement devices and bio-mimetic functional devices.
  • How poor muscle use during swallowing can cause crooked teeth.
  • How nasal congestion can cause a long and narrow face.
  • How poor upper jaw development can lead to snoring
  • How Buteyko breathing can complement dental options
  • How to get bigger, fuller lips.
  • Are oral appliances covered by insurance?
  • What is a holistic mouth doctor, and how can you find one?
 

Show Notes
Direct download: Podcast_32_-_final.mp3
Category:general -- posted at: 10:47pm EST

If you don't fit the typical profile of someone with obstructive sleep apnea (MOOSE: male, older, overweight,  snoring, excessive sleepiness), most doctors won't ever think that you may have obstructive sleep apnea. I see dozens of of patients every month who are told they don't have sleep apnea but were found to have moderate to severe sleep apnea after undergoing sleep studies. So if you're not a MOOSE, what are some other ways to tell if you may have sleep apnea?

In this podcast episode, Kathy and I discuss 7 Unusual Signs & Symptoms of Sleep Apnea. 

  1. Tongue Scalloping
  2. Nocturia (nighttime urination)
  3. Headaches
  4. ADHD
  5. PTSD
  6. Sexual dysfunction
  7. IBS or GI problems

 


Show Notes

 
Direct download: Podcast_31_-_final.mp3
Category:general -- posted at: 10:47pm EST

One of the most common questions I get asked is how do I stay so skinny. In this episode, Kathy will reveal the 10 ways I stay thin and healthy. 

 
 
 
  1. Exercise outdoors
  2. Don’t eat close to bedtime
  3. Clear your nose
  4. Get the right pillow
  5. Cook your own meals
  6. Avoid eating out
  7. Regular life planning, goal setting and daily morning rituals
  8. Try certain supplements 
  9. Avoid toxins
  10. Sleep 7 to 8 hours
 
Show Notes:
 
 
Direct download: Pocast_27_-_final.mp3
Category:general -- posted at: 11:19pm EST

This is a special interview with a returning guest, Dr. A. Joseph Borelli. As you may recall, he was on our show with us in the past talking about brain dysfunction and sleep apnea. In this episode, we’re going to about the Walking Dead: How Sleep-Deprived Zombies Are For Real. 

In this 60 minute interview, we will cover the following:

  • How sleep apnea damages autonomic nervous system centers in the brain
  • Can brain damage from OSA be reversed?
  • The connection between OSA and atrial fibrillation 
  • Can heart damage from sleep apnea be reversed?  
  • The difference between obstructive sleep apnea (OSA) and upper airway resistance syndrome (UARS)
  • Why UARS is harder to diagnose
  • Newly discovered lymphatic system in the brain and implications
  • How CPAP may cause intracranial hypertension
  • And much, much more.
Show notes:
 
Dr. Borelli's past interview on brain health
University of Pennsylvania cardiology study
Dr. Borelli's Discover article
Dr. Deborah Wadly's paper on resolution of intracranial     hypertension with jaw surgery 
Placebo article in New England Journal of Medicine
Direct download: Podcast_26_-_final.mp3
Category:general -- posted at: 10:08am EST

In this episode, Kathy and I talk about one thing that most people don't think about when sleep apnea is mentioned: Sexual and reproductive problems. Find out:

  • How sleep apnea can lower your sex drive
  • Surprising statistics on erectile dysfunction and its association with obstructive sleep apnea 
  • Why men's sperm counts are dropping rapidly
  • The role of stress in sleep apnea, and how it affects your sex life
  • Why zebras don't get ulcers.

 


Show notes:

Goncalves, M. A., et al. "Erectile dysfunction, obstructive sleep apnea syndrome and nasal CPAP treatment." Sleep medicine 6.4 (2005): 333-339.

Hirshkowitz, Max, et al. "Prevalence of sleep apnea in men with erectile dysfunction." Urology 36.3 (1990): 232-234.

The Association of Obstructive Sleep Apnea and Erectile Dysfunction

Why Zebras Don't Get Ulcers, by Dr. Robert Sapolsky

Subramanian, Shyam, et al. "Sexual dysfunction in women with obstructive sleep apnea." Sleep and Breathing 14.1 (2010): 59-62.

Petersen, Marian, et al. "Sexual function in female patients with obstructive sleep apnea." The journal of sexual medicine 8.9 (2011): 2560-2568.

Low testosterone heart attacks and sleep apnea

Carlsen, Elisabeth, et al. "Evidence for decreasing quality of semen during past 50 years." Bmj 305.6854 (1992): 609-613.

Rolland, Matthieu, et al. "Decline in semen concentration and morphology in a sample of 26 609 men close to general population between 1989 and 2005 in France." Human Reproduction (2012): des415.

Gaskins, Audrey Jane, et al. "Physical activity and television watching in relation to semen quality in young men." British journal of sports medicine(2013): bjsports-2012.

Agarwal, Ashok, et al. "Effect of cell phone usage on semen analysis in men attending infertility clinic: an observational study." Fertility and sterility 89.1 (2008): 124-128.

Idiocracy Movie

Moaning during sleep

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

Direct download: Podcast_24_-_final.mp3
Category:general -- posted at: 10:00pm EST

In this podcast episode, Kathy and will talk about the 20 top ways of getting rid of your snoring. We’l. cover 15 non-prescriptions and rover-the counter options, as well as 5 prescription/surgical options. 

  • How snoring and ADHD are linked
  • How snoring can cause stroke
  • A better way to lose weight
  • Your best sleep position
  • How to choose the right pillow
  • Why mouth breathing is bad for your health
  • 3 proven non-surgical / alternative ways to stop snoring 
  • The best surgical options for snoring
  • Which dental device works best for snoring 
  • The pros and cons of surgical options

Show notes:

Dr. Karen Bonuck’s interview on snoring and behavioral problems

New York Times article on spouses sleeping in separate bedrooms

Snoring demonstration video

Reflux causes sensory damage

Snoring causes sensory damage

Snoring and carotid artery plaques

Lingual tonsils and reflux

Direct download: Podcast_20_-_final.mp3
Category:general -- posted at: 3:51pm EST

CPAP, although the "gold standard" form of treatment for obstructive sleep apnea, has a number of common problems for many people. Join us for a discussion on the 7 most common problems you may have using CPAP (along with solutions).

Direct download: Podcast_9_final.mp3
Category:general -- posted at: 11:42pm EST