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

There comes a time when you have to say, "enough is enough." You've gone through 3 different masks, CPAP, APAP and 2 dental appliances. You also tried chin straps to keep your mouth closed along with your oral appliance and CPAP, all together. Some of you can't even keep CPAP on for more than one hour. And there are some of you that are able to use CPAP for 8 hours straight for 3 months and your machine is telling you that your AHI level is 0.1, but you still feel terrible. You've also tried every trouble shooting step mentioned on every sleep apnea support site. At a certain point, you have to consider the possibility of undergoing surgery.

Granted not everyone who struggles with CPAP has tried all this, but many of you have already gone through many, if not most of the above steps. Some people will be better candidates for surgery than others. 

In this podcast, Kathy and I will go over 7 good reasons why you may want to consider surgery for your obstructive sleep apnea. Here's a quick summary along with the resources and links mentioned in the podcast:

1. CPAP is not working
      Podcast on troubleshooting CPAP problems (Podcast #9)
2. Oral appliance is not helping
      Podcast #59 on oral appliances
3. You have a stuffy nose
      E-book on how to unstuffy your stuffy nose
4. You have large tonsils or adenoids
5. Previous surgery didn’t work
6. If you can’t breathe out through your nose or feel a flap close suddenly during inhalation
7. You’ve tried everything.
 
If you liked or found helpful what you heard on this podcast, please leave a review on iTunes. 
Direct download: Podcast_12_final.mp3
Category:Podcast -- posted at: 10:22pm EST

In this podcast, I'll be talking about a very controversial subject: Which is better: Which is better? Kathy and I will cover  the following:

  1. My honest answer to which is better: CPAP or surgery
  2. Controversy about surgical success
  3. How the Provider Effect influences specialists’ preferences
  4. The problem with using the AHI to define surgical success
  5. Why conservative surgery can sometimes be detrimental to patients
  6. The problem with meta-analyses
  7. research study vs. real-world CPAP compliances rates
  8. How to overcome indecision due to too many options
  9. How to find the right surgeon.

Show Notes:

VA study comparing survival for CPAP vs. UPPP

Netherlands study about average AHI and CPAP usage

Carl Stepnowski interview (iTunes #19) MP3

American Sleep Apnea Association CPAP Assistance Program

SecondwindCPAP.com

How to find the right surgeon


If you found this podcast helpful, please go to iTunes to rate and review this program. This way, more people can find this information to help themselves and others.

Direct download: Podcast_11_-_final.mp3
Category:Podcast -- posted at: 11:21pm EST

Frustrated CPAP users are constantly asking me what other options are available. There are literally dozens of over-the-counter, natural, prescription, and surgical options that are available. I've chosen 9 options that have proven results, based on published research in peer-reviewed medical journals. There may be other options that may work very well, but as of date, I'm not aware of any prospective studies showing significant improvement based on sleep studies as well as quality of life questionnaires.
 
Show Notes
 
1. Sleep positions: Slumberbump, Rematee Anti-snore Shirt
2. Past podcasts on the advantages and disadvantages of mandibular advancement devices.
3. Acupuncture interview (#52) with Amy Hausman. Research description.
4. Tongue exercises: Interviews with Joy Moeller (#33), Janet Bennet (#45). Meta-analysis article.
5. Provent article
6. Didgeridoo article
7. Throat and tongue surgery interview (mp3).
8. Jaw surgery interview (mp3)with Dr. Kasey Li
9. Tongue nerve stimulation 

If you found this podcast helpful, please go to iTunes to rate and review this program. This way, more people can find this information to help themselves and others.

Direct download: Podcast_10_-_Final.mp3
Category:Podcast -- posted at: 9:38pm EST

Many people hate the idea of using a CPAP mask attached to a hose every night. Fortunately, a good alternative to this is a mandibular advancement devices (also called oral appliances)  come in various models, but they all have one thing in common: The lower jaw is pushed forward against the upper jaw, moving your tongue forward, opening up your airway.
 
In this podcast episode, I will go over the 7 reasons why I like using mandibular advancement devices to treat obstructive sleep apnea.  
 
1. No headgear or straps around your face.
2. It’s silent. CPAP 26 dB. 30 is a quiet whisper
3. It’s small and convenient
4. More dentists are available to make these devices, and are usually covered through most major insurances. 
5. Equal to CPAP for people with mild to moderate obstructive sleep apnea.
6. An oral appliance can used as a CPAP mask holder
7. It can be used effectively for snoring and UARS, even if you don’t have obstructive sleep apnea.
 
Resources and links mentioned:
 

American Academy of Dental Sleep Medicine

Photo of hybrid oral appliance / CPAP nasal pillow

Unstuffy Your Stuffy Nose E-book

Breathe Better, Sleep Better, Live Better Podcast on iTunes (#54)

Direct download: Podcast_7_final.mp3
Category:Podcast -- posted at: 11:12pm EST

This is part 3 and the final segment of my conversation with Dr. Stasha Gominck, a neurologist with some very insightful information about vitamin d and how it’s vitally related not only to sleep, but to every aspect of your health. As mentioned previously, vitamin d is actually a hormone that’s needed by every area of your body, including your brain. 
 
In this segment, Gominak is going to tell us:
 
  • How to optimize growth hormone release
  • The link between slow wave sleep and the B vitamins
  • How this b vitamin can help REM behavior disorder
  • How much Vit D is made in your skin by sunlight
  • Vitamin D’s anti-cancer properties
  • The importance of quality sleep and cancer prevention
 
For more information about Dr. Gominak, visit her Web site at
 

 

Direct download: Gominak_Part_3.m4a
Category:Podcast -- posted at: 11:38pm EST

This is Part 1 of my interview with Dr. Stasha Gominak, a neurologist practicing in Tyler, Texas. Dr. Gominak has unique views on how Vitamin D can significantly affect the quality of your sleep, independent of obstructive sleep apnea or upper airway resistance syndrome. In this intervew, she will reveal:

 

1. How Vitamin D is related to sleep
2. Why Vitamin D3 is better than D2
3. How Mice and Pigs Confused Doctors About Vitamin D
4. Why Sleep became much worse in the 1980s
5. How much Vitamin D do we need?
 
Visit Dr. Gominak at http://drgominak.com
 
Direct download: Gominak_Part_1.m4a
Category:Podcast -- posted at: 12:11pm EST

ADHD and other behavioral problems are rampant today with millions of children on prescription medications with or without psychotherapy. As I've stated in the past, a significant number of these children have a treatable sleep-breathing problem, which goes undiagnosed. I was alerted to watch this video about a mother’s excruciatingly painful journey to help her son, Connor, who was labeled with a condition called oppositional defiant disorder. 
 
In this episode I'm honored to have as our guest Ms. Valerie Deegan, Connor’s mother. We’re going to talk about what she had to go through to get her son treated appropriately without medications. 
 
Resources mentioned in this Podcast:
 

American Academy of Physiologic Medicine & Dentistry (AAPMD.org)

Ride of the Zombies Charity Bike Ride

Dr. John Mew's photos

Subscribe in iTunes @ doctorstevenpark.com/itunes. Thanks for reviewing my podcast and rating me.

 

 

Direct download: Deegan.mp3
Category:Podcast -- posted at: 10:44pm EST

Podcast #001 Show Notes

 
Welcome to the relaunching of my Breathe Better, Sleep Better, Live Better podcast. In this episode, I will reveal:
 
1. Why only humans have sleep apnea
2. How you can choke and die
3. 5 simple things you can do to sleep better tonight.
 
Download the PDF of the slides here.
Download the MP3 file here.
 
Acronym for obstructive sleep apnea: MOOSE
 
Male
Older
Overweight
Snoring
Excessive Sleepiness.
 
4 Evolutionary / Anatomic Changes:
 
1. Klinorynchy
2. Anterior Migration of the Foramen Magnum
3. Laryngeal descent and loss of epiglottic and soft palate lockup
4. Vertical descent of the larynx.
 
As a result of complex speech and language development, only humans can choke and die.
 
3 Dental Concepts
 
1. Transition to soft, processed foods lead to dental crowding and malocclusion
2. Eating soft vs. hard foods and aggravate dental crowding
3. Bottle-feeding can cause dental crowding and crooked teeth.
 
Changes in our eating and infant feeding habits created more dental crowding and more narrow airways.
 
All these concepts are described in more detail in my book, Sleep Interrupted: A physician reveals the #1 reason why so many of us are sick and tired.
 
Facial profiling. Younger people have more triangular jaws and flatter faces.
 
If our brains get bigger and our jaws get smaller, what will we look like in 50,000 years?
 
Sleep-breathing continuum. All chronic health conditions can be directly or indirectly connected to poor breathing and poor sleep.
 
Conventional treatment options for obstructive sleep apnea:
 
1. Conservative
2. CPAP
3. Dental appliances
4. Surgery.
 
Other options: 
 
1. Acupuncture
2. Oral exercises
3. Didgeridoo
4. Provent
5. Winx
6. Tongue nerve stimulation / pacemaker
7. Functional dental appliances.
 
5 Practical Tips to Sleep Better Today
 
1. Avoid eating or drinking alcohol late
2. Improve nasal breathing
3. Adjust head position to improve the airway
4. Avoid migraine triggers
5. Practice relaxation / deep breathing techniques.
 
Reader Question: Dry mouth after starting CPAP. What to do?
 
Sleep Tip of the Day: How blue light can ruin your sleep and what you can do about it.
 
Resources mentioned in podcast:
 
Dr. Brian Palmer's website
 
 
Subscribe in iTunes @ doctorstevenpark.com/itunes. Thanks for reviewing my podcast and rating me.
 
Download the PDF of the slides.
 
 
 
 
 

Web site

 

Direct download: Podcast_1_-_6_26_14_11.56_PM.mp3
Category:Podcast -- posted at: 2:56pm EST

Dr. Brian Palmer is an internationally recognized expert on dental malocclusion, infant feeding habits, and its relation to obstructive sleep apnea.

Topic: The Evolution of Malocclusion & Sleep Apnea

Download mp3

Download PDF of slides (Part 2)

Direct download: Palmer_part_2.mp3
Category:Podcast -- posted at: 9:00pm EST