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For many people who have sleep apnea, they look to surgery as a means to a "greater awakening" which can at times, lead to disappointing outcomes. What exactly is meant by "sleep apnea surgery" and why doesn't everyone get it? In this episode we will:
define sleep apnea and how we measure its severitydiscuss the adults who are most appropriate candidateslook at the various ways "success" is defined with surgical outcomes [reduction in respiratory events, health outcomes, sleep measures] and how that might be at odds with how one feels after surgerytouch upon bariatric as a form of sleep apnea surgerylist the various procedures that target the nose/nasal cavity, jaw, tongue, and throathighlight the hypoglossal nerve stimulator/Inspire therapy and talk about patient populations that work well with this therapyProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Sleep apnea is the bread and butter of the sleep clinic and the most common cause of excessive daytime sleepiness. But do you really know the extent to which sleep apnea can ravage your health? Is it the cause of aging? In this episode we will:
Explore Brandon Peters' new book The Sleep Apnea HypothesisDissect his question, "Are you getting older or are you getting sleep apnea?"List the many common complaints of aging that are actually caused by sleep apneaTouch on the many obvious sleep complaints and not so obvious complaints linked to sleep apneaProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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We started a dialogue about napping way back in episode 17. The napping discussion continues. In this episode, we will:
Discuss reasons for nappingRevisit the current literature around performanceLook at new research on napping and cognition and memoryReexamine the research on nap length and performanceList the components of a perfect nap environmentTouch upon the potential negatives associated with nappingConclude by looking at napping and cardiovascular risk as well as risk for dementiaProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Insomnia treatment often involves pills and when those pills fail to solve the problem (or even if them seem to help) the desire to discontinue the pills may arise. In this episode we will:
Discuss the overall theory of sleeping pillsHighlight the use of Trazodone as a sleeping aidWalk through strategies and useful ways to discontinue sleeping pillsExplain why individuals wean oof of medicationsTouch upon the dangers and risks of discontinuing sleeping pillsExplore why discontinuing medications is difficultProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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The Sleep Unplugged podcast is back to solve your holiday shopping dilemmas with some of my favorite sleep product companies. In this episode, we will explore a host of sleep-themed gift ideas and product recommendations. In this episode, we will feature the following products:
GroundingWell grounding/earthing productsBeadgear pillows and linensBearaby weighted blankets and unique pillowsBoka nano-hydroxyapatite toothpasteDore and Rose mulberry silk sleep maskLoop Dream earplugs for sleepLuminette 3 light therapy glassesLunya washable silk pajamas Mattress Firm king bed for queen priceQuietLab anti-snoring mouthpieceRematee anti-snoring beltRyze mushroom coffee and hot chocolate mixSleeper Hold travel pillowSwanwick blue-blocking glasses and lighting solutionsThe Sleep Solution/The Rested Child booksYogasleep Dohm Nova noise machine and Rohm+ travel noise machine and speakerzDen personal/pet sleep environmentZzzquil breathing stripsProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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With the holidays fast approaching, many will take to the skies bound for destinations all over the world. Sleeping on a plane can be the difference between a pleasant Thanksgiving event and a contentious meal ending in frustration. Being prepared to sleep on a plane is an artform. In this episode we will:
Discuss the ins and outs of seat selectionGo through a comprehensive list of items to help with sleep on a planeList some strategies for hitting the ground running when you arriveProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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There is a complicated relationship between sleep and weight, and it's worth unpacking this to some degree. In this episode we will:
Look at the data on weight loss in sleep apnea patients and how it impacts disease stateReview the reverse situation of how CPAP therapy affects short and long-term patient weightUnderstand the consensus opinion about sleep deprivation and weight gainSort through the different data on weight gain and one theory about the mixed resultsProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Grief is a both a common cause of acute insomnia and a massive perpetuating factor of chronic insomnia. The relationship between grief and insomnia/sleep is complex and bidirectional. In this episode we will:
Outline the relationship between grief and sleep and how it acts as a causative factorDiscuss how long-term insomnia can lead to complex griefDifferentiate different grief subsets: late life spousal bereavement, complex grief, parental griefFollow patterns of grief: resilient, recovering, and chronic Evaluate the treatment of insomnia as a means to combat chronic griefProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Fear of the dark is a common phobia seen in children that can greatly affect their sleep. In this episode we will:
define fear of the darkdifferentiate between nyctophobia (fear of the night), scotophobia (fear of the dark/what the dark could be hiding), or lygophobia (fear of twilight)describe the ages that it commonly presents, peaks, and disappearslist some causes of fear of the darkunderstand why there may be an evolutionary cause for the disorderdiscuss treatments aimed at minimizing fear of the dark and its impact on sleepProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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We have touched upon bedwetting in several episodes, but we have never dedicated an entire episode to the topic. In this episode, we will:
define enuresis/bedwettingdifferential between primary and secondary enuresisdiscuss the differences between monosymptomatic and non-monosymptomatic enuresisuncover the risk factors for enuresislist the causes of the disorderreview the treatments for enuresistouch upon adult enuresisProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Climate change is not only a growing threat to our planetary survival, but it is also a major player in the health and safety of people everywhere. Our sleep health does not escape the widening reach of global climate consequences. In this episode we will:
Discuss the research linking climate change to sleep and sleep inequalitiesFocus on research linking the threat of hurricanes to declining sleep quality and quantity in adults and childrenUnderstand that the sleep risk extends well beyond the acute weather disasterRecognize that the threat extends to first responders and workers at all levels who deal with climate crisesProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Up until recently, getting more sleep was not exactly cool and absolutely not something to brag about. Gen Z may be changing that perception on social medial as they brag about getting more sleep, better sleep, and pushing the concept of sleep perfection to the "max." In this week's episode, we will:
Highlight Kate Lindsay's September 8, 2024 New York Times article entitled How The Pursuit of Perfect Sleep Can BackfireDefine "sleepmaxxing"Discuss the pros of celebrating more/better sleep publiclyRelate this movement to the term orthosomniaUnderstand why this movement could have very negative implications for the insomnia communityConsider where our optimal placement on the sleep spectrum should beProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Over the past few years, the topic of sleep has permeated the media landscape like few other topics in science and medicine. This has led to not only a fascination withing the public about the topic, but also a wild west-like race to financially capitalize on sleep products. But which products are better than others? In this episode, we will:
discuss the ways in which the media "rank" various sleep productsdive into the ways in which these ratings are determinedcontrast this with the relatively small amount of credible research available for these determinationsunderstand how these awards and certifications are often bought or acquired through means other than a product's merit in the fieldstress that the only way to know if a product is going to work well for you is to try itProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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On September 16th, 2024, Apple announced their new sleep apnea detection feature for their Apple Watch device had received FDA approval for the detection of mild to moderate sleep apnea. While this is an exciting development in the consumer medical field. In this episode, there are some concerns about this technology. In this episode we will:
Touch upon the numbers when it comes to sleep apneaUnderstand why there is a market for sleep apnea detectionDescribe the technology Apple uses to detect sleep apneaReview the concept of true positive, true negative, false positive, an false negative results and how they relate to the concepts of sensitivity and specificity.Compare the sensitivity of the Apple Watch to chance, home sleep testing, etc.Consider the ideal sleep apnea screening characteristicsProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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As summer comes to an end, it's a good time to examine how seasonal change tends to affect our sleep. In this episode we will:
Refresh our memories about circadian factors related to sleepLook at seasonal trends in sleep times, bed times and wake timesEvaluate factors such as light, temperature, and exercise as well as other surprising sleep variables that change with the seasonExamine various sleep stages and how seasons affect their quality and quantityDive into new research suggesting that in addition to seasons affecting sleep characteristics, our sleep characteristics may be intrinsically changing to prepare us for various seasonsProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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For the first installment of the Sleep Unplugged Book Club, we will examine Andrew Spector's new book Navigating Life with Restless Legs Syndrome. This also marks a revisiting of the topic we covered in episode #13 (Restless Legs Syndrome: You Gotta Move). In this episode we will:
Introduce Dr. Andrew Spector, a Duke University professor of neurology and restless legs expertUpdate and supplement information from episode #13 of this podcast about restless legs syndrome (RLS)Explore the role of iron in RLS and how to use ferritin and transferrin levels to guide potential therapiesTouch upon the idea that despite different causes of RLS, determining the precise reason why you have RLS may not be particularly essential for choosing therapiesList new treatment options that are not prescription medicationsReexamine difficulties and downsides to dopamine agonist therapiesCautiously look at the use of benzodiazepines and opioids in perhaps a new lightTouch upon other prescription medications that might be useful in the disorderMention the relationship between insomnia and RLSProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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There is no topic in sleep more likely to incite a riot between sleep experts than the concept of a sleep debt. Does it really exist? Can a sleep debt ever be repaid? If so, how long? In this episode, we will:
Define sleep debtExamine a new population study on the effects of sleep debt on cardiovascular riskAttempt to consolidate the available research into guidelines for dealing effectively with sleep debtDifferentiate between sleep debt responses in insomnia sufferers and sleep deprived individualsTouch on how accurately understanding personal sleep need directly impacts sleep debtProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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We have touched on inflammation as a central pathway connecting sleep disorders and dementia (episode 99), injury (episode 70), pain (episode 48), and cardiovascular disease (episode 35). In this episode, we shine the spotlight directly on inflammation and learn how it is connected to sleep. In this episode we will:
Examine the reciprocal relationship between inflammation and sleepUnderstand how cytokines play a role in the inflammatory cascade, but also in sleep regulationLearn the circumstances that tend to raise cytokine levels, including sleep deprivation, sleep disruption, and excessive sleepExplore severe situations of sleep deprivation in animal models and learn how the resultant "cytokine storm" is virtually incompatible with lifeFollow the link between inflammation and chronic diseases, including dementiaProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Somewhere between normal nocturnal breathing and sleep apnea exists a strange entity. This condition, often debated in terms of its mere existence is upper airway resistance syndrome, and knowing about it can be the difference between solving your sleep-related breathing woes and continuing your struggles. In this episode we will:
define upper airway resistance syndrome (UARS)review the concept and pathophysiology of upper airway resistancecontrast how this disorder is defined in comparison to sleep apnealearn the difference between an AHI (apnea-hypopnea index) and an RDI (respiratory disturbance index)understand how different sleep studies (in-lab studies, home sleep studies/home sleep tests) might differ in their ability to diagnose the disorderlist the various treatments that can be applied to the diagnosisProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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Sleep walking is probably the most recognized and discussed parasomnia, but it can also create significant confusion and danger for those affected. In this episode, we will:
Define sleepwalking Differentiate somnambulism and noctambulismEvaluate how age and genetics affects the conditionCharacterize the parasomniaList the causes of sleep walkingDiscuss disorders associated with the disorderTouch upon ways to assess sleepwalkingEmphasize treatments and how to make environments safe for sleepwalkersProduced by: Maeve Winter
Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child
MoreThanks for listening and sleep well!
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