The SARS-CoV-2 pandemic has brought unprecedented changes worldwide, with major, important consequences. I do not want to minimize these in any way. In fact, the pandemic was a reminder that obstructive sleep apnea does not have the same urgency as some other medical conditions, leading to a period of time where I was not taking… Read more »

Evidence-based medicine requires use of the best research studies in taking care of patients. Systematic reviews are designed to combine multiple research studies to produce answers to important questions and therefore can be important to the practice of evidence-based medicine. Everyone loves systematic reviews, starting with physicians who need answers and may not have the… Read more »

In the context of the pandemic caused by the novel coronavirus SARS-CoV-2 and the resulting coronavirus disease 2019 (COVID-19), other health concerns such as obstructive sleep apnea and snoring need to take a backseat.  We are all in uncertain times, relying on the experts and our own judgment to take appropriate precautions and preparations.  I… Read more »

We have just completed the 26th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring course in San Francisco, California.  I wanted to share some interesting updates and new topics from the course.  I have truly enjoyed being a co-director of the course and look forward to it every year, learning so much… Read more »

The growing awareness of the importance of sleep and sleep disorders over the past 15-20 years of my career has been exciting and helpful to so many individuals around the world.  This awareness has been driven by major organizations, thought leaders, and the media – ranging from medical journals to the lay press to online… Read more »

Recently I was introduced to a website called The Conversation, which indicates its goal as providing “academic content, journalistic flair”.  In looking at their site, I was impressed that they really do deliver on this promise.  I will admit that I do not have the writing skills of a journalist, but I was flattered that… Read more »

You never want to be an expert on surgical complications.  During my residency training, I was fortunate to work under the guidance of Edward M. Weaver, MD, MPH at the University of Washington on studies of serious complications occurring after obstructive sleep apnea surgery in over 3100 patients at Veterans Affairs Medical Centers in the… Read more »

The idea of removing tongue tissue as a surgical procedure to treat obstructive sleep apnea dates back to Shiro Fujita, MD and a 1991 publication.  Multiple technologies have been used to perform lingual tonsillectomy and midline glossectomy procedures,.  The challenge has been finding a technology that allows the procedure to be performed well without making… Read more »

While sleep apnea mostly affects men, women (especially those who are hoping to become pregnant) are at risk too. Learn about Jose’s and Rachel’s road to recovery. I love writing about the latest research related to the surgical evaluation and treatment of snoring and obstructive sleep apnea.  Research studies are important, but sometimes it is… Read more »

Inspire Medical’s Upper Airway Stimulation therapy is a treatment option for many patients with obstructive sleep apnea who do not tolerate positive airway pressure therapy (for example, CPAP).  There are a few steps to determining whether a patient is a good candidate, including performing drug-induced sleep endoscopy (DISE).  If you are interested in more background… Read more »