I had the opportunity to participate in the American Thoracic Society 2015 meeting over the past few days as part of two sessions: a day-long course on the connection between anesthesia and sleep (especially obstructive sleep apnea) and a symposium on personalized medicine for sleep apnea.  My talks focused on the personalized medicine approach to… Read more »

Many medical treatments have high initial costs but are considered worthwhile expenses because of the benefits, both direct (improved health and quality of life) and indirect (decreased healthcare spending from avoidance of complications).  For treatments such as kidney dialysis, cardiac pacemakers, and organ transplantation, we as a society are willing to pay for treatments with… Read more »

My previous blog post briefly discussed the International Surgical Sleep Society, the world’s preeminent organization dedicated to the surgical evaluation and treatment of obstructive sleep apnea and snoring.  Founded in 2006, the ISSS has organized six scientific meetings to bring together experts in sleep surgery from around the world, facilitating the sharing of experiences and ideas… Read more »

The subspecialty of snoring and sleep apnea surgery is relatively young, and people ask me all the time how I was drawn to the field.  I was fortunate enough to have my own interest sparked as a medical student at the University of Pennsylvania.  As medical students, we were all a little sleep-deprived (and more… Read more »

Last week, I gave a lecture to our residents about the risks of medical complications after surgery in patients with obstructive sleep apnea.  It brought back memories of some studies about the risks of surgery in which I was involved and highlighted two recent studies of the risks of surgery published last month in journals… Read more »

This study and others are included in my video discussion of the Inspire Medical Systems Upper Airway Stimulation system that I have posted on Youtube. One of the distinctive aspects of the Inspire Medical Systems STAR Trial was the short-term withdrawal of therapy from some patients.  The November 2014 issue of the medical journal Otolaryngology–Head… Read more »

At the Keck Medical Center of USC, we were the first center in the Western US offering the Inspire Medical Systems Upper Airway Stimulation system for the treatment of obstructive sleep apnea.  With greater awareness of patients about health conditions and cutting-edge therapies, I have received many requests for information.  Based on these requests, I… Read more »

I am writing from Detroit and Henry Ford Hospital, the site of the 2014 International Surgical Sleep Society meeting.  The meeting brings together leaders from around the world, discussing the latest topics related to surgical and many non-surgical treatments other than positive airway pressure therapy (such as CPAP) and oral appliances.  This was the 6th… Read more »

This month (October 2014) I wrote an editorial in the medical journal SLEEP about a research study that appeared in the same issue.  The study is fascinating because it provides a deeper explanation not only of why weight gain is associated with worse sleep apnea and poorer outcomes for many sleep apnea treatments but why not… Read more »

The 2014 Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery was just held in Orlando from September 21-24.  It is always enjoyable and interesting to share experiences and findings with colleagues in several sessions and courses related to the surgical evaluation and treatment of snoring and obstructive sleep apnea.  This year, I… Read more »