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 »
Tongue Surgery
Does my tongue look fat?
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 »
Sleep surgery research at the American Academy of Otolaryngology–Head and Neck Surgery 2014 Annual Meeting
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 »
DISE can change the treatment plan in obstructive sleep apnea surgery
Drug-induced sleep endoscopy (DISE) is an evaluation technique that can be performed for patients with obstructive sleep apnea who are unable to tolerate positive airway pressure therapy (e.g., CPAP or BiPAP). The purpose of DISE is to improve the results of treatment with surgery and/or oral appliances. There are many surgical procedures available to treat the… Read more »
Sleep 2014 Conference: 18 month outcomes from the STAR Trial of Upper Airway Stimulation
At the Sleep 2014 scientific conference in Minneapolis earlier this month, Patrick J. Strollo, Jr., MD from the University of Pittsburgh and colleagues presented 18-month outcomes from the STAR trial of Upper Airway Stimulation for treatment of obstructive sleep apnea. STAR Trial results at 12 months have been published in January 2014 in the New… Read more »
Entering the YouTube Era–Videos on Snoring and Sleep Apnea Surgery
Many colleagues and individuals have thanked me for developing my sleep-doctor.com main website and blog. To be honest, it has required hundreds of hours of time for this amateur website developer. All the same, it helps my patients and has allowed me to share information about snoring and obstructive sleep apnea. I recognize that the… Read more »
Appeal that denied health insurance claim for a sleep study or treatment of sleep disorders!
A recent story on NPR News reported that half of all patients win their appeal of denials by health insurance companies. They told the story of a patient with sleepiness and loud snoring who saw a doctor that recommended a sleep study. The insurance company denied authorization for the sleep study. The patient filed an… Read more »
Day 2–snoring, sleep apnea, and insight about sugar and its hazards
After a successful start to the course, Day 2 began with Allan Pack, MBChB, PhD of the University of Pennsylvania. Allan had given the final talk of Day 1, in which he delivered a thought-provoking lecture on the future of the field of sleep medicine. He has campaigned for a shift for the field, like… Read more »
Providing Accurate Information to Patients: About.com, SleepEducation.org, and Weight Gain Associated with CPAP
My website and this blog provide what I hope is an useful educational resource for my patients and others, but I know that many patients with snoring and obstructive sleep apnea will never reach it. As such, I have contributed to two online resources that reach larger audiences. I am a content author for sleep… Read more »
News from the 2013 AAO-HNS Annual Meeting
Last week, I participated in the Annual Meeting of the American Academy of Otolaryngology–Head and Neck Surgery. This meeting always includes a number of excellent sessions focused on surgery for snoring and obstructive sleep apnea, and this year was no exception. My favorite session was a discussion of how surgeons might choose from among the… Read more »