Sleep Cycle… are you pedaling too hard?

 

 

 

 

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The horizontal axis measures how long you sleep. The vertical axis measures the depth of your sleep

 

Direct your attention to the upper left.  Visualize yourself as descending the black steps until the bottom is reached. As you take your first step into the healthy, adult sleep cycle, be aware that the first 15 minutes or so of drifting from awake into sleep is not repeated throughout the night. You might think of it as ‘dropping off to sleep’.  The first descent into sleep bypasses REM Sleep.

 

We have been looking at the graph’s horizontal axis.  Now please consider the vertical axis which measures depth of sleep.   Stage one through four become progressively deeper and more regenerative.  Having dropped into the sleep cycle, you now drop into the delta phases of sleep.  This first plunge into deep sleep (hard to awaken in Stage 4) skips REM, but the remaining four or five cycles which cycle away from wakefulness and into deeper sleep and then ascends the sleep stages  travelling evermore toward being awake.

 

Look at the thick black tops of each of each peak in the graph.  While in this part of the sleep cycle, one is engaged in Rapid Eye Movement sleep.  The brain wave patterns of REM look almost like awake tracings but more ‘jagged and spikier’, if you will.  The form of the tracings of Stage One  through Four are sinuous and gentle by comparison.  During REM sleep, your voluntary muscles are incapacitated so one can not act out one’s dreams. During this phase, the musculature of the soft palate and tongue also lose tone and can collapse backward,  thereby obstructing your airway.  When this happens, your body responds in emergency mode, never allowing you to proceed to the healing, regenerative deeper stages of sleep.

If you feel tired no matter how long you sleep, consult with Dr. Goldman at (510) 527-6673 regarding the possibility of keeping your airway open while sleeping with a comfortable, non-invasive oral airway dilating device.

What’s Your Snore Score?

so tired!

 

 

 

Yes    No

___    ___    1. Are you a loud and regular snorer?

___    ___    2. Have you ever been observed to gasp or stop breathing while sleeping?

___    ___    3. Do you feel tired or groggy upon wakening, or often have a morning headache?

___    ___    4.  Are you often fatigued or tired during wake-time hours?

___    ___    5.  Do you fall asleep sitting, reading, watching TV or driving?

___    ___    6.  Do you often have problems with memory or concentration?

If you have one or more of these symptoms, then your are at higher risk for having Obstructive Sleep Apnea. If you are also overweight, have a large neck and/or have high blood pressure, then the risk increases even further.  Untreated Sleep Apnea can severely impact your health and well-being.

If you or someone close to you answers ‘Yes’ to one or more of these questions, you should discuss your symptoms with a specially trained dentist like Dr. Goldman or your physician.  Call (510) 527-6673 to schedule a consultation.

Different treatment options exist, the one that is right for you depends on severity, anatomic structure and other aspects of the disorder.  At times a combination of therapeutic measures may be necessary.  Dr. Goldman will work closely with your physician to choose the best treatment option for you.

 

 

Sleep and Exercise

exercise cartoon

If you’re looking for one more reason to start an exercise routine, try this: Exercise will help you sleep.

The National Sleep Foundation 2013 Sleep in America Poll explores the relationship between physical activity and the quality of sleep. In a survey of 1,000 people representing a cross-section of the country, people who reported exercising regularly also reported getting better sleep.

Here are five results that stand out:

1. Exercisers report better sleep

Among exercisers — light, moderate or vigorous — 76 percent to 83 percent reported getting fairly good or very good sleep. The number for non-exercisers was 56 percent.

2. Vigorous exercise may help insomnia

People who reported doing the most exercise also reported the fewest symptoms of insomnia. More than two-thirds of them said they rarely or never experience symptoms of this common sleep disorder.

3. Exercise matters the day you do it

Whether they were light, moderate or vigorous exercisers, 51 percent reported better sleep on the days they exercised.

4. Non-exercisers are sleepier

Among people who do not exercise, 24 percent were considered excessively sleepy using a standard screening measure. And 61 percent of them reported rarely or never getting a good night’s sleep on work nights.

5. Exercise may help prevent sleep apnea

People who do not exercise may increase their risk for sleep apnea, a sleep disorder in which breathing is interrupted during the night. Forty-four percent of non-exercisers had a moderate risk, compared with just 26 percent for light exercisers.  If you feel fatigued during the day no matter how long you sleep, if you snore regularly and loudly, or if you have been told you gasp or stop breathing while asleep… you may be at risk of having a serious medical condition known as Obstructive Sleep Apnea.

Schedule a consultation with Martin L. Goldman, DDS of Solano Sleep to see if there might be a comfortable, easy solution to your night time sleep problems. Being fatigued can prevent one from exercising…get back on the track to health with quiet, restful sleep.



Our New Berkeley Office !

 

New Office in Berkeley!

outside office

We are on the corner of Solano and Colusa Avenues… lots of interesting shops, restaurants and things to do.

We are so excited to be offering care to those suffering from sleep disorders in our brand-new, sparkling office on lively and entertaining upper Solano Avenue.   The space has been created to allow the practice of dental sleep medicine to be conducted in an attractive, up-to-date venue.  Come visit us in our new digs!

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You will be greeted by friendly professionals dedicated to helping you.


  

 

 

 

 

 

 

 

 

 

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 reception area… don’t expect to spend much time here.  We pride ourselves on giving patients our undivided attention.  We never double-book and are on time.  We know your time is valuable!

Call (510) 527-6673 to talk find out more about giving your body the oxygen it needs while you are asleep. You will be amazed how easy it will be to give your bed-partner some rest

 

 

 

 

 

 

 

 

 

 

 

 

 

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The Full Breath Solution

THE FULL BREATH APPLIANCE

There are currently over sixty FDA-approved appliances to treat Sleep Apnea; however, they can be divided into two basic categories:

1. Mandibular Advancement Appliances

These are the most common type of appliance used to treat Sleep Apnea.  As the appliance moves the lower jaw to a more forward position, the base of the tongue is also moved forward thereby opening the airway.  This is a time-proven method for keeping the airway open while sleeping and is the treatment of choice for many patients.

2. Tongue Fixation Appliances

Until recently this type appliance was a treatment of ‘last resort’.  Recent advancement in materials, methods and design have been incorporated into a new device called the ‘Full Breath’. Dr. Goldman has completed training and certification and can expertly provide this unique service to those suffering from nightly obstruction of their airway. Excellent results are being obtained with this exciting new modality which works on the same basis as a physician’s tongue depressor. The advantages are that the lower jaw can remain in it’s most comfortable position without needing to be moved into a forward position.  This is particularly helpful in those patients who are prone to TMJ discomfort.  By allowing the jaw to remain in it’s comfort zone many of the side-effects of mandibular advancement can be avoided.  In addition, the appliance is very comfortable and and fits on just one arch as opposed to most other Sleep Apnea oral appliances which require components to be fitted onto both the upper and lower teeth.

Watch this video featuring the inventor of the Full Breath, Dr. Bryan Keropian.  Find out more about this particularly effective solution to the choking and partial suffocation which occur dozens (and even hundreds) of times each night in those suffering with Sleep Apnea.

 

Sleep Apnea and Insurance

Medical insurance and sleep apnea treatment

If you are interested in a comfortable, non-invasive solution for treating your apnea or snoring we will take a copy of your medical insurance card and get your primary care doctor’s contact information. Unfortunately dental insurance rarely covers sleep apnea treatment. The good news is that medical insurance almost always covers some or all of sleep apnea devices.  No need for worry,  we will take care of the entire insurance paperwork process… from getting a pre-estimate to ensuring that you obtain the maximum benefit from your particular policy.

Medicare has recently approved oral devices as a first line option in the treatment of mild to moderate sleep apnea.  While currently not an in-network Medicare provider, we will help those covered by Medicare through the entire process.  We are officially contracted with Kaiser to provide Oral Appliances to Kaiser patients.

Tired All The Time

It doesn’t seem to matter how many hours you sleep, when you go to bed or when you wake up…you are exhausted all day long. Your powers of concentration are at low ebb; you might feel depressed; you nod-off at inappropriate times. Lack of energy and precious little enthusiasm for life have become the norm. All manners of medications have probably been tried, each with it’s own set of negative side-effects. The quality of your life is taking a serious hit.  What could be happening?

There is a real chance that your night-time sleep is being disrupted by some sort of airway disturbance. You are not alone!  A recent study estimated that up to 24% of men and 9% of the women in the United States suffer from Obstructive Sleep Apnea.  OSA is one of the most severely under-diagnosed conditions in our population. It is estimated that 90% of the population suffering from Obstructive Sleep Apnea have not been diagnosed or treated.

Being exhausted and unfocused is serious enough, but Sleep Apnea has serious health consequences.  Hypertension, obesity, heart failure,  arrythmias,  gastroesophogeal reflux disease(GERD), diabetes, heart attack and stroke are but a few of the health problems indisputably associated with Obstructive Sleep Apnea.

I’m going to ask you to do a couple of  things which might change your life:

1. There is a simple, quick test which has proven to be effective in screening for sleep apnea.   It takes just a a minute or two and might save not only the quality of your life, but your life itself.   A recent study of 6441 patients showed that men age 40-70 with sleep apnea had an increased risk of all cause mortality- twice that of those without sleep apnea.  An estimated 25% of males and 9% of women will develop sleep apnea during their lifetime.

2. Ask your bed-partner to look at a brief video with you of  an individual who has Obstructive Sleep Apnea.If the video looks and sounds familiar, or if the test shows you might have above normal sleepiness, call Dr. Goldman for a consultation.

 

If you sleep alone or if you are just curious to listen to what you sound like when asleep, you can download an entertaining, well-designed App from itunes. It is not to be considered a medical test, but it can be valuable.  Sleep Apnea is a continuum and progressive.  That is, at one end of a scale is ‘benign snoring‘ and at the other end of the scale is ‘severe apnea‘.  The trend is usually to progressively worsen with age and loss of muscle tone… 70% of people with Sleep Apnea snore- click here to see the App.  Have fun… and let me know how you do:

 

 

 

 


To Sleep, to Dream…

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