Examining Primary Snoring Due to Nasal Obstruction

For patients who snore but don’t have obstructive sleep apnea, they could be suffering from issues in the nose—and there are treatment options that help avoid surgery.

Patients who snore may assume the cause is obstructive sleep apnea (OSA). But when a patient’s home or in-lab test comes back without evidence of OSA, patients can be frustrated and wonder what the cause of their snoring really is. Primary snoring, or simple snoring, due to nasal obstruction or inflammation may be the answer to that question. For people who do not have sleep apnea but want treatment for their snoring, noninvasive options are available to assist with nasal breathing.

Raj C. Dedhia, MD, MSCR, assistant professor, otolaryngology/HNS & sleep medicine at Emory University Hospital Midtown, says there are two types of reasons for poor nasal breathing: structural and inflammatory. “Structural causes include things like septal deviation. Inflammatory causes are usually things like allergies and other environmental factors.”

So how does nasal breathing relate to snoring? Dedhia says breathing through your nose is actually the optimal way to breathe during sleep. “Mouth breathing has a couple problematic effects on the course of the airflow,” he says. “When you breathe through your mouth, your jaw tends to fall back, which causes your tongue to fall back, and even your palates are relaxed more. That combo makes it more likely for the patient to have an obstruction. When the airflow goes through the mouth and hits that back wall, there isn’t a smooth transition like there is in the back of the nose. So there’s more turbulence that can generate snoring sounds.”

Nicholas A. Michalak, co-founder and CEO of SomniFix, maker of mouth strips that keep the mouth closed and promote nasal breathing, says, “We generally do a snore test to help people determine where their snores originate. You can do it quite easily. In a comfortable, reclined sleeping position, try to create a snore noise with your mouth open. Then close your mouth and try to create the same snore noise. If you are only able to snore with an

Switching to a Big Kid Bed

Sooner or later, the time is going to come to move your toddler out of the crib and into a “big kid” bed. It can be an exciting time for your little one, but it can also cause some regression and disturbance in their sleep.

In today’s video, I have some tips to help you determine whether now is a good time to make the switch, and if it is, how to do it smoothly and minimize the impact on your little one’s routine.

Rather read than watch? Click here.

How Your Baby’s Sleep Quality Could Affect Them Later In Life

A new study looking at how a baby’s sleep quality could affect them later in life found some interesting patterns, according to Romper.

Dr. Piush Mandhane of the University of Alberta in Canada pulled together a group of researchers to analyze sleep patterns in babies and how they might affect their cognitive skills later in life, according to Global News. In particular, researchers were interested in delving into the influence that nighttime sleep patterns might have on the way these babies would learn later in life.

As any parent of an infant knows, babies aren’t exactly the best sleepers at night for the most part. And this can have serious ramifications on the way babies’ brains develop. As Dr. Mandhane told The Edmonton Journal, “It’s not a mystery that if you have poor sleep or poor sleep quality like snoring, you are going to have difficulty with learning and behavior.”

from Sleep Review http://www.sleepreviewmag.com/2018/07/babys-sleep-quality/…

Is it Narcoleptics or People with Narcolepsy?

Watch this video on YouTube.

So excited to release this video – I’ve been meaning to talk about narcolepsy language for a while. This is an important video for media representatives, researchers, clinicians, drug developers, people with narcolepsy, and their loved ones looking to raise awareness.

Additional Resources:

Sleep Disorders Recommendations:
Rebecca E. Fuoco; People-Centered Language Recommendations for Sleep Research Communication, Sleep, Volume 40, Issue 4, 1 April 2017, zsx039, https://doi.org/10.1093/sleep/zsx039

Daniel J. Buysse, Sairam Parthasarathy, Julie Flygare; Introducing People-Centered Language to SLEEPSleep, Volume 40, Issue 4, 1 April 2017, zsx038, https://doi.org/10.1093/sleep/zsx038

Epilepsy Research:
Fernandes, P.T., De Barros, N.F., and Li, L.M. Stop saying epileptic. Epilepsia. 2009501280–1283 DOI: https://doi.org/10.1111/j.1528-1167.2008.01899.x
Friedrich, Latica et al.; How does the label “epileptic” influence attitudes toward epilepsy?
Seizure – European Journal of Epilepsy , December 2015 Volume 33 , 54 – 59 https://doi.org/10.1016/j.seizure.2015.10.012

Psychosocial Impact of Stigma in Narcolepsy:
Julie Flygare, Medicine X Ignite Talk 2015: https://youtu.be/MXTd8xd_f8s

I hope this is the beginning of a great discussion! I look forward to hearing your thoughts in the comments below. Thank you!

from Julie Flygare http://julieflygare.com/is-it-narcoleptics-or-people-with-narcolepsy/…

Buckley Media Group Closes $1 Million+ Deal for Sleeping.com and Snoring.com

The company that operates CPAP.com now owns sleeping.com and snoring.com, reports DN (Domain Name) Journal.

 “Cpap-pro.net was the first domain our company used to sell CPAP equipment. When we purchased CPAP.com, it made an immediate financial and brand impact for us. From then on, we understood the power of premium domains. We were able to purchase CPAP.com because we took the time and effort to email the seller in German when no one else did. That was a great deal for us.”

Get the full story at dnjournal.com

from Sleep Review http://www.sleepreviewmag.com/2018/07/buckley-media-group-closes-1-million-deal-sleeping-com-snoring-com/…

Did Medicare Recently Start Denying Claims for Your Patients’ Oral Appliances? Here’s Why.

A sleep apnea insurance consultant explains how a Centers for Medicare and Medicaid Services system update is impacting dental sleep medicine providers and Medicare beneficiaries—and gives advice on what to do now.

A few months ago, dental sleep medicine providers began receiving denials from the Centers for Medicare and Medicaid Services (CMS) for their patients’ oral appliances. What many long-time clinicians found particularly vexing is these device claims for patients with obstructive sleep apnea were similar to previous claims that had been paid. So what changed?

First, what has not changed: Under the federal regulations detailed at 42 CFR 414.210(f), the reasonable useful lifetime (also known by the abbreviation “RUL”) of durable medical equipment is 5 years. RUL has always applied to same or similar services. Pertaining to obstructive sleep apnea (OSA), Medicare has always considered positive airway pressure devices and oral appliances to be a same or similar service.

What changed is in March of 2018, a system update was applied that no longer allows for claims to be adjudicated as they were in the past. The system update is effective in all 4 jurisdictions (though implementation date may vary). Providers are not notified of system updates. The update is resulting in patients whose claims are being denied under the reasonable useful lifetime regulation; that is, if an OSA patient tried CPAP within the last 5 years, they can be denied for an oral appliance under RUL. Even if the patient has since returned the positive airway pressure and is no longer on rental, RUL still applies. A Medicare beneficiary who has rented or purchased a positive airway pressure (PAP), which includes continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP), or has been issued an oral appliance within the past 5 years that has been covered under their Medicare durable medical equipment (DME) benefit will have an automatic denial of a claim upon processing.

Clinical Practice

Once diagnosed with OSA, the physician chooses what therapy is best for that patient. Should the physician decide on PAP therapy as the first line

Staying on Track When Baby Gets Sick

There’s no avoiding the fact that your kids are going to get sick from time to time, and when they do, it can derail the progress you’ve made with their sleep pretty quickly.

In today’s video, I’ll list a few of the common mistakes parents make when their little one gets a bug, and how to provide the extra comfort and attention they need without backtracking on their hard-earned sleep skills.

Rather read than watch? Click here.

If your baby, infant or toddler is having trouble sleeping through the night, help is just a click away! The Sleep Sense Program has helped over 57,00 parents to get their kids sleeping 11-12 hours through the night AND taking long, restful naps during the day. If you’re ready to get started today – I’m looking forward to helping you!

The post Staying on Track When Baby Gets Sick appeared first on The Sleep Sense Program by Dana Obleman.

from Blog – The Sleep Sense Program by Dana Obleman https://sleepsense.net/staying-on-track-when-baby-gets-sick/…

Natural Ways To Kiss Snoring Goodbye

Snoring has been the bane of existence of many people. It is so bothersome that both the snorers and their spouses lose sleep on a day to day basis without any promise of relief any time soon. Sleep apnea happens to be incurable and people with the condition only receive palliative treatment so the quality of their lives do not deteriorate that much and they get to sleep better too.

When you think about sleep apnea and snoring, you’d likely associate its treatment with surgery or CPAP, both of which aren’t the cheapest option nor the safest or most comfortable either. Fortunately, over the years, there have been newer and more convenient stop snoring products alternatives in the form of sleep apnea mouthpieces. They are fairly easy to use and quite cost-effective too. You don’t have to spend a fortune to get one because many even offer a free trial so you get a feel for what the device feels like before actually paying for it.

In fact, heavy snoring and sleep apnea may be linked to memory and thinking decline at an earlier age, according to a 2015 study published in Neurology. Since sufferers involuntarily stop breathing during the night, sleep apnea is a serious disorder that requires medical attention. But if you’re ready to put an end to “simple” snoring, try these five lifestyle changes for a more peaceful


Monitor your weight.

Once you doze off, the muscles in your throat relax. Then, the walls of your “floppy” throat begin to vibrate as you breathe in and out (and the narrower your airway, the more obnoxious the snore).

“In general, people who gain a few extra pounds will develop a little fat in the airway,” Dr. Cortes says. Her important dietary tip: Avoid food and alcohol at least three hours before bedtime because they can make the soft tissue more flaccid.

(Via: https://www.goodhousekeeping.com/health/wellness/g4481/how-to-stop-snoring-naturally/)

Oral appliances like the ZQuiet and VitalSleep are rising in popularity because they enable people to overcome their sleep apnea symptoms and live a normal life again. This often entails the ability to …

2018 Exciting Update: Advancing Novel Treatment Options for Narcolepsy

One of my biggest takeaway from the APSS 2018 SLEEP Meeting last month was the great amount of drug development underway for narcolepsy! Below is a list of some of the emerging treatments “abuzz” at #SLEEP2018. These are at various stages in development, and it’s hard to predict how quickly each will advance to (hopefully) gain regulatory approval and become available in the U.S. and other locations worldwide. Some are in clinical trials with opportunities to get involved. If you’ve participated in a clinical trial  — THANK YOU! You’re making a huge difference to improve the lives of people with narcolepsy for years to come.

Please remember, I failed high school biology, sorry mom! But seriously, I am not a scientist or doctor. You should always speak with your narcolepsy specialist about treatment options and whether a clinical trial would be a good option for you. However, I hope this post helps provide access to information. When navigating a serious condition like narcolepsy, information is power


  • Background: Pitolisant is a histamine H3 receptor inverse agonist that activates histamine neurons, under development in the US to treat excessive daytime sleepiness and cataplexy in people with narcolepsy. This an exciting advance because pitolisant works via a different mechanism of action than other treatment options currently available. This great article talks about the mechanisms of action and offers some ideas on how the treatment may work. 
  • Pitolisant has been on the market in Europe for two years now, since it’s approval by the European Medicines Agency in 2016. In Europe, pitolisant is known by its trade name “Wakix”. In October 2017, Harmony Biosciences, LLC acquired the rights to develop, register and market the drug in the United States.
  • Research Findings:
  • Current status: On May 21, 2018, Harmony Biosciences, LLC announced here that the U.S. Food and Drug Administration (FDA) granted Breakthrough Therapy and Fast Track designations to pitolisant for the treatment of excessive daytime sleepiness and cataplexy in people with narcolepsy.
  • Get

Alternatives to Crying it Out

The traditional “Cry-it-out” approach to getting your little one to sleep may be effective, but for many parents, it’s just not something they’re comfortable with.

On the other hand, constantly rocking, shushing, or nursing your baby to sleep every time they wake up can create associations that make it harder for baby to fall asleep independently and can result in frequent nighttime wake-ups.

Luckily, there are several options in between these two far ends of the sleep training spectrum. I’ll tell you all about them and help you evaluate which one is right for your family in today’s video.

Rather read than watch? Click here.