How to pronounce “snoring” in English

Common Circadian Disorders-- shift work, I don't imagine anybody here is an actual shift worker.So snoring is caused by a blockage of breathing when you're sleeping.

actually just breathe better period whether it's during the day during the night and if you're using CPAP and tpapsleepiness snoring is a warning sign that you have some degree of abnormal breathing during sleep and you do not

Very interesting. Yeah. So I wanted to just give you an overview of what Dr. Shirazi is going to discuss today.And it includes snoring and sleep apnea, especially obstructive sleep apnea, which is more common than I knew.I've been learning a great deal just discussing this talk with Dr. Shirazi.

4,927 so looking at this where it circled 47% of these people actuallycomplain of chronic snoring and then 30% of these people complain of daytimesleepiness and 37% of people complain of non-restorative sleep if you look at the

actually just breathe better period whether it's during the day during the night and if you're using CPAP and tpapsigns include snoring gasping choking during sleep you stop breathing during sleep and daytime

But we are recording today.So if you could keep the snoring to a minimum, that would be excellent.So I thought just to start off.

That make sense? Yeah.And every child should be screened for snoring and sleep apnea, without exemption.

In other words, being sleepy during the day at a time when she shouldn't have been sleepy.She had a 20-year history of snoring and five years of apnea-- which means stopping breathing-- that was observed by others.And so I'm going to go back again for why she saw me.

time okay so this is a very common myth sleep apnea is just loud snoring okay soit is much more serious than loud snoring um in fact snoring is a warning sign that you have some degree ofobstruction to air flow during sleep um when you snore it means that that you're trying to get air in but something is

obstruction to air flow during sleep um when you snore it means that that you're trying to get air in but something isnot right otherwise you shouldn't be snoring so snoring is never normal if you snore please seek evaluation see adoctor tell them you snore now the other thing is you don't have to snore to have sleep apnea there are many people who

stop during the night if you if your Airway is suddenly occluded and then youcan't breathe um so snoring may be the only sign that you have that you knowthat you have sleep apnea so please see a doctor if you chronically or habitually snore

We're spiritual beings. So when I apply acupuncture and the philosophies of Chinese medicine for people with just straight insomnia,it seems to be a great adjunct when treating their snoring or sleep apnea problem.Very interesting. Yeah. So I wanted to just give you an overview of what Dr. Shirazi is going to discuss today.

And only about 50% of it hold, stick with the CPAP.So it's really more 95% of the population with snoring and sleep apnea do anything about it or even know about it.We're going to talk about the types of sleep apnea.

It's the arousals that actually cause the inflammation what we're finding.So your arousals can come from your own snoring or sleep apnea or they can come from your bed partner's snoring and sleepapnea. It can come from a noisy neighbor's dog, from construction, from a dog or a cat in your bed that's constantly jostling or they themselves are snoring.

Common Circadian Disorders-- shift work, I don't imagine anybody here is an actual shift worker.And those are some of the things that contribute to snoring.

life so um the very common myth that I hear with my patients is you can have snoring without having sleep ABand I just want to stress again that snoring is always abnormal okay it is a sound that that's made in your throatwhen air is trying to flow in but it's blocked um and then snowing can also

um because I think it affects younger people younger population and especially women um so on a sleep study what you'regoing to see is um basically you're going to see snoring um some air flowlimitation and just brain arousals and that's what the physician is going to see on a sleep study these findings are

know 150 or higher so you can see the severity is it's very wide um we also look at the the blood oxygen level aswell as the Press presence or absence of snoring okay so this this is one of my patients who went through a sleep studyand I just thought I'd show it because you know it's it's actually you know she's she's pretty cute looking here but

yet you're living in this tiny uh sort of it's like a couple of your desks push you get a tiny space and the smallestthings you know the other person sort of farting or snoring or laughing in a weird way or or cussing their toenailswe all trying to eat and there's bit of a toenail pee around the T just the smaller things become huge friction

The overhead lights throb and buzz in the moist air, heavy as a blanket, nothing moves.Even the sentries in their guard towers are snoring, lulled by the stillness and sapped like their prisoners by the cumulative weight of the heat.There are no politics in the waning hour of the night.

And we know that obesity can cause sleep apnea.But more often times, it takes whatever snoring and sleep apnea level you have and exasperates it, which will of course deprive your sleep even more.So as we go through these slides here, we're going to see that there's a really big connection between weight gain and sleep deprivation or sleep

to storing and sleep apnea.So someone with a high testosterone content is going to be more predicated to having snoring and sleep apnea.And that's why when women go into menopause, we see a shift in the balance of their hormones more into testosterone, and then we see more apneas, typically.

And some people, if they're very, very severe, unfortunately CPAP, it becomes their best option.But the vast majority of the people in the public that have snoring and sleep apnea fall under the mild to moderate category.So they're well within a dentist's scope of practice to treat with oral appliances.

I don't know if we've had longitudinal studies.Because you have to realize, understanding snoring and sleep apnea has only been going on for 40 years.Before that, it was just Pickwickian, where we talked about the jolly old fat man that snored and could sleep standing up.

That make sense? Yeah.And they'll show a 50% reduction in AHI scores of the snoring and sleep.

and uh it will progress to to to severe sleep apne overtime okay so this is a very common myth sleep apnea is just loud snoring okay soit is much more serious than loud snoring um in fact snoring is a warning sign that you have some degree of

morning headache mood disturbance insomnia um older age the older you get the more likely your sleep apne will besevere if there's a positive family history of sleep AP or snoring um ethnicity is very importanthere so the Studies have shown that African-Americans and Asian are much High have a much higher prevalence of

congestion causes uh pathologic pathologic changes in air flow and and increases air flowresistance uh those with chronic rtis are more likely to report habitual snoring chronic daytime sleepinessdaytime fatigue and non-restorative sleep and then those with nasal congestion due to allergies are twice as

people who have uh persistent nighttime symptoms such asyou know just like nasal congestion um have a high um percentage of having snoring daytime sleepiness andnon-restorative sleep so this study was done um and the the total number of patients was

Doesn't always. Okay. And this is why do you think it's so poorly diagnosed? So the classic giveaways, if you were that person whowakes up four counties because you snore so loud, snoring doesn't necessarily mean you have sleep apnnea, but it's a really strong indicator. That's one formof it. So apnea happens for a bunch of different reasons. More evidence recently has suggested like neck size

Obesity, it goes both ways.Like I mentioned, being obese can cause you to have snoring and sleep apnea, but can actually take whatever you have and make it worse.We see that more commonly.

Common Circadian Disorders-- shift work, I don't imagine anybody here is an actual shift worker.OK. So there's four or five people here who are snoring.

in car accidents and treating sleep apnea will lead to a dramatic Improvement in quality oflife so um the very common myth that I hear with my patients is you can have snoring without having sleep ABand I just want to stress again that snoring is always abnormal okay it is a sound that that's made in your throat

come please get evaluated this is a study done a while ago but I just want to show you um the significance of it soon the left side where it says SLE the column for Sleep problem there's chronic snoring excessive daytime sleepiness andnon-restorative sleep and if you go over towards the right side this is basically

you have sleep apnea okay so these are some of the very common symptoms um you don't have to have all of it you mayhave just one or two but um let me just go down the list so chronic snoring okay that's the easiest sign to know that youmay have sleep apnea if you wake up from sleep with a choking sound or gasping for breath if you have witnessed apneas

So your arousals can come from your own snoring or sleep apnea or they can come from your bed partner's snoring and sleepapnea. It can come from a noisy neighbor's dog, from construction, from a dog or a cat in your bed that's constantly jostling or they themselves are snoring.That can cause the fragmentation.

That make sense? Yeah.Yeah. The most common side effect, if you will, or symptom of snoring and sleep apnea in children, interrupted sleep, is hyperactivity and ADD.

That make sense? Yeah.Yeah. The elderly, of course, need snoring-- sleeping as well, sorry.

Maybe the Iranian Googler should put some cat sign on their t-shirt too.But just speaking of Iranian Googlers, I hope folks that are watching us live from Mountain View are not snoring over there.We have weekly Persian lunch on Fridays in Blake's Cafe.

Common Circadian Disorders-- shift work, I don't imagine anybody here is an actual shift worker.In other words, somebody falling asleep at the wrong time in the wrong place, or unable to focus and concentrate, snoring, insomnia-- and I'll cover all of these very briefly in a few

Common Circadian Disorders-- shift work, I don't imagine anybody here is an actual shift worker.Now, normally, we don't worry a whole lot about snoring unless the snoring is associated with something else or is a symptom of something else,

Another six weeks went by, I lost 15 more pounds.And let's see, my wife said, well, you're not doing that weird snoring thing at night anymore.And then, if you look up sleep apnea, most sources will say that if you're sort of overweight, not super obese but sort of overweight, if you lose 10 or 15% of your body

So we definitely see differences in what the patient's hormonal balance is as it relatesto storing and sleep apnea.So someone with a high testosterone content is going to be more predicated to having snoring and sleep apnea.