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December 28, 2009
Here's Your Answer To a Healthy New Year…
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"There are many good books on better breathing. But none of them address why you need to breathe well when sleeping. Let Dr. Steven Park, an ENT physician, show you how you can breathe better while sleeping. Not only will this improve your energy, it can also save your life."
- Christiane Northrup, M.D., Author of New York Times bestseller, The Wisdom of Menopause
"Both patients and physicians must read Dr. Park's unique and enlightening perspective on health issues related to poor breathing."
- Dean Ornish, M.D., Author of New York Times bestseller, Dr. Dean Ornish's Program for Reversing Heart Disease
"The unique concepts presented by Dr. Park questions traditional models of health and disease and challenges physicians and patients alike to be inspired towards better health."
- Mark Liponis, M.D., co-author of New York Times Bestseller, Ultraprevention
“Dr. Park’s revelation of the vicious cycle of interrupted sleep and health problems turns the medical community on its head. More importantly, it provides answers for so many who struggle to understand why they feel so lousy, and how they can feel better.”
- Jacob Teitelbaum, M.D., leading authority on chronic fatigue syndrome, author of best-seller, From Fatigued to Fantastic
“Many physicians treat only the symptoms of illness. Dr. Park carefully identifies what is causing millions of us to be sick, and shows us how to get and stay healthy and happy.”
- James, O'Keefe, M.D., author of The Forever Young Diet and Lifestyle
“Dr. Park's book offers not only a fascinating look at the critical role sleep plays in health and wellness, but practical advice to help resolve health- and energy-sapping sleep problems.”
- Mary Shomon, author of the New York Times bestseller, The Thyroid Diet: Manage Your Metabolism for Lasting Weight Loss
"So many health problems result from sleep interrupted by breathing problems, poor sleep position, and other causes, yet few physicians make the connection and treat accordingly. This book will begin to change that and lead people to better health."
- Eric Braverman, M.D., Author of the bestselling book, The Edge Effect
“Sleep Interrupted” is a seminal manuscript which not only reviews the upper airway anatomy and physiology in a concise reader-friendly fashion, but more importantly postulates associations between poor sleep and some everyday maladies in a manner heretofore unaccomplished. This is must reading for anyone who sleeps or breathes."
- Stephen Lund, M.D., Co-Director, Sleep Disorders Institute, New York CIty
"The concepts in this book hold so much promise for a Kuhnian paradigm shift in the knowledge and practice of conventional medicine."
- Dorothy Hung, Ph.D., Assistant Professor, Department of Sociomedical Sciences, Mailman School of Pubic Health, Columbia University
"Billions of dollars are spent every year in ICUs throughout the United States, attempting to treat and salvage patients at the end stage of chronic conditions. In contrast, very little time and effort is invested, in the education of the lay public, in recognizing and treating sleep disorders that can lead to a number of these chronic conditions. This outstanding and simply written book does just that. A must read."
- Anita Bhola, M.D., FCCP, Attending Physician, Critical Care Medicine, Sleep, Pulmonary and Critical Care Medicine, Assistant Professor, Albert Einstein College of Medicine
"This is an excellent book that covers sleep and the consequences of not receiving good restorative sleep in an inviting, conversational style. Once you read this book, you'll know more about sleep-breathing problems than most doctors. It's a must read for anyone with chronic sleep or fatigue issues, and especially for all healthcare practitioners."
- Brian Palmer, D.D.S., Sleep apnea researcher and breastfeeding advocate
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The 5 Dangers of Benign Snoring
November 17, 2009
Snoring is so common these days that it’s synonymous with sleep. In the movies or on TV, a sleeping person is depicted with snoring sounds. Even in the comics, the ZZZZZZZZs that you see coming from the sleeper may signify snoring.
Within the sleep community, we often use the term benign snoring to mean snoring without any sleep apnea. We see it as the least important form of obstructed breathing, without any medical consequences. Every time I see this in our medical journals or in the media, I get mildly annoyed, since there’s so much information to show that snoring is never benign.
Snoring itself is usually caused by vibrations from the soft palate. Think of a reed in a wind instrument, or a flag flapping in strong winds making lots of noise. In the human throat, any degree of abnormal narrowing of the throat promotes vibrations of the free edge of the soft palate. The loudest recorded snore was found in a British woman whose sound levels reached 113 dB, which is louder than a low-flying jet. There are other areas in the throat that vibrate and make sounds, but they’re probably a secondary effect of the soft palate vibrations.
Here are 5 reasons why snoring is never benign:
1. If you snore, you have a 35% chance of having obstructive sleep apnea, which is a potentially serious medical condition where you stop breathing multiple times every hour, leading to oxygen deprivation, heart disease, heart attack, and stroke. The best way to diagnose sleep apnea is to undergo a formal overnight sleep study. If you stop breathing at least 5 times every hour, with each episode lasting 10 seconds or longer, then you’re told you have sleep apnea. But what if you stop breathing 15 times every hour, but you wake up after 1-5 seconds for each episode? Then you’re told you don’t have sleep apnea, with no clear explanation why you’re so tired all the time.
2. It’s been shown experimentally in rabbits that artificially applying vibrations to the carotid artery causes thickening of the carotid artery walls, similar to what we see in humans with plaques.
3. Snoring without sleep apnea has been shown to increase your chances of being involved in a car accident.
4. Not only is snoring potentially dangerous for your own health, it also disrupts your bed-partner’s sleep quality, health, and relationships. There have been reports of bed-partners becoming deaf in one ear.
5. By not taking snoring seriously, it’s likely that you’ll delay diagnosing obstructive sleep apnea. Many people try various over-the-counter anti-snore aids with mixed results. Most end up giving up until the problem gets worse.
If you or your loved one snores, take it seriously and get it checked out by a sleep physician or an ear, nose and throat doctor. Even if you’re found not to have sleep apnea, treat the snoring. Just because the sleep study doesn’t say you have sleep apnea doesn’t mean that you don’t have a sleep-breathing problem.
Is the XMRV the True Cause Of Chronic Fatigue Syndrome?
October 28, 2009
Researchers and the media are buzzing with the recent finding that a retrovirus called XMRV is found in 95% of chronic fatigue syndrome (CFS) sufferers, compared with only 3.7% in controls. For CFS sufferers, this further legitimizes the condition, whereas skeptics state that there’s no proof that the virus causes the symptoms, and that more studies must be done.
Dr. Jacob Teitalbaum, world renown expert on chronic fatigue and fibromyalgia, published a response to this media blitz (click here for his response). Essentially, he acknowledges that a virus can cause or trigger CFS, but that there are many other infections (viruses, bacteria and fungal) that can cause or trigger this condition as well. In addition to infectious causes, there are 6 other areas that he addresses as part of his SHINE protocol: S is for sleep, H is for hormonal, I is for infections, N is for nutrition, E is for exercise. With this protocol, Dr. Teitelbaum found that 91% of CFS sufferers felt much better with his protocol. You can take his free symptom analysis quiz on his website at Vitality101.com.
I tend to favor Dr. Teitelbaum’s explanation for CFS. From my perspective as a sleep-breathing expert, sleep apnea and upper airway resistance syndrome can be potent triggers, but the vicious cycle that ensues affects every system in your body (hormonal, metabolic, neurologic, digestive, cardiovascular, etc.). Anything that causes temporary or permanent narrowing of your upper airways can trigger this process. Additionally, anything else that increases your stress levels (whether internal/physiologic or external (physical, emotional or psychological) can also alter your energy balance mechanisms. Dr. T. uses the analogy of blowing a fuse in your body, with an energy crisis that results.
Everyone is looking for that one bug or gene that causes certain medical conditions. For example, the cold sore virus (herpes simplex) has been blamed for Alzheimer’s Disease. The same XMRV was found at higher levels in prostate cancers. The Epstein-Barr virus has also been implicated in CFS. So far, there’s no proof that these viruses actually causes the symptoms in CFS.
One thing to take away from this post is that in general, the virus (or infection) that caused the initial illness is not what’s casing your current chronic long-term symptoms. Yes, other secondary infections can occur, with various other systemic problems, but the key point here is that you have to look at the entire person and treat all the problems simultaneously, rather than targeting just one problem.
A simple example is with the Epstein-Barr virus and mononucleosis. This virus preferentially affects your lymphoid system. The tonsils are part of your lymphoid system. The larger your tonsils, the more likely your symptoms will be severe and last a lot longer. Since by definition your tonsils will be larger when your jaws are smaller, the smaller your airways will be, and the more likely you’ll suffer from repeated breathing obstructions, causing throat inflammation and even more swelling.
With all the media buzz about these new "discoveries," how do you deal with these findings? Do you take it with a grain of salt? Or do you get excited and can’t wait to get tested or try it out? Please enter your opinions in the box below.



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