Sleep Should be Silent
Thanks for coming tonight, guys. So tonight's topic,quot;Sleeping Should Be Silent.quot; And why do I say thaté It's because it's true. There's no such thingas normal snoring. So let's talk about thatright off the bat, righté You should not besnoring at all.
No such thing as normal snoring. All righté And I see you nudging eachother and looking around. LAUGHTER The reason I got into sleepmy background by the way is I trained as achild neurologist. So I did pediatricsand neurology back in the east coast, and thencame to Stanford in 1993.
And a common story you hearoften I came to Stanford. Planned to be herejust one year. And it's hard to goback to the Bronx once you've been inPalo Alto, righté So as you know, I'm here. And I've been here since '93. So I'm a child neurologistworking fulltime in the Department of Psychiatry,taking care of mostly adults.
But I take care ofadults and kids. I like to take care offamilies with sleep issues. Because when one persondoesn't sleep well, it affects everybody else,as kind of the picture shows. So I like to think about thedynamics of how people sleep. So just last night Imentioned to some of you earlier I gave a talkat the Children's mostly on the topicof sleep of infants.
And most of the audience wereexpecting mothers couples who were expecting, was prettyeverybody I spoke to. And a few sixweek old babieswere there, sevenweek old, twomonth olds. The oldest was threemonths last night. So it's a contrast totalk to you guys tonight and see how you guys are doing. LAUGHTER
But it is fun to think alittle bit about sleep works. And what I like aboutsleep is that we don't have to separatethe mind from the brain. A lot of times people talkabout the mind and the brain as two different things. And sleep kind ofgrabs both things. So I do neurology. I trained as a neurologist.
Michaels First Time Using CPAP
Hello Im Michael Morgenstern I'm a BoardCertified Neurologist and Sleep Medicine . Today I wanted to talk to you about CPAP.I am founder of the American Sleep Apena Society. As a Sleep Medicine I have the opportunityto treat a lot of patients who have sleep apnea, and, generally, they are treated withCPAP. Many of them have given me great feedback about their experience. For the most part,that has been very positive. I've seen patients who tell me they have a lot more energy, theysleep much more deep, they dream, that they are now able to exercise. Their blood pressureis better controlled. Their diabetes is better controlled. And, in general, I just hear greatthings.
Today, I thought I would talk more as a userthat as a provider. It turns out I have, perhaps, a little bit of mild sleep apnea. Just asbackground about sleep apnea, in case you don't know already, is upper airway narrowingwhich can lead to partial or complete obstructions to breathing while asleep. That can lead tolower levels of oxygen in your blood and disrupt your sleep and make you feel lousy. I am really psyched to actually try it outand use it. I think that, hopefully, I will feel a lot better. I am hoping it is goingto help me lose some weight, which is associated with CPAP usage. Especially because I havea bet against some people in my office to
lose more weight than they can in a month.So hopefully this will be an advantage. But, mostly I am hoping to gain some insight sothat I can better understand and appreciate what my patients are going through. Hopefully,it will contribute to me being able to help them more than I do currently. Let me show you the CPAP machine. This isthe ResMed S10 and it is pretty small. It is about 3 pounds and I would say it is aboutnine inches long. Which is important if you need to go on vacation with it. It has onemain component over here that provides pressure. It has a humidifier chamber over here whichis filled with distilled water that gets humidified.
the device has been programmed to automaticallydetect my breathing. I am just going to put on this mask (the Wisp nasal mask) which isa nasal mask interface. There are different interfaces. There are full face masks, thereare nasal pillow masks, which have prongs and they just go into your nose, basicallyand are even smaller than this. This just fits over your nose. I'll show you from theside. It kind of looks like that. I'm just going to put it on. That is pretty easy todo and that's what it looks like without the hose attached to it. Once I turn on the hose, you'll be able tohear the CPAP. See if you can hear the CPAP
and I will show you the device just automaticallysense that I am wearing it. This can snap on and snap off which is good because if youneed to get up in the middle of the night you don't want to take off this entire thing,which you might have adjusted. You just snap it on and snap it off. So right now you cansee that the device is not on, not powered, right. It's powered actuallyit's pluggedin and its not on. Plug it in, breath in and breath out and its on and the pressure isgoing up. You can even see that it's going to go to 4. Can you hear thaté Probably not.But that is what it sounds like if it is unplugged. A little bit louder. But, you can barely noticeit or hear it if you are another person and
you're in the bed with someone wearing a CPAP.You may not hear it. Especially with the new devices. I think the new devices are reallysmall, they are really compact, they are easy to bring around with youthey're portable.So I am really excited to use it. If you are interested in learning more aboutsleep apnea, you can check out the blog at the American Sleep Apnea Society website atamsleep , where I write a blog about sleep apnea. If you are interested in getting intouch with me you can check out my personal website at MM , where I talk aboutmy neurology and sleep medicine practice out in long island. Or, you could even ask mequestions on Quora (Quora ) where I answer