Shelley berson spreecast v2

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Shelley berson spreecast v2

  1. 1. What's Going On In Your Bedroom? ! Spreecast Presentation To The Dental Group ! ! ! June 9, 2014
  2. 2. • Brain and Behavior major in college! • Triple Board Certified Surgeon: ENT, Sleep Medicine and Allergy! • Understands how nutrition, activity, and sleep affect wellness! • Creates individualized patient options using current technologies! • Founder of ZZenter Shelley Berson MD, FAASM, FAAOA
  3. 3. Ear, Nose and Throat disorders -Form & Function • Earwax removal, ear pain and infections, tinnitus, hearing loss • Nosebleeds, post nasal drip, septum and turbinate problems • Tonsil, adenoid, sore throat, cough, hoarseness and reflux problems
  4. 4. Sleep Matterzz ZZenter, Ahh-ha!
  5. 5. ZZenter helps the good ZZZ’s enter!! I-llness vs. We-llness
  6. 6. Less manmade white stuff! More naturally colored food YES NO
  7. 7. Do the exercise you'll do!
  8. 8. Pee lemonade - - not apple juice!!
  9. 9. Mindfulness Begets Wellness What's in your picnic basket?
  10. 10. Sleep Loss Consequences • 10-15% fatal vehicle accidents! • Night, high speeds and young men! • Effects increased with alcohol! • Performance lapses
  11. 11. Gasping/choking at night Morning headaches/TMJ Dry mouth/ chronic laryngitis Irritability/ forgetfulness High blood pressure / diabetes/ allergies Restless legs/frequent urination Poor Sleeper Problems
  12. 12. Sleep deprivation is<6 hours
  13. 13. Function of Sleep Restoration of energy Consolidation of memory Detoxification & repair DREAMING!
  14. 14. What is Sleep?
  15. 15. Brain Waves Slow With Sleep
  16. 16. Links nervous and endocrine systems Hypothalamus controls sleep and wakefulness
  17. 17. Circadian Rhythm Management
  18. 18. Awake in light and asleep in dark
  19. 19. ! •Addictive! ! •Suppress Dreaming! ! •Affect concentration! ! •Can not replace sleep Sleep Aids Are:
  20. 20. www.Sleepyti.me
  21. 21. Sleep Hygiene Tips: Natural rhythm of day-light & dark-night 30-60 min solar noon outdoor light Avoid blue wavelength light Sleep in total darkness Set alarm to prepare bedtime wind down an hour in advance Cool and Quiet bedroom Don't eat or exercise too late
  22. 22. Medi-T- tation trumps Medi-C-ation
  23. 23. ZZenter Services
  24. 24. Snoring and Sleepiness ZZenter offers comprehensive sleep history and airway examinations to quantify tiredness and identify dangerous sleep apnea and sleep disorders
  25. 25. STOP -BANG Score Snore! Tired! Obstructive apnea! HyPertension! ! BMI >35 ! Age > 50! Neck! >15" female! >17"male! Gender male! ! Refer if >5
  26. 26. Home Sleep Testing • Convenient at your home • Confidentially interpreted and reviewed by Dr. Berson • High correlation with in- lab results • Refer to AASM certified sleep labs if needed
  27. 27. Sleep: A Symphony Of Our Mind And Body • Snoring sound ! • Leg movements! • Airflow! • Effort! • Oxygen saturation! • HR and EKG ! • Brain waves! • Sleep stages N1 N2 SWS REM! • Positions
  28. 28. Classic CPAP mask
  29. 29. Non-CPAP Options • Provent nasal EPAP, Oral appliances, positioning pillows, palate implants, Winx, minimally invasive procedures • CPAP devices if needed
  30. 30. Allergies ZZenter staff understand how allergies cause sneezing, nasal and oral itching, congestion, mouth breathing, snoring, apnea, GI disturbances and tiredness
  31. 31. Allergy Evaluation • Find allergens in the bedroom that contribute to nasal congestion! • Food allergies that cause GERD! • Immune system weakened by poor slow wave sleep and altered immune status
  32. 32. Allergy Testing • No needle allergy Multitesting • Immediate answers • Pollens, dust mites, molds, animal dander • Food allergy- skin, RAST and ALCAT and Cyrex teting offered
  33. 33. No Needle Allergy Treatments - Customized Sublingual Allergy Drops
  34. 34. • ZZenter staff understands how congestion can lead to chronic infections, reduced immunity, headaches, mouth breathing, sleep disturbances, and side effects from commonly used medicines Sinusitis Healthy Sinuses Diseased Sinuses
  35. 35. Sinus Treatments • Diet and lifestyle options • Topical therapies • Balloon sinus procedures • Sinus surgery as a last resort
  36. 36. Same Day Surgeries
  37. 37. SAA(Y)-AAHA! • Sleep • Airway • Allergy • And Affiliated Healthcare Associates
  38. 38. Extended ZZenter Teammates •Functional Medicine/Wellness Centers •Nutritionists and Exercise Trainers •Respiratory Therapists •Behavioral Therapists •Pain Anesthesiologists •Physical Therapists •Chiropractors •Gyn Women's Health MD's •TMJ headache /OAT dentists •Plastic Surgeons •Other ENT MD's
  39. 39. The Bedtiming Story Time naps Time 8 hours of sleep Time for REM Plan daylight exposure Plan food, activities, H2O Plan ahead for all-nighters
  40. 40. The secret to a good night sleep ... A good day awake!!!

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