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What's Going On In Your Bedroom?
!
Spreecast Presentation To The Dental Group
!
!
!
June 9, 2014
• 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
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
Sleep Matterzz
ZZenter, Ahh-ha!
ZZenter helps the good ZZZ’s enter!!
I-llness vs. We-llness
Less manmade white stuff!
More naturally colored food
YES
NO
Do the exercise you'll do!
Pee lemonade - - not apple juice!!
Mindfulness Begets Wellness
What's in your picnic basket?
Sleep Loss Consequences
• 10-15% fatal vehicle
accidents!
• Night, high speeds
and young men!
• Effects increased
with alcohol!
• Performance lapses
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
Sleep deprivation is<6 hours
Function of Sleep
Restoration of energy
Consolidation of
memory
Detoxification & repair
DREAMING!
What is Sleep?
Brain Waves Slow With Sleep
Links nervous and endocrine
systems
Hypothalamus controls sleep and
wakefulness
Circadian Rhythm Management
Awake in light and asleep in dark
!
•Addictive!
!
•Suppress Dreaming!
!
•Affect concentration!
!
•Can not replace sleep
Sleep Aids Are:
www.Sleepyti.me
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
Medi-T- tation trumps Medi-C-ation
ZZenter Services
Snoring and Sleepiness
ZZenter offers
comprehensive sleep
history and airway
examinations to
quantify tiredness and
identify dangerous
sleep apnea and sleep
disorders
STOP -BANG Score
Snore!
Tired!
Obstructive apnea!
HyPertension!
!
BMI >35 !
Age > 50!
Neck!
>15" female!
>17"male!
Gender male!
!
Refer if >5
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
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
Classic CPAP mask
Non-CPAP Options
• Provent nasal EPAP, Oral
appliances, positioning
pillows, palate implants,
Winx, minimally invasive
procedures
• CPAP devices if needed
Allergies
ZZenter staff
understand how
allergies cause sneezing,
nasal and oral itching,
congestion, mouth
breathing, snoring,
apnea, GI disturbances
and tiredness
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
Allergy Testing
• No needle allergy
Multitesting
• Immediate answers
• Pollens, dust mites,
molds, animal dander
• Food allergy- skin,
RAST and ALCAT and
Cyrex teting offered
No Needle Allergy Treatments -
Customized Sublingual Allergy Drops
• 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
Sinus Treatments
• Diet and lifestyle
options
• Topical therapies
• Balloon sinus
procedures
• Sinus surgery as a last
resort
Same Day Surgeries
SAA(Y)-AAHA!
• Sleep
• Airway
• Allergy
• And Affiliated
Healthcare Associates
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
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
The secret to a good night sleep ...
A good day awake!!!
Shelley berson spreecast v2

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