What's Going On In Your Bedroom? !

Spreecast Presentation To The Dental Group !

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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 WellnessWhat'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 SleepRestoration 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!

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•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 napsTime 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!!!