Dont Ignore the Snore Resource Guide

During our Dont Ignore the Snore all day live event, we couldnt believe how many calls, videos, recordings,
emails, messages we got from you. Actually, we get it, though. Many of us share bed-space with someone
who snores. But were glad so many of you reached out and we hope you got the answers you needed.

Dr. Richard Klein, founder of the Michigan Head and Neck Institute in Warren did our Facebook live-chat. He
answered more than a question a minute. In our Dont Ignore the Snore phone-bank, there was never a time all
of our physician experts got a break at the same time. The moment we struck up a get-to-know conversation,
the phone would ring.

Lots of people had questions about snoring. Some wanted to know about products. One man called to say we
were just trying to scare people into going to the doctors office. Nothing could be further from the truth.
This is an extremely under-covered, under-covers problem. We want to arm you with real information so you
can make a decision on whats best for you. But whatever you decide, the just plain facts aresnoring should
not be ignored. Ever. It should be addressed. If not because it can create the non-medical problem of
malfunctioning relationship and affection withdrawal, but because if your loved one is ticked off at you
because your snoring is annoyingthats actually the least of your problems. A bigger issue is if you actually
have sleep apnea, and you stop breathing, you are at a higher risk of heart disease, stroke, depression, weight
gain, sexual dysfunction, even death.

We got many questions about weigh gain, weight loss. Lots of people dont understand why skinny people
snore. And it has little to do with natural weight and everything to do with the construction of your throat.

Dr. Klein picks up the blog from here. If you have a problem, feel free to connect with our experts to continue
the conversation.

Weve all heard the quote Which came first, the chicken or the egg?, and this weeks blog will focus on a
similar scenario the link between sleep and pain. Pain makes it hard to fall/stay asleep, and alternatively,
 lack of sleep creates a gateway for pain. Each person has to determine what is the chicken and what is the egg
and treat which came first. Is the pain a manifestation of OSA, or is the pain the cause of poor sleep?

The National Sleep Foundations 2015 Sleep in America Poll found that pain is a key factor affecting how
adults sleep. When asked how often they get a good nights sleep, less than half those with acute pain and only
39 percent with chronic pain said always or often, and one quarter of chronic pain sufferers reported poor
or very poor sleep quality. Whats even more interesting? People with pain averaged 42 minutes of weekly
sleep debt (the gap between the sleep they need and the sleep they get). The greater the level of pain, the
greater the sleep debt.

Yes, pain is a clear obstacle for quality sleep. Poor sleep can make your tolerance to pain deteriorate.
However, you can be proactive and make changes in your routine to improve your sleep. I want to share some
tips with you, and hopefully you can put them to use, or help a loved one suffering from chronic pain.
1. Make sleep a priority People who are motivated to get enough sleep actually sleep more, an average of 36
minutes per night (Thats 4.2 hours of extra sleep each week).
2. Create a bedtime routine People with chronic pain who have a bedtime routine sleep more. Set a start time
for your routine (at least 30 minutes before bed) when you put away work, shut off electronics, and put
stressful matters on hold.
3. Maintain the condition of your bedroom If youre in pain, that means youre more sensitive to your
surrounding environment. Use dark curtains or black-out shades, keep the temperature cool, keep electronics
out of the bedroom and make sure you have a suitable mattress.
4. Ease your mind Pain is associated with stress. Chronic pain sufferers usually think they have less control
over their sleep and worry about lack of sleep affecting their health. Breathing exercises, meditation or other
relaxation techniques can be very helpful in these situations.
The relationship between pain and sleep quality is well documented in the literature. Sleep complaints are
present in up to 88% of chronic pain disorders and at least 50% of patients presenting with insomnia also
suffer chronic pain. The longer that you have pain and therefore disturbed sleep, the greater the chance for a
permanently disrupted sleep-wake cycle. Sleep impairment can more accurately predict future episodes of
chronic pain, as compared to pain predicting sleep deficits.
Don't Ignore the Snore:
Resource Guide

The Doctors

Dr. Thomas Giancarlo

Business/Hospital: Michigan Neurology Associates, P.C.,

Office Number: 586-445-9900
Website: michiganneurologyassociates.com
Specialty: neurology, pain management, sleep disorders

Our practice is a neuroscience practice, so we do general neurology and all sub specialties including sleep and
we have a pain physicians and a comprehensive pain program including psychology. So we can manage
anything that involves disorders of the muscles, nerves, brain and pain.

Dr. Shaun Jayakar

Business/Hospital:St. John Hospital & Medical Center

21610 E 9 Mile Rd, St Clair Shores, MI 48080
Office Number:(586) 775-6010
Website: http://www.primarycarephysicianmd.com/
Specialty:Internal Medicine, Sleep Medicine Specialist, Geriatrics

I am a Sleep Medicine Specialist who is Board Certified through the

American Board of Internal Medicine. I manage patients with the entire
gamut of sleep disorders. The bulk of my patients have Obstructive
Sleep Apnea and/or Insomnia. I run sleep studies including Polysomnography, Multiple Sleep Latency Test,
Maintenance of Wakefulness Test, and Actigraphy.I interpret all tests and then give detailed reports to the
Primary Care Physicians. I am also a physician with St. John Hospital and Medical Center.

Dr. Richard E. Klein, Dentist (DDS)

Business/Hospital: Michigan Head & Neck Institute

Office Number: 586-573-0438
Website: www.michiganheadandneck.com
Specialty: DDS strictly treating TMJ and Sleep Apnea

I founded the Michigan Head and Neck Institute in 1985 to treat

headaches, ear and eye problems and neck aches related to
temporomandibular joint dysfunction...then added obstructive sleep
apnea treatment in the 1990s for people who had OSA who could not or would not wear the CPAP mask. I
have been asked to explain OSA in DC to the Department of Transportation and, the United States Congress
staff members. Our government is concerned about highway deaths by drivers with untreated OSA

Dr. Douglas Kubek

Business/Hospital: Lakeshore Ear Nose and Throat Center

21000 E 12 Mile Suite 111
St Clair Shores 48081
Hospital: St John Hospital, McLaren Macomb Hospital, Beaumont, Henry Ford
Office number: 586-779-7610
Website: www.lakeshoreent.com
Specialty: ENT, Sleep Medicine, Facial Plastic Surgery, Sinus Surgery

Lakeshore is the largest private ENT in Michigan. We have fellowship trained

surgeons in all areas of ENT. I am on the national advisory committee for sleep
medicine for ENT and I am one of 3 ENT docs in Detroit board certified in sleep
medicine.

Dr. Barbara Fisher

Business/hospital: Founder and Clinical Director

United Psychological Services, Shelby Twp, MI
Office number: 586-323-3620
Website: www.unitedpsychological.com

I focus on sleep attention disorders, memory issues, psychological evaluations,

and brain training.

Dr. Meeta Singh

Business/ Hospital: Henry ford health center-Columbus sleep center

Office: 248-344-2490
Website: www.henryford.com
Specialty: sleep apnea

Dr. Singh is a sleep medicine physician with a focus on Insomnia, Obstructive and
Central Sleep Apnea, and Sports Medicine. She has served as a consultant for
multiple NFL, MLB, NHL, NBA and college sports teams. Dr. Singh performs
athletic sleep assessments to help players maximize their athletic performance. She
helps sports teams and athletes with travel management, focusing on addressing
sleep deprivation and jet lag.

REFERENCES:

Hemmeter U, Kocher R, Ladewig D, Hatzinger M, Seifritz E, Lauer CJ, Holsboer-Trachsler E. Sleep Disorders
in Chronic Pain and Generalized Tendomyopathy. Schweiz Med Wochenschr. 1995 Dec 9; 125 (49): 2391-7.
Roehrs T, Roth T. Sleep and Pain: interaction of two vital functions. Neurol. 2005 Mar; 25(1): 106-16.
National Sleep Foundation Website
www.sleep.org
Body In Mind (BiM Org) Website
www.bodyinmind.org
Mann, D. Pain: The Sleep Thief. February 2010 WebMD Archives.