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AASM
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Talking Sleep
Using Your Voice to Improve Reimbursement
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes members of the American Academy of Sleep Medicine advocacy team for an inside look at the work being done behind the scenes to support sleep clinicians and advance patient access to care. Joined by Diedra Gray, Tracy Bunge, Eric Albrecht, and Melissa Clark, the conversation explores how physician reimbursement decisions are made and how sleep medicine professionals can help shape the future of the field. Many sleep clinicians have experienced the frustration of declining reimbursement, changing payment policies, and increasing administrative burdens. While it can feel...
2026-10-23
46 min
Talking Sleep
Daylight Saving Time: Advocating for Sleep Medicine
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Karin Johnson, Professor of Neurology at UMass Chan School of Medicine–Baystate and expert on circadian rhythm policy, to discuss two competing legislative bills addressing permanent time change in the United States. Two bills currently before Congress present starkly different solutions: the Sunshine Protection Act for permanent daylight saving time and the Sunshine for Our Kids Act for permanent standard time. Both campaigns use compelling language that makes their position sound obvious, complicating decisions for policymakers and clinicians alike. Dr. Johnson reviews the AA...
2026-07-17
50 min
Talking Sleep
Insomnia Combination Treatment: New AASM Guidelines
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Daniel Buysse and Dr. Todd Arnedt, both members of the AASM clinical practice guideline committee, to discuss the newly released guidelines on combination treatment for chronic insomnia disorder in adults. Unlike previous guidelines, this new guidance specifically addresses what happens in real-world clinical practice: patients often request both cognitive behavioral therapy for insomnia (CBT-I) and pharmacotherapy, or arrive seeking medications while clinicians advocate for behavioral interventions. The guidelines provide evidence-based recommendations for navigating these combination treatment scenarios, incorporating patient preferences in ways previous guidelines did...
2026-05-22
51 min
Talking Sleep
Inpatient Sleep Medicine: New AASM Guidelines
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Reena Mehra, professor in the Division of Pulmonary, Critical Care and Sleep Medicine at the University of Washington in Seattle, and Dr. Dennis Auckley, professor in the Division of Pulmonary, Critical Care, and Sleep Medicine at MetroHealth Medical Center, Case Western Reserve University in Cleveland, to discuss the newly released AASM clinical practice guidelines for evaluating and managing obstructive sleep apnea in hospitalized adults. The guidelines address a significant gap in inpatient care: how to systematically screen for sleep apnea in hospitalized patients, prioritize high-risk...
2026-03-13
54 min
PRISM Rounds: Pulmonary Critical Care & Sleep Podcast
S01E15 Central Sleep Apnea: AASM 2025 Guideline—What to Use (and Avoid) in Real Patients
In this episode of PRISM Rounds, two hosts break down the American Academy of Sleep Medicine (AASM) 2025 Clinical Practice Guideline on treating central sleep apnea (CSA) in adults—practical bedside takeaways plus a methods-focused look at evidence certainty.We cover CSA phenotypes (heart failure/Cheyne–Stokes, opioid-associated CSA, treatment-emergent CSA, high altitude), what “conditional” recommendations mean, and how to apply options like CPAP, BPAP with backup rate, ASV (with appropriate caution in select heart failure populations), supplemental oxygen, acetazolamide, and transvenous phrenic nerve stimulation.Educational use only; not medical advice.Source (J Clin Sleep Med, 2025): https://doi.org/10.5664/jcsm.11858 Tags#CentralS...
2026-02-21
41 min
Talking Sleep
Are Hypnotics Safe in Untreated OSA? Insights for Clinicians
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Mark Boulos, Dr. Khullar, and Dr. Mak for an in‑depth discussion on a topic that has challenged clinicians for decades: Are hypnotics safe for patients with untreated obstructive sleep apnea (OSA)? As new therapeutic options emerge and our understanding of comorbid insomnia and sleep apnea (COMISA) evolves, clinicians are increasingly confronted with nuanced decisions about when—and whether—to use hypnotic medications. The guests unpack the latest evidence and share insights from recent studies, including research evaluating dual orexin receptor antagonists (DORAs) such as lembor...
2026-02-13
52 min
Talking Sleep
Wearable Sleep Tech: Clinical Use and Best Practices
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes three members of the World Sleep Society's consumer health technology task force—Dr. Michael Chee, Professor and Director of the Center for Sleep and Cognition at the National University of Singapore who chaired the guideline-writing task force; Dr. Mathias Baumert, an associate professor leading the biomedical engineering discipline of the school of Electrical and Mechanical engineering at Adelaide University in Australia, and Dr. Cathy Goldstein, professor of neurology at the University of Michigan. to discuss their global recommendations for the use of consumer sleep technology and wearable health trac...
2026-01-30
55 min
Talking Sleep
Central Sleep Apnea Treatment: New AASM Guidelines
In this season 8 premiere of Talking Sleep, host Dr. Seema Khosla welcomes three members of the AASM guideline committee—Dr. Rami Khayat, Professor and Division Chief of Pulmonary, Allergy & Critical Care Medicine and Director of Penn State Health Sleep Services; Dr. Shirine Allam, Professor of Medicine at Emory University and Program Director for the Pulmonary and Critical Care Fellowship at the Atlanta VA Medical Center; and Dr. Christine Won, Medical Director of Yale Centers for Sleep Medicine and Professor of Medicine at Yale University—to discuss the newly released AASM clinical practice guidelines for central sleep apnea treatment. Th...
2026-01-16
1h 08
Talking Sleep
JCSM Year in Review: Top Sleep Research of 2025
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Safwan Badr, the newly appointed editor of the Journal of Clinical Sleep Medicine and sleep medicine physician at Wayne State University, for an in-depth review of the most impactful articles published in JCSM during 2025. Dr. Badr discusses his vision for the journal and the editorial selection process, then guides listeners through key research findings shaping clinical practice. The conversation highlights both highly popular papers and important studies that deserve more attention from practicing clinicians. A significant focus is placed on research confirming that t...
2025-12-12
53 min
Talking Sleep
Live from Disruptors: New Paths in Sleep Medicine
In this special live episode recorded at Sleep Medicine Disruptors in Austin, Texas, host Dr. Seema Khosla sits down with two standout innovators whose technologies captured the spirit of disruptive innovation in sleep medicine. Dr. Jason McKeown from Neurovalens and Dr. Onur Kilic from Bairitone Health present groundbreaking approaches to treating insomnia and personalizing obstructive sleep apnea therapy. Dr. McKeown, a neurologist, introduces his FDA-cleared non-pharmacological treatment for insomnia using vestibular nerve stimulation. He explains how the technology works, why stimulating nerves in this manner is safe, and how it differs from vagus nerve devices. The conversation...
2025-11-28
45 min
Talking Sleep
Craniofacial Sleep Medicine
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Dave Singh, a former Adjunct Professor in Sleep Medicine at Stanford University, with a PhD in craniofacial cleft palate development, and a third PhD in orthodontics, to explore the evolving field of craniofacial sleep medicine. As founder of REMA Sleep based in North Carolina, Dr. Singh introduces the concept of craniofacial sleep medicine—an etiology-based approach to treating obstructive sleep apnea guided by anthropomorphic features rather than solely AHI severity metrics. Craniofacial sleep medicine represents a paradigm shift from license-based treatment allocation to collaborative, anatomy-driven ca...
2025-11-14
43 min
Talking Sleep
Responsible AI Use in Sleep Medicine
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes members of the AASM Artificial Intelligence in Sleep Medicine Committee—Dr. Margarita Oks, Dr. Subaila Zia, Dr. Ramesh Sachdeva, and Matt Anastasi—to discuss their recently published position statement on the responsible use of AI in sleep medicine practices. Artificial intelligence is rapidly transforming healthcare, from AI-assisted sleep study scoring to clinical documentation tools and insurance claim processing. Yet AI is not a monolith—the technology encompasses various types with different capabilities, risks, and regulatory considerations. Matt Anastasi breaks down the different forms of AI clinicians encoun...
2025-10-31
1h 12
Talking Sleep
PLATO: New Longitudinal Assessment Tool for Sleep Apnea
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Doug Kirsch, Medical Director of Atrium Health Sleep Medicine and Clinical Professor in the Department of Neurology at Wake Forest School of Medicine, and Dr. Fariha Abbasi-Feinberg, president-elect of the AASM and private practice physician with Millennium Physician Group in Fort Myers, Florida, to introduce PLATO—a groundbreaking longitudinal assessment tool for obstructive sleep apnea. The Epworth Sleepiness Scale has been a cornerstone of sleep medicine practice for decades, yet clinicians universally acknowledge its limitations in capturing the full patient experience. Similarly, PAP adherence—while impo...
2025-10-17
47 min
Talking Sleep
Sleep Medicine Disruptors: Innovation Preview
In this bonus episode of Talking Sleep, host Dr. Seema Khosla offers an exclusive preview of the upcoming SleepMedicine Disruptors course, taking place November 14-15 in Austin, Texas. She speaks with Steve Van Hout, executive director of the AASM, and Dr. David White, professor of medicine part time at Harvard Medical School, about the groundbreaking innovations reshaping sleep medicine. Steve Van Hout explains what makes the Disruptors conference unique compared to other AASM meetings like Trends and the annual SLEEP conference. Designed to bring together clinicians, researchers, technology innovators,and venture capitalists, Disruptors aims to foster cross-industry...
2025-10-10
49 min
Talking Sleep
How Sleep Medicine Guidelines Are Created
In this episode of Talking Sleep, host Dr. Seema Khosla sits down with Dr. Anita Shelgikar, current president of the American Academy of Sleep Medicine, neurologist, and sleep fellowship program director at the University of Michigan, for a transparent look at how the AASM makes critical decisions that shape the field of sleep medicine. Ever wondered how clinical practice guidelines are developed and why updates take so long? Dr. Shelgikar pulls back the curtain on the comprehensive process behind guideline creation, from topic selection to evidence review to final publication. She explains how the AASM prioritizes which gu...
2025-10-03
45 min
Talking Sleep
Beauty Sleep: How Skin Health and Sleep Are Connected
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Faisal Ali, professor of dermatology at the University of Central Lancashire and consultant dermatologist specializing in Mohs micrographic and laser surgery, to explore the fascinating connections between sleep and skin health. Drawing from recent research published in Clinical and Experimental Dermatology, Dr. Ali explains how sleep serves as a critical regulator of skin physiology, affecting everything from skin surface pH and transepidermal water loss to blood flow and temperature regulation. The conversation delves into the complex interplay of circadian rhythms, hormones, and inflammatory cytokines that...
2025-09-19
57 min
Talking Sleep
ASV Algorithms & Central Sleep Apnea Management
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Imran Iftikhar and Dr. Rami Khayat to discuss groundbreaking research on adaptive servo-ventilation (ASV) and the newly released AASM clinical practice guidelines for central sleep apnea treatment. Dr. Iftikhar presents his innovative approach to analyzing ASV data through meta-analysis combined with trial sequential analysis, offering fresh insights into the statistical reliability of existing research beyond traditional systematic reviews. His work addresses lingering questions about ASV efficacy and safety that have persisted since the controversial SERVE-HF trial results challenged previous assumptions about this therapy. Meanwhile, Dr. Khayat, who served...
2025-09-05
1h 00
Talking Sleep
Sleep Disorders in Military Veterans
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Greg Burek, a psychiatrist and former Marine, and Dr. Dmitriy Kogan, associate professor of medicine at the Medical College of Wisconsin and program director for the sleep medicine fellowship program, to discuss the unique sleep challenges facing military veterans and first responders. The conversation explores how military and first responder training fundamentally changes individuals, creating an "adrenaline-focused" mindset that profoundly impacts their relationship with sleep and health. Dr. Burek provides insider insights into the stages of military service and the concept of "sacrifice" as a...
2025-08-22
1h 07
Talking Sleep
OSA and PLMD
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Gulcin Benbir, professor of neurology and sleep researcher from Turkey, and Dr. Lourdes Del Rosso, sleep physician and professor at UCSF who served on the task force for updated AASM RLS guidelines, to discuss groundbreaking research on periodic limb movements in sleep (PLMS) that persist after successful sleep apnea treatment. Following the recent updates to RLS guidelines, this conversation addresses the often-overlooked condition of periodic limb movement disorder (PLMD). The guests reveal surprising findings that challenge traditional teaching: while sleep medicine practitioners have long been...
2025-08-08
38 min
Talking Sleep
Predicting RBD Phenoconversion via Autonomic Reflex Testing
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Luca Baldelli, a neurologist from the University of Bologna and Treasurer-Elect of the International REM Sleep Behavior Disorder Study Group, to discuss breakthrough research on predicting which RBD patients will develop neurodegenerative diseases. Building on the AASM's updated RBD guidelines, Dr. Baldelli presents compelling evidence for using simple autonomic reflex testing to identify patients at highest risk for phenoconversion to conditions like Parkinson's disease and dementia with Lewy bodies. His research demonstrates that objective autonomic testing, particularly orthostatic assessments, can reveal early neurogenic orthostatic hypotension...
2025-07-25
36 min
Talking Sleep
Zolpidem and the Glymphatic System
In this episode of Talking Sleep, host Dr. Seema Khosla sits down with Dr. Natalie Hauglund to discuss a groundbreaking mouse study on how the popular sleep medication zolpidem affects the brain’s natural cleaning system during sleep. Building on Dr. Maiken Nedergard's award-winning work on the glymphatic system, Dr. Hauglund's latest study published in Nature reveals surprising findings about how sleep medications may interfere with the brain's ability to clear waste products. Through innovative mouse studies using advanced imaging techniques, her research demonstrates that zolpidem reduces glymphatic clearance by 30%, raising important questions about long-term cognitive health. ...
2025-07-11
31 min
Talking Sleep
Teledentistry
In this episode of Talking Sleep, Drs. Michelle Cantwell and Aaron Glick discuss the updated American Academy of Dental Sleep Medicine (AADSM) Standards for Practice. Dr. Michelle Cantwell received her DMD through the University of Pittsburgh's School of Dental Medicine, where she also completed a three-year residency in prosthodontics. Following dental school, she served as a lieutenant commander in the US Navy. She is a diplomate of the ABDSM and the president-elect of the AADSM. She works in the pulmonary and sleep medicine department of WellSpan Health. Aaron Glick, DDS, FAGD, FICOI, D.ABDSM, is...
2025-06-27
56 min
Talking Sleep
Exploring the Connection Between Sleep and ADHD
In this episode of Talking Sleep, host Dr. Seema Khosla welcomes Dr. Jared Saletin, a sleep researcher investigating the complex relationship between sleep and Attention-Deficit/Hyperactivity Disorder (ADHD). While ADHD diagnostic criteria don't currently include sleep assessment, Dr. Saletin's groundbreaking research reveals how sleep quality and timing may significantly impact attention, particularly in children. Through fMRI studies and clinical observations, he explores whether sleep loss exacerbates ADHD symptoms or might even present as ADHD-like behavior in some cases. The conversation delves into fascinating questions: Are people with ADHD more sensitive to sleep deprivation? Can improving sl...
2025-05-16
46 min
Talking Sleep
Central Sleep Apnea: Expert Insights & Treatment Priorities
In this episode, Dr. Seema Khosla examines the complexities of central sleep apnea (CSA) with sleep medicine experts Dr. Vaishnavi Kundel, Dr. Rami N. Khayat, and Dr. Aneesa Das. The discussion moves beyond basic definitions to explore the critical limitations of home sleep apnea testing in accurately detecting CSA and when in-lab polysomnography becomes essential. The conversation addresses important clinical distinctions between post-arousal, transitional, and mixed apneas, challenging common assumptions about their significance and treatment approaches. The panel provides clarity on various CSA etiologies, including heart failure-related periodic breathing, medication-induced central apneas, treatment-emergent CSA, and neurological disorders. Discover evi...
2025-05-02
1h 03
Talking Sleep
Real World Strategies for Clinician Burnout
In this episode, Dr. Seema Khosla explores the critical issue of clinician burnout with Dr. Venktesh Ramnath, Associate Clinical Professor at UC San Diego. Moving beyond typical wellness advice, Dr. Ramnath offers practical strategies for addressing burnout at its systemic roots rather than treating it as an individual failure. The conversation examines how to recognize true burnout versus temporary fatigue and challenges the common rhetoric about "resilience" that shifts responsibility from broken systems to individuals. Dr. Ramnath shares his personal burnout experience and discusses whether dramatic career changes are necessary before making meaningful improvements to professional satisfaction. ...
2025-04-18
59 min
Talking Sleep
Decoding Women's Sleep Health Across the Lifespan
In this episode, Dr. Seema Khosla talks with women's sleep expert Dr. Safia Khan about women's unique sleep challenges. Dr. Khan is an editor for "A Clinical Casebook of Sleep Disorders in Women" and specializes in women's sleep health at UT Southwestern. She explains how sleep disorders affect women differently across their lives, particularly during pregnancy and menopause, and how these transitions disrupt normal sleep patterns. Discover Dr. Khan's assessment strategies for insomnia in women, including decision-making frameworks for implementing CBT-I versus medication interventions. Learn about the underdiagnosis of sleep disorders in women, particularly during menopause, and s...
2025-04-04
47 min
Talking Sleep
Tirzepatide & OSA: Implementation for Sleep Clinics
In this episode, host Dr. Seema Khosla explores a transformative development in sleep medicine: the FDA approval of tirzepatide for obstructive sleep apnea (OSA). Joined by an expert panel including Dr. Atul Malhotra, lead investigator of the SURMOUNT-OSA trial, and specialists Dr. Radhika Breaden, Dr. Jeremy McConnell, and Dr. Rafael Sepulveda-Acosta, the discussion examines how sleep clinicians can effectively incorporate this groundbreaking medication into their treatment protocols. Discover key insights about the SURMOUNT-OSA trial results published in the New England Journal of Medicine, including the mechanisms behind AHI improvement beyond weight reduction alone. Learn practical implementation strategies f...
2025-03-21
47 min
Talking Sleep
Too Much of a Good Thing? Benefits of Lower Pap Settings
In this episode, host Dr. Seema Khosla explores a provocative question in sleep medicine: Could high pressure PAP therapy have unexpected inflammatory effects? Joined by Dr. Sanja Jelic from Columbia University and Dr. Daniel Gottlieb from Brigham and Women's Hospital, the discussion examines emerging research that challenges conventional wisdom about positive airway pressure (PAP) therapy. Discover groundbreaking findings on how PAP settings may influence inflammatory biomarkers like angiopoietin-2 (AP2) and VEGF-A, potentially explaining why cardiovascular outcomes in clinical trials haven't consistently shown improvement with PAP therapy. Learn about pressure optimization strategies, alternatives to high-pressure PAP therapy, and i...
2025-03-07
42 min
Talking Sleep
Defining Well Treated Obstructive Sleep Apnea
In this episode, host Dr. Seema Khosla tackles a critical question in sleep medicine: What defines "well-treated" obstructive sleep apnea? Joined by Dr. Barry Krakow, a pioneering sleep medicine physician, the discussion explores the nuanced approach to assessing sleep apnea treatment beyond traditional metrics. Discover insights into clinical endpoints for evaluating OSA treatment, the complex relationship between upper airway collapsibility and anxiety, and innovative strategies for patients with challenging sleep disorders. Dr. Krakow shares his unique perspectives on PAP therapy, including approaches for patients with PTSD and the potential role of behavioral interventions.
2025-02-21
45 min
Talking Sleep
KPAP: Exploring a Novel PAP Therapy Approach
In this episode, host Dr. Seema Khosla explores KPAP, a new PAP therapy innovation with Dr. David White, former AASM president, and Dr. William Noah, inventor of the V-com device. Learn about this new technology that promises to make positive airway pressure more comfortable while still remaining effective for sleep apnea patients. Discover the science behind KPAP, its potential advantages over traditional CPAP, and how it addresses issues like treatment-emergent central apneas and CO2 rebreathing. The discussion covers the device's development, clinical trial results, and implications for sleep apnea treatment, offering insights for clinicians and patients alike.
2025-02-07
44 min
REM Reward
Shaping Sleep: The AASM’s Legacy, Research, and Advocacy – EP 17 w/ Dr. Anita Shelgikar & Melissa Clark
In Episode 17, Ryan is joined by Dr. Anita Shelgikar and Melissa Clark to explore the history, research, and advocacy efforts of the American Academy of Sleep Medicine (AASM) and how the organization continues to shape the field of sleep medicine today. Dr. Shelgikar, Immediate Past President of the AASM Foundation, breaks down the latest sleep research, how the AASM funds groundbreaking studies, and what recent discoveries are changing the way we understand sleep health. Melissa Clark, Director of Advocacy and Public Awareness at the AASM, discusses the AASM’s founding in 1975, the challenges it overcame, and its on...
2025-02-02
24 min
Talking Sleep
Sleep Apnea Detection: Inside the Apple Watch Algorithm
In this episode, host Dr. Seema Khosla explores the new Apple Watch sleep apnea screening algorithm with Dr. Matt Bianchi, a research scientist from Apple's Health Technologies team. Learn about the innovative technology that monitors sleep patterns and potentially identifies sleep apnea risk through advanced wearable device capabilities. Discover how this algorithm uses accelerometry and breathing disturbance detection to screen for potential sleep apnea, its limitations, and implications for patient care. The conversation delves into the algorithm's performance, its role in consumer health technology, and guidance for sleep medicine professionals navigating new diagnostic tools. Whether you're a c...
2025-01-24
36 min
Talking Sleep
Understanding Residual AHI: What Sleep Doctors Need to Know
In this episode, host Dr. Seema Khosla examines a crucial clinical question: how reliable is the residual AHI measured by PAP devices? Experts Dr. Robert Thomas, Dr. Tavi Ioachimescu, and Dr. Imran Iftikhar analyze the accuracy of PAP downloads, brand differences in measurement, and implications for patient care. Through meta-analysis findings and clinical research, they explore stable versus unstable breathing patterns and how this data influences treatment decisions. The discussion covers device-specific algorithms, historical development of AHI measurement, and the role of patient monitoring software like OSCAR and SleepHQ. Learn about therapeutic approaches for unstable breathing, including m...
2025-01-10
50 min
Weekly Neurology Deep Dive - A review of recent impactful publications in the field of Neurology
2024 AASM Clinical Practice Guideline: Restless Legs Syndrome and PLMD Treatment
2024 AASM Clinical Practice Guideline: Restless Legs Syndrome and PLMD Treatment
2024-12-29
15 min
Talking Sleep
Sleep’s Role in PTSD
In this episode, host Dr. Seema Khosla welcomes Dr. Maya Schenker, a postdoctoral researcher from the University of Melbourne, who has dedicated her research to understanding the complex relationship between sleep and post-traumatic stress disorder (PTSD). With a focus on the bidirectional mechanisms linking sleep and trauma, Dr. Schenker explores how sleep can be a critical intervention point for managing and potentially preventing PTSD. Discover the latest insights into how sleep impacts trauma response, including the role of REM sleep, fear conditioning, and the neurological processes that contribute to PTSD development. The conversation delves into why women...
2024-12-06
31 min
NeurologyLive® Mind Moments®
Implications of the 2024 AASM Guidelines for Restless Legs Syndrome
Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice.In this episode, Andy Berkowski, MD, PhD, founder of Relax Health, sat down to discuss the American Academy of Sleep Medicine's (AASM) recently published guideline update for the treatment of restless legs syndrome (RLS). Berkowski, who serves as a vice chair of the AASM's Practice Guidelines Task Force, provided clinical insight on the reasons behind the guidelines, pointing to the vast research advances and literature updates since its last iteration in 2012. Additionally, he touched on th...
2024-11-29
24 min
Talking Sleep
A Guide to OSA Endotyping
In this episode, host Dr. Seema Khosla welcomes Dr. Danny J. Eckert, a sleep and respiratory physiologist and professor at Flinders University in Adelaide, Australia. Dr. Eckert is a leading expert in his field and the recipient of the 2023 European Respiratory Society Gold Medal in Sleep-Disordered Breathing. As the Director of the Adelaide Institute for Sleep Health, he discusses his groundbreaking work on OSA endotyping and the PALM classification system (Pcrit, Arousal threshold, Loop gain, and Muscle recovery). Discover why 70% of OSA patients have non-anatomical causes and how understanding these distinct endotypes can revolutionize treatment approaches. The...
2024-11-22
42 min
Talking Sleep
RLS Clinical Practice Guideline Update
In this episode of Talking Sleep, Drs. John Winkelman and Andy Berkowski discuss the updated AASM clinical practice guideline for the treatment of restless legs syndrome and periodic limb movement disorder.
2024-11-08
54 min
Talking Sleep
Should PAP be a Tool for the Obstetrician?
There was a recent consensus statement from the Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology on the screening, diagnosis, and treatment of obstructive sleep apnea (OSA) in pregnancy. For too many, a sleep evaluation is deferred until the pregnancy is over, with the idea that pregnancy-related sleep disorders will resolve at the end of the pregnancy. This leaves so many with sleep disorders undiagnosed and untreated. Dr. Louise O’Brien has tried to bridge this gap. She works in the Division of Sleep Medicine in the Department of Neurology, as well as th...
2024-10-25
45 min
Talking Sleep
A new era of AASM accreditation
The AASM is introducing a new service-based accreditation model and updated Standards for Accreditation, which will take effect in January 2025. Based on feedback from members and accredited programs, this accreditation model provides greater flexibility to accommodate all practice types, making it easier to manage, add, and remove accredited services. Changes to the Standards for Accreditation were also made to remove barriers and promote administrative and operational efficiencies in sleep practice management. In this episode, AASM Accreditation Committee Chair Dr. Fady Jamous and AASM Director of Accreditation Ray Anthonijsz help explain some upcoming changes to AASM accreditation programs.
2024-10-11
46 min
Talking Sleep
Behavioral therapy for sleep disorders: CBT-I and beyond
Dr. Richard Blackburn is a sleep psychologist who is attempting to improve access to cognitive behavioral therapy for insomnia (CBT-I) and other behavioral therapies for sleep disorders. He has a psychologist training program as well as a telemedicine practice, and he hopes to increase the availability of sleep behavioral therapy by increasing the pipeline and expanding access via telemedicine. He explains his model and discusses other behavioral interventions to consider for patients with sleep disorders.
2024-09-27
53 min
Talking Sleep
Sleep-related anxiety and new onset insomnia
We have long known about the bi-directional relationship between anxiety and insomnia. When I was a fellow, we were taught that treating the anxiety would treat the insomnia. Since that time, more data has emerged on the importance of treating insomnia. More recently, our guests have noticed a pattern of anxiety about insomnia that doesn’t always respond to traditional CBT-I and behavioral intervention. Here today to explore this further are Dr. Leisha Cuddihy, Dr. Sara Nowakowski, and Dr. Michael Grandner.
2024-09-13
50 min
Talking Sleep
AI SWOT Analysis
AI is popping up everywhere — when we open a PDF, use an AI scribe, or look something up with Chat GPT. We all interface with AI daily and may not even realize it. This can become very complex and somewhat mysterious. How can we use AI in a sleep medicine practice? Is it trustworthy? Will we all be replaced by AI someday? The AASM has an AI committee tasked with these questions. In this episode, we talk with committee members Dr. Margarita Oks and Matt Anastasi about a SWOT analysis on the use of AI-enabled technology in sleep medicine.
2024-08-30
50 min
Talking Sleep
Silent and sleepy: The use of wake-promoting medications in well-treated OSA
Excessive daytime sleepiness is a significant problem for many people who have obstructive sleep apnea (OSA), and persistent sleepiness occurs in some patients despite effective treatment of OSA. Dr. Kingman Strohl and Dr. Lucas Donovan discuss this common clinical scenario, provide tips for the evaluation of persistent sleepiness, and talk about the wake-promoting medications that are available as treatment options.
2024-08-16
54 min
Talking Sleep
Cutting Through the Haze - the Use of Cannabis for Sleep and Sleep Apnea
There are currently 40 states with legalized medical marijuana. Twenty-four of these also have legalized recreational marijuana. Many people report using cannabis to help them to initiate and maintain sleep. Is there any data to support this? Is cannabis safer than prescription sleep aids? What should we know about cannabis and sleep? Dr. Bhanu Prakash Kolla discusses the impact of cannabis on sleep and its potential use to treat sleep disorders.
2024-08-02
30 min
Talking Sleep
Sleep technology for insomnia
As technology continues to permeate every aspect of our lives, the subset of sleep-related technology continues to expand. The AASM Emerging Technology committee continues to assess both clinical and consumer sleep technology. We have previously discussed consumer and clinical sleep technology that largely centered around snoring and OSA. In this episode, we talk with committee members Drs. Shalini Paruthi and Sachin Shah about the latest sleep technology for insomnia.
2024-07-19
40 min
Talking Sleep
Key Considerations When Implementing an RPM program
Remote patient monitoring codes have been active for a number of years. These have largely been used to monitor blood glucose levels via a continuous glucose monitor or to adjust heart failure medications via a connected digital scale. Dr. Charles Bae and Dr. Gabriela de Bruin discuss whether sleep medicine professionals should also use remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) codes in the sleep clinic.
2024-07-05
40 min
Talking Sleep
Reimbursement and clinical use of actigraphy
The Actiwatch is a popular actigraphy device that is no longer sold or supported by Philips. Its discontinuation coincided with the launch of the AASM’s “Act on Actigraphy” campaign, which highlights the importance of actigraphy testing for sleep disorders and urges payers to reimburse health care professionals for this medical service. Dr. Paul Raymond, vice chair of the AASM Coding and Reimbursement Advisory Committee, discusses reimbursement for actigraphy, its clinical use, and current and future options for device selection.
2024-06-21
30 min
Talking Sleep
Hiding in plain sight: The importance of a SOREMP on PSG
Despite having more treatment options than ever before, narcolepsy remains significantly underdiagnosed. Is there a potential clue on the polysomnogram (PSG) that we are overlooking? Dr. Alyssa Cairns and her team are exploring the biophysiological phenotypes of sleep disorders, specifically central disorders of hypersomnolence. She discussed how she combed through half-a-million sleep records and looked at the predictive value of a sleep-onset REM period (SOREMP) on PSG for a future diagnosis of narcolepsy.
2024-05-31
49 min
Talking Sleep
The Philips consent decree and the path forward
After nearly three years, the Department of Justice and the Food and Drug Administration have finally agreed to the terms of a consent decree with Philips. It states that Philips Respironics cannot manufacture or distribute new sleep and respiratory care devices in the U.S. market until certain criteria are met, unless the devices are classified by the FDA as “medically necessary.” The scope of the recall is far larger than just consumer PAP devices. This impacts sleep diagnostics – including Alice polysomnography systems, home sleep apnea test platforms, and in-lab titration devices. Here to help us understand the specifics of the...
2024-05-17
53 min
Talking Sleep
ADVENT-HF trial
The world of sleep medicine has had several large recent disruptions with COVID-19 and the Philips Respironics recall. These haven’t been the only ones. If we look back almost a decade, sleep medicine was disrupted by the SERVE-HF results and field safety notice for ResMed ASV devices. Another trial was conducted around the same time as SERVE-HF but utilized Philips ASV devices. Those results have now been published and provide some insight into the use of peak-flow-triggered ASV for those with an ejection fraction of 45% or below. Dr. Douglas Bradley is here to share his results and to of...
2024-05-03
37 min
Talking Sleep
OSA proteomics and metabolomics
We know that there are a billion people in the world with undiagnosed obstructive sleep apnea (OSA) and that it simply isn’t practical to have every person undergo a sleep study. Are there other methods that might be more efficient identifying those at the highest risk of OSA? Dr. Laura Castillo is a chemist who has studied biological matrices to identify biomarkers for obstructive sleep apnea. Her research involves analyzing sweat and she has found that there are specific markers for those with severe OSA and those without any OSA. Dr. David Gozal has been working in this fi...
2024-04-19
43 min
Talking Sleep
Acoustic stimulation for improving sleep
There are a handful of direct-to-consumer devices that claim to improve the quality of our sleep by using acoustic stimulation. What is the science behind these devices? Dr. Roneil Malkani is an associate professor of neurology in the Feinberg School of Medicine at Northwestern University. He collaborates with others to study acoustic stimulation during sleep and its impact on sleep architecture. He describes how these devices work and how clinicians should approach them.
2024-04-05
39 min
Talking Sleep
NIV and other considerations for the Philips Respironics PAP device recall
While CPAP devices are similar across manufacturers, there are more significant differences in the advanced modalities of ventilatory support. Dr. Lisa Wolfe is well known for her granular knowledge of mechanical ventilation, including noninvasive ventilation (NIV). She discusses some aspects of NIV that may become pertinent as both sleep labs and patients transition off devices recalled by Philips Respironics. She also addresses concerns related to patients who have complex conditions such as chronic obstructive pulmonary disease (COPD), obesity hypoventilation syndrome, and neuromuscular disease.
2024-03-22
42 min
Talking Sleep
Neurotransmitters, insomnia pharmacotherapy and mental health
We know that CBT-I is the gold standard treatment for insomnia, but it remains inaccessible for many due to cost or the limited availability of trained professionals. For patients with comorbid mental health disorders, insomnia treatment may improve their sleep and mental health, but sleep restriction therapy may not be the most appropriate modality. Dr. Chris Bojrab is a psychiatrist who has embraced sleep care as a vehicle to improve the mental health of his patients, and he has expertise in neurotransmitters. He discusses pharmacologic treatment of insomnia and some important considerations in those with mental health disorders.
2024-03-08
55 min
Talking Sleep
Sleep, OSA and sickle cell disease
While sleep disorders are associated with numerous health complications, one area that doesn’t receive much attention is the impact of sleep and sleep disorders on those with sickle cell anemia. A study published in Sleep and Breathing found that children with sickle cell disease and comorbid obstructive sleep apnea had 47% more health complications than those with sickle cell disease who had a lower risk for OSA due to negative OSA screenings or exams. These complications seemed to be related to nocturnal hypoxia. Pain from a sickle crisis also can lead to sleep fragmentation. Dr. Sonal Malhotra discusses the ma...
2024-02-23
34 min
Talking Sleep
A Practical Approach to Treating RLS
Johns Hopkins colleagues Dr. Rachel Salas and Dr. Sara Benjamin discuss the basics of treating restless legs syndrome (RLS), focusing on an updated algorithm published in the Mayo Clinic Proceedings in 2021 by the Scientific and Medical Advisory Board of the Restless Legs Syndrome Foundation. Topics of discussion include pharmacological treatment options, the risk of augmentation, potential impulsivity, and non-pharmacologic treatments.
2024-02-09
47 min
Talking Sleep
Sleep and Alzheimer’s disease
We routinely see patients with dementia in our sleep clinics but often do not meet them until they present with a sleep complaint such as insomnia or obstructive sleep apnea. We know that sleep and dementia have a bidirectional relationship. Is there a way to identify those who are at higher risk of dementia and intervene earlier? Is there a polysomnographic fingerprint? Should polysomnography be performed in those who are felt to be at higher risk of dementia? How can we, as sleep clinicians, potentially impact the course of dementia? Are there special considerations for our patients who have...
2024-01-26
41 min
Мілітарний
Знищення А-50У, французькі AASM та місце для A-10 Thunderbolt II та Mirage 2000 | Авіаційні Підсумки
Говоримо про: - Втрати росіянами А-50У та ураження Ил-22М11. Що сталося і як - наші версії. Наскільки це важка втрата? Скільки А-50У є в Росіян? - Україна отримає AASM HAMMER. Що це за озброєння, як його можна інтегрувати до українських бойових літаків? - Не тільки F-16? Чи потрібні Mirage-2000D A-10 Thunderbolt II? + Питання від наших Спонсорів на YouTube та Патронів на Patreon Підтримуйте нашу команду Patreon / milinua ByMeACoffee https://www.buymeacoffee.com/militarnyi PayPal: paypal@mil.in.ua Приват: 4149 6293 1808 2567 monobank: 4441 1144 4179 6255 Або ставайте нашими спонсорами прямо на Youtube (кнопка "Спонсорувати" одразу під відео) Підписуйтеся на нас в соцмережах: Twitter / mil_in_ua Telegram t.me/milinua Facebook / milinua facebook.com/Militarnyi
2024-01-20
1h 36
Talking Sleep
Sleep as an Opportunity to Improve Maternal Mortality
We wanted to start the new year by examining that time in our lives when we welcome new lives into this world. We often think about pregnancy as a joyful time. But, for too many women in the US, pregnancy leads to significant morbidity and mortality. Our US maternal mortality rate increased from 20.1 per 100,000 live births in 2019 to 32.9 per 100,000 live births in 2021. For black women, this was 69.9 deaths per 100,000 live births. The causes are severe bleeding, infections, and preeclampsia/eclampsia. The CDC indicates that 4/5 pregnancy-related deaths in the US are preventable. Dr. Ghada Bourjeily is here to...
2024-01-12
47 min
Talking Sleep
Keeping Up with the Changes to the Scoring Manual
The AASM released an update to the scoring manual earlier this year. Some of the changes were minor and others more significant. Adhering to the AASM scoring manual is a mandate of accreditation. Dr. Matt Troester, Dr. Alcibiades Rodriguez and Dr. Rich Berry are here to review these changes and highlight the most clinically pertinent information from the latest iteration of the scoring manual version 3.
2023-12-15
32 min
Talking Sleep
Sleep and ADHD in Adolescents
We have seen data associating attention-deficit/hyperactivity disorder with sleep disorders, and many experts believe that a sleep assessment should be performed routinely in these patients. Is it all about insufficient sleep and sleep patterns? Or are there polysomnographic differences that may identify those who are at risk for ADHD? Can poor sleep in early childhood predict a diagnosis of ADHD in adolescence? Dr. Jessica Lunsford-Avery shares her research in this field and helps us understand the relationship between childhood sleep and adolescent ADHD.
2023-12-01
34 min
Talking Sleep
Medications To Manage Central Disorders Of Hypersomnolence
In the last few years, more medications have been available to treat central disorders of hypersomnolence. While treatments for narcolepsy and idiopathic hypersomnia are similar, there are some specific considerations when trying to determine which combination of medications is most appropriate for a patient. Significant payor coverage and formulary variability add another layer to this conversation. Some are considered off-label and others are on-label but may be cost-prohibitive. Dr. Hrayr Attarian explains some of the nuances of these newer medications, how they perform for specific symptoms, and how to consider tailoring medication regimens with shared decision-making.
2023-11-17
37 min
Talking Sleep
Legal Issues in a Sleep Medicine Practice
Drowsy driving accidents are just one of the many ways in which health care can interface with the legal system. Our guest for this episode is Dr. Ramesh Sachdeva, a sleep medicine and pediatric critical care physician who decided to go to law school several years ago and has previously served as an adjunct professor of law. He has a unique interest in the intersection of medicine, healthcare quality, and law and is here today to help us explore potential legal issues that can arise in a sleep medicine practice. Please note that this is no...
2023-11-03
46 min
Talking Sleep
Medications to Treat Obstructive Sleep Apnea
We have long known that CPAP therapy isn’t meant for everyone who has obstructive sleep apnea. There are plenty of non-PAP treatment options, including oral appliance therapy and hypoglossal nerve stimulation. Pharmacotherapy has been used as an adjunct therapy to treat persistent hypersomnolence despite well-treated OSA or to assist with PAP acclimatization. Now medications are being developed to treat OSA and its underlying obstruction. Here to help us understand more about these medications is Dr. Sanjay Patel.
2023-10-20
33 min
Talking Sleep
Management of Obesity Hypoventilation Syndrome
Obesity hypoventilation syndrome can be challenging to manage. Obtaining the appropriate device for each patient is often complicated by insurance requirements and endless red tape. Previous guidelines have indicated that CPAP may be as effective as bi-level PAP; however, this doesn’t apply to all patients. How can we identify patients who may require more advanced treatment modalities while also ensuring that those treatments do not cause undue financial burden for them? Here to help us understand this better is Dr. Babak Mokhlesi.
2023-10-06
47 min
Talking Sleep
Insufficient Sleep, Circadian Disruption and Cardiometabolic Health
We frequently discuss how insufficient sleep may be harmful to cardiometabolic health, but is this the whole story? How does circadian rhythm misalignment contribute to this relationship? Could a behavioral sleep intervention possibly improve cardiometabolic health? Dr. Chris Depner investigates how insufficient sleep and circadian disruption contribute to the risk of metabolic disorders such as obesity and diabetes. His long-term goal is to develop sleep and circadian-based interventions that improve metabolic health. He is here to help us better understand the relationship between insufficient sleep, circadian disruption, and cardiometabolic health.
2023-09-22
37 min
Talking Sleep
DREAM-IT: Insomnia Management in Adolescents
As students go back to school, many adolescents will have to advance their sleep phase in order to start classes early in the morning. While delayed sleep phase syndrome is common during adolescence, insomnia symptomatology may be underrecognized. It may be attributed to excessive screen time, social jet lag, or too much caffeine. We try to provide education around proper sleep hygiene techniques and often deploy cognitive behavioral therapy for insomnia, which was developed for adults. Are there other special considerations for adolescents? Does it make sense to utilize CBT-I in this age group? Is it appropriate to utilize sleep...
2023-09-08
36 min
Talking Sleep
Obesity Management for Sleep Clinicians
We have long known that obesity is a risk factor for OSA, but most sleep clinicians don’t manage obesity. Is this something we should consider? How complicated is it? How should we navigate insurance hurdles? Do we need to employ a dietician? Is managing obesity feasible for a typical sleep medicine practice? Here to explore this further on today's episode of Talking Sleep is Dr. Rafael Sepulveda.
2023-08-25
42 min
Talking Sleep
Embracing Alternative Practice Models
The practice of sleep medicine is extremely diverse. While there are many who are a part of academic institutions, others have chosen private practice. One option that is becoming more popular is a direct-to-consumer, self-pay model. Here to give us a better understanding of some of these practice models are Dr. Sahil Chopra and Dr. Andy Berkowski.
2023-08-11
46 min
Talking Sleep
Navigating the Ethics of Disclosure in RBD
In this episode of Talking Sleep our guest, Dr. Alon Avidan, helps us better understand the ethics of disclosure in REM sleep behavior disorder. A big part of this disorder's overall management includes disclosing potential neurodegenerative sequelae. While prescribing medications can be fairly straightforward, the discussion of a potentially life-altering diagnosis is more nuanced. It requires not only the explanation of Lewy Body dementia or Parkinson’s but also the ability to assess what a patient needs to hear and when it is appropriate to disclose this information.
2023-07-28
44 min
Talking Sleep
SleepHouse Rock: How a CPT Code is Made
As sleep technology continues to advance, we are sometimes left to try to figure out which billing code to use. There are level 2 studies that have a g-code and some novel HSAT devices that are creating new metrics that don’t always fit into a current CPT code. Navigating this can be tricky. Here to help us understand how a CPT code is made is Dr. Vikas Jain.
2023-07-14
48 min
Talking Sleep
Bringing Sleep to the Neighborhood- The Mobile Sleep Lab Model
A few years ago, the AASM held a competition challenging us to reimagine sleep care. The Mobile Sleep Lab was a model that was submitted as a contender in this challenge. Here to tell us more about this are Dr. Mark Boulos, Dr. Luqi Chi and Dr. Oleg Chernyshev.
2023-06-30
35 min
Talking Sleep
More Than Chin Music: How a New Signal Can Assess Sleep-Disordered Breathing
In today’s episode of Talking Sleep, we are joined by Dr. Jean-Louis Pépin and Dr. Atul Malhotra, who talk about how the signal derived from mandibular jaw movements during sleep can be an alternative measurement of respiratory effort in patients being evaluated for suspected sleep apnea. We will focus on the scientific basis and clinical implications of this new signal.
2023-06-16
28 min
Talking Sleep
Predicting HGNS Treatment Success
In today’s episode of Talking Sleep, Dr. Raj Dedhia joins us to talk about hypoglossal nerve stimulation, which was first approved by the FDA in 2014 to treat a subset of patients with moderate to severe obstructive sleep apnea. Now, nearly a decade later, the treatment has evolved, and we have a better understanding of its nuances. Visualizing the airway during sleep endoscopy is a key element in patient selection; however, Dr. Dedhia explains that there are other ways to predict treatment success.
2023-05-19
37 min
Talking Sleep
The Nose and OSA: Why the Nose Always Seems to Know
Obstructive sleep apnea is regularly linked to the posterior oropharynx and the tongue, but its relationship with the nose is often overlooked. Recent research suggests that the assessment of the nose plays an important role in the physiology of sleep. Nasal obstruction is common in sleep apnea and contributes greatly to the development of OSA. Here to talk to us about the role of the nose in OSA is Dr. Jolie Chang.
2023-05-05
32 min
Talking Sleep
The Microbiome and Sleep Apnea– A Bidirectional Relationship
Recent evidence and data has highlighted important associations between obstructive sleep apnea and the microbiome. Here to help us learn more about how sleep and the gut microbiome impact our heath is Dr. Andrew Goldberg.
2023-04-21
31 min
Talking Sleep
Clinical Considerations for Novel Sleep Technology
The sleep field is intertwined with technological advances. Innovative devices are being developed every day, some of which are crossing over into the clinical realm. In this episode of Talking Sleep, Dr. Scott Ryals and Dr. Steven Holfinger describe how some novel home sleep apnea test devices work and explain how clinicians should approach them.
2023-03-24
42 min
Talking Sleep
Permanent Standard Time Advocacy
It's that time of year again when we spring forward and set our clocks ahead one hour. Whether we should continue to change our clocks twice per year is an ongoing topic of debate, and legislation has been introduced in the U.S. Senate and House of Representatives to make daylight saving time permanent. Here to give more insight on the science of clock change and discuss the debate over daylight saving time and standard time is Dr. Karin Johnson.
2023-03-10
20 min
Talking Sleep
Comorbid Insomnia and Sleep Apnea (COMISA)
An article was published in the ERJ demonstrating that CBT for Insomnia reduced the severity of obstructive sleep apnea. Our guest, Dr. Alexander Sweetman, is here to tell us more.
2023-02-24
34 min
Talking Sleep
New AASM Clinical Practice Guideline: Management of REM Sleep Behavior Disorder
The AASM recently released a new clinical practice guideline which provides necessary recommendations for adults with REM Sleep Behavior disorder. The guideline provides clinicians with insight on how best to prevent sleep-related injury and how to provide patients with a risk assessment for neurological disease. Here to tell us more about this is Dr. Michael Howell.
2023-02-10
38 min
Talking Sleep
Improving Patient Understanding of Sleep Apnea
In today’s episode of Talking Sleep, we talk about the importance of patient communication. Dr. Rebecca Robbins and Dr. Suzanne Bertisch of Harvard Medical School and Brigham and Women’s Hospital share their insights into existing patient education materials for obstructive sleep apnea and offer tips on how to make it easier to understand. Listen now.
2023-01-27
43 min
Talking Sleep
Sleep Age with Dr. Mignot
In today’s episode of Talking Sleep our guest, Dr. Emmanuel Mignot, talks with us about sleep age and the importance of the EEG collected during polysomnography. As the interest in sleep grows, more attention is being paid to how sleep is related to morbidity and mortality. While there is much discussion about obstructive sleep apnea and cardiovascular health, the EEG may also hold clues about our future health.
2023-01-13
45 min
Talking Sleep
College, Transgender Students and Sleep
In today’s episode of Talking Sleep, we discuss how insufficient sleep and other factors are negatively impacting college students’ health. Our guest, Dr. Shelley Hershner, is an associate professor of neurology at the University of Michigan. Through her research, she has found that there are certain populations of students, such as transgender students, who may be at higher risk of sleep disorders. She is here today to help us understand the significance of this issue and how we can better serve our college students.
2022-11-18
29 min
Talking Sleep
Sleep Technologist Education
In today’s episode of Talking Sleep, we discuss sleep technologist education. Our guests Karen Rowe, Debbie Guerrero and Dr. Brad Vaughn, who are part of the CoA PSG program, talk about the increasing demand for sleep technologist across the country and explain the pathway to becoming a certified sleep tech.
2022-11-04
41 min
Talking Sleep
Melatonin
In today’s episode of Talking Sleep, we discuss the use of melatonin in both children and adults. Our guests Dr. Abby Strang and Dr. Gautam Ganguly, talk about the AASM’s recent health advisory for the appropriate use of melatonin in children and the importance of understanding how melatonin works. Listen now
2022-10-21
35 min
Talking Sleep
Spotlighting Central Sleep Apnea
In today’s episode of Talking Sleep, we discuss the complexities of central sleep apnea. Our guest, Dr. Safwan Badr, describes the multiple pathways that can cause different forms of central sleep apnea and how the disorder is more similar to obstructive sleep apnea than we think.
2022-10-07
39 min
The Sleep Disorders Toolkit
How to Increase Access to Insomnia Therapies with the AASM’s Jennifer L. Martin
Jennifer L. Martin, PhD, became president of the American Academy of Sleep Medicine (AASM) board of directors on June 6, 2022. She speaks with Sleep Review about the challenges faced by people with insomnia disorder in accessing cognitive behavioral therapy for insomnia (CBT-I) and pharmaceuticals to treat the sleep disorder, as well as posits several solutions. Sree Roy of Sleep Review and Martin discuss:-What is a psychologist’s role in sleep medicine?-How is the AASM collaborating with other stakeholders to identify and prioritize strategies to increase access to high-quality care for insomnia disorder?-How can sleep me...
2022-09-28
14 min
The MEDQOR Podcast Network
How to Increase Access to Insomnia Therapies with the AASM’s Jennifer L. Martin
Jennifer L. Martin, PhD, became president of the American Academy of Sleep Medicine (AASM) board of directors on June 6, 2022. She speaks with Sleep Review about the challenges faced by people with insomnia disorder in accessing cognitive behavioral therapy for insomnia (CBT-I) and pharmaceuticals to treat the sleep disorder, as well as posits several solutions. Sree Roy of Sleep Review and Martin discuss:-What is a psychologist’s role in sleep medicine?-How is the AASM collaborating with other stakeholders to identify and prioritize strategies to increase access to high-quality care for insomnia disorder?-How can sleep me...
2022-09-28
14 min
Talking Sleep
CPAP in Pediatric Patients
In today’s episode of Talking Sleep, we discuss safe and effective CPAP use in pediatric patients with obstructive sleep apnea. Drs. Louella Amos and Robin Lloyd join us to share information about the AASM’s recent position statement on age and weight requirements for PAP therapy in pediatric patients and the importance of appropriate management of younger, smaller children.
2022-09-23
35 min
Talking Sleep
Mind After Midnight
Today’s episode of Talking Sleep explores the “Mind After Midnight” hypothesis. Dr. Andrew Tubbs, a researcher in the department of psychiatry at the University of Arizona, explains sleep and circadian mechanisms that lead to a disproportionately increased risk of suicide between 2 and 3 a.m. The discussion may be troubling to some listeners. If you or someone you know is at risk for suicide, call 988 to reach the Suicide and Crisis Lifeline.
2022-09-09
43 min
Talking Sleep
Untreated OSA and Alzheimer’s Disease
In today’s episode of Talking Sleep, we’re sitting down with Dr. Andrew Varga to discuss links between obstructive sleep apnea and neurodegenerative diseases. Dr. Varga is part of a research team from Mount Sinai that recently published findings showing just one night without using CPAP can increase the presence of biomarkers associated with Alzheimer’s disease.
2022-08-26
35 min
Talking Sleep
How to Survive a Medicare Audit
In this episode of Talking Sleep, we highlight what to expect if your sleep practice is selected for a Medicare audit. AASM Coding and Compliance Committee Vice Chair Dr. Gabriela de Bruin discusses what auditors are often looking for, how to be prepared for an audit, the benefits of implementing a compliance program, and AASM resources available to help you.
2022-08-12
29 min
Talking Sleep
Sleep-Related Movement Disorders
In today’s episode of Talking Sleep, we look at sleep-related movement disorders. Dr. Afifa Uzzaman discusses when movements during sleep are incidental and when they are cause for concern. She also discusses common sleep-related movements in patients with Parkinson’s disease and post-traumatic stress disorder.
2022-07-29
30 min
The Arms Bumanlag Project
SEASON 2: #14 - Ali Al Aasm- The ABP
My guest is an innovator. As co-founder of Red Piston, He oversees an award-winning tech operation with offices on both sides of the Detroit river. Established to generate customized creative solutions to demanding client challenges, Red Piston builds mobile applications and games, designs and develops fully functional web presences, and dabbles in augmented and virtual reality. The company now numbers Fortune 500 companies amongst its clients. His day-to-day involves managing Red Piston’s growing team of developers and designers and providing technical oversight to see its projects through to completion. He's a father of two, husband and Ali an...
2022-04-06
1h 11
NeurologyLive® Mind Moments®
AASM's Push to End Daylight Saving Time
Welcome to the NeurologyLive® Mind Moments™ podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice.In this episode, we spoke with Seema Khosla, MD, FCCP, FAASM, medical director, North Dakota Center for Sleep. She shared her insight into the American Academy of Sleep Medicine's ongoing initiative to switch to a fixed standard time year-round, as well as offered her perspective on the current state of care for sleep disorders.Episode Breakdown: 1:30 – AASM's position statement on daylight saving time 3:15 – The impact of daylight saving time on circadian rhythm 5:30 – Patient education...
2022-03-11
29 min
SleepTech Talk
SleepTech Talk - (Episode 6) AASM Accreditation with Kimi Clark
The SleepTech Talk Team discusses the accreditation process with Kimi Clark Vice Chair of the AASM Accreditation Committee. We also ask Kimi a few of the questions submitted by our listeners! SLEEPTECH TALK is available on APPLE, GOOGLE, and SPOTIFY podcast platforms. You can also find our YouTube channel at Link: https://www.youtube.com/channel/UC7Kia9qzghofBmGKAf7YEOg
2022-02-28
19 min
Conexão Varginha | Rodolfo de Souza | Conteúdos Jornalísticos em Áudio
Pandemia de coronavírus e home office: vice-presidente da AASM esclarece dúvidas sobre direitos e deveres
Diante do alerta da Organização Internacional do Trabalho (OIT) para os governos redobrarem esforços pela manutenção dos empregos, diante do grande impacto do coronavírus sobre a economia mundial, e após as recentes medidas das empresas e do governo brasileiro, o Bate-Papo Van desta quinta-feira 19 tratou de home office, no Jornal de Vanguarda. O entrevistado foi o vice-presidente da Associação da Advocacia do Sul de Minas (AASM), Adriano Santos Oliveira. A OIT estima em 25 milhões de desempregados a mais no mundo por conta da crise. Uma das alternativas para prevenir a proliferaç...
2020-03-19
09 min
Conexão Varginha | Rodolfo de Souza | Conteúdos Jornalísticos em Áudio
AASM defende resgate da boa imagem de advogados do Sul de Minas após casos de ações predatórias
Batalha. Essa foi a palavra mais utilizada pela Presidente da Associação da Advocacia do Sul de Minas (AASM), Debora Anne Pereira da Silva, uma das fundadoras da entidade, em entrevista ao Jornal de Vanguarda desta sexta-feira 8, sobre a atuação fraudulenta de maus advogados por meio de ações predatórias. A prática estigmatizou particularmente os advogados de Varginha, embora seja comum em todo o Brasil. A AASM lidera um movimento em favor do resgate da credibilidade dos advogados. O programa teve, também, a participação do Presidente da Subseção Varginha da Ordem dos Advogados do Brasil, Al...
2019-11-08
15 min