The Big K Morning Show
Independence Health System's Dr. Shri
Amazon Fall Favorites are here to make you say "with low prices on home, beauty, and fashion brands, like Amazon Essentials." So hold on to your pumpkin spice whatever and save on Fall Favorites at Amazon. Mwah! The sharpest ride, spooktacular savings event is happening now with unbeatable seasonal clearance deals. But only through the end of this month, whether you're looking for a reliable sedan, family-friendly SUV, or something sporty. Now is the time to take advantage of these frighteningly good offers. The sharpest rides are the pre-owned auto-expert and have thousands of satisfied customers. And they give back for every vehicle purchase. The sharpest rides are going to make a donation to the St. Jude Children's Hospital. Listen, the sharpest rides has the best deals in town. That's why they scare the competition. Get there today during their hauntingly great deals. Plus, the sharpest rides has spooky surprises for the kiddos. Don't miss out. Hurry up before these deals vanish. Visit the sharpest rides located at 2250 South T-Home Street in Inglewood. Or browse their inventory online at thesharpestrides.com. Don't miss your chance to treat yourself to a new ride at a scary good price. The sharpest rides, affordable, sexy, sharp. Dear Autumn Leaves, you won't be covering roads alone this season. Toyota's lineup of cool, colorful vehicles is ready to ride by your side. Take on fall in a trail tackling Tacoma. Or go for the powerful Tundra. Head to toyota.com for more info. Or visit your local Toyota dealership today. Toyota, let's go places. This is the Big K Morning Show. And at 720, little time shift on this Tuesday, we check in with another medical professional brought to you by independent cell system expert care here. And today we welcome Dr. Shree Paul Shree Shrimal, who is the medical director of pulmonary sleep medicine for independent cell system. I hope I got your name right, Doc. You got it right. Thank you so much. You got it. I know also why they call you just Dr. Shree, right? That's right, yeah. All right, let's talk about sleep apnea. This condition affects a lot of people. So first, Dr. what is sleep apnea? Well, sleep apnea is a highly undiagnosed condition. It's a serious sleep disorder that causes breathing to stop and start the short periods of time while you sleep. This can happen multiple times, you know, throughout the night, disrupting your quality of sleep and negatively affecting your overall health. And there are different types of sleep apnea. That is right. The most common one is obstructive sleep apnea in which the airway is blocked due to excessive tissue in the throat, sometimes deviated septum and other abdominal issues. Then there are other kinds like central sleep apnea wherein the brain doesn't send the proper signals to breathe causing the airway to collapse. Then there is a combination of the central and obstructive which is called the mixed sleep apnea. Well, let's talk about the causes and then the risk factors if you have one of these conditions. Well, absolutely. You know, some of the most common risk factors are obesity. There have been enough studies to show that every 10% increase in VMI. There could be an increase in prevalence of sleep apnea by 5 to 10 times. Then there is the advancing age, it's more common and adults are 65. However, women are more at risk in post-menopausal period. There's family history. People who have larger neck circumference, narrowed airway, smoking history, high blood pressure, diabetes. Anyone who has needed congestion from allergies, use of alcohol and sedatives. And then the symptoms, the real obvious one is loud storing. That is right. That is one of the most common ones where the bed partner recognizes the fitness snoring. But there's also witnessed apneas. There is people waking up choking, gasping for air. And the other most common is feeling tired during the daytime. Date and tiredness and sleepiness is one of the most common symptoms. Waking up, feeling tired, having under fresh sleep, morning headaches, difficulty focusing and concentrating. Increase in irritability and awakening with dry mouth. These are some of the most common symptoms. And the complications can be very concerning. That is right. So, untreated sleep apnea can cause a variety of complications. It can cause high blood pressure, called hypertension, coronary disease, cardiac arrhythmias, congestive heart failure. Increase in motor vehicle accidents or crashes, neuropsychiatric manifestations. People have a lot of irritability and change in the mood, depression. There could be cognitive impairment, diabetes type 2, fatty liver. I mean, there's a long list of complications. But really important to diagnosis on time. Speaking of diagnosis, do you still recommend overnight sleep study? That is the best way. So, the good news is, previously, there used to be just the option of going into a sleep lab, which is a different environment. But now, there is an option to do a home sleep study. Of course, it depends on the underlying coma, but conditions where your healthcare provider may choose which option would be best for you. Whether a home sleep study or going into a sleep lab or an overnight sleep study. And the treatment options, the obvious that everybody knows about or has heard about if they're not utilizing it, is a CPAP. That is right. That is the gold standard, a CPAP or a BIPAP. However, there are a lot of people who are intolerant to that. The good news is, we do have options if somebody is intolerant to CPAP or BIPAP. And those are older dental appliances, which are custom made by dental physicians. And there's a newer option called inspired therapy, which is a device which is placed underneath the skin like a pacemaker, which stimulates the hypoglossal nerve causing preventing the collapse of the tongue into the airway. Then there are other less common options for treatment like surgery and then, of course, lifestyle changes. Yeah, that kind of goes hand-in-hand with prevention, the lifestyle changes. That is right. Yeah, we know maintaining a healthy weight, managing your health conditions like diabetes, hypertension, cholesterol, avoid alcohol and sedatives before bed. You know, developing healthy, sleepy habits, you know, those are key preventive factors, for sure. And then, of course, speaking, health providers, health, you know, once a year and we check up, you know, identifying the risk factors and treat them accordingly. And you can visit independence.health, that's www.independence.health. Find a location near you, brought to you by Independence Health System, expert care here. And we thank Dr. Shree-Paul Shree-Shree-Mall, who is the medical director of pulmonary and sleep medicine for Independence Health System. Doc, thanks for walking us through this. Thank you so much, y'all. Have a good morning. Amazon Fall Favorites are here to make you say, with low prices on home, beauty, and fashion brands, like Amazon Essentials. So hold on to your pumpkin spice, whatever, and save on Fall Favorites at Amazon. Mwah, the sharpest ride, spectacular savings event is happening now with unbeatable seasonal clearance deals. But only through the end of this month, whether you're looking for a reliable sedan, family-friendly SUV, or something sporty. Now is the time to take advantage of these frighteningly good offers. The sharpest rides are the pre-owned auto experts and have thousands of satisfied customers. And they give back for every vehicle purchase. The sharpest rides are going to make a donation to the St. Jude Children's Hospital. Listen, the sharpest rides has the best deals in town. That's why they scare the competition. Get there today during their hauntingly great deals. Plus, the sharpest rides has spooky surprises for the kiddos. Don't miss out. Hurry up before these deals vanish. Visit the sharpest rides located at 2250 South T-Home Street in Inglewood. Or browse their inventory online at the sharpestrides.com. Don't miss your chance to treat yourself to a new ride at a scary good price. The sharpest rides, affordable, sexy, sharp. Dear Autumn Leaves, you won't be covering roads alone this season. Toyota's lineup of cool, colorful vehicles is ready to ride by your side. Take on fall in a trail tackling Tacoma. Or go for the powerful Tundra. Head to Toyota.com for more info. Or visit your local Toyota dealership today. Toyota, let's go places. (upbeat music) (upbeat music)