26 million adult Americans have sleep apnea and 80-90% represent undiagnosed cases. Why have these numbers remained so high when there are easier diagnostic and treatment options than ever? In this episode we will:

• Discuss obstacles to diagnosis
• See how the lack of symptom specificity adds to the problem
• Consider if lack of provider awareness is really an issue
• Look at fear as a factor holding patients back
• Evaluate the difficulty of getting sleep studies

Produced by: Maeve Winter

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• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

Everyone loves the NCAA basketball tournament...teams colliding in a winner-take-all tournament for basketball supremacy. Haven't you ever dreamed about a similar competition between different pillows? Well dream no longer because that bedding showdown is here. Pillows are so important to our sleep, which is why I have assembled 17 of the finest to square off in a battle the likes of which have never been seen. In this episode we will:

• Explain the first annual Sleep Unplugged Pillow Fight tournament
• Touch upon how important choosing the right pillow is for sleep
• Breakdown the scoring system (25% Committee, 25% my blinded experience, 25% Sleep Specialist input, 10% Crowd/Social Media (Instagram) following, 10% 'Induced Fit', and 5% Packaging and Extras).
• Introduce the 17 competitors: Atluxe, Authenticity50, Bedgear, Cariloha, Casper, Coop, DozyBoy, Lagoon, Layla, Luxome, MVMI, Nest, Pillow Cube, Pluto, Silk & Snow, Tempurpedic, and Twilla

Produced by: Maeve Winter

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• Twitter: @drchriswinter
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• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

As we recover from yet another "spring forward" into Daylight Saving Time again, it seems a good time to revisit the topic we initially covered in episode 18. While that episode sought more to explain the origins of the practice and how to best adjust, this episode is more of a declaration as to why the entire practice should be abolished in favor of permanent standard time. In this episode we will:

• Unpack the support for eliminating the clock change and why many lawmakers have ignored science and pushed for a permanent adoption of daylight saving time (DST)
• List the many entities and groups that support the adoption of permanent standard time
• Briefly touch upon the few "cons" to permanent standard time and how they are both questionable and dwarfed by the available research in favor of permanent standard time
• Explain the circadian and health benefits of permanent standard time
• Explore the school performance benefit of eliminating DST
• Measure the positive environmental impact of adopting standard time all year
• Dive into productivity increases when the standard time is adopted
• Learn why permanent daylight saving time already failed in the 1970s
• Debunk the noting that the practice was started to benefit farmers; not only is this not true, but farmers opposed it because of the reduction in morning light

Produced by: Maeve Winter

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• Twitter: @drchriswinter
• IG: @drchriwinter
• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

It has been a while since we have focused our attention on light therapy and sleep. For this Insomnia Monday, I thought a revisiting of light therapy might be in order. In this episode we will:

• Touch on new research that serves to minimize the role that blue light plays in terms of sleep harm
• Look at other colors of light and how that might affect sleep and health
• Evaluate research looking at light therapy and insomnia
• Expand our thinking about insomnia into a place that includes circadian disorders and causes/contributors

Produced by: Maeve Winter

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• Twitter: @drchriswinter
• IG: @drchriwinter
• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

In 2024, the Independent published an article entitled, "Experts Issue Warning About Using the Snooze Button." Previously, a sleep specialist said the snooze button was "one of the worst things you can do." Is any of this true? Could there potentially be a benefit? In this episode we will:

• Touch upon the history of the snooze button
• List some theories why it might be harmful to sleep/health
• Characterize the typical snooze button user
• Look at the average time one might snooze
• Provide some insight as to various snooze button motivations
• Learn why snoozing can be a strategy for dealing with sleep inertia
• Review some surprising research about snoozing potentially helping with cognitive abilities

Produced by: Maeve Winter

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• Twitter: @drchriswinter
• IG: @drchriwinter
• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

Heart rate variability (HRV) is everywhere, and in no space has it made a bigger splash than in sleep medicine. Not only is HRV influenced significantly by sleep, but it is also at the core of wearable sleep technology. In this episode we will:

• Define heart rate variability
• Discuss what increased or decreased heart rate variability means
• List the medical conditions often associated/predicted by changes in HRV
• Characterize how HRV is utilized in sleep medicine
• Contrast how different stages of sleep are reflected in HRV changes and how this is utilized in wearable technology
• Touch upon the factors that positively and negatively influence HRV

Produced by: Maeve Winter

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• Twitter: @drchriswinter
• IG: @drchriwinter
• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

If you pay any attention to sleep hygiene advice, you have probably heard many times that you should get up at the same time every day for optimal sleep. But does that mean you can never lounge around in bed a little in the morning? According to the Scottish, not at all. In fact, they have a term for it: hurkle-durkle. In this episode of the podcast, we will:

• Define "hurkle-durkle"
• Differentiate hurkle-durkling from bedrotting, another popular social media trend
• Review the factors that seem to be necessary for a proper hurkle-durkle experience
• Explore how this concept, applied in moderation, can be applied to our feelings of positivity or negativity about being in bed awake

Produced by: Maeve Winter

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• Twitter: @drchriswinter
• IG: @drchriwinter
• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

Transcutaneous vagal nerve stimulators are often advertised as insomnia therapies, "helping you fall asleep faster" or "helping you sleep through the night. Do they work? In this Insomnia Monday episode of the podcast, we will:

• Introduce vagal nerve stimulators
• Describe the path and role of the vagus nerve
• Understand the role of the parasympathetic nervous system
• Examine the limited research on vagal nerve stimulators and sleep
• Understand the scale of the placebo effect in sleep/insomnia research
• Differentiate a statistically meaningful change in sleep/polysomnographic parameters from a "real world" meaningful change in someone struggling with insomnia
• List the strengths and criticisms of vagal nerve stimulators including study size and study design
• Learn who is the right candidate for vagal nerve stimulators

Produced by: Maeve Winter

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• Twitter: @drchriswinter
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• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

When we think about the deleterious effects of poor sleep, cardiovascular and cognitive/psychological consequences typically come first to mind. One of the less obvious and less understood effects is that of cancer which was listed as a probably carcinogen by the International Agency for Research on Cancer (IARC) in 2007. Since that time, there has been considerable efforts to understand the role plays in cancer. In this episode we will:

• Evaluate the original research looking at sleep and cancer risk
• List the cancer types commonly associated with poor/inadequate sleep
• Highlight studies that cast doubt on this relationship
• Review factors related to sleep and shift work that might influence risk
• Speculate on possible mechanisms that lead to carcinogenicity
• Touch upon steps one can take to lessen cancer risk associated with poor sleep

Produced by: Maeve Winter

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• Twitter: @drchriswinter
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• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

The relationship between sleep and blood glucose is a powerful one and it impacts our weight, the way we eat, and countless other health metrics. In this episode we will:

• Introduce the concept of glycemic control
• Define insulin sensitivity and how it relates to diabetes
• Learn why sleep deficiency increases blood sugar levels
• Stress the role that cortisol and growth hormone play in glucose regulation and how sleep impacts both
• Explore the relationship between sleep stage and glucose regulation
• Emphasize sleep deprivation as a negative factor in glycemic regulation
• Understand the common pathway of sleep disorders and blood sugar control
• Follow the bidirectional relationship between elevated blood glucose levels and poor sleep quality

Produced by: Maeve Winter

More

• Twitter: @drchriswinter
• IG: @drchriwinter
• Threads: @drchriswinter
• Bluesky: @drchriswinter
• The Sleep Solution and The Rested Child

Thanks for listening and sleep well!