Episode Transcript
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Speaker 1 (00:00):
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(00:20):
W FOURCY Radio.
Speaker 2 (00:22):
Welcome to the Ask the Experts Show on W FOURCY
Radio and Talk for TV, where we bring you educational
information from top local experts in the fields of legal, health,
financial and home improvement. Now sit back and listen to
experts in family law, association, law, hearing laws, business brokers, homecare,
(00:48):
along with many other topics. Now Here are your hosts,
Spivo and Sophia.
Speaker 3 (00:55):
Hey, good morning, Dell's for Worth. Welcome to another sc
expert show. I've got to tell you this is a
very special show for me. Many of you know been
listening over the last fifteen years. I'm from Dallas, I'm
from the Plano area. Though we do our show out
of Florida now and I have been doing as the
(01:17):
experts for fifteen years. And fifteen years ago I contacted
one of the sleep specialists and it was a dentist,
and I didn't even know dentists did anything with sleep
apnea and snoring. And we ended up signing not another
(01:39):
but another area of law. And I have actually watched
this practice grow over the years. And again, if you've
been listening long enough, you know I suffer. Well, I
don't suffer anymore because I have a sleepath machine, but
I suffer from sleep apnea, and I understand what you
(01:59):
people out there go through. We finally hooked up with
doctor Kent Smith, who has got the greatest clinics in
the Dallas Fort Worth area. When it comes to sleep.
At me, a disorder is snoring. And I want to
welcome you. This is a very special show for me.
Let me introduce you to I now call a special expert,
(02:24):
doctor Kent Smith. YEA, what an opening, Doctor Smith. I
got to tell you. I h when we get calls
in other Texas cities for our shows there, I tell them,
I said, you know what called doctor Smith. Don't waste
(02:44):
your time. I know you're in Houston. It's gonna for
our drive, but go see doctor Smith. It's worth it
what you have accomplished in sleep disorders. Dr Smith. I mean,
I am a huge fan of yours and I love
it that the show we're even running this show. We've
replayed this show several times each month, that's how important
(03:08):
the show is. So Doctor Smith, tell us about your practice.
Speaker 4 (03:13):
Well, sure, we were primarily in the DFW Metroplex where
we're looking at expanding into as a matter of fact, Houston, Oklahoma.
Oh really yeah, yeah, so that will probably happen in
the next gosh, in the next year. So what we
do is we try to be essentially a one stop
(03:35):
shop for anybody with any sleep problem at all. So
whether it's insomnia, snoring, and sleep Avenea is our primary focus,
but a lot of times there's overlap between insomnia and
sleep avenue. In fact, our research shows that about ninety
percent of insomnia episodes where you wake up in the
(03:55):
middle of the night are due to undiagnosed obstructive sleep.
So if sometimes if we solve the sleep out mea problem,
we fix the snor ring, we fix the stop breathing episodes,
the insomnia goes away. So that's how we treat insomnia.
We also treat it with medications if it's not related
(04:18):
to sleep at mea but many times it is. So
that's just one of the many things that we treat.
But if anybody feels like they have any kind of
sleep problem at all, whatever it is, I mean, we
spend a third of our lives sleeping a third, and
if you don't pay attention to what's going on during
that third of your life, something's wrong. You need to
(04:39):
get that checked up and make sure it's healthy.
Speaker 3 (04:41):
Doctor Smith. You know, they always say sometimes you have
to reach rock bottom before you take care of a problem.
And in my case, because when you have sleep at mean,
you don't get a sound sleep during the night, right,
Oh you don't, and you're always tired. And I found
myselfduring the day not only nodding off while I was
(05:03):
driving and when I saw that I was nodding off.
And I guarantee you there's a lot of people out
there that understand this. I said, I got to go
get help because it is very dangerous. And I didn't
realize how dangerous sleep at me is if it's not treated.
Speaker 4 (05:21):
Yeah, what you were experiencing is what we call micro sleeps.
When you're driving a micro sleep and everybody watching this
or listening, I can promise you has had micro sleeps
where you're driving on the highway and your eyes closed,
you just all of a sudden you realize, oh my gosh,
(05:42):
I think I just fell asleep. Well, that does happen,
and those micro sleeps are not healthy because it only
takes four seconds, if during a micro sleep, to be
in the middle of the highway to being upside down
in a ditch for seconds, So that should not happen
to anyone. There's a lot of sleepy drivers out there.
(06:04):
I can tell you so many stories, but ultimately it's
all about anyone having those sleepiness issues can be a
detriment to others on the highways as well. They could
end up killing somebody else. So it's a public health
concern and if you are a sleepy driver, you need
(06:25):
to get that checked out.
Speaker 3 (06:26):
And there's a lot of people out there like that.
You know, no one wants to admit it, and doctor Schmid,
no one ever wants to admit they snore either.
Speaker 4 (06:36):
Or they think they fix the problem by just sleeping
in a separate room, and if your a bed partner,
your bed partner keeps leaving to sleep on the couch
and then says, all right, your turn to sleep on
the couch, or you go in the closet and sleep.
I mean, there's all kinds of stories about this. It's
hilarious where people some people sleep every night and they
(07:00):
think that fixes the problem. But as you mentioned, there
are serious side effects to untreated sleep at me yet,
cardiovascular disease. In fact, my cousin just brought her husband
in this last week and he had had a heart attack,
and we asked, we didn't know that, and he's only
thirty eight years old. We asked, We asked him, have
(07:23):
you ever had any cardiovascular issues? He said, well, I
had a heart attack. Turns out he has moderate sleep
at yet. And they said, do you think it be
connected to be connected to the heart attack? And I said,
there's no doubt there is a direct connection to not
breathing and having a heart problem, specifically cardiovascular diseases including
hypertension and certainly mild cardial infarction, just not waking up
(07:50):
and dying in bed.
Speaker 3 (07:51):
We just got a text doctor Smith from Graham Prairie, Sylvia,
she wants to know. Does high blood pressure, uh possibly
relate to sleep at me?
Speaker 4 (08:04):
Well, yeah you can. Yeah, hypertension or high blood pressure
is one of the first side effects of having untreated
sleep at me. Yet now you can have high blood
pressure without sleep at me. But I would say if
you have high blood pressure and snore, you definitely need
to have a sleep steady does.
Speaker 3 (08:22):
It's funny I a friend of ours, Well, we'll be
watching a ball game together and she'll fall asleep on
the couch, just snoring as loud as can be, and
we try to wake her up and tell her he's snoring.
She goes, I'm not snoring. I don't know why people
are so embarrassed, but I know that I was told that.
(08:44):
God I snore aloud, and I you know, doctor Smith,
immat see, I'm actually on a bypath machine. But it's
of course it's a little uncomfortable, but my sleep is
so much better now.
Speaker 4 (08:58):
Oh yeah, no question. I think a lot of people
as they age, they think, well, I'm just getting older,
so naturally I sleep worse. But to be truthful, as
you age, you're more likely to have sleep atia as well.
So because everything drops, unfortunately, you know, it's just harder
(09:18):
to maintain muscle tone as you age, and muscle tone
in the tongue, muscle tone in the back of the
throat all contributes to a lack of airflow, which is
going to create those apnic episodes. We had somebody this
week who came in never having have a sleep study done.
He stops breathing one hundred and twenty times every hour,
(09:41):
every hour, one hundred and twenty times. I don't know
how you survive that long, and I don't know how
you ignore that problem for that long, because there's no
reason you should have waited until now. They didn't just
start overnight, right, And yeah, you were dealing with some
of this too. You probably delayed getting studied and treated
(10:03):
as well.
Speaker 3 (10:03):
Absolutely, it's funny. When I did it, you had to
go to a separate facility for the sleep test. You
don't have to do that anymore, do you. You can
do it at home now, right?
Speaker 4 (10:16):
Oh?
Speaker 3 (10:16):
Yeah?
Speaker 4 (10:18):
Probably ninety eight percent of the studies now are done
in the comfort of your own home. You don't have
to go into the sleep center. There are some unusual
situations where you do, but most of the time you don't.
I'm involved in a research study now where they want
in lab studies done, So it's not like it's never done.
(10:38):
We still need those labs out there, but most of
the time. Yeah, and certainly the first study you have
done should be an at home study.
Speaker 3 (10:47):
Right. Hey, we got a lot of people in the chat.
Doctor Smith, let's go to Brandon wants to know can
you reach rim sleep and dream when snoring are in microsleep?
Speaker 4 (10:58):
You can't reach it in microsleep, but you can certainly
do it when snoring. We see snoring, I mean in
rim sleep, you're essentially paralyzed. The only thing that can
move during rimsleep are your eyes and your diaphragm so
that you can breathe. But since you're paralyzed, you can't
move your jar or you know, try to get a
(11:20):
better airway because you're paralyzed. So we usually see worse
sleep ATNA during rimsleep than we do non rimsleep. We're
paralyzed because during rimsleep it's when we dream. We have
those divid dreams, and we're not supposed to be moving
when we have those dreams. That can be very dangerous.
(11:41):
So we're designed so that we don't move during rimsleep.
Speaker 3 (11:46):
Alex wants to know, can you have sleep ATNA and
not snore?
Speaker 4 (11:50):
Yep, that would be me. Yep. It's called silent ATNA,
and you can have it even though you don't snore.
If I don't wear my oral device, I sleep terribly,
but I don't snore. So yeah, there's certain situations where
you can not snore and have sleep at me I
(12:11):
would say, if you're if you have any health conditions,
like some heart problems, diabetes. Acid reflux is another side
effect of it, So if you have acid reflex, you
haveing to take medications for it. There's a lot of
things you can just look up all the side effects
of untreated sleep at MEA and if you have any
of those and you feel sleepy or whatever. Yeah, I mean,
(12:33):
I think honestly everybody should study their sleep at least
once in their life. Even if you think you sleep well,
wouldn't you be curious how healthy that sleep is. You
really don't know what's going on between the time you
go to sleep and the time you wake up. And
the bed partner is a terrible diagnostician. If you're depending
on your bed partner to diagnose you and say that
(12:56):
you have sleep at MEA, you can't do that.
Speaker 3 (13:00):
We got Norah down here. Can you have it and
not know it?
Speaker 4 (13:04):
That's almost everybody that comes in to see us. Yeah,
like my cousin last week. He didn't know he had it,
but his wife said, yeah, you've been snoring for a
while and I'm just tired of leaving the bedroom. So
they came in did the study as moderate sleep out
in me and he had no idea and she didn't
know that he stopped breathing. But he stops breathing seventeen
(13:26):
times an hour and did not know it.
Speaker 3 (13:28):
That's so, you know, one of the things I really
want to accomplish on this show, and Doctor Smith is
not only is he with us every week every month.
I'm sorry, but we're replaying this show because I know
what it feels like to go through sleep APNE. I
know some people have been worried about this, you know,
(13:49):
going on the seatpath machine, and I got to tell you, you
just get used to it. It's not bad at all.
But she sleeps so much better.
Speaker 4 (14:00):
Yeah, well, that's that's easy to say, I know, and
people who are advocates for SEAPAP, that's fantastic. And I'm
a SEAPAP is there for a reason. I just wish
one hundred percent of people could get used to it.
But we have patients that say they would just rather
die in bed than put that machine back on again.
Speaker 3 (14:24):
So I myself, should you do other things though, besides SEPA? Though?
Speaker 4 (14:29):
Yes, yes, yes, of course there are other options. And
a lot of people were just refuse to get a
sleep study because they think they're going to have to
have one of those Darth Vader masks on me. And
you know it's not sexy. I get that. You know
that it can save your life, right, but if you're
a seapath intolerant in fact, with mild and moderate sleep
(14:50):
at me yet those are you know, up to breathing.
If you stop breathing thirty times an hour or every
two minutes, that puts you in this severe at me
A category. If you're breathing, stop breeding less than that.
An ooral appliance is just as effective as a seapap
machine is. So the only people that really need seapap
(15:12):
are those people that well sometimes they just prefer it
and their brother wears one. They say, you know, my
brother wears one and he loves his, So I want
a seapap regardless of the diagnosis, which is perfectly fine.
We give people whatever treatment they want, but you're less likely.
We've run the statistics over the last year of all
of our pat patients that we provided seapaps for, which
(15:35):
is over two thousand patients, less than fifty percent wear
it regularly. Less than fifty percent. Really, yeah, I'm.
Speaker 3 (15:45):
Wildly Why is that? Why is that?
Speaker 4 (15:48):
I have tried it five times myself and I just
can't do it. I would love to be able to
wear seapaps so I can tell my patients, Hey, it's
no problem, you just have to keep trying. You god
five times and I get it. But I think the
biggest difference is when you're really severe, you see very terrible,
You feel terrible if you don't wear your seatpath. If
(16:11):
you do wear your seatpath, you feel fantastic. Well, you're
going to do everything you can to get used to that.
But if you don't feel terrible during the day, if
you don't fall asleep at the wheel all the time,
and you know, you just snore and you bother your
ben partner, and yeah, you have highpertension, but you know,
you can't really tell if you have high pretension not
(16:32):
unless you have your blood pressure tested. Right, So just
like you have your blood pressure tested, it's time to
get your sleep tested.
Speaker 3 (16:40):
Chelsea wants to know. Can this breathing issue happen while
awake or is it just during sleep only?
Speaker 4 (16:48):
Well, it can be more difficult to breathe. I haven't
yet seen somebody walking around snoring, because we inherently know
how to keep the airway open when we're it's just
you don't think breathe, breathe, breathe, breathe, don't snore, don't snore,
don't start. You're not thinking that Your body is just
(17:10):
it knows how to keep your airway open when you're awake.
But the systems you have for keeping your airway open
during the day, when you go to sleep, those systems
turn off and different systems turn on. So it's sometimes
very difficult to maintain that airway when you go to
sleep when you're awake. No, I mean yes, it may
be difficult to breathe if you have a blocked airway back.
(17:31):
There a lot of tissues in the back of the
throat that are clogging your airway. If you have a
hard time breathing through your nose, it can feel like
you have a breathing problem, and more than likely, if
you have a breathing problem during the day, you're going
to have a breathing problem during sleep.
Speaker 3 (17:48):
Doctor Smith, You've probably laughed when I say this. I
tried everything. There's so many gimmicks on the internet. You know,
the one where they put the little tape on your Yeah,
I mean, I tried all those and I'm going to
tell everybody none of them work. I don't care. I mean,
(18:09):
if you've got a sleep apning a problem, putting a
little piece of tape on your nose is not going
to help. I try them all, and that's probably one
of the reasons I prolonged, because I tried all these
different gimmicks on the internet and you're just I'm telling
you you're wasting your money.
Speaker 4 (18:28):
Yeah. Well, and you know, mouth taping is a big
thing on the internet these days. A lot of people
are trying mouth taping, and that can be dangerous because
if you get any blockage in your nose, not good.
So I don't really recommend mouth taping. I'm not going
to dissuade somebody if they want to try it, but
it's not going to cure your sleep out. And yet,
(18:50):
if there's blockage behind your tongue, or your tongue is
the problem. Taping your lips and taping your mouth and
wearing a nose trip is going to solve that problem.
Speaker 3 (19:01):
Yeah. I can't believe some people actually tape their mouths.
That's amazing. So we've got it. We've got a few
minutes off. So when they come to your office, let's
tell everybody all the different locations you have.
Speaker 4 (19:15):
Okay, so we have Frisco Dallas, which is kind of
a North Dallas area, Irving Denton, and McKinny.
Speaker 3 (19:25):
And I'm going to tell people listen, you know, there's
not too many shows. With all the shows we do
that I can actually say that I suffer from something.
I know what you're going through. And I'm telling you
you don't want to keep putting it off because even
like doctor Smith said, you know, every time I hear
(19:46):
about an auto accident, I always wonder, Gosh, id they
fall asleep with the wheel if it's daylight or not? Right,
doctor Smith? And I got to tell you it was
a I'm going to say from me, it was a
life changer getting this corrected. Uh. And I just I
hope that people will come in to see you. We
(20:09):
were running your phone number down at the bottom, but
we've got so many people who listen on iHeart and Pandora.
Give people your phone number.
Speaker 4 (20:19):
Yeah, the phone number eight four four four zero nine
four six five seven.
Speaker 3 (20:25):
That's good for all the locations. Yes, yes, And do
you have a website?
Speaker 4 (20:31):
The website, the quickest one is s TSWL dot com
s t S.
Speaker 3 (20:37):
Well, we'll be running this. We're running the show again
next week. Doctor Smith is with us every month. Doctor Smith,
I can't tell you this is like one of my
most important shows. What you do for people. You might
you've been doing it for so long. Maybe maybe you're
(20:58):
a little numb to it. But what you do is
a life changer and it saves marriages, it does relationships.
And I got to tell you embarrassment because I can't
tell you how many times I was in a class
and I'd fall asleep and the teacher have to say
you're snory in front of the whole class. So please,
(21:22):
I'm telling you because I endorse doctor Smith so much,
please call him and make an appointment. Doctor Smith. It's
pretty obvious. I love doing this show with you. You
are so perfect for this show. We'll see you again
next month. Thanks so much.
Speaker 4 (21:39):
And he now bring up one thing real quick.
Speaker 3 (21:43):
Absolutely so.
Speaker 4 (21:45):
I was reading in the Wall Street Journald this morning.
It was very depressing. It said that consumer trust and
physicians in the last three years has dropped fourteen percent.
Fourteen percent in just three years. Wow, they don't trusts
as much. They still trust them as much as fifty
four percent. That's pretty low, yes, but that's depressing. And
(22:09):
it's because you're in and out. They don't let have
time to listen to your concerns. That's where the medical
landscape is right now. I will say that when you
come into our office, we have an our appointment scheduled
for you to listen to. Everything you have a problem
with is with your sleep. We want to hear you
and make sure that we're your friend and get you
(22:30):
what you need.
Speaker 3 (22:31):
I love it, doctor Smith. Thank you so much, doctor
Kent Smith. We'll see you again next month, doctor Smith.
Speaker 4 (22:39):
Sounds good.
Speaker 3 (22:40):
That's doctor Kent Smith. Folks, please snore about a big deal.
Go in and get it treated. I wish I hadn't
waited so long. And you know that's it for us today.
Thank you, rebel. We'll be back again with you next
week with for SC experts.
Speaker 2 (22:59):
Thanks for tuning in today to be Ask the Expert
Show on the W FOURCY Radio and Talk for TV.
To then next week and every week to hear more
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