Full Transcript Show Intro and Sponsor Messages 0:22 Welcome, everyone, once again, to another episode of Sleep Tech Talk, the sleep podcast with your host and friends, Emerson Kerr, 0:30 Robert Miller, and me, Dr. 0:31 Gerald George Moneykerode. 0:33 Folks, it's a special episode today. 0:36 And that special is because it is with your three hosts talking about what's been happening over the past few months. 0:45 I think it was a nice time for a check-in. 0:48 But before we get started, I just want to say a huge thanks to each and every one of you for joining us. 0:54 every episode. 0:56 We can't thank you enough for that. 0:57 But what we have seen is just a fraction of you who are watching the episodes are actually subscribing. 1:03 So don't forget to share. 1:04 Don't forgot to like. 1:06 And don' forget subscribe. 1:07 we sincerely appreciate all the views. 1:09 Just keep it going. 1:10 Get the word out there. 1:11 It really helps to get the message out to the sleep curious, the Sleep professionals and sleep everybody. 1:19 So let's get that started. 1:21 And a huge thanks to our sponsors. 1:23 A huge shout out to them, without whom we can't do this. 1:26 Be sure to check them out. 1:28 We've added a couple of new sponsors recently. 1:32 Just to bring everyone's attention to Phillips and Solace that have joined the sponsorship family. 1:38 Amen. 1:39 It's a big, huge, thanks. 1:41 Like I said, we just can do without them. 1:43 Thanks for that, Robert. 1:47 Treating my sleep apnea has renewed my appetite for life. 1:52 What matters to me now is giving my family a little treat. 2:01 Sleep Tech Talk is brought to you by Fisher & Paykel. 2:04 Fisher and Paykel Healthcare is a leader in CPAP mass design and innovation for over 20 years. 2:11 Their unique technologies have benefited millions of OSA patients through their top CPAP masks. 2:15 These advancements continue to further enhance patient experience and outcomes. 2:20 Solish is redefining how sleep apnea risk is identified. 2:23 Using a simple selfie-style face scan, our AI delivers a sleep risk score in under a minute. 2:28 The Solush platform then connects providers to evaluation, testing, and therapy through one seamless pathway.
Better Night and Bretton Lane Recap 2:34 Because every patient deserves expert guidance, wherever they are. 2:37 Choose Solesh. 2:39 One selfie. 2:40 Better sleep. 2:42 Robert since we're talking. 2:44 Hey. 2:44 Let's get started. 2:46 All right, let's jump in. 2:48 Yeah, a little bit of a recap, kind of going in backwards chronological order, whatever the appropriate terminology is. 2:57 On one of our most recent episodes, we had Bretton Lane from Better Night. 3:03 And it was really interesting to, and her story I think is very similar to ours, where you just sort of by happenstance, 3:13 jump into the world of sleep medicine and not only turn it into a career, but turn into something where you've helped to build a significant player in 3:24 the sleep diagnostic, sleep therapy marketplace. 3:28 And even from a clinical perspective, I would say setting some new standards in some cases as it relates to patient care, 3:38 especially from telehealth perspective. 3:44 You're right. 3:46 When you look at companies like Breton's, it's really extraordinary how they've survived the evolutions of what's happened in sleep. 3:54 There's so many companies that started like hers and faltered, especially in California. 4:01 You look what she's done, she stayed diversified, but then stayed in her lane. 4:06 I think that speaks volumes for how important that is to really focus on what you do well, do it great, And she's done that with her team. 4:15 And I think that's an important part of the story is, is not just her, but having just an incredible number of people on our team that can rise to how 4:25 these changes. 4:25 I mean, so many, you know, not, just Cal, being in California, surviving COVID as a standalone company. 4:33 So many of those things are incredible, that it really speaks to what this industry is about. 4:39 Sleep patients aren't going away. 4:41 But the being adaptable like she's been and how better nights been is just incredible. 4:46 And it's so fun to hear a story. 4:48 It's inspiring for especially those who are looking for careers and opportunities and just to be inspired in sleep. 4:56 Huge shout out to her and her team for what they've accomplished. 5:00 I think it's really cool now, like you said, being able to adapt and being to pivot. 5:06 I thought it was so cool. 5:08 Her story, she got her degree, didn't know what to do, and decided to go snowboarding and then kind of stumbled into this. 5:16 And like, you say, Robert, this somehow moved into the direction like we did with the podcast. 5:24 But I thing the bigger story here is that she found this industry of sleep health, sleep medicine, and sleep wellness and did something about it. 5:34 Got into it, learned about, it got prudentialed and built a business. 5:38 And that's a huge, huge lesson, I think for everybody that that out there looking for something to do or looking an industry to get in a true healthcare 5:50 industry where you can make an impact. 5:53 Like I love to say literally overnight for people, right? 5:57 And it's For me, that's what I found very interesting about her story. 6:05 But, you know, we did talk a little bit about Bretton, but what else did you see in Better Night? 6:13 Well, I think that ultimately it's all about change and diversification. 6:19 I know that one of the interesting things is that they're not a company that is completely solely focused on diagnosing patients and then getting them 6:28 to CPAP therapy. 6:29 There's also a dental component to their business, which is I bodes well for patients who go through their program and as sleep therapies continue to evolve, 6:41 I think that they seem to be poised to make the transition. 6:46 And speaking of transitions, let's talk about the episode prior to Breton's. 6:52 Jerry, I'll let you sort of tee that one up for us. 6:55 That was Dr. 6:56 Musama who came on board and talked about GLP-1s and he's probably as up to date on everything going on in the industry as anyone else. 7:06 You know, thanks, Robert. 7:08 Dr. 7:09 Osama is really interesting. 7:11 And for those of you out there who didn't catch that episode, shame on you. 7:15 But in case you didn, it's Dr Muhammad Osamah, and he's based out of Seattle.
GLP-1s, Obesity, and Holistic Sleep Care 7:22 The interesting thing about him is he's an obesity physician. 7:25 He's also a sleep physician, board certified, he is triple board-certified. 7:30 And he has this unique approach to providing care for patients on how he can take care of them, whether they're sleep issues or obesity, 7:39 or if it's a combination of the two, that overlap syndrome, so to speak. 7:43 Then what I really, really found interesting was his depth of knowledge on how to approach the patient. 7:50 I mean, his depth of knowledge and his total understanding of how do we provide care for these patients, how we give them the right treatment, 8:00 and also how did we take it forward? 8:02 How do progress? 8:03 It's not just dropping the weight and then we're done, or it's just, okay, I've splinted the airway open and now the patients can breathe at night. 8:10 No, it is not that. 8:11 He's looking at the complete picture of the And for me, that was very satisfying to hear a physician speak so passionately about providing that holistic 8:26 approach to the patient, specifically in this category. 8:30 I think it's interesting to me too, the fact that he is so up to date on multiple fronts, as it relates to technology, technology for diagnostics, 8:43 all of the different sort of, periodically we talk about endotyping and phenotypng, and I certainly think he's what's best for the patient type of provider, 8:55 but I think it's also interesting too that with his love of understanding the industry and the changes in the industries, 9:03 he's been able to bridge a bit of a gap between the dental sleep world and traditional medical side of sleep as well. 9:15 You're right, I think he brings, like you're saying, a holistic approach to it. 9:20 And I thing it's about, you know, he really called out system efficiency, being able to manage that traffic and integrating all aspects of care into it, 9:31 and it was really refreshing to hear him talk about that full breadth of because we see that in a few people that we talk to, 9:39 but I think some of the other things is just having smarter screening, being able to identify the right patient, like you're saying on the phenotyping, 9:48 that's an incredible approach to it. 9:49 But then it's really, how do you integrate technology into that? 9:54 How do leverage tech to make it work for you as a clinician, to work with the patient? 10:00 And I just I love that holistic story he tells you know that really I think captures the essence of what he doesn't sleep medicine. 10:12 Thanks emerson now if we're talking about that what about the patient's perspective what do you think. 10:17 About that we had a. 10:19 patient on our show, didn't we? 10:21 That's right, we did. 10:23 We had Lindsay McFarland. 10:25 And Lindsay, the Sleep BFF, my goodness, what an enormous amount of energy. 10:32 You know, just, you know when you look at her following, You can really tell why she does, she reminds us so much of Emma. 10:40 I think what it is, is people love authenticity. 10:44 And you can't get more authentic than the Lindsay and Emma and people like that that are living the experience of being a sleep patient. 10:53 But what elevates Lindsay to another level is the fact that she's so asleep. 10:58 So she's really on two sides of the equation, like many of us, including me. 11:03 And I know you, Robert, is that when you're a patient in sleep and then you have to sell sleep along with it, it really changes how you get it because 11:13 there's this multi-dimensional approach to how do you think about sleep? 11:17 Because every day that we put on a mask or put in an oral appliance or whatever it is, that were doing to manage your sleep apnea, 11:25 we're living the very thing we have to sell and have the market. 11:29 And it really changes the dialogue about it. 11:32 It was so much fun to see that. 11:35 So exciting to where she's going with both her resume career and her podcast. 11:41 You know, it's interesting, Emerson, to see the transition for her. 11:45 She went from sort of a clinical resource, I think, in a particular market for RestMed to, you know I, think now has moved out of Canada down to California
Patient Perspective and Sleep Advocacy 11:56 and is part of the marketing team at Restmed. 11:58 And they just launched something recently. 12:00 I don't know if you guys have seen it, the CPAP baddies. 12:03 So they, Yeah, they're engaging with with different patients and sort of telling the stories and maybe even maybe not. 12:12 Maybe they are not patients, but they certainly are folks who are in the industry and promoting, you know, CPAP is something as a positive. 12:20 And I think it's a great, interesting campaign and just can't wait to see what else Lindsey is able to do. 12:29 You know, Robert, you said about positives. 12:33 OK. 12:34 And I think this is a nice little segue into our next guest that we we had, which was Dr. 12:40 Ami Bhatt. 12:42 and I know during the show you had a lot to say, but I. 12:45 Think we. 12:47 Had a. 12:48 Lot to discuss, especially you, robert, about Dr Bhat and and her impact on that. 12:55 Would you care to talk a little bit about that for us? 12:58 You know, I have to admit that I was completely surprised about Dr. 13:06 Bott's knowledge of the sleep apnea space and her understanding of how, in her position, that she could help to leverage AI and the industry to treat more patients. 13:21 So, you know certainly a bit more of a population health approach, if you would, at looking at at patient groups and outcomes. 13:30 It was a really interesting discussion with her and she was fantastic guest. 13:38 You know, I think the thing that left out to me is to your point, her calling out sleep particularly was really a pleasant surprise. 13:46 But a few things that I noted was that, you know she said that she emphasized that sleep is not a lifestyle luxury, but a core physiologic pillar of heart health. 13:57 I mean, that's an incredible statement that it should be treated as a vital sign. 14:01 And even though we talk about things like that, maybe not using that exact terminology, it's so refreshing to hear a leading cardiologist with American 14:10 College of Cardiology call this out. 14:13 Because over our careers, we've talked about how to bridge sleep and cardiology is sort of this This bridge that we've all sought and so few have been 14:21 able to really be successful at it because cardiology tends to look at sleep as important. 14:28 But, you know, it's not something that tends to be number one on their radar when it comes to assessing the patient and to hear someone like that, 14:36 that is such an esteemed leader in cardiology was so incredible because you think about, the role of wearables and when she went into that. 14:49 I've seen that in my own personal life with some family where the wearable turned into a bridge to managing sleep apnea because it identified the AFib, 15:00 but then led to a sleep study that got this family member on CPAP. 15:04 So hearing that from her and having an experience in life of your important family was just incredible to hear. 15:12 And I'd love to have her back sometime because what a beautiful insight into how you know, sleep and cardiology can be in sync together. 15:22 You know I don't know if she's connected to some of the thought leaders on the sleep side, but I sure would love to connect her to those folks. 15:30 Because I think she could help bring the resources and the power behind her position to help drive some the initiatives that are important to our sleep leaders. 15:41 Well, you know, it's funny to say that the sleep research society reposted our podcast as a webinar to listen to. 15:49 And so huge shout out to Christine and sleep, research, society for highlighting us and seeing how important this conversation was to our industry. 16:01 Treating my sleep apnea has renewed my appetite for life. 16:05 What matters to me now is giving my family a little treat. 16:14 A sound sleep calls for a high performing mask. 16:17 Introducing F&P Nova Nasal with SwingFit Headgear. 16:20 From fitting and seal to minimal noise and draft, it's performance defined. 16:24 Go to fphcare.com forward slash nova nasal to learn more. 16:29 Solish is redefining how sleep apnea risk is identified. 16:32 Using a simple selfie-style face scan, our AI delivers a sleep risk score in under a minute. 16:37 The Solush platform then connects providers to evaluation, testing, and therapy through one seamless pathway. 16:43 Because every patient deserves expert guidance, wherever they are. 16:47 Choose Solesh.
Sleep Conferences and Upcoming Events 16:48 One selfie. 16:49 Better sleep. 16:52 Well, let's take a slight deviation from sleep and heart health and sleep, and behavioral health. 17:01 We had a special guest on a PhD doctor, Dr. 17:07 Janet Kennedy, based out of New York. 17:09 What were your thoughts, gentlemen, about that episode? 17:14 I got to leave it to you guys. 17:15 I was AWOL for that one. 17:17 And I set that guest up for the show, and then couldn't make it the recording. 17:22 So I'll have to lean on you two guys for content. 17:26 But I listened to it. 17:27 It was a great episode. 17:28 You guys did a good job. 17:30 What was your takeaway after listening to getting to hear us be a three-legged chair without our third leg? 17:38 What did you think? 17:40 You know, I think ultimately I love being able to hear, you know these different opinions about patient care and different perspectives on what works and 17:51 what doesn't work. 17:52 And, so that was probably my biggest takeaway from the episode. 17:59 You know, I think a couple of things that she called out, just looking back through my notes, is she really calls out sleep anxiety, 18:07 you know? 18:08 And I that's an interesting thing to discuss because you think about all the tools that are out there with CBTI and some of these digital tools, 18:17 that're coming for that and all of the steps you've got to take. 18:21 I thinks that such an important journey for someone. 18:23 And the fact that, she's calling that out. 18:27 that she referred to as orthosomnia, and that's that obsession with getting it perfect. 18:33 And I think that's sort of the crazy thing. 18:35 Yeah, we've talked about that with other guests, leaders like Michael Bruce and others where they fixate on their their wearable and they want to have 18:44 this perfect sleep. 18:44 And it creates this this paradox because then the day it's really how do you feel? 18:50 I mean, if you sleep five hours and you fell great, you know, your not you're not a failure. 18:56 If you slip eight hours in, feel terrible. 18:58 There's a problem. 19:00 And so I think it's that balance. 19:02 And I love how she kind of brings it all back together of what the patient should be thinking about and how we can deescalate and work them through cognitive 19:14 reframing that puts them in a better place in their sleep. 19:18 Emerson, I would agree with you there. 19:20 It brought a different perspective. 19:22 I mean, yes, Dr. 19:25 Bruce and others have spoken a little bit about that, but this, in my opinion, it brought it different as a perspective where with the rise of these wearables, 19:36 how that can actually negatively impact your sleep, because this goes with almost anything. 19:42 If you have too much data, what do you do with it, right? 19:44 You end up hearing that paralysis due to analysis kind of thing. 19:50 But we've spent quite a bit of time talking about guests. 19:55 Are you guys ready for a little gear shift? 19:59 What you got? 20:02 Isn't there a conference coming up soon? 20:05 Yeah, absolutely. 20:06 A little one. 20:08 Sleep 2026 in Baltimore. 20:10 Yeah. 20:13 What's going on over there? 20:14 I'm hearing a little bit of buzz about that. 20:18 I know I am excited about it. 20:19 It is the end of my AST presidency. 20:24 So we only have a few more weeks of that left. 20:26 It's been such an incredible honor to get to serve in that role and bring the AST and ASM back together and see the annual membership meeting returned 20:36 last year. 20:37 So a lot of positive things over these last two and a half years, but A great lineup, you know, the team is Lisa Indy and Sarah Bernica have put together 20:48 a great line up of speakers on the AST side. 20:51 And one of the things that some people might enjoy on Sunday, June 14th is a workshop where the Team is going to be really highlighting some of You know, 21:04 the modern approaches to scoring and titration. 21:07 It'll have Matt Anastasi, Lisa Indy, Marie Fordyce, and Russell Rozinski leading that for the morning on Sunday. 21:16 So for any of the techs that want to get an update from some of best minds and sleep technology, that's going to happen. 21:24 We've got the membership meeting right after that. 21:26 And then we head right into the agenda that will take us through the rest of the week. 21:30 But a great lineup on the AST side with SleepTex. 21:34 Then if you go over to the sleep medicine side, oh my gosh, what an incredible agenda. 21:40 So many of default leaders are going to be presenting, but it's going be a meeting. 21:44 It's fun to back in Baltimore. 21:46 Inner Harbor is always a fun place to Yeah, if you're there, you know, we'd love to connect. 21:53 I think all three of us would love connect with as many as possible while we're here because it's definitely a fun place to be and there's nothing better 22:02 than being around our friends and colleagues for a week. 22:05 You know, we are co-hosting their, I haven't seen the details yet, but they're supposed to be another influencer or a social media personality sleep event 22:16 this year. 22:16 And Sleep Tech Talk is a cohost for that. 22:20 I need to get some updates so we can know how to talk about that and when to expect that, and put it into our schedules. 22:26 But yeah, it's gonna be a fantastic conference. 22:31 It's been amazing, I think, the last couple of years at the attendance and just the engagement that is going on in the industry at these sleep conferences. 22:41 And we've been to Baltimore a few times now with the National Sleep Meeting, so looking forward to it and can't wait to see you guys in person. 22:52 I would agree with both of you. 22:54 There's been a lot of excitement. 22:56 I think it's a great time in the industry. 22:58 It's like a new wave that's taking place. 23:00 And there's so much buzz, so many activity over the past couple of years. 23:04 So it is going to be great. 23:06 We'd love to see each and every one of your come over. 23:10 If you see us, stop by, say hello. 23:12 Would love just to make the acquaintance if we haven't met you already. 23:18 Be sure to check out our clinical sponsor, Sleep Review Magazine. 23:23 More details in show notes. 23:25 And what else is going on in terms of conferences? 23:29 A little bit later this year, the three of us are the keynote speakers on the first day at Current Concepts. 23:38 Keynote? 23:39 What does that mean? 23:43 Well, that's what they have the side of our names and our presentation. 23:49 I know that I'm doing a second presentation on day two. 23:51 Emerson, did I see you're speaking also? 23:53 I am. 23:54 We're both speaking. 23:56 So yeah, we've got a good representation there. 23:59 That's a really good conference. 24:02 It's an interesting one in that it's different from anything that's done in the country, because all of the hospitals in Tampa's St. 24:10 Pete area participate in this meeting. 24:13 And they actually rotate the chairmanship of of meeting every year. 24:19 Tampa General, BayCare, All of those, they take turns leading it. 24:25 So there's always great involvement. 24:27 There's a physician side, there is a tech side. 24:30 You know, it's been such an incredible meeting to be a part of. 24:34 I think I went to my first one there in the early 2000s and it is always well attended, usually on the beach like it was this year. 24:43 You can't beat that. 24:44 And, you know, as one more beach trip before it gets cold. 24:48 So, no, I highly recommend it. 24:49 It's always a great meeting that they put on them. 24:52 In this year, Tampa General's hosting it and Robbie Beauchamp and team are, he can beat them there. 24:58 They're all great. 24:59 Hey, this is my first time going to this particular meeting. 25:02 I've not been before. 25:04 I was going to say it'd be similar for me as well. 25:07 It's going be your first time. 25:08 And if you two are speaking, maybe I need to throw my name in the hat and get a topic in. 25:15 But maybe, I talk too much. 25:17 So, I think that occurs in August, if I remember correctly, and then in October we have the three of us again together at the Carolina Sleep Society. 25:30 Although not doing a single session with all three us, we are each one going to bring our own topics to the discussion and that should be a lot of fun. 25:41 It's always a great meeting as well. 25:44 You're right, it's what you guys have done and you and the different ones that have led that.
Mainstream Sleep Apnea Awareness and Closing Remarks 25:49 It's another one, especially being, you know, when you look at the one in Florida, It has got two physician antics. 25:55 But when look what what have you done with the Carolina one to sustain the volumes of attendees, as a tech meeting is incredible, 26:04 especially when you know how many state tech associations have faltered and actually are no longer with us. 26:11 It's incredible. 26:13 You guys always put on a great meeting, great location there on the ocean. 26:18 Another fantastic meeting. 26:20 For those that can't get to Florida, going to Myrtle Beach is absolutely worth every dollar to get there. 26:28 Absolutely. 26:29 Looking forward to that. 26:30 But yeah, I think this has been a fun episode. 26:33 Any closing thoughts, gentlemen? 26:36 You know, we were talking a little bit before the podcast that while there's so much that's new, there is not anything really specific that stands out 26:47 to me right this minute. 26:49 But I think if I could say one thing that has been sort of fun is that it's good to see Shaq back on TV talking about sleep apnea again. 27:00 You guys have seen the GLP one ads for Lily. 27:03 Oh yeah, yeah. 27:05 Sleep apnea, but you know he's back in the game. 27:12 You know, since you're bringing that up, I'd like to say it's great to see sleep apnea in the mainstream now. 27:21 You see on TV or movies, you'll see a CPAP machine on the nightstand now, which never existed maybe 15 years ago. 27:31 And I remember back in manufacturing days, back when I was with Restaurantix, when some show had a had a CPAP or a mask, 27:41 everybody would take a screenshot and then email each other that, hey, this has happened, blah, but now it's so ubiquitous that nobody thinks about it anymore. 27:53 It's just part and parcel of your nightstand. 27:55 That's a true story. 27:57 And if you're paying attention, you even see skits about CPAMP on Saturday Night Live. 28:02 Right. 28:04 Black is getting into it. 28:06 Yeah. 28:06 I mean, it's nice to see that. 28:09 At the same time, you hope that people connect the dots. 28:12 And I think things that we're going to be able to look forward to, though, as we look through the rest of the year, I know we were talking about having 28:19 some guests on to talk about the code changes that are coming. 28:23 We've got some great guests lined up to You know, there's a lot of change going on the rest of the year. 28:29 And so it's fun to see, you know that the conversation rise on that side. 28:35 But I think at the same time, it there are some serious aspects of it as we look at balance of year and the changes that are coming. 28:43 What is that going to mean? 28:45 For patients, for our clinician peers, what's it going mean for sleep? 28:50 So I think there's a lot to look forward to from a content standpoint as we think about the balance of the year, where we're headed. 28:56 I'm excited about some of guests we have in our pipeline. 29:01 Absolutely. 29:03 All right. 29:03 Well, gentlemen, thank you so much and folks out there. 29:07 Thank you. 29:08 So much. 29:09 It's it's been a wonderful four years and we look forward to continuing this. 29:15 And I think we're just getting warmed up. 29:19 Emerson had posted a little blurb on LinkedIn. 29:22 If you'll follow that, it surprising to see where we are right now. 29:27 AI puts us on top in terms of the cross between technology and clinical aspects when it comes to sleep. 29:37 And that's thanks to all of you. 29:40 We can't thank you enough for your likes, your subscriptions, and your shares. 29:45 Please continue to subscribe. 29:46 Like I said, it's only a tiny fraction of those that are viewing our show that have actually subscribed. 29:51 Keep hitting the subscribe button. 29:53 we really appreciate it. 29:55 A huge, huge thanks for our sponsors. 29:59 and be sure to check them out. 30:01 So until next time, lights on. 30:09 Hello, I'm Massey Errington, President-elect of the American Association of Sleep Technologists. 30:15 I wanted to reach out and let you know that the AST is your professional home and chief advocate. 30:21 As an AEST member, you'll gain up to 22 free CECs annually. 30:26 You'll also have access to technology specific education, as well as the community and advocacy that you need to advance your career and improve patient outcomes. 30:36 With the AST's new strategic plan tackling sleep technology's biggest challenges head on, now is the time to advanced our profession together. 30:45 Visit astweb.org and discover where you belong.
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