I did WHAT last night?

Parasomnias can post a real danger.

A teenager is found sleeping in a tower crane 130 feet above the ground, having walked across a narrow metal beam to get there. A man gives his roommate a nightly play-by-play of his dreams as they occur. A sleeping man drives across town, chokes his stepfather and stabs his stepmother to death. These are all true stories—examples of extreme parasomnias.

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Research leads to new surgical guidelines for parathyroidectomy.

Tertiary hyperparathyroidism occurs more than primary or secondary hyperparathyroidism but it is rare and is seen in patients with renal disease and post kidney transplant. Because it is a rare problem, guidelines for surgical treatment and prognosis have not been well repeated in the past. This study establishes guidelines for parathyroid surgical intervention.

In a scholarly and systematic review, Dr. Michael Friedman and associates studied outcomes of hundreds of patients with tertiary hyperparathyroidism who underwent a parathyroidectomy (removal of the parathyroid gland). Control of symptoms and hypercalcemia cure rates were as high as 94% in many studies.

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Man vs. Machine

Can an algorithm outperform an experienced physician? The answer might be, “yes,” but with a caveat.

Findings from a recent study (Zhang, B, et al.) published in Thyroid suggest that a machine learning algorithm could be superior in specificity and accuracy than an experienced radiologist using ultrasound technology in diagnosing thyroid nodules in patients. Machine learning is an application of artificial intelligence (AI) that provides systems the ability to automatically learn and improve from experience without being explicitly programmed.

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Immunotherapy for Allergies? It’s a thing.

When you suffer from allergies, the symptoms you experience are the result of your body’s immune system reacting to allergens in the environment. When you breathe in these allergens, your immune system forms antibodies that trigger a chemical response causing symptoms like stuffy nose, runny nose, sneezing, or itchy eyes. These familiar allergy symptoms are actually signs of your immune system overreacting to the allergen.

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Dr. Friedman co-editor of new textbook

The second edition of the textbook, Sleep Apnea and Snoring: Surgical and Non-Surgical Therapy, edited by Chicago ENT medical director Dr. Michael Friedman and Dr. Ofer Jacobowitz is scheduled for release May 16, 2019.

Recent years have brought many significant changes to the field of sleep apnea and snoring, and this new edition is up to date with every effective intervention. a focused, multidisciplinary approach to all sleep apnea and snoring related illnesses, making it an outstanding reference for surgery in this key area within otolaryngology. New chapters, new video clips, new techniques and procedures, and new contributing authors.

To learn more about the book, click on this link.

Study Finds CPAP Can Increase Chance for a Longer Life in Obese Patients

Sleep apnea is more than just snoring and restless sleep. It has been tied to increased risk of heart disease, high blood pressure, stroke, weight gain, impotence, and more. Despite these health complications, many people are reluctant to take steps to treat it. First, denial that they have the disease interferes. And next, they are deterred by idea of CPAP therapy. However, a new study shows that CPAP therapy is linked to a longer life. 

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