Allergies keeping you up at night? By Paul Fulmer, MD

This spring has been pretty rough on allergy sufferers.  The drastic changes in temperature along with the incredible wind and rainstorms have increased the pollen counts throughout the south.  Many patients have notices that their allergies are worse this year and nothing seems to help.                   

A recent article in Annals of Allergy, Asthma and Immunology states that due to climate changes the length of allergy seasons has increased and subsequently the pollen counts as well.  Since 1995 the length of fall hay fever season has increased by 13-27 days.  This prolonged exposure to elevated pollen counts causes people to become more sensitized to allergens.

  • With an allergy, the immune system overreacts to a trigger substance, or allergen. Outdoor allergies (also known as seasonal allergic rhinitis or hay fever) occur when allergens found outdoors are inhaled into the nose and lungs.
  • Common allergens are tree pollen in the spring, grass pollen in the summer and weed pollen in the fall, as well as mold spores. Outdoor mold spores peak in July in warmer states and in October in colder states.

This year because of the warmer weather in certain parts of the country, the spring tree pollen appears to be sliding right into the summer grass pollen and allergy sufferers may not get relief until July. 

So what can we do?  Avoidance of pollen is the first line of defense.  When inside keep windows closed and clean/change your air filters.  When outside, severe sufferers should consider wearing a mask while doing yard work.  If avoidance is not helping, then your next step is a trial of over the counter antihistamines and decongestants.  If no relief, then see your local doctor and see if nasal steroid sprays and prescription antihistamines may turn the tide.

As people become sensitized over the years to allergies, even prescriptions medications may not give them relief.  Often getting allergy tested can help explain why nothing seems to be working.

One nice option we offer at the Snoring Center is relief of the allergy symptom, NASAL CONGESTION!! This is often the primary complaint of allergy sufferers.  By not being able to breath through their nose at night, their sleep is very disrupted.  A simple in office procedure to shrink the nasal tissues swollen by chronic allergies can often significantly improve nasal airflow and quality of life.  So if your nose is constantly blocked and nothing seems to help, then give us a call and start breathing again!!  1-855-DrSnore.

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Spring Forward…UGH!! By Paul Fulmer, MD

 

We all look forward to this time of year.  Trees budding, flowers blooming and the weather changing from the grey of winter to the bright colors of SPRING!

As much as I love the change of the seasons, the one thing I don’t like is “loosing an hour of sleep!”  I know we get more daylight in the evening and longer days, but I just love my sleep!!  Don’t you?

If you are having trouble with your sleep patterns, disruptive sleep or even signs of snoring and sleep apnea, this will often exaggerate your tiredness symptoms.  Moving the clock forward can really affect your energy level, especially if you already are not getting good sleep. 

So, if you can’t seem to bounce back this week after adjusting the clock, then ask your partner if you have the following symptoms.  Snoring, restless sleep, trouble concentrating or even gasping or choking at night!  You may have developed sleep disordered breathing.

Whether just snoring or a progression to sleep apnea, sleep disordered breathing can come on gradually over years.  Therefore, we often don’t realize that we are gradually getting less and less sleep.  That is why a sudden change in your internal clock can make it more apparent.

So get outside and enjoy the Spring!  But if you can’t seem to shake off the tiredness associated with changing your clock, then give us a call.  You may have gradually developed a problem with your sleep and WE can Help!!  Our goal at The Snoring Center is to help you get better sleep.

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Are you suffering with Cedar Fever? By Paul Fulmer, MD

The term CEDAR FEVER usually refers to symptoms caused by Mountain cedar allergy. Symptoms are the same as hay fever, including sneezing, itchy eyes and nose, nasal congestion and a runny nose. With both cedar fever and hay fever, a person will not actually have a fever.

Mountain cedar is a type of juniper tree found mainly in South and Central Texas that pollinates in the winter, from December through March. It is usually the only major pollen present during the wintertime in the areas where it grows. Mountain cedar can release such large amounts of pollen that the trees can appear to be on fire. As the pollen is released, large clouds of “smoke” rise up from the trees. With such a heavy pollen load in the air, no wonder so many people are miserable during this time of year.

Medicinal remedies include over-the-counter antihistamines and decongestants. Cedar fever sufferers can ask physicians to prescribe nasal corticosteroids and anti-inflammatory drugs, but ideally such treatments should begin before allergy season starts. Doctors can also prescribe a series of allergy shots. A non-medicinal remedy is nasal irrigation — using a “neti pot” or commercial saline solution — to clear the pollen out of nasal passages.

If this is a yearly condition and the nasal congestion seems to stay even after the allergy symptoms are gone, then you may have developed “turbinate hypertrophy.” This is a common problem in people who suffer from allergies. If nasal steroids and antihistamines don’t resolve the stuffiness, then you could be a candidate for “Turbinate Coblation”. Turbinate coblation uses radiofrequency to cause shrinkage of the nasal tissues and improve your nasal airway. It’s a quick, in office procedure and you return to your regular activities that same day.

So if “Cedar Fever” has you all stopped up, take a look at our website, www.snoringcenter.com and lets get you breathing better today!!

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Poor Sleep Linked to Obesity and Diabetes!! By Paul Fulmer, MD

A recent study published in the Annals of Internal Medicine took a small group of young healthy patients and subjected them to only 4 1/2 hours of sleep over 4 days.  They were then brought back a month later and allowed to sleep for 8 hours a night.  After each 4 day period, a biopsy of belly fat was taken from each individual.  The question was weather sleep depravation would have any effect on how fat cells and the body as a whole responds to insulin.

Fat cells store lipids, however when the cells fail to respond to insulin correctly, they will spill lipids into the surrounding tissues.  This can lead to an insulin resistance phenomenon called “ metabolic syndrome”.  This is the precursor to Type 2 or adult-onset diabetes.  Interestingly, when the individuals in the study were only allowed 41/2 hours of sleep a night, their fat cells were 30% less responsive to insulin.  Moreover, they also underwent a “glucose tolerance” test showing a 16% whole body reduction in insulin sensitivity.

This new information, albeit a very small study, challenges the long held traditional views that sleep is mainly needed for the restorative effects it provides for the Central Nervous System (CNS).  Most adults need 7-9 hours of sleep a night.  If we don’t get that amount of sleep, many studies have shown a decrease in our attention span, slower reaction times and impaired learning.  This study adds an increased risk of developing adult-onset diabetes and obesity to that list.

Since this study took healthy, young people and made them worse, the question is can we take older, obese people with sleep apnea and reverse their fat cells resistance by improving their sleep.  Continued more in depth studies are needed to see if resolving sleep apnea will reverse the health concerns facing the population today.

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Women may have Sleep Apnea Too? By Paul Fulmer, MD

A new study out of Sweden (http://www.huffingtonpost.com/2012/08/16/sleep-apnea-in-women-may-_n_1779127.html) shows an increasing number of women are developing sleep apnea.  What has often been thought of a man’s problem for years is now shifting to the female side of the equation.

Karl Franklin from the Uppsala and Umea University looked at 400 women taken from a sample of over 10,000 ranging in ages from 20 to 70 years of age.  They were questioned about their sleep and health, as well as underwent a sleep test.  Of these 400 women, half were found to have obstructive sleep apnea.  This is decidedly greater than the percentage of 6-8 %, which has been thought to be in the general population.

They also noticed a direct correlation between age, obesity and hypertension: 80% of women with hypertension and 84% of obese women suffered from sleep apnea.  Moreover, severe sleep apnea was present in 31% of the obese women ages 55-70yo.

These findings suggest that sleep apnea is NOT just a man’s disease.  And as clinicians become aware of the direct association in women between sleep apnea and obesity and hypertension, we should consider sleep as the underling culprit.  If you or your girlfriend/wife suffers from hypertension, obesity and is chronically tired, have them discuss a sleep evaluation with their doctor.  It might just save their life!!

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If You Snore…This May Be A Wakeup Call…

Is snoring a significant enough problem to make you leave your significant other?

A new survey of Texans has produced some eye opening responses about how your significant other really feels about you sawing logs on the pillow next to them.

Learn more about our minimally invasive treatments for snoring and sleep apnea.

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Snoring Relief Comes to Austin – Open May 21st

The Snoring Center is pleased to announce the opening of an Austin area location, slated to open Monday, May 21, 2012. The Snoring Center is the nation’s leading provider of minimally invasive, office-based treatment for snoring and sleep apnea, including the Pillar Procedure from Medtronic.

The new office will be located in the Westlake Medical Center (5656 Bee Caves Road, Suite C 100, Austin, Texas 78746).

Dr. Paul Fulmer, a member of The Snoring Center, Houston team for over a year and a Board Certified Otolaryngologist with 18 years of experience, has been appointed Medical Director for The Snoring Center’s Austin office.

“It is an honor to be a part of The Snoring Center’s expansion to Austin,” said Dr. Fulmer.  “The Snoring Center’s innovative approach and progressive treatment options have helped people from around the world to find healthy, restorative sleep, which is essential to physical and emotional well-being. The opening of this center gives more people access to convenient, effective snoring and sleep apnea treatment options.”

“With each new Snoring Center location, we are bringing thousands of Americans closer to a peaceful night of sleep,” said Craig Schwimmer, MD, MPH, FACS, Founder and Medical Director of The Snoring Center. “Snoring and sleep apnea are among the most common sleep disorders, interrupting sleep for literally millions of Americans. Our unique perspectives, and unmatched experience with minimally invasive, office-based treatment options, have resulted in better sleep not only for our patients, but also for their families.”

Dr. Schwimmer cites research linking lack of sleep with everything from fatigue and short tempers, to decreased job performance and auto accidents, from high blood pressure and obesity to diabetes.  The Snoring Center’s minimally invasive treatment options provide practical and convenient solutions to the millions of couples impacted by snoring and sleep apnea.

Specially trained, Board Certified Ear, Nose and Throat doctors at the Snoring Center offer a variety of treatment options, allowing for customized treatment based on each patient’s anatomy and circumstances. These treatment options include the Pillar Procedure from Medtronic, Coblation of the Nasal Turbinates, Soft Palate Coblation and Laser Tonsil Ablation, as well as the use of oral appliances.

The Pillar Procedure involves the placement of woven inserts into the soft palate. Over time, the body’s natural tissue response to the inserts increases the structural integrity of the soft palate, thereby reducing the vibration that causes snoring and sleep apnea. More than 40,000 people worldwide have been treated with Medtronic’s Pillar Procedure, and The Snoring Center has performed more Pillar Procedures than any other practice in the world. Dr. Herman performs more Pillar implants than any other physician in the state of Georgia. He thoroughly evaluates the causes of patients’ snoring and customizes therapy accordingly.

Coblation of the Nasal Turbinates is a quick, well-tolerated procedure that applies radio frequency energy to shrink nasal tissue, enlarging the nasal airway. This is often an important component of treatment of sleep-disordered breathing. Because the tissue that is reduced is the same tissue involved in nasal allergy symptoms, this procedure is also effective in providing years of relief to nasal allergy sufferers.

The Snoring Center also offers Home Sleep Studies as an alternative to traditional, lab-based tests. These home-based studies are significantly less expensive, more convenient, and often preferred by patients because they are done in the comfort of one’s own bed. This convenience and comfort may also allow for a more representative night’s sleep.

Dr. Fulmer is a Board Certified Otolaryngologist who brings 18 years of experience to The Snoring Center.  Dr. Fulmer earned a Bachelor of Science degree in biology at Baylor University in 1984 and then completed medical school at the University of Texas Medical Branch at Galveston in 1989.  He went on to complete his internship and residency with the Department of Otolaryngology at the University of Texas Medical Branch in Galveston.

Dr. Fulmer is a fellow of the American Academy of Otolaryngology and Head and Neck Surgery and the American College of Surgeons, an associate fellow of the American Academy of Otolaryngic Allergy, and is a member of the American Medical Association and the Texas Medical Association.

About The Snoring Center

The Snoring Center is the nation’s leading provider of minimally invasive, office-based treatment of snoring and sleep apnea.  The Snoring Center has helped thousands of men and women stop snoring, sleep better and enjoy better health, thanks to a variety of convenient and effective procedures.  Performed in a single visit, using only local anesthesia, and allowing an immediate return to normal activities, our treatments are a rational choice for many patients struggling with snoring or sleep apnea.

The Snoring Center has offices in Beverly Hills, Chicago, Newport Beach, Dallas, Fort Worth, Houston, Atlanta and Ocean Springs. For more information please visit www.SnoringCenter.com.

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The Snoring Center Provides Relief from Spring Allergies

Learn more about our minimally invasive treatments for snoring and sleep apnea.

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Do You Need “Lasik for Snoring”?

Dr. Schwimmer returns to Good Morning Texas to discuss some revolutionary new minimally invasive, office-based treatments like The Pillar Procedure, by Medtronic and Turbinate Coblation. These treatments are just as effective as traditional surgery, without the risk, pain or downtime. We like to think of them as “Lasik for Snoring.” Check out the video to learn more.


Learn more about our minimally invasive treatments for snoring and sleep apnea.

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Dr. Schwimmer Discusses Minimally Invasive Sleep Apnea Treatments on Good Morning Texas

Come in, get fixed, and get back to your business.” That’s how Dr. Schwimmer described our minimally invasive treatments for sleep apnea when he returned to Good Morning Texas this week. Watch the full interview with host Ty Treadway below.

Learn more about our minimally invasive treatments for snoring and sleep apnea.

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