Sleep pain and vitamins uthc

Sleep Pain and Vitamins Dr. Stasha Gominak ETMC Neurologic Institute 700 Olympic Plaza, Suite 912 Tyler, Texas (903) 596-3808 www.drgominak.com 11/5/2010

Why don’t we doctors know much about Sleep? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sleep and Headache ,[object Object],[object Object],[object Object],[object Object]

6 years of sleep studies: 9/10 daily headache sufferers have abnormal sleep ,[object Object],[object Object],[object Object],[object Object]

Why don’t we understand sleep? Why is that important? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sleep is always involuntary you can’t really “do it wrong” ,[object Object],[object Object],[object Object],[object Object]

What are Sleep Disorders? What is normal sleep? Are we just lying there unconscious?

Normal Sleep is an active, highly organized process.

What is Light Sleep? ,[object Object],[object Object],[object Object],[object Object]

Deep Sleep: Slow Wave Sleep ,[object Object],[object Object],[object Object],[object Object]

Growth Hormone release in Slow Wave Sleep helps us heal. ,[object Object],[object Object],[object Object]

Deep Sleep: REM Sleep ,[object Object],[object Object],[object Object]

REM Sleep ,[object Object],[object Object],[object Object]

Sleep Disorders ,[object Object],[object Object],[object Object],[object Object]

Normal Sleep v.s. Non-restorative Sleep ,[object Object],[object Object],[object Object],[object Object]

9/10 daily headache sufferers in my practice have abnormal sleep ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Migraine “Brainstem Generator” and Sleep

Why do humans think headaches are “normal”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Posterior brainstem Periaquiductal Gray plays a large role in sleep and sleep paralysis ,[object Object],[object Object],[object Object],aquiduct

What characterizes these sleep disorders ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Wobbly Paralysis Switch ,[object Object],[object Object],[object Object],Too Paralyzed Not Paralyzed Enough

If headache improves how about other pain? ,[object Object],[object Object],[object Object],[object Object]

Why does everyone and his brother seem to have Sleep Apnea? Did we make it up? Has it always been there or is it new? What’s causing it? Why is it more in “developed countries”?

All over the world 9/10 sleep studies are abnormal, with sleep apnea comes: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

I thought Sleep Apnea only happened to fat people

Does obesity cause sleep apnea or does sleep apnea cause obesity?

Obesity and Sleep Apnea ,[object Object],[object Object],[object Object],[object Object]

Sleep disorders can result in Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]

Why is the CPAP experience important? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What’s happening here that’s goofing up my patients’ sleep? Periaquiductal gray

Why don’t we fix the sleep instead of patching it? ,[object Object],[object Object],[object Object],[object Object]

Vitamins and Sleep ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vitamin D receptors in periaquiductal grey, lateral ventricles and pituitary/hypothalamus

What is Vitamin D anyway? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Dr. Walter Stumpf and D hormone

Dr. Walter Stumpf and D hormone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why a hormone linked to UVB? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Where are the Hormone D Receptors? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Summer: high D message (70-85) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Winter: lower D message (50-70) ,[object Object],[object Object],[object Object],[object Object],[object Object]

D Hormone and Sleep ,[object Object],[object Object]

D Hormone: the future for all of us ,[object Object],[object Object]

Epidemiologically related to D deficiency- (same list as sleep apnea) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Disorders of GI tract related to D deficiency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cholesterol and D Hormone ,[object Object],[object Object],[object Object],[object Object],7 dehydrocholesterol Pre vitamin D

Cholesterol and D Hormone ,[object Object],[object Object]

Arthritis and Rheumatism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Muscle Weakness, Pain ,[object Object],[object Object],[object Object]

D Bosses other Steroid Hormones ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Multiple Autoimmune Diseases due to Vitamin D deficiency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bone Marrow Components all have D receptors ,[object Object],[object Object],[object Object],[object Object],[object Object]

How do replace the D to fix the sleep? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What’s the right level? ,[object Object],[object Object],[object Object],[object Object]

What is the right level ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What’s the right dose? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

In the last 30 years most babies have been born to D deficient moms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Depression Psychosis and D ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is the right daily dose 1,000 IU or 10,000 IU? ,[object Object],[object Object],[object Object]

Vitamin D Toxicity. Why the FDA’s not crazy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

D Hormone and D receptors multilayered complexity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why the “vitamin” mistake and what’s with the numbers? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What should I do for myself and my patients? ,[object Object],[object Object],[object Object],[object Object]

How to know when it’s right? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sleep pain and vitamins uthc

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Sleep pain and vitamins uthc