Breathe Better Sleep Better Live Better Podcast Dr. Avram Gold on UARS, Chronic Fatigue & Functional Somatic Syndromes
Apr 26, 2013
Dr. Avram Gold, the medical director of Stony Brook’s Sleep Disorder Center, dives into the intricate links between sleep disorders, chronic fatigue, and functional somatic syndromes. He explains how upper airway resistance syndrome affects sleep quality and overall health. The discussion highlights the impact of chronic stress and its relationship with anxiety and depression. Listeners will uncover the challenges of treating these conditions, including innovations in personalized therapy and the importance of accurate diagnosis for effective management.
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From Pulmonology To UARS Discovery
- Avram Gold trained in pulmonary medicine at Johns Hopkins and demonstrated inspiratory airflow limitation in nonsnorers.
- That observation launched his work identifying upper airway resistance syndrome (UARS) distinct from classic apnea.
One Family Of Related Syndromes
- Avram Gold groups fibromyalgia, chronic fatigue, IBS and related disorders as functional somatic syndromes that share core features.
- He prefers the term 'central sensitization syndrome' to reflect a common limbic-system sensitization mechanism.
How UARS Differs From Classic Sleep Apnea
- Avram Gold explains obstructive sleep apnea (OSA) as collapses producing apneas, hypopneas and oxygen drops.
- He defines UARS as inspiratory airflow limitation with RERAs and sleep fragmentation but without marked desaturation.
