Dr. Michael Grandner

So like you look at nostrils, you look at their nose, you have them breathe in, you look inside the airway in the mouth and like you can see where their soft palate is, you could see their tongue, you could see some of these things.

And, you know, sometimes, you know, there's a lot of sleep medicine that's using, you know, Flonase and some of this stuff to sort of clear up the nose.

But remember the obstructions,

almost all the time are back here in that 90 degree angle in your airway.

It's not up.

It's like people think snoring is a nose based thing.

It really isn't.

Sometimes you get like sort of floppy nostrils or whatever, but almost entirely.

It's the, the issues back here.

It's the back of your tongue.

That's also why on your back, it's worse often because gravity starts pulling stuff back or like when you open your mouth and your tongue falls back and can block the airway.

So yeah,

So that's, so like you can do that in the physical exam when you go to the sleep topic and take a look at your mouth and take a look at your nose and, and they'll be able to see, but I'll, but I'll tell you, it is a vast, vast minority of the time where that's actually the cause.

People want it to be because it's an easier fixed, but that's usually not it.

So here's the different sleep stages.

Stage, so when you fall asleep, you enter stage one.

Stage one is super ultra light sleep.

If you are sort of like nod off and someone bangs the table and you're like, what, what was that?

That's stage one.

When they say you were asleep and you say, no, I wasn't.