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Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

EP. 67: "Narcolepsy: Unpacking the 24/7 Neurological Sleep Disorder and Airway Comorbidity"

26 Nov 2025

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โš ๏ธ๐ƒ๐ˆ๐’๐‚๐‹๐€๐ˆ๐Œ๐„๐‘: NO MEDICAL OR DENTAL ADVICE. Nicole Goldfarb and Airway Answers with Nicole Goldfarb does not give medical advice. The information provided in this video is for educational and informational purposes only and should not be construed as medical advice. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding your health or a medical condition. Reliance on any information provided in this video is solely at your own risk. We make no representations or warranties about the accuracy or completeness of the information presented. You should not use these materials to diagnose or treat any health issues, illnesses or diseases. In addition, we do not recommend or endorse any provider of health care or health-related products, items, or services.ย __________๐น๐‘–๐‘›๐‘‘ ๐‘œ๐‘ข๐‘ก โ„Ž๐‘œ๐‘ค ๐‘ฆ๐‘œ๐‘ข ๐‘Ž๐‘  ๐‘Ž ๐‘๐‘Ž๐‘ก๐‘–๐‘’๐‘›๐‘ก ๐‘œ๐‘Ÿ ๐‘Ž ๐‘‘๐‘’๐‘›๐‘ก๐‘Ž๐‘™ ๐‘œ๐‘Ÿ ๐‘š๐‘’๐‘‘๐‘–๐‘๐‘Ž๐‘™ ๐‘ ๐‘๐‘’๐‘๐‘–๐‘Ž๐‘™๐‘–๐‘ ๐‘ก ๐‘๐‘Ž๐‘› โ„Ž๐‘’๐‘™๐‘ ๐‘”๐‘’๐‘ก ๐‘กโ„Ž๐‘’ ๐‘๐‘œ๐‘Ÿ๐‘Ÿ๐‘’๐‘๐‘ก ๐‘‘๐‘–๐‘Ž๐‘”๐‘›๐‘œ๐‘ ๐‘–๐‘  ๐‘“๐‘œ๐‘Ÿ ๐‘กโ„Ž๐‘–๐‘  ๐‘œ๐‘“๐‘ก๐‘’๐‘› ๐‘œ๐‘ฃ๐‘’๐‘Ÿ๐‘™๐‘œ๐‘œ๐‘˜๐‘’๐‘‘ ๐‘๐‘œ๐‘›๐‘‘๐‘–๐‘ก๐‘–๐‘œ๐‘›.โฃSome Key Points Discussed in This Episode:โฃโœ… The central topic is ๐ง๐š๐ซ๐œ๐จ๐ฅ๐ž๐ฉ๐ฌ๐ฒ, defined as a neurological sleep disorder and a 24/7 disorganization of the sleep and wake cycle.โฃโ“ A primary question explored how narcolepsy is diagnosed, differentiating between ๐“๐ฒ๐ฉ๐ž ๐Ÿ (with cataplexyโ€”the abrupt onset of muscle weakness) and ๐“๐ฒ๐ฉ๐ž ๐Ÿ (without cataplexy).โฃ๐Ÿฆท The conversation emphasizes the ๐ซ๐จ๐ฅ๐ž ๐จ๐Ÿ ๐๐ž๐ง๐ญ๐š๐ฅ ๐š๐ง๐ ๐š๐ข๐ซ๐ฐ๐š๐ฒ ๐ฉ๐ซ๐จ๐Ÿ๐ž๐ฌ๐ฌ๐ข๐จ๐ง๐š๐ฅ๐ฌ in identifying early warning signs, especially due to high comorbidity rates with sleep apnea (25% to 55%, possibly higher in specialized practices).โฃ๐Ÿง  Causes involve a genetic component (loss of the ๐Ž๐ซ๐ž๐ฑ๐ข๐ง ๐ง๐ž๐ฎ๐ซ๐จ๐ญ๐ซ๐š๐ง๐ฌ๐ฆ๐ข๐ญ๐ญ๐ž๐ซ, particularly in Type 1) often triggered by an environmental hit.โฃ๐Ÿ’Š Treatment options include pharmaceutical agents (stimulants, wake promoting agents, nighttime medications) and non-pharmaceutical strategies like ๐ฌ๐ญ๐ซ๐ข๐œ๐ญ ๐ฌ๐ฅ๐ž๐ž๐ฉ-๐ฐ๐š๐ค๐ž ๐œ๐ฒ๐œ๐ฅ๐ž๐ฌ ๐š๐ง๐ ๐ฌ๐ญ๐ซ๐š๐ญ๐ž๐ ๐ข๐œ๐š๐ฅ๐ฅ๐ฒ ๐ฉ๐ฅ๐š๐œ๐ž๐ ๐ง๐š๐ฉ๐ฌ.โฃ๐Ÿ‘ถ In children, narcolepsy can be ๐ฆ๐ข๐ฌ๐ญ๐š๐ค๐ž๐ง ๐Ÿ๐จ๐ซ ๐€๐ƒ๐‡๐ƒ ๐จ๐ซ ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ข๐จ๐ง, often presenting as hyperactivity or the re-entrance of required naps.โฃ๐‘ช๐’‰๐’†๐’„๐’Œ ๐’๐’–๐’• ๐’•๐’‰๐’Š๐’” ๐’Š๐’๐’•๐’†๐’“๐’—๐’Š๐’†๐’˜ ๐’๐’ ๐’€๐’๐’–๐‘ป๐’–๐’ƒ๐’† ๐’๐’“ ๐’‚๐’๐’š ๐’๐’‡ ๐’š๐’๐’–๐’“ ๐’‡๐’‚๐’—๐’๐’“๐’Š๐’•๐’† ๐’‘๐’๐’…๐’„๐’‚๐’”๐’• ๐’‘๐’๐’‚๐’•๐’‡๐’๐’“๐’Ž๐’”!ย ๐Ÿ‘‰๐Ÿ‘€ ๐˜๐จ๐ฎ๐“๐ฎ๐›๐ž (๐Ÿ๐ฎ๐ฅ๐ฅ ๐ž๐ฉ๐ข๐ฌ๐จ๐๐ž): https://youtu.be/M_badw2OPagย ________ABOUT OUR GUEST:ย Maggie Lavender is a Board-Certified Family Nurse Practitioner licensed in Texas with specialization in Sleep Disorders Medicine and Neurology. She attended Louisiana State University Health Sciences Center, where she received her Bachelor of Science in Nursing. She began her career working in a pediatric intensive care and burn unit. She later moved to Houston, Texas and continued her career in a neuroscience intensive care unit at a level one trauma center. She then completed her Master of Science in Nursing and Post-Masterโ€™s Emergency Nurse Practitioner Certificate simultaneously at the University of Texas Health Science Center. Her Nurse Practitioner career began in Houston, Texas at Comprehensive Sleep Medicine Associates (CSMA) alongside Dr. Jerald Simmons, beginning in 2012. She briefly moved to Pittsburgh and provided care at an Internal Medicine Practice before moving back to The Woodlands, Texas. She is currently practicing again at CSMA and is specializing in comprehensive sleep disorders, neurology, and epilepsy. Maggie has evolved to be a recognized Nurse Practitioner specialist on an international level, and currently functions as a published author, consultant and lecturer on the management of patients with narcolepsy and other sleep disorders. Maggie is the President and Founder of Sleep Medicine Advanced Practice Providers (SMAPP) Foundation. It is the first and only non-profit APP led organization to provide education, expert training, networking and empowerment to all Advanced Practice Providers in the field of sleep Medicine._______ABOUT THE HOST:ย Nicole Goldfarb, M.A. CCC, SLP- COMยฎ is a Speech-Language Pathologist, Certified Orofacial Myologist

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