Welcome. My name is Divine. Welcome to episode 510 of the Divine Intervention Podcasts.

Into this podcast, we're going to be addressing a mystery topic. Let me introduce this with a vignette first.

So, what if they give you a question about the 35-year-old male? And they tell you that this guy snores a lot at work,

and he has been having a lot of nasal congestion for the last, you know, one year that has gotten increasingly worse.

And we're told that he's beginning to have marital issues, you know, the complaints of, you know, being able to get it up with his wife.

And then we're told that his BMI

is 32. What should you be thinking about here? Well, I would hope you're saying this is obstructive

sleep apnea. Pretty straightforward. So that introduces us to what our topic is going to be today.

And we're going to be talking about obstructive sleep apnea and its main integrations.

Obstructive sleep apnea and its main integrations. It's going to be a short topic. It's going to be talking about obstructive sleep apnea and its main integrations. Obstructive sleep apnea and its main integrations. It's going to be a short topic, but it's going to be a super high-yote. The thing is, OSA is a concept, but there are many peripheral concepts around OSA that are friends that the NBMs love to go after. In fact, you may have noticed this in recent times. I've started making a lot of podcasts where, yeah, there's a central concept we're discussing, but there's a lot of peripheral stuff around it that I'm going after. Again, I'm telling you this, and I may make a podcast on this in the future, but the NBMs these days, they're very good on the periphery. So I just want to make sure that you're good with those things like if you listen to

the sickle cell disease podcast yes it was titled a sickle cell diseases podcast but i mean she we

talked about like a ton of um ton of stuff there that was not even related to sickle cell disease

but that ton of stuff was definitely high yield for the exam so again obst, obstructive sleep apnea, right?

It's pretty, pretty straightforward.

The symptoms are pretty classic.

So you're going to see a person on the exam that usually is going to be a guy because

obstructive sleep apnea is way more common in men than women.

It's like 3x more common in men than women.

You're going to see it in people that they snore a lot. They're obese. That's going to be a big one. You're going to see people that have a big neck. You're going to see people, they can give you these recurring nasal congestion. I'm telling you this, the NBM is these days sometimes. They're very good on some of these kind of weird presentations of things. You may not think of nasal congestion as an OSA presentation on the exams, but yeah, it is a presentation on the exams. So you see a person on like nasal congestion, or person on big tonsils, especially in the pediatric population. Or you see a person with morning headaches. They will try to trick you that it's pseudotumorebrii, but no, it's not, right? Don't get me wrong, Sudultum cerebral can cause morning headaches. You know, remember these days we call that idiopathic intracranial hypertension, but OSA can also cause morning headaches. You see a lot of day-time fatigue, a lot of day-time sleepiness. They can tell you that the person is getting more depressed, more anxious, right? Because if you're not

sleeping well, I mean, I think anyone that has a medical background in the US can probably attest to

this pretty firmly. But if you're not sleeping well, you're going to have a lot of mood swings.

You're going to feel pretty good, right? Neurocognitive decline. Like your memory actually gets

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