The Basics

The Pasha Snoring Center is designed for those who Snore or have Sleep Apnea and want meaningful options for treatment beyond just a CPAP from a sleep board-certified ENT doctor.

You or your bed partner may be a snorer or gasper or perhaps you do not feel that you get refreshing sleep. Your bed partner may be stressed watching your every breath while you stop breathing at night. Many people with sleep related disorders are inefficient during the day, falling asleep easily or constantly feeling tired. Many of our patients are depressed and moody and have trouble with weight gain. Unfortunately, for many who have been diagnosed with sleep apnea you are given only one choice…A CPAP machine.

Be assured that during your visit, you will receive an in-depth analysis of not only the causes of your sleep apnea but the consequences of not treating it. 

Being double-board certified in sleep medicine, Dr. Pasha also specializes in a number of other sleep related disorders including insomnia, hypersomnia (narcolepsy), sleep related movement disorders (restless leg syndrome), as well as parasomnias (sleep terrors and nightmares). Numerous times, patients are not diagnosed with other sleep conditions and are just given a CPAP without any improvement in their health. It is essential to be able to distinguish other causes of sleep disturbances to properly treat you. 

Sleep Studies/Home Studies

If you have signs or symptoms of sleep apnea or have another sleep related condition, we may request a home or lab sleep study. 

Common signs of sleep apnea include:

  1. snoring
  2. stopped breathing at night
  3. unrefreshing sleep
  4. daytime tiredness and fatigue
  5. weight gain
  6. mouth breathing
  7. history of high blood pressure or heart and lung disease.

It is important to understand that most people who have sleep apnea snore, but most people who snore do not have sleep apnea. We will not assume that you have sleep apnea based on the presence of snoring alone.

What Is A Sleep Study…

If we suspect that you may have sleep apnea or other sleep related condition, you may be scheduled for a sleep test called a polysomnography (PSG). A PSG may be performed at a sleep center or at home depending on the severity of your symptoms. During these overnight tests, you are measured for apneas (pauses in your breathing), oxygen levels, snoring, as well as a number of other events. The data from these studies is essential in determining the severity of your sleep apnea or to determine if you are getting proper sleep in order to determine your treatment plan. Insurance companies may also require sleep studies in order for you to be covered for your treatment.

If you have already received a sleep study please obtain the study or have it sent to the office prior to your visit, if possible.

We Will Explain Your Study To You…

On your return visit, Dr. Pasha will discuss the results with you and allow you to have a perspective on the severity of your sleep apnea. Dr. Pasha has found that many patients do not understand their sleep study and may have been told that they have sleep apnea when in fact they might be better characterized as having an upper airway disorder or a primary snoring disorder. Dr. Pasha will give you a score called a Respiratory Distress Index or Apnea/Hyponea Index. This number is one measure of the severity of your sleep apnea. A score of >5-10 is considered abnormal. Scores greater than 16 are more severe. If your score is greater than 41 you are at a higher risk of medical disease such as high blood pressure or heart or lung disease (read more about the correlation between sleep issues and heart health here).

5 Ways to Treat Snoring & Sleep Apnea

There are five ways to address your snoring and sleep apnea.

Observation. Observation may be an option if the snoring does not bother you or anyone else or you don’t have significant sleep apnea. An advantage to addressing your snoring early is that typically, as you advance in age, the laxity or sagginess of the back of your throat increases which worsens your snoring and often leads to sleep apnea.

Behavior Modification. This includes losing weight, avoiding sedatives and alcohol at night, sleeping on your side, and developing better sleep habits. All sleep apneic patients must try to reach their ideal weight. Weight loss is difficult when you have sleep apnea because you are tired and your metabolism is slowed. Addressing your sleep apnea typically results in weight loss. Dr. Pasha has a specific interest in nutrition and holistic medicine and in fact has an in-house dietitian to help his patients achieve their ideal weight. Alcohol and sedatives, including sleeping pills, are prohibited if you have significant sleep apnea to avoid suppressing your rescue gasp that allows you to catch your breath at night. If you are sedated, your oxygen may reach dangerously low levels, causing a heart attack or sudden death.

Breathing Machines: These machines are more commonly known as a Continuous or Constant Positive Air Pressure (CPAP) machine.

This apparatus prevents airway collapse by forcing air through your nose and mouth. CPAP machines have a high rate of success for those who use them. CPAP machines can be cumbersome, inconvenient, and may not be tolerated because of claustrophobia. Dr. Pasha prefers to use the “smart” machines so that he may read data remotely to see how you are doing with the machine at night. If you choose to use a CPAP machine, Dr. Pasha will help you stay compliant with your machine by monitoring your usage, adjusting your pressures, and adjusting your masks. Dr. Pasha may also perform minor procedures in the office or in the operating room so that you can better tolerate the machine or lower your pressures. Many times, sleep centers place everyone on CPAP machines without alternatives. CPAP machines do not address the underlying cause of the collapse of the airway at night.

In-Office and Surgical ProceduresDr. Pasha has performed well over 4,000 procedures for sleep apnea/snoring and considers it an art. After a detailed physical examination, Dr. Pasha may offer a long-term procedure specific for you. Philosophically, our center focuses on the least invasive technique with the most effective outcome. For some this may mean a 20-minute procedure that can be performed in the office under local anesthesia. For others it may require a more advanced surgical technique. Since Dr. Pasha has been focused on sleep apnea procedures since 2001, he has performed most available from the use of robotics to less invasive in-office procedures. Dr. Pasha also commonly evaluates those who had a prior failed procedure and specializes in revision techniques.

Dental or Oral Appliances. Dr. Pasha’s office has been delivering various generations of dental appliances to 1000’s of patients since 2005. He has a tremendous amount of experience determining who would be successful with an appliance as an alternative to a CPAP machine. Initially, Dr. Pasha would carve out the appliances by hand but now offers state-or-the-art digitally scanned 3D printed dental appliances.

Pasha Snoring & Sinus Center Difference

Dr. Pasha is Specialty Certified in Sleep Medicine and Ear, Nose, and Throat Head and Neck Surgery, giving him a unique expertise that allows him to identify the source of your snoring and then offer a myriad of choices including more permanent solutions rather than just a CPAP machine.

Dr. Pasha recognizes that there are many inappropriate techniques offered to patients that snore or have sleep apnea. It can be very confusing to patients which technique is best suited for them. Some clinics specialize in only in-office, minimally invasive techniques. Others may push for dental appliance or CPAP machines. Because of their limited options and financial incentive there is an increased chance of inappropriate recommendations. The Pasha Snoring and Sinus Center was designed to present logical, proven-effective multiple solutions that are specific for your situation. If you are suffering from snoring issues or need sleep apnea treatment, our Houston clinic can help get you on the road to recovery.

Our Center Investigates The Cause…then Provides Real Solutions.

Our clinic is not a “one trick pony.” We offer an entire array of possible solutions. In the Greater Houston area Dr. Pasha has become a pioneer for numerous techniques; from in-office solutions to more advanced surgical techniques for severe sleep apnea even utilizing the Da Vinci Robot. Dr. Pasha has also developed his own combination of techniques to address the back of the throat and some that are unique to his clinic. Dr. Pasha also provides other traditional modalities: from dental appliances to the latest breathing machines, including CPAP and Bi-PAP devices. Most of our procedures are covered by insurance.

Effects of Sleep Apnea with Dr. Pasha

Dr. Pasha explains the effects of Sleep Apnea on Great Day Houston.

Watch Here

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Snoring affects not only the person snoring, but their bedmates, and in particularly loud cases, other members of the household. This noisy nuisance can prevent you from sleeping soundly and, for more serious cases, can be a sign that you’re not getting enough oxygen at night.

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