Pulmonology Consultant: Moderator Jaspal Singh, MD, MHA, MHS, interviews Aneesa Das, MD, and Seema Khosla, MD, about the main issues affecting sleep medicine today, the evolution of consumer-facing sleep applications and gadgets, and how the COVID-19 pandemic has affected sleep medicine.

Dr Aneesa: Broadly, I think that we’ve realized a little bit more that all obstructive sleep apnea is not the same. We’re moving in a direction of different phenotypic sleep apnea in one sense.

One person may have sleep apnea because they have a very low arousal threshold and that causes disruption of their airway, another person might have it because of obesity, another person might have it because of a small mandible.

There’s different kinds of phenotypes. The field has moved into a direction of being more cognizant of that. We haven’t quite gotten to the place where we can truly do goal directing care base on that. I would say that’s the movement that we’re going in, and we’re building literature and data to support, so that’s one thing.

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