Extend Podcast with Darshan Shah, MD

162. Dr. Meredith Broderick: What An Undiagnosed Sleep Disorder Is Quietly Doing To Your Brain And Body

May 7, 2026
Dr. Meredith Broderick, a triple board-certified sleep neurologist and founder of Sound Sleep Guru, blends medical, behavioral, and multidisciplinary approaches. She explores how undiagnosed sleep disorders mimic ADHD in kids, the hidden cardiovascular and cognitive toll of sleep apnea, connections between mouth breathing and airway issues, and practical fixes from CBT-I to structural and metabolic treatments.
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ADVICE

Expand Maxilla To Improve Breathing And Sometimes Stop CPAP

  • Consider palate expansion (MARPE) or surgical options for adults with narrow maxilla to improve nasal breathing and tongue space.
  • Meredith Broderick used MARPE and was able to stop CPAP after maxillary expansion.
INSIGHT

Surgery Tradeoffs Matter UPPP Versus Nerve Stimulation

  • UPPP (uvulopalatopharyngoplasty) can reduce airway sensation and scar contraction often causing return of symptoms.
  • Hypoglossal nerve stimulation implants activate tongue muscles during inspiration as an alternative for CPAP-failures.
ADVICE

Use CBT‑I To Cure Chronic Insomnia Not Just Pills

  • Treat chronic insomnia with cognitive behavioral therapy for insomnia (CBT‑I) before long-term meds.
  • CBT‑I uses sleep restriction, stimulus control, sleep hygiene, cognitive restructuring, and relaxation across 4–6 sessions.
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