What happens when a triple board certified sleep medicine physician who spent years keeping the sickest ICU patients alive finally admits she was a chronic insomniac the entire time — and then COVID breaks her sleep so completely that she rebuilds her entire career around fixing it? In this episode of the Trustcast Show, Zane Myers speaks with Dr. Alison Kole, founder of Oak Health Center and medical director at Agnomi Sleep, about the science of sleep, why 80% of Americans with moderate to severe sleep apnea are completely undiagnosed, and what cognitive behavioral therapy for insomnia actually looks like in practice. Dr. Kole breaks down the difference between a home sleep test and an in-lab polysomnogram, explains why you don't need to be a snorer to have sleep apnea, and walks through exactly how modern CPAP machines work — and why they're quieter than you think. They also discuss the witching hour wake-up at 2 to 4 a.m., what a morning headache might really mean, why melatonin is not the answer for most insomniacs, how the COVID pandemic in New Jersey pushed Dr. Kole past her breaking point, and the text message that saved a young man from cardiac arrest. Dr. Alison Kole is a triple board certified sleep medicine physician, founder of Oak Health Center concierge sleep practice, and medical director at Agnomi Sleep. She hosts the Sleep Is My Waking Passion podcast, now over 107 episodes. Connect with Dr. Alison Kole: askthesleepmd.com/work-with-me Podcast: Sleep Is My Waking Passion on Apple, Spotify, and YouTube Chapters 00:00 Introduction to Dr. Alison Kole 01:02 How long she lived with insomnia before doing something about it 02:27 The year of sleep fellowship that changed everything 03:39 What cognitive behavioral therapy for insomnia actually is 04:44 The Kindle in bed question and what it really means 06:51 The 2 to 4 a.m. witching hour wake-up explained 07:33 Morning headaches and what they might signal 09:10 Why you don't need to snore to have sleep apnea 10:25 How to get a sleep study and what your options are 12:53 Telemedicine sleep medicine and insurance versus concierge 14:30 Home sleep apnea testing versus in-lab polysomnogram 17:09 Is sleep apnea genetic or familial 18:18 How CPAP machines actually work and how quiet they really are 22:11 How a psych major at Barnard got into pulmonary critical care 26:37 The transition from ICU medicine to sleep medicine 28:59 What COVID in New Jersey actually looked like from inside the ICU 31:20 Two toddlers, two pulmonary critical care doctors, and overnight call 33:17 How Dr. Kole chose herself and rebuilt her identity 34:45 Rapid fire questions 38:02 Sleep Is My Waking Passion podcast highlights 39:10 The text message that saved a young man's life 40:35 How to reach Dr. Alison Kole #AlisonKole #SleepMedicine #SleepApnea #Insomnia #CPAP #SleepDoctor #TrustcastShow #SleepIsMyWakingPassion #SleepHealth #CBTInsomnia
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