Madan Kandula, MD, blew the ZZZ Pack away with his iconoclastic approach to the typical sleep workflow. His pragmatism when referring to his 10 ENT offices in the Wisconsin/Chicago area as an “upper airway breathing practice” had Dr. Elliott ready to pay his relocation costs to Idaho.   Dr. Kandula dropped gems on the ZZZs about the barrier between dentistry and medicine, anatomic nasal and sinus blockages, the importance of nasal breathing, and a bunch of other things that will make you a boring dinner party guest but a much better clinician.   Want to know how his practice, Advent, continued to scale top quality care as he grew from being a single practitioner to having nearly 200 employees across 10 offices in 2 states? Curious about the slow, painful, purposeful journey to master consumer marketing? It’s all here…   “If you have sleep apnea and interact with the health system, you’re screwed.” That’s the zeitgeist, and Dr. Kandula is doing something about it. Listen. Lots of takeaways in this episode. You need this. Your patients do, too.   DISCLAIMER: The ZZZ Pack is not responsible for any stagediving or moshing injuries resulting from Dr. Kandula’s outro theme song.