Snoring is easy to laugh about.
But what if it is trying to tell you something?
Thomas Gionis is a physician, surgeon, public health specialist and lawyer whose career has spanned cardiovascular surgery, emergency medicine, healthcare leadership, public health and telemedicine.
His interest in sleep apnoea, however, became intensely personal.
In this episode of TEDx and Talks, Thomas joins Andy Coley for a conversation recorded in Manchester shortly before stepping onto the TEDxNorthernQuarter stage.
Thomas describes the frightening experience that eventually led to his own diagnosis.
Despite decades of medical experience, he temporarily found himself unable to recall the name of his wife or the names of his daughters and granddaughters.
What followed was a search for the cause.
Eventually, that search led to sleep apnoea.
Thomas explains what sleep apnoea is and what happens when breathing repeatedly stops or becomes restricted during sleep.
The consequences, he argues, can go far beyond tiredness, poor sleep or keeping your partner awake.
Andy and Thomas explore some of the warning signs people may overlook, including loud snoring, gasping during sleep, poor concentration and persistent fatigue.
And there is one sign that is particularly difficult to ignore.
Snoring.
Sleep apnoea is sometimes described as a silent epidemic.
Thomas has a simple response:
It isn't really silent if it's snoring.
The conversation also explores how sleep apnoea can be tested, how testing has changed over the years and why getting investigated does not necessarily mean spending a night wired up inside a hospital sleep laboratory.
Thomas also challenges one of the assumptions that can prevent people seeking help: that a diagnosis automatically means living with a CPAP mask.
Different people may need different approaches, and treatment can change over time.
For Thomas, the most important first step is recognising that something may be wrong and doing something about it.
The conversation also takes us through his extraordinary medical career.
Thomas began medical school at 17 and completed his medical degree at 21 before moving into cardiovascular surgery and later emergency medicine.
As healthcare changed, he continued studying, adding qualifications in business, healthcare administration, public health and law so he could better understand the systems surrounding medicine as well as the medicine itself.
Thomas and Andy also go behind the scenes of his TEDx journey and the challenge of reducing decades of medical knowledge into one clear 15-minute message.
His goal is straightforward.
He wants more people to recognise the warning signs, feel comfortable getting tested and understand that there may be treatment options available to them.
Because the so-called silent epidemic of sleep apnoea may not be silent at all.
Sometimes, it snores.
TEDx and Talks is the official podcast of TEDxNorthernQuarter, taking you beyond the red dot to discover more about the people, stories and ideas behind the talks.
This episode is hosted by Andy Coley.
Recorded by THE CLUB MCR in Manchester.
TEDxNorthernQuarter 2026 took place at Stoller Hall, Manchester on 11 September 2026, bringing together 16 speakers to share ideas worth spreading.
Find out more about TEDxNorthernQuarter:
Website: https://www.tedxnorthernquarter.com/
Podcast: https://podcast.tedxnorthernquarter.com/
Instagram: https://www.instagram.com/tedxnorthernquarter/
LinkedIn: https://www.linkedin.com/company/tedxnorthernquarter/
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Connect with Thomas on LinkedIn
https://www.linkedin.com/in/thomas-a-gionis-md-jd-mph-a67a3b201/
Health note: This episode discusses sleep apnoea, diagnosis and medical treatment for general information only. It is not a substitute for individual medical advice, diagnosis or treatment. If you are concerned about your sleep, breathing or symptoms of sleep apnoea, speak to an appropriate healthcare professional.
TEDxNorthernQuarter is an independently organised event under license granted by TED.
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