REM Sleep Behavior Disorder Gets a Textbook: Carlos H. Schenck, MD

RBD expert Carlos H. Schenck, MD, starts at the beginning.

In 1982, Carlos H. Schenck, MD, evaluated his first sleep medicine patients. A staff psychiatrist at Hennepin County Medical Center in Minneapolis, Schenck had long held an interest in neurophysiology. So it was serendipitous timing that the Minnesota Regional Sleep Disorders Center (MRSDC)—which had opened its doors at Hennepin County Medical Center in 1978 as a department of neurology initiative—was expanding its physician base to become a multidisciplinary sleep center. Doctors in other departments were asked if they were interested in practicing some sleep medicine. Since much of sleep medicine and sleep science involves neurophysiology during sleep, Schenck signed up.

As it happened, Schenck’s first day working part-time at the sleep center coincided with the appointment of a patient named Donald Dorff. Dorff told Schenck about his violent dreams and how he’d wake up injured and with his bedroom in disarray, apparently the result of unknowingly acting out those dreams. Dorff was scheduled for an overnight sleep study.

During the sleep study, Schenck witnessed Dorff’s thrashes, twitches, jerks, kicks, and punches—all occurring while Dorff was sound asleep. “It was exciting for me,” Schenck recalls. Equally exciting was the conversation between sleep center director Mark W. Mahowald, MD, (now retired but still making regular appearances at the MRSDC) and sleep lab manager/chief technologist Andrea Patterson, RPSGT, REEGT, (now deceased) the next

Early Rising and Naps: Wake Time is Ruining Our Nap Schedule

early rising and naps

If you would rather read than watch my above video then here is the transcript of this week’s video on how to help baby sleep:

Hi! Kim West, The Sleep Lady. And today, I’m going to answer Anne’s question that she wrote in.

She said, “I’ve been trying to get my 5 month old on a good nap schedule but it’s so hard as he wakes up at different times each day. If he wakes up at 5:30 a.m., he can’t stay up until 9:00. And if I put him down for a nap at 7:30, then he isn’t ready to nap again until 11:00 or 12:00 depending on how long he slept. But if he gets up at 6:30 or 7:00 a.m., he can stay up until 9:00 and I can usually have him nap at 9:00 and 1:00. I’m no sure how to overcome these different morning wakeups. Please help.”

Thanks for sharing all that information. That was actually very helpful for me.

Not Ready for Strict Sleep Training

The important thing for you to know at 5 months of age, I don’t recommend strict sleep coaching, not quite yet and especially not with nap coaching. But it is important for you to know that I think that your baby needs at least 3 naps a day and sometimes 4 while you are working on the early rising, especially if he is only taking 45-minute naps.

You didn’t …

PAP Therapy Management Mobile Apps Comparison Guide (November 2018)

CPAP mobile apps

Compare 5 positive airway pressure therapy (PAP or CPAP) management mobile apps side by side. Click on the thumbnail above or “1118MobileApps” to view the full matrix at a legible size, download it, or print it.

Sleep Review‘s matrix compares features such as distribution platform (Google Play, Apple App Store, Amazon Appstore, Blackberry World), compatible PAP devices, in-app reporting (AHI, total apnea-hypopnea count, central apnea index, total central apnea count, pressure settings/trends, usage hours, mask leaks), in-app alerts notifications (low usage, high leak, no data received, resupply soon), educational resources, HIPAA compliance, and care continuum access.

The apps compared are 3B Medical Inc 3B Luna QR, Breas Medical NiteLog, Drive Devilbiss Healthcare DeVilbiss SmartLink App, Philips Respironics DreamMapper, and myAir for Air10 by ResMed.

A version of this comparison guide is published in the November/December 2018 print issue. If your company is missing, please e-mail sroy[at] so you can be considered for the next update.

Information for this guide based on data submitted by device manufacturers. Sleep Review strives for accuracy in all data but cannot be held responsible for claims made by manufacturers. All apps may not be included. Email sroy[at] to be considered for the next update.

from Sleep Review…

Travel Naps: Tips for Maintaining Naps During Holiday Trips

travel napsThe holidays are a time when we get together with friends and family, and that sometimes involves traveling. The mere mention of travel with little ones can immediately raise your blood pressure! You’re concerned that all the gains you have made with your child’s sleep habits are in jeopardy if you change time zones or sleep in a strange place. And travel naps? That sounds impossible.

Well, you may be right. Sleeping in a strange bed in an unfamiliar room can easily unsettle most children for at least a few days. And babies certainly don’t automatically adjust their sleep when we cross time zones.

Naps While Traveling? Is That Realistic?

The most common problem when you travel with a small child is that their nap schedule falls by the wayside. The reality is that naps can be hard to fit in while visiting family or on a different schedule. And who really likes to sleep in strange places? Not me! Children easily become overstimulated and have a difficult time settling down for sleep in the middle of the day, especially in a new environment. You end up with an exhausted child during the very days you would like everyone well-rested and at their best.

Here are some ways that you can prepare for holiday travel while not disrupting your child’s nap schedule too much.

Preparation Is Half the Battle

The first thing to do is to start your trip with …

Moderate or Severe Sleep Apnea Doubles Risk of Hard-to-Treat Hypertension in African-Americans

African-Americans with moderate or severe sleep apnea are twice as likely to have hard-to-control high blood pressure when their sleep apnea goes untreated, according to a new study funded mainly by the National Heart, Lung, and Blood Institute (NHLBI). The findings, which researchers say may partially explain why African-Americans suffer hypertension at rates higher than any other group, point to screening and treatment of sleep apnea as another important strategy for keeping uncontrolled high blood pressure at bay.

A common disorder that blocks the upper airways and causes people to stop breathing during sleep, sleep apnea already has been linked to an increased risk of high blood pressure in whites, but the association in blacks has been largely understudied. This new research demonstrates this link in a large population of African-Americans. The results are published in Circulation, a journal of the American Heart Association.

“This is an example of how NHLBI funded research is making important advances to our basic understanding of cardiovascular risk and sleep health,” says Michael Twery, PhD, director of the National Center on Sleep Disorders Research at NHLBI, in a release. “This report underscores the need for studies to determine whether screening groups at high risk for sleep apnea, such as African-Americans, would facilitate early medical intervention and reduce the risk or severity of heart disease.”

“This study identifies a risk factor for hard-to-control hypertension that until now has gone underrecognized in African-Americans,” says study

SoClean to Expand Internationally

SoClean is bringing its automated CPAP cleaner and sanitizer directly to consumers in key international markets. In 2018, the company expanded to Canada and the United Kingdom; soon consumers in France, Germany, Italy, Spain, Japan and Australia will be able to purchase the device as well.

SoClean’s device uses ozone technology to kill 99.9% of germs and bacteria that can be found in CPAP equipment, including the mask, hose, and reservoir. Its one-touch, fully automated process requires no water.

“Global awareness of sleep apnea is continuing to rise, with 1 billion people1 estimated to be suffering from the condition worldwide today, making the disorder a public health epidemic,” says sleep specialist Robert S. Rosenberg, DO, FCCP, in a release. “The good news is that sleep apnea is highly treatable with CPAP therapy.”

Robert Wilkins, CEO of SoClean, says, “As SoClean has grown in the US market, we’re in the perfect position to expand globally. By doing so, we want to change lives around the world and help educate CPAP patients on the benefits of our industry-leading sanitizing solution.”

Dean Marcarelli, chief marketing officer at SoClean, says, “By replacing a time-consuming cleaning process with an automated sanitizing solution, we have helped U.S. patients stay compliant with their CPAP therapy. We’re looking forward to bringing our technology to global consumers so that they can know the benefits of a fully automated, one-step sanitizer.”

from Sleep Review…

Some Hyperactive Kids May Have Sleep Apnea, Not ADHD

Although ADHD and sleep apnea may not be commonly thought of as similar conditions, they can be mistaken for each other, reports CTV News.

Although ADHD and sleep apnea may not be commonly thought of as similar conditions, they can be mistaken for each other. Dr. Indra Narang, the director of sleep medicine at the Hospital for Sick Children in Toronto, says sleep apnea can cause children to appear distracted and excitable.

A 2012 study by Finnish researchers found that approximately 10 per cent of European children between the ages of six and eight have sleep apnea.

from Sleep Review…

End Snoring Now

When we were young, many of us are probably guilty of making fun of our father, old uncles, and grandfather who snores so loudly it has already become an inside joke in your family. We always associated snoring with males but it does not mean that no women snore because there are a lot of women who are just as guilty as most men when it comes to snoring in their sleep. In a way, we are all in the same boat but it should not comfort us knowing both sexes are at risk of suffering from the dangers of snoring.

Add to that the fact that we are more predisposed to snoring, which is the most noticeable symptom of sleep apnea, because of our poor and sedentary lifestyle, vices like smoking and drinking, and the rising occurrence of obesity that makes you at higher risk for a list of other conditions worsened by snoring. Sleep deprivation is a growing concern because it not only affects productivity but likewise endangers you to certain accidents like fall and road accidents.

It is not too late to make a difference, though, by eliminating risk factors that you can get rid of knowing that there is no cure for sleep apnea or snoring itself. Its management is mostly palliative in nature and only addresses the snoring when a device is worn in your slumber but nothing is being done to address its root …

How Much Change in the FOSQ-10 in Clinically Meaningful?

A 10-item version of the Functional Outcomes of Sleep Questionnaire is analyzed.

For years, the Functional Outcomes of Sleep Questionnaire (FOSQ) has served as an important tool for patients to report on how daytime sleepiness has affected their ability to carry out daily tasks that healthy sleepers usually don’t think twice about such as driving, eating, or even talking to someone on the phone.

In the past, clinicians and researchers didn’t have clear guidelines to determine the minimal important distance for the FOSQ-10. However, a recent study explained just how the tool could be used to expand a providers’ understanding of their patients.

This recent breakthrough was made possible by the push among clinicians, researchers, and patients themselves to pay more attention to patients’ firsthand reports of their symptoms and how it affects the quality of their lives. In fact, in 2018, the FDA put out a digital tool that aims to make it even easier for patients to provide more data, like symptoms or medication use.

Terri Weaver, PhD, RN, FAAN, ATSF, dean of the University of Illinois at Chicago College of Nursing, has been behind the movement to give patients more platforms to share their perspectives for many years. In 1997, she coauthored the FOSQ, which would become a go-to self-report assessment for patients with narcolepsy and sleep apnea.

“It’s important for clinicians to look at patient perceptions of change in their quality of life,

Sleeping Well in the Age of Stress

Read the full article here: It’s 3:00 a.m. and you’re wide awake. In six hours you’re going to give the biggest presentation of your career. That is, after you get your kids out of bed, dressed, and off to school. Oh, right. You have to drop your husband at the airport. What else? You […]

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from The Sleeping Blog…