Idiopathic hypersomnia, or IH, is a chronic sleep disorder that causes extreme daytime sleepiness even after a full night of sleep. Unlike ordinary tiredness, this sleepiness does not go away with rest. People with IH often sleep 9 to 11 hours a night and still wake up exhausted. IH is different from narcolepsy. There is… Continue reading
Author Archives → Waiz Wasey, MD
The Symptoms of Narcolepsy Providers Miss: Why Diagnostic Delay Remains Years Long
A clinical review for primary care, psychiatry, neurology, and pediatric providers The Scope of the Problem Narcolepsy is not a rare diagnosis because the disease is rare. It is a rare diagnosis because it is rarely recognized in time. The condition affects roughly 1 in 2,000 people, yet the average time from symptom onset to… Continue reading
Chronic Insomnia
Def: difficulty falling or maintaining sleep for atleast 3 times a week for atleast 3 months. Provided other sleep disorders are ruled out.Prevelance; atleast 6-10% of adults, mostly women Subtypes of Chronic Insomnia1. Psychophysiological – racing thoughts, heightened arousals, anxiety 2. Paradoxical Insomnia – perception of not sleeping, when all objective data says otherwise3. Insomnia… Continue reading
Orthosomnia: When Sleep Tracking Makes Your Sleep Worse
You check your ring or watch first thing in the morning before you even sit up. The score says 62. Now you feel tired, even if you felt fine ten seconds ago. That reaction has a name. It is called orthosomnia, and it is becoming a real problem in sleep clinics. Sleep trackers have helped… Continue reading
Sleep Divorce: Does Sleeping Separately Actually Help Your Relationship?
More couples are choosing to sleep in separate beds or separate rooms. The trend has a catchy name, sleep divorce, but it has nothing to do with ending a relationship. It is about protecting sleep, and in many cases, protecting the relationship itself. As a sleep doctor, I get asked about this often. Patients want… Continue reading
In adults being evaluated for a sleep disorder, how does data from a consumer smart ring compare with laboratory polysomnography for accuracy in sleep staging and detection of sleep-disordered breathing?
Clinical answer: Smart rings are reasonably accurate for basic sleep-wake detection, total sleep time, and sleep efficiency, but they are not accurate enough to diagnose sleep disorders on their own (SOR B). Two-stage sleep-wake detection from rings like Oura approaches near-perfect agreement with PSG. Four-stage staging (light, deep, REM, wake) is weaker, and accuracy drops… Continue reading
Sleepmaxxing: What Actually Works vs What’s Hype
“Sleepmaxxing” is everywhere right now. Mouth tape, weighted blankets, magnesium, blue light glasses, ice cold bedrooms, and a wrist full of sleep data. The idea is simple. Optimize every part of your sleep and you will wake up sharper, calmer, and healthier. Some of this is genuinely useful. Some of it does very little. As… Continue reading
Pantoprazole and Other Proton Pump Inhibitors, Sleep, and Cardiovascular Safety: A Research Breakdown
This is an editorial, not an original study. The authors set out to weigh the evidence for and against a link between proton pump inhibitors (PPIs) and cardiovascular disease. They also raise a pathway that gets little attention in this debate. PPIs affect sleep, and poor sleep is tied to hypertension, metabolic problems, and cardiovascular… Continue reading
Cognitive Behavior vs Bright Light Therapy for Insomnia in Women Undergoing Chemotherapy for Breast Cancer: A Randomized Clinical Trial
The SleepCARE trial tested whether cognitive behavior therapy for insomnia (CBT-I) and bright light therapy (BLT) reduce insomnia and fatigue symptoms in women having chemotherapy for breast cancer. It also tested whether combining the two works better than either alone. No prior RCT had compared CBT-I and BLT head to head, or tested them together,… Continue reading
Bedwetting and Sleep: What Every Parent Should Know About Enuresis in Children
Nearly 1 in 5 children who wet the bed also have a breathing problem during sleep. Most parents never make that connection. They see bedwetting as a bladder issue or a “phase” their child will grow out of. Sometimes that is true. But for a large group of children, the real story is happening in… Continue reading