Mayo Clinic Center for Sleep Medicine

Education of health care professionals in advances in sleep medicine.

The Shift Worker

About a fifth of U.S. workers do shift work. This podcast examines how sleep professionals can best help shift workers perform and live optimally.

11-11
17:09

Advocating for school start times

How can sleep professionals help advocate for later school start times for adolescents? In this podcast we meet a sleep specialist who was successful in his efforts.

10-31
12:44

How Long Should We Sleep? And When?

Insufficient sleep is an epidemic in modern life. But how long should we optimally sleep? Is biphasic sleep healthy? This podcast addresses issues of optimal length and timing of sleep and the consequences of sleep deprivation.

10-15
15:04

3% or 4%: The changing landscape of hypopneas

The AASM recommendation that laboratories use the 3%/arousal definition of hypopnea is in conflict with the definition used by CMS. This podcast explores practical scenarios raised by this issue.

09-26
19:02

Adventures with CPAP: A Physician's Journey

A sleep specialist discusses his personal struggles and successes with using CPAP

09-11
13:03

The commercial driver with a sleep disorder: Is driving permitted?

How can we help commercial drivers and yet protect the public?

08-28
10:43

The Pilot with OSA: Is Flying Permitted?

How can we most optimally but safety serve commercial and private pilots?

08-14
10:56

Sleep Apnea and Stroke

Should all patients who have suffered a stroke be checked for sleep apnea? A neurologist with expertise in this area discusses the problem.

07-30
20:40

Why is it so hard to prove that CPAP helps prevent vascular disease?

We discuss why most trials have shown negative results and what changes are needed for future studies.

07-16
17:39

Is OSA a single disorder? Different phenotypes, perhaps different treatments

Is OSA a single disorder? The future for patients may lie in the identification of different physiologic subgroups.

07-02
20:28

Medications to Treat OSA: Is the Future Here?

Has the advent of GLP-1 agonists changed the management of OSA? We discuss the trials and the reality.

06-19
11:51

Other Surgeries for OSA

Oronasal and jaw surgeries for OSA have changed considerably. An expert surgeon discusses their role in the management of the disorder.

06-05
20:32

Hypoglossal Nerve Stimulation: How “inspired” should we be?

A surgeon and a sleep specialist discuss the reality of this widely advertised procedure.

05-15
26:27

Oral Appliances for Sleep Apnea: What Should Providers Know?

A specialist dentist discusses oral appliances as an alternative for the management of mild to moderate OSA

05-01
15:11

REM Sleep Behavior Disorder: How do we decide if REM EMG activity is excessive?

The diagnosis of REM sleep behavior disorder needs, in addition to dream enactment behavior, a determination that EMG activity is excessive during REM sleep.  But what is excessive?  In this podcast, we discuss how a practicing polysomnographer can make this determination.

04-18
20:08

REM Sleep Behavior Disorder: Discussing the diagnosis and the ethics of disclosure

Should we tell patients with dream enactment behaviors of their risk of developing Parkinson’s disease or related disorders? And, if so, how should a health care provider deliver this information? In this podcast, we explore ethics and empathy.

04-03
15:29

REM Sleep Behavior Disorder: What factors affect risk of progression to Parkinson pathology?

When we diagnose REM sleep behavior disorder, we know that there is a risk of the development of Parkinson's disease or related conditions. But how great is the risk?  In this podcast, we discuss how a healthcare provider can help estimate a patient’s risk with specific questions and examination findings.

03-20
14:31

REM Sleep Behavior Disorder: How near are we to preventing Parkinson’s Disease?

In the last two podcasts, we discussed how REM sleep behavior disorder can evolve to Parkinson's disease or related conditions and whether we can test for this risk.  In this podcast, we explore the current state of the art in developing possible interventions to prevent this progression.

03-06
12:45

REM Sleep Behavior Disorder: Can we test for Parkinson pathology?

There has been dramatic progress in developing specific tests for disorders such as Alzheimer disease.  In this podcast, we ask whether we are now at a point when we can (or should) test for Parkinson pathology in patients with dream enactment behaviors.

02-20
11:04

REM Sleep Behavior Disorder: How does Parkinson pathology evolve?

Probably the most concerning aspect of REM sleep behavior disorder is that it is often a prodrome for Parkinson's disease and other related conditions.  In this podcast we explore current concepts of how dream enactment behaviors can progress to serious neurodegenerative disorders.

02-06
12:58

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