#148 - The Truth About Medical Practices: It’s an Illusion
As the owner of a private medical practice, I know how difficult it is for the solo provider/small group to keep the doors open and deliver quality care, especially if the providers participate with insurance carriers. This fact not only affects providers, but as we will explore in the episode, it can often directly impact they options for care a patient receives. In this episode we will:Understand the obstacles and misperceptions baked into a career in medicine.Examine the debt of the typical medical doctor after finishing medical schoolCalculate the problematic combination of 1) starting a career in debt, and 2) starting a career relatively lateCompare the rate of the rising costs of running a medical practice with the relative rate of medical insurance reimbursementEvaluate the massive burdens that insurance companies place on providers in the form of prior authorizations (PA)Learn how to navigate your own care in this difficult climateProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
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34:54
#147 - Idiopathic Hypersomnia: All I Wanna Do Is Wake Up In The Morning
We have talked extensively about Type 1 and Type 2 narcolepsy on the podcast, but what about its mysterious cousin idiopathic hypersomnia (IH)? What is IH and why is it so hard to diagnose? What is its relationship with narcolepsy, and how do we treat it? In this episode we will:Define idiopathic hypersomniaLook at its incidence rate next to narcolepsyList the key characteristics that differentiate it from narcolepsyLearn the factors that make it difficult to diagnoseHighlight the first FDA-approved treatment for the disorderProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
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39:10
#146 - Cognitive Shuffling: Ain’t Nothin’ To It
A recent New York Times article entitled "A Simple Technique to Help You Fall Asleep" by Christina Caron details a technique dubbed cognitive shuffling that took the internet by storm as a treatment for a racing mind at night. In this episode we will:Define cognitive reshufflingExplore its origins in other 'distracting' techniques including the original--counting sheepDiscuss the role these techniques play in insomniaDissect the ways in which we discuss these therapies, including how we view them through the lens of researchWhat do these therapies teach us about insomnia and lasting solutionsProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
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31:01
#145 - Hypnic Myoclonus: Jerk Your Body
We have all experienced it...you're sitting in bed, nodding off, and suddenly you awaken with a start feeling like you are about to fall down stairs. Hypnic myoclonus is estimated to affect as many as 60-70% of individuals, but what is it? In this episode we will:Define hypnic myoclonus, often referred to as "sleep starts" or "hypnagogic jerks"Review the symptoms of the phenomenonSpeculate of the evolutionary causeCharacterize individuals at the highest riskList the causes of hypnic myoclonusDiscuss diagnostic and treatment optionsProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
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26:55
#144 - Missing Sleep Apnea: I Thought Someone Would Notice
26 million adult Americans have sleep apnea and 80-90% represent undiagnosed cases. Why have these numbers remained so high when there are easier diagnostic and treatment options than ever? In this episode we will:Discuss obstacles to diagnosisSee how the lack of symptom specificity adds to the problemConsider if lack of provider awareness is really an issueLook at fear as a factor holding patients backEvaluate the difficulty of getting sleep studiesProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!
No holds barred, unscripted discussion on a wide range of sleep topics - from sleep disorders to current research and controversies in the field. No topic is off limits! Dr. Chris Winter is a clinician, a board certified neurologist and double boarded sleep specialist with 30 years of clinical experience. He is the author of The Sleep Solution and The Rested Child, and is a popular consultant and speaker, working for many professional sports teams. He is well known for his unique perspective and ability to demystify sleep, all of which he brings to Sleep Unplugged.
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