My old nemesis, the NICU: Part II

So we’ve established that my NICU Sub-internship as an M4 left me with nothing but the strong, permanently ingrained sense that “this hell had damned well better be worth it”. And it sort of was, in that I came to the NICU rotation as an intern already knowing all the lingo and TPN calculations. Which is half the battle! On top of that, I spent the weekend reviewing all the popular pimp questions, making flashcards, and preparing myself for battle. I was ready. I was going to show those goddamned former residents that this former-M4 was, in fact, perfectly capable of being a NICU superstar and permanently erasing the bad memories of my NICU experience. That horrible M4 month of pain was going to be worth it even if I had to kill myself in the process. All I had to do to shine, essentially, was show up. So I carefully went through my 2 page set of alarms and selected the ones for 4:45, 4:50, 5:00 and 5:30….. … PM. Yes, I set my alarms 12 hours late. So I awoke Monday morning, bleary and well-rested, to a strange sound. It was like my alarm but my phone wasn’t making noise? I tried to hit my phone a few times but it didn’t stop. The noise was coming from OUTSIDE MY PHONE. So I sleep-walked towards the horrible noise and found myself standing in front of my hung-up white-coat, picking up my pager out of the pocket. Pro tip: If you find yourself waking up in the process of  staring at your pager, it never says anything good. ...
Source: Action Potential - Category: Universities & Medical Training Authors: Tags: Uncategorized Source Type: blogs

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Purpose of review Summarize the effects of opioids on sleep including sleep architecture, sleep disordered breathing (SDB) and restless legs syndrome. Recent findings Opioids are associated with the development of central sleep apnea (CSA) and ataxic breathing. Recent reports suggest that adaptive servo-ventilation may be an effective treatment for CSA associated with opioids. Summary Opioids have multiple effects on sleep, sleep architecture and SDB. Although originally described with methadone use, most commonly used opioids have also been shown to affect sleep. In patients on chronic methadone, sleep architectur...
Source: Current Opinion in Pulmonary Medicine - Category: Respiratory Medicine Tags: SLEEP AND RESPIRATORY NEUROBIOLOGY: Edited by Lee Brown and Winfried Johannes Randerath Source Type: research
Exploding head syndrome (EHS) is an under-recognized parasomnia characterized by a complaint of sudden loud noise or a sense of explosion in the head that usually occurs at sleep onset. This paper is a report of 6 patients diagnosed with EHS through a structured clinical interview and video-polysomnography (vPSG) recordings. We also reviewed the available literature that addressed the presentation and clinical and PSG characteristics of EHS. The case series included 4 men and 2 women of a mean age of 44.2 years (between 13 and 77 years). Their episodes were variable in expression, between a sudden firecracker-like explosio...
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(University of California - San Diego) UC San Diego School of Medicine researchers report that older adults are increasingly using cannabis to treat a variety of common health conditions, including pain, sleep disturbances and psychiatric conditions like anxiety and depression.
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Emotional deprivation can lead to growth faltering of infants and children. The mechanism(s) involved differ in that for infants, the major metabolic problem is inadequate energy intake for growth. In young children, it is likely that the emotional deprivation causes a syndrome not only of growth faltering, but with bizarre behaviors, especially with regard to food: hoarding, gorging and vomiting, hyperphagia, drinking from the toilet, and eating from garbage pails. Other disturbed behaviors include, poor sleep, night wanderings, and pain agnosia. The pathophysiology appears to be reversible hypopituitarism, at least for t...
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DiscussionThe CITRIP study seeks to evaluate the effectiveness and safety of a randomized withdrawal trial of spinal cord stimulation for patients with intractable trunk or limb pain.Trial registrationClinicalTrials.govNCT03858790. Registered on March 1, 2019, retrospectively registered
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