Mayo Proceedings: Pharmacotherapy Failure in Chronic Insomnia Patients

Barry Krakow, MD, Victor Ulibarri, RPGST, and Natalia McIver, RPGST from the Sleep & Human Health Institute, and the Maimonides Sleep Arts and Sciences, Ltd, in Albuquerque, NM, and the Los Alamos Medical Center, in Los Alamos, NM, preview their article appearing online ahead of print and in the December 2014 issue of Mayo Clinic Proceedings, to provide clinicians with a new theory on the co-morbidity of insomnia and sleep apnea among insomnia patients failing drug therapy, including new assessment tools to diagnose sleep apnea when medications fail. Available at:

In Mental Health Patients, Is Home Sleep Testing a Setup for Medical Malpractice?

Do you know what it feels like to try PAP therapy for the very first time? For most people, there is a sense of an unwieldy, cumbersome, foreign object plastered to the face, something sure to disrupt any attempt at sleep. Even if you were rational enough to recognize the device was designed to help you, it would be unusual if you did not notice some awkwardness the first time you used it. Fortunately, many patients overcome these feelings and treatment progresses in positive ways.

What is Normal Sleep and Normal Sleep Duration?

From Classic Sleep Care It may be difficult to believe, but there are no definitive answers to either of these questions. Neither normal sleep nor how long one should sleep has ever been formally defined. Instead, in sleep medicine we work mostly with what is not...