Mayo Clinic Center for Sleep Medicine
Episodes
Sleep in Multiple System Atrophy
29 Apr 2026
Contributed by Lukas
While less common than its cousin, Parkinson's disease, multiple system atrophy is commonly associated with severe sleep disturbances, at least one of...
Nocturnal Hallucinations
16 Apr 2026
Contributed by Lukas
Hallucinations at night may be frightening and distressing. Some may indeed indicate serious disease but most are harmless. In this podcast we dis...
Sleep Disordered Breathing in ALS
01 Apr 2026
Contributed by Lukas
Sleep specialists are often asked to initiate non-invasive ventilation for patients with amyotrophic lateral sclerosis. The guest on our podcast today...
Headaches and Sleep
20 Mar 2026
Contributed by Lukas
Most headache sufferers are well aware of the relationship between their disorder and sleep. In in this podcast, we discuss how understanding this ass...
Sleep in Alzheimer Disease
05 Mar 2026
Contributed by Lukas
Alzheimer disease is the most common form of dementia. In this podcast, we discuss the intimate relationship between sleep, sleep disorders and Alzhei...
Update on Idiopathic Hypersomnia
20 Feb 2026
Contributed by Lukas
Idiopathic hypersomnia is sometimes regarded as the stepchild of narcolepsy. But it may be more common than its better known relation. In this podcast...
Narcolepsy in Childhood and Adolescence
04 Feb 2026
Contributed by Lukas
Narcolepsy most commonly starts in adolescence. But how it presents and how it is diagnosed may be different from an adult presentation. In this podca...
The Child Who Snores
17 Jan 2026
Contributed by Lukas
Although obstructive sleep apnea is most common in older adults, it can also be seen in children, often resulting in severe morbidity. In this podca...
The child who cannot sleep
24 Dec 2025
Contributed by Lukas
Parents of children with insomnia know how distressing this condition can be. In this podcast, we discuss possible causes and how best to help child...
Late to bed and late to rise: Delayed Sleep-wake phase disorder
11 Dec 2025
Contributed by Lukas
Being unable to fall asleep until well after midnight and preferring to sleep until at least mid morning causes serious impairment to school and work ...
Jet lag: Traveling across time
25 Nov 2025
Contributed by Lukas
Anyone who has traveled across time zones has experienced jet lag and there are many online suggestions for counteracting the effects. In this podcast...
The Shift Worker
11 Nov 2025
Contributed by Lukas
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.
Advocating for school start times
31 Oct 2025
Contributed by Lukas
How can sleep professionals help advocate for later school start times for adolescents? In this podcast we meet a sleep specialist who was successful ...
How Long Should We Sleep? And When?
15 Oct 2025
Contributed by Lukas
Insufficient sleep is an epidemic in modern life. But how long should we optimally sleep? Is biphasic sleep healthy? This podcast addresses issues of ...
3% or 4%: The changing landscape of hypopneas
26 Sep 2025
Contributed by Lukas
The AASM recommendation that laboratories use the 3%/arousal definition of hypopnea is in conflict with the definition used by CMS. This podcast explo...
Adventures with CPAP: A Physician's Journey
11 Sep 2025
Contributed by Lukas
A sleep specialist discusses his personal struggles and successes with using CPAP
The commercial driver with a sleep disorder: Is driving permitted?
28 Aug 2025
Contributed by Lukas
How can we help commercial drivers and yet protect the public?
The Pilot with OSA: Is Flying Permitted?
14 Aug 2025
Contributed by Lukas
How can we most optimally but safety serve commercial and private pilots?
Sleep Apnea and Stroke
30 Jul 2025
Contributed by Lukas
Should all patients who have suffered a stroke be checked for sleep apnea? A neurologist with expertise in this area discusses the problem.
Why is it so hard to prove that CPAP helps prevent vascular disease?
16 Jul 2025
Contributed by Lukas
We discuss why most trials have shown negative results and what changes are needed for future studies.
Is OSA a single disorder? Different phenotypes, perhaps different treatments
02 Jul 2025
Contributed by Lukas
Is OSA a single disorder? The future for patients may lie in the identification of different physiologic subgroups.
Medications to Treat OSA: Is the Future Here?
19 Jun 2025
Contributed by Lukas
Has the advent of GLP-1 agonists changed the management of OSA? We discuss the trials and the reality.
Other Surgeries for OSA
05 Jun 2025
Contributed by Lukas
Oronasal and jaw surgeries for OSA have changed considerably. An expert surgeon discusses their role in the management of the disorder.
Hypoglossal Nerve Stimulation: How “inspired” should we be?
15 May 2025
Contributed by Lukas
A surgeon and a sleep specialist discuss the reality of this widely advertised procedure.
Oral Appliances for Sleep Apnea: What Should Providers Know?
01 May 2025
Contributed by Lukas
A specialist dentist discusses oral appliances as an alternative for the management of mild to moderate OSA
REM Sleep Behavior Disorder: How do we decide if REM EMG activity is excessive?
18 Apr 2025
Contributed by Lukas
The diagnosis of REM sleep behavior disorder needs, in addition to dream enactment behavior, a determination that EMG activity is excessive during REM...
REM Sleep Behavior Disorder: Discussing the diagnosis and the ethics of disclosure
03 Apr 2025
Contributed by Lukas
Should we tell patients with dream enactment behaviors of their risk of developing Parkinson’s disease or related disorders? And, if so, how should ...
REM Sleep Behavior Disorder: What factors affect risk of progression to Parkinson pathology?
20 Mar 2025
Contributed by Lukas
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 gr...
REM Sleep Behavior Disorder: How near are we to preventing Parkinson’s Disease?
06 Mar 2025
Contributed by Lukas
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...
REM Sleep Behavior Disorder: Can we test for Parkinson pathology?
20 Feb 2025
Contributed by Lukas
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...
REM Sleep Behavior Disorder: How does Parkinson pathology evolve?
06 Feb 2025
Contributed by Lukas
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...
Violence in Sleep: Part 2
23 Jan 2025
Contributed by Lukas
While extremely rare, homicidal behavior has been reported during episodes of sleepwalking. In this podcast, we discuss two notorious cases for whic...
Violence in Sleep: Part 1
10 Jan 2025
Contributed by Lukas
Violent and injurious behaviors do occasionally occur with parasomnias including REM sleep behavior disorder and sleepwalking. In this podcast, we r...
The Child who Sleepwalks
27 Dec 2024
Contributed by Lukas
Sleep walking is common in childhood. What causes it and how should it be managed? In this podcast we will discuss the nature of sleepwalking and how ...
Eating While Asleep
12 Dec 2024
Contributed by Lukas
Eating and Sleep are both fundamental biologic drives. What happens when they coincide? In this podcast, we will explore the world of sleep related ea...
Transvenous Phrenic Nerve Stimulation for Central Sleep Apnea
14 Nov 2024
Contributed by Lukas
What is transvenous phrenic nerve stimulation? When should we use it for patients with central sleep apnea? Dr. Timothy Morgenthaler, a sleep spec...
How should we manage patients with treatment emergent central sleep apnea?
30 Oct 2024
Contributed by Lukas
Do all patients with CPAP related treatment emergent central sleep apnea need a change in management? Dr. Timothy Morgenthaler, a sleep specialist a...
CSA in Heart Failure: Current Controversies
15 Oct 2024
Contributed by Lukas
Is CSA harmful in patients with heart failure? When should it be treated? What is the role of augmented servo-ventilation? Dr. Sean Caples, a sleep ...
Idiopathic Hypersomnia: Current Diagnosis and Treatment
04 Oct 2024
Contributed by Lukas
Idiopathic hypersomnia is probably at least as common and possibly more common than narcolepsy. In this podcast, Dr. Michael Silber discusses curren...
The Discovery of REM Sleep
19 Sep 2024
Contributed by Lukas
Many date the start of the field of Sleep Medicine to the discovery of REM sleep by Eugene Aserinsky and Nathaniel Kleitman in 1953. But was it actu...
New hope for Narcolepsy: Is the Future Nearly Here?
29 Aug 2024
Contributed by Lukas
The number of medications available to treat narcolepsy has grown dramatically in the last few years. While these have changed the landscape for patie...
The Diagnosis of Narcolepsy: Where does CSF orexin fit in?
15 Aug 2024
Contributed by Lukas
How should we diagnose narcolepsy? In this podcast, Dr. Michael Silber explains when measuring CSF Orexin-A can be helpful and how to interpret the re...
45 Years of the MSLT: Where are we now?
01 Aug 2024
Contributed by Lukas
The multiple sleep latency test was developed in 1978. While it is still the standard test used for the diagnosis of central disorders of hypersomnole...
Cognitive Behavioral Therapy for Insomnia in Day-To-Day Practice
18 Jul 2024
Contributed by Lukas
Cognitive behavioral therapy is the first-line therapy recommended for chronic insomnia. What does it comprise and who should teach it? Is Internet-ba...
Search for the Perfect Hypnotic: Orexin Antagonists and Other Agents
02 Jul 2024
Contributed by Lukas
The search for the perfect hypnotic continues. In this podcast, Dr. Bhanu Kolla discusses the new dual orexin receptor antagonists, antidepressants an...
The Z-Drugs: Truths and Myths for the Clinician
20 Jun 2024
Contributed by Lukas
The Z drugs are the most commonly prescribed hypnotics but are widely misunderstood. In this podcast, Dr. Bhanu Kolla discusses truth and myths for th...
Restless legs: What Therapies does the Future Hold?
06 Jun 2024
Contributed by Lukas
All of us who treat restless legs realize that current therapies are far from perfect. In this podcast, Dr. Michael Silber discusses possible future a...
Restless Legs: The Use of Opioids
23 May 2024
Contributed by Lukas
Many physicians are reluctant to prescribe even low-dose opioids for chronic problems such as refractory restless legs. But opioid therapy can be life...
Restless Legs: How to help the Augmented Patient
09 May 2024
Contributed by Lukas
Patients are still presenting to sleep specialists on high doses of dopamine agonists with intense augmentation and profound insomnia. In this podcast...
Restless Legs Management: Where does Iron fit in?
22 Apr 2024
Contributed by Lukas
How do we define low iron stores in restless legs? In this podcast, Dr. Michael Silber discusses diagnosis of iron deficiency and how oral and intrave...
Restless Legs: What has happened to Dopamine Agonists?
01 Apr 2024
Contributed by Lukas
The last few years have shown a major change in first-line management of restless legs. In this podcast, Dr. Michael Silber discusses why gabapentinoi...