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Max Hirshkowitz Ph.D. A.B.S.M. - Sleep Disorders For Dummies

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When the last dinner dishes have been put away and the evening news is over, most of us think about going to bed. But for the millions who suffer from a chronic sleep disorder, going to bed doesnt necessarily mean going to sleep. And for millions more who experience occasional sleep disturbances, nighttime might not be such a picnic, either.

Now theres an easy-to-follow guide to help you get a good nights rest. Sleep Disorders For Dummies is for anyone who has trouble sleeping--or has a loved one who suffers from a sleep disorder. Written by a sleep specialist and a medical reporter, this no-nonsense guide helps you:

  • Prevent and manage sleep disorders
  • Improve your sleep habits
  • Find relief from your symptoms
  • Ask your doctor the right questions
  • Enhance the quality of sleep

This fact-packed guide walks you through the different types of sleep...

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Sleep Disorders For Dummies by Max Hirshkowitz PhD DABSM and Patricia B - photo 1
Sleep Disorders For Dummies

by Max Hirshkowitz, PhD, DABSM and Patricia B. Smith

Foreword by William C. Dement, MD, PhD

Founder and Director of Stanford Sleep Research & Disorders Center

Sleep Disorders For Dummies Published by Wiley Publishing Inc 111 River St - photo 2

Sleep Disorders For Dummies

Published by
Wiley Publishing, Inc.
111 River St.
Hoboken, NJ 07030-5774
www.wiley.com

Copyright 2004 by Wiley Publishing, Inc., Indianapolis, Indiana

Published by Wiley Publishing, Inc., Indianapolis, Indiana

Published simultaneously in Canada

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600. Requests to the Publisher for permission should be addressed to the Legal Department, Wiley Publishing, Inc., 10475 Crosspoint Blvd., Indianapolis, IN 46256, 317-572-3447, fax 317-572-4447, or e-mail permcoordinator@wiley.com .

LIMIT OF LIABILITY/DISCLAIMER OF WARRANTY: The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom.

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Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Library of Congress Control Number: 2004103133

ISBN: 0-7645-3901-9

Manufactured in the United States of America

10 9 8 7 6 5 4 3 2 1

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About the Authors

Dr. Max Hirshkowitz is an associate professor at Baylor College of Medicine in the Department of Psychiatry and the Department of Medicine. He earned his PhD from Tufts University in Medford, Massachusetts in 1978 and moved to Houston where he remains. With more than 25 years experience in clinical sleep disorders, Hirshkowitz is an internationally known researcher and clinician, a popular lecturer, an active researcher, and an American Board of Sleep Medicinecertified sleep specialist.

Currently he directs the Sleep Disorders and Research Program at the Veteran Affairs Medical Center and is clinical director of the Methodist Hospital Diagnostic Sleep Laboratory (two of the four accredited programs in Houston). He serves on the editorial boards of the journals Sleep Medicine and Sleep and the board of the World Association for Sleep Medicine. He chairs the National Veterans Health Administration Sleep Field Advisory Group and also the Positive Airway Pressure Technical Advisory Group; is a member of the American Academy of Sleep Medicine Standards of Practice Committee; and is a senior site visitor for the Academys Accreditation Site Visit Task Force.

Hirshkowitz served as a member and principal author of the Healthcare Analysis and Information Center Sleep-related Breathing Disorders Sourcebook, helped orchestrate national contracting for positive airway pressure devices for veterans, served as president of the Southern Sleep Society, chaired the American Sleep Disorders Association Education Committee, helped develop the scoring atlas for Cyclic Alternating Patterns, and was a member of the American Sleep Disorders Association Standards for Polysomnography Task Force. Finally, he was a member of the team that wrote the International Classification of Sleep Disorders and has hundreds of publications concerning sleep and its disorders.

Patricia B. Smith is an award-winning journalist who specializes in medical reporting. Shes the author of nine published books. Ms. Smith wrote for People Magazine for six years and currently works as a healthcare producer for Fox News.

Dedication

This book is dedicated to the sleepless, not just in Seattle, but everywhere the midnight oil is burning. Our hope is that reading this book will encourage you to find the cause of your sleeplessness and get the help you need to restore peaceful slumber. Now, go to bed!

From Max: To my daughters, Amy and Abby, who I love dearly. In the past, they taught me firsthand about sleep deprivation; currently their sleep patterns epitomize the difference between larks and owls; and in the coming years theyll undoubtedly prove that the future isnt what it used to be.

Authors Acknowledgments

From Max: Ive always found it a great joy to thank people for their help and support. Professionally, my colleagues and students play major roles in my thought-process development about sleep. Most notable among my colleagues is Marietta Bellamy Bibbs with whom Ive worked side-by-side for nearly 25 years. Im fond of saying that Marietta is the best sleep technologist on the planet, which I actually believe is true. (She has won about every award that exists for technologists, which supports my contention.) Her knowledge, dedication, and help in countless projects allow me to still honestly say that I enjoy coming to work every day. I also must thank Catesby Ware, who as my roommate at Tufts University taught me how to make sleep recordings, how to score sleep stages, and introduced me to sleep research. Upon arrival in Houston and continuing to the present I was fortunate to have brilliant mentors and collaborators from whom I learned a great many things; in this regard I thank Robert L. Williams, Ismet Karacan, Constance A. Moore, Glenn Cunningham, and Amir Sharafkhaneh. I am also grateful for academic support and sage advice over the years from Jim Lomax and Alex D. Pokorny.

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