Guy Leschziner - Oxford Handbook of Sleep Medicine

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The field of sleep medicine is very new. When it was born in the early 1970s, sleep disorders were thought to be exquisitely rare, the domain of academic medical centres. The most common disorder, sleep apnoea, did not even receive its name until about 1975. Until the early 1990s, most investigators believed that sleep apnoea did not even occur in women.

A generation later, everybody knows someone with a sleep disorder, and the medical system of most countries has not adapted to deal with a very large number of cases that need diagnosis and treatment. There simply are not enough specialists to deal with the millions of patients with sleep disorders. General practitioners, nurses, and respiratory therapists are playing an increasing important role in managing the patients.

Professor Guy Leschziner and his colleagues have created a magnificent book that takes us into the future of sleep medicine, where the role of the specialist will be, as it should be, to deal with complex and rare sleep disorder cases. The general practitioner is almost always the first caregiver that a patient sees, but patients with sleep disorders will be seen by clinicians or other healthcare professionals in every domain. Doctors should always ask the patient about their sleep, even if this is not their primary complaint. This volume will teach how to interact with the patient, how we elicit important signs and symptoms, and will help the doctor know how to be confident in the diagnosis and management of patients who may not require the services of a specialist, and when to refer for specialist care.

There are over 80 sleep disorders. Most of the common ones are covered in detail in this volume. This book will help both the doctor and the patient. Probably, at least 10% of patients coming into a family doctors office have a sleep disorder. If a doctor sees 100 patients a week, imagine the 500 patients with sleep disorders that are seen during a year. Imagine how many cases of sleep disorders have been missed, and therefore not treated. This book is an important first step in the meeting this important clinical need.