Clinician's Roundtable

Host: Leslie P. Lundt, MD Guest: Kristen Knutson, PhD Over the past 40 years, American’s self reported sleep duration has decreased by a remarkable two hours per night. What impact does this have on our health and welfare? Join Dr. Kristen Knutson and host Dr. Leslie Lundt as they discuss the change in Americans’ sleep habits.

Host: Leslie P. Lundt, MD Guest: Chris Bojrab, MD We all know how to treat sleepiness with caffeine – it is the most commonly used psychoactive substance in the world. But do you know the mechanism of action of caffeine? What other choices are there? Host Dr. Leslie Lundt welcomes Dr. Chris Bojrab as he explains the medication choices available to treat excessive sleepiness.

Host: Leslie P. Lundt, MD Guest: Chris Bojrab, MD More than one third of adults say that sleepiness interferes with their functioning at some time in any given month. Despite this, excessive daytime sleepiness, or EDS, is underrecognized and undertreated. Yet the consequences can even be fatal. Psychiatrist Dr. Chris Bojrab, president of the Indiana Health Group, joins host Dr. Leslie Lundt to review the physiologic and behavioral consequences of excessive daytime sleepiness.

Host: Leslie P. Lundt, MD Guest: Chris Bojrab, MD Simply not getting enough nighttime sleep is a common cause of excessive daytime sleepiness. But the list of causes is much longer than sleep deprivation. Dr. Chris Bojrab reviews the causes of excessive daytime sleepiness with host Dr. Leslie Lundt.

Host: Leslie P. Lundt, MD Guest: Chris Bojrab, MD The fact that excessive daytime sleepiness negatively affects functioning should be no surprise to anyone who has ever had to stay up all night on call. We may not have had personal experience with changes in glucose tolerance and immunologic and cardiovascular function, but current research informs us of the risk. Despite all of this, some physicians think EDS is a problem made up by pharmaceutical companies to sell drugs. Join host Dr. Leslie Lundt as she welcomes Dr. Chris Bojrab to discuss how to recognize these patients in your practice.

Host: Leslie P. Lundt, MD Guest: Richard K. Bogan, MD, FCCP, FAASM Is narcolepsy something that we really need to think about if we do not practice sleep medicine? The answer may surprise you. Narcolepsy expert Dr. Richard Bogan discusses the latest research with host Dr. Leslie Lundt.

Host: Leslie P. Lundt, MD Guest: Richard K. Bogan, MD, FCCP, FAASM Insomnia and excessive sleepiness are commonly encountered clinical problems. Yet most patients with insomnia are not excessively sleepy. How can you quickly evaluate these problems? Sleep expert Dr. Richard Bogan discusses clinical management of sleep symptoms with host Dr. Leslie Lundt.

Host: Leslie P. Lundt, MD Guest: Richard K. Bogan, MD, FCCP, FAASM Insomnia is the leading sleep disorder yet diagnosis is often problematic. Enter a valuable clinical tool called the SleepMed Insomnia Index. The developer of this instrument, Dr. Richard Bogan joins Dr. Leslie Lundt to discuss the development and use of the SMI.

Host: Leslie P. Lundt, MD Guest: Nassim Assefi, MD What is the effect of war on public health? Dr. Nassim Assefi, an internist with a focus on women's health, was practicing at Harborview Medical Center in Seattle and teaching at the University of Washington School of Medicine in 2003, when she was invited by the American Medical Women's Association to visit Afghanistan. Dr. Assefi subsequently spent two years working in Afghanistan, where she established a program to reduce maternal and infant mortality through an NGO called Management Sciences for Health. She shares her experiences with host Dr. Leslie Lundt.

Host: Leslie P. Lundt, MD Guest: Nassim Assefi, MD Have you ever thought about volunteering overseas? How do you get started? What are the risks and benefits? Dr. Nassim Assefi, a board-certified internist specializing in women’s health and global medicine, discusses her experiences working in Iran and Cuba with host Dr. Leslie Lundt.