![]() ![]() ![]() Narcolepsy can be diagnosed by sleep specialists through relatively low-cost sleep studies, but most people living with narcolepsy are diagnosed months or years after they begin to experience symptoms. The swiftness of that recognition was exceptional. When Biddle described these events to her supervisor, Nancy Donovan, MD, the psychiatrist immediately guessed what they could be: cataplexy, a distinctive symptom of narcolepsy. Several times a day, her legs might buckle, or her jaw and face would droop. She started having brief episodes of muscle weakness, triggered by laughter or excitement, she recalled. I might fall asleep while talking with a friend. “What bugged me the most was the unpredictable nature of the sleepiness-not knowing when it would hit me. “It came on pretty abruptly,” Biddle said in a recent phone interview with JAMA. About a month after starting, she told her supervisor that she had been experiencing waves of unusual sleepiness, along with frequent nightmares and vivid dreams. Shared Decision Making and CommunicationĪfter graduating from college with a neuroscience degree the prior year, Biddle had begun working at Brigham and Women’s Hospital in Boston, Massachusetts, as a clinical coordinator for a team studying aging and Alzheimer disease.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment. ![]() Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography. ![]()
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