February 22nd, 2011
03:50 PM ET
"Although, I usually have a high suspicion for RBD just from the clinical history, most sleep specialists recommend an overnight sleep study because other disorders can masquerade as RBD. There is a phenomenon called pseudo-RBD which is caused by obstructive sleep apnea . OSA tends to be worse in REM and when the patient has an awakening out of REM due to apnea, he can act out his dreams, and the story can be very similar to RBD. This pseudo-RBD is eliminated when we treat the sleep apnea. Also, there is a small chance that the person is having nocturnal seizures so the sleep study is important to rule that out.
Although it is sobering to get this diagnosis because of the connection to neurodegenerative disease, the good news is: 1. Not everyone gets Parkinson’s disease; 2. RBD is usually very well treated with low dose clonazepam. Clonazepam is a benzodiazepine which acts as a muscle relaxant as well as a sedative and anti-anxiety agent.
Charlie is now on low dose clonazepam with no further symptoms, and he is very happy to be back in bed with his wife of 50+ years."
It is effective.
tecnique suggest a solution; make a recommendation or prediction.
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http://pagingdrgupta.blogs.cnn.com/2011/02/24/when-men-don%E2%80%99t-want-sex/
February 24th, 2011
09:49 AM ET
"Regardless of your gender, when a couple is dealing with mismatched libidos, the worst thing the partner with more desire can do is to give up on sex. Like Sherlock Holmes, the partner with more desire has to engage in some forensic analysis to uncover the clues and causes, and then take action to bring sex back into the relationship. From foreplay to fantasy, to enhancing communication and the overall quality of the relationship, there’s a lot you can do to foster a satisfying sex life. So start talking with each other, share a fantasy or two, and take a few aspirin for that “headache.” Your relationship will thank you.And if you need a little extra help getting sexually creative, check out the Good in Bed Guide to 52 Weeks of Amazing Sex."It is effective.
tecnique suggest a solution; make a recommendation or prediction.