Karl Doghramji, MD

January 24, 2014

A 17-year-old student can't fall asleep, can't wake up, and is falling behind in school. Which of the therapies suggested here do you think would help reset his diurnal rhythms?

January 16, 2014

Shortly after he falls asleep, the child sits up in bed and shrieks, then cries and cannot be wakened when touched. His parents are very concerned. What do you suspect?

October 10, 2013

Iron deficiency seen in restless leg syndrome is identified as an important secondary cause and supplementation helps relieve symptoms.

October 10, 2013

What is single most appropriate diagnostic test when you suspect restless leg syndrome?

October 10, 2013

Restless leg syndrome is characterized by an urge to move the upper or lower extremities that is usually induced by rest.

October 10, 2013

RLS has several diagnostic features that distinguish it from other sleep-related disorders.

August 15, 2013

CPAP is first-line therapy for severe OSA but when patients complain about mask-related discomfort, what to do?

August 14, 2013

Shiftwork disorder, a pattern of daytime sleepiness and insomnia that is a result of working during the usual time for sleep, is just one of the negative sequelae.

August 14, 2013

Shiftwork disorder is a prolonged pattern of daytime sleepiness and insomnia that is a result of working during hours that overlap the usual time for sleep.

July 11, 2013

Snoring is a hallmark symptom of OSA and so serves as an early warning sign of potential morbidiy and mortality.