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Sat 21 Jul 2007

SLEEP (peer-reviewed journal published by the American Academy of Sleep Medicine)

Acetaminophen w codeine elixir : Category :


Review of Paradox Lost: Midnight in the Battleground of Sleep and Dreams

By Carlos H. Schenck, Extreme-Nights, LLC, 2005, ISBN 0-97637-340-8

Bradley V. Vaughn, MD

Department of Neurology, University of North Carolina, Chapel Hill, NC

THIS BOOK IS AN UNIQUE Acetaminophen w codeine elixir, COLLECTION OF ACCOUNTSFROM PATIENTS WITH NOCTURNAL EVENTS RANGING FROM THE codeine pregnancy tylenol DREAM ENACTMENT OF REM acetaminophen w codeine elixir behavior disorder and sleep terrors to sleep related eating and sex. With a style of more classical writings, this detailed collection promotes an insight into the real life Codeine phosphate tablet, aspects of caring for individuals with recurrent nighttime events not seen in other current texts of clinical medicine. Acetaminophen w codeine elixir - The style lends itself to expanding the target audience beyond those in sleep medicine, potentially appealing to patients and families. Included with the interviews, Dr. Schenck introduces opinions and insights that go beyond the typical sleep medicine passages and that demonstrate his understanding and compassion for the complexities faced by these patients and their families.

In Acetaminophen w codeine elixir : the first chapters, the author reviews the classical features of the parasomnias, detailed in the standard classification of the International Classification of Sleep Disorders, Second Edition (1). He also provides codeine pregnancy tylenol level of subtext that demonstrates how many of Codeine phosphate tablet - these events may cross over these traditional lines and how many may dive into the nature of consciousness. Following the review, the next chapters cover 26 acetaminophen w codeine elixir stories of REM sleep related events and 25 individuals with NREM parasomnias. These stories are the real pearl of the book, and acetaminophen w codeine elixir exquisitely lays out the details of the events and their effects upon the family. Patients recount their remembrances and the consequences of their disorder with the clarity that is rarely seen at the first clinic visit.

Patients also discuss their feelings and fears related to the events and codeine pregnancy tylenol how the treatment acetaminophen w codeine elixir the events changes their lives. As Acetaminophen w codeine elixir, with any good history of paroxysmal events, the bed partnerís remembrance and reactions are written in parallel to the patient's story. Many of the interviews have polysomnographic data and clinical follow-ups that provide a better look at the long-term care process. This powerful dynamic provides the reader with an instant ability to grasp the magnitude of these events, elevating parasomnias beyond acetaminophen w codeine elixir cocktail conversation. Further stories of sleep related eating, nocturnal dissociation, and abnormal sleep sex provide additional insight into the range of these events.

To round out the story experience, the book includes a later Acetaminophen w codeine elixir, chapter on pet-related parasomnias. Many scientists search for animal models, but these codeine pregnancy tylenol bring a more family approach to these interesting animal parasomnia events. In addition the book discusses the several interactions of humans with parasomnias and their codeine pregnancy tylenol showing us how well our furry friends know us.

The last several chapters review the medical legal issues Acetaminophen w codeine elixir : and what to do if you know someone acetaminophen w codeine elixir a parasomnia. Dr. Schenck comprehensively outlines the key features of the case from Ontario of Kenneth Parks. Mr. Parks drove 14 miles to kill his beloved mother-in-law and was cleared by the court. Through this process, the author demonstrates Acetaminophen w codeine elixir : how we, as sleep experts, truly need to be codeine pregnancy tylenol of the courtî in deciphering the complexities of these difficult cases. He goes on to include excerpts from a lawyer describing the difficulties of delineating voluntary acetaminophen w codeine elixir involuntary acts. This last section completes the reader's understanding the total impact of nocturnal events and their implications for society.

Throughout acetaminophen w codeine elixir book Schenck weaves a careful story of compassion and appreciation for the journeys these patients have endured while also setting a high standard of care for us to promote. His message is clear: that the art of acetaminophen w codeine elixir history taking, open mindedness, and dedicated investigation allow one to see beyond the dogma of our current understanding. For anyone acetaminophen w codeine elixir the sleep field, this book can provide a wealth of practical experience that one can only gain from Acetaminophen w codeine elixir, decades of practice. For those of us ardently trying to decipher the intricacies of parasomnias, this book will be a classic.


  1. ICSD—international classification of sleep disorders: diagnostic and coding manual. 2nd ed. Westchester, IL: American Academy of Sleep Medicine, 2005.

SLEEP, Vol. 29, No. 12, 2006, page 1649, Book Review—Vaughn

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Sleep Medicine 7 (2006) 53

Category :

Book Review

Schenck, Carlos H., Paradox Lost: Midnight in the Battleground of Sleep and Dreams (2005) 435 pgs. [Extreme-Nights, LLC]

Carlos Schenck and Mark Mahowald will codeine pregnancy tylenol remembered years from now for their remarkable contributions to sleep medicine. Rarely have individuals been able to typify a virtually unknown and uncharacterized but common disorder, convincingly codeine pregnancy tylenol Acetaminophen w codeine elixir, its pathogenesis and develop an effective treatment. However, over the course of the last quarter of a century, codeine pregnancy tylenol is precisely what Schenck and Mahowald have done. They have named it REM Sleep Behavior Disorder, beginning in 1986 with the description of their first patient, later realizing that the earlier work of Jouvet and others provided the pathological basis for the disorder and discovering the dramatic effect of clonazepam in its treatment. During that time they have also characterized and named other heretofore unknown parasomnias including status dissociatus.

This remarkable contribution is captured codeine pregnancy tylenol a very personal way by Carlos Schenck in his book Paradox Lost. Hundreds Codeine phosphate tablet, of cases of many different types of parasomnias codeine pregnancy tylenol delineated by documentation of actual conversations that took place between physician Acetaminophen w codeine elixir : and patient, with individual chapters devoted to each of the entire compendium of parasomnias. The basic codeine pregnancy tylenol of these cases is also summarized by Schenck, and insights are provided that can only come from someone with the breadth, depth and richness of 25 years of experience. This book, written for both the professional and lay audiences, succeeds in being valuable and accessible to both. It is well worth the read for the experienced sleep clinician who will learn from it, and its straightforward style should also be easily comprehensible to the lay public. To both audiences, and Acetaminophen w codeine elixir - without reservation, I enthusiastically recommend Paradox Lost.

Acetaminophen w codeine elixir - Arthur S. Walters

Center for Sleep Disorders Treatment,

Research and Education, New Jersey Neuroscience Institute

JFK Medical Center,

Edison, NJ, USA

Department of Neuroscience,

Seton Hall University, School of Graduate Medical Education

South Orange, NJ, USA

Received Codeine phosphate tablet - 2 codeine pregnancy tylenol 2006; Received in revised form 2 May 2006; Accepted 2 May 2006

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Sleep Review Magazine: January/February 2007, Page 44

Category :

Book Review--"Paradox Lost: Midnight in the Battleground of Sleep and Dreams"

"Paradox Lost: Midnight acetaminophen w codeine elixir the Battleground of Sleep and Dreams" is a compilation of narratives and patient interviews meticulously gathered by Carlos Schenck, MD, stemming from more than two decades of work by Schenck and colleagues researching codeine pregnancy tylenol with parasomnias. The repertoire presented acetaminophen w codeine elixir this book of abnormal and unwanted behaviors occurring Acetaminophen w codeine elixir, during sleep is truly remarkable. The reader will appreciate the potential hazards and dangers to both patients and bed partners as these often bizarre behaviors during sleep become manifest, such as patients jumping out of windows or strangling or hitting their bed partners while asleep. The book also highlights the psychological distress many patients face when trying to remedy their behavior given the lack of awareness of parasomnias in the general medical Acetaminophen w codeine elixir : community and a tendency to consider such patients as simply psychologically disturbed.

The title "Paradox Lost" is a reference to Michel Jouvetís description of rapid eye movement (REM) sleep, which he coined ìparadoxical sleep.î The ìparadoxî is the appearance of brain activation and acetaminophen w codeine elixir while the body is paralyzed and acetaminophen w codeine elixir The loss of this paralysis in REM sleep allow for the expression of abnormal behaviors or dreams in REM sleep, such as in REM sleep behavior disorder (RBD).

Although the title implies the book may emphasize RBD, it includes much more than that. This work covers a wide range of non-REM sleep parasomnias, including night terrors, sleep walking, sleep eating behavior, and sleep sex acetaminophen w codeine elixir Other parasomnias, such as nocturnal dissociative disorder, and medicolegal issues also are presented. The early chapters review sleep and wakefulness, as well as an overview of the parasomnias. The parasomnias are then presented in subsequent chapters, each containing numerous interviews between Schenck and his patents. Each interview is prefaced with a summary of the patientís findings and pertinent comments from Schenck.

The sheer volume of patient interview and stories spanning the various parasomnias is a remarkable achievement. "Paradox Lost" is written for a wide audience, and all who read it, from patient to technician to sleep medicine specialist, will be enriched from the experience of Schenck and his colleagues.

Markus H. Schmidt, MD, PhD

Director of Research at the Ohio Sleep Medicine and Neuroscience Institute Inc, Dublin.

Adjunct Assistant Professor at Ohio State University in the acetaminophen w codeine elixir of Neuroscience

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"Paradox Lost is an invaluable resource"

Acetaminophen w codeine elixir : Category :

"Paradox Lost is an invaluable resource"

Professor James B. Maas, PhD
Weiss Presidential Fellow

Professor of Psychology and
Professor, Pre-Med Program Weill Cornell
Medical College-Qatar

Department of Psychology
Cornell University
Ithaca, New York

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Category :

Journal of Neurology, Neurosurgery and Psychiatry 2006; 77: 1387

Paradox Lost: Acetaminophen w codeine elixir, Midnight in the battleground of sleep and dreams

Edited by Carlos H Schenck. Published by Extreme-Nights, LLC, 2005 (hardcover), pp 435. ISBN 0-9763734-0-8

This is Codeine phosphate tablet - a Codeine phosphate tablet, unique and extraordinary book written by a psychiatrist widely recognized as an international authority on parasomnias in general and rapid eye acetaminophen w codeine elixir sleep behaviour disorder (RBD) in particular. Those looking for a comprehensive or conventional textbook on matters Codeine phosphate tablet, ìgoing bump in the nightî may be disappointed by the eclectic and Acetaminophen w codeine elixir - extremely personal style of the author. Indeed, codeine pregnancy tylenol is a little difficult to understand at whom the book is primarily aimed. Published, it seems, using the authorís own resources after 15 yearsí gestation, the core of the book consists of numerous case vignettes. Descriptions by subjects and Acetaminophen w codeine elixir : their bed partners cover the full gamut of extraordinary behaviors and experiences Acetaminophen w codeine elixir - that can arise from the state of sleep. Replete with codeine pregnancy tylenol and literary allusions, reminiscent of Oliver Sachsís early works, the book would be accessible to the interested lay reader although there is enough referenced detail to acetaminophen w codeine elixir a sleep specialist happy. The personal involvement of the author in his patientsí ìjourneysî is palpable, as is his zeal to Acetaminophen w codeine elixir : publicise the often unbelievable range of behaviours that can arise from the hinterland between wake and sleep. Most neurologists will be aware of RBD, its potential violent consequences and its tight association with parkinsonian syndromes. Thanks to data from Schenckís group, it is now appreciated that most of the apparently idiopathic victims will eventually develop an extrapyramidal movement disorder. Fewer clinicians, however, will be familiar with nocturnal sleep eating disorder, sleep driving, and other even more complex and occasionally violent behaviours that may originate from the deepest stages of non-REM sleep.

Schenck Codeine phosphate tablet - pays considerable attention to the medicolegal or forensic aspects of parasomnias. Several extreme cases are discussed in which violent or sexual assaults have been followed by a successful legal defence on the acetaminophen w codeine elixir of a ìnon-insane automatism.î Broad guidelines for determining the likelihood of a parasomnia as an Acetaminophen w codeine elixir : explanation for a seemingly criminal act are outlined. This is clearly an extremely delicate area, and neurologists or psychiatrists who may be asked to comment on such cases will almost certainly find the comments, illustrative examples and acetaminophen w codeine elixir in this book helpful.

This book might have been better served by a tighter editorial influence. It is a little difficult to navigate around the various chapters, and there is a somewhat rambling, occasionally repetitive narrative to the case histories. However, given that the primary motivation behind the book is to illustrate the extraordinary range of abnormal nocturnal behaviours rather than serve as a simple textbook, this lapse may be forgiven. I suspect that readers without a particular interest in sleep medicine acetaminophen w codeine elixir find the material in this book inherently fascinating. Patients with sleep disorders and those trying to manage them will both appreciate and find comfort codeine pregnancy tylenol the incredible stories related by Schenck. Overall, I think the book is an acetaminophen w codeine elixir and passionate attempt to highlight the mysterious world of parasomnias. Those searching for a detailed neurobiological account of parasomnias may be disappointed, but, given its reasonable price, I would not hesitate in recommending this book to a wide readership.

DR Reading

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