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JHirschbein
Unread post  Post subject: IN NEED OF HELP FOR SLEEP STUDY TERMS  |  Posted: Sun Mar 16, 2014 2:10 pm

Joined: Sun Mar 16, 2014 1:55 pm
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Hi...

I'm working on a screenplay that takes place in a sleep disorder center. It's very important to me that the story is as authentic as possible.... especially the dialogue among doctors.
I have a scene in which doctors are reviewing and discussing footage of a handful of patients from the night before.
I'm writing you all here in the hope that you can provide assistance/examples of the lingo the doctors and sleep techs would use while reviewing the following cases:

1. Somnabulism (a male patient that's wheelchair bound by day)

2. Night terror (a male patient becomes violent while asleep, swinging and flailing. He awakes when he bites his tongue)

3. A patient that talks in his/her sleep

4. A young child that bangs his head head violently while asleep; then wets his bed.

5. Insomnia. A patient that is unable to sleep throughout the entire night. And it's the second night in a row with no sleep.

6. A senior woman with advanced Parkinson's. However, while sleepwalking...her Parkinson's symptoms appear to still.

Again...any lingo to describe the night's footage, I really, truly appreciate your help: Their heart readings, REM periods, etc.....

Thanks for your time and help,
Jonathan


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TheLankyLefty
Unread post  Post subject: Re: IN NEED OF HELP FOR SLEEP STUDY TERMS  |  Posted: Mon Mar 17, 2014 1:18 pm
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JHirschbein wrote:
1. Somnabulism (a male patient that's wheelchair bound by day)
This would be fairly impressive. Quite honestly this has never occurred, so you would be given full poetic license to make it up as you went along. Whatever caused them to be wheelchair bound would have to have that damage or neuro problem resolved while asleep.

JHirschbein wrote:
2. Night terror (a male patient becomes violent while asleep, swinging and flailing. He awakes when he bites his tongue)
This would be REM behavior disorder. (Common on folks with Parkinsons or prior to developing Parkinsons)This would not be considered a night terror at all. Night terrors are normal and there is nothing that Sleep Medicine can or would do about it other than note it and educate the patient (usually the parents as it's children normally) that it will resolve with age and eliminating a stressor that is causing it.

JHirschbein wrote:
3. A patient that talks in his/her sleep
Somniloquy. Again, nothing that can or would be done about it. It would just be noted and that's it.

JHirschbein wrote:
4. A young child that bangs his head head violently while asleep; then wets his bed.
You'd suspect this in children with developmental delay, neurological or psychological problems, or autism. They'd have neuro or phychological evaluation. Then you'd want to minimize injury during the night. Helmet possibly and move harmful objects away from the bed that they could bang their head on.

JHirschbein wrote:
5. Insomnia. A patient that is unable to sleep throughout the entire night. And it's the second night in a row with no sleep.
I don't even think this would be seen in a lab. They'd look at stimulant use, or stress. Look up Familial Fatal Insomnia. That is a rare one but can actually result in death.....as the name suggests. ;) In general, insomnia happens all the time, so this wouldn't even be really noteworthy.

JHirschbein wrote:
6. A senior woman with advanced Parkinson's. However, while sleepwalking...her Parkinson's symptoms appear to still.
This is similar to the first scenario. It's a miracle. That, or (like the first one) it could be a case of the patient faking it.

Another thing. Doctors would discuss this, especially not in person. In rare cases they may speak over the phone. It wouldn't be sleep specialists speaking though, it would be speaking with other specialties that relate to the problem in question (who would've been the referring physician to the sleep center).

Hope that helps somewhat.

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