@SleepyNeuroDoc

Neurologist, Sleep Medicine Physician (former Harvard Sleep Fellow). Adjunct Clinical Assistant Professor, McMaster University. Exciting sleep studies to share!

 Toronto
Joined March 2022
  • Tweets265
  • Following463
  • Followers690
63Media
Dear Twitter followers, May I ask you to complete a brief survey on how I can improve this medical education twitter. It should take less than 1 minute. Thank you in advance, forms.gle/u7UH8SjwH66X2np39

Sleep Medicine Medical Education Twitter Evaluation Survey (@SleepyNeuroDoc)

Thank you for engaging in this sleep medicine education twitter account. Your survey responses are very important, as it will help me understand whether the twitter is meeting its educational...

docs.google.com
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Marcus Ng@spikewhispererSep 12
A huge thank you to everyone who attended our session on Sleep Wearables 💤🧠⌚️ & Circadian Rhythms: a new frontier in @ClinicalNeuroph at the #ICCN2026 Congress in beautiful Cartagena, Colombia! 🇨🇴
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Marcus Ng@spikewhispererSep 11
Another winning collaboration with @SleepyNeuroDoc at the #ICCN2026 🇨🇴 showing the power of sleep 💤🧠⚡️ in clinical neurophysiology to help improve the health and well-being of patients! @ClinicalNeuroph
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Continuum: Lifelong Learning in Neurology@ContinuumAANAug 26
Listen to Drs. Teshamae Monteith and Ran Liu, discuss his article on "Central Sleep Apnea" in the August #SleepNeurology issue. Episode available on all platforms or at hubs.la/Q04v4-Ww0 @headacheMD @SleepyNeuroDoc
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Marcus Ng@spikewhispererAug 21
Replying to @SleepyNeuroDoc
@SleepyNeuroDoc
Continuum: Lifelong Learning in Neurology@ContinuumAANAug 20
Key Point 5 from the article Central Sleep Apnea by Dr. Ran R. Liu, MD, FRCPC, MSc, from the August #SleepNeurology issue, which is available to subscribers at hubs.la/Q04r-nXL0. #NeuroTwitter #MedEd
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Continuum: Lifelong Learning in Neurology@ContinuumAANAug 17
Key Point 2 from the article Central Sleep Apnea by Dr. Ran R. Liu, MD, FRCPC, MSc, from the August #SleepNeurology issue, which is available to subscribers at hubs.la/Q04r-jfz0. #NeuroTwitter #MedEd
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Continuum: Lifelong Learning in Neurology@ContinuumAANAug 18
Key Point 3 from the article Central Sleep Apnea by Dr. Ran R. Liu, MD, FRCPC, MSc, from the August #SleepNeurology issue, which is available to subscribers at hubs.la/Q04r-trN0. #NeuroTwitter #MedEd
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Very excited to be at the SLEEP meeting in Indianapolis!! @SLEEP2023
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Anyone who is here, and wants to meet up for a coffee, please message me :)
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Michael Mak@mak_mike2 Jun 2023
Replying to @SleepyNeuroDoc
@SleepyNeuroDoc Using Twitter as means of collaborative sleep education.
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Michael Mak@mak_mike29 Apr 2023
Great work by @SleepyNeuroDoc to disseminate helpful sleep cases and data via Twitter @CanSleepSociety
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
CAMH Education@camhEdu26 Apr 2023
“We know that almost all psychiatric conditions have some sleep component to them.” CAMH physiatrist Dr. Michael Mak (@mak_mike) joined Dr. @DavidGratzer on #QuickTakes to discuss his work treating sleep disorders. 🔊LISTEN: bit.ly/3ouRQoa
April 2023 The big sleep update with Dr. Michael Mak

ALT April 2023 The big sleep update with Dr. Michael Mak

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I’m so excited to be at the Canadian Sleep Society conference in Ottawa!!! #CanadianSleepSociety #CSS
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Thank you everyone for the overwhelming support in completing this survey!! 🙌 If you have not yet completed this survey, I would really appreciate it if you could do so to help me improve this educational Twitter.
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EXCITED after my first time being interviewed by a podcast about sleep! I talk about stimulus control, circadian rhythm management, etc. Your patients might find this helpful. Please pardon my first-timer jitters 🤓🤣😴 podcasters.spotify.com/pod/s…

Eatrite Nutrition Podcast • A podcast on Spotify for Creators

With over 35 years combined experience and advanced degrees as personal trainers, coaches, and nutrition professionals, we've read the science and practiced nutrition on thousands of clients. Eatrite...

creators.spotify.com
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Vagus Nerve Stimulation induced respiratory changes in patient with epilepsy + OSA, "pseudo-periodic breathing"! Titration PSG, 5 min epoch. VNS stimulation results in elevated chin tone, increased breathing rate, lowered airflow and breath effort and no desaturation. #VNS #apnea
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CPAP compliance data show vagus nerve stimulation induced respiratory changes in patient with epilepsy + OSA. Residual AHI =11.8, but on waveform inspection, this is all due to #VNS stimulation, and the cycle of each event perfectly matches the duty cycle of the VNS stimulation
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VNS in some patients can induce or worsen hypopneas / apneas, which can be obstructive or central. At first glance, this looked like periodic breathing, but it is actually induced by VNS. In complex cases, this highlights the importance of compliance waveform data. #OSA #epilepsy
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Great point! Adult patients that can objectively sleep for >9hr is a massive flag. Suggest possible sleep pathology resulting in long sleep duration but poor quality of sleep… and need further investigation!
Elissaios Karageorgiou@E_Karageorgiou8 Apr 2023
People with less <5 hours of #sleep per day as well as people with sleep apnea have x3 the risk of #stroke. For >9 hours of sleep or snoring alone the risk was x2 larger. Tell your patients and treat them early! n.neurology.org/content/earl…

Sleep Patterns and the Risk of Acute Stroke | Neurology

Background and ObjectivesSymptoms of sleep disturbance are common and may represent important modifiable risk factors of stroke. We evaluated the association between a spectrum of sleep disturbance...

neurology.org
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Ran Richard Liu, MD, FRCPC, DABPN, CSCN (EEG), MSc retweeted
Atul Malhotra, MD@AtulMalhotra138 Apr 2023
#obstructive sleep apnea: Finally a randomized study of hypoglossal nerve stimulation for #OSA published in JAMA Otol. congrats to co-authors. pivotal study ongoing. #ucsd #sleep #livanova @atscommunity #ATS2023 pubmed.ncbi.nlm.nih.gov/3702…

Targeted Hypoglossal Nerve Stimulation for Patients With Obstructive Sleep Apnea: A Randomized...

ClinicalTrials.gov Identifier: NCT02263859.

pubmed.ncbi.nlm.nih.gov
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Female in 60s, Hx of minor stroke, BMI 21, presenting with insomnia + excessive daytime sleepiness, ESS 19. PSG: severe NREM dominant OSA, AHI 37 (NREM 39, REM 5). 1st started CPAP + stimulus control + no napping. Then added gentle sleep restriction + hypnotic medication. #COMISA
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With interventions, the patient's, insomnia and total sleep time improved. Excessive daytime sleepiness resolved #COMISA is very challenging, this is just one approach. MUST treat both #OSA and #insomia! If you have another approach, please share!
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In addition to treating sleep apnea (CPAP, oral appliance, etc) and providing CBT-insomnia for patients with COMISA, are there times that you would prescribe a hypnotic medication for selected patients with COMISA?
89%Yes
11%No
9 votes • Final results
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