Episode 14.12

Segment One – Sleep Deprivation and Sleep Patterns in Children

Dr. Cole and Steve Kashul discuss sleep deprivation with Dr. Jason Ong from Rush University Medical Center:?youth sleep patterns and requirements; problems with falling to sleep, waking early?and how exercise and napping can affect sleep?rhythms.??Dr. Jason Ong is an Associate Professor of Behavioral Sciences and Director of the Behavioral Sleep Medicine Training Program at Rush University Medical Center. He received his PhD from Virginia Commonwealth University and completed a fellowship in Behavioral Sleep Medicine at Stanford University Medical Center.? His primary research and clinical interests involve behavioral treatments for insomnia and other sleep disorders as well as the impact of sleep disturbance on chronic health conditions.

Segment Two – Huntington’s Disease Awareness

Dr. Cole and Steve Kashul talk with?Dave Hodgson, Illinois Chapter-Huntington’s Disease Society of America.?

What is Huntington’s Disease (HD)?

Huntington’s Disease: a devastating, hereditary, degenerative brain disorder for which there is, at present, no cure and only one FDA-approved treatment (Xenazine) for a symptom of HD.. HD slowly diminishes the affected individual’s ability to walk, talk and reason. Eventually, the person with HD becomes totally dependent upon others for his or her care. Huntington’s Disease profoundly affects the lives of entire families — emotionally, socially and economically.

Named for Dr. George Huntington, who first described this hereditary disorder in 1872, HD is now recognized as one of the more common genetic disorders. More than a quarter of a million Americans have HD or are “at risk” of inheriting the disease from an affected parent. HD affects as many people as Hemophilia, Cystic Fibrosis or muscular dystrophy.

Early symptoms of Huntington’s Disease may affect cognitive ability or mobility and include depression, mood swings, forgetfulness, clumsiness, involuntary twitching and lack of coordination. As the disease progresses, concentration and short-term memory diminish and involuntary movements of the head, trunk and limbs increase. Walking, speaking and swallowing abilities deteriorate. Eventually the person is unable to care for him or herself. Death follows from complications such as choking, infection or heart failure.

HD typically begins in mid-life, between the ages of 30 and 50, though onset may occur as early as the age of 2. Children who develop the juvenile form of the disease rarely live to adulthood.

HD affects males and females equally and crosses all ethnic and racial boundaries. Each child of a person with HD has a 50/50 chance of inheriting the fatal gene. Everyone who carries the gene will develop the disease. In 1993, the HD gene was isolated and a direct genetic test developed which can accurately determine whether a person carries the HD gene. The test cannot predict when symptoms will begin. However, in the absence of a cure, some individuals “at risk” elect not to take the test.

Since the discovery of the gene that causes HD, scientific research has accelerated and much has been added to our understanding of Huntington’s Disease and its effects upon different individuals. By continuing to increase investment in both clinical and basic HD research each year, breakthroughs in treatment – and a cure can be forthcoming. Read more…

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Segement Three -?World Cup 2014 – Soccer Injuries

Kyle Pilz, PA working with Dr. Cole at Midwest Orthopaedics at Rush, returns with his Fantasy Sports Injury Update. Focusing on the World Soccer Cup Series with prevailing injuries and how they are treated.


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