1
00:00:00,000 --> 00:00:05,680
What up? Hello. Hello. How's it going?

2
00:00:05,680 --> 00:00:12,800
I had a Sambazon energy drink from Whole Foods. It was really good, but it gave me the jitters

3
00:00:12,800 --> 00:00:16,020
because it's basically an energy drink and I've only been drinking Yerba mate. I've been

4
00:00:16,020 --> 00:00:42,200
trying to stay away from coffee. I feel like my eyes are shaking. Welcome back to diagnosing

5
00:00:42,200 --> 00:00:48,400
a killer. Mental breakdown. Oh yeah, this looks like I'm so ready to do the case. I'm

6
00:00:48,400 --> 00:00:54,340
Kenna. I'm Koelle. And we actually have had kind of a little bit of a hiatus. I think

7
00:00:54,340 --> 00:00:59,820
that you guys have been patiently waiting for a new episode. It's finals week. I'm

8
00:00:59,820 --> 00:01:03,800
getting very close to graduating and so I had a lot going on this week with school and

9
00:01:03,800 --> 00:01:07,820
I know you did too and worked on it. Thanksgiving. So busy. Yeah, thanksgiving. So thank you

10
00:01:07,820 --> 00:01:11,940
guys for patiently waiting for this new episode. But the good news is that you're going to

11
00:01:11,940 --> 00:01:14,940
get three episodes this week. You're going to get this mental breakdown. You're going

12
00:01:14,940 --> 00:01:20,860
to get Koelle's case and then on Sunday you're going to get my mental breakdown. So be lookout.

13
00:01:20,860 --> 00:01:24,660
I think by the time this is posted you'll have two and then in two days you'll have

14
00:01:24,660 --> 00:01:31,180
another one. That's exciting. We're going to bombard you with our voices. So this week's

15
00:01:31,180 --> 00:01:38,820
mental breakdown is... I'm excited. Narcolepsy. Oh my gosh. I don't know. I know what I think

16
00:01:38,820 --> 00:01:43,540
I know a lot about narcolepsy and what comes to mind immediately is that one episode of

17
00:01:43,540 --> 00:01:49,220
A Thousand Ways to Die, this guy fell asleep in a freezer and he died because he had narcolepsy.

18
00:01:49,220 --> 00:01:56,620
See I don't... Okay. What? Alright. I'll buy that but maybe after this you won't. Okay.

19
00:01:56,620 --> 00:02:03,940
So narcolepsy is described as recurrent periods of an irrepressible need to sleep and it's

20
00:02:03,940 --> 00:02:09,460
lapsing into sleep or napping occurring within the same day. They must be occurring in at

21
00:02:09,460 --> 00:02:15,060
least three times per week over the past three months. Okay. So it just described what the

22
00:02:15,060 --> 00:02:19,620
first half of narcolepsy is and then the second half is the presence of at least one of the

23
00:02:19,620 --> 00:02:27,100
following. So it's episodes of cataplexy which is the sudden loss of muscle tone. Okay. So

24
00:02:27,100 --> 00:02:32,060
basically when your whole body just relaxes. Oh that sounds scary. And so it does kind

25
00:02:32,060 --> 00:02:36,820
of sound scary but I think it's more of like, do you ever get that moment like right before

26
00:02:36,820 --> 00:02:41,300
you fall asleep at night and you feel your body like go there? Like you're like, ugh.

27
00:02:41,300 --> 00:02:46,900
No. No. No? Like a thousand times. I lay down and I'm like, poof. Like I can feel my whole

28
00:02:46,900 --> 00:02:53,020
body just like not tense. It must be like that but it's sudden. My falling asleep pattern

29
00:02:53,020 --> 00:03:00,220
usually involves me jolting awake. You know what that is though right? That's your equilibrium

30
00:03:00,220 --> 00:03:04,580
not catching up with the rest of your body. So when you get that feeling motion it's your

31
00:03:04,580 --> 00:03:08,820
equilibrium trying to regulate. That's so. But it doesn't so quickly that you feel like

32
00:03:08,820 --> 00:03:13,260
you're falling. Yeah. Like you're losing your balance while you're not moving. Yeah,

33
00:03:13,260 --> 00:03:19,140
that's really weird. So A is an individuals with longstanding disease brief seconds to

34
00:03:19,140 --> 00:03:25,260
minute episodes of sudden bilateral loss of muscle tone with maintained consciousness

35
00:03:25,260 --> 00:03:30,900
that are precipitated by laughter or joking. Oh, that's kind of scary. That's a little

36
00:03:30,900 --> 00:03:37,220
scary and not to like, okay, so this one time when I was a kid, mom heard me laughing from

37
00:03:37,220 --> 00:03:42,140
the bathroom and I was like in elementary school and I had gotten up in the middle of

38
00:03:42,140 --> 00:03:44,820
the night to use the bathroom and I was just sitting on the toilet laughing but I couldn't

39
00:03:44,820 --> 00:03:49,620
catch my breath. Yeah. But then it reminds me of that Grey's Anatomy episode where that

40
00:03:49,620 --> 00:03:53,420
guy had like. He was having seizures. He was having seizures. There's a kid. Oh my gosh.

41
00:03:53,420 --> 00:03:59,700
And then knowing that camera has seizures. Yeah. So it's like, maybe it's a little weird.

42
00:03:59,700 --> 00:04:05,540
So in children or in individuals within six months of onset spontaneous grimaces or jaw

43
00:04:05,540 --> 00:04:12,260
opening episodes with tongue thrusting or in a global hypotonia without any obvious

44
00:04:12,260 --> 00:04:16,380
emotional triggers. Okay. So in children, it'll manifest with like moving your mouth

45
00:04:16,380 --> 00:04:21,140
a lot or your jaw or open. Yeah. Like constantly opening your mouth. There's a and then there's

46
00:04:21,140 --> 00:04:26,500
B and then under B is one and then under one is A and B. Oh my gosh. So now we're going

47
00:04:26,500 --> 00:04:33,220
back to two. Okay. If that makes any sense. Yeah. So again, this is narcolepsy is recurrent

48
00:04:33,220 --> 00:04:42,700
periods of needing to sleep and with the presence of at least the cataplexy or again, the cataplexy

49
00:04:42,700 --> 00:04:50,500
is in children with the jaw and then in individuals with muscle tone loss with laughing and joking.

50
00:04:50,500 --> 00:04:57,340
And so going back to B, which is presence of at least one of the following in two. So

51
00:04:57,340 --> 00:05:06,540
another indication is that if you have low measures of CSF, which is cerebral spinal

52
00:05:06,540 --> 00:05:12,180
fluid, it's hard to say. Yes. That is not caused by an acute brain injury, inflammation

53
00:05:12,180 --> 00:05:18,260
or infection. Okay. So and then the third under that little second part of causation

54
00:05:18,260 --> 00:05:25,060
is that your nocturnal sleep polysynom or stenography, which is like a sleep study.

55
00:05:25,060 --> 00:05:31,940
If it shows abnormal rapid eye movement or REM sleep latency, diagnostic features are

56
00:05:31,940 --> 00:05:36,980
the essential features of sleepiness or in narcolepsy are recurrent daytime naps or lapses

57
00:05:36,980 --> 00:05:42,060
into sleep kind of like uncontrollably. So sleepiness typically occurs daily, but must

58
00:05:42,060 --> 00:05:45,740
occur at a minimum of three times a week for at least three months, which we talked about

59
00:05:45,740 --> 00:05:51,940
earlier. Cataplexy should not be confused with weakness in the muscles. So like in the

60
00:05:51,940 --> 00:05:59,300
context of athletic activities, like that's physiologically, it's not like a brain thing.

61
00:05:59,300 --> 00:06:03,300
Or exclusively after using emotional triggers like stress or anxiety. So like if you have

62
00:06:03,300 --> 00:06:06,820
a really stressful day, you're going to be tired because your brain was overworked, right?

63
00:06:06,820 --> 00:06:11,340
So episodes lasting hours or days or those not triggered by emotions are unlikely to

64
00:06:11,340 --> 00:06:16,260
be cataplexy, nor is like rolling on the floor while laughing clearly, right? Like you're

65
00:06:16,260 --> 00:06:20,740
having an emotional reaction to something that does not mean that you're laughing or joking

66
00:06:20,740 --> 00:06:27,220
due to your narcolepsy. So in children, close to onset, genuine cataplexy can be atypical

67
00:06:27,220 --> 00:06:32,860
like the relaxing of the muscles, but it affects primarily the face and that presents itself

68
00:06:32,860 --> 00:06:38,500
in grimaces or jaw opening again, like we said. So when sleepiness is severe, automatic

69
00:06:38,500 --> 00:06:43,820
behaviors can occur like the individual continuing his or her activities in a semi automatic

70
00:06:43,820 --> 00:06:50,140
state like autopilot. Yeah. And it's a hate in like a hazelike fashion without memory or

71
00:06:50,140 --> 00:06:53,380
consciousness. So they won't not even remember like what they're doing. So it's like you're

72
00:06:53,380 --> 00:06:58,220
literally sleepwalking in the middle of the day for like a few minutes. Sleep waking. Yeah.

73
00:06:58,220 --> 00:07:05,380
So yeah. So approximately 20 to 60% of individuals experience sleep paralysis upon falling asleep

74
00:07:05,380 --> 00:07:10,140
or waking. So that's leaving them awake but unable to move or speak. However, many normal

75
00:07:10,140 --> 00:07:15,900
sleepers also report sleep paralysis, especially with stress or slept sleep deprivation. So

76
00:07:15,900 --> 00:07:22,620
again, it's not directly linked to narcolepsy, but yeah. Sleep paralysis is one of the things

77
00:07:22,620 --> 00:07:26,660
that I thank the Lord every single day that I've not experienced. I hope I never do because

78
00:07:26,660 --> 00:07:31,700
I have like twice ever. It's so scary. It's so scary. It's mostly like when you when

79
00:07:31,700 --> 00:07:36,500
I have a dream, like I could get over the sleep paralysis because I'm literally like

80
00:07:36,500 --> 00:07:40,380
it's one of those lucid dreams where I'm probably thinking to my head, okay, this is just sleep

81
00:07:40,380 --> 00:07:43,900
paralysis. It's going to go away, you know? Well, the ones that I hate is when I try to

82
00:07:43,900 --> 00:07:48,220
scream and I can't like I try to talk and I can't. That happens to me in my dreams.

83
00:07:48,220 --> 00:07:51,620
But I don't consider that being sleep paralysis. Yeah. I mean, maybe it is and I just never

84
00:07:51,620 --> 00:07:55,140
noticed something else to be anxious about. It does say defining it as leaving them awake

85
00:07:55,140 --> 00:07:59,300
but unable to move or speak. So yeah, but you're not trying to scream in real life.

86
00:07:59,300 --> 00:08:02,420
You're trying to scream in your dream or you're trying to scream in real life. I think it's

87
00:08:02,420 --> 00:08:03,420
both.

88
00:08:03,420 --> 00:08:04,420
Porque no los dos.

89
00:08:04,420 --> 00:08:05,420
Porque no los dos.

90
00:08:05,420 --> 00:08:07,540
This is now a Spanish podcast.

91
00:08:07,540 --> 00:08:14,060
Yeah. So nocturnal eating could occur as well. So it's like sleep eating.

92
00:08:14,060 --> 00:08:16,060
That sounds like funsies.

93
00:08:16,060 --> 00:08:17,060
Nocturnal eating.

94
00:08:17,060 --> 00:08:22,460
That sounds like fun. I want to taste my food. I don't want to like just gain weight. So

95
00:08:22,460 --> 00:08:24,580
obesity is actually common. Wow.

96
00:08:24,580 --> 00:08:28,860
Yeah. So nocturnal sleep disruption with frequent long or short awakenings is common

97
00:08:28,860 --> 00:08:32,820
and can honestly be disabling to the person. Wow.

98
00:08:32,820 --> 00:08:38,500
So individuals may appear sleepy or fall asleep in the waiting area or during a clinical exam.

99
00:08:38,500 --> 00:08:42,620
So during cataplexy, individuals may slump at a chair or have slurred speech or drooping

100
00:08:42,620 --> 00:08:46,980
eyelids. Can you imagine how many people probably think that you are like drunk?

101
00:08:46,980 --> 00:08:49,060
Yeah. You know, that's unfortunate.

102
00:08:49,060 --> 00:08:50,060
It is.

103
00:08:50,060 --> 00:08:58,740
So narcolepsy cataplexy affects.02% to.04% of the general population in most countries.

104
00:08:58,740 --> 00:09:04,700
And I don't know why it denotes most countries. I think maybe the statistic is from most countries.

105
00:09:04,700 --> 00:09:08,540
Yeah. They probably, well, they probably haven't gotten the data from all countries.

106
00:09:08,540 --> 00:09:09,540
All countries.

107
00:09:09,540 --> 00:09:15,940
Yeah. The narcolepsy affects all genders, but it's a little bit more likely in males.

108
00:09:15,940 --> 00:09:22,820
So the onset of narcolepsy can come from certain things like temperamental is one of them.

109
00:09:22,820 --> 00:09:28,820
So that's like disruptive sleep orders like sleepwalking, sleepwalking, sleepwalking,

110
00:09:28,820 --> 00:09:33,620
sleepwaxing, just waxing my legs. Such as sleepwalking, of course, REM sleep behavior

111
00:09:33,620 --> 00:09:39,020
disorders. And they're going to be more common in individuals. That developed narcolepsy,

112
00:09:39,020 --> 00:09:42,740
of course. So people commonly report that they need more sleep than other family members.

113
00:09:42,740 --> 00:09:46,140
That's usually how it manifests. They're like, oh man, I feel like I need more sleep than

114
00:09:46,140 --> 00:09:50,860
they do. So that's usually when you can see it. It can also be environmental, like things

115
00:09:50,860 --> 00:09:56,140
like strep throat, the flu, and other winter infections are likely to trigger an autoimmune

116
00:09:56,140 --> 00:10:00,660
process. And that can produce narcolepsy within a few months.

117
00:10:00,660 --> 00:10:05,060
You can literally get narcolepsy from just getting sick like normal. I can strep every

118
00:10:05,060 --> 00:10:08,460
year, once a year, literally around this time, actually.

119
00:10:08,460 --> 00:10:10,140
That's so weird. It's interesting.

120
00:10:10,140 --> 00:10:14,860
It'll produce it. Yeah. And I guess it's just because of the sleep patterns that you're

121
00:10:14,860 --> 00:10:18,580
not training your brain.

122
00:10:18,580 --> 00:10:23,060
So head trauma and abrupt changes in sleep wake patterns can also be additional triggers.

123
00:10:23,060 --> 00:10:28,100
I think this is if you have narcolepsy and it just, it can trigger episodes of narcolepsy.

124
00:10:28,100 --> 00:10:31,100
I see. So you don't like get narcolepsy just from getting strep.

125
00:10:31,100 --> 00:10:37,860
That's what I thought. No, I think it just exacerbates it. So genetically, identical

126
00:10:37,860 --> 00:10:44,660
twins are 25 to 32% likely to develop narcolepsy. Identical twins.

127
00:10:44,660 --> 00:10:46,540
Huh. Isn't that interesting?

128
00:10:46,540 --> 00:10:50,140
I wouldn't think that that would be an indicator.

129
00:10:50,140 --> 00:10:51,980
Right. That twins. Why do you think that is?

130
00:10:51,980 --> 00:10:59,220
I don't know. So driving and working, so again, effects of narcolepsy. Driving and working

131
00:10:59,220 --> 00:11:05,460
can be impaired. Individuals with narcolepsy should generally avoid jobs that place themselves

132
00:11:05,460 --> 00:11:09,420
or others in danger like working with machinery, driving a bus.

133
00:11:09,420 --> 00:11:13,940
So once the narcolepsy is actually controlled, it can be controlled with therapy. Patients

134
00:11:13,940 --> 00:11:17,780
can usually drive, although rarely long distances alone by themselves.

135
00:11:17,780 --> 00:11:23,180
Okay. Sorry, you probably said this or you're going to. Do they get prescribed like a specific

136
00:11:23,180 --> 00:11:26,140
medication to help with it? Like is there something that can help that or?

137
00:11:26,140 --> 00:11:28,140
We'll get there.

138
00:11:28,140 --> 00:11:34,300
So untreated individuals are also likely at risk for social isolation and accidental injury

139
00:11:34,300 --> 00:11:35,820
to themselves or others.

140
00:11:35,820 --> 00:11:37,020
So unfortunate.

141
00:11:37,020 --> 00:11:43,700
Yeah. Social relations may suffer as these individuals strive to avert cataplexy by exerting

142
00:11:43,700 --> 00:11:48,940
control over their emotions. So sometimes like if you're so concentrated on controlling

143
00:11:48,940 --> 00:11:54,740
the way the emotions that you're having in order to avoid an episode, you might not be

144
00:11:54,740 --> 00:11:56,820
able to connect socially as much as you want to.

145
00:11:56,820 --> 00:12:01,340
Yeah. And it actually reminds me, I saw this, this TikTok last night, this girl that has

146
00:12:01,340 --> 00:12:05,220
Tourette syndrome. And she was saying, they were asking her, she was like responding to

147
00:12:05,220 --> 00:12:09,220
a question and someone asked like how she, she's in college. Like how do you go to school?

148
00:12:09,220 --> 00:12:13,060
And she's like, well, I really have to suppress my tics and it's really uncomfortable and it

149
00:12:13,060 --> 00:12:16,580
really feels like an itch that I can't scratch. She's like, but I can't like pull the girl's

150
00:12:16,580 --> 00:12:19,740
hair in front of me in school. Like that's of course like unacceptable. But yeah, I can

151
00:12:19,740 --> 00:12:25,180
see how that can, if you're focused so much on suppressing your symptoms, then it can

152
00:12:25,180 --> 00:12:28,140
in turn, you probably won't talk at all or you probably won't, you know what I mean?

153
00:12:28,140 --> 00:12:31,620
Yeah. It's hard to make friends and, and you know, in social situations, that's, that's

154
00:12:31,620 --> 00:12:32,860
really, yeah.

155
00:12:32,860 --> 00:12:37,660
So the core morbidity of narcolepsy, it can occur with bipolar disorder, depressive and

156
00:12:37,660 --> 00:12:41,300
anxiety disorders and in very rare cases with schizophrenia.

157
00:12:41,300 --> 00:12:46,460
Okay. Narcolepsy is also associated with increased body mass index or obesity, especially when

158
00:12:46,460 --> 00:12:51,620
narcolepsy isn't treated. So rapid weight gain is super common in young children and

159
00:12:51,620 --> 00:12:55,540
with the sudden onset of it.

160
00:12:55,540 --> 00:13:00,860
Cormorabetany is also sleep apnea and sleep apnea should be considered if there's a sudden

161
00:13:00,860 --> 00:13:03,420
aggravation of preexisting narcolepsy.

162
00:13:03,420 --> 00:13:04,420
Okay.

163
00:13:04,420 --> 00:13:09,460
So medications for narcolepsy include stimulants. So drugs that stimulate the central nervous

164
00:13:09,460 --> 00:13:12,820
system are the primary treatment to help people with narcolepsy stay awake during the day.

165
00:13:12,820 --> 00:13:13,820
I mean, that makes perfect sense.

166
00:13:13,820 --> 00:13:14,820
Totally.

167
00:13:14,820 --> 00:13:15,820
It wasn't even on my radar.

168
00:13:15,820 --> 00:13:16,820
Yeah.

169
00:13:16,820 --> 00:13:23,020
So selective serotonin reuptake inhibitors or serotonin and non-reuptanephrin reuptake

170
00:13:23,020 --> 00:13:24,020
inhibitors.

171
00:13:24,020 --> 00:13:25,020
Yeah.

172
00:13:25,020 --> 00:13:26,020
SSRIs and SNRIs.

173
00:13:26,020 --> 00:13:27,020
SNRIs.

174
00:13:27,020 --> 00:13:28,020
SNRIs. Yeah.

175
00:13:28,020 --> 00:13:33,220
So doctors often prescribe these medications which suppress the REM sleep to help alleviate

176
00:13:33,220 --> 00:13:35,980
the symptoms of cataplexy and sleep paralysis.

177
00:13:35,980 --> 00:13:36,980
Okay.

178
00:13:36,980 --> 00:13:40,140
So actually certain types of antidepressants also work.

179
00:13:40,140 --> 00:13:41,140
Huh.

180
00:13:41,140 --> 00:13:42,140
I mean, that would make sense.

181
00:13:42,140 --> 00:13:43,140
Yeah.

182
00:13:43,140 --> 00:13:44,140
Especially with the comorbidity.

183
00:13:44,140 --> 00:13:45,140
Yeah.

184
00:13:45,140 --> 00:13:46,140
That makes sense.

185
00:13:46,140 --> 00:13:52,420
So sodium oxibate, which this medication is actually highly effective for cataplexy,

186
00:13:52,420 --> 00:13:58,100
sodium oxibate helps improve nighttime sleep, which is often poor in narcoleptics.

187
00:13:58,100 --> 00:14:01,620
Lifestyle modifications are also important in managing the symptoms of narcolepsy.

188
00:14:01,620 --> 00:14:03,420
You may benefit from these steps.

189
00:14:03,420 --> 00:14:08,020
So take naps, schedule short naps at regular intervals throughout your day, naps of 20

190
00:14:08,020 --> 00:14:10,260
minutes at strategic times during the day.

191
00:14:10,260 --> 00:14:14,060
It could be refreshing and actually reduce sleepiness for one to three more hours.

192
00:14:14,060 --> 00:14:15,060
Okay.

193
00:14:15,060 --> 00:14:16,940
So you can just kind of postpone it until bedtime.

194
00:14:16,940 --> 00:14:19,340
Unless you literally don't have the time to do that.

195
00:14:19,340 --> 00:14:20,340
Yeah.

196
00:14:20,340 --> 00:14:21,340
That's true.

197
00:14:21,340 --> 00:14:22,340
Because who does?

198
00:14:22,340 --> 00:14:23,340
Well, you know what?

199
00:14:23,340 --> 00:14:24,980
And I thought about that too.

200
00:14:24,980 --> 00:14:30,380
With the weight, look, narcolepsy is covered under HIPAA.

201
00:14:30,380 --> 00:14:38,340
Like it's one of those things that if you, of course, with a doctor's diagnosis, you

202
00:14:38,340 --> 00:14:43,020
can take that information to your employer and you say, look, I have narcolepsy.

203
00:14:43,020 --> 00:14:47,180
I will not be able to function at my job if I don't get X amount or whatever.

204
00:14:47,180 --> 00:14:48,180
And they have to honor it.

205
00:14:48,180 --> 00:14:49,180
Yeah, of course.

206
00:14:49,180 --> 00:14:50,180
They really do.

207
00:14:50,180 --> 00:14:51,180
Of course.

208
00:14:51,180 --> 00:14:53,740
But in certain jobs though, that's just not feasible.

209
00:14:53,740 --> 00:14:57,420
If you're waiting tables or if you're barging in, you can't just check out for three minutes

210
00:14:57,420 --> 00:14:58,420
of the time.

211
00:14:58,420 --> 00:14:59,540
No, but I mean, that's like you're physically doing something.

212
00:14:59,540 --> 00:15:05,060
I'm thinking about like a desk job, something that doesn't require you to walk around a

213
00:15:05,060 --> 00:15:06,060
lot.

214
00:15:06,060 --> 00:15:07,060
Yeah.

215
00:15:07,060 --> 00:15:08,260
So avoid things like nicotine and alcohol.

216
00:15:08,260 --> 00:15:11,420
These substances, especially at night, can worsen your symptoms.

217
00:15:11,420 --> 00:15:13,860
Which is interesting because nicotin is a stimulant.

218
00:15:13,860 --> 00:15:16,420
And they treated it with stimulants, but medication, you know?

219
00:15:16,420 --> 00:15:17,420
That's true.

220
00:15:17,420 --> 00:15:18,420
Yeah.

221
00:15:18,420 --> 00:15:19,420
Alcohol is not.

222
00:15:19,420 --> 00:15:20,420
Alcohol is a depressant.

223
00:15:20,420 --> 00:15:21,420
Alcohol is a depressant.

224
00:15:21,420 --> 00:15:22,420
Yeah.

225
00:15:22,420 --> 00:15:23,420
Oh, I know that for sure.

226
00:15:23,420 --> 00:15:25,500
So get regular exercise.

227
00:15:25,500 --> 00:15:28,580
Moderate regular exercises at least four to five hours before bedtime.

228
00:15:28,580 --> 00:15:31,180
And it can help you feel awake during the day and sleep better at night.

229
00:15:31,180 --> 00:15:32,180
Yes.

230
00:15:32,180 --> 00:15:36,020
And it, I think it increases the search on endopamine in your brain as well when you

231
00:15:36,020 --> 00:15:37,020
exercise.

232
00:15:37,020 --> 00:15:38,020
Yeah.

233
00:15:38,020 --> 00:15:44,540
So although what I wanted to do was put a few cases in here that there's, I haven't

234
00:15:44,540 --> 00:15:52,980
seen any cases of people being murdered with narcoleptic people.

235
00:15:52,980 --> 00:15:53,980
Like narcoleptic killers?

236
00:15:53,980 --> 00:15:54,980
Yeah.

237
00:15:54,980 --> 00:15:55,980
Yeah.

238
00:15:55,980 --> 00:15:56,980
I mean, it kind of just doesn't make sense.

239
00:15:56,980 --> 00:15:58,460
I mean, can't really get much done.

240
00:15:58,460 --> 00:15:59,460
Yeah.

241
00:15:59,460 --> 00:16:00,460
I can just put it.

242
00:16:00,460 --> 00:16:01,460
But there has been.

243
00:16:01,460 --> 00:16:02,460
He falls asleep during the crime.

244
00:16:02,460 --> 00:16:09,940
There has been instances of, so narcolepsy falls under the blanket of sleep-wake disorders.

245
00:16:09,940 --> 00:16:13,820
And that also, and that umbrella has sleepwalking.

246
00:16:13,820 --> 00:16:18,780
And there has been cases of people hurting people while they're well-willed in sleepwalking.

247
00:16:18,780 --> 00:16:19,780
I can believe it.

248
00:16:19,780 --> 00:16:20,780
Yeah.

249
00:16:20,780 --> 00:16:21,780
Wow.

250
00:16:21,780 --> 00:16:22,780
So I didn't put any of those down.

251
00:16:22,780 --> 00:16:23,780
I was like, do you have them?

252
00:16:23,780 --> 00:16:24,780
I don't.

253
00:16:24,780 --> 00:16:27,380
I don't have them only because, again, we're talking about narcolepsy.

254
00:16:27,380 --> 00:16:28,380
Yeah.

255
00:16:28,380 --> 00:16:29,380
I don't have that.

256
00:16:29,380 --> 00:16:30,620
Well, we'll do an episode on sleepwalking too.

257
00:16:30,620 --> 00:16:31,620
Yeah.

258
00:16:31,620 --> 00:16:33,220
Because I mean, I didn't want to bunch the two together.

259
00:16:33,220 --> 00:16:35,140
I feel like they're individual disciplines.

260
00:16:35,140 --> 00:16:36,140
Of course.

261
00:16:36,140 --> 00:16:37,140
Yeah.

262
00:16:37,140 --> 00:16:38,140
But I did get a few celebrities.

263
00:16:38,140 --> 00:16:41,700
I looked so up because I was worried that you didn't have any.

264
00:16:41,700 --> 00:16:43,100
No, I do.

265
00:16:43,100 --> 00:16:44,100
I do.

266
00:16:44,100 --> 00:16:49,780
So the ones that I put down here, I put Sir Winston Churchill, who was the Prime Minister

267
00:16:49,780 --> 00:16:51,100
of the UK.

268
00:16:51,100 --> 00:16:55,340
He was commented on his condition stating, quote, you must sleep sometime between lunch

269
00:16:55,340 --> 00:16:56,340
and dinner.

270
00:16:56,340 --> 00:16:58,300
Take off your clothes and then get into bed.

271
00:16:58,300 --> 00:16:59,900
You get two days and one.

272
00:16:59,900 --> 00:17:01,900
Well, at least one and a half.

273
00:17:01,900 --> 00:17:02,900
Aw.

274
00:17:02,900 --> 00:17:03,900
Cute.

275
00:17:03,900 --> 00:17:06,700
Another one is Jimmy Kimmel, of course, talk show host.

276
00:17:06,700 --> 00:17:07,700
Really?

277
00:17:07,700 --> 00:17:11,660
He was quoted in saying, truth to be told, I'd rather have narcolepsy than not have it.

278
00:17:11,660 --> 00:17:15,380
When I get on a flight to Vegas, I fall asleep before the plane takes off and I wake up right

279
00:17:15,380 --> 00:17:16,460
after it's landed.

280
00:17:16,460 --> 00:17:20,660
And I'm very, I'm always very close to sleep.

281
00:17:20,660 --> 00:17:21,980
So that was really cute.

282
00:17:21,980 --> 00:17:28,260
So one of my favorite people, one of my favorite winners of RuPaul's Drag Race, Jinxmon soon

283
00:17:28,260 --> 00:17:30,580
has introduced himself as quote Seattle's premier Jewish narcoleptic drag queen.

284
00:17:30,580 --> 00:17:31,580
Oh yeah.

285
00:17:31,580 --> 00:17:32,580
They're amazing.

286
00:17:32,580 --> 00:17:37,060
So the last one that I have, and this was incredible to me, Harriet Tubman had narcolepsy.

287
00:17:37,060 --> 00:17:39,780
I'm not going to make an excuse for it.

288
00:17:39,780 --> 00:17:43,180
I wear my narcolepsy as a badge of pride.

289
00:17:43,180 --> 00:17:47,700
Jinxmon soon has introduced themselves as quote Seattle's premier Jewish narcoleptic

290
00:17:47,700 --> 00:17:48,700
drag queen.

291
00:17:48,700 --> 00:17:49,700
Oh yeah.

292
00:17:49,700 --> 00:17:51,460
They're amazing.

293
00:17:51,460 --> 00:17:58,220
So the last one that I have, and this was incredible to me, Harriet Tubman had narcolepsy.

294
00:17:58,220 --> 00:17:59,220
Wow.

295
00:17:59,220 --> 00:18:02,340
And of course she's the famous pioneer for the underground, one of the famous pioneers

296
00:18:02,340 --> 00:18:03,580
for the underground railroad.

297
00:18:03,580 --> 00:18:04,580
Yeah.

298
00:18:04,580 --> 00:18:10,260
Yeah, she began suffering from narcolepsy after a head injury and she actually had epilepsy

299
00:18:10,260 --> 00:18:11,260
too.

300
00:18:11,260 --> 00:18:12,260
Oh wow.

301
00:18:12,260 --> 00:18:13,260
Yeah.

302
00:18:13,260 --> 00:18:14,580
So she had received a head injury of some kind.

303
00:18:14,580 --> 00:18:15,580
Yeah.

304
00:18:15,580 --> 00:18:17,940
But yeah, I just thought that was pretty incredible.

305
00:18:17,940 --> 00:18:18,940
Oh, Lewis Braille.

306
00:18:18,940 --> 00:18:19,940
Who's Lewis Braille?

307
00:18:19,940 --> 00:18:20,940
The inventor of Braille?

308
00:18:20,940 --> 00:18:28,660
The guy that invented Braille?

309
00:18:28,660 --> 00:18:32,180
Wow, that's really interesting.

310
00:18:32,180 --> 00:18:37,300
I hope that you guys love the celebrity thing as much as I do because I was running for

311
00:18:37,300 --> 00:18:38,300
it.

312
00:18:38,300 --> 00:18:42,220
I feel like it's a really good palette cleanser for all of the technical jargon that we throw

313
00:18:42,220 --> 00:18:43,220
out there.

314
00:18:43,220 --> 00:18:44,220
Of course.

315
00:18:44,220 --> 00:18:46,860
And all of the constant true crime, bad stuff.

316
00:18:46,860 --> 00:18:47,860
So it's nice to know.

317
00:18:47,860 --> 00:18:51,900
And it really does shed light on the fact that everyone, it couldn't happen to anybody.

318
00:18:51,900 --> 00:18:57,020
It's nice to know that people that are so successful are also struggling with the same

319
00:18:57,020 --> 00:18:58,020
things that some of us are.

320
00:18:58,020 --> 00:18:59,020
We've said it before.

321
00:18:59,020 --> 00:19:03,540
It's like, if you have a brain, you're capable of this.

322
00:19:03,540 --> 00:19:04,540
Your brain is capable.

323
00:19:04,540 --> 00:19:05,500
We all have brains.

324
00:19:05,500 --> 00:19:09,580
We all are therefore susceptible to developing these disorders.

325
00:19:09,580 --> 00:19:10,580
Yeah, absolutely.

326
00:19:10,580 --> 00:19:12,300
Well, thanks for sharing.

327
00:19:12,300 --> 00:19:14,860
I didn't know you were going to do that one, so I'm glad that we got to do that.

328
00:19:14,860 --> 00:19:15,860
I know.

329
00:19:15,860 --> 00:19:17,100
That makes me like brainstorm for my next one.

330
00:19:17,100 --> 00:19:18,100
I know.

331
00:19:18,100 --> 00:19:24,220
I wanted to do something that was that people don't consider a brain disorder.

332
00:19:24,220 --> 00:19:25,220
And it is.

333
00:19:25,220 --> 00:19:26,220
Yeah, it totally is.

334
00:19:26,220 --> 00:19:27,220
It totally is.

335
00:19:27,220 --> 00:19:29,980
Everybody thinks about OCD or schizophrenia or things like that.

336
00:19:29,980 --> 00:19:31,660
The really big named ones.

337
00:19:31,660 --> 00:19:32,660
Yeah.

338
00:19:32,660 --> 00:19:37,380
But I like to shed light on those other ones that people don't realize that's a disorder.

339
00:19:37,380 --> 00:19:39,380
It's not an efficiency.

340
00:19:39,380 --> 00:19:40,380
Yeah.

341
00:19:40,380 --> 00:19:43,380
I mean, well, it could be because of the C-S-F.

342
00:19:43,380 --> 00:19:49,100
Yeah, and I feel like we kind of take the same approach with our regular cases.

343
00:19:49,100 --> 00:19:50,100
We don't want...

344
00:19:50,100 --> 00:19:54,740
I mean, we will cover the big cases, but I feel like we kind of pepper in some not-so-known

345
00:19:54,740 --> 00:19:56,300
cases every once in a while.

346
00:19:56,300 --> 00:19:57,300
And I think that...

347
00:19:57,300 --> 00:19:58,300
I mean, I hope you guys like that.

348
00:19:58,300 --> 00:20:01,100
I like doing that because I think everyone's story deserves to be told.

349
00:20:01,100 --> 00:20:03,300
Anyway, so that was our mental breakdown.

350
00:20:03,300 --> 00:20:04,300
Mental breakdown.

351
00:20:04,300 --> 00:20:06,580
Sorry, it was so late, but it's here.

352
00:20:06,580 --> 00:20:08,660
And yeah, hope you guys enjoyed it.

353
00:20:08,660 --> 00:20:09,660
And we'll see you...

354
00:20:09,660 --> 00:20:10,660
Yeah, guys.

355
00:20:10,660 --> 00:20:12,940
Probably right after this for the next case, because I'm sure you're listening to both

356
00:20:12,940 --> 00:20:16,460
in a row because y'all are great fans.

357
00:20:16,460 --> 00:20:19,700
In the meantime, you can follow us on Instagram at diagnosingakiller.

358
00:20:19,700 --> 00:20:22,100
We also have Twitter at killerdiagnosis.

359
00:20:22,100 --> 00:20:23,100
You can donate to the Patreon.

360
00:20:23,100 --> 00:20:24,100
We got our third Patreon.

361
00:20:24,100 --> 00:20:25,100
Woo!

362
00:20:25,100 --> 00:20:26,100
Freedah!

363
00:20:26,100 --> 00:20:27,100
Oh my gosh, I'm so excited.

364
00:20:27,100 --> 00:20:28,100
It's not one of us.

365
00:20:28,100 --> 00:20:29,100
Freedah, thank you so much.

366
00:20:29,100 --> 00:20:33,900
I'm so excited she joined and she's one of my classmates and she's just been so supportive

367
00:20:33,900 --> 00:20:36,700
since the beginning, so that's awesome.

368
00:20:36,700 --> 00:20:37,700
And we are also...

369
00:20:37,700 --> 00:20:40,180
Oh, sorry, that's patreon.com slash diagnosingakiller.

370
00:20:40,180 --> 00:20:41,580
We also have an email setup.

371
00:20:41,580 --> 00:20:44,740
It's diagnosingakiller.com if you want to email us.

372
00:20:44,740 --> 00:20:46,020
And we're looking forward to hearing from you.

373
00:20:46,020 --> 00:20:50,340
And I hope everyone had a great Thanksgiving and we're getting close to Christmas.

374
00:20:50,340 --> 00:20:51,780
And I'm going to graduate in a few weeks.

375
00:20:51,780 --> 00:20:52,780
I'm so excited.

376
00:20:52,780 --> 00:20:53,780
All right.

377
00:20:53,780 --> 00:20:54,780
Bye.

378
00:20:54,780 --> 00:20:55,780
Love you.

379
00:20:55,780 --> 00:20:56,780
Bye.

380
00:20:56,780 --> 00:21:18,640
An