The sleep of a 51-year-old farmer with a severe psychotic depression was studied by electroencephalograph for 31 of 36 hospital days and for 2 nights 3 weeks after discharge. He was successfully treated with 9 sessions of electroconvulsive therapy (ECT); abrupt improvement followed the sixth. Before improvement his sleep was grossly abnormal with much wakefulness. REMP and Stage IV sleep were abnormally low. After successful treatment, REMP showed a compensatory increase. Stage IV sleep increased toward normal very slowly. There were changes in appetite, weight, and bowel function, as well as in mood and behavior.Methought I heard a voice cry "Sleep no more! Macbeth does murder sleep," the innocent sleep,
It has been long recognized in the otolaryngic community that despite great effort dedicated to the physiology and pathology of the ear, nose, throat/head and neck, there are a number of symptoms, including pain in various locations about the head and neck, which cannot be explained by traditional otolaryngic principles. The tenets of myofascial dysfunction, however, as elucidated by Dr. Janet Travell, explain most of these previously unexplained symptoms; furthermore, treatment based on Dr. Travell's teachings is effective in relieving these symptoms.
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