What this paper really describes is not ADHD as a disorder, but neurodevelopmental vulnerability as a life-course condition—one that can slowly shape how a body meets the world over decades…

Narrative-Based Medicine is not merely a philosophy; it is a practice discipline, and like any discipline that hopes to survive contact with the real world, it requires infrastructure…

This is where everything gets uncomfortable, where jargon multiplies, where silos get deep. The short answer? Sleep Apnea is more than you think it is! But, as usual, I’m getting ahead of myself, so let’s back up.

At first, I thought you were just a logo. A friendly lowercase letter meant to soften a serious subject…but the longer I sit with you, the more you feel less like branding and more like a question that wandered in and decided to stay…

…because for a long time now, many of us have been living with a nagging, half-formed thought we didn’t quite know how to say out loud: What if too much pressure isn’t…um…benign?…

These principles were never meant to live in textbook…they exist precisely for moments like this one…when the system has grown too large, when efficiency incentives multiply, when individual patients risk the harm of being labelled, processed, and left behind when a “one size fits all” solution fails.

I’m writing this essay because Sleep Medicine has reached this moment.

And this is how a field begins to save itself—not through bigger machines or stricter definitions, but through better stories.

That’s the trouble with self-selection: the groups are different from the beginning…so proving they’re different at the end really shouldn’t come as a huge surprise.

“Amy G,” I said, “I think it’s time for an intervention.” She looked about ready to dash, but I calmed her, soothing her, holding her hands. … “I think it’s time for a Spa Day—or maybe even THREE…”

The full map. The full storyline. A coherent, ethical foundation for the entire amusement park, supported by every attraction in the park….I’m pretty sure that’s what he would have done.

My final take? Walt Disney wouldn’t suffer this crap for a heartbeat. Walt Disney would shut the place down for a complete overhaul, from the ground up. Walt Disney’s park, as we’ve heard, would be clean.

Launched from Rebis’ shores, our Blue Balloon has taken us to terrain that smells like popcorn and broken dreams, and the carnival music is sometimes drowned out by crying…

The secret, I’ve learned, is not to resist your motion but to dance with it. To let curiosity mature into coherence. To let exploration spiral back into embodiment. That’s the discipline of Five: to remain curious and connected. To wander without getting lost.

The problem isn’t malice. It isn’t even incompetence. It is simply this: The system forgets to ask: Where do you want to go?

…by naming the WHY, the WHAT (measurable goals), and the HOW (central apnea physiology, rather than label-based, DEVICE-oriented care), clinicians can move beyond cultural “DEVICE- DEFICIENCY” reflexes and into true patient-centered care…

…the story doesn’t end here, Life Fans! Out of the fog, into this fractured city, we see five unexpected guides—not physicians, not titans of sleep science, not pioneering capno-centric breathing physiologists--but thinkers and seers from other realms. They arrive like mythic allies, each carrying a distinct lens, each riding on a golden beam of light…

This is where I live. This is the twilight zone I work in: between the need for structure and the need to preserve mystery and curiosity…if we abandon labels entirely, we lose the ability to coordinate care, to bill for services, to gather data. But if we cling to them as the whole truth, we kill the living bird.

…He says the words we’ve heard a hundred times, in different accents, with different backstories, always with the same exhale of defeat: “I just couldn’t tolerate it.”…

..it was a soft film, strange and slow, a film where even the peril was calming and beautiful. It left a mark, delicate and scented, like a stain from a flower on a linen shirt…

At the time, it felt ambitious, disruptive—perhaps even romantic—especially for those of us practicing within the hidebound confines of academic medicine, where change happens like the glaciers…