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SAN ANTONIO
                                                                            TABLE OF CONTENTS














           THE OFFICIAL PUBLICATION OF THE BEXAR COUNTY MEDICAL SOCIETY   •   WWW.BCMS.ORG   •   $4.00   •   MARCH  2024    •   VOLUME 77  NO.3
                                       SLEEP MEDICINE                                 San Antonio Medicine is the official publication of

                                       Sleep Apnea                                    Bexar County Medical Society (BCMS). All ex-
                                                                                      pressions of opinions and statements of sup-
                                         By David Marks, MD  ........................................................................12   posed facts are published on the authority of the
                                                                                      writer, and cannot be regarded as expressing the
                                       The Best Sleep of Our Lives                    views of BCMS. Advertisements do not imply
                                          By James H. Henderson II, MD, FCCP, FAASM ...........................14
                                                                                        sponsorship of or endorsement by BCMS.
                                       Sleep Hygiene: Sleep Advice for Practicing Physicians   EditoriAl CorrESpondEnCE:
                                          Interview with Ritwick Agrawal, MD, conducted by   Bexar County Medical Society
                                          Soma Jyothula, MD, FCCP ..........................................................16   4334 n loop 1604 W, Ste. 200

                                       Should I Consider a Sleep Divorce?             San Antonio, tX 78249

                                          The solo versus co-sleeping debate          Email: editor@bcms.org
                                          By Alex McKinlay, MD ..................................................................18   MAGAZinE AddrESS CHAnGES:
                                                                                      Call (210) 301-4391 or
                                       Jet Lag: Falling Asleep with Diamonds          Email: membership@bcms.org

                                          By Rajam Ramamurthy, MD  ........................................................20
                                                                                      SuBSCription rAtES:
                                       The Impact of Sleep on Neurocognitive Development in   $30 per year or $4 per individual issue

                                          Children and Young Adults                   AdvErtiSinG CorrESpondEnCE:
                                          By Tarak Patel, MD ......................................................................22   louis doucette, president

                                       This Is Not a Zolpidem Deficiency By Timothy Hlavinka, MD  ...24   traveling Blender, llC.
                                                                                      A publication Management Firm
        New Medications are Helping Patients Get a Good Night’s Sleep                 10036 Saxet, Boerne, tX 78006
           By Elise Vader, Sleep Medicine Provider, University Health ....................................................................................26   www.travelingblender.com

        The Cost of Sleep Deprivation in Medical Residents By Victoria Ayodele ...................................................28   For advertising rates and information

                                                                                      Call (210) 410-0014
        BCMS President’s Message.................................................................................................................................................8   Email: louis@travelingblender.com
        BCMS Alliance Message ....................................................................................................................................................10
                                                                                      SAN ANTONIO MEDICINE is published by SmithPrint, Inc.
        Leader, Mentor, Advocate and Unifier: Jayesh Shah, MD, is Bexar’s Own but TMA’s Future   (Publisher) on behalf of the Bexar County Medical Society
           By David N. Henkes, MD  ......................................................................................................................................30   (BCMS). Reproduction in any manner in whole or part is pro-
                                                                                      hibited without the express written consent of Bexar County
        The Key Role of BCMS in Founding San Antonio’s EMS System  By Jack Williamson, MD .......................................32   Medical Society. Material contained herein does not necessarily
                                                                                      reflect the opinion of BCMS, its members,  or its staff. SAN AN-
        Nourishing San Antonio: Decreasing Food Insecurity and Enhancing Wellbeing During National Nutrition Month    TONIO MEDICINE the Publisher and BCMS reserves the right
           By The City of San Antonio Metropolitan Health District ..................................................................................................34   to edit all material for clarity and space and assumes no re-
                                                                                      sponsibility for accuracy, errors or omissions. San Antonio Med-
                                                                                      icine does not knowingly accept false or misleading
        Fraud Protection for Your Practice: Not If, But When  By Maria Breen, Executive Vice President, Private Banking   advertisements or editorial nor does the Publisher or BCMS as-
           Manager at The Bank of San Antonio .............................................................................................................................36   sume responsibility should such advertising or editorial appear.
                                                                                      Articles and photos are welcome and may be submitted to our
        2024 BCMS General Membership Meeting ........................................................................................................................38   office to be used subject to the discretion and review of the
                                                                                      Publisher and BCMS. All real estate advertising is subject to the
        BCMS Vendor Directory .....................................................................................................................................................40   Federal Fair Housing Act of 1968, which makes it illegal to ad-
                                                                                      vertise “any preference limitation or discrimination based on
        Auto Review: 2024 Porsche Cayenne Coupe  By Stephen Schutz, MD .............................................................................44   race, color, religion, sex, handicap, familial status or national
                                                                                      orgin, or an intention to make such preference limitation or dis-
        Recommended Auto Dealers .............................................................................................................................................46  crimination.
          PUBLISHED BY:           ADvERTISING SALES:        SmithPrint, Inc. is a family-owned and operated San Antonio-based printing and pub-
          traveling Blender, llC.   AUSTIN:                 lishing company that has been in business since 1995. We are specialists in turn-key
          10036 Saxet             Sandy Weatherford
          Boerne, tX 78006        sandy@travelingblender.com   operations and offer our clients a wide variety of capabilities to ensure their projects are
                                                            printed and delivered on schedule while consistently exceeding their quality expecta-
          PUBLISHER               SAN ANTONIO:              tions. We bring this work ethic and commitment to customers along with our personal
          louis doucette          Gerry lair
          louis@travelingblender.com   gerrylair@yahoo.com   service and attention to our clients’ printing and marketing needs to San Antonio Med-
                                                            icine magazine with each issue.
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          vicki Schroder          For more information on advertising in
          vicki@travelingblender.com   San Antonio Medicine,    Copyright © 2024 Smithprint, inc.
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