Walt SpenceNo. 040

Topics

Sleep Medicine

Polysomnography, clinical work, and the technology gap in hospitals. The job that paid for everything else.

2011Publishing history, charted as a night's sleep · 2026

Notes

1

  1. 2015 What Bootstrapping Actually Looked Like On hustle culture, the gap between the lifestyle being sold and the life being lived, and what it actually looked like for me. essay · revised1,176 words

Thoughts

3

  1. Pediatric studies are the hardest work in sleep medicine and the most rewarding. Kids don’t fake sleep, and they don’t fake being uncomfortable either.

  2. The patient trusts the device, and the device maker never meets the patient. When something goes wrong, the technologist is the one in the room explaining it.

  3. Home sleep tests will keep growing, and they should. But a home test can’t watch the patient. Some studies still need a technologist in the room.