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Selects: How Narcolepsy Works

Aug 22, 2026 · 52m

Summary

Hosts Josh and Chuck explore narcolepsy, detailing symptoms like excessive daytime sleepiness, cataplexy, and sleep paralysis. They explain the condition’s root cause: a lack of hypocretin due to the immune system attacking specific brain neurons, often triggered by infections or the Pandemrix vaccine. The episode covers diagnosis methods and notes that while incurable, symptoms can be managed with medication and lifestyle changes.

Topics discussed

Intro, sponsors, and Chuck's narcolepsy joke Personal anecdotes and misconceptions about narcolepsy History of narcolepsy and the discovery of REM sleep Break and sponsor ads Symptoms: Cataplexy, hallucinations, and sleep paralysis The role of hypocretin (orexin) in the brain Genetics, immune system, and the Pandemrix vaccine link Diagnosis, treatments, and quality of life Listener mail, Soul Train discussion, and outro
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