Josh Lo

Sleep thinker

[Josh Lo @sleepdrjosh]

@reflection_ai Incredible to see

[Brandon Luu, MD @BrandonLuuMD]

Eating late at night is linked to impaired sleep quality.

[Josh Lo @sleepdrjosh]

I had this realization when thinking of how to explain what better sleep means.

The sleep paradox: The more you chase it, the more it runs away.

The more you surrender to it, the more it embraces you.

This applies to most things worth having in life.

[Josh Lo @sleepdrjosh]

Sleep is the ultimate compound interest.

You can't catch up on it, but you can't afford to skip it. Every night is an investment in tomorrow's version of yourself.

The return is clarity, health, and time - the three currencies that actually matter.

[Josh Lo @sleepdrjosh]

@nicochristie This looks incredible

[Andrej Karpathy @karpathy]

Agency > Intelligence

I had this intuitively wrong for decades, I think due to a pervasive cultural veneration of intelligence, various entertainment/media, obsession with IQ etc. Agency is significantly more powerful and significantly more scarce. Are you hiring for agency? Are we educating for agency? Are you acting as if you had 10X agency?

Grok explanation is ~close:

“Agency, as a personality trait, refers to an individual's capacity to take initiative, make decisions, and exert control over their actions and environment. It’s about being proactive rather than reactive—someone with high agency doesn’t just let life happen to them; they shape it. Think of it as a blend of self-efficacy, determination, and a sense of ownership over one’s path.

People with strong agency tend to set goals and pursue them with confidence, even in the face of obstacles. They’re the type to say, “I’ll figure it out,” and then actually do it. On the flip side, someone low in agency might feel more like a passenger in their own life, waiting for external forces—like luck, other people, or circumstances—to dictate what happens next.

It’s not quite the same as assertiveness or ambition, though it can overlap. Agency is quieter, more internal—it’s the belief that you *can* act, paired with the will to follow through. Psychologists often tie it to concepts like locus of control: high-agency folks lean toward an internal locus, feeling they steer their fate, while low-agency folks might lean external, seeing life as something that happens *to* them.”

[Fortune Well @WellatFortune]

Men are more likely to have obstructive sleep apnea, while women are more likely to experience insomnia. https://t.co/6duJRhm3nK

[American Academy of Sleep Medicine @AASMorg]

Researchers have found that adults with obstructive sleep apnea are more likely to develop heart-related health conditions compared to those without it. The link between sleep apnea & heart issues is especially strong in younger individuals. 🫀💤 https://t.co/CMIQZauwSW

[Stanford Medicine @StanfordMed]

Reflecting on the past year, the editors and writers of the Office of Communications picked some of the most significant scientific achievements they covered at Stanford Medicine in 2023.
#2023Recap #Medicine #HealthCare
https://t.co/dyFcfOcIuI

[Josh Lo @sleepdrjosh]

Excited for the next chapter. @StanfordMed @AASMorg

#MatchDay #FellowMatch #SleepMedicine

[American Academy of Sleep Medicine @AASMorg]

Among patients with mild #SleepApnea using CPAP for the first time, only 26% continued to use CPAP a year after initiating treatment, according to study findings published in #BMCPulmonaryMedicine. https://t.co/L3l8W1ppoK

[American Academy of Sleep Medicine @AASMorg]

Good adherence to CPAP therapy (4 hours or more per day) may reduce the risk for major adverse cardiac and cerebrovascular events in secondary prevention of CVD in patients with #SleepApnea, research finds. https://t.co/Q4RDZlnQhW

[NEJM @NEJM]

Five modifiable risk factors are associated with cardiovascular disease and death from any cause.

Read the full Research Summary: https://t.co/Wpk1neKsnk

[American Academy of Sleep Medicine @AASMorg]

This paper described the development and validation of a questionnaire to measure patient experiences with oral appliance therapy -- a tool that may provide new methods for advancing research in the field of dental #SleepMedicine. https://t.co/VngZl8Tc3c

[Harvard Health @HarvardHealth]

Roughly 1 in 15 Americans experience sleep apnea at least once throughout their lives. But how do you know if you need a CPAP machine? This article demystifies your decision-making process. #HarvardHealth #SleepApnea #SleepHealth https://t.co/SIUBUTkh2s

[Josh Lo @sleepdrjosh]

Through the ups and downs, always thankful of the work that we do for patients.

[NEJM @NEJM]

Acute kidney injury (AKI) is a common condition in patients with cirrhosis. It occurs in up to 50% of hospitalized patients with cirrhosis and in 58% of such patients in the intensive care unit (ICU). 1/10

[Robert Oubre, MD | The Doctor of Documentation @Dr_Oubre]

Should you call it sepsis?

TWO definitions. ONE big problem.

Understand the problem and a solution in 1.5 minutes.

[American Academy of Sleep Medicine @AASMorg]

Researchers evaluated #chronotype, #sleep, and depression among remote and office workers during the pandemic and found that evening-type people did not show their characteristic vulnerability to sleep problems when working from home. https://t.co/0gM3mfTtVE