NHAND Conference 2023 A broad survey of new or updated information in the world of sleep medicine over the last 5 years, including effects of the pandemic, new guidelines on the indications for and use of melatonin, advice on developing a more inclusive lens for sleep disorders (women, neurodivergent, genetic disorders, young children), updates on narcolepsy etiology and treatment, discussion of how we can influence societal/institutional factors that violate natural sleep architecture, and exploration of how sleep deprivation affects our relationships with each other at the levels of community and society.