Sleep Habits of Geniuses

 

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Tesla reportedly curled his toes 100 times on each foot before sleep, believing that stimulated brain cells.   Funny, I do that to warm up my Flintstone feet.

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Charles Dickens carried a navigational compass with him at all times to ensure that he was always facing north while he slept. He believed that this practice improved his creativity and writing (and perhaps his ability to always know what direction he was facing at any given time).  [source: Ashlee Christian, FreelancersUnion]
Salvador Dalí thought sleep was for the birds, or you know for all the other organisms that actually need to sleep for more than one second at a time. He would nap in a chair with a key in his hand above a plate, and the second he fell asleep the key would fall, hit the plate, and wake him up. Similar to the Uberman cycle, it is a form of hypnagogic sleep that Dalí felt enhanced his creativity. [source: Ashlee Christian, FreelancersUnion]

 

Thank you Ashlee Christian for adding two women to the list. I’ll find more and add to the end. Actually, my siblings are going to have a laugh at this one.

Emily Brontë was plagued by insomnia and would walk circles around her dining room table until she fell asleep (presumably in a bed and not under the table, but who knows).

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Flannery O’Connor slept from 9pm to 6am every day.  That’s a regular nine hours.

Photo by: Cmacauley

 

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Charles Dickens carried a navigational compass with him at all times to ensure that he was always facing north while he slept. He believed that this practice improved his creativity and writing (and perhaps his ability to always know what direction he was facing at any given time).Salvador Dalí thought sleep was for the birds, or you know for all the other organisms that actually need to sleep for more than one second at a time.He would nap in a chair with a key in his hand above a plate, and the second he fell asleep the key would fall, hit the plate, and wake him up. Similar to the Uberman cycle, it is a form of hypnagogic sleep that Dalí felt enhanced his creativity.

It’s important to know how much sleep you need to be at your best and most productive.  For me, it’s 10 hours. People think I don’t sleep at all, when it’s actually the opposite.

I get ten hours, but it may be at odd times. For instance, if I’m working at a network from midnight to 8 a.m. I sleep from 9 a.m. to 7 p.m. and get on a bus at 8 p.m. to arrive 10 p.m.

If I’m dayside, I adjust time. If I’m on my own, as long as I get 10 hrs. in there somewhere, I’m good. If sleep is interrupted, multiple power naps come in handy, but they’re never a replacement for a good night’s sleep.

A lot of writers in history like Fran Kafka wrote from 10 p.m. to 3 a.m. and slept around that schedule.  Basically, if you work from home you can find when you’re most productive and be up then, but you have to make sure you work in 9 hours of sleep around it.

Today is National Nap Day.

These days are created to raise awareness, which begs the question about a lot of stupid ones out there.  I digress.  It’s today because you lost an hour of sleep yesterday when the clocks jumped forward, so you may feel sluggish today. Hence, National Nap Day to let you know it’s okay to close your door and take a nap today.

Good luck with that in open work environments. One sneeze and the whole team get sick.  Seriously, who came up with open work environments?  Collaborative?  That’s 2 or 3 people in one office, not an open zoo hearing everyone’s conversations or chewing gum, smelling cologne, perfume or food –the list can go on about how these people pretend to work and secretly can’t wait to get the heck out of there.

I can walk into any company and know if it’s a healthy office or team. The irony is some of them profess to be about health when they’re the Canal Street of Madison Avenue.  You can buy a fake watch, but as genius Steve Jobs learned, you can’t buy into anything fake when it comes to health.  I don’t know how many hour Jobs slept a night, but he was known to call designers up at 3 a.m.  My guess is he probably could have used someone with his best interests at heart advising him on healthy habits.  It’s so dangerous to get yes men or women or those trying to sell something around you when you’re successful or worse, those giving you misinformation.

I promised earlier I would find more women. OPRAH!  I already said I know she loves power naps, but I am curious how many hours of sleep she gets a night.  She reports she is at her best at 5 and a half hours of sleep each night. Oh no.  There you have it. That’s why she has had weight issues her whole life. Why hasn’t any expert told her this??  At that amount of sleep her body is releasing something called cortisol and it keeps the hunger gremlins turned ON, ON,  ON  all the time while causing inflammation in the body. Why didn’t Dr. Oz catch this?  Rest is critical to the body.  If she changed this ONE habit she will be amazed at the results.

The world needs people to rest. Less illness. People think when you have a million or a billion dollars you should sleep like a baby. NO!  Not true. Remember when you were a kid and you couldn’t sleep the night before Christmas because you were too excited?!  Well, having a billion dollars is initially like that. Then, stressors appear like competition, relationships, fake people suddenly inviting you to be a part of this or that event, dinner or organization just because you have money. You’ll wonder where these people were when you had no money. They are not your friends. When you realize the fakeness in all the fundraising and pay to play things out there you realize some things can not be bought. Everything real can not. True friendship.  True love.  True health. True happiness. Another thing happens when you have money. Friends without money can’t do everything you want to do because they don’t have money or free time. That’s where it’s lonely at the top come from. So, there is stress.  If a wealthy person or a poor person do not sleep enough the results are the same. They will both experience a rise in cortisol, the fear hormone which causes inflammation inside your body. Too many yes men or women or ill informed people around you really can cause you to be sick. Make sure you have a healthy reference group in your circle.

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Let’s look at some other sleeping habits. Marissa Mayer reports 4 to 6 hours. Again, not good. Lordy, Martha Stewart reports 4 hours.

President Obama reports sleeping from 1 a.m. to 7 a.m.  That’s only 6 hours a night.

It’s so important the President be well-rested.  I bet whoever they put on the White House team for health writes prescriptions when someone can’t sleep instead of really caring and or knowing about health.

The world needs people who brag about getting a good night’s rest. The funny thing is it shows on their faces and bodies and ability to make good decisions.  I forgot to mention that the release of cortisol in your body also ages you faster. I know so much about cortisol, but this blog is about NAPPING and the sleeping habits of Geniuses, so will save that for another time.  Until then,  hope you’ve learned something that makes you healthier. It’s never too late to change a habit for the better.

When your basic daily habits are healthy you should only need to see your physician once a year to get a compete physical, and for recommended screenings for your age group. That’s when your doctor says, “Everything looks great. Keep doing whatever it is you’re doing.”

Happy National Power Napping! -Maria Dorfner

 

Genius inspiration favors the well-rested mind.

 

 

In honour of National Napping Day, Mark Molloy of UK Telegraph takes a look at some of the apparent benefits of taking some time out of your busy schedule to catch up on your sleep.

It could save your life

Napping could reduce blood pressure and stave off heart attacks, according to Greek researchers.

They found that those who had a nap at noon later had lower blood pressure than those who stayed awake through the day in a study involving almost 400 middle-aged men and women.

“Midday naps seem to lower blood pressure levels and may probably also decrease the number of required antihypertensive medic [drugs],” said Dr Manolis Kallistratos, the lead researcher.

Keeps you focused

Margaret Thatcher: enjoyed a nap  Photo: PA

Both Margaret Thatcher and Sir Winston Churchill knew about the benefits of having power naps to stay focused for longer at work.

Baroness Thatcher famously slept for just four hours a night during the week, though she took regular daytime naps.

Sir Winston Churchill managed on just four hours sleep a night during World War Two – but insisted on a two hour nap in the afternoon.

Scientist Albert Einstein reportedly slept for 10 hours a night, plus daytime naps.

Helps you feel more refreshed

Post-lunch power naps can be as refreshing as a good night’s sleep, according to a study.

Scientists have shown that a 60- to 90-minute siesta can charge up the brain’s batteries as much as eight hours tucked up in bed.

Boosts productivity

A specialist technical abseil team clean and inspect one of the four faces of the Great Clock, otherwise known as Big Ben, at the Houses of Parliament, in central London: Big Ben's clock gets big bath from abseiling cleanersResearch suggests you should make time for naps  Photo: PA

Bosses should let their staff take naps at work as sleeping for 30 to 90 minutes in the afternoon can improve creativity, a leading brain researcher claims.

“It’s best to give your brain downtime. I have a nap every afternoon,” explains Vincent Walsh, professor of human brain research at University College London.

“It’s only since the industrial revolution we have been obsessed with squeezing all our sleep into the night rather than having one or two sleeps through the day.”

Improves your mood

Toddlers who are denied regular afternoon naps grow up into grumpier and moodier adults, a study indicates.

US researchers found that toddlers who miss just one daytime nap become more anxious and less interested in the world around them.

Reduces stress

Spanish scientists believed they have proved a siesta is good for you and issued guidelines for the perfect nap.

A short sleep after lunch can reduce stress, help cardiovascular functions, and improve alertness and memory, according to the Spanish Society of Primary Care Physicians (SEMERGEN).

They suggest a siesta should be no longer than half an hour, others suggest it should not be longer than 15 minutes.

Reduces mistakes

Naps can restore alertness, enhance performance, and reduce mistakes and accidents, according to the National Sleep Foundation (NSA).

A study at NASA on sleepy military pilots and astronauts found that a 40-minute nap improved performance by 34 per cent and alertness 100 per cent, the NSA reports.

Meanwhile, this simple 10-3-2-1-0 formula could make your days more productive.

Sleep habits of those at the top

  • As Prime Minister, Margaret Thatcher famously slept for just four hours a night during the week, though she took regular daytime naps.
  • When asked how many hours sleep people need, Napoleon Bonaparte is said to have replied: “Six for a man, seven for a woman, eight for a fool.”
  • US President Barack Obama is understood to only sleep for six hours
  • Business magnate Donald Trump boasts just three to four hours sleep nightly.
  • Sir Winston Churchill managed on just four hours sleep a night during World War Two – but insisted on a two hour nap in the afternoon.
  • Scientist Albert Einstein reportedly slept for 10 hours a night, plus daytime naps.
  • Bill Gates, former chief executive of Microsoft, says he needs seven hours of sleep to “stay sharp”.

 

 

 

Maria Dorfner is the founder of NewsMD and Healthy Within Network.  This is her blog. Follow her on Twitter @Maria_Dorfner.  She can be reached at maria.dorfner@yahoo.com

 

“The people you spend time with determine your longevity.” -Daniel Amen, psychiatrist

 

 

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THE IMPORTANCE OF PALLIATIVE CARE  by Maria Dorfner

 

In 2000, I practically lived at the Cleveland Clinic.  In fact, they wanted to put me up at a hotel, but I preferred to be closer to the patients I was writing stories about. One of those patients was dying from AIDS.  He was in the Palliative Care Unit. I spent time speaking to him, his partner, his family and his caretakers.

I’d been a professional health journalist since 1993, after working in media as a researcher, producer and writer for 10 years. I love covering health, studied it since I was a kid and covered it on college newspapers. I couldn’t afford to go to medical school, but think journalism ranks up there as one of the most important callings in the world.  We filmed a documentary on Palliative Care and it was an extremely touching story.

He was an in-patient, but his room was beautiful and he shared how comfortable he was knowing he had the best physicians around him and that family could visit any time.  We talked so comfortably about everything not even minding the camera in the room.  One day prior to it being released I got a call. The patient died.  His partner was devastated.  His partner thanked me for creating the most beautiful keepsake he had –the video.  Through his tears, he asked if I would refrain from airing it. It was something he and the patient had talked about prior to his passing away –that they would only want it to air if they could watch it together.  They knew the possibility existed that it would not happen.

I honored their wish.

The need for a healing touch continues even after a cure is no longer possible.

What is Palliative Medicine?

Palliative medicine is comprehensive medical care for patients with life threatening disease that focuses on control of cancer symptoms, management of complications, and quality of life. It cares for patients and their families and treats the cancer symptoms of body, mind and spirit. It is most successful when done with a multidisciplinary team approach to treating the cancer symptoms.

What are the goals of Palliative Medicine?

  • To provide excellent care of patients and their families dealing with advanced disease throughout the illness and during bereavement
  • To advocate effectively for patient comfort, dignity and choice

Who needs Palliative Medicine?

  • People experiencing pain or other cancer symptoms
  • People with ALS (Lou Gehrig’s disease), AIDS, heart failure, chronic lung disease or other serious illness experiencing symptoms or repeated hospitalizations
  • Patients or families dealing with the stress of a life threatening illness and cancer symptoms

What does a Palliative Medicine team do for my family and me?

We strive to help people live as well as they can despite their illness and to cope with cancer symptoms. We focus on controlling any cancer symptoms that may be interfering in the quality of life, defining goals for any subsequent treatment, and maintaining the best physical and emotional well-being possible despite complex problems. The medical specialist functions as the quarterback of a team, including the patient and the family in what can be difficult decisions. Family conferences are routinely held to ensure that everyone involved is aware of and involved in the plan of care.

Who is on the team?

  • The patient and the family
  • The referring physician
  • The palliative medicine physician
  • Registered nurses
  • Physician assistants
  • Dietitians
  • Social workers
  • Chaplains
  • Music and art therapist
  • Home health aides
  • Trained volunteers

What services are provided?

Cancer Symptom Control: There is no need for anyone to suffer from uncontrolled pain, nausea or dyspnea (shortness of breath). Medical science knows how to effectively control these cancer symptoms most of the time. Making sure this happens is one of the primary goals of this program.

Case Management: People with serious illness often have many doctors involved in their care making. It is difficult to determine who to contact when a problem occurs. In this program, each patient has a registered nurse case manager assigned. That person is then a link to all other caregivers and available after hours.

The Harry R. Horvitz Center: Most people can be managed in an outpatient setting, but in crisis, this 23-bed inpatient unit is available for comprehensive multidisciplinary care.

Inpatient Consultation Service: Comprehensive assessment and management of symptoms in other areas of the hospital is provided to ensure maximum comfort for all hospitalized patients. The attending physician must request this service.

Outpatient Clinic: Specialty follow-up and consultation are available in this clinic. Nurse case managers maintain contact with their patients in this setting also.

Home Care and Hospice: As people become more ill they may need assistance at home which can be provided by Cleveland Clinic Home Care Ventures. As end of life approaches, the Hospice of the Cleveland Clinic is available at home for the special multidisciplinary care so critical at this time of life. Inpatient hospice care in the community is also available. Continuity is maintained throughout with the staff of the Palliative Medicine Program.

What is special about the Harry R. Horvitz Center?

Dr. Declan Walsh first developed the program at the Cleveland Clinic in 1988. At that time nothing of its kind existed in the United States. It still remains one of the few fully integrated programs in this country. In 1991 it was recognized by the World Health Organization as “a unique model of a much needed service” and designated a WHO Demonstration Project. The program had the first endowed chairs in Palliative Medicine in the USA.

The 23-bed inpatient unit was built in memory of Harry R. Horvitz, lifelong resident of Cleveland, recognized by his friends and associates as a man of integrity and compassion. The unit consists of the following facilities:

  • 13 private patient rooms
  • 5 semi-private patient rooms
  • Family lounge
  • Glass enclosed solarium
  • Family dining room
  • Donor recognition area

Research

The Harry R. Horvitz Center for Palliative Medicine also conducts important cancer research and educational programs in pain management, symptom control and nutrition. Donations made to the Harry R. Horvitz Center for Palliative Medicine are allocated for this vital research.

Advances made at the Cleveland Clinic have minimized unwanted side effects of treatment and enhanced quality of life for patients with advanced disease and painful cancer symptoms.

 Cancer Answers & Appointments

Speak with a cancer nurse specialist for appointment assistance and for answers to your questions about cancer locally at 216.444.7923216.444.7923 or toll-free 1.1.866.223.8100 FREE866.223.8100866.223.8100 FREE.

Monday through Friday from 8 a.m. – 4:30 p.m. (ET).

Referrals

Resources for medical professionals

  • Outpatient appointment referrals: 216.444.7923216.444.7923 or 866.223.8100866.223.8100 FREE
  • Inpatient hospital transfers: 800.553.5056800.553.5056 FREE
  • Referring Physician Concierge: 216.444.6196216.444.6196 or 216.312.4910216.312.4910.

Clinical Trials

Search available cancer clinical trials by disease, hospital, phase or number.

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2016 Cleveland Clinic. All rights reserved.

 

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Latino Youth In California See Significant Rise In Psychiatric Hospitalizations

February 24, 2016

Psychiatric hospitalizations of Latino children and young adults in California are rising dramatically — at a much faster pace than among their white and black peers, according to state data.

Nubia Flores Miranda, 18, at her home in Oakland, Calif., on Thursday, December 17, 2015. After participating in the mental health program at Life Academy of Health and Bioscience, Miranda decided to major in psychology at San Francisco State University. (Heidi de Marco/KHN)

While mental health hospitalizations of young people of all ethnicities have climbed in recent years, Latino rates stand out. Among those 21 and younger, they shot up 86 percent, to 17,813, between 2007 and 2014, according to the Office of Statewide Health Planning and Development. That’s compared with a 21 percent increase among whites and 35 percent among African Americans.

No one knows for certain what’s driving the trend. Policymakers and Latino community leaders offer varying and sometimes contradictory explanations. Some say the numbers reflect a lack of culturally and linguistically appropriate mental health services for Latinos and a pervasive stigma that prevents many from seeking help before a crisis hits.

“Often, they wait until they are falling apart,” said Dr. Sergio Aguilar-Gaxiola, a professor at the University of California, Davis Medical School and director of the university’s Center for Reducing Health Disparities.

Others blame stress from the recent recession, family disintegration and an influx of traumatized children fleeing poverty and violence in Central America.

Still others suggest the trend might actually be positive, reflecting an increasing willingness among Latino parents to seek treatment for themselves and their children, at least when they are in crisis.

Among Latino adults, psychiatric hospitalizations rose 38 percent during the same period. Similar hospitalizations of black adults increased 21 percent, while hospitalizations of white adults remained flat.

Margarita Rocha, the executive director of the nonprofit Centro la Familia in Fresno, said mental health issues are starting to be discussed more publicly in the Latino community.

“That’s helping people to come forward,” she said.

Miranda works part-time at Family Paths, a counseling and mental health organization in Oakland, Calif., on Friday, January 29, 2016. Miranda said she became interested in a career in mental health after she started experiencing depression and anxiety her freshman year at Life Academy of Health and Bioscience. (Heidi de Marco/KHN)

Ken Berrick, CEO of the Seneca Family of Agencies, which serves children with emotional disturbances in a dozen counties, agreed. Because more Latinos are now getting mental health services, children are more likely to be identified as requiring hospitalization, he said.

“I know for a fact that access to service is better now,” said Berrick, whose operation has a crisis stabilization unit in Alameda County, Calif.

Kids’ psychiatric hospitalizations overall rose nearly 45 percent between 2007 and 2014, regardless of ethnicity, a pattern experts attribute to various factors including a shortage of intensive outpatient and in-home services, schools’ struggles to pay for mental health services through special education and a decline in group home placements.

“Those kids have to be treated somewhere,” said Dawan Utecht, Fresno County’s mental health director, of the move to keep kids out of group homes.

“If they don’t get those services in a community setting, they’re going to go into crisis.”

The rise among Latino youths is remarkable in part because hospitalization rates for that population historically have been relatively low.

Latino children remain much less likely to receive mental health treatment through Medi-Cal, the state and federal coverage program for poor and disabled residents. Between 2010 and 2014, less than 4 percent of Latino children received specialty mental health services through the traditional Medi-Cal program. That’s compared with 7 percent of eligible black and white children, according to state data. The numbers don’t include those enrolled in managed care.

Eric Waters, coordinator for the behavioral health program at the Life Academy High School, leads a discussion with Fernanda May, 17, and Graciela Perez, 17, at La Clínica de la Raza in Oakland, Calif., on January 27, 2016. The program provides training in mental health first aid and places students in internships with mental health organizations. (Heidi de Marco/KHN)

(Asian Americans and Pacific Islanders seek treatment at a rate even lower than Latinos. Although hospitalizations are also increasing rapidly among that population, the raw numbers remain relatively small.)

Leslie Preston, the behavioral health director of La Clínica de La Raza, in East Oakland, says that the shortage of bilingual, bicultural mental health workers limits Latino kids’ access to preventive care, which could lead to crises later on.

“Everybody’s trying to hire the Spanish-speaking clinicians,” she said. “There’s just not enough clinicians to meet that demand.”

Access to care can be even harder for recent immigrants. Spanish-speaking children who have been referred for a special education assessment, which can help them become eligible for mental health services, sometimes wait months or years before someone tests them, she said.

“The families don’t know the system,” she added. “They don’t know their rights.”

Other clinicians point to relatively low health insurance coverage among Latinos, particularly those without legal status, and a cultural resistance to acknowledging mental illness.

Dr. Alok Banga, medical director at Sierra Vista Hospital in Sacramento, said some immigrant parents he encounters don’t believe in mental illness and have not grasped the urgency of their children’s depression and past suicide attempts. Many are working two or three jobs, he said. Some are undocumented immigrants afraid of coming to the hospital or having any interaction with Child Protective Services.

But the biggest problem, from his perspective, is the shortage of child psychiatrists and outpatient services to serve this population.

“The default course for treatment falls on institutions: hospitals, jails and prisons,” he said.

Jeff Rackmil, director of the children’s system of care in Alameda County, said sheer population growth — particularly, an increase in Latino children insured under Medi-Cal — may also be part of the explanation for the rise in hospitalizations.

Yet the state’s Latino population aged 24 and under increased less than 8 percent between 2007 and 2014, which doesn’t nearly explain an 86 percent increase in hospitalizations.

Elizabeth Ochoa, 17, and Victor Ramirez, 17, work on an assignment during their behavioral health training. The East Oakland students walk to the center from the nearby high school. (Heidi de Marco/KHN)

Some California communities are working to bring more Latino children into care and to reduce the stigma associated with mental illness.

At Life Academy of Health and Bioscience, a small, mostly Latino high school in East Oakland, students grow up amid pervasive violence and poverty. “We’re just told to hold things in,” said 17-year-old Hilda Chavez, a senior.

Students often don’t seek help because they fear discussing mental health problems will earn them a label of “crazy,” Chavez said.

Last year, the school, in conjunction with the Oakland-based La Clínica de La Raza, started a program to interest students in careers in mental health care. The program provides training in “first aid” instruction to help people in crisis, and places students in internships with mental health organizations.

Nubia Flores Miranda, 18, participated in the program last year and now is majoring in psychology at San Francisco State University. Miranda said she became interested in a career in mental health after she experienced depression and anxiety during her freshman year at Life Academy.

Seeing a school counselor “changed my life around,” she said.

But she saw that her peers were wary of seeking help from counselors at the school, most of whom were white and lived in wealthier, safer neighborhoods. Once, when a classmate started acting out at school, Miranda suggested she talk to someone.

“She told me she didn’t feel like she could trust the person — they wouldn’t understand where she was coming from,” she said.

Graciela Perez, 17, and Nayely Espinoza, 17, hold up their group assignment during a class presentation. The students are preparing for their mental health internships. (Heidi de Marco/KHN)

The shortage of services is especially evident in the Central Valley, where many agricultural workers are Latino. Juan Garcia, an emeritus professor at California State University, Fresno, who founded a counseling center in the city, says the drought and economic downturn have exacerbated depression, anxiety, substance abuse and psychotic breaks among Latinos of all ages.

“The services to this population lag decades behind where they should be,” he said.

In Fresno County, psychiatric hospitalizations of Latino youth more than tripled, to 432, between 2007 and 2014. Hospitalizations of their white and black peers about doubled.

Liliana Quintero Robles, a marriage and family therapy intern in rural Kings County, also in the state’s Central Valley, said she sees children whose mental health issues go untreated for so long that they end up cutting themselves and abusing alcohol, marijuana, crystal meth and OxyContin.

“There’s some really, really deep-rooted suffering,” she said.

Out in the unincorporated agricultural community of Five Points, about 45 minutes from Fresno, almost all of the students at Westside Elementary School are low-income Latinos. When principal Baldo Hernandez started there in 1981, he’d see maybe one child a year with a mental health issue. These days, he sees 15 to 30, he said.

He blames dry wells and barren fields, at least in part.

“I’ve had parents crying at school, begging me to find them a home, begging me to find them a job,” he said.

In some parts of the Valley and other places, the closest hospitals that accept children in psychiatric crises are hours away. Children can be stuck in emergency room hallways for days, waiting for a hospital bed.

“It makes for a very traumatized experience for both families and children,” said Shannyn McDonald, the chief of the Stanislaus County behavioral health department’s children’s system of care.

Recently, the county expanded its promotora program, which enlists members of the Latino community to talk to their peers about mental health.

In the small town of Oakdale, a slim, energetic 51-year-old promotora named Rossy Gomar spends 60 to 70 hours a week serving as cheerleader, educator and sounding board for many of the Latino women and children in the town.

Hilda Chavez, 17, at La Clinica de la Raza, says students at her high school don't really discuss mental health problems. Chavez says participating in the program has made her consider a career in behavioral health. (Heidi de Marco/KHN)

Gomar’s office in the Oakdale Family Support Network Resource Center is cluttered with open boxes of diapers and donated children’s toys and clothing.

“Look at my office,” she laughs. “We don’t fit.”

Gomar says many of the women she works with don’t recognize that they are depressed or abused. Children see their parents’ problems and don’t know where to turn for help.

“There are many young people who don’t have any hope,” she said.

But little by little, she has seen some good results.

One 17-year-old client is a student at Oakdale High School. The girl, whose name is being withheld to protect her privacy, said that earlier this year, problems at school and a break-up with her boyfriend had her struggling to get out of bed each morning. She began drinking, using drugs and thinking about suicide. She was scared to talk to her parents, she said, and kept everything inside.

One day, she walked into Gomar’s office and started crying.

“She told me ‘Everything is ok. We want you here,’” the girl said. “When I was talking with her, I felt so much better.”

The California Wellness Foundation supports KHN’s work with California ethnic media.

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10 Reasons You Can’t Sleep & How to Fix Them

by David DiSalvo, MEDCRUNCH contributor

Having trouble sleeping?
 
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Below are 10 of the most common reasons why with suggestions on how to correct them.
 
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1. Your room isn’t dark enough.

Ideally, your bedroom shouldn’t have any lights on, especially light emitted from a TV or any electronic device. When your eyes are exposed to light during the night, your brain is tricked into thinking it’s time to wake up and reduces the production of melatonin, a hormone released by your pineal gland that causes sleepiness and lowers body temperature. Light emitted by electronic devices is especially troublesome because it mimics sunlight.

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2. Exercising too late.

If you exercise within three hours of trying to sleep, you’ll overstimulate your metabolism and raise your heart rate causing restlessness and frequent awakenings throughout the night. Try to exercise in the morning or no later than mid to late afternoon, which will result in sounder sleep.

3. Drinking alcohol too late.

We tend to think of alcohol as a sleep inducer, but it actually interferes with REM sleep, causing you to feel more tired the next morning. Granted, you may feel sleepy after you drink it, but that’s a short-term effect. Here’s a great video at WebMD about alcohol and sleep.

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4. Room temperature too warm.

Your body and brain wants to cool down when you sleep, but if your room is too warm you’ll thwart the cool-down process. Having a fan in your room is a good idea because it will keep you cool and produce a consistent level of white noise that will help you fall asleep. Just don’t get too cold, because that will disrupt sleep as well. (You can also try cooling your brain.)

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5. Caffeine still in your system.

The average half-life of caffeine is 5 hours, which means that you still have three-quarters of the first dose of caffeine rolling around in your system 10 hours after you drink it. Most of us drink more than one cup of coffee, and many of us drink it late in the day. If you’re going to drink coffee, drink it early.

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6. Clockwatching.

Though it’s hard not to do, don’t look at your clock when you wake up during the night. In fact, it’s best to turn it around so it’s not facing you. When you habitually clockwatch, you’re training your circadian rhythms the wrong way, and before long you’ll find yourself waking up at exactly 3:15 every night.

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7. Getting up to watch TV until you’re sleepy.

This is a bad idea for a few reasons. First, watching TV stimulates brain activity, which is the exact opposite of what you want to happen if your goal is to sleep soundly. Second, the light emitted from the TV is telling your brain to wake up (see #1 above).

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8. Trying to problem-solve in the middle of the night.

All of us wake up at times during the night, and the first thing that pops into our heads is a big problem we’re worried about. The best thing you can do is stop yourself from going there and redirect your thoughts to something less stressful. If you get caught up on the worry treadmill, you’ll stay awake much longer.

problemsolving

9. Eating protein too close to bedtime.

Protein requires a lot of energy to digest, and that keeps your digestive system churning away while you’re trying to sleep — bad combination. Better to have a light carbohydrate snack.

eating2

10. Smoking before bedtime.

Smokers equate smoking with relaxing, but that’s a neurochemical trick. In truth, nicotine is a stimulant. When you smoke before trying to sleep, you can expect to wake up several times throughout the night; much as you would if you drank a cup of coffee.

smokingcigs

insomnia45

 
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(contributor_data.name)!?html   David DiSalvo is a science, technology and culture writer who contributes to Forbes, Scientific American Mind, The Wall Street Journal, Psychology Today, Esquire, Mental Floss and a smattering of other publications. His first nonfiction book, “What Makes Your Brain Happy and Why You Should Do the Opposite” (Prometheus, 2011) is available in paperback and Kindle, and his second book, “The Brain in Your Kitchen” is now available for Kindle. More at his website: www.daviddisalvo.org. The opinions expressed are those of the writer.

http://www.forbes.com/sites/daviddisalvo/2012/10/11/10-reasons-why-you-cant-sleep-and-how-to-fix-them/

BREATHING AND YOUR BRAIN by David DiSalvo

http://www.forbes.com/sites/daviddisalvo/2013/05/14/breathing-and-your-brain-five-reasons-to-grab-the-controls/

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Related Information to Why You Can’t Sleep:

coldwaterfish2

Top 10 Foods Containing Protein:  (avoid these foods too close to bedtime)

1. Turkey

2. Fish (tuna, salmon, halibut)

3. Cheese

4. Pork Loin Chops

5. Tofu

6.  Beans

7.  Eggs

8.  Yogurt, Milk

9.  Soymilk

10. Nuts, Seeds

almonds

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Drinking Alcohol late at night not only causess insomnia.  Check this out:

alcohol1 alcohol2 alcohol3

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David DiSalvo’s Popular Posts

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Sleep well, everyone. 

snowwhite2

Sleep Paralysis: Can’t Scream or Move Nightmare

Cope with Sleep Paralysis

Sleep paralysis is a condition where people are paralyzed at the onset of sleep or upon waking. It is a disorienting condition that may also proffer vivid and terrifying hallucinations. Here are some steps to help you identify and cope with sleep paralysis.

Recognize the Symptoms

  1.  

    Learn to recognize the symptoms. Sleep paralysis can affect you in many different ways. There are, however, some commonalities that people experience, including[1]:

      
     
     
    An inability to move the trunk or limbs at the beginning of sleep or upon awakening 
    • Brief episodes of partial or complete skeletal muscleparalysis
       
    • Visual and auditory hallucinations(people often sense an evil presence, or feel a phantom touch, or hear an unidentifiable noise in the room)
       
    • A sense of breathlessness (or chest pressure)
       
    • Confusion
       
    • Helplessness
       
    • Fear
       
     

What to Do During Sleep Paralysis

  1.  

    Focus on body movement. You may find that you are able to move a part of your body (often your toes, fingers, or tongue) to force yourself to a fully waking state. [2]

      
     
  2.  

    Focus on eye movement. Your ability to open your eyes and look around is generally not hindered by sleep paralysis. Some people recommend rapidly moving their eyes back and forth to break the paralyzed state.[2]

     
      
     
  3.  

    Focus on breathing. Controlled breathing can be an excellent relaxation technique. Knowing some breathing techniques in advance may help you regain control during a sleep paralysis episode.

     

     
     
  4.  

    Imagine yourself moving. Some people intentionally induce a sleep-paralysis state to induce what they believe to be out-of-body experiences. Imagining oneself moving effortlessly from the body may be a pleasant alternative to sleep paralysis.[2]

     
     
     
     
     

Treating the Symptoms

  1.  

    Sleep regularly. Sleep paralysis is thought to happen when the sleeper enters the REM-sleep state prematurely.[2] Since this is more likely to occur when a person is sleep-deprived, maintaining a regular healthy sleep pattern and getting enough sleep can significantly reduce the likelihood of sleep paralysis episodes.[3] If you suffer from insomnia, train yourself to fall asleep more easily.

     
     
     
     
     
     
  2. “Sleeping on my side worked for me.” -Maria

    Sleep on your side. About 60% of sleep paralysis episodes reportedly occur when the sleeper lies on his or her back; to break this habit, sew a pocket or pin a sock to the back of your nightshirt and insert a tennis ball or two.[2]

     

     
     
  3.  

    Exercise regularly.[3] You don’t have to go to the gym. Simply introduce a low-impact exercise regimen to your day. Taking a walk in the morning, for example, is a good idea.

     
     
      
     
  4.  

    Eat healthy. Nothing is more important than what you put inside your body. Cut out the things that will affect your sleep, such as caffeine, alcohol, and sweets.

     
     
     
  5.  

    Relax. Stress interrupts normal sleep cycles, which can greatly contribute to the likelihood of sleep paralysis.[2] There are many things you can do to help you calm down, such as meditating, listening to music, and playing with a pet. Decide what works best for you.

     
     
     
     
  6.  

    See a doctor. When episodes occur once a week for 6 months, it’s time to consult with your personal health care provider.

     
     
     

Further Preemptive Treatments

  1.  

    Talk about it with your friends. It’s much easier to deal with a medical condition when you know you’re not the only one. You might be surprised to learn that someone you know has gone through something similar.

     
     
     
     
     
     
  2.  

    Keep a log. Track the details of the experience, the time, your sleep pattern, sleeping position, mental/emotional state before and after you were paralyzed, and if you were paralyzed while falling asleep or upon waking up. This can all be useful information, especially if you decide to a see a doctor about the condition.

     
     
     
     
     
     
  3.  

    Identify the triggers. Sleep paralysis can be triggered by a variety of situations. For example, some researchers have found that it can be caused by the position you fall asleep in. These researchers recommend sleeping in any position other than your back. It can also be caused by certain sedatives or pain medication. Switching medications can eliminate the problem.

     

     
     
  4.  

    Avoid the triggers. After identifying your personal triggers, do your best to avoid them. This will significantly reduce the chances of experiencing sleep paralysis.

     
     

    Tips

  • Avoid caffeine 5 hours before sleep.
  • Sleep paralysis can be terrifying but it isn’t dangerous or harmful.
  • Consider having your doctor administer a sleep study diagnosis. With proper treatment of a diagnosed sleep apnea condition, the sleep paralysis may subside and/or disappear.
  • If you feel an episode coming on at night, try sitting up and staring at a bright light for a minute or two.
  • If you experience disassociation (“out of body” feelings), try to “feel” the texture of your sheets, clothes, or furniture around you. It’s easier to wake up if you focus on one of your senses. Alternately, ignore the sense of paralysis, and allow yourself to follow the “out of body” feelings; you can turn an unpleasant surprise into an enjoyable lucid dream, which you may be able to control. Try visiting friends or pleasant spots you have visited. No harm can come to you, so don’t be afraid.
  • Sleep paralysis is a very common medical phenomenon. Do not worry about the supernatural or spiritual implications of such an episode.
  • You might find yourself still dreaming while experiencing paralysis. This is the time when sleep paralysis is most confusing. For example, you might awaken to see the outlines of your bedroom, but at the same time you might see an intruder in your dream. These sorts of dreams are common in conjunction with sleep paralysis, and they are known to be exceptionally frightening.
  • You might feel the urge to break free of the paralysis by trying to sit up or moving a lot. Doing this can often cause you to be paralyzed further and the pressure to increase. The best way is to simply relax and recognize that you are in no danger and the feeling will soon pass.

Sources and Citations

  1. Guardian article on sleep paralysis
  2. 2.0 2.1 2.2 2.3 2.4 2.5 University of Waterloo resources on sleep paralysis – this site also has an ongoing study on sleep paralysis where you can contribute your experiences
  3. 3.0 3.1 Sleep Paralysis Information Service
 

How to Eat for Better Sleep

Fitness gives us nutrition rules experts swear by for a good night’s rest.

Don’t skimp, then splurge.

by Ana Mantica – Skipping midday meals may seem like an easy way to shed weight, but doing so can throw off your body’s normal sleep pattern. Researchers who followed a group of Muslims during Ramadan (a month of fasting from sunup to sundown) found that the group lost an average of 40 minutes of sleep a night compared with a nonholiday time of year. The likely cause: changes in hormone levels due to fasting. Large, late dinners exacerbate the problem: “A big meal increases the blood flow to your digestive tract, causing your stomach to secrete more gastric acid and making your pancreas and intestinal muscles work harder,” Breus says. This stimulates your system instead of calming it.

Do eat early and often.

“Your body uses up energy during the sleep process; it needs to be restored,” Breus says. Eat a mix of protein and carbs for breakfast (think eggs and whole wheat toast), and have six 250- to 300-calorie mini meals throughout your day. Eating something nutritious every few hours helps your body and brain maintain the right balance of hormones and neurotransmitters, essential for falling — and staying — asleep at night.

Don’t be a party victim.

Just say no to canapes, cheese plates, and mini meatballs. High-fat and spicy foods spark indigestion and reflux, keeping you up long past your bedtime, says Carolyn O’Neil, RD, author of The Dish: On Eating Healthy and Being Fabulous!

Do eat carbs for dinner.

A recent study found that people who ate jasmine rice before bedtime fell asleep faster than those who didn’t, the American Journal of Clinical Nutrition reports. The reason? Jasmine rice is high on the glycemic index, so it helps increase the body’s production of tryptophan, an amino acid that makes you sleepy, explains study author Chin-Moi Chow, PhD, senior lecturer at the University of Sydney.

Don’t go to extremes.

When daily calories dip below 1,200, you miss out on key nutrients, and this may affect your sleep, says Susan Moores, RD, a dietitian in St. Paul. Low iron, for instance, may cause symptoms similar to restless leg syndrome. A deficiency in folic acid may lead to insomnia. Studies also suggest that anorexics on extremely low-cal diets limit the time their bodies spend in the slow-wave sleep cycle, necessary for muscle repair and recovery.

Do strike a balance.

A well-rounded diet with foods high in B vitamins, calcium, and zinc will help you rest better. “Vitamin B6 signals your body to produce the calming hormone serotonin,” Breus says. “And calcium and zinc are natural relaxants.”

Don’t overdo the cold cuts or coffee.

Processed foods like deli meats contain a lot of sodium, which can interrupt sleep by raising your blood pressure and dehydrating you, Cornell’s Maas says. Caffeine, meanwhile, stays in your system for up to 12 hours, so the effects of a p.m. latte could linger till midnight. Try skipping the joe tomorrow: Not having caffeine for a single day can improve sleep quality that night, a study in the Journal of Clinical Nursing found.

Do go herbal.

Before bed, have a cup of chamomile tea; the plant it’s made from acts as a mild sedative, Breus explains, calming your body and helping you drift off.

The bottom line is to focus on eating foods in as close to their natural form as possible (for instance, apples, not apple danish). And eat smaller meals, says Breus, but more frequently. Simple, no? And all without counting a single sheep. Sweet dreams.

Vitamins and Minerals for Great Sleep

These vitamins and minerals will help you snooze soundly tonight. Eat ’em and sleep:

B Vitamins

They improve your body’s ability to regulate its use of sleep-inducing tryptophan and produce more system-calming serotonin.

Find Them In: Chicken breast, lean beef, salmon, bananas, potatoes, cereals fortified with B3 or B12

Calcium

This natural relaxant has a calming effect on the body’s nervous system.

Find It In: Low-fat yogurt, milk, cheese, fortified orange juice

Zinc

Deficiency in this mineral has been linked to insomnia.

Find It In: Oysters, beef, Alaska king crab, fortified cereal

Iron

A lack of this mineral can cause symptoms similar to restless leg syndrome.

Find It In: Oysters, clams, beef tenderloin, dark-meat turkey

Copper

This substance regulates serotonin.

Find It In: Whole grains, beans, nuts, potatoes, dark leafy greens

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