The One Test That Could Save Your Life
Sleep no more! Macbeth does murder sleep.
– Shakespeare
British researchers have calculated that 20% of all motor vehicle collisions result from a driver falling asleep at the wheel. In the U.S., one study found almost 80% of truck drivers suffer sleep apnea... which means they're sleep-deprived while driving. Amazingly, some researchers think that falling asleep at the wheel causes more than half of all deaths from collisions.
Sleep is precious and, like time, is worth more than most people realize. Today, I'm going to give you a list of several things to do immediately that will help increase your sleep and change your life.
But first... a bit of history...
Sadly, nothing in my medical training addressed sleep – other than a passing reference in a neurology lecture. Since then, I've rarely seen or heard any clinician talk about sleep directly to patients. Worse, very few doctors are even aware of how important it is for your health.
My interest in sleep began when I was working in London for Goldman Sachs and heard about a case in the U.S. in 1984 where a patient in New York City died quite unexpectedly. Part of the explanation for her death pointed to the sleep deprivation of the medical residents caring for her. The residents had been up for days with very little sleep and supervision... and yet the medical establishment refused to take responsibility for the problem. I was appalled then and remain so now.
What bothers me is, common sense would tell you someone working 100 hours a week and more than 24 hours in a row is not a person you want caring for your loved ones (or monitoring your nuclear power plant). Yet, a Mt. Sinai Medical Journal article written in 2000 about the NYC hospital death once again missed the point. It actually claims sleep deprivation is not a "serious cause of medical misadventures." Wow. Did you know that sleep-deprived doctors respond in driving tests just as if they'd been drinking alcohol?
What happens if animals don't get enough sleep? At the extreme, rats deprived of sleep die within four weeks. And the fascinating thing is that no one knows what happens as a result of the sleep deprivation that kills the rats!
Humans begin to hallucinate after a few days without sleep. Even missing a little sleep each night can lead to a number of problems. Moreover, poor-quality sleep also leads to disease. Here is a list of problems linked to dysfunctional sleep:
| • | High blood pressure |
| • | Heart attacks |
| • | Stroke (sleep apnea was found in almost three-fourths of stroke patients) |
| • | Motor vehicle collisions and deaths |
| • | Nuclear power plant accidents (almost all related to sleep problems) |
Until recently, very little was known about sleep. Only since the 1970s has sleep been truly studied. Turns out, several interesting things happen during sleep:
| • | The brain recharges and organizes memories including new learning. |
| • | The body consumes less energy. The basal metabolic rate falls about 8%-10%, which may help manage our sense of satiety while awake. |
| • | Muscles are repaired and tissues restored as growth hormone is released with sleep. |
| • | The immune system is rejuvenated during sleep. Chemicals that stimulate and modulate the immune system, like TNF and interleukin, increase tenfold when we sleep. |
| • | Sleep protects you from the common cold. |
| • | Cognition and creativity are improved with the right amount of sleep. |
| • | Mood, enthusiasm, and vitality are improved with sleep. |
Are you sleep-deprived? You can perform a simple test at home to see. Try it tonight alone or with your spouse. This test will change your life, I guarantee it.
In the mid-afternoon or early evening, get in your sleep clothes (or whatever you normally wear to bed) and turn down the lights in the room. Get a metal spoon, a ceramic plate, and a metal cookie pan. Put the plate on the pan and the two just below where your hand will hold the spoon over the edge of your bed or couch when you lie down. Look at a clock to note the time, lie down, close your eyes, and let yourself fall asleep with your hand holding the spoon over the plate and pan. The noise of the spoon hitting the plate/pan should awaken you... Record the time at that moment. If this happens in five minutes or less, you're seriously in trouble.
First, you should consider the list of things I do and see if you can increase your sleep quality. If you still have problems, get to a doctor who understands sleep disorders (they are hard to find). Well-rested people should take about 15-20 minutes before the spoon hits the plate/pan.
When it comes to sleep... what do I do to maintain my health, vitality, and a strong immune system?
| 1. |
I set a time to go to sleep and/or to get up every night and day. At the very least, I set my clock to get up at the same time every day... even on the weekends. Thus, I let the rhythm of the evening determine when to go to sleep although I must admit the closer it is to sundown, the better I feel the next day. |
| 2. |
I exercise 20 to 30 minutes daily, even if only a little before bedtime. The benefits to your sleep and health are tremendous. By the way, it is not true that exercise before bed keeps you awake. |
| 3. |
I avoid any and all food or drink with caffeine after 4 p.m. This includes chocolate, soft drinks, some pain medications, and even herbal products (especially those claiming to help lose weight). For some, caffeine consumed even earlier in the day can still disrupt your sleep at night. |
| 4. |
I use a low volume noise generator to create white noise in the background. Sometimes it's just a buzz and some nights rain, a running brook, or even wind. |
| 5. |
I do not have a TV in my bedroom. The light and noise from this is stimulating and as background sleeping noise, it's dangerous to your health. |
| 6. |
Occasionally, when I am too restless to fall asleep even though I feel tired... I will take a warm shower and use the ambient air to dry, which cools my skin and body, thus stimulating a sleeping response (or perhaps it's because I'm so cold I want to get under the covers). |
| 7. | Sometimes I find stretching for 10-15 minutes before bed also stimulates a relaxation response, which leads to wonderful sleep. |
Here's to our health,
Dr. David Eifrig Jr.
