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Sunday, April 27, 2014

If All of Us Could Sleep, Just Like Snow White







     None of us want to eat a poisoned apple, but this image of Snow White sleeping soundly is something very few of us ever attain.  A recent article in Alternative Medicine cites statistics from the National Sleep Foundation (NSF) which back up this claim.  The author of the article notes that 62 percent of adult- age Americans have difficulty with sleep several times per week (April, 2014).   Today, we are going to explore the following topics: why are we sleep deprived, the significance of adequate sleep for a healthy and balanced life, and  strategies that can encourage a more restful night other than taking a bite out of that apple.

     So how much sleep do we really need?   IDEA Fitness Journal notes that most adults on average require 7-9 hours of sleep each night but only log in approximately 6.5 hours (March, 2014).  This begs the question: Why are we sleep deprived?   There are a whole host of reasons that we do not get enough sleep: environmental; eating, exercising, and using electronic devices too close to bed time; as well as pre-existing medical conditions such as congestive heart failure.  All of the previously aforementioned can be examined in depth in separate blog posts so we are going to focus on one causal connection that is near and dear to our hearts: stress, our foe.








     As you recall, when under either acute or chronic stress (this being most significant),  the hormones adrenaline and cortisol are released which cause the brain to become more alert and hypervigilant to its surroundings.  AlternativeMedicine notes that the release of cortisol causes elevated blood glucose levels which in turn sends energy to the brain and muscles (April, 2014). This is all fine and well when we are running from the bear, but not when we need to sleep.  Imagine that you have a long and difficult day at work with a co-worker who pushed you to your limits.  Now, you lie in bed but the entire day keeps replaying over, and over again in your mind.  Suddenly, you are in a "jacked up " state and cannot fall asleep.  You can say thanks to your stress response that has just been activated.  Repeat this for several times a week and you will have accumulated sleep debt.  Let's now turn our attention to why this debt is significant to a healthy and balanced life.

     IDEA Fitness Journal states that sleep is when the body does most of its repair and regeneration work, particularly during stages 3 and 4 of non-rapid eye movement (NREM).  Stage 3, the very beginning of deep sleep, is when the human growth hormone (HGH) is released, and stage 4 is where that  release is sustained. In deep slow-wave sleep (stage 4), physical and mental energy are replenished (March, 2014).  Continual accumulation of sleep debt does not allow the body to rejuvenate and revitalize and this has been linked to vehicle accidents, occupational errors, and industrial disasters.  In fact, the Centers for Disease Control and Prevention has declared sleep deprivation a public health epidemic (CDC, 2014). So what can we do to help pay off some of that sleep debt?  Let's find out.





     In order to develop healthy sleep strategies, we must first understand how sleep works.  Our sleep cycle is governed by something known as the circadian rhythm.  At certain times of the day (generally mid afternoon and late evening) the brain and the body begin to shut down and we become sleepy.  Bright light or daylight signal the brain to induce wakefulness and therefore, we become more alert.  The American College of Healthcare Sciences(ACHS) tells us that our body's arousal cycle is about 90 minutes long.  When this cycle is low, we fall asleep more easily (2010).  However,  if we extend beyond the low period to watch TV, read, or finish a household project, we will find ourselves caught in a high arousal state and cannot fall asleep (like thinking about that difficult co-worker).  ACHS offers the following tips on how to naturally support our sleep cycle:

·         Go to bed and wake up at the same time each day.

·         Don't eat or drink (alcohol or caffeine) too close to bedtime.

·         Keep the bedroom cool, dark, and quiet.

·         Try relaxation therapy, meditation, or prayer to reduce daily energy levels.

·         Diffuse essential oils such as chamomile Matricaria recutita (German), lavender Lavandula officinalis or ylang ylang Cananga odorata.

·         Use of nervine herbs such as valerian Valeriana officinalis, or hops Humulus lupulus (2010).

     Adequate sleep is essential to a healthy and balanced life, yet far too often we accumulate sleep debt through lifestyle choices (burning the candle at both ends) or self-induced chronic stress.  All of us must make the conscious effort to reset our circadian rhythm by improving our sleep hygiene so we do not become the next motor vehicle accident or occupational injury statistic.

This article is for informational purposes only. It is not intended to treat, diagnose, cure, or prevent disease. This article has not been reviewed by the FDA. Always consult with your primary care physician or naturopathic doctor before making any significant changes to your health and wellness routine.

References

 

American College of Healthcare Sciences. (2010). Insomnia.  In Nat 303 (Module Eight) course e-textbook. Portland: American College of Healthcare Sciences.

Insufficient Sleep is A Public Health Epidemic (2014).  Centers for Disease Control and Prevention..  Retrieved from http://www.cdc.gov/features/dssleep/ on 4/10/2014.

No Author (2014, March). Sleep and Exercise. Idea Fitness Journal, 11(3), 87.

Swenson, A. (2014, April). When Insomnia Strikes: The connection between stress and sleep, and how to beat it. Alternative Medicine, 56-60.

Monday, April 21, 2014

I've Got to . . . Learn to be Still


     Last month I told you that during a visit to the vet I discovered how life's happenstance can open doors to true healing. Since that time I presented my story to the students at Lewis University which became a very painstaking process for being only 15 minutes long. Something I thought I had moved on from, was only repressed. I also told you that I was going to start acupuncture for stress relief. Here is an update on a couple of significant events I have experienced since that blog post on March 4th.
 
 
 
 
 
 

     First, I have had two acupuncture treatments and already feel a significant calming effect. The acupuncturist, Erin told me that we will probably meet for several sessions (or whatever it takes in my book) to resolve this issue. Each time the session begins she tells me to focus on one intention or none, or to go where the spirit takes you. I have made this last statement my healing mantra: to go where the spirit takes you. Towards the end of each session I physically feel this raging spirit that dwells within me fighting to expel itself but has thus far resisted. Reason being, it has called me home for so long. I'm happy to report that after this last treatment, I have slept soundly for four consecutive nights (the first time in 20 years), my thinking has become more clear, and with the help of fellow firefighters more layers of my PTSD have come to the surface.

     Erin told me that this process could get ugly at first as the layers unfold, but if I hang in there I will reap great rewards. All I need to do is face the demons and kick them to the curb. So one might ask at this point: "Where do fellow firefighters fit into this picture, and what does that have to do with learning to be still?"
 
 
 
 
 
 
 

     Last week, I attended training to become part of that Illinois Firefighter Peer SupportTeam whose mission is: "To serve the fire service family by providing trained peer supporters who can give confidential, appropriate and supportive assistance." Over the course of 24 hours we learned how to provide psychological first aid through application of acquired active listening and interpersonal communication skills via both classroom lecture and practical exercises. 30+ firefighters assembled in that room, all of who had equally or more compelling stories than myself. It was during the practical exercises that I had two major breakthroughs.

     While telling my story to two of my classmates, one asked me to describe my comrade. Following the spirit (as Erin taught me) I came to the sudden realization that this man who I looked up to as the consummate firefighter/paramedic, had left me with a sense of disappointment and abandonment as I had so much yet to learn from him. Also, I never had a chance to say goodbye.

     The second breakthrough comes on more of a transcendental plane of thinking. It has always been said that when one experiences such a gut wrenching trauma as this, you lose a piece of your heart to that person or event. What I realized is that when "Little Dicky" died on that cold and lonely night, he took not a part of my heart, but a part of my soul. I'm eternally grateful to fellow firefighters Tammy and Brian for walking me down this path, because now I have something to build on.

     The most important realization that I came to was fundamentally this: in order to achieve a balanced and happy holistic life I need to add psychological counseling to my treatment protocol. On the second day of class I made the call and will be working with the clinical consultant of the Illinois Firefighter Peer Support Group. She's already on board with me continuing acupuncture as a complement to the counseling. I'm going to view this not as counseling in the traditional sense, but rather as a mentorship on how to navigate life's roadblocks thrown my way. In order to be an effective peer supporter, I can never suggest someone seek counseling without having walked that green mile myself. It is just how I am wired. To face my demons I must learn to be still.  I can honestly describe myself as a guy who always seems to be in a hurry to get nowhere fast. All anyone would have to do to confirm this claim is ask my wife.

     On the way to class one morning, I was listening to an Eagles CD and stumbled upon the song "Learn to be still". I played it not once, not twice, but three times and realized the lyrics were to become my call to action. Don Henley and Stanley Lynch artfully weave together a story that resonates with the last 16 years of my life since "Little Dicky's" death. Maybe even sooner than that, who knows. To heal, I must learn to be still.

     I will report on my progress often in the hopes that this reaches at least one person out there in this small world with a similar experience. I want to let him/her know that they are not alone and to just remember that with time and help all wounds really do heal. For now, I leave you with my call to action as only Don Henley and Glenn Frey can sing it. I have also included a copy of the lyrics for easier understanding.  Click on the link below to see the video.
 
 
 
 

It's just another day in paradise
As you stumble to your bed
You'd give anything to silence
Those voices ringing in your head

You thought you could find happiness
Just over that green hill
You thought you would be satisfied
But you never will
Learn to be still

We are like sheep without a shepherd
We don't know how to be alone
So we wander 'round this desert
And wind up following the wrong God's home

But the flock cries out for another
And they keep answering that bell
And one more starry-eyed messiah
Meets a violent farewell
Learn to be still, learn to be still

Now the flowers in your garden
They don't smell so sweet
Maybe you've forgotten
The heaven lying at your feet

There are so many contradictions
In all these messages we send
(We keep asking)
How do I get out of here
Where do I fit in?

Though the world is torn and shaken
Even if your heart is breaking
It's waiting for you to awaken
And someday you will
Learn to be still, learn to be still

You just keep on running
Keep on running

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Songwriters
HENLEY, DON / LYNCH, STANLEY

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Lyrics © Warner/Chappell Music, Inc., Don Henley/Glenn Frey/Eagles

Friday, April 11, 2014

April Showers Bring May Flowers . . . and Stress Awareness Month








     April showers may bring May flowers, but it also marks Stress Awareness Month.  According to the official website, Stress Awareness Month dates back to April of 1992.  The primary mission is to enhance public awareness on a national level  about the causes, signs, and symptoms of stress as a precursor to many chronic diseases/illnesses (2014).  A recent article in Alternative Medicine magazine sites statistics from the American Institute of Stress.  This organization states that "60 to 90 percent of adults are at risk for a stress-related disease, and 75 to 90 percent of visits to the doctor are related to stress in some way" (April, 2014).
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     To honor Stress Awareness Month, I ask each of you, my readers, to revisit earlier posts on this blog to refresh your memory about the stress (response), and more importantly the relaxation response.  Alternative Magazine lists the following signs/symptoms that may be indicative of stress (2014):

·        anxiety

·        back pain

·        insomnia

·        headaches

·        fatigue

     In my next post, we will discuss sleep, stress, insomnia and a plan to take back those lost hours.   Until then,  review and relax.

 

Yours in Health,

 

Tim


 

References

Stress Awareness Month (2014).  Official Site.  Retrieved from http://stressawarenessmonth.com/ on 4/11/2014.

Swenson, A. (2014, April). When Insomnia Strikes: The connection between stress and sleep, and how to beat it. Alternative Medicine, p. 58.