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	<title>MeDirected &#187; Sleep disorder</title>
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	<description>My Life Redirected</description>
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		<title>Back to Normal?</title>
		<link>http://www.medirected.com/2009/06/back-to-normal/</link>
		<comments>http://www.medirected.com/2009/06/back-to-normal/#comments</comments>
		<pubDate>Thu, 18 Jun 2009 05:39:34 +0000</pubDate>
		<dc:creator>mike</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[Sleep]]></category>
		<category><![CDATA[Sleep disorder]]></category>

		<guid isPermaLink="false">http://www.medirected.com/?p=326</guid>
		<description><![CDATA[For the week following my return from China I seemed to lose what was a large part of who I am (an insomniac). For that week, I had, what was for me, really wonky sleep patterns&#8230;going to bed at 10pm and waking up at 4:30 or 5am. I did for an entire week but then [...]]]></description>
			<content:encoded><![CDATA[<p>For the week following my return from China I seemed to lose what was a large part of who I am (an insomniac). For that week, I had, what was for me, really wonky sleep patterns&#8230;going to bed at 10pm and waking up at 4:30 or 5am. I did for an entire week but then on day 8 things started to shift and by day 10 I was back to my normal 3am bed time. <a href="http://www.medirected.com/2009/06/my-normalized-sleep-leads-to-decreased-productivity/">I wrote previously</a> that the new pattern was annoying me because I wasn&#8217;t able to get as much done. I was going to be earlier, sleeping more, AND getting less done. All I can say is that I&#8217;m glad to be back to my normal, whatever that is. So much for the myths that the &#8216;earlybird gets the worm&#8217; or &#8216;everyone needs 8 hours of sleep.&#8217;</p>
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		<item>
		<title>My normalized sleep leads to decreased productivity</title>
		<link>http://www.medirected.com/2009/06/my-normalized-sleep-leads-to-decreased-productivity/</link>
		<comments>http://www.medirected.com/2009/06/my-normalized-sleep-leads-to-decreased-productivity/#comments</comments>
		<pubDate>Fri, 05 Jun 2009 12:36:05 +0000</pubDate>
		<dc:creator>mike</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[beijing]]></category>
		<category><![CDATA[Circadian rhythm]]></category>
		<category><![CDATA[Sleep disorder]]></category>

		<guid isPermaLink="false">http://www.medirected.com/?p=322</guid>
		<description><![CDATA[I returned from China on Monday morning. The trip went great but I was excited to see my family after 11 days away. I didn&#8217;t really sleep on the 20 hour transit back because I wasn&#8217;t really tired. There were some good movies on the plane and I was able to get a ton of [...]]]></description>
			<content:encoded><![CDATA[<p>I returned from <a class="zem_slink" title="China" rel="geolocation" href="http://maps.google.com/maps?ll=35.0,105.0&amp;spn=10.0,10.0&amp;q=35.0,105.0%20%28China%29&amp;t=h">China</a> on Monday morning. The trip went great but I was excited to see my family after 11 days away. I didn&#8217;t really sleep on the 20 hour transit back because I wasn&#8217;t really tired. There were some good movies on the plane and I was able to get a ton of work done by squeezing out about 7 hours of battery life out of my macbook which made the 12 hour first leg of my trip back to the States relatively easy and productive.</p>
<p>That first night back I went to sleep at 3:30 am which is about my normal time when I&#8217;m in the states. I thought I was golden and had made an easy transition back across <a class="zem_slink" title="Time zone" rel="wikipedia" href="http://en.wikipedia.org/wiki/Time_zone">time zones</a> (Beijing is exactly 12 hours difference from where I live so when it&#8217;s 8am at home it&#8217;s 8pm in Beijing). By day 2 I learned that this was not the case. On Tuesday I fell asleep before 10pm. I did the same for the past 3 nights. On each of those nights I woke up at 3am, 6am, and 5:15am respectively. While this might seem like a desirable change from my normal 3:30am to 9am sleeping pattern I&#8217;m actually hating it. I don&#8217;t really like to use alarms to wake up if I don&#8217;t have to and with the adjusted <a class="zem_slink" title="Circadian rhythm" rel="wikipedia" href="http://en.wikipedia.org/wiki/Circadian_rhythm">circadian rhythm</a> I&#8217;ve been sleeping more than usual and more importantly, I&#8217;ve seen my <a class="zem_slink" title="Productivity" rel="wikipedia" href="http://en.wikipedia.org/wiki/Productivity">productivity</a> drop considerably. The 10pm to 3:30 am time blocks is usually my high-gear productivity time. The time I can get a lot done and when my brain is operating at full tilt. Now it&#8217;s my &#8216;can&#8217;t keep my eyes open, fall asleep time.&#8217; I&#8217;m hoping that I&#8217;ll go back to &#8216;normal&#8217; soon as there&#8217;s no way I&#8217;ll be able to continue with my desired productivity with my current sleep schedule.</p>
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		<title>My Melatonin Melodrama</title>
		<link>http://www.medirected.com/2009/05/my-melatonin-melodrama/</link>
		<comments>http://www.medirected.com/2009/05/my-melatonin-melodrama/#comments</comments>
		<pubDate>Sat, 09 May 2009 20:51:37 +0000</pubDate>
		<dc:creator>mike</dc:creator>
				<category><![CDATA[Featured]]></category>
		<category><![CDATA[Circadian rhythm]]></category>
		<category><![CDATA[Insomnia]]></category>
		<category><![CDATA[Melatonin]]></category>
		<category><![CDATA[Sleep]]></category>
		<category><![CDATA[Sleep disorder]]></category>

		<guid isPermaLink="false">http://www.medirected.com/?p=304</guid>
		<description><![CDATA[If you know me, read this blog, or follow me on twitter you know that I&#8217;m a night owl and have some serious issues with insomnia. Normally I don&#8217;t care..especially since I work on my own hours and it hasn&#8217;t really hurt me. In fact, in many regards it&#8217;s made me more productive. I don&#8217;t [...]]]></description>
			<content:encoded><![CDATA[<p>If you know me, read this blog, or follow me on <a href="http://twitter.com/mikeyoung">twitter</a> you know that I&#8217;m a night owl and have some serious issues with <a class="zem_slink" title="Insomnia" rel="wikipedia" href="http://en.wikipedia.org/wiki/Insomnia">insomnia</a>. Normally I don&#8217;t care..especially since I work on my own hours and it hasn&#8217;t really hurt me. In fact, in many regards it&#8217;s made me more productive. I don&#8217;t need much sleep and it allows me to get a lot more done than many of my counterparts. It essentially gives me a 2nd work day. I&#8217;m not like many Americans who delude themselves about how much sleep they need. I DO get enough 90% of the time. It just so happens that for me enough is not very much. You see, normally I try to go to bed around 3 and 4am. I could stay awake longer with no problem but that&#8217;s around the time I&#8217;m first able to fall asleep. I then wake up around 9 or 9:30 without an alarm, wakeup call, or nudge to the side. The fact that I wake up fresh, without an alarm, and don&#8217;t feel tired throughout the day is what assures me I&#8217;m getting enough sleep. I generally don&#8217;t take <a class="zem_slink" title="Caffeine" rel="wikipedia" href="http://en.wikipedia.org/wiki/Caffeine">caffeine</a> after mid-day and when I do it doesn&#8217;t change anything anyhow. It likewise doesn&#8217;t change my sleep patterns at all if I don&#8217;t have ANY caffeine for the day. I exercise, eat well, and do all the other things that should promote good sleep habits. It just so happens that I&#8217;m a night owl. My dad is and so is my sister so there&#8217;s clearly some genetic component to it. As I said, I actually kinda like it. In fact, around 10:30 pm is when I become MOST productive. My brain kicks in to overdrive and I can write, think and code better during my &#8217;2nd work day&#8217; than I ever can during &#8216;normal business hours.&#8217;</p>
<p>The only time my insomnia becomes a problem is when I&#8217;m forced to wake up early or when I can&#8217;t fall asleep at all. The latter problem became an issue late last week. I had several consecutive days where I couldn&#8217;t fall asleep before 5-6am. Obviously this can become a problem if you want to function with the rest of society. I knew I needed to get back to my &#8216;normal&#8217; 3:30 am bed time before things started getting worse. I had tried most of the usual recommendations and none worked so I turned to my last resort&#8230;melatonin. <a class="zem_slink" title="Melatonin" rel="wikipedia" href="http://en.wikipedia.org/wiki/Melatonin">Melatonin</a> is a hormone that is naturally produced by the body that regulates the <a class="zem_slink" title="Circadian rhythm" rel="wikipedia" href="http://en.wikipedia.org/wiki/Circadian_rhythm">sleep-wake cycle</a>. I&#8217;ve used it in the past with mixed results. It helps me get to sleep earlier but it forces me to sleep more than I otherwise would and when I wake up I don&#8217;t feel nearly as fresh as I would if I hadn&#8217;t taken it at all. So I end up <a class="zem_slink" title="Sleep" rel="wikipedia" href="http://en.wikipedia.org/wiki/Sleep">sleeping</a> more but feeling less fresh. Kinda strange. On top of that I tend to get weird dreams. Freaky dreams. I never dream without melatonin (more accurately, I never remember my dreams when I don&#8217;t take melatonin). For these reasons, I really don&#8217;t like to take melatonin unless there are some special circumstances.</p>
<p>Given the problems I was having last week though, I decided I&#8217;d try a couple consecutive nights on melatonin to help &#8216;reboot&#8217; the time I&#8217;d go to sleep. I wanted to see if I could get my bed time to 2am or at least back to my &#8216;normal&#8217; 3:30 am. Initially it worked. on nights 1 &amp; 2 I hit the sack at 3am. Problem is, I slept longer than normal (waking up at 10) but still felt <a class="zem_slink" title="Sleep inertia" rel="wikipedia" href="http://en.wikipedia.org/wiki/Sleep_inertia">groggy</a> when I woke up. It felt like my head was in a fog. Oddly, I also felt tired during the day and had to take 2 naps over those days&#8230;something I&#8217;d never normally do. Unsatisfied with the effects, I figured I&#8217;d try a half dose so I cut my pill in half for night 3. Outcome&#8230;even worse. The following day I took an unintentional 90 minute nap during the day and then at night I accidentally fell asleep at 10pm. I can actually do this almost every night but I know better. Whenever I do, I end up waking up a couple hours later and can&#8217;t get back to sleep at all. It ends up screwing me up even worse. Last night was no different. I woke up at 1:30 and couldn&#8217;t get back to sleep until 5:40 or so. I then proceeded to sleep until almost noon. So basically I had just wasted 3 days in a melatonin-induced mental fog during the day only to return to a bed time that was actually WORSE than if I had taken melatonin in the first place.</p>
<p>Take home lesson&#8230;be careful screwing with your physiology even if it&#8217;s kinda screwy to begin with.</p>
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