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Medical Professionals and Malpractice: The Dangers of Sleep Deprivation
American Thinker.com ^ | July 14, 2019 | John Glynn

Posted on 07/14/2019 1:47:25 PM PDT by Kaslin

In the words of the acclaimed writer JoJo Jensen, “Without enough sleep, we all become tall two-year-olds.”

Many scientists have pondered the question of why sleep is of such vital importance. From an evolutionary perspective, it would be ideal if we could survive without sleep. After all, shut-eye leaves animals, including humans, vulnerable to predation.

If you travel quite frequently, you’ve probably succumbed to “first night effect,” or FNE. In simple terms, this means that many humans tend to have a difficult time sleeping during the first night in a new place. According to numerous evolutionary theorists, this reveals something interesting about the ways in which our brains function. FNE, they argue, is an evolutionary remnant rooted in our brains’ hardwired self-defense mechanisms. We sleep with “one eye open,” quite literally. It’s known as the unihemispheric effect. In new environments, we employ a 50/50 sleep system, where one half of the brain sleeps and the other half stays alert. We are on guard, primed to expect disturbances.

Why is sleep so important?

Scientists think sleep is important for two reasons. First, sleep helps repair and restore our organ systems. This includes “cleansing” our muscles, immune systems, and brains. A function of sleep is to flush metabolic byproducts and toxins from the brain -- including the beta-amyloid plaques that accumulate in cases of dementia.

Furthermore, sleep plays a critical role in memory, especially retention and consolidation. Although there is still a lot that we don’t know about the potential benefits of sleep, one thing is for sure: we simply can’t survive without it. Think about it, readers, we spend about a third of our lives sleeping -- so it must serve a function of real significance.

(Excerpt) Read more at americanthinker.com ...


TOPICS:
KEYWORDS: sleep; sleepdeprivation
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1 posted on 07/14/2019 1:47:25 PM PDT by Kaslin
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To: Kaslin

One purpose of an internship in medicine is to harden the trainee to sleep deprivation, and still do what has to be done. The PTSD that is a consequence, will be with them for the rest of their lives, and colors their relationships with others permanently. I trained at Charity Hospital in NO. The uncaring violence is always with me, until I am healed, by God’s Grace


2 posted on 07/14/2019 2:03:02 PM PDT by HangnJudge
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To: Kaslin
We sleep with “one eye open,” quite literally.

Seriously?

Maybe writer doesn't know the meaning of the word 'literally'.

3 posted on 07/14/2019 2:16:53 PM PDT by Balding_Eagle ( The Great Wall of Trump ---- 100% sealing of the border. Coming soon.)
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To: Kaslin

Perhaps off-topic but some of us suffer occasional insomnia, but not enough to see a doctor and get a script. Both diphenhydramine and doxylamine succinate are low-grade sleep aids. What America really needs is an effective over the counter sleep aid, not medications who’s ‘side-effects’ are mere drowsiness and considered ‘safe’ for us little people.


4 posted on 07/14/2019 2:17:36 PM PDT by SpaceBar
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To: HangnJudge

You can never get used to sleep deprivation. It affects your health.

I read recently that they are trying not to make interns and residents too many hours, and everything still gets done and they stay healthy too.


5 posted on 07/14/2019 2:19:54 PM PDT by Innovative
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To: SpaceBar

I heard that chamomile tea helps relax people so they can fall asleep.

It is not harmful in any way and totally natural.


6 posted on 07/14/2019 2:30:10 PM PDT by Innovative
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To: SpaceBar

I have struggled with insomnia since residency, there is nothing safe and effective for long term use. You either get hooked on the prescription stuff or accept the increased risk of dementia with the over the counter stuff.


7 posted on 07/14/2019 2:55:37 PM PDT by dangerdoc
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To: Innovative

A nice thick chemistry textbook works wonders.


8 posted on 07/14/2019 2:56:26 PM PDT by Track9
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To: Kaslin

I resent the hell out of sleep. The best dream in the world isn’t worth giving up 1/3 of a life.


9 posted on 07/14/2019 2:57:38 PM PDT by relictele
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To: Kaslin

No shit.


10 posted on 07/14/2019 3:08:08 PM PDT by JusPasenThru (Phuque all Democrats.)
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To: Innovative

Some states are trying to ban 12 hour shifts and forced overtime for nurses.


11 posted on 07/14/2019 3:17:22 PM PDT by mdmathis6
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To: SpaceBar

Occaisional use of doxalymine isn’t a noxious as Benadryl...not that I ever need to use it much. But boy when I have a bad headcold and just want to sleep comfortably, a bit of Tylenol and something with doxalamine in it can give me 8 hours of sleep , often helping me break past the peak of the cold/flu I might be suffering from.


12 posted on 07/14/2019 3:22:14 PM PDT by mdmathis6
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To: Balding_Eagle

I suspect you are right.

Recently, I was trying to teach my grandsons about the misuse of the word.


13 posted on 07/14/2019 3:40:32 PM PDT by Bigg Red (WWG1WGA)
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To: Mom MD

Ping.

Might a solution have something to do with insurance companies and hospital administrations? ;-)


14 posted on 07/14/2019 3:41:02 PM PDT by familyop ("Welcome to Costco. I love you." - -Costco greeter in the movie, "Idiocracy")
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To: familyop
If I am not mistaken, MOMMD has a loved one that just began residency. Being an anesthesiologist and Intensivist, I assure you that what some have said above is true. I trained before work hour requirements -- Every third night call, ICU management, doing complex cases all night, it is a real problem. To this day 15 years into practice I cannot rest completely through the night and am up at 530 each AM even though I am a night person. The dilemma is that once we are treated as humans, the issues will resolve. On one had, every patient and family demands us to be at bedside instantly if there is an issue or on their whim. The hospital yells at us to make sure patient satisfaction is ranked high. The stupid metrics require onerous amounts of paperwork, and everyone thinks we are simply rich fat cats getting richer.

. I am not a union guy bit SOMETHING MUST GIVE. It is unreasonable to demand our perfection every minute of the day and then bring lawsuits for things that are bad outcomes, not errors. The system is dying. I love being a doctor, but I am ready to walk away from it. I am very good at my job, but cannot see doing this for the next 15 years. Unless there is a change. And believe me, single payor, reduce physician pay will drive more of us out of the profession. And do NOT believe the nonsense that nurses and practitioners are every bit as good as us. While I do not object to midlevel providers, I assure you that my four years postdoctoral work after 4 years of medical school makes me infinitely better capable to deal with disease and process than someone with 750 clinical hours. That was the first three months of my residency, but is the requirement for ARNP and PA to practice.

The world needs to find out what it is like when American physicians no longer work as we have been trained to. You can only kick us around so much -- and that time is coming. I am hopeful we will organize and do what needs to be done to preserve out health, our freedom, and be recognized for what we do each day. End of rant.

15 posted on 07/14/2019 3:53:23 PM PDT by gas_dr (Trial lawyers AND POLITICIANS are Endangering Every Patient in America)
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To: mdmathis6
My experience is that every sleep med script I have gotten is unhelpful and a wasted effort. Tylenol, from Walmart, is the most useful non script med supplement I have found that does work to either calm me down or relax me enough to sleep, even intermittently, thru the night. Just a suggestion for those who need a little help. Stronger stuff may be necessary for harder issues.
16 posted on 07/14/2019 3:58:39 PM PDT by mountainfolk
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To: HangnJudge

His Grace is sufficient! I think one of the things the newer grads are missing with the work hour restrictions is learning about themselves. in internship i learned how to come to the absolute end of my physical and emotional energy then pull on my big girl pants and do what had to be done. You learn as much about yourself as you do about patients in internship


17 posted on 07/14/2019 4:26:42 PM PDT by Mom MD
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To: mountainfolk

Be careful of tylenol...it’ll kill your liver


18 posted on 07/14/2019 4:44:40 PM PDT by goodnesswins (White Privilege EQUALS Self Control & working 50-80 hrs/wk for 40 years!)
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To: Kaslin

During the week I generally get to bed around 12:00-12:30AM, and my alarm goes off at 5 AM. I hate it, but nearly my entire life that is how it has been. I try to sleep late on weekends.

I leave my house at 5:45 AM and get home at 6:30 PM, and it has been that way for decades.

This is my life. It is my choice. I could change jobs, but this is what I do. We were doing an upgrade, and I have been at work all day today because it was a crisis when it didn’t go well.

I am not blaming anyone. It is my choice. I provide value to my employer and they treat me well.

And so it goes.


19 posted on 07/14/2019 4:59:44 PM PDT by rlmorel (Trump to China: This Capitalist Will Not Sell You the Rope with Which You Will Hang Us.)
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To: mountainfolk
Tylenol, from Walmart, is the most useful non script med supplement I have found that does work to either calm me down or relax me enough to sleep, even intermittently, thru the night.

In my experience melatonin is more useful, but acetaminophen certainly works. However, among the reasons you should not use acetaminoiphen regularly is that it promotes hearing loss:

https://www.arthritis.org/living-with-arthritis/treatments/medication/drug-types/analgesics/pain-drugs-hearing-loss-men.php

20 posted on 07/14/2019 5:10:03 PM PDT by TChad
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