Dr. Breus: When I was working with Rosie O'Donnell from the television show "The View", she too had obstructive sleep apnea. We talked about it nationally on television with her, and she stopped breathing in her sleep over two hundred and fifty times in a night.
Kevin: Wow! Then how do you know that it's happening? They don't know that it's happening!
Day Light Savings
Dr. Breus: They have no idea. And that's what's so scary about this situation with sleep. It's you wake up and you don't feel so hot, but you have no idea what was going on.
Kevin: Right.
Dr. Breus: So there's multiple ways to get at that. Sometimes it's going for a formal sleep study. Sometimes it's even easier than that. Sometimes it's just request your bed partner "Hey, have you heard me snore?" or "Have you heard me stop breathing in my sleep?", or things like that. Because again that can be a of course big factor. But all of these dissimilar things - either it's a sleep disorder or disordered sleep - cause sleep deprivation.
Kevin: Yeah.
Dr. Breus: And that's the real big kicker here. It's not necessarily stopping breathing in your sleep that's not so great for you, even though, believe me, having low oxygen levels isn't good. Because it can cause stroke and heart assault and things like that.
Kevin: Mm hmm.
Dr. Breus: But what happens is this - your brain says "Holy cow! There's no oxygen." And it wakes you up. And it's like an alarm clock going off all night long.
Kevin: Two hundred times.
Dr. Breus: [Every] five or ten minutes.
Kevin: Yeah.
Dr. Breus: I mean, think about that. If an alarm clock went off every five minutes all night long, how good would you feel the next morning?
Kevin: [Laughs] Terrible.
Dr. Breus: Right, you'd feel pretty crappy.
Kevin: Yeah.
Dr. Breus: Well, every time you do that - from either sleep apnea or insomnia or restless life syndrome or what I call disordered sleep - it causes sleep deprivation. And sleep deprivation affects several dissimilar areas. The first area that it affects is cognition or mental in creative process. You know when we're at work, or we're at home, or we're trying to problem-solve or come up with new solutions, we have a real big problem if we're too sleepy to do it. You know what I'm saying?
Kevin: I'm pretty sure there's a lot of callers on the line right now have experienced that.
Dr. Breus: Yeah. There's no inquire about it. Another big area is reaction time. So how fast do we react to external stimulants?
Kevin: Mm hmm.
Dr. Breus: Turns out to be a major factor, from sleep deprivation. So, what does that mean? Driving a car, big factor. Here's a great example - Daylights recovery Time. We all just experienced this, the spring transmit aspect. What we lose - almost one hour of sleep -
Kevin: Right. Dr. Breus: Well, did you know that the two days after Daylights recovery Time are the whole one and two days for car accidents?
Kevin: Get out of here. That's incredible.
Dr. Breus: Yeah.
Kevin: Hmm.
Dr. Breus: And that's from losing one hour of sleep. Now you'd think "Oh so what I lose an hour. It's not that big a deal.". The truth of the matter is, it turns out to be a bigger deal because we are a sleep deprived nation. The median personel gets almost 6.9 hours of sleep per night. But what we're looking is when we of course look at that a small bit closer ( cause that's what they record ) it's about 6.9 hours, which you see now, seven hours of sleep. That's not so bad.
Kevin: Mm hmm.
Dr. Breus: When we of course study them in the lab, it turns out they're getting closer to 5.9 hours of sleep.
Kevin: Really? And the distinction is ...
Dr. Breus: About an hour's worth of sleep, and then when you're talking about population who are getting six hours worth of sleep verses seven, that's almost a full sleep cycle towards the end of the night, which can have a gargantuan whole to do with memory, reaction time, creativity, you name it.
Kevin: Yeah. Well, without getting too detailed, can you go into a sleep cycle?
Dr. Breus: Sure. So what happens when you go into a sleep cycle? First of all, population should know, that sleep is not just an on-off switch. It doesn't work that way. You don't just walk into a room, turn off the light and boom you're asleep. It's more like pulling your foot gradually off the gas
Kevin: Yeah.
Dr. Breus: multiple things have to be released and multiple things have to occur in order for that switch-over to happen. But once [you actually], your body does rule down and calm down sufficient to fall asleep, that's when things start to get interesting. So we portion sleep in multiple dissimilar ways, but primarily straight through brainwaves, or what we call Eeg. Now population have probably seen it on you know, "[Grey's] Anatomy" and, you know, "E.R.", usually thinks we see the line flipping across the screen,
Kevin: Mm hmm.
Dr. Breus: Well, there are dissimilar wave forms that we can identify that will tell us which stages of sleep population are in. And that has to do with how fast facts is attractive across your brain. So right when you close your eyes, you have alpha wave, which is a calm, sort of bio-feedback situation where you're relaxed just somewhere between seven and nine [hertz], so seven to nine cycles per second of your brain attractive back and forth. After that, you move into Stage One sleep. And Stage Two sleep. Now, Stage One and Stage Two sleep are kind of hard to tell apart. There are a consolidate of dissimilar landmarks, and we don't have to go into all the specifics of it. But basically, Stage Two sleep occupies almost fifty percent of your night, as an adult.
Kevin: Okay.
Dr. Breus: But as a child, it only represents about twenty percent of your night. And as an infant, it [laughs] almost doesn't record any of your night.
Kevin: Okay.
Dr. Breus: So, if I take a baby and I hook him up to an Eeg, it's almost all deep sleep, which we as adults are lucky if we get eighteen to twenty percent [of our night hour]
Kevin: Okay.
Dr. Breus: And that's the wake-up-and-feel-great sleep. That's the "Wow! I feel recharged. I feel refreshed. I feel ready to meet the day" sleep.
Kevin: Okay.
Dr. Breus: Okay. Infants also have a much larger bit of R.E.M. Sleep, or rapid eye movement sleep. Now, a lot of population say "Well, Micheal, isn't that the sleep where you dream?". Well, yes and no. You have a greater [preponderance] to dream during R.E.M. Sleep. But you can of course dream at any stage of sleep, believe it or not. Most population don't know that. And the way you can prove that to yourself is if you ever fall asleep on the couch, and you've had a dream, you'll know that you probably want to sleep that long. The median person, it takes them between eighty and a hundred and twenty minutes to get to R.E.M. Sleep.
Kevin: Well, okay.
Dr. Breus: So it turns out to be quite a big distinction there. So, again, it's not requisite that you're only going to dream during R.E.M. Sleep. You have a greater tendency to dream then, but you can dream during any stage of sleep.
Kevin: Okay.
Dr. Breus: Let's get back to some of the facts of sleep,
Kevin: Sure.
Dr. Breus: Provision on health. It also affects how we heal. One of the things we know is that research studies shown here, hospitals show that individuals who have good sleep in hospital of course heal better. We know that population lose weight good when they're not sleep deprived and when they're... Going into the specifics of that in a small while.
Kevin: Mm hmm.
Dr. Breus: We know that we defend against disease. There was a fantastic study that showed that individuals who take the flu shot of course find that they are less effective when they are sleepy. I mean, think about that. Think about all the population who go out and get flu shots. And if they are sleep deprived, they're doing themselves no good. You know what I mean? Depression is a whole other factor. One of the things we're starting to learn about now, is that individuals who are sleep deprived have a greater tendency to have depression. And population who have a genetic propensity for depression, they can kick off in the bed, just like being sleep deprived.
Kevin: Okay.
Dr. Breus: So it's pretty serious stuff. When we look at just women, in general, there are some pretty fantastic statistics here as well. Seventy-five percent of menopausal women palpate hot flushes, alright. Hot flushes will sway your sleep. Forty percent of menopausal women have sleep problems caused by hot flushes. So, what we're talking about now, is we're talking about almost thirty- five percent of all menopausal women are having disrupted sleep. And all women go straight through menopause.
Kevin: Wow.
Dr. Breus: So, that's a pretty gargantuan section of the population who're going to have sleep problems, just from the life hormonal changes.
The Effects of Sleep Disorders and Daylight Savings Time
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