March 10, 2011 New History of that Undiagnosed Sleep Disorder
This blog is intended to chronicle my journey toward a diagnosis for my life-long sleep disorder, and to, hopefully, detail what comes after. It’s my intention to keep a written diary for myself, and to, maybe, help someone else who’s suffering with the same or similar problems.
I’ve been dealing with irregular sleep patterns since before I can remember. It drove my mother absolutely insane. Not only would I go to bed at 7pm one day and 3am the next, but I was absolutely impossible to wake up. During my formative years, I was called “lazy,” “unmotivated,” and often people asked “why I didn’t care?” By the time my intended graduation date from high school arrived, I had quit or been fired from more than a dozen jobs and received my GED after being told that I would have to attend for another year.
After obtaining my GED, I tried college. I lasted a semester and a half and two more jobs before dropping out mid-semester. I’m pretty sure it took years for my mother to forgive me for that due to the lost money and the lost opportunity. At this point, I also decided to try living on my own with roommates. It was a bad choice.
For three years I moved in and out of my parents home, living with various friends and strangers in the inbetween times while cycling through another 8 or so jobs. At the tail end of this portion of my life, I met my now husband of 2.5 years. During our 1.5 year courtship and 2.5 year marriage, I have held no less than 6 jobs. I have been to no less than 5 specialists, hunting for what my problems could be, and throughout this entire process not one of them thuoght that I might have a sleep disorder.
The only doctor I’ve maintained during this time is my GP, and finally just a few weeks ago, she suggested that I was experiencing problems with hypersomulence and issues with my sleep/wake cycles. I latched on to this immediately–an answer?? My doctor wrote me a referral to a sleep clinic in a nearby town, and yesterday I had my first appointment. In one week, I’ll be having a polysomnogram and MSLT, and I, while I’m nervous, I’m feeling that desperate need to “just know” what the problem is. I often finding myself mentally whining “Will someone just diagnose me with something? Anything?” because it’s so easy to imagine that these issues are all in your head.
The only thing outside of my marriage that I’ve been able to continue for the past two years is college. Although, it gets harder and harder everyday to drag myself out of bed and into class. I will graduate this May with my Associate’s degree in English, and I hope to find the answer to my sleep issues so that I can continue on to complete my higher degrees.
In my next post, I’ll spend sometime outlining the symptoms and sleep schedules that have led me to where I am today. Hopefully, my experience resonates with some of you out there. All I can say is that I have a lot to learn, and I hope you enjoy coming along for the ride.
Wednesday’s Sleep Schedule: Went to bed at 6pm after having been awake for 35 hours. Woke up at 11pm, oddly, moments before my husband came up stairs to sleep. State of mind: tired, starving (dying for carbs and mik), seriously irritable (sorry husband), and unable to go back to sleep.
Tags: mslt, polysomnogram, sleep, sleep disorder, sleep history
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March 18, 2011 Yes, We Get Sick Too
Have you ever found yourself wanting to shake your loved ones (just a little bit) because they don’t seem to realize that even though you have (insert disease or disorder here) that you can also come down with a common virus or a cold? I often feel like I’m trapped in an episode of “The Girl Who Cried Sick,” (I completely made that up), since friends and family seem to disbelieve the fact that I’m capable of coming down with a stomach bug too.
One of the things some of us with sleep disorders battle regularly is the inability to make it to work and other commitments. So, when we have to call out for something else, like a virus, there’s often a high level of incredulity. It’s funny actually, I almost feel like I have to power through what other people would eat chicken noodle soup through, because I’m already in the dog-house for being unable to get anywhere on time and sleeping through important things–like Christmas.
What about you? Do you find that your friends and family disbelieve, ignore, or attempt to lessen your illness when it’s not related to your sleep disorder? Friends and family members, I’d love for you to chime in.
Until next time,
Keri J
Tuesday’s Sleep Schedule: Went to bed at 10pm and woke up (feeling miserable and completely exhausted, as well as sick) at 6am.
Wednesday’s Sleep Schedule: Attempted to force myself to sleep at 10pm again because I had an early morning class. Fell asleep around two hours later after a lot of angst. T woke me up at 7am; I was confused, irritable, and I felt like I my body was filled with led. I spent the first two hours of my morning going from a prone position to a sitting position. Actually getting up and doing something felt impossible, so I ended up going back to sleep. I’m not sure how much of this was virus and how much was sleep problems.
Tags: sleep, sleep and work, sleep disorders, sleep schedule, virus
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March 15, 2011 The Sleep Diary
One of the first things a sleep doctor will ask you to do, on the journey toward a diagnosis, is to begin keeping a sleep diary. Many sleep disorders, including circadian rhythm disorders, are diagnosed primarily through patient history and the sleep diary. It doesn’t stop with the diagnosis either; a good sleep doctor will have you continue to keep a diary of your sleep schedules and patterns even after diagnosis. It’s important to track sleep patterns over time and different treatments. How else can you know what works? How else would you know if there’s improvement or if your problem is getting worse?
Having said that, it’s often difficult to look at my patterns in writing. Painful in a way. At the end of my first appointment with Dr. B, I asked him a question: Will this take a long time to diagnose? Naive me. He replied that he had never before seen (and I’m paraphrasing) a sleep schedule as erratic as mine.
Once I got home, I immediately visited my trusty friend, the internet, looking for answers. What I found was in many ways disheartening at the same time as it was comforting to know I wasn’t the only one out there. A Circadian Rhythm Disorder is a life-long problem. Many go through every treatment out there and find that nothing works. While it is possible to freely cycle and maintain a lifestyle, for many people who suffer with disorders like mine, a regular 9-5 will never be possible.
That being said, I, like many others I’m sure, have reached the point of just wanting a diagnosis. It’s a combination of wanting to hear a doctor, finally, tell me I’m not imagining it, and the fact that once there’s a name, there’s something almost physical to fight. So, I’m keeping a sleep diary as you’ve probably seen at the bottom of previous posts. And I thought I’d share it with anyone reading. I have no idea what “clock” I’m on right now. Here’s to finding out.
I’m including a link to a printable sleep diary, made available by http://circadiandisorders.org/ hope it helps! http://circadiandisorders.org/sleepdiary.html
Until next time,
Keri J
Sunday’s Sleep Schedule: Nothin’
Monday’s Sleep Schedule: Fell asleep at 7:45am and slept straight through until 8:30pm. I woke up feeling like I could go back to sleep, but fought through it in order to complete the homework due the next day and actually see my husband.
Tags: circadian rhythm, circadian rhythm disorder, sleep, sleep cycle, sleep diary, sleep disorder, sleep doctor
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March 14, 2011 Daylight Savings: What it means for those with sleep disorders.
Well, in answer to my own title…it means many of us are even more screwed up than we were before *grin* at least for a little while. As we all know, yesterday the clock sprung forward an hour, and for those of us who already have problems with our circadian rhythms, it might’ve added a little spice to the mix. I’ve read a lot of articles and blog posts recently, which featured tips on how to make the most of your sleep during daylight savings. I was a little taken aback, though, by all of the posts (even those directed toward people with sleep disorders) that basically said either: just go to bed 15 minutes earlier each night for a few nights, or it’ll all be okay in a few days.
In my experience, the best thing for me is to stay up through the change. I, for some reason, find it easier to take the time change if I haven’t slept through it. This could very well be psychological, like when I stay up way too long because I’m afraid I won’t wake up for a morning class, but it seems to work for me, except…this year I slept right through it. *shakes head* I know, I know, I could go with “do as I say, not as I do,” but that would be a little ridiculous in these circumstances, so I’m going to go with “Schedules and plans never work out for me anyway.”
That’s probably the gist of my situation right now; I’ve found it impossible, for the most part, to make plans or set schedules and keep them reliably. Those of you who have also slept through Christmas know just what I mean. I guess we can heed the good old Boyscout motto and be prepared as we can be (kind of a mish-mash of Boyscout and Army) and not get upset if it that schedule gets blown to pieces.
What tips and tricks do you use when it’s time to turn the clocks forward? I’d love to hear of something that worked or definitely didn’t work for you.
Until next time,
Keri J
Friday’s Sleep Schedule: Laid down at 8pm and woke up at 12am. I was unable to go back to sleep, so I got up and did some homework. Even though I couldn’t sleep, I felt unreasonably tired the whole night.
Saturday’s Sleep Schedule: At 2pm I was completely exhausted, so I laid down after asking my husband to wake me at 7pm so I could finish my work before the deadline. Apparently, he tried to wake me up at hourly intervals from 7pm to 11pm, when he went to sleep himself…next to me. I eventually woke up at 7am after 17 hours of sleep. This time, once I took the time to wake up and have a cup of coffee, I actually felt pretty awake.
Tags: daylight savings, sleep, sleep disorder
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March 11, 2011 First Appointment with the Sleep Doctor
I mentioned in my last two posts that I just had my first appointment with a sleep doctor a couple days ago. So, I thought I’d share with you how it went and what I learned from the experience. First of all, I never realized that you wanted someone who considered themselves a sleep specialist. Not just a neurologist. The doctor my GP referred me to runs a “Comprehensive Neurology and Sleep Disorder” practice (or something along those lines).
In the beginning, I was a bit unsure whether he was the right doctor for me. I should preface this story with the fact that I had a horrible experience with my last neurologist. I was experiencing parasthesias (numbness and tingling) and weakness in my legs to the point where I had to be hospitalized a little over a year ago, and once the tests for Multiple Sclerosis came back normal the only thing he tried to do was shove anxiety medication at me, claiming it was probably just in my head. His bedside manner was never great to start with, so I stopped seeing him not long after this episode. Not surprisingly, he was quicker to believe depression when I mentioned extreme fatigue than a possible sleep disorder.
So, I walked into my new doctor’s office and signed in and was asked to watch a video on a portable DVD player about Sleep Apnea. Now, this is where I found myself wondering if I was in the right place. I’m pretty sure apnea isn’t my problem. But after I finished the video, the doctor himself came out to get me and led me back to the neatest exam room I’ve ever been in. He had an entire patient exam room–in his office! How cool is that?
We began the appointment facing each other across his massive mahagony desk, just discussing my history and the problems I was dealing with. Then, he took my weight (uh!), vitals, and did a neurological exam testing my reflexes etc. Afterward, we sat back down at the desk and he transcribed the information I’d given him right there, pausing to make sure I agreed with his assessment.
There seemed to be no hesitation when he told me he believed I had a Non-24 hour Circadian Rhythm Disorder-free running. I’d never heard of it, but once I left the office and got home, I did my research. Let’s just say it was pretty amazing that he knew what the disorder was and offered it up as the most viable possibility with no prompting from me.
When I was signing out, after an hour spent in the doctor’s office, they signed me up for my sleep tests, which are set to take place in just over a week. They gave me half a month’s worth of Rozerem samples and set up a new appointment on April 13th, with no difficulties.
All in all, this was a very pleasant experience. Finding a doctor that seems to actually listen feels like an amazing accomplishment. From what I understand through my research, the pool of knowledgeable sleep doctors, especially those up on circadian rhythm disorders, often turns into one of those six impossible tasks before breakfast (a meal many of us never see *grin*).
I’d love to hear your experiences with sleep doctors (whether they’re neurologists or psycologists). Did you hit the jackpot, or have you, like me, spent some time with the doctor who assumes it’s all in your head?
Until next time,
Keri J
Thursday’s Sleep Schedule: Went to bed at 2pm and slept until 12am. My husband says I asked for food at some point in that time period and ate it, but I don’t remember it. Although, I did wake up sleeping on top of a spaghetti noodle, which seems to support his version of the story. I stayed awake until 6am, when I began to feel overwhelmingly tired again, so I laid down and slept until 4pm. *Sigh* I slept the day away, again.
Tags: circadian rhythm, mslt, non-24, polysomnogram, sleep, sleep disorder, sleep doctor
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March 10, 2011 Signs, Symptoms, and Upcoming Tests
I decided my site looked lonely, so I’m going to post this today along with the first one. One thing I find myself endlessly curious about, when trolling the sleep disorder message boards, are the signs and symptoms of my compatriots. There are two reasons for my (not at all obsessive) fascination: 1). It’s nice to know I’m not the only one out there. Non-24 sleep/wake disorders, which is what my doctor suspects, affect less than .5 percent of the population and sighted sufferers are even more rare. So, seeing my life story splashed in bits and pieces across the internet is majorly comforting. 2). Reading about the experiences of others and soaking up their knowledge can only lead to a better understanding of my own difficulties. Until I truly started to become interested in what information was out there, I had no idea these types of disorders even existed. So, in an effort to share the details of my story, I’m posting my symptoms, etc. below.
Sleep Cycle: At the moment, we don’t believe there is a discernible pattern. I’ve just started to keep a sleep journal, which I’ll be evaluating with my doctor in mid-April.
Sample Week Sleeping:
Monday: 11pm-1am
Tuesday: Nothin’
Wednesday: 2pm-11pm
Thursday: Nothin’
Friday: 8am-Saturday @ 11am
Saturday: Nothin’
Sunday: 6am – 4pm
(Random I know, except for the fact that I tend to only sleep every other day at this point)
Epworth Sleepiness Scale: Score of 13
Signs of Hypersomnia: I sleep forever, and I’m absolutely impossible to wake up.
Sleepeating and other strange behaviors that I tend to remember nothing about.
“Sleep-drugged” in the mornings: Nothing wakes me up. Not noise, physical contact…nothin’. Once I wake up, I’m confused, bleary, and irritated. It takes 2-3 hours before I’m fully cognizant.
Things I’ve tried:
Exercise
Ambien
Sleepy Time Tea
Change in eating habits
Rigid sleep schedules (possibly the biggest failure)
Caffeine and nicotine
Getting “extra” sleep on weekends to make up
Night shift work, day shift work, evening shift work
etc, etc, etc
Doctor’s Initial Assessment:
Possible Non-24 Circadian Rhythm disorder. Rule-out hypersomnia and apnea.
Upcoming Tests:
Polysomnogram
MLST
Interim Treatment:
Rozeram: 8mg half hour before bed
Light box in the morning (this one might be awhile since it’s 80$)
What about your experiences? Similar, different? I’d love to hear your story.
Until next time,
Keri J
Tags: light box, mslt, non24, polysomnogram, rozeram, sleep, sleep cycle, sleep disorder, sleep eating, symptoms
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