20 Episode results for "Insomnia"

 A cure for insomnia?

Today in Focus

23:35 min | 8 months ago

A cure for insomnia?

"Hi this is. This is a really difficult time. Everyone is feeling unsettled. Over the next weeks and months we will continue with in-depth coverage of this corona pandemic speaking to God in correspondence across the world. But there will be some other stories as well including today something that may be helpful. If you're feeling anxious Simon Parkin whether there could be a cure for insomnia generalists Simon Parke in eastern struggle with insomnia. It's one of the most frustrating emotions places. I think I've ever been. He could not stop associating his bedroom with being awake being stressed and then at a certain point in the night you start to think about how much you've got to do the following day and it sort of becomes the snowball frustration and anguish survey suggests that up to one third of US experience insomnia and exclusive story for the Guardian Month revealed. That it's even a problem for children with a sharp rise in hospital admissions sleeping disorders. Simon decided to report on his own experience of sleeplessness and in doing so came across a technique that worked from the Guardian. I'm initiative Astana. Today in focus can some Neha be killed if you share a bed with someone then and their sound sleeper. That's intensely frustrating. You feel sort of admiration and jealousy and then the slightest movement they make conserve. Send you into this silent rage. I'm the really annoying sound sleeper next to you. I mean literally next year next to my husband I wonder if he likes to take his rage out and actually just wake me up in the middle of the night did you to do that. I don't think so maybe hoke yawn got up to Yank on the bed code other any famous techniques. That people tend to use to help yet. There's sort of stories of artists and entertainers and their strange rituals that they come up with van. Gough apparently soaked his mattress in Turpentine believing that to help. How does that help to? I don't know if it did. Sounds quite dangerous. Helped us out. The author Fight Club with described laying in his bed and imagining picking fights with people appropriately enough. I want you to hit me as hard as you can y. How much can you know by yourself? Never Been Fight Club inspired by insomnia. Do you know I think he he may have said. It was an element in the writing of that. I couldn't sleep. No you can't die from the American comedian. Wc fields he claimed he could only fall asleep with the the sound of rainfall in his ears and so His poor girlfriend would fire hose. His windows are believed to help him. Drift off trade off. Yeah beyond the cool. And how little sleep can people be getting one thing? I have heard since reporting this story on insomnia for the garden. Is that insomniacs. Underestimate the amount of sleep that they actually do. Have some people often report only sleeping for one or two hours in fact this leaping for two or three times that that amount when they undergo proper tests you get those watches? Which tell you how long you sleep. Yes and I had a newborn baby and I was like mony. I'm not getting any sleep. It's absolutely ridiculous. And so I went to sleep from like twelve till seven and I put the watch on when I click sleep and I wake up in the morning and I said I had slept for six hours and fifteen minutes. Maybe I'm might be so maybe that's less important than the feeling of. Oh I've only slept. Two hours ensued. Then have the anxiety the next night. So it's not you've written about having just a few hours a night and even sometimes no sleep at all. What impact was that having just struggling to concentrate often? When I when I was working the day after a night of relative sleeplessness. I think it was affecting my made and the amount that I could stay attentive for each day which is a problem when you're obviously have worked today and then just feelings with not exactly depressed but under some sort of weight or cloud of fatigue. I guess not quite being able to see clearly who is in front of you each day to research your piece. Loads of experts and doctors were is the definition of insomnia. Sony is defined as having adequate opportunity to sleep inadequate ability to sleep. And that's what distinguishes it from sleep deprivation which is where you don't have adequate opportunity to sleep because for example. I don't know you've got noisy neighbors or whatever on some some reason that you constantly newborn baby. Princeton exactly yeah to be defined is chronic insomnia. Does that have to go on for a second period of time? Yes it has to have been going on for six months to be clinically described as chronic insomnia and how widespread is insomnia in the UK so between nineteen ninety three and two thousand seven the number of patients visiting that GP's complaining of in some in nearly doubled and do we know why is it because more people are aware that this is something that you might want to see a doctor about or is it an increase in insomnia? I think that is not entirely clear. There may be higher rates of reporting of Insomnia But I think what we can also see is that technological advancements such as the advent of smartphones which have given us the sense of always being on always being available combined with twenty four hour news channels street lighting. The modern world is sort of angled against sleep. It's adversarial to to sleep the environment in which we live and we're starting to understand more about what that means because having insomnia is not just about being tired the next day. It's all encompassing. I mean what are the health risks so there are quite severe health risks associated with insomnia. Two Thousand Sixteen report from the CDC in America linked Sony to heart attack cancer. Obesity insomnia is linked with chronic depression. In almost all cases and there's also a risk of suicide people who are suicidal almost always have insomnia as well. Whether it's the cause of the effect is still debate. So that's huge. I mean in terms of if the NHL for instance. If you're thinking about insomnia treating it could have huge ripple effect. Yes that's right. I mean you know not only for these. Longer-term has facts that insomnia contributes to but also say to the you know the the GDP perhaps for just you know the number of people who are unable to go to work because They're too tired from a from. You know being able to get any sleep right. Say if people do seek help if they do go to that. Gp They generally told so in a in a relatively short ten minute session. Gps rather limited in the vice they can given in very many cases doesn't necessarily have a huge amount of former vice that they've been advised to give people tend to rely on the old wives tales of taking hot bath. Making sure that your room is very dark and eating certain feats. It must be frustrating. If you already you spent a fair amount of time on Google looking at the things you can do to turn up to a GP vetoed a bunch of things that you already know. Be to-to in Egypt banana or something ridiculous like that. Did you try the niners? I tend to help. I think they did. It wasn't a holistic solution. American Vidana is less about the potassium. More about just not being hungry movie. I'm what about drugs? Might they prescribe sleep drugs in the UK. There is a widespread st prescribing sleep pills for the long term or even medium time. I believe that most sleeping pill prescriptions tend to be just for a week long Seems to be a lot of worry among the medical establishment about the potential long-term effects of sleeping police. But of course you know the council to that is that long term insomnia comes with a huge amount of health risks. You start to. He sell sick very very little to hugh. Celtic is a South African doctor. He made the K. Is a insomnia sufferer. He became interested in sleep studies because of his own one time doing stress management possibly CBT for anxiety can be useful dot cells can pinpoint the date when his insomnia started when he was nineteen and he went on a caboose and the desert in in Israel and it was the routine that daily life was built around their Siesta between eleven to three and that upset his rhythms and his habits and from there he began to suffer with insomnia when he got to the K. He was sort of shocked to see. That was very little interest within the psychiatric community around insomnia and so he decided to counter that by forming Agreed with doctors who are interested in this and from there came up with the solution of founding the somebody clinic in bloom spree. Which is Has been running since two thousand nine and since then at least in until law shared seen more than a thousand patients his row. There's to treat insomnia and his had an unexpectedly high success rate with eighty percent of the thousand patients who have been through the doors reporting significance increase in the amount of sleeping and half of that number saying that effort he could and from the beginning. It was incredibly popular. I mean they had waiting lists that reach two years. What was that kind of driving philosophy? So what Dr Celtic did that was different to. How Insomnia was previously treated in the main on the. Nhs Ravin sang in. Some near is always a symptom of something else which can be can be a symptom of restless leg syndrome for example a sleep apnea where you have breathing difficulties. But he was saying there were also a huge number of cases where those are not the physical reasons for insomnia. There's another psychiatric reason for insomnia rather than constantly trying to look for. What is the cause of this symptom? Why not treat insomnia like it is its own affliction and treat it with what the treatment of hot the clinic is to say we need to retrain a person's brain so that instead of associating their bedroom with wakefulness? A come to reassess with sleep. Say we're about to hear the Miracle Cure Will? What does he tell patients today? So firstly he tries to dispel this myth of eight hours. So we have this understanding in our country that we should all be getting eight hours sleep. That's not true. Some people needlessly than that. Some people need more sleek. Not if you are a person who only requires six hour sleep in order to feel wasteful for the majority of the next day but you're trying to force yourself to get eight hours sleep your typically be lying in bed for a few hours unable to sleep which will then start to forge all these negative associations in your mind and then you can end up having insomnia even though you're just the person who requires less sleep. The next thing he does is dispel. The Myth of there is an ideal bedtime so typically someone who is suffering from an in so many will need to go to bed earlier so I've got more opportunity to try and sleep says that's completely the wrong way round. Do it. What you need to do is set a wake-up time and then you never ever deviate from that wakeup time. So he needs to be up at seven o'clock for work that day. You wake up at seven o'clock on a Saturday on a Sunday every day you don't nap you don't lie in and whatever ever no nap well then the cost of that may be that you your insomnia comes back. The idea is to establish a routine but for for a long time in some yet what this would do is sort of recalibrate themselves. So that if you always have set wake-up time and then you find that you have insomnia annual you drift off at like five. Am Be still wake up two hours later then the next day. You're going to be more tired and you fall asleep a little bit earlier. What happens is then over a long period of time you start to work back and then you find your ideal sleep window for how long you sleep and the way that he would do that is to do that in fairly small increments so to begin with might say right if you are a person he needs. You estimate six hours sleep. You have to wake up for work at seven. Am Seven am. She wake up time so go to bed at one. Am in the morning. And then you just do that religiously for five six weeks until you start to recalibrate and then if you want to see if it's possible for you to get more sleep you just simply move your bedtime back by fifteen twenty minutes each night so you would then you could sleep at twelve forty the next night and say if that still works. Okay say I WANNA get seven and I'm not sleepy till five. Am I wait till five am to go to sleep or one? Am whatever it is. But there's still a problem if I come fall asleep so what you do. Then if you can't fall asleep taught to sell success you have to leave your bedroom. So this is cheap. Basically tried to break the Association of lying in bed being awake so that you come over a period of time to only associate your bedroom with being asleep or having sex. Those are the two things that allows you to do in your bedroom. What does he let you have sex in that? Does this obviously pay shakes being appropriate in other parts of the House of? Maybe what nothing else? Can you get changed? In the know he advises that people get changed in a different room. You're not allowed to heave and says don't read I. She likes to read for your sleep but he was saying. That's a bad idea because it's very easy to take stock of you. How much time has passed where you haven't been able to fall asleep by what patient on your own for example so yes. The idea is eliminate all activity in your bedroom. Which is not sleeping so you go to bed. If you're not asleep within fifteen minutes he tells you to get up go into another room and you can listen to a podcast which Netflix show. Whatever it is and then fifteen twenty minutes about to your bedroom and try again. Tell me what happened Within I would say even just two or three weeks. I was finding that I was sleeping the majority of the night. I certainly wasn't lying in bed fretting in the way that I had been for really long time before then. What's Your wake-up time we make up? Time is seven fifty seven fifty. Sounds like a lie AETNA worker did you meet any patients from the clinic for him at wet. So one of the most striking stories one of Sussex Patience I spoke to was a lady who? She's now in her early forties but had had chronic insomnia since she was a young teen and she remembers lying in bed and she drew a dot on the wall of her. Becherman fixate on that and try to watch it for as long as possible before Falling Asleep. And sometimes she just stabbed for hours without blinking. Her insomnia was so bad she had three children and she would drop them at school in the morning. Having hands Was she would say you know one or two hours sleep. Perhaps it was more. But that's what it felt like to. Her would then come home sort of lie on the floor of her bedroom with a laptop trying to some work trying to eat and sort of drift in and out of consciousness with sort of how she put it to me so it's a very desperate situation for her. She went along to the clinic. Fairly skeptically as as most people would tend to think. She spared such a major turnaround in her experience with her. Sleep that's She has now decided to give in the business issues running and try with associates help to establish her. I sleep clinic what you're describing is basically cognitive behavioral therapy for insomnia isn't it? I mean it's not rocket science does dot to sell. I think that the technique could just be spread out across the country. Yes I think he feels like. This is not proprietary secret source that that he has. It's something that is relatively easy for clinics and doctors around the country to implement what I think dot to sell sick date come up with the framing of cvt for the insomnia clinic so this sort of steps that they go through in the five sessions that patients who sign up to the click a century the use of CBT to treat insomnia is something that has been used. Widespread in the past in the United States is just something that is only really more recently being taken up. When you're writing along read about this he didn't just beat. Dot Celsius. Gp's as well will. They frustrated about the amount they were able to help insomniacs. Yes the thing that were frustrated. Yes I think You know one G. P. S. boats. He said that she tended to just give the the usual advice and and felt pretty hopeless that she was really able to achieve anything in the ten minutes. So dot says has been putting together. I think so if what you can do a ten minute session if your GP to sort of give a lot. More impacting in that tiny window. Simon thank you very much. That was Simon Parkin. Who is now sleeping much better. Go on the website and have look at his long. Read coming up the biggest swarm of locusts for generations. Now when it comes to the climate crisis you've probably been following bushfires and floods but in east Africa today. The largest swarm of locusts for generations has become their most pressing environmental problem. The Guardian Sally. Haydon has been out with the army in eastern Uganda in the race. To Stop the locus before they lay their eggs a multiply in the distance. Locusts worm can look like a black site then by the time you're in the middle of it. They're everywhere on the grind air on plants trees. David got in my shoes. The ones in Uganda Armitage. Were so close up there yellow and bigger than you'd imagine. I think it's like nothing I've ever experienced before. The desert locust is actually type of grasshopper accepted moves in swarms desert locusts. Cross the Red Sea last year coming to East Africa from Yemen. They've now reached at least eight. African countries including Somalia Kenya Ethiopia. Uganda sightsee non Tanzania and even the Democratic Republic of Congo during Naito to be billions of locusts in east Africa a swarm of locusts covering one square kilometer contains foresee million locusts. That can eat the same food in one day as thirty five thousand people while two older locus. Don't do that. Which are mainly the type that are any staff. Got The moment they're laying eggs and so the new focus are GONNA be born from. Those eggs are likely to eat a lot more if not properly tackled the. Un is saying that the locusts could multiply five hundred times by June so that could have terrible consequences for people's food livelihoods. This is the biggest focus. Daybreak in most of the countries in east Africa in decades international organizations are calling for more money. Different governments sending people out with pesticide essentially in some countries. They have airplanes to do an in other countries. It's just people on I and Uganda. The government has deployed the army on day launch nighttime early morning operations while the locusts sexy thing you know I want to look you have to make sure that I resent your as possible. Before Sunshine Com you know the oldest active windy audit but when Sunshine Com. They become more weight and you may not actually do the work of spring in kiddy them. People have been speculating. About why this locus worm has happened now but the UN has said that it can be climate change related dot. They're helping abnormal rains. Which are good fruit locus to multiply and then also countries are getting hotter and dot so good for locusts for me. The surprising part about covering the story was that some of the people I interviewed some of the farmers. Omay seem quite excited about having seen the locusts locust recent thing that they had just heard about from their grandparents and freedom to get to see it was actually quite exciting having said that the way they explained it is that this was just one of many climate related problems that they've been suffering from the past few years including dry particularly and so they're kind of getting used in a weird way to having to deal with these things. That was Sally Haydon. And that's all today my thanks to Simon Parkin and Sally Haydon. This episode was produced by Nikola Kelly Elizabeth Casson. And Courtney USA sound design was by chambers and Axel Cocoon the executive producers. I'll fill may not aniko Jackson. We'll be back tomorrow.

insomnia insomnia Simon Parkin United States Simon Uganda Sally Haydon Simon Parke UK dot east Africa Astana Neha Guardian Month hoke Gough Princeton Obesity NHL
 Perfect Health: Traits of the Vata Type

Daily Breath with Deepak Chopra

02:03 min | 1 year ago

Perfect Health: Traits of the Vata Type

"Come back as we continue to practice befit out. We begin this week by undestanding. The body types. What is the vodka type here are a few traits of the tape? Light thin bidded. Perform collectively quickly has irregular hunger. Indigestion is prone to insomnia has enthusiasm by viciousness imagination. Changes Moods quickly is quick to grasp doc new information also quick to forget new information dense to worry. Tends to have constipation tires. Hi as easily physically. Vodka's the thinnest of the three body types. So what should what is due to work on total health. What is needed to do everything that is the opposite of of movement and that is therefore slowdown through meditation? Through deep breathing through to warm foods two days that are actually sweetser and salt combinations in a lot of this information Russian is also found in my book. Perfect health the complete mind buddy guy.

Indigestion insomnia two days
Curing Insomnia

Mentally Yours

22:19 min | 1 year ago

Curing Insomnia

"Farmers Insurance knows that there's a not so subtle difference between the sound of car hitting your rear bumper and the sound of a clown car hitting your rear bumper <music> sorry about that yeah the balloon animals at my information we call that a three ring fender bender and we covered it at farmers yeah. I know what thing because they nothing to click for more years under my farmer's truck fire insurance exchanges and affiliates products available in every state so I was managing bands running club nights at what is now cocoa and a place terminals which was a very cool club back in the day mentally focus on your they should be like regret Antony entity mentally. Ill Uh well. Thanks very much for coming on mental yours. Can you tell me festival. How did you get into meditation or a I was living a very rock and roll lifestyle in the music industry and <hes> I was having a lot of fun burning myself out and I had in so many for seven seven years and I was always quite a proactive chat soy went around looking for sources solutions went Harley Street to do some hypnotherapy and all that sorta the stuff but none of it worked and I'd given up on a thaw. I'm just going to have to live with this very debilitating thing and another partying in shortage for night and I'm at someone who apparently him and his fourteen friends that opens persuaded to give this meditation thing Troy Roy Moore now with all sorts of stuff stress anxiety insomnia and he swore Brian that the three people in the group who had really terrible in some now the fixed it within a few weeks I said Okay I'll give that guy. I didn't really believe it work but as it turns out mind so many women about ten days and <hes> will this other cool stuff start unfolding so bit by bit just go into this really really cool thing that I kind of was a last resort. Can you tell us briefly about this rock and roll lifestyle because when you sort of mentioned I think you can't just sorta casually say that. What were you doing in the music industry so I I was managing bands. I was running club nights at what is now cocoa and a place called terminals which was very cool club back in the day which boundary managing in managing actually bands from America but none of them made it really really big lot we would always be support acts and pay play. Carina sores and things Seles but unfortunately probably known you've heard of a few of them will go in the sneaked in the shots here and there which is probably could think if we'd got that big success excess that I wouldn't have gone to the meditation and be doing this now so I'm very very grateful for that but I yeah I mean it was good to be in the music unchain your twenty s because there's lots of opportunities to be surly divorced and I enjoyed that ensures your insomnia. I'm qualified people suffer from that what sort of when someone was just not sleeping at all and then I was kind of sleeping and waking or we just maybe getting a few hours. How did it affect you. It was usually a case of taking me probably an announcer an hour and a half to initiate sleep then I'd be awake asleep for maybe two three hours. Menard wake-up so I'd wake up around around to be there wake until at least five somewhere between five and five thirty I might crash out for an off often then I'd be up at seven and I just felt ruined every day and sometimes wouldn't get that lost down half day after day night. After night I just became a real problem and and then of course you get the unfortunate situation of being anxious about going to sleep and whether you're going to get a good night's sleep and if you've got something important the next day you just you might even get more than one hour sleep and I was using ripple then just to try and get me through each and every day I didn't have my report much football. It was just completely dysfunctional yeah and then of course that would have been no system. I say probably damaging sleep continually so that's forcing housing doesn't it yeah and then of course you know in order to feel good on those nights out when the clubs bands most nights of the week so they're not get quite heavy the source to kind of feel good and dump alcohols not prager physically be the so it became a very self destructive cycle one oversee when you feeling rubbish you don't eat very well but of course if you keep easing porty than we now know that that affects your gut bacteria and that also affects your sleep say it's <hes> <hes> a bit of a vicious cycle and I was very lucky. The Meditation broke that cycle and put me in a virtuous loop very quickly. So how did you get into sort of a particular kind of meditation. Did you education therapist or did you read about it. Did you find told about these people who are in London at the time and so I thought well I'll go and see see them. Because I remember when I had been trying to problem solve a few years earlier I'd gone to some place in Berkshire and it was a big old manor house and they were all of these people in Saffron fundraising shaved heads and they're all in silence and it felt so not Miyato so I went along and kind of checked it out with a view to I'll give it a go but I was a bit on the back foot very skeptical but I remember even off to the first meditation. I remember walking out there thinking wow that was how's amazing. I usually pay money on a Friday night for that kind of experience and <hes> bomb feeling really calm and really pure ever. It was was really really interesting. I don't think I'd ever really had that experience. So if a had maybe only once or twice in my life immediately made my inner skeptic skeptic calmed down and so after few days they told me everything that I needed to know and I went off and started making it happen and as a say that the changes were really rapid and it wasn't just asleep it was just being nice to strangers which had never done before even if I had had could not sleep and feeling really creative and getting all my work done two hours earlier each day which was just brilliant so it sounds like immediately sort of changed Jules life quite a lot. How quickly did you sort of go from work in the music industry and and sort of improving sleep then being like you know completely being like meditation. Is this thing gonNA share it with everyone so I remember the first ten months. I didn't really change anything I continued to party hard and always delighted to find this was actually the best hangover cure ever come across that was massive bonuses and then I remember going on a weekend and retreat and learning the sorts of intermediate technique her and on that weekend I had the most amazing the experience of my life up to that point and I just felt this unbelievable love. Everyone and everything and I had it for about five hours this. This is just so good. This is beyond anything I could have ever conceived possible and then after that weekend I just felt like like Luke skywalker and I just felt I the biggest spring in my step and everything fell. Kfi I could take on the world and I I felt invincible and I just remember thinking so. This is what life support this is. What's possible so then spent spent the next year. Maybe eighteen months continuing to explore all of this because now very curious and I flew around Europe a take a few weekends here and there and then it just got better and better so I took off to one might ticket today. <hes> went to see a couple of hours who had heard were not the real big dogs and didn't really know what was coming back. As Transport Outta spent three years traveling the world meeting lots of cool people from lots of different disciplines from lots of different places and that three year journey really really enabled me to be able to put it together and understand how will these things fit together and enabled me to hone down on what was going to be the most most beneficial thing I could share because about six months into this traveling joint. I had up to that point. I'd wanted to help people through doing documentaries or creating a a charity or something like that and then I woke up one day. I realized that if you share this with people people and help them be that bestsellers they can all go off and be super heroes. You don't need to be the documentary making making the documentary you can teach people to do that and you can just shed this amazing gift and then they'll be thousands of people all doing amazing things to the World Rob News trying to hold on your end so on that day we should save us to May two thousand eleven. I dropped documentaries is making Hollywood and went back to India and dedicate myself then for the next eighteen months to becoming a teacher and after that I carried on teaching around India in Bali six months but I could feel the pool coming home also London and the big cities is really really where the need is and it was a bit of a waste of my energy to be in these so paradise live places. Can you tell us about sort of how you become meditation teacher because I suppose anything I can think of is people seem to have to have quite calming voices or ways of speaking but other what would the sort of set things. You learned so if you're doing guided meditations that's one thing so. I don't do guided meditations that much we will be doing one but this podcast but my specialty really is in teaching people how to meditate for themselves so that they don't need an APP or youtube or anything to be able to they can they can do easily and really effectively wherever they are on the tube train bus plain coffee shop and so in terms of having Acom voice that actually tends to come with you dick nervous system so the most people's issues these days is a very excited no system all of these electrical impulses reaching this cerebral cortex brain will the neurons in their brain going crazy and that creates all these thought forms so all those people with busy mines is because they're nervous. This is a little bit out of control with adrenaline and stimulation and the more you meditate the more that calms down so then the brain for Claes and you start to feel comma clear the way you relate to people is smoother and more personal stuff tiny prioritize already well and you feel like you're smashing in life and when you feel like that of course there's more springing step in because you got positive energy other people viable that but it's a positive energy that is is com rather than Zany. I remember when I was younger. I was I had a lot of energy but it was that really really wild zany entity. I would be always stall single the crazy policies and doing things that were good to do when you're young young but it was just very very intense whereas now the energy you have is this lovely pure background ground energy that stays with Uday no midafternoons lumps. No you actually forget what it feels like to feel tired. which is an amazing thing but if you'll come and apparently you sound calm which is good so in terms of learning to meditate on your own as you're saying are there any specific kind of breathing exercises is that how officialisation techniques east suggest with his so many different ways to meditate and with breathing techniques? I know of eighty four different types types of breathing techniques some of which charged for beginners some definitely not visualizations are not generally a huge fan of them but there are a few that work really really well and one of my favorite sidelight to teach people and we can do in the podcast is to imagine dropping anchors for your feet down into the earth because for most of human history we've been in contact with mother earth and the Earth actually resonates seven point eight three three hurts and because our nervous system electrical system when wearing contact with the earth our nervous system slows down and starts to go to that frequency range which is the author state which is actually conducive to being calm because we're now willing are up shoes and in the two buildings and we don't don't actually spend very much time in contact with the earth leaves us much more prone to being in that hype to frequency where the mind is just worrying worrying and we're not very grounded and just the simple act of visualizing yourself connecting with the earth again actually seems to trigger Rica a brain state or a memory which makes us feel comma so I would always start every meditation by visualizing connecting Timothy often using anchors or roots imagining roots coming from your feet and from your towel by down into the Earth creates that connection I'm from there then used the breathing techniques all use mantras or whatever is the. EU find resonates best for you and I think that's down onto each and every person to decide so you've created your own meditation approach. She is Jada. Can you tell us a bit about that wanted to do that. So what it's all about yes sure well the the majority of it is actually based on the orders technique in the world which comes from the Himalayas. It's about ten thousand years old and that's been passed from US issued student for all of that time and I'm simply twenty-first-century conduit to that butts there were a couple of gaps steitz discerned and so I'm woven in a couple of extra things for beginners to actually make it much more complete and much more relevance the twenty first century and then if shoots WanNa go on a journey and really if they wanna get that sorts of Jedi skywalker thing that I had then I can take people glowna journey and again there are things I've learned from other parts of the world and from other traditions knowledge basis which I we've in just to make it as complete as possible so I'm not doing anything particularly spectacular. I'm simply synthesizing the various various knowledge bases. I've encountered in a way that feels most comprehensive complete. Can you tell us a bit about your book and your APP as well please. I actually go approach by loads of publishers to write a book about all of this not sure I have time this teaching today but I took the challenge on and what I wanted to do was tell the story of meditation but not in a really dry why the teachers just saying this and that and the other says why don't we actually get case studies over the people who are lots of people that we saw and to give their sort of the story and to help the audience realize that they're just like me because that has been for so long this idea that meditation is <hes> monks or for hippies and that puts a lot of people off financial factors for every one of us because we're all human we're all subject to these same emotional oh experiences and we will have the same brain chemistry so meditation works for everyone but how do you communicate that well by getting people who are representative of the general population to tell their side and people who have all of these very common situations things whether it's anxiety depression insomnia chronic fatigue physical issues like ibs such like because not all these things again to epidemic proportions so they tell their stories in the book and it's rarely very hot woman and then what I do is I us what they say is launch pad to try and share all these wisdoms about meditation but also how you get the most out of meditation patience because Meditations really there to make your life better. It's not necessarily meant to be just this little escape. Hatch where you just go for twenty or thirty not minutes to shoot from the audit does serve that function but the best meditation is actually what they do is they power you up to be able to go back into the world and we more engaged in more vibrant and more yourself and so. I felt that there are these key messages we needed to get across to help people understand meditation more and to demystify so that people felt comfortable with and inspired to go and the APP up is my way to try to democratize meditation because I'm actually just finishing up teaching six people to to become teachers and they'll go to various cities around the world and that's great. We'll be in a few major cities in year-on-year they'll be more but that still depriving ninety eight percent of the world's population of having access to it but the challenge is trying to get quality teaching across Viren App any digital platform because you you don't have that one to one interaction and so it's actually quite tricky to deliver a high level meditation experience purely through digital medium so I held off quite a few years and then eventually I started to work out how it could be done and I also felt that a lot of APPS are out there. They're trying to make it dependent on the phone. You gotTA keep tuning in every day into your phone. Find which I felt was a bit paradoxical so whilst we have will those guided meditations on the APP really what is there to do is to help. You become self sufficiency so you don't need the APP anymore. If you want to use it as a support aid you want the game indication an extra content to give you wisdom outside of the meditation and it says all those functions but I want you to be able to actually go and do it by yourself. Wherever you are without being dependent on anyone or anything this this year and then you're empowered so I guess the book is there to help inform and inspire and the APP is actually there to help empower you to be able to be a your best self without needing anyone's help within a few weeks. The book is called effortless mind though right now and the APP is out yet or is it out soon. It's called. BG's Yes Bijan Meditation. It is our came out about ten days ago. Actually great congrats so both out now. Thanks very much for coming in just by that. Is there everything you like to add. All odd really say is if anyone listening is wondering whether meditations really for them or if they've tried it and they found it to be quite difficult Michael which is a lot of people's experience. Don't worry honestly meditation can be really easy and it can be more effective than you could possibly imagine and so the river would finding practice works view is so unbelievably high and it will change your life so if in doubt give a guy. I keep the first one doesn't work. Keep going keep trying until you find the right one because once you do your life will be forever improved and so I I get on with the show is mentally today <music>. The Farmers Assurance knows that when you're in the car and that song comes on no not that one now yes that's the one you have no choice but to pull pull out your imaginary drumsticks and smash though symbols and stop on that kick pedal which unfortunately is also known as the accelerator pedal and we covered it at farmers. We know the thing is too because we've seen a thing or two click for more we are farmers. Truck Fire Insurance Exchange Center affiliates products available in every state.

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Crazy Insomnia?? It Could be a Lack of GABA

Diet Science

09:32 min | 1 year ago

Crazy Insomnia?? It Could be a Lack of GABA

"You're listening to podcast or news. Dot Com for the week of November eight hundred two thousand nineteen. This is diet science with McCaffrey D is organic chemist and nutritionist. Who Lost One hundred pounds by staying away from processed foods now every weekend Diet Science D. covers the topic or two? That's important for you and your family's health this your co host Michael McCaffrey. So D- what's a topic for this week this week. We're talking about the role of a particular neurotransmitter or amino acid and insomnia. Oh okay the role that it plays in helping people to sleep better. All right so I always say you know to people. If you're having trouble catching Z's yes that you know that means you have some form of insomnia if you if you're waking up in the night and you can't go back to sleep or if you have trouble falling asleep to begin with And this May actually indicate that your brain is not making enough of this particular neurotransmitter and it's the acronym for it is Gaba. Bob G. A. B. A. IT stands for Gamma Amino butterick acid So that's a big mouthful there so we like to just call it Gaba Gaba uh-huh yeah okay so And you know it's interesting when I was Doing a little bit of research on this. I I learned that Insomnia is actually the up pretty widespread sleep disorder affecting up to thirty percent of the population at some time or another so and there are actually two different types use of insomnia. There's type that we call sleep maintenance insomnia and that's the one where you You don't have a problem falling asleep but you might wake up during the night or really early in the morning and can't fall back to sleep and then the other type is called sleep onset insomnia where you can't fall asleep you you're kind of tossing and turning and you have a hard time falling asleep. So there are two kinds of insomnia. Okay and then even within that you you can be like a categorization of something. We call primary insomnia which means that your inability to fall asleep is not really directly Klay caused by any other medical condition or psychological disorder. Because sometimes like if you had chronic pain or something that might be. What's causing your insomnia insomnia or if you have depression anxiety you wake up and you're having a anxiety attack or something so so primary insomnia is when you're it's not directly related to something else and then secondary insomnia is when it is related to something else so so either way whatever over type you have Gaba can help And so like I said your brain makes some. It's supposed to be able to make its own Gaba but there may be reasons why it's not making enough UK And so that's where you can. Actually you can get it from either Eating more food sources of it or you can take it in supplement form sometimes the supplements obviously they have higher levels of it in. That might be what people need to do. In order to get the benefit of of it at first and then once you're more in a maintenance phase you know you can maybe just try to increase it in your diet somewhat so so it's kind of funny It's so is produced in your brain and it serves as a neurotransmitter and neurotransmitters are like little all chemicals. That you're making your brain that send messages to other parts of your brain and also to the rest of your body so in some of these neurotransmitters are what we call. inhibitory meaning they they stop certain things from happening and then some are inhibitory I'm sorry are excited Tori in meaning they speed up certain things so for example If we want to calm down we need an inhibitory type of neurotransmitter. That's GonNa in a calm. The brain down and quieted down instead of having all these signals coming at it. Okay so Gaba is. One of the the brain's main inhibitory neurotransmitter transmitters so it. That's what it does Kinda like. Signals the brain to start calming down. It's time to shut down our thoughts and you know and put our put put our body into a relaxed state so that we can go to sleep So if If we don't have enough of Gaba than the excited Tori no transmitter transgender. To kind of still keep going no. It's okay we're our mind is going to keep racing. You know we're gonNA keep thinking about stuff we're in a sense. We're not in a state of calm well and and I've heard that Gob is good. During the day the first really emblazoning in my mind about Gaba was many years ago. When we had our MUFFIN sprouts outs? And the lead nutritionist. Of very sweet woman. She had an assistant who we've worked with a lot. who must have been having a bad day of some kind and and the neutral nutritious sprouts said you need some Gaba now? So why. Don't you explain that story to me in us. Why having Gaba Naba during the day is actually a good idea so Gaba also is Really plays a role in helping you to have better focus MHM in your brain as well. It kind of allows you to. Yeah I mean it's calming type of thing so it helps you come down like if you are having a bad day it helps you just to feel more more common. Relax like it would even be good for people who have anxiety. I've actually done a little bit of research on that Addis. Well so the Gaba can be Gaba. Supplements can be used in different for different conditions. Like one would be insomnia because it helps you with your sleeping but it also also would be good for anxiety as well and depression because it helps put people more in that kind of calm state and feeling okay so have recommended Gaba Abba for your nutritionists students. Your I have yeah and I took Gaba for Awhile and actually kinda still do now when I'm really wanting to focus well Like for studying and so it doesn't make me fall asleep necessarily Because I don't I don't have a Necessarily difficulty falling asleep but people who do have a difficulty falling asleep. This can actually help them quite a bit. It's not GonNa put you to sleep during the day. y'All can fact if you take supplements it's recommended to take them right before you go to bed. Oh so that you can have more of the activity going going on at night. Oh all asleep okay so but if you took it during the day doesn't mean you're gonNA fall asleep. It's good to know good to know that's good to. Oh yeah that's good so so if you are low on Gaba. There's some evidence that supplements and foods that contain Gaba can help so there was a study that showed that The the subjects fell asleep faster and slept more deeply after taking three hundred milligrams of Gaba supplement daily for four weeks. Then those who took a placebo interesting so one thing I I do need to mention about Any type of supplements as that usually really you have to take them for several weeks before you really see a a marked improvement on any symptoms. Sometimes people will notice things right away But you know I mean it's it's like anything with with your healing you know you have to give it sometimes and star there's actually Some common foods that contained Gaba and remember Gaba. It's an amino acid. So it's it comes as part of a protein and so when we eat foods that have protein in them. We can get You know this Gaba. So here's some really interesting foods All the Christopher's vegetables Broccoli Cabbage Cauliflower Brussels sprouts. We even see it in spinach. Spinach and tomatoes and peas sweet potatoes sprouted grains and even white T. Oh Yeah White. Tea is interesting different kind of tea. But it's really good and that might be something to that you could add even if you're taking a Gobbo supplement. You could add these kinds of foods and tear diet to increase your intake of Gaba. Wife heard good things about white t Yeah yeah it is good so anything else before we go de well Just just some cautions like if people are taking any kind of an antidepressant or medications that lower blood pressure or or that affect brain activity. You want to check with your doctor before taking any Gaba because it might interact. Oh okay yeah good recommendation. Yeah all right well thank you. So they'll be an article about this and at the end they'll be wait for people to get Gaba. Yeah all right well. Thank you D for another informative week diet. Science is the official PODCAST for process. Free America or a nonprofit dedicated to eliminating childhood and it obesity through nutrition education to both young and the old. You can catch this podcast and lots of other great podcasts and articles at process free America Dot. Org this is d McCaffrey. And until next time go for go forth and be healthy.

Insomnia Gaba Naba difficulty falling asleep Michael McCaffrey UK Addis America Dot Tori Bob G. A. America official Gob Klay Christopher depression One hundred pounds thirty percent
What is Cognitive and Behavioural Therapy for Insomnia with Martin Reed | GBP066


45:03 min | 4 months ago

What is Cognitive and Behavioural Therapy for Insomnia with Martin Reed | GBP066

"Welcomed episode number sixty six of the grab logger podcast. It's the podcast we're helping. Academics changed the world through online business revenue by giving the tools and tips and strategies and techniques. You need to build an online business. Round your research experience. Run your expertise, so you can make the change that you WanNa make in the world. I'm your host Dr Chris Clooney and days up, so we're talking about what is cognitive and behavioral therapy for insomnia to do that. We have on Martin read from insomnia coach. Dot Com the insomnia coach podcast. Big Thank you and a big welcome to the grab blogger podcast today. Thank you so much for having me on I'm looking forward to it so I'm really excited for this interview and I'm going to give a bit of a back story. Here's this. The audience will knows a little bit different than a typical episode. If they've been listening for wild, they'll remember I talked previously about. Setting and tying goals in your personal life to revenue as part of Your Business, and this is really done tying what you're doing in your business to specific outcomes in your life. So it's focusing on why you want to do something, and then you know what's these way to do it or the best way to do it? Then the how not folks on how so I'm going to create a course gonNA, create a product and sell it for a million dollars and blah blah blah. But what does this mean in your life now also said that. Early in two, thousand, twenty, the first half dozen twenty. My revenue goals are really tied to outsourcing parts of my life. Outside the business space, and even some coaching and different parts and one of these areas I've struggled in is is actually sleep so off and on for the last twenty years. I've really you know every couple months have have a period where pretty bad insomnia may even sleep in average of three or four hours a night and we'll get into this in this episode a bit, but. Be going to bed. You know for eight hours and nine hours, and then ten hours to try to get more sleep and can be quite frustrating if anyone's gone through. This is listening to this episode. They will know that frustration and and Martin knows that as well. And I found Martin at insomnia coach Dot Com and really wanted to get into this to improve my own skillset here, so I did the One on one coaching program with Martin you also as a host of free resources there free community form self paced courses not of stuff. But I. Want share in this episode. Some of the things that they found through Martin's process, which is based around this cognitive behavioral therapy for insomnia, and it's shifted my mindset a bit to changing how sleep to really a set of skills, and you know cutting through the noise in this topic and then giving me the exercises in the game plan to start making a difference in my sleep, so. Share some of my results at the end over the last I think seven or eight weeks I've been really working with Martin and then even on my own, after since then, but in this episode really want married to walk through. What is the topic? What a CB T. TI, cognitive and behavioral therapy for insomnia, look like to share some breakout. And what he? He sees seizes typical challenges with people that are maybe hyper-active mind like a academic sir. Researchers are entrepreneurs so I know a little bit of a longer introduction, but Martin, maybe the the place to start here is can you give us a definition or description of what is the CB TI cognitive Pero therapy for insomnia? Absolutely you know is a big mouthful. Basically off festival, I think it's important for me to just size the I'm not a therapist, so I've done in the big air quotes do cognitive behavioral therapy for Insomnia BUP I. DO educate clients about these techniques, because beg grounded in evidence and they're they're effective, because ultimately they address the root cause of pretty much old cases of chronic insomnia, so see I'm just GonNa. Say CVT just to kind of keep it a little bit shorter. It's automatically just a collection of techniques like you alluded to. The introduction is a set of skills. The intended to help address the thoughts behaviors that insomnia. Because ultimately everyone experiences sleep disruption from time to time. It's just a normal life. We have an exam the next day or job into our big deadline coming up completely normal for us to experience sleep disruption. There's not really much we can do about this temporary sleep disruption. I'm asleep will normally recover all by itself as soon as we've met the deadline, or as soon as we've adjusted to. Whatever changes take combine out his happened in life. But sometimes it doesn't and this is often down to a change in out thinking about sleep way, think about sleep often as a change in our behaviors towards sleep, and these can perpetuate insomnia in three main ways they can disrupt how sleep Dr we can talk about these things in a little bit more detail, but they disrupt sleep drive. They can just dropped. How body clock I'm probably the really walnut love. People who are struggling with is insomnia would identify with is. They can increase arousal so these. Techniques, help, address. The sleep Dr Disruption the body, club disruption, and that high arousal this generated by the change in our thoughts and behaviors toward sleep when it's being disrupted and I said as I mentioned in the introduction, a lot will be maybe nodding their head at this stage when the here things like body clock disruption and increased arousal on that. Yeah, well. How did you get started in this area? Like why? Why do you start insomnia coach Dot Com? And what made you get into it? it was ultimately from personal experience, so I was always this person. The slept great love sleep. I would probably have listed it as a hobby of mine because I just loved it so much, never ever had a problem with it until in two thousand and night when I emigrated from the UK to move to the US. Big Life Change I was also getting married that year as well. And I experience sleep disruption. Fast I wasn't too concerned by a recognized, the will probably pretty normal I. mean a new country big changes going on. But it kind of didn't get back on track will by itself, and then I would start to go to bed Elia. In, in the night to try and get more sleep, stay in bed. Lights are in the morning to try and get more sleep and I gradually found like on my behaviors what influenced by sleep and how it might influence, my safe hot might affect my sleep. And it was ready becoming involved in my decision, making processes, and I would spend time thinking worrying about sleeping researching sleep doing all these things, which on reflection allergists, just like a classic, it fits the model of insomnia perfectly, not unusual in any way, but luckily I found out about these cognitive behavioral techniques the. Helped me address these behaviors though I was quite understandably implementing in a bid to get more sleep, but we're actually backfiring, proving to be completely counter-productive. Sony to cut a long story short. You know I found that these techniques were walking for me and I thought why. Why why why doesn't everyone know about this? This information needs to be out then not like the sleep hygiene stuff that's not helpful for people with chronic insomnia, but these evidence based. Cognitive and behavioral techniques need to be out there. So automatically that got me on the path of trying trying to. You know build out a forum out community build out information products, online courses that use these techniques to see if they would help others. And they did A and I figured the okay. If I'm GonNa, really build upon this I need to get more education about this I need to get more credentialing must what led me down the path of issuing my master's degree in health and wellness, education, and credentialing as a health education specialists than than on becoming such fighting clinical sleep, health and a fight health coach appreciate sharing that journey, and as pretty heavy academic audience here we know all about credentials. Right in the and the need to the the drive if we WANNA, keep using that word to to feel like you need to do that. And it is important as a part of learning and a part of coffins as well absolutely. I want to go in two directions so. I do want to get into the tools and the toolkit for CB ti that tackle these things like sleep drive in pod clock and increased arousal because. They really helped me, and they're still helping me today of I. Do want to tackle some of these. Miss a bit, they see. So, what are you know? Let's serve the one you mentioned already. Probably the first thing I see typing I can't sleep online. Sleep hygiene wh, what is sleep hygiene, and maybe why is not not as good for someone who's suffering from insomnia versus maybe a type of person. Yet, will ultimately I think the sleep. Hygiene is more to do with prevention is kind of like dental hygiene. So you know just like we should be brushing teeth twice a day to prevent cavities. That's great if we don't have any cavities yet, but once you've got a cavity. It doesn't matter how often you brush your teeth. That KAVAKCI's not going to go away needs something else and sleep. Hygiene is kind of like that so if you don't really have a problem with sleep, you just Kinda WanNa. Optimize the environmental conditions for sleep so to speak then maybe. It might be helpful to make sure the you'll giving a good opportunity to Aqa a really if you're at the stage where you've been struggling for. Months with sleep issues probably a bit too late for sleep. Hygiene you know like covering up your windows. The blackout cotton probably isn't going to transform your sleep and I tried it yet. Is. One of the and you just made that point. It becomes this new list of sleep. Efforts that we commend implement you know we have this list of sleep. Hygiene things on. We can go down that list and before we know it. We're doing light twenty different things throughout the day or the early evening. In a bid to try and generate sleep all sleepiness and that in itself is completely counterproductive to sleep. So I'm increasingly coming around to the thought that if someone has chronic insomnia sleep, hygiene is probably GonNa be more unhelpful than helpful because it can just lead to heightened arousal, more more sleep. Efforts more attempts to control sleep and that that's never helpful. If you're Kalisz asleep at a and all all, add to that because I. Had One thing because a placebo. I found that every. Minute sleep hygiene thing I've applied in the last twenty years has worked for some period of time. Slow Black Curtains, the removing alarm clock. The you know there's. Still use your and things like that that I've I've kept my toolbox. The all seem to work for a short period time, which makes it even more difficult I. Think increases the effort, so you feel like you need to do at twenty. Step routine and stand on your head on one foot. To to get a good night's sleep, and then when it kind of wears off, please see a wears off and the joke I've heard. Is that in in these kinds of Psalm? Knee Asleep Studies. The joke is that they give the control groups. You know sleep. Hygiene tasks is that may be true. Yeah exactly because you know in the academic community Whenever during sleep studies academics, the research sleep, no sleep. Hygiene doesn't want for people with chronic insomnia, so if we. If you're looking for a control group, the best thing we can give them, the will have zero influence on slate is sleep hygiene information? So yet, your hundred correct, which is unfortunate because. When most people who are struggling with sleep like you said, go onto Google, that's the first thing they say, and for the vast majority of people to. They talked to that back primary care physician. That's often the first thing that we told about and so. which is really disappointed because we know, it's not helpful. Not only can increase arousal because of all these additional sleep efforts within. China issue, but when they don't walk when this, this mythical magical sleep, hygiene list of sleep hygiene rose doesn't work. We can become really concerned the there's something completely unique without insomnia. You know the our insomnia Ken, be fixed if sleep hygiene didn't walk, and it's always like recommend is the fussing to try. There must be something seriously wrong, but in reality is completely normal into the expected that it didn't walk and the job Oh control groups. This may be the only audience that. LIKES JOKES I want to make sure we got in there because we have a lot of a lot of researchers that are. Understand. What what what that means? And I do want to be clear that we're not saying that sleep hygiene. Isn't an effective thing for some people or at least. To be honest. My background is not such a statement either way, but you know if you're sleeping well, then maybe doing black curtains and Actually, help you sleep a little bit better. Maybe you're not being interrupted in certain ways. I think what what you're saying. Martinez I if you're suffering from middle to long-term, you know insomnia and chronic insomnia. Then it's it's probably not the right tool for you to make a meaningful impact. Is that satellite summary? I would say so. You know sleep. Hygiene is really more to do with kind of environmental things that might disturb sleep. You know like the light coming through the window or environmental and things like that, so yeah, you know as a Jackhammer going off outside your window six in the morning, and then it plugs or white noise machine might help them, but if you can recognize the. You're thinking a lot about sleep. You'll worrying about sleep. You're implementing behaviors solely with the goal of improving sleep or trying to get more sleep. than. You can kinda recognize. The this is now become an issue with the way you're thinking about sleep annual behavioral the behavioral side so then you can recognize of moving beyond sleep. Hygiene will probably be more helpful, okay, I think that's that's a good coverage of some of the myths that people are GonNa. Find when they start to look online for this stop certainly I found it and I've tried probably all of them. And I. Mean there is probably a whole another camp that I haven't tried. which is SORTA, sleep AIDS. Maybe Melatonin, but you know there's there's all kinds of other things there and I don't know if we need discuss those so much into. Say Well, maybe I'll give you a chance on on those side. Are there any other myths that? They you see that perpetuate out there that Mike Contract. Somebody up trying to figure out. You know to use your your example of. into the supplements of medication and things like that that committee just be this big hole rabbit hole that you can answer. Just really find it hard to get out of because. Not, no medication or supplement or really anything external generate slave. Even if you take a prescription medication, the sleep that you get still being generated by your own body, now a medication, my. Low that initial burial initial. To Sleep, which is often heightened arousal or anxiety worry, or it might cause sedation, but sleep is only ever generate to buy your own body so if you reach for like a pale or supplement. You can kind of reinforce this mistaken belief the. Any sleep. The you get is only being generated by whatever you took, and that makes it really hard for you to rebuild confidence in your sleep in your own natural biological ability to slave I'm because especially on the supplement side. No supplement is GonNa fix chronic insomnia as you alluded to. Something might start to work, and then not look while you know everything. Walk until it doesn't work, and because supplements aren't going to be addressing those thoughts and behaviors that the weight insomnia. Insomnia gyeogui gets to that point where you'll recognize in the is not working the it's not leading to better sleep, and then you're in the rabbit hole, because then you're looking for new supplement or a new ritual to to implement in your life, and then maybe that walks for a couple of nights until it doesn't look, and then you look for something else, and she is really hard to escape that once you once you end up going down that route so I think is. Really helpful to and this is one of the things that we try and do with these especially with the cognitive sides, educational side is helping people understand a sleep is a natural biological process. No one ever loses the ability to sleep. You can always sleep. If you're awake for long enough, you'll always sleep Just that in itself can just be helpful. You know because once we go down this route. Route of looking at supplements, Pao's and other external things in attempt to generate sleep. That's one of these perpetuates behaviors that matched. He makes it harder for us to gals. Sleep back on track. Yeah, so we've sort of style here that the insomnia is coming out of your thoughts and behaviors We've status at this kind of three areas. That might be at issue here. Your sleep Dr being disrupted. You're. Being disrupted or increased arousal, which could be caused by anxiety could report caused by General. arousal could be caused by a number of things. What are some of the tools in the C. B. Ti toolkit than to address some of these aspects. Can you walk us through those? He had shaw. Festival education united under understanding while sleep actually is how much sleep we might need because a lot of us have. Unhelpful beliefs about sleep for example, we might think that we need to get. A slave, everyone hours of sleep, and if I'm not getting a hours of sleep, might health is GonNa Suffer Theri very few people need house of sleep on the fact of the matter is, we will have an individual sleep requirement. So, someone out. There might do absolutely fantastic on five thousand sleep every night. Not even need any more sleep than that were. Someone else might actually need a house of slave. and they really struggle when they don't get it. NIGGA older people in between. So recognizing that we will have this individual sleep requirement helpful, helping you to just avoid that temptation to somehow gas on amount of sleep because as soon as we effort into sleep. It makes it more difficult. I'm. It can also be a big relief for people. To think okay, so maybe it is okay for me to begin six hours of sleep I don't need to. Alice and said that in itself can be helpful, so education really helps to address. You know the thought processes. The perpetuate insomnia, these unhelpful beliefs about sleep. And then we can, then you'll typically see a lot of these behavioral components. Which, I'm to strengthen sleep Dr strengthen the body clock. The reduce arousal one I. Think you touched on earlier was a asleep window. The amount of time you spend in bed or the amount of time you lot for sleep in the evening. So one of the first things that we might do if we want to get more sleep is spend more time in bed. Not makes complete sense right? multimedia spending bed tomorrow. Chainsaws areas for sleep. But the problem is is. More time in bed very rarely means more time asleep. It usually just means more time awake. And that means more time awake thinking about sleep worring about sleep trying to sleep feeling frustrated that you. The asleep feeling anxious, and that just feeds into the struggle, because as soon as we have a high level of Arousal Owari anxiety. It's harder to sleep, so one of the FEST BEHAVIORAL ASPECTS IS WE LOOK to? Implement a more appropriate amount of time for sleep based on you kind of average night sleep. Duration is usually how we did it, so let's say you're currently averaging. Say Five hours of sleep. Each night than we'd say you know. Maybe it might be a good idea to say. Spend five and a half, thousand bed, or lock five and a half house asleep. So, we're always going to be allotting more time for sleep than your average night. Sleep duration so not cutting into the amount of sleep. You're getting awaken to be significantly reducing the amount of time you spend awake during the night nine itself can just feel so good because being awake for hours during the night is very rarely pleasant. And in addition you'll building sleep drive, so let's say you're now now. You're getting out of bed at six o'clock in the morning going to bed at midnight, whereas before maybe you getting out of old different times in the morning going to bed at like nine o'clock in the evening. Now! You're getting outfit at six o'clock in the morning and you're GonNa be away all the way through until midnight a lot long time for sleep drive to build. And sleep drive is just this biological process that says. The long awake, the more likely is, you're gonNA sleep because we get sleepy the longer awake. So now you're starting to go to bed when you fit Stein to feel sleepy, which love people with chronic insomnia that she kind of. Lost that sensation 'cause, the one of the biggest symptoms of chronic insomnia is actually fatigue rather than sleepiness. So a lot of people with insomnia might go to bed when they're failing kind of worn out and exhausted, but not necessarily sleepy. So, this helps you rediscover that strong sense of sleepiness which in itself can be quite reassuring. But it also helps you fall asleep foster and can often help you spend like get more consistent consolidated sleep so I spend less time awake during the night, and that in itself can feel good to. When you're getting out of bed by the same time every day, that's really strengthening. You'll body clocks. Body clocks got this strong consistent morning anchor, so it can better predict when it should be sending those aches, ignorance through the body and better predict when it should be allowing those sleepiness cues to Cova on that's typically where will usually saw the educational side and allotting an appropriate amount of time for sleep, and so I I want to summarize that a bit and and give them my experience. I think it's I'm instructive to. Somebody's listening to us to hear about. You know how helpful for me because. You're saying you know resonated with with my experience so for myself. When we first initially talked estimate is sleeping between four and four and a half hours a night. Probably going to bed between nine and ten and getting up at six so You know spending a lotta time up in around in the night. Reading or Watching sports I wash wash wash on TV I mentioned to you. Just trying to kill time trying to get back to being sleepy and somebody said that really resonating is that people that suffer from krog insomnia may have forgotten what it feels like to go to bed sleepy especially. If you're going to sleep, you know going eight, thirty or nine or First thing we did was compressed asleep window so for me. That was and a half hours from eleven three till five. And I can tell you the first night I try to eleven thirty. I experienced sleep Dr was. And even more, so the second and third night, and you know is is actually extremely difficult. To stay up that late. And I'd have to do things I have to go. Read at the kitchen table or I go up to fold laundry or go. Hit Golf in my basement or something and try to stay even awake. And by the time I had hit the pillow. You know I was I was. Just out. and. It's been like that. I would say the last seven weeks. I've had. Less than five like two or three nights where I haven't slept, fell asleep immediately and I've expanded my sleep. What and we'll talk without a bit, but at the stars want to really want to emphasize that to somebody that's trying to sleep that isn't that experience. That literally was like you know I. I go to bed and falsely right away, and it was because of that sleep trump making me stay up later and then also. Getting up earlier and having that long time in the day a digital. Maybe a mindset changed as well way. You're really looking forward to going to bed you. Checking that clock is my sleep window beginning. Yeah, I want to go to bed or as a love people with chronic insomnia always have this fear of going to bed. You know I don't want to go to bed, but it's bedtime. I have to go to bed and it completely transforms the way you think about sleep just that relatively simple change of just changing the amount of time you for sleep I fear is like fallen asleep while standing up. Was and still is extremely difficult to. And I think that's maybe the one of the gauges to deceive. You're the right spot, but so maybe I'll give a summary at the end of of how things have progressed, but when we started I was still maybe struggling in the middle of the night and getting up but that. The falling asleep part besides off, and on over the last number of years I may experienced a timer. Something, like that, but to have its steady every night whereas go sleep. Is An interesting experience, but it was a skill. And it would definitely was a behavioral with our process change as well so that was probably the most impactful thing for me overall, and then some of these other things we'll talk about our. Adding to that I think, but I didn't WANNA. Put a you know a star into that for somebody's listening to this that. The technique alone is something that's has really helped me. Yes, we talked with sleep, driving title, a body clock and setting an anchor a wake-up time. What are some of the other tools in the tool kit for ti? So another one that really helps on the arousal side of things. especially with any kind of conditioned arousal that we might have the people that aren't familiar with conditioned arousal age. Just you know if we experience something over and over again, we kind of come to experience. We kind of come to expect that an old emotions that go along with it. You know so, if we caught speeding one day we got pulled over by the place got CIANCI's. Next few times we see a place at hot. My stock to Rice might get sweaty palms, thinking about experience, and the same thing can happen with sleep so. If we repeatedly experienced difficulty sleeping, we can associate the bed with negativity with anxiety and frustration, and that's not a good thing you know. We want the bed to be a place that we look forward to going to the we find relaxing comfortable. Restorative will the good stuff. So that we can address this is. Because we learned the bed might be an unpleasant place to be. That means that we can rely on La that. The bed is actually a nice place to be a. we can only do that through exposure, so the idea is that anytime? Being in bed doesn't feel good. We get out of bed and just to anything else. We shift all of that unpleasant wakefulness out of the bed, so we can maybe go to the living room. You Watch TV revoke practice out golf swing into basement. What if we want? It doesn't matter. We just want to shift the unpleasant wakefulness out of the bed. And then when you saw to fill Commun- relax again. You can return to the batting of yourself that opportunity to sleep. If, it feels good to be in bed. Know how you feel. Calm and relaxed feels nice. There's no need to get out ahead because you know. The conditions are right for sleep, and you're not reinforcing a negative association with the bed and unpleasant wakefulness, but if it doesn't feel good to be in bed, you know that's your cue again to get out of bed. I'm so is a process and in the short time it can kinda tenuously human, young, getting in and out of bed. But over the long term that will help you relearn to associate the bag with sleep unpleasant wakefulness. Furthermore being in bed awake frustrated anxious usually doesn't feel good so getting out of that in just doing anything you find even a little bit more enjoyable is often more appealing to stay in bed, and it can often even just act as mental reset switch because when we lying in bed in the dark alone without thoughts. We can Kinda Shuler's salts and he's really hard to distract the mind if we get out of bed and do something else. We can often distract the mind. and. Take the edge off of that warrior that frustration of lot quicker compared to if we had stayed in bed. So that's another technique. The you'll typically find in CVT I I'm, and is this aspect of stimulus control making the bed a strong triggerfish sleep. Kind of a tool here sub tool on this one actually got it from the insomnia coach podcast you're you're talking with a guest on there because I got to the side of is doing this and I was getting up whenever I felt. Uncomfortable and then wait till I felt comfortable is go back to bed. It was working, but then at some point there. Camera the night, but it like. How do I know if this is the time to get up? And it's like Then you start to think about that and you know then. That's really more so the tool I heard you on on. Your podcast was try to revisit. Netflix episode, so as you're watching or even a movie that you like or something, but and try vision what the next episode is going to be so I haven't seen the next episode yet, but try your mind last episode the next episode of pitchers. What's going to happen and if you can't do that, then you're probably to arouse. It's time to get out of bed. If you can do that, you'll probably find the a falsely pretty quickly or imagine the other one. That's I do and I mentioned before the call. I do this actually pretend playing golf on of course I played and. By the time a second time I hit the ball. I'm usually asleep. Or if I if I can't do it, then that was the cue that okay. Well. This is too frustrating place to be so it's time to get up. And that helped me that kind of little tip, so wanNA make sure we. We shared that out. Anything else on this the arousal side they think might be good for the audience. You know I i. think a big one the probably. I don't think it's necessarily officially. Paul CB ti, but something that. I explained to clients and the clients do find really helpful is just. Trying to pursue. Enjoyable enriching activities during the day and trying not to let sleep influence. How days! Say it. It sounds easy to say especially if you struggle with sleep for so long, but what tends to happen if we struggling with sleep for long periods of time is. Will kind of withdrawal from activities that might be. We once enjoyed for example have a lot of clients that used to really enjoy walking out, and now they feel they come walkout that same level or they've quit walking out altogether. People might. Not, socialize. They might not go out to watch a movie in the evening for fear of how that will affect asleep. They might try and Conserve Energy during the day Colin sick to walk, but unfortunately all these things you know they they can lead to more arousal because at its core, the less active we are, the more time available to think, and if we're struggling with slave out, thought processes will typically ton to sleep, so we'll spend more time thinking about sleep worrying about sleep, maybe researching sleep. And that's very very helpful. And, if we do things directly in response to a difficult night for example choline say. Plans. We guarantee that a bad night's sleep has a bad outcome. Whereas, if we can somehow just pull together some kind of reserves and carry on out, die as normal as possible, we can all cells that opportunity to have a good day, or at the very least experienced some okay moments I'm recognized. How we sleep from night tonight, dozen one hundred percent dictate the outcome of out days. A one we can recognize that we can put less pressure on ourselves to sleep. If we're having a difficult night. Instead of thinking I'm GonNa make all these mistakes wok now I can't go to. The move is now I can't go to watch that play. You can remind yourself of all the times when you've had a bad live sleep difficult night, still dumb things and had good is, and that can just really help. Remove any pressure. You're putting on yourself to sleep and just lower the intensity of your opinion. A sleep is really really really important to the quality of your life I can just be Sarah Helpful and if you if you give up if you don't go into work, or you don't do that thing with your friend who have their meeting, you've. You said it, but you guaranteed about Oh come from that sleep. Haven't even the chance to. have good dot com, exactly another thing that I don't think I mentioned is the because one of the primary complaints side effects of insomnia fatigue. When we swim, we remain active that such a great for fatigue, because fatigue feeds on inactivity, the more seventy up the more sedentary we are, the more fatigued. We often feel that the more active we are, the less fatigue we feel so it can actually being active. Can actually the really beneficial if you recognize the fatigue is a big problem in your life or associated with your your struggles with sleep. Think, it's really important to consider and like. You said if you are struggling with sleeping, Tom. It doesn't mean you have to have a really bad life. Can actually have a good life and still go through that and I would put myself in that category, even though I had struggled and now looking to the future. So. We talked through some of these tools and I think they're really helpful. On incurred the I also go to the your podcast in your website to learn more, but I want to turn to. PRO grammatically and end. You've probably got this question me will. We were together a bit. It's like okay well. How do I know so? He started with a five and a half an hour sleep window, and that was like. How do I know when to do the next step in the? Through our conversation I. Think it's probably different for different people. Maybe we'll touch on that, but the the thing that we came to as the measuring stick was oriented. Calling and what you call, sleep efficiency, so the time spent. In bed, trying to sleep the time you obviously divided by that, so if you try sleep for eight hours a night, and you actually frayed hours, and you have a hundred and fifty. If you try to sleep three hours in the night, and you have three hours sleep one hundred percent efficiency with as the measuring stick. Really Secondary The number of hours sleeping and I found that really helpful to have something. Hang my hat on. Pro grammatically than to walk through the last couple of months doing this, and so, what I did was started with a very narrow sleep window five and a half hours a pretty low percentage I see where even started I was doing what I said, eight or nine hours a night and getting. Three and a half four hours sleep so. At forty percents leave officiency. But. You know started with narrow window and I found pretty quickly in a couple of weeks I was up. Seventy eighty ninety percent sleep efficiency, and then I still was feeling pretty fatigue during the day. That's my started opening increasing the sleep window increased by fifteen minutes, and then do you know another week like that and track my sleep? And then it was still high percentage increase in other fifteen minutes. Up now around six and a half or six and a quarter hours or my sleep window, that was the measuring stick I use to guide. That and how feeling the day, and how many coffee I feel like I need a drink, then kinda some markers like that, but I really like that concept of sleep efficiency, because as another added benefit, and we've got to touch on this on sleep drive, but. It's amazing having having the evening to do stuff and have the morning to do stuff. Those, probably one of the most enjoyable parts of working on the sleep, Dr. thing is when we started. And you know my my sleep window was eleven three till five. My added another couple of hours onto the end of my day and actually could do more things. My family or you know not be worried about watching a movie because it's GonNa affect my sleep. It's like a that's not even going to be a problem because. I know by the time. Ten, thirty or eleven or fifteen, I'm going to be dying to go to sleep anyway. Yeah exactly, and that's where it's helped. That's why it's helpful to to. Do stuff during the day as well. You know because by default you're probably. GonNa, have more time available during the day when you start implementing these techniques, and you feel really inactive, sedentary extra time during the day is probably not gonNa feel very good, but if you'll staying intensely focused on your career, or you're studying all your hobbies, allies enjoyable, good enriching activities. That can really help the process a lot easier to, and so all those kind kinda summary when I started I mentioned it was. Laced estimated sleeping around three and a half four hours a night. spending you know about double that in in the bed trying to sleep or out of the bed you know trying to get back to sleep, but my my sleep window as we are calling it or as called CBT I. Was that long? So you know forty percents leave efficiency and in bed for eight or nine hours a night. Using the sleep. Window and to actually get asleep drive so I wanted to go to sleep when I was planning on going to sleep. And, then working in some of these things, these aspects around decreasing arousal, decreasing the feeling of seeing bed as a negative place for sleep, using the sort of visualization tool as the the cage for that Ah. Guys went from I think the first week we attract I. I slept for an after four point. Three hours for seven hours five point four five point seven. I'm up just over six hours a night on average now, but the sleep efficiencies really were. The cool part is so I haven't had probably last month. I'm a week below ninety and some weeks are just one hundred I. Every hour lay in bed. I sleep. Every and it's you know I'm asleep within a couple of minutes, and if I do wake up in the middle is are the sleep tracking sheet I'm using think as fifteen thirty forty-five minutes our kind of ankles, but it's like I wake of online fall asleep again immediately, not worried about it at early those down as I might say woke up, but that I had zero minutes woken up. So still gives you a hundred percent sleep efficiency. And it's really cool to see that and have more time in the day, and to also feel feel better than I did. Mention America for the call. I think I'm ready to open that window up a little bit more. I've been a little bit more active in the day, and I feel like I could use a little more hours there by how this toolkit to be able to do that and I know that if I less sleep efficiency undisclosed, my sleep Wendo up again and start to build confidence again. Yeah, exactly, and it can be helpful to suggests recognized the waking during the night is a completely normal off sleep Even people have no issues with sleep. Typically wake many times during the night the differences. They. Don't pay any attention to them. You know so. They'll pull back to see really quickly I'm probably won't even remember those wake innings. So that can be really helpful to it goes back to off the educational component, just recognizing understanding what normal sleeve Ashley is a waking during the night completely normal. The problem is often how we react to those awakenings that determines how easy it might be full back to sleep. I, love it, so this is I. Hope an interesting to the audience like I said. This is sort of different. Than our normal topic talking about academics talking to research talking about building all businesses. but I bet and the reason I put this episode. Is that I I? I believe that it's it's probably pretty prevalent in. In this field for people to have at least have some struggle asleep, and certainly some that would be adding issues insomnia so. I I think this would probably help there. If People WanNA learn more about you your work. You know the types of the due to educate people on Insomnia. Where's the best offer to go to to get more of that? Probably just the website so insomnia coach Dot Com. You can learn about my one on one coaching programs. The will help people implement these techniques that address thoughts and behaviors, the insomnia, and also as you touched upon to have that free two weeks training coles or you need to do flashes typing email address. Got One email every day for two weeks with information on how you can walk through these. Thoughts and behaviors by south, and for those who have a lot of self-discipline, perhaps slightly more mild insomnia. Had Insomnia for too long. That might be needs to get back on track so Yeah, that's it insomnia coach Dot Com. You can find me in everything I do and there's a community forum there as well to people can can access. Is that read yet? There is a forum there while this free to join, so the other folks that are taking that course will be in there and and talking. Talking about so it's. It's a cool spot to check out especially. If you WANNA increase your your skills and your understanding in this area, so without say thanks Martin again for coming on I was going to mention the outset, but Martin owns it online business, so we may. We may get him on the podcast. Talk more with the business aspects and how he's built that out in a later episode. It'd be an interesting store always while, but I thought this one was important to to get out to them today on, appreciate you coming on to share your back story to share your experience with with working people in this area. Thanks, you almost paint a pleasure. Thanks. Martin I'm sure we'll be talking soon. Thank you, so you've been listening to myself. Dr Chris Clone and Martin read from insomnia coach, Dot Com and insomnia coach podcast we talk about what is cognitive and behavioral therapy for insomnia CB TI as I mentioned the also, this is really. Something personal that I wanna share with the audience. I've talked about the type of goals I'm setting my life how I'm really using my business to. Be a key driver, so it's not designed the business that the only business can from the life. You got its vote. Designing business that fosters and supports the life. You want so out of that. The revenue goals from this year were to feedback into things like personal coaching feedback into. Outsourcing things in my life, that are you know that I? Don't want to deal with too much anymore. One of those is doing more research on sleep. After you do enough of it and read enough sleep, hygiene stuff in that realize that it's good to get help so I did that and it has been very helpful for me. It's been helpful to build this skill set to help. Build a conference and come up with new ways to think about it so I. Want to get that capture here on the podcast to help with the with US listening here as well so if if you like podcast, definitely, give us a shout on twitter on instagram sat grab blogger, or at Saami coach on twitter Gimme, questions woods episode. You can definitely find Martin on his website, or you can go to grab Lard Dot Com. SLASH ASK K. Some there we'll get married back onto to answer those questions or create another episode around them as always grab a pdf transcript of the podcast episode at Grobbelaar. Dot Com slash sixty six put those together and team makes a really nice scandal readable searchable document that you can go through to to understand with covering this episode. So great we head, appreciate everything you're doing around the world to all business and make change the world really four to continue helping to do that here with the Gregor podcast.

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Countdown To World Sleep Day with Podcast Eight  Dr. Charles Morin on Insomnia

The Sleep Forum Podcast

24:53 min | 8 months ago

Countdown To World Sleep Day with Podcast Eight Dr. Charles Morin on Insomnia

"The following sleep better. Podcast is brought to you by the Sleep Forum for more information. Visit the Sleep Forum Dot Com. This is Doug Green the publisher of the Sleep Forum and this is part of our ongoing podcast series in the run up to World Sleep Day. And today I have with me. Alan O'Brien is the executive director of the world. Sleep society. Allan thank you for joining me today. Thanks for having us and I also have with us Dr Charles Moran. He's a full professor at Lavalle University studying cognitive behavioral therapy doctor. Thank you for joining us today. Thank you and it's my pleasure. Well Allen is your the a leader of our our podcast series a lake. You take it away get a little bit about world sleep society. We're a nonprofit organization membership base that represents sleep researchers and clinicians around the world with two primary focusing programs on awareness and education and as part of our world safety initiative bringing these podcasts. To the general public is our main goal are volunteers that are around. The world. Have a mission of advancing sleep health worldwide. Today we have a doctor. Charles Morin Our past president and also our individual who is part of our two thousand twenty one world sleep Congress Program Committee Welcome to have Charles On the call today so chose let me just first. Ask You Can you first define what a sleep disorder as well? I'm GONNA speak maybe more specifically to insomnia which is the most prevalent of all sleep. Disorders and insomnia is a condition where people have trouble following sleep bedtime or they have trouble staying asleep during the night to and They can also have No difficulties getting to sleep or staying asleep. But then they wake up too early in the morning. So these are the treat classic nocturnal symptoms of Insomnia. But then some. That's not just a nighttime problem. It's a twenty four hour problem so most people who have trouble with sleep at night will also complain that they time in payments and the most common consequences of insomnia involves teague decreased energy problems with concentration attention and memory mood problems And so forth so insomnia is really a problem that involves both at nighttime and daytime symptoms and typically we would quantify or diagnose Insomnia as being this older when it occurs a minimum of tree nights per week and talk about chronic insomnia when that's last full monetary months. That doesn't mean we should ignore people who have sleep difficulties for shorter than three months off for less than three nights a week. These people can also have a significant insomnia problem but it does not quite meet the trash. All for being called and insomnia this holder in. And we know that you've done quite a bit of work in your on the forefront of of research on alternative or non pharmaceutical therapies insomnia What are some of those therapies? They treat insomnia well currency. What's recognizes the treatment of choice so first line treatment to insomnia is cognitive behavioral therapy and The acronym is C bt and cognitive behavioral. Therapy is a form of psychotherapy. It's brief it's sleep. Focus and problem solving oriented the the main focus of CBT is in changing Cool sleep schedules or post sleep. Habits mouthed APP GIVES LEAN HABITS Sleep scheduling factors and also It targets were raised and beliefs that people entertain about INSOMNIAC in about the consequences of of insomnia but if we stop I with the behavioral component to typically people who have insomnia will spend too much time in bed the end the first recommendation when we do see bt is to decrease the amount of time a person spans in bad because even if people do that to to increase their Petunia. Take for sleep. Oftentimes it has the opposite effects and it makes this sleep more fragmented less efficient so the first behavioral recommendation is to decrease time spent in mid and to to take a simple example. If there's some for instance report to to spend maybe an average of eight hours per night in bed to sleep on the six of those eight hours. Then the first recommendation would be to decrease The sleep window to six hours so it might involve going to bed later and rising earlier in the morning but the result of this will be fairly dramatic and that they will strengthen the this leap drive up the need to sleep and it will improve the sleep efficiency so this is the very first recommendation. And then they are a number of other behavior recommendations Such as Going to bed only when sleepy. There's no point in going to bed that let's say nine o'clock in the evening just to make sure that your sleep at eleven this would just give more time to worry about his or her inability to sleep and sometimes people feel that they are very sleepy they go to bed and then they can't fall asleep then the recommendation would be to get out of the go to another room and return to bed only one sleepy again And not a recommendation would be to rise at the same hour every morning and to use the bathroom bedroom for sleep. Only that is no reading watching. Tv No cell phone in the bathroom bedroom ready to reserve that environment so sleep only because in the long run what happened with people to develop insomnia they come to associate their dad the bedroom environment and at time. Not What sleep but tongs? I T and the fear of not being able to sleep so we want to recreate a positive association between those stimuli that normally conduct conducive to sleep and the sleeping well so that's a long answer to address a behavioral component to but Part of the behavioral therapy cognitive behavioral therapy is to change the way people look at their insomnia. Oftentimes what brings people in treatment to is not so much the fact that it takes them an hour to get to sleep. They awake for now on the middle of the night to seek treatment when these the perceive not to be able to function during the day the tire the they're unable to concentrate and they meet and become more depressed So we need to address This way of thinking about sleep and insomnia and if people if opposing the task trophies after pool night's sleep then naturally this will make the much harder to get true and so we need to teach people When we do see bt with teach people to take a step back and look at insomnia as more manageable mall controllable. And I think you you recognize that there's a new first line treatment for insomnia In this is different from a pharmaceutical agent. Ldc's for example Ambien But for those people that that haven't had a conversation with their primary care physician about cognitive behavioral therapy and they may have some Ambien or insomnia that they're using with amion. What are some of the differences between the pharmaceutical agents and Let's see the non-pharmaceutical and and how can they be used in parallel together? Well Down different classes of medications. that Fda approved for the management of Insomnia. And we often think of a traditional benzodiazepines but they are newer agents Like sold them As pit Lono as OPEC loan and Even newer age and they all have different mechanism of action. I think that the using sleep medication is fine in the short term but but We need to be careful in the sand staff to if he uses sleep medication every night for prolonged period of time. Most of the time there will be home of habituation that will develop or tolerance and the medication will will lose. Its benefits in the long run. So yes they can be very helpful in the short term to cope with acute situational insomnia but for short period of time. So we have to look at these as kind of a rescue for acute insomnia whereas cvt well probably require multi-mm` more efforts Before it produces sleep improvements but the big difference is that with. Cbt It will produce Long term benefits even after the end of soapy out. There are ways to to combine these two treatment. Medalla tastes are probably like I said. The audio medication can be beneficial in the short term and see bt is Beneficial for the management of chronic insomnia. And it tends to produce a very durable benefits over time so in some way we can say that they are complementary to one and onto within our world sleep day we have Some recommendations are tips for good sleep hygiene. Many of the kind of behavioral methods that you mentioned are part of that a good sleep hygiene for adults including establishing a regular bedtime Voiding CAFFEINE OR SPICY SUGARY FOODS. Exercise regularly use comfortable inviting. Betty and keep the room well ventilated But is there some other type of tips recommendations that you have specifically within the cognitive therapy and trying to go ahead and get a good night sleep? Well yes of course I mean I. You need to keep Realistic Expectations. It's not necessarily because you don't get eight hours of sleep per that you have sleep problems and you need to keep in mind that even the best in the world do not always sleep a solid eight hours every night and sometimes people even people with good sleep at night. They may wake up not feeling well rested in the morning. So a person who see perceives have insomnia should not necessarily come to the conclusion that there was a pool. Night's sleep if they don't wake up fully refreshed in the morning so it's important to keep one's expectations are realistic But on the behavioral side the I think that yes. We have to avoid the all stimulants And even alcohol which is a depressant nervous of the central nervous system because even if it can help a person who's anxious or tents at bedtime it may It will track men sleep as the individual metal tab lights the alcohol in the middle of the night so alcohol is to be avoided just has his stimulants to be avoided and other strategy is to make sure to allow for a one hour. Unwinding time before bedtime you cannot work until the last minute and hope that streep will come automatically after you turn the lights out if there was not that unwinding period so you have to put your brain to it to rest Before going to bed so a number of additional strategies like dad can help too. But it's important again to keep a realistic expectations. These may not work the first night. He used them. So you have to continue applying these strategies on a regular basis Of course read. Accusation can be out of effective strategies for people who anxious and who Particularly anxious about the not sleeping so this is particularly important into practice on a regular basis. And is there any recommendations that you have for those that are Shift workers so they work during the night. Certain number of days a week and then of course they're they're off work or individuals who are traveling In going more than two or three time zones during that business or vacation trip. There's some things that they can do to help with their sleep at night. So some of these behavioral recommendations can also be helpful for the shift worker but they need to be adjusted to adapt to an individual. Sikkim stance for instance. A person who works the night shift should make sure to get back home as quickly as possible. After the night shift work his over an should spend too much time doing errands on the way back It's important to get back home and get to sleep as quickly as possible in the morning because the body and the brain is still in the sleeping mode so whatever sleep that person can get before noon will probably be easier than after noontime man so that's recommendation and if the night shift worker can only get for five hours of sleep in this stretch Dan There's no point in trying to force sleep all afternoon then being Being awake most of the time in bad it's probably best to get up in the afternoon the and the just make sure to reserve a time for shorts short Nap BEFORE GOING BACK TO SLEEP. The next night to so these two important recommendations. Of course I'll sleep is not asked protected during the day and it is at night so it's important to have sleep entitlement. That is very quiet and protected from outside noise Light to and so on you. Family members need to be aware also and tried to protect his feet So you have to let them know what your work schedule. Hedge ruled is. I said the family member but also friends so so shift worker. Probably needs to go the extra efforts to protect his asleep in although to optimize sleep after less than optimal time period the during the day great recommendations to follow If I was one that was wanting more information about cognitive behavioral therapy or different treatments of insomnia When should I go and talk to my primary care? And is there another of research that I could go to to find more information about Cbt Of course. Most people will have occasional insomnia and that doesn't necessarily mean that they should. They should seek professional treatment immediately. They are some Some online resources Health health books that are available for people who have occasional sleep problems but So what is the right time to seek professional help I think that when postseason experience Difficulties falling asleep or staying asleep more than a few nights a week and that its last for more than a few weeks. Then it's time to seek professional at sites And the person could talk to his primary care doctor to full full additional wrestle. Shire's could Seek help a directory permit cynical psychologists who has received training in cognitive behavioral therapy. Ideally cognitive behavioral therapy for insomnia so they are group's psychologists who specialize in that -til the called Behavioral Sleep Medicine and Dow list of specialist Available around the country that can provide that specific Treatment to- insomnia and that's great great advice. Doug is or anything else that you'd like to go ahead and ask no. It's been very informative. You know I wanna go back a little bit. You were talking about alcohol and I have a feeling a lot of our listeners. Tried to no way self medicate with insomnia and maybe try to take drink to sort of settle down and and try to go to sleep especially if they're under strain or they just stop working. Could you tell us why alcohol doesn't work so if indeed many people the self medicate to for the Insomnia Ido with over the counter drugs even with alcohol and I'll do? Alcohol is a depressant of the central nervous system and it can actually help the person in the term to relax a and maybe even to get the streets faster. This is not a good solution because once with metabolize the alcohol maybe midway through the night then they will produce kind of a mini withdrawal syndrome and sleep will become much more fragmented and interrupted particularly in the second half of the night too so even if it's readily available and many people may be tempted to have a nightcap to to relax and get to sleep more easily. This is not a good solution. The same for over the counter medications most of these products whether it's it's Some you next or naitonal Tylenol PM. Most of these products contain the and into history. Means Dad is available when you use A cold remedy and It may produce some daytime draws in this but it's not It's not Powerful enough To to treat this deep problem and intact may actually produce more side effects than the prescribed. Medication by your doctor. What are the short term and long term impact of insomnia for individuals so most people who who experience insomnia and acute bout of insomnia will will necessarily experience? Also some sleeping this The next day and More problems with attention. Concentration decreased energy but Conical studies have also documented the impact of chronic insomnia on both mental and Physical Health. And even if many people tend to trivialize the impact of it. Some yeah these studies have shown that chronic insomnia increased risk for depression and problems such as hypertension. It's also associated with an increased risk of absences from work and disability from work. So I think that we. Although we don't want to panic after the third night the first night was sleep. We have to take this problem seriously. And there is also a connection between insomnia and depression and this is an interesting connection. There has been a very significant change of paradigm in the way. We look at this connection between insomnia and depression We use the thing. That insomnia was just a symptom of something else and we just needed to treat that something else. Be depression pain of so forth and that would necessarily cure the insomnia. Now there's increasing evidence showing that in a person who has both insomnia and depression. If you only treat the depression the chances are that the sleep problem will persist over. Time and persistence of the problem would increase the risk for relapse from the depression. So the change of paradigm now. Is that even? If you develop depression as a result of insomnia you should treat both condition. The ideally in parallel. But you should not assume that If you feel depressed that by treating the depression they will take care of this. Deep problem. Oftentimes both condition well required treatments on their own today. We're talking with Dr Charles Moore and from La Salle University and talking about cognitive behavioral therapy and insomnia. Dr Martin. Is there anything that you're currently working on within your research to? Well always looking to find better ways to help people with insomnia because his a condition that affects at least ten percent of the adult population on a chronic basis and another percent on an occasional basis So each treatment modality was talked about Drug Treatment we've talked about. Cbt each of these treatment. Modalities have their own advantages and limitations. So currently we're looking at different Treatment sequences involving both see bt and medication We're trying to determine. When should we use medications? I vs went. Should we use? Cbt US and if someone does not re- respond adequately the first course of treatment. Dan what should be the second line treatment so these other type of questions that being investigated and tentacle tribes currently? Thank you so much and I'll turn this back over to doug again. Thank you very much doctor for joining us and giving us a really interesting overview of insomnia a much better understanding and Allen. I want to thank you and your Organization for setting this up and making all of us much more aware of the importance asleep in sleep health. we look forward to our next podcast. Right you for having US thank you. This sleep better. Podcast was brought to you by the Sleep Forum for more information visit the sleep forum dot com.

insomnia Sleep society Behavioral Sleep Medicine bt depression Doug Green Dr Charles Moran Allen Alan O'Brien Allan professor executive director publisher OPEC Lavalle University Charles Morin Dr Martin
Episode 37 - Insomnia Part 2

The Stephen King Boo! Club

54:20 min | 8 months ago

Episode 37 - Insomnia Part 2

"Hey folks just at the top. This is future. Steve Aka Editing Steve. You're going to hear me two more times in this episode once reading the main points which are courtesy of the wikipedia summary this week and again during the mid show. We forgot to mention something so all see both of those times enjoyed the episode content warning Gore violence against children. It was as if the door in reality had become jar. It's the Stephen King Boo Club for good talk about death and dying like that. I'm just the actor Robin Williams. The person is no psychopathic killer. You do you snooze you. Kickin back from laugh. How you hyper real right now. Yeah he's hyper real. I'm Steven Indra. Sano and I am Phoenix Crockett. And this week we are reading the final part of Insomnia published in nineteen ninety four. I'll take the main points here. In the final third of insomnia the allies of Ed deep now attack and set fire to the shelter where Helen deep now staying. Ralph and Lois saved the residents. They then seek out. Tropes and Ralph overcomes him extracting a promise to stay out of their business. The doctors being bound by their word however when released a Tropez has his revenge by Schilling. Ralph a glimpse of car impact in the near future in which he takes the life of deep now. Helen's young daughter in retaliation time is running very short. Ralph tells the other ball doctors that he will not stop and deep now whatever the consequences for the multi. I be unless they allow him to save natalie deep now by giving his life for hers when the time comes they are unable to decide and a higher level entity of which they are in awe manifests briefly stating that. This will be allowed. He and Lois finally learned that almost all of reality has stopped to watch the events unfolding as the fact all of reality and that the target of the Crimson King's attacked is not the speaker at the meeting as they had imagined but a young boy who had been in the shelter fire and will be in the audience at the talk. The Boy Patrick. Danville is the focus of a prophecy concerning the salvation of the dark tower and will perform an action later in his life that is essential to preserve the multi-diverse Ralph fights both at deep now on his plane and also the crimson king who manifests to prevent him from interrupting adds mission. I as Ed's mother and then as a gutted fish from one of his most dreaded childhood memories to prevent him from interrupting Ed's mission Ralph succeeds in causing the plane to crash some distance from the center as Ralph leaves the level on which the plane is crashing and survives. He and Lois Fall in love. And get married and gradually forget the events which brought them together in an epilogue some years later Ralph but not lowest. This time again starts to wake up early and see. Auras and eventually remembers his promise to exchange his life for Natalie's understanding that the time has come. He wants to the shops in time to see the car shown to him by a troposphere arrive and veer toward Natalie. Ralph Pushes Natalie to safety losing his own life in the process but dies peacefully and Lois is as the two bald doctors who are agents of the purpose. Wait at his side that brings us to full dark. No structure two points two points go for it. Point Number One Hey excuse me what we are cabin. Just now D- yeah. What all right number two okay. That's all that's it that's it that's all. I also have two points I guess I'll lead with the one. That's most immediately explanatory actions. Which is that. We're recording this directly. After having stopped recording part one was already one of our weirder episodes so we are full chaos baby. We're not we didn't even we rate into And then my second thing is that this book super good. It's really awesome fantasy. The other world stuff totally lands for me. It's so up and down. Different levels felt way more grounded than it did in the towels men Which really shows in the final part of this book because the final part of this book is just like raw psychedelic in terms of going into and out of AURAS. There were portions of this book where people speak to each other psychically in brackets and parentheses and in italics simultaneously. It's a lot. Let's take it over to down east wisdom so obviously the main gets toned down in favor of absolute Bananas Insanity this too much of other going on for there to be a lot of Maine in here but there's a little it is there. There's a little bit. There's some cool shoutouts. I think I'M GOING TO START. Tracking shouts to real main places while we're in this segment. We like a map or something snaps at the risk of sounding like I was hired by the Tourism Board of Midcoast Maine. Deborah Scott is super beautiful. Gets to shout outs. It's a place I went to a Lotta Kid As well as Belfast. Which is where my favorite Burger in the world is it's at Raleigh's noticed. Expert over their word wise. We get a lot of this stuff. We've gotten before a few frigates which I love. Kinda love Friggin Forgotten Kyle. Can you know we have? We have a shirt without a weekend Meghan habit. We could technically t spring would help us. Thank you spring. We are not getting paid to say that. Kiss a few written dialect. Parts were dropped. Ours are exaggerated like in the bad super bowl ad with John's Kaczynski. That's playing right now. Explained to me what dum dum. Maro Demar Scott Damn Scott. What is Dan Rea? Scott Scott is a cute little town midcoast Maine where they the biggest thing they do. Every year is a big old race down the river in Pumpkins. They hollowed out Bullshit a beer lined you saw that in the hobbit has gotta Pumpkin race. Yup It looks like fun God Damn It. It's the Pumpkin Datta. Pumpkin Fed Democrat pump. Confessed the DUMBEST GOTTA Pumpkin Guide? Are you kidding aside? It is amazing. I've never been happier in my life. We should go to it this year. It's like it's at the end of the summer is beginning the fall shit. That sounds gorgeous. Let's go to the dumber Scott Pumpkin Guidance Code that there were Scott a PUMPKIN REGATTA CELL. So go to the wet all right. Here's the web. Listen the web is where we talk about. Connections to other Stephen King Works and this one is going to be a doozy because this book is more or less a Prequel to the dark tower series. And as we've mentioned million times both of us are holding out on reading the dark tower until our series on it which will rate now. It's looking like summer. Twenty twenty to Krill. So Patrick Danville who was in this book played. A big role is a character in the dark tower series. He can draw things into existence as well as a race them which make him one of the most powerful warlocks in the multi verse. He is aware it's just saying a lot of words right now. This is a little. I swear this is true. I I I consulted some people who now thanks Robert. Robert helped him about this warlock boy. He is aware of his childhood in the nineteen nineties. Modern Earth and how he was instrumental in the defeat of the Crimson King. The first time and helps out with the second defeat later God. Only nineties kids will remember ask the Crimson. King is a super super super high level evil. Being like we're talking the the highest level like in the Lord of the rings lower the via. You know what I mean like that Zipper high bad after being raised by Danville exists only as a pair of is atop the dark tower. I'll more the dark. Tower is equally related and unrelated to the Tower of Universal Existence. Metaphor little doctors used to describe stop slowdown my brain. The dark neighboring style related at unrelated to the Tower of Universal Existence. Better for the little dock is used to describe the fourth dimension to Ralph in Lois. I feel like I'm having a stroke. And maybe if I say it because I have the script okay. The dark tower is equally related and unrelated to the Tower of Universal existence which is a metaphor that the little doctors used to describe the fourth dimension to Ralph and Louis that's true and by saying something be equally related and unrelated. We're with the Fourth Dimension Steve. Open Your Mind Buy Saving Patrick Routh gets to go on to defeat the Crimson King. He thinks once and for all wrong which helps save the entire fabric of the capital e. Everything all right cool so much less absurd note we also get the detailed gauge creed from pet cemetery was a victim of a trope ass- and therefore the random which is really interesting because it implicates whatever's wrong in the woods beyond the pet cemetery as at least an ally to or implicated with the random capital t capital are Which is cool. Because we'd gotten shout outs to pet cemetery before but never quite this directly and the whole idea of the random and the purpose being like governing lattice work of the universe that not only carry out how people die but how they live is so complex and like get. It's fleshed out but like not really so. Don't worry about it. It's a cool cosmology. Just go along for the ride man. What's going to re screams are best of section? Coo Coo Coo cool I wanNA talk about a time and Ralph fisting gin bowed Atra poses cachet. Damn loopy So row talking about CACHET invision like I look at it. This is how you lead in. What is probably the most haunting paragraph entire novel? Bill is jazz. I have a song. Second my head. It's sure had a wonderful time last night. Sung by Coco Tyler. Goatee doesn't matter. Focus on the Great Swing. Tune can't not think about it. So here's the let me let me actually read this in because this is this is one of those quotes where we both picked it. Get One per book. This is every time troas take. Someone's life before they're awake time or whatever he also takes a souvenir from them kind of serial killer thing and there's this whole crazy section where they're just about everything in a tropospheric layer and what it is and where it came from so Phoenix. Take it away. Excellent rings in Magazines. Key CHAINS AND UMBRELLAS. Hats and glasses rattles and radios. They look like different things but Ralph thought they were really all the same thing the faint sorrowing voices of people who had found themselves written out of the script in the middle of the second act while they were still learning their lines for the third people who had been unceremoniously hauled off before their work was done. Their obligations fulfilled people. Whose only crime had been to be born in the random and to have caught the eye of the madman with the rusty scalpel. Hey remember all that quote. I need will theme section because it's very relevant. Hey I've got a weird one. Can I give you a weird one? I would love to hear weird one. Let's get weird with it. So there's a section where Ralph is up in the sky. He has kind of a mentally teleported into the cockpit. That at deep now is is in to try to kamikaze the Susan Day rally. It's a whole thing he's up there and he His mom is just kind of outside the plane in a rocking chair. But it's not as mom it's the Crimson King and this section of the book is almost shining. Ask It's like right on that. Level of surreal evil malcontent thing. I can't read all of it. 'cause it's pretty extended but it's delightful it's creepy and here's a little bit. Ralph now realized that what he'd taken for an Afghan on his mother's lap was actually a mat of bloody eggs in the lap of the Crimson. King it was leaning toward him over the throbbing blanket. It's thick lips quivering in a parody of concern. Something Wrong Ralphie. Where does it hurt? Tell mother Lou rookie. Ooh That's what I read when King for his very shining. Yes it's really shining. E I I love the character bill McGovern we both McGovern rules. And I'd like to give a quick characterization so build is as you heard in the top. Yeah Sucks and here's how here's here's the thing. How could bill died so quickly and unceremoniously? He would have hated it. Routh thought not just because he would have considered dying of a heart attack in a hospital corridor in bad taste he would have considered it bad theater as well man. This is that whole thing of character is thinking about what they think. Really strong characterization. What's cool about that quote to is that it's it's characterization for bill McGovern because you get a sense for what he thought was important in his life which is having a certain amount of impact on people but it's also characterization for Ralph because it's it shows what not just what he thought of bill McGovern but what he mourns about bill McGovern like this is what makes him sad about bill's passing that's great writing also to it shows that Ralph is perceptive. His whole thing is being the most perceptive human alive but you so minimum like perceptive in a minimalist way about all of his friends much like I think thing is Yeah that's what I've got. We WanNa take me to your other. Little three three honorable mentions right. I've got some. I've got some honorable. Mention stuff going on This one's not a quote but it is fun. Gross thing that happens There were bugs that live on a higher level of consciousness that are crawling all over folks and they can't see them but the bugs are crawling in their mouths and stuff and it's weird and gross and nasty ten out of ten love it Yo. This'll Oh my God. There's a whole conspiracy theory based on this. This is based on. I unlocked the hidden word. Go on tell me about it. More Ellen's Oh my God more gallons. So Stephen King is clearly talking about this right now. This is a real psychiatric condition. People call it a conspiracy theory but is a psychiatric condition where people believe that there are insects crawling under their skin causing irritation now as a person who lives in the psychiatric world of course to me this is people thinking something is there scratching it and that's where the irritation comes from. But you wouldn't believe there. Facebook groups full of literally hundreds of thousands to millions of people who believe this fully and being the government is trying to suppress it and that all of the descriptions of the bugs sound a lot like more gentleman's anyway there's a million things to think about where gentleman's but that's I think that's what Stephen King was thinking about and I I hope you're right. I had no idea that was the thing. Thank you for being there I have a I have to really beautiful ones. Were bringing in a weird energy to this. But I've got some really lovely writing to talk about his ones before. I give a weird dishonorable mention okay. I'll bring them up before you bring 'em low This is one of my favorite romances in any Stephen King Book. Probably I would be surprised if Ralph and lois gets on seated as favorite romance This is Ralph dying in Lois. His arms listen. He said speaking with great effort yet. His eyes blazed would not let her go. Every day. I woke up next to you was like waking up and seeing everything new. He tried to raise his hand to her cheek again and found he could not every day. Lois Oh made me sad. Maybe I teared up. A little bit reminds me of the Harry Potter. Always shut the fuck up this way better than that. I don't eat my but this is way better than Matt Anyway. Best literary montage goes to the description of time passing after the main plot ends is during the day Newmont I can't read all of it but it's just some really satisfying life goes on stuff. It was life often unsatisfying frequently. Cruel usually boring sometimes. Beautiful once in awhile exhilarating. The fundamental things continued to apply as time went by. There's like a whole paragraph preceding that of just examples like small life events and it's really touching in gorgeous. It's nice. It's much like the last episode of Future Aurora. Yeah where they do. The montage anyways So here's a dishonorable mention. It's not as I will mention because it's politically incorrect. It's just really terrible writing. And it's the Saints Rayleigh inexplicably bad writing. King took the piss out of himself for this in in the book on writing. He has other places to go and other things to do. Of course every day is undoubtedly a busy day. When you're a supernatural psycho. Like him but it must be hard for him to stay away from this place for long. No matter how busy he is and how does it make him feel like a tight fuck on a summer afternoon? That's how suck at writing this. It's bad it's bad. Writing is lean tire book had been written like that. It would have been a very bad book. But it's just like this one weird blemish. I don't know what world news show. I guess we're going to the metro. I feel like early early record or not. Actually look at my very first sentence. I wrote the script getting the mid show early today. Fuck Oh it hurts to laugh because of my back what parts like little a little piece of a Michael Bloomberg interview in case you missed it just a a sniffer If you haven't heard it go over and here it is released a couple of weeks ago. He's a literature scholar who has studied mass market fiction including Stephen King also really well spoken. Isn't he great? I saw him speaker at. Uvm With Tony Mattis Rally Hello anyone on. What is your book about the Book? You're working on when this all came up. My Book is called Stephen King in American politics. And so this book explores even King's relationship to American politics from you know the ranging sixty two most recent books which are doing with what to do with Donald trump and you know the kind of populous friends that surrounding the trump presidency You know and the well it's kind of gestures that Stephen King's own personal politics You know clearly he gets involved in these conversations and sometimes pretty didn't ways. It really tries to stay focused on Stephen King's novels And tries to see where the complexities of American politics Unfold FOR US and Vietnam of course is a part of that conversation. That's really my intersection of this. Treatment of history and politics comes together the central importance of Vietnam in the American consciousness. Whenever I think of politics and Stephen King the first novel that comes up in my mind is the dead zone because one of the earliest ones we ever did. Yes yeah I think. That is part of my introduction to Stephen King in American Politics Book and he's the dead zone. I kinda an extended discussion of what kind of unique political statement is being made in the dead zone. What are we do? You know? This would be assassin This treatment of American politics is this really innately. Corrupt saying It seems in Stephen King. Like starting the the dead sound that politicians are always pretty unpleasant caricatures and next English professors. I think politicians receive the most Dislike in in Stephen. King's were and I was really intrigued by what that says about us. Our own relationship to our politicians are related to the cross to democracy. And it's done. Is that kind of starting point. Because it's a book that really considers you know. Walk around win. We are acting politically. What are the ramifications of that are choosing to enter the political fray And then if if we don't what is that alternative look like for not political animals? What are we and I think Stephen King's were. He's a really interesting place to explore who we are going to go creatures So you that's kind of obviously dead zone is at the epicenter of all of them from there. I just branch out into a lot of other texts that pick up on similar themes remarkable to me is really kind of the consistency of kings political set of values From the seventies until today there have been some changes. And I do talk about those but really I think he has a pretty established way of thinking about American politics. That kind of trace all the bodies work good dude. He's great. I hope to keep him like involved in the PODCASTS. And let's let's keep him around Also in the news Phoenix feel free. To tell me that this is nothing we can announce just yet but we managed to lend interview with the folks behind the old gods of Appalachia. Podcast WE surer dead. It's an amazing podcast. Doing all the stuff that we are so jealous of to horror fiction rube they are as American as Americana gets have some of the best music I think may be an all of podcasting. Their sound design phenomenal man. I can't wait for you guys to your them. Yeah very excited about that. Actually record like if we're thinking about when this episode is recording versus when it's releasing I'm actually recording that in like two hours. Yeah it's a big day for us. so we have the usual social media social. Jesus healed meal. We had the usual Sergio mediums routes. Did you find us on facebook? Find us on the twitter. This is a jerk We're also on instagram and patriotic on. And we have an email if you email shit. We've had people do that and that's also love time. Please do Stephen King Boo clever. Gmo DOT COM. We will answer. Yeah we were talking to people might take a while but we'll get there and we have the winner of the arts emission gone dust. We sure do we have. Lots of fun aren't submissions. Some of it was super off the wall. Some of it was just super brand but the point is That the winner we got cross-stitch. We gotTa Cross Stitch. You know how much we love fucking cross-stitch we should. We've only been joking about it for the entire. Run of this podcast. We have been asking for a cross stitch this whole time and the one that it's so clean it's so much better than other crossed shows. I've seen it's beautiful to fund. That's really it's like the artists. The artistry that went into this was amazing and The winter is Jasmine Hawaii. That's her name as a shout. Jasmine she said I could use her name That it's a cross stitch of the overlook hotel. I'm going to ask pronouncing mountains. I like the mountains. I like the mountains. It says Overlook Hotel Sidewinder Colorado. I wanted her to find out on this episode that she won So I'm not going to ask if I can put it on social media until she gets to hear this so if you're out there jasmine send us a message because you want. Yeah thank you so much for that. We love it and if you submitted and didn't get it into this specific shoutout. Hey listen still fucking dope like thank you. Thanks to everyone who sent stuff in. It's incredibly humbling. And Yeah we we do it free all we do it for you dear listener thank you we also I so. I had to open our inbox to go. Make sure that I could pronounce Jasmine's last name and we had a message which happens all the time when I do this. So shout out to Keith. Reads nine Keith. Is a Bookstore Grammar? Who posts reviews and updates about books and stuff like that and he said it's a really lovely message of encouragement about all of our work. Thanks key thank you yeah fan. We love much love so much. Love note here before we hit needful themes We forgot to announce that we would be doing a one minute. Musical hit a fifty. I guess that's morning. These showed me the tower. A reality. Well I wanted to conciously one fifty time to restructure the love one. Now we control the Star Do you WANNA move on over to our literary analysis action. Let's good literate Alice's section so something I really love about. This is that I wrote this when I was in a very state of mind and not at all loopy so I've really serious topic. I don't know if yours is. The same mine is roving senseless Took me really long to write but is not is not coherent. I can't wait so we have both have of what makes insomnia good representative teams. Do you WanNa start serious or do you want to end serious? What do you think should end serious? I think we should all right. Let's get wacked Lincolnshire. Let me pull up my timer. All right my friend. I'm ready when you. Are you ready three? Two one part of why sleep fascinates authors so much and indeed sleep plays a major role in innumerable major and minor. Works is because it is unknowable. The science of the subject is well. Traversed answers are unsatisfactory less clean than in other neuroscience and other anatomy general. It is clear that king did his research and insomnia. But there's still information about the disease that is incorrect outdated because a king is not a scientist and be more importantly the literature is updated every few years with new conclusions and therefore fresh questions sleep is also an individual experience much like grooming or exercise where the activity is not private but often completed in solitude this adds a layer of unknow ability and therefore a layer of fascination often sleep serves only to offer dreams in art which are used in the works of King and beyond as conduits for foretelling expression of a character's drew desires an excuse to write nightmare scenes and realism et Cetera. In insomnia it's lack of sleep. That's the ticket offering the theory that with sufficient lack of sleep a person might have access to other dimensions. This is not the first exploration of this concept. Proust's disgust sleepless nights and subsequent involuntary memory and hallucination in Allah cherished. Tom Po do In search of last time which itself inspired Matthias Yards. Compass both huge major literary works. Ralph's character is unlike the protagonist those stories though because he perhaps more realistically can't think straight onto hours of shutout one could also argue that either of those narrators that either of those narratives might have actually fallen asleep and was dreaming. Like the was they were they. Were they awake? Which Ralph was not which points to the both absurdity and individual individuality of insomnia plot wise. It's interesting that I've pointed out dreams in the last like seven bucks we've done and now we're getting a book that's largely a waking dream. Anyways in Western literature and art sleep is also deemed a weakness. A good example of this is after the last supper. J. Dog asks his twelve dudes to like stay awake and pray with them. They each fall asleep. Turn showing how much lamer they are. The Jesus that kind of thing amateurs anyways insomnia sleep is impossible but lack of sleep is strength which hearkens to the favourite epitaph. The proudly overworked. American I'll sleep when I'm dead kind of thing. Ralph only get stronger. The less sleep he gets until eventually know byles. Demon God This continues with characters like the narrator slash Tyler Durden in fight club. Insomnia caused him to become a strong and chaotic violent character at night or Mr Hyde. In Stevenson's seminal narrative. Tyler's also weak ass toxic masculine bitch so my point continues now We read to go to sleep. I what I right here. All right incoherent sentence. I can't read but the point that I'm really trying to make here is sleep is so central to the human day you know. Hopefully it's a third of everything that you do that its proposal and it's visage in Literature and art in general tends to be this sort of roaming you know Hard to put your finger on intangible thing and he was funny is that even the text books are the same on the subject. It still ends up talking in circles and not making sense occasionally. I'm done. I'm just talking about something circles anyway. Great I love it On the topic of sleep in media. I really like what the Bobby Duke does with sleep in media some strong sleep deprivation themes in that and of course the classic nightmare on Elm Street gotta gotTa gotTa talk about nightmare on Elm Street. Which we've taught us they show before. Yeah 'cause they good. Yeah man I mean. I don't have like a whole lot to add to that. I appreciated that. You brought up fight club. I think that's a really interesting thing to add the conversation. 'cause I don't typically think of that as a sleep story even though it super textually is and I'm you know. I'm glad that you brought in some Jesus Steph. I'm always happy for you when you can bring Jesus we got Von Again. Same thing basically. So let's go over to you or good talk about death and dying and death and dying and grieving and that kind of thing. It's rolled dark What hopefully not actually dark. Just just serious all right. Let me now all right all right. Let's do it. Let's do it all right all right one two three so just as a heads up. I'm about to talk about death and dying like what. So if you're not in a good head space to think about such things just skip ahead. A few minutes ready great here. We go in this book. Stephen King gets way into the two ways that people can die in his universe for the purpose and for the random the two factions are not necessarily a cut and dry good and evil but they definitely fall roughly along those lines when people are taken by the purpose. It can be heartbreaking but it seems generally fair when the random gets you nets not given that general textual context. Let's talk about death in our culture grain of salt. I'm not an expert on this concept from what I can tell. This topic is mad complicated. The first time I really thought about good death versus bad death was in high school. I was volunteering at a hospice care and receiving training in a type of end of life therapy as it turns out. It's incredibly common for people in their end of life as to feel a deep depression bleeding that they didn't have a meaningful life. The therapy that I trained in was all about flipping that script through series of semi standardized interviews a life narrative is actively constructed and then preserved for the family of the deceased. It gives a sense of completion. It can help turn a bad death into a good death. One of the big deciders in what makes a good death is that it makes kind of narrative sense. This is a really hard one to define. So we're going to go back to insomnia for some examples. The Dog Rosalie original not deploy now gets claimed by a tropes and has a bad random death. She struck by a car and dies bringing her story to an abrupt end. That there's the death as presided over by the purpose. Multiple characters who have had protracted and severe illnesses digest only in their sleep their life stories neatly finished so two things on that one. Let's not ignore the obvious being hit by a car. Hurt like hell whereas passing away in your sleep wouldn't but there are plenty of painful deaths. Which seem intuitively or culturally. Good such as jumping on a grenade to save the lives of others and some painless. Deaths are intuitively or culturally bad. Like if you were knocked out by a serial killer before they ate your heart or whatever that is to say. Physical Discomfort can be part the calculation. But it isn't everything. A major consideration is story. Did the person's life have a beginning middle and end did their end come at the end. One More consideration for you. What did their death do if someone dies in the service of others were in the service of a specific cause which is deemed valuable for example? A soldier dying in war. That's probably good death. A dog getting hit by a car. Not so much. Here's one more wrinkle. Your justifiable cause is not everyone's justifiable cause. If a man dies trying to save a famous painting from a burning building are they a hero or a fool to bring it back to insomnia. Many people die in insomnia. Those under the purpose generally seem to have capital G. Good deaths the random skews the other way edits deep now is unclaimed until a tropez cuts his life cord. And what I find cool about that is that his death is somewhere between a good death in a bad death. It's not painless. But dying at the epicenter of an explosion is at least quick. His life has had an arc he learned about the Crimson King and went on a quest feed him L. No or it's also utilitarian the Geez you get the point I'm making it's it's Hafeez. It's not clean cut. Good Yeah Okay what are the things I wanted to say about that I agree super complicated. I think that death it can be divided for studying purposes in to what's happening to the body what's happening to the mind what's happening. Socially you know I think grieving and bereavement is is such a sad topic that people don't study it because it makes them think. Oh how would I feel if people died but it's important to think more about it and get more into The you know the topic death if you wanna read about like the highest books or book About death that has ever been written. That is like totally uncontested in the world of this exact topic you're talking about is Elizabeth Kubler Ross's on death and dying. She's the best death person steadier ever and that book is like the culmination of her work. Yeah we'll bring it back to our show and to what we're doing it really cuts to the heart of what I like about horror. Which is that it allows us to talk about things that are taboo right horror like some of the best contemporary horror have been meditations on specifically death or on specifically you know illness or postpartum depression loneliness masculinity like things that are hard to talk about. Horror doesn't shy away from and allows us to think about in ways that are satisfying and kind of perversely safe. You know because it's not safe to distance yourself from a difficult concept it is safe to allow yourself to feel things about it. Which is the purpose horror to allow you to feel about it. It's almost to knock you late. You against those feelings like writing about it in this safe space where you know. Everything's okay you know right. You get to leave the movie theater. You know. We've talked with a million times And it's worth it's worth repeating again and again I do however I want to take us over to the which one do I shoot? Oh Man I know you love this segment. This is our adaptation segment. You've written some very confusing in the script though so explain yourself okay so there is no movie a movie called insomnia. This is ridiculous but it's not at all related to the cannot believe going great though Alpa. Chino is a cop who chases psychopathic killer. Robin Williams like the Evan Williams of the actor Robin Williams. The person isn't a psychopathic killer. But he plays he plays a psychopathic killer. Does an amazing job. It's a super good movie unrelated to this. You should go watch it there. Was I think you for that? Phoenix very valuable content. That I'm sure are listenership will enjoy development hell for about nine years Yeah because how the fuck would you produce this movie? Yeah there was a suggested. Cast like a cast list of who they were going to ask. Do everything here. I WanNa give you my my ideal casting for some of the main characters. When you're done Jesse okay. My guess is this movie was canceled her a hoax from the beginning. There's a lot of different weird stuff about it. It's like back door Hollywood's Understand so Richard Jenkins and Mary steenburgen would have been the leads and they are the parents in stepbrothers that yeah yeah yeah you to Naria As well as Eddie read main. Don't know what party would have played. It's just really wanted to learn listed not a big Eddie read main Fan Dono Jennifer Morrison. Who is the She was in house. He was one of the three doctors in house house. Md Right For loyd back to the future dead now so not him Amy Ryan who plays Holly from the office would have been the woman. Mrs Paren- sure Martin Klay just keep throwing me smarten clever. Who is the little person in parts? The Caribbean would have been the obvious. Probably only choice for full doctors obvious. Yes only probably amazing actors who are little people. But he's just Ilan that looks exactly like the description makes that And then Ron Perlman is the crimson king. Excellent all right. Here's here's here's what I want. I want Sir Ian mckellen as Bill McGovern The dad. No he was just in cats. Oh he was just yet. He wishes he was dead. Anyways I want Willem Dafoe as Ralph. I want Obviously this is a stretch. I would love to see Meryl is Lois. Yup I want James Franco as deep now. Yup I'm guessing that Eddie Redman would have done anyway. Go on those are kind of the big ones for me. I don't know that I would need like known actors for a lot of other parts. I want Jaden Smith Patrick Danville. That would be good. That would be good. I think it would be fun if Tina fey could play. Susan Dey that. When thinks she wants to be because she's a good actor? I think that she could do it. I really think you're absolutely right. yeah. I think that's good. I just also want to point out. How much better at this casting game? I've gotten since we've started this project. If you go back to like episode one Oh Shit Shit when it comes to movies. I've been Stephen Watch movies. I love yeah a Kathy Bates as the Crimson King. And just obvious way. God I'm Rusty. We gotta get through this. Okay that's fine. Listen we're at Battle of the books bound books so this is where we talk about. Which of the two books we've read most recently is better So this is up against Louis clayborn and Phoenix. I think we're in agreement. I think doors clayborn book. I think so too I mean insomnia was great and we spent months like to hold on on it but it did almost kill me. It did so minus points for that I think the claiborne is on a literary classic and Insomnia. A Fun Stephen King read. Yeah I agree. I think that's all that needs to be said. Let's move onto recommended reading okay so recommended reading God. He's here I'm here. I'm here your flag. Keep keep with Nora. Almost through line is ping. Were almost our like two and a half of recording this phone call. Oh my God So I think that pink moon which is a great album by Nick Drake and his partially about sleepiness in sleep topics Is a great soundtrack to this book. Love it hey I want to recommend. This is a bit of a deep cut. There's a graphic novel called Sin Titular which literally translates to without title by Cameron Stewart. It started its life as a web comic with no particular and planned out It's no longer available online but it is available as a physical book. It's one a bunch of awards. It's got a really great creepy kind of mysterious forces greater than you vibe. Sleep is a huge huge theme in it Lots of surreal horror imagery and I stole it from the shelf of someone who who listens to this show. So shoutouts you are. You can read it in one day. Excellent further if you don't subscribe Harper's magazine because your normal Goget this issue of Harper's magazine The march twenty twenty issue the one. That's GONNA come out rate after you get this episode. Because it's got a new story by Stephen King. The fifth step of new story by Lauren. Groff who wrote fate in the fury's which my wife's favorite book And if you WANNA get like really really really up to the date. S K stuff this Next month Tara Harbors Fiction Harvard. Shit Man. That was great. Thanks upon that out of your back pocket. I appreciate that. Let's move on to Cujo. Believe it. Our phone facts corner you go. I got explanations. Yelm and this book won the Bronze Stoker Award as like I duNNo. Most Stephen King novels do all right. Yeah so because it's good half of our listeners. Again a deeply connect with this and the other half say. What the heck are you talking about? in some. I would say most at least a lot of schools in America Part of your English credit that you get from all the way down to like third grade up through Mike Ninth and Tenth Grade Credit for English class comes from a are points. A are is called accelerated reading. And that's when you go to your school library and pick any book you want. Read it and take a quiz on it. Books are assigned points based on how many pages there are not on how difficult the reading is on which means that insomnia was thirty A. R. Points Dot was a lot and if you need to knock a whole semester's worth of a are out when you're in eighth grade In one go or for example one weekend because you put it off like I. I got thirty A. R. Points for Reading Insomnia in passing the quiz in eighth grade. I love that I also want you to know that this was an ar system but it was something similar to it where we had a class in my head to go middle school library and pick out a book in. I managed to find what I can only describe as like Catholic adventurer horror book. I've not been able to find anything on it sense but it was so overtly Christian. It's amazing what was it called. Left behind the left behind series. I have no. It's definitely what you're talking about okay. We'll do a bonus episode or something. Shoot me back in time. Okay Okay Yeah. Great I give up. I submit to. I submit to insomnia given out you. Go take a nap. I'll take a thanks thanks to Monica Chan for doing posters those are some designs available on RT spring store online. Thanks to Michaela Fishman for doing graphic design. You doing okay over there. He's news. I'm kickin back laugh. You hyper real right now yet. He's hyper real. Thanks to don't imagine Stri mentor as well as Michael Balloon for his amazing interview. Thank you so much for that. Thanks to our patriotic subscribers for keeping US afloat month by month and thank you to the Stephen and Tabitha King Foundation for your charitable work in the state of Maine. Hey Phoenix yes. Thank you came your. Oh thanks. It's been a wild one. Thanks to the listenership specifically you person listening to this. The next book we will be reading we will be reading in two parts And it is the Green Mile which is a lot of people's favorites from the nineties. Yeah so do one two and three because there's six green mile books. They're all little tiny Nina Velez. They are like serialized like Charleston. Style redoing parts. One two three next time and then four five and six time after that. It's still not that much reading. It's much less than we usually do on to give you a break from insomnia and there's a lot to talk about. We hope you're excited. Yeah we are certainly excited and Oh and of course thank you to. Who is the wonder of our jasmine highways? All banks to Jasmine Zoll. You have one of course a thank you slot for. I don't know like a month or so. Forget if we've made official rules but thank you. That was amazing. Aren't you dead very good? Love it? Peace Out Ohio.

Stephen King Ralph Stephen King Insomnia Maine Lois Phoenix bill McGovern Stephen Danville facebook Patrick Routh Coco Tyler natalie Lois Fall US Helen Robin Williams Steve

The Complete Guide to Everything

00:00 sec | 10 months ago


"This is a head gum podcast. Hello and welcome to the week to everything a podcast about everything. I'm one of your host Tom Tim Tim. How're you doing this week? No time to hear how I'm doing. I know that you have things that so you need to talk to you. Know there's there's breaking news as as we record team. This isn't the Sabbath this happened. A few tastes go. Forget it but it. It's breaking news to me are you. Do you know the actor. Burt Ward. Of course. I Know Port Burt Ward but I I would guess. Ninety percent of our audience does not. Yeah so who would couple of dopes couple of numskulls. You know what I got depressed earlier. Okay ongoing research earlier this decade that. There's my knowledge is worth Shit. Yeah everything that I know about. I take pride in everything that I know about It's all a bunch of useless useless knowledge and then I watch this jeopardy thing tournament of champions or even normal jeopardy. They're even team jeopardy and they don't even ask questions about the episodes of Alf or cheers spin offs or anything like that. Yeah but you do this educational podcast. That's true true as far as the sponsors. This is an educational podcast where people listen and learn. Tim healings belief Eddie many listeners. We have skype. Who Burt Ward is? You're not the described. Just say Julia. TV's Robin Yeah Well Not TV's current Robin Robin Robin Leach. No Robin Leach is dead. You know lifestyles of the rich and famous isn't even like a cultural touchstone anymore for kids. Yeah I I understand in that. I think the last time I saw that show when I was ten years old. That's the one of the things that I get who I never do it to people younger because there is nothing and to this day. There's nothing I hate more than when somebody's like Like a came and think of an example. Who's the guy that does the worst I agree? Who hosted the tonight show before Johnny Carson par then? Yeah when when you don't know Steve Allen Jackpot it's like no. I was born thirty years after that person died. Or whatever you own kids nowadays. They don't they. Don't respect the classics one. One time I was at a a a weekend away then it sounds like a sex camp. We're it's right on spot. How dare you? I was away with my wife and her family at a Lake House. I like her extended family right. And there are all these people who are older than me right there her parents and and we were also under the impression that that You were actually a little older than your wife's father you know. That's not out of the ordinary. The that happens in look. We don't Jugo. I've heard this is come on so it was kind of awkward anyway No these people had that you're live. People are thirty years my senior Tom. Okay jeepers creepers And it came up. They were talking about the show bosom buddies right and cures. These are people that that were I just got with that Pun is yeah is it a pun. Yeah because they're they've fig bosoms in the show. Yeah what is a bosom buddy. Deeds that dress up like women. was that where the phrase comes from. I don't. I've never seen seen an episode of Bosom Buddies but what I do know is that it was in the early eighties and it has Hanks and friend of the show. Billy Joel does opening theme song. Yeah it was it wasn't it wasn't the actual and I say did it. I mean he wrote it but so there are all these people who were around like. I was at best a a baby an infant when this show is on on television. Yeah but they're all Tom Hanks was in a TV show when he was when he he was younger because they were talking about. Sitting there at this big long table as you're thinking of family ties problem. I know it's bosom buddies. It's weird that they're wracking. Their brains are relative married at a closeted closeted old man. That's afraid they make like what is up with this Weirdo. He is he. I talked with them about other things that he's not knowledgeable college -able anything looks like. He's in his thirties but he has the knowledge of a man who's much older and he's going to pull this this Sitcom from nineteen eighty one. Even the claims he was born a year later and And even if you know he was a child at the time right and VCR's were not widespread yet now his before VCR technology algae so eventually they got to bosom buddies and there were like for the regular wasn't before VCR technology. It was just before his widespread. Yeah of course very expensive. Yeah that was during the view the VHS and Beta wars and he's walking that's at the Museum of the moving image in its Beta. And I was like man the world would have been different than that it would have been that different. Proudly that industry would have been today bay. Come up to you in the museum and say look at this. I Beta looking at a Beta that the insult doing anyway so anyway they got to. They finally after ten minutes bosom buddies all right. That's over now. I don't have to be like it dying in here. Like jumping out of my and then they're like Tom Hanks. And who is the other guy I think it was somebody in a man of such Jesse. Peter Scolari somebody please. Let's just say I don't know I don't think anything ever. I don't think he ever did anything after that. You Know Peter. School did other things after bosom buddies. Come on guys come money and I like whisper to speeches and she was like we you know had to be like end and then I was outed as a a guy with weird knowledge that he shouldn't have so embarrassing. Yeah so I got depressed. I'm depressed about the knowledge was robin in the nineteen nineteen sixties Batman in nineteen sixty six Batman TV show. Well Tim he's back in the headlines. Nice he got a I Elena if you've got a star on the walk fame yeah you got a star on the walk of fame. I'm GonNa get a star on the walk of all you have to do is pay for it. Let's raise the money. Let's let's have the ceremony. Tim and Tom. This is a podcast. I guess they probably just use the radio logo because they put a logo goes like a TV or a film or radio like whatever the microphone. Yeah yeah the microphone like Jack Benny. Yeah probably haven't put Somebody on the walk of fame with with the microphone in a long time had him corolla. But Timmy's a star of the stage and screen. Yeah Oh great man Tim. The headline your your dude. Joe Rogan. Did they put him on the walk of fame. No He's not my dude. He's like when he talks about aliens stuff sometimes. ABC and cancel culture. This is the headline Tim. ABC told Batman Actor. Burt heard war to take pills to shrink penis. His penis presumably for pills are these. I don't know so. Basically basically he's saying that the Catholic League of decency thought that he had a very large bold for television. This sounds sounds like an old man telling tales out of school. Well the church didn't like big. My Weiner was not only that. He's he's he's He's speaking king of the dead because he he said like it was all you know that it was all him. Unlike Adam West voight Batman with Adam they put Turkish towels in his undershorts. What's your right? That guy's dead like it's I wanted to be brought in quite a jerk. Burt Ward Oh they were chums old chums. I don't know these jemmy enough that like you wait a year. After he dies to be like his duke would mud dick was bigger. Also I I mean I remember watching watching the show all the time and I was a kid. I don't remember either of them having like even a visible genitalia let alone like a large bulge. It was just nothing down. There is flag back view the tapes. Yeah so the The studio was you know they were like. Oh we have to. You know. Get in line with the Catholic League of Decency So they they send him to a doctor who prescribed medication to quote shrink me up now this sounds I and then is is like it never returned and so I was really mad. It never went back to know. He's he says quote. I took them for three days and then decided that they can probably keep me from having children. I stopped doing that and I just use my Cape to cover it. He he didn't Robin as a I. Guess the sixty six Robin had a longer Cape but bike. I don't remember him like always having his Cape in front of his crotch. I'll just be like yeah taken. Those pills nets all working. Yeah Dick's tube. It's not on him to cover up with a cave. I think you know what just change changed pants a little bit. He probably did tell him he was still taking them. I bet he was just like no. I can't take these pills but also like the Reich keeps being a problem. Problem is like the sixties and like people would kill to be on television and I would kill to be on television bill. Go Oh to something more extreme. They'll tell me like he. I get this penis would alling surgery or something. A lot of people had that mistakes. It makes very sleek dynamic. This is from page six DOT Com. A Nikki Gaston ghosting. Yes so I didn't realize he was only twenty years old. And and you know I mean I don't know if they ever said how old Robin Kevin was supposed to be in that particular iteration motorcycle accident right burden hordes bear no robin. They died in a circus acts. Yeah they they were riding the motorcycles and they were trapeze artists remember and a mobster cut the cut the trapeze line. Why because I think a circus owed money to the mobster? And he was like e they're not paying up again You send them a message by killing the top trapeze. STAS never never borrow money from the Mafia is especially if you run a circus If you run a circus that's your holy hop Xi Yang. Go to the bank and be like I need more money for the circus. We need to buy some new Lianzi. Old Ones died. Why not if you were bank? Lee a long shot in the heart attack. The the lion team eight him. If you're a bank loan officer would you give a loan to the circus. If the financial order team the circus has their own train making skedaddle anytime let's stay on the run. One has their own training. They leave us. Follow the tracks. Eventually you'll find him. That's true later. You're bound to find him. Yeah do all latrine tracks in the world can not the world but the country connect now. That's started off as a serious question. I think halfway it through you tried to pivot all of them connect but I'm wondering what percent connect i. I would say ninety percent that can't be I mean we. You can kind of emails. Severity connected through stations at lease. Can you get to any train station from any train station. No I don't think so. Maybe maybe a roundabout way. I'm yeah it doesn't matter how long it takes all the train tracks in the world. So but they're more weight watchers their solution take these pills to shrink your genitalia. Instead of like we're we're going to get past him designer in here to make a slight modifications to to the to the costume. Yeah we're GONNA loosen you know at the costumes a little too tight. Yeah we're going to put some extra padding around there to to to make everything which I think is what they had because when you look at them again there's no visible genitalia like it. It looks like it's pad and you're looking on. HD television. Tom I'm looking at the remastered versions back then. It was like the the the six inch screen. Yeah Blurry now's in color but some people so black and white. Yeah Yeah some other revelations from this article. Burt Ward never smoked drank or did drugs and claims to have never been in a bar in his entire life. That's fair in his entire life. I mean he ran afoul of the Catholic applic- League of decency. Maybe keep my keep my nose clean here. He says he was a straight A. Student. Ucla and the Dean Ed. Ucla was upset with him when he left during his junior year. To Do Robin because she said he could have been. He should have been a nuclear air. Physicists that he was in the top three percent in the United States in science and math. It amazes me that you're a smart man and you still say nuclear uh-huh nuclear. What do you think about that? Do you think that that's true or again. Is this a tall tale. I just feel like like this guy's coming out. How old is he now? Ninety five seventy four That's not too old He's coming out and saying hey you know back then. My Dick was too big enough to smart to be on TV. It's a miracle TV at how smart I wasn't a big backwards report scientists. Look me up to machine so I teach a teaching the computers and the deans of the top universities. Wanted wanted my mind and I keep my temple clean. I'm a perfect specimen. Yeah I've never been to a bar in my life. He said he's not bitter about not being not making any money from the TV show in decades because he and his third wife Tracy devote themselves to charity. They run the law. This is a confusing Arctic confusing sentenced to read. They run the largest giant dog rescue charity. The industry is the largest to say this a largest most giant hooked. I was like Oh giant. Giant dogs wavered. Yeah like Marmaduke. No KLUBER is a lot bigger. After the Marmaduke wavered is in some pictures Clifford is would change. All the time is very convenient. How those books ever got publish? It's beyond me. He says that fifteen thousand five hundred dollars or be would be dead if it weren't for me and my wife teen thousand five five hundred five hundred that's a lot of dogs and then he says now for me and my wife. Yeah this guy did ash then listen to this. He claims at all all times at minimum they fifty dogs in their house. And these are fifty giant dogs. You know this guy probably made so much money for that one always the TV show. What Batman Yeah? I don't think so back then. They didn't they didn't treat these guys. Well they were like The the Catholic League called you guys start taking pills and he had these big go back inside view. The final claim here. He says we make our own. We make our dog food. Our food is at all store at all the stores across America. It's called gentle giants and we don't take a penny from it. We've discovered a way to double and triple the life span of dogs. No they have no of course they haven't double. You're telling me they're like forty year old dogs out there now because they burt. Ward's Doug Food Kidding supermarket not every supermarket all store so good any sort word needs to be fucking take it down and I gotta go up to per ward. You're full of beans and we go to TIFFANY's on Fifth Avenue here today. I can't burt ward's awards Dogra the bike. Of course we have it in the bad. It'll make you lift a terrifyingly long time. Make your dog outlive you. Las Pinas media. Talk this this week's episode we're GONNA do on insomnia. Yeah like a real insomnia to be clear. Yeah maybe difficulty sleeping. Let let me be clear. I'm not a crook. Oh that'd be great. You should work on your Nixon. Yeah the Nixon Yeah not like real deal insomnia not like a shoe I call it the machinists. Yes remember. He had insomnia. Who's the machinist that was Christian? Bale and he got real scandal. I had to turn that off. His body discuss new. Yeah that was rough. That was some rough rough stuff. I don't like seeing people's veins I don't need to I look at my own veins. metoo showering sometime. Hi in the shower. We're I know where you have no. VR scriven my arm. How hard you scrub your arm? That the veins popping out my do you not have visible veins. Not really yeah. I'm pretty strong Nancy him whenever whenever whenever I've gotten Like not shots but Blood drawn they're always missing my veins why I don't know I was going to inexperienced people I think. Yeah do you treat. Oh man what do you treat like. Physicians assistance the way they treat service employees bad and I don't treat physician's assistants bad. The last awesome I went to the doctor was horrible. Mock going back. Why everybody was just weird and to me weird? At the doctor's office purpose this guy came in this guy like a young guy in a suit and he was trying to be very much. Dr No patient signed to be very described. Is like a as your Syra last week and the doctor made a referral but a when I wrote it down. I couldn't quite make out. Would he wrote. I was just wondering if you could talk to him and see what that referral was. Also Barack Obama no but then he is like she's like what was what was a doctor of what he's like it was a specialist. Just like what was he a specialist. Send Your Oh urologists to the whole room cares I did. I started laughing at the guy because he had an a an issue with his genitals. You know that's why everybody's weird at the doctor because because I they took my blood and everything and the nurse goes You don't Wanna STD's testy you. It's like what no yeah aren't you. We supposed to encourage me to do that. And then the doctor came in and said it was Hanya. She was eating me like you needed as CDs heap. Keep keep yourself clean mill. I mean you could interpret that as like you need an SDS has been a while for you huh. Yeah you're practically an in-cell yeah and involuntary Ellen Terry celebrate man and then the doctor told you over doctor told me I was fat and he was overweight based on the benchmark. Sega's might be. I was overweight too. And then that loss that way. You're looking good these days. What have you done to to lose that weight gun stronger? No that's not it. I know I told you. Stop Drinking Soda. Oh was that it. I cut down on Soda. It was pretty much. Yeah Yeah that helped me with my sleeping too. which which we're talking about this week? Yeah and what he's saying this week you you're you wanted to do this topic because why because I've been having trolls well you know. I just realized I pitched this episode you Tim. I've been having trouble sleeping this week. I bought it to Lear bollocks few days ago and I haven't and then I really really wanted soda the one day and I was like I should buy a two liter bottle because it's only a little bit more than just by a single soda so the Soda in my house this week the first time in like a year. I've had soda available shrinking at every opportunity. I have so we solved the emphasized sued. No I mean look. Everybody has sleeping problems from now and now and then Problems yeah problems either falling asleep or staying asleep Eh back end diarrhea now sleep diarrhea getting up sleep diary. No I do Tom. Here's my problem. I'm too Dang hydrated all day. Yeah I'm just a And I must drink gallons of water every day Doing it right up until I. I'm going to bed asleep no problem. Hey no I'm mm creative fallen asleep. I'm one of the best sleepers but then I gotta I gotTa GotTa pee and then I wake up at like four four thirty in the mattresses soaked now them thirty seven year old man I wake up but a lot of times. I'm just ahead wedding knows. There's no age tim how badly do have to go for that. Happens to be con- not constantly but like I never see if I have to appear in the middle of the night I never get up. I never have to get up. It's like no a constant like can I fall back asleep. Get it's like why don't why can't I just reason with myself i. I've seen now both of US sleep. I Dunno ten fifteen in feet away from the Toilets York mansions or it's like all the bathrooms all the way downstairs though in. I don't need I don't need to get a key to anybody. uh-huh anybody to sleep less than five feet from the usually. Just pass out around the toilet right. I've I've move my mattress into the hallway outside the bathroom. Just make things easier yet. So I don't know I just wanted to reason with myself now now I'm going to say it out loud. Get up if you wake up is that you have to put it out into the world. Okay have you ever successfully zestful convince yourself at the P.. That bad I'm going to go back to sleep and how to work. Yeah Yeah I do that too and then you wake up like an it's urgent. Yeah and then it's like oh I can't nope. This is the first thing I have to do. Yeah and then it's goes on too long. What does the Ping Yeah? Yeah sometimes Yeah it's just like come on man with this so you bored. Hey I'm boarded here. You talk to your penis while European man come on. Why did you make this happen to me like this guy finished so I could go back to sleep so so I don't generally have have trouble? You drink a lot of water right before you go to bed. I'm just drinking water constantly all. Yeah but you're getting rid of it constantly only right here not just saving it all up for the end but it's not like I'm drinking it and then and then expelling it five minutes later. If I have have even like a sip of water before I go to bed I. Then we'll have to pee in horrible. Give a humidifier in your room. I do Etisalat Kasur. Nally snap for me. You ever think about using a dehumidifier and there may be one of the Pe- in the millman. Yes I have thought about that. Turns Science wake up but then you have to user. I know I'M GONNA wind up scratching. Yeah do you ever wake up in your tongue stuck to the roof of your mouth all the time. Yeah that stinks Senate therapy sometimes. Sometimes I have a weird lifestyle that I can't wrap my head around my gotTa move my bed my head boards too close to the The heat the furnace not furnace. It's he made it clear. I sleep close to the bathroom Adam now the heater or whatever and like the my headboard I'm amazed this thing hasn't caught on fire yet sometimes ally in bed. I'm like I don't feel well now. Touch the headboard and it's like too hot to touch and that's the headboard of your band. Yeah you should you believe your bed. I know but there's not really many places to move it to except for the bathroom. No heating waterbed baby the Boyle Boyle Boyle in my sleep. No thank you. What if I saw there anymore if I have a water bed next to the heater Tim? It's GONNA boil water waterbed in the bathroom. You make one out of the bathtub of the bathtub. He's put a sheet over. That's how waterbed works. Have you ever slept in waterbed. Yeah when asked me. I was on tour with a band. Okay Oh oh it's one of these stories you you know we. It was one of those situations where we weren't very popular band so we had to sleep. I'm waterbeds so he had to be like from from the state police where we congratulate. Yeah so it's all very saying like weirdos houses. Yeah because I've been at shows where the band said at that it's like these are the last people I played my exactly but unless you have just like a weird home or something we're all right. This will make my weird home weirder. Yeah I slept on a waterbed. I think it was a twin size. Waterbed Hell Yeah. I didn't know that existed point. Yeah It was the first or second night of tour nearly three week tour messed up my entire neck and back for for for the rest of your much about waterbeds anymore. Now he's sexy. I mean are they pretty pretty sexy. I guess like the water sloshing around maybe put like what. Yeah I don't I don't know yeah 'cause he'd like to sleep on China Pool. Yeah I like the the the drink. Yeah yeah that's different though. Oh I'd like to sleep that way every night. I could see a waterbed working if it's an inflatable mattress on top of of a small pool. All in your bedroom yeah. That would be nice. I think yeah. Try that me it asleep on an inflatable mattress. I guess you spend inflatable mattress in the bathroom anthem. That's what I said waterbed and now time for an ad about ads. I WanNa talk to you about this new thing while new to you old hat to me called Gum ball a platform. That's looking to make the podcast. Advertising process a whole lot simpler typically these ads like the one. You're listening to you right now. Make it here ear through a very complicated back and forth process advertisers reach out to networks hate gum for example they look through their available shows to find good fits. There's a whole lot emails and it's messy way more messy. There needs to be. That's why genius team at head. Gum came up with Gumbo. I'm ball. It's a marketplace for advertisers to buy podcasts as directly from podcasters and it streamline things baby with Gumbel advertisers iser can search for shows a powerful demographic filters do you all available inventory an easily purchase campaigns online with a few clicks and podcasters can list their shows in one marketplace marketplace getting exposure to more more brands. Gumbel handles all the detail work that needs to happen after the sale to all the scripts coupon codes notes. That me and Tim need we get them. All through gum ball and Gumbo saves us a lot of time and helps track when the ADS air. So we get paid on time and Info Info. So if you're an advertiser or podcast or have a look at Gumbel DOT FM slash guide. That's Gumbo Dot F. M. not dot com not dot net not Biz not dot Gov not dot org dot. FM Radio you remember the Radio Dona Gumbo Dot FM slash guide brow shows discovering new advertising options. Or list. Your podcast today. This episode is sponsored by skill share. Hey Make AAC twenty twenty a year where you explore new skills deepen existing passions in get lost and creativity with skill shares online classes. What you find and just might surprise and inspire you? Tom You don't skill share is. Yeah you just described it. But I knew online learning community where millions come come together to take the next step in their creative journey with thousands of inspiring classes for creative and curious people on topics including illustration design photography video video freelancing and more they're very like I genuinely legitimately use the service. It's very nice on a great way to learn. Yeah it offers. I membership with meaning Tom with so much to explore real projects to create and the support of fellow creative skill share. Empowers you to accomplish real growth. They offer classes designed for real life. So you can move your creative journey forward without putting life on hold you can learn and grow with short classes that fit your busy routine. And it's also also incredibly affordable skill share An annual subscription is a ten dollars a month. That's nuts. It's not tom big. About how much college costs I WanNa talk about this class. I'm going to check out to night right after we do this Tom. The perfect grilled cheese a mini class or the sandwich learn with plated. Do you know played it. Yeah yeah their head chef. Their the head chef Elena carp she she hosts this thing. It's a fun and informative mini class to everyone's favorite comfort food grilled cheese. I love grilled cheese. You can always learn new things and it's somebody It's somebody that's You respect good at it. Look Skill L.. Share is a proud sponsor of the complete to everything explore your creativity at skill share dot com slash guide and get two free months of premium. Me a membership. That's no joke. That's two whole months of unlimited access to thousands of classes for free get started enjoying today by heading to skill share dot COM com slash guide that skill share dot com slash guide. Tim Have you ever taken a sleeping aid Not specifically we mean specifically. You've taken things that made you fall asleep. But you haven't I've taken nyquil before uh-huh about fifty percent of the time has the opposite effect. The fifty percent of the time at stake will know fifty percent of the time blue dark dark blue nyquil. I'm sure of it right. It could be mouthwash then I would still put me to sleep. I know from experience Remember that mouthwash. That turned people's teeth. Like black like no colgate came out with it want. Yeah an wasn't even in April fool's prank might have been a dream. You have now as two thousand seventeen thousand eight. That's what you said about Mike claim that they downloaded information off a cat's brain last week. And then Lo and behold somebody posted a video of a cat watching Indiana Jones and then we hooked up to electrodes the cat. And we could see Indiana Joe. Did the cat sprayed saying we hooked up is incredibly misleading. Nothing to do with the humans. Humans us they hooked up humanity. They didn't download it from his brain brain. It was they got that while the cat was watching it. Yeah okay so they could just they could just take a screen Greenspan's understand how brains work or computers. Yeah Okay Fair Yeah. It was while the true statement while the cat was watching it. They basically like Like you can not anymore. I guess but in in the back in the day you could like steel cable by putting a splitter on cable and then running in the brain no that's what they did they ran a splitter. You're from the optic nerve basically and we're like oh here's the way. It's perceiving light years and we showed it for some reason the black and waivers of Indiana Jones. A little cats is stevie to anyway that proves that was right. What were we saying why? Why did they show him watching a movie? Why didn't they we slam run around or whatever you know? We went in front of him and wave. Why would it? Why would it have to be a motion picture than the show them so you can see the one to one but if vision they had somebody like going? We've in front of him. I feel like they could set up a camera near the cat. And you'd be able to signing dimensioned because you're gonNA run into copyright problems albums that's probably. Why this footage has been hard to find up until Nelson Harrison Ford's like I'll be damned if you're not going to pay me for my likeness get gave me out of that Cat's brain Mistaken or did they zoom in Indiana Jones. His face at the end and and show that the cat was kinda seeing it. As a cat's face. They were like no team. The cat the Cat Indiana Jones Fellow Cat Watch watch I thought I I implore you to watch the video you watch the video. The video. Don't remember at the end zooming in and showing that. The Cat signee Indiana Jones as a cat. Because he's a cat well and now you're telling me that colgate promoted a mouthwash that turn your teeth black lack in the league thousands or the late arts. Anyway we're talking about sleeping AIDS. Yeah and you said you've taken NYQUIL. Have you ever taken Melatonin I feel like give price taking Melatonin. melatonin I don't have trouble falling asleep. Generally here's the thing separate lately. Because here's here's the thing I never did. I think we've broken our brains and with screens and constant stimulus. Yeah Yeah So there have been times when I've had I've had trouble. But you know what I remember. CBD Oil so legal drugs ten. Put it in everything. Yeah I walked by a place that had a tonight we're in Williamsburg. I walked by a place that now sells CBD Flower you know that is now it's not just weed yeah weed but CBD only we'd and that's GONNA wind up getting everybody into trouble. I feel like because Hauer the cops can know. What's what the capstone also I feel? Yeah like when I was walking by this Like weird smoke shop that it was like we're selling. CBC Flower Wink Wink. Katie of any extra strong. CBD Flour Our and the value over here then they take into the drug users inject it to make it. Wo- toothpaste is giant crest. I'm sorry crest is on the defensive crested it after consumer complaints that one of its popular mouthwashes causes teeth to turn Brown. Oh Oh so they can do it on purpose. Also Brown is better is worse than black. Yeah hundreds of angry consumers have taken to the Internet and message boards claiming that the product also also stain their teeth leaving brown stains inbetween individuality. Brad Mike pooped When you hear about a browns you generally think of skidmarks? Yeah well two weeks in a row vindicated indicated well you said Colgate and it turned teeth plaque and you implied that it was cress. Oh I'm sorry. CRAZILY colgate are so so they in turn teeth brown and you also seem to imply that this was like the way it was marketed. Like no teeth black. Just get look Tom. Here's the thing just because you misunderstand. Something doesn't mean that everybody else's stooped doesn't Chris testings had they not no return people teeth Brad Right Chris. You know what they're they're they're so easy future sponsor so popular and they're so successful that they're just like we don't even care. Yeah fucking let them say Huber's says crest on it usually. It's will buy why it I've taken. CBD's stuff Once in a while to fall asleep and it does work pretty well. I'll give it actually. I'll say this. CD gives me definitely the best sleep. Here's me that he. CBGB's my problem with Actually like Melatonin Melatonin Psyche. Not Sure Awe Milton. I think is better to like keep you asleep if you are the kind of person that like wasting a lot. Yeah it seems like a little fake right but it's something your body makes but then also it's like well. Where are they getting from other bodies cadavers? Did you cheap to get it from cadavers. Anything from Cadavers. It's expensive is that true through through so many dead bodies not that are public except for a few billion currently back but you're trying to claim there's billions of vampires out there and it's unsettling thought who knows. I don't go at night. You're it's nighttime right now and you're out I'm in we're in a right and you have been very careful to not invite right anyone into the studio since we've been here. I've never invite a bunch of people floated up to the window and tapped and said invite me you and do your credit. Every time you said no not condemn afraid. They're vampires just general. It's not my place. Yeah I don't WanNa have to make small talk yeah Hire small talk sucks. I learned from reading interview with the Vampire. Yes he does a good the job making so I was GONNA say Melatonin. I think the Times I've taken it has kept me. Asleep has kept me from waking up. which is kind of a separate problem from falling asleep were in? Luckily I haven't had this Often were like you wake up multiple times a night. Usually I get if I get that. It's because of anxiety it's because I'm like worried about something and thinking about worried about everything all the time right That's what keeps me up all night right so yeah. CBD's the best but I've taken NYQUIL and like Benadryl and things like like that. You Know Tylenol PM. Well no what I was going to say is. I've taken those things in the past us and I've always regretted it the next day because it doesn't knock me out but then I wake up the next day and I guess maybe it doesn't put you into like grams sleep or something. So it's like you were out for like eight hours but you wake up feeling still exhausted. And he and in a fog I've never taken ambien. which is I assume while Brian nowadays bright not the strongest guessing you can get now but but one of the Scriptures Cambian or What at nightclubs? No when I get on a plane because they used to be a real nervous flyer nervous. Nellie Gina sometimes things happen on planes your view. Keep up with the news. Tom and they tried to give me Ambien. Or what's the other one Like you've told me that you've been prescribed xanax planes. But that's like that's just anxiety Zayed's won't necessarily put you to sleep but probably by we'll make sleep for Ya. I haven't actually been prescribed. That people have given it to me. Here's my thing I. I was under the assumptions as doctors. No ILIAD drug dealer stem scumbags but this weird that you have a close enough relationship with them though that they just give you free drug. Yeah and I'm afraid that everyone. I'm afraid to eat a peanut butter sandwich on an airplane. In case I've developed did allergy to happen Blade into your thirties. Sometimes it does. You can develop allergies also. How often does this come up as a How often did they come up? Peanut butter pack one for myself. Sometimes I packed peanut butter sandwiches to go around with the women. Wear if I'm going out for the day winning wear tell me the last time you packed a peanut butter sandwiches yourself. Guess what this past Saturday. Oh yeah why any Pacelli in there. Because I didn't want to get all soggy it's going to be like an emergency kind of You know if I if I was going out for the whole day I was busy. You know some point if I just needed to to get a quick burst of energy not going to go buy a snickers bar while they keep you satisfied though. That's true. This episode is brought to you by. Snigger Africa's talking about Oh so anyway. I'm afraid that if I take his antics on a plate and you'll may probably not but you'll want to check on land end right to see if I'm allergic to it so I think it's Darius Claire that you could be allergic to it especially if you don't have other allergies his honey. You know what allergies I have. Because I've I've traveled with you extensively where Europe around Europe and the United States Yeah this hey this this This show of ours has brought us from see to shining. See right what why were old time sleeping pills like fifty sleeping pills. What were those were? That was just like drugs right. I thought it was dust dust. They captured a bunch of dust. What do you want to solve a problem? Maybe not yet. You know you wanNA talk about putting dust into pills lower you what were what were we were going with. No I was going with that where I think. Like back in the fifties. It was like any sleeping pills. He was just like. Oh this is like opium. Oh I thought you were saying sweep anything into it and just give you some stuff and be like. Hey we don't know about. Oh no fifties like any pill. I think the problem based on pop culture again. I was not alive in the fifties. I don't know but the impression I got was like in the fifties. If you you got any kind of Pill for anything the problem was that a work too. Well Yeah Heroin Yeah. There was something incredibly strong. Yeah Yeah Probably Probably Herald and I think probably because back then. They didn't have as many pills as we have nowadays. We got Yo the drugstore the chemists and they're like our first things I would you like an egg cream what's an egg cream It's eggs his with Seltzer. I think great there I go. We have the Soda Jerk. Make you something else. You take a a lot of medicine right Tom. A lot of medicine. Last time we went to London. I get sick. I Yeah I'll All clean out a have you ever taken Z.. Quill yes yeah yes see I. I'm afraid Otas what is equal nyquil without the of the Oh without the medicine asleep snub No I don't think so by me but I took like a tylenol pm without the tylenol which might be the same thing. Yeah the that all that stuff I don't and here's the thing whenever I've had trouble sleeping sleepytime t really does the trick. Yeah some honey in there You ever have apple cider vinegar before bed. I'm not a Hippie. Yeah you gotTa buy this weird hippie brand stuff you know that Bragg brand stuff no. I don't know that Bragg brand who knows what I'm talking about Rica Desert I've talked about it's It's it's this old codger Hippie and you buy this apple cider vinegar that has all the stuff floating in it. That's called the mother why you know. Shake it up you put about two tablespoons evil spoons in in a cup of hot water. That'll put you to sleep. They also make nutritional yeast. Thank you really get on popcorn. I I've had nutritional yeast that's good It tastes cheesy. But it's not. She's exactly that guy's probably bathing in that apple cider vinegar. There are a lot of benefits benefits that you can get from apple cider vinegar like what I got. I got this book About the benefits of Apple CIDER. Vinegar about how it could cure every ailment right and the whole thing was like it was like this is the. Here's how you can Can Stop it two tables of Apple cider vinegar tables to tablespoons of Apple CIDER vinegar and hot water take that before bed and it said they held chronic diseases diabetes. Yeah yeah chronic diseases or diagnosis said her death that sentences and it's like mad two tablespoons of Apple CIDER. This whole book had just been reduced to one page through true. It's just you know put put two tablespoons into how water and drink. That appears all the Edelman said it will cure. I wasn't aware that that was like a sleeping made. It does everything. It's also something you don't WanNa fall asleep. No no they say they say take it before bed. You're right what if you don't WanNa fall in when you're going to bed when you're taking for energy now you don't really take for energy though. Is that you have. You're taking it just has to be a normal happy meaning to be normal because you like the taste of the mother in law. I hate now. Hey thanks you'd Z.. It's like allies. Anything called anything then. No things are called things a screwdriver drive screws. That's why it's called a screwdriver. The fact that the pulpit apple save apple cider vinegar is called the mother her does not make sense. I E it does tell me. This guy's got his mom floating at a VAT apple cider vinegar slowly so much of this stuff so well. Maybe he's killing other mothers out. There put put them in the vats man that I believe. What is the mother in Apple CIDER? Vinegar they ask who us the bacteria. Yeah Bag tyrian. Catalysts that gives rise to the vinegar. Oh so it's the mother of vinegar so when you drink it it's making more vinegar inside you that way you smell that way My blood is two-thirds vinegar right now. It's delicious for vendors. Not The luge. See You could see it through but I can. I can smell it through your veins settling. Yeah do you want to solve a problem now. Hold on what. What other things do you do? Oh actually I have two other things. sleep Bassey ever use a sleep mask. No because somebody might come in and kill you right. People put earplugs too small. Where you out of your mind? Yeah I was just GonNa dull my senses waiting victim. Yeah have some psychopath is going to giggle. Go himself before he slips my throat. giggle might be Myla chance to save money. Yeah but now I'm not even GonNa hear it. Yeah Yeah so do your plugs or mass. I'll wear I was GONNA say I'll wear an eye mask on a plane. But what if they come around with snacks spare you know it and then I'm not gonna I'm GonNa miss out come around with snacks. They don't fucking fucking wake me up. We should have a solution for this. Have you ever seen. There's like a thing of a woman online and she. Yeah Yeah. She's got like a whole apparatus on her head. She's got sleep masks earplugs and then like a neck brace but on the neck brace is a Like a name name tag. Laminated clip that it's nicely printed out. That says please wake me for snacks. And she's put that on the on the neckbrace nice and they waker presumably. They waited for snacks. Audi afraid to wake a person with that ghetto in my life pretzels please. Yeah I would. I would change that to be like just. Please give me a snack. Well you have a choice dealer's choice You just put a nave data your thing dealers. I've never regretted a choice in airline snacks like. I'm fine with the waiver. They give me. I like airline food. It's delicious. It's very salty. Yeah Hello and welcome to Tim and Tom Sawyer problems. I'm Tim time yourself from. If you have a problem with like as a salve emails of the complete guide to everything a g mail dot com. Yeah but if you want us it's a salvador right now. It's too late. This one comes from a lady named Amy Okay The the subject line. That was a very long pause. Yeah did you hear that. I had no stomach stomach made a noise. I thought time had froze CNN. I was waiting for my stomach noise to stop. Okay so you can edit it out. Very professional has a has has The beware no. I don't know why we make your stomach honestly causes more problems than I usually wind up. Just muting it. Oh but I have to go through in edits a few times The lesbian the B word and the wardrobe. But yes dear. Tim and Tom Longtime Listener. But the first time I have a problem for you to solve after being away for long weekend I returned to have my housemate. Lily Lily Tell me that we needed to swap rooms. I have the larger bedroom as the senior housemate. Sarah moved in earlier seeking to start calling yourself the senior housemate. Yeah I think she was just trying to be clear. It's not that she's you now. Over sixty five with a view of the garden an notably built in a notably a built in wardrobe. That's one yeah. So the reason lily gave for needing to the beautiful picture of this bedroom. Yeah the reason lily gave for needing to exchange rooms rooms was said over the weekend following flirting and a drunken game of hide and seek. She and her girlfriend lost their Savic Virginity in in my wardrobe. was that mean what virginity. No Scientific Brad pertaining to a lesbian is okay. Okay my own girlfriend. Thinks this demand is ridiculous and disproportionate to go and have sex. Lillies Brew Room to even the balance. While no that's just going to convince her. Even more lily seems very upset by refusal and wants to convene a House meeting with our two other housemates game and not a couple but also named Tim and Tom Clinton and could sort this out. I feel that this is an open and closed. I shut case but I wanted to put it to the finest legal minds of the podcasting world because of this the room is apparently now very special to them and she thinks thinks she should be allowed to move in. I don't think that fucking in a room suddenly denotes ownership. Also lillies girlfriend is a notorious quote player on the scene so so she certainly did not have her first time in my wardrobe. But I don't know about lily and it hardly seems polite to ask I leave it to you and your cute system sense of justice. Am I being some kind of callous. Antic B Word Levin hugs from a Gal and her desecrated wardrobe. Amy Wait they did it in the wardrobe. Yeah why oh it's hide and seek hide-and-seek yeah A few things I I feel like this Setup so that whatever we say Amy Can go to Lilly right as am I gain the names right amy. Any wrote the letter lilly. Yeah Amy can go to Lilly and be like well. I asked him and Tom and they said and they said you're acting like a real asshole and you should get a life. JV Like they said that. I swear to God that's what Tim and Tom said. I don't lie why we were roommates. Tom Yeah and you when we when we moved in To a a four bedroom yes apartment similar to this it sounds like yeah and You drew first. Dibs this. Yeah we do like drew straws. If you left for the weekend came back as like you. It's six in your closet. I love that room. You'd just be like what the hell no show in my room. Yeah we're not agony. We're not GONNA pretend I didn't hear that second bar because that's completely irrelevant. And what else like us on the first part. What the hell were you doing? Having sex in my are- have identified like hide and seek man. Then you'd have to be like okay all right Bro. Yeah you know. Yeah that's different this. Yeah this is an open and closed shut cases as amy mentioned. And Yeah. There's any you should go have sex with your girlfriend in in Lily's no because if they do that then lily it's GonNa be like well now. My Room special for you so we should swap but you should be like It's not special for us. I mean the actual solution to this problem is for her to say. Well I had. I lost my virginity to my girlfriend in this bedroom. That's why I chose it. No you know what. That's that's accepting lillies absurd premise yet. But it would. It would squash the problem with. Stop everything everything. Yeah but then lily is going to continue living her life by these insane rules. That's true and he's just kind of to go along along with it. What she should do is say fuck out of my room? No I was going to say as the senior housemate. Get the fuck out of this apartment. Yeah you you add sex in my room. I have the support of Tim and Tom on. Yeah I already talked to Tim and Tom. And they're in one hundred under percent agreement on this. Don't ask them about it or if if you want to ask them about you're going to have to email them at the complete everything at gmail.com I yeah. I know it's confusing but they. They're very non confrontational. They don't WanNa hear it. Let if Tim and Tom don't agree with amy me then give it to them to clean house you amy. You're the senior house made for Christ's seeing back. Yeah I was GONNA say EH. Two things bringing Tim and Tom into this not mean you. These other timid. Tom's these imposters bringing them into it. If I were either of them I I know I have no stake in this. I limited differed room altogether but ah I also feel like if they're at least somewhat normal they'll of course side with you and be like no she shouldn't have had sex in your room in the first place. And that certainly is not a reason to swap it. She could also offer. Well look if you if we swap rooms homes then all of a sudden. This isn't a special places the same old place where you know you're doing your day to day thing. How about as a compromise? Every six months you get to have sex in my room. Why would why would she says Das- A as a compromise? I mean she. They did offer that I would kick her out of the apartment. It's fine it's fine. Everything's Fine Tim if you what is your bedroom Ed Room. I would have done everything I could to kick you out of that apartment. Well guess what I don't know why you would have. Yeah I a game of hide and seek. He was sexy hide and seek. Yeah Yeah I'm due mainly I just read that one because I'm angry. Also Alan is you look. I don't WanNa get too logistics here. But how far could things have gotten in a closet. You don't have. It could be a walk in closet. She did say was. There's a wardrobe. Yeah I don't know what a wardrobe is see. I'm thinking of a wardrobe like you buy it I- Kia were like. It's not even big enough to stand right so I'm just thinking in light not that much get a really happening. There could have been that special. But you're right if it was like a walk in closet. That's the sky's the limit as to what could have happened in there. Yeah UH put mouse traps. That goes without saying yeah steph would put traps or the glue traps. Yeah we're both Wolf. Yeah that cover all your bases snap them up and stick them to the floor and then when you get home and the new. Oh Yeah I think it is salt. ATM thanks a lot on that one. If you liked the show you can find out more at TC GT DOT com. You can follow us. On facebook facebook dot com slash completely. Ably got falls on twitter. I complete God. Follow me on twitter and Instagram at Tom. Ronald Saami Your path out if you have a problem a solve email us at the complete guide everything at g mail. L. DOT COM in. Hey maybe we'll solve it and if you want support the show support our sponsors also check. T. Dot com slash Amazon for our are Amazon page and patriot dot com slash complete guide for books. The podcast this week a whole new book. Maybe it's a whole new ball book a whole new book. Yeah in the book is holes by Shiloh. Buff Tim's Ren- it. And then I'm going to watch a movie made about added that I made about it. No that Shiloh. Buff made about it to make holes the movie there. He made it recital above. Yeah what what about with with me instead I mean it's like word in a young team. Well I don't know anything about this book and if you don't know anything anything about it why not go to patriots dot com slash complete guide. Save yourself a few bucks on the book by signing up to our patriotic new episodes every week. And Uh you get the back catalogue to Tim. How do you think you're going to sleep tonight at all baby? Yeah you think you're GonNa Get up to pee in the middle of the night so you've had a beer a couple of beers I feel it's eight. PM Right now I feel like if I if I don't drink anything after ten. PM I'll be fine water or anything. Anything Okay Yeah. Can you what time to go to bed. Generally around ten thirty the eleven do you go to bed. That's another year till four. AM watching Joel. rogin videos on Youtube of the four. AM and. I don't watch Joe Rogan occasionally as somebody talking about the occult and then I'm interested ever a couple of weeks ago I was talking about the Mothman and a listener reached out and he was the freaking guy who made aide the thing that I was watching the documentary. I got a bunch of stuff wrong. No it's true but it. It was the craziest he he Like added me on twitter and was like hey as like somebody that You know noses does this stuff like You got a lot of stuff wrong. And I like looked ammo Mike. This is the guy that made the documentary that I was watching and completely misquoted. Seth breeds love is his name or at least I know this this guy. I'm telling you go on on Amazon. Prime they got a bunch of his documentaries boggy Creek Monster. The Mothman of point pleasant the bray the road beast and then the one I watch which terror in the skies terra of the sky. Something like that. They're Amazon prime. They're they're a thousand sometimes better production wise than most of the other weird documentaries on Amazon. I I thoroughly enjoy them. CNN week that was a hit gum podcast.

Tom Tim Tim Tom Burt Ward Tom Yeah Robin Robin Robin Leach pills Tom Hanks United States NYQUIL Brad Mike colgate Lily Lily Amy Wait Dick Adam West Johnny Carson Steve Allen Elena Billy Joel Gumbo
283 - Sleep Hygiene Doesn't Cure InsomniaDo This Instead

The Savvy Psychologist's Quick and Dirty Tips for Better Mental Health

15:56 min | 8 months ago

283 - Sleep Hygiene Doesn't Cure InsomniaDo This Instead

"With the New Year just starting a lot of us are thinking about ways to make twenty twenty even better my podcast network. Quick and dirty. Tips has tons of podcasts. With quick easy to follow advice to improve all areas of your life learn how to improve your career with get done guy and learn how to eat to make your body feel good with nutrition. Diva this twenty twenty. Make Your New Year's resolution a breeze checkout quick and dirty tips dot com slash podcasts to find some great new shows to listen to. That's quick and dirty. Tips DOT com slash podcasts? Did you know that sleep hygiene is so bad? It treating insomnia that it's used as the placebo in clinical sleep trials. That's right before you invest a ton more money and darker blackout curtains and fancy mattresses. Let's talk about the science behind sleep and sleep hygiene I welcome back. The savvy psychologist. My Name is Dr Jade Wu and I'm your host every week all help you meet. Life's challenges with evidence based research a sympathetic ear and zero. Judgment Insomnia is one of the most frustrating experiences in our modern existence. You stare up at the ceiling or worse at the red numbers on a clock mind buzzing with random thoughts tossing and turning while everyone else snores away blissfully. It can really drive a person crazy. Everyone has insomnia sometimes. Even though I'm a sleep expert and I was lucky enough to be born with good sleep jeans. I still sometimes toss and turn all night. Believe it or not. And these occasional. Sleepless nights are actually totally fine. They just mean you're excited about something or you have had one too many cups of coffee or some other fluke stars aligned to make you unable to shut down for night or two zero. All you have to do is write it out knowing that you'll be back to your normal sleep routine soon. But for many people insomnia becomes chronic. If you're having a really hard time falling or staying asleep a few times per week and this has been going on for a few months. Then we're dealing with a different animal. Chronic insomnia can really disrupt your life. It puts a damper over your everyday mood and turned sleep into a chore. Instead of a relief if you don't have chronic insomnia yourself. I bet you know someone who does about one in ten adults have chronic insomnia by the strictest diagnostic criteria. But if you ask everyone visiting a primary care doctor. One in three will have chronic insomnia in my own clinic. The average patient has had chronic insomnia for fifteen years before finding their way to me because they didn't even know there were treatment options other than Ambien and sleep hygiene. And that's because most doctors go to for treating insomnia are ambien and or other prescription sleep medications and sleep hygiene as a psychologist and not a medical doctor. It's not my place to talk in depth about medications. But I can't talk to you about sleep hygiene. I'm sure you've already heard some things about it. So here's what the National Sleep Foundation recommends slightly paraphrased for sleep hygiene so that includes avoiding stimulants such as caffeine nicotine close to bedtime exercising. But not too close to bedtime. Steering Clear of food that can be disruptive right before sleep ensuring adequate exposure to natural light sapling regular relaxing bedtime routine making sure that the sleep environment is comfortable by using blackout curtains. She being cool banning all screens having comfortable mattress. But I'll let you in on the best kept secret in sleep medicine. Sleep hygiene does not cure insomnia. In fact it's so well known among sleep experts. The sleep hygiene is useless for insomnia that we use it as the placebo treatment in our clinical trials. So why do doctors tell us the fall asleep hygiene? Why do reputable authorities on sleep like the National Sleep Foundation recommend sleep hygiene on their website? The answer is complicated. Sleep hygiene in and of itself is not bad the recommendations are not wrong in fact. I very much support them. As general guidelines for healthy sleep especially the recommendation about getting exercise and exposure to natural light during the day but while these recommendations are good for general maintenance they simply do not address the root of the insomnia problem. Think of it this way. Dental hygiene is great brushing. Lossing will help to prevent cavities. But once you already have a cavity no amount of brushing is going to get rid of it. Setting up a comfortable sleep. Environment is great to 'em may prevent your sleep from being disrupted by things like excessive heat but once you already have chronic insomnia other biological and psychological processes that are way stronger than temperature have already taken over and no amount of trial and error with your thermostat is going to change those processes. So what are these other biological and psychological processes and how can we change those instead while if you let me? I talk your ear off about this for hours so instead let's just focus on two of the most important ones number one insomnia saps your sleep drive but you can build it back up the HOMEO- static sleep drive is like hunger. The longer you go without sleep the more sleep drive you build up all you have to do is to be upright and awake with your eyes open. Bonus points if you're physically active and get plenty of light during the day one sleepers go to bed. They have enough sleep. Dr Built up to cash in for night of good quality. Sleep people with chronic insomnia. Probably don't for a few reasons. One possible reason is that they tried to sleep in or go to bed early in order to make up for lost sleep so they don't have as much wasteful active time to build up their sleep drive during the day or they try to nap or lie down to rest during the day so there dipping into the sleep. Dr piggy-bank that they've been saving up leaving less for the nighttime or they're less active during the day because they're either trying to conserve energy or they feel too tired or cranky to fully engage in their daily activities. Now doing these things will feed a vicious cycle where the more someone has insomnia the less. They get what they really need. Which is solid sleep drive? Here's how to get out of that cycle number one. Get up at the same time every day. Even if you didn't sleep well this guarantees you'll at least reset for today with a robust sleep. Dr Number two. Don't go to bed until you're sleepy. Bye Sleepy I don't mean sluggish or washed out so done with the day that's called fatigue which is not the same thing as sleepy sleepy means you're eiser drifting shod. It's hard to concentrate on the book you're reading or The show you're watching your yawning law and you may even catch yourself nodding a little bit that sleepy number three. Don't try to NAP DURING THE DAY. Unless of course you're driving in your already nodding off brute force your way through the after lunch dip or that sluggish feeling of being sleepy and the afternoon knowing that you're saving up the sweet sweet to sleep drive for later tonight before we go on. Today's episode is supported by Talk Space. We're all busy and we're busy. Sometimes we forget to take care of ourselves. Talks base. Online therapy is the most convenient and affordable way to get the support of a licensed therapist. So you can stop saying I don't have time or money for that. Talks base matches. You a licensed therapist. Based on your needs and preferences they have thousands of licensed therapists available. You can message your therapist from any device whenever you need to know. Needs to make appointments. Everything happens within talks spaces secure platform all on your schedule. The bottom line is that life can be hard and talk. Space wants to give more of us the support we need at a price. We can afford as a listener of this podcast. You can get a hundred dollars off your first month on talk space to match with your perfect therapist. Goto TAX BASE DOT COM or download. The APP make sure to use the code savvy to get one hundred dollars off your first month and show your support for the show. That's Essay V. Y. And talks face DOT COM. Today's episode is supported by the audiobook. You matter by Matthew Immersion you matter not because of what you earn or how you look or what you've achieved but because you are inherently valuable and his new audio book you Matter Matthew. Immersion will transform the way you live your life with a message of unexpected hope radical joy and deep connection. You'll face your own sense of self worth across three different sections exercises journal prompts and conversation starters to help you dive deeper. You matter is a manifesto of self esteem and a call to action for people to find their meaning a live fully and change the world while doing so download you matter by Matthew wherever audio books are sold Ohio. So we've talked about the first major biological and psychological process. Which is that sleep drive. Needs to build up during the day for you to cash in for good night of sleep that sleep drive now. The second most important process is that insomnia makes your brain hyperactive in bed. But you can reset that switch so one thing that works against sleep. Dr Which we talked about in people with insomnia is called conditioned arousal is just a scientific term for the experience where you begin to feel sleepy. It seems like a reasonable time for bed but as soon as you lie down it's like a switch has turned on and your brain is suddenly super awaken active. Why does this happen only because our brains are very good at putting two and two together? If every time you go to your favorite restaurant you eat yummy food. Then your mouth will start to automatically water when you see a commercial for that restaurant. If every time you lie down in bed and you have insomnia and busy brain then your mind will automatically start acting up when you go to bed. You can't even control it after you had insomnia enough times. Your brain has trained itself to expect insomnia when you go to bed and what your brain expects it does. So how do you hit the reset button and retrain your rain to see her bed as a place for sleep? Here are some ways to help number one just like we already talked about. Don't go to bed until you're sleepy. And don't linger in bed. Once you're fully awake for the day. This will limit the amount of time that you spend a wake embed learning a learning over and over again that the bed is the place to be awake number two if you cannot fall asleep in about twenty or thirty minutes or back to sleep after waking in the night get out of bed sometimes. It's tempting to try for little more sleep. You think that if you move slowly and don't make any noise you could trick your brain into drifting off again was really happening is that you're risking spending even more time awake in bed hammering home the message that the bed is a place for not only being awake but for struggling trying really hard. It's important to know that it's not necessary to watch the clock to track the twenty to thirty minute rule. In fact this will backfire by making you even more anxious or frustrated. The exact amount of time to wait before getting up is not that important. What's more important is the feeling of being awake or struggling to fall asleep if you feel very wake or you're starting to fret about sleep that's your cue to get up and do something to take your mind off of insomnia and by the way there are no real strict rules about what you can do when you do get up in the middle of the night yes you can watch a little bit of TV. Yes you can read. Yes you can do chores. You don't have to sit there in the dark. You know meditating or being really quiet. It's okay just do something that will engage you enough to take your mind off insomnia. One Caveat for all of these recommendations is that there are designed for adults. They may not apply to teens depending on their sleep habits and other factors that affect their sleep for example if the reason that a fifteen year old can't fall asleep is because he's been playing first person shooter video games all evening then waiting to feel sleepy for bedtime is not the answer for teens. I'd be much more inclined to recommend good old-fashioned sleep hygiene and if these tips are not enough to break you out of your chronic insomnia cycle. It's time to consult and insomnia expert. Ask Your primary care doctor and your friends about cognitive behavioral therapy for insomnia or for short. It's CBT. I usually someone who's trained to provide. This treatment is a psychologist but other healthcare professionals like nurses and social workers may be able to provide it as well. It's a short term treatment that is worth the investment after all sleep is like food and water one of our basic biological needs getting right. Set you on solid footing for living your healthiest and happiest life. You all know that I love talking about sleep. I could go on forever so let me know what questions you have about sleep. What topics you want to hear more about. And meanwhile you can reach me on facebook and twitter. I'm at Schutte. T- savvy psych and at Jade. Wou if you'd like psychology tips delivered straight to your inbox subscribe to the savvy psychologist newsletter. And you can also subscribe and listened to the podcast on Apple spotify or wherever. You get your podcasts. Meanwhile sweet dreams sleep. Tight and savvy psychologist is audio engineered by rookie bird and edited by Karen Hertzberg. As always savvy psychologist is strictly for informational purposes and does not substitute for mental health. Care from a licensed professional. Thank you so much for joining me. I'll see you next week for a happier healthier mind.

Insomnia National Sleep Foundation Matthew Immersion Dr Jade Wu Dr Number Lossing facebook Karen Hertzberg Schutte cure twitter Ohio caffeine nicotine one hundred dollars
SMNTY Classics: The Female Insomniac

Stuff Mom Never Told You

00:00 sec | 1 year ago

SMNTY Classics: The Female Insomniac

"Hey listeners. We have another podcast digestion. We think it's one you really enjoy. It's called the outcast. The outcast is a weekly show exploring queer inquiry adjacent topics as they they pertain to politics pop culture fashion relationships money and so much more is hosted by out magazine friend Toronto each episode deep dives into one theme or topic some tidy timely news others more Evergreen and expands on out magazine's reporting each episode ends with the week in gay or week for short segment a wrap up of the week's escapes news featuring a rotating cast of out staffers and other notable voices season will be twelve episodes and launched on July eighteenth tune into the outcast out magazine's first podcast. You can listen to it on podcasts or on the iheartradio APP or wherever you get your podcast. Hey this is Anne in Samantha and we're GonNa Stefan ever told you production iheartradio. How stuff I they get you. You know you're GONNA start laughing but I held it together. Yeah then Nia called it a fun always trying to up on my Nana. I love a good spot in Montana in sponge impromptu spontaneous. That's what I was trying to do. I liked it. You can bind in spontaneous laughter. Yes yes always good to accept the intro. Yeah I appreciate it. for our classic today listeners as you probably know we recently doesn't episode on sleeping or the difficulty lack lack thereof yes and it's appropriate for me because last night. I think I got one or two hours what I did. I only got five hours last night surprised because I stayed up doing word searches. I got a new book. I got really excited and it just started kept going and typically. It helps me go to sleep got revved up. Oh Man I got to hang out with you. I won't bother you but I got to see this worst search thing down. I feel really old when I talk about it because I mentioned dailies like guys are like what uh-huh I think. It's a very unique Havi. I like a guy like an we'll hang out and maybe so you'll do crafting ofting costumes and do we have some kind of marvel or Harry Potter movie going on or I'm GonNa talk about again okay if we want to pay attention engine. You're making this into that. I've tried to make it marvel you're trying to do. There's a crossover thing. Could you imagine I find it very funny. See that word searches does not like help your sleep. It makes you typically. I usually do it to calm down and just get my mind off things. I'm one of those that if I'm sitting listening to a lecture or something I need to be doodling a hearing process things that way because I need to of course nonsensical patterns or something that I'm just outlining things but it's also one of those that I hear things associated things together. I don't know why but word searches in one of those as well that I could just sit and kind of blink out but pay attention to the same time. I don't know what I get that yeah kind of like hiking yeah because I can like move and blink. Oh see I have to pay attention or I die literally like I fall. We've talked about the rolling down the hill. Being true have twisted my ankle so many times so so many times with the dangle sucks bad and it becomes a bigger problem when you are sleep deprived yeah. That's what we're talking about that. Yes as we mentioned in recently did insomnia which is kind of what both of us are alluding to suffering from is a big problem among women. It's a bigger problem among women than men and our past our predecessors Kristen Carolina legends so legends we we yeah looming climate for me because Carolina my closest friend Brandin late dammit that shadow so huge everywhere well we keep bringing back the classic so chew but it's worth it it is it is absolutely the as they did an entire episode devoted to the female insomniac so we thought we would share it with you today. Enjoy welcome to stuff. Mom never told you from how stuff works dot com the low and welcome to the PODCAST. I'm caroline and I'm Kristen and today I really wanted to bring our listeners authentic and genuine experience experience kristen. Okay I am coming into this. Topic of insomnia. Completely sleep deprived. Oh No I do you suffer bouts of crazy insomnia. Nothing like chronic nothing long-term. Nothing health issue related. It's more anxiety I tend suffer from anxiety on and off and it causes these spirals of sleeplessness because whatever makes me anxious whether it's work or personal stuff I suddenly lose the the ability to sleep and in the more tired I get more panicked. I get that next night about sleeping and a vicious cycle of insomnia is created well Carolina I you're really a a method podcast or do it again. Stem mersing yourself in the topic and I'm sure that they are so so many listeners who can relate to that very cycle of insomnia the experience I would assume there are a lot of listeners out there who could relate to it because insomnia is something that I feel like a lot of people. It's a health issue that a lot of people talk about a lot of people experience certainly here in in the US a lot of people do and there's a lot of money that people pour into curing their insomnia yeah just to get a sense of how bad of a time we have sleeping specifically in the US if you look at what the so-called sleep economy was worth in two thousand seven as reported on in the New York Times. We spend twenty billion dollars a year on sleep aids of different sources and sleep deprivation was also estimated to cost US businesses one hundred fifty billion dollars annually in lost productivity. I believe it like when you come to work sleep and I don't mean you like you kristen conger when Kristen conger comes to sleep deprived but when the general you comes to work sleep deprived and me specifically and and me. Let's let's be honest. I mean it is so easy for instance. I don't know to like find yourself staring out the window and realize you've just been sitting there ten minutes not doing anything yeah yea because your brain is just shutting down and the thing is there are actually eight known sleep disorders and insomnia even though we're probably all familiar with what it is in general. It's one of the least understood scientifically medically speaking like doctors still aren't entirely sure what causes insomnia. We know what it does yeah well. I mean when you when you look at the causes and effects of insomnia and the fact that there are underlying health conditions but it's sort of it gets into a chicken and the egg thing like okay we'll insomnia can cause has things like depression and anxiety but it's also caused by depression and anxiety and it leads to some some awful things during your day that you have to deal with yeah and the big reason why we're talking about insomnia on the pike cast is because it overwhelmingly affects more women than men so. I why don't we just talk about insomnia in general which is a sleep disorder characterized by difficulty falling and or staying staying asleep yeah and some other symptoms include just being sleepy during the day feeling tired when you wake up feeling like you're never refreshed irritability ability problems with concentration memory tension headaches and of course mine which is like ongoing worries about sleep like will. I will ever be able to sleep again or would you characterize your insomnia than as the acute insomnia or chronic insomnia well. I would say that out out that I had a couple of months ago. I would say that was definitely a cute because it's short term and versus chronic which is at least three nights a week for a month or longer it was awful and it was constant and then it was it was just gone it fixed itself over Memorial Day weekend. Thank goodness and that is on me that I was suffering from that acute insomnia. I'm pretty sure it was primary. Insomnia versus secondary so primary is like just regular. Oh run of the mill can't sleep because you're feeling crazy. Versus secondary which is actually actually sleep problems caused by a health condition so it's like if insomnia comes into your bedroom just on its own like hey. It's just if it's just me laid man they kool-aid who laid man of insomnia sleep disorders and that's primary but if it's say you know say depression walks into your bedroom is like hey also. I brought along. That's really cool friend of mine. Insomnia Yeah have fun with both of us. It's secondary yeah. Oh man what a great medical doctor Lord would well and speaking of secondary insomnia depression as I just mentioned is often linked to it also things like anxiety and stress and end according to a recent study that came out from the American Academy of Sleep Medicine. It's not just the stress itself. It's also how we react to stress which can exacerbate insomnia yeah if you're not dealing with your stress and I'm sure a lot of people out there familiar with I'm certainly familiar with us if you're not dealing with your stress and you're using poor coping mechanisms to try to work around it like turning to alcohol instead of stress reduction techniques we're all guilty of a glass of Pinot gratiot again and that can actually contribute to your stress induced insomnia and they're also a number of medical conditions such as issues with chronic pain breathing difficulties or needing to urinate frequently that can provoke insomnia because you know you're having to you know it's waking waking you up constantly during the night yeah and then of course there are things like poor sleep habits certain medications and things like caffeine which is an obvious one nicotine eighteen and also alcohol and you know. I think that this is common knowledge but it's worth repeating that a lot of people do kind of turn to alcohol to wind down at the end of the day but anyone who has ever gone to bed after having a little too much to drink might be familiar with the phenomenon of waking up suddenly and being like oh well the alcohol were off and now I'm not sleeping. Well at all yeah or are you might sleep through the night but it's not restful sleep. Yes drunk sleep and just not good I guess but that's something completely different from insomnia but it can contribute butte what can also contribute in relation to alcohol speaking of alcohol. Is Your Good Ole Handy Dandy period. It's so handy and Dandy both so during your period your progesterone your hormone progesterone is highest around ovulation and during your loot you'll or post ovulation phase and this hormonal cocktail can actually exacerbate the effects of alcohol but we have so much more periods stuff to talk about later yeah because spoiler alert when it comes to women and our issues with insomnia menstruation often is the culprit hormones. I just picture like a a giant crowd of hormones all waving like pennant. They're like a football game like that's not gonNA. Let you sleep so now that we've established all the myriad ways that we can be robbed of our sleep. Next question is well. What does insomnia due to you and it's No big surprise that that it's a host of not so fun things like lower job or school performance slow Reaction Times while driving higher risks of accidents since probably due to that slower reaction time while driving it might also in a bit of a cycle kickoff issues. He's like depression or anxiety which might contribute to more insomnia. Yeah it is it's all it's on as part of just a terrible cycle of awful things because I mean the more you get it. The worse things get things like high blood pressure at aggravates weight gain and obesity heart disease all this terrible stuff but at work you know Kristen Justin mentioned it contributes to lower job in school performance. I was one would expect if you're like totally tired and not firing on all cylinders. There was a study in two thousand six from the Journal of Management Very Straightforward Name of a journal that talked about the effects of insomnia on people at work and yes you know as you would imagine it's associated with increased feelings of hostility fatigue and decreased feelings of joviality inattentiveness but that is actually worse. These effects are actually worse for women yeah that finding in this study that women's attitudes at work were affected more by insomnia is stood out because there are also some studies that say that women actually handle sleep deprivation better than men at least based on our performance on like computer related tasks asks after not getting enough sleep but I guess that's a little bit different because that's looking at. Can You Punch keys on a keyboard versus. Can you talk talk to your manager. In the break room. Not Not start crying and yelling yes right well no and that that study to you just mentioned also was showing that like women seem to suffer more from insomnia and also believe that their suffering from more from insomnia but that they after like two good solid night's sleep recover better than men do oh and on top of that. Chu Women who are performing lots of housework which Che's often the case because women perform a majority of the housework it slows down that recovery period if you're doing housework than you have less time to rest and I and hopefully recover from that loss sleep and this issue of insomnia among women really shouldn't be ignored and this is is something that more and more medical research is starting to highlight because insomnia might be signalling other kinds of medical or psychiatric problems in lady sleepers right yeah because women are about twice as likely as men to suffer from major depression during their lives and it's nearly early always accompanied by difficulty sleeping and also another big health. Issue is obstructive sleep apnea. This is something that my mother struggles with. She snores has sleep apnea and it really messes up your sleep because you basically wake up gasping for air but a obstructive sleep apnea is a major cause of insomnia as you might imagine and it's a major contributor to heart disease and before menopause women are about half as likely you too have sleep apnea as men are but once they get past menopause they catch up to men those lucky ladies yeah and after menopause too as we'll talk talk about more the rates of insomnia among women escalate as well right well what's dangerous about this whole sleep apnea depression insomnia link is is that because doctors are kind of programmed to us not the best term but kind of program to think that it happens more frequently in men than in women they they might overlook the signs of sleepy and women and so oh you're just depressed. You're just tired but really she has possibly a serious health issue going on. I'm programmed to say okay this doctor robot Dr Kristen. Yes Kirtland Robot well now. We've talked about a lot of sort of external factors that that interact with insomnia and promote cycles of insomnia in women. Let's really focus in now on sleep and and how that interacts with gender because there are a lot of different gendered patterns turns out of how how we rest and we'll talk more about that when we get right back. I'm a quick break. Instead of an today we wanted to you talk to you about a podcast that we think you might enjoy called family secrets which is produced by Dylan's producer Dylan when Dani Shapiro Appear whimsically took a DNA test. She was shocked by the results store. She'd been told about who she was and where she came from simply hasn't been true. It turns out that she was the family secret. Oh so danny launched hit podcast family secrets which attracted millions of listeners in the first season because as it turns out just about every family has secrets liberating empowering and and hopefully these stories will make you think about your own family and whole new way listen scribe on iheartradio APP apple podcasts or wherever you get your podcast so I kick off this closer look at gender and sleep. I JUST WANNA toss out this historical tidbit. Eh from Insomnia a cultural history by Ellen Heads Summers Bremner who talks about how in the nineteenth century there was at least one doctor who claimed claimed that women need more sleep because we're prone to nervous excitability while another doctor in the nineteenth century thought of insomnia as a morbid forbid deficiency of the brain which was why women need more sleep. There has for a long time been a lot of focus on women midden sleeping but you know just not for such fantastic reasons right in the past there was also this guy named s Weir Mitchell Shaw who in the late nineteenth century developed what he called this rest cure for women's hysteria and essentially he he would lock up women in a room and just force them to do like absolutely nothing whatsoever to try to just guess guess break them down and cause them to be less hysterical. Yeah look you're expressing your opinion way too much. We need you to go in this room and just read. I no and rest cure sound so nice. I would love to take a rescue at the beach but oh wait. No no no not that kind of a rest cure because you might still be talking and expressing opinions at the beach. We can't have that happening bening yeah but yes so. Let's look at it. Let's look at the gender breakdown of sleep who sleeps more who needs it more women just complain or do we actually have something to complain about turns out that women's been fifteen more minutes in bed than men do but we sleep eleven minutes less yeah and when it comes to napping guys at least according to research from the pugh center you take more naps thirty eight percent of men and reported napping versus thirty one percent of women so not a major difference there but when it comes to who needs more sleep deep doctors say women be needing some sleep because our hysterical uteruses no. Carolina no no it's actually at least according to Professor Jim Horn who's director of the Sleep Research Center at Lower University in England. It has to do with our tendency tendency to multitask yeah. Women do multitask more than men do. That's on any blog. You'll find out there. That'll tell you that but apparently women need twenty minutes extra deep sleep in order to rest our cortex the cortex during the night needs you you to sleep so that it can disengage from all of your crazy senses and go into recovery mode and the more you use your brain. During the day the more your cortex need had sleep although I wonder and this is a bit of a side note if perhaps another solution is to multitask less because research which also finds that multitasking is not exactly better tasking right yeah exactly I know it's hard to resist multitasking though sometimes caroline we'll sure unless like and I'm good at it to an extent I'm good at multitasking to an extent but then my like undiagnosed adult. Add kicks accent and I'll just I'll start something over here and then I'll move over here and do something else and then by then my cortex is just like we don't know what's going on. Go to sleep and then he just uh-huh just face plant on your cubicle. Have you ever walked by me and I'm just like face down on the cubicle with the space bar going forever. Just leave me well. I certainly wouldn't want to wake you up caroline and because according to research out of Duke University Women Are Grumpier when it comes to losing sleep they actually use the words hostile and angry specifically in the morning and anecdotally. I've gotten better at being a morning person but it took years of training. I know that in high school when my mother would wake me up that would there would be like an hour long window before I was even approachable yeah. No I totally get it. I am not a nice person when I'm like super. Tired and I've just woken up especially if I haven't slept while I have been known to throw the covers back and yell. I'm not sleeping and you know go storm. try to sleep on the couch not social for the first bit of the morning but now I think I'm not as not as hostile and angry as I used. I used to be but we might not just be use old grumpy cusses for no good reason because this according to these same Duke University researchers women actually suffer more mentally and physically if we don't get enough sleep which then puts assisted higher risk for heart disease depression and psychological disorders and also podcasters referring to you as a grumpy gus but yeah it's it's scaring and you're like well. I mean surely like there's nothing so bad about this but in addition to all of these things that insomnia puts us at risk for we we as women end up with higher inflammation markers and basically this indicates to a doctor that you are developing health problems and they're linked to pain so well establish women need more asleep even though we might be laying in the bed more aren't necessarily getting it what is is going on because statistically women are fifty percent likelier to suffer from insomnia and according to a survey from the National Sleep Foundation came out in two thousand seven single working women and have it worse which I was surprised to see because I would have assumed it would've been working moms. I would have thought so too but it turns out that single working women are probably were probably bringing it on ourselves because we're like staying outlay outlay do enough thing yeah exactly and we're singing about it. We're just constantly throwing our hats up in the air like Mary. Tyler Moore just like going into overdrive uh-huh married working moms get about the same amount of not enough sleep as single working women do and you know stay at home moms you guys don't have that much better better three quarters of these women experience symptoms of insomnia and why is that because we we all have a lovely cocktail of hormones in our bodies that are really the primary culprit of all all of this insomnia seemed like all of the studies that we read regarding gender differences and sleep patterns and insomnia from adolescence through through old age. It is constantly menstruation menopause pregnancy and hormones. That are the common thread yeah. That's right Amy Wolfson who's the author of the Woman's Book of Sleep. A complete resource guide said that more than seventy percent of women complain about sleep problems during menstruation when hormone levels are at their lowest so imagine that stadium full of waving hormones just like clearing out of the stadium and suddenly you can't sleep yeah if you're listening to this and you're like you know what I I seem to not be able to sleep when I'm experiencing. PMS well well. It's probably because premenstrual insomnia and premenstrual hyper somnolence are just two of the Menstrual Related Sleep disorders disorders that are among those eight known sleep disorders so there is a very strong link between our menstrual cycles and how well we sleep yeah in fact research even says that menstruating women report bloating that is significant enough to disturb their sleep at least two or three days during each minstrel cycle and I am interested in hearing from people who may have experienced this because while I do certainly bloat every month I mean that's no big big deal. I've never actually experienced it so badly that it's interfered with my sleep so what's happening on a hormonal level is that during during the phase which is after ovulation our levels of progesterone rises and actually chills out our sleep patterns a little. Ed progesterone is more strongly related with good sleep so hurry progesterone but then a few days before your periods starts when then both progesterone and estrogen levels drop you have a spike in insomnia and then during the full liquor phase which is menstruation to ovulation you have energy supplementing estrogen building up until ovulation which is also when you see levels insomnia rise so we have a brief window during our menstrual cycles. What is that right after ovulation when progesterone is like he a friend a few nights of rest progesterone comes along sprinkling fairy dust on your eye and then as as Reagan bust into the bedroom is like Oh oh yeah we'll so so does birth control. I mean do different types of birth control then affect insomnia. We did not look into that caroline but I just one I mean I wonder it must it. Must I feel like in this could be mental this could be a total coincidence but when I switched from the pill to an Iud I feel like I experience. It's more intense insomnia. I'm on a hormonal. IUD SO I. I don't know maybe maybe someone out. There can tell us I would only imagine that if you are on some kind of hormonal birth control that it must influence yeah or sleep because progesterone and estrogen are so commonly linked to it yeah we'll so but but speaking of not being on birth control during pregnancy especially in women's third trimester and after childbirth women experience these profound fluctuations nations in their steroid related hormones and those hormones that are involved in the whole hypothetical AMAC pituitary adrenal grouping of hormones that produce produce significant physiological changes yen is apparently during the third trimester not only are you having some hormonal fluctuations that contribute eight to insomnia but it's also the fact that your belly is so large and you have to go to the bathroom more often that will again wake wake you up yeah so that sounds more like like a secondary insomnia that is caused by not a not a health problem but a body issue uh of hey it's caused by a growing baby. Oh that's what it is all right. We'll so once you've crested that hill and you're coasting into menopause ause. Of course your sleep is also going to be disrupted then because why wouldn't it be because menopausal women experienced wonderful things like hot flashes and night sweats vets and this during the time you get things like a diminished production of estrogen and particularly project around that affects your sleep yeah it in in fact does not get better when it comes to insomnia as we age right an like we mentioned earlier with the sleep apnea stuff menopause ause is when women really catch up to men in terms of experiencing that really bad health issue that doc you should definitely go to a doctor and get checked out but yes so you're experiencing night sweats and hot flashes and you probably are developing sleep apnea and I mean man. Your body is just throwing me for a loop. Thanks a lot body and well speaking king of a time when your body kind of throws you for a loop if you're wondering when this gender gap in insomnia really starts to widen it is during puberty this is from a study in pediatrics came out in two thousand six looking at gender differences in insomnia among adolescence and it found that when girls started getting their periods they became two and a half times likelier than than boys to have insomnia so yet again we have hormones and specifically protest or an estrogen cetera being strongly related to our sleep or lack thereof yeah so leading up to puberty. There's really no huge significant gap between boys and girls in terms of having insomnia but that onset of girls period is associated with a two point seven five fold increased risk for insomnia now one other key gender gap that also emerges during puberty that we talked about before on the podcast is how among girls rates of depression and anxiety you also increased so one thing that these researchers looked at was whether or not it was puberty related onset of depression and that might have been fostering cycles of insomnia and it and another study that we looked at examining adult female insomniacs the axe both concluded that it is not specifically the depression and anxiety that are to blame for are these higher rates of insomnia again always goes back to those hormonal factors so all of us to say the research that we found states that it is not depression and other kinds of psychiatric issues that are causing insomnia. They're sort they're interrelated yeah but they aren't codependent. Yeah one doesn't necessarily have to depend on the other. One exactly happen yeah well. I mean we were just talking about menopause menopause so if we're if we're look if we're continuing to look at age groups and Insomnia the American Journal of Geriatric Psychiatry in twenty eleven looked about three thousand each of men and women sixty five and older and they performed a Meta analysis and found that elderly women were at the highest risk of insomnia so Chris and said it just darn well never gets better. They found that more than seventy percent of men and women reported at least one symptom of Insomnia Omnia with difficulty maintaining sleep being the mainland so they looked at things like difficulty falling asleep versus difficulty maintaining sleep and so they found that women men more frequently reported two or three insomnia symptoms whereas men are more often reported just one but some of the protective factors against insomnia that these researchers highlighted for women in this study at least included a Mediterranean diet so guzzle that olive oil. It's right. Els is drink kit up also caffeine and alcohol. What yeah I don't yeah I wondered about that because that is something that is preached against. I know in every other I mean I guess I guess in moderation but I don't. I don't know I mean I. I don't know maybe these women were really enjoying a Mediterranean diet. That included a lot of red wine well. When I'm post Menopausal I will. I have my coffee and wine. If I want it. Yeah I mean earned but yeah they also cited hormone. Replacement therapy is another protective factor which they also noted was the middle of a controversial suggestion because not everybody is a fan of of hormone replacement therapy but it makes sense because of yet again those hormonal connections to insomnia because this was the one thing that I didn't find in our research was like okay well. Scientists seemed to know that our menstrual cycles have L. large influence on insomnia. So is there any any kind of treatment for that any kind of way to nope the thought nothing. It was basically just like well here. Here's the information take a loon Esto. I don't know there was also though there was another study looking at the intersection of gender economics one it comes to sleep and there was this coming out of the Centers for Disease Control and Prevention in two thousand twelve and it found a pretty strong correlation between income and quality of sleep. Yeah the study basically found that his family income increases trouble sleeping decreases and that makes sense. I mean they found that the more people who were below the poverty line experienced more insomnia then did people who were way above it but it every family income level women were still more likely to have trouble sleeping but we we did. Glean one geographical outlier when it comes to the the the gender gap in insomnia and this was coming from a Meta analysis assists in the journal sleep in two thousand six when the in the premise for it was researchers being like okay all right. We hear all the time about how how women are you know have a hard time with insomnia but is that really true is just sort of a methodological trick are women just more likely to seek treatment for it is it because women are more depressed will first of all. They concluded that okay actually yes. They looked at twenty seven studies. Yes women actually do have legitimately a worse time with insomnia except in Japan yeah. This is so interesting. the study authors think that the lack of gender differences in insomnia the fact that it's pretty much even. Steven is based on the fact that there's less variation in Japanese society's socio socio demographic and psychological characteristics but see that's curious to me because when it comes to at least gender roles roles in Japan from what I've read and also heard from people living in Japan it. It's less progressive. It's more are there. Generals are more quote unquote traditional than they would be in the West. Well I think I mean in my brain not having like gone into this very deeply that kind of actually makes sense cents because if people are very set in their roles and they're comfortable with their roles and nobody's trying to like you know cause a revolution. Schnur anything I don't know like a feminist revolution or anything maybe people are just sleeping better if things are very set in your society and I'm of course I am painting this all with a very broad well Sharon. I think we've figured it out down with feminism ruining everyone sleep completes. Don't write me letters you know. I don't believe that I'm writing you a letter right now. Carolina multitasking guide your Cortex is going to need so much rest tonight. I know but I am curious then. If there are any listeners in Japan who can give us some insights. Please let us know because this was even something thing that the researchers couldn't explain in the study there were like there's something about Japan and they even broaden it to just East Asia in general so I you wonder what it is about sleep patterns there because if you look at the history of sleep like in the West the way that we sleep has changed since the the industrial revolution where we actually used to not just sleep in closer quarters but we also slept in shifts rents like Ben Franklin would get up and go on these like night walks Ben Franklin with do you get up and take a cold Air Bath Cold Air Bat E. sitting naked had in his armchair reading. I'm picturing it. I'm picturing it. Too was refreshing awfully chilly. Yeah well well. We now need to talk about treatments for insomnia. Perhaps a cold air bath will do when it comes to acute insomnia those brief windows of sleepless nights that might happen treatment just might not be required. It'll probably go away on its own exactly for the chronic. Insomniacs is out there however you might want to seek treatment and that could include treating underlying causes of insomnia for instance a a couple of years ago. I was like not sleeping at all. I was really stressed out and my doctor prescribed me Ambien when really I probably should have been going with with therapist and dealing with my incredible levels of anxiety because once you treat that anxiety that tends to chip away at insomnia yeah and speaking of therapy there are all sorts of behavioral therapies developed for a helping sleep in carrying dominee as such as a relaxation exercises exercises something called sleep restriction therapy which is on the more extreme and these behavioral therapies where if you say can't ever fall asleep until like four in the morning then according to sleep restriction therapy you would make yourself. Stay awake. Knock it in bed until four in in the morning and make yourself sleep through the night and so it would basically be like training your brain to say oh well. I got in bed and then I fell asleep. Yes it was four in the morning and mini gradually like stepping back and back and back. I've done that will not four in the morning not that extreme but I found myself like I get really sleepy kind of early in the night at like nine o'clock. Doc but I knew that I was never gonNa Fall Asleep and actually go to bed until around midnight but it it fostered so much anxiety especially on a Sunday night you know when you know you have to go back to work the next day or whatever and so one Sunday night instead of getting into bed early like I had wanted to do and I tried to do I just stayed on the couch unread until about honestly about eleven eleven thirty in gotten bed then it was Hunky Dory so that sort of reverse sleep training because you were wanting to go to sleep too early rather than not being able to like I was sleepy and I wanted to get in bed but I knew that if I did based on previous nights of not sleeping well. I knew that if I did I would just lie there and sweat right. Just sweat the bed. I sweat the bed but also like you know we. We've mentioned sleep apnea lot in this podcast best episode you might. WanNa look into going to a sleep clinic and getting a CPAP machine. I have a friend who got a C. PAP machine and he sleep like a baby now. My mother other was prescribed a CPAP machine but refuses to use it because she's too proud. What does a CPAP machine looks like. It's it's a Bagel robot looking thing like you don't want it. You don't want to have have sleep apnea and you don't WanNa have to use a C. PAP machine but it can be life changing for people who use it it. It involves putting like a mask over your mouth and nose and it's pumping air. Someone else can explain this way better than I can but it's it's not a small machine. Well something that is small but a lot of people do take in. The bedroom is sleeping pills sleep. The market for sleeping pills has I don't want to say exploded because that's the sensational turn but it's kind of exploded. You're taking more sleeping pills than ever before yes so if you look back this is coming from the New Yorker article article they did on sleeping pills back in twenty thirteen all the way back in twenty thirteen but in nineteen seventy you have domain which was the first benzodiazepine explicitly approved by the FDA as a sleeping pill fast forward all the way to two thousand six and prescriptions of sleeping pills hit forty nine million ambiance manufacturer estimated that that pill in particular had been taken twelve billion times worldwide now the number of pizzas that have been sleeping on a still unknown and according to data from the CDC as of two thousand thirteen around four four percent of Americans were using prescriptions sleep aids and our us more commonly surprise among women and older adults but the trouble with these sleeping pills is that they might not actually be improving the quality of sleep that you get there was one study that was cited in the New York Times talking about how and I don't have the exact figures in front of me but it was something along the lines of taking a sleeping pill and it helped to the people fall asleep less than fifteen minutes faster than the people who didn't take that and then it's a question of what kind of sleep are you actually getting. When you pop an Ambien or astor something like that because you might not be getting as deep sleep as you would otherwise right well the whole thing with Ambien and I am someone who takes Ambien now and again. It's not so much that it's knocking you out cold for the whole night right especially. If you're taking a really low dose like I do because that's more of the placebo effect let's be honest but the thing with Ambien and and other pills like it is that it gives you temporary Amnesia Asia so when you wake up during the middle of the night let's say you roll over and you can't get back to sleep in your panicked about and you wake up the next day and you're like God I just know I slept terribly and so I'm GonNa today's going. It'd be awful with Ambien. You forget that you ever rolled over or you forget that you had that moment of like waking up and looking out the window or something crazy or you know getting up and eating a pizza it just kind of gives you the impression when you wake up the next day that Oh. I slept okay and today is going to be great so it's sort of a some mine trickery. Are you going on total mind trickery and and in that New Yorker piece they were talking about drug reps who were working on medication that would be more like keep you more consistently asleep throughout the night so not just be that sudden sudden onset of sleep and then you sort of toss and turn just don't remember it. They're trying and work on pills that actually keep you asleep but there's all these questions of safety and so we'll see well and then there's a whole factor of lifestyle issues related to how how we sleep. I mean clearly when it comes to sleep on the hormonal level and insomnia and all of that I. I don't think that you know don't look at your cell phone. An hour before you go what a bed is really gonna cut it but there are so many different behavioral tips and tricks that are endlessly cycled and recycled on the Internet that I don't think we even need to go through on the podcasts are so common such as you know. Limit Your screen time. Make your bedroom cool. ooh only use your bed for sleep or sex et. Cetera et Cetera right and there's some good behavioral suggestions that I hadn't really thought about I I mean the seems like it's common sense now of course and it's just exposing yourself to sunlight as soon as you can to sort of tell your body and your brain and all those pesky hormones that it's time to to get up they even suggest getting in an early morning walk with a friend as because you're combining social stuff that you're using your brain to interact with your friend and then getting sunlight on light and exercise and to me. I just I'd rather be asleep. I socialize with NPR in the morning. I do too sometimes I I answer them but the there was a question though posited in the New York Times article that we've been citing throughout the podcast as to you whether we're now just fighting our ancestors way of sleeping. which was you know? Ben Franklin in his a a cold air baths of sleeping in these four hour blocks and then waking up in the night doing a few things going back to sleep. Maybe no you're forcing ourselves into unnatural sleep patterns. Yeah I mean it's definitely a cultural global idea that you get in your PJ as any brush your teeth and you go to sleep. R- exactly eight hours and then you get up and you go be a very good citizen out in the world and work and behave yourself and all that good stuff but yeah maybe maybe we are just completely fighting nature because it's not as if you know these ancestors were getting up in the middle of the night they'd sleep for hours. Get up do whatever go back to sleep. It's not like they had got it so so great. You know we have all these tempurpedic mattresses and these pitch black rooms and don't use any blue light. Oh God but I mean they were sleeping thirty five people to a bed they had like mice and who knows what my some life so. Let's bring back the mice. Let's get the thirty five people people bad if we can just go back to the dark ages yeah but one thing that hasn't changed so through. All of this is the menstrual cycle yeah. It seems like I I I wonder if no matter what if you know all other factors controlled for if it's still like regardless of women would have still have trouble with insomnia more than men because of her periods yeah all those hormones flood out of the stadium being like peace out see later see so you went back. When you're you can sleep again. I hope this was eliminating though for not not to illuminating them on people to be able to sleep a calmly I hope this shed a calm dim dim lights more women in particular who do have trouble sleeping and we wanna hear from you what what's been your experience with insomnia and have you successfully overcome it. And how did you do that to let us know so we can share your insights with everybody else mom stuff if it how stuff works dot com is our email address you can also tweet us at mom's stuff podcast or message us on facebook and we've got a couple of messages to share with you right right now listeners today. We wanted to tell you about another podcast thinking might dig. It's called Park Land area after after meeting marrying and living in Chicago Matt and Ben Kerouac packed up their things and they're thin sold their dream Loft and moved into an RV to travel the country fulltime exploring America's national parks and any fun and delicious places they can find him between Massa travel writer with a restless obsession with hiking and Brad wars for Mabel farm in Indiana and he's the one who knows how to drive an RV be together. They're learning how to live on wheels. Without all the comforts of city living they were used to and sometimes to their heart without Wifi and what is a common theme keeping them excited the national parks and all the wonders history culture and activities these majestic places provide sure they may not have access to free laundry anymore but at least they're making incredible new memories like that time they kayaked with alligators the everglades and height with their dog thin at petrified forest and they even wrote a murder mystery train. They're not expert hikers or lifelong. Adventurers Jurors there couple of city dwellers exploring national parks at their own pace in their own style while still working remotely along the way come along for the ride. Listen to park landy on apple podcasts or on the iheartradio APP or wherever you get your podcast. I've got a facebook message here. From Caitlyn response to our explorer series series episode on seafaring women and she writes ladies. I am a marine scientists and literally whoops for joy when I saw your seafaring women podcasts casts title the timing is especially appropriate as I just returned from a research expedition see I work in a deep sea research lab and part of my job entails going out to Z. to collect samples and study sites that can exist thousands of meters deep when I tell friends and family that I'm heading to see the general consensus is that I'm sitting on deck sipping Zipping Moheda while waiting my turn to be shuffleboard. Many folks have a hard time understanding. Why in the world I would even want to be stranded on a ship for multiple weeks at a time? It's that's true even in this day and age ship life can be challenging. No phone service Internet absolutely no Net flicks. It's enough to send even the most adventurous insurance person crazy after a while I however embrace the isolation for one with no phone to serve as a distraction people actually converse at meals. I've develop long lasting friendships with people I have sailed with because we were forced to look at each other in the eye and communicate without the assistance of emails texts and facebook messages also there is something absolutely breathtaking taking about looking around you all directions and seeing no indication of human life. Some of the best stargazing ever done has been on a ship and a huge incentive attentive from the science perspective is that when I'm at sea. I'm privy to something that not many people have the opportunity to see the deep sea. I've traveled a couple thousand thousand feet deep in a submersible to a site that was little explored and I can't even begin to describe what it feels like to know that you're seeing something that no one has ever seen before for its surreal. It sounds surreal. she goes on to talk about how Rachel Carson and Sylvia Earle have been longstanding heroines wins of mine and when I had the opportunity to meet Sylvia Earle it took me thirty minutes to work up the nerve to talk to her and she is amazing as just a few resources. If you're interested I did outreach for deep-sea research cruise so you guys can read about life at sea at acid horizon dot tumbler dot com and for those of your listeners who are interested in exploring the deep sea from the comfort of their homes checkout. Nautilus Live Dot Org have a live feed running from their ship and yours can watch and listen to the scientists explore aboard the C. for that is so cool Caitlyn and thank you so much for riding in and I have a letter here from Whitney who is a woman after my own heart. She wrote us to share a story about her family history. Particularly one woman named Penelope she says the story is not exactly related to exploring exploring but to female perseverance the settlement of North America. She says I had remembered vague details about Penelope van prints stout as a child but recently found a family history book that went into much more detail around sixteen forty three penelope and her first husband set sail from Holland for new Amsterdam unfortunately the ship if they were on somehow sunk just off the coast of Sandy Hook but most of the party made it to shore once on land the party was attacked by native Americans in the area killing penelope's husband penelope l. a. b. suffered major stomach wounds and hid in the hall of a tree until another group of Native Americans founder. She lived in the natives village and was nursed back to health by them sometime later she married. Richard Stout and they moved to New Jersey in sixteen sixty five. However hardship was not over penelope? She'd become close to the native tribe that saved her life and when they heard of a planned attack on her settlement they came to warner her husband Richard. Either didn't believe her warnings about an attack or just stay and fight as we can tell from her previous experiences. Your interest penelope was not wanting to give up despite having one bum arm. She took her ten children in a canoe to safety without Richard. When I learned the story of Penelope I felt honored to be distantly related to her. She was an explorer in her own right living in a new land at a time when women were not allowed to be strong willed. I sincerely surly hope. I inherited some of those traits along with her good genes. She lived to be a hundred and ten years old Whitney. That is so cool. Thank you so much for sharing your history story and thanks to everybody who shared their stories with us mom stuff how stuff works dot com is our email address and Berlin Stu all of our social media as well as all of our blog post videos videos and podcasts which include our sources so you can follow along. There's one place to go and it's stuff. Mom Never told you dot com more on this and thousands of other topics visit how stuff works dot com. Hey listeners. We have another podcast suggestion. We think it's one you really enjoy. It's called the outcast the outcasts a weekly show exploring Queer inqu- adjacent topics as they pertain to politics pop culture fashion relationships money and so much more is hosted by out magazines Fran Toronto each episode deep dives into one theme or topic some tight tiling news others more Evergreen and expands on out magazine's reporting each episode ends ends with the weekend gay or week for short segment a wrap up of the week's gays news featuring a rotating cast of out staffers and other notable voices season one will be twelve episodes in launch on July eighteenth tune into the outcast out magazine's first podcast. You can listen to it on apple podcasts or on the iheartradio APP or wherever you get your podcast.

insomnia Insomnia American Academy of Sleep Medi National Sleep Foundation progesterone New York Times sleeping pills depression Sleep Research Center menopause facebook Toronto caroline Carolina apnea Dr Kristen Ben Franklin Nia Montana
Think Your Way Out Of Insomnia

Sleep Better With Help From Science

21:52 min | 1 year ago

Think Your Way Out Of Insomnia

"Lots of US have been there. It's three a m you're tossing turning you can't fall asleep and you're starting to freak out you're thinking king of all the bad things that can happen if you don't fall asleep. This happened to me a few years ago on a work trip and I had a full fledged panic attack after five. Five days of not sleeping very much at all. I actually thought I was dying. I went to a colleague and I was like. Oh my God. How long does it take to die from not sleeping and I was completely serious and it turns out? I'm not alone. Those are comments that I've heard probably ably a thousand times or more that Stephen Amirah. He's a psychologist at the Brigham and Women's Hospital in Boston and he sees a lot of patients who struggle with insomnia. Most people people would like to be able to get into bed and in a very natural and self-regulating way they would just like to be able to close their eyes and go to sleep but when that doesn't happen happen and you really can't fall asleep. Your thoughts can start to run rampant. I mean they can start galloping. Why my branding so stupid? I don't get to sleep now then. I'm only going to have gotten four hours tomorrow in a minute. You're not asleep now. It's been an hour now. It's been six hours. The world shaking my fist to God. Or whatever he's GonNa like you know why me this sort of thing. I'll never be able to hold a job by myself. I'm not going to be able to care for my baby. Well all of a sudden my baby is in danger. Everything is horrible. I feel like on never sleep again. Those are the people who look out the window in the middle of the night and what they say is darkened world where they assume that everybody else is asleep and they're the only ones who are going through this and maybe this is you right now but one of the most effective things as you can do to improve. Your sleep is to acknowledge. Just how powerful your catastrophe thoughts can be it. Turns out your thoughts are really a big a big part of why you're not sleeping with practice. You certainly can't change your thoughts and that can help you sleep better over time. This is your life kit for getting better sleep. I'm Ellison Aubrey cover health and wellness here at NPR. And in this episode we have five strategies to help off tackle insomnia. We talked to people who deliver what's considered to be the most effective treatment out there cognitive behavioral therapy for insomnia or I see ti for short. Think about it this way sleeping pills can help mask. The problem gets to the root cause of poor sleep so whether you have have chronic sleep issues or just a bad night here or there which you're about to hear will hopefully help you get to sleep and stay asleep support for this. NPR podcast and the following message. Come from Lincoln and the new Lincoln learning which offers over thirteen thousand online courses to help you achieve your goals. You can take a course like mindfulness about the importance of listening thinking and communicating positively early acting with compassion managing stress and much more Lincoln. Learning videos are short so you can fit a lesson during your morning routine and apply it that afternoon. You and life Kate listeners get a month of learning free start your retrial at Lincoln learning dot com slash NPR. Everybody has an occasional aged. Poor night's sleep but millions of people have chronic sleep issues and it can really take over their lives. I felt like I was always on edge so I was super anxious. That's that's drew gatty. She's in her late twenties and she has struggled with insomniac since she was a teenager. It came on suddenly when she was fifteen. It's like something to shifted and I woke up and I felt different. It went on for years. She remembers lying awake all night watching the sunrise having not slept she felt paralyzed. And you know there was this one one event. They made a realized she had to do something. It was the day she had to bail out on a big family trip to visit her sister. And so I literally I. I couldn't fly and I couldn't go visit her and it was like I was frozen. That's when drew went to see Stephen Amirah at his private practice. And and that's why we reached out to him. Yes I'm the guy. His specialty is C. B.. Ti and he has been in this field for decades. He was part of a group committed to finding something other than sleeping pills to help people. Many of the medications had some serious drawbacks when they were used extensively and excessively and so there was a real effort to help people find some alternative fast forward a few decades and see. Ti is now probably the first thing a doctor will recommend if you go in saying you have insomnia. Now keep in mind if you do have sleep problems. You'd probably do WanNa go see your doctor what we're going to do here here is giving you a cheat sheet of the main concepts behind. CBI So the first thing that Steven teaches his patients is to do. What's really a a big reality check and this is step number one? You know a lot of people with sleep issues say things like Oh my God last night. I didn't sleep at all when the reality is something something very different so he has people gather some data step number one is. Let's take an actual look at what. Your sleep is flogger Walker sleep over a number of days. This basically means writing down what time you went to bed. What time do you think he fell asleep? How many times you've thought you woke up during the night and then then when you got up to start the day when drew started this? She was convinced that she never slept. Which of course is impossible? I I'd wake up and I'd say Oh God. I almost Melissa definitely only slept one hour. But when she actually started to lager sleep a different picture emerged. oftentimes it would be anywhere from a two to three. And maybe the occasional five hours of sleep so it wasn't a ton asleep but it was more than she thought now. This is the first step to help. You realize there's often often this big gap between your worst case scenario fears. And what's really happening. So logging your sleep. It may seem simple even obvious but stephen says it's it's powerful. When you observe behavior you can actually start to change it? Just by observing it and usually folks have not observed their own behavior in any kind of systematic way. So step number one log your sleep now onto step number two and this you can think of. There's kind of a different kind of data collection this time. You want to examine all of those catastrophe. Worse case scenario thoughts and replace them with something something more neutral now. I know this is easier said than done. But we're going to walk you through it so when this happened to drew say she would have. This thought I'll become oh a burden upon everyone. She pulled her journal. She'd write that fear down and then she looked at it and think that's not realistic. I think about if some of I heard someone else say that you know I'd I'd say are you serious. So she would strike out that thought and replace it with more logical one something like you know. Of course I won't become a burden to my family again. This may seem simple. But it's pretty powerful so when you have those thoughts when they pop into your head go ahead write down that fear it was like rerouting outing this brainwave twelve years of just consistently saying if you don't sleep tonight you will not be okay so it sounds like you really had to learn to reframe your thoughts. Lots to really kind of push away. All of the catastrophe thoughts and replace them with. I guess what was closer to reality. Yeah totally writing down onto fact made a difference to me. It made it feel very real. It turns out that a lot of what we tell ourselves is false and those false thoughts really can keep you you awake at night withdrew was doing then was she was becoming aware of the thoughts that precede the anxiety about her sleep and and understanding how that actually starts a big cycle. It's kind of like a snowball rolling down a hill. It builds momentum and when you learn to replace those fictional fats with the factual ones it can stop that runaway snowball so we want to become mindful of those thoughts. And then we're going to tackle those thoughts logically and rationally. Now go back to that moment. When you're alone in the middle of the night you feel like you're the only one who could possibly be up at this ungodly hour and you say this it's just too I am? I'm an INSOMNIAC. He's the cards I've been dealt will labeling yourself that's another kind of harmful fiction. I always tell my patients nations. You are not an INSOMNIAC. You are a person experiencing insomnia now there. Here's another helpful. Step to break this pattern and it builds on what you've learned in your sleep log. The next step is something called sleep restriction and the basic idea is is that you use your bed only for sleep. You don't want to lie in bed and worry about sleep you really want to be asleep. And oftentimes this means you spend less last time in bed and so it seems paradoxical but what we do. Is We help people to not spend excessive amounts of time in bed. If they're not going going to sleep we want them out of bed and we want them to start. Experiencing successes with sleep. Andrew's case Stephen told her to try to sleep for only six hours. The this was the realistic amount of time. Drew thought she could stay asleep based on what she learned from her sleep log and so we said okay. I'm going to go to bed at one thirty every night and I'm going to wake up at seven thirty go to bed. That means that I do not go into my bedroom and get in bed until one thirty and you do not get out of bed any later then seven thirty no matter how the night goes no Radyr win. I end up going to sleep if I have to wake up early. Those are my times where I am getting in and getting out of bed so even though she may have been a little tired restricting it to that that narrow window of six hours was helping her consolidate her sleep and start associating her bed again with being asleep is that right. And that's that's exactly right. We want you to associate. You're being in bed with sleeping not with anxiety and worrying about your insomnia so as you experiment with sleep restriction. Here's here's another. Take away to think about. Try some meditation techniques. I know it sounds kind of obvious but they really can help for some people. It may a B simply listening to somebody with a soothing voice for others it may be somebody who takes you on a guided trip just through your own body and has has you focus on each individual part Slowly letting any tensions go. I want you to move and focus on your right leg Your right leg is feeling heavy and warm. Your riot leg is feeling more and more relaxed. This is Christina McRae. She's a psychologist and expert at the University of Missouri. Sorry and what you just heard. Her do is called a body scan now. It's often taught as part of a stripped down approach to meditation. One form of this is called mindfulness based stress stress reduction and believe it or not it's been shown and multiple studies to really help relieve anxiety. And this is what you're really trying to do. You're trying to quiet. Quiet your mind and tamp down that state of hyper arousal the first time. Somebody had me participated as a student. I was trained in it and then I had to administer it the next day to a group of veterans and I you know thought about being sick. I don't want to come do this because I thought it was. So corny in so hokey but what I found is even when I administered it myself I started to feel this sense of just overall relaxation. Both my body Audie my mind and I became a believer at that point. Wow Wow that's a big. That's a big transition there from complete sceptic to saying this really works exactly over the years whenever I've demonstrated this whether it's with patients in classes with undergraduates graduate students and anywhere I've demonstrated it. I've had almost always somebody in the audience in the classroom. Who has fallen asleep now? There are lots of ways to get there to the state of deep relaxation. Drew uses an APP on her phone. It's called head space. It's narrated by this guy named Andy Potty comb feeling the weight of the body sinking down into the bed I love. His voice is the most relaxing thing ever and I like it. I like what he has to say because I I sometimes think wow. Is he just talking to me. You know everything has to say so feel so relevant vent just allowing the mind to drift of its own There are a whole bunch of APPs. There's one called calm. One called ten percent happier insight timer and all the experts we spoke to said. There's not one technique that works better than the other find one that works for you and over time. You might just find that you can do these deep breathing or these meditation techniques without your APP so your takeaway takeaway. Here is find a relaxation technique. That works for you. Now we're GONNA go on to the next step you've got to redefine your relationship with your bedroom. It needs to be a com- space so we want them to use their bed. Only for sleep with a few exceptions sexual intimacy is okay all right. We thought we had. I have to point that out so one way to make sure that you're only using your bed. Asleep is when you lay your head on the pillow and you start to have those ruminating thoughts. Leave your bed head get out. Don't try to stick it out when you're spending a lot of time in your bed doing things other than sleep. You're building up the sort of learn connection between your bed. Your bedroom germ with things. That are more arousing so the goal is to have you spend the time that you're spending in your bed. Your bedroom is connected with sleep. If you you get into bed and you start. Having those automatic thoughts that are negative. After a certain period of time they ten fifty minutes you WANNA get up and go into another room boom do something kind of low key and only return to your bed when you're starting to feel sleepy again now. This runs runs completely contrary to what most people's instincts are they figure. Hey It's bedtime I wanNA be sleeping. I should stay in bed but again. We're trying to reduce the amount out of time that they spend in bed feeling stressed. So this is what Steven Amira had drew try. I wasn't supposed to get back into bed until I was falling. Asleep is not yawning but is heavy And then if I went back into my bedroom and I couldn't fall asleep in what felt like another fifteen minutes I had to leave. Take my bet so there'd be times where I would do that for ten times but it was about not connecting. You know my bed with these negative. I can't sleep sleep. You know I I had kind of rerouting. What the bed? My bed meant to me. So what was your more positive. Take about get that moment of getting into bed. I guess when you got into what about it went thirty. We're really tired. Yeah Yeah I was really tired so it kind of made that the this weird shift where I had always been I hate getting into bed. It stresses me out to. Oh my God. I'm so glad I can go get into bed right now because I've been up for two and three hours. You know watching reruns of friends friends. And I'm just so ready to go get bit. So instead of fretting drew just learned hang out and have a little relaxation time and our living room. Now another part of the strategy it to get clocks out of your bedroom what people with chronic insomnia tend to do is they look at that clock repeatedly and you can see how looking at that clock and seeing it say one thirty and now to thirty. I'm not asleep. How that contributes to the thought pattern so what we tell them to do either? Turn the clock around owned or take it out of the bedroom altogether because it reinforces that catastrophic thinking process and. There's some other things that you probably want to get out of the bedroom you too and you've probably heard this all of those devices. The IPAD The iphone your laptop. Stephen Amirah says they tend to give off a lot of blue light. And that's not good for sleep. So he says get them out of your bedroom at least one hour before bedtime. They're just to stimulating. We don't want you to be engaged and interactive. We want you to be leading letting go so now that you've learned all of these tools the next thing you need to realize is that this is GonNa take some time. You won't have perfect sleep instantly. It's not a magic bullet but generally CB TI starts to help people pretty quickly within a few weeks but there will be some bad nights when this happens to drew through. Here's what she tells herself. I look at myself in the mirror and it sounds super corny. But and I'll just talk to myself and say like you've always been okay and you will. We'll be okay and I remind myself you've done this before and it'll happen again. And you eve always gotten Stevens as the definition of success is going to vary from person to person but what is clear is that people learn effective tools. That really can work. There are people who will say I'm going to have some recurrence every once in a while but I know exactly what to do so that I don't get into a prolonged bad patch. What I want people to feel is is that they are confident that they had an approach that they can use in the future so that whatever comes their way they have confidence that they can handle it? I like jokingly say I've been in remission To have control of this feel so liberating it's totally changed my life. Do you remember the first full night sleep the first night where gotten bed you were tired. You closed your eyes and the next thing you knew it was light outside. I remember this night but I actually woke up in the middle of the night. I think. Got To get a drink water to the bathroom. I don't know what it was and I woke up and I was like I know not supposed to look at the clock but I really want to look at the clock and it was four. Am Am. I remember like almost dancing and my kitchen. You know I was like yes Hallelujah. Like oh my gosh. I fell asleep like how this is the best thing ever and I got back into bed and I fell back asleep again till seven thirty and I woke up my fiance and I was like I slept like get up. You know. Let's start the day. It really brings a smile to my face. Obviously it's always nice to hear a patient experiencing a great success like that. It's very true. Drew work very hard at this and Christina. mccrae says she's seen so many success stories similar to druce. You're working with patients who often often have suffered for like drew fourteen years Twenty Years Twenty five years thirty years so it is highly rewarding that in a relatively brief period period of time for weeks. Eight weeks you can get the level of improvement that she described. Let's recap what we've learned takeaway number one to sleep better. You need to know how much you really sleeping. Log Your sleep over for a number of days including when you fall asleep the times you wake up in the middle of the night and when you get out of bed the next morning so step number to keep a journal of any thoughts and anxieties that around sleep so that we can better understand them. Takeaway number three rethink how much time you spend in bed and number number four. Find a relaxation technique. That works for you whether it's deep breathing or a body scan and lastly you need new rules for what to do and not to you do in your bedroom. We want people to change their relationship with their bedroom and establish a whole new set of rules as to how the go without the whole all sleeping and waking pattern for more live kit. Check out our other guides. NPR Dot org slash life kit. And while you're there subscribe subscribe to our newsletter so you don't Miss Anything we've got more guides coming out every month on all sorts of topics like life kit for parents. They have a guide on how to have difficult Nicole conversations with your kids everything from divorced to death to help to talk to your kids about Santa Claus and the tooth fairy and here is always is a completely lately. Random tip this time from. NPR's Joshua Boteh if you're prone to getting stains on your white t shirts. Whitening toothpaste works really well disturbed toothpaste on the stain. Put put the wash if you've got a good tip or suggest a topic emails life kit at NPR DOT org. I'm Alison Aubrey. Thanks for listening. I welcome to the twenty first century. Do you see Jesus in the burnt toast. Do you realize that literally literally. There was a bucket of conduct by exit. Why is this happening to me? We cannot just say stop. I want to get off visibility. Celia season five. No easy answers just the right questions.

Stephen Amirah insomnia Steven Amira sleeping pills NPR Drew Brigham and Women's Hospital Lincoln Ti Boston NPR insomnia Ellison Aubrey Lincoln Kate Walker Melissa CBI
Insomnia (1994)

Chat Sematary

39:40 min | 10 months ago

Insomnia (1994)

"Everyone chat cemetery is back as is Katie Schaefer. Today we are discussing the nineteen ninety four novel insomnia yet. It came out on September. Fifteenth that year and it does tie in to the dark tower series a little bit but I have to admit at the top of this episode episode. Here I got a little law so I'm sure Katie will be doing some more of the explaining this time around but Katie how are you doing today. I'm doing good and I've read. This spoke a few times so I feel confident and knowing kind of what's happening do you find. His books are easier to understand. Once you've had a chance to read it spend some time with it. reread it and sort of just make your way through at least a second or third time to pick up details. Maybe you didn't pick up your I read through. Yes definitely especially something like this where the plot that's happening is really complicated. Did you know I don't like some of his stuff. You can just like Christine. No not a whole lot there but this one yeah I think I read it initially from in a decade ago but I remembered a lot of it and I think I wrote it twice then so a lot of this book was like. Oh Yeah I remember this happening. And then anticipating anticipating I think I know the ending. You know that type of scenario. It's funny that you brought up Christine because king does have a lot of books. Looks like that where it's just evil thing comes to town and so you have the evil car Christine. You have Cujo the evil dog with rabies and and goes crazy and then you have you know pennywise the evil clown and while I will admit that it is a much more complicated book than Cujo or Christine. There's complicity in the plot. Exactly like like you said evil thing comes to town and then there's lots of things built up around out out but this book really goes and shoots for the stars with how how much is going on and how closely so you have to pay attention to what's going on in order to really get that understanding before the end comes when he finally explains everything because it's a slow build. This one has such a slow build. I don't think we really get to the end and like things start happening until two thirds of the way through the book doc or so in that respect it felt a little like Tommy knockers. As far as how much setup was done but it was done much better than Tommy inaugur so it worked out better in the end and you know speaking of Penny wise in the story this takes place in dairy. So you have that connection. And I'm pretty sure Mike Hanlin comes up as still being the librarian at least two or three times in this Yup. He's a a small character in the book. And there's a couple of other things in it that obviously like the geography be. You know which I'm St in Kansas Street and all of that are present in the book and I think They talk about the giant flood and eighty eighty five which is the very ending of it and they talk about that pretty regularly and how it changed the town. There's moments where Ralph Mench Ralph. Yeah thinks about how dairy has changed since then but it's still not a good place. Yeah it's something that has affected the town and such a negative way that it Kinda not necessarily became a dump. But you could tell that there just isn't really a good vibe with with this town at all and to dive into the main story here a little bit. Ralph Roberts is our main character who suffers from insomnia after his wife dies which I think is something that King took as a normal response to this trauma that has happened but he twisted it in a way to bring these fantasy elements into it and it was done in such flavorful way that you can't help but be engrossed by Ralph Story and I think a lot of that setup with him going in meeting Lois them getting married. That's what what really caught my attention with the story at the beginning and it wasn't until later when they brought in the little bald doctors whose his name's I probably won't even try to pronounce if you have an idea feel free but once they were introduced I was like hold on. What's going on here and I was getting bits and pieces of it but by the end it just didn't quite come together like I was hoping at least in my mind because I felt like there was just some piece of knowledge that I was missing? I don't know if that's because of how heavily Greek mythology plays into this. Because I'm not super familiar with that. Yeah there's I I. I think that there is so much going on here. That isn't hinted out until like I said pretty far away like the ball doctors. You don't find out what's going on on with them With close Atra Posts and I can't find the name of the last one I think. Cases lookie sus okay. Yup which are the three fates who spin. Everyone's lifeline in Greek mythology. They Oh God yeah. That's and that's kind of what they are in this. That makes sense. Yeah they are. Usually there are three women so that's an interesting change up but I think Ralph is such an interesting character and a kind of character that we don't see very often in any books folks you know this is something where he's a seventy year old man and has all this has trauma and then he certainly really lived a full life up until this point to and yet the story gives you so much more of it to come right and hey just kinda gets thrown into this adventure sure and we really get to see him. React as someone who has lived this full. Life is not a child like in it and I thought that added such an interesting dimension and in at least in the beginning of the limitations of him where he's a seventy year old man so it's not like he's running down on the street to get away from something because he might fall and break up yet like there is a lot of the Greek mythology going on in the story and I think the beginning the setup with him having the insomnia and then seeing the Auras and then rig realizing that they're real as opposed to a hallucination that he's experiencing because getting two hours of sleep a night because that is something that does happen to you. If you have insomnia you do start to hallucinate if if it goes on long enough so I felt like. He took a lot of the real in this book and use that just twisted a little bit. So I think that's done really well and makes it work but it does also keep you guessing for probably a little too long whether or not this is really happening right and Ralph certainly seems very self aware of everything that's happening with him and he tries to go to people for help he. He doesn't really talk to his primary physician about it but he goes to this other doctor and kind of toxic out in the guy is like you should tell your regular doctor. Listen he's kind of not wanting to because he is worried about how absurd it would sound probably and then. He goes to one of the local cops for help and they seem to be old friends so he's kind of just like you know. Go get help. Go Hook figure this thing out because it's very clear to a lot of people that he's not sleeping they just don't know about the arrows and the low appalled doctors and everything else that Ralph is seeing so he tries to keep it pretty contained but then once he finds out that Lois is also saying the same things I think that really is where their connection starts to build up and you I can tell it's just sort of this natural thing for both of them and I really liked that aspect of the story to just the two of them meeting getting to know each other and then and sharing this thing that they can't share with anyone else right and it's like their chosen. Obviously they were chosen for this task and in the beginning of the book it kind of it talks about how he has feelings ish or like possible Proto feelings for Lois and he kind of is like wow maybe maybe I could ask her out on a date or something but it never. He doesn't feel compelled to his wife is only died recently. Then it works so well because they already already have this like almost or they have a relationship pre-established relationship and then they get pushed over into something much more intense offense and requires them to work together and understand each other on this literally an entirely different level according to the book make mentally and and I did really enjoy the fact that you don't get any information about what lowest is going through until that pivotal scene in the park where Ashtros cuts Rosalie Lifeline And that works really well because it's all of the dramatic tension in all released at once. Yeah and it's safe to say that Ralph in Lois both think that the fates dates are sort of the villains of the story and really in the end. It's a post who shines through as the one causing all of these problems in sort of deciding these things that Ralph Lawless think. They shouldn't be able to decide. And that's where the tension I think really starts to show show in those three characters in particular right. I think it's a very interesting twist that because in Greek mythology the three fates fates are like all work together in tandem and each one's job is equally important to the human life and one of the spins spins the iron the other one pulls out the length and the third one snips that at the end. And it's an interesting concept to have one of them. Mvp you know part of the random and they're part of the purpose and to kind of split them into two groups and allow them to be the. It's really complicated. Because like he feels like a bad guy he feels like a bad guy but he is serving. He is a bad guy in this book but but he is serving a purpose like this higher purpose. That normal race would not understand right. You know and to us it would be like. He's always bad but in on that higher level that they're talking about how the world or the you know the universe runs somebody has to do it and he enjoys it which is really terrible but it's also necessary and that such an interesting interesting juxtaposition to think about and it feels so much more real and then you have him being corrupted by the Crimson King which is the entity from the dark tower that has come into our world. That's my understanding of what's going on. There is that the Crimson in king found an opportunity to come into our world to effect the overarching pattern of how everything connects. Let's dive into the ties to the dark tower. A little more here because you brought up the Crimson King and then there are different levels of the tower and that's where sort of the purpose in random comes in and this is the first time where being introduced to that concept so you have these driving forces that that are apparently on the different levels of the tower so we're sort of just touching a very small piece of the tower in the story story and going into it. I had no idea about the ties to the dark tower. But I'm reading rose madder now and it's like that is also kind of tying into the dark tower so there are more dark tower books than King has labeled essentially. Because you have the stand. You have this then you have rose matter almost immediately after this or immediately after this actually I think and then who knows how many more of his books will have these little tidbits but I feel like with insomnia. You're getting even more important information than maybe what we get from the stand about the dark tower. Yes and I have been told that 'cause I again haven't read the last book this ties in incredibly heavily with the last book like it is. It is something that you should read if you're reading the dark tower series. That's kind of how it's important side material will say because it gives you more background. But the connections to the tower kind of very slowly creep in and I wonder what someone would think if this is like the first Steven King Book they picked up like I feel like I. I would feel bad if you've been reading king for a long time like even if you've never read any of the dark tower books like you're kind of aware of the tower as thing and you've seen scene Rowland mentioned because he's mentioned couple times in this one never in any real capacity but he's talked about and you've heard mentioned mentioned. You've you've seen other things in that kind of hint that there's some other bigger world going on in the background of all of kings books but if this this when you like. Why do I care about this kid? Who's what's what so but if you've read any of his other stuff like I feel like this is a really rewarding read in not because of how how it manages to take the dark tower mythos and bring it into his other books and help it? really flesh out wrote how diverse works like you said like the tower has the levels and this gives a different metaphorical reading on what at those levels are and how the tower exists in all dimensions. I guess that's the word we'll go dimension. I feel like that's the only word that might suffice. Because when it comes to the fantasy elements of kings storytelling. Fantasy isn't necessarily my in January. I mean the most I've dug into fantasy really is like Harry Potter and Lord of the Rings and some of Neil gaiman stuff so it's not like I'm An avid fantasy reader by any means I got into king because of his horror elements and I felt enough of that in this book for it to kind of keep me wanting wanting to figure out what happens at the end but I feel like because I've only started the dark tower and I don't really know how this ties in yet. It made it a little less enjoyable for me if that makes any sense because now I'm kind of like okay. Well did this story serve any purpose other than serving as a connection to the dark tower or is it just one of those things working was like. Oh Hey I have all these dark tower stories in mind so let me just give you a random piece and not label it as dark tower book. Yes I can totally see that 'cause I think how well the ending works for you and like the the under arching structure of why the story is happening because you're right. This is very much a on a certain level. This is very much a explanation of of character in the dark tower But it's also like a story about Ralph because the story is indirectly about the person. It feels like it's kind of trying to work at two purposes. You know trying to like tell two stories at the same time almost and it. It's really going to depend on how it works for you because I liked it but I do read a lot of fantasy novels. I went through a period of reading a lot of epic. Fantasy like big tomes So it wasn't that they do that a lot and fantasy books. That is not unusual usual to have kind of multiple purposes going in a story so for me it was like. Oh Okay I see. We're we're trying to world build and tell a whole complete story and it's a real tossup of how it's GonNa work for the individual. Yeah because the grounded rounded parts of the story certainly take place in dairy so then you're like okay. Maybe this has more than just the connection with Mike aac being part of the story and then it Kinda doesn't go that direction and once the Greek mythology came into and I was like I don't know any of these names so there's probably probably a lot that I'm missing here so I'm glad that you have clarified some of that for me and then the character in question for the Towers Patrick Danville and he appears in this book and then in the dark tower which is book seven of the series. which you said is the last book? It's not the last published book but the one after as like a space between books four and five so you know he just really stood out of order for whatever reason but as far as I know that is at the end of the dark tower series. So the fact that I'm going to now have to wait like I don't know twenty more books. Take before I get to that. I don't I think it's twenty but it's pretty close so I have quite some time before I'm going to get to it. And that's probably how people who read these books as they were being released felt because there's a huge gap between this and that dark tower book right and I mean this was ninety. This was published in nineteen ninety four and was was the dark tower. Like you said like twenty bucks and I mean I think this this would have been after the fourth one but before the big rush of the last three that it happened because he didn't publish any dark tower books for quite some time and then he had learned three back to back to back right and I think that was the from what I've read. I think I think it's an on writing. He talks about that he realized like Oh shit I better finish the series right right right and so there's at least ten years if not more space between this and the last star tower. So it's it's very very interesting to me that this character has been was set up so long in advance because it would have been weird if he didn't didn't use it but that's a lot of setup for something that doesn't come to fruition for an incredibly long period of time and from the From what the the apropos season. Not Atra Pos close and leases. Tell him like. It's kind of clear after that king knew what he was going to use this character for. It wasn't just like oh well we'll just tell this interesting story. It's like he had a plan of like okay. This character. Patrick has this purpose that he needs to get taken care of. So we'll tell the story of his life being saved so he can fulfill that purpose. Yeah and you were right. It was ten years so book six and seven both came out in two thousand four and five came out in two thousand three so he really just like cranked out the material. And from what I can tell from the gunslinger booking knew what story he was going to tell because in the early books he kept saying and you know the story will continue so obviously he had this idea in his head for years upon years because the gap between the gunslinger being released in eighty two all the way to the series quote unquote ending in two thousand and four. That's a big gap. That's a Lotta years twenty two years and then you have the wind through the keyhole which came out even later in twenty twelve so to really get get the entire story. People had to wait thirty year. So that's just crazy for a series to drag drag on that long and it's because king was putting out so many other things he didn't want the dark tower to be his only thing he was working on right that that man is ahead is obviously stuffed with ideas. They're constantly begging like commanding to be get to be released. And you know with that kind of book or that kind of series rather you have to be so careful with what you're doing because it's usually has to come at the right time it's hard to just I force that to come out and have it come out right especially for someone who's constantly coming up with new ideas and like. Oh well I really want to write this book now. Oh and I want to write this book now. And he just didn't get back to it and I think my guess would be by the time he hit the fourth book he was like. Oh God this is. This is really complicated. I'll just put it off and keep putting it off keep putting it off until like okay. I better finish this because I might die type of situation and I think that. But he's still kinda like gives us little tidbits from this and rose matter and a few other books Later on in the series are in his collection of writings were. Yeah I definitely found Ralph and Lois as a team very compelling and like I mentioned earlier that sort of what kept me going with the story because I was so invested in those two by the time you had the little Oh ball Dr doctors playing a bigger role and trump does so you have this buildup that makes you like these characters and I think that's something Matt King does so well because if I didn't like Ralf in lowest other than this podcast I would not have had a ton of incentive to want to finish that book especially with that being as long as it is. Yeah I think they're they're so compelling there so interesting and like they're so different like you just don't get to see these kind of people who and as always he writes people who are different than him because obviously he was not seventy when he wrote this book Quite a ways away from it at that point and but yet they feel so lived in as most of his characters do and I just wanted to know and I think it was a it was really good idea a start. START US getting to know Ralph with the death of his wife because when you see someone in a book who's going through that kind of trauma like you get to. I know them on this very deep vulnerable level pretty quickly. Because you're seeing how they're reacting to all of this pain and it makes us feel for Ralph and want him to feel better and then he gets the insomnia any just starts to go downhill from there and it's like I just want this guy to have win. He's got to have a win right. You know. And then his relationship at his Ann Lewis is relationship with bill McGovern who's Ralph's downstairs neighbor And I really love how the three of them have the relationship between the three of them and how they all interplay with each other because McGovern is such which so different from the two of them so it allows them to bounce off of him and creates little conflicts. Wants to keep us going as we're building to the bigger conflict exactly and a lot of what I enjoyed about this has to do with how king structured the the story as a whole but also just the various character arcs within the story. Like you said if we didn't start off with seeing the trauma that Ralph had gone through and how he was suffering with the insomnia and everything like that we wouldn't have cared as much about his story and how so it led him to lois how it led him to ultimately in the end his sacrifice which will talk about in a little bit but just the way king rights characters. I he really knows where to drop them in in the story. It's like okay. We're going to give you this character. Who has been through this horrible thanks and is struggling so much to get over it because of this other thing that came about because of it right right and that it gives us such a recent isn't root for him and I think in particular? I think one of the things I've really loved about Ralph's character is how he interacts with a deep know. WHO's the puppet bit of the puppet? Yeah he's Atra posts human puppet and how immediately Ralph is like. I've gotten no time. I'm for you once Ed. Because we see ed in the very beginning of the book where he's acting completely out of character and he's got some road rage going yeah and cursing cursing and hitting this guy who was much bigger than him in. Ralph Kinda helps defuse the situation. But then that all gets Kinda lost once You know his wife dies which is like the next scene and then we see where Ed has beaten Helen and sheet the scene where she is walking after after he's horrifically beaten her and she's walking with her baby and how Ralph becomes so enraged despite his age seventy year old man again. Dan Goes to confront this like early thirties. Dude who literally just beat the shit out of his wife and knows he shouldn't do it but you can't stop himself because he just is so outraged by this injustice and this this hurt that's been perpetrated against this person Helen Helen who he obviously cares a lot for I get the impression he kind of like loves her like a daughter by the end of the book and that is such a a brave thing for him to do and King deals. It deals a lot in abuse in particular domestic violence against women. Dan and he's never afraid to show it be really terrible and show people being incredibly upset about it and that is you know. That's the reaction they should have. And Ralph is His his voice in this is very powerful. I think and his sacrifice for for Natalie just makes the character even more of a powerful presence in this story because he's clearly nearing the end of his life funeral. Anyone who is over seventy year always kind of like Oh boy you know. We've hit that spot where you're not really sure how much time someone has left in the fact that Ralph has sort of been given this second life so to speak by serving this purpose. I think is something that makes him feel like a younger character than he is by the end especially when he makes that sacrificed for Natalie right and that set up so well so well okay like the setup for it where he refuses to choose. He refuses to choose between saving the little boy that this is all about out and saving his surrogate granddaughter and daughter is just kind of casually tossed off like it's just mentioned like Oh so the promise the agreement and then it's a you know the final scenes of the book and it is like it comes back acteal like whole damn. That's right. What's what was the promise? What were the details of this promise because it never really goes into it? It's you know it said that. Atra roasted going to cause an accident for Natalie. But how they're going to stop. That is never mentioned at that time. We don't find that out until the very end and and that it was like a even though I read this book a couple times. There was this dawning realization of what was what was coming and it was like. Oh Oh my heart. 'cause I felt like froth sacrificed a lot man. If he should get more than like five or six years you you really do feel for his character at the end and yours stole grateful for sort of this time he was was able to have even though you know. We're just the readers of the story and I really just like how his character arc went from from start to finish. I didn't see any real flaws with that part of the story and like I said a lot of the reason. I didn't like like this as much as you did was. Because of the elements that I just didn't have enough knowledge about you understand better and I feel like with fantasy compound to happen because at least with something like you know Harry Potter. A lot of it was just completely made up. which is wizards words? And you know. Obviously there's a lot of Lord behind those things and same goes for Lord of the Rings. I felt like the stories themselves. Were just a little easier for me to understand Dan and obviously one being kid series of books plenty of adults like them and Lord of the rings being something a little deeper than that. Those are sort part of the main two that I am familiar with an honestly I have not read all of the Lord of the rings books so a lot of what I know comes from the movies which maybe isn't the best place to get all of my information from Oto. They're very good. I've read the Lord of the Rings Series Like Seven Times until I've read the Hano the movies the hop it is great but the Lord of the rings the Three Fellowship. Two hours in return of the king are really dense. And they're amazing seizing but they are not for everyone starting to see a theme of tower here in fantasy. Yes yes there's lots of towers and fantasy novels. There's a tower castles. Yes lots of castles. Lots of keeps Yeah I think there is a lot of I don't know what's the word tropes. That's the word tropes in fantasy like towers that King kind of taps into this book book a little bit. Yeah if you don't have that pre knowledge I think this one is definitely one where he doesn't do a lot of hand holding in usually in his books. He's a little more doc explanatory and in this one I think he kind of just throws you into it and says figure it out if more in the shadows in comparison Harrison to a lot of the other things he's written as far as the dark tower goes but it was definitely interesting to kind of think through this after the fact and be like. Okay I kinda see where this went. I think I ended up giving this a three out of five overall which isn't horrible. It's just it wasn't one of my favorite things because because I didn't understand it right off the bat so is there anything else you want to bring up before we go. I did one talk about dairy. Just a little bit and like okay. What what was it like for you going back to dairy because I think this is the first book since it that set in dairy and that we really on picture of it and since dairy it's such a a big part of it you know it's a character in and of itself out? Did you feel going back. and seeing essentially the the ramifications of what the end of it is or what the the ending of it brings. I was kind of nervous because like I said I didn't know if there were going to be more connections beyond bringing up Mike Hanlin a few times names and if you know something weird was going to happen in there were like remnants of pennywise still which I think would have been interesting in a sense because then it it would mean. The story wasn't completely over and given how much people love that story. I'm surprised Kingdon. Do something along those lines but just to see the town in how it's not in the best of shape. It's kind of like you know not to the extent of the aftermath of carry Gary but maybe to the extent of the aftermath of needful things for castlerock. That's kind of what it felt like to me. It's like okay. This town just had this major. The thing happen and it's going to take a long long time for it to get back to normal if it ever does yes. That's how I felt too. It's like the the needful things comparison that was totally how I felt like. Oh this is you know. It's picking up the pieces and there's not very many pieces left you know it's kind of trying to like cold water in a sieve. Almost and I just I really liked that. He said it dairy. Because of if you've read it you have all this history behind it and you know what Ralph has experienced at least a little bit. 'cause seventy I was trying to figure out how old would he have been during Penny wise because I think he would have lived through at least two cool. Pennywise yes and so yeah because I believe it ended in like eighty five and before that it was like fifty eight so he he would have definitely been alive for both of these given that this came out in ninety four he would have been you know in his twenties. I believe in fifty fifty eight and then twenty seven years later closer to his fifties give or take right and so that means you probably wasn't right in the path of pennywise but I do think it would have meant that he was maybe alive for the The big massacre that happens in the middle of the street so I thought that was. It's really interesting to kind of think back about what would these people's lives have been like and they talk about playing on knee built street. Yeah in the old train yard and it was just. It was so many interesting little recalls. There is the mentioned With ed deep nose ring. That feels like it's been invested with all all this poisonous energy that falls into the sewers and he has this line about like it wasn't found for a long time but things that go into the sewers and dairy. We have an unpleasant way of coming back or something like that and it was like ooh Chill Ana. Yeah yeah I thought that was just a another layer of interesting background that we get this other. This glimpse of dairy without it like you said directly tying into pennywise it gives us a good sense of what what the town has become like. And you don't need to know or have read it before reading this necessarily just to get the sense that this town has been went through a lot and I liked that. He makes that obvious in this. Because it's hard when you have so many different connections in the Stephen King Universe. I believe I've showed you that crazy poster where it's just like lines going to every single thing and you're just like this is way too many connections actions to keep up with an. I know one of my goals with this podcast was to read through everything chronologically and sort of see what I could see reading everything so closely together because like I said for anyone who is following his career from the start they had much longer waits between books. I'm basically just doing doing one right after the other. There are very few times during this process where I have not been reading I king book so it's just kind of like one after the other so even though I feel like in some ways that might be a little bit of a hindrance just because I have to go through them so quickly I mean I don't have to I'm choosing to but it's one of those things where it's interesting what I've caught onto and what I've maybe missed with some of the connections. Yeah Yeah you gives you an interesting perspective love and that's something. That probably aren't a whole lot of people who have it. who were living at as it happened? You know I'm sure they're not more than a few people who owe new king book out after read it given how much money he's made. And how many books he sold. There's multiple multiple people who've done that yes but to catch every single boat and read every single one and the same order. That's a that is a feet or two rather catch every single king related products. Because you're not just reading the books. You're watching yeah most of the movies. Those children are the corns are. We've brushed those off now. I have one more and then I'm done. Yes what more than I'm done with those by It's one of those things where there's just so much volume that there are some people who don't like fantasy so they aren't going to read the dark tower series but the read these other books not realizing they tie in with the dark tower and I know some people who like fantasy. But don't Mike Horror so they only read the dark tower books so I think king offers this flexibility where you don't have to like everything. He does to be a fan of some of his writing right right. He makes he tries to. I'm sure it's not. He tries to like the stories that come to him can be for everyone or you can just read something like you know. The Green Mile like the Green Mile has very little supernatural stuff in it or his short story collections and stuff. That's not horror Shawshank. Yes shawshank and the body. I would necessarily classified the body as a horror story. It's much more like a coming of age with Ryan creepy elements thrown in so. Yeah he writes stuff for everyone and and it's great when you can read bits and pieces of all of it and kind of get a sense of how wide ranging his talents are and how many different kinds kinds of stories he can tell exactly. Well Katie I think that wraps up this discussion here thank you again for explaining some thanks to me that I didn't catch onto do while I was reading the book. It's always a pleasure talking with you. Yes it was pleasure talking with you too and again. This is one of my favorites so I really loved getting a chance to discuss it. Of course course and quickly before we go. I want to let you all know that you can support the podcast on patriotic. And you'll get a thank you on the show with the dollar a month tier for two dollars a month. You'll get a chat cemetery. Terry stickers sent to you you can follow us at chat cemetery on twitter instagram and facebook now as always thank you for listening and we hope you enjoy the rest of dude.

Ralph Mench Ralph dark tower Matt King insomnia Lois Katie Schaefer Ralph Story Mike Hanlin Christine Penny Dan Ralph Lawless Harry Potter Ralph Kinda Tommy knockers Ed Tommy inaugur Ralph Roberts Steven King
#774: Nolan #3 - Insomnia / Blow the Man Down / True History of the Kelly Gang


00:00 sec | 6 months ago

#774: Nolan #3 - Insomnia / Blow the Man Down / True History of the Kelly Gang

"What kind of a show you guys putting on here today. We're not interested in going to do this conversation from Chicago. This is film spotting. I'm Adam Kanner and I'm Josh. Larsen can't be easy to keep working after three days. No sleep to keep focus. You're seeing things yet. Cause little flashes tricks alight that's Robin Williams with Al Pacino in Christopher Nolan's insomnia from two thousand and two as the follow up to his mind. Bending breakout hit. Memento insomnia struck some at the time as a frustratingly straightforward thriller. This week we continue our Nolan who've review with a fresh look plus we'll have thoughts on three new releases all available online more. Can I get up Pacino ahead? Unfilled SPOTTING Welcome to film spotting Josh. The theaters are closed. But the movies keep coming at least if you know where to look this week. We've got reviews of three new releases. Include ONE. That's definitely a golden brick. Were the debut. That's the cozy noir thriller. Blow the man down a feature debut set in Downey's main and the down under set the true history of the Kelly gang from director. Justin Kurt Sel and the high school set Sela and the spades one. You caught up with Josh Ross. Going to continue our Christopher Nolan who've review with two thousand? Two's insomnia the black sheep. Maybe of the Nolan filmography. We'll see if it does deserve that reputation later in the show first though let's talk some new movies for a change including that Australian import true history of the Kelly gang mother soldier pan. You cost me you. Can that back a child? It is already traveling. Full tilt toward the men are would become. That's from the trailer for True History of the Kelly gang which is available to rent ondemand this weekend. The director is Justin Kerr. Zal who previously made twenty eleven the snow town murders than in two thousand fifteen. He did Macbeth. Which starred Michael Faster and Marion Cotillard? All three of them re teamed for two thousand sixteen assassin's creed now. Kelly gang is set in colonial Australia. Where Kelly and his group of anarchists violently rebel against their British rulers nineteen. Seventeen George MCI plays Ned Kelly. The film also stars Russell. Crowe Nicholas Holt Thomasson. Mackenzie and Charlie Hunnam so strong. Cast their Adam. You're able to get an early look at this one before. It's on demand release. Did the cast live up to. Its Promise House the film in general some of it definitely did in terms of the cast. This is actually my first. Kerr Zal film. Haven't seen any of the other three that you mentioned despite the fact that Michael Fast Bender has been in those two that you mentioned and I'm always down for Good Shakespeare Adaptation. I can't compare obviously this film the Kelly Gang to his adaptation of Macbeth specifically but there is a lot of the Scottish play in his telling of Ned Kelly. Se Davis from our beloved. The Baba Duke plays his mother in this film and she is not someone to cross. She's domineering she's vengeful. It's born from years of oppression as a woman and as an Irish woman living under English rule in Australia. You hear her in the trailer. Seda a young Ned. You're a man. Now you go out and show the world. This isn't a gentle mother's encouragement. It's an order and like Macbeth himself. As ned gets closer to his fate the matter he gets and that unhinged hallucinatory spirit is. What colonel taps into visually think about the late nineteenth century? We get in. John Hill coats the proposition as a counterpoint. This is not that at all. This is realism clashing with fantasy to the point where there are times in certain sequences and shots. Josh especially a recurring motif of a man riding a horse. That feels more like more door than the Bush way outside Melbourne. And so I've dropped Macbeth. I've dropped Lord of the rings throw in the assassination of Jesse James by the Coward. Robert Ford and the pop aesthetic of Sofia Coppola's Marie Antoinette. Except with punk instead and you get some sense of what watching the true history of the Kelly. Gang is really like which may sound really amazing to you and other people. Yeah I'm I'm hooked so far. Yeah it's definitely a lot and honestly it was a little bit too much for me. Wants so much to be this fiery sneer. That doesn't conform do conventional biography and it's full of these big ideas about colonialism and storytelling and masculinity and challenging gender and sexual norms. The gang the Kelly gang actually wears dresses for me. It's just all too much of a performance of assault to really embrace and actually MCI is part of it. He's a really intriguing presence and has an unsettling physicality that he definitely brings to this role. A presence was kind of all he was in nineteen seventeen. That's kind of by the design of that film and I haven't read anything about his performance but I wouldn't be shocked to learn that he went really method here that he he went so deep. And as I said there's there's an intensity to it there's a real physicality to it but he's burrowed so deep into it. So deep into Ned Kelly psyche that he never emerges for me and I can appreciate the audacity of what Kerr's doing here and his. I our first shot of young. Ned actually is him peering through a slit in his makeshift home while his mother is engaged in a sex act with a paying customer. That's a British officer played by Hunnam and then later at the end it is big showdown with authorities. He's wearing iron over his head for protection. With the sliver is is that matches that exact same point of view so crucial knows what he's doing absolutely and he does have a really game cast Russell. Crowe shows up for a little bit in this movie. And there's a lot of fun as outlaw. Who Basically pays for? He buys a young Ned as an indentured servant to teach him the trade. And I really like Nicholas Holt. In this movie. He shows up maybe about midway through as a really charming despicable and entitled English constable. Who BEFRIENDS NED in the family? Until the family decides that they're not going to subjugate themselves to him like he expects everyone to do so some juicy fund performances here and crystals definitely doing allot as I said in terms of the filmmaking sounds like there might even be a little bit of animal kingdom in there too with the mother son Dynamic and of course the Australians setting so I. I'm intrigued by those comparisons. We'll we'll have to see if the catch up with if it works a little bit better for me. The True History of the Kelly gang is available to rent on demand right. Now the new one you caught up with Josh is called Sela and the spades the directing debut of Theresa Poh. It had its debut back in January at Sundance and it came to Amazon prime. This past weekend in your letterbox review you wrote any movie that mixes the DNA of mean girls. Brick and schooldays has my attention. We're all over the place with our references in this show so far. Tell me more. Yeah this this could be a lazy short and in some ways doing this exercise. But I think it's it is really helpful in this case because those are great films with distinct styles each trying to do something that maybe you hadn't quite seen before done in that way and mixing it all together is really exciting. That also puts a ton of pressure on a relatively small film like Sela and the spades and so I don't know if it's the sort of pressure this movie can entirely bare but I like that. All of these elements are in here that the basic scenario is selling. The speights takes place at an elite boarding school and we follow the illicit dealings and also the the relationships among various student factions there called and each of these factions. They're essentially like criminal gangs. So Sela played by Lovey Simone. She runs the drug-dealing spades. And you know there are maybe some Macbeth Lady Macbeth specifically comparisons to make here in her ambition and the way she holds grip on power. She does take an underclassmen under her wing. But as we come to learn you know it may not be the most altruistic reasons that underclassmen played by Celeste O'Connor now both of those performances are really strong by Simone and O'Connor There are some good supporting turns to. I could see this being one of those smaller. First films where two or three of the actors in them and this happened with mean girls as well right pop up in later films and you really see what what great talents. They have their There's also the whole criminal element calls on brick of course that this is going on among high schoolers beneath the adults is. It's kind of amazing. How little the adults have to play in in this world And then there are some really striking flourishes by PLO as director. And here's where some of the the school days Spike Lee school days comparisons come in because Sela is also the head of the spirit squad for the school and they have a direct address to the camera routine just about what. It's like to be a seventeen year old girl and that's a really electric sequence and you can see what the direct address style how it might evoke some of those numbers. I mean across lease filmography but especially in school days so so a lot of good stuff there. That is that is mixing into its own unique animal. I think where the movie might fall a little bit short. Is that when you're trying something this ambitious and this particular you really need to convincingly establish this stylized universe that you're putting together And you could just think of how that school days campus. You could entirely believe in even though it was outsized in many ways. Same thing for brick. Which was you. Know a completely ludicrous. Scenario that this film noir mood could take place in a in a modern but it worked And I do think selling the space has trouble kind of it exists somewhere in the middle. It's not real world and it doesn't completely realize this. This place that is hermetically sealed on its own so but that's a tall order like I said that's a really tough juggling. Act For a first film to pull off and I think even that selling the spades has a sorts of ambition and gets as fire on it as it can Is incredibly promising. So so yeah And this is another case. Where if any of those references sound good to you it's probably worth giving Sella and the space the shot. Yeah it definitely sounds interesting and if it sounds interesting to you you can check it out playing exclusively on Amazon prime video right now. Let's get out to something. We both saw Josh and talk about your perfect tie in with the movie we're going to get into in the next segment. Yes for Nolan's insomnia murder and cops and cover-ups fundamentally decent people doing questionably moral things in a remote coastal location. That is truly as much of a character as any of the players. Let's hear a little bit from the trailer. Seaport Town Journey. He start over. I'm confused. It was confusing to do it right now. Lost Control with brick. You said it was a harpoon. So what are we going to do? Now is called the police. So we're talking about blow. The man down the feature directing debut of bridget savage coal and Danielle cruelty it like Sela and the spades is playing exclusively on Amazon Prime. Right now it said in a main coastal town and movie opens with a pair of sisters. They're in their early. Twenties mourning the death of their mother and after a violent episode involving one of the sisters. The pair starts to learn of the secrets that have defined the town's past and this is a movie Josh. I was onboard with right from the very opening absolutely yet another kind of direct address performance. Right you have this group of fishermen singing this old sea shanty the title Song. They're great voices mixed with the musicality of their tools and their work and they're performing for us as this little prelude and they reappear throughout the story basically like a Greek chorus and right from that opening prelude throughout the film. We get a fair amount of fish heads so I know you loved the movie. That wasn't abusing comparison that Matt Hicks actually made on twitter. He called this combination of Fargo and Leviathan. Believe it or not that had not crossed fired across I might of course but Leviathan had not even though that opening sequence. You describe yes there. Are THESE GREAT INSERT. Shots of fish bean gutted. And you'd you know hooks going through. There is as these men sing and I was onboard even from the very opening shot. It's just as a misty harbor. Foggy harbor one boat sort of lulling back and forth very peaceful and the camera then pans to the pier. Where we get these men singing. So it's kind of a Gotcha shot beautifully composed though right at the beginning and then we get that amazing sequence. So yeah I was. I was definitely like you taken pretty quickly with this. And maybe rather than pylon more references which we could do But we've done plenty of that. Can we just go right to Margo Martindale supporting turn? Think I demand it Josh. And and you'd better deliver what she demands. I mean veteran character. Actress here playing Enid. Who is this older proprietor of basically how savell repute on the edge of town right? She and her women serve the sailors who come into port and as Enid. It's you know we learned that the basic idea is that because the men are often out at sea the women essentially run the town and sort of form this crime syndicate in some way ass but also like a good hearted town council in other ways. These older women and the interesting thing is you said. Upstanding people doing morally questionable. Things are win those overlap right whence when these women Start to make different choices or disagree about their choices. But MARTINDALE has enid. Who's both Madame and crime boss at the same time Yet she still beholden to a lot of the the male dominated traditions of this community. And that's where those men at the beginning are are crucial. It's not just a gimmick their song as you said it does reappear one and maybe two other times in the film but that Song Sorta haunts the whole fell because after that point we see mostly women and follow women through stories. But you still get the sense. That echo of the men singing that that their choices are still dominating the reality that these women have to live within. And so that makes Enid Martindale character Both both scary and sympathetic. I mean she's yeah she's threatening as you said especially when she starts to to. I don't WanNa spoil anything but sense. What the two sisters have gotten themselves into and how it might be related to her She's frighteningly funny at the same time. There are a lot of good comedy. Bits and gestures that Martindale gives you. She basically makes this. She's not a villain. She's a tragic figure right. You revile her you root for her and she has some really great scenes that that embody more than the two lead actresses I think and Bhai intention of the screenplay embody the conflicts at the heart of this town on the estimate. Young why they can get away with a lot. We had a good run. Your mother and I made a lot of money to is a natural business. You're to the official. These look like Finish Margaret. Hands to you given that your mother and I go way back. I want you guys to know that if anything ever happened you can come to me. I've seen it all. I won't yeah. They're so many wonderful performances in this film one of the Sisters Priscilla I think Sophie Lowe in particular but Margo Martindale. I think we all knew she was a treasure already. This movie just further confirms that there is a ruthlessness to her that the role requires but with just enough humor and a hint early on of sadness that makes her a movie character for sure and a lot of ways especially a noir movie character but she absolutely feels like a real person all the time and that whole conceit you mentioned of the three women who kind of watch over and run the town from the shadows and those performances are such a treat June squibb who people recognize probably from Nebraska. She was also in about Schmidt. Annette O'Toole Marcelin Hugo. Are the other two women that make up that trio and you are just always a little bit disarmed by them. You regard them a certain way. Based on their appearance based on their manner of speaking and then you start to realize that they really are in control of a lot more than maybe you would ever give them credit for yen just a reference A few of the references that are probably popping to people's minds beyond Fargo. I think too great films with simple in the title. Noirs really blood simple. Another COEN brothers film. And then Sam. Lima's a simple land which I think is very underrated But those two throwing those two titles out there you get a sense of what the filmmakers are going after here there is a scene. Let's just say with Abbadi and cooler that hits that very difficult note of Grizzly nece and really more than humor that not all filmmakers can can master if you hit it wrong or off just a bit. It can really feel icky or cruel or just or even sadistic and I think that Cole and and Kirti here do manage that that balance pretty deftly For for relatively new filmmakers in a way you can imagine that scene being lifted directly from and this is a good way something like blood simple and a simple plan and that's not to say they're borrowing those tricks because I think we've already established the many ways blow. The man down is also unique. Yeah and I think the filmmakers here do something really clever which is earlier they show Priscilla the older sister cutting the fish. She works at her mother's fish shop. This is the family business and we see her slicing a fish with a lot of skill with the very nice. She's going to use later and so we understand that she knows how to use it. And then we get to do the math even before the characters have when that happens right we as viewers know. Exactly what's coming? We've seen her do it. And we know that she can't and you mentioned those other movies a simple plan. Some of these films that can be really intense and have a lot of tension and read to them. I was honestly a little bit resistant to watch this movie. Just based on the plot description without having watch an eclipse or the trailer. Because I didn't need to insomnia. Is this week you know. I didn't I didn't need to suffer through all these moral compromises in crimes. But that's not really what this film is. There is a firm sense of character in place and stakes to the movie without ever being suffocating and it is really playful and yes. There is a cone brothers element to it certainly Fargo as you mentioned in terms of these regional characters and the accents. I'm not an expert. I'm not from this part. I'd have to consult our producers San Haugen from New Hampshire but in terms of accents. I feel like they really nail that New England Patois Yeah. I wouldn't know either though the main particularly distinct. So yeah if there is an expert who is impressed by this movie that is that is another level of accomplishment that it that it has so did it strike you. I've seen a couple of people and I had this impression to Adam. I'm I'm thrilled with the movie. We got But I could also see this working very well as some sort of limited television series. As a matter of fact I almost the one thing I do wish is that it it was able to have maybe a little more patients or just a little more running time. Or maybe it's just a fact of so many good characters that you want to follow and be with longer But I I it did strike me maybe about a third of the way through or or even a little bit more that this would be great series as well for sure I think that is to its credit ultimately that it makes me wish that there was a six eight part series where we got even more of the history of this town and how these women came to be in these positions and maybe at the end. I'd have to think about a little bit more. It comes together a little too neatly and you wish it could have done a little bit more in terms of filling in a few of those blanks but overall this film that is undoubtedly a golden brick contender in terms of the use of light. I love that ghostly Pale main light that it takes advantage of here and the way especially early on when the cameras on the two sisters when they're not in the same space with priscilla the good girl it's much more formal and still and reserved and then whenever it's with Mary Beth who's the chaotic won. The camera is chaotic. And more hand held. I also will say. I'm keeping a running tally. I've never done this before. But having seen so few twenty twenty movies to this point just because of the current situation when I reviewed birds of prey and review is not the right word. When I had a little blurb on letterbox about birds of prey the last movie I saw in a theater I found myself just drooling over cells. Perfect Bacon egg and cheese sandwich and I just saw that movie coming off. I cal- with cookies. Oily Kate six. I decided this is a new category. Maybe four end of year rat party the top five movie foods. I'm dot cells. I've got cells. Bacon egg and cheese sandwich number one. I've got the oily cakes number. Two and number three right now it's not the halibut. They serve at one point. Which is another insomnia tired? Because that's all they have at that young tell lodge restaurant. I wonder where you're going here. It's the cinnamon coffee cake. Oh yeah those three women who basically run the town served to Alexis? Who's also really good Gayle Rankin? You might recognize her from her smell. She was also in glow on net flicks but she sits down with those women. At one point she's one of the prostitutes under Margo Martindale and they give her some cinnamon coffee cake. I think with some hot CIDER and I I wanted to be in that room so badly and isn't the scene. Where she she leaves and a half and she just leaves and she'd left it see that's one of the things that just tears me up in the film. When when great looking meals gets a lot of food is just left their. I'm with you. You're more. You're more of a sweet tooth than me so I'm Gonna I'm GonNa say the ranking gave the rankings right. The egg sandwiches definitely up there top. And and. Yeah we're we're going to have to rethink. Maybe some of our awards. I like this category. We've mentioned the the the light green and some of the compositions so just real quick cinematographer here is todd. Ben Hazel I believe is how you pronounce it so so some really excellent work that sort of main lighting you describe. Adam is another carryover. I think with insomnia absolutely and and yet you briefly referenced. The ending to this film will not give anything away but I love how it invert S- That chorus we've talked about and uses it. You know differently in a very purposeful punctuation. Mark Way. Yeah blow the man down once again. Currently playing exclusively on Amazon prime video. So if you have an Amazon prime account already it is free to you. We are overdue for some overview. Talk Adam are revisit of Christopher. Nolan's insomnia is next plus a new film spotting Paul essentially a battle of nineteen eighty-four creature feature comedies. Stay with US sir. If you expose it to the light you may hurt it. If you get it wet it will multiply all at from water plain water and most important no matter how much they beg never never let them eat after midnight. Three rules that every child of the eighties knows from the trailer. For Joe Dante's Gremlins. The movie arrived in theaters on June. Eighth Nineteen eighty-four the very same date another iconic eighties movie also came out. What a time to be alive. Josh ghostbusters we were riding high. Weren't we as a ten year olds? I think we would have beds right. So yeah summer. Eighty four on Memorial Day. We Got Indiana Jones and the temple of doom. I remember being scared by that. And then two weeks later ghostbusters and Gremlins a week. After that the karate kid I mean you were just Levin Adam. Yeah I think I've confessed to this before. And I wonder if you've got any other examples of this in your past. But when I see that note about Indiana Jones and the temple of doom. It reminds me that there are two things that are just absolutely inexplicable from my cinematic past adoring Indiana Jones and the raiders of the lost Ark. As much as I did and honestly at the time maybe even loving back to the future more right around the same time period and yet when back to the future to came out didn't go see it still haven't seen it or watch back to the future three and something kept me from rushing to the theater and I didn't see Temple of doom until I think later when it came on. Hbo I don't know why well I wonder you know at that time. Parents had a little bit to say maybe in the House of what you were seed. Sometimes it's just a matter of that you know the family didn't get to it. You only had a shot of seen it at the theater and this is one temple of. Doom. I've gotTa Talk To my dad about because I actually have a memory of we're going to get to. This are our movie going experiences and memories of scene in Indiana Jones film with him. But I'm not sure timing wise which one it was. Eighty four seems right for how old I remember being and the others. I would have been too young for this so I got to clarify that myself. I know I saw temple of Doom at some point when I was young in the theaters. But I gotta get from him exactly what that would have been. I look forward to your reporting back on that probably next week. Because we're going to get into our eight eighty four series with a summer eighty four throwdown June eighth eighty-four showdown to be precise it's ghostbusters which Sam. Our producer is positioning as team. Adam versus Gremlins team. Josh stand. I I understand Sam's compulsion as a producer. He's trying to drive up ratings. He's trying to make this into like WWe okay. That's fine but I do just WANNA point out for the record. Even though I've probably no I definitely have given you grief in the past for not properly appreciating ghostbusters. Yes you do love ghostbuster yesterday and I have seen it. I've seen it in the past five to six years and still really loved it. The reality is I haven't seen Gremlin since nineteen eighty-four so I actually have no idea what team I'm on. We will see during this revisit. What did you think of Gremlins in? Nineteen eighty-four I loved it. Okay like like every other nine year old. Okay all right so yeah Sam is trying to maybe stoke the flames here. A little bit because also keep in mind. It's not like I don't like ghostbusters. I am also a fan. I do think it's reputation has been inflated and Nostalgia comes into play in my revisit of ghostbusters not too long ago Was probably a little more disappointing than yours. Even if I came out still liking it so that's probably what I do. Think Gremlins is brilliant. I know that for sure So I may be I think this is gonNA ultimately be right. I think at the end of the day I will be a big fan of Gremlins than you and you will be a bigger fan of ghostbusters than me. That's probably probably I do think that's also how it's going to come out. Just because I adored ghostbusters so much but we need to see how this all goes and maybe I don't want to spoil any conversation next week but as we are talking about these two films it occurs to me that may be part of. It is just simply. I remember so vividly wanting to be a ghostbuster and having that imagination where I pretended I was a ghostbuster and I made the equipment out of our vacuum cleaner and took the hoses. Now put a backpack on like I was. I was way into a Josh. And you know what you can't do that with gremlins known. Are you GONNA do? I did not want to be a Gremlin. I think we've all established in Nineteen eighty-four. I wanted to be Eddie Murphy. So that's covered right. Well you can weigh in on this match right now. Find out which team you're on over film. Spotting Dot Net Ghostbusters V. Gremlins is the current films spotting. Pull the outcome of that one not really in doubt and we knew that before we even posted it. We do understand the reverence for ghostbusters. But honestly it's a little bit closer than I thought it would be. And what we're most interested in is your feedback. So if you love Gremlins let us know why Josh for sure has your back you got it. That poll again is at film. Spotting Dot net. If you're missing. The communal nature of going to the a couple of spotting listeners have got you covered wanted to highlight a couple of efforts out there love getting these emails from film spotting nation. We have talked about Nigel Smith. You've hung out with Nigel Smith in London London and then if I'm recalling correctly he stopped by for a visit at a film spending meet up in Chicago. I think he was there at a pub so I think that was a foreign buyer. Meet up at it was it was late. Drinks were had but I'm pretty sure Nigel was there so the Tufnell Park Film Club. Like many live events. It's now had to go online so club members and that's now open to everyone. Everywhere watches a new film every week. And I Jill and his colleagues record an intro for every film they give some context. The recent lineup includes Powell. Pressburger is a Canterbury Tale Casablanca the Cairo and the seventh seal. So at that sounds like something. You'd want to participate in some spotting listeners. Obviously in that bunch more information at Tufnell Park Film Club Dot Com. We will link to it in our show notes over at film spotting dot net in addition to that longtime listener Tim Klobuchar. He's a high school English teacher. In Charlottesville Virginia he started the quarantine film club on facebook. That's T- and so they're also watching a movie a week and then getting together on Thursday afternoons to discuss it on their watch list so far has been rear window. I love that showing rear window to teens also raising Arizona close encounters of the third kind all about eve and clueless so a great lineup there for the quarantine film club again. That's on facebook. We'll put links to both of those Tufnell Park Film Club in the quarantine film club in the show notes for this show over at film spotting dot net slash less absolute madness. I'm not sure this final word on madness. Twenty twenty. The Best of the twenty tens is worthy of that clip. That great montage that Sam put together but we did have a final bit of business just for fun last week. Over on our patriotic page. We posted the final final championship around. We took parasite the winner of films fighting badness proper meeting out the number one seed. Mad Max Fury Road. We pitted it against the winner of the film spotting invitation turney which was the thirty two also rans. The thirty two movies just didn't quite make the cut for the sixty four film dance and we will note that at the time we put together the list of sixty four for film spotting madness portrait of lady on fire wasn't out in theaters and it definitely wasn't on. Hulu so it didn't make sense to include it even though me you and Sam all felt like it was worthy of being in that competition we had to hold it over for the fit and listeners finally caught up with it and they loved it as they anointed the winner of that tournament so we decided on patriotic. Why not open this up to the public? Let's just see whether or not parasite would take all that momentum from spotting madness. It's still crush portrait of a lady on fire or would this little film from Selena Sugama be so beloved in touch so many people that even though everyone's really just now in the past month catching up with it. It might actually beat out the best picture winner. Josh did it no. It's not I personally would have liked to have seen that but didn't go that way parasite one over portrait sixty eight to thirty two percent there. You go madness. Four now is over or is it because madness twenty twenty one his just around the corner and as we've been talking here over the past few weeks about catching up with movies that are available on demand or as we did on our recent top five things were streaming during quarantine. We've got different blind spots. We might be catching up with or random re watches. We wanted to make sure listeners had plenty of time to see anything that they would need to see before next February and March as we kick off madness. Twenty twenty one and as you know Josh. We had it all set. We'd basically said on the show that it wasn't one hundred percent but we were pretty sure we were going to do comedies. We were going to try to crown next year. The funniest movie ever and we even said that we thought we knew what the basic criteria would be that we were looking for pure comedy so we use the example. Some of Wes Anderson's films maybe wouldn't fit into this tournament because they don't fit some arbitrary definition of pure comedy. Well all I can tell us about two saturdays ago Salmon. I decided to set aside a few hours and we said okay. We're going to do it. We'RE GONNA get this list ready at least get a shortlist together of eighty to one hundred films post them for people to start watching and as we both did that and started slacking each other. We realized that we had no clue what we were doing. And that there were just way too many questions. He was suggesting that maybe any hall didn't belong. And I'm saying but that's a joke every seen a joke every line. How's that not a pure comedy? And then he's bringing up his girl Friday and we're going back and forth and honestly it got to a point where Sam said you know. This isn't going to solve everything. But what if we called this film spotting madness we gave it a title and it was something like spoofs? Gross outs and sex comedies. The funniest movies of all time we really needed to define it that clearly in order to even come up with a potential list and that was when I knew that this list really just did not seem to me like the thing spotting needed to be devoting months of work and time to. Yeah the Annie Hall and his girl. Friday examples do show how tricky this is when it comes to defining. I mean. It's almost as if you'd have to start with the broadest comedy imaginable and work more down from that definition and hopefully fill enough slots where Annie Hall his girl. Friday don't have any room but I see what you mean by the. You know the number of jokes if you count both of those films. I mean if you were going to count by a verbal jokes in film. Yeah I think they would. You could make a case that those should be in it so This may be was a fruitless exercise. Yeah so we had come to the realization. That comedy's probably wasn't going to work. Took a little break and I swear to you Josh. Just like fifteen minutes after this dialogue. We got this voice mail. Oh Hi guys. This is Bryce Melanie calling from Toronto Ontario Member of the family absolutely love. What you guys do. I just heard that parasite when the guy that's fantastic. I think this is the most entertaining and engaging you guys do over the course of the year and I have a plea for you. I understand that you're just about committed to doing mass comedies of all time. And I'm going to beg you guys not to do that. The reason is. I'm sure you're already aware. This is by far the most subjective measurement of aesthetic pleasure. I guess you would say either. You find it funny or you. Don't you cannot convince somebody to like something? If they don't already like it and so much of what is fun about this contest when we hear you guys talk about the role of the director played. How tight script was You know maybe it's the production design kind of go back to work on. All these criteria these creative renteria in determining which one is more worthwhile? And I just fear that none of that really is gonNA apply to comment. Only thing that matters is is it funny or not. So we got that voicemail from Bryce and just based on the timing of it I wrote back to Sam and said this is clearly assign the movie. Gods are clearly speaking to us and saying. Don't proceed with comedies. And we decided that we're not going to so as boring as it may seem because we've done this decade thing to me. It just feels right that having crowned the winners the best films of the nineties the two thousands in the two thousand ten. Let's go back to the eighties especially as we're talking about nineteen eighty-four this year on the show and let's figure out what listeners think is the best film of that decade. So we've put together the shortlist. It's already over on letterbox. There's I think one hundred and one or two titles on that list that were considering for the final sixty four slots there. Of course. We'll be ten to fifteen. At least it will compete in play impulse and Josh the debate the GNASHING of teeth over the film's we've omitted from even this list of over one hundred it's already in full force will have no fear. I'm I'm pretty sure we'll probably end up doing some sort of fit tournament for this one as well and yeah. Intrude film spotting fashion. I think best of the eighties is where our discussion started many hours in many slack chats ago so it does make sense that we've come full circle back to that and I'm excited about it. If you want to see that list of films and start your homework you can go to the main page of film spotting dot net. There's a link you can go to film spotting dot net slash madness. We will also put a link in the notes for this show over at film spotting dot net one last comment as I look at the list. I think it is one hundred four titles. Josh and of those there are only nine that I haven't seen and three of those nine are movies that I probably did see as a kid. I just never sat and watched them in one. Viewing and don't really remember but I remember watching tons of parts movies like David. Cronenberg's the fly. I still consider a blind spot even though I know I've seen a ton of the fly so there's three of those but I only have nine blind spots and as we have already noted where kids in the eighties someone just posted in the comments about twenty four hours ago and said Oh man. I've only seen like twenty nine percent. I have so much work to do and I haven't seen their age yet but I'm guessing there are much younger listener. Who just didn't grow up with these films? In which case there will be a lot more homework? But I think you're right for me to I have to go back through it entirely and see there will be a lot of those that I've as memories of and so it'll be a matter of whether I wanNA revisit to to make an honest vote so we'll see what happens there. I'm looking forward to the fun already. And if you're interested in more fun every two weeks on our sister podcast. The next picture show. You'll find a new movie. Pairing a recent release with a classic. Your host the Great Tasha Robinson Scott Tobias Keith Phipps and genevieve Kaczynski. This week they start a new pairing. It's called high school confidential. So they're going to do the new bad education the stars Hugh Jackman and Allison Janney it debuts on HBO This weekend and it's directed by Corey Finley. Finley made twenty seventeens thoroughbreds. So they're GONNA pay her bad education with Sandra pains great election from Nineteen Ninety nine. What are those films? I really wanted to get to Adam where we did. Our nine from ninety nine series. There were so many great films from that year. We weren't able to election starring. Of course Reese Witherspoon and Matthew Broderick so you can get new episodes of the next picture. Show every Tuesday at midnight. Wherever you get your podcasts and you can find information at next picture. Show dot net. You've heard US talk for sure over the past several weeks about the film spotting family over on patron this really is truly the lifeblood of the show. It's what's keeping US going and maybe you're thinking you just don't have time to consume any additional content like the monthly. Boehner shows that may be true. But another big perk. At least that's how we're GONNA try to sell it. Josh of being a family member is that you do essentially become a part of the show's production team talking about future show content not only bonus content but what you hear on this show them spotting every week the madness twenty twenty one topic all sorts of dialogue and polls going on over there and we appreciate every bit of feedback that we get for those who like the extra content. We have that to an earlier. This week we dropped an two-part bonus episode about Alex Garland's devs on fx on. Hulu part one was my conversation with longtime listener and a family member an AI expert and a former PhD student in AI. Who also hosts his own movie. Podcast Stephen Miller join me. We got into a little bit more of the science of devs or I tried to set him up so he could talk about the science of DABS and I didn't get too far out of the shallow end of the pool. Josh in part to me you and our producer Sam got into all the stuff. That didn't require advanced degrees. We left that Stephen and got into a lot of other. Great stuff though. I mean we talked a lot of production design. We talked about the performances and and kind of where we each landed on a forest. The lead character played by Nick. Offerman so lot of good stuff there and again. It's it's there on Patriots. People are still Finishing up devs or I think I think someone that might have even been Nigel said in the UK. It's it's just been made available These bonus episodes are all still up at Patriot. So if you join the family a little bit later you'll get access to all of them and I don't think our family members will begrudge too much. If I do this but I've been thinking about since that. Bonus Bonus episode with Stephen was completely unplanned. Might actually make that public here at some point. Just give people the chance to come over to patriots sample some of the content and hear that conversation because I really do think if you have watched the series. I think Stephen does a really nice job of putting it all in perspective. So that might just happen. We also recently got this nice note from a new family member on Patriot. His name is John Porter during my crisis inspired search for meaning. I finally found my way Patriot to support my favorite of all podcasts. Having lived outside my native Midwest. Usa currently and toured Belgium. For Twenty. Five Years. I could probably enjoy you guys reading the phone book. The accents bring me back but most importantly you have given me the gift of smaller films which have sustained me during the current situation. Ever since the Kenyan Film Society now to Sam offered up the Lean Avert Mueller Festival in nineteen seventy nine. I've been drawn to the obscure and under appreciated tours of the Goldenberg candidates. These films are a gift from you guys and through these challenging times. I'm tearing through the back catalogue. Many thanks well. Many thanks to you. John and I'm sure he means by accent. He means no accent right. I mean were mid. Yeah there's there's not supposed to be anything there it's just flat. Thank you for being a family member. Thank you for your support. John into everyone who has jumped on board as a patron we also did get a paypal donation this week and have a few subscribers still over there. I would encourage anyone who's contributing five bucks a month or more on pal to go ahead and make the jump over to Patriots really easy and obviously you get a lot more bang for your buck in terms of the benefits but one just say thanks to Michael T in Lexington Park Maryland for his one time donation some of those other benefits. Adam mentioned ad free episodes via a dedicated. Rss Feed you. Do get early download so the weekly show comes out a bit sooner than you would receive it. Otherwise we do live. Pre sales and discounts offer emerged discount. And then again as we've been mentioning these monthly bonus episodes for May and again. We let family members on Patriot. Vote which topic. They would like to hear US cover for May. The three options are A. We were wrong once. Revisit of Wes Anderson's the life aquatic with Steve Zoo or a bonus eight from eighty four review of the film Naza Valley of the wind or the other option. We would do a bonus. Bette Davis Marathon Review of whatever happened to baby. Jane so family members on Patriots are already voting on those options. If you want to get in and have your say head over to Patriot dot com slash film spotting and cast your vote right now. The we were wrong. Once the life Aquatic Steve Zoo conversation is leading the pack and doing so with a fairly wide margin of votes. Josh though the comments have been full of some Wes Anderson not haters just people who are maybe a little bit fatigued with Mr Anderson and think he already gets enough love on the show which is probably true and so they'd like to see something else but right now. The family is overwhelmingly voting for that and I was eager to talk about any one of those three. This is the second month in a row that we've included the Bette Davis option. It'd be a perfect way to wrap marathon talking about that film which you've seen and I haven't so whatever happened to baby. Jane is a blind spot for me. That would be perfect. I think if she doesn't win this time betty is probably going to have to be sent off to that island and she's not going to get to come back on the Leper Patriarch page. Yeah the Leper Island. Unfortunately for Ms Davis but the life aquatic. I've said it before is a movie that I only saw once on. Dvd back when it came out back. Pre Film spotting had no venue at that time to review films and didn't have a lot to say about that movie. I just remember being really underwhelmed I remember feeling like that's what people talk about. When they talk about Wes Anderson almost being a parody of himself. And that wasn't a thing yet because he didn't have enough movies but I can retroactively fitted into that kind of paradigm. It just seemed to me like all of the things I loved about. Rushmore and the royal tenenbaums wasn't in the life aquatic and I'm willing to bet I'm wrong about that in a lot of ways. It's Wes Anderson cranked up. I think that's fair so Yeah maybe we'll get a chance to dig into that a little more deeply. I I of course have no fatigue. I mean we were doing the Andersen Marathon at our house and watch life aquatic. I think maybe it was about a month ago Yeah I'm ready for another revisit. It's been a while no fatigue from Josh. You heard it if you would like to vote and you'd like to hear that bonus content whatever it might be Patriot dot com slash film spotting someone out there just seventeen year old girl to death. Your job is to find him. Doesn't say in the report that he clipped nails divorced mutilation not this time. He tortures them makes them do things and gave some three days crossed. The line needed even blank. What detective dormer doesn't know is that murder is only part of the plan changes you. It's like where that's from the trailer for Christopher Nolan's Insomnia Nolan's third feature after following and Memento and the third film then that we are covering in our Christopher Nolan UV review so insomnia a little bit of a turn for Nolan after those first two films. It's a remake of a one thousand nine hundred ninety eight Norwegian film of the same name. The plot here in LA detective played by. Al Pacino is sent along with his partner played by Martin Donovan to a remote village in Alaska where teen girl has turned up dead and things get even more complicated once. Pacino does figure out who? The murderer is spoiler alert. Something the movie spoils about halfway through. I think is that that murder is played by Robin Williams. Also this is a a situation. Where the sun never sets in Alaska at this time of year so it does give Pacino's character the title condition. A lot of time is spent on him trying to tape up that hotel room window. Get those curtains drawn so he can get any sleep at all. Hilary Swank also in the cast looking back at two thousand two insomnia all right at the box office. Sixty seven million dollars in the United States over one hundred million dollars worldwide. Critics were pretty kind to it. Ninety two percent right now score on rotten tomatoes and at metacritic it gets seventy eight and that's based on reviews that came out at the time including raves from AOL. Scott Roger Ebert and then some guy named Scott Tobias who was writing for the AV club back then at despite all that praise you and I had insomnia near the bottom of our Nolan. Ranked lists over on letterbox. Remind me was at the very bottom for you. Yeah very bottom okay very bottom and I think I had it third to last I think the dark knight rises was behind that and then probably something that will change pretty soon here as interstellar. I had at the bottom but yeah insomnia pretty low there for both of us. So let's start by hearing from someone who is a big Fan of the movie and that's longtime listener. Joshua younger men. Hey Adam and Josh income spotting this is Joshua younger in front of the show call in to talk about insomnia. I've always thought this was really underrated. by Christopher Nolan and Upon rewatch I do think this is it holds up and is in fact a really major major settlement has Body of work. It's one of the best films and I love muscles I think first of all I think it's it's it's really comfortably in with his sort of ood era Will dormer is someone who's haunted by grief haunted by guilt and one only thinks of Cobb in inception play by lear capital in the way that that character is also haunted by this grief and guilt that he can't escape and in fact both COBB and we'll spend most of the film in the sort of dream reality where they can't make out the difference. What IS REAL. And what isn't And also just think from a technical level the fog chasing is up there with anything is a career Look forward to your view of one of Christopher Nolan. Excellent thanks Josh for that. He makes some good connections there. I think particularly a few of them that are suited to our Uvira. Viewing aside from the comparisons to Cobb that he mentioned I also noticed Adam that like inception insomnia ends with a shot of a small object that holds great significance. So another sort of trick or move there. That Nolan will return to now. We probably agree with Josh on much of what he said but I wonder if taking the film as a whole were still going to disagree with him. As I just mentioned insomnia ranked near the end of our Nolan lists. But that was before this revisit now. Back in two thousand and two. I had huge expectations coming out of memento from Nolan expectations. That maybe weren't fair to place on something like insomnia. I also didn't have seven other Nolan films to consider it alongside and maybe to see the ways that this more conventional effort. I mean a remake. No less might still bear some distinct Nolan trademarks. So now that we have those other films in memory banks. What was it like watching insomnia again? Adam did you like it more or less kind of the basic question but I'm also curious more specifically. What ways does it now? Strike you in twenty twenty as particularly Nolan. Ask Well I definitely liked it more and it's still a tricky question. Even though we have those films in our memory banks because as much as we have jumped ahead a little bit in our overview with Nolan in terms of these conversations looking at following and talking about how we saw in it some of the same elements we would see in other films. I have for the most part been so focused on taking each film individually primarily. Because that's what's freshest in my mind obviously but I've also wanted to track that trajectory so I haven't spent a lot of energy anticipating what's to come but I will play along and I think that Josh younger men really nailed it in the direct comparisons obviously to inception but especially talking about Pacino's character. Here will dormer his grief and especially his guilt. This is a detective haunted by acts that he's committed by axe others have committed that he sought justice in retribution. For I think about even McConnell as character and interstellar consumed by guilt for a choice. He made for leaving his family. I think you do see it. In both of the magicians in the prestige. I think we could go on through other films and you talk about morally compromised characters. Like dormer fundamentally good perhaps but to use his own line to Hillary swanks ellie at the end has lost his way. Can we not point to similarities in Batman? They're both vigilantes. They're playing cop and judge and jury and how about even seeing finch as a joker like agent of chaos. I'm speaking of course of the killer. Here the Robin William's character he is consistently and not inaccurately pointing out dorms. Hypocrisy Society's hypocrisy and he's always one step ahead is planning just like the joker is and I think if you conjure up the Voice of Heath Ledger as the joker in your mind and read this line from French in the movie it fits perfectly you and I share a secret. We know how easy it is to kill. Someone that ultimate taboo. It doesn't exist outside of our minds so undeniably whether looking ahead or looking back to following in Memento as. I'm sure we will a little bit knowns. Dna IS ALL OVER INSOMNIA. Even though to this point. Ironically it's the first one and I think maybe still the only one in his era that is a screenplay he's not credited on at all. Yeah I think that is right and insomnia. Of course being a remake the original screenplay the ninety seven screenplay written by Others Hillary sites here though gets the screenplay credit for Nolan's version and that's good the William's character. The finch being a joker like that makes so much sense in and you can absolutely here ledgers voice for all of those lines. There's a little bit of philosophizing Going on there and in the Arctic element is there too He's not just trying to get away with something finch but he's trying to get away with it cleverly right yet he's trying to shake things up at the same time so so. He's a risk taker as well. So I love that parallel and I think all of those characters that you've just listed. This is another Nolan trait. They all come with pre existing trauma in some way whether it is grief. Or whether it's guilt an often those are intertwined. We don't always see that suffered in the film at hand in the narrative proper. It's kind of already there when we meet these characters. So that's something they share my Nolan cancer is probably something a little more technical and specific and it just has to do with the cinematography here by Wally pfister. Who DID WORK WITH NOLAN PREVIOUSLY IN MEMENTO? So we've already seen his work but. I think it will come to define a lot of the Nolan imagery that that we think of nowadays and a lot of it has to do with the use of landscape right. Think of that fog. Seen that Joshua mentioned how it's like this rocky coast Dole area that were exploring in the fog and how gripping that is but also you can see it in that overhead shot of their like ice flows on the water that we get as the plane approaches and so much of that reminded me very much of that. The water planet the wave planet in interstellar and of course a different cinematographer their van. Hoyt Ma who Nolan working with. But just that I for landscape and wanting that to be part of the the feeling we didn't really get that in Memento you know. Memento was more rooted in specific buildings and rooms in streets. Em an SBA of the mind as well. Yeah didn't really expand beyond that so that was one thing that that I did. Notice is just the the newly found I for landscape you know in in terms of what took away in a revisit one thing. I will admit I was wrong about is I did describe it in my original thousand to review as expertly conventional which was a positive review. I gave it three out of four stars at the time but I think it's more than expert conventional. It's probably not all that conventional at all. It's probably conventional compared to memento and Hebron maybe following but think about how clever it is and unconventional to have these two mysteries at once dorms cover up of this shooting at the very beginning right and then the investigation of the girls killer. So you have to two movies going on here. And what's interesting? The ways they relate. It's also unconventional to have this noir. It's another riff on Anwar but of course set while the sun is out and there's there's kind of visual unconventionality to it yet. I also do have to say both of those elements are borrowed from the Norwegian original. So it's so it's not exactly something that Nolan or the crafts people he's working with here bring to it. I'll say maybe we'll get into this. I probably though I do still like insomnia. I wouldn't say it's the black sheep of his filmography which implies something negative I probably did like it a little less even on this revisit and I have some you know some specific reasons I think it was some of the performances and how some of the characters were handled. I'm curious to hear what you made of Pacino Atom because I don't want to say he's bad here but I did find him very uneven. I found and maybe this sense with someone like Nolan. Who is still you know a major studio project with major stars? This is the first time he's doing that It was a little bit of a challenge of how much power he had modulate Pacino. Because I did feel like he was on modulated in a way. That bothered me more this time around. Okay I was anticipating this and kind of dreading it because I'm a huge fan of Pacino's work in this film and I want to get there but I want to circle back just for a second. Say That yeah. The movie for me still feels like I suppose a little bit of a disappointment in terms of his work. Just because it doesn't seem as audacious it does feel generic. And you're right. It's another film. That's definitely rooted in a genre in this case. The serial killer movie that we have all seen a million times before but there are elements that elevated including that fog seen. That is wonderful that Josh touched on and just the moral murkiness of it. I think your defense is really good. Not only in the way. It is two movies kind of going on at once. But if you think about and really try to break down doors motivations in some of these scenes and the double crossing. That's even going on. Within double crosses like when Williams characters being interrogated or dormer is trying to set him up and telling him that he shouldn't go and suggest that randy might really be the killer. That's that's Pacino angling. That's dormer just angling for his own motivations but the movie doesn't really just hand that to you does expect you to navigate all of that. But you mentioned Wally Pfister. Who I think was on a run with Nolan from memento up through inception and it's just funny to me that his debut film is all black and white and then we go to memento and it's this combination obviously of black and white and color and then we get to insomnia and it's finally an all color movie but it's so bright and it's so washed out in some sequences under that incessant light that it almost could be black and white which is to say there aren't some sequences. Don't take advantage of the color. But that's definitely something that struck me and I'm thinking about momentum Joshua's. I'M WATCHING THAT OPENING. Prism seen that he cuts to and some of the flashbacks just like flashbacks. That Leonard has some of those flash cuts and him sitting in a chair. Feels like cutting to Sammy Jenkins sitting in a chair or Leonard sitting in a chair even that recurring motif that we get of the blood soaking through the cloth makes me think of the tattoo ink in Memento and some of those items of clothing we have dody Dorn to as the editor the same editor as Memento and I think she did. Just these two films with Nolan if I'm right looking at IMDB and you've got those phone call scenes. How about the phone call scenes every debbie noted that to every one of those sequences that comes back to Pacino. Here the differences. He's a listener. Instead of the one talking like Leonard is but it breaks up the movie consistently those conversations that they have so. I was definitely thinking about Memento there and you touched on the end shot but the necklace that is a key plot point designed book those are mementos and that is something that we have mentioned with every one of his film so far and will continue to do that through this look at his work. Pacino. I love it. I was waiting honestly. I had no real recollection of what this performance was like. And I really was waiting for something more on the decibel level of Vincent Hanna in heat mixed with Colonel Incentive a woman. And that's not at all what you get here especially because those characters to are always talking and this character is always listening. He is always watching. He's always processing and I really think only talent like Pacino can do as much as he does. I mean of course Deniro and there are others do it. But Pacino can do as much as he does with so little and he was always compelling for me that takedown seen he has early on with Randy is just Pacino at his most dexterous. I think with language and with sly little looks and with physicality moving closer to him when he wants to intimidate him a little bit and throughout yeah. He looks haggard. He is exhausted as the character is. There's a a weariness for me. The Pacino wears perfectly in this film. Always finding some new depth of the exhaustion and the despair never being asleep presence on screen and in one of those exchanges with finch. I'll just go to this one example. He says to him. You don't get it do you. You're my job I'm paid to do. Your about as mysterious to me is a block. Toilet is to a plumber. That's that's one of those lines that could have had that clip in the bravado of Vincent Hanna or of Colonel Slate and it doesn't at all I think Pacino really nicely here strips all of that bombast out of the performance that is a great line that comes notably later in the film. That's on the fairy right when they have this sort of. I first meeting in public ferry to negotiate their positions and he's excellent in that scene. I think he has some really great scenes throughout this movie and notably as I said they do come later in the film after dormer has been beaten down a little bit and I do understand that. That's part of the point right but she know is so big and grandiose at the beginning because he's playing the legend of dormer in so he has that moment where he comes into this backwater town. And he's GonNa show these investigators how it's done in the big city And when they discover the backpack so this is the scene where he grabs the backpack from another local COP. They're all in a room with a conference table. He dump stuff out of Eddy's tossing things in the air when he goes to hand something to swank. I swear he almost does like this ballet spin. And then toss it to or it's so big Pacino and again I understand. They're doing that so that he can be undercut. Once he gets broken down later I think it goes back to that idea of modulation and Nolan. Maybe saying you know this is what we're going for and were this. Were getting it but we don't quite need this much of it because it did take me out of of WHO dormer was as more than a cocky cop at that point he was Pacino and I think there are a number of scenes that work on that level early on but yes once he gets broken down. It is very nuanced. He says lasts. I agree with you and he looks haggard. He does a lot of of acting with That exhau- exhaustion. He just wears his whole body. Where's IT and so I wouldn't qualify this as a bad performance. I as I said it's just an uneven one. What I like about that scene on the fairy especially when they're going back and forth is that that's the only one we we don't know exactly what dormer is up to. He may be agreeing with finch. He may be laying a trap for him and we definitely can't keep up and I think that's the distinction where the where the performance gets really slippery and much more interesting whereas those are some of those earlier bombast scenes. We know exactly what not only what door is doing but what the movie is trying to do. As a former English major I will say not the most subtle touch here by Nolan in the screenwriters to call him will dormer. This guy who can't fall asleep and dormer sounds like door mirror which is Spanish to sleep not that this movie has a lot of subtlety to it right. The town being called an even some of the plot machinations I think in terms of Hilary. Swank finding the bullet when she does at the end even though that scene has been poured over and finding the newspaper and the accidental way she does I think is is a little bit clunky but I wanna go back real quick because it it just does identify away that this movie is different from another Pacino movie in a little different performance but also getting at what Nolan is mostly concerned with which is that moral compromise and I love the movie heat and there's a scene in that film were Hannah and his crew. Police officers are in the back of like a semi truck or something and they're staking out Deniro's crew. They know where they're gonNA strike. They're gonNA catch him in the act and arrest him this early in the film. There'd be no movie if this succeeds just like there'd be no movie if they catch Williams as the killer when they're staking him out early on and as the criminals come outside. One of the police officers accidentally bumps up against the the metal door with his night. Stick or a flashlight and they hear the sound. It ruins everything. They can't arrest them anymore because they just leave the job. So the whole point of that is Pacino. His crew or the ultimate professionals. It would never of made a slip up like that and because of this. Unprofessional COP. Their stakeout ruin will in this film that happens with one of the cops from this group who accidentally squeals the the bullhorn but when he goes and talks to that cop later in heat the guy gets Reim D- For being so careless in this movie door positions at like. Oh you didn't do anything wrong. Because if he absolves him for doing something wrong in that scene he absolves himself. He puts all the blame on the killer shirt. Nazi yeah right. Yeah and he's also at that point part of his cover upright. He's trying to cover his tracks. And and and yeah so that that works while you mentioned swank and this came at an interesting time for her. It was a couple years after a breakout. Boys don't cry which was ninety nine but before million dollar baby and you know whatever whatever make her as an actress. The character is fairly thinly envisioned here and kind of I think swank is much better than this part. I guess I would say. It has a little bit of like the younger sister tagging along with the boys quality. And not only. Is that a little bit patronizing but but also it doesn't serve swanks qualities as a screen presence which is to kind of be a wall. She's not a wallflower right and so I do think that's something that struck me. Even though I like how they position her as being the one who does ultimately come to save dormer. I didn't quite remember how this worked out at the end. And for a while. It's like Oh no. Please don't let this door. You know. Saving her being the White Knight and I do like how there's an inversion of that But up until that point I think I think swank is a little bit under served. I also just don't think that climax overall is is that well stage Josh pointed. I don't either yeah. He pointed out the great fog sequence. I I think the log rolling the log sequence is fantastic but but it's a little clumsy right that ending it is. It is and we'll get to that with Batman begins in a little bit. That was my big reservation with that film and something that I think Nolan solved with the Dark Knight and with subsequent films in terms of some of these larger spectacles but even though there are some great action scenes in this movie like the ones. We've mentioned that ending. Isn't it for me either? And you mentioned the editing by Dody Dorn. I think the logs sequences where you really see that as well you know. There's a mix there of a beautiful again overhead. Shot where you see all of these logs moving along. I'm not sure if it's a river just a bay at that point but you get mixed up with close ups of the feet as dormer is chasing finch and then you would suddenly get slipped in there. In abstract insert of the patterns that the logs kind of created as they moved along. It's a it's a really beautiful sequence that also works as an electrifying chase scene and also the editing at the very beginning you know where we get that switch from a shot of someone scrubbing blood. Off OF THEIR SHIRT. We go immediately to dormer. To Pacino being jostled on the plane as he approaches so so right away were even though we think well. There's no way the the investigating officer were meeting is the same guy where scene because we know we're looking for a serial killer but it puts that mental connection in our mind but then of course we realize here's a trick. He is that man later in the film to learn. I love that setup. Well I love that you bring that up to because then we can maybe end by touching on Robin Williams per now we show and I think it's really good. I think that there is a a precision to it in a certain calmness to it. But it's not overly calculated or overly calibrated. It isn't to me an actor who's relishing the chance to play this hyper smart serial killer. He's just a troubled morally compromised individual just like will and he's a dysfunctional soul. And when the movie makes that comparison it does explicitly in terms of the dialogue a couple of times in lesser films with lesser performances. You know that just feels obligatory. It has to make that connection and say oh well the good guys and really as good as you think in the bad guys. Probably not that bad. They're really so much alike right except in this film. You really feel it. And I think the performances are a big reason why well and Williams could have gone off track in the ways you're talking about. Because at this phase of his career he was coming off of a lot of kind of cuddly stuff so good will hunting patch Adams Jacob the liar bicentennial man and then we get this interesting run here right around insomnia just before insomnia was death to smoothie and one hour photo so kind of a similar character. One hour photo. I don't think it works quite yes as well but I do agree. He's really good here. He's he's soft he's quiet and Williams. Has that little simpering smile. He uses in a lot of his performances but he uses it in different ways. Sometimes he manages to make it not simpering. But but you know genuine gentle and ingratiating. But here you know it's not that it is sort of simpering and he there's a certain creepy edge to it that just laces the performance with something more than again that cuddly fuzzy nature. He had in some other films. I think he in Pacino again are great together. I think in their scenes working together are some Pacino's best in in addition to you know those ones where he's physically acting alone that you mentioned Alaska quick performance Martin in this as as dormer partner you know very small part but this is a guy who has a he has a ghost face already and then in this film they actually have him. Start to haunt right. And it's just there's perfect casting from that level sort of sort of how Pacino at this point kind of came to the movie pre exhausted which was perfect in some ways He just showed up looking like a guy who has haggard and this experience is just GonNa Drain him even more Martin. Donovan is like the first time you see him. He's this haunted guy already. Yeah faces that you immediately feel comfortable with and love seeing onscreen Martin Donovan. Also Paul Dooley as the chief of police here in this town in Nikki cat will dormer has come in and supplanted he. He's just always fun. Nikki cat is always fun. Onscreen INSOMNIA IS available on demand on most platforms. If you would like to revisit the film so you appreciate it a little bit less than you did. Originally I definitely appreciate it a little bit more. I have a feeling it's probably still going to end up somewhat near the bottom of our rakings by the time we get through this whole overview but we're we're ranking them were re ranking them as we go. We've only seen three. We both love Memento clearly. That's ahead of his first film following. Are you going to slot insomnia just below following in last place? Because I'm GonNa slot it just ahead. Oh really okay. Yeah it is below for me but I am still positive on it. I still think it's a really good film has allowed to recommend it. It's more case of me liking following a little bit more than you but but right now yeah I do have it's Ranked Memento following and insomnia so as a guy who appreciates order and structure as much as you do josh. Are you really on board with us? I think you even suggested it. Maybe or at least were were very gung-ho about it that we shouldn't just go in the order that Nolan's oeuvre goes in even though that was the whole point of this exercise and maybe we should talk about the three dark knight films as a whole. Yeah I think it was good with that. I think it was born out of your rankings of them altogether. You know as it stands now and I just made a lot of sense to me and so I'm still good with if you are. I'm actually excited about watching these group. So we made this decision as well in part because we did revisit. The Dark Knight Fairly recently August twenty eighteen year and a half ago almost two years ago on its tenth anniversary and we didn't feel like we probably needed to vote another entire episode to that movie at this point so let's still go in order. Let's go with Nolan's next film Batman begins we'll give that a segment and then we will give the two dark knight films the second segment of that show so you can look for that episode in a couple of weeks which means you have a couple of weeks to get those viewings in. Josh. That's our show. It is if you want to connect with us on facebook and on twitter. Adam is at film spotting. I'm at Larson on film. And over at the show archives at spotting dot net you can find reviews interviews and top. Five's going back to two thousand five including that dark night. Sacred Cow Review. You can also vote in the current films poll at the website. It's our summer. Eighty four death match gremlins verses ghostbusters. If you WANNA film spotting t shirt or some other films spotting merch visit film spotting dot net slash shop and to subscribe to the weekly Film Spotty newsletter go to film spotting Dot net slash newsletter on digital this weekend. All three new movies we talked about earlier in the show. Sela and the spades blow the man down highly recommended by both of us as a golden brick contender and new on digital at home on demand the true history of the Kelly Gang. Can I throw a golden brick question at us? So we've got blow the man down and I don't know if you specified but very early in the year you had seen the assistant Which I still need to catch. But I don't know if we said if that was a golden brick or not it certainly sounded like one by your description and your enthusiasm. Are Those the two films? Were looking at US candidates right now. I think so and in fact if you look at our film spotting brick page film spotting dot net slash bricks. The assistant is currently the only film listed. There will add. Blow the man down to it. I have thought about as we continue with this crisis. Potentially and a lot of big mainstream movies aren't being released the golden brick then kind of becomes a little bit. Wonky doesn't because these aren't the standout skier films in a year. Where you've got all these other big tent pole movies it's all the smaller obscure films like the Golden Brick. Yeah that's true so we might have to lead a little bit more heavily on some of the other things we consider like first time a relatively new filmmaker you know striking artistic ambition or vision in some way things like that but yeah we could. We could have a very crowded field at the end of the year it turns out where mostly what is available. Are these new films but smaller films on digital release are eight from eighty four summer? Eighty four edition Ghostbusters V. Gremlins is coming next week on the show and we will share our top five movie going experiences. So we're going to try to go way way back. Maybe we'll have some recent ones in there to potentially but maybe tap into some nostalgia and recall some of those past experiences. I will tell you right now. I am really scared about this list. I'm GONNA need the equivalent of Freud to hypnotize me. And Send me back into my. Because I don't know I end up watching a lot of movies by myself. And that's not very memorable well and as we've at the list it's our preference for both of us right. No I've yeah for me. It's I have a few that come to mind but the details as I mentioned earlier in the show are kind of fuzzy so the childhood ones I might have to talk to some family members. See what I can dig up. I certainly have those memories. We'll see what I can manage to say about them what we get to this. Top Five films biting is produced by Golden Joe and Sam van Haugen without Salmon Golden. Joe This show wouldn't go. Our production assistant is Cat Sullivan. Thanks also to Candice Griffiths and the listeners of the film Spotting Advisory Board and special thanks to everyone at Wbz Chicago more information is available at WBZ dot. Org Are Music. This week is by Madison. Wisconsin's disk it comes from the album collector. More INFORMATION IS AT D. I S Q Dot Band Camp Dot Com for Film Spotty Nine Josh Larsen and Adam Dr. Thanks for listening. This conversation concerns no purpose anymore.

Josh stand Levin Adam Christopher Nolan Sam Kelly gang insomnia Amazon Margo Martindale Gremlins Josh Sela US director Wes Anderson Ned Macbeth Patriots producer Al Pacino Josh Ross
Best of 2019: Fatal Familial Insomnia Pt. 2

Medical Mysteries

50:57 min | 10 months ago

Best of 2019: Fatal Familial Insomnia Pt. 2

"Over eight hundred thousand years ago the wind howled outside a cave in and what one day would become the country of Spain just inside the cave. A family tragedy was in motion. Hard Times Times. Had Fallen food was scarce. Two children had just died and the rest of their relatives could do nothing but watch and they went a fire was prepared and then it was time for a much darker sort of preparation still aeons beyond away from the beginning of recorded history. This group of early humans committed. What would be seen as a horrendous act from the modern perspective but for them it was simply survival through cannibalizing? Their own children life could be one back from death. This is the story of family. But not this one these prehistoric actions would create a ripple that would reverberate down on the eons of human history. At the other end of this chain. There was another family linked to the past through a rare and deadly genetic quirk and a strange agent of biology now known as the preowned when our bodies fail we trust doctors to diagnose the problem but medicine isn't always an exact science. Hi It's sometimes. It's a guessing game with life or death stakes. This is medical mysteries. Apar- cast original. I'm molly and I'm Richard. Every Tuesday will look at the strangest real life medical cases in history and the experts who raced against the clock to solve them. You can find episodes of medical mysteries and all other podcast originals for free on spotify or wherever you listen to podcasts to stream medical medical mysteries for free on spotify. Just open the APP and type medical mysteries in the search bar at park cast. Were grateful for you or listeners. You allow us to do what we love. Let us know how we're doing reach out on facebook and Instagram at podcast and twitter at podcast network. This is our second episode on the disease known as fatal familial insomnia. The Italian family cursed by through generations. And the biological agent agent called the preowned that caused it last week. We traced the troubled history of the Venetian family. All their suffering lead to a modern descendant namely Lisi who along with her husband in yet Zeo finally decided to fight back and define the disease in biological terms. This week we follow a history that developed concurrently with the Venetian families twentieth century. Fight for the truth will explore how a mysterious infectious agent called the priante emerged into biological consciousness in revealed how some of humanity's greatest challenges sins and follies have left a genetic scar on our entire species from seventeen sixty five to nineteen eighty generation after generation in one Venetian family was systematically destroyed destroyed by a disease that caused endless insomnia. It always announced itself with an unusually heavy amount of sweat. The concerns sufferer would take a look in the mirror to observe how their pupils had shrunk down into small pinpricks of blackness. Over the next few days their muscles would seize up friends and family would notice that they just held themselves differently as if some strange tension had a grip on their entire form form and when these sufferers lay down to sleep they simply couldn't they closed their eyes they twisted and turned and contorted themselves. MM sounds across their beds hoping to unlock some position of comfort or if true rest for the victims of this disease made up of many horrible apple symptoms insomnia was the true killer tracked by the author. DT Max in his work the family that couldn't sleep some went up to sixty months. Without a real night's sleep they would fade in and out of what we might deem consciousness but their bodies were never able to activate the hormonal balancing systems that are integral for our survival so from seventeen sixty five to nineteen eighty. They died generation after after generation. It seemed unstoppable indecipherable inevitable. But then Lisi came came along trained as a nurse and married to a doctor named in yachts Yo- ne- see coordinated effort for the family to fight back. This was directly motivated by the heart wrenching. Deaths of her aunts assumed in nineteen seventy four and Purina in nineteen seventy nine when we left after often part one lacey in yacht. CEO had finally succeeded in convincing doctors. To accept there was a real mystery behind the family curse after generations integrations of mistaken cause of death records of Cinta. M Purina's were updated. These records proclaimed that the two women were killed by quote familial. Familial encephalitis of indeterminable origin. The disease was finally being taken seriously. As Lisa poured over the branching family family history they had begun to document in yachts. Yo Dove into steady PURINA's brain tissue samples in conversation Asian with the famed neurologist. Dr Yohannes Vigliotti in Jato wondered aloud if the brain damage seen on PURINA's slides might connect to the disease he's known as Creuzfeld Yakub disease or C. J. D. recorded cases of C. J. D. showed victims with poor physical coordination Asian along with signs of delirium before death. Ville de countered by replying that. Although the specific points of damage to Purina's brain did match C. J. D. her brain damage was centered on the foul Mus. C. J. D. was not known to affect the Thelma's thus this this potential lead went cold the experts should have paid more attention to the inexperienced but intuitive in yacht. Co because he was right there was is a link between C. J. D. and the Venetian family disease. But it was not surprising that no one could tell for the connection to be clear this threat thread of medical history needed to intersect with another parallel thread. And soon it would to learn how this finally occurred we need to go back to where we began the eighteenth century but instead of the Venetian countryside. This thread began in the fields of England. There was something wrong with the sheep in the first half of the century breeders such as Robert Bakewell and sir. Joseph of banks had taken control of sheep's mating cycles in order to produce respectively more meat and better quality wool. They were so successful. In fact that sheep today bear more resemblance to bake wells bred stock then to the flocks that came before the eighteenth century returning again into DT Max. He observed that in seventeen ten. The average sheep weighed twenty eight pounds by seventeen ninety five five. The Year of Bake Wells death. The average wait for a sheep was eighty pounds. This was DIY early stage genetic modification even if it was accomplished through here intuition and pen and paper record keeping and not laboratory science it was an act of creation perhaps paths that was why it took a member of the clergy to point out the folly of this attempt to play God in seventeen. Seventy two a former named Thomas. This bill told his local priest. Thomas comber that the sheep in his flock were behaving strangely. One by one a a sheep would grow anxious and agitated often rubbing themselves raw against posts for fences as if scratching an insatiable which they held their heads is it odd angles locked into contorted positions and then they would die. Beal told comber that the disease was spreading. His thought was that it must be maggots. COMBER was intrigued and as he dug into the issue he realized the problem was far more widespread. Eventually Komo's investigation pointed toward the methodology of breeders like Bakewell and banks. The disease coming to be known in England as Scrapie had not been a problem until manipulative breeding strategies took over the marketplace. Though it's not known exactly why scrapie emerged at at this time. COMBER believed it could have been connected to the new high calorie diet. The breeders were feeding the sheep this diet included bone meal and meat mixture in some cases. Of course Bakewell and banks were not eager to uncover the truth there. Prophets were higher than ever. Surely the issue would settle down on. Its own yet. Scrapie kept spreading and remained a problem across the entire country as the nineteenth century dawned faced with declining domestic wool quality. The English government fostered the development of a wool industry in Australia. As the Australian alien sheep market took over Bakewell and banks breeding methods slowed down and the threat of scrapie vanished. The problem was gone. Now why worry sorry. It was only sheep after all but next time it wouldn't just be sheep in eighteen. Sixty two science gained a new understanding of infectious disease. When Louis Pasteur boiled a solution full of bacteria sealed it and then proved moved that had created sterile and safe conditions free from infectious agents? Last week we learned how the Venetians of the eighteenth century thought that disease spread by sent by the twentieth century humanity grasp much more about the biological world importantly when it came to the infectious agents like viruses. Scientists now understood that although these complex molecular agents were not living things themselves their goal was to enter living cells and proliferate disease to was a Darwinian struggle in the nineteen fifties. The foundations of this common understanding would be shaken eventually leading to a major crackup linking diseases like creutzfeldt-jacob to the Venetian familial. Encephalitis this quake began in the jungle of Papua New Guinea. This island was under Australian colonization after the end of the world wars his as these Western newcomers plumbed the depths of the dense island foliage they met many tribes that had never encountered outside life before some like the foray did not even know they lived on an island but there was one mystery that even Western medicine couldn't solve many of the forray a suffered strange deaths accompanied by intense full body tremors they called it crew in believed it arrived via a strong wrong. Dark Magic Vincent Zegers. A researcher sent to New Guinea by the Australian government in nineteen fifty. Five refuse to write it off as supernatural Darrelle. He walked amongst the for a and made important. Observations Glassy took over the eyes of a Kuru victim. They're unstable coordination nation and the ever-present Shivers. He examined blood samples seeking signs of a virus but he found none. This roablock lasted until a new Australian ship pulled into port on March eighth nineteen fifty seven when the eccentric immoral and tireless physician. Carlton Guide you. Shak I came to New Guinea. He had heard of the forray and was intensely interested for two reasons. He was fascinated by elements of male sexuality within their culture and he wanted to uncover the truth. Use About Kuru. In the first case guide to SHEC- was less than ideal a self admitted pedophile. He spent countless hours among the foray because he was able to exploit some of the children himself yet he was not an easy figure to classify despises deviants. He desired hired to cure. The ailing community guide to share quickly teamed up with Ziegler and moved from village to village speaking with and taking the blood of the Foray Guy Shack connected. The cruise shivers to the shaking that accompanied alcoholism we saw a similar misdiagnosis last week. During Italian doctor's examination of Lisi's aunt ASSUMPTA and has guided checks research reached the Western world some even connected the Kuru symptoms to C. J. D. as in yachts Yo had done with the Venetian family disease. Yet guy to check emphasized that Kuru mostly seemed to affect people who or younger than the average C. J. D. patient as there were no signs of traditional infection with crew guida shek new the typical diagnosis then imported toward a genetic disorder but in the nineteen sixties rival researchers Robert and Shirley glass arrived more rigorous Chris and less distracted than Guida Shak. They were able to learn more about the forest history. They realized that around fifty years before in in the nineteen th the foray had adopted cannibalism from another Guinea tribe. It was not incredibly common and people were only eaten after they had already died ride but the foray had learned not to waste usable food. When glass track this finding against the history of Kuru in the region they were startled to realized the dates matched up Kuru had not appeared in the forray until cannibalism had in defense of his own researches? Primacy the thesis Guida Shak Shot Back. He contended the disease must have a genetic component. In couldn't have been caused solely by the cannibalism cannibalism the practice of cannibalism had been slowly weeded out of the forest culture since its arrival and by the late nineteen fifties and nineteen eighteen sixty S. It was nearly eliminated entirely how then did crews still appear and young members of the four tribes Making things even more complicated gotta check proved that Kuru could be spread by injecting tissues from the conditions human sufferers into tests subject chimpanzees. Conventional Wisdom suggested that if it was transmittable it had to be an infection yet guide. Her shack could never isolate the virus even stranger he never found any signs of virus. DNA despite the difficulties he found improving. Proving Kuru was an infection because he knew it was transmittable. He posited an explanation for the connection between Kuro and C. J. D. in a grand unified theory guided. Shak used broad strokes to link multiple medical mysteries together. He claimed that Scrapie C. J. D. and Kuru were all caused by the same infectious agent. It began with scrapie. The disease that was found in sheep in the late eighteenth century. Eventually someone ate an infected sheep and the disease passed to humans. It presented slightly different symptoms in humans than it did in sheep and the new condition was called C. J. D. after that at some point a person infected with C. J.. Ad Must have happened to die in New Guinea when the cannibalistic foray eight this person's body the disease was transferred. Again in became became known as crew in one thousand nine hundred seventy six guide has shack won the Nobel Prize for identifying what he had begun to call the slow virus. This but many were appalled by his broad strokes and didn't believe he had discovered anything real at all in these so called slow viruses to be fair air. This was the best medical community had offered so far well the Venetian family never came into contact with this theory. It might not have seem so unreasonable to them if they had after all LISI had traced diseases. I recorded origin. Back to the mid to late. Seventeen hundreds treads the same time that scrapie appeared in the English flocks of sheep so far so good however the theory then breaks down fairly quickly really as far as guidance checks theory went C.. J. D. was not hereditary. It was an infection. It just didn't make sense that so many in the Venetian Asian family has suffered from their mystery disease if the only way something like C.. J. D. passed along with through direct physical contamination. It took the the emergence of a new rival to push past this limited theory of slow viruses a neurologist and biochemist by the name of Stanley prisoner. When we return we'll learn? How prisoner made one of the biggest breakthroughs in twentieth century neurology Need more great edge of your seat content over the holidays. He's we've got just the solution podcast. Has Re released episodes upon episodes of your favorite shows all available to listen to right. Now that means fifty five episodes of conspiracy theories sixty of haunted places and a whopping one hundred thirty four unsolved murders episodes are available. Salable whenever you want them plus there are dozens of episodes from shows like serial killers female criminals cults and more and. Here's the best part. You don't even need to do anything. These episodes are already in your feet. Plus you can still hear all new episodes of medical mysteries every Tuesday Newsday. Thanks again for your incredible support of podcast. You can check out more. podcast shows on spotify by searching for par cast in the spotify search bar or by going to spotify dot com slash podcast. And now back to the story. Eh In nineteen seventy-six Dr Carlton Guide Check won the Nobel Prize for identifying a new type of infectious agent agent termed the slow virus. He claimed that certain diseases like scrapie which affected sheep and the Brain Diseases C. J. D. in Kourou true where spread by the same slow virus. He wasn't aware of the Venetian family disease. Or the endless insomnia had caused and thus wasn't aware aware his theory failed to account for yet another mysterious ailment. But though guy checks theory was popular not everyone bought into it in the early early. Nineteen seventy s the chemist Stanley prisoner started studying C.. J. D. on his own after witnessing the deaths of a few people infected it by C. J. D. he turned to research done by Tikva Alpa that focused in on the other resilience of the C. J. D. agent. No typical cure for viruses worked so prisoner became convinced. It wasn't a virus at all but it wasn't a genetic disorder either. It was some undiscovered type of protein causing C. J. D. to ground this hypothesis prisoner leaned on a theory devised by the mathematician and J S Griffith in nineteen sixty seven griffiths. Theory was called nuclear. Option this was a process of change that worked in much the the same way as a chemical reaction a corrupted protein would bind to a normal protein the normal protein would then change its shape to match. The corrupted erupted protein. This set off a chain reaction where one protein altered another until all the proteins were corrupted. Prisoner explain plane that this was something new and he was going to prove. Exactly what it was not settling for guided shacks vague and mostly unfounded founded grand theory but prisoner was seen as an outsider in the medical community. He was never in overachiever in school and attended a state university diversity for his degrees still. He was an excellent manager and dedicated fundraiser. In the years between nineteen seventy five five and nineteen ninety-seven prisoner raised over fifty six million dollars in funding and put together a huge team of efficient researchers under his direction with this brute force approach to research by the mid nineteen eighties prisoners team had done what guided Shag had found impossible possible they had isolated an incredibly pure agent of C. J. D. as prisoner has suspected it was far smaller than any any known virus and studied under these intense conditions. Scientists could still only find protein no DNA or rn a incite almost almost all viruses have either DNA or irony so this suggested that the problem was not a virus using this isolated infectious agent agent prisoners lab developed an antibody that would react to its presence if the antibodies reacted. It meant. The subject was infected and further further research could then be conducted in this fashion prisoner and his lab made more advances in ten years than scientists had since the initial official crude studies of scrapie in the seventeen seventies this accelerated research at an exponential rate instead of waiting years for the symptoms to appear appear in a subject that had been injected with infected tissue researchers could simply follow up the initial injection with antibody injection with all of this now in hand prisoner was ready to go public with his discoveries in nineteen eighty two and unseat guided shacks terminology of the slow virus Orissa's but first he needed a name inspired by the catchy and amusing quirk recently anointed in the field of astrophysics physics prisoner personally brainstormed hundreds of names for his infectious agent eventually prisoner found himself a hit small proteinaceous infectious particle. Otherwise known as the preowned with this this Of Name and place Krizner went public with his counter theory guy to shack preowneds were not biases. They were proteins. Oh teens that could both spontaneously occur in the human body without an infection and could also be transferred as contagious agents calling back Dr Griffiths theory of confirmational influence. DT Max Rights of how quote prisoner posited that preowneds had two forms one one infectious one. Not If an infectious protein came into contact with a normal one it bound to it causing it to change shape shape into a copy of the infectious one. In this way the body slowly turned against itself be cheap with Scrapie or humans with CJ D. or Kuru perhaps most importantly prisoners team was also able to outlined three distinct forms of prion disease doing away with Guida shacks absurd grand theory once and for all I there were the infectious prion. Diseases mentioned earlier earlier. When a corrupted protein is ingested it can cause a chain reaction that eventually modifies all a hosts normal proteins? Secondly secondly there were sporadic cases of pre-owned disorders. Well prisoner was unsatisfied to define it as such. There seemed to be some instances. Where the only the explanation was that a random misfire of a protein inside a body caused the overall preowned disease? Thirdly some pre-owned diseases were were inherited or genetic a genetic mutation inherited at birth would cause one prion protein to fold in an aberrant fashion and setting off confirmational influence and creating a chain reaction of irregular preowneds whereas Guida checks theory. Never made any sense. It's when it came to the Venetian family disease. Prisoners allowance for an inherited strain of pre-owned disease finally offered a believable explanation. It it was this realization that eventually led these two parallel threads of medical history to meet prisoners theory. Could also explain Kuru without without resorting. To guide affects notion that a member of the four a once happen to eat someone who died of C. J. D. A. Sporadic development of caprio disease occurred in an individual during the phrase period of cannibalism that individuals tissue was consumed and the prion disease. He's passed infectiously to new host but when the foray ceased practicing cannibalism the disease stuck around for a few generations as genetically the inherited biological kink in the system. This chain of events was still shocking but it no longer seemed implausible the Priante it was a strange and frightening new agent but prisoner and his team had seen to divine some reasoning behind its operation. What remained unexplained however was why preannounced turned bad in the first place? This went against all of the Darwinian theories of disease. He's that had been in place since. Pass Stores Revolutionary Discovery Regarding infectious disease. preowneds were not another form of life trying into upset our own. They came from inside of us so it must be reasoned that something about human biology caused them in the first first place. This discrepancy gave many in the scientific community the opportunity to deny prisoners findings. They argued that it preowneds could not simply be proteins. There must be some DNA somewhere inside them at work still. Undetectable by human instruments. Since and despite the strong logic chain in his Grand Prix on theory prisoner had yet to truly linked diseases like Scrapie C. J. D. and Kuru together he had not proven that preowneds were definitively behind all of them and before he could he would need an unlikely assist across the Atlantic on the eastern shore of Italy. He would need to learn the story of the Venetian family and their seemingly Endless biological curse the last victim in the Venetian family had been Lisi's aunt Purina China. Who passed away in nineteen seventy nine from the same sleeping sickness that claimed many before her Lisi was thrust into an unending paranoia regarding Venetian family disease she described these years to? DT Max as living hell is she constantly sought signs signs of the disease in herself and her loved ones but ironically enough the next four years past in relative peace Lisi's uncle L. Silvana was a big part of this. A warm and giving man Silvana was a wealthy businessman who always provided when a need arose. He he was a perfect representative of what one wants. Most in a family member knowing the unlucky history of this family it could have almost been predicted addicted that such a good hearted man would fall victim next in. Nineteen eighty-three Silvana was was robbed at gunpoint in the street. One night while he survived the encounter with the same grace he practiced in everyday life. Lisi would later come to. I believe it was this stressful encounter that set everything into motion. A few days later profuse sweat began to pour from Silvano body body. The telltale pupil shrunk it was happening again for nine months. Silvano refused to enter treatment. He had already accepted accepted. What was happening? He had too much work to do to let go now. It was Lisi's husband in yacht. Co in early Nineteen eighty-four who finally finally convinced Silvano to enter the Treviso Hospital. Where in Yahtzee worked? Now that he had the authority in Yachts Yo bypassed all all the preliminary tests and immediately designed an EEG or electro encephalogram study for Silvano the EEG can measure is your and somewhat crudely map electrical activity in the brain in this way scientists can conduct comparative studies on patients. Brains when they're in one mindset or another in Silvano case instead of the usual short term measurement in yachts yo decided to innovate he would run the EEG for over thirty minutes and Silvana wavered between consciousness and unconsciousness as he did constantly now. Oh I didn't need to compare Silvano chart to a normal reading to tell how far off it was. It did not match any kind of EEG reading previously taken of patients in states of sleep or wakefulness. His brainwaves alternated rapidly in yachts yohe finally proved moved. He and Lisa had been trying to for years. This didn't correspond to anything recorded in the world of medicine so far the Venetian familial Nelia insomnia was something else. Something new with these results in hand in Yoshio and lacey reached out to Elliott Luga Razi crazy who ran the sleep clinic at the University of Bologna along with his neurologist colleague Pietro Kotelly Lugar racy invited them to bring Silvano Silvano to Bologna when they arrived. Silvano was almost bemused. In Max's Book Lisi recalls owns that Silvano told Lou Gracie I am going to die. I've watched my father die and my two sisters die exactly how I will go. He followed that with a smile. I assume you want the brain when it's time literacy and Kotelly put Silvano on a perpetual perpetual EEG exam. They took hours and hours of readings trying to identify the purest possible pattern within the data. New Grazie easy determine that there were small intervals of time. We're Silvano could be classify ably unconscious but his readings never indicated that he entered any a form of identifiable sleep as spring waned into summer. Silvana requested that the schedule of his ancestor the Venetian doctor. Tur- who was the earliest recorded victim of the family disease be hung upon his hospital door as if he was daring history to repeat itself. Sadly that's exactly what happened. As the weeks passed. Silvano body contorted. He cried out in discomfort discomfort all through the night and then by June nineteen eighty-four. He too was gone. The families biological geico clock continued to haunt Lee C. N. dot co however. This time new allies would come through for them when we return. We will follow preowned. Researchers as they tried to pinpoint exactly why Silvana Vina's body turned against him and learn the secrets of the Venetian family disease. And now the conclusion of our story In nineteen eighty four the Venetian family was visited once again by the maddening insomnia That had haunted them for generations after her uncle Silvano died of the mysterious disease Lisi sent his brain to a fellow Italian in Pierluigi GAM beatty. Who now headed neuro pathology division? In Cleveland Ohio as beatty conducted the first full scale L. dissection of a brain affected by the family disease. Lou Grazie who ran asleep clinic continued to study Silvano. EEG results as we outlined last week. Sleep science generally recognizes four main stages of sleep the second and third phases as our brain enters cooldown download and then as we enter REMM dream state occupied. The most time during each night's sleep cycles however Luger Izzy soon clarified defied that Silvano is brain. Never entered the second stage cool down instead. His brain would move directly from a state of waking into a ram phase but unlike average rim phases where the body becomes essentially immobilized seal. Vina's body retained the ability to move. Move this explain. Some of the instances of dangerous sleepwalking in previous victims. Their body literally lost the ability to discriminate between reality ability and dreams during these intervals. Meanwhile in Cleveland GAM badies dissection reinforced. What both in Yahtzee Jio and Yohannes Ville de had discovered in Purina's brain years ago? The damage was primarily focused on the dallas to reiterate eight. The famous is the brain structure. That controls both emotional and physiological impulses from emotions to body temperature since sleeps most beneficial result is a nightly balancing of human chemistry adamaged. Thelma's makes sense as the cause for the Venetian disease victims. Hymns of the family curse experienced extreme sweating and problems with their body temperature their pupils also contracted into small pinpricks and of course their sleep cycles were disturbed. The HYPO- Thelma had already been tenuously linked to sleeplessness. But GAM Beattie's is research was the first that showed an obvious connection between the foulness and sleep by Nineteen eighty-six Luca racy and GAM beatty had collected enough data to put together a full account of their findings. In the New England Journal of Medicine. They also decided to finally give this deadly deadly disease a name the Venetian family curse became known as fatal familial insomnia or F. F.. I now when Lisa and in yachts Yo hit the pavement to reach the far flung branches of their family tree. They could tell distant relatives. Tis something specific. But Luger easy and GAM beatty still didn't know what type of agent was destroying the famous. They had made many breakthroughs throughs but they still had yet to discover any traditional sign of infectious inflammation. Once again. It took Lisi's efforts on the family front went to advance the research further through her family tree mission in the late Nineteen Eighty S. She came into contact with a previously unknown cousin dozen named Lucia. It was like looking in a mirror. Lucia side of the family had been haunted by F. F. I for generations to now it was her sister Theresa and cousin Luigia under the dreadful sway of endless insomnia. While Doctors Luga Razi and GAM beatty could not stop their deaths. These two affected women provided valuable found SAV research that might one day able to save the family's descendants in their EEG readings. Lou Grazie was finally able to outline a distinct similarity between FFA brainwave output and recordings wordings from C. J. D. patients in conjunction with this game beatty also found evidence of dead neuron clusters also known as plaques ax. Outside of the foulness. This discovery came at precisely the right moment GAM beatty had been keeping up with the exploits of particular other acquaintance Stanley prisoner. Who had recently identified the existence of pre-owneds in nineteen ninety six GAM beatty sent isolated samples samples of FFA tissue to prisoners lab in recent years? Prisoner had managed to define specific arrangement of prion proteins that caused C. J. D. now with F. F. I n.. Hand prisoner found that this was a pre-owned disease to the differences in the effects on both both brain structures and outward symptoms arose from a different arrangement of pre-owneds in the two diseases. Here is where the two strands of history story that of fatal familial insomnia and that of pre-owneds finally linked with the additional research from GAM bady. Prisoner finally had had a large enough base of evidence to claim that the preowned was a massive discovery indeed as the twentieth century came to a close the Venetian Russian family finally realized they were not alone in their suffering. Fatal familial insomnia was but one variation of diseases caused ause by the pre on a biological agent that author. DT Max deemed a Jekyll to hyde protein. For decades competing scientists had attempted to unravel the secrets of the PRIANTE and the diseases caused eventually. It was Stanley prisoners. Time in the spotlight as the preowned became global news. Max writes that the Swedish Academy called prisoners discovery a new biological principle of infection the recognition of prisoners work came at a very opportune time as identifying peons quickly became a matter of national importance importance in Britain during the Nineteen Ninety S. A new health scare swept across the island this time. Instead of sheep sheep it was cows that were displaying signs of troubling and delirious. Behavior the real controversy. However was that the British government and was far too lax in protecting the public food chain from these mysteriously infected cows? Over two hundred thousand. Six cows were sold as meat during the nineteen eighties and nineteen nineties with no safeguards in place and no well funded research into the issue until it was too late. It was finally given the name. Bovine Spongiform Encephalopathy but became commonly known as mad cow disease. Z's mad cow disease was indeed a prion caused infection. It turned out that in order to make fatter and more profitable cows for both both meat and dairy production. It became common practice to feed these cows with a protein meal that actually contained cow meat. They fed cows to cows to enhance profit margins. But what they were actually doing was feeding sick cows to healthy cows soon enough enough. A feedback loop began as mad. Cow Prions spread from factory farm to factory farm. This disaster had to positive the results. Firstly it did bring global attention to priante disease worldwide funding for research. Shot up to over three hundred million Elian dollars between one thousand nine hundred ninety. Two thousand preowneds had gone mainstream. It also led British scientists on a search to learn what made prion disease spread. Luckily it seemed that the British human population was fairly resistant to mad cow out of the thousands of people who consumed infected meat a disproportionately low percentage of them showed signs of the disease. And it was this search that finally leads us back to prehistory to the northern Spanish KS of adipose worker to eight hundred thousand BC. Just outside lied the mouth of the Grand Delina cave system. Archaeologists had pinpointed this location as one of the oldest dig sites for human remains means recently the bones of a fourteen year old and ten year old had been uncovered at the mouth of Grand Alina. The remains showed signs of death by malnutrition leading archaeologists to theorize that these children died during a time of drought or a poor hunting being season however there remains also showed other peculiar signs. The bodies were mangled as if they had been eaten but the bone breakage was too precise for it to have been done by an animal also the bones of other animals were found scattered about at the mouth of the cave. As if this was a place where the humans of this time period gathered to eat to put it simply all evidence seemed to appoint toward cannibalism like the foray of New Guinea. These prehistoric people did not want to waste usable food here. This Arkia logical evidence crosses with British neurologist. John Colleges genetic investigation into those who seem susceptible to preowned diseases. Collinge discovered that there was a genetic difference between C. J. D. suffers and the majority of the population. Some people were genetically more Susceptible Apple Two C. J. D. but his lab also determined that there were far more people in the world who were resistant to C.. J. D. Collins considered this in fact to be the key to the early spread of pre-owneds he theorized in prehistoric times cannibalism was far more prominent than we he had ever believed. If true this practice would have acilitator. The spread of disease when healthy people consumed the meat of infected acted individuals. New Infections would be created the disease would spread rapidly and the majority of their populations would have been nearly wiped out only some infected individuals managed to cling to life and pass on the disease to their offspring including a distant ancestor of Venetian family. Once the most susceptible portions of the population were gone. pre-owned disease receded back into the annals of history for a time yet as we evolved we kept bringing the risk of prion disease back into to our lives and the lives of the animals around us by forcing a natural consumption into the global food chain and giving pre-owneds the breeding ground around to flourish despite the majority of the population's genetic defense against it as long as humanity's outsized ambition and appetite it existed pre-owned disease was here to stay but those like crews nerve decided to heed the warning and use it to uncover more about ourselves than we had ever known before his lab is still at work today. He hopes to some day find some common ground between Prion Diseases. Diseases like C. J. D. and F. F. I and other neurological mysteries like Alzheimer's and M s while some scoff at this pursuit route. It would do us all well to remember how the connection between diseases like C. J. D. F. F. I N. Kuru was once scoffed at two. DT Max said it best. When he wrote that quote there has long been anecdotal information suggesting that preowned diseases have something in common? Common many can be inherited but also often just seem to happen by chance. Stress seems to worsen them. The frequency of many increases increases with age. In fact prisoners. Research has already helped potential victims of prion disease GAM beatty with help from imprisons lab developed test for fatal familial insomnia in Nineteen ninety-three Lisa called the first extended family reunion in two two thousand one. She and in yacht. CEO urged members of their extended clan to take it while some did not want to know the results and GAM beatty still l.. Had work to do to make it more accurate. Overall the clan finally had something they could use to clear away the fog of the family curse at this two thousand thousand one meeting many family members seemed hopeful that a cure could be found but in yacht. CEO urged caution. Prion Diseases are incredibly critically repair owing to the disproportionately small population that susceptible to it even with health scares like mad cow in the cultural consciousness. US There is not much well. Funded research into preowneds outside of prisoners lab so far potential treatment drugs like Quinta crine and Pentagon on have shown real reductions in symptoms of those suffering from C. J. D. but they can also result in liver damage and seizures respectively on top of those risks. No drug has so far completely eliminated a prion disease and return to victim to normal health. preowneds are notoriously asleep difficult to destroy even in a highly controlled lab heat radiation and powerful chemicals have all been proven to do little to turn earn a hide preowned back into a benign jekyll. One supreme goes bad. It seems there may not be a way to revert. It's inevitably fatal Edel course but even so there is still hope and researchers continue to fight to discover a possible cure for preowned diseases. Maybe maybe one day the Venetian family will earn the respite. They so desperately deserve. Thanks for listening to medical mysteries for more information on fatal familial insomnia amongst is the many sources we use we found. DT Max's investigatory history. The family that couldn't sleep extremely helpful to our research. You can find all episodes of medical mysteries and all other podcast originals for free on spotify. Not only despite if I already have all of your favorite music Zick but now spotify is making it easy for you to enjoy all of your favorite podcast originals like medical mysteries for free from your phone desktop up or smart speaker to stream medical mysteries on spotify. Just open the APP tap browse and type medical mysteries in the search bar and and don't forget to follow us on facebook and Instagram at par cast and twitter at Parkas network will see next time. Medical mysteries mysteries was created by Max Cutler is a production of cutler media and is part of the park cast network it is produced by Maxon Ron Cutler Sound Design Michael Langer with production assistance by Ron Shapiro. Paul Moller Maggie Admire and Freddie Beckley. This episode of Medical Mysteries was written by Jack. Benny tell and stars Molly. Brandenburg and Richard Rosner.

C. J. D. Lisi Medical Mysteries Silvano Silvano spotify insomnia Lisa GAM beatty Robert Bakewell Stanley Kuru researcher PURINA England Thomas comber Nobel Prize Guida Shak GAM beatty uncle L. Silvana
Release Negative Emotions

The Daily Meditation Podcast

08:48 min | 1 year ago

Release Negative Emotions

"This is episode one thousand nine hundred and twenty one welcome to the daily Meditation podcast. I'm Mary Mary Medically and I welcome you to a brand new meditation series. We are launching into today this this week is all about something you likely struggle with especially if you're here day in day out listening to these these episodes and that is negative emotions especially negative thoughts. It's one one of the main reasons people tell me they want to meditate. Many people tell me that distracting thoughts negative emotions hold them back from peace energy and clarity in their life and these it's negative thoughts and emotions can also cause you to experience insomnia or if if you do fall asleep you may wake up in the middle of the night and it may be difficult to fall back back to sleep that is the power negative thoughts and emotions can have on your focus and on your sleep and and this is a meditation series. That's part of a collection of series. That's dedicated heated to sleeping better in last week's series you discovered how to have more energy and vitality. Talapity so you could sleep better in this weeks series you will discover how to better manage negative native thoughts and emotions so that you can sleep better and be happier and have more focus in your life in today's episode. I WANNA share with you your technique as you sit down to meditate I share with you a different meditation technique in each and every episode so we'll focus on the whole theme this week of releasing negative thoughts and emotions to sleep better and each day you will discover a new technique ash subtle for yourself down and meditate as you begin to relax your mind and your body and naturally calm your breath not four senior breath to calm down but rather allowing your breath to hunt down naturally when you do this reflect on the thoughts and emotions that most frequently run through your mind and create a negative thought hierarchy. I encourage you to do this every day this week. Stop You several times throughout your day. Maybe in the morning maybe in the afternoon when things of slowed down a little bit maybe not in the evening before you go to bed and bring to mind the negative thoughts and emotions that are currently currently running through your mind and place them in order of frequency you may be are you surprised as you do this that there are likely three main gene negative thoughts and emotions that seem to run through your mind throughout the day you may notice is that your negative thoughts in the morning are different from your negative thoughts in the daytime or in the evening. You may notice this. Which is what I noticed when I did this technique because I do these series along with you and when I did this technique week today I noticed that the negative thoughts I thought I must be thinking we're different from the negative thoughts. I was actually thinking so you may become aware of nuances uses of negative thoughts and emotions that run through your mind all day long that she didn't expect so this is your technique for today and again do this technique all week long throughout your day you might even want to right down and keep a record or a diary of your top three negative emotions in in order of frequency and after you've reflect it make sure to spend some time seeded did and still mess where you're not thinking of anything at all. You're simply allowing yourself to be meditate for as long as you feel comfortable doing so always end your meditation on a high note it if you would like the full half hour guided meditations that take you a little more deeply into this week's important theme you can find those over on this sipping own meditation APP. You can try it for two weeks. Free access to over nineteen hundred guided meditations including a slowdown guide and a journal that goes goes along with each week's series as always you are so worth slowing down for ooh.

Mary Mary insomnia two weeks
S3: Best of 2019: Fatal Familial Insomnia Pt. 2

Parcast Presents: Summer of '69

50:17 min | 11 months ago

S3: Best of 2019: Fatal Familial Insomnia Pt. 2

"Welcome to our cast presents. The Best of two thousand nineteen we have for you. The most requested stood episodes of medical mysteries from this year. For more great episodes you may have missed subscribe to medical mysteries. Listen free on spotify and anywhere anywhere you listen to podcasts. Over eight hundred hundred thousand years ago. The wind howled outside a cave in what one day would become the country of Spain just inside the cave. A family tragedy was emotion. Hard Times had fallen. Food was scarce two children in had just died and the rest of their relatives could do nothing but watch as they went a fire was prepared and then aw it was time for a much darker sort of preparation. Still Jahns away from the beginning of recorded history. This group of early humans humans committed. What would be seen as a horrendous act from the modern perspective but for them it was simply survival through cannibalizing cannibalizing? Their own children. Life could be one back from death. This is the story of family. But not this one the prehistoric actions would create a ripple that would reverberate down the eons of human history at the other end of this chain. There was. It's another family linked to the pass through a rare and deadly genetic quirk and a strange agent of biology now known as the preowned when our bodies fail we trust doctors to diagnose the problem but medicine isn't always an exact science sometimes. It's a guessing game with life or death stakes. This is medical mysteries. Apar- cast original. I Mali and I'm Richard. Every Tuesday will look at the strangest real life medical cases in history and the experts who raced against the clock to solve them. You can find episodes of medical mysteries and all other podcast originals. Also for free on spotify or wherever you listen to podcasts to stream medical mysteries for free on spotify. Just open the APP and type medical. Oh mysteries in the search bar at Parkas were grateful for you or listeners. You allow us to do what we love. Let us know how we're doing reach out on facebook and Instagram at podcast and twitter at podcast network. This is our second episode on the disease known as fatal Familial Insomnia Omnia. The Italian family cursed by through generations. And the biological agent called the preowned that caused it last week we traced the troubled history of the Venetian family all their suffering lead to a modern descendant. Name's Lexi who along with her husband in yet. Zeo finally decided to fight back doc and define the disease in biological terms this week. We follow a history that developed concurrently with the Venetian families twentieth century. Fight for the truth will explore how a mysterious infectious agent called the PRIANTI merged into biological consciousness in revealed how some of humanity's the greatest challenges sins and follies have left a genetic scar on our entire species from seventeen sixty five to nineteen eighty generation ration- after generation in one Venetian family was systematically destroyed by a disease that caused endless insomnia. It always announced itself with an unusually heavy amount of sweat. The concerned sufferer would take a look in the mirror to observe how their pupils had shrunk down going into small pinpricks of blackness. Over the next few days their muscles would seize up friends and family would notice that they just held themselves themselves differently as if some strange tension had a grip on their entire form and when these sufferers lay down to sleep they simply couldn't and they closed their eyes they twisted and turned and contorted themselves across their beds hoping to unlock some position of comfort or if true rest for the victims of this disease made up of many horrible symptoms insomnia was the true killer tracked by the author. DT Max in his work the family that couldn't sleep some went up to sixty months. Without a real night's sleep they would fade in and out of what we might deem consciousness but their bodies were never able to activate the hormonal balancing systems that are integral for our survival so from seventeen seventeen sixty five to nineteen eighty. They died generation after generation. It seemed unstoppable indecipherable bowl inevitable. But then Lisa came along trained as a nurse and married to a doctor named in yacht. CEO Oh Lisa coordinated effort for the family to fight back. This was directly motivated by the heart wrenching. Deaths of her aunts assumed in in one thousand nine hundred seventy four and Purina in nineteen seventy nine when we left off in part one lacey and in yacht. Co had finally succeeded in convincing being doctors to accept there was a real mystery behind the family curse after generations of mistaken cause of death records of Cinta. M Purina's were updated. Did these records proclaimed that the two women were killed by quote. Familial encephalitis of indeterminable origin. The disease was is finally being taken seriously. As Lisi poured over the branching family history they had begun to document in yachts. Yo Dove into steady. Eddie PURINA's brain tissue samples in conversation with the famed neurologist. Dr Yohannes Vigliotti in wondered aloud allowed. If the brain damage seen on PURINA's slides might connect to the disease known as Creuzfeld Yakub disease or C. J. D. recorded cases of Cj de showed victims with poor physical coordination along with signs of delirium before death. Ville de countered heard by replying that although the specific points of damage to Purina's brain did match C. J. D. her brain damage was centered on the gala loomis. Cj was not known to affect the foul Mus thus this potential lead went cold. The expert should have paid more attention to the inexperienced but intuitive in yacht. Co because he was right there was a link between C. J. D. and the Venetian family disease. But it was not surprising that no one could tell for the connection to be clear. This threat of medical history needed to intersect with another parallel thread. And soon it would to learn how this finally occurred we need to go back to where we began the eighteenth century but instead of the Venetian countryside. This thread began in the fields of England. There was something wrong with the sheep in the first half of the century. Breeders such as Robert Bakewell and Sir. Joseph banks had taken control of sheep's mating cycles in order to produce respectively more meat and better quality wool. They were so successful. In fact that sheep today bear more resemblance to bake wells bred stock doc then to the flocks that came before the eighteenth century returning again to DT Max. He observed that in seventeen ten. The average sheep weighed twenty eight pounds by seventeen ninety five the year of bay quells death the average wait for a sheep was eighty the pound this was diy early stage genetic modification even if it was accomplished through here intuition and pen and paper record keeping keeping and not laboratory science it was an act of creation perhaps that was why it took a member of the clergy to point out the folly of this attempt attempt to play God in seventeen seventy two a farmer named Thomas Beale told his local priest Thomas comber that the sheep in his flock walk. Were behaving strangely. One by one a sheep would grow anxious and agitated often rubbing themselves raw against posts for fences as if scratching an insatiable itch. They held their heads at odd angles. Locked into contorted positions and then they would die. Bill told comber that the disease was spreading. His thought was that it must be maggots. COMBER was intrigued and S.. He dug into the issue he realized the problem was far. More widespread eventually comers investigation pointed toward the methodology of breeders leaders like Bakewell and banks. The disease coming to be known in England as Scrapie had not been a problem until manipulative breeding strategies took over the marketplace. Though it's not known exactly why scrapie emerged at this time. COMBER believed it could have been connected to the new high calorie diet. The breeders were feeding the sheep this diet included bone meal and meat mixture in some cases. Of course Bakewell and banks were not eager to uncover the truth. Their prophets were higher than ever. Surely the issue would settle down on. Its own yet. Scrapie kept spreading and remained a problem across the entire country as the nineteenth century dawned faced with declining domestic wool quality. The English government and fostered the development of a wool industry in Australia as the Australian sheep market took over Bakewell and banks breeding methods slowdown and the threat of scrapie vanished. The problem was gone now. Why worry it was only sheep after all but next time it wouldn't in just be sheep in eighteen? Sixty two science gained a new understanding of infectious disease. When Louis Pastor oster boiled a solution full of bacteria sealed it and then proved that he had created sterile and safe conditions free from infectious agents? It's last week. We learned how the Venetians of the eighteenth century thought that disease spread by sent by the twentieth century humanity grassed I much more about the biological world importantly when it came to the infectious agents like viruses. Scientists now understood that although these complex molecular agents were not living things themselves their goal was to enter living cells and proliferate disease to you was a Darwinian struggle in the nineteen fifties. The foundations of this common understanding would be shaken eventually leading to a major crackup linking diseases like creutzfeld-jacob to the Venetian familial. Encephalitis this quake began in the jungle of Papua New Guinea. This island was under Australian colonization. After the end of the World Wars as these Western newcomers plumbed the depths of the dense island foliage wjr they met many tribes that had never encountered outside life before some like the foray did not even know they lived on an island but there was is one mystery that even Western medicine couldn't solve. Many of the forest suffered strange deaths accompanied by intense. Full body tremors crammers. They called it Kuru and believed it arrived via a strong dark. Magic Vincent Zegers. A researcher sent to New Guinea by the Australian government in nineteen fifty five refuse to write it off as supernatural. He walked amongst the for a and made important. Observations Glassy took over the eyes of a Kuru victim. They're unstable coordination and the ever-present Shivers. He examined blood samples all seeking signs of a virus but he found none. This road block lasted until a new Australian alien ship pulled into port on March eighth. Nineteen fifty seven when the eccentric immoral and tireless physician. Carlton Guide you Shack Back. I came to New Guinea. He had heard of the foray and was intensely interested for two reasons. He was fascinated by elements of of male sexuality within their culture and he wanted to uncover the truth about Kuru in the first case guide to SHEC- was less than ideal a self admitted pedophile. He spent countless hours among the foray because he was able to exploit some of the children himself yet he was not an easy figure to classify. Despite his deviance he desire to cure the ailing community. Guide Michelle quickly teamed up with Zegers egos and moved from village to village speaking with and taking the blood of the Foray Guy Shack connected. The cruise shivers to the shaking. That accompanied alcoholism we saw a similar misdiagnosis last week. During Italian doctor's examination of LISI's and assume TA and and is guided research reached the Western world some even connected the Kuru symptoms to C. J. D. as in yachts Yo had done with the Venetian family disease. He's your guy to check emphasized that Kuru mostly seemed to affect people who are younger than the average C. J. D. patient as there were no signs of traditional channel infection with crew guida shack new the typical diagnosis thin pointed toward a genetic disorder but in the nineteen sixties rival researchers Robert and Shirley glass arrived more rigorous and less distracted than Guida Shak. They were able to learn more about about the faure's history. They realized that around fifty years before in the nineteen th the foray had adopted cannibalism from another Guinea tribe type. It was not incredibly common and people were only eaten after they had already died but the foray had learned not to waste usable food. When glass attract this finding against the history of Kuru in the region they were startled to realize the dates matched up? Kuru had not appeared in the forray until cannibalism had in defense of his own researches. Primacy thesis Guida Shak Shot Back. He contended the a disease. Must have a genetic component and couldn't have been caused solely by the cannibalism the practice of cannibalism had been slowly weeded out of the forest culture since its arrival and by the late nineteen fifties and nineteen sixties. It was nearly eliminated entirely. How then did hit crew still appear and young members of the four tribes making things even more complicated guy to Shec- proved that it crew could be spread by injecting tissues from the conditions human sufferers into test subject chimpanzees? Conventional Wisdom suggested that that if it was transmittable it had to be an infection yet. Guide her she could never isolate the virus even stranger he never found any he signs of virus DNA. Despite the difficulties he found improving. Kuru was an infection because he knew it was transmittable he he posited an explanation for the connection between Kuru and C. J. D. in a grand unified theory. Guida Shak used broad strokes to link multiple medical mysteries together. He claimed that Scrapie C. J. D. and Kuru were all caused by the same the infectious agent. It began with scrapie. The disease that was found in sheep in the late eighteenth century eventually someone ate an infected sheep deep and the disease passed to humans. It presented slightly different symptoms in humans than it did in sheep and the new condition was called C. J. D. D. after that at some point a person infected with C. J. D. must have happened to die in New Guinea when the cannibalistic. Dick Foray eight this person's body. The disease was transferred again in became known as crew in one thousand. Nine hundred. Seventy six guy to SHEC- won won the Nobel Prize for identifying what he had begun to call the slow virus but many were appalled by his broad strokes and didn't believe he had discovered anything real at all in these so-called slow viruses to be fair. This was the best medical community had offered so far the Venetian family never came into contact with this theory. It might not seem so unreasonable to them if they had after all Lisa they had traced the diseases. I recorded origin back to the mid to late. Seventeen hundreds the same time that scrapie appeared in the English flocks of sheep so far so good however the theory then breaks down fairly quickly. As far as Guida checks theory went C. J. D. was not hereditary. Terry it was an infection. It just didn't make sense that so many in the Venetian family has suffered from their mystery disease if the only way something likes. Cj deep passed along with through direct physical contamination it took the emergence of a new rival to push past this limited theory of slow viruses a neurologist and biochemist by the name of Stanley prisoner. When we return we'll learn? How prisoner made one of the biggest breakthroughs in twentieth century? Neurology and now back to the story story in Nineteen seventy-six Dr Carlton Guidry Shack won the Nobel Prize for identifying a new type of infectious the agent termed the slow virus. He claimed that certain diseases like scrapie which affected sheep and the Brain Diseases C. J. D. and Kuru who ru where spread by the same slow virus he wasn't aware of the Venetian family disease or the endless insomnia had caused and thus wasn't into wear. His theory failed to account for yet another mysterious ailment. But though Guida shakes theory was popular not everyone bought into it in the early nineteen seventy s the chemist. Stanley prisoner started studying C.. J. D. on his own after witnessing the deaths of a few people infected acted by C. J. D. he turned to research done by Tikva Alpa that focused in on the other resilience of the C. J. D. agent. No typical cure for viruses worked so prisoner became convinced it wasn't a virus at all but it wasn't a genetic disorder. Either it was some undiscovered type of protein causing C. J. D. to ground this hypothesis prisoner leaned on a theory devised by the mathematician. Shen J S Griffith in nineteen sixty seven griffiths theory was called nuclear option. This was a process of change that worked in much. It's the same way as a chemical reaction. A corrupted protein would bind to a normal protein. The normal protein would then change. Its shape to match the corrupted protein. This set off a chain reaction where one protein altered another until all the proteins were corrupted. Prisoner explained explain that this was something new and he was going to prove. Exactly what it was not settling for guided shacks vague and mostly unfounded founded grand theory but prisoner was seen as an outsider in the medical community. He was never an overachiever in school and attended a State University for his degrees still. He was an excellent manager and dedicated fundraiser in the years between nineteen seventy eighty five and nineteen ninety-seven prisoner raised over fifty six million dollars in funding and put together a huge team of efficient. Researchers was under his direction with this brute force approach to research by the mid nineteen eighties prisoners team had done what Guida Shag had found impossible impossible. They had isolated an incredibly pure agent of C. J. D. as prisoner has suspected it was far smaller than than any known virus and studied under these intense conditions. Scientists could still only find protein no DNA or RNA. Incite almost all viruses have either DNA or any so. This suggested that the problem was not a virus. Using this isolated infectious agent agent prisoners lab developed an antibody that would react to its presence if the antibodies reacted it meant the subject was infected and and further research could then be conducted in this fashion prisoner and his lab made more advances in ten years than scientists had. Since the the initial accrued studies of scrapie in the seventeen seventies this accelerated research at an exponential rate instead of waiting years for the symptoms to appear in a subject that had been injected with infected tissue researchers could simply follow up the initial injection with an antibody injection with. All of. This is now in hand. Prisoner was ready to go public with his discoveries in nineteen eighty two and unseat guided shacks terminology of the slow virus virus but first he needed a name inspired by the catchy and amusing quirk recently. Anointed in the field of astrophysics. Physics prisoner personally brainstormed. Hundreds of names for his infectious agent eventually prisoner found himself Alfa hit small proteinaceous infectious particle. Otherwise known as the preowned with with this advocate of name and place prisoner went public with his counter. Theory to guide a shack preowneds were not viruses. They were proteins that could both spontaneously occur in the human body without an infection and could also be transferred as contagious agents calling back griffiths theory of confirmational influence. DT Max Rights of how quote prisoner posited that preowneds had two forms one infectious one not if an infectious protein came into contact with a normal one it bound to it causing it to change inch shape into a copy of the infectious one. In this way the body slowly turned against itself be a cheap with scrapie or humans as with C. J. D. or Kuru perhaps most importantly prisoners team was also able to outline three distinct forms of prion disease. He's doing away with Guida shacks absurd grand theory once and for all I there were the infectious prion. Diseases mentioned earlier. When a corrupted protein is ingested it can cause a chain reaction that eventually modifies all a hosts normal proteins? Secondly there were sporadic cases of pre-owned disorders. Well prisoner was unsatisfied. To define it as such there seemed to be some instances where the only only explanation was that a random misfire of a protein inside a body caused the overall preowned disease. Thirdly some prion diseases were inherited or genetic a genetic mutation inherited at birth would cause one prion protein to fold in an aspirant fashion Russian setting off confirmational influence and creating a chain reaction of irregular preowneds whereas Guida checks theory. Never made any sense when it came to the Venetian family. Disease Prisoners allowance for an inherited strain of pre-owned disease finally offered a believable explanation. It was this realization that eventually led these two parallel threads of medical history to meet prisoners. Theory could also explain Kuru without resorting to Guida shacks notion that a member of the four a once happened to eat someone who died of. CJ D. A. Sporadic Development Eh preowned disease occurred in an individual during the faure's period of cannibalism. That individuals tissue was consumed and the Prion Disease Aziz past infectiously to new host but when the foray ceased practicing cannibalism the disease stuck around for a few generations as genetically McLean inherited biological kink in the system this chain of events was still shocking but it no longer seemed implausible. The pre on on was strange and frightening new agent but prisoner and his team had seemed to divine some reasoning behind its operation. What remained unexplained however was why preannounced turned bad in the first place? This went against all of the Darwinian. Theories of disease is that had been in place. Since Pasteur's revolutionary discovery regarding infectious disease. preowneds were not another form of life trying trying to upset our own. They came from inside of us so it must be reasoned that something about human biology caused them in in the first place. This discrepancy gave many in the scientific community the opportunity to deny prisoners findings. They argued that preowneds could not simply be proteins. There must be some DNA somewhere inside them at work still. Undetectable by human instruments tournaments and despite the strong logic chain in his grand priante theory prisoner had yet to truly linked diseases like Scrapie C. J. D. and Kuru together he had not proven that Prianti were definitively behind all of them and before he could he would need an unlikely assist across the Atlantic on the eastern shore of Italy. He would need to learn the story of the Venetian family and their seemingly really endless biological curse the last victim in the Venetian family had been Lisi's aunt purina arena who passed away in nineteen seventy nine from the same sleeping sickness that had claimed many before her Lisi was thrust into an unending ending paranoia regarding Venetian family disease she described these years to. DT Max as a living hell as she constantly sought at signs of the disease in herself and her loved ones but ironically enough the next four years past in relative peace Lisi's uncle goal. Silvana was a big part of this. A warm and giving man Silvana was a wealthy businessman who always provided when a need arose. He was a perfect representative of what one wants. Most in a family member knowing the unlucky history of this family it could have almost been predicted that such a good hearted man would fall victim next in. Nineteen eighty-three Silvana and was robbed at gunpoint. In the street one night while he survived the encounter with the same gracie practiced in everyday life. LISI would later come. I'm to believe it was this stressful encounter that set everything into motion. A few days later profuse sweat began to pour from Silvana body the telltale pupils shrunk it was happening again for nine months. Silvano refused to enter treatment. He had already the accepted what was happening. He had too much work to do to let go now. It was Lisi's husband in yacht. Co in early Nineteen eighty-four who who finally convinced Silvano to enter the Treviso Hospital. Where in yachts Yo worked now that he had the authority in Yachts Yo bypassed all the preliminary tests and immediately designed an EEG or electro encephalogram study for Silvano the EEG can measure and somewhat crudely map electrical activity in the brain in this way scientists can conduct comparative studies on patients? Brains when they're are in one mindset or another in Silvano case instead of the usual short term measurement in yachts yo decided to innovate he would run the EEG for over thirty minutes and Silvana wavered between consciousness and unconsciousness as he did constantly now now in yet CEO didn't need to compare Silvano chart to a normal reading to tell how far off it was it did not match any kind of EEG reading being previously taken of patients in states of sleep or wakefulness. His brainwaves alternated rapidly in yachts yohe finally proved proved what he and Lisa had been trying to for years. This didn't correspond to anything recorded in the world of medicine so far the Venetian if the meal insomnia was something else something new with these results in hand in yacht. CEO and Lacey reached out to Elliott Lugar. Google racy who ran the sleep clinic at the University of Bologna along with his neurologist colleague Pietro Kotelly Lugar racy invited them to bring Silvano to Bologna when they arrived. Silvano was almost bemused in Max's Book Lisi recalls recalls that Silvano told Lou Gracie I am going to die. I've watched my father die and my two sisters die exactly how I will go. Oh he followed that with a smile. I assume you'll want the brain when it's time literacy and Kotelly put Silvano on on a perpetual EEG exam. They took hours and hours of readings trying to identify the purest possible pattern within the data. Lugar crazy determine that there were small intervals of time. We're Silvano could be classifiable conscious. But his readings never indicated that he entered any any form of identifiable sleep as spring waned into summer Silvana requested that the schedule of his ancestor. The Venetian doctor doctor. who was the earliest recorded? Victim of the family disease be hung upon his hospital door as if he was daring history to repeat itself. Alf sadly that's exactly what happened. As the weeks passed. Silvano body contorted. He cried out in discomfort all through the night and then by June nineteen eighty-four. He too was gone. The families biological logical clock continued to haunt Lee C.. Nina zero however this time new allies would come through for them when we return. We will follow preowned. Researchers as they tried to pinpoint exactly why seal Silvano Body turned against him and learn the secrets of the Venetian family disease and now the conclusion of our story in nineteen eighty four the Venetian family was visited. Once again by the Maddening Insomnia Nia that had haunted them for generations. After her uncle Silvano died of the mysterious disease Lisi sent his brain to a fellow Italian Alien Pierluigi Beatty who now headed neuro pathology division in Cleveland. Ohio as embiid he conducted the first full-scale. Oh scale two section of a brain affected by the family disease. Lou Grazie who ran asleep clinic continued to study Silvano. EEG results us as we outlined last week sleep science generally recognizes four main stages of sleep the second and third phases as our brain enters cooldown cooldown mode and then as we enter REMM dream state occupied. The most time during each night's sleep cycles however Luger Izzy soon clarified clarified. That Silvano is brain. Never entered the second stage cool down instead. His brain would move directly from a state of waking into Aram phase but unlike average rim phases where the body becomes essentially immobilized seal. Vina's body retained the ability to move. Move this explain. Some of the instances of dangerous sleepwalking in previous victims. Their body literally lost the ability to discriminate between reality and dreams during these intervals. Meanwhile in Cleveland GAM babies dissection reinforced. What both in yet that? CEO and Yohannes Ville de discovered in Purina's brain years ago. The damage was primarily focused on the dallas to reiterate rate. The famous is the brain structure. That controls both emotional and physiological impulses from emotions to body temperature since sleeps it's most beneficial result is a nightly balancing of human chemistry damaged. Thelma's makes sense as the cause for the Venetian disease. Victims Victims of the family curse experienced extreme sweating and problems with their body temperature there pupils also contracted into small pinpricks wchs and of course their sleep cycles were disturbed the HYPO- Thelma's had already been tenuously linked to sleeplessness but GAM beattie's eighties. Research was the first that showed an obvious connection between the palace and sleep by Nineteen eighty-six Luca racy and gambit. He had collected enough data to put together a full account of their findings. In the New England Journal of Medicine. They also decided to finally give. This is deadly disease a name the Venetian family curse became known as fatal familial insomnia or F. F. I now when Lisa and in yachts Yo hit the pavement to reach the far flung branches of their family tree. They could tell distant relatives relatives. Something more specific but Luger easy and gone baby still didn't know what type of agent was destroying the famous. They had made many breakthroughs breakthroughs but they still had yet to discover any traditional sign of infectious inflammation. Once again. It took Lisi's efforts on the Family Front Front to advance the research further through her family tree mission in the late nineteen eighties. She came into contact with a previously unknown and cousin named Lucia. It was like looking in a mirror. Lucia side of the family had been haunted by F. F. I for generations to now it was her sister Theresa and cousin Luigia under the dreadful sway of endless insomnia. While Doctors Lou Gehrig and GAM beatty could not not stop their deaths. These two affected women provided valuable found severe research that might one day be able to save the family's descendants in their edgy readings Lou Grazie was finally able to outline a distinct similarity between FFA brainwave output and recordings recordings from C. J. D. patients in conjunction with this game bady found evidence of dead neuron clusters also known as plaques lacks outside of the Fallas. This discovery came at precisely the right moment GAM beatty had been keeping up with the exploits of particular secular acquaintance Stanley prisoner. Who had recently identified the existence of pre-owneds in nineteen ninety six GAM beatty sent isolated had samples of FFA tissue to prisoners lab in recent years? Prisoner had managed to define specific arrangement of prion proteins and that caused C. J. D. now with F. F. I n.. Hand prisoner found that this was a pre-owned disease to the differences in the effects on both brain structures and outward symptoms arose from a different arrangement of pre-owneds in the two diseases. Here is where the two strands of history history that a fatal familial insomnia and that of pre-owneds finally linked with the additional research from GAM bady prisoner. Finally we had a large enough base of evidence to claim that the preowned was a massive discovery indeed as the twentieth century came to a close the Venetian Venetian family finally realized they were not alone in their suffering. Fatal familial insomnia was but one variation of diseases caused by the pre on a biological agent that author. DT Max deemed a Jekyll to hyde protein. For decades competing being scientists had attempted to unravel the secrets of the preowned and the diseases. It caused eventually. It was Stanley prisoners. Time in the spotlight light as the preowned became global news. Max writes that the Swedish Academy called prisoners discovery a new biological principle bowl of infection the recognition of prisoners work came at a very opportune time as identifying peons quickly became a matter of national importance in Britain during the nineteen nineties. A new health scare swept across the island this time instead if sheep it was cows that were displaying signs of troubling and delirious behavior the real controversy however was that the British government government was far too lax in protecting the public food chain from these mysteriously infected cows over two hundred thousand. Six Cows House were sold as meat during the nineteen eighties and nineteen nineties with no safeguards in place and no well funded research into the issue until it was too late it was finally given the name Bovine Spongiform Encephalopathy but became commonly known as mad cow Disease Mad cow disease was indeed a prion caused infection. It turned out that in order to make fatter and more profitable cows for both meat and dairy production. It became common practice to feed these cows with a protein meal that actually contained cow meat. They fed cows to cows to enhance profit margins. But what they were actually doing was feeding sick cows to healthy cows soon. Doing enough a feedback loop began as mad. Cow Prions spread from factory farm to factory farm. This disaster had to positive hoste results. Firstly it did bring global attention to priante disease worldwide funding for research. Shot up to over three hundred million million dollars between nineteen ninety. Two thousand preowneds had gone mainstream. It also led British scientists on a search to learn what what made prion disease spread. Luckily it seemed that the British human population was fairly resistant to mad cow out of the thousands thousands of people who consumed infected meat a disproportionately low percentage of them showed signs of the disease. And it was this search that finally unle leads us back to prehistory to the northern Spanish KS of Puerco to eight hundred thousand BC. Just outside inside the mouth of the Grand Delina cave system. Archaeologists had pinpointed this location as one of the oldest dig sites for human remains means recently the bones of a fourteen year old and ten year old had been covered at the mouth of Grand Alina. The remains showed signs of death by malnutrition leading archaeologists to theorize that these children died during a time of drought or a poor hunting hunting season. However there remains also showed other peculiar signs? The bodies were mangled as if they had been eaten but the bone breakage was too precise for it to have been done by an animal also the bones of other animals were found scattered about the mouth of the cave. As if this was a place where the humans of this time period gathered to eat to put it. Simply all evidence seems I'm to point toward cannibalism. Like the foray of New Guinea these prehistoric people did not want to waste usable food here. This this archaeological evidence crosses with British neurologist. John Colleges genetic investigation into those who seem susceptible to preowned diseases. Collinge discovered that there was a genetic difference between C. J. D. suffers and a majority of the population. Some people were genetically more susceptible acceptable to C. J. D. but his lab also determined that there were far more people in the world who were resistant to C.. J. D. Collins considered this fact to be the key to the early spread of pre-owneds he theorized that in prehistoric times cannibalism was far more prominent than and we had ever believed. If true this practice would have assimilated the spread of pre-owned disease when healthy people consume the meat of infected individuals. New Infections would be created the disease would spread rapidly and the majority of their populations would have been nearly wiped out only some infected individuals managed to cling to life and pass on the priante disease to their offspring including a distant ancestor of the Venetian family. Once the most susceptible portions of the population were gone. Prion disease receded back into the annals of history for a time yet as we evolved we kept bringing the risk of prion disease back back into our lives and the lives of the animals around us by forcing a natural consumption into the global food chain and giving pre-owneds the breeding in ground to flourish despite the majority of the population's genetic defense against it as long as humanity's outsized ambition and appetite tight existed. Prion disease was here to stay but those like prisoner decided to heed the preowneds warning and use it to uncover more. We're about ourselves than we had ever known before his lab is still at work today. He hopes to someday find some common ground between pre on diseases like C.. J. D. and F. F. I and other neurological mysteries like Alzheimer's and M s while some scoff at this pursuit pursuit it would do us all well to remember how the connection between diseases like C. J. D. F. F. I N. Kuru was once scoffed at two. DT Max said it best. When he wrote that quote there has long been anecdotal information suggesting that preowned diseases have something in uncommon many can be inherited but also often just seem to happen by chance? Stress seems to worsen them. The frequency of many increases with age in fact prisoners research has already helped potential victims of prion disease GAM beatty with help. I'M FROM PRISONERS LAB DEVELOPED TEST FOR FATAL FAMILIAL INSOMNIA in Nineteen ninety-three Lisa called the first extended family reunion in in two thousand one she and in yacht. CEO urged members of their extended clan to take it. While some did not want to know the results and GAM beatty. He's still had work to do to make it more accurate. Overall the clan finally had something they could use to clear away. The fog of the family curse at this two two thousand one meeting many family members seemed hopeful that a cure could be found but in yacht. CEO urged caution prion. Diseases are incredibly rare owing to disproportionately small population that susceptible to it even with health scares like mad cow in the cultural consciousness. snus there is not much well. Funded research into priante outside of prisoners lab so far potential treatment drugs like Quinta crine and Pentagon Assan have shown real reductions in symptoms of those suffering from C. J. D. but they can also result in liver damage and seizures respectively on on top of those risks. No drug has so far completely eliminated appre on disease and return to victim to normal health. preowneds are notoriously aureus. -Ly Difficult to destroy. Even in a highly controlled lab heat radiation and powerful chemicals have all been proven to do little to turn a hide pre on back into a benign jackal wants a pre-owned goes bad. It seems there may not be a way to revert. It's inevitably fatal course but even so there is still hope and researchers continue to fight to discover a possible cure for preowned diseases maybe one day the Venetian family will earn the respite. They so desperately deserve. Aw thanks for listening to medical mysteries for more information on fatal familial insomnia amongst amongst the many sources we use we found. DT Max's investigatory history. The family that couldn't sleep extremely helpful to our research. You can find and all episodes of medical mysteries and all other podcast originals for free on spotify. Not only to spotify already. Have all of your favorite music but now spotify is making it easy for you to enjoy. All of your favorite park cast originals like medical mysteries for free from your phone desktop stop or smart speaker to stream medical mysteries on spotify. Just open the APP tap browse and type medical mysteries in the search bar. And don't forget to follow us on facebook and instagram. At podcast and twitter at Parkas network will see next time. Medical cool mysteries was created by Max Cutler is a production of cutler media and is part of the podcast network it is produced by Maxon Ron Cutler sound designed signed by Michael Lang's ner with production assistance by Ron Shapiro. Paul Moller Maggie Admire and Freddie Beckley. This episode of medical mysteries was written. Mm by Jack Benny Tell and stars Molly. Brandenburg and Richard Rosner.

C. J. D. D. Lisi Prion disease CEO Oh Lisa researcher spotify Silvano Robert Bakewell Max Cutler Pierluigi Beatty CEO New Guinea insomnia Guida PURINA facebook England Silvana Nobel Prize
Motor City Hypnotist Podcast with David Wright  Episode 14 Episode 14, Hypnosis for Insomnia


30:52 min | 2 months ago

Motor City Hypnotist Podcast with David Wright Episode 14 Episode 14, Hypnosis for Insomnia

"You're listening to the PODCAST DETROIT Network visit www dot podcast, detroit dot com for more information. In this episode of the Motor City hypnotise podcast, I'm going to discuss the nightmare of insomnia and how hypnosis can help you start and continued sleep soundly each and every night. Also as usual I'm giving away a free hypnosis guide stay tuned. Stinky. Shrugged in a, year. Get ready for the motor city hypnotist do on rights originating from the suburbs of Detroit Michigan he is hypnotized thousands of people in all over the United States. David Alright has been featured on news outlets all across the country that is the clinical director of an outpatient mental health clinic to just south of Detroit re hopes People Daily using the power of it noses. Welcome the motor. The taste. David. All right. What is going on people? It's David Wright the motor city hypnotists back with another episode of the Motor City hypnotise podcast. We are. Here we are in the PODCAST, Detroit Northville studios thank you for being or official home. Mad is back this week. Yes. I am sorry we missed you last week. You know the guests that you had on I was actually intrigued to hear about rum. Learn from an I've missed it. While you can listen to it. Yes. I can subscribe wherever podcast. Got It. So. Let me tell you everyone where you can find me on my website is motor city hypnotist dot com. There you will find my podcast blog page, my store page, and a whole bunch of links to to videos for. Many shows that have done in the past. So check that out that appreciated. You can follow me on social media on facebook and Youtube motorcity hypnotist on twitter at motorcity Hypno-, and also on Instagram motorcity Hypno-. And again, if you would like to contribute financially to the show I do have the Patriots page. It is motor city hypnotist on patron, and again, any small donation monthly donation you could provide just helps us to run the show and give you good content and then you get coal staff and return I'm Gonna I'm GonNa. Wear my t shirt next week. saw show that off to the video people. Yeah. Please do up. This'll be posted on youtube eventually so you can kind of see what you get. A coffee mug t-shirt early access to the podcast as well. So check me out on patriotic and as usual on every show I give away a free hypnosis guide to the listeners and you can find that link in the show notes as well. And the biggest thing is wherever you're listening whether we podcast spotify stitcher wherever it is subscribe to the show and leave a review. I would greatly appreciate that again and helps us get exposure and grow our audience and. Get. More people that want to hear cool stuff. So I appreciate that came on and finally join me each week as I co host, the site by M. G. podcast. That's with my friend Mary Grayson. We'd you talk about a lot of mental health things on that show as well and naturally if you're on facebook live, you can stick around and that will be on at about six thirty or so. So, this episode of the Motor City. hypnotist podcast is brought to you by banner. Online marketing saturated and people rarely opened their emails are you in sales or does your business market to customers? How do you connect with family friends and Clients Banner Season Takes Your marketing into the real world by delivering kindness and thoughtfulness directly to your clients physically. Imagine the excitement of your family friends and customers as they receive personalised cards and gifts in their mailboxes. Goto banner season, dot com slash fantastic, and begin today to express kindness and make connections with others. and. Again, that is banner season dot com forward slash fantastic, and again disclaimer I'm a an affiliate for that company. But they do give out. Great stuff. I. Have a birthday, La- setup and whenever it's Somebody's birthday. They get a box in the mail with a couple of brownies with their name on them will not on the actual brownies been on the pack. I'll say what's number as well? Yeah. Yeah. Not that but but they are good brownies and a card. So yeah, if you want to set up a list for yourself, so you don't have to remember people's birthdays and they still get something really cool. Chuck Out Banner Sees Dot Com slash. Fantastic. Appreciate it. Awesome. It is winner if the week time. I did miss this. Our winner of the week this week and you probably of seeing these commercials on TV because they've been playing a lot lately lately. It's Michael Phelps. Okay Yep. Okay. So he has his doing commercials for promoting therapy and online therapy service. which I don't know about the service. So but but the big thing that why Michael Phelps is the winner is he's talks a little bit and I went and did. I did a deep dive on Youtube regarding this his. His challenges, let's say. so He'd want eighteen gold medals on top of the world and he went into this I think it was a couple of months. He just stayed in bed. He just wanted to this deep depression and he said, I just I need to find help. So he went and saw therapist. And after the fact, now that he's promoting this online therapy service, he saying that decision saved his life. In the reason I wanna say that he's a winner of the weakest people don't seek help they resist for whatever reason they think they shouldn't need help or or they're embarrassed to get help. But if somebody like Michael Phelps. Again the guy has was on top of the world. And you know everybody benefits from talking to someone and I say this declines that come into my office for the first time. I say it delicately but I say listen everybody's screwed up everybody has things they can fix and work on. So everyone should be talking to someone. So I i. really like these commercials because again he's a high profile person who said, you know what does the this is what I needed to do and it helped him and again he said it saved his life. So for those of you out there who are considering therapy for whatever reason you know don't don't wait just just make the decision and do it and You know make those changes now rather than later you're gonNA feel better. So that why Michael Phelps is our winner of the week. In that guys don't of winning his life to. Eighteen gold mass you know that young and That type of an accomplishment you know, where do you go next to and you know that's probably a lot of the reasons why he just Fall into one. Interesting, you brought that up because there's a series I believe it's on Netflix's right now. I'm not going to remember the name. But it is about Olympic athletes who struggle with mental illness after because they train their whole lives four three minutes at a time and whether they succeed or whether they a gold medal or they don't. Some of them will have that one chance, and then it's done and even the even the successful ones your your time is limited even if you go to multiple Olympics. But afterwards it's kind of like, okay. What do I do now? Right right. You've reached the pinnacle. At that young age, which is mostly the young age get. So a lot of them have let down in out. At some point, I'll look up the name of that show because it's very interesting. It's about athletes struggling with life after the Olympics. Yeah. Very interesting. So today talk about struggling. Today. We're going to going to be talking. About Insomnia. Now. I say the word insomnia and almost everyone that's listening is probably like Oh. Yeah. I've had insomnia in probably some of us have had issues sleeping here and there. when when I say insomnia and I don't WanNA classify really gets into semantics but you know having a night or two of sleepless nights. There's some people who go months and months without getting more than a couple hours sleep a night. And that chronic insomnia is what we're kind of focusing on is how to make changes for that. There is that clip I played right after our intro that is from a movie called the machinist. That's what the Christian bishop bail. Yes. Yup, and again it's it's it's it's really a psychological thriller in a way. Great Movie I. Loved it but but it's him just struggling and. You know in the movie, of course, which is which is. Fiction, it's made up but in in the movie, he starts hallucinating and seeing things and not knowing people are real and. Even though is a fiction in a movie. That's that's what can happen with insomnia. You can start experiencing these symptoms of psychosis because your brain's not functioning your body's not. Resting and recovering it really has a major effects on on how you feel and your in your physical health. So I'm GonNa Start with just right off the Bat I WANNA I WANNA make sure that we clarify what how insomnia fits into sleep disorders because there can be any number of sleep disorders. One would be narcolepsy, which again is a is a diagnosis able issue. And that's that's when you just have extreme fatigue at any time and could fall asleep. You know while driving while you're doing pretty much anything. In. Very severe cases you could be standing and walking and just you know your body just shuts down go to sleep. Another sleep disorders restless legs syndrome are less. Are Less which again can compete keep people awake and that's that's a very frustrating condition. One of the biggest ones that people don't address is sleep apnea. And I'm not going to go into the whole medical explanation but but really what sleep apnea is is your. Your throat closes the back Palette of your throat relaxes and closes your airway so that you stop breathing. and. That could happen hundreds of times a night. But you never come. You never really come awake. Sometimes you can wake up sometimes you could not realize it and you're just sitting on the edge of sleep the whole night you never get into that room state where your body really recovers and rebuilds itself. So I always tell my clients were having issues sleeping and general chat for sleep apnea because it is something that can be controlled with either with medication surgery or most cases a CPAP machine, right? Yeah. And just to be totally transparent I use one I've had one for about. I don't know eight years now, best friend I was just telling you about earlier. He wears one as well right and. In typically, and again, this is not being critical I typically don't fit the what you would think of somebody was sleep apnea because most people might think all somebody's really overweight or they. Really, wait as one of the big driving factors of that but it can physiology it can happen to anybody at any weight. So if you're having issues being tired and not sleeping well. SLEEP APNEA could be to blame it, and that really has a long term effect especially on your heart because. When you stop breathing your heart speeds up to to to catch up. And engine that resetting itself hundreds of times during the night. Yeah. So they can have long term issues and then are finally we get to the the sleep disorder that we're going to focus on which is insomnia and before you do that yeah. The name of that documentary you're talking about with Michael fell out there's actually on Hbo Okay It's an HBO documentary and it's called the weight of Gold Da there we go. Yeah. I for some reason. I thought it was Netflix's but yeah, that is the night in goal Netflix's one that's about the gymnastics, Larry Nassar. Yeah, yeah. So yeah check that out if you're interested in seeing how these athletes cope after the Olympics, I haven't watched I. Know My wife as 'cause she was raving about it but I have not seen yet. Let's get into, insomnia? In I'm just GONNA. Kinda just give you an overview insomnia really as it's characterized by an inability to initiate or maintain sleep. That's kind of the simplistic definition of it. It may you also may awaken early in the morning and the not be able to go back to sleep. You might not be able to once you're awake it's hard to go back to sleep sometimes In really. It has a lot of the same effects that sleep apnea would you're not sleeping? Well, at night you're going to be tired during the day if you're not getting in, here's what the recommendation is and I'm GonNa just throw this out, and then we're GONNA come back to it. For most adults. Age, let's say eighteen and over at least seven hours a night is what is recommended and So if you're not getting that because you're you're unable to then there's an issue that's something we need to look at and help you address. Let. Me Just throw out a few statistics approximately in four Americans develop insomnia each year about thirty percent of American. Dulce have symptoms of insomnia. Up to ten percent of American adults are life likely to have chronic. Insomnia. Lows lost productivity related to insomnia cost the US economy about sixty, three, billion dollars a year. Eighty three percent of those who suffer from depression also experienced symptoms of insomnia. In and you can imagine why if you're not sleeping on, you're always tired in that's GONNA how productive or You're not going gonNA feel great about yourself and what's going on. Speaking of the seven hour sleep. We probably all know and maybe maybe some of you are one of those people who is constantly moving constantly working and pushing themselves and the the whole. That whole theory of that type person who only sleeps three hours a night because they have so much stuff to get done. In really that. Theft in some ways that's looked at like, wow that that's somebody who's really dedicated. That's that's what I want be or that's how I want to do, and I want to be that committed to something. But the problem with that is you really you really doing yourself a disservice and I'm going to refer to Ariana Huffington who was the founder of the Huffington? Post? She put out a book couple years ago. Might have been a little longer I read it on a plane. Because I was trying to. But the name of this book is called the Sleep Revolution. In she recounted. How she lived she would have her phone by her bed. She would whenever the phone, she would pick it up and work an answer emails or texts. No matter what time no matter what time and the name and and she would push yourself a yet. She was running running a a website in a news. Service and all of those things. So she said she was averaging at at the worst in that that stretch about three to four hours a night. Wow. In she one day was standing in her kitchen and. Just. collapsed. Just went down. Hit her head on account or going down ended up getting a number of stitches in her head. And it kind of is was her. No Pun intended her wakeup call right because she said I can't keep doing this. So if if if you want to read about her experience, it really is it's on a tough read, but but it really kind of lays out kind of the way people have. They treat sleep like it's not necessary like okay. I have better things to do than sleep. Or. I need to get this done. So I'll stay up late and sacrifice a few hours. Which I get. You know it's it's every once in a while you know at that. That's legit. Right but every day and. That's In the whole theory that okay I have a busy week I'll catch up on the weekends there really is no way to catch up on sleep. No, you can't bank it for later use because every night is different and you may you may end up staying up late to couple nights in a row and sleep all day that third day. But I'm talking about consistently doing this day after day if there's there's no way you're gonNa make that it just it just doesn't work that way way when your body's accustomed to waking up at a certain point in the morning or in the afternoon depending on your work schedule. If it's a wake, your your brain is way guess what it's usually you're ready to roll ready to rock so. Again with insomnia sometimes, there's no reason for it and you could you might. You might maybe you'll have an hour in all of a sudden. Your eyes pop open in your wide awake you know. Three odors raising. Yeah just happens. And you're you're just awake and it's impossible to go back to sleep. So we're going to bring this back that that then insomnia is a is a is an issue as an issue for a lot of people. But I want to reframe it because it's it's it's easy to put put yourself in the victim role of that saying all man I've terrible insomnia I'm just There is something you can do about it. There is there are things that you can take control of this. Because what insomnia. Is In can be physical and we're going to address those as we go along but but for the most part is not being able to shut your brain off. Which we talk about this on the show all the time. It's a habit. It's a habit that's been ingrained in your subconscious thinking, and that's what happens. When that that habit just goes without being unchecked or without being checked then it's just going to continue to do what it's always done. And if that means, you know you sleep well because your brain is used to that, that's what it's going to do. So. There's an old trick and it's this this. This goes back on me and I don't know where actually do know where it came from because I looked it up but you know the whole the whole the whole theory of counting sheep. That's that's been in. You know I don't know culture for a long time. In never really came from something it came from medieval Britain. Shepherds who wanted to use communal grazing lands. They had to keep a close headcount of their sheep and they use the special counting system to make sure they had them all and they would do this right before they went to bed. Okay. So that's where this counting sheep thing came from because they would do it. And then go to bed so it's their fault. Yeah it's their fault. So but let me talk about that because it sounds like a silly and it's become character caricature is. You, see it in. You see in cartoons you see in. Commercials and just just it's kind of. A Just kind of a like a wives tale just kind of this cliche. But think about this what the reason it became a cliches because some point somebody was using it. Some somebody coined it because it was effective. And if you think about what that action does counting sheep. Gives you a repetitive thinking pattern where you're just focusing on one sheep after another and what you're doing is you're you're you're. Focusing your brain in not to think about a million things at once but just about the single thing. and. I i. read a couple of different story study I. Don't think there have been real world scientific studies but a lot of anecdotes about people saying. Yeah. You know when I count sheep go to sleep I've never gotten I've got to one hundred. Which is interesting. It is for some people say oh yeah. I I I. Don't remember I never remember where I left off because I finally you know eventually fell asleep. At. It's we're going to get into specifically how to do that with unless you want to count, she could do that. I mean, if you like sheep that's cool. Thing. You ever smell. Say I was thinking of what is she put smelling? So. What we're going to talk about is. Refocusing your routine in your brain? This is the tough part for people because like anything else. This you would think, oh I, if I just shut my brain off, that should be it should be easy. Precious be able to do it. How do you do? Yes and that's that's the key thing. and. You have to put some work into it. It's it's I. I always refer back to. MONKS WHO MEDITATE Course. Some of the beliefs are you know if you can reach Nirvana at some point if you get good with that? But. It's not something that you can just sit down and be at that level. I compare it to meditation to like Yoga or any other activity you have to work up to it. You have to practice shift you better at it and thinking is the same way whether it's thinking about something or not thinking about something. And here's what typically happens with people with insomnia. Before they even get to bed there already worried. They're already thinking. Oh I hope I can sleep tonight I hope I. Hope at least three or four hours in. Their mind is setting themselves up for that disappointment. Even if they're sleeping, they wake up. The mind automatically. says. That was it I guess I'm done. Then, your mind is active again. So, you're not. You're not setting yourself up for success and I know that puts some a lot of responsibility on you to listener. But if you're serious about this, you can make the changes you need to. So I'm GonNa, talk about sleep hygiene. I don't know if you've ever heard that term. I have not. Okay. Sleep hygiene is things that you do before you go to bed. To. Increase the likelihood you can shut your brain off. Okay if that makes sense. Okay, and we all know when I look at the when I read through the is like dominoes you do one thing the next thing and the next thing. Okay. In a lot of these people might scoff a little bit because it's like, oh, I can't do that. But but if you do these things, it's only going to help you and if you have to commit to these things. Curious to what going to be yes. So the first one is keep a regular sleep schedule. Go to bed at the same time every night and get up at the same time. Every morning doesn't matter if it's a weekend doesn't matter of occasion I understand once in a great while your schedule may get thrown off for a day or night. Sure. But. You have to keep a regular sleep schedule because when when when you get that scheduled down, your mind is trained. Trained and and like you mentioned earlier Matt. How many of us wake up at six am on Saturday because that's what time we get every day your minds. Your reminds trained to do that. So, on the same way, we need to trade train it when to go to sleep every night at the same time. So, keep a regular sleep schedule. And this one, this one is going to. This one was going to come out a lot of people. Are you. The young parents there for that. I wasn't there like seriously. Bedroom is for sleep and sex. Okay. That's it. You had been sleep right Those. Those are the only two things using your bedroom for. And I know that that for people who liked to go in the bedroom and watch TV or hang out. It you're you're training your mind to be active in the room you're supposed to be sleeping. In, these these sound, very simplistic. But but this you have to if you if you put these things in place, your your. Your likelihood of succeeding is GonNa be way much more. So the bedroom is for sleep and intimacy only. When you're when you're in your bedroom, you should not have TV on and electron available or even close. Again I know people their phones right by most people use their phone as their alarm just. But if unless you shut off notices an might be digging all night or In People's minds. It's just like Pavlov's dog when that Ding happens your mind is automatically turned on because you want to see what's there right and that's what you do during the day, which is great because that's what should do during the day. You don't want to be doing that at night. So incredibly guilty over here. In a lot of people are not not necessarily intentionally I just think it's just habits that we built that maybe we don't realize how much they're affecting us too. So that can happen and when it's not, you know we're. We're not reinventing the wheel here you know. Come on guys. It's so simple. Maybe you need a refresher course. All vulgar right now. Maybe, we need a refresher course. So your your bedroom is for sleep only and sex. Train yourself to recognize that in. Don't again don't have any electronics. If you have a TV, it's not on, I wouldn't even put a TV in the bedroom. I don't have a TV in my bedroom and I'm not judging people who do just saying it just it's another way that you can distract yourself from what the bad is. Forest Asleep. Again common sense tips here is stimulus such as caffeine afternoon. Also avoid alcohol now. We all know alcohol can can get us to sleep, but it never ends up being a good sleep. Yeah I have a clock. Yeah. In typically, alcohol can disrupt your sleep patterns because because it's messing your system up. One hour prior to bed time begin a relaxation. Activity or routine. Let's call it a routine. So that means no watching TV for an hour before no reading. Anything on a blue light, which would be your phone computer. IPAD things like that reading is fine. If you're doing it off of an actual book like a like one of those kill whites that's not that's not a blue light except blue light activates are vision in our mind and it. Causes you not, to. Relax. So again, focus on just being calm, quiet instill, and again with people with kids I it's a challenge but these are things that you need to do for yourself. Read a book. Listen to music. Just sit quietly in that hours your prep time before going to bed at your bedtime. And when you go to bed. There are deep breathing exercises and I'm going to give you one quickly before we run out of time, and this is really common one. Taken a slow deep breath through your nose. Count to eight. As you're breathing in like make the breath last eight seconds. It goes in hold that breath for at least five seconds and then slowly exhale through your mouth while counting to ten. Just repeat that cycle over and over again because that breathing and this is the part of hypnosis as well. We we make people breathe deeply and slowly, and the same thing happens when you go to sleep at night. You're it's of like you're manually kick-starting that sleep process with this breathing that also doesn't uh slow down your heart rate when you do that price. So it really that your body's relaxing itself exactly exactly and again that's kind of a like I said if. It should happen naturally, but sometimes a dozen and that's why we put these things into effect. Now I know I went through this list fairly quickly. But what I wanted in the show notes there's going to be a link for my hypnosis for insomnia recording. You can you can get that on my website at my on my website store, but this will walk you beat because sometimes it's hard to to relax on her own. It's hard to stay motivated are focused to do that. But if you're listening to it, I can direct you. It's easier to follow something then tried to initiate something sometimes. So. Talk or check out the link in the show notes for my hypnosis for insomnia recording and give that a try Iraq on you try it for. Five six seven days in a row and in if you if you get that down, you're going to start that new habit and it's going to click in in. It'll be natural after that. So. I. Know We cover this very quickly as we go just leave me comments. If you want to talk more in depth about this, absolutely, we can do that. Because I, think that's a this is something a lot of people struggle with and would love to have you know maybe a more detailed. Deep dive on it. So let me know. So we going to be back next episode. It's got kind of a fun one. We're GONNA talk about speaking of sleep ten movies about sleep. Now, my. Favorite movies about sleep. All right. So come on back that'll be interesting and a bit fun. So join me next time in the meantime change your thinking change your life laugh hard run fast be kind. I'll see you soon.

insomnia Michael Phelps youtube facebook Netflix United States Olympics DETROIT spotify David Wright Michigan Motor City Patriots gold medal Detroit Northville depression restless legs syndrome narcolepsy official
Get Some Sleep -  Yishan Xu Ph.D. - Insomnia and Anxiety Specialist

MinddogTV Your Mind's Best Friend

1:10:38 hr | 3 weeks ago

Get Some Sleep - Yishan Xu Ph.D. - Insomnia and Anxiety Specialist

"You're, getting sleepy leap. and. We'll talk about it on this episode of Mine Dog TV podcast. Love my friends yet another episode of Mine TV. podcast I'm Matt Napa. Thanks for coming. It's great to have you here. We're GONNA talk about sleep tonight one of the subjects that people right in most say about topics they'd like to hear us discuss on this program not just sleep but problems are getting the sleep falling asleep staying asleep and. General sleep disorders that people might have an reason behind them impossible solution to them. So I'm excited to have that talk tonight Before we get started, I want to mention stepdaughter elope today when got married and So I'm alone in an empty house right now except for the dogs that she left me with and the dogs Once, they start barking You can hear them from everywhere in the in the house. So I might be in a little bit of trouble here. Tonight, just giving people a heads up might have to mute my Mike while my guess is talking hopefully of the dogs start to take a barking fit and my wife is due home from her she nursing. Do home probably in a half hour or so and they liked balk at her when she comes home. So I'm a little nervous about that and when they start barking, they don't stop barking until somebody comes in and pays them some attention. So we have two of 'em here and they might might get a little out to giving a heads up warning. Before we get started I know you're probably tired of this a half the Promo this project not promo necessarily is this is not a sponsorship or a promote. Pay Promotion in any way actually it is experimenting, and if you've been following the program, you know what? It's all about. If not, here's the quick rundown or quicker that can make it. Two weeks ago, yesterday Chris Burs from research was on. He has a product called my vital C. which discovered in nineteen ninety one went through rigorous toxicity testing. In that toxicity testing they found that not only was it nontoxic to the mammals who was tried on, but they also live a longer life up to ninety percent longer than their. Expected. Life Span is almost w life span and it was tomb afraid they slept better and they had more energy. Now I don't know how you actually measure that stuff in lab. Mammals, but that is the claim so I went to. Rigorous testing for many many years in twenty thirteen, it was approved by the FDA for human consumption and humans have been using it since two, thousand thirteen and reporting extraordinary results. So the claim that Chris made with this could extend my life by as much as ninety percent, which is extraordinary claim first of all an extraordinary claims require extraordinary evidence. So I'm a skeptic on that claim, but he also claims that it could keep your cognitive ability where it is today and help you sleep better and have more energy and sleep better is is something we're interested in here tonight especially. So I've been taking it on air only to hold myself accountable. Because I, figure if I don't do it on air, I'm GonNa Forget to do it, and then the whole experiment is going to be for naught he will be back here October twenty nine. So we have twenty eight days left of May taking this stuff on the air I will tell you I've been taking for twelve days now and I have felt the different that have been more energetic at have. Slept better now today is an exception because I was up to four o'clock in the morning working last night, and then I had eight o'clock conference call this morning. So I only got four hours sleep last night. So by the time, my first show started today I actually needed one of these kind of boost my energy I'm GonNa take one. Now I will tell you the only downside I've had to. This product. The only negative thing about it is that it tastes really really really when more really awful and so I have to take it with a water chaser and. I have joked told this joke several times I'm GonNA continue to tell it every time I take it. If I have to do this for another seventy years, it's almost worth dying young we got. And it's just that simple and just that. Awful. Wall. Really bad. I. Will find out quickly will be back as I mentioned October twenty nine. Then we're we we've you my results with it and see. How I've done I but for now. And I don't believe it's a placebo effect I have experienced more energy better sleep continuously, which was always been a problem for me and Feel feel great. So that's my result so far as I mentioned we're GonNa talk about sleep. But before we do that quickly I, just want to mention my sponsors here. My sponsors are fun wise capital. You know about them I've been talking about them for several weeks now. There are business lend their. Platform the unwise capitalism Linda matching platform, get you the best credit lines guaranteed for your business apply online and sixty seconds or less, and is no affect your credit score to see how much you can get us the funding for anything you need to start or grow your business I should start or grow your business in other words if you don't have a business, but you've got a solid business plan, you can get funding for it and what that time to get funding to start your own business and right Now in the covert economic crisis that we're facing. So many people are still out of work great time to start your own business, get the funding you can get the best funding you can qualify for the lender matching platform searchers two hundred lenders to find the very best possible option for your unique situation. They have hundreds of five star reviews on Google Trust pilot and facebook an a plus rating with the better business bureau. They provide unsecured lines of credit at zero percent interest for nine to fifteen months unsecured. Loans based on income short-term gap funding or bridge loans. They work with real estate startups as I mentioned franchises, rents, any kind of business, and he kind of product to get started it's really easy you go to fund wise apply that Wise Dot com slash mine dog that's apply that unwise dot com slash dog I certainly do appreciate you patronizing my sponsors makes a program alive. Dr Zoo is with US tonight to talk about sleep sleep disorders and possible solutions. Doctors who is a license clinical psychologist and the founder and director of mind and Body Garden Psychology. She currently says a committee member in the Society of behavioral. Sleep. Medicine Ladies and gentlemen please open up your ears open up your mind and helped him in that the zoo that zoo. Welcome. Muted your MIC is muted. I. Don't know how to put this. Yeah since Matt for having me glad to be here. Thank you So we I mentioned you know sleep disorders, people kind of we think there's one. One umbrella to sleep disorders There's a lot of different kinds of sleep disorders style and they a manifest in a bunch of different ways in the solutions are very different I've been studying up on it so I know a little bit about it but people suffer from a lot of different sleep disorders. Can we start with just like a basic? Of what it is you do. Yeah. So I was chained in Stanford Sleep Center, and now clinically I treat different mental disorders but my special taste treating sleep disorders especially insomnia. Or other kind of Circadian Rhythm Disorders. So like you said, the sleep disorder is such a big umbrella. There are over seventy different subcategories of. Sleep disorders and as a psychologist I don't prescribe medications. So what I can do is really help people to think about speak differently that is athlete can help us to. Recover from especially insomnia because insomnia is more a psychological. It Really Damn I'm surprised to hear that. I, and I think most people in the audience when they hear that would be surprised to hear that because we tend to think of it as a physical, generally the first place and I'm. I'm not an expert in this but I think the first place people look when they having difficulty sleeping mattress I'm going to get a new mattress. Shoes. So many people are thinking about you know either my body's broken something's wrong. Something is wrong with my environment. So any the good pillow good matches acquired dark plays. And some people even pick their bed partners out to another room. In other to sleep better but. Is. Allowed them after they do all this they are very carefully protect sleep and they cannot sleep well still and then got frustrated and thinking something wrong with me all I'm hopeless. What should I do? It you're saying it's more psychological than than physical most of our more I get more prevalent psychological men 'cause sometimes it's gotta be physical right and in some cases. So I'm talking about mostly insomnia. So were insomnia is we have difficulties falling asleep slim leap. Are we end up waking up far too early much earlier than we normally are and we just somehow can shut down our brain. We just cannot fall asleep easily or stay asleep easily that is more psychological. South Opportunities Asleep we are not able to. It's not necessarily medical, but there are possibilities insomnia overlapped with some other type of disorders like medical others are other type of sleep disorders like sleep apnea we cannot breathe nicely than you need an deductor. You'd need a sleep doctor for that but in some sometime do overlap with that for a lot of people the only have insomnia and the can totally cured or recovered a lot by seeing asleep psychologist Well, I recognize myself in in the first part where. Takes. Me generally two hours to fall asleep at night and it's it's my I can't stop my brain thinking about everything that I need to think about the tomorrow I'm thinking about everything that went wrong today I'm thinking about work I'm thinking about doing the guest on the podcast. Mall. What are we going to talk about and always gonNA stuff am I am I up my well enough educated on on the subject to really have a good conversation about the always kind of thought just go through my mind can't stop Bush thoughts from happening. That sounds like the first thing I. Part you were talking about the ability to take it or lack of ability to really fall asleep quickly. That s kind of hyper arousal. What he just talk about those kind of rethink thoughts like this mind capon pound being so busy especially at night it's very common among people who are either anxious or you know high achievers or and having insomnia similar. So But it's I. Think I think you would probably agree with this and I don again I'm shooting I'm shooting thrown darts in the dark hair because I'm not a professional but I think you would agree that it's probably wrong for me to self diagnose that right? Yes definitely. So any time we have some concerns you always want to go to Sierra professional and because they can post lady scour more underlying problem I often hear people ask me okay I cannot sleep. Well, tell me what I can do. So I can sleep at her. I'm sure they're going GONNA be question like that today possibly from your audience but I normally help people you. Now it's not I have a magical semester just tell you bone yard cured I need to do a full evaluation in my clinical work even for sleep problems, people always come in with all sleep. Concerns is still have to do at least a full session like forty five. Minutes assessment to know what's going on vastly, what's your sleep habit? What's gets in the way of the sleep? Is there any other underlying issues? Is that medical psychological or some other things we should consider and then I can form a plan they okay. I think I can help you or I don't think I can help you but here are some good resources at all. So where where are you located physically. My in San Francisco Bay area my office is in Los Altos. Came, you just work with people locally or can you work with people in this Lou kind of way virtually. A Pandemic we all work virtually. So my own license is in California can anyone in California, and the Co Wade owns a license across the stays can be little bait Last soul sometimes depends on situation I may be able to save people from other states, but there are a lot great professional resources for sleep is authors. So if you're the audience. From other states and happy to pass some great resources locally in their stage were we're way beyond just the other states we are big part of the audiences in Australia a big partners in Europe we have people in Africa and Asia so we're all over the world so I just wanted to be clear on that because it C-? It would seem that. And you're not a medical doctor, right? So you're not doing a physical physical exam you're doing it evaluation of their sleep habits and their behavioral habits, correct yes. The best way to treating me actually is cognitive behavioral therapy for insomnia. So it's it can be delivered by a Welshman sleep psychologists in cross the word same color CD T, I I. My own podcast dipping to sleep I did interviews I'm doctors sleep dump from Europe from Australia so they are great resources they are to. the the and I I'm going to stick with. This is a theme of self-diagnosis. Bad. But so also self prescription lot of people I know if they're having difficulty falling asleep, they're going to go to get something the counter Melatonin or something like that and think that that's going to be the solution to the problem. It doesn't it works in the short term, but it catches up with you pretty quickly and then you're right back where you started is that. You don't recommend that as a a mess solution for that short term. Out long-term Matt being able to fall asleep quickly that that whatever whatever name you call the insomnia what was the Yeah I think it's a very good question that question a lot I. Think Melatonin has its own. WAY TO HELP CERTAIN POPULATION But. There's different ways of using it. low time people use a different Wrong. But overall what I want help the audience understand is if ways that logically rely on anything to knock off and fall asleep anything means now Tony Alcohol Marijuana. Sleeping pills or even some people want to get from me like meditation or anything like Oh I, use this I. Hope after trying this I can just fall asleep if wahab those kind of idea. It's going to be really difficult for anything to work because the depending on something external sensing outside to bring in to help ourselves to just fall asleep. But what really can help us is how to listen to our bodies signal and understand was sleep is reduced the anxiety about sleep itself and eventually our own biology our own body can be the strongest motive, the strongest thing to help asfaw sleep. So I think. That's what the goal is. That's interesting I. You know I I guess I. Probably if you said I think you said they're beginning I'M A. Certain directly. But I think he said the seventy. Sleep. Can somebody have all seven the home? Going to be really hard and. It's normal for people to have. Different types of sleep disorders. But if you have all of them by could imagine what you're is going to look like well, yeah. I. I can't imagine what it would look like I can't imagine it looks a lot like my life because here's the thing I'm gonNA use myself in a lot of examples with the questions that I have I as I mentioned I have real difficulty. If I go into lay down to fall asleep in my. Bed and get comfortable I take me two hours or more. But if I just sit in a chair and put on a youtube movie of something and put it on I I will automatically fall asleep within the first three minutes of the movie I can't watch television show or movie anything like that. It just puts me immediately to sleep and I can't fight it. So that definitely suggests it's psychological more than anything else. Why would why would that be? That's very interesting I. Think you have trend your body, the brain to associate something ways relaxation asleep just like most of us way over the years way unconsciously Trinh our brain to see a bad and the emirate feels so comfortable. So relaxing and then we are on bad quickly, we can fall asleep and I would say don't like wind mean. Normally. It's very common to have about less than thirteen minutes each for asleep very normal. And a so you train your brain like all. My mind is so busy if I just lay on bad, it's not enough for me to relax calm down for sleep. So you say something to add other things eventually you link your brain links leap to TV to song to something you know so distracting so I don't have to be in my mind I feel relaxed I fall asleep I. Will we have difficulty falling asleep staying asleep sleep with your pet sometime is a bad news the pad either dog are cavs no matter how much we love them. If they are on the bed or in the same rooms, they make noises at nights. It may want to get check on what's going on with the noise that's can wake up. US If we already have sleep sleeping problem and when dot Ahrq just like just now for people who are a they have insomnia when they hear any noise not only dogs barking if a ninth they're trying to sleep there's some noise going on I know that actually a lot of people the problem is the more we are focusing on the noise the more we cannot like the worst asleep gas because the more we pay attention to the song gets louder somehow and we get more noise and is more obvious to us that we are not able to sleep. Just. Remind me I relate to this stuff so much because. It seemed like I've like I said I. Feel like I probably have all seventy of them So this idea of staying asleep is is always been one for me to like getting through a night. I. If once I do fall asleep those little things that will wake me up constantly could be just a really small thing will wake me up the question I have though it, which is really really curious. I have this all my life ability to say I want to get up at and say the time to myself. And be up without having an alarm clock to see and I'll get up at that time wake up at the. So how how can that possibly be that? While I'm asleep I can keep track of what time it is and tell myself. Okay. It's time to wake up now at that's A. Insane question but it really is I can do I. can say I want to get up at three fifteen and at three fifteen I'll get up and go look at the clock and sure enough three fifteen. Every time my whole life of had that is, is that unusual? Say. So accurate, it's puzzling not that common, but roughly way are able to set a idea like when it's the time we want to get up and yes, our mind can control our body because our body do follow o'clock also like daytime nighttime clock Naturally Circadian Rhythm so way like. Really, there's a lot of genes actually do have its own clock hold it build our body as a human. So but what you're experiencing I think is more your playing this mind game with yourself and if you are quite. Easily to be aroused theory like a puzzling. Inches since eighteen side then you set up a time. The IS GONNA. Get this time you your mind will get your whole body in a little bit more anxious state. So a wrong that time a will start weaken yourself up like for myself. For example, have similar experience not as accurate as you but it definitely, not best I use alarm clock but if I say I gonNA have to get like five to do some things. So early, I start waking up and wanting to chat with time around four. For. Or authoritative to say that five yet. So my minds that in so anxious and keep on working myself up to make sure I can get up on time and also for people who are naturally morning person like morning person that's decided by our genes. If you are naturally a bird, then you don't need alarm clock you will be able to get up early in the morning for a night owl like me I do need alarm clock and sometimes I do need more than one along to. Hop. But when I've talked to people who are more of a new age idea unless scientific idea they will say that this is proof of my my. Story there about waking up exactly at the right time is proof of astral projection meaning. Somehow you're you can be asleep and still be conscious and be. Being outside of yourself and walking around the room and stop back in and knowing what time it is, and so they used that as. An example of that now. Speaking of that, I've my ex wife had a real problem with sleep walking and and sleepwalking and sleep talking and I. Would Find Her walking around the house doing things better take some real conscious effort and she'd be sound asleep What is that all about? Yeah that's actually a type of Paris. Omnia, and it's a different type of sleep disorder and that's exactly the wealth those seventy. And I think there's a lot of neurological sayings happening because normally when way are in our sleep especially when we are dreaming in our Rams Sleep. Our body are paralyzed. We cannot move we lose we will lose our muscle homes, right so we actually cannot move our body we cannot like Walk or anything, but for some people when they have those kind of like. Sleep disorders day clothes through a lot of things while they're sleeping some of those happen when they are now dreaming at their stage of. Sleep some of them haven't. They are dreaming when everyone else cannot move had moved. and. That's different type of sleep disorders. So I think it's a sign still trying to figure out exactly watch new wrongs what's happening? There's certain chemicals things happening. So that's why part of the treatment help that is to see a sleep empty doctor to see whether there's any medication for that and mostly for sleep walk sleep talking if that's not really bothering you the not a surprise I know there are no really good treatment for it but if it gets too severe, I heard stories that people sleep watts they can go on drive on highway is knowing because they don't have recollection. An evening you lock the key, they can still find it somehow during their sleep walking. So it could be dangerous and for sleep talking sleep walking you, you can have a conversation with them while they are actually have sleep in wing that they're not really a week and will you talk to them they can answer you they come back and forth but it's not as logical. If you ask a little bit more logical question they starts like you know looks sounds weird. Buzz, the safety maintaining the safety is very important for that. Yeah. So it's very interesting I. Think. With her she was capable of having full conversations and then the next day I would talk to her about it and she had no recollection of it at all like it didn't happen and at when we first got together. I Don I wasn't even aware. She was sleepwalking I was just you have memory problems I support. You don't remember waking up last night and and you know we did this and we do that. But she would get up and wash dishes and asleep she would You know all sorts of things like that. Take really some conscious effort and it was just a baffling thing. I don't know she still has it or but the question I have, can you develop that at some point? Where can you go through life basically not having that and at some point? Develop Bet, yes yes. Under a lot of research on different sleep disorders. Sleep disorders are not we are not born means it some of the sleep disorders is wrong teenage age or young adulthood Saturday we start having other same terms and then they develop into a full blown sleep disorder and we possibly going to have them for either the rest of the lower alive or for quite several quite several years. If we can diagnose quickly and have the good treatment, we can manage it or some of them. We possibly can even curate a some of them were just GonNa have to learn how to deal with from that point. While I had a guitar player friend who? was in a wedding band with him for several years and every time on the way home would drive home together from from the GIG and we would be having a conversation and it was almost every single time I was with them. He be in the middle of a sentence and fall asleep. just just. Be Talking to. Like I'm talking to you in this. Fall Asleep just like that. What what's that is that related to not getting enough sleep at night or because we could never figure it out like it would happen never happened on the job. Thank. But it would happen you know in what we're commuting all the time in the middle of a conversation talking to you just like I'm talking to you right now and then be sound asleep. And you'd be like. Wow, what what happened? Is that because it just simply related to not getting enough sleep at night. That sounds beyond the just not getting enough sleep if you are not getting enough sleep, yes. You may experience excessive daytime sleepiness that's while the symptom what you just described. But many other is others can be related to that too for example, if you have narcolepsy. If you have idiot passive A. MEA, a different type of disorder sleep disorder or if you have sleep apnea and night, you can sleep for a long hours but very low quality of sleep that you don't get enough air in. Then they time you will feel so sleepy allowed people fall asleep during conversation during important tasks or even behind the wheeled can be very dangerous. So that could be related to other sleep disorders more than just all am losing sleep. I'm not getting enough sleep, but I think among all the sleep disorders was the most common cause of daytime sleepiness is like sleep losing sleep sleep lost that way are. Not Wear depriving ourselves of sleep is a is there a specific number that everybody should subscribe to as how much sleep is good sleep or is different for everybody? I tend to think is more different for everybody because there's there are definitely doctors do recommend a typical number like seven to eight hours of night asleep per night will hear that all the time but I know that number is not for everyone and eve-. Every of US Fox on the number may cause unnecessary anxiety if way naturally sleep less than that or our body, just need more than that so I would say most. People like maybe more than fifty percent people may benefit from seven to nine hours per night of sleep but serpent among the people their body just only need five or six per night. Some people may need around nine they will feel at her more refreshed. So definitely listen to your own body listen to what you need we be early you mentioned sleep paralysis and dreaming and how important is dreaming to our overall health. Jamie actually, it's very important to our not only physical house but also mental house because a lot of people tell me what I can remember my dream. I think I slept poorly last night because I dream So I would say that's wrong. Every single one of us, we all dream every single night no matter way remember it or not, and we each of as possibly gonNA spend. Twenty around ten percent of our whole sleep on dreaming the Ram Stage and during dreams as important stage of sleep to consolidate our some of our memories especially emotional memories a help us understands emotions behind what's going on during the daytime, and then during the dream, it consolidated rains pure dreaming rights, accountant of Dream and theory emotions behind those dreams, and then how as understand what's going on what we can do in the future if similar situations happen that's why sometimes even nightmares are not necessarily bad things the dad's away our brain tried to make. Sense of this negative scary things happened in our past unused way to show up in our dream we have a interesting question from the Chat Room I'm GonNa take a stab at it and then I'm GonNa let you again doctors who is the expert I'm not but my first response to the question of what happens when you keep waking up through the whole night. What does that mean? My guess is going to be it could be a lot of different things. You can't narrow it down just simply from that question now it's on you. Great Question. So I want clarify. So if we wake up often at night, there could be good normal. It could also indicates something up normal. So we won't say if we wake up often are way able to fall back asleep easily. If. We wake up way can remember we have sometimes on each time or some of the time is took hours to fall back sleep. The may be indicated some symptoms of insomnia but normally based on the science data any normal adults doubts way all wake up on average about into intend to twenty times per night it just most awakenings are so brief, we don't remember it at. All but we actually think about that at night we possibly can remember our bad partners are turning. We possibly can remember brief weakenings hearing something our sincere or ourselves turning those are very brief weakening moments and they are very normal and healthy but if you have far more to too often like too many of these weaklings and they disturbing your sleep, then that may indicate veep. More, fragmented than it, what it should be and may indicate other have sleep disorders. For example, if you have sleep apnea sleep apnea time happens around like Ram sleep when you're dreaming then you can upgrades while your whole body to survive. So it wakes you up every time you try to fossil fossil even tried to dream your body wake you up. Then you end up having a lot awakenings and you end up having to use restrooms more often than normal doubts or you have some other type of PTSD you are freed of dark. You're very anxious you Larry someone on the break in those can wake us up often too. That's more psychological. Are you mentioned sleep apnea in there and I think that's one of the things that I don't WanNa say self-diagnosis i. WanNa say spousal diagnosis. In other words. My wife tells me I have sleep sleep apnea should that's I'm not would not. Unique in that situation is you get the person who's wish witnessing person either snoring too much or going through this what looks like to be choking in their sleep is snoring Messa. -sarily, a a manifestation of sleep apnea or can it be unrelated? Chronic snoring I mean. So I'll say snoring is not the. Necessary factor to. DIAGNOSE SLEEP APNEA. Say often it's someone snoring chronically often and they may indicate their Sam sleep breathing problem saw normally you want see. Dr Talk about that. They can check your throat, check your airway and then if they think. Something is abnormal. Refer you for a sleep study and after a whole night of sleep study means Yuban. Aware all this sleep in a lab sleep lab for whole night the you get your data you know exactly whether you can be diagnosed as clinical sleep apnea. But you know poll some people who snore but they end up not being diagnosed some people especially, women are not snoring, but the actually do have sleep apnea. So I will say it's not a Christian but a definitely if you're snoring, there's some indications that the air is not flowing in right that's why we are making the noise that means are they are airway is trying really hard breeze It does not get enough air enough option so need trying so hard it started making the noise right Yeah and I the part of the diagnosis and stuff I believe you have to actually go into a hospital and go through a asleep casting and be observed for quite a few nights in a row be to be actually diagnosed in get that kind of that mass treatment and all that stuff that people wear for sleep apnea right? Right. In America I don't know about Europe standard at least in the united. States you just need to go in for one night. Okay. Should be enough to diagnose you if they find some see. I almost went into one several years ago and I could have sworn. They wanted me for like seven nights in a row. Seven nights in a row Brownie has a question that I was going to ask because, and it's back on dreaming and it's the idea of number one. Sometimes you you talked about dreaming sometimes you can wake up and remember a dream really really vividly in the moment that you I wake up and then as you go on, you try to recall it and it gets fuzzy. There are other times where you don't remember all when you first wake up. But at other times during the day, you may recall it and say, wow, I had this crazy dream last night and now a white why is it different than memory? Yeah. So it can be a lot of different reasons. But if we are not using any substances, there's no additional things because. Normally happen the second half of the night way we have deep sleep the first half the night, and then we start dreaming up to the point where wake up. So I think it depends on how many dreams or happening on whether you wake up. In the middle right actor went dream and you may remember some of part of the details vividly and also some time even though I don't remember. But because we dream some image happened in our brain, your daytime serve hence things worse things can trigger that memory our bring quickly link at. All I just saw this image in the dream. So now we remember that's just how our memory our how our brain works in general, but if we use substances like marijuana. Or Alcohol, those can actually suppress our dream. So when we are on those substances tend to dream less. So once we stopped using it or when we are trying to cut down, allow people to start experiencing a rebound ram rebound means we start having more dream longer Pierre Dream and more vivid dream than before when we were using it or before we use it. So that's kind of Dream Rape Paul can be very, very clear and way way sometime to appoint very scary. I'm sure around he's never used marijuana alcohol I. I would I would them if I could but I don't really know But Lucid dreaming now. I. Am this is well, it's not exactly where it where it will I wear long I, want to go first because this idea that often some we wake up with a dream that felt so real and it was a positive experience and we want to go back and recapture that dream and we never can. It's impossible. Isn't it? Depends some people don't want wake up because he continued that dream some people actually could. Right people couldn't we do have some control over over our dream actually people can actually go back in and get back that same dream they. I've never been able to do that. I am. Our brain to to change the dream. Actually it's a treatment is evidence based treatments 'cause imagery rehearsal therapy to treat nightmares. And if we have repeated nightmares, one are different fame and we don't know what to do is that we can actually ready stream out, rehearse it unchanged content it, and when we re dream, we peers more positive dream. Slowly we are less scary of our dreams. So we actually our mind somehow can have some control our dream, but the formation of that is we are now trying to go into dream to control it. We want to accept whatever is going on, but also know we can empower our south to deal with it. Our own way dream does not have to control us. So what you're describing there that's that's typically what is meant by lucid dreaming correct or incorrect in that. Yeah Lucid dreaming is more. A. Snot adapted same as mayor actually I just talked with a guest on my podcast talk about lucid dreaming that. I'm sure people find very interesting. So Lucid Dreaming Larry Similar will I discuss that ways that guest I find out in? Lucid dreaming. It's you just have more sensations about that, and some sleep psychologists would recommend you know are serpent ways for us to be in those dreaming way can use certain sins to check whether we are in a dream or being reality. Actually, we are able to treat ourselves to distinguish dream from reality, and then once we can do that ing or dream than we can do a lot of things about the dream in the dream. So it's very interesting. The human mind is just a really bizarre thing is in. Our mind is fascinating. Hands are so much more. We don't know about it nowadays allows sleep signs talk about when we are right now we are talking where wake but part of ring or sleeping rate on when we are sleep part of rain very active. Go back to the earlier question you you mentioned that why or minus ob night because a night, our emotional brains are working crazily but our frontal lobe, our rational bring sleep. So that's why near sleep time at night with start getting. So emotional if we're worrying about seeing, that's just go wrong than wrong the, but we can think about something again again for A. Long time, but we won't get anywhere because we are not logical enough a lot of times we have to rethink about that in the morning again, I know some people and I've known some people in my life just have the ability to say I'm GonNa go to sleep my brother was always this way I'm going to go to sleep and like that is he sounded sleep I'm jealous of that and I'm not sure why he has that ability have ever been a study like on most people who just have a really on accountability just decide I'm going to sleep in and just flip a switch like that. We just controlling truant we control our brain, turn our body. We use other things to relax their. We call on FIFA zone like half an hour before sleep you do something very relaxing but it's a routine day after day after day that way your trae on rain all I green this all I can go to the soon was will do bad. It's time to sleep which our brain our bring our bodies are. And is more in tune with signals inside, and then sleep can happen naturally more. What about and you mentioned marijuana and alcohol but this the other drug dead I think more prevalent or more plays a big role in his difficulty sleeping with caffeine and I I'm guilty of when I wake up I'M I can't I can't function until I get my caffeine is that psychological or physical both? Psychologically we do rely on that me to my morning routine in Walls Cup of coffee but allow people Lindsey have Wednesday star having sleep problem. The first thing the cutoff is caffeine because read all these things on any stop caffeine and then they start having this withdraw effect of caffeine had a very fatigue wounds they are sleeping poorly that's just really bad. So convenient I will say just for everyone to know the half life of it actually are really long longer than. We thought caffeine can a half life is about four to seven hours? So that means for some people convene can take up to fourteen hours or more to get out of your body. So but for some people, Schroeder right. So really depends on whether you are sensitive about caffeine than decide how to use it if you use it in the morning fine. But if you're sensitive US eight in the afternoon and evening the by the time, you go to bed in our system. Functioning. I think part of the problem is it's in things other than coffee that we may not be aware of a lot of times like lots of products, especially Soda Products and club related stuff like that have caffeine in it, and so it's it's in a lot of different things that can cause that. So we don't we don't realize how much caffeine would taking in could be oh as I mentioned so I if I think I have seventy of those. Seventy of the disorders which I clearly. Had that. Yeah. What about the rest of Diet is there any other important things people should know about diet and and what you take in and good foods that promote healthy sleep rather than those negative foods at that take away from healthy sleep. Yeah. That's actually a more new area in sleep science right now. People really start thinking about leave healthy and food actually do play a good part because after you eat a lot you do have this dip rides your blood sugar goes high you do feel more tired right after lunch for example, and then naturally sleep wise we do have a afternoon dip with you feel tired plas food digestion so they're more research coming out I would say carb sometime is not very helpful for our sleep and there are some research talking about nine at night before we go to bad what you can eat can be more helpful sometime nuts and fiber and the. Juice believe is there some research talking about whether that can actually help with sleep not much research on milk even though I do season people recommend that even myself sometime have this. Fading may be that can help me but not necessarily, they're still need to be more research debt but I did talk to some of my colleagues also sleep a psychologist some of them do stay the. Microbial groups like a in our guts area in our body actually held those lay toll bacterias in our body. Leaving in our body can regulate our circadian rhythm to that if you schedule your food. Fasting for certain hours before you fly across time zones, actually can really help with jet lag ahead a episode about that with our guest I learned a lot very interesting. Your jet lag is is one that is it baffles me because. Bodies don't know that would just. Because time is just a concept that we measure and so our bodies don't know that we just would just calling. This hour different number but they obviously do in some way and it's it's a baffling thing. Any insight on that? How how does your body know? You're just calling three o'clock six o'clock now because you're on a difficult whatever your? Question, our genes, our body do have surfing receptors to receive signals from around the US to know like I we have internal clock ride but when switch hinged Zoll, the body's internal clock still keeps old way buzz external stimulate hinge like one thing is a light. Our light directly goes through. Our is to trigger how much Malott owning it should release at night if it's dark. Than we know. Okay to a certain time Tony. But if he's bright lights sun sunlight than a the brain, the body not on no matter Tony Right now it's time and so the light is definitely a big thing and the food. When do we eat food? How much we are eating is another signal, an exercise physical activities that's another signal. So all days are seeking those four. Our Body to learn how to adjust this clock. So the with that idea on the light people who live in northern Alaska or in set most southern parts of South America or Australia near the south polar they must when it's dark for six months or longer in some places, they must have a real issue with this kind of stuff. Do we find that to be true? It can be really hard I. Don't know the research in detail, but I heard like more on the mental health part I know people in Alaska, the suicide rate it really high I. Don't know whether anything to do with this time change longer darkness and but that's why we have light box. We have light therapy to help our body to adjust to a certain schedule and way if it's always dark, we do on have serpents sign lights are out our system. will be easily get confused. They don't know what's going on how to adjust it. Earlier we would. We talk. We'll touch briefly on marijuana not being good for you your dream stuff and all that stuff at. But when in with the advent of medical marijuana and people who are advocates for some people, push it as sleep therapy now, I tried marijuana wants And I found that it makes it. More difficult to fall asleep because your mind wants to my mind wants wants to be created. So and and now always at night APP creative thoughts So what is the What is the actual truth about this is marijuana a good sleeps therapy or is it? Is it a bad clicker? I won't say the research still going on I had a conversation with one colleague in. Stanford. About this before. So now based on the limited research I will say I would not recommend that yet in my own practice because lack of evidence and mixed evidence and I think rely on and the same that like Marana to fall asleep is similar trick for our brain, right? rely on something cannot rely on myself. I don't trust my own body. So what I learned from my colleague really studied substance herself and it's like marijuana or cannabis products actually can be separate two different things teach say it's harmful when CBD pure CBD it is it is good but the technology nowadays is share knows that this two things cannot be really separated. Perfectly. So no matter how many senior oil on the market is they can really help you sleep. They still can handsome teach, which is harmful to our mine So when we are using those things, the results can be very difficult to control what is innate how much is English and it's very hard to regulate right now So in general. Would you say that because you? You mentioned that it's mostly psychological in? Most cases, it's more psychological than physical. In general, would you say supplements are bad thing and I'm specifically referring to this product that I'm testing because I as I say it has. Has helped me fall asleep better and states asleep more consistently but and I said my wife says I'm not I'm not really the kind of person who would be susceptible to the placebo effect Ashley everybody is susceptible at some on some level and placebo effect but she didn't think it's all meant mental Do you think that my reaction to this is all mental and Just, on supplements in general to help you fall asleep is that. For, supplements might idea is I. believe they have some benefit and to different people the benefit can vary. And all I do say like four people have emergency insomnia like very quick, intense, very severe insomnia and sometimes using supplements or some sleeping pills can really help them calm down. To maintain at least get them Sam Sleep and then treatment can go in slowly a along the the treatment course like the CVT treatment method I talk about often I see during the treatment of course, four to six weeks, people can start cutting down the supplements they are taking by themselves and they can feel equal amount of energy and. Feel sleep better. So they feel more and more confident in themselves on the treatment. So they have less dependence on the supplements taking So I think supplements do help a lot of people to a serpent way into researching extend a just not a whole like lifelong saying and it's not always necessary goto because way our body no matter what it is I don't know. What's in it? He that play for a lot of supplements to serve employment our body build APPS, stretch hold it just have tolerance to it and the facts on uh US become less and less. So then what we do do we take more of that or like it lose effects on that that's something wrong with us or something wrong with that supplements Ray Yeah I. I. Do a lot of people are. They. Wanted. Assume they have a a sleep disorder when they really have a lifestyle disorder you know if somebody's doing cocaine long can't figure out why they can't get to sleep at night that thing Exercise. I know exercise is good for Jan for health in general. Does it promote better sleep necessarily? Yes. Definitely. So three things we say three things in the morning time in the daytime, really help improve our sleep quality at night because I always want promote sleep quality not just sleep quantity not about how many hours sleep. You really want have high politics sleep and the three things during the daytime you can do while is exercise you have a little bit more. Physical activity including exercise. Than Bright, lights the sunlight and the third one is interaction the interaction with other people. So those three can really help as field our sleep drive. So it's the sleep drive up. Like along the day by the night. Hi. So means we are more sleepy where easier it's easier for us to fall asleep and it's easier for us to better quality of sleep and that's why exercise during the daytime definitely help us but you don't want to exercise right before bedtime A lot of people you know, I, I'm guilty of that when before covert, I would go to the gym at night because that's the time when it's not crowded and and it's not you you can get on a machine without having to wait in line and and Clinton, and all that kind of stuff. So that would be the time I would go and then yeah, I would have trouble falling asleep up trouble for him to sleep more my life I have a lot more to ask you but we're running out of time and it's a fascinating subject so. If I can just go just a couple minutes over the hour I would appreciate that. This idea, the idea of breeding techniques and self hypnosis and all that stuff. How how full real real not real. What is your take on it? Very helpful. I will say, but not the only way. That's the easy answer. So I treat insomnia any like a sleep difficulties is still teach people to learn south soothing to learn relaxation use in breathing. Using, some meditation. So I always tell people that help us regulate our para sympathetic nerve system does only one of the system but the other one, the same set system still needs more cognitive work like how we think about sleep how a worry about things how we interpret challenges, rats around us that guests as into fight or flight state just by practicing relaxation is not enough to come down the same nerve system. So realization south losing breathing hypnosis is similarly in a way is all helpful in a way but if you have more severe long lasting chronic insomnia sleep problems, you may need more than that. Interesting stuff and Leslie before I. Let you go back on you and your practice in mind body garden dot com you mentioned earlier that there's a forty five minute general evaluation I'm guessing and again this is just throwing darts in assuming thing so that The period of time that somebody would have to expect to work with you or or or be treated by you. Our be one of classified varies among people with different conditions what what do people expect a Form gunky website and getting started working with you. Yeah. So people can find some articles on from my website I have lot of information I tried to. A. Lot of free lectures and my podcast depend to sleep all talk about sleep disorders, techniques, knowledge I'll those are free resources. People can find on my website when people won't work Quincy with me normally is something already bother you impact your life impact your function you're not sure you won't have answering or you want to know what the next step as because you cannot figure out a way to help yourself anymore more tried allowed things the you're welcome to contact me am happy to consult with you and assess a lot of different. Things use mine knowledge and the help you figure out. Okay. What I think what we are looking at what's possible next step could be a next step does not necessarily mean in the work with me continuously maybe I refer you out to some other local resources, link you with other professionals in the field or maybe it's not even a sleep problem and then I will let you know after the evaluation consultation help you understand what your from my point of view what what's behind your struggles stuff? How often does the podcast come out? Every week every Wednesday morning, everyone say morning great great stuff I thank you for this I I have so many more questions, but we are at a time It's a fascinating topic fascinating subject to me because it's it's something I think most people struggle with at least in some aspect of their life and it's something we just don't understand the whole lot about unless you spent their life studying. Like you have Most of us are clueless in There's a lot of misinformation out there. So I thank you for your time and insight and and and spending time with us in clinic clearing some of that stuff up. Again, I have lots and lots of questions that help you come back some time and kind of you know adult me for another hour of these guys ridiculously dumb questions. To. Them questions you know we all have curious heart. So thank you for having me really a pleasure or the pleasure, and thank you so much and have a good night. Thank you. This episode is brought to you by put me in the story. Put me in the story creates personalized books for kids by taking bestselling children's picture books and well up characters in allowing you to create personalized books that make your child the star of the story alongside their favorite characters. Save twenty five percent storewide. When you click the link on my dog TV Dot Com and use the code save twenty five. Where else sponsored by the lovely lovely Asia Online stop for modern irresistible affordable women's clothing. Never before has dressing yourself in so easy. loveliest carefully curated selection of apparel accessories outerwear are always on channing always available at the web best prices. Lovely. is dedicated to bring high quality clothing to women that will make them look and feel their best. Believe every woman has the right to dress well, and shouldn't have to spend a lot to love how she looks. They make it easy to wear outfits you love. Giving you the confidence to take on the world. 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You've you've heard me say this so many times but this is one of those episodes where you kind of need to download it, listen to it several times take notes. We covered a lot of stuff there and still have so much that I am still really curious about about the subject of sleep and sleep disorders and solutions to sleep disorders, and I know you are. From. All the mail. I've gotten. So I know you got something added program I. I hope you enjoyed it. I. Hope You come back until you friends about it. Subscribe. Go to YouTube Channel subscribe Daegu Mind TV, DOT COM, and get on my man list. So you know when we're GONNA have great guests like this on an questions and comments from me. Info, at Mine Dog, TV DOT COM INFO at Mindoro TV got let me just check what tomorrow schedule Bring Oh bill come mody we're GONNA. We're GONNA talk about business stuff at one M leadership and team building and that kind of stuff at one pm tomorrow. Join me then to Lynn Napa for the dog TV podcasts. Thanks for coming. Have a great night. GET SOME SLEEP BY FINANCE The passengers. Oh Man. Service. Nine. Way. Rum. Owens. Only Last. On. Just voice show. The. Mine. Online. Burn.

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Fatal Insomnia Pt. 1: The Sleepless Family

Medical Mysteries

46:38 min | 1 year ago

Fatal Insomnia Pt. 1: The Sleepless Family

"In the northeast corner of Italy lies Venedetto a land of Valleys Hills rivers and the world famous Venetian lagoon where the capital city of Venice floats for generations this place fostered families in the face of Plagues World Wars and revolutions but for one family the land seemed more cursed than blessed in the summer of two thousand one. The many branches of this sprawling family tree converged at a single home over over fifty people in total some knew each other well while others were just distant relatives. This was a reunion of sorts. Let celebration ration- was not in the cards over the past three hundred years the family line had been plagued by mysterious awesome and terrible symptoms endless insomnia hallucinogenic madness and premature death had claimed generations with no clear medical answer until now a woman stood before the family and called them to attention while her size didn't command the room her desperate voice did as did her is tired not yet from insomnia but from years of searching for the truth. Her name was Lisi alongside her husband in yet. Yo she told her relatives that the time had come to address the family family curse they were not dealing with bad luck or supernatural phenomena but a concrete biological disease and after years of being brushed off by medical professionals. It was time for the family to take matters into their own hands. Uh when our bodies fail we trust doctors to to diagnose the problem but medicine isn't always an exact science. Sometimes it's a guessing game with life or death stakes this. This is medical mysteries. Akhar cast original. I Mali and I'm Richard. Every Tuesday will look at the strangest real life medical cases aces in history and the experts who raced against the clock to solve them as we follow these high intensity stories will explore medical research that might solve the puzzle next week in part two will analyze all the evidence and try to find an answer you can find episodes of medical mysteries stories and all other podcasts originals for free on spotify or wherever you listen to podcasts to stream medical mysteries for free on spotify just open in the APP and type medical mysteries in the search bar at park cast. Were grateful for you our listeners you allow us to do what we love. Let us know how we're doing reach out on facebook and Instagram at par cast and twitter at podcast network. This is our first episode food on the still incurable syndrome that came to be known as fatal familial insomnia and the anonymous Italian family. That's been haunted by this mysterious disease for centuries this week we'll trace the family's troubled history from the pre. Napoleonic canals of Venice to twentieth century Padua successive generations tried and failed to understand their biological curse next week will explore the discovery that revolutionized the study. We have infection and learn how fatal familial insomnia fits inside a much larger and deadlier paradigm of diseases than anyone could have imagined engined. We cannot help but sleep. We can try to avoid it it. As many a procrastinating teenager or anxious warrior has attempted but we will always fail eventually it might take a few minutes or a few hours but that familiar heaviness behind the islands eventually sneaks up but what if sleep didn't return to you after a long day of work what if no matter how you twisted and turned in your sheets no matter how much your body ached and longed for it no matter how strange your thoughts became rest never arrived the national heart lung and blood institute connect sleep deprivation mission to a myriad of neurological and physical health problems. If your sleep deficient you may have trouble making decisions solving problems uh-huh controlling your emotions and behavior and coping with change sleep deficiency also has been linked to depression suicide and hand risk taking behavior when you sleep your body engages in a process of physical healing deep sleep triggers the release of hormones that repair tissues and muscles without the proper amount of deep sleep those hormones become unbalanced the immune system weakens and heart disease diabetes eighties and even the common cold have a better chance of overtaking the body. Writing Scientific American professor of Psychiatry. Jay Christian Gillan addressed address the question. How long can we stay awake before we die. The answer isn't straightforward. The official record for sleeplessness was one in nineteen sixty five by the teenager Randy Gardner who stayed awake for over eleven days for a school science fair he was back to normal after one or two days of recovery sleep but often even when a person doesn't reach a full sleep they aren't exactly a week either as an example suffers of Marvin Syndrome which causes extreme muscle twitching often never enter a deep period asleep however ever in one case of Marvins Syndrome researchers observed that the subject still entered an hour long hallucinatory stage each night the afflicted members burst of the Venetian family were discussing today would most likely relate to those more of an syndrome sufferers of their mystery disease sometimes sometimes when as long as thirty months without experiencing a night of fall asleep before the mass of imbalances of their metabolic hormonal and neurological systems finally killed them the uncertain connection between sleeping and the other processes of the body lies at the heart of this mystery as author. DT Max Documents in his book the family that couldn't sleep science has finally begun to uncover some mm troubling truths about neurology in the past century as new tools have emerged to help us probe the depths of the mind a number of once incomprehensible people diseases are now starting to make sense to researchers from Alzheimer's Parkinson's to the Venetian family curse. Uh for the sake of the family's privacy their surname has been shielded from the records but for simplicity will call them the Venetians the the earliest recorded instance of symptoms in the family line can be traced to seventeen sixty four this man's name has been lost to time but it is known that he was an esteemed patrician doctor in Venice often called the Republic of music. The waterways ways of the legendary capital city were full of vibrant life. The Venetian Dr lived at the same time as the roguish cazenove the legendary Loath Areo uh-huh and writer he most likely attended the opulent gallons of the city's elite where masked merchants gallivanting side by side with European royalty. The doctor may not have been at the highest end of this hereditary oligarchy or esteem and wealth were passed down familiar lines yet he was still oh wealthy enough to hold land in both the capital city of Venice and the countryside a Venedetto a graduate of the school of Medicine at Padua. The doctor was an intellectual descendant of Galileo himself and swore by nothing but the scientific method so one leaving late in seventeen sixty four when even the peaceful sounds of Venice night couldn't low him to sleep. The doctor began to think something was wrong. He called out to his wife in the other room. The doctor's wife gazed into her husband's. Sleepless is there was a bit of Uh Glassy look to them as if he were caught between the waking world and dreaming one she also noticed her husband glistened with sweat from from head to toe the sweat has soaked through his layers of clothes and into the sheets she felt a bucket of cold water and ran a cool club against his head hoping to cool any fever he might have but the doctor shook her off the strangest thing about all of this was he wasn't hot while this was only the beginning of the rationalist era and doctors were more often wrong than right. They knew that sickness and sweat were usually really accompanied by a rise in body temperature yet. The doctor was cool to the touch. His sweat ran for no clear reason at all when the morning Clarion call from Piazza San Marco rang out. The doctor still had not slept a wink. His wife suggested he he stay in bed but the frustrated doctor forced his body up. There was much work to do today. As always sleep would certainly come the next night so the doctor returned to his routine for weeks he commuted between his two properties practicing his trade in both the city and countryside three side and yet sleep continued to elude him he could close his eyes quiet his mind but he never quite drifted it off into unconsciousness. His discomfort and exhaustion only grew over the next few weeks. He consulted with other friends in the medical field but all they could suggest was to spend more time in the fresh air. The conception of sleep in seventeen sixty four was still firmly said in Aristoteles Ian ideas the Greek philosopher had ruled that sleep was linearly connected to eating the energy or fumes from the meal. L. Drifted through the body until they entered the heart the cooling process then produce sleepiness around two hundred ce the physician Shen Gaylon advanced things slightly further suggesting that it was the brain and not the heart that led to sleep but beyond that it was still all Greek to the doctors of Venice and no help to are specific doctor during the following weeks stiffness spread through his limbs and his anxiety ratcheted up the doctor began to suspect the environment was to blame mysterious diseases. Were not uncommon in this land of humidity. The and swampy water infection was such a regular problem that Venice's public health department had strict regulations on the management of contagion after a victim was claimed by disease all of their sheets were burned in a pyre and the rest of their belongings were left out in the suns purifying the heat public servants then oversaw the perfuming of the deceased residents because as DT Max writes the predominant view view was that infection was invisible substance carried in the air as smell connecting the spread of disease to particles that couldn't be seen by the human eye. I was an intuitive thought but perfuming didn't actually do anything to combat bacteria and viruses which weren't yet understood by scientists scientists either way the doctors colleagues concurred that he didn't show any signs of a typical infection but they didn't have an alternative explanation either either by the beginning of seventeen sixty five the doctors months of sleeplessness had left him completely bedridden while the records don't stay his exact symptoms. We can draw conclusions from the fades that would soon follow in his family in the final stages ages of this illness. The lack of coordination caused by sleep deprivation progresses to the point where body movement becomes erratic or sometimes sometimes completely impossible. The doctor's wife allowed her husband's friends to gather in their home at all hours as they worked to find a solution she the herself was exhausted from keeping vigil all night. Every night. As the doctor began to have dangerous hallucinations one night he nearly mistakenly walked out his bedroom window her earlier observations regarding the doctor's body temperature also seemed to have changed one night he was cool aw and the next he was burning hot but in either case he was always sweating his colleagues saw only one possible solution solution a popular drug called trickle for over fourteen hundred years physicians and healers across. Europe had always turned trickle. There were many different bruise but the key ingredient was always viper's flesh according to the ancient Greek physician -sition Gaylon it took poison to destroy poison in the body while this is a solid concept that eventually became the basis for treatments mints like Vaccination and chemotherapy a lack of regulation in the eighteenth century meant most trickle was little more than snake oil but hoping for the best the doctors colleagues walked away from a local apothecary with a fresh batch of trickle in hand and return to his bedside they the Fed him the miracle cure either directly as a paste or mixed in with water when they finally got it down his throat they sat sat back and observed besides Viper's flesh the mix contained opium which was often prescribed for insomnia due to its sedative effects axe that would surely bring their friends some sorely needed rest but again the morning bell rang out and another the night had passed without rest. If anything the trickle only made the doctor even sweatier the doctors colleagues left his home and told and his wife there was only one type of healer. She could turn to now the local priests for the next two months. The doctor sat completely paralyzed paralyzed in his own bed still unable to move from his stiffness and loss of coordination death arrived before sleep ever did the records of this doctors illness are some of the longest found in Venice medical records from that year within the medical community. This mystery must have held quite a sway and yet in the end all the could be written for his cause of death was quote in organic defect. The fact of the hearts sack just like that a pattern began members of the Venetian family were born. They tried to live well L. but seemingly at random were struck down by a protracted and deadly insomnia at a young age doctors misunderstood their conditions and their causes of death soon enough. The family could only write it off as an unlucky twist of fate. They were cursed coming up. We'll follow the curse I through the ages into the modern era and explore the carnage left in its wake and now back to the story five years after the Venetian doctor died from his mysterious and chronic case of insomnia his nephew nephew Giuseppe was born in seventeen seventy giuseppe grew up in his uncle's idyllic countryside Palazzo until Napoleon's invasion in seventeen ninety seven the former republic of Venice was traded to Austrian control under which it would remain for most of the next century three under Austria's rain the countryside Venuto Felon truly hard times as the Mercantile Oligarchy thinned-out in the capital city diddy. The farmers and artisans experienced trickle down hardship. The countryside's troubles only grew when Austria decided to dig channels all through the valleys to route freshwater into the capital city. This had the effect of transforming all Venuto into a veritable swamp wab as mentioned earlier this atmosphere served as a vector for many diseases and now it was malaria time in the spotlight it light this vicious disease limited productivity on farmlands as workers succumb to illness and death this intern lead to malnutrition which led to yet another disease known as Allegra the World Health Organization identifies Pellagra as a disease of nutrient deficiency associated with diets with low levels of Niacin or other b-vitamins resulting in dermatitis diarrhea and dementia that can lead to death in the first decades of the nineteenth century. Giuseppe tried to work the land and support his increasingly increasingly large family including his three sons Costantini Angelo and Vincenzo but in eighteen twenty seven costs Stanton succumbed to illness he raved through the night and told his father that it felt as if he had been possessed despite an extended prescription of exercises by Catholic Priests Costanza died in eighteen twenty eight after months of protracted illness still still in his teenage years his recorded cause of death match so many others in the area it was Pellagra while the skin condition asociation with Pellagra did not match Costanza symptoms dementia and death certainly did that was enough for Italian medical authorities to connect the two syndromes. Giuseppe refused to accept such an answer. The family was well off enough that no one went hungry. No malnutrition meant no Palang Gra but doctors weren't interested in investigating and other 'cause until Giuseppi also fell lil at fifty eight his symptoms more closely resembled his late uncle's rather than his son Castanza's more insomnia less delirium. William it is possible that father and son truly did have different diseases yet the differing symptoms based on age would pop up later through the Venetian family family tree. There's also the sad fact that both father and son were mobilized for months before their inevitable and unexplainable Hannibal Deaths Giuseppe passed away within the same year as Costano say eighteen twenty eight this left Vincenzo and Angelo behind born in eighteen thirteen. Angela was dead by the eighteen seventies when he was in his sixties. His symptoms were nearly an exact match for his father's Vincenzo on the other hand survived until eighteen eighty when he died of cancer not the family disease at age fifty eight before before Vincenzo past he and his redheaded wife Marianna had eight children six of whom would survive until adulthood Marianna the Anna passed away in eighteen ninety three and count herself lucky not to die the same long painful death as her husband's relatives but Marianna Oriana and Vincenzo children weren't so lucky though neither parent lived to learn this hard truth their first born Angelo died in one thousand nine hundred one in his mid thirties while purina followed in one thousand nine hundred six in her forties Giovanni nineteen thirteen in his forties and and finally Antonio in Nineteen Twenty Six in his fifties records listed different causes of death for each sibling but the conclusions solutions were never very definitive from the modern perspective all signs point towards the siblings dying of the same Family Disease Venetian. The Venetian family began to have a similar sense. Something was haunting them but they had no easy answer since Marianna was not from Benneteau originally generally. She was an easy scapegoat for her descendants. They didn't yet know that the disease went all the way back to the Venetian doctor so they blamed the red headed interloper interloper for bringing the curse in addition to heartache. The deaths also caused a tragic cycle of economic misfortune. The infected acted branches of the Venetian family grew successively less wealthy due to the early deaths of the working age adults this caused yet another vicious cycle as these families than had more and more children to create more wage earners and keep everyone fat. The mysterious disease spread spread rapidly down the family line yet. Venetian and Italian doctors never properly connected all of these cases to one another the family members causes is of death were listed over and over as Pellagra or dementia or even lumped with the encephalitis lethargic plague that had spread over Europe in the early decades gates the nineteen hundreds otherwise known as the sleeping sickness this rare form of encephalitis a brain swelling disease causes victims to fall into purity of unending slumber the exact opposite of the Venetian families problem however as Dr Nathan Eastern Road for the CEPHALOPODA society some other symptoms of the two diseases resemble one another such as muscle paralysis says forms of delirium and flu like symptoms before World War. One encephalitis lethargic was spreading rapidly across Europe however as cases gradually declined it became clear that the Venetian families disease was something else and as time went on and the possible causes only continued to shrink after the unification of Italy in eighteen seventy one a huge public works the project was put in motion to drain the swamps that had infested the Benneteau countryside large hydraulic pump technology cleared away much of the murky water and without anywhere for bacteria to fester the scourge of malaria mostly vanished but as the general death toll flatlined this only made the deaths in the Venetian family standout even more now the notion of a family curse spread it beyond their private homes and into the public gossip mill it was into this atmosphere that Pietro Vincenzo grandson grew when when he was born in eighteen ninety four the family had already fallen far from their patrician origins Piatra was not wealthy but he was ambitious he studied and he read and he worked hard to earn the respect of his community but then the great war came to Italy in one thousand nine Hundred Fifteen when Pietro was twenty one in the wake of the destruction the brand new hydraulic pumps died and malaria returned during these struggles the Socialist Party came to power and PA tro became a guiding light in the new local government only in his twenties he was dedicated to rebuilding the NATO countryside and keeping the national spirit of Italy alive. There was one black mark on his record the Venetian family curse although he was a respected member of the community not many women desire to wed accursed man Pietro did finally manage to wear two dedicated partner in nineteen twenty and they had five children Dron Bhai Nineteen thirty one e Selena to- Ska Purina assumed her and Silvano Pietro's political idealism faced. He's too heavy challenge in the nineteen thirties as Benito Mussolini's Fascist Party took control of the country H. O. was forced to bend the knee and serve this autocratic and corrupt government. He did it to hold onto his property and keep his family fed. Let some of his old socialist allies never forgave gave him by nineteen forty-three World War to kick the legs out from under the fascist government partisan forces sources throughout Italy came together to fight off the fascists and Pietro fell into their crosshairs in nineteen forty. Four a threat was is posted to his family's front door it read prepare your bones because we're going to break them soon. Signed go sleep sleep with the fishes. Heroes Enemies didn't understand the irony of this statement soon. After receiving the threat a sudden stiffness seized his body and he fell to his knees while trying to work in the fields he told himself it was nothing but stress but his daughter. He Selena knew something was very very wrong. Thanks to her keen intuition history finally received its first in-depth record of the family disease was confined to a hospital bed by nineteen forty three with doctors throwing their hands and confusion as they always had in the face of the families. Kerr's with great sadness. E selena wrote to her brother. TOSCA PAPA is considerably worse than a month ago. He's lost his mind. He barely speaks and when he does he doesn't know what he's saying. When he sleeps it's even and worse. He makes these little movements because his nerves are never calm he rubs his hands and says he has pins and needles all this while seemingly asleep and when he wakes he is more tired than ever this last note was an incredibly important observation what he selena notice without realizing it is that this was a form of insomnia not dementia or delirium. Those signs of madness were side effects. Not not the inherent issue what petro could not clearly communicate is that even when he appeared to be resting he never truly achieved deep asleep in the nineteen twenties. Dr Nathaniel Clyde men started decades of research into sleep cycles. It wouldn't be until nineteen fifty three that Kleinman and his student Eugene as Rynski discovered rapid eye movement sleep the phase when Dreaming Occurs From there scientists began to untangle the different phases asleep according to the National Institute of Neurological Disorders. There are four main stages divided between non rem and rem sleep. The first non rim stage lasts only a few minutes as muscles relax and heartbeat slows. The second stage of non rem sleep is the brains cool down period until it finally achieves non ram deep sleep in Stage three free. This is a stage where the most physiological recovery actually occurs finally stage four is when our minds enter into into the dreaming state of Rim during a full night's rest our minds and bodies cycle through the four stages multiple times with the most his time spent in stages two and three long-term disruptions to the cycle can cause serious effects on the body's processes but of course in one thousand nine hundred forty three none of this was known to the small Venice Hospital where Pietro laid as the battles of World War. Two raged overhead. He selena stayed by her father's. Side as bombs shook the hospital building all around them. She knew the doctor's diagnosis noses of encephalitis was incorrect because PA Tro who was still lucid did not complain of headaches a key symptom of that disease Aziz but even after all of her efforts to observe and record her father struggle doctors could find no answer to the medical puzzle all remained bedridden until his death on June nineteenth nineteen forty four at the age of forty nine. Another mistaken cause of death was recorded hypertension is Selena could only shake her head and chalk up another tragedy to the Venetian family curse thirty years later in nineteen seventy-three. Ph rose youngest daughter. A Santa Sat before a loom working long hours for low pay in an Italy impoverished by the oil crisis but she never complained. That's what her knees e. SELENA's daughter. Lee Casey would always remember about her. Throughout the year the twenty four year old Lissi would come to find her life defined by an all consuming anxiety. It began when the ailing Asuka took refuge in the upstairs bedroom of their home. One fateful day is Selena lead lizzy upstairs to watch watch over her aunt lease. He watched in fear as Selena explained that this was the same exact progression of symptoms that overtook overtook Pietro all those years ago but unlike everyone else in her family Lisi could not take it lying down she realized realized that what was affecting sooner had been striking down other members of their family in the decades since Troves Death Piatra sister Angelo Gelo had died in nineteen forty eight followed by his niece Luigia in nineteen fifty two and another niece Maria in nineteen sixty four all all of their symptoms corresponded with those of the family illness. Lisa inherited the intuition of her mother Selina but took her observations a step further she was studying to be a nurse and engaged to an aspiring doctor named NATO together. The pair set out to eliminate the notion of a curse and discover the true source of a familial disease when we return Lee see any Natsios begin their own investigation into the Venetian family curse and now back to the story as a soon ten lead in bed incapacitated by the same disease that had ravaged her family for centuries. He's the lights above her. flickered nineteen seventy-three was an austere time for Italy as the global oil crisis led to both food shortages and electricity blackouts. Luckily assumed his brother Silvano had become a successful businessman in the years since their father a PA trails Daf financially at least he could carry the burden of this family curse in much the same way. Lisi was picking up a different different types of burden. DT Max defines it well in the pages of the family who couldn't sleep common among families with genetic diseases is that members tend to divide between the ignores and the burden carriers in this family. Lisi is a burden carrier that that all began here in nineteen seventy three when a symptom reported to her niece that she felt quote like a Marionette whose master had dropped the strings after a summer spent sweating and stiffening inside her brother's home the family finally relented and brought a soon to to a hospital hospital was all too ready for the typical response examining doctor suggested everything including encephalitis before before finally settling on an inner ear disorder called many as disease dizzy spells and sweating were symptoms of Miniere's which lined up with cintas symptoms but at least almost laughed in disbelief when she asked after the cause of many years it was unknown. One doctor suggested it might it'd be menopause lacey also new miniatures didn't explain the insomnia that haunted all the sick members of her family from a sooner back to PA tro and she assumed long before that to the family transferred to a hospital in Padua for the best possible care. The journey drained her of her remaining energy and she was only met by more confused doctors. They insisted that a symptom must be hiding an alcohol whole problem her shaking uncontrollable limbs her heightened anxiety and sleeplessness a Suta could only tearfully shake her head and Dan deny it. Her spirit crumbled. The more doctors insisted that she was hiding something from her family. Lisi was indignant over over the medical staffs treatment of rant. The hospital tied her down to her bed to keep from thrashing onto the floor and still they couldn't diagnose what was wrong with her. As soon as I was sent down a line of cat scans and other brain monitoring tests but there was nothing out of place in her ahead on December thirtieth nineteen seventy three the puddle of medical staff injected her with a die hoping to scan her again and search for a hidden tumor instead a symtas heart rate skyrocketed and her convulsions worsened Lisa and the rest of the family could only watch in horror as a soon to struggled for breath. An emergency tracheotomy was performed. Doctors cut a hole into her throat and inserted a breathing tube. Everyone expected her to die but incredibly assumed to still l. hung onto life into the new year interviewed later by. DT Max Lisi wistfully recalled that her aunt could talk till the end. Just I'd like be atro- whatever was wrong with her. Brain never affected her memory. When assuming died in the early days of nineteen seventy four four she was exhausted. Her pupils were small pinpricks of black and she had sweat out most of her body weight but she still knew who she she was and she still knew her family was right there by her side days later on the eve of a cintas autopsy Lucia Newman yet. CEO agreed that he would attended to make his own observations now in accredited doctor the hospital allowed in Nazi. Oh in as a guest I he sat amongst medical experts in the autopsy examination theater when assumed brain was removed its way didn't seem to indicate there had been any extensive extensive loss of mass as would be consistent with something like alzheimers or a brain infection frustrated the examiner kept cutting sectioning actioning the brain into smaller and smaller pieces with nothing to show for it in the audio grew frustrated as well as he knew such a massacre of an autopsy copsey would prevent him from doing more microscopic study later and in the end it was all for nothing. The autopsy didn't in yield any useful information over the next four years following any natsios marriage. The couple set to work putting together a comprehensive history of the family and their disease. LISI's mother Selena became her reluctant guide to distant relatives and long lost stories as Lee any Nazia worked they literally put their historian graffiti together on a poster in the shape of of a tree in nineteen seventy eight. LISI's other ant purina began to show signs of the family disease this time Lisa and in yacht. CEO arrived at the hospital prepared. They cut off any possible misunderstandings right away. No this was not alzheimers or many years or menopause or alcoholism. This was something else and they didn't have much time to figure it out. They were right time was not on Purina side and she passed away in March nineteen. seventy-nine in almost identical conditions wins to her younger sister. Assunta but this time the listed cause of death was not a complete guess the hospital put it down as familial familial and satellite office of indeterminable origin in yachts your refuse to let the hospital vivid sacked. PURINA's brain like they had done to assume twos instead he made contact with the famed neurologist Dr Yohannes Vigliotti in Geneva and sent him samples the Pyrenees tissue before sending them off in yet. CEO Himself had studied the samples under a microscope and made quite the monumental discovery discovery there were significant clusters of dead protein scattered across during his brain tissue researchers identified these as structures called plaques ax for their uniform solid form that contracts with the rest of the healthy tissue around them by chance in yachts. Yo had read through case studies lease that included plaques during his intensive years of study when he saw the strain scarring of symtas tissue his mind jump back back to one particular case in the nineteen ten's German doctor Hans Creuzfeld examined the brain of a girl who had seemingly been and killed by Pellagra the same disease of malnutrition upon which so many of the deaths in the Venetian family had been blamed but Creuzfeld Creutzfeldt realized it was a neurological condition that really killed the girl when he found plaques of dead neurons all over her brain tissue samples this this was unusual. Neurological decay did not often take place over the entire span of the brain instead gathering in specific areas but whatever this was it was different ten years later another German urologist named Alfons Maria Yaakob diagnosed several other cases the same condition finally in nineteen twenty eight and Austrian doctor called Yosef Gershman. Put it altogether a series of patients came to him with poor coordination and qualities of dementia after their deaths Gershman recognized. I urged that their plaque infested tissue samples matched the samples from both Creutzfeldt and Yacob's patients in so creutzfeldt-jacob Disease Aziz was officially minted of course like the Venetian families disease no one actually knew the the cause of course failed Jakko or cj de for short and by the time of PURINA's death in nineteen seventy nine only one hundred and fifty the people had officially died from it according to DT Max several researchers at the time wondered if CJ D. was nothing more convenient dumping ground for otherwise unclassifiable dementias when in yachts Yo brought up a possible connection between Cj d. and the Venetian families unknown condition the neurologist. He consulted sided with those suspicious researchers. PURINA's samples showed show that the neurological damage was mainly confined to the foul structure in the Brain C. J. D. Did not affect that area so they they couldn't be the same disease once again. Li Xiang yet. CEO were left disappointed. The curse remained hanging over their heads Lisi. He grew more paranoid than ever. All of this research had given her nightmares about win. The disease might come for her or her mother e. Selena she followed but her mother around the house watching for any signs that she might be falling. Ill she later told. DT Max I was a spy in my own house. These were years lived in. Hell but e selena would not be the next victim. The curse would fall upon Lisi's Uncle Silvano. I I however this next battle against a disease would change everything. It turned out that in yet Zeo had had gotten very close to the truth when he linked the family condition to C. J. D. The two diseases did share a commonality. They were sisters in a newly emerging group of diseases caused by a strange and misunderstood infectious agent. It wasn't a virus or a bacterium or anything of the sort. It was not any kind of foreign agent hoping to triumph over our biology. It was our biology. It was a part of the body that for some reason turned against the rest it was simply a protein gun roque today they are known as Protons John's and they are the cause of diseases across all forms of life such as C. J. D. mad cow disease and yes fatal familial insomnia after centuries of isolation the Venetian family. I was about to discover. They were not quite as alone in this struggle as they had always gleamed. Thanks for listening to medical mysteries next week. We'll we'll go back in time to track para line of scientific research that led to the discovery of pre-owned diseases and learn how the Venetian families own investigation Asian fit within a much larger framework of biological history for more information on fatal familial insomnia amongst the varied sources we we used we found. DT maxes investigatory history the family that couldn't sleep extremely helpful to our research. You can find all episodes foods of medical mysteries and all other podcast originals for free on spotify not only to spotify already have all your favorite music but now spotify is making it easy for you to enjoy all of your favourite are cast originals like medical mysteries for free from your phone desktop shop or smart speaker to stream medical mysteries on spotify just open the APP tap browse and type medical mysteries in the search bar and don't forget to follow us on facebook and Instagram at par cast and twitter at podcast network will see next time medical medical mysteries was created by Max Cutler is a production of cutler media and his part of the podcast network it is produced by Max and Ron Cutler sound designed designed by Michael Lansner with production assistance by Ron Shapiro all Liebskind Maggie Admire and Carly Madman. This episode of Medical Mysteries was written by Jack Ben Tell and stars Molly Brandenburg and Richard Rosner.

Max Lisi E selena Venice insomnia Medical Mysteries Italy Silvano Pietro spotify alzheimers CEO Pietro Vincenzo Padua Giuseppe Europe Lisa twitter malaria facebook Family Disease Venetian Venedetto
Top Lifestyle Tips for Depression and Bipolar

The Carlat Psychiatry Podcast

20:24 min | 8 months ago

Top Lifestyle Tips for Depression and Bipolar

"Nine zero eight three six. What can you do with thirty minutes of psychotherapy during a MED visit? Daughter can has spent the past two decades gathering ideas and today. We'll show you how to put them in practice welcomed in the Kyle. Psychiatry podcast keeping psychiatry. Honest since two thousand and three on Chrissy Teigen the editor in chief of the Carlisle Psychiatrist report and I'M KILLING. Newsom a psychiatric in P and a dedicated reader of every issue mark. Fry Cherif Psychiatry at. The Mayo. Clinic tells all these patients with mood disorders that they deserve and can expect a full recovery. I've started doing that with my own patients and it's a conversation starter. It goes against the hopelessness. That depression has led them into and while it's not a white lie there is a problem with it. Only one in three people recover fully on the first antidepressant and the numbers. Don't go up drastically when we start. Adding in switches an augmentation strategies. The medications are not the only way to treat depression. So when recovery Stolz I'll get patients to choices the start psychotherapy who make a lifestyle change. Many patients choose the ladder. And it's not a second right option. There are simple. Changes patients can make in their lives that can augment antidepressants and some have even been found to work in treatment resistant depression. We covered some of these in July. August two thousand eighteen issue. My Co host. Chris Sekine has got thirty of these evidence based techniques in a new book. The depression and bipolar workbook. And I'M GONNA turn the tables and interview him for today's podcast daughter. Aken how did you come up with a thirty ideas in this book? A started collecting them about twenty years ago. Pulling together anything that had proven its merits in at least one randomized controlled trial summer drawn from behavioral therapies like social rhythm therapy for bipolar disorder behavior activation and see bt for insomnia others are from loosely defined school of psychology called environmental therapies. These include light therapy for depression. Dark therapy for bipolar and air ionization for depression. Then there's a hodgepodge of off the beaten path ideas that are very useful but often get ignored because they aren't part of any traditional psychotherapy schools. These include music therapy aromatherapy nutrition exercise hot baths hot bad yes that was one of the more unusual roaches in two thousand seventeen. There was a study from Germany. Were depressed patients were randomized to a hot bath or a fake version of light therapy. The baths treated depression with large effect size and they only took two thirty minute baths the week and they were hot hundred four degrees Fahrenheit. Where did they get the idea that bats would treat depression? This didn't come out of nowhere in twenty seventeen. Charles Racing's group published a similar study in Jama Psychiatry showing that raising body temperature with a passive heating machine called whole body. Hyperthermia has also a large effect in this study. It was a large effect in treatment resistant. Depression and Amazingly Dr Rayson only did one treatment with his body temperature manipulation and the effects lasted up to a month afterwards. Do you recommend hot baths to patients. Well it is one of the more techniques in the book. Honesty is not one of my top techniques because it's not as well studied as the other and there can be side effects particularly falls because blood pressure can drop when you get out of the bath but it illustrates a point that lifestyle changes do work often through biological mechanisms that are relevant to depression. Hot BATHS EFFECT CIRCADIAN RHYTHMS BECAUSE BODY. Temperatures supposed to rise and fall throughout the day but actually depress people core body. Temperature tends to stay relatively constant and slightly elevated throughout the day hot baths also deepened. Sleep and reduced insomnia sleep clinics have been using hot baths to treat insomnia since the nineteen nineties. And it's actually from them that I learned how to use this in practice. I was surprised by the effect sizes for some of these techniques. You have a chapter music therapy for insomnia and at least the actual songs that we used in the studies and how to apply them and the effect size that we say with music therapy is about the same as what we say with sleep medications. Yes those figures surprised me to that was from a meta-analysis evolving about thirteen hundred patients. Who had undergone music therapy for sleep? But I wouldn't put too much weight on it because effect sizes just measure the difference between Placebo and active treatment. So it's going to vary depending on. What kind of placebo was used with sleep meds? It's a sugar pill with music therapy. The placebo was usually muscle relaxation or audio books. So we know that music therapy works better than that. But it wasn't compared head to head with sleep. Mets STILL SLEEP. Meds have a lot of risks while music has no risks and this is a technique. I use a lot. It's one that patients like and they find useful unless they're musicians then they tend to get caught up in the music and can't fall asleep. What's your top track for sleep? And how do you use it? My go-to track is weightless by Marconi. Union it's available free on youtube or through most streaming services this track was designed by sleep researchers in conjunction with an ambient music band and in small studies. It was preferred by patients for sleep and it also reduced anxiety and blood pressure when people listen to it. It's very relaxing. Advise patients to but it on repeat. It's about ten minutes long and listen to it about half an hour before they wanna fall asleep some kind of mental relaxation exercise like mindfulness or physical. One like progressive muscle relaxation. While they listen to and then they can listen to it throughout the night or have it. Turn off automatically. After they've fallen asleep both methods have been used in the research and okay said Melissa. This one the dawn simulator. I understand this is an alarm clock that creates a virtual sunrise. In the patient's bedroom you wrote that at traded depression and five controlled trials. Those were small trials and they all involved winter depression but yes they were all positive and well controlled so it should be on the list for seasonal affective disorder. It even went head to head with a light box in some of those studies and fared pretty well but in my opinion these dawn simulators are not as strong as a light box but the dawn simulator is one technique in the book that requires almost no effort. Patience just set the alarm and wake up to a sunrise. I recommend patients set at the same time each day to keep their circadian rhythm regular. The device should turn on thirty to sixty minutes before their wake time. If it works they'll wake up naturally at that time. If they wake up too early they should move the light away from their head. If they don't make up at all they should bring it closer. Any particular dawn simulators that you recommend. There's two models that between them will meet. Most patients needs. One is very affordable. It's called lighten up from wind hover. Mfg DOT COM. That's W. I N. D. Hover. It's around fifteen or twenty dollars. It's basically an extension cord. Patients HAVE TO HAVE DIM -able bulb for this one to work and they attached their own lamp to it. The other is Phillips Morning wake-up light and they have a several models. They run from eighty to two hundred dollars. These have their own built in bulbs that last for a long time and they have more of a full spectrum there brighter. They're easier to aim at the face so these are going to work a little better. Perhaps the more reliable but a bit more pricey doctorate can how don't simulated treat depression? One way is the light itself early morning. Light has the biggest effect on movement. That's why we recommend patients use lightboxes early in the morning and that's also by the way why the rate of depression is peaking little at this time of year in the few weeks after daylight savings time what they've done with daylight savings is caused the sun to rise a little later in March while the length of the day has not grown very much. So there's not enough sunlight in the morning right now and we do see a rise in rates of depression around this time. Another way it might. Work is through the effects on sleep architecture. What does it do there? Well when we were woken by sudden alarm the sound will jolt a set of sleep and ninety percent of the time were jolted out of deep sleep. The result is a groggy. State called sleep inertia. Some neurologists code sleep drunkenness. In most people sleep inertia as benign and it lasted about fifteen minutes report out of it but in depression it can drag on for hours. Ask depressed patients how long it takes for them to feel fully awake. You'll find that many are not functioning well for the first four hours of the day. So what the dawn simulator does is it gradually lifts the brain out of deep sleep into the lighter phases of sleep and then into full awakening so people wake up naturally and more alert. There's a study where medical students use the dawn simulator and they ended up using less caffeine if they woke up this way in studies of people with sleep inertia the dawn simulator cuts down the duration of that nurse. Shah in half a third mechanism is circadian. Rhythm about sixty to seventy percent of people with depression have circadian rhythm abnormalities and for Bipolar Depression. It's even more like seventy to eighty percent. A lot of this book is about ways to regulate that circadian rhythm which helps sleep and mood. In fact morning light is necessary to shut. Melatonin down that sets the biological clock. It starts at ticking and once it starts ticking in the morning. It's more likely that Melatonin will rise in the evening in other words using the Dawn Simulator. In the morning might actually help people fall asleep at night. This reminds me of that old expression. Wake up on the right side of the bed. It makes sense wake up can set the tone for the rest of the day yes morning and evening or the book ends of the day and I tell patients the intervening there is where they're most likely to see benefits in their mood. Okay so which is more important morning or evening for depression. I'd say morning for Mania. Might be evening where they need to preserve their sleep but morning is also where people are more likely to be successful. Patience can force themselves out of bed but they cannot force themselves to fall asleep. That's a losing battle. Another technique described his brisk awakening. That sounds like a splash of cold water on the face. Well that's not too far from the truth. Brisk awakening is one. That's been used successfully in bipolar disorder and people with insomnia in bipolar disorder. They used brisk awakening along with cvt for insomnia and the whole package improved sleep and had a significant effect on preventing depression and mania in the months to come and like the dawn simulator. It also had a significant effect on SLEEP INERTIA AGAIN. Cutting the duration of that sleep inertia in half. What does it involve with brisk awakening? You instruct the patient to arise quickly out of bed at the same time. Each day we define the time out of bed as the time they actually stand up for the first time that day standing up changes physiology through the Barrow Reflex. Activating the sympathetic nervous system increasing norepinephrine and raising blood pressure. So we don't faint next. They should make the bed so it's harder to get back in. The final step is to shift into energizing activity early in the morning. What is energizing activity? It's different for every person but it's anything that makes them feel more energized like they want to keep going rather than slowdown often. It's something that's goal directed or engaging but they're also physical actions that stand out as universally helpful arrays energy a little in the morning. Those are moving around getting up and walking and turning on the lights. Open the curtains or even better go outside and walk around for five minutes to get some Sun and the third physical action is to splash cold water on the face. This also activates the sympathetic nervous system helping people to wake up in the morning. It's likely telling them to act the opposite of the way they feel in the morning yes indeed. Bt they call that opposite action and at underlies a lot of the behavioral work we do with mood disorders. When I said their circadian rhythms were disrupted what I mean is there. Dopamine is firing too much at night and it's practically shut down in the morning a lot of patients with mood. Disorders are up all night. Doing activating things like Social Media Housework. Binge eating or net flicks. We need to help them. Deactivate and wind down in the evening and get more active in the morning and by the way interestingly people with substance use disorders seem to have the same flip the same problem in their Circadian Rhythm and in one study don simulator helped people with alcoholism stay sober. You also talk about energizing music in the morning. Yes just as music but you to sleep in the morning. Any music that gets people moving can help. That might be dance. Music Gospel Tunes or Exercise Music. But while it's important to get moving in the morning we shouldn't forget about leisure. A recent study from Australia found that waking up the pleasurable songs with catchy melodies helped reduce sleep inertia. The researchers recommended close to me by the cure and good vibrations by the beach boys. But you'll want your patient. Define what is pleasurable to think about that somewhere. Along the line we decided to wake up to the most annoying sound As if we need to be punished to get outta bed. Why not start the day with positive reinforcement something pleasurable? If Music's not that thing it might be aromatherapy meant lemon Geranium juniper rosemary and sage all tend to be a little activating. We've run out of time. Patella some of the other techniques in the book just list them. The book outlines them from morning to night. Again it's very circadian rhythm centric. Here's a sample other ideas for the morning tea. Yes among all drinks. Tea has the most antidepressant effects. Aromatherapy negative air ionizers for the afternoon. There's a host of techniques drawn from behavioral activation. So the rhythm therapy. An rumination focused. C. B. T. Which is designed for that persistent negative style of thinking that people with depression struggle with rumination? There's also brisk walking. Which is the milder version of aerobic exercise? That actually did work. In many of the depression studies. I use that term brisk walking instead of exercise which is kind of intimidating and forced therapy which has a handful of studies in not really intriguing depression but in turning down some of the depressive symptoms like rumination and nutritional therapies something. We covered last year in the Carlisle report. The Diet that treats depression is outlined in the book with lots of tips for how to implement it. There's a section how to shift social media use and television US toward media. That's less likely to cause depression including evidence based APPS that can guide patients through some therapeutic changes then for the evening some of the top techniques are a wind down routine blue light blocking glasses for insomnia. We've covered that a year ago in the Carl report along with dark therapy for mania hot baths and CBT FOR INSOMNIA. I worry though that a list of thirty options might be overwhelming patience. Yes the art of this is a narrowing it down to a few personalized choices. I'll usually present three to six based on what matters most to the patient and what they are motivated to change up presented like a menu and asked them to choose only one. The goal is to make this successful and I'll usually include in that menu a few that they're already doing people with depression. Don't give themselves enough credit for what they're already doing. Well join US next week for another research theme park sugarland. We'll we'll talk about some paradoxical ways that sugar affects the brain but before we go have a corona virus announcement. Check out our podcast last week on the krona virus. There's some good tips for how to manage it in your practice including specific telemedicine programs that he might find useful in this epidemic. We are all called on at this time to discourage patients from coming to the office if they have a fever or signs of respiratory illness or contact with someone who's been infected and telemedicine is the way to go for that. A few insurances are also covering phone visits. Now that's the first to help reduce the spread of the virus. You can read the full articles and earn ce credits at the garlic report dot com where we have a special offer for our podcast listeners. You can get thirty dollars off your first year subscription with Promo Code PODCAST BUT CARL. Report is one of few. Cme publications that depends entirely on subscribers. We're about to become a CME PODCAST. But don't worry we're going to keep the podcast free. Thank you for helping us stay free of commercial support.

depression Dawn Simulator Bipolar Depression insomnia depression Chrissy Teigen sympathetic nervous system bt Cherif Psychiatry Newsom Mets Stolz youtube editor in chief US