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Depakote (Divalproex)

Depakote (Divalproex)

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SUFFERING FROM SLEEPING DISORDERS
The 1992 report of the National Commission on Sleep Disorders Research, which Dr. Dement chairs, estimates that 40 million Americans suffer from some kind of chronic sleep sickness. About half of them are plagued by a condition called sleep apnea (from the Greek, meaning “not breathing”). Such individuals actually stop breathing while asleep. As carbon dioxide builds up in the lungs, the brain senses something gone wrong and sounds its alarm, waking the person enough to activate the chest and diaphragm muscles. With a terrible snore, the lungs suck in fresh air. Sleep ends for the moment. This can happen 500 times a night, fracturing any peaceful, restorative slumber. During the day, the afflicted person, lacking a restful night, constantly dozes off.
I. M. “Rusty” Gralnik, an engineer in Santa Clara, California, tells this story: “I would go to a ball game and, instead of going in the stadium, stayed in the parking lot to sleep in the car. I didn’t know something was wrong – I just thought I was tired. I would fall asleep working at my computer or while trying to read. A year ago, my wife was complaining that I was a terrible host: I’d fall asleep in front of our guests.”
People with sleep apnea inhale with high suction. It was so high in Mr. Gralnik’s case that it caused his throat to close, waking him repeatedly. This happens most often to people who are greatly overweight, although Mr. Gralnik is thin. Scientists have developed a breathing machine for apnea patients that pushes air into the nose under positive pressure, expanding the windpipe and making breathing easier.
“I feel a little more alert now,” Mr. Gralnik says, “but I’ve been down so long, it will take a while for my body to rejuvenate.” For those not helped by the machine or unable to sleep while using it, surgery opens the throat.
Rusty Gralnik’s apnea was diagnosed at Stanford’s sleep laboratory, which boasts rooms with air and light controls, and infrared TV cameras that “see” in the dark. A microphone and wires lead from a subject’s scalp to a recording machine, so doctors can see and hear the breathing, the snores, the apnea. Now 140 medical centers have such labs.
Great progress has been made in helping insomniacs – people who can’t fall asleep easily. Many perceive, sometimes falsely, that they have not had enough sleep or have endured bad, non-restorative slumber. The National Commission on Sleep Disorders Research estimates that 60 million Americans have experienced some insomnia, 15 million of them severely and chronically.
Gina Braun, a Tucson, Arizona, homemaker and mother of three young children, bore the burden of chronic insomnia. Her worst wakefulness struck during her last pregnancy. In her 8th month, pills helped Mrs. Braun rest for a while, but their effectiveness faded.
She found Richard Bootzin, director of the Insomnia Clinic of the University of Arizona Sleep Disorders Center in Tucson. Says Dr. Bootzin, “People need to develop skills for falling asleep.”
“Dr. Bootzin got me on a schedule,” Mrs. Braun says. “Before, I’d go to bed at 9 P.M., wake up at midnight, and stay awake ’til 9 A.M., when my husband [a fireman] would come home from his 24-hour shift. I had no sleep cycle.”
Dr. Bootzin used these do’s and don’ts that sleep scientists have developed to break insomniacs’ bad habits:
• Do keep a diary of your bedding-downs and waking-ups for a week, to observe your slumber pattern.
• Do maintain a regular schedule. Go to sleep and get up at the same time daily.
• Don’t drink caffeine after noon or alcohol at any time.
• Don’t nap during the day – be active.
• Don’t go to bed until you’re drowsy. If you’re wide awake, staying in bed makes matters worse.
• Do keep your bed for sleeping and sex only. Read, sew, or watch TV elsewhere.
“Dr. Bootzin told me to get out of bed as soon as I felt anxious,” says Mrs. Braun. “At first, I was out of bed 10 to 15 times a night. Now, if I can’t sleep, I get out of bed and go read. I’m thankful things are so much better.”
*15/266/5*

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