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	<title>Seeking Diagnosis &#187; hashish insomnia</title>
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		<title>Battling Insomnia</title>
		<link>http://seekingdiagnosis.com/2009/09/13/battling-insomnia/</link>
		<comments>http://seekingdiagnosis.com/2009/09/13/battling-insomnia/#comments</comments>
		<pubDate>Sun, 13 Sep 2009 13:05:38 +0000</pubDate>
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				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[america]]></category>
		<category><![CDATA[apnea]]></category>
		<category><![CDATA[c-pap]]></category>
		<category><![CDATA[hashimoto's]]></category>
		<category><![CDATA[hashish insomnia]]></category>
		<category><![CDATA[hypothyroidism]]></category>
		<category><![CDATA[jet lag]]></category>
		<category><![CDATA[melatonin]]></category>
		<category><![CDATA[nytimes]]></category>
		<category><![CDATA[sleep]]></category>

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		<description><![CDATA[Insomnia wasn&#8217;t exactly my problem, but it was a part of it. Sleep trouble was the first symptom of my Hashimoto&#8217;s Thyroiditis that I noticed (of course, it was a long time before I knew it was Hashimoto&#8217;s) in early 2002. Besides sleeping way too much, my sleep pattern was as follows: I had a [...]]]></description>
			<content:encoded><![CDATA[<p>Insomnia wasn&#8217;t exactly my problem, but it was a part of it. Sleep trouble was the first symptom of my Hashimoto&#8217;s Thyroiditis that I noticed (of course, it was a long time before I knew it was Hashimoto&#8217;s) in early 2002. Besides sleeping way too much, my sleep pattern was as follows: I had a very difficult time staying awake in the evening until bed time. Usually I&#8217;d doze off around 8 pm. Then I would wake up in the middle of the night, usually between 1 and 3 am. And I wouldn&#8217;t be able to get back to sleep until dawn. This made a mess out of my life, and continued to do so after I began treating my hypothyroidism in 2004. </p>
<p>For years, I had what was essentially a severe case of jet lag. Treating my hypothyroidism (or &#8220;treating&#8221; it) didn&#8217;t help. Following all sorts of <a href="http://www.nytimes.com/2009/06/06/health/06patient.html">sleep hygiene advice</a> didn&#8217;t help. I complained and complained and complained to doctors, and they didn&#8217;t help. They gave me really horrible and stupid suggestions like: &#8220;You just have to force yourself to stay awake until 11 pm and then keep doing it every day, and your sleep pattern will correct itself.&#8221; Well, I could stay up one night until 11 pm or midnight without too much trouble, but I&#8217;d be completely sapped of energy for the rest of the week and there was no chance I could stay up past 8 or 9 pm the next night. I tried using sleeping pills, but they just knocked me out, and then I&#8217;d wake up in 10 hours and feel really tired &#8211; like I needed to get some sleep after that coma.</p>
<p>Last summer, I got my endocrinologist to refer me to a sleep lab. They did an overnight test in which I was hooked up to some gadgets and then returned to the lab the following morning so they could observe the results. The &#8220;diagnosis&#8221; was that I had a very moderate case of sleep apnea. Over the next month, I was fitted for a C-PAP machine and it was adjusted a few times, but it actually didn&#8217;t work at all and in fact I slept quite a bit worse with it than without it. Finally I had to return the lab&#8217;s C-PAP and I realized the whole thing was an elaborate ploy to sell me a C-PAP of my own. Another doctor later confirmed my theory; he read the lab&#8217;s report and told me that I didn&#8217;t have any more apnea incidents than the average adult of my age and weight has.</p>
<p>Eventually, last winter I read an article recommending melatonin as an over-the-counter treatment for jet lag. Since what I had was basically jet lag, I decided to try some. I went to America in February, flying (west) in the middle of the night, sleeping a little on the plane, and landing in the morning. Because I was with my family, I had enough excitement and activity to stay awake for the whole day into the evening. Before I went to sleep, I took a <a href="http://www.cvs.com/CVSApp/catalog/shop_product_detail.jsp?filterBy=&#038;skuId=419642&#038;productId=419642&#038;navAction=jump&#038;navCount=3">3 mg pill of melatonin</a> that I&#8217;d gotten during an afternoon shopping trip. I slept soundly and woke up at a good hour. But that didn&#8217;t show me much of anything, since I was in my old bed, in my old room that I used to sleep in when I was a teenager. The second day of my visit was also packed with entertainment, so I was kept busy and again didn&#8217;t get to sleep until late (ie, a normal time for most people). I felt extremely exhausted and again took some melatonin before going to bed. Again I slept very well and woke up at the right time. Still unconvinced, I tried it for a third evening. And a fourth. And so on. I kept using the melatonin every night on that trip to America, and I kept sleeping well, waking up well-rested at a good hour, and staying awake all day until around midnight. After seven years, my jet lag was ended.</p>
<p>What does melatonin do and how is melatonin different from other medications? I tried pills that knocked me out and pills that relaxed me. I also tried using hashish as a sleep aid. The knockout pills forced me to sleep and I woke up feeling like I felt when I had mono &#8211; like I needed to sleep off the terrible sleep I&#8217;d just suffered. The chillout pills made me unable to act like a normal person. If I got a phone call, I couldn&#8217;t think straight to answer it, and if my dog misbehaved, I couldn&#8217;t scold him correctly or swiftly enough. I also felt like they were more effective at making me lie very, very still than at putting me to sleep. As for cannabis, I enjoy the occasional hash brownie, but the <em>last</em> thing I want to do when I&#8217;m stoned is sleep. Mostly I want to think about stuff, listen to stoner music, watch terrible movies and eat a lot of food, none of which is conducive to sleeping well.</p>
<p>Melatonin simulates what it actually feels like to get tired and need to go to bed. Or I could say that it actually makes me feel tired and need to go to bed. It doesn&#8217;t knock me out: I can still function if necessary after taking melatonin; I&#8217;ll just be really tired. It doesn&#8217;t chill me out: I can react to things if necessary. But taking it a few hours before bed time, along with using other sleep hygiene ideas, like turning off the lights, effectively tells my body that it&#8217;s time for bed in a way that no other technique does.</p>
<p>Now that I have to wake up at 6:45 three days a week (increasing to five days next month), I can&#8217;t take melatonin every night. I take a 5 mg pill approximately three nights a week, and that is enough for me to regulate my sleep for those nights and the other nights.</p>
<p>For anyone suffering what I suffered &#8211; chronic jet lag &#8211; I warmly recommend regulating your sleep pattern with melatonin as I regulate mine.</p>
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