Robert Rosenberg S. Rosenberg - Sleep Soundly Every Night, Feel Fantastic Every Day: A Doctors Guide to Solving Your Sleep Problems

A DOCTORS GUIDE TO SOLVING YOUR SLEEP PROBLEMS

Robert S. Rosenberg, DO, FCCP

Visit our website at www.demoshealth.com

ISBN: 978-1-936303-72-4

e-book ISBN: 978-1-617052-15-6

Acquisitions Editor: Julia Pastore

Compositor: diacriTech

2014 by Robert S. Rosenberg. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher.

Medical information provided by Demos Health, in the absence of a visit with a health care professional, must be considered as an educational service only. This book is not designed to replace a physicians independent judgment about the appropriateness or risks of a procedure or therapy for a given patient. Our purpose is to provide you with information that will help you make your own health care decisions.

The information and opinions provided here are believed to be accurate and sound, based on the best judgment available to the authors, editors, and publisher, but readers who fail to consult appropriate health authorities assume the risk of injuries. The publisher is not responsible for errors or omissions. The editors and publisher welcome any reader to report to the publisher any discrepancies or inaccuracies noticed.

Library of Congress Cataloging-in-Publication Data

Rosenberg, Robert S. (Robert Steven), 1948- author.

Sleep soundly every night, feel fantastic every day : a doctors guide to solving your sleep problems / Robert S. Rosenberg, DO, FCCP.

pages cm

Includes bibliographical references and index.

ISBN 978-1-936303-72-4ISBN 978-1-61705-215-6 (e-book)

1. SleepPopular works. 2. Sleep disordersPopular works. I. Title.

RA786.R67 2013

616.8498dc23

Printed in the United States of America by McNaughton & Gunn.

14 15 16 17 18 / 5 4 3 2 1

To Christine Feltman Rosenberg, my wife of thirty years, mother of my wonderful children, my executive producer, accomplished businesswoman, and occupational therapist. She inspired me to write this book and has been by my side every step of the way supporting my medical career, dreams, and now my mission to educate the world about sleep medicine.

The names and identifying characteristics of all patients have been changed to protect their privacy.

Your life is a reflection of how you sleep, and how you sleep is a reflection of your life.

DR. RAFAEL PELAYO

We need restorative sleep to survive and succeed. Without restorative sleep, we are out of sync with ourselves, each other, and with nature. Most likely you have picked up this book because you feel out of sync. You have trouble getting to sleep or staying asleep. You wake frequently in the middle of the night. You wake up tired. Or maybe its your partner, child, or loved one who is keeping you up at night. Perhaps you are experiencing pain, fatigue, headaches, leg cramps, hyperactivity, chronic stress, or other symptoms you want to change or cure and suspect lack of sleep is playing a role. You know something is wrong and wonder if its a common problem with a simple fix or something that requires professional help.

Sleep Soundly Every Night, Feel Fantastic Every Day can help you find the answers you are looking for. It will help you identify and understand your symptoms and guide you to the most likely problem or disorder. It also offers practical treatment solutions to help you get a good nights sleep right away and to determine if seeing a sleep expert is right for you. It will show you how to sleep deeply and experience the joy of a good nights rest.

We have come a long way in thinking of sleep as a passive state. Rather, we now know how active the sleep time is for the neurobiological state, which regulates several functions of the body, including temperature, memory and learning consolidation, and metabolism. Disrupted sleep or a lack of sleep negatively affects these functions. Short-term sleep deprivation could result in

1. Decreased concentration

2. Irritability

3. Bad mood

4. Tremors

5. Hallucinations

6. Diminished immune function

Continued sleep deprivation results in an increase in metabolic rate, in appetite, and in body temperature, immune system failure, and decreased brain activity.

Lack of sleep dramatically impacts your health, ability to function, and well-being. Yet, Americans sleep time over the last century has decreased by 20%. It is important to address problems immediatelyand dont give up! A sleep solution is available for you and I will help you find it.

The self-test in covers good sleep practices or good sleep hygiene. Since good sleep hygiene may resolve your issues or lessen their severity, make implementing these recommendations your first priority on your journey to good sleep.

The next three parts cover the most common sleep problems and disorders:

, Impaired Sleep, addresses three common sleep disorders that keep you from getting to sleep, staying asleep, or managing early morning awakenings. They are called dyssomnias and include:

Restless legs syndrome, an intense, irresistible urge to move the legs in the evening.

Insomnia, an inability to fall asleep or maintain sleep. It is the most prevalent sleep problem in America.

Circadian rhythm disorders, when your internal sleep clock is out of sync because you travel or work a night shift.

Sleep apnea, pauses in breathing or instances of shallow or infrequent breathing during sleep.

explains parasomnias, behaviors like walking, eating, or having sex that occur during sleep, including: