6:30 why you wake up? 6:55 hundreds of mini awakenings 7:05 90% of awakenings caused by breathing obstructions 10:45 sleep apnea makes you pee more. 11:00 3 levels. nasal breathing. nasal strips, oral appliance, CPAP 13:00 summarizedazations.
I've seen so many good Ted talks over the years and watching this today feels like defining moment in my life! This was me!! Dr. Krakow and his team seem to have cracked the code that has kept me awake for many years. Thank you for validating my experience 100%! The issues with insomnia started in my 40s. It was also a time when work was really busy, life was hectic and stressful. Being a woman in her 40s at the time, the medical establishment implied that this was just a pattern of life and some people get stuck with it! It was very easy to get prescriptions for insomnia pills and for them to recommend I try other "lifestyle" approaches but none of it really fixed anything. Fast forward a few years and people start to complain about my snoring. After years, I eventually had a sleep assessment. Many people don't think that small framed or recommended weight people get apnea but we are 70+% of people with apnea. After a diagnosis of mild apnea, the specialist said a dental device could probably work well for me. My insurance company patently refused to allow one unless I failed 90 days of CPAP. The dental device without insurance was well over $2k; it was not something one would readily pay for out of pocket. The problem with a CPAP trial is my claustrophobia with things on or around my face. I tried multiple ways of expressing this to my insurance co. Their response was no, you would need to fail at CPAP which just sounded horrific to attempt. I already couldn't sleep at night so the suggestion to add the trauma of claustrophobic to the mix was a non-starter. Little by little, through my own research and persistence, I've adopted many of the practices Dr. Krakow talks about in his talk! I have a pretty decent dental retainer but not an actual apnea device. This science makes me want to push again on getting access to a sleep dentist. It helped to realize there actually is a physical component to all this and a greater root cause beyond it's just "life and anxiety." Thank you Dr. Krakow!
It’s been a year, how are you doing? I’m a skinny 39-year-old man, and I feel like we’re in very similar situations except that (1) my sleep apnea was already wrecking my life by my late 20s, and (2) I’ve only ever had light snoring at most; people don’t complain about it. Did you ever end up trying CPAP or getting an oral appliance?
This needs to posted EVERYWHERE!!! The physcians have GOT to start recognizing this. We as dental professionals are screening and helping as many as we can! WE just need more awareness!
@@yorkiem0m We stare at airways and mouths all day long and usually at least twice a year. In that time we look for anatomical contributions, large tongue, constricted arches, scalloped tongues, battered uvualas, acid erosion, bruxing, clenching, etc. We now know that clenching and grinding is the way that the body opens the airway to breath. We can help educate and then get them to a sleep study. And finally we bill medical insurance (not dental) to make an oral appliance for obstructive sleep apnea. It fits the top and bottom teeth and postures the jaw forward to keep the airway open. and it scientifically works!
@@danaparsons1990 you probably had sleep issues as a kid and could still. did you get your tonsils out when you were an older child? 9 or 10? or not at all?
I had suffered with insomnia for 5-7 years after menopause. I’d tried & tested everything and then, I found this video. I’d never really snored so I couldn’t believe I needed a CPAP. However, I was desperate and willing to try it. After 2 weeks of getting used to it, I am now getting the best, restful sleep in over a decade. Thanks for sharing your data and experiences.
Wow! This is revealing. Thank you so much for clarifying the cause for insomnia. I never understood it until now. Discovering abnormal breathing as a main cause for insomnia is truly 'breath-taking'!
I started doing this three years ago, started dreaming for the first time in 25 years, it immediately and completely changed my quality of life. Bought the rubber gadget for $4.00 on Amazon. I use it with nasal strips. The worse part is that I had the gadget laying in my night table for seven years before using it. I blame it on sleep deprivation lol
Would you be so kind and respond to where you got it and exactly what rubber gadget you are referring to. And which nasal strips also. There are so many on the market. As you can see so many people are desperate for sleep. Thank you.
I have suffered for insomnia for decades. I went to a sleep lab and was told I have mild snoring. They didn’t give me a CPAP machine. Now, I am glad they didn’t. I am going to try the: nasal spray, nasal strips, and mouth guard. I am so excited to try this.
Anyone claiming this is an infomercial did not have the patience to watch the whole talk. It's about sleep apnea and it's contribution to chronic insomnia.
Yep, my hubby has both. Was always making mistakes at work, snoring and waking up & constantly tired. His treatment has allowed him to sleep a lot better these days.
I was a patient of this doctor in ABQ, NM, and he is a dedicated and excellent doctor. Unfortunately he sold his practice and retired last year. I never before hugged a doctor after a first visit but I did hug him, because I felt that he was genuinely committed to helping me. I now wear a Cpap and it really helps. I am 74, female, healthy, and not overweight, not the typical patient.
It shouldn’t take patience. The speaker should prioritize conveying the information as directly and succinctly as possible. This guy’s all over the place.
I experienced frequent urination at night, exhaustion during the day, lack of concentration ( I was unable to read an article let alone a book) no patience, depression, difficulty falling asleep and staying asleep (averaged about 3-5 restless hours a night,) and a memory that was so bad I would sometimes forget to turn off the ignition on my car when arriving at my destination! I also began using a microwave rather than my gas stove because on a couple of occasions, I forgot to turn if off. Much to my regret, I could no longer function at my job so I retired 3 years earlier than planned. At myPulmonologist's office (I have asthma) I asked the PA if I could have sleep apnea to which she replied that it was possible and sent me to get tested. Not only did I have it, I had a severe case, the third worst my doctor had seen in his career. Much to my surprise, he said that I probably had it for a long time and it was fortunate that it was discovered because I was at high risk for a heart attack or stroke (my blood pressure had become high even though it had always been low). It affects so many systems of the body which explained some other symptoms I had during the last couple of years. I was fitted with a CPAP machine to which I adapted very easily and it changed my life! Though I feel much better after a couple of months ( I use it religiously every night!) I don't feel 100% well yet. We all heal at different rates I was told. For some it could take only a couple of months and others a year or more. At least I'm on the way.
Study a bit on Keto. Low carb, no sugar, and intermittent fasting. I did this lost 40 lbs and slept great. I quit when I went on tour, put weight back on, and feel exhausted. I'm gonna lose the weight again, but heading to pharmacy now to get that mouth piece and nasal strips. Look up Dr. Sten Ekberg on RUclips. Keto, no sugar, low carbs, insulin resistance and I.F. has changed peoples lives. Read the comments.. All the best to you.
This is amazing! I have had a BIPAP machine for about a year. I had a hard time getting used to using it. A friend suggested I try the "nasal pillow" rather than the full face mask. I went from having 8-11 "events" a night to .8 to 2 events per night! I don't know how they decided not to give me CPAP, but I am so glad they did it. These machines are so expensive, that the wrong machine would have been a huge problem.
I was diagnosed with severe case of sleep apnea last year. I was given a choice about which mask to use. Just the thought of using a full mask really turned me off so I use a nasal pillow and I'm doing fine on that! Been using a CPAP machine for almost a year now and will have to continue with it for the rest of my life. Better than the alternative though!
My sleep deprivation lasted for about 5 months. I thought I was going to go crazy or die. It started with my plantar bothering me. I took anti-inflammatory drugs which woke me up due to the dry mouth is produced. I took more drugs to counteract the symptoms and it led me in a downward spiral of tapering, switching drugs, withdrawal symptoms, etc. It wasn't until I became drug-free that my sleep came back to normal levels.
Hi. Try intermittent fasting 16:8 with healthy keto low carb diet. High insulin levels cause inflammation. You could be having inflammation due to your diet. Watch videos on intermittent fasting to get you more healthy. Dr Berg, Dr Jason Fung, Dr Mindy Pelz and Dr Jamnadas all recommend fasting for health benefits. It’s as easy as don’t snack after dinner and push next meal to lunch time to get your 16 hrs fasting window. Try it. Nothing to buy; it’s free.
Guys i hardly sleep, go sleep round 11pm , wake up about 10times , then go to work at 530am. Plus i walk more than 5miles a day and go to the gym 4x. Crazy thing is , i dont feel tired at all. But i wish i could get 4hrs of solid sleep. 😊
I am extremely grateful for this man, and his knowledge. Once I was able to get a better handle on my Sleep Apnea, my quality of life changed drastically for the better. Thank you, Dr. K!
U R over looking the cleaning of a CPAP which I hear is difficult for many people to keep the hoses clean & safe to breathe with. I am going to try to do another sleep study with a home test. Thanks for this Ted Talk!
I was suffering from early morning insomnia. I fell asleep quite fast after laying on bed but i used to wake up after 4hrs of sleep with an alert brain (much like an adrenaline rush) and spend the whole day tired. Then i researched a lot and got to know it was due neurohormonal disbalance . I visited a homeopath doc and he gave me some meds which fixed the issue. If you're young healthy and suddenly started suffering from this type of insomnia chances are high it's due neurohormone disbalance.
@@denisesorenson4000 i was first treated with silica and on later visit i was given leuticum....don't try these meds without consulting a doc cuz your issue might be different than mine
@@TheMonneydollar it appeared out of nowhere....i was physically and mentally healthy without any problems....and one thing I noticed it always occured when the season changed.....it's been a year after the treatment and I'm doing quite fine now ..i can go to bed whenever i wish and still wake up after 8hrs of resting sleep
My sleep doctors were only interested in money. When they realized I did not fit into their scheme of renting out machines for apnea, they told me there was nothing to be done. That's in Japan, though, and they may not all be so mercenary.
@@nicfarrow I have always wondered if sleep doctors overprescribed cpap machines for patients and if there were other equally effective solutions to insomnia.
@@cooldude5699 Pulmonologists are the doctors that deal with sleep disorders including sleep apnea. They'll have you do a monitor at home (that's where I did it) or in a lab. Don't know what you mean by overprescribing. Either you're breathing and getting enough oxygen while you sleep or you're not due to some sort of blockage in which case a CPAP machine will force your airway open so that you're getting oxygenated.
That’s brilliant, thanks a million. I have been suffering with insomnia for more than 30 years, I can go for 3 days with no sleep at all and when I sleep it’s broken and I’m luck if I get three hours, I don’t take any sleeping tablets, they don’t work for me anyway, and I can’t sleep day time either , nightmare!!!!, I do have a chromic lungs condition , probably something to do with it.
Love my night guard that my dentist had made for me. Never worry about clenching jaws or damaging teeth again. I sleep better with it. Short bed-time yoga routine, visualization exercise, + Resperate machine (bought one used) also helps. No drugs needed. PS Quitting my job has also been wonderful for peaceful sleep. Hang in there until the day you get there, All. 🙂
@@lourdesraupe3824 It's a clear acrylic form that fits over the top half of my teeth. Not aware of any brand but an impression was made of both top and bottom sets of my teeth and sent to a lab. It's expensive though. I used the first one I had for 20 years.
@@djw8888 Thank you. I’ll give this information to my dentist and I’ll start there. I am unable to use the cpap machine and desperately looking for an alternative.
But this doesn't answer why people have sleep apnea. It's often due to internal inflammation. I had bad sleep apnea. When I drastically reduced my carb intake over several months by sleep apnea disappeared as I no longer had chronic internal inflammation that causes my airways to collapse at night. Lost a bunch of weight too. Best thing I ever did. No drugs, no apparatus.
I think you are right. Some time ago I lost 40 lbs on Keto/low carb, I started sleeping all thru night, no urination. Went off keto, put all weight back, now I wake up at nite to urinate, wake up 2 to 3 times. I'm back on Keto/No sugar/Low carbs. lost 10 going for the rest. I have never been so exhausted as I feel now. I think this sleep apnea is the cause.
I have severe sleep apnea n so do my kids but after recent trauma n the passing of my mom granbaby etc I also gained so much weight n now it's so bad no sleep or always weak etc I pray I can get better
Yes and some of us with apnea are now burdened with faulty CPAP machines made by Philips, which can cause problems because of bad design, using a foam to keep the machine relatively silent, which breaks down and can be inhaled by the user. Lawsuit(s) ensue. Philips is glacially slow in replacing the faulty machines.
Thank you so much for shearing y your knowledge to everyone. I think that you just have resolved my several awakenings and the trips to the bathroom, every night. Bless you
My friend had insomnia for 20 years. She began a chiropractic regimen and sleeps soundly. We can’t gab late anymore because she sleeps now. Sp many reasons for insomnia
There are other doctors who prescribe surgery in throat area. CPAP. Mouth guard. Mouth taping. Side sleeping. Nasal strips. Pills. Sleep for humans became an issue once we introduced modern progress and light. We humans are continuing to evolve ourselves. We will encounter individual and collective challenges to our overall health in the present as we try to adapt to expectations.
I failed the C-pap study. My sleep apnea was greatly improved with NightlLace/Fotona laser treatment on my throat. It made a 70% difference and I finally found GABA supplementation with L-theanine and L-tryptophan for a complete cure. I'm filled with gratitude. I believe that the addition of high intensity interval training also added to my success.
What has helped me is sleeping on an incline. I did notice for the first time in 30 years i didnt wake up in the middle of the night ( usually 3;00 am) to pee. That had become routine for me.
It’s 4.29. I feel so aware of how tiny my nostrils feel now, I might not fall asleep again. Will go to the farmacy as soon as they open for nasal spray and strips. God, I hope this is the big discovery that will change my life. 🙏🙏🙏
i was really struggling last night then prayed to God for help with my sleep and this video was randomly on my recommendations in the morning. than God because i have not slept properly in years and years
I had insomnia from 30-44. I would sleep the first 2.5-3.5 hrs then wake. Staying awake then 1.5-3.5 hrs most often and go back to sleep until I had to wake for work...My fix came very inadvertently. I should mention I tried tons of things to cure this middle of the night awakening yet rare was the night I would sleep straight through. Possible 1or 2 times a year and even less some years. My fix came after a car accident that put me at a special place that was outside normal hospitals and such. Here , the NP was quite young and eager to help my concussion. To " calm" the brain down from the trauma of the car accident she prescribed me amytriptaline. I went home to research it and found it was used on death row for those psychotic types. I refused taking it bc of this but after discussions with the NP at the next appointment she reassured me at that medical facility they used it for post concussion people. I believed her. I started then cutting the 5 MG. pill in half and taking about 2.5 MG. That kept me sleeping straight through the night. They did need to increase the dosage from time to time but that's all I needed. .I felt like I lived in a fog those 14 years. Literally like I was sleeping bc when I could go straight through all night?, I felt like a completely different person.
Thank you for telling me why I have life long suffered from waking up going to the bathroom and not being able to fall asleep again. Sometimes I have paid a visit to the bathroom up to 6 times at night which makes me very thirsty so I also drink a lot water at night. It often takes me hours to wake up in the morning. I will now go to the pharmacy and get some of those nostril expanding plasters, and see if they help me. Thanks again.
Thank you SO much for this talk. My mom is in the 70+ club and hates to find out what ails her, mostly due to fear of treatment. This vid is Perfect to make these types watch so they can deal with this serious issue. Very sensical and urgent messaging, well said sir :). I'll sleep better at night knowing she is breathing.
Thanks so much for this. I was told for decades that I couldn't sleep because of anxiety. I knew this wasn't true, but I didn't know how to fix my problem. I went for a sleep study, but I wasn't diagnosed because I couldn't fall asleep. The clinicians got angry with me for wasting their time and the study was not rescheduled. I tried again after I had a heart attack. This time the doctor refused to refer me for a test and had me cancel the appointment I made with a sleep clinic. Again, no follow up. I found someone else and insisted that I have another study. I have severe sleep apnea and stop breathing 65 times per hour. I could easily have had another heart attack or a stroke, and if that didn't happen I would be at increased risk for Alzheimer's. When I started using a CPAP machine, I learned that frequent urination was tied to sleep apnea. I have googled sleep apnea a dozens times and never saw this on the list of symptoms. The clinician explained that that was one of the symptoms that they don't put on the list. WTF? How many lives has that cost? I started doing sleep apnea exercises online and another thing was immediately apparent. I have a really narrow airway, much narrower than the guy leading the exercises. So I would suggest after someone has an unexplained heart attack, that the doctors have a look down their throat. Or maybe just routinely refer heart attack survivors for sleep apnea tests.
There is absolutely no excuse for the way you were treated; those employees should be fired. Sadly, many sleep doctors are quacks. I actually knew more about sleep apnea than my first doctor. I finally found one that put me on an oral device (mouth piece) which is clearly the superior solution, much better than CPAP. If you have problems with your CPAP please try it.
@@e-man2081 Thanks. I'm doing okay with the CPAP, but that's good to know. You really do have to be your own advocate, because most doctors are too busy to follow up even if it's a life-threatening situation.
Update. I finally got to see a specialist after a long wait, much reluctance, and a few screw ups at my family doctor's place. The ENT told me that snoring has been "over-pathologized" and that 20 years ago people would have just lived with it. I didn't bother pointing out that I nearly died from it because for sure it was a factor in the widow maker heart attack I had suffered a few years earlier. Maybe he didn't read the information sheet I had just filled out or maybe he didn't make the connection. Either way, he didn't seem to care. He wouldn't let me get a word in edgewise, and even if I had, he didn't strike me as the sort who listened to patients. So the message is, you have to be your own advocate, because if you do die, your doctors will just shrug on the way to the golf course.
Based on my experience, this simple tip works. Finish dinner 2-3 hrs before bed & eat 10g butter 30 mins before bed time. Suppose u go to sleep at 10 pm: 1. Finish dinner by 7 pm, 2. Don't take any food or fluids after that. 3. @ 9.30 pm eat 10g or 20g butter. Eat it directly taken from refrigerator [no need to add any milk or any liquid] 4. Don’t take any food or fluids after that. You will get uninterpreted sleep and u don't need wake up for pee in middle of night.
@@Flugs0If you have apnea, it causes negative pressure in the thorax. That causes the heart to release ANP (atrial natriuretic peptide) which tells the kidneys to make urine. It doesn't have anything to do with the amount of water you drink.
I’ve been an insomniac since infancy but when I was 65 I was diagnosed with moderate sleep apnoea and given a CPAP machine, on which I developed panic attacks. Everything you said makes sense except that end up wide awake all night after only 2 hours of sleep. I would have thought that after using the bathroom I would fall asleep very quickly due to tiredness. Instead my brain goes into overdrive and I can’t fall asleep till about 6am and then I can sleep deeply for 4 to 5 hours and wake up refreshed. I’ve tried breathing exercises and meditating or putting on some quiet music but they don’t help me to fall asleep. Sometimes listening to an audiobook or podcast helps.
We found most insomniacs could not tolerate CPAP well. Instead, as mentioned in the video we prescribed advanced PAP devices like auto-bilevel (ABPAP) or adaptive servo-ventilation (ASV). We also published a paper on this topic in The Lancet journal in 2019, describing how and why ASV is better than CPAP for insomniacs.
I don't know if this will be helpful or not but I have the same issue. About 6:00 a.m. I can sleep 5 to 7 hours and wake up somewhat refreshed, but I can't sleep at night. I've had my cortisol levels tested and mine peaks at night when it's supposed to peak in the morning. Dr Eric Berg has a lot of good information about high cortisol and sleep issues. Not sure if this is your issue but hope it helps.
Yes breathing , but diet mostly what works for me from experience Active in the day , no coffee just tea , Best is to eat heavier in the afternoon and super light in the evenings like soup or salad , no salty or sugary foods , no lemon no alcohol no dairy clogs your noes and no nicotine and steak to close to bed time , and turn off your computer a good hour before bed Pets will keep you up but they are worth it !! Actually my cats sleep pretty good through the night .. clean sheets and stretchy Jammie’s with socks , noes strips help too and a chilly room at night 64 .F is ideal ear plugs and a dark room A little magnesium citrate here and there before bed Work real good too and helps get rid of panic attacks
My son and my sister have got a c-Pac device and the difference was almost simultaneous, they take it on holiday or if they stay overnight anywhere, for them it is the holy grail !
I have an APAP and an NTI for my TMJD and I'm still having insomnia. I also have fibromyalgia which has insomnia as a major symptom. I still have chronic insomnia. I wake up from pain. I have trouble falling asleep from a busy mind and pain. I have chronic stress from a lack of help & constant pain. Everything he said is great but just not enough for me. :(
I’m not a drug advocate but you might ask your doc for 50 to 100 mg of Pregabalin. It’ll help you sleeep and shut down the pain receptors in your brain. Just be careful because it’s a controlled substance docs hand out like candy and it’s addictive (because it makes you feel so good and rested, less anxious). Hope this helps !
The longest time I sleep is two hours. I have memories of me climbing out of the window at our farm in Zimbabwe peeing in the bushes and playing until the sun came out. I am now fifty seven and still only sleep two hours at a time. Maybe hecause its because I think I am mad from abuse anxiety depression . I walk one hour everyday. I work hard and By two pm I am done. I am sober now one year and one day. I read work hard to cope I still can't sleep. If I could shut off my mind I would be in bliss. Probably why I drank. If I continue this way I will die from lack of sleep. I used to cry at night when I was five. My mom would rush in and heat me. When I told her it was the noise of the mombies(cows) she told me it was the guilt of sleeping with her husband. 😔🇿🇦
I believe supplementing with progesterone helps since it works on the gaba receptors. Progesterone is a hormone that lowers with age usually starting at 35
The problem with sleep study is that it takes place at the hospital where you're not comfortable enough and you're wired with all those sensors. It's hard for an insomniac to fall asleep altogether
I recommand to stay properly hydrated and avoid drinking milk too, at least right before sleep! Also brushing teeth before going to bed helps me because I feel my mood is getting better when not irritating my self over bad taste in my mouth, etc. But of the most important thing is to solve issues around guilt and anxiety, or other mental and physical issues... :) Going for a long walk in fresh air right before bed time can also often help a lot. Be sure to use the correct noise spray and in correct doses as some nosesprays can make your breathing problems a lot worse then before. Alternatively you could try a neti-pot with slightly salted water to help you breath better.
I make several trips to the bathroom and I wake up at night, but: I actually enjoy the time I am awake at night. I wake up every night at 2.30 or three and go to sleep two hours later. it's been like that for 30 years now. During my day I am not tired but okay, feel not so efficient. But the fact that I enjoy those moments (the only moments where my house is silent, fresh, kid and wife are asleep) makes me happy to have this "disorder".
Very informative. I had three minor accidents from falling asleep at the wheel; the last one resulted in me being unable to return to work again. I've tried both CPAP and BiPAP but neither helped, unfortunately. The oral appliance is not covered by insurance. I have bipolar disorder type II, anxiety, PTSD, and panic attacks. It would be great to be able to sleep well at night.
FYI--Look at your local drugstore. There is a plastic device like this that you can get and boil in water and mold onto your own to your bite. It is also used for people that grind their teeth at night. Maybe it could help you sleep better! Best of luck to you!
@@Woof728 How about if you get a Happy Light by Verilux. I have been using mine and I am getting a full night’s sleep now. Please keep trying to work on good, sound sleep because it’s important for health. Look into the Happy Light. It is scientifically proven to help brighten mood & to enhance or creat good sleep. FYI-I have a narrow palate as well. Take care~~
I see a lot of comments about this Ted talk being an infomercial and I don't understand why. He's not talking about brands, he's telling you the solutions for this problem. I was skeptical myself about this issue (not feeling well after years of not getting a good sleep) until I did a sleep test that showed a sleep apnea problem (stop breathing for 25 times every hour). Now I have to buy the Cpap mask. That's the only good solution....accept it or not.
I understand what an infomercial is....and if you have ever watched Ted talks you would understand this is done differently, more like an infomercial and less like a Ted talk. There is no audience.
@@treacherousviper I'm sorry, there's no point for me to argue any further. I know how a Ted talk is done, this one is with no audience, but it doesn't mean it's not genuine. The subject is real and the guy's not selling anything.
@@mihaitrusca2320 I never said anything as to it not being genuine. ..merely suggesting why it seems like an infomercial. I really don't understand what the big deal is
Many strokes and heart attacks (especially strokes) also happen early in the morning hours before wake up time or during sleep (when blood pressure is at its lowest). Could breathing obstruction during sleep be the cause or contributor for stroke or heart attack and the body's natural defense is awakening to the sudden imminent danger (thus the sudden awakening and subconscious fear of going back to sleep)? And the reverse is also true. Most strokes & HAttacks don't happen when jogging, climbing, biking uphill, etc.... (when the blood pressure is the highest).
Jonathan Ornelas no, this wasn’t a great video. this was a clickbait ad for information that has been around for years. the only thing he should be congratulated for is giving the worst ted talk ever recorded. he left out key information, ignored the reality that a lot of people do not benefit from these sleep therapies, and tried to demonize the medical profession by suggesting they all just prescribe drugs instead of sending their patients to get a sleep study. his building to the simple answer of cpap, bipap or oral devices as a solution to sleep interruption needlessly prolonged this presentation. acting like these types of therapies are uncommon and unknown is either ridiculous, disingenuous, or both. he showed no statistics of how few people are helped with oral devices. there are plenty of people that wake up in the middle of the night while on bipap, with the correct pressures..... there are other aspects to these issues than just airway blockage, which he ignores. for every person helped by nasal strips, 99 people find no relief. raise your bar of what constitutes excellence, jonathan. you may not sleep better, but your view of what is great will become more genuine.
Pelotasdad, I couldn't have said it any better. You're absolutely eloquent, and spot-on. In the very last frame, you can see that the company sponsored this.
Mary Sanchez thanks mary. i have been on this nightmare roller coaster for over 20 years, and have seen too much..... and still wake up more tired than when i went to sleep at night.
One of the biggest killers of sleep is ..... C A F F I E N E ..... you know you like your caffeine, and you know you can’t go without it. Try going a couple of days without it and notice how much you’re going want to sleep
So all of this is true for me, but now I have the apap machine and I was still waking up. I had to reduce caffeine intake and unload some work stress to stay asleep
I am grateful for Dr. Krakow. The new Bi-Pap is a lifesaver. I've preached to so many people to importance of getting a sleep evaluation. Many health plans cover it plus it's worth it. Thank you for your talk and getting the word out on this often overlooked and easily curable solutions. Coach Todd
Thank you . My ex BF I've been Friends for years, had been diagnosed years ago with sleep apnea . We smoked camabis for so long & ,because this video , made me realize I may have it as well. I got all the symptoms but what made me realize there was a problem is now my lungs feel like they are slightly burning as well. Feels as if my lungs were struggling to get air. The a started praying at night for I thought that maybe demons were torchering my lungs squeezing my lungs and attacking them with darts and he'll 🔥 fire . I then researched and came across this video . Again thanks . 😁
I am all of the above! Too many things to do. And doctors/dentists are either vague or unknowledgeable about prescribing solutions. Where can I specifically go to get help. I also have jaw pain.
1. Last meal no later than 6. 2. Don’t drink alcohol. 3. No coffee or tea after 4 o’clock. 4. Lose weight. 5. Exercise. 6. Firm mattress, not too soft. 7. Fresh air and not too hot. 8. No screens after 8. 9. Leave your mobile outside the bedroom. Use a ordinary wake up clock 10. Use earplugs if needed 11. Don’t drink a lot of water at night before bedtime. 12. Don’t start heavy discussions or tackle problems in bed. 13. Go to bed early and read a book. 14 Stick to your routines. If non of this helps there are something in your life that is causing stress. Need for change. Job, partner, house, ... ?
I had sleep apnea and later was tested again, this time negative, for it. However I now get only 5 hours of straight sleep ( no wake ups) per night and I don’t need an alarm clock to wake me up. I wake up at the same time each morning like a bird or squirrel. Even with the little amount of sleep I get each night I get no headache and I am not tired any time during the day. I still am concerned at the fact that I don’t get at least 6 hours per night.
@@daveicc495 Man I sleep everytime at 10PM or 9PM now I woke up again this day at maybe 2 AM I didn't checked the time because it might cause me agonizing and worried. Then spent minutes like hours, slept back. then woke up again after dreaming and spent countless minutes felt like hours and finally went up at 3:56 AM and jogged at 6AM
this night i just woke up at 11 PM and for the rest of the night i couldn't sleep, even when I tried so hard, i still couldn't sleep, this was probably one of the worst nights I've ever had especially because i had school that day
I wake up several times at night. I love to wake up. I enjoy the quiet, beautiful night. I love night. If someone asked how I sleep, I would say, "I sleep like a baby." Why do people think they need to sleep all night long without waking up? It isn't necessary.
That's a fair comment. I watched a documentary once that explained that in the old days, people would sleep a few hours, then tend to the animals and go to bed again. The 8 hour sleep is novel in the scheme of things. Sleep cycles are on average 2 hours I believe...
So, have we found why this happens? Why does your breathing change, etc. My sleep started being disrupted when I hit menopause. Now it's intermittent. It's annoying but sometimes I'm surprised at how well I still function on maybe 4 hours sleep. My biggest issue with my sleep is that I can rarely sleep past 6 or 7 hours.
@regine me too! My insomnia coincides with my hot flashes 🥵. Also, my heart rate increases with a hot flash. I can't remember the last time I got a good night's rest.
Yep its been tough for me i've had a lot of these same issues. 25 years ago they did a sleep study and they said i had 125 incident over the night of the study and i asked them how many is normal and they said none. Since then I've used nose strips, melatonin (microdoses, don't use anywhere near those quantities sold, just a few grains from 5 mg, a capsule can last an entire month), body pillow, pillows in certain arrangement every night, and many mind techniques to try to get to sleep, and still haven't mastered it. The best technique i use today is a body pillow, and two pillows for my head, one is a memory foam one, so the main technique is a) get as comfortable before sleep as you can, its key to build the most comfy environment possible with pillows, sheets, bed cover etc., (I keep the two pillows stacked, not any an angle, just flat, and often at a 45 degree angle to normal in case head falls when sleeping, and i most often sleep on the right side) and b) don't try to to go to sleep, never try to make yourself fall asleep, not at first nor if you wake up.
If you have such bad sleep apnea I wonder why they didn't put you on a CPAP machine? It forces your airways open so you can breath. I slept a couple of hours during the night but it was a restless sleep. I was a wreck during the day and finally got to a point where I couldn't function and had to quit a job that I loved. After diagnosis and using a CPAP machine it changed my life! It's like night and day! Go to a pulmonologist and discuss getting tested again! Sounds like you really need a CPAP! You're at high risk for a stroke or heat attack if your body isn't getting enough oxygen! Good luck!
Anyone also consider BPH (Benign Prostate Hypertrophy) in men!? That will also cause incomplete voiding of bladder which leads to FREQUENT trips to the bathroom, day AND night!😮😢
I agree with Tony Ofarrells post. The problem is breathing through your mouth instead of your nose. I attended a Buteyco workshop 30 years ago. The Buteyko technique (designed primarily for Asthmatics) teaches nose breathing and pausing after exhalation - also taping your mouth at bedtime. - Best wishes
I have a deviated septum and allergies, had my enlarged tonsils removed. So my nose often completely stops up multiple time at night, unless I'm adequately hydrated.
I’ve been taping for years and the other night I thought I really didn’t need it. I woke up several times with my mouth so dry I was choking so back on the taping!
CPAP is very expensive and many cannot afford it as not everyone has insurance. Government assistance is also restrictive. What about menopause? Declining hormones really affect sleep in women, and, although OSA does increase in this age cohort, it's not always OSA that keeps menopausal women awake.
I wake up several times during the night and make trips to the bathroom I don't wake up tired and I'm very active during the day if I do get tired I take a break and watch Ted Talks but I'm Seventy-Six years old.... I read somewhere that waking up every 2 or 3 hours is very normal in fact when I discovered this fact I was amazed that more people did know about it it was an interview conducted by an anthropologist with a tribe in the Brazil jungle and they were asked about their sleeping habits in the answer was if they woke up every couple of hours because living in the jungle is very dangerous and you must wake up every 2 hours to make sure that you're all safe so once I stop fretting about waking up every couple of hours and realize that it is probably very normal for human beings I now get up go to the bathroom if I have to go back to bed and normally fall right back to sleep or I'll have to read for a few minutes long as I don't wake up tired I know that I've had enough sleep
I too am 76 and recently came across the same information about waking several times in the night. As a result I accept it as normal and go right back to sleep rather than getting concerned. Thanks for your confirmation. God bless.
I'LL BE 80 IN JULY, I HAVE NO IDEA HOW I GOT SO OLD SO FAST!! I, TOO, HAVE SLEEPING PROBLEMS, TRIPS TO THE BATHROOM. I DON'T GET TOO BOTHERED BY IT, BECAUSE, I FIGURE I'M RETIRED SO CAN NAP ANYTIME!! MY 62 YEAR OLD DAUGHTER IS GOING THROUGH THIS, SHE IS THE TYPE WHO ALWAYS WANTS TO "FIX," THINGS RIGHT NOW, (EVEN ME!!)!! MY BELIEF IS, SHE IS SO FRANTIC, SHE AND HER "FIXES," MAKE HER HYPER, SHE IS NOW TRYING TCP GUMMIES, I'LL HAVE TO WAIT TILL TOMORROW TO FIND OUT IF THEY WORKED!! I DO HAVE APNEA, BUT THE CPAP WAS ON THE FLOOR EVERY MORNING AND I HATED IT!! I DECIDED IF I HAVE TO DIE, I'LL DIE IN MY SLEEP!! I FIGURE MY SLEEP PATTERN IS ALMOST 80, I'M OLD, MY CAR IS OLD AND MY HOUSE IS 70!! I APPLAUD YOU FOR YOUR CHANGE OF THOUGHT, BECAUSE THAT IS WHERE EVERYTHING STARTS!! MY MOTTO IS, IF YOU CANNOT CHANGE A SITUATION, CHANGE YOUR ATTITUDE TOWARDS IT!! I HATE WRINKLES, I HAVE A BEAUTIFUL WHITE MATELAISE BEDSPREAD WITH A DOUBLE FLOWING SKIRT, COTTON!! I STEAMED IT THE FIRST TIME, ONE HOUR, NEXT TIME I IRONED IT, OVER AN HOUR, NOW I JUST LOVE WRINKLES!!! HAVE A GREAT LIFE!!
6:30 why you wake up?
6:55 hundreds of mini awakenings
7:05 90% of awakenings caused by breathing obstructions
10:45 sleep apnea makes you pee more.
11:00 3 levels. nasal breathing. nasal strips, oral appliance, CPAP
13:00 summarizedazations.
THANK U these talks waste so much time
I hope you go to heaven. Thank you so much
tqtq
thank you for your summarizes
good job for us who are not good in english
I've seen so many good Ted talks over the years and watching this today feels like defining moment in my life! This was me!! Dr. Krakow and his team seem to have cracked the code that has kept me awake for many years. Thank you for validating my experience 100%!
The issues with insomnia started in my 40s. It was also a time when work was really busy, life was hectic and stressful. Being a woman in her 40s at the time, the medical establishment implied that this was just a pattern of life and some people get stuck with it! It was very easy to get prescriptions for insomnia pills and for them to recommend I try other "lifestyle" approaches but none of it really fixed anything.
Fast forward a few years and people start to complain about my snoring. After years, I eventually had a sleep assessment. Many people don't think that small framed or recommended weight people get apnea but we are 70+% of people with apnea.
After a diagnosis of mild apnea, the specialist said a dental device could probably work well for me. My insurance company patently refused to allow one unless I failed 90 days of CPAP. The dental device without insurance was well over $2k; it was not something one would readily pay for out of pocket.
The problem with a CPAP trial is my claustrophobia with things on or around my face. I tried multiple ways of expressing this to my insurance co. Their response was no, you would need to fail at CPAP which just sounded horrific to attempt. I already couldn't sleep at night so the suggestion to add the trauma of claustrophobic to the mix was a non-starter.
Little by little, through my own research and persistence, I've adopted many of the practices Dr. Krakow talks about in his talk! I have a pretty decent dental retainer but not an actual apnea device. This science makes me want to push again on getting access to a sleep dentist. It helped to realize there actually is a physical component to all this and a greater root cause beyond it's just "life and anxiety." Thank you Dr. Krakow!
It’s been a year, how are you doing? I’m a skinny 39-year-old man, and I feel like we’re in very similar situations except that (1) my sleep apnea was already wrecking my life by my late 20s, and (2) I’ve only ever had light snoring at most; people don’t complain about it. Did you ever end up trying CPAP or getting an oral appliance?
This needs to posted EVERYWHERE!!! The physcians have GOT to start recognizing this. We as dental professionals are screening and helping as many as we can! WE just need more awareness!
how does a Dentist screen for this? how would they even know to do so?
@@yorkiem0m We stare at airways and mouths all day long and usually at least twice a year. In that time we look for anatomical contributions, large tongue, constricted arches, scalloped tongues, battered uvualas, acid erosion, bruxing, clenching, etc. We now know that clenching and grinding is the way that the body opens the airway to breath. We can help educate and then get them to a sleep study. And finally we bill medical insurance (not dental) to make an oral appliance for obstructive sleep apnea. It fits the top and bottom teeth and postures the jaw forward to keep the airway open. and it scientifically works!
@@postfallsfamilydental oh wow, ok, didn't realize that, thanks!
@@postfallsfamilydental I was told when I was little I would grind my teeth while sleeping
@@danaparsons1990 you probably had sleep issues as a kid and could still. did you get your tonsils out when you were an older child? 9 or 10? or not at all?
I had suffered with insomnia for 5-7 years after menopause. I’d tried & tested everything and then, I found this video. I’d never really snored so I couldn’t believe I needed a CPAP. However, I was desperate and willing to try it. After 2 weeks of getting used to it, I am now getting the best, restful sleep in over a decade. Thanks for sharing your data and experiences.
what is CPAP?
Did u try mouth tape?
Excellent talk. Most patients should spend their time listening to his talk than 'doctor shopping'.
Krakow nails it!!!! He described me 100%
Wow! This is revealing. Thank you so much for clarifying the cause for insomnia. I never understood it until now. Discovering abnormal breathing as a main cause for insomnia is truly 'breath-taking'!
Well said.
Oh screw me!!
Consider acupuncture to clear nasal passages...it was amazing
I searched why I wakes up at night and going to the bathroom more than 2 times in between my sleep and it's 1:49 and found this. Thanks a lot it helps
I started doing this three years ago, started dreaming for the first time in 25 years, it immediately and completely changed my quality of life. Bought the rubber gadget for $4.00 on Amazon. I use it with nasal strips. The worse part is that I had the gadget laying in my night table for seven years before using it. I blame it on sleep deprivation lol
Hi can you tell me which ruber gadget you are refering to?
What gadget are you referring to?
Are... Are you using the nasal mask without the CPAP machine?? Because it works a whole lot better when it's attached to the machine it's made for.
yes please tell us about the rubber gadget.
Would you be so kind and respond to where you got it and exactly what rubber gadget you are referring to. And which nasal strips also. There are so many on the market. As you can see so many people are desperate for sleep. Thank you.
I have suffered for insomnia for decades. I went to a sleep lab and was told I have mild snoring. They didn’t give me a CPAP machine. Now, I am glad they didn’t. I am going to try the: nasal spray, nasal strips, and mouth guard. I am so excited to try this.
I am thinking about trying this too. How are you feeling now? The dental guard needs to be prescribed by a doctor or dentist?
Anyone claiming this is an infomercial did not have the patience to watch the whole talk. It's about sleep apnea and it's contribution to chronic insomnia.
Yep, my hubby has both. Was always making mistakes at work, snoring and waking up & constantly tired. His treatment has allowed him to sleep a lot better these days.
UARS actually
I was a patient of this doctor in ABQ, NM, and he is a dedicated and excellent doctor. Unfortunately he sold his practice and retired last year.
I never before hugged a doctor after a first visit but I did hug him, because I felt that he was genuinely committed to helping me. I now wear a Cpap and it really helps. I am 74, female, healthy, and not overweight, not the typical patient.
It shouldn’t take patience. The speaker should prioritize conveying the information as directly and succinctly as possible. This guy’s all over the place.
@@Adam-bq2vw u r right .We need to learn from his mistake
I experienced frequent urination at night, exhaustion during the day, lack of concentration ( I was unable to read an article let alone a book) no patience, depression, difficulty falling asleep and staying asleep (averaged about 3-5 restless hours a night,) and a memory that was so bad I would sometimes forget to turn off the ignition on my car when arriving at my destination! I also began using a microwave rather than my gas stove because on a couple of occasions, I forgot to turn if off. Much to my regret, I could no longer function at my job so I retired 3 years earlier than planned. At myPulmonologist's office (I have asthma) I asked the PA if I could have sleep apnea to which she replied that it was possible and sent me to get tested. Not only did I have it, I had a severe case, the third worst my doctor had seen in his career. Much to my surprise, he said that I probably had it for a long time and it was fortunate that it was discovered because I was at high risk for a heart attack or stroke (my blood pressure had become high even though it had always been low). It affects so many systems of the body which explained some other symptoms I had during the last couple of years. I was fitted with a CPAP machine to which I adapted very easily and it changed my life! Though I feel much better after a couple of months ( I use it religiously every night!) I don't feel 100% well yet. We all heal at different rates I was told. For some it could take only a couple of months and others a year or more. At least I'm on the way.
Study a bit on Keto. Low carb, no sugar, and intermittent fasting. I did this lost 40 lbs and slept great. I quit when I went on tour, put weight back on, and feel exhausted. I'm gonna lose the weight again, but heading to pharmacy now to get that mouth piece and nasal strips. Look up Dr. Sten Ekberg on RUclips. Keto, no sugar, low carbs, insulin resistance and I.F. has changed peoples lives. Read the comments.. All the best to you.
This is amazing! I have had a BIPAP machine for about a year. I had a hard time getting used to using it. A friend suggested I try the "nasal pillow" rather than the full face mask. I went from having 8-11 "events" a night to .8 to 2 events per night! I don't know how they decided not to give me CPAP, but I am so glad they did it. These machines are so expensive, that the wrong machine would have been a huge problem.
I was diagnosed with severe case of sleep apnea last year. I was given a choice about which mask to use. Just the thought of using a full mask really turned me off so I use a nasal pillow and I'm doing fine on that! Been using a CPAP machine for almost a year now and will have to continue with it for the rest of my life. Better than the alternative though!
My sleep deprivation lasted for about 5 months. I thought I was going to go crazy or die. It started with my plantar bothering me. I took anti-inflammatory drugs which woke me up due to the dry mouth is produced. I took more drugs to counteract the symptoms and it led me in a downward spiral of tapering, switching drugs, withdrawal symptoms, etc. It wasn't until I became drug-free that my sleep came back to normal levels.
Hi. Try intermittent fasting 16:8 with healthy keto low carb diet. High insulin levels cause inflammation. You could be having inflammation due to your diet. Watch videos on intermittent fasting to get you more healthy. Dr Berg, Dr Jason Fung, Dr Mindy Pelz and Dr Jamnadas all recommend fasting for health benefits. It’s as easy as don’t snack after dinner and push next meal to lunch time to get your 16 hrs fasting window. Try it. Nothing to buy; it’s free.
Guys i hardly sleep, go sleep round 11pm , wake up about 10times , then go to work at 530am. Plus i walk more than 5miles a day and go to the gym 4x. Crazy thing is , i dont feel tired at all. But i wish i could get 4hrs of solid sleep. 😊
I am extremely grateful for this man, and his knowledge. Once I was able to get a better handle on my Sleep Apnea, my quality of life changed drastically for the better. Thank you, Dr. K!
U R over looking the cleaning of a CPAP which I hear is difficult for many people to keep the hoses clean & safe to breathe with.
I am going to try to do another sleep study with a home test. Thanks for this Ted Talk!
I just had an apneic episode the same night after watching the video and woke up with a racing heart. Thank you!
I was suffering from early morning insomnia. I fell asleep quite fast after laying on bed but i used to wake up after 4hrs of sleep with an alert brain (much like an adrenaline rush) and spend the whole day tired. Then i researched a lot and got to know it was due neurohormonal disbalance . I visited a homeopath doc and he gave me some meds which fixed the issue. If you're young healthy and suddenly started suffering from this type of insomnia chances are high it's due neurohormone disbalance.
What did they give you?
@@denisesorenson4000 i was first treated with silica and on later visit i was given leuticum....don't try these meds without consulting a doc cuz your issue might be different than mine
What caused your neurohormonal disbalance? I feel like i'm in a similar situation as you were.
@@TheMonneydollar it appeared out of nowhere....i was physically and mentally healthy without any problems....and one thing I noticed it always occured when the season changed.....it's been a year after the treatment and I'm doing quite fine now ..i can go to bed whenever i wish and still wake up after 8hrs of resting sleep
Did you have a specific test for this?
This exactly describe the problem I suffered for a few years !! Thank you so much !! I am going to see sleep doctor immediately !
My sleep doctors were only interested in money. When they realized I did not fit into their scheme of renting out machines for apnea, they told me there was nothing to be done. That's in Japan, though, and they may not all be so mercenary.
@@nicfarrow I have always wondered if sleep doctors overprescribed cpap machines for patients and if there were other equally effective solutions to insomnia.
@@nicfarrow No insurance?
@@cooldude5699 Pulmonologists are the doctors that deal with sleep disorders including sleep apnea. They'll have you do a monitor at home (that's where I did it) or in a lab. Don't know what you mean by overprescribing. Either you're breathing and getting enough oxygen while you sleep or you're not due to some sort of blockage in which case a CPAP machine will force your airway open so that you're getting oxygenated.
@@nicfarrow Don't have insurance to cover it?
That’s brilliant, thanks a million. I have been suffering with insomnia for more than 30 years, I can go for 3 days with no sleep at all and when I sleep it’s broken and I’m luck if I get three hours, I don’t take any sleeping tablets, they don’t work for me anyway, and I can’t sleep day time either , nightmare!!!!, I do have a chromic lungs condition , probably something to do with it.
Please read the book " Relax and Win" by Bud Winter
Love my night guard that my dentist had made for me. Never worry about clenching jaws or damaging teeth again. I sleep better with it. Short bed-time yoga routine, visualization exercise, + Resperate machine (bought one used) also helps. No drugs needed. PS Quitting my job has also been wonderful for peaceful sleep. Hang in there until the day you get there, All. 🙂
What kind of night guard did your dentist make for you?
@@lourdesraupe3824 It's a clear acrylic form that fits over the top half of my teeth. Not aware of any brand but an impression was made of both top and bottom sets of my teeth and sent to a lab. It's expensive though. I used the first one I had for 20 years.
@@djw8888 Thank you. I’ll give this information to my dentist and I’ll start there. I am unable to use the cpap machine and desperately looking for an alternative.
But this doesn't answer why people have sleep apnea. It's often due to internal inflammation. I had bad sleep apnea. When I drastically reduced my carb intake over several months by sleep apnea disappeared as I no longer had chronic internal inflammation that causes my airways to collapse at night. Lost a bunch of weight too. Best thing I ever did. No drugs, no apparatus.
I think you are right. Some time ago I lost 40 lbs on Keto/low carb, I started sleeping all thru night, no urination. Went off keto, put all weight back, now I wake up at nite to urinate, wake up 2 to 3 times.
I'm back on Keto/No sugar/Low carbs. lost 10 going for the rest. I have never been so exhausted as I feel now. I think this sleep apnea is the cause.
Yes, I began Intermittent Fasting, lost 20 lbs.and sleep better too.
I have severe sleep apnea n so do my kids but after recent trauma n the passing of my mom granbaby etc I also gained so much weight n now it's so bad no sleep or always weak etc I pray I can get better
What did you do to lose weight? Is it sustainable?
@@Christ_Is_Life10-10 low carb, then keto, now ketovore. With time restricted eating. Absolutely sustainable for me.
Yes and some of us with apnea are now burdened with faulty CPAP machines made by Philips, which can cause problems because of bad design, using a foam to keep the machine relatively silent, which breaks down and can be inhaled by the user. Lawsuit(s) ensue. Philips is glacially slow in replacing the faulty machines.
Thank you so much for shearing y your knowledge to everyone. I think that you just have resolved my several awakenings and the trips to the bathroom, every night. Bless you
My friend had insomnia for 20 years. She began a chiropractic regimen and sleeps soundly. We can’t gab late anymore because she sleeps now. Sp many reasons for insomnia
There are other doctors who prescribe surgery in throat area. CPAP. Mouth guard. Mouth taping. Side sleeping. Nasal strips. Pills.
Sleep for humans became an issue once we introduced modern progress and light. We humans are continuing to evolve ourselves. We will encounter individual and collective challenges to our overall health in the present as we try to adapt to expectations.
Great explanation, thank you
I failed the C-pap study. My sleep apnea was greatly improved with NightlLace/Fotona laser treatment on my throat. It made a 70% difference and I finally found GABA supplementation with L-theanine and L-tryptophan for a complete cure. I'm filled with gratitude. I believe that the addition of high intensity interval training also added to my success.
What has helped me is sleeping on an incline. I did notice for the first time in 30 years i didnt wake up in the middle of the night ( usually 3;00 am) to pee. That had become routine for me.
It’s 4.29. I feel so aware of how tiny my nostrils feel now, I might not fall asleep again. Will go to the farmacy as soon as they open for nasal spray and strips. God, I hope this is the big discovery that will change my life. 🙏🙏🙏
Get 1/2 hour of sun to your face/eyes every morning early. Solved my 3 am wake-up problem entirely.
As a Muslim I pray obligatory prayer before I sleep, always works..also I begin my day with dawn prayer which can be perform up untill sunrise..🙏🏼🙏🏼🙏🏼
i was really struggling last night then prayed to God for help with my sleep and this video was randomly on my recommendations in the morning. than God because i have not slept properly in years and years
I had insomnia from 30-44. I would sleep the first 2.5-3.5 hrs then wake. Staying awake then 1.5-3.5 hrs most often and go back to sleep until I had to wake for work...My fix came very inadvertently. I should mention I tried tons of things to cure this middle of the night awakening yet rare was the night I would sleep straight through. Possible 1or 2 times a year and even less some years.
My fix came after a car accident that put me at a special place that was outside normal hospitals and such. Here , the NP was quite young and eager to help my concussion. To " calm" the brain down from the trauma of the car accident she prescribed me amytriptaline. I went home to research it and found it was used on death row for those psychotic types. I refused taking it bc of this but after discussions with the NP at the next appointment she reassured me at that medical facility they used it for post concussion people. I believed her. I started then cutting the 5 MG. pill in half and taking about 2.5 MG. That kept me sleeping straight through the night. They did need to increase the dosage from time to time but that's all I needed. .I felt like I lived in a fog those 14 years. Literally like I was sleeping bc when I could go straight through all night?, I felt like a completely different person.
Watching this at 3am 🥺
I wish you the best for sleep
Thank you for telling me why I have life long suffered from waking up going to the bathroom and not being able to fall asleep again. Sometimes I have paid a visit to the bathroom up to 6 times at night which makes me very thirsty so I also drink a lot water at night.
It often takes me hours to wake up in the morning.
I will now go to the pharmacy and get some of those nostril expanding plasters, and see if they help me. Thanks again.
I put a pinch of Real Salt -( brand) or Pink Himalayan Salt
In my water. It helps to hydrate better and I’m not quickly peeing out my minerals.
Thank you SO much for this talk. My mom is in the 70+ club and hates to find out what ails her, mostly due to fear of treatment.
This vid is Perfect to make these types watch so they can deal with this serious issue. Very sensical and urgent messaging, well said sir :).
I'll sleep better at night knowing she is breathing.
I have never heard insomnia and nocturia are related. Looking forward to speaking with my urologist next week.
Thanks so much for this. I was told for decades that I couldn't sleep because of anxiety. I knew this wasn't true, but I didn't know how to fix my problem. I went for a sleep study, but I wasn't diagnosed because I couldn't fall asleep. The clinicians got angry with me for wasting their time and the study was not rescheduled. I tried again after I had a heart attack. This time the doctor refused to refer me for a test and had me cancel the appointment I made with a sleep clinic. Again, no follow up. I found someone else and insisted that I have another study. I have severe sleep apnea and stop breathing 65 times per hour. I could easily have had another heart attack or a stroke, and if that didn't happen I would be at increased risk for Alzheimer's. When I started using a CPAP machine, I learned that frequent urination was tied to sleep apnea. I have googled sleep apnea a dozens times and never saw this on the list of symptoms. The clinician explained that that was one of the symptoms that they don't put on the list. WTF? How many lives has that cost? I started doing sleep apnea exercises online and another thing was immediately apparent. I have a really narrow airway, much narrower than the guy leading the exercises. So I would suggest after someone has an unexplained heart attack, that the doctors have a look down their throat. Or maybe just routinely refer heart attack survivors for sleep apnea tests.
There is absolutely no excuse for the way you were treated; those employees should be fired. Sadly, many sleep doctors are quacks. I actually knew more about sleep apnea than my first doctor. I finally found one that put me on an oral device (mouth piece) which is clearly the superior solution, much better than CPAP. If you have problems with your CPAP please try it.
@@e-man2081 Thanks. I'm doing okay with the CPAP, but that's good to know. You really do have to be your own advocate, because most doctors are too busy to follow up even if it's a life-threatening situation.
Update. I finally got to see a specialist after a long wait, much reluctance, and a few screw ups at my family doctor's place. The ENT told me that snoring has been "over-pathologized" and that 20 years ago people would have just lived with it. I didn't bother pointing out that I nearly died from it because for sure it was a factor in the widow maker heart attack I had suffered a few years earlier. Maybe he didn't read the information sheet I had just filled out or maybe he didn't make the connection. Either way, he didn't seem to care. He wouldn't let me get a word in edgewise, and even if I had, he didn't strike me as the sort who listened to patients. So the message is, you have to be your own advocate, because if you do die, your doctors will just shrug on the way to the golf course.
Based on my experience, this simple tip works. Finish dinner 2-3 hrs before bed & eat 10g butter 30 mins before bed time.
Suppose u go to sleep at 10 pm:
1. Finish dinner by 7 pm,
2. Don't take any food or fluids after that.
3. @ 9.30 pm eat 10g or 20g butter. Eat it directly taken from refrigerator [no need to add any milk or any liquid]
4. Don’t take any food or fluids after that.
You will get uninterpreted sleep and u don't need wake up for pee in middle of night.
i still need to pee even if i stop drinking hours before falling asleep. at least i think it's the urge to pee that's causing me to wake up.
@@Flugs0If you have apnea, it causes negative pressure in the thorax. That causes the heart to release ANP (atrial natriuretic peptide) which tells the kidneys to make urine. It doesn't have anything to do with the amount of water you drink.
I’ve been an insomniac since infancy but when I was 65 I was diagnosed with moderate sleep apnoea and given a CPAP machine, on which I developed panic attacks. Everything you said makes sense except that end up wide awake all night after only 2 hours of sleep. I would have thought that after using the bathroom I would fall asleep very quickly due to tiredness. Instead my brain goes into overdrive and I can’t fall asleep till about 6am and then I can sleep deeply for 4 to 5 hours and wake up refreshed. I’ve tried breathing exercises and meditating or putting on some quiet music but they don’t help me to fall asleep. Sometimes listening to an audiobook or podcast helps.
We found most insomniacs could not tolerate CPAP well. Instead, as mentioned in the video we prescribed advanced PAP devices like auto-bilevel (ABPAP) or adaptive servo-ventilation (ASV). We also published a paper on this topic in The Lancet journal in 2019, describing how and why ASV is better than CPAP for insomniacs.
did you try CBT-I ?
I listen to powerful mind movement or Marissa peer as well as Bible studies on healing
I don't know if this will be helpful or not but I have the same issue. About 6:00 a.m. I can sleep 5 to 7 hours and wake up somewhat refreshed, but I can't sleep at night. I've had my cortisol levels tested and mine peaks at night when it's supposed to peak in the morning. Dr Eric Berg has a lot of good information about high cortisol and sleep issues. Not sure if this is your issue but hope it helps.
Audiobooks and uoutube
Thank you for some great advice & the insight into a frustrating problem
Yes breathing , but diet mostly
what works for me from experience
Active in the day , no coffee just tea ,
Best is to eat heavier in the afternoon and super light in the evenings like soup or salad , no salty or sugary foods , no lemon no alcohol no dairy clogs your noes and no nicotine and steak to close to bed time , and turn off your computer a good hour before bed
Pets will keep you up but they are worth it !! Actually my cats sleep pretty good through the night .. clean sheets and stretchy Jammie’s with socks , noes strips help too and a chilly room at night 64 .F is ideal ear plugs and a dark room
A little magnesium citrate here and there before bed Work real good too and helps get rid of panic attacks
My son and my sister have got a c-Pac device and the difference was almost simultaneous, they take it on holiday or if they stay overnight anywhere, for them it is the holy grail !
I have an APAP and an NTI for my TMJD and I'm still having insomnia. I also have fibromyalgia which has insomnia as a major symptom. I still have chronic insomnia. I wake up from pain. I have trouble falling asleep from a busy mind and pain. I have chronic stress from a lack of help & constant pain. Everything he said is great but just not enough for me. :(
Not a doctor, but I have heard that ivermectin helps on the fibromyalgia
@@louarmstrong6128 Are you sure you have the right medicine? ivermectin is an antiparasite medication.
@@michellestone4657 yes it is antiparisite med but also antiviral, antiinflammatories, and anti cancer
I’m not a drug advocate but you might ask your doc for 50 to 100 mg of Pregabalin. It’ll help you sleeep and shut down the pain receptors in your brain. Just be careful because it’s a controlled substance docs hand out like candy and it’s addictive (because it makes you feel so good and rested, less anxious). Hope this helps !
The longest time I sleep is two hours. I have memories of me climbing out of the window at our farm in Zimbabwe peeing in the bushes and playing until the sun came out. I am now fifty seven and still only sleep two hours at a time. Maybe hecause its because I think I am mad from abuse anxiety depression . I walk one hour everyday. I work hard and By two pm I am done. I am sober now one year and one day. I read work hard to cope
I still can't sleep. If I could shut off my mind I would be in bliss. Probably why I drank. If I continue this way I will die from lack of sleep. I used to cry at night when I was five. My mom would rush in and heat me. When I told her it was the noise of the mombies(cows) she told me it was the guilt of sleeping with her husband. 😔🇿🇦
Thank you, sir
I've had one made by my dentist when my doctor recommended it, it helps so much
The world is still ignoring the common sleep disruption that occurs with menopause.
I know two other sleep apnea specialists in Albuquerque who include menopause in the history they take. I've been to one. Lovely doctor.
I know plenty folks who acknowledge the issue but just offer the same sleep hygiene rubbish
I believe supplementing with progesterone helps since it works on the gaba receptors. Progesterone is a hormone that lowers with age usually starting at 35
What now?
Cassie Oz As much as I understand the menopause problems, do you people have to turn everything to be about women? How self absorbed are you?
You may have just saved my life.
This story illustrates the meaning and significance of "anecdotal evidence."
WOW. Going to look further into this. Thank you.
My sleep are broken if thinking about debts, worry about things may go wrong so is very clear
i thought this was shot this year because there isn't an audience but then i checked the year.
The problem with sleep study is that it takes place at the hospital where you're not comfortable enough and you're wired with all those sensors. It's hard for an insomniac to fall asleep altogether
I recommand to stay properly hydrated and avoid drinking milk too, at least right before sleep! Also brushing teeth before going to bed helps me because I feel my mood is getting better when not irritating my self over bad taste in my mouth, etc. But of the most important thing is to solve issues around guilt and anxiety, or other mental and physical issues... :) Going for a long walk in fresh air right before bed time can also often help a lot. Be sure to use the correct noise spray and in correct doses as some nosesprays can make your breathing problems a lot worse then before.
Alternatively you could try a neti-pot with slightly salted water to help you breath better.
What is a neti pot
There is melotonin in the milk, that's why children are sleeping after the meal:-). I am in my 80 do the same and sleep well.
@@elainereid1386 that is like a small can of water that one can use to rinse the nose with.
I make several trips to the bathroom and I wake up at night, but: I actually enjoy the time I am awake at night. I wake up every night at 2.30 or three and go to sleep two hours later. it's been like that for 30 years now. During my day I am not tired but okay, feel not so efficient. But the fact that I enjoy those moments (the only moments where my house is silent, fresh, kid and wife are asleep) makes me happy to have this "disorder".
Using a dental guard like the one he described definitely improves my sleep quality.
Did you get it from your dentist?
Just any custom made plastic dental guard will do. I have sleep apnea and nocturia
Alex Loh How has the items listed in the video help you?
@@moretta73 Walmart
See my comment above...
Very informative. I had three minor accidents from falling asleep at the wheel; the last one resulted in me being unable to return to work again. I've tried both CPAP and BiPAP but neither helped, unfortunately. The oral appliance is not covered by insurance. I have bipolar disorder type II, anxiety, PTSD, and panic attacks. It would be great to be able to sleep well at night.
Maybe it's an organic problem. Why not try a Naturopath.
FYI--Look at your local drugstore. There is a plastic device like this that you can get and boil in water and mold onto your own to your bite. It is also used for people that grind their teeth at night. Maybe it could help you sleep better! Best of luck to you!
Thanks for the tip but I can't use it. I have a narrow palate and the thought of it turns me off.
@@Woof728 How about if you get a Happy Light by Verilux. I have been using mine and I am getting a full night’s sleep now. Please keep trying to work on good, sound sleep because it’s important for health. Look into the Happy Light. It is scientifically proven to help brighten mood & to enhance or creat good sleep. FYI-I have a narrow palate as well. Take care~~
@@Gigi-z3z I'm using a CPAP machine so don't need anything now. Thanks though.
Needed this
I see a lot of comments about this Ted talk being an infomercial and I don't understand why. He's not talking about brands, he's telling you the solutions for this problem. I was skeptical myself about this issue (not feeling well after years of not getting a good sleep) until I did a sleep test that showed a sleep apnea problem (stop breathing for 25 times every hour). Now I have to buy the Cpap mask. That's the only good solution....accept it or not.
I would guess because it's clearly done without audience is why it seems more like an infomercial
@@treacherousviper An infomercial refers to a brand name. He's talking about a method (CPAP mask) that helps poeple to deal with sleep apnea.
I understand what an infomercial is....and if you have ever watched Ted talks you would understand this is done differently, more like an infomercial and less like a Ted talk. There is no audience.
@@treacherousviper I'm sorry, there's no point for me to argue any further. I know how a Ted talk is done, this one is with no audience, but it doesn't mean it's not genuine. The subject is real and the guy's not selling anything.
@@mihaitrusca2320 I never said anything as to it not being genuine. ..merely suggesting why it seems like an infomercial. I really don't understand what the big deal is
Thank you very much, you are Amazing, i am a user of Resmed , i wake up tired all the time, i Will talk to my Doctor
after a head injury my sys pressure was over 200 ,Wim Hof put me onto proper breathing and in one hour I was down below 120
I wear a mouth guard as I was grinding my teeth, it does help me sleep
Many strokes and heart attacks (especially strokes) also happen early in the morning hours before wake up time or during sleep (when blood pressure is at its lowest). Could breathing obstruction during sleep be the cause or contributor for stroke or heart attack and the body's natural defense is awakening to the sudden imminent danger (thus the sudden awakening and subconscious fear of going back to sleep)? And the reverse is also true. Most strokes & HAttacks don't happen when jogging, climbing, biking uphill, etc.... (when the blood pressure is the highest).
Being a former paramedic, you’re right. Most fatal heart attack deaths and strokes happened in the morning. I often wondered why…?
Thank you
Great video Dr. Krakow. Congrats!
Jonathan Ornelas no, this wasn’t a great video. this was a clickbait ad for information that has been around for years. the only thing he should be congratulated for is giving the worst ted talk ever recorded. he left out key information, ignored the reality that a lot of people do not benefit from these sleep therapies, and tried to demonize the medical profession by suggesting they all just prescribe drugs instead of sending their patients to get a sleep study. his building to the simple answer of cpap, bipap or oral devices as a solution to sleep interruption needlessly prolonged this presentation. acting like these types of therapies are uncommon and unknown is either ridiculous, disingenuous, or both. he showed no statistics of how few people are helped with oral devices. there are plenty of people that wake up in the middle of the night while on bipap, with the correct pressures..... there are other aspects to these issues than just airway blockage, which he ignores. for every person helped by nasal strips, 99 people find no relief. raise your bar of what constitutes excellence, jonathan. you may not sleep better, but your view of what is great will become more genuine.
Pelotasdad, I couldn't have said it any better. You're absolutely eloquent, and spot-on. In the very last frame, you can see that the company sponsored this.
Mary Sanchez thanks mary. i have been on this nightmare roller coaster for over 20 years, and have seen too much..... and still wake up more tired than when i went to sleep at night.
Try wim Hoff breathing technique for deep sleep
One of the biggest killers of sleep is ..... C A F F I E N E ..... you know you like your caffeine, and you know you can’t go without it. Try going a couple of days without it and notice how much you’re going want to sleep
I have never drank coffee neither was allowed . Still i jave insomnia
And green tea... Green tea after 2pm keeps me awake at night.
So all of this is true for me, but now I have the apap machine and I was still waking up. I had to reduce caffeine intake and unload some work stress to stay asleep
Thank you very much, Dr. Krakow.
I am grateful for Dr. Krakow. The new Bi-Pap is a lifesaver. I've preached to so many people to importance of getting a sleep evaluation. Many health plans cover it plus it's worth it. Thank you for your talk and getting the word out on this often overlooked and easily curable solutions. Coach Todd
Thank You!
Very informative
I fell asleep trying to listen to this talk, so it worked for me. Lol.
This video is a good antidote to insomnia... 😴
Real talk
Thank you . My ex BF I've been Friends for years, had been diagnosed years ago with sleep apnea . We smoked camabis for so long & ,because this video , made me realize I may have it as well. I got all the symptoms but what made me realize there was a problem is now my lungs feel like they are slightly burning as well. Feels as if my lungs were struggling to get air. The a started praying at night for I thought that maybe demons were torchering my lungs squeezing my lungs and attacking them with darts and he'll 🔥 fire . I then researched and came across this video . Again thanks . 😁
0q
Best to go to a pulmonologist and get checked out! Good luck.
He is making me sleep, thank your help
Identify yourself
I am all of the above! Too many things to do. And doctors/dentists are either vague or unknowledgeable about prescribing solutions. Where can I specifically go to get help. I also have jaw pain.
Inspiratory volumes are significantly lower during REM and NREM sleep than during wakefulness and volumes are markedly lower during REM sleep.
Ppppppp
so?
It's kinda like he was practicing his TED talk in an old abandoned building and decided to just release that as the actual Ted talk.
I agree, he looks straight at the camera the whole time. As if the camera is the only thing in front of him.
Does it matter where he's speaking? I think the speaker and his message is more important than his surroundings.
@@skyhunk I agree.
Lollllll that is super funny and accurate.. Y’all need to get a sense of humor.
Sure it matters, to his bank acc ;
I felt quite dizzy watching this man moving from side to side whilst talking; it set off my vertigo!!
😂😂
1. Last meal no later than 6.
2. Don’t drink alcohol.
3. No coffee or tea after 4 o’clock.
4. Lose weight.
5. Exercise.
6. Firm mattress, not too soft.
7. Fresh air and not too hot.
8. No screens after 8.
9. Leave your mobile outside the bedroom. Use a ordinary wake up clock
10. Use earplugs if needed
11. Don’t drink a lot of water at night before bedtime.
12. Don’t start heavy discussions or tackle problems in bed.
13. Go to bed early and read a book.
14 Stick to your routines.
If non of this helps there are something in your life that is causing stress. Need for change. Job, partner, house, ... ?
I had sleep apnea and later was tested again, this time negative, for it. However I now get only 5 hours of straight sleep ( no wake ups) per night and I don’t need an alarm clock to wake me up. I wake up at the same time each morning like a bird or squirrel.
Even with the little amount of sleep I get each night I get no headache and I am not tired any time during the day. I still am concerned at the fact that I don’t get at least 6 hours per night.
Me too man! I don’t know I’m always waking up at 3:40 AM and only gets 5 hrs of sleep
Waking up before the sunrise is a common thing of an Advanced Sleeper
Check it out
@@daveicc495 Man I sleep everytime at 10PM or 9PM now I woke up again this day at maybe 2 AM I didn't checked the time because it might cause me agonizing and worried. Then spent minutes like hours, slept back. then woke up again after dreaming and spent countless minutes felt like hours and finally went up at 3:56 AM and jogged at 6AM
Look up circadian rhythms.
this night i just woke up at 11 PM and for the rest of the night i couldn't sleep, even when I tried so hard, i still couldn't sleep, this was probably one of the worst nights I've ever had especially because i had school that day
I wake up several times at night. I love to wake up. I enjoy the quiet, beautiful night. I love night. If someone asked how I sleep, I would say, "I sleep like a baby." Why do people think they need to sleep all night long without waking up? It isn't necessary.
That's a fair comment. I watched a documentary once that explained that in the old days, people would sleep a few hours, then tend to the animals and go to bed again. The 8 hour sleep is novel in the scheme of things. Sleep cycles are on average 2 hours I believe...
what?
It doesn’t depend upon how much someone sleeps but rather how refreshed they feel when they wake up. If you feel great then great!
So, have we found why this happens? Why does your breathing change, etc.
My sleep started being disrupted when I hit menopause. Now it's intermittent. It's annoying but sometimes I'm surprised at how well I still function on maybe 4 hours sleep. My biggest issue with my sleep is that I can rarely sleep past 6 or 7 hours.
Same here! 46 and can’t get a full night sleep. I can breath just fine so it’s not about that.
@regine me too! My insomnia coincides with my hot flashes 🥵. Also, my heart rate increases with a hot flash. I can't remember the last time I got a good night's rest.
This was unexpectedly helpful
i started wearing one these mouth guards for bruxism, and ended up sleeping longer than ever had before.
Yep its been tough for me i've had a lot of these same issues. 25 years ago they did a sleep study and they said i had 125 incident over the night of the study and i asked them how many is normal and they said none. Since then I've used nose strips, melatonin (microdoses, don't use anywhere near those quantities sold, just a few grains from 5 mg, a capsule can last an entire month), body pillow, pillows in certain arrangement every night, and many mind techniques to try to get to sleep, and still haven't mastered it. The best technique i use today is a body pillow, and two pillows for my head, one is a memory foam one, so the main technique is a) get as comfortable before sleep as you can, its key to build the most comfy environment possible with pillows, sheets, bed cover etc., (I keep the two pillows stacked, not any an angle, just flat, and often at a 45 degree angle to normal in case head falls when sleeping, and i most often sleep on the right side) and b) don't try to to go to sleep, never try to make yourself fall asleep, not at first nor if you wake up.
If you have such bad sleep apnea I wonder why they didn't put you on a CPAP machine? It forces your airways open so you can breath. I slept a couple of hours during the night but it was a restless sleep. I was a wreck during the day and finally got to a point where I couldn't function and had to quit a job that I loved. After diagnosis and using a CPAP machine it changed my life! It's like night and day! Go to a pulmonologist and discuss getting tested again! Sounds like you really need a CPAP! You're at high risk for a stroke or heat attack if your body isn't getting enough oxygen! Good luck!
Very good information. Thanks for this video!
Anyone also consider BPH (Benign Prostate Hypertrophy) in men!? That will also cause incomplete voiding of bladder which leads to FREQUENT trips to the bathroom, day AND night!😮😢
If this is why I haven’t been sleeping I’m going to be so relieved. I’ve had enough with drugs, they’re not working.
See my comment above
@@lynette599 what’s it say? I can’t find it
I agree with Tony Ofarrells post. The problem is breathing through your mouth instead of your nose.
I attended a Buteyco workshop 30 years ago. The Buteyko technique (designed primarily for Asthmatics) teaches nose breathing and pausing after exhalation - also taping your mouth at bedtime. - Best wishes
Vincent Gill this works for people who can breathe adequately through their nose. Many people can't.
I have a deviated septum and allergies, had my enlarged tonsils removed. So my nose often completely stops up multiple time at night, unless I'm adequately hydrated.
I’ve been taping for years and the other night I thought I really didn’t need it. I woke up several times with my mouth so dry I was choking so back on the taping!
@@glintinggoldQuit for 2 weeks ALL dairy, gluten and sugar. Notice the difference.
CPAP is very expensive and many cannot afford it as not everyone has insurance. Government assistance is also restrictive. What about menopause? Declining hormones really affect sleep in women, and, although OSA does increase in this age cohort, it's not always OSA that keeps menopausal women awake.
I have chronic insomnia post sleep apnea surgery which was successful it's not just breathing.
You can still have lots of RERAs since surgery fails so often.
I wake up several times during the night and make trips to the bathroom I don't wake up tired and I'm very active during the day if I do get tired I take a break and watch Ted Talks but I'm Seventy-Six years old.... I read somewhere that waking up every 2 or 3 hours is very normal in fact when I discovered this fact I was amazed that more people did know about it it was an interview conducted by an anthropologist with a tribe in the Brazil jungle and they were asked about their sleeping habits in the answer was if they woke up every couple of hours because living in the jungle is very dangerous and you must wake up every 2 hours to make sure that you're all safe so once I stop fretting about waking up every couple of hours and realize that it is probably very normal for human beings I now get up go to the bathroom if I have to go back to bed and normally fall right back to sleep or I'll have to read for a few minutes long as I don't wake up tired I know that I've had enough sleep
I too am 76 and recently came across the same information about waking several times in the night. As a result I accept it as normal and go right back to sleep rather than getting concerned. Thanks for your confirmation. God bless.
I'LL BE 80 IN JULY, I HAVE NO IDEA HOW I GOT SO OLD SO FAST!! I, TOO, HAVE SLEEPING PROBLEMS, TRIPS TO THE BATHROOM. I DON'T GET TOO BOTHERED BY IT, BECAUSE, I FIGURE I'M RETIRED SO CAN NAP ANYTIME!! MY 62 YEAR OLD DAUGHTER IS GOING THROUGH THIS, SHE IS THE TYPE WHO ALWAYS WANTS TO "FIX," THINGS RIGHT NOW, (EVEN ME!!)!! MY BELIEF IS, SHE IS SO FRANTIC, SHE AND HER "FIXES," MAKE HER HYPER, SHE IS NOW TRYING TCP GUMMIES, I'LL HAVE TO WAIT TILL TOMORROW TO FIND OUT IF THEY WORKED!! I DO HAVE APNEA, BUT THE CPAP WAS ON THE FLOOR EVERY MORNING AND I HATED IT!! I DECIDED IF I HAVE TO DIE, I'LL DIE IN MY SLEEP!! I FIGURE MY SLEEP PATTERN IS ALMOST 80, I'M OLD, MY CAR IS OLD AND MY HOUSE IS 70!! I APPLAUD YOU FOR YOUR CHANGE OF THOUGHT, BECAUSE THAT IS WHERE EVERYTHING STARTS!! MY MOTTO IS, IF YOU CANNOT CHANGE A SITUATION, CHANGE YOUR ATTITUDE TOWARDS IT!! I HATE WRINKLES, I HAVE A BEAUTIFUL WHITE MATELAISE BEDSPREAD WITH A DOUBLE FLOWING SKIRT, COTTON!! I STEAMED IT THE FIRST TIME, ONE HOUR, NEXT TIME I IRONED IT, OVER AN HOUR, NOW I JUST LOVE WRINKLES!!! HAVE A GREAT LIFE!!
you need to put a period every now and then madam
Thank you for your knowledge. You will help a lot of people with your advise. I am a healthy sleeper. Much love. Xx