Hello and welcome to Health for a Lifetime. 00:00:49.11\00:00:50.71 I'm your host Don Mackintosh. 00:00:50.74\00:00:52.59 Today we're going to talk about insomnia which means... well, 00:00:52.62\00:00:56.49 we'll learn more about it in a minute as we talk to our guest. 00:00:56.52\00:00:59.12 Our guest is Dr. David DeRose. 00:00:59.15\00:01:01.34 He's a physician from southern Oklahoma. 00:01:01.37\00:01:03.27 He started a ministry entitled, "CompassHealth," available 00:01:03.30\00:01:09.52 on the internet, compasshealth. net 00:01:09.55\00:01:11.26 Dr. DeRose we're glad that you've joined us. 00:01:11.29\00:01:14.02 It's always good to be with you, Don. 00:01:14.05\00:01:15.64 Now you trained in internal medicine, which is looking 00:01:15.67\00:01:18.16 more closely at medical conditions, but also you're 00:01:18.19\00:01:22.78 interested in preventive health, in other words 00:01:22.81\00:01:25.44 preventing things. 00:01:25.47\00:01:26.67 CompassHealth - tell me a little bit about this ministry. 00:01:26.70\00:01:30.52 CompassHealth has been around for about 3 years. 00:01:30.55\00:01:33.24 We really started the ministry to focus more on giving broader 00:01:33.27\00:01:38.82 dissemination to health wisdom that God has given to His people 00:01:38.85\00:01:43.72 collectively. 00:01:43.75\00:01:44.77 We just find out in the market place that many people don't 00:01:44.80\00:01:48.35 recognize the really cutting edge insights that God has in 00:01:48.38\00:01:52.81 the scriptures and scriptural principles. 00:01:52.84\00:01:54.94 So CompassHealth has started with that in mind. 00:01:54.97\00:01:57.66 We do a lot with various types of media. 00:01:57.69\00:02:00.67 I host a regular radio show and a number of TV appearances 00:02:00.70\00:02:05.05 of which we are doing one right now, seminars, and do 00:02:05.08\00:02:09.44 a lot of writing as well. 00:02:09.47\00:02:10.83 compasshealth. net 00:02:10.86\00:02:13.27 Does God have anything to say or science have anything to say 00:02:13.30\00:02:17.65 about this problem of insomnia? 00:02:17.68\00:02:19.71 First of all what is it? 00:02:19.74\00:02:20.71 Some background on it and then I guess you're going to share 00:02:20.72\00:02:24.84 with us some things to do that are non drug type strategies 00:02:24.87\00:02:28.39 to deal with it. 00:02:28.42\00:02:29.39 Well, this is a huge problem. 00:02:29.40\00:02:30.37 If you just look at medical magazines, medical journals, 00:02:30.38\00:02:35.74 you'll realize it's a pressing problem because every 00:02:35.77\00:02:38.39 medical journal, I haven't done a study on it, but it seems 00:02:38.42\00:02:41.02 like every journal I get has ads for the latest and greatest 00:02:41.05\00:02:45.20 sleeping pill. 00:02:45.23\00:02:46.63 People are troubled in our society with insomnia. 00:02:46.66\00:02:50.61 It's even more frustrating because we're probably 00:02:50.64\00:02:52.72 driving ourselves harder than ever before 00:02:52.75\00:02:55.96 and as far as the little amount of time that we spend in bed 00:02:55.99\00:03:02.21 sleeping, so it's very frustrating if you finally 00:03:02.24\00:03:04.99 get a chance to lay down and you can't fall asleep! 00:03:05.02\00:03:07.43 Very frustrating! 00:03:07.46\00:03:08.72 I don't seem to have this problem in my discipline 00:03:08.75\00:03:11.44 which is preaching. 00:03:11.47\00:03:12.44 A lot of people seem to go to sleep during my sermons. 00:03:12.45\00:03:14.82 But at night their having problems, right? 00:03:14.85\00:03:17.30 Yes, exactly. 00:03:17.34\00:03:18.71 The problems really are caused by a host of things. 00:03:18.74\00:03:22.50 We have what we call primary insomnia. 00:03:22.53\00:03:24.74 That means where the insomnia is occurring for reasons that 00:03:24.78\00:03:28.35 the average medical professional would not identify. 00:03:28.38\00:03:31.32 It's not some clear cut disease state that's causing 00:03:31.35\00:03:34.26 the sleep problems. 00:03:34.29\00:03:35.26 But then there's secondary insomnia 00:03:35.29\00:03:36.88 where actually medical conditions are causing 00:03:36.91\00:03:39.07 the problems. 00:03:39.10\00:03:40.07 So it may be a woman who's going through menopause, 00:03:40.08\00:03:41.93 through the hormonal changes are interfering with her sleep. 00:03:41.96\00:03:44.93 Could be restless leg syndrome, or sleep apnea, 00:03:44.96\00:03:48.12 breathing problems, disordered breathing problems at night, 00:03:48.16\00:03:51.58 So there can be these so called secondary causes of insomnia 00:03:51.62\00:03:55.01 there's a medical condition. 00:03:55.05\00:03:56.21 The treatment for those we're not going to say the treatment 00:03:56.25\00:03:59.03 is not necessarily just what we're going to be talking 00:03:59.06\00:04:04.14 about today because we want to talk about general strategies. 00:04:04.18\00:04:07.58 Specific strategies are called for if there's a medical 00:04:07.61\00:04:11.33 condition that's causing the sleeping problem. 00:04:11.37\00:04:13.92 The restless leg syndrome - is that mean like your leg 00:04:13.95\00:04:15.92 is keeping you awake at night? 00:04:15.96\00:04:17.46 It's sometimes spoken of a movement disorder. 00:04:17.50\00:04:21.81 Periodic movement disorder can sometimes affect the legs 00:04:21.85\00:04:24.18 but it can affect other parts of the body as well. 00:04:24.21\00:04:25.91 So, you're going to share with us some basic principles on how 00:04:25.94\00:04:30.92 to address this problem. 00:04:30.95\00:04:32.07 One of the things you say is have a daily sleep routine. 00:04:32.11\00:04:35.02 That's right. 00:04:35.06\00:04:36.09 This is something that most people in our culture 00:04:36.13\00:04:39.19 have gotten away from. 00:04:39.22\00:04:40.48 In the old days we used to do things in a fairly typical way. 00:04:40.52\00:04:44.82 We were living closer to the land. 00:04:44.85\00:04:47.42 Our forefathers were farmers, many of them, and they had to 00:04:47.45\00:04:52.07 be disciplined. 00:04:52.11\00:04:53.23 Well, in our culture, what we do is we tend to run on one 00:04:53.26\00:04:56.53 schedule during the week and another schedule 00:04:56.56\00:04:58.80 on the week end. 00:04:58.83\00:05:00.10 And even during the week, if there's a program we want to 00:05:00.14\00:05:03.55 watch that's on late at night, we'll watch that. 00:05:03.59\00:05:07.29 If we've got something pressing, now I'm not saying 00:05:07.33\00:05:11.43 we've got to be, "Uh oh, Don, it's 9:15, I've got to 00:05:11.46\00:05:15.49 start my bedtime routine, it was nice that you stopped by 00:05:15.52\00:05:18.32 10 minutes ago but you're not part of my routine, so time 00:05:18.36\00:05:21.12 to go. " 00:05:21.15\00:05:22.12 We're not talking about interfering with our Christian 00:05:22.13\00:05:24.73 ministry and our walk. 00:05:24.76\00:05:26.02 But at the same time we're saying if we do things in a 00:05:26.06\00:05:29.51 more regimented way, have a routine, schedule, and a 00:05:29.54\00:05:32.92 sleep routine, most of us don't make a big enough distinction 00:05:32.95\00:05:36.95 between our waking hours and our sleeping time. 00:05:36.98\00:05:39.45 We don't give our bodies any chance to wind down. 00:05:39.49\00:05:44.47 I've noticed with my children, my 18 month old and my 00:05:44.50\00:05:49.41 5 year old, that at certain times if they go past a certain 00:05:49.44\00:05:54.03 time 7:00, 8:00 o'clock at night and we ramp it up 00:05:54.06\00:05:57.35 they have a real hard time going to sleep. 00:05:57.39\00:06:01.76 But if they have a routine they go to sleep. 00:06:01.80\00:06:06.10 But that routine, just like it's important for the kids 00:06:06.13\00:06:09.61 it's important for adults and some of the things that can 00:06:09.65\00:06:13.09 contribute to conducive routine. 00:06:13.13\00:06:14.71 But the message is though making a distinction between waking 00:06:14.74\00:06:19.07 activities and sleep. 00:06:19.11\00:06:21.00 You're balancing your check book at the same time you're watching 00:06:21.04\00:06:24.31 the evening news and you're thinking about all the problems 00:06:24.34\00:06:28.64 you're going to handle the next day by writing a list. 00:06:28.68\00:06:30.30 That is not putting your mind or your body in a 00:06:30.33\00:06:34.11 framework to rest. 00:06:34.14\00:06:35.17 So take a shower, take a bath, read something devotional, 00:06:35.21\00:06:40.49 play a musical instrument for a little bit. 00:06:40.52\00:06:44.27 Some routine, something that you do that helps you wind down 00:06:44.30\00:06:47.19 and tells your body "I'm now getting ready for bed. " 00:06:47.23\00:06:49.93 Ok, what about late night meals? 00:06:49.96\00:06:53.22 Late night meals - you know the conventional wisdom on this one 00:06:53.26\00:06:56.68 is they can help you sleep. 00:06:56.71\00:06:58.66 And they actually can. 00:06:58.70\00:07:00.14 Some people by eating right before they go to bed 00:07:00.17\00:07:02.72 it will help them sleep. 00:07:02.75\00:07:04.37 Many people notice this. 00:07:04.41\00:07:05.99 They say, "You know when I eat I get sleepy right after. " 00:07:06.03\00:07:10.44 But here's the problem. 00:07:10.48\00:07:11.53 If your blood sugar is rising early in your sleeping hours, 00:07:11.56\00:07:16.51 in other words you've eaten a meal and you go to sleep, 00:07:16.54\00:07:20.49 certain restorative hormones in your body are going 00:07:20.52\00:07:24.43 to be suppressed. 00:07:24.47\00:07:25.44 You're not going to make as much melatonin as your body needs. 00:07:25.45\00:07:29.04 You're not going to make as much growth hormone. 00:07:29.07\00:07:31.04 Growth hormone is not just needed by kids to grow taller. 00:07:31.07\00:07:34.41 It's needed by adults to build up the body 00:07:34.45\00:07:36.74 from the wear and tear of the day. 00:07:36.78\00:07:38.43 If your blood sugar is rising you're not going to get 00:07:38.46\00:07:41.16 optimal levels of those. 00:07:41.19\00:07:42.16 So yes, eating late at night may help you fall asleep. 00:07:42.17\00:07:45.78 People recognize that. 00:07:45.82\00:07:48.79 But it can contribute to poor quality sleep. 00:07:48.82\00:07:51.68 Many people notice that not only they poor quality sleep 00:07:51.71\00:07:54.77 they sometimes report more vivid dreams, nightmares, 00:07:54.80\00:07:57.89 and things when they eat right before going to bed. 00:07:57.92\00:08:00.22 Ok, so there's a definite payoff and there's not a good payoff. 00:08:00.25\00:08:03.91 What is some other things we can do to avoid insomnia? 00:08:03.94\00:08:09.69 Well, avoiding insomnia is great. 00:08:09.72\00:08:13.01 Treating insomnia or addressing it is also important. 00:08:13.04\00:08:16.19 One of the things that does both is regular physical exercise. 00:08:16.22\00:08:19.13 Exercise - we've got to be a little careful with this one. 00:08:19.16\00:08:23.06 I know we've talked about it before on other programs, 00:08:23.09\00:08:27.30 but it's important to emphasize it in this context. 00:08:27.33\00:08:30.55 Physical exercise is important for regulating our metabolism. 00:08:30.58\00:08:35.72 Many people go to bed at night. 00:08:35.75\00:08:37.45 They're laying in bed and they can't sleep. 00:08:37.48\00:08:40.11 They're in a state of what we call hypertonic fatigue. 00:08:40.14\00:08:43.00 Hypertonic fatigue - now that's sounds important. 00:08:43.03\00:08:44.91 It is very important and that's why I mentioned it. 00:08:44.94\00:08:47.81 Your muscles are tense and they're trying to lay there 00:08:47.85\00:08:50.68 and go to sleep and they can't fall asleep. 00:08:50.72\00:08:53.63 The strategy for hypertonic fatigue is not rest - 00:08:53.66\00:08:57.43 it's exercise. 00:08:57.46\00:08:58.57 But if you're laying in bed and your muscles are all tense 00:08:58.60\00:09:02.92 and you can't relax, you don't want to go out and run 5 miles 00:09:02.95\00:09:07.23 because many people will find that late night exercise 00:09:07.27\00:09:11.09 wakes them up. 00:09:11.13\00:09:12.88 So what you do at night if you can't fall asleep, this is 00:09:12.92\00:09:17.57 what I do, it's not frequent, but if I lay down and I can't 00:09:17.60\00:09:21.27 fall asleep and feel more tense, I'll get up and take a walk. 00:09:21.31\00:09:24.95 A light, slow walk, maybe just walk through 00:09:24.98\00:09:28.95 my living room and pray, maybe walk outside my house, 00:09:28.98\00:09:32.37 whatever. 00:09:32.41\00:09:33.53 I'm in a fairly quiet area so it's not walking in the streets 00:09:33.56\00:09:37.89 of Manhattan. 00:09:37.93\00:09:38.90 The kids are old enough now that the living room is not dangerous 00:09:38.91\00:09:40.46 to walk through like mine. 00:09:40.50\00:09:41.61 That's right. 00:09:41.64\00:09:42.61 So the idea is the light exercise at night if you're 00:09:42.62\00:09:45.94 having trouble sleeping can be an excellent strategy. 00:09:45.98\00:09:49.52 But during the day doing more vigorous exercise can help 00:09:49.56\00:09:52.70 you at night time have your muscles relax and get some of 00:09:52.73\00:09:55.84 that tension out so you can fall asleep better. 00:09:55.88\00:09:57.87 I notice that when I do have a good exercise program 00:09:57.90\00:10:00.07 in the morning or during the day I don't have to sleep as much. 00:10:00.10\00:10:04.21 That's right. 00:10:04.24\00:10:05.21 Why is that? 00:10:05.22\00:10:06.19 It's because your body is operating more efficiently. 00:10:06.20\00:10:08.38 At least that's the way that I conceptualize it. 00:10:08.41\00:10:11.58 There's several things going on. 00:10:11.62\00:10:13.41 One is your sleep quality may be better. 00:10:13.44\00:10:16.07 Your muscle tension is less when you go to bed. 00:10:16.11\00:10:19.71 There's a number of things that happen with exercise 00:10:19.74\00:10:22.81 metabolically that seems to be useful. 00:10:22.85\00:10:25.47 Optimal, daylight sunlight exposure you're talking 00:10:25.50\00:10:29.67 about as well here. 00:10:29.71\00:10:30.98 Yes. 00:10:31.02\00:10:31.99 Most of us live in an artificial environment. 00:10:32.00\00:10:34.17 Most of our jobs call for us to be indoors in our culture. 00:10:34.20\00:10:37.89 So we're not getting exposed to outdoor light. 00:10:37.93\00:10:40.80 People that wake up in the middle of the night 00:10:40.84\00:10:43.68 and can't fall asleep. 00:10:43.72\00:10:44.69 It's 2:00 o'clock, 3:00 o'clock in the morning and they wake up. 00:10:44.70\00:10:48.44 They can't fall back to sleep. 00:10:48.48\00:10:49.81 Many of these people are helped by getting 00:10:49.85\00:10:52.06 bright light exposure. 00:10:52.10\00:10:53.09 By bright light we're speaking of light like you get outside. 00:10:53.13\00:10:56.08 Like what we have right here? 00:10:56.11\00:10:57.55 This is very bright. 00:10:57.59\00:10:59.05 I don't know how many lux this is but a bright day outside 00:10:59.08\00:11:02.84 would be like 3,000 lux, somewhere in that range, 00:11:02.87\00:11:05.72 that's a unit of light measurement. 00:11:05.75\00:11:07.58 So yes, this is doing us good even though we're indoors 00:11:07.62\00:11:10.94 recording this. 00:11:10.97\00:11:12.43 Late in the day, if the show is being recorded 5:00-6:00 o'clock 00:11:12.46\00:11:17.77 or bright light therapy, if someone 5 or 6 p. m. sometimes 00:11:17.80\00:11:22.90 in some parts of the country in the winter months 00:11:22.94\00:11:25.00 it may be dark, so they can use a light box. 00:11:25.04\00:11:28.23 But the idea is that bright light exposure helps to set the 00:11:28.26\00:11:31.35 circadian rhythm and the person will often sleep better 00:11:31.39\00:11:34.44 through the night. 00:11:34.48\00:11:35.77 What about sleep environment? 00:11:35.80\00:11:37.32 Sleep environment - this is a very important one. 00:11:37.35\00:11:40.40 Some people say. "Hey, I can sleep anywhere. " 00:11:40.43\00:11:43.44 That's great if they really can. 00:11:43.48\00:11:45.11 But most people can't. 00:11:45.14\00:11:46.84 There's several qualities of an optimal sleep environment. 00:11:46.87\00:11:50.22 One - it should be generally most people sleep better 00:11:50.26\00:11:54.12 in a cool environment - not cold so they're shivering 00:11:54.15\00:11:57.72 - but a cool environment. 00:11:57.76\00:11:59.04 They should be comfortable when they're lying down. 00:11:59.08\00:12:02.17 It should be quiet and should be dark as possible is the most 00:12:02.21\00:12:07.73 conducive for optimal sleep. 00:12:07.77\00:12:09.40 So what if your husband or wife snores? 00:12:09.43\00:12:12.28 If your husband or wife snores that definitely produces some 00:12:12.32\00:12:15.42 challenges. 00:12:15.46\00:12:16.43 The challenge may actually be worse for them because the 00:12:16.44\00:12:18.80 snoring could indicate a tendency to sleep apnea. 00:12:18.84\00:12:22.04 So especially if they're stopping breathing at night 00:12:22.08\00:12:25.25 they've got a major sleep problem. 00:12:25.28\00:12:27.62 But for you, that snoring is not helping you sleep either is it? 00:12:27.66\00:12:32.38 I'm not admitting to anything for myself but the person 00:12:32.41\00:12:36.00 that goes through it, yes, probably so. 00:12:36.03\00:12:37.90 I realize that but if you were in a room... 00:12:37.94\00:12:39.73 I had a friend just the other day they were telling me 00:12:39.77\00:12:43.26 that they were at a Christian camp and there was some 00:12:43.30\00:12:46.76 shortage in housing. 00:12:46.80\00:12:47.86 So in with their family they moved some other people 00:12:47.89\00:12:49.99 and one of those people snored the whole night. 00:12:50.02\00:12:52.65 One of the children came in with one of the parents saying 00:12:52.68\00:12:55.96 "I can't sleep, I can't sleep. " 00:12:56.00\00:12:58.50 So, yes, we can relate to this. 00:12:58.54\00:13:01.01 What do you do? 00:13:01.04\00:13:02.01 Many people say the only way I can sleep is to sleep in 00:13:02.02\00:13:05.77 another room. 00:13:05.81\00:13:06.78 Other people say, "What is the cause of the snoring?" 00:13:06.79\00:13:10.54 Many people if they are over weight and snoring, 00:13:10.57\00:13:12.75 weight loss can help address the snoring. 00:13:12.78\00:13:14.61 There are other techniques that can address that. 00:13:14.64\00:13:17.33 There are surgical techniques because sometimes the snoring 00:13:17.37\00:13:19.85 is really a problem contributing to sleep apnea. 00:13:19.89\00:13:23.01 But the other strategy is just using ear plugs. 00:13:23.05\00:13:26.10 Some people with simple in the ear, ear plugs decreasing 00:13:26.14\00:13:29.97 the sound 25 decimals and then putting some white noise on 00:13:30.00\00:13:33.76 at the same time - fan running, sounds of the ocean, whatever - 00:13:33.80\00:13:37.72 the snoring will just blend right into that. 00:13:37.76\00:13:39.99 Someone told me once to put a tennis ball in a sock 00:13:40.02\00:13:43.22 in your back. 00:13:43.26\00:13:44.23 If you got some people snoring and they roll over they hit that 00:13:44.24\00:13:46.86 and then they'll go on their side and won't snore anymore. 00:13:46.89\00:13:48.75 Sometimes that does work. 00:13:48.78\00:13:49.93 That's a good strategy. 00:13:49.96\00:13:51.04 I'm glad you're the host of the show because that's one 00:13:51.07\00:13:53.49 I wouldn't have mentioned. 00:13:53.53\00:13:54.65 That does work for some people. 00:13:54.68\00:13:56.74 We're talking with Dr. David DeRose. 00:13:56.77\00:13:59.59 We're talking about insomnia. 00:13:59.63\00:14:00.95 It's something that is a big problem. 00:14:00.98\00:14:04.59 Join us when we come back and continue talking 00:14:04.63\00:14:06.67 about this subject. 00:14:06.71\00:14:07.79 Have you found yourself wishing that you could 00:14:09.41\00:14:11.02 shed a few pounds? 00:14:11.05\00:14:12.02 Have you been on a diet for most of your life? 00:14:12.03\00:14:14.41 But not found anything that will really keep the weight off? 00:14:14.45\00:14:17.72 If you've answered yes to any of these questions, then we 00:14:17.75\00:14:20.99 have a solution for you that works. 00:14:21.03\00:14:23.61 Dr. Hans Diehl and Dr. Aileen Ludington 00:14:23.64\00:14:25.97 have written a marvelous booklet called, 00:14:26.00\00:14:28.26 Reversing Obesity Naturally, and we'd like to send it to you 00:14:28.29\00:14:31.86 free of charge. 00:14:31.89\00:14:32.97 Here's a medically sound approach successfully used 00:14:33.00\00:14:35.99 by thousands who are able to eat more 00:14:36.02\00:14:38.31 and loose weight permanently 00:14:38.34\00:14:39.82 without feeling guilty or hungry through lifestyle medicine. 00:14:39.85\00:14:43.68 Dr. Diehl and Dr. Ludington have been featured on 3ABN 00:14:43.71\00:14:47.16 and in this booklet they present a sensible approach to eating, 00:14:47.20\00:14:50.73 nutrition, and lifestyle changes that can help you prevent 00:14:50.77\00:14:54.04 heart disease, diabetes, and even cancer. 00:14:54.08\00:14:56.43 Call or write today for your free copy: 00:14:56.47\00:14:58.79 Welcome back. 00:15:09.03\00:15:10.30 We talking with Dr. David DeRose. 00:15:10.34\00:15:11.67 He's a physician in southern Oklahoma. 00:15:11.70\00:15:13.46 We're talking with Dr. DeRose today, about insomnia. 00:15:13.49\00:15:16.96 He has a webpage compasshealth. net 00:15:16.99\00:15:20.66 where a lot of this information can be shared 00:15:20.70\00:15:22.65 even in more detail. 00:15:22.69\00:15:23.85 You're keeping me awake here! 00:15:23.88\00:15:25.70 This program has not put me to sleep but the object of this 00:15:25.73\00:15:28.23 program is to put me to sleep - put people to sleep so they 00:15:28.26\00:15:30.72 can get a good night's rest! 00:15:30.75\00:15:32.40 Isn't that right? 00:15:32.44\00:15:33.41 Well, that's the goal and if they fall asleep during the 00:15:33.42\00:15:35.68 program we'll just consider it a compliment. 00:15:35.72\00:15:38.22 So we've talked about several strategies. 00:15:38.25\00:15:40.68 We won't go over those again because there's quite a bit 00:15:40.72\00:15:43.06 more we have to cover. 00:15:43.09\00:15:44.22 But you're saying also avoid unnecessary stimulants. 00:15:44.25\00:15:47.35 What do you mean by that? 00:15:47.39\00:15:48.36 Well, you know the two primary stimulants that we use in our 00:15:48.37\00:15:51.10 country are caffeine and nicotine. 00:15:51.14\00:15:53.40 Both of those habits are often things that 00:15:53.44\00:15:57.21 people use throughout the day. 00:15:57.24\00:15:58.72 Caffeine taken even after noon, as early as 12:00, 1:00 o'clock 00:15:58.75\00:16:05.17 in the day, you know 1:00 p. m. can interfere with sleep 00:16:05.20\00:16:08.29 in the night for many people that are sensitive. 00:16:08.32\00:16:10.09 So really the best policy with caffeine is leave it out 00:16:10.12\00:16:12.96 altogether. 00:16:13.00\00:16:13.97 If you feel you must use caffeine, if you're having 00:16:13.98\00:16:16.61 trouble sleeping, definitely don't have any of it after 00:16:16.64\00:16:19.30 noon. 00:16:19.34\00:16:20.31 When it comes to nicotine, well I don't know of any people 00:16:20.34\00:16:23.26 that are addicted to nicotine that stop using it at noon. 00:16:23.30\00:16:26.18 Nicotine really is another compound that interferes 00:16:26.22\00:16:30.53 with quality sleep. 00:16:30.56\00:16:31.63 They both work together, don't they? 00:16:31.66\00:16:32.92 They're both stimulants. 00:16:32.95\00:16:34.08 Alcohol? 00:16:34.11\00:16:35.70 Well, alcohol generally in the levels that it's used 00:16:35.73\00:16:39.12 has more of a depressant effect. 00:16:39.15\00:16:40.73 So many, many people have found that alcohol is something 00:16:40.76\00:16:44.94 that can help them sleep. 00:16:44.97\00:16:46.13 You don't recommend that though? 00:16:46.16\00:16:47.13 No, I don't recommend it. 00:16:47.14\00:16:48.11 The reason why is sleep is just not an all or none phenomena. 00:16:48.12\00:16:52.18 We have what is called a sleep architecture. 00:16:52.21\00:16:55.52 We go through stages of sleep. 00:16:55.56\00:16:57.24 If you take alcohol it interferes with quality sleep. 00:16:57.27\00:17:01.16 It interferes with the sleep architecture. 00:17:01.19\00:17:03.43 You don't get the restful sleep that you need. 00:17:03.47\00:17:05.94 So alcohol is not a short-cut to better sleep. 00:17:05.98\00:17:08.41 Leave it alone. 00:17:08.45\00:17:09.96 You're asleep but you're not asleep. 00:17:10.00\00:17:10.97 You're not getting the kind of sleep you need. 00:17:10.98\00:17:12.63 That's right. 00:17:12.66\00:17:13.63 What about medications that disrupt sleep? 00:17:13.64\00:17:16.65 Are there any that do that? 00:17:16.69\00:17:17.82 Well, there's other medications. 00:17:17.85\00:17:18.82 Of course we've mentioned caffeine and nicotine. 00:17:18.83\00:17:22.14 Those are drugs, 00:17:22.18\00:17:23.16 but we don't usually think of them as medications. 00:17:23.19\00:17:24.94 Diuretics, water pills - many people take those late 00:17:24.97\00:17:30.45 in the day or even earlier in the day and they're going to 00:17:30.48\00:17:32.76 the bathroom throughout the night. 00:17:32.80\00:17:34.27 Now, I'm not making a plea on international television 00:17:34.31\00:17:37.63 for people to stop using their diuretics because if 00:17:37.66\00:17:40.92 they've got congestive heart failure, believe me getting up 00:17:40.95\00:17:43.71 to go to the bathroom is better than suffocating in your sleep. 00:17:43.74\00:17:46.47 Don't stop your Lasix, don't stop your? 00:17:46.50\00:17:48.18 That's right! 00:17:48.21\00:17:49.18 But if you're on a diuretic maybe for high blood pressure 00:17:49.19\00:17:53.66 it maybe worth talking with the doctor if you're getting 00:17:53.69\00:17:56.10 up frequently - "Is there another medication I could use?" 00:17:56.13\00:17:58.81 Are there some lifestyle strategies that would free me 00:17:58.85\00:18:01.95 from reliance on this drug? 00:18:01.98\00:18:03.33 What about ways to position yourself to increase sleep? 00:18:03.36\00:18:10.23 Yes, this is an interesting question. 00:18:10.26\00:18:11.65 Sleep position a lot of people think well this doesn't have 00:18:11.68\00:18:15.26 much to do with quality of sleep. 00:18:15.29\00:18:16.87 As we get older, most all of us will experience some degree of 00:18:16.91\00:18:22.95 osteoarthritis. 00:18:22.99\00:18:24.25 These are just normal degenerative changes that happen 00:18:24.29\00:18:27.09 in our bony structure. 00:18:27.13\00:18:28.57 Many, many people have problems for instance with back pain, 00:18:28.61\00:18:32.72 or arm, or neck, or other pain. 00:18:32.75\00:18:35.55 Sleep position can have a profound role on us. 00:18:35.58\00:18:38.22 Let's just talk about low back pain - very common. 00:18:38.25\00:18:40.50 If someone is being interrupted as far as their sleep because of 00:18:40.53\00:18:45.07 their low back bothering them, what can they do? 00:18:45.11\00:18:47.90 One of the strategies is to keep you knees bent 00:18:47.93\00:18:50.69 when you're sleeping. 00:18:50.73\00:18:51.70 So if you're laying on your back put a large pillow under your 00:18:51.71\00:18:56.34 knees so your knees are bent. 00:18:56.38\00:18:57.54 Behind the small of your back put a lumbar roll, a small roll 00:18:57.58\00:19:02.55 maybe this size or smaller. 00:19:02.59\00:19:05.35 Like a towel or a blanket or a special pillow that you can buy 00:19:05.39\00:19:09.86 for that purpose. 00:19:09.89\00:19:10.86 That will help take the stress off the low back and if you're 00:19:10.90\00:19:13.80 not being awakened with pain that's great. 00:19:13.84\00:19:15.38 If you're sleeping on your side, again a pillow between 00:19:15.41\00:19:17.92 the knees, knees bent so that the hips are aligned just like 00:19:17.96\00:19:22.71 they would be if you were standing up. 00:19:22.74\00:19:25.26 Should we watch TV in bed? 00:19:25.30\00:19:27.00 Well, if you have no problem with insomnia it may be ok. 00:19:27.04\00:19:31.85 But for people with insomnia, we say, "Look it, make the 00:19:31.88\00:19:36.66 bedroom a room that is especially focused on 00:19:36.69\00:19:40.60 non-normal-waking activities. 00:19:40.63\00:19:44.62 Don't be eating in bed, don't reading the newspaper in bed. 00:19:44.65\00:19:51.45 Make the bedroom a place that is not an environment 00:19:51.48\00:19:56.39 where you are doing normal waking activities. 00:19:56.43\00:19:58.91 If I can't go to sleep and I'm saying I don't know if I'm ever 00:19:58.95\00:20:01.30 going to get to sleep, should I lay in bed thinking about it, 00:20:01.33\00:20:03.65 or should I get up? 00:20:03.69\00:20:04.75 Common scenario. 00:20:04.79\00:20:05.78 That's a destructive scenario, really, psychologically. 00:20:05.82\00:20:10.13 What happens, many people who have insomnia 00:20:10.16\00:20:12.13 becomes a vicious cycle. 00:20:12.17\00:20:13.72 Like you said, they're laying in bed saying, "I can't sleep, 00:20:13.76\00:20:16.51 I know it's going to be another terrible night, how can I 00:20:16.55\00:20:19.27 tomorrow, what am I going to do tomorrow?!" 00:20:19.30\00:20:20.97 The best strategy to do is if you're getting frustrated 00:20:21.01\00:20:25.31 you can't fall asleep, get up, do something! 00:20:25.35\00:20:29.05 Do some light activity, pray, take a light walk, whatever 00:20:29.09\00:20:33.35 it might be, don't lay there ruminating about how terrible 00:20:33.38\00:20:37.37 it's going to be because you can't sleep. 00:20:37.40\00:20:39.19 Maybe people that are having problems with sleep just don't 00:20:39.23\00:20:43.14 need as much sleep? 00:20:43.18\00:20:44.15 Well, it is true there are differences in 00:20:44.16\00:20:46.47 sleep requirements. 00:20:46.51\00:20:47.51 This is an important thing to recognize because we've been 00:20:47.54\00:20:52.08 doing a lot of education lately about telling people 00:20:52.12\00:20:54.15 that we need to sleep more. 00:20:54.19\00:20:55.40 Because this is a society who are really cutting ourselves 00:20:55.44\00:20:58.91 short on sleep. 00:20:58.95\00:20:59.96 So people are getting this message that you're probably 00:21:00.00\00:21:03.08 better off having 8 or 9 hours of sleep a night. 00:21:03.12\00:21:05.67 As we get older we often can't sleep that much. 00:21:05.70\00:21:08.22 And that's ok. 00:21:08.25\00:21:10.15 If you find that you can't perform the next day... 00:21:10.18\00:21:13.94 If you wake up at 4:30 in the morning and you feel rested 00:21:13.97\00:21:17.93 say, "Praise the Lord!" 00:21:17.96\00:21:19.40 Ok, I'm up early. 00:21:19.44\00:21:20.82 I can take some time with the Lord before anyone's calling 00:21:20.85\00:21:23.23 me on my phone. 00:21:23.27\00:21:24.71 So what do we really normally need, 00:21:24.74\00:21:27.69 a normal person - say age category? 00:21:27.72\00:21:30.60 The rule of thumb that we often talk about - 7-9 hours of sleep 00:21:30.63\00:21:36.56 in our adult life. 00:21:36.59\00:21:38.29 It's a reasonable rule of thumb. 00:21:38.32\00:21:40.32 If someone finds in their 70's or 80's they're only 00:21:40.36\00:21:43.86 sleeping 6 hours at night, they feel rested when they 00:21:43.90\00:21:47.02 get up at 5:00, but at 11:00 in the morning they're tired 00:21:47.05\00:21:50.14 well, then take a rest. 00:21:50.18\00:21:51.64 You can take a nap before noon, before lunch time. 00:21:51.67\00:21:55.57 That usually will not interfere with evening sleep. 00:21:55.61\00:21:59.48 Relaxation techniques? 00:21:59.51\00:22:00.65 That's an excellent thing to bring up. 00:22:00.68\00:22:02.66 Because that's another great thing you can do. 00:22:02.69\00:22:04.79 If you're in bed and you say, "Look it, I don't like this 00:22:04.82\00:22:07.90 DeRose guy. 00:22:07.93\00:22:08.90 I like Don Mackintosh a lot better. 00:22:08.91\00:22:10.49 DeRose says get out of bed when you're frustrated. 00:22:10.52\00:22:12.70 Mackintosh says relaxation techniques. " 00:22:12.74\00:22:14.70 That's another alternative. 00:22:14.74\00:22:15.84 So instead of being frustrated laying in bed, 00:22:15.87\00:22:17.62 do some progressive muscle relaxation. 00:22:17.65\00:22:20.29 Progressive relaxations you know like when you start with your 00:22:20.32\00:22:22.81 toes, tense them up and then relax them. 00:22:22.85\00:22:26.77 Do the same with your feet and ankle. 00:22:26.80\00:22:29.22 Just consciously doing some of those relaxation exercises 00:22:29.25\00:22:34.33 can really help. 00:22:34.36\00:22:35.41 Without waking your spouse up, hopefully. 00:22:35.44\00:22:37.03 Yes, you want to make sure and not wake the spouse. 00:22:37.06\00:22:40.80 You've got the message right. 00:22:40.83\00:22:41.88 How can I put a stop to racing thoughts? 00:22:41.91\00:22:43.41 My mind is going round and round. 00:22:43.44\00:22:45.87 You're thinking about all the programs you're 00:22:45.90\00:22:48.41 recording here at 3ABN? 00:22:48.44\00:22:49.87 That and whatever else comes up. 00:22:49.90\00:22:52.27 There are a number of strategies. 00:22:52.30\00:22:54.03 One of my favorites is a sleep tape. 00:22:54.06\00:22:57.39 A sleep tape? 00:22:57.42\00:22:59.36 Like is this Scotch tape, masking tape? 00:22:59.39\00:23:01.26 No, no, this is a tape recording - a sleep CD. 00:23:01.29\00:23:04.85 Or a sleep MP3. 00:23:04.88\00:23:07.30 Whatever medium you want to record on to. 00:23:07.33\00:23:11.08 What you do is you play this 00:23:11.11\00:23:14.27 when you're having trouble sleeping. 00:23:14.30\00:23:15.91 What you want is you want something that is engaging 00:23:15.94\00:23:18.97 but not stimulating. 00:23:19.00\00:23:20.37 Yes, ok, so not rock-in-roll. 00:23:20.40\00:23:23.02 Not rock-in-roll. 00:23:23.05\00:23:24.02 Let me give you an example. 00:23:24.03\00:23:25.73 Scripture - narrative portions of Scripture, the story of the 00:23:25.76\00:23:30.00 Exodus, Jesus ministry. 00:23:30.03\00:23:31.94 You know what happens when the children of Israel 00:23:31.97\00:23:35.01 get to the Red Sea. 00:23:35.04\00:23:36.14 Yes, I know. 00:23:36.17\00:23:37.37 Ok, the Red Sea parts. 00:23:37.40\00:23:38.51 You're not going to be laying there in suspense, 00:23:38.54\00:23:40.02 wondering are they all going to get wiped out, right? 00:23:40.06\00:23:41.72 No. 00:23:41.75\00:23:42.72 You don't listen to the latest Stephen King thriller. 00:23:42.73\00:23:46.49 You listen to soothing portions of Scripture. 00:23:46.52\00:23:49.82 That's right - soothing portions of Scripture that focus your 00:23:49.85\00:23:52.32 mind, engage your mind, but do not stimulate it. 00:23:52.36\00:23:54.89 Herbal preparations vs. medications? 00:23:54.93\00:23:57.93 Well, there are herbal preparations that have 00:23:57.97\00:24:00.17 sedative effects. 00:24:00.21\00:24:01.18 One of the more popular ones is Valerian seems to be 00:24:01.20\00:24:04.86 generally safe and somewhat effective. 00:24:04.90\00:24:07.13 Chamomile is on the list. 00:24:07.17\00:24:08.98 There are other things that are sometimes used. 00:24:09.02\00:24:11.88 You have these listed on compasshealth. net? 00:24:11.92\00:24:14.71 Yes, on compasshealth. net we have a list of some of these 00:24:14.75\00:24:16.91 common herbs. 00:24:16.94\00:24:18.01 Melatonin use? 00:24:18.04\00:24:19.01 Melatonin does have a role in my opinion. 00:24:19.02\00:24:21.61 It's being used therapeutically. 00:24:21.64\00:24:23.80 We encourage people not to get melatonin from natural sources. 00:24:23.84\00:24:27.03 And the reason a lot of people are surprised... 00:24:27.06\00:24:29.14 "Dr. DeRose, you are always advocating natural therapies. " 00:24:29.17\00:24:32.48 But natural melatonin can come from the brain of animals - 00:24:32.51\00:24:35.75 pituitaries of animals- and with our concerns for mad cow disease 00:24:35.78\00:24:41.06 and related disorders we are very concerned about not using 00:24:41.09\00:24:44.93 organ sources for the melatonin. 00:24:44.96\00:24:47.03 And that says on the bottle? 00:24:47.06\00:24:49.06 It may say on the bottle, it may not, you may need 00:24:49.10\00:24:52.24 to call the company. 00:24:52.27\00:24:53.24 Make sure that you're not getting that kind of melatonin. 00:24:53.25\00:24:55.56 Vitamin B12? 00:24:55.60\00:24:56.76 Vitamin B12- many people are deficient in Vitamin B12. 00:24:56.79\00:25:01.62 There does seem to be some evidence that it may have a role 00:25:01.66\00:25:04.82 in some of the things that people awake if their 00:25:04.85\00:25:07.23 deficiency has nerve related functions. 00:25:07.26\00:25:08.85 So make sure you're getting adequate Vitamin B12. 00:25:08.89\00:25:12.33 Ok, herbal preparations vs. medications, you're saying avoid 00:25:12.37\00:25:17.28 the medications if possible? 00:25:17.32\00:25:19.32 Well, I'm not going to say there is never a situation where 00:25:19.35\00:25:21.95 a person would use a medication. 00:25:21.99\00:25:23.24 I'm not going to be that cut and dried. 00:25:23.28\00:25:25.23 If you're in a hospital situation, if you've got some 00:25:25.27\00:25:28.05 acute loss and your doctor prescribes you a sleeping pill 00:25:28.09\00:25:30.64 for 7 days, I'm not going to say it's wrong under all 00:25:30.67\00:25:33.18 circumstances to use that. 00:25:33.22\00:25:35.08 But really beware - typically people responsible in sleep 00:25:35.11\00:25:38.87 medicine are saying that these sleep medications generally 00:25:38.91\00:25:42.63 are short term strategies. 00:25:42.67\00:25:44.74 You need to look at the bigger picture - what's keeping 00:25:44.77\00:25:47.25 you awake - look at some of these natural strategies 00:25:47.29\00:25:49.73 that we've prepared and try to use those. 00:25:49.77\00:25:51.79 There are several others that we're not able to get to, but 00:25:51.82\00:25:54.35 the one I want to end with - you're a Christian clinician, 00:25:54.38\00:25:56.88 compasshealth. net is all dedicated to the Lord, 00:25:56.91\00:26:01.24 you're involved in ministry with your family and children - what 00:26:01.27\00:26:04.75 does God's Word have to say about insomnia? 00:26:04.78\00:26:11.09 What are some principles there? 00:26:11.12\00:26:13.00 Well, you know there are a lot of things in the Scriptures that 00:26:13.03\00:26:15.83 deal with principles that we've been talking about, Don. 00:26:15.87\00:26:19.16 One of the texts that comes to mind is in the 00:26:19.19\00:26:23.12 Gospel of Matthew. 00:26:23.15\00:26:25.40 Jesus is always reaching out to us, comforting us 00:26:25.43\00:26:30.16 with who He is and how much we mean to Him. 00:26:30.19\00:26:33.34 I'm looking at Matthew chapter 11. 00:26:33.38\00:26:35.29 A very familiar verse to most of our viewers, I'm sure. 00:26:35.32\00:26:39.12 But there at the conclusion of that chapter Jesus invites us. 00:26:39.15\00:26:42.82 He says, "Come unto Me all ye that labor and are heavy laden 00:26:42.86\00:26:46.49 and I will give you rest. " 00:26:46.53\00:26:48.59 That's a wonderful promise. 00:26:48.62\00:26:51.05 Jesus offers us rest in Him. 00:26:51.09\00:26:53.45 And really, if you look at it, a lot of the anxieties that we 00:26:53.49\00:26:57.65 have, a lot of the things that keep us agitated are because 00:26:57.68\00:27:01.97 you and I to some extent when we're in ministry we don't fully 00:27:02.00\00:27:06.25 allow Jesus to give us that rest. 00:27:06.29\00:27:08.95 I know it's true for me. 00:27:08.99\00:27:10.13 When I find myself kind of anxious about something 00:27:10.16\00:27:13.53 it's just really a call to prayer, kind of refocus. 00:27:13.56\00:27:16.30 It doesn't mean all the anxiety goes away, I sometimes have 00:27:16.33\00:27:19.27 used a sleep tape when things are really intense, I'll listen 00:27:19.30\00:27:22.47 to Scripture, I'll listen to an inspiring sermon or something 00:27:22.50\00:27:26.55 that's not too engaging because I've listened to it before. 00:27:26.58\00:27:30.80 But the Lord really wants to give us that comfort and peace. 00:27:30.83\00:27:34.31 Well, thank you so much for joining us and every blessing 00:27:34.34\00:27:37.73 on CompassHealth and the ministry there. 00:27:37.76\00:27:40.06 Thank you for putting up that website with all the resources, 00:27:40.09\00:27:43.90 as well, for our folks. 00:27:43.93\00:27:45.52 And thank you for joining us on Health for a Lifetime. 00:27:45.55\00:27:48.30 I hope that as a result from today's program you can find 00:27:48.33\00:27:52.77 some strategies that can help you get the rest 00:27:52.80\00:27:54.81 God wants for you. 00:27:54.84\00:27:56.67