Hello, I'm Agatha Thrash, a staff physician 00:00:01.98\00:00:05.70 at Uchee Pines Institute 00:00:05.73\00:00:07.54 and I'd like to talk with you today about sleep. 00:00:07.57\00:00:11.33 I have a number of people who will be helping me 00:00:11.36\00:00:14.32 and we will be trying to help you to realize the sweetest 00:00:14.33\00:00:19.73 words in all of sacred Scripture I think... and that is, 00:00:19.76\00:00:25.85 "He giveth His beloved sleep. " 00:00:25.88\00:00:28.92 Sometimes we know we're beloved of the Lord... 00:00:28.95\00:00:32.46 but still, we don't sleep. 00:00:32.49\00:00:34.42 Is there a reason for that? 00:00:34.45\00:00:35.87 And can we do something about it? 00:00:35.90\00:00:37.67 We'll be talking about that and we hope you will join us. 00:00:37.70\00:00:41.84 Welcome to "Help Yourself to Health" 00:01:00.39\00:01:02.40 with Dr. Agatha Thrash of Uchee Pines Institute 00:01:02.43\00:01:05.97 And now, here's your host, Dr. Thrash 00:01:06.00\00:01:10.15 You know, all kinds of things interfere with people's sleep. 00:01:10.18\00:01:13.48 Sometimes people tell us that the noise interferes 00:01:13.51\00:01:16.65 with their sleep. 00:01:16.68\00:01:17.87 Sometimes people tell us that the quietness interferes 00:01:17.90\00:01:20.59 with their sleep. 00:01:20.62\00:01:21.89 In fact, at Uchee Pines, we are far out in the country 00:01:21.92\00:01:26.17 We hear no sirens, no horns, no traffic, no people... 00:01:26.20\00:01:31.78 just the quietness of the out-of-doors. 00:01:31.81\00:01:35.98 Now, sometimes people say to us... 00:01:36.01\00:01:38.76 "I couldn't sleep last night. " 00:01:38.79\00:01:41.36 Oh... why? 00:01:41.39\00:01:42.67 "It was so QUIET." 00:01:42.70\00:01:44.85 And I always laugh a bit about that because 00:01:44.88\00:01:47.42 some people simply must have a little background noise 00:01:47.45\00:01:51.35 in order to sleep... in fact, we call that "white noise" 00:01:51.38\00:01:54.87 And, some people want a little bit of that, so that they 00:01:54.90\00:01:58.32 don't hear anything that might attract the attention 00:01:58.35\00:02:02.08 and make it so that they would wake up and... that's all right. 00:02:02.11\00:02:05.63 If that is what helps you to sleep, that's fine. 00:02:05.66\00:02:08.44 Some people like to sleep with a tape... 00:02:08.47\00:02:12.19 So they plug in a tape and they listen to music, 00:02:12.22\00:02:15.71 or they listen to a sermon. 00:02:15.74\00:02:18.09 One woman told me that I put her to sleep every night... 00:02:18.12\00:02:22.22 and I didn't know whether to feel complimented 00:02:22.25\00:02:24.39 about that or not. 00:02:24.42\00:02:26.24 But, if a tape can help you to go to sleep, 00:02:26.27\00:02:31.74 then by all means, you can use a tape. 00:02:31.77\00:02:35.35 What other things might keep someone awake? 00:02:35.38\00:02:38.26 Well I have asked Dr. Winn Horsley to 00:02:38.29\00:02:41.49 help me discuss this problem with you. 00:02:41.52\00:02:44.04 So, Dr. Horsley is a staff physician 00:02:44.07\00:02:46.95 at Uchee Pines Institute, and welcome to this program. 00:02:46.98\00:02:50.98 So, we'd like to talk with you about some of the problems 00:02:51.01\00:02:55.69 having to do with interference of sleep... 00:02:55.72\00:02:58.29 And what would you like to start with? 00:02:58.30\00:03:00.67 Well, one of the most common, I think, is illustrated by 00:03:00.70\00:03:03.21 a patient that came to Uchee Pines, 00:03:03.24\00:03:06.03 about a 40-year-old, white, gentleman 00:03:06.06\00:03:09.15 from up in the New England area... 00:03:09.19\00:03:12.28 who complained of great difficulty sleeping and 00:03:12.31\00:03:19.31 so, I went through the history and couldn't really identify 00:03:19.32\00:03:25.94 causes... 00:03:25.97\00:03:26.99 I think he had a job with some of its stresses 00:03:27.02\00:03:31.28 But we'd about finished with things 00:03:31.31\00:03:35.22 when, in fact, we maybe even finished with the exam... 00:03:35.25\00:03:38.50 when it came to the surface that he drank 00:03:38.53\00:03:41.15 quite a bit of coffee... 00:03:41.18\00:03:42.81 In fact, he said that he drank how many of these 00:03:42.82\00:03:51.86 potsful per day. 00:03:51.89\00:03:53.41 It was enough to make the equivalent of 50 cups 00:03:53.44\00:03:55.86 of coffee a day... 00:03:55.89\00:03:57.48 OH... he was not even well-hydrated... 00:03:57.51\00:04:03.39 Well, you know, that is an interesting thing that 00:04:03.42\00:04:06.05 caffeine... most people, of course, know how caffeine 00:04:06.08\00:04:11.17 does stimulate and get the heart and the nervous system going 00:04:11.20\00:04:14.53 But most people don't know that caffeine affects the kidneys, 00:04:14.56\00:04:18.95 and makes the kidneys put out more water in the urine. 00:04:18.98\00:04:22.59 And in doing that, the person then, when he takes a 00:04:22.62\00:04:28.52 cup of coffee or of Coke or other caffeine beverage, 00:04:28.55\00:04:33.07 he is better hydrated for a few minutes 00:04:33.10\00:04:36.30 But in fact, once the kidneys start reacting to the caffeine, 00:04:36.33\00:04:40.04 he's more dehydrated than when he took the beverage. 00:04:40.07\00:04:42.36 Yes, it's an interesting thing... 00:04:42.39\00:04:43.97 Here is a model of the kidney, a plastic model 00:04:44.00\00:04:47.43 with the little cap up here of the adrenals... 00:04:47.46\00:04:52.40 Yeah... and then right here, we have what is called 00:04:52.43\00:04:56.95 the kidney cortex and the kidney cortex is the place 00:04:56.98\00:05:01.29 where the urine is formed and then it travels down 00:05:01.32\00:05:05.84 this... it's illustrated in brown here, and drips into 00:05:05.87\00:05:10.47 the little kidney pelvis 00:05:10.50\00:05:14.25 But out here, caffeine exerts its diuretic influence 00:05:14.28\00:05:20.68 It causes a dilation of blood vessels here in the 00:05:20.71\00:05:25.69 kidney cortex and that increases the rate at which 00:05:25.72\00:05:30.45 the blood plasma filtrates through the kidney 00:05:30.48\00:05:34.01 and that, of course, has the capability of producing 00:05:34.02\00:05:37.15 more urine. 00:05:37.18\00:05:38.16 So the net result of drinking a cup of coffee is actually 00:05:38.19\00:05:41.22 a little loss of fluid... Exactly 00:05:41.25\00:05:43.65 You know, I'd like to return to this issue of the effect 00:05:43.68\00:05:48.09 on the nerves... Um hm 00:05:48.12\00:05:49.38 And for that matter, on the heart... 00:05:49.41\00:05:51.03 Most people don't think of caffeine as a drug, 00:05:51.06\00:05:54.43 I don't think... it's just used so routinely and habitual 00:05:54.46\00:05:57.08 And it's classified in pharmacology books, I believe, 00:05:57.11\00:06:01.10 in the toxicology section 00:06:01.13\00:06:03.02 Toxicology... poisons Yes 00:06:03.05\00:06:05.55 As a matter of fact, right here, in the Merck Manual, 00:06:05.58\00:06:10.13 a standard textbook, it has a section at the back 00:06:10.16\00:06:14.44 where poisons are dealt with and right there... 00:06:14.47\00:06:16.42 IS caffeine... Is that right? 00:06:16.45\00:06:18.25 It's together with a few other drugs, such as 00:06:18.28\00:06:22.09 theophylline which is used for asthma. 00:06:22.12\00:06:24.78 And, you know, among the toxic effects which we all know... 00:06:24.81\00:06:30.24 wakefulness, but then restlessness, anorexia, vomiting 00:06:30.27\00:06:33.04 and so on, and it can actually become dangerous. 00:06:33.07\00:06:36.34 It talks about when people are hypersensitive... 00:06:36.37\00:06:39.74 "Possible immediate vasomotor collapse" 00:06:39.77\00:06:42.45 And I was surprised to notice a greater susceptibility 00:06:42.48\00:06:44.83 in adults, "especially after an acute overdose 00:06:44.86\00:06:47.32 on top of chronic intake. " 00:06:47.35\00:06:49.15 If a person stayed up all night and drank a 00:06:49.18\00:06:53.76 cup of coffee every hour, they might really be 00:06:53.79\00:06:56.49 in serious trouble... Yes... If they were chronic 00:06:56.50\00:06:58.46 overusers anyway... Exactly 00:06:58.49\00:07:01.23 One other point about coffee, right here in the same book 00:07:01.26\00:07:09.80 They mention that several studies show that drinkers of 00:07:09.81\00:07:14.14 more than 7 to 8 cups per day, when this was a woman... 00:07:14.17\00:07:19.31 with pregnancy, there was an increased incidence of 00:07:19.34\00:07:22.64 stillbirths, preterm deliveries, low birth weight infants and 00:07:22.67\00:07:26.22 spontaneous abortions. 00:07:26.23\00:07:27.80 Now, they weren't accounting for the presence of 00:07:27.83\00:07:33.49 the use of tobacco and alcohol... 00:07:33.52\00:07:36.43 But, you know, those things go together almost all the time. 00:07:36.46\00:07:40.03 So, it is hard to sort out. 00:07:40.06\00:07:41.60 I've seen some studies done on animals where the mothers 00:07:41.63\00:07:46.49 ...before birth, like with rats, were made to drink the 00:07:46.52\00:07:51.63 caffeine in their food, or they took it ground up 00:07:51.66\00:07:53.98 in their food and the liver weights and brain weights 00:07:54.01\00:07:58.85 and muscle weights of the newborn was much reduced 00:07:58.86\00:08:04.42 below the normal in rat mothers that did NOT take the caffeine. 00:08:04.45\00:08:10.17 So it has a serious effect on babies... 00:08:10.20\00:08:13.05 And that would fit perfectly with what 00:08:13.08\00:08:14.84 the Merck Manual said there... 00:08:14.87\00:08:16.08 And would actually tend to single out the caffeine 00:08:16.12\00:08:18.56 as perhaps as dangerous as any of the other things. 00:08:18.59\00:08:21.15 Well, I wanted to take a little bit of time here to look 00:08:21.18\00:08:29.86 at the issue of sleep... 00:08:29.89\00:08:31.95 ...The nature of sleep and what does it consist of... 00:08:31.96\00:08:34.27 because it is rather mysterious. Yes it is. 00:08:34.30\00:08:36.86 It's right when the Bible says.. "The Lord giveth us sleep" 00:08:36.87\00:08:41.70 And we, of course, don't know that much about how we sleep 00:08:41.73\00:08:45.52 since we're unconscious. That's right. 00:08:45.55\00:08:47.65 What I want to show you is a graph... 00:08:47.68\00:08:51.76 again in this reference book. 00:08:51.79\00:08:53.31 A graph of normal sleep and on this little graph, 00:08:53.34\00:09:02.72 it starts from the awaking state... 00:09:02.75\00:09:11.87 The waking state is this area up on top, 00:09:11.90\00:09:16.29 and then as one falls asleep, you go through various stages 00:09:16.32\00:09:20.11 There's stage 1, which tends to be short. 00:09:20.14\00:09:22.31 Stage 2, where one is in a deeper sleep, 00:09:22.34\00:09:25.12 and that lasts longer. 00:09:25.15\00:09:26.23 Stage 3 and down to stage 4. 00:09:26.26\00:09:28.56 All of these are with greater relaxation 00:09:28.57\00:09:33.26 occurring as one goes deeper... 00:09:33.29\00:09:34.56 I think it corresponds somewhat to the stages of anesthesia. 00:09:34.59\00:09:39.46 Now there is a very interesting added phase of sleep 00:09:39.49\00:09:45.10 which is called "REM" sleep. 00:09:45.13\00:09:49.01 And that is the deepest stage down here below stage 4 00:09:49.04\00:09:53.30 "REM" stands for rapid eye movement. 00:09:53.33\00:09:57.65 During this stage of sleep, the muscles, which have been 00:09:57.68\00:10:02.21 relaxing gradually more and more down to stage 4... 00:10:02.22\00:10:04.98 they become, in a sense, totally paralyzed. 00:10:05.01\00:10:07.64 There aren't even reflexes when they've checked it 00:10:07.67\00:10:11.11 with scientific studies during this time... 00:10:11.14\00:10:13.65 BUT, one set of muscles in the body is just working overtime 00:10:13.68\00:10:19.20 ...It's the rapid eye movement, the external ocular muscles. 00:10:19.23\00:10:24.12 The muscles that make our eyes move are rapidly working 00:10:24.15\00:10:27.76 Now another curious feature about this REM stage of sleep... 00:10:27.77\00:10:32.16 the lowest one here, is that during that stage, one dreams. 00:10:32.19\00:10:38.98 When they wake a person up right at that point, 00:10:39.01\00:10:42.22 in general, he's in the middle of a dream. 00:10:42.25\00:10:44.45 It has been noted that if people, during their sleep... 00:10:44.48\00:10:50.40 if they're in a sleep lab and they interrupt the sleep, 00:10:50.43\00:10:53.10 and don't let them have any REM sleep, 00:10:53.13\00:10:56.42 that they then do not get the restorative value of sleep. 00:10:56.45\00:11:01.29 They are not refreshed the next day. 00:11:01.32\00:11:04.69 And people have called this the time of sleep in which 00:11:04.72\00:11:10.90 one's brain is reorganizing the material of the day. 00:11:10.93\00:11:15.15 Well, that's a little explanation of what has been 00:11:15.18\00:11:18.95 shown in studies about sleep... 00:11:18.98\00:11:21.48 And, I find it interesting what happens to this when 00:11:21.51\00:11:25.17 people use sleeping pills. 00:11:25.20\00:11:26.49 Tell us about that. 00:11:26.52\00:11:28.03 I think we can see better if you point with this... Oh, okay. 00:11:28.06\00:11:33.78 Makes your hand in the way a little bit... 00:11:33.81\00:11:36.42 The biggest class of sleeping pills is called benzodiazepines. 00:11:36.45\00:11:42.40 And some may have heard the names... Dalmane, Restoril, 00:11:42.43\00:11:47.71 Halcion. 00:11:47.74\00:11:49.75 These are sleeping pills that are commonly used which are all 00:11:49.78\00:11:52.56 in this class of drugs called benzodiazepines. 00:11:52.59\00:11:55.34 Now, in a publication for doctors, 00:11:55.35\00:11:59.66 I was quite interested to note what they concluded 00:11:59.67\00:12:04.08 about the effect of benzodiazepine sleeping pills 00:12:04.09\00:12:07.56 It was this... when someone started taking them because of 00:12:07.59\00:12:11.29 insomnia, at first, yes... you would get a bit longer 00:12:11.32\00:12:14.77 time asleep. 00:12:14.80\00:12:17.59 He would get more time in these first 4 stages. 00:12:17.62\00:12:21.96 However, they noted that the deep stage, the REM sleep, 00:12:21.97\00:12:28.32 the one that's shown in some of these deep areas, 00:12:28.35\00:12:33.91 was obliterated. 00:12:33.94\00:12:36.50 The person did not get this most restorative phase of sleep. 00:12:36.53\00:12:40.68 And so the benefit of the sleep, of course, was less. 00:12:40.71\00:12:44.38 Now another curious thing that happened was that 00:12:44.41\00:12:47.55 as time went on, after a number of days, not many weeks anyway, 00:12:47.58\00:12:51.74 they found that the person's total hours of sleep 00:12:51.75\00:12:57.28 that is only in stages 1 thru 4, actually went back 00:12:57.31\00:13:01.46 to the amount of time he was sleeping before he started 00:13:01.49\00:13:04.26 taking the sleeping pill. 00:13:04.29\00:13:05.37 Oh, that's very damaging to the drug isn't it? 00:13:05.40\00:13:09.37 ...The reputation of the drug. 00:13:09.40\00:13:11.45 That's right and, you know, this person then... 00:13:11.48\00:13:14.23 he's kind of locked in his situation. 00:13:14.26\00:13:17.38 He's got a worse sleep because he's got no REM sleep. 00:13:17.41\00:13:20.25 He's just as bad as he was before he took the drug 00:13:20.28\00:13:22.28 ...except NOW, if he tries to STOP taking the drug, 00:13:22.31\00:13:25.85 he's going to have rebound insomnia... a bad situation. 00:13:25.88\00:13:29.55 So he's got 2 things... 00:13:29.58\00:13:30.97 Number 1, he has lost REM sleep. 00:13:31.00\00:13:33.64 Number 2, he has no more sleep than he had before but 00:13:33.67\00:13:38.00 now he does not have this restorative property... 00:13:38.03\00:13:44.08 And he cannot do away with the drug because, if he does, 00:13:44.11\00:13:47.70 he won't sleep at all. 00:13:47.73\00:13:49.12 Now, we've worked with people that have tried coming off 00:13:49.15\00:13:53.15 and it is... you pretty much have to tell them... 00:13:53.18\00:13:55.06 "You'll need to bite the bullet. " 00:13:55.09\00:13:56.92 "You're going to have to go through some time of insomnia. " 00:13:56.93\00:14:01.84 And, if they're willing to do that... 00:14:01.87\00:14:04.11 By the way, there is some of that with a number of drugs. 00:14:04.14\00:14:09.07 If they're willing to do that, in this case with insomnia, 00:14:09.10\00:14:13.02 then after it's not too many days that they'll begin to 00:14:13.05\00:14:16.53 start regaining some of the sleep they were getting before. 00:14:16.54\00:14:19.90 A few things that can help them are such things as 00:14:19.93\00:14:22.03 exercising... Absolutely. 00:14:22.06\00:14:24.07 If they exercise abundantly, then their ability to sleep 00:14:24.10\00:14:28.92 that night, after they had been exercising a lot, 00:14:28.95\00:14:31.34 is a lot better than it could be. 00:14:31.37\00:14:33.65 And if they stay well-hydrated, sometimes we think, 00:14:33.68\00:14:35.75 "Well, the person is going to have to get up more at 00:14:35.78\00:14:38.62 night if they're well-hydrated, 00:14:38.65\00:14:40.26 but actually, the brain is a lot water and the work of 00:14:40.27\00:14:48.44 sleep is a positive work of the brain... 00:14:48.47\00:14:51.86 And so, if the brain is well-hydrated, it can 00:14:51.87\00:14:55.48 do its work better. 00:14:55.51\00:14:57.33 Can you tell us something about sleep apnea? 00:14:57.36\00:15:00.11 Now that's a curious kind of problem. 00:15:00.12\00:15:06.01 Actually, it's very related to snoring. Um hm... 00:15:06.04\00:15:08.85 And just like snoring, most people don't know they do it. 00:15:08.88\00:15:14.07 I thought I didn't snore... 00:15:14.10\00:15:16.26 You don't find out maybe until you're married... 00:15:16.29\00:15:18.53 and then your partner informs you. 00:15:18.54\00:15:21.25 I was able to inform the other way too but... 00:15:21.28\00:15:23.54 People that snore heavily tend to be 00:15:23.57\00:15:28.61 ones that do have sleep apnea. 00:15:28.65\00:15:30.17 Now sleep apnea is actually a further stage than snoring... 00:15:30.21\00:15:33.82 with a fair amount of body weight and, 00:15:33.85\00:15:38.88 therefore, generally fat. 00:15:38.91\00:15:40.91 There is going to be some of that fat deposited back 00:15:40.94\00:15:44.87 in the palate... the soft palate area. 00:15:44.90\00:15:47.77 And, when there's too much there, then it can actually 00:15:47.80\00:15:51.36 weigh down and obstruct the airway. 00:15:51.39\00:15:58.12 Now, sleep apnea then... there are things that could be 00:15:58.15\00:16:05.38 done... Maybe I should say something 00:16:05.41\00:16:06.83 about a problem that occurs with it... 00:16:06.86\00:16:08.91 It can actually be bad enough that a person will get 00:16:08.94\00:16:11.42 rhythm problems in their heart. 00:16:11.45\00:16:13.39 And, of course, going for periods as they do... 00:16:13.42\00:16:16.73 a minute, perhaps even longer, without breathing 00:16:16.76\00:16:19.74 of course, this is kind of a dramatic thing... 00:16:19.77\00:16:22.26 And then they can't stay awake well during the day 00:16:22.29\00:16:24.74 So, what can you do? 00:16:24.77\00:16:29.28 Well, there's not a whole lot that is really good 00:16:29.31\00:16:35.97 before surgery. 00:16:36.00\00:16:38.50 Maybe we could say this... 00:16:38.53\00:16:39.70 There is a machine called the CPAP machine... that is 00:16:39.73\00:16:42.52 used quite a bit... that helps the person breathe, 00:16:42.55\00:16:45.81 puts a bit of pressure there. 00:16:45.84\00:16:47.08 There can be a little bit of help from the mouth device 00:16:47.11\00:16:51.89 that moves the jaw forward, the lower jaw is forward like that 00:16:51.92\00:16:56.65 and that tends to keep it away from the soft palate. 00:16:56.68\00:16:59.25 But, I think the biggest thing, the best thing to do of all 00:16:59.28\00:17:03.56 would be to lose weight... Absolutely. 00:17:03.57\00:17:07.24 Yes, because that helps with the opening up of the airway, 00:17:07.27\00:17:12.67 and makes it so that they can sleep better. 00:17:12.70\00:17:15.71 Thank you so much. 00:17:15.74\00:17:16.82 I think that that's all very helpful and can make it 00:17:16.83\00:17:21.00 so that we can know better how to sleep. 00:17:21.03\00:17:23.47 I'm so thankful for this information about sleeping pills 00:17:23.50\00:17:27.55 because a lot of people who are having difficulty sleeping 00:17:27.58\00:17:32.80 ...They think, "What I need is a sleeping pill and that will 00:17:32.83\00:17:36.65 solve ALL my problems. " 00:17:36.68\00:17:38.67 But that really doesn't solve problems. 00:17:38.70\00:17:41.37 Now, there are some things in foods that have been 00:17:41.40\00:17:45.10 noted to be helpful... 00:17:45.14\00:17:46.32 Some people say that when they eat a certain type of food, 00:17:46.36\00:17:50.04 they're going to sleep like a baby, 00:17:50.07\00:17:53.98 and some others say... "Well that doesn't help me, 00:17:54.01\00:17:57.36 but something else will. " 00:17:57.39\00:17:58.93 And so, some people need to have a little encouragement 00:17:58.96\00:18:02.48 with the food that they are going to eat. 00:18:02.51\00:18:05.68 And so, I am smelling the aroma of something that is 00:18:05.71\00:18:10.25 absolutely wonderful! 00:18:10.28\00:18:12.14 And this is Lidia Seda, who has something that 00:18:12.17\00:18:16.96 smells SO GOOD! 00:18:16.99\00:18:18.63 Can you tell me what this is? 00:18:18.66\00:18:20.20 Lidia Seda is a Lifestyle Counselor from Uchee Pines 00:18:20.23\00:18:23.42 and one of my long-time helpers... Lidia 00:18:23.45\00:18:26.61 Thank you Dr. Agatha. 00:18:26.64\00:18:28.13 What is here... we have tomato soup and a potato 00:18:28.16\00:18:33.70 baked potato with a sour cream and some crackers. 00:18:33.73\00:18:36.98 Now one of the key things about this... 00:18:37.01\00:18:40.90 is that this is not necessarily one meal... 00:18:40.93\00:18:43.73 Actually, this is 2 meals. 00:18:43.76\00:18:45.82 And this is what many of us should be having... 00:18:45.85\00:18:48.53 ...is a light 3rd meal and this is a great sleep-inducer... Why? 00:18:48.56\00:18:52.96 Because it will digest easily and it will not 00:18:52.99\00:18:57.07 stay in the stomach while we're sleeping. 00:18:57.10\00:18:59.73 It's very important not to have food in the stomach 00:18:59.76\00:19:02.43 while we sleep. 00:19:02.46\00:19:04.35 There have been studies that show that individuals 00:19:04.38\00:19:06.80 that do have any food in the stomach while they're sleeping 00:19:06.83\00:19:10.19 ...while the food is being digested, passing from the 00:19:10.22\00:19:14.12 stomach to the intestines, that they have a tendency of 00:19:14.15\00:19:17.06 turning... they are more restless, 00:19:17.07\00:19:19.17 so they don't have a restful sleep. 00:19:19.20\00:19:21.36 So it's very important, Dr. Agatha, to have your food 00:19:21.39\00:19:24.63 digested and to just be able to go to sleep and have a 00:19:24.66\00:19:28.87 restful, peaceful sleep. 00:19:28.90\00:19:30.42 So that when you lie down, your stomach is resting also. 00:19:30.45\00:19:33.90 Exactly! That's a good way to put it. 00:19:33.93\00:19:36.17 And, another factor we have to remember is that 00:19:36.20\00:19:39.49 it would be even better not to have a 3rd meal at all. 00:19:39.52\00:19:43.07 But you might be saying... "Well Lidia, I'm not used to 00:19:43.10\00:19:46.50 NOT having a 3rd meal. 00:19:46.53\00:19:48.13 So at least this is a way of meeting you where you may be 00:19:48.16\00:19:52.56 at this time. 00:19:52.59\00:19:53.71 But the ideal is to try not to have a 3rd meal at all... 00:19:53.72\00:19:57.29 And if you want to have even something lighter 00:19:57.32\00:19:59.38 than what we've shown you here, 00:19:59.41\00:20:02.24 you can have a fruit meal which actually digests itself 00:20:02.27\00:20:05.25 in about 2 to 3 hours... 00:20:05.28\00:20:07.48 And this way, you are assured that you will have NOTHING 00:20:07.51\00:20:10.48 in the stomach to disrupt your sleep. 00:20:10.51\00:20:13.32 Another important factor to keep in mind is that fasting 00:20:13.35\00:20:17.29 ...if you do plan NOT to have that 3rd meal, 00:20:17.32\00:20:19.50 actually helps with melatonin production. 00:20:19.51\00:20:22.55 It has been shown that individuals who do fast 00:20:22.56\00:20:26.21 ...or, let's say, not have a 3rd meal 00:20:26.24\00:20:28.13 because that's actually a fast until the morning, 00:20:28.16\00:20:30.70 that they will have a more youthful melatonin production. 00:20:30.73\00:20:35.86 It will last much longer throughout their lifetime. 00:20:35.89\00:20:38.91 They're individuals, as they enter their golden years, 00:20:38.94\00:20:41.68 who are not able to sleep as well. 00:20:41.71\00:20:44.25 So, if you're not there yet, think about that. 00:20:44.28\00:20:47.44 You want to be able to have a better and a more restful sleep 00:20:47.47\00:20:49.95 And if you already are in your golden years, 00:20:50.71\00:20:52.91 try fasting and see if that doesn't help 00:20:52.94\00:20:55.56 your melatonin production. 00:20:55.59\00:20:57.10 What do you think, Dr. Agatha? 00:20:57.13\00:20:58.72 Well, I think I'm one of those in the golden years... 00:20:58.75\00:21:02.06 And certainly it is best for me that I haven't eaten suppers 00:21:02.09\00:21:06.73 for MANY years... even before I reached the golden years, 00:21:06.76\00:21:10.27 I found I did much better on just 2 meals a day... 00:21:10.30\00:21:14.65 and that has been my long-time practice. 00:21:14.68\00:21:17.99 Now, I'm very interested in THIS dish... and in that one! 00:21:18.00\00:21:22.44 Which one is it that smells SO WONDERFUL? 00:21:22.47\00:21:25.41 Well I think it's a combination of both... at this point. 00:21:25.44\00:21:28.82 But this way, since I'm sure all of you would 00:21:28.83\00:21:31.79 also like to know how you may be able to have these meals 00:21:31.80\00:21:35.06 ...Let us show you what the ingredients are. 00:21:35.09\00:21:38.36 For the first one, which is the Supper Soup... 00:21:38.39\00:21:44.20 It's basically a tomato soup... and what you need is: 00:21:44.24\00:21:45.99 Well I can say that this nice combination of herbs and 00:22:08.84\00:22:14.83 tomato REALLY smells good! 00:22:14.86\00:22:16.61 I'm sure it would be a delightful thing and 00:22:16.64\00:22:18.79 anyone eating it... in place of a big supper 00:22:18.82\00:22:21.56 should sleep well. 00:22:21.59\00:22:23.03 Now I notice here that you have a cream on this potato... 00:22:23.06\00:22:27.51 I'd like to know how you made that? 00:22:27.54\00:22:29.71 Do you have a list of ingredients on that one? 00:22:29.74\00:22:32.29 Yes, I do, Dr. Agatha. It's very simple... 00:22:32.33\00:22:34.92 The ingredients are: 00:22:34.96\00:22:36.85 And you place them in a blender, blend them up... 00:22:51.68\00:22:54.49 and you have your sour cream for your potatoes. 00:22:54.52\00:22:57.19 Do you have to heat it together or is it ready to put on... 00:22:57.22\00:23:01.74 It's ready to go... Ready to go! 00:23:01.77\00:23:04.35 Simple enough! 00:23:04.36\00:23:05.34 That's what I like... quick and easy! 00:23:05.37\00:23:08.12 Yes, that's right. 00:23:08.15\00:23:09.24 Well thank you so much, Lidia 00:23:09.27\00:23:11.17 I really appreciate that and I know that it's 00:23:11.20\00:23:13.49 going to be a benefit. 00:23:13.52\00:23:14.77 Now, we have also a variety of things that we can do 00:23:14.80\00:23:20.55 that we might call sleep hygiene. 00:23:20.56\00:23:23.46 And I have asked Don Miller to present some things to you 00:23:23.49\00:23:28.41 that will be helpful in the way of what is good to 00:23:28.44\00:23:33.53 do and NOT to do just before you try to sleep... 00:23:33.56\00:23:36.98 Don Miller, a Lifestyle Counselor at Uchee Pines. 00:23:37.01\00:23:40.69 Thank you, Dr. Thrash 00:23:40.72\00:23:41.83 There are a number of things we can do along the lines of 00:23:41.86\00:23:44.86 sleep hygiene and the term hygiene you might think 00:23:44.87\00:23:48.10 we're talking about... make sure you have clean sheets 00:23:48.13\00:23:50.36 and, indeed, that is important that we have clean sheets, 00:23:50.39\00:23:52.87 but there are other things in our lives that we can do 00:23:52.90\00:23:56.33 or NOT do that will either give us good sleep 00:23:56.36\00:23:59.27 or interfere with the possibility of having good sleep 00:23:59.30\00:24:02.00 And the first thing is regularity. 00:24:02.01\00:24:03.91 Our sleep should be as regular as clockwork. 00:24:03.94\00:24:06.73 We should go to bed at the same time every day 00:24:06.76\00:24:08.84 and get up at the same time every day 00:24:08.87\00:24:10.90 And we don't sit there and sleep in on Sundays... 00:24:10.93\00:24:12.84 It's every day exactly the same time. 00:24:12.85\00:24:16.04 It's already been mentioned that exercise is a good thing 00:24:16.07\00:24:18.71 that we can do to make us tired at night 00:24:18.74\00:24:20.76 but it's only exercise during the day. 00:24:20.79\00:24:23.24 We should do nothing stimulating for about 2 hours 00:24:23.27\00:24:26.86 prior to going to bed... 00:24:26.89\00:24:28.01 We don't exercise. We don't read anything stimulating. 00:24:28.04\00:24:30.56 We don't do anything along these lines. 00:24:30.59\00:24:32.88 It's already been mentioned that coffee 00:24:32.91\00:24:35.39 is going to interfere with our sleep... 00:24:35.42\00:24:36.87 But tobacco and alcohol also will interfere with our sleep. 00:24:36.90\00:24:41.99 We should watch taking naps during the daytime. 00:24:42.02\00:24:44.57 I've known people who say, "I can't sleep at night" 00:24:44.60\00:24:47.22 But all day long, you see them out there sleeping... 00:24:47.25\00:24:49.47 and say, "Well, don't sleep"... He said, "Oh, I'm tired. " 00:24:49.51\00:24:51.23 Go to bed earlier. "I can't sleep at night. " 00:24:51.27\00:24:53.23 I say, "Try this one thing" 00:24:53.26\00:24:55.13 Get up tomorrow morning at 4 o'clock and take no naps. 00:24:55.16\00:24:58.90 I can pretty much guarantee you'll go to sleep. 00:24:58.93\00:25:00.80 There are other things we should do... 00:25:00.83\00:25:02.21 Make sure our rooms are cool... They're quiet... 00:25:02.24\00:25:04.99 and they're dark at night. 00:25:05.00\00:25:06.13 And I like to take along with me, some places, 00:25:06.16\00:25:08.80 little ear plugs. 00:25:08.83\00:25:09.92 The ear plug in your ear... the most disturbing sound 00:25:09.95\00:25:13.91 I know of when you're trying to sleep, is that little... 00:25:13.92\00:25:16.56 mosquito sound. 00:25:16.59\00:25:17.78 A couple of ear plugs... let them have their drink 00:25:17.81\00:25:19.83 ...they'll go off someplace else 00:25:19.86\00:25:21.34 and you'll be able to get some good sleep... 00:25:21.37\00:25:23.15 And so, rather simple, Dr. Thrash, but if we do 00:25:23.18\00:25:26.04 these simple things, I think we might get a better 00:25:26.07\00:25:27.71 night's rest... I'm sure. 00:25:27.74\00:25:29.89 You know, there is another thing, too, that one can do 00:25:29.92\00:25:33.29 but it requires a helper 00:25:33.32\00:25:34.76 and I've asked Shannon Jenkins and Melissa Thrash if they 00:25:34.79\00:25:38.89 will demonstrate this for you. 00:25:38.92\00:25:40.29 It's a simple massage thing and this is Shannon Jenkins 00:25:40.32\00:25:43.76 and this is Melissa Thrash, my granddaughter. 00:25:43.79\00:25:46.36 So Shannon, show us this nice little thing... 00:25:46.39\00:25:49.29 So Melissa, would you hop up here on our table 00:25:49.32\00:25:53.10 and let us have your back and this can be done 00:25:53.13\00:25:58.01 with the bare skin but it can also be done just 00:25:58.02\00:26:01.03 with the clothing on. 00:26:01.06\00:26:02.06 So, this is called "raking"... 00:26:02.09\00:26:04.03 What Shannon is doing is taking one hand and bringing 00:26:04.06\00:26:08.38 her hand down, then the other hand. 00:26:08.41\00:26:09.96 It's a hand-over-hand VERY slow, very light... 00:26:09.99\00:26:14.95 It doesn't have to be hard. 00:26:14.98\00:26:16.74 If the person feels that a harder rake would be relaxing, 00:26:16.77\00:26:21.83 then do it hand-over-hand, a very regular pattern 00:26:21.84\00:26:26.39 constantly raking down 200 strokes... 00:26:26.42\00:26:31.00 and so you can count those 200 strokes down the spine 00:26:31.03\00:26:35.23 in this way... rather gentle toward the end 00:26:35.26\00:26:39.14 But can be firm at first if a person really wants it firm. 00:26:39.17\00:26:43.41 Now after the person has had that, 00:26:43.42\00:26:45.41 of course it is going to be stimulating and soothing... 00:26:45.44\00:26:49.09 At first, it stimulates and then it soothes, 00:26:49.12\00:26:52.60 and relaxes the muscles beside the spine. 00:26:52.63\00:26:56.03 And with this, I can almost guarantee that you will sleep. 00:26:56.06\00:27:00.29 In fact, as I watch Shannon doing this very nice 00:27:00.32\00:27:04.35 raking massage on Melissa's back, 00:27:04.38\00:27:07.14 I could almost sleep right now. 00:27:07.17\00:27:10.15 The interesting thing about the nerves is that they 00:27:10.18\00:27:14.80 send impulses up to the brain through a little window 00:27:14.83\00:27:20.52 or gate at the base of the brain. 00:27:20.55\00:27:24.66 This sending up of impulses at that time shuts out 00:27:24.69\00:27:29.83 other impulses... things that we might feel 00:27:29.86\00:27:32.97 from other parts of the body... 00:27:33.00\00:27:34.59 perhaps a little pain here or there, 00:27:34.60\00:27:37.37 or perhaps a tingle or a tickle that we might feel. 00:27:37.40\00:27:41.84 ...And the raking tends to crowd out these other impulses, 00:27:41.87\00:27:48.16 and in this way, make it possible for us to be able to 00:27:48.19\00:27:51.74 say that our Heavenly Father 00:27:51.77\00:27:53.73 giveth His beloved sleep! 00:27:53.77\00:27:55.72